Dentist Providers In Slidell, Louisiana

Search Dentist NPI records in Slidell, LA

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Slidell, LA. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 109, of which 22 are registered as organizations and 87 as individuals. A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

80% Individuals

20% Organizations

33% Female

47% Male

80% Individual Providers (87)20% Medical Organizations (22)33% Female Providers (36)47% Male Providers (51)

Map of Providers

We have mapped the Dentist providers in Slidell, LA to visually represent the practice location of each individual or organization. Click on any of the the pins to see the provider details at that location.

List of Providers

Table of Dentist NPI Profiles in Slidell, LA
NPI	Name	Address	Insurance	Medicare	PECOS
1003128539	TONY HAMMACK (Individual)	1101 ROBERT BLVD SLIDELL, LA 70458 (985) 641-8058	Blue Cross and Blue Shield of Louisiana Delta Dental Florida Combined Life Guardian HMO Louisiana Humana	Non-Participating Provider	YES
1013445139	TALIA CRAIN (Individual)	101 SMART PL # B SLIDELL, LA 70458 (985) 643-2616	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental DentaQuest- LA Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1013480565	CHANDLER ASHLEE GOLTZ (Individual)	110 VILLAGE ST SLIDELL, LA 70458 (985) 643-7516	Guardian	Non-Participating Provider	NO
1033210513	KRISTIE LEAH REINE (Individual)	720 ROBERT BLVD SLIDELL, LA 70458 (985) 643-1852	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1033223557	STEPHEN MICHAEL CAMBRE (Individual)	315 ROBERT BLVD SLIDELL, LA 70458 (985) 643-2284	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life HMO Louisiana Humana Primewell Health Services of Mississippi UnitedHealthcare	Non-Participating Provider	NO
1043001621	DENTISTRYONE OF LOUISIANA JAMES KISER A PROFESSIONAL CORPORATION (Organization)	769 ROBERT BLVD SLIDELL, LA 70458 (877) 712-7875		Non-Participating Provider	NO
1063142347	TRAM ANH MONIQUE CAO VU (Individual)	420 TOWN CENTER PKWY SLIDELL, LA 70458 (985) 214-1540	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1063638054	SCOTT E BONSON (Individual)	190 CROSS GATES BLVD SLIDELL, LA 70461 (985) 649-4881	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Guardian Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1073607131	CARL ALFRED SCARPELLI (Individual)	720 ROBERT BLVD SUITE A SLIDELL, LA 70458 (985) 643-1852		Non-Participating Provider	NO
1073896585	BIPPO'S NEW ORLEANS LLC (Organization)	2960 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-7971	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Blue Cross and Blue Shield of Louisiana HMO Louisiana	Non-Participating Provider	NO
1073992392	CHRISTY LYNN STASNEY (Individual)	240 ERLANGER ST SLIDELL, LA 70458 (985) 643-4553	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Alabama Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Primewell Health Services of Mississippi TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1083152490	JACOB DENT DDS DENTISTS OF SLIDELL A PROFESSIONAL CORPORATION DENTISTS OF SLIDELL (Organization)	420 TOWN CENTER PKWY SLIDELL, LA 70458 (985) 214-1540	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Blue Cross and Blue Shield of Louisiana HMO Louisiana	Non-Participating Provider	NO
1083783419	LAKESHORE FAMILY DENTISTRY INC (Organization)	720 ROBERT BOULEVARD SLIDELL, LA 70458 (985) 643-1852	UnitedHealthcare	Non-Participating Provider	NO
1093881732	TESSA M SMITH (Individual)	2960 E GAUSE BLVD SLIDELL, LA 70461 (985) 641-3988	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1104557230	GRANT EDWARD GALLIEN (Individual)	1677 GAUSE BLVD STE A SLIDELL, LA 70458 (985) 718-3174	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1114929262	GERALD ALAN WILLIAMS (Individual)	2790 GAUSE BLVD E STE 1 SLIDELL, LA 70461 (985) 649-9359		Non-Participating Provider	NO
