Dentist Providers In Vallejo, California

Search Dentist NPI records in Vallejo, CA

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Vallejo, CA. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 152, of which 49 are registered as organizations and 103 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.

68% Individuals

32% Organizations

29% Female

39% Male

68% Individual Providers (103)32% Medical Organizations (49)29% Female Providers (44)39% Male Providers (59)

Map of Providers

We have mapped the Dentist providers in Vallejo, CA 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 Vallejo, CA
NPI	Name	Address	Insurance	Medicare	PECOS
1003037250	STEVE C. DACASIN (Individual)	96 SPRINGSTOWNE CENTER SUITE A VALLEJO, CA 94591 (707) 644-5528	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
1023637527	JINGQI LI (Individual)	19 ROTARY WAY VALLEJO, CA 94591 (707) 642-0433		Non-Participating Provider	YES
1023842622	AWA ALIZADEH GHANNAD (Individual)	914 ADMIRAL CALLAGHAN LN VALLEJO, CA 94591 (707) 674-5437	Florida Combined Life Humana	Non-Participating Provider	NO
1033683602	WESTERN DENTAL SERVICES, INC. (Organization)	3400 SONOMA BLVD VALLEJO, CA 94590 (707) 554-4000		Non-Participating Provider	NO
1033741061	JACOBSON DENTAL CORP CHILDREN'S CHOICE DENTAL CARE (Organization)	910 ADMIRAL CALLAGHAN LANE VALLEJO, CA 94591 (701) 674-5437	UnitedHealthcare	Non-Participating Provider	NO
1043076383	SANDEEP KUMAR (Individual)	3400 SONOMA BLVD VALLEJO, CA 94590 (707) 554-4000	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
1043343130	KENNETH F FREER DDS INC (Organization)	15 ROTARY WAY VALLEJO, CA 94591 (707) 643-2307		Non-Participating Provider	NO
1043382724	COMMUNITY DENTAL SERVICES SMILECARE DENTAL GROUP (Organization)	133 PLAZA DR SUITE R VALLEJO, CA 94591 (707) 557-6245		Non-Participating Provider	NO
1043468457	EUGENE P LUNA (Individual)	415 GEORGIA ST VALLEJO, CA 94590 (707) 558-2000		Non-Participating Provider	YES
1043733660	MARK WATANABE (Individual)	201 WALNUT AVE VALLEJO, CA 94592 (707) 562-8229	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
1053419515	NOEL AUSTRIA FERNANDEZ (Individual)	2629 SPRINGS RD VALLEJO, CA 94591 (707) 674-2777	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
1053525667	SUZANNE CLIFT (Individual)	21 ROTARY WAY VALLEJO, CA 94591 (707) 643-7654	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
1053529149	QUINCY CHI-CHIAN TAN (Individual)	1761 BROADWAY ST STE 224 VALLEJO, CA 94589 (707) 643-7885	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
1053697128	STEVENSON AND COHEN, A PROFESSIONAL CORPORATION (Organization)	29 ROTARY WAY VALLEJO, CA 94591 (707) 554-1764		Non-Participating Provider	NO
1063435030	DAVID CHARLES PICKETT (Individual)	17 ROTARY WAY VALLEJO, CA 94591 (707) 642-1360		Non-Participating Provider	NO
1063629236	MICHAEL FRANCIS EDZIAK (Individual)	150 HOSPITAL DR. VALLEJO, CA 94589 (707) 642-4403		Non-Participating Provider	YES
1063737609	SETTY DDS INC. (Organization)	480 REDWOOD ST SUITE 13 VALLEJO, CA 94590 (510) 449-9746		Non-Participating Provider	NO
1063950830	HANYING WANG (Individual)	3587 SONOMA BLVD VALLEJO, CA 94590 (707) 557-8010	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
