Dentist Providers In Waltham, Massachusetts

Search Dentist NPI records in Waltham, MA

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Waltham, MA. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 114, of which 36 are registered as organizations and 78 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

30% Female

39% Male

68% Individual Providers (78)32% Medical Organizations (36)30% Female Providers (34)39% Male Providers (44)

Map of Providers

We have mapped the Dentist providers in Waltham, 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 Waltham, MA
NPI	Name	Address	Insurance	Medicare	PECOS
1023101300	TACUHI SONA TACVORIAN (Individual)	24 CRESCENT ST # 302 WALTHAM, MA 02453 (781) 899-8174	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
1033109988	VINCENT P.A. FAILLA (Individual)	976 MAIN ST WALTHAM, MA 02451 (781) 894-3143		Non-Participating Provider	NO
1033819347	TIA JEAN PATTERSON (Individual)	868 LEXINGTON ST WALTHAM, MA 02452 (781) 684-9714	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Florida Combined Life Humana	Non-Participating Provider	NO
1043831829	MARA DEBORAH STEIN (Individual)	271 WAVERLEY OAKS RD STE 101 WALTHAM, MA 02452 (781) 642-7500	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
1053405886	DAVID GOLDBERG (Individual)	879 MAIN ST WALTHAM, MA 02451 (781) 899-3700	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield Guardian	Non-Participating Provider	YES
1063513869	JOHN D MEOLA, D.D.S., P.C. (Organization)	40 2ND AVE SUITE 500 WALTHAM, MA 02451 (781) 890-4900		Non-Participating Provider	NO
1093885691	KENNETH A MACAFEE (Individual)	982 MAIN ST WALTHAM, MA 02451 (781) 899-5660	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
1104042118	TAEJOON AHN (Individual)	225 MOODY ST WALTHAM, MA 02453 (781) 647-8000	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1104433549	RUCHIEKA VIJ (Individual)	314 MOODY ST WALTHAM, MA 02453 (857) 284-2329	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
1104955723	CRONINS DENTAL PC (Organization)	225 MOODY ST WALTHAM, MA 02453 (781) 647-8000		Non-Participating Provider	NO
1104978220	EDWARD MORTON (Individual)	633 TRAPELO RD WALTHAM, MA 02452 (781) 891-8211		Non-Participating Provider	NO
1124199500	CONSTANT CROHIN (Individual)	212 CHARLES ST WALTHAM, MA 02453 (781) 894-4424	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
1124548060	KATHLEEN MOLGAARD (Individual)	271 WAVERLEY OAKS RD STE 101 WALTHAM, MA 02452 (781) 642-7500	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
1124819057	ISAAC KIM DDS (Organization)	131 MAIN ST WALTHAM, MA 02453 (781) 893-7500		Non-Participating Provider	NO
1144246810	RONALD G WEISSMAN (Individual)	875 MAIN ST WALTHAM, MA 02451 (781) 647-0772		Non-Participating Provider	NO
1154094472	ROBERT WILLIAM ANDERSON (Individual)	862 LEXINGTON ST WALTHAM, MA 02452 (781) 684-9714	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
1154566495	E ELON JOFFRE (Individual)	980 MAIN ST WALTHAM, MA 02451 (781) 899-2340	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1164122891	NAZIA PATHAN (Individual)	1030 MAIN ST WALTHAM, MA 02451 (781) 666-6000	Ambetter Health Ambetter Health of Delaware 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
1174046684	POONAM SOI DMD LLC 376 DENTAL STUDIO (Organization)	376 MOODY ST WALTHAM, MA 02453 (206) 949-7622	UnitedHealthcare	Non-Participating Provider	NO
1174553481	YELENA VLADIMIROVNA GUTNICHENKO (Individual)	695 MAIN ST WALTHAM, MA 02451 (781) 899-7070		Non-Participating Provider	YES
1184030066	WEICHUN LI (Individual)	85 RIVER ST # 65292 WALTHAM, MA 02453 (781) 891-7737	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