1124186226	JILL M DONALDSON (Individual)	2960 E GAUSE BLVD SLIDELL, LA 70461 (985) 641-3988	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1124464888	BRITNEY JAN BEARD (Individual)	1868 SHORTCUT HWY SLIDELL, LA 70458 (985) 445-9656	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1134449333	ANN NGUYEN PAYER (Individual)	2960 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-7971	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1154431989	GORDON A BECH (Individual)	925 CROSS GATES BLVD SLIDELL, LA 70461 (985) 641-4180	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1154473692	KENT ALLEN STASNEY (Individual)	240 ERLANGER AVE SLIDELL, LA 70458 (985) 643-4553	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Primewell Health Services of Mississippi UnitedHealthcare	Non-Participating Provider	NO
1154877686	EDWARD C MASSETT JR. DDS APC (Organization)	2334 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-2030		Non-Participating Provider	NO
1164539847	JOSEPH L LINDSAY (Individual)	1400 OLD SPANISH TRL SIUTE A SLIDELL, LA 70458 (985) 643-2040	Guardian	Non-Participating Provider	NO
1164668968	KID'S DENTAL ZONE SLIDELL LLC (Organization)	1128 OLD SPANISH TRL SLIDELL, LA 70458 (985) 646-2146	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan DentaQuest- LA UnitedHealthcare	Non-Participating Provider	NO
1174537211	KAY D DANIEL (Individual)	2960 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-2472	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian HMO Louisiana UnitedHealthcare	Non-Participating Provider	NO
1174844450	ERIN AINSLEY FONTENOT (Individual)	480 OAK HARBOR BLVD SLIDELL, LA 70458 (985) 649-9455	Humana	Non-Participating Provider	NO
1194218263	MICHAEL F LEBLANC (Individual)	1101 ROBERT BLVD STE A SLIDELL, LA 70458 (985) 641-8058	Guardian	Non-Participating Provider	NO
1215552286	AKIA ROCHE' DAVIS (Individual)	2960 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-7971	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Florida Combined Life Guardian Health Advantage HMO Louisiana Humana Octave Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1225102676	ENDODONTIC ASSOCIATES LLC (Organization)	190 CROSS GATES BLVD SLIDELL, LA 70461 (504) 899-1416		Non-Participating Provider	NO
1225230659	SUSAN M SILVESTRI (Individual)	2300 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-7200	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana UnitedHealthcare	Non-Participating Provider	NO
1225591738	MICHELLE JAMES ANDERSON (Individual)	640 BROWNSWITCH RD SLIDELL, LA 70458 (985) 605-7632	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Primewell Health Services of Mississippi UnitedHealthcare	Non-Participating Provider	NO
1235801044	SLIDELL FAMILY DENTAL CARE, LLC (Organization)	240 ERLANGER AVE SLIDELL, LA 70458 (985) 643-4553	DentaQuest- LA	Non-Participating Provider	NO
1245445915	EDWARD L. DONALDSON, JR.,DDS APDC AND JILL M DONALDSON, DDS APDC (Organization)	2960 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-3988	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Blue Cross and Blue Shield of Louisiana DentaQuest- LA HMO Louisiana UnitedHealthcare	Non-Participating Provider	NO
1275680787	LEITH A DAIGLE (Individual)	4031 PONTCHARTRAIN DR SLIDELL, LA 70458 (985) 641-7997	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Primewell Health Services of Mississippi	Non-Participating Provider	YES
1275973216	CAROLINA BERENICE RIVERA (Individual)	2960 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-3988	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1285291492	NATHAN WU (Individual)	1301 EASTRIDGE DR SLIDELL, LA 70458 (985) 643-8800	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1285851634	WILLIAM O'BRIEN (Individual)	2790 GAUSE BLVD E STE 1 SLIDELL, LA 70461 (985) 649-9359	Guardian	Non-Participating Provider	NO
1295176683	CHRISTOPHER HENRY BRAUD (Individual)	480 OAK HARBOR BLVD SLIDELL, LA 70458 (985) 649-9455	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1306100011	CHAD MICHAEL GUSTAFSON (Individual)	925 CROSS GATES BLVD SLIDELL, LA 70461 (985) 646-1726	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1326249525	LISA ANN LOESCHER (Individual)	1400 OLD SPANISH TRL STE B SLIDELL, LA 70458 (985) 643-6620	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana UnitedHealthcare	Non-Participating Provider	NO
1326303777	JENNI M TRIOLA (Individual)	102 SMART PL SLIDELL, LA 70458 (985) 641-4005	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1326606104	SHELBY GRACE CAMP (Individual)	480 OAK HARBOR BLVD SLIDELL, LA 70458 (985) 238-4234	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1336341767	RONNIE A DENIGER (Individual)	2300 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-7200	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1346341096	JAMES KEVIN CURLEY (Individual)	2800 GAUSE BLVD E SLIDELL, LA 70461 (985) 649-7510		Non-Participating Provider	NO
1346376811	ROBERT JOHN ROONEY (Individual)	100 SMART PL SLIDELL, LA 70458 (985) 641-6607	Humana	Non-Participating Provider	NO
1376620906	JACK P DEVEREUX (Individual)	2330 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-1115	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Alabama Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1376710103	IRA ROBERT PITFIELD (Individual)	103 SMART PLACE STE B SLIDELL, LA 70458 (985) 643-2616	Guardian	Non-Participating Provider	NO
1376766113	EDMUND MYLES RING (Individual)	720 ROBERT BLVD SLIDELL, LA 70458 (985) 643-1852	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1376799692	HEIDI STANSBURY PARIDON (Individual)	2960 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-3988	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1386173086	ASHLEIGH ATTAWAY FLEISCHER (Individual)	2960 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-7971	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1386709285	EDWARD CHARLES MASSETT (Individual)	2334 GAUSE BLVD EAST SLIDELL, LA 70461 (985) 641-2030		Non-Participating Provider	NO
1396360285	MICHAEL SONNY DAI (Individual)	640 BROWNSWITCH RD SLIDELL, LA 70458 (985) 643-2828	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Primewell Health Services of Mississippi UnitedHealthcare	Non-Participating Provider	NO
1407471055	PAMELA PONCE DE LEON DAIGLE (Individual)	2130 GAUSE BLVD W SLIDELL, LA 70460 (985) 326-1711	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Primewell Health Services of Mississippi Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1417015512	EDWARD LAWRENCE DONALDSON (Individual)	2960 E GAUSE BLVD SLIDELL, LA 70461 (985) 641-3988	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life HMO Louisiana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1447232608	GARY JOHN CARTER (Individual)	170 NORTHSHORE BLVD STE B SLIDELL, LA 70460 (985) 500-3155	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1457767220	LAURA EUGENIA SMITH (Individual)	1414 OLD SPANISH TRL SLIDELL, LA 70458 (504) 330-0253	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1467537498	MICHAEL G. DRAGON (Individual)	2790 GAUSE BLVD E STE 1 SLIDELL, LA 70461 (985) 649-9359	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Primewell Health Services of Mississippi UnitedHealthcare	Non-Participating Provider	NO
1467669804	JOHN J KILLEEN (Individual)	110 VILLAGE ST SLIDELL, LA 70458 (985) 643-7516		Non-Participating Provider	NO
1467943910	KATE FROEBA CASERTA (Individual)	2960 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-3988	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1477684819	THOMAS W MABRY (Individual)	1241 7TH ST SUITE A SLIDELL, LA 70458 (985) 646-1421		Non-Participating Provider	YES
1487800140	SHELLY A MONTEGUT (Individual)	2960 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-3988	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1487975678	LAURA FAHY TOMASZEWSKI (Individual)	2960 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-7971	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1508244039	JULIO MARIN (Individual)	640 BROWNSWITCH RD SLIDELL, LA 70458 (985) 643-2828	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Louisiana Delta Dental Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental	Non-Participating Provider	NO
1508749243	HIBA KAMAL ALI (Individual)	420 TOWN CENTER PKWY SLIDELL, LA 70458 (985) 214-1540		Non-Participating Provider	NO
1508893082	RANDALL A EVANS (Individual)	1350 GAUSE BLVD W SLIDELL, LA 70460 (985) 641-7136		Non-Participating Provider	NO
1508982083	JOHN JARED HARMON (Individual)	102 VILLAGE ST SUITE B SLIDELL, LA 70458 (985) 643-4600	Delta Dental Humana	Non-Participating Provider	NO
1528021128	STEPHEN JAMES TOMASZEWSKI (Individual)	1275 7TH ST SLIDELL, LA 70458 (985) 641-4444	Blue Cross and Blue Shield of Alabama Humana	Non-Participating Provider	YES
1548314032	LOUIS IGNATIUS YBOS (Individual)	484 ROBERT BLVD SLIDELL, LA 70458 (985) 649-7745		Non-Participating Provider	NO
1548607674	LOUISIANA DENTAL PROFESSIONALS, DONOVAN DRONET, DDS, A PROFESSIONAL DE BLUEBONNET DENTAL CARE - SLIDELL (Organization)	2170 GAUSE BOULEVARD SUITE 133 SLIDELL, LA 70460 (985) 649-0006		Non-Participating Provider	NO
1558401869	DAVID JON HILDEBRANDT (Individual)	1430 OLD SPANISH TRL STE 10 SLIDELL, LA 70458 (985) 643-0304	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1568547701	MICHAEL KURT HOFFRITZ (Individual)	2790 GAUSE BLVD E STE 1 SLIDELL, LA 70461 (985) 649-9359	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana UnitedHealthcare	Non-Participating Provider	NO
1568689925	LOUIS GENARD (Individual)	2790 GAUSE BLVD E STE1 SLIDELL, LA 70461 (985) 649-9359	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana UnitedHealthcare	Non-Participating Provider	NO
1588170112	OLAJUMOKE ADEDOYIN, DDS OF LOUISIANA, A PROFESSIONAL DENTAL LLC (Organization)	170 NORTHSHORE BLVD STE B SLIDELL, LA 70460 (985) 500-3155	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Blue Cross and Blue Shield of Louisiana HMO Louisiana UnitedHealthcare	Non-Participating Provider	NO
1598915589	ELLIOT SCHLANG DDS A DENTAL CORPORATION (Organization)	120 KINGS WAY SLIDELL, LA 70458 (800) 409-2563		Non-Participating Provider	NO
1598946337	MOLLY DUEA BURNS (Individual)	2960 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-3988	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1609228428	EXCEPTIONAL DENTAL OF SLIDELL (Organization)	101 SMART PL SUITE B SLIDELL, LA 70458 (985) 643-2616	Blue Cross and Blue Shield of Louisiana HMO Louisiana	Non-Participating Provider	NO
1629144704	SAPNA MATHUR (Individual)	420 TOWN CENTER PKWY SLIDELL, LA 70458 (985) 214-1540	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1639415714	JOSEPH GASPAR SILVESTRI (Individual)	2300 E GAUSE BLVD SLIDELL, LA 70461 (512) 989-6990		Non-Participating Provider	NO
1659340834	RUSSELL L WESTFALL (Individual)	1271 7TH ST SLIDELL, LA 70458 (985) 643-1010		Non-Participating Provider	NO
1689925539	NORTHLAKE ORAL AND FACIAL SURGERY LLC (Organization)	1271 7TH ST SLIDELL, LA 70458 (985) 643-1010	Blue Cross and Blue Shield of Louisiana HMO Louisiana	Non-Participating Provider	NO
1699829036	JEANNE M REEVES DDS PROFESSIONAL DENTAL CORP (Organization)	102 SMART PLACE SLIDELL, LA 70458 (985) 641-4005		Non-Participating Provider	NO
1700587466	RACHEL MARIE COLLIGNON (Individual)	435 ROBERT BLVD SLIDELL, LA 70458 (985) 643-1852	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1760420525	MICHAEL JEFFREY GUEVARA (Individual)	1251 7TH ST SLIDELL, LA 70458 (985) 641-3587		Non-Participating Provider	NO
1760521496	KELLY MARIE MEILLEUR (Individual)	2334 GAUSE BLVD E SLIDELL, LA 70461 (985) 645-9555	Delta Dental	Non-Participating Provider	NO
1760973341	LORENA HAYDEE ROMANO (Individual)	1301 EASTRIDGE DR SLIDELL, LA 70458 (985) 643-8800	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1780137703	EUN CHEE LEE (Individual)	2330 GAUSE BLVD E STE E SLIDELL, LA 70461 (985) 641-1115	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1780301036	TYLER R MESA PEDIATRIC DENTISTRY (Organization)	2800 GAUSE BLVD E STE D SLIDELL, LA 70461 (985) 259-6737		Non-Participating Provider	NO
1780899955	REBECCA LYNN BLUM (Individual)	1680 OLD SPANISH TRAIL SLIDELL, LA 70458 (985) 643-0304	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1790862332	DEVEREUX AND NGUYEN LLC (Organization)	2330 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-1115	Blue Cross and Blue Shield of Louisiana HMO Louisiana	Non-Participating Provider	NO
1790944379	SILVESTRI & DENIGER LLC (Organization)	2300 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-7200	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan UnitedHealthcare	Non-Participating Provider	NO
1811928161	RAYMOND L POIRRIER (Individual)	1438 JOEL DR SLIDELL, LA 70460 (504) 319-2265	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Primewell Health Services of Mississippi UnitedHealthcare	Non-Participating Provider	NO
1821486739	DR LISA ANN LOESCHER & ASSOCIATES FAMILY DENTISTRY LLC (Organization)	1400 OLD SPANISH TRL STE A SLIDELL, LA 70458 (985) 643-2040	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan UnitedHealthcare	Non-Participating Provider	NO
1831220888	THOMAS W. MABRY, D.D.S., P.C. (Organization)	1241 7TH ST SUITE A SLIDELL, LA 70458 (985) 646-1421		Non-Participating Provider	NO
1831840206	DAVID ANTHONY BECH (Individual)	925 CROSS GATES BLVD SLIDELL, LA 70461 (985) 641-4180	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Guardian HMO Louisiana Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1841982618	PARKER BALL (Individual)	1430 OLD SPANISH TRL SLIDELL, LA 70458 (985) 643-0304	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1851459911	MELISSA MORGAN RITTER (Individual)	2960 E GAUSE BLVD SLIDELL, LA 70461 (985) 641-3988	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Paramount Paramount Dental	Non-Participating Provider	NO
1861845885	BRANDON C BEAN (Individual)	1301 EASTRIDGE DR SLIDELL, LA 70458 (985) 643-8800	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1871597468	DAVID MICHAEL POUSSON (Individual)	640 BROWNSWITCH RD SLIDELL, LA 70458 (985) 643-2828	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1871676072	MICHAEL J APPLETON (Individual)	480 OAK HARBOR BLVD SUITE B SLIDELL, LA 70458 (985) 649-9455	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian HMO Louisiana Humana UnitedHealthcare	Non-Participating Provider	NO
1871814871	BRIAN DUVERNAY (Individual)	2330 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-1115	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1891845814	MICHAEL T ROBICHAUX (Individual)	1101 ROBERT BLVD STE. A SLIDELL, LA 70458 (985) 641-8058		Non-Participating Provider	NO
1902981921	CRAIG J BRANDNER (Individual)	2364 GAUSE BLVD E SUITE 102 SLIDELL, LA 70461 (985) 847-0104	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Opted out of Medicare	YES
1932228418	SLIDELL DENTAL ASSOCIATE, LLC LOUISIANA DENTAL CENTER (Organization)	1301 EASTRIDGE DR SUITE 1 SLIDELL, LA 70458 (985) 643-8800	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Blue Cross and Blue Shield of Louisiana HMO Louisiana	Non-Participating Provider	NO
1932886942	PARTICK BERNARD PARENT (Individual)	1301 EASTRIDGE DR SLIDELL, LA 70458 (985) 643-8800	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1942949730	PRESTON G BIVONA (Individual)	480 OAK HARBOR BLVD SLIDELL, LA 70458 (985) 649-9455	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1952094823	ALEXANDRA HOHENSEE DUREL (Individual)	2960 GAUSE BLVD E SLIDELL, LA 70461 (985) 641-3988	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Florida Combined Life HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1952475261	CRAIG A HENRY DDS ALL SMILES ORTHODONTICS (Organization)	2790 E GAUSE BLVD SUITE 3 SLIDELL, LA 70461 (985) 641-3440		Non-Participating Provider	NO
1992701288	PAUL E DUGAS (Individual)	59070 AMBER ST SLIDELL, LA 70461 (985) 641-3245	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1992827646	RONALD J GUSTAFSON (Individual)	925 CROSS GATES BLVD SLIDELL, LA 70461 (985) 646-1726	Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO

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