Dentist Providers In St George, Utah

Search Dentist NPI records in St George, UT

Search or browse through the NPI records of dentist registered healthcare providers with a business address in St George, UT. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 149, of which 44 are registered as organizations and 105 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.

70% Individuals

30% Organizations

3% Female

67% Male

70% Individual Providers (105)30% Medical Organizations (44)3% Female Providers (5)67% Male Providers (100)

Map of Providers

We have mapped the Dentist providers in St George, UT 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 St George, UT
NPI	Name	Address	Insurance	Medicare	PECOS
1003009150	IRVIN LEE ENCE (Individual)	10 DIAGONAL STREET #102 ST GEORGE, UT 84770 (435) 628-6026	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 Guardian Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1003079260	IVAN K HENDRICKSON (Individual)	720 S RIVER RD STE B210 ST GEORGE, UT 84790 (435) 656-0507	Select Health	Non-Participating Provider	NO
1003949827	DIXIE DENTAL DIXIE DENTAL (Organization)	425 E TABERNACLE ST GEORGE, UT 84770 (435) 688-1400		Non-Participating Provider	NO
1023020666	ALLEN E HILTON (Individual)	736 S 900 E 105 ST GEORGE, UT 84790 (435) 673-2491	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 Select Health	Non-Participating Provider	NO
1023143088	RED CLIFFS DENTAL (Organization)	321 N MALL DR ST GEORGE, UT 84790 (435) 628-5496		Non-Participating Provider	NO
1023211141	DANE ARRELL BOREN (Individual)	444 E TABERNACLE ST STE 2 ST GEORGE, UT 84770 (435) 674-9476	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 Select Health UnitedHealthcare	Non-Participating Provider	NO
1023214236	MATTHEW J HAMMONS (Individual)	2107 W. SUNSET BLVD. SUITE 101 ST. GEORGE, UT 84770 (435) 628-6644	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 EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	YES
1023265170	CODY S JOHNSON (Individual)	772 N DIXIE DR STE 101 ST GEORGE, UT 84770 (435) 628-0511	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 BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1023834520	BRANDON JEFFREY SIMISTER (Individual)	1054 E RIVERSIDE DR STE 101 ST GEORGE, UT 84790 (435) 656-3346		Non-Participating Provider	NO
1033405873	TYLER MAX TORRES (Individual)	368 E RIVERSIDE DR STE 6 ST GEORGE, UT 84790 (435) 688-8827	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 Blue Cross Blue Shield of Arizona BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1043806300	SMILE MED (Organization)	560 S VALLEY VIEW DR STE 2 ST GEORGE, UT 84770 (975) 905-0864		Non-Participating Provider	NO
1053478420	BRICE WILLIAM BECKSTROM (Individual)	1091 N BLUFF ST SUITE 550 ST GEORGE, UT 84770 (435) 628-6200	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 Ohio MedMutual	Non-Participating Provider	NO
1063759694	HALF DENTAL ST. GEORGE (Organization)	350 E 600 S SUITE 1 ST GEORGE, UT 84770 (435) 656-3868	UnitedHealthcare	Non-Participating Provider	NO
1073627295	BRETT KENDALL CHRISTENSEN (Individual)	368 E RIVERSIDE DR STE 6 ST GEORGE, UT 84790 (435) 688-8827	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 Blue Cross Blue Shield of Arizona BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1073762837	KYLE D FREI (Individual)	111 E 100 S ST GEORGE, UT 84770 (435) 673-6831	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
1083806004	NATHAN LEE ENCE (Individual)	10 DIAGONAL ST #102 ST GEORGE, UT 84770 (435) 628-6026	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 BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Select Health UnitedHealthcare	Non-Participating Provider	NO
1093854150	SCOTT P TAYLOR (Individual)	923 S RIVER RD ST GEORGE, UT 84790 (435) 619-7673	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	Non-Participating Provider	NO
1104261023	JOHN HIDEO MIZUKAWA (Individual)	1308 E 900 S STE A ST GEORGE, UT 84790 (435) 673-1554	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 Guardian Humana Paramount Paramount Dental Renaissance Dental Select Health UnitedHealthcare	Opted out of Medicare	NO
1104960863	JAMES KIM OTT (Individual)	368 E RIVERSIDE DR BLDG 2A ST GEORGE, UT 84790 (435) 673-3363	EMI Health Florida Combined Life Select Health	Non-Participating Provider	NO
1124177910	JOHN V. MCARTHUR (Individual)	133 E TABERNACLE ST #1 ST GEORGE, UT 84770 (435) 628-3288	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 BridgeSpan Health Company Delta Dental PPO DentaTrust/DentaSpan EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1134270655	MATTHEW R. VALANTINE (Individual)	10 DIAGONAL ST STE 201 ST GEORGE, UT 84770 (435) 673-7373	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 EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1134961840	NATIRI SWENSON (Individual)	1150 S BLUFF ST STE 1 ST GEORGE, UT 84770 (435) 215-1654	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah UnitedHealthcare	Non-Participating Provider	NO
1164837621	DIXIE PEDIATRIC DENTAL (Organization)	368 E RIVERSIDE DR BUILDING 6 ST GEORGE, UT 84790 (435) 688-8827		Non-Participating Provider	NO
1174057319	BRIAN L. BECKSTROM P.C. (Organization)	1091 N BLUFF ST SUITE 550 ST GEORGE, UT 84770 (435) 628-6200		Non-Participating Provider	NO
1184474975	ST. GEORGE KIDS DENTAL DOWNTOWN PLLC (Organization)	754 S MAIN ST STE 2 ST GEORGE, UT 84770 (435) 673-9922	Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1194123463	HAMMONS DENTAL, PC (Organization)	2107 W SUNSET BLVD SUITE 101 ST GEORGE, UT 84770 (435) 628-6644		Non-Participating Provider	NO
1205014487	MICHAEL C. JEPPSON DENTAL P.C. (Organization)	1224 S RIVER RD BLDG D ST GEORGE, UT 84790 (435) 628-9600	UnitedHealthcare	Non-Participating Provider	NO
1215478425	SPENDLOVE ORTHODONTICS, PLLC SPENDLOVE ORTHODONTICS (Organization)	965 E 700 S #101 ST GEORGE, UT 84790 (435) 688-8228		Non-Participating Provider	NO
1215824370	JOSHUA REID (Individual)	368 E RIVERSIDE DR STE 2A ST GEORGE, UT 84790 (435) 673-3363		Non-Participating Provider	NO
1225467293	BONIFACIO GUILLENA (Individual)	1404 SUNRIVER PKWY STE 125 ST GEORGE, UT 84790 (435) 256-6167	Renaissance Dental	Non-Participating Provider	NO
1235332719	WAYNE J CHRISTIAN (Organization)	330 E TABERNACLE ST SUITE B ST GEORGE, UT 84770 (435) 628-4422		Non-Participating Provider	NO
1235601659	BURKE AND BECKSTROM ORTHODONTICS (Organization)	446 S MALL DR STE 100 ST GEORGE, UT 84790 (435) 673-3334		Non-Participating Provider	NO
1245449214	TROY L. SARGENT (Individual)	321 N MALL DR STE P101 #P101 ST GEORGE, UT 84790 (435) 674-1418	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 DentaTrust/DentaSpan Guardian Paramount Paramount Dental Select Health	Non-Participating Provider	YES
1245495860	MARK RAYNEL ENCE (Individual)	754 S MAIN ST STE. #1 ST GEORGE, UT 84770 (435) 628-2667	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 EMI Health Florida Combined Life Humana Paramount Paramount Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1245550946	ERIC ENCE (Individual)	10 DIAGONAL ST SUITE 102 ST GEORGE, UT 84770 (435) 628-6026	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 BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Select Health UnitedHealthcare	Non-Participating Provider	NO
1245570290	STANLEY FLOYD DORIUS (Individual)	929 W SUNSET BLVD SUITE 15 ST GEORGE, UT 84770 (435) 656-5900	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
1265240246	TRENT RICHAN SNOW (Individual)	10 DIAGONAL ST STE 203 ST GEORGE, UT 84770 (435) 628-3773		Non-Participating Provider	NO
1265788210	MITCHELL MILES GUBLER (Individual)	368 E RIVERSIDE DR STE 7 ST GEORGE, UT 84790 (435) 688-1344		Non-Participating Provider	NO
1275958191	ST GEORGE KIDS DENTAL, PLLC (Organization)	446 S MALL DR UNIT 100 ST GEORGE, UT 84790 (208) 329-4580	DentaQuest Insurance Company Inc. Solstice Healthplans of Arizona Inc. UnitedHealthcare	Non-Participating Provider	NO
1285960799	JAY ALAN TAYLOR (Individual)	1404 SUNRIVER PKWY STE 125 ST GEORGE, UT 84790 (435) 256-6167		Non-Participating Provider	NO
1285964072	DANIEL KEMP FREI (Individual)	111 E 100 S ST GEORGE, UT 84770 (435) 673-6831		Non-Participating Provider	NO
1295099216	BRETT EARL DAVIS (Individual)	2134 E RIVERSIDE DR STE B3 ST GEORGE, UT 84790 (435) 628-5505	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 DeltaCare USA EMI Health Humana Paramount Paramount Dental Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	YES
1295478352	COLTON SAMUEL UTLEY (Individual)	444 E TABERNACLE ST ST GEORGE, UT 84770 (435) 628-9099	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 BridgeSpan Health Company Delta Dental PPO Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1295831691	JOHN HIDEO MIZUKAWA (Individual)	10 DIAGONAL ST SUITE 204 ST GEORGE, UT 84770 (435) 673-1554		Non-Participating Provider	NO
1295889020	RICHARD J. BARTON (Individual)	382 S BLUFF ST STE 250 ST GEORGE, UT 84770 (435) 656-1111	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 Humana Renaissance Dental Select Health	Non-Participating Provider	YES
1306092663	JARED WAYNE MACK (Individual)	624 S 1000 E STE 17 ST GEORGE, UT 84790 (435) 289-6600	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 Cigna Healthcare Delta Dental of Arizona DentaTrust/DentaSpan EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Select Health TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1306943915	THOMAS VEE ROBINSON (Individual)	10 DIAGNAL SUITE 104 ST GEORGE, UT 84770 (435) 673-5538	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 Humana Renaissance Dental Select Health	Non-Participating Provider	NO
1316055718	MICHAEL RORY BROWN (Individual)	1240 E 100 S SUITE 120 ST GEORGE, UT 84790 (435) 634-9933	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 BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1316089212	RUSSELL M STEWART (Individual)	1054 E RIVERSIDE DR # 100 ST GEORGE, UT 84790 (435) 656-8888	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 DentaTrust/DentaSpan Humana Paramount Paramount Dental Select Health	Non-Participating Provider	YES
1326229337	MATTHEW D GEDDES (Individual)	720 S RIVER RD STE B210 ST GEORGE, UT 84790 (435) 656-0255	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
1326502840	NORTHSTAR ADVENTURES (Organization)	382 S BLUFF ST STE 250 ST GEORGE, UT 84770 (435) 656-1111		Non-Participating Provider	NO
1336296185	PATRICK H BONDAD (Individual)	352 E RIVERSIDE DR STE C2 ST GEORGE, UT 84790 (435) 688-7171		Non-Participating Provider	NO
1336384908	ASHTON A. PRINCE (Individual)	144 W BRIGHAM RD STE 15 ST GEORGE, UT 84790 (435) 656-8003	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 BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1346269800	DENNIS SCOTT STUCKI (Individual)	619 S BLUFF ST STE 400 ST GEORGE, UT 84770 (435) 319-8992	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 BridgeSpan Health Company EMI Health Humana Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1346448172	REX E TOBLER (Individual)	10 DIAGONAL #102 ST GEORGE, UT 84770 (435) 673-0964	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
1346884335	ORTHODONTICS OF ST. GEORGE, P.C. (Organization)	965 E 700 S STE 101 ST GEORGE, UT 84790 (435) 688-7711	UnitedHealthcare	Non-Participating Provider	NO
1356057186	JAMISON S COX DMD LLC (Organization)	736 S 900 E STE 105 ST GEORGE, UT 84790 (435) 673-2491	UnitedHealthcare	Non-Participating Provider	NO
1356551444	RICHARD J. KUNDE (Individual)	640 E 700 S BUILDING 10-D ST GEORGE, UT 84770 (435) 628-0621		Non-Participating Provider	NO
1366066417	BENJAMIN TODD LLOYD (Individual)	1683 E. WOLF HOLE DR ST. GEORGE, UT 84790 (385) 414-2145	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 BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1376038687	DEREK RAY DAWSON (Individual)	382 S BLUFF ST STE 250 ST GEORGE, UT 84770 (435) 656-1111	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 BridgeSpan Health Company Delta Dental PPO DentaTrust/DentaSpan EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Select Health UnitedHealthcare	Non-Participating Provider	NO
1376113837	JOSHUA COX (Individual)	640 E 700 S STE 10A ST GEORGE, UT 84770 (435) 652-1212	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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1376277137	NEON KIDS DENTAL PLLC (Organization)	1091 N BLUFF ST STE 550 ST GEORGE, UT 84770 (505) 592-0482		Non-Participating Provider	NO
1376688135	CHRIS A NEILSON (Individual)	151 W BRIGHAM RD STE 2 ST GEORGE, UT 84790 (435) 674-9977	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 BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	YES
1386173276	LANCE MORRIS SWAPP (Individual)	144 W BRIGHAM RD STE 15 ST GEORGE, UT 84790 (435) 635-4444	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 Blue Cross Blue Shield of Arizona Delta Dental of Arizona Humana Paramount Paramount Dental Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1386746394	JEFFREY R. SIMISTER (Individual)	1054 E RIVERSIDE DR SUITE #101 ST GEORGE, UT 84790 (435) 656-3346	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 BridgeSpan Health Company EMI Health Florida Combined Life Guardian Humana Regence BlueCross BlueShield of Utah Select Health UnitedHealthcare	Non-Participating Provider	NO
1386775153	RIVERSIDE DENTAL CARE PC JAMES K OTT DDS PC (Organization)	368 E RIVERSIDE DR BLDG 2A ST GEORGE, UT 84790 (435) 673-3363		Non-Participating Provider	NO
1386865459	BRADLEY G SIMISTER (Individual)	1054 E RIVERSIDE DR STE 101 ST GEORGE, UT 84790 (435) 656-3346	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 EMI Health Select Health	Non-Participating Provider	NO
1396035416	BRIAN BECKSTROM (Individual)	1091 N BLUFF ST STE 550 ST GEORGE, UT 84770 (435) 628-6200	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 Delta Dental PPO Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1396896973	SHAD L. MORRIS (Individual)	352 E RIVERSIDE DR SUITE C-1 ST GEORGE, UT 84790 (435) 628-0621	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 BridgeSpan Health Company EMI Health Humana Regence BlueCross BlueShield of Utah Select Health	Non-Participating Provider	NO
1396944047	CARL BLAINE CURTIS (Individual)	437 S BLUFF ST STE 102 ST GEORGE, UT 84770 (435) 688-2882	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 BridgeSpan Health Company Cigna Healthcare Delta Dental PPO DentaTrust/DentaSpan Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1407902950	KELLY J. OLSEN (Individual)	321 N MALL DR SUITE #D101 ST GEORGE, UT 84790 (435) 628-5496	Guardian	Non-Participating Provider	YES
1417156506	BEKKI T. PATTON (Individual)	321 N MALL DR SUITE #P101 ST GEORGE, UT 84790 (435) 674-1418	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 BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Opted out of Medicare	YES
1417220070	SUNSET DENTAL GROUP, LLC (Organization)	929 W SUNSET BLVD STE. 15 ST GEORGE, UT 84770 (435) 656-5900		Non-Participating Provider	NO
1437229275	DAN UTLEY (Individual)	444 E TABERNACLE #1 ST GEORGE, UT 84770 (435) 628-9099	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 BridgeSpan Health Company Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1437258480	DARREN BOYD EARL (Individual)	321 N MALL DR # F102 ST GEORGE, UT 84790 (435) 656-4550	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 BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1437340858	OWEN COURTNEY ALLEN (Individual)	425 E TABERNACLE ST ST GEORGE, UT 84770 (435) 688-1400	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 BridgeSpan Health Company Delta Dental PPO DentaTrust/DentaSpan EMI Health Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health	Non-Participating Provider	YES
1447712427	D. SCOTT STUCKI, DDS, PC (Organization)	619 S BLUFF ST STE 400 ST GEORGE, UT 84770 (435) 319-8992	UnitedHealthcare	Non-Participating Provider	NO
1457352445	ALLEN DEHEER TODD (Individual)	754 S MAIN ST SUITE 7 ST GEORGE, UT 84770 (435) 652-1605		Non-Participating Provider	NO
1457735201	RYAN DAHLE (Individual)	1276 E GEORGE WASHINGTON BLVD SUITE 1 ST GEORGE, UT 84790 (435) 900-3131		Non-Participating Provider	YES
1457749285	JEFF W ERICKSON (Individual)	640 E 700 S STE 301 ST GEORGE, UT 84770 (435) 673-9661	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life BridgeSpan Health Company EMI Health Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Select Health	Non-Participating Provider	NO
1457850844	SUNSET SMILES DENTISTRY (Organization)	929 W SUNSET BLVD STE 15 ST GEORGE, UT 84770 (435) 656-5900	UnitedHealthcare	Non-Participating Provider	NO
1467597526	DANIEL MERVYN COX (Individual)	640 E 700 S STE 10A ST GEORGE, UT 84770 (435) 652-1212	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 BridgeSpan Health Company Delta Dental PPO DentaTrust/DentaSpan EMI Health Florida Combined Life Guardian Paramount Paramount Dental Regence BlueCross BlueShield of Utah Select Health	Non-Participating Provider	YES
1467804583	JASON BRIMLEY (Individual)	1091 N BLUFF ST STE 812 ST GEORGE, UT 84770 (435) 688-2772	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 BridgeSpan Health Company Cigna Healthcare Delta Dental of Arizona EMI Health Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1467877910	GENESIS DENTAL OF ST. GEORGE (Organization)	1449 N 1400 W SUITE A1 ST GEORGE, UT 84770 (435) 656-2800		Non-Participating Provider	NO
1467916528	WISDOM TEETH OF SOUTHERN UTAH (Organization)	446 S MALL DR STE 100 ST GEORGE, UT 84790 (435) 673-3490		Non-Participating Provider	NO
1477302644	JOHN WAHLEN (Individual)	425 E TABERNACLE ST ST GEORGE, UT 84770 (435) 688-1400	BEST Life BridgeSpan Health Company EMI Health Humana Regence BlueCross BlueShield of Utah	Non-Participating Provider	NO
1477688232	DAVID R STEVENS (Individual)	368 E RIVERSIDE DR BLDG 2A ST GEORGE, UT 84790 (435) 673-3363	Delta Dental PPO EMI Health Florida Combined Life Humana Select Health	Non-Participating Provider	NO
1477747913	D. BRYCE ALLDREDGE (Individual)	1240 E 100 S STE 17 ST GEORGE, UT 84790 (435) 652-9105	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 BridgeSpan Health Company EMI Health Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1487687372	RICHARD L. DENOS (Individual)	437 S BLUFF ST SUITE 101 ST GEORGE, UT 84770 (435) 628-0800	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 BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	YES
1487748109	JOHN M. JENNINGS (Individual)	335 E SAINT GEORGE BLVD #201 ST GEORGE, UT 84770 (435) 688-9100		Non-Participating Provider	NO
1497329106	DANIEL DALANHESE (Individual)	965 E 700 S STE 101 ST GEORGE, UT 84790 (435) 688-8228	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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1497871586	WAYNE J CHRISTIAN (Individual)	330 E TABERNACLE ST SUITE B ST GEORGE, UT 84770 (435) 628-4422	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	Non-Participating Provider	NO
1497880140	PAUL DARREN ANDERSON (Individual)	321 N MALL DR ST GEORGE, UT 84790 (435) 628-5496	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
1508553793	MCKAY M CHRISTENSEN (Individual)	2276 E RIVERSIDE DR ST GEORGE, UT 84790 (435) 359-2165	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 BridgeSpan Health Company Delta Dental PPO EMI Health Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health University of Utah Health Plans	Non-Participating Provider	YES
1508980848	DIXIE ORAL, MAXILLOFACIAL & IMPLANT SURGERY (Organization)	10 DIAGONAL ST SUITE 204 ST GEORGE, UT 84770 (435) 673-1554	UnitedHealthcare	Non-Participating Provider	NO
1518122894	JOSHUA DUKE ALBRECHT (Individual)	1150 S BLUFF ST STE 1 ST GEORGE, UT 84770 (435) 628-8885	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 BridgeSpan Health Company EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1518763457	DAHLE FAMILY DENTAL, PLLC (Organization)	1276 E GEORGE WASHINGTON BLVD SUITE #1 ST GEORGE, UT 84790 (435) 900-3131		Non-Participating Provider	NO
1518987320	JAMES N ENCE DDS LTD (Organization)	754 S MAIN ST STE. 1 ST GEORGE, UT 84770 (435) 628-2667	DentaTrust/DentaSpan UnitedHealthcare	Non-Participating Provider	NO
1528092913	IVAN K. HENDRICKSOND.D.S.,INC (Organization)	720 S RIVER RD STE B210 ST GEORGE, UT 84790 (435) 656-0507		Non-Participating Provider	NO
1538447461	DARREN HAFEN HATCH (Individual)	1224 S RIVER RD STE D ST GEORGE, UT 84790 (435) 628-9600	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 EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1538729256	NATHAN DAHL SALMON (Individual)	350 E 600 S STE 1 ST GEORGE, UT 84770 (435) 656-3868	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 EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1578712337	MARDEN KAHLE LEAVITT (Individual)	111 E 100 S ST GEORGE, UT 84770 (435) 673-6831	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
1598836272	KELVIN Q NISSON (Individual)	352 E RIVERSIDE DRIVE SUITE C3 ST GEORGE, UT 84790 (435) 673-1360	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 BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Select Health UnitedHealthcare	Non-Participating Provider	NO
1609244045	TYLER S UTLEY (Individual)	444 E TABERNACLE #1 ST GEORGE, UT 84770 (435) 628-9099	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 BridgeSpan Health Company Delta Dental PPO Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1629148465	STEVEN HOWARD BANKS (Individual)	444 E TABERNACLE SUITE 1 ST GEORGE, UT 84770 (435) 673-6614	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 Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1659652519	INTERMOUNTAIN DENTURES PLLC SMILES RESTORED (Organization)	437 S BLUFF ST SUITE 102 ST GEORGE, UT 84770 (435) 688-2772		Non-Participating Provider	NO
1659819050	MARK A BAKER PC (Organization)	352 E RIVERSIDE DR STE C1 ST GEORGE, UT 84790 (435) 628-0621		Non-Participating Provider	NO
1669757159	BROCK WILDE CASPERSON (Individual)	929 W SUNSET BLVD ST GEORGE, UT 84770 (435) 656-5900	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 Blue Cross Blue Shield of North Dakota Florida Combined Life	Non-Participating Provider	NO
1679750756	HEATH R COLLEDGE (Individual)	427 W 100 S ST GEORGE, UT 84770 (435) 673-9606	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	NO
1689082059	I SMILE AT VIP DENTAL PLLC (Organization)	330 E TABERNACLE ST SUITE #1 ST GEORGE, UT 84770 (435) 673-3211		Non-Participating Provider	NO
1689729485	NED O GREGERSON (Individual)	720 S RIVER RD STE C215 ST GEORGE, UT 84790 (435) 986-9799		Non-Participating Provider	NO
1699095620	BEVAN WAYNE HEATON (Individual)	321 N MALL DR STE P101 ST GEORGE, UT 84790 (435) 668-2450	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 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 BridgeSpan Health Company DentaTrust/DentaSpan EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1700143195	BRYCE EAGAR (Individual)	720 S RIVER RD STE B-210 ST GEORGE, UT 84790 (435) 656-0255	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	YES
1700446267	MICHAEL WAGNER (Individual)	754 S MAIN ST STE 1 ST GEORGE, UT 84770 (435) 674-9777	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 BridgeSpan Health Company EMI Health Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1710062377	CLAYTON BRUCE WILLIAMS (Individual)	2676 S 2110 E ST GEORGE, UT 84790 (435) 899-9886	Anthem Blue Cross and Blue Shield Guardian Humana	Non-Participating Provider	NO
1710254792	RANDY T SIMONSEN (Individual)	10 DIAGONAL ST ST GEORGE, UT 84770 (435) 628-3773	Delta Dental of Arizona EMI Health	Non-Participating Provider	NO
1720642218	ST. GEORGE PDC PLLC (Organization)	1150 S BLUFF ST STE 1 ST GEORGE, UT 84770 (435) 628-8885	UnitedHealthcare	Non-Participating Provider	NO
1730746231	RYAN RICHARD HOWARD (Individual)	25 N 100 E STE 102 ST GEORGE, UT 84770 (435) 359-2165	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 BridgeSpan Health Company Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1740787407	DAVID BRADLEY PATCH (Individual)	826 S 3000 E ST GEORGE, UT 84790 (435) 656-8003	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 BridgeSpan Health Company Guardian Humana Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1750473435	BRICANEI A DYER (Individual)	1150 S BLUFF ST STE 1 ST GEORGE, UT 84770 (435) 628-8885	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 BridgeSpan Health Company EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental Select Health UnitedHealthcare	Non-Participating Provider	NO
1750574810	PERIODONTAL SPECIALISTS (Organization)	754 S MAIN ST STE 7 ST GEORGE, UT 84770 (435) 652-1605		Non-Participating Provider	NO
1750636288	STEPHEN MICHAEL JACKSON (Individual)	350 E 600 S STE 1 ST GEORGE, UT 84770 (435) 656-3868	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1750675468	KEVIN S. DORIUS (Individual)	929 W SUNSET BLVD SUITE 15 ST GEORGE, UT 84770 (435) 656-5900	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 Delta Dental PPO Paramount Paramount Dental	Non-Participating Provider	YES
1750932273	MICHAEL R. BROWN DDS MS (Organization)	1240 E 100 S STE 120 ST GEORGE, UT 84790 (435) 634-9933		Non-Participating Provider	NO
1770519522	KEVIN S. DORIUS, DMD, PA (Organization)	929 W. SUNSET BLVD. SUITE 15 ST GEORGE, UT 84770 (435) 656-5900		Non-Participating Provider	NO
1790012243	SOUTHERN UTAH SURGICAL ARTS (Organization)	393 E RIVERSIDE DR BLDG 2 SUITE 2B ST GEORGE, UT 84790 (435) 628-1100		Non-Participating Provider	NO
1790098606	BRET J HOLMAN (Individual)	382 S BLUFF ST STE 250 ST GEORGE, UT 84770 (435) 656-1111	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 Guardian Renaissance Dental Select Health	Non-Participating Provider	YES
1790855724	DIXIE STATE COLLEGE (Organization)	225 S 700 E JENNINGS BLDG RM #107 ST GEORGE, UT 84770 (435) 652-7877		Non-Participating Provider	NO
1790897064	STAPLES DENTAL CARE (Organization)	427 W 100 S ST GEORGE, UT 84770 (435) 673-9606		Non-Participating Provider	NO
1811506579	JASON K ROBINSON (Individual)	619 S BLUFF ST STE 400 ST GEORGE, UT 84770 (435) 628-5001	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 BridgeSpan Health Company EMI Health Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1821296484	BRANDON DAVID HENDERSON (Individual)	425 E. TABERNACLE ST GEORGE, UT 84770 (435) 688-1400	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 BridgeSpan Health Company Delta Dental PPO EMI Health Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Select Health UnitedHealthcare	Non-Participating Provider	YES
1851783203	JACKIE IMLAY (Individual)	321 N MALL DR STE P101 ST GEORGE, UT 84790 (435) 673-4809		Non-Participating Provider	NO
1871620641	WOODROW WILSON WAGNER (Individual)	754 S MAIN ST SUITE #1 ST GEORGE, UT 84770 (435) 674-9777	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 BridgeSpan Health Company Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Select Health UnitedHealthcare	Non-Participating Provider	YES
1871935643	MATTHEW BRENTON MCARTHUR (Individual)	133 E TABERNACLE ST SUITE #1 ST GEORGE, UT 84770 (435) 628-3288	Ambetter from Arizona Complete Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna 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 Blue Cross Blue Shield of Arizona Cigna Healthcare Delta Dental of Arizona EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Select Health Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1891050282	JAMISON STOUT COX (Individual)	736 S. 900 E. #105 ST. GEORGE, UT 84790 (435) 673-2491	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 BridgeSpan Health Company DentaTrust/DentaSpan EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Utah Select Health UnitedHealthcare	Non-Participating Provider	NO
1891101572	CHILDREN'S DENTAL OF SOUTHERN UTAH (Organization)	2746 E 850 N ST GEORGE, UT 84790 (435) 673-7776		Non-Participating Provider	NO
1891191334	ST GEORGE DENTAL CARE LLC (Organization)	444 E TABERNACLE ST STE 1 ST GEORGE, UT 84770 (435) 628-9099	Ambetter from Absolute Total Care Ambetter of North Carolina WellCare of North Carolina	Non-Participating Provider	NO
1891907655	RODNEY L ANDRUS (Individual)	640 E 700 S STE 104 ST GEORGE, UT 84770 (435) 674-3100		Non-Participating Provider	YES
1902829559	JAMES NORMAN ENCE (Individual)	754 S MAIN ST STE. 1 ST GEORGE, UT 84770 (435) 628-2667	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 EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1902957558	THAD B TWISS (Individual)	923 S RIVER RD STE 203 ST GEORGE, UT 84790 (435) 656-5987		Non-Participating Provider	NO
1912766882	PRECISION DENTAL SPECIALTIES PLLC (Organization)	754 S MAIN ST STE 5 ST GEORGE, UT 84770 (435) 652-1445		Non-Participating Provider	NO
1922456482	BLOOMINGTON DENTAL PC (Organization)	169 W 2710 SOUTH CIR STE 102 ST GEORGE, UT 84790 (435) 674-9977		Non-Participating Provider	NO
1922848977	COULSON DUNFORD HARDY (Individual)	2134 E RIVERSIDE DR STE B3 ST GEORGE, UT 84790 (435) 628-5505	EMI Health Humana UnitedHealthcare	Non-Participating Provider	NO
1942618590	PARKWAY DENTAL GROUP PLLC ISMILE AT PARKWAY DENTAL LLC (Organization)	1404 SUNRIVER PKWY STE 125 ST GEORGE, UT 84790 (435) 256-6167	UnitedHealthcare	Non-Participating Provider	NO
1952547838	DELTA SMILES CORTEZ SMILES (Organization)	437 S BLUFF ST STE 102 ST GEORGE, UT 84770 (435) 688-2772		Non-Participating Provider	NO
1962134379	PARKER TRIPP (Individual)	826 S 3000 E STE 2 ST GEORGE, UT 84790 (435) 656-4441	Delta Dental PPO EMI Health Florida Combined Life Humana Select Health	Non-Participating Provider	NO
1972611499	GEORGE CHARLES HATSIS (Individual)	382 S BLUFF ST SUITE #250 ST GEORGE, UT 84770 (435) 656-1111	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
1972782621	ORTHODONTIC SPECIALISTS LLC (Organization)	640 EAST 700 SOUTH SUITE 301 ST GEORGE, UT 84770 (435) 673-9661		Non-Participating Provider	NO
1982984415	GINGER ATKIN (Individual)	444 E TABERNACLE ST #1 ST GEORGE, UT 84770 (435) 628-9099		Non-Participating Provider	NO

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