1063968477	RAEL BERNSTEIN DDS A PROF CORP (Organization)	1620 VALLE VISTA AVE STE 200 VALLEJO, CA 94589 (707) 552-4940		Non-Participating Provider	NO
1073780722	NAZILA TAZANGI EDALATI (Individual)	475 REDWOOD ST 30 VALLEJO, CA 94590 (707) 643-1714	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	Non-Participating Provider	NO
1083743843	BUDDY M. MURRAY, D.D.S., A PROFESSIONAL CORPORATION (Organization)	2521 SPRINGS RD VALLEJO, CA 94591 (707) 642-4488		Non-Participating Provider	NO
1093074585	PORTIA ESCOBAR (Individual)	3772 SONOMA BLVD VALLEJO, CA 94589 (707) 557-6680	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
1093532038	MAKKIYAH DENTAL CORPORATION (Organization)	784 ADMIRAL CALLAGHAN LN VALLEJO, CA 94591 (707) 324-5919		Non-Participating Provider	NO
1093822462	JOHN DANIEL COMYNS (Individual)	1915 SPRINGS ROAD VALLEJO, CA 94591 (707) 642-4462		Non-Participating Provider	NO
1104052745	CATHERINE CABISUDO BAYSA (Individual)	2121 REDWOOD ST SUITE B VALLEJO, CA 94590 (707) 334-3728	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
1134325145	MICHAEL W PETERSON (Individual)	1319 TENNESSEE ST VALLEJO, CA 94590 (707) 552-3160		Non-Participating Provider	NO
1134358021	MERCEDES AGUILAR LEONCIO (Individual)	263 SANDY NECK WAY VALLEJO, CA 94591 (415) 312-9344	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 Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1134391659	SERGE ALEXANDER GLAZUNOV (Individual)	1620 VALLE VISTA AVE SUITE 150 VALLEJO, CA 94589 (707) 429-2929		Non-Participating Provider	NO
1144340555	ROBERTO I BARUT (Individual)	1460 N CAMINO ALTO #204 VALLEJO, CA 94589 (707) 644-7945	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
1154326452	ALAN VERN PICKETT (Individual)	25 ROTARY WAY VALLEJO, CA 94591 (707) 642-2800		Non-Participating Provider	NO
1164474573	TODD G. PLUM (Individual)	29 ROTARY WAY VALLEJO, CA 94591 (707) 554-1764		Non-Participating Provider	NO
1164588455	THOMAS GALAPON SALACUP (Individual)	1512 NAPA ST SUITE B VALLEJO, CA 94590 (707) 645-1728	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
1174156459	TIFFANY TSE (Individual)	201 WALNUT AVE VALLEJO, CA 94592 (707) 562-8229		Non-Participating Provider	NO
1174594626	EDUARDO T CASTILLO (Individual)	1207 TENNESSEE ST VALLEJO, CA 94590 (707) 644-4901	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
1174736581	JOHN W BRISTOW (Individual)	23 ROTARY WAY VALLEJO, CA 94591 (707) 642-3319		Non-Participating Provider	YES
1174765911	GALVAN DENTAL LLC GALVAN DENTAL CARE (Organization)	2809 REDWOOD PKWY VALLEJO, CA 94591 (707) 643-2273		Non-Participating Provider	NO
1194811240	ANDREW SPENCER JACKSON (Individual)	1832 CAPITOL ST VALLEJO, CA 94590 (707) 552-4110	Guardian	Non-Participating Provider	NO
1215077466	MARIA THERESA VICTA CHUA (Individual)	96 SPRINGSTOWNE CTR STE A VALLEJO, CA 94591 (707) 319-7345		Non-Participating Provider	NO
1235346727	GORDON FOOK CHUEN HO (Individual)	2600 SPRINGS RD VALLEJO, CA 94591 (707) 642-3711		Non-Participating Provider	NO
1245386416	ELIZABETH LLOREN CAOILI (Individual)	4380 SONOMA BLVD SUITE 177 VALLEJO, CA 94589 (707) 643-5709	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
1265617856	M. ALEGRIA L. LEDDA DDS INC. (Organization)	3630 SONOMA BLVD VALLEJO, CA 94590 (707) 643-1987		Non-Participating Provider	NO
1265799753	EDITHA M. AQUINO D.M.D. PROFESSIONAL DENTAL CORPORATION (Organization)	2600 SPRINGS RD VALLEJO, CA 94591 (707) 642-3711		Non-Participating Provider	NO
1285973602	KUSHWANTJIT SINGH RANDHAWA (Individual)	300 HILLARY WAY APT 91 VALLEJO, CA 94591 (707) 563-7881	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
1316108657	WESTERN DENTAL SERVICES, INC. (Organization)	3587 SONOMA BLVD VALLEJO, CA 94590 (707) 557-8000		Non-Participating Provider	NO
1316156276	WILLIAM C. VIZZOLINI, D.D.S., INC. (Organization)	1528 TENNESSEE ST VALLEJO, CA 94590 (707) 643-2660		Non-Participating Provider	NO
1336235464	ALEGRIA LOPEZ LEDDA (Individual)	3630 SONOMA BLVD VALLEJO, CA 94590 (707) 319-7484	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
1336264043	NEAL ALLEN ROTH (Individual)	41 ADMIRAL CALLAGHAN LN SUITE #A VALLEJO, CA 94591 (707) 552-5644	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
1336328525	DR. DAY DENTAL OFFICE, APC (Organization)	2900 SONOMA BLVD SUITE A VALLEJO, CA 94590 (707) 552-8684	UnitedHealthcare	Non-Participating Provider	NO
1336791466	JASPREET KAUR SAINI (Individual)	133 PLAZA DR STE R VALLEJO, CA 94591 (707) 557-8011	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
1346266772	EDEN CASTILLO EDORA (Individual)	3315 SONOMA BLVD SUITE # 50 VALLEJO, CA 94590 (707) 552-4800		Non-Participating Provider	YES
1346890092	JESS ESCOBAR (Individual)	3772 SONOMA BLVD VALLEJO, CA 94589 (707) 557-6680	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1356461586	BARDIA NAJAFI-KIANFAR (Individual)	25 RANCHO SQ VALLEJO, CA 94589 (707) 554-2200		Non-Participating Provider	NO
1356866289	EVA MARIE ZALDIVAR LARGOZA,DDS (Individual)	1782 TUOLUMNE ST VALLEJO, CA 94589 (707) 552-8668	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1366533358	EDITHA LEGASPI BOONGALING (Individual)	2900 SONOMA BLVD SUITE A VALLEJO, CA 94590 (707) 552-8684	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
1376021394	DANIEL AUTENCIO MABAET (Individual)	285 MARE ISLAND WAY VALLEJO, CA 94590 (707) 552-2228	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
1376548701	STEVEN ROBERT PICKETT (Individual)	25 ROTARY WAY VALLEJO, CA 94591 (707) 642-2800		Non-Participating Provider	NO
1376821546	MORGAN D NORDSTROM (Individual)	1528 TENNESSEE ST VALLEJO, CA 94590 (707) 643-2660		Non-Participating Provider	YES
1386733889	VIVIAN CASTILLO BONIFACIO (Individual)	1207 TENNESSEE ST VALLEJO, CA 94590 (707) 644-4901		Non-Participating Provider	NO
1386954642	NHI XUAN HUYNH (Individual)	3400 SONOMA BLVD. VALLEJO, CA 94542 (707) 554-4000	Humana	Non-Participating Provider	NO
1396442794	KAMANA JOSHI, DDS, A PROFESSIONAL CORPORATION AFFORDABLE DENTURES & IMPLANTS - VALLEJO (Organization)	125 PLAZA DR STE 407 VALLEJO, CA 94591 (707) 647-2760		Non-Participating Provider	NO
1396539193	ADDISON YU (Individual)	201 WALNUT AVE VALLEJO, CA 94592 (707) 562-8247		Non-Participating Provider	NO
1407486988	THOMAS GALAPON SALACUP DMD INC (Organization)	1512 NAPA ST STE B VALLEJO, CA 94590 (707) 645-1728	UnitedHealthcare	Non-Participating Provider	NO
1407976657	KASHIRAD & NAJAFI DENTAL GROUP, INC. DENTIST2DAY (Organization)	25 RANCHO SQ VALLEJO, CA 94589 (707) 554-2200		Non-Participating Provider	NO
1417143868	DARPAN KUNDRA (Individual)	2121 REDWOOD ST VALLEJO, CA 94590 (707) 644-7600	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	Non-Participating Provider	NO
1417164104	LARRY LIM D.D.S INC. (Organization)	140 ROBLES WAY VALLEJO, CA 94591 (707) 645-8400		Non-Participating Provider	NO
1437213170	CHERAG DINSHAW SARKARI DDS A DENTAL CORPORATION ACCESS DENTAL CENTERS (Organization)	3400 SONOMA BLVD VALLEJO, CA 94590 (707) 554-4000	UnitedHealthcare	Non-Participating Provider	NO
1437348034	BLAKE WESLEY MCRAY (Individual)	1309 TENNESSEE ST VALLEJO, CA 94590 (707) 642-3636	Humana	Opted out of Medicare	YES
1437591930	BLAKE W. MCRAY, D.D.S., M.S.D., INC. (Organization)	1309 TENNESSEE ST VALLEJO, CA 94590 (707) 642-3636		Non-Participating Provider	NO
1447271978	DARREN WONG (Individual)	2254 TENNESSEE ST VALLEJO, CA 94591 (707) 643-8399		Non-Participating Provider	NO
1457334518	KEVIN BRIAN DUQUETTE (Individual)	285 MARE ISLAND WAY VALLEJO, CA 94590 (707) 552-2228		Non-Participating Provider	NO
1457366049	ARTMOND G LOUIE DDS INC ARTMOND G LOUIE DDS (Organization)	200 FAIRGROUNDS DR VALLEJO, CA 94589 (707) 552-8195		Non-Participating Provider	NO
1457998999	KATARIA DENTAL, INC. (Organization)	23 ROTARY WAY VALLEJO, CA 94591 (916) 580-7809		Non-Participating Provider	NO
1467572693	KAMRAN KASHIRAD (Individual)	25 RANCHO SQ VALLEJO, CA 94589 (707) 554-2200		Non-Participating Provider	NO
1487749362	BRISBAIN R PUCAN PROFESSIONAL DENTAL CORPORATION (Organization)	2143 SPRINGS RD #51 VALLEJO, CA 94591 (707) 552-3952		Non-Participating Provider	NO
1487757308	DAVID MICHAEL GORDON (Individual)	23 ROTARY WAY VALLEJO, CA 94591 (707) 557-2200		Non-Participating Provider	YES
1487876736	ARTMOND G LOUIE (Individual)	200 FAIRGROUNDS DR VALLEJO, CA 94589 (707) 552-8195		Non-Participating Provider	NO
1497829527	RUPERT EMIL CERVANTES (Individual)	1620 VALLE VISTA AVE STE 150 VALLEJO, CA 94589 (707) 557-5822	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
1497843155	VARSHA KATARIYA (Individual)	133 PLAZA DR VALLEJO, CA 94591 (707) 557-6245	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	Non-Participating Provider	NO
1508103219	RAEL BERNSTEIN DDS APC WOW SMILES (Organization)	1620 VALLE VISTA AVE SUITE 200 VALLEJO, CA 94589 (707) 575-0600	UnitedHealthcare	Non-Participating Provider	NO
1508251950	JACQUIE LIM (Individual)	140 ROBLES WAY VALLEJO, CA 94591 (707) 645-8400		Non-Participating Provider	NO
1508947292	MINOO MAKASSEBI (Individual)	133 PLAZA DR VALLEJO, CA 94591 (707) 557-6245	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
1518245604	ELLA TIN AYE KHINE LIM (Individual)	29 ROTARY WAY VALLEJO, CA 94591 (707) 554-1764		Non-Participating Provider	NO
1528120391	ALMA C. SERAFINI DENTAL CORPORATION (Organization)	1620 VALLE VISTA AVE STE 150 VALLEJO, CA 94589 (707) 557-5822		Non-Participating Provider	NO
1538274998	JOSE MARIO MEJIA MOLINA (Individual)	3400 SONOMA BLVD VALLEJO, CA 94590 (707) 554-4000	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
1548243355	DAVID K. WHITE (Individual)	285 MARE ISLAND WAY VALLEJO, CA 94590 (707) 552-2228		Non-Participating Provider	NO
1548355571	MAHNAZ M HEYDARI (Individual)	2920 SONOMA BLVD SUITE A VALLEJO, CA 94590 (707) 558-2000		Non-Participating Provider	YES
1558571802	JOHN W. BRISTOW, D.D.S. (Organization)	23 ROTARY WAY VALLEJO, CA 94591 (707) 642-3319		Non-Participating Provider	NO
1568520195	WILLIAM C VIZZOLINI (Individual)	1528 TENNESSEE ST VALLEJO, CA 94590 (707) 643-2660		Non-Participating Provider	NO
1568905917	ELDER DENTAL CORP (Organization)	19 ROTARY WAY VALLEJO, CA 94591 (415) 890-1190	UnitedHealthcare	Non-Participating Provider	NO
1588823819	WINI ZERLINE LUONG (Individual)	2920 SONOMA BLVD STE A VALLEJO, CA 94590 (707) 558-2000		Non-Participating Provider	YES
1588870695	VINCENT LIM, DDS, INC CROSSROADS DENTAL CARE (Organization)	41 ADMIRAL CALLAGHAN LN SUITE E VALLEJO, CA 94591 (707) 552-3816		Non-Participating Provider	NO
1598172579	PAUL B. BELUSKO, DDS, A PROFESSIONAL CORPORATION (Organization)	125 PLAZA DR STE 407 VALLEJO, CA 94591 (707) 647-2760		Non-Participating Provider	NO
1598568263	JACOBSON DENTAL CORP (Organization)	932 ADMIRAL CALLAGHAN LN VALLEJO, CA 94591 (707) 794-2020		Non-Participating Provider	NO
1598963878	ELIZABETH CAOILI DENTAL CORPORATION CAOILI DENTAL CARE (Organization)	4380 SONOMA BLVD SUITE 177 VALLEJO, CA 94589 (707) 643-5709		Non-Participating Provider	NO
1609985860	RUTH SALUDO DE JOYA (Individual)	2121 REDWOOD ST STE F VALLEJO, CA 94590 (707) 644-5943	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
1619183225	VIOLETA LIM HO (Individual)	2600 SPRINGS RD VALLEJO, CA 94591 (707) 642-3711		Non-Participating Provider	NO
1639207756	JAMES D PRIGMORE (Individual)	1620 VALLE VISTA AVE STE 100 VALLEJO, CA 94589 (707) 552-7744		Non-Participating Provider	NO
1639389927	PICKETT DENTAL CORPORATION (Organization)	25 ROTARY WAY VALLEJO, CA 94591 (707) 642-2800		Non-Participating Provider	NO
1639733637	WESTERN DENTAL SERVICES, INC. (Organization)	133 PLAZA DR STE R VALLEJO, CA 94591 (707) 557-6245		Non-Participating Provider	NO
1649741364	SARA ADABI (Individual)	1620 VALLE VISTA AVE STE 200 VALLEJO, CA 94589 (707) 552-4940	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 UnitedHealthcare	Non-Participating Provider	NO
1659970861	SHARROW CHUANG (Individual)	133 PLAZA DR STE R VALLEJO, CA 94591 (707) 557-8020	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
1669830584	CHRISTINE HO (Individual)	133 PLAZA DR VALLEJO, CA 94591 (707) 557-6245	Ambetter from Arizona Complete Health 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	YES
1669940557	YAN KALIKA DENTAL CORPORATION VALLE SMILES (Organization)	133 PLAZA DR STE R VALLEJO, CA 94591 (916) 297-6600		Non-Participating Provider	NO
1669996518	DANIEL JAEMOON KANG (Individual)	201 WALNUT AVENUE 612 GE/MI DENTAL VALLEJO, CA 94592 (707) 562-8283	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1679593958	VICTOR LOUIS CHANEY (Individual)	1524 TENNESSEE ST VALLEJO, CA 94590 (707) 643-1703		Non-Participating Provider	YES
1689457848	DOTUN EBENEZER ADEBIYI (Individual)	914 ADMIRAL CALLAGHAN LN VALLEJO, CA 94591 (707) 674-5437	Florida Combined Life	Non-Participating Provider	NO
1689751927	LARGOZA DENTAL CORPORATION REDWOOD FAMILY & COSMETIC DENTISTRY (Organization)	1782 TUOLUMNE ST VALLEJO, CA 94589 (707) 552-8668		Non-Participating Provider	NO
1689833865	YUSUKE SUZUKI (Individual)	211 CADLONI LN B VALLEJO, CA 94591 (707) 315-1541	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
1699890350	PORTIA MARISTELA ESCOBAR, DMD, PDC PORTIA MARISTELA ESCOBAR, PROFESSIONAL DENTAL CORPORATION (Organization)	3772 SONOMA BLVD VALLEJO, CA 94589 (707) 557-6680	UnitedHealthcare	Non-Participating Provider	NO
1720537871	KHOMEJANY & KHOMJANI INC (Organization)	17 ROTARY WAY VALLEJO, CA 94591 (707) 642-1360		Non-Participating Provider	NO
1720702053	ANTHONY MACH HUA (Individual)	201 WALNUT AVE VALLEJO, CA 94592 (707) 562-8200	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
1740313881	JERRY STANLEY REDD (Individual)	1620 VALLE VISTA AVE STE 200 VALLEJO, CA 94589 (707) 552-4940	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
1740325679	YARAH BEDDAWI (Individual)	3400 SONOMA BLVD VALLEJO, CA 94590 (707) 554-4000	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	Opted out of Medicare	YES
1750434536	KENNETH FREDERICK FREER (Individual)	15 ROTARY WAY VALLEJO, CA 94591 (707) 643-2307		Non-Participating Provider	NO
1760672588	CLARA E. BALANCIO, DDS, INC. (Organization)	2809 REDWOOD PKWY VALLEJO, CA 94591 (707) 643-2273		Non-Participating Provider	NO
1770818031	MANUEL ZABAT CARO (Individual)	1660 BROADWAY ST VALLEJO, CA 94590 (707) 649-1800	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
1780666115	EDITHA MENDOZA AQUINO (Individual)	2600 SPRINGS RD VALLEJO, CA 94591 (707) 642-3711	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
1780841593	EUGENE H BURTON (Individual)	4300 SONOMA BLVD STE 124 VALLEJO, CA 94589 (707) 643-2500		Non-Participating Provider	NO
1790840924	DR. JANET CARO, INC. D.D.S. (Organization)	480 REDWOOD ST. STE. 13 VALLEJO, CA 94590 (707) 649-1800	UnitedHealthcare	Non-Participating Provider	NO
1790870582	CAROLINA PASADILLA ESGUERRA (Individual)	2001 SPRINGS ROAD STE A VALLEJO, CA 94591 (707) 649-1694	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
1790894863	RUTH S. DE JOYA, DMD, INC (Organization)	2121 REDWOOD ST SUITE F VALLEJO, CA 94590 (707) 644-5943	UnitedHealthcare	Non-Participating Provider	NO
1801121975	JANET CARO (Individual)	1660 BROADWAY ST VALLEJO, CA 94590 (707) 649-1800	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
1801162037	JERRY ANNONI (Individual)	41 ADMIRAL CALLAGHAN LN STE F VALLEJO, CA 94591 (707) 552-3383		Non-Participating Provider	NO
1801258330	DENTAL OFFICE OF MOUNIR N. GUIRGUIS DDS, INC. MAK DENTAL (Organization)	480 REDWOOD ST SUITE #13 VALLEJO, CA 94590 (707) 554-2600	UnitedHealthcare	Non-Participating Provider	NO
1801983663	FRANCIS SP CRUZ (Individual)	1915 SPRINGS RD VALLEJO, CA 94591 (707) 643-8800	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1831388503	AMY GAIL ENGLISH (Individual)	1532 TENNESSEE ST VALLEJO, CA 94590 (707) 642-3710	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
1841064094	ELLIS CHAN BACK (Individual)	3587 SONOMA BLVD VALLEJO, CA 94590 (925) 683-4799	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
1841607850	SAPNA SURJITSINGH NARANG (Individual)	3587 SONOMA BLVD WESTERN DENTAL VALLEJO, CA 94590 (707) 561-9213	Renaissance Dental	Non-Participating Provider	NO
1851415210	WAH KEUNG MARK (Individual)	195 GLEN COVE MARINA RD E SUITE 100 VALLEJO, CA 94591 (707) 649-8000		Non-Participating Provider	NO
1851596621	CAROLINA P ESGUERRA DDS INC (Organization)	2001 SPRINGS RD STE A VALLEJO, CA 94591 (707) 649-1694	UnitedHealthcare	Non-Participating Provider	NO
1871130989	BANO QUTUB ALI (Individual)	41 ADMIRAL CALLAGHAN LN VALLEJO, CA 94591 (713) 922-1063	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 Delta Dental PPO Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1881127785	WILLIAM CHAO (Individual)	201 WALNUT AVE VALLEJO, CA 94592 (707) 562-8283		Non-Participating Provider	NO
1881916443	CERVANTES AND PRADO DENTAL CARE, INC (Organization)	1620 VALLE VISTA AVE STE 150 VALLEJO, CA 94589 (707) 557-5822		Non-Participating Provider	NO
1891219382	ALEXANDER CHANEY (Individual)	1524 TENNESSEE ST VALLEJO, CA 94590 (707) 643-1703		Non-Participating Provider	NO
1891266490	HOWARD LIU, DDS, INC (Organization)	1309 TENNESSEE ST VALLEJO, CA 94590 (707) 642-3636		Non-Participating Provider	NO
1902602097	MOBILEMAX LLC (Organization)	1212 SOLANO AVE UNIT B VALLEJO, CA 94590 (616) 633-5734		Non-Participating Provider	NO
1912117326	MICHAEL F EDZIAK, DDS (Organization)	150 HOSPITAL DR. VALLEJO, CA 94589 (707) 642-4403		Non-Participating Provider	NO
1912977240	ALBERT FARRER STEUNENBERG (Individual)	201 WALNUT AVE VA MARE ISLAND DENTAL SERVICE VALLEJO, CA 94592 (707) 562-8225		Non-Participating Provider	NO
1922194026	CRAIG S GAINZA (Individual)	27 ROTARY WAY VALLEJO, CA 94591 (707) 642-4119		Non-Participating Provider	NO
1922196559	MA ROSARIO GUTIERREZ EXCONDE (Individual)	133 PLAZA DR SUITE R VALLEJO, CA 94591 (707) 557-6245	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	Non-Participating Provider	YES
1922490747	LARRY LIM (Individual)	140 ROBLES WAY VALLEJO, CA 94591 (707) 645-8400		Non-Participating Provider	NO
1932736774	EBONY SHARDAE HELAIRE (Individual)	415 GEORGIA ST VALLEJO, CA 94590 (707) 558-2000	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
1942418033	MAGGIE THAI (Individual)	1761 BROADWAY ST SUITE 224 VALLEJO, CA 94589 (707) 643-7885	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
1942655055	BRISBAIN RIGOR PUCAN (Individual)	2143 SPRINGS RD, #51 VALLEJO, CA 94591 (707) 552-3952	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
1952511040	MA.ANGELA PEREZ DOMINGUEZ (Individual)	1808 SPRINGS RD VALLEJO, CA 94591 (707) 647-1072		Non-Participating Provider	NO
1972710317	MARIA LOURDES NACPIL ALVAREZ (Individual)	5175 ZINFANDEL LN VALLEJO, CA 94591 (707) 567-1601	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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1972811180	BRYAN TAO LE (Individual)	100 ROBIN CT VALLEJO, CA 94591 (650) 267-1797	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 Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1972924090	AXELRODE ORTHODONTICS VALLEJO CALIFORNIA (Organization)	15 ROTARY WAY VALLEJO, CA 94591 (707) 643-2307		Non-Participating Provider	NO
1982782918	POOJA MALIK (Individual)	3400 SONOMA BLVD VALLEJO, CA 94590 (510) 568-6272	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
1982822045	VINCENT PATRICK LIM (Individual)	41 ADMIRAL CALLAGHAN LN VALLEJO, CA 94591 (707) 552-3816	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
1982892048	GIGI DIEM HUYNH (Individual)	3681 ROCKY SHORE DR VALLEJO, CA 94591 (415) 793-5794		Non-Participating Provider	NO
1982964953	MAANGELA P DOMINGUEZ, DDS, A PROFESSIONAL CORPORATION (Organization)	1808 SPRINGS RD VALLEJO, CA 94591 (707) 647-1072		Non-Participating Provider	NO

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