1184768426	CHILDREN'S DENTAL OF WALTHAM, P.C. (Organization)	695 MAIN ST WALTHAM, MA 02451 (781) 899-7070		Non-Participating Provider	NO
1194178939	CAITLIN MAUREEN KELLY (Individual)	131 MAIN ST WALTHAM, MA 02453 (781) 893-5109	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	NO
1194234492	BRUNA ROSSI HOFFMAN (Individual)	12 GRANT PLACE APT 1 WALTHAM, MA 02451 (781) 879-2754	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
1194994921	ASHOK K. PATEL DMD, PC (Organization)	32 SOUTH ST SUITE 100 WALTHAM, MA 02453 (781) 894-0500		Non-Participating Provider	NO
1205868098	42 NORTH DENTAL CARE, LLC (Organization)	200 5TH AVE WALTHAM, MA 02451 (781) 647-0772	Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) UnitedHealthcare	Non-Participating Provider	NO
1225476427	LAYEEQ AHMED (Individual)	200 5TH AVE FL 3 WALTHAM, MA 02451 (781) 647-0772	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
1295013662	CHARLES SUTERA (Individual)	75 3RD AVE WALTHAM, MA 02451 (781) 487-1111	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 Paramount Paramount Dental	Non-Participating Provider	NO
1295135085	WAVERLY OAKS DENTAL, INC. (Organization)	411 WAVERLY OAKS RD SUITE 318 WALTHAM, MA 02452 (781) 649-0022	UnitedHealthcare	Non-Participating Provider	NO
1295189280	JONATHAN BISHOP (Individual)	982 MAIN ST WALTHAM, MA 02451 (781) 899-5660	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
1295428878	CHRISTIAN JOSEPH WESOLOWSKI (Individual)	131 MAIN ST WALTHAM, MA 02453 (781) 893-7500	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
1295951200	CINDY MOON (Individual)	225 MOODY ST WALTHAM, MA 02453 (781) 647-8000		Non-Participating Provider	NO
1306390778	YASMIN CHEBBI (Individual)	32 SOUTH ST STE 100 WALTHAM, MA 02453 (617) 684-1883	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	Non-Participating Provider	YES
1316937212	ROBERT DEFRANCESCO (Individual)	976 MAIN ST WALTHAM, MA 02451 (781) 894-3143	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
1326052465	JOHN GEORGE VALENTINO (Individual)	965 TRAPELO RD WALTHAM, MA 02452 (781) 893-5840		Non-Participating Provider	YES
1326214248	BRANDON JON MEIER (Individual)	300 WINTER ST UNIT 1 WALTHAM, MA 02451 (267) 253-9123	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	Accepts Medicare	YES
1326558750	TRIPTI GUPTA (Individual)	314 MOODY ST WALTHAM, MA 02453 (781) 398-0000	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	YES
1336282300	WAVERLEY OAKS DENTAL CARE SPECIALISTS LLC (Organization)	411 WAVERLEY OAKS RD BLDG #3, STE. 318 WALTHAM, MA 02452 (781) 647-0022		Non-Participating Provider	NO
1356563035	MIKHAIL SHULKIN DDS PC MOODY STREET DENTAL (Organization)	509 MOODY STREET WALTHAM, MA 02453 (781) 894-0889		Non-Participating Provider	NO
1366017394	42 NORTH DENTAL CARE, PLLC (Organization)	200 5TH AVE FL 3 WALTHAM, MA 02451 (781) 647-0772	Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company)	Non-Participating Provider	NO
1366152191	KOKO DENTAL CARE PLLC (Organization)	570 MOODY ST APT 2 WALTHAM, MA 02453 (978) 328-4661		Non-Participating Provider	NO
1376215137	POORNIMA MYSORE VISHWANATH (Individual)	314 MOODY ST WALTHAM, MA 02453 (781) 398-0000	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
1386432920	ZENG ENDODONTICS PLLC (Organization)	131 MAIN ST WALTHAM, MA 02453 (781) 893-7500		Non-Participating Provider	NO
1386866556	DAYANA I ESCOBAR (Individual)	564 MAIN ST WALTHAM, MA 02452 (781) 693-3800	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
1396805313	TAM TANG AND SHAM PC WALTHAM DENTAL CENTER (Organization)	85 RIVER STREET WALTHAM, MA 02453 (781) 891-7737		Non-Participating Provider	NO
1437222486	KHAI LIM (Individual)	879 MAIN ST WALTHAM, MA 02451 (781) 899-3700		Non-Participating Provider	NO
1437261567	DAMIAN D. MEOLA (Individual)	131 MAIN ST WALTHAM, MA 02453 (781) 893-7500	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	NO
1447688213	NK FAMILY DENTISTRY (Organization)	520 MAIN STREET WALTHAM, MA 02452 (781) 216-8097		Non-Participating Provider	NO
1457042954	EASTERN MASSACHUSETTS ENDODONTICS INC (Organization)	131 MAIN ST WALTHAM, MA 02453 (508) 942-8456		Non-Participating Provider	NO
1467082289	ADELA AGOLLI TARSHI, D.M.D., P.C. (Organization)	131 MAIN ST WALTHAM, MA 02453 (781) 893-7500		Non-Participating Provider	NO
1467548347	NATALIA HOFFMAN (Individual)	875 MAIN ST WALTHAM, MA 02451 (781) 647-0772	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
1477253805	BEACON DENTAL PARTNERS LLC (Organization)	330 BEAR HILL RD STE 301 WALTHAM, MA 02451 (781) 620-4100		Non-Participating Provider	NO
1487775375	JOHN D MEOLA (Individual)	52 SECOND AVE STE 500 WALTHAM, MA 02451 (781) 890-4900	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
1497867550	JEFFREY S CUMMINGS (Individual)	520 MAIN ST WALTHAM, MA 02452 (781) 894-4114		Non-Participating Provider	NO
1508937673	SHAHIN SOLI SAGAFI (Individual)	411 WAVERLEY OAKS RD BLDG #3, STE 318 WALTHAM, MA 02452 (781) 647-0022	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
1518057520	ZENA ATASSI (Individual)	879 MAIN ST WALTHAM, MA 02451 (781) 850-2361	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	NO
1518538354	MODAR AL-ROOMI (Individual)	1030 MAIN ST STE 3 WALTHAM, MA 02451 (781) 697-3400	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
1528525482	WALTHAM MODERN DENTISTRY, PC WALTHAM MODERN DENTISTRY (Organization)	862 LEXINGTON ST WALTHAM, MA 02452 (781) 684-9714	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Paramount Paramount Dental	Non-Participating Provider	NO
1538250659	JOHN JAMES CARAVOLAS (Individual)	20 HOPE AVE SUITE 306 WALTHAM, MA 02453 (781) 647-0804		Non-Participating Provider	NO
1548352545	MICHAEL CHANG (Individual)	875 MAIN ST WALTHAM, MA 02451 (781) 647-0772		Non-Participating Provider	NO
1548387251	JOHN J. CARAVOLAS, D.D.S., P.C. (Organization)	20 HOPE AVE SUITE 306 WALTHAM, MA 02453 (781) 647-0804		Non-Participating Provider	NO
1548617814	WALTHAM FAMILY DENTAL (Organization)	30 GRANT ST WALTHAM, MA 02453 (781) 894-1634		Non-Participating Provider	NO
1558981142	SHRAYA SHARMA (Individual)	271 WAVERLEY OAKS RD STE 101 WALTHAM, MA 02452 (781) 642-7500	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
1578287637	KATHARINE ENG (Individual)	32 SOUTH ST STE 100 WALTHAM, MA 02453 (781) 894-0500	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1588040737	CHRISTOPHER JOHN SALZILLO (Individual)	131 MAIN ST WALTHAM, MA 02453 (781) 893-7500	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
1598550097	MELINDA XUAN LE (Individual)	200 5TH AVE FL 3 WALTHAM, MA 02451 (617) 480-6355		Non-Participating Provider	NO
1619230364	PREMIER ENDODONTICS LLC (Organization)	271 WAVERLEY OAKS RD STE 101 WALTHAM, MA 02452 (617) 935-1528	UnitedHealthcare	Non-Participating Provider	NO
1629963699	ANDREINA JOSE MORENO VELASQUEZ (Individual)	21 PROSPECT HILL AVE UNIT 2 WALTHAM, MA 02451 (857) 250-6824		Non-Participating Provider	NO
1649465543	SALOME FARZANEH D.M.D. (Organization)	212 CHARLES ST WALTHAM, MA 02453 (178) 189-4442		Non-Participating Provider	NO
1659993343	ASNAN DENTAL STUDIOS (Organization)	32 SOUTH ST STE 100 WALTHAM, MA 02453 (617) 684-1883		Non-Participating Provider	NO
