Dentist Providers In Springfield, Massachusetts

Search Dentist NPI records in Springfield, MA

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Springfield, MA. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 216, of which 46 are registered as organizations and 170 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.

79% Individuals

21% Organizations

29% Female

50% Male

79% Individual Providers (170)21% Medical Organizations (46)29% Female Providers (62)50% Male Providers (108)

Map of Providers

We have mapped the Dentist providers in Springfield, MA 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 Springfield, MA
NPI	Name	Address	Insurance	Medicare	PECOS
1003805441	PETER ANTONOPOULOS (Individual)	1655 BOSTON RD SUITE 168, VALLEY DENTAL ASSOCIATES SPRINGFIELD, MA 01129 (413) 543-2101	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	YES
1023548740	STEVEN EDWARD BURISON (Individual)	3455 MAIN ST STE 102 SPRINGFIELD, MA 01107 (413) 733-9490	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1023562048	ISHA SOOD (Individual)	1795 MAIN ST STE 101 SPRINGFIELD, MA 01103 (413) 737-9548	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 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1033363155	MICHAEL DAVID CABAN (Individual)	1795 MAIN ST #109 SPRINGFIELD, MA 01103 (413) 734-4443	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Renaissance Dental	Non-Participating Provider	NO
1043338817	16 ACRES DENTAL HEALTH CENTER, PC (Organization)	1178 PARKER ST SPRINGFIELD, MA 01129 (413) 783-5787		Non-Participating Provider	NO
1043449556	THAIDA DUONG (Individual)	532 SUMNER AVE SPRINGFIELD, MA 01108 (413) 739-1100	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 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
1043597438	ABIDA HASNAIN (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (413) 736-0027	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 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	Non-Participating Provider	NO
1043659691	MISI HUANG (Individual)	439 MAIN ST STE A SPRINGFIELD, MA 01151 (413) 543-1202	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	YES
1053669473	LAKSHMI BETHI (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (215) 421-7576	Anthem Blue Cross and Blue Shield 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 Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1063013936	KENNETH YANG (Individual)	1070 SAINT JAMES AVE SPRINGFIELD, MA 01104 (413) 737-5665	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 Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental	Non-Participating Provider	NO
1063079218	HIEN TRUONG (Individual)	532 SUMNER AVE SPRINGFIELD, MA 01108 (413) 693-1045	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1073066346	SAGAR PAREKH (Individual)	305 STATE ST SPRINGFIELD, MA 01105 (978) 258-0970	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 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
1083213417	KRUPALI PATEL (Individual)	352 COOLEY ST SPRINGFIELD, MA 01128 (413) 285-7283	Ambetter Health Ambetter Health of Delaware Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1083738413	MATTHEW KATZ (Individual)	1795 MAIN ST SPRINGFIELD, MA 01103 (413) 732-7208		Non-Participating Provider	NO
1083823744	JONELL K. HOPECK (Individual)	1795 MAIN ST STE. 202 SPRINGFIELD, MA 01103 (617) 894-8527	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Northeast Delta Dental	Non-Participating Provider	NO
1083846323	KONBO PRINCEWILL (Individual)	1795 MAIN ST SUITE 116 SPRINGFIELD, MA 01103 (413) 439-0568	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 Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	YES
1083897953	AARON M FOX (Individual)	3455 MAIN ST SPRINGFIELD, MA 01107 (413) 733-9490	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1093060279	DARA PAULA DEFLORIO (Individual)	200 BIRNIE AVENUE SPRINGFIELD, MA 01107 (860) 763-6187	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1093784613	CYNTHIA MARY FOX (Individual)	1655 BOSTON RD SPRINGFIELD, MA 01129 (413) 543-2104	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Renaissance Dental	Non-Participating Provider	YES
1104597251	SEUNG WHAN HAN (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (516) 697-6108	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1114332269	STEPHANIE JEAN PLONSKI (Individual)	1795 MAIN ST SUITE 216 SPRINGFIELD, MA 01103 (413) 733-6651	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	YES
1114594991	MICHAEL ELFMAN (Individual)	19 HAMPDEN ST SPRINGFIELD, MA 01103 (413) 739-9683	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 Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1114623881	MUSTAFA AKRAM (Individual)	1049 MAIN ST SPRINGFIELD, MA 01103 (413) 739-1100		Non-Participating Provider	NO
1124174354	CRAIG A SALTZMAN (Individual)	125 LIBERTY ST SUITE 301 SPRINGFIELD, MA 01103 (413) 733-6600	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1134453830	DENTEK DENTISTRY PC. (Organization)	302 SUMNER AVE SPRINGFIELD, MA 01108 (413) 781-0598		Non-Participating Provider	NO
1134503485	MEGAN BUTLER (Individual)	293 BRIDGE ST STE 427 SPRINGFIELD, MA 01103 (413) 734-9089	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental WellCare of North Carolina	Non-Participating Provider	NO
1144234642	ROBERT WILLIAM RICHEY (Individual)	1795 MAIN STREET SUITE 112 SPRINGFIELD, MA 01103 (413) 739-2052		Non-Participating Provider	YES
1144334806	MOHAMMAD MOINI (Individual)	1795 MAIN ST SUITE 202 SPRINGFIELD, MA 01103 (413) 739-5685		Non-Participating Provider	YES
1154173938	KEVIN SONG (Individual)	1795 MAIN ST STE 116 SPRINGFIELD, MA 01103 (419) 439-0563		Non-Participating Provider	NO
1154195576	SHAKAYLA MORGAN (Individual)	37 EMILY ST SPRINGFIELD, MA 01109 (413) 883-2276	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1154306934	LESLIE ZIDE (Individual)	1049 MAIN ST CARING HEALTH CENTER, INC SPRINGFIELD, MA 01103 (413) 739-1100	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	Non-Participating Provider	YES
1164004206	JI WON KIM (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (312) 768-0965	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1164626602	ANDREW JOSEPH FOX (Individual)	1795 MAIN ST SPRINGFIELD, MA 01103 (413) 733-5981	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1174915474	DR. DENTAL OF SPRINGFIELD (Organization)	1225 LIBERTY ST UNIT 3 SPRINGFIELD, MA 01104 (413) 796-4700		Non-Participating Provider	NO
1184253239	HYE YOUNG SHIN (Individual)	555 STATE ST SPRINGFIELD, MA 01109	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 Humana Paramount Paramount Dental	Non-Participating Provider	NO
1184795908	LAURA GRAMSE (Individual)	2194 WILBRAHAM ROAD SPRINGFIELD, MA 01129 (413) 783-6907	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1184893737	YAMAN MOHAMAD KANA (Individual)	1049 MAIN ST SPRINGFIELD, MA 01103 (413) 304-4606	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 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	Non-Participating Provider	YES
1194200451	RUCHI AHUJA (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (413) 736-0027	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1194286096	JANEEN WADDAH ASFOUR (Individual)	1795 MAIN ST STE 212 SPRINGFIELD, MA 01103 (413) 507-0115	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Maybe Accepts Medicare	YES
1194932368	BAYSTATE DENTAL PC (Organization)	1795 MAIN ST SPRINGFIELD, MA 01103 (413) 733-6651		Non-Participating Provider	NO
1205810892	DONOHUE & DONOHUE DMD, PC (Organization)	624 BELMONT AVE SPRINGFIELD, MA 01108 (413) 737-7912		Non-Participating Provider	NO
1215159413	JOHN WILLIAM KOTARSKI (Individual)	125 LIBERTY ST SUITE 306 SPRINGFIELD, MA 01103 (413) 733-6611		Non-Participating Provider	NO
1215266283	PREMAL PATEL (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (413) 736-0027	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 Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1225136146	DAVID A HIRSH (Individual)	293 BRIDGE STREET SUITE 427 SPRINGFIELD, MA 01103 (413) 734-9089	Anthem Blue Cross and Blue Sheld 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 Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	YES
1225243173	ANNE TRAN NGHIEM (Individual)	200 BIRNIE AVE NO TOOTH LEFT BEHIND DENTAL CLINIC SPRINGFIELD, MA 01107 (413) 787-7079	Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1235243817	DRS. GOLD, MOINI & WITZENBERGER, P.C. (Organization)	1795 MAIN ST SUITE 202 SPRINGFIELD, MA 01103 (413) 739-5685		Non-Participating Provider	NO
1235379520	CABAN ORTHODONTICS, PC (Organization)	1795 MAIN ST #109 SPRINGFIELD, MA 01103 (413) 734-4443		Non-Participating Provider	NO
1235432360	LUCILA BRUNO (Individual)	532 SUMNER AVE SPRINGFIELD, MA 01108 (413) 693-1045	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1245407881	DENTAL DREAMS LLC (Organization)	555 STATE ST SPRINGFIELD, MA 01109 (413) 736-0027		Non-Participating Provider	NO
1265112932	OLIVIA FASHOLA (Individual)	1070 SAINT JAMES AVE SPRINGFIELD, MA 01104 (617) 336-8596	Anthem Blue Cross and Blue Shield 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 Renaissance Dental	Non-Participating Provider	NO
1265567531	SATBIR SINGH RAKHRA (Individual)	1145 MAIN STREET SPRINGFIELD, MA 01103 (413) 693-1045	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1265783757	BRIGHT DEBTAL CARE PC (Organization)	1795 MAIN ST SUITE 203 SPRINGFIELD, MA 01103 (413) 737-9548	UnitedHealthcare	Non-Participating Provider	NO
1275058919	ANTHONY T QUINTA DMD LLC (Organization)	1795 MAIN STREET SUITE 202 SPRINGFIELD, MA 01103 (413) 739-5685		Non-Participating Provider	NO
1275550220	GEORGE ROBERT DITOMASSI (Individual)	1795 MAIN STREET SUITE 206 SPRINGFIELD, MA 01103 (413) 733-6576	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1275665705	NORTHGATE DENTAL CENTER, PC (Organization)	1985 MAIN ST STE 1 SPRINGFIELD, MA 01103 (413) 747-0400		Non-Participating Provider	NO
1275835803	KRUNAL S RANA (Individual)	1070 SAINT JAMES AVE SPRINGFIELD, MA 01104 (413) 737-5665	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma 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 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	NO
1275984205	ELWIRA TYRA (Individual)	41 TAYLOR ST STE 4 SPRINGFIELD, MA 01103 (413) 781-7645	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	Non-Participating Provider	YES
1285704973	VALLEY DENTAL ASSOCIATES, P.C. (Organization)	1655 BOSTON RD SPRINGFIELD, MA 01129 (413) 543-2101		Non-Participating Provider	NO
1285781955	JEFFREY A GUAY (Individual)	1730 BOSTON RD SPRINGFIELD, MA 01129 (413) 543-6008	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1285960351	KRISHNAPRASANTH MUDUSU (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (413) 736-0027	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1295156636	BAYSTATE DENTAL PRACTICE, LLC BAYSTATE DENTAL PC (Organization)	1795 MAIN ST SUITE 215 SPRINGFIELD, MA 01103 (413) 733-6651		Non-Participating Provider	NO
1295396299	LESLIE J. ZIDE, DMD, INC. (Organization)	1795 MAIN STREET SUITE 112 SPRINGFIELD, MA 01103 (413) 297-2379		Non-Participating Provider	NO
1306191051	ROY JUN KIM (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (413) 736-0027	Aetna CVS Health Ambetter from Absolute Total Care Ambetter of North Carolina 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 Montana Blue Cross and Blue Shield of NC Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of North Carolina Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1306830971	SONNY KHANNA (Individual)	1070 SAINT JAMES AVE STE D SPRINGFIELD, MA 01104 (413) 737-5665	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1316001696	DAVID IRA PECK (Individual)	41 TAYLOR ST STE 4 SPRINGFIELD, MA 01103 (413) 781-7645		Non-Participating Provider	YES
1316503782	VISHAH DHAMEE (Individual)	1795 MAIN ST STE 212 SPRINGFIELD, MA 01103 (413) 507-0115	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1326170861	WILLIAM MALAVE-VIDAL (Individual)	1985 MAIN ST SPRINGFIELD, MA 01103 (413) 747-0400	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1326662180	HASHAM ABDULLAH MAJOKA (Individual)	275 BICENTENNIAL HWY STE 207 SPRINGFIELD, MA 01118 (585) 643-9525	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1336153717	JAMES E MASLOWSKI (Individual)	1954 WILLBRAHAM RD SPRINGFIELD, MA 01129 (413) 782-4242	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	YES
1336160472	DARA DARABI (Individual)	275 BICENTENNIAL HWY SUITE 207 SPRINGFIELD, MA 01118 (413) 782-6777	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 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1336163534	DAVID W CHOU (Individual)	1206 BOSTON RD SPRINGFIELD, MA 01119 (413) 783-8899	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	YES
1336214238	JEFFREY LEE LITE (Individual)	390 SUMNER AVE SPRINGFIELD, MA 01108 (413) 732-6236	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1336273275	BICENTENNIAL DENTAL P.C. (Organization)	275 BICENTENNIAL HWY SUITE 275 SPRINGFIELD, MA 01118 (413) 782-6777		Non-Participating Provider	NO
1346014123	KAIRONG LIN (Individual)	405C ARMORY ST SPRINGFIELD, MA 01104 (413) 732-1211	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield BEST Life Florida Combined Life Humana	Non-Participating Provider	NO
1356461891	PHILIP C. IRVING,DDS,PC (Organization)	1383 MAIN ST SUITE 301 SPRINGFIELD, MA 01103 (413) 737-3700		Non-Participating Provider	NO
1356465280	CHIEN T DUONG (Individual)	586 BELMONT AVE SPRINGFIELD, MA 01108 (413) 734-1077	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 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
1356524144	RAY SCOTT SMITH (Individual)	275 BICENTENNIAL HWY SPRINGFIELD, MA 01118 (413) 783-1111		Non-Participating Provider	NO
1356736227	TAPAN VIPLAV PUJARA (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (002) 741-3736	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1356933980	UZMA SHAHBAZ (Individual)	1049 MAIN ST SPRINGFIELD, MA 01103 (413) 739-1100	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1366427148	ANTHONY E BREGLIO (Individual)	167 MAPLE ST SPRINGFIELD, MA 01105 (413) 734-5522	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	YES
1366532533	GINA SOHN (Individual)	1070 SAINT JAMES AVE KOOL SMILES DENTAL SPRINGFIELD, MA 01104 (413) 737-5782	Anthem Blue Cross and Blue Sheld	Non-Participating Provider	NO
1366933277	MICHAEL NARDI (Individual)	275 BICENTENNIAL HWY SUITE 206 SPRINGFIELD, MA 01118 (413) 426-9632	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Renaissance Dental	Non-Participating Provider	NO
1376192013	KAI HU (Individual)	1795 MAIN ST STE 116 SPRINGFIELD, MA 01103 (413) 237-1036	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 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1376391417	JEREMY ROBERT MILITE (Individual)	1795 MAIN ST STE 212 SPRINGFIELD, MA 01103 (413) 358-4391	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1376830661	VANGUARD DENTAL LLC (Organization)	1730 BOSTON RD SPRINGFIELD, MA 01129 (413) 543-2575	UnitedHealthcare	Non-Participating Provider	NO
1386999134	MAGDALENA NOWAK (Individual)	1795 MAIN ST SUITE 215 SPRINGFIELD, MA 01103 (413) 733-6651	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	YES
1396958195	ANTHONY M BOSCHETTI (Individual)	532 SUMNER AVE SPRINGFIELD, MA 01108 (413) 739-1100	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Northeast Delta Dental Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1407168016	TEJAS R PATEL (Individual)	1070 SAINT JAMES AVE SPRINGFIELD, MA 01104 (413) 737-5665	Aetna CVS Health 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 EMI Health Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1407553225	JALPIT PATEL (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (312) 274-4550	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 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	Non-Participating Provider	NO
1407594294	JUHI UDITBHAI PATEL (Individual)	606 SUMNER AVE SPRINGFIELD, MA 01108 (413) 216-5262	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 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
1407625254	VENKATA NAGA SRIDEVI SURAMPUDI (Individual)	606 SUMNER AVE SPRINGFIELD, MA 01108 (417) 619-3131	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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
1407813280	ROBERT L LEFF (Individual)	1795 MAIN ST SPRINGFIELD, MA 01103 (413) 734-4443		Non-Participating Provider	NO
1417242124	PANKAJ R. SINGHVI (Individual)	1070 SAINT JAMES AVE SPRINGFIELD, MA 01104 (413) 737-5665	Aetna CVS Health 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 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 Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1417383696	MALAV BAKULESH TRIVEDI (Individual)	1795 MAIN ST STE 116 SPRINGFIELD, MA 01103 (919) 961-8668	Aetna CVS Health Ambetter from Absolute Total Care Ambetter of North Carolina 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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of NC Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of North Carolina Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1427115062	ROBERT LOUIS KIRSTEIN (Individual)	1795 MAIN ST SUITE 101 SPRINGFIELD, MA 01103 (413) 737-9548		Non-Participating Provider	NO
1437163888	ROBERT ALLAN DESAUTELS (Individual)	34 MARSDEN STREET SPRINGFIELD, MA 01109 (413) 733-8966	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	YES
1437378072	CHRISTOPHER J DONOHUE (Individual)	624 BELMONT AVE SPRINGFIELD, MA 01108 (413) 737-7912	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	YES
1437584570	REKHA JOSHI (Individual)	ADVANCE DENTAL PC 1795 MAIN STREET SUITE 203 SPRINGFIELD, MA 01103 (413) 733-6576	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1447429709	HUBERT RANDOLPH SCOTT (Individual)	125 LIBERTY ST SUITE 301 SPRINGFIELD, MA 01103 (413) 733-6600	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1457335366	ALAN DAVID SAMPSON (Individual)	1795 MAIN ST STE 205 SPRINGFIELD, MA 01103 (413) 737-6322	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	YES
1467120634	DR SUNIT JAIN INC SPRINGFIELD DENTAL (Organization)	606 SUMNER AVE SPRINGFIELD, MA 01108 (413) 799-9330		Non-Participating Provider	NO
1467671016	PAUL A DONOHUE (Individual)	624 BELMONT AVE SPRINGFIELD, MA 01108 (413) 737-7912		Non-Participating Provider	YES
1467805853	RICHARD MARSHALL OPLER (Individual)	376 COOLEY ST SPRINGFIELD, MA 01128 (413) 796-1617	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Premera Blue Cross Blue Shield of Alaska Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1467886622	HANNA WOO PARK (Individual)	1795 MAIN ST SUITE 215 SPRINGFIELD, MA 01103 (413) 733-6651	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Renaissance Dental	Non-Participating Provider	YES
1477270221	NABEEL ALMAAZ (Individual)	1049 MAIN ST SPRINGFIELD, MA 01103 (413) 739-1100	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1477660900	RICHARD A GOODMAN DDS PC (Organization)	3455 MAIN STREET SUITE 102 SPRINGFIELD, MA 01107 (413) 733-9490		Non-Participating Provider	NO
1477926566	SVK DENTAL PC (Organization)	1225 LIBERTY ST UNIT 3 SPRINGFIELD, MA 01104 (413) 788-0000	UnitedHealthcare	Non-Participating Provider	NO
1477993145	CHAIYOON CHO (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (413) 736-0027	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 of Arizona Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1487174116	ALI ALMAAWI (Individual)	1795 MAIN ST STE 116 SPRINGFIELD, MA 01103 (413) 237-1036	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 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	Non-Participating Provider	YES
1487342051	PINKY DHARIWAL (Individual)	1795 MAIN ST STE 212 SPRINGFIELD, MA 01103 (413) 507-0115	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Florida Combined Life Humana	Non-Participating Provider	NO
1487402525	LAUREN EMILY DEPINTER (Individual)	1795 MAIN ST STE 212 SPRINGFIELD, MA 01103 (413) 358-4391	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1487975231	ANTHONY T QUINTA (Individual)	1795 MAIN ST STE 202 SPRINGFIELD, MA 01103 (413) 739-5685		Non-Participating Provider	YES
1497062764	CHELSEA WILSON (Individual)	35 RIVERVIEW TER SPRINGFIELD, MA 01108 (413) 219-8742	Aetna CVS Health 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 Illinois 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 Humana Paramount Paramount Dental Renaissance Dental	Accepts Medicare	YES
1497279004	AARON STOWELL BURNETT (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (413) 736-0027	Ambetter Health Ambetter Health of Delaware 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 Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1497487219	HARLEEN KAUR SOHI (Individual)	950 STATE ST SPRINGFIELD, MA 01109 (413) 264-2800	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 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
1508912734	GREGORY S ODIERNA (Individual)	125 LIBERTY ST SUITE 301 SPRINGFIELD, MA 01103 (413) 733-6600	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1508951054	MARCUS ANTHONY LOPEZ (Individual)	1235 SUMNER AVE SPRINGFIELD, MA 01118 (413) 782-5159	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	YES
1518036011	TAKIS JOHN MEGAS (Individual)	299 CAREW ST SUITE 218 SPRINGFIELD, MA 01104 (413) 788-9058		Non-Participating Provider	NO
1518269398	CHANG YOUN HAN (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (413) 736-0027	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 Guardian Humana Paramount Paramount Dental Premera Blue Cross Blue Shield of Alaska Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1518392620	PAUL NARDI (Individual)	275 BICENTENNIAL HWY 206 SPRINGFIELD, MA 01118 (413) 426-9632	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Renaissance Dental	Non-Participating Provider	YES
1528682929	JAESEONG PARK (Individual)	800 BOSTON RD SPRINGFIELD, MA 01119 (413) 796-4700	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1538246616	HATHAWAY ROAD DENTAL, PC CORTLAND DENTAL (Organization)	1070 SAINT JAMES AVE SPRINGFIELD, MA 01104 (678) 904-5665	UnitedHealthcare	Non-Participating Provider	NO
1538273131	THOMAS WITZENBERGER (Individual)	1795 MAIN ST SUITE 202 SPRINGFIELD, MA 01103 (413) 739-5685		Non-Participating Provider	NO
1548500309	TAYLOR STREET DENTAL ASSOCIATES (Organization)	174 WORTHINGTON ST SPRINGFIELD, MA 01103 (413) 781-7645		Non-Participating Provider	NO
1548990005	JAE WOO LEE (Individual)	1356 BOSTON RD STE 104 SPRINGFIELD, MA 01119 (413) 782-8700	Ambetter from Absolute Total Care Ambetter Health Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee 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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1558135293	NANCY DOSHI (Individual)	305 STATE ST SPRINGFIELD, MA 01105 (413) 732-6000	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1558693630	LAURA GRAMSE DMD PC (Organization)	2194 WILBRAHAM RD SPRINGFIELD, MA 01129 (413) 783-6907		Non-Participating Provider	NO
1558979195	BENNETT IAN GALPERIN (Individual)	376 COOLEY ST SPRINGFIELD, MA 01128 (413) 796-1616	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1568533727	SPRINGFIELD SMILES YOUTH DENTISTRY, LLC (Organization)	376 COOLEY ST SPRINGFIELD, MA 01128 (413) 796-1616		Non-Participating Provider	NO
1568557007	JONATHAN DAVID TRECKER (Individual)	1235 SUMNER AVE SPRINGFIELD, MA 01118 (413) 782-5159	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	YES
1568853612	ADVANCE DENTAL, PC (Organization)	1795 MAIN ST 206 SPRINGFIELD, MA 01103 (413) 733-6576		Non-Participating Provider	NO
1578570404	JOHN E VARLEY (Individual)	275 BICENTENNIAL HWY SUITE 208 SPRINGFIELD, MA 01118 (432) 782-2327	Anthem Blue Cross and Blue Sheld 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	Non-Participating Provider	NO
1578686846	CA LEVANOS, DDS INC TRECKER AND LOPEZ FAMILY DENTISTRY (Organization)	1235 SUMNER AVE SPRINGFIELD, MA 01118 (413) 782-5159		Non-Participating Provider	NO
1588619332	MATTHEW JOHN HALUCH (Individual)	1795 MAIN ST SPRINGFIELD, MA 01103 (413) 733-6651	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 Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1598876260	KEVIN LOUIS TROMBLY (Individual)	1575 WILBRAHAM RD SPRINGFIELD, MA 01119 (413) 783-2582		Non-Participating Provider	YES
1598932386	STEPHEN M WARNER DMD PC STEPHEN M WARNER DMD PC (Organization)	130 MAPLE ST SUITE 204 SPRINGFIELD, MA 01103 (413) 733-1306		Non-Participating Provider	NO
1609896265	PAUL ARNOLD NARDI (Individual)	275 BICENTENNIAL HWY SUITE #206 SPRINGFIELD, MA 01118 (413) 426-9632	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	YES
1619007093	DR. MARK S. LEVY, DMD PC (Organization)	1795 MAIN ST SUITE 203 SPRINGFIELD, MA 01103 (413) 732-4916		Non-Participating Provider	NO
1619317849	KALYAN KATTA (Individual)	1049 MAIN STREET SPRINGFIELD, MA 01103 (413) 304-4606	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 Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1629021894	BART CIOCCIA (Individual)	1795 MAIN ST BAYSTATE DENTAL SUITE 215 SPRINGFIELD, MA 01103 (413) 733-5700	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 Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Paramount Paramount Dental	Non-Participating Provider	YES
1629800875	AMNEET SINGH SEKHON (Individual)	1049 MAIN ST SPRINGFIELD, MA 01103 (413) 739-1100		Non-Participating Provider	NO
1629836887	ANDREW THOMAS O'KULA (Individual)	1795 MAIN ST STE 116 SPRINGFIELD, MA 01103 (413) 358-4391		Non-Participating Provider	NO
1639231863	ROBERT FRANCIS VANVALKENBURG (Individual)	529 WHITE ST SPRINGFIELD, MA 01108 (413) 736-1635		Non-Participating Provider	NO
1659871531	KRAY PC NORTHGATE DENTAL CENTER (Organization)	1985 MAIN ST SPRINGFIELD, MA 01103 (617) 513-4321		Non-Participating Provider	NO
1669960027	NEW ENGLAND FAMILY DENTISTRY ,PC CHILDREN'S DENTISTRY OF SPRINGFIELD (Organization)	366 COOLEY ST SPRINGFIELD, MA 01128 (413) 796-1616		Non-Participating Provider	NO
1679349229	SAMREEN FATIMA HUSSAIN (Individual)	1049 MAIN ST SPRINGFIELD, MA 01103 (413) 739-1100	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Florida Combined Life Humana	Non-Participating Provider	NO
1699038018	GLOBUS DENTAL CARE SPRINGFIELD, PC (Organization)	1795 MAIN ST SUITE -101 SPRINGFIELD, MA 01103 (214) 336-9767		Non-Participating Provider	NO
1700121431	SOOLMAZ AJDARI (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (413) 736-0027		Non-Participating Provider	NO
1700223237	STEPHANIE SIMONE STODDART (Individual)	1070 SAINT JAMES AVE SPRINGFIELD, MA 01104 (413) 241-7772	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1700589934	KAUSHIK DEV KARANAM (Individual)	1070 SAINT JAMES AVE SPRINGFIELD, MA 01104 (413) 278-6904		Non-Participating Provider	NO
1710015003	PETER T ESPOSITO (Individual)	125 LIBERTY ST SUITE 301 SPRINGFIELD, MA 01103 (413) 733-6600		Non-Participating Provider	NO
1710027487	ERIC S SHAPIRO (Individual)	125 LIBERTY ST SUITE 301 SPRINGFIELD, MA 01103 (413) 733-6600	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1710190459	ROBERT BISKOP (Individual)	532 SUMNER AVE SPRINGFIELD, MA 01108 (413) 739-1100		Non-Participating Provider	NO
1710362462	DAVID A HIRSH & ASSOCIATES (Organization)	293 BRIDGE ST SUITE 427 SPRINGFIELD, MA 01103 (413) 734-9089		Non-Participating Provider	NO
1720596778	REENA KANDYALA (Individual)	1070 SAINT JAMES AVE SPRINGFIELD, MA 01104 (413) 278-6904	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1720653728	NEOP LLC (Organization)	275 BICENTENNIAL HWY SPRINGFIELD, MA 01118 (413) 783-1111		Non-Participating Provider	NO
1730250994	YOGITA S KANORWALLA (Individual)	1730 BOSTON RD SPRINGFIELD, MA 01129 (413) 543-2555	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 Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1730432162	VIJAY GADDAM PC 7 HILLS DENTAL (Organization)	43 SULLIVAN ST SPRINGFIELD, MA 01104 (413) 785-5566	UnitedHealthcare	Non-Participating Provider	NO
1740217025	YEN-CHENG LAI (Individual)	1178 PARKER ST SPRINGFIELD, MA 01129 (413) 783-5787	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	YES
1740369024	ELLEN J SPIELBERG (Individual)	1655 BOSTON RD SPRINGFIELD, MA 01129 (413) 543-2101	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Humana Paramount Paramount Dental	Non-Participating Provider	YES
1740751999	YANTING CHEN (Individual)	1795 MAIN ST STE 212 SPRINGFIELD, MA 01103 (413) 507-0115	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1750118154	NELIDA REGINA ROCHA GONZALEZ (Individual)	1049 MAIN ST SPRINGFIELD, MA 01103 (413) 739-1100		Non-Participating Provider	NO
1750718193	JOHN WYETH SCOTT (Individual)	1049 MAIN ST SPRINGFIELD, MA 01103 (413) 693-1054	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	Non-Participating Provider	NO
1750912663	RABIA MUJTABA (Individual)	1795 MAIN ST STE 212 SPRINGFIELD, MA 01103 (413) 507-0115	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 Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1770228074	DR SUNIT JAIN INC (Organization)	950 STATE ST SPRINGFIELD, MA 01109 (716) 939-4818	UnitedHealthcare	Non-Participating Provider	NO
1770468712	TAYLOR STREET DENTAL GPS PLLC (Organization)	41 TAYLOR ST, 4TH FLOOR SPRINGFIELD, MA 01103 (413) 781-7645		Non-Participating Provider	NO
1780223156	PRABHJOT SINGH (Individual)	305 STATE ST SPRINGFIELD, MA 01105 (413) 732-6000	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1790133882	ROHIT TREHAN (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (413) 736-0027	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 Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1790198703	LARRY LIN (Individual)	1795 MAIN ST SUITE 215 SPRINGFIELD, MA 01103 (413) 733-6651	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 Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	YES
1790825461	SHAWN M RECORD (Individual)	125 LIBERTY ST SUITE 301 SPRINGFIELD, MA 01103 (413) 733-6600		Non-Participating Provider	NO
1801174198	VINAY KUMAR REDDY BATTULA (Individual)	1795 MAIN ST STE 101 SPRINGFIELD, MA 01103 (254) 458-5871	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 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	YES
1801846324	KEVIN COUGHLIN (Individual)	1795 MAIN ST SPRINGFIELD, MA 01103 (413) 733-6651	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1801936570	WESTERN MASS ENDODONTICS PC (Organization)	15 LIBERTY STREET WESTERN MASS ENDODONTICS SPRINGFIELD, MA 01103 (413) 733-6600		Non-Participating Provider	NO
1811487283	PABLO ENRIQUE VELASTEGUI (Individual)	41 TAYLOR ST STE 4 SPRINGFIELD, MA 01103 (413) 781-7645	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 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 Renaissance Dental	Non-Participating Provider	NO
1821383365	GEETU SHOKEEN (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (413) 736-0027	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 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
1821727298	JESSIE EUNSO LEE (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (312) 768-0965	Ambetter Health Ambetter Health of Delaware 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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1821754920	DR SUNIT JAIN INC SPINGFIELD DENTAL FOR KIDS (Organization)	481B BRECKWOOD BLVD SPRINGFIELD, MA 01109 (413) 334-8400	UnitedHealthcare	Non-Participating Provider	NO
1831113232	GENTLE FAMILY DENTISTRY, LLC (Organization)	1206 BOSTON RD SPRINGFIELD, MA 01119 (413) 783-8899		Non-Participating Provider	NO
1831804533	ISABELLE DINIZ (Individual)	1049 MAIN ST SPRINGFIELD, MA 01103 (413) 739-1100	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1831819648	RATNESHWAR SINGH SANDHU (Individual)	481 BRECKWOOD BULAVARD SPRINGFIELD, MA 01109 (413) 334-8400	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 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1841458593	GENTLE SMILES GENTLES SMILES (Organization)	1410 CAREW ST SPRINGFIELD, MA 01104 (413) 739-4500		Non-Participating Provider	NO
1841501723	DEBBIE KETHELYN DERISSE (Individual)	1070 SAINT JAMES AVE SPRINGFIELD, MA 01104 (917) 667-7876	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1841773785	SONAM SHETH (Individual)	376 COOLEY ST SPRINGFIELD, MA 01128 (413) 796-1616	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 Renaissance Dental	Non-Participating Provider	NO
1851150866	SPRINGFIELD KIDS DENTIST, LLC (Organization)	1512 ALLEN ST SPRINGFIELD, MA 01118 (413) 295-1600	UnitedHealthcare	Non-Participating Provider	NO
1851597678	AMAN DHIR (Individual)	1356 BOSTON ROAD SPRINGFIELD, MA 01103 (413) 782-8700		Non-Participating Provider	NO
1861987547	HOVHANNES PAHLEVANYAN (Individual)	1795 MAIN ST STE 212 SPRINGFIELD, MA 01103 (413) 507-0115	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Renaissance Dental	Non-Participating Provider	NO
1871234898	CAITLYN CHAMPAGNE (Individual)	1049 MAIN ST SPRINGFIELD, MA 01103 (413) 739-1100	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1871723106	OBIOMA ANULI PRINCEWILL (Individual)	1795 MAIN ST SUITE 116 SPRINGFIELD, MA 01103 (413) 733-6651	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 Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1871967497	PARAG SEHGAL (Individual)	1245 BOSTON RD SPRINGFIELD, MA 01119 (203) 575-9944	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1881608982	THOMAS JOSEPH MANNING (Individual)	66 CUNNINGHAM ST SPRINGFIELD, MA 01107 (413) 733-8674	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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	Non-Participating Provider	NO
1902060510	HIMANI MAHAJAN (Individual)	555 STATE ST SPRINGFIELD, MA 01109 (413) 736-0027		Non-Participating Provider	NO
1902242688	AMIT KAPOOR (Individual)	1245 BOSTON RD SPRINGFIELD, MA 01119 (413) 372-5565	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1902312002	AMANDEEP SINGH (Individual)	305 STATE ST SPRINGFIELD, MA 01105 (413) 732-6000	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 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1902357049	LAURA GRAMSE, DMD PC (Organization)	2194 WILBRAHAM RD SPRINGFIELD, MA 01129 (413) 783-6907		Non-Participating Provider	NO
1922286202	KHAI T BUI (Individual)	302 SUMNER AVE SPRINGFIELD, MA 01108 (413) 781-0598		Non-Participating Provider	NO
1932391356	EDWARDC LARKIN DMD (Organization)	1795 MAIN ST SUITE 101 SPRINGFIELD, MA 01103 (413) 737-9548		Non-Participating Provider	NO
1932580719	ABU BAKER OBAID MAHMOOD (Individual)	1049 MAIN ST. SPRINGFIELD, MA 01103 (413) 739-1100	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Renaissance Dental	Non-Participating Provider	NO
1942443932	SPRINGFIELD FAMILY DENTAL (Organization)	800 BOSTON RD SPRINGFIELD, MA 01119 (413) 796-4700	UnitedHealthcare	Non-Participating Provider	NO
1942827647	SABOORI SOBTI (Individual)	1795 MAIN ST STE 212 SPRINGFIELD, MA 01103 (413) 507-0115	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Paramount Paramount Dental	Non-Participating Provider	NO
1952689507	MYUNGWON JOYCE BAEK (Individual)	1795 MAIN ST STE 116 SPRINGFIELD, MA 01103 (413) 439-0568	Anthem Blue Cross and Blue Sheld 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 Paramount Paramount Dental	Non-Participating Provider	NO
1952753790	HARSH PATEL (Individual)	800 BOSTON RD SPRINGFIELD, MA 01119 (413) 796-4700	Ambetter Health Ambetter Health of Delaware Anthem Blue Cross and Blue Shield 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 Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1952868937	AREEN KHARASHGEH (Individual)	1049 MAIN ST SPRINGFIELD, MA 01103 (413) 739-1100	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	YES
1952937245	DENTAL CARE SPECIALTIES PC (Organization)	366 COOLEY ST SPRINGFIELD, MA 01128 (413) 783-0452		Non-Participating Provider	NO
1962282756	LUIS ALBERTO MOGOLLON (Individual)	1049 MAIN ST SPRINGFIELD, MA 01103 (413) 739-1100	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1972012417	INDU BALA YADAV (Individual)	1795 MAIN ST STE 215 SPRINGFIELD, MA 01103 (720) 238-6407	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 Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Paramount Paramount Dental	Non-Participating Provider	YES
1972121424	NAMRATA SHETH (Individual)	1795 MAIN ST SPRINGFIELD, MA 01103 (413) 507-0115	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1972668168	RICHARD G ELFMAN (Individual)	19 HAMPDEN STREET SPRINGFIELD, MA 01103 (413) 739-9683	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1982275228	SUMRA AKHLAQ (Individual)	1795 MAIN ST STE 212 SPRINGFIELD, MA 01103 (203) 300-1194	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1982304325	ANSHU CHOPRA (Individual)	481 BRECKWOOD BLVD SPRINGFIELD, MA 01109 (413) 334-8400	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Humana	Non-Participating Provider	NO
1982664173	SAI L KADIYALA (Individual)	367 COOLEY STREET SPRINGFIELD, MA 01128 (413) 796-1616	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 Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1982853917	PRIYA CHANDRASEKARAN (Individual)	376 COOLEY ST FIVE TOWN PLAZA SPRINGFIELD, MA 01128 (413) 796-1616	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 Florida Combined Life Humana	Non-Participating Provider	YES
1982871497	LUIS EDUARDO CASTRO-OVALLE (Individual)	1049 MAIN ST SPRINGFIELD, MA 01103 (413) 304-4606	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield 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 Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	YES
1992032999	NAVDEEP K SIDHU (Individual)	1070 SAINT JAMES AVE SPRINGFIELD, MA 01104 (413) 737-5665		Non-Participating Provider	NO
1992579767	HOANG DANG (Individual)	376 COOLEY ST SPRINGFIELD, MA 01128 (413) 796-1616	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield BEST Life Florida Combined Life Humana	Non-Participating Provider	NO
1992973424	CHIEN T DUONG D.M.D (Organization)	586 BELMONT AVE SPRINGFIELD, MA 01108 (413) 734-1077		Non-Participating Provider	NO
1992988869	GARY H GOODMAN (Individual)	3455 MAIN ST SPRINGFIELD, MA 01107 (413) 733-9490		Non-Participating Provider	NO

Individual Female Provider | Individual Male Provider | Medical Organization