1669516993	YELENA V. GUTNICHENKO, DMD, P.C. ELM DENTAL (Organization)	52 ELM ST WALTHAM, MA 02453 (781) 899-9530		Non-Participating Provider	NO
1669840419	NEHA SOOD (Individual)	314 MOODY ST WALTHAM, MA 02453 (781) 398-0000	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1699295352	KATHRYN WEBER FERRANTE (Individual)	976 MAIN ST WALTHAM, MA 02451 (781) 894-3143	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
1699942730	DAMIAN D MEOLA DMD PC (Organization)	131 MAIN STREET WALTHAM, MA 02453 (781) 893-7500	UnitedHealthcare	Non-Participating Provider	NO
1700057346	RAFAEL VILLACORTA FAMILY DENTISTRY (Organization)	24 CRESCENT ST SUITE 303 WALTHAM, MA 02453 (781) 891-5637		Non-Participating Provider	NO
1710009477	KERRY WU DMD PC (Organization)	30 GRANT ST WALTHAM, MA 02453 (781) 894-1634		Non-Participating Provider	NO
1710759071	SHAIMA TABARI DDS (Organization)	131 MAIN ST WALTHAM, MA 02453 (781) 893-7500		Non-Participating Provider	NO
1730101650	BERNARD CHARLES MALONEY (Individual)	556 MAIN STREET WALTHAM, MA 02452 (781) 899-0966		Non-Participating Provider	YES
1740277631	STEVEN R LAZAR (Individual)	25 LIONEL AVE SUITE A WALTHAM, MA 02452 (781) 899-1157	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
1740385459	GOLNAZ DAMGHANI (Individual)	131 MAIN ST WALTHAM, MA 02453 (781) 893-7500	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
1750001285	PATRICK CHIKIN LO (Individual)	85 RIVER ST STE 2 WALTHAM, MA 02453 (781) 891-7737	Anthem Blue Cross and Blue Sheld Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1750010542	BROCK RIEDEL (Individual)	862 LEXINGTON ST WALTHAM, MA 02452 (781) 684-9714	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
1760565030	CHRISTIAN MARK KARAVOLAS (Individual)	20 HOPE AVE #306 WALTHAM, MA 02453 (781) 647-0804	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
1760904106	JAMES LEUNG (Individual)	879 MAIN ST WALTHAM, MA 02451 (781) 899-3700	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
1780098079	MAAN ZUAITAR (Individual)	1030 MAIN ST WALTHAM, MA 02451 (862) 221-6103	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
1801043138	CARMEN D. BRAMBILA (Individual)	695 MAIN ST WALTHAM, MA 02451 (781) 899-7070	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
1801279740	ABDULLAH OTHMAN (Individual)	879 MAIN ST WALTHAM, MA 02451 (781) 850-2361	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 Paramount Paramount Dental	Non-Participating Provider	NO
1801596531	CLAUDIA SANTANDER VINARDELL (Individual)	32 SOUTH ST STE 100 WALTHAM, MA 02453 (781) 894-0500		Non-Participating Provider	NO
1801804174	MICHAEL SHULKIN (Individual)	509 MOODY ST WALTHAM, MA 02453 (781) 894-0889	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
1811259898	KIRSTEN LUI (Individual)	520 MAIN ST WALTHAM, MA 02452 (781) 216-8097	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
1821020488	SAMUEL M SHAMES (Individual)	875 MAIN ST WALTHAM, MA 02451 (781) 647-0772		Non-Participating Provider	NO
1821119736	CHRISTOPHER JAMES MAGUIRE (Individual)	40 2ND AVE WALTHAM, MA 02451 (781) 890-4900	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
1821306499	MYUNGEUN KIM (Individual)	85 RIVER ST STE 2 WALTHAM, MA 02453 (781) 891-7737	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	YES
1821388398	DENTONIC (Organization)	25 MIDDLESEX RD #2 WALTHAM, MA 02452 (781) 697-7421	UnitedHealthcare	Non-Participating Provider	NO
1821798562	BRITTANY ANNE UTSET (Individual)	879 MAIN ST WALTHAM, MA 02451 (781) 850-2361	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1831250687	VIVIAN BORNFRIEND (Individual)	875 MAIN ST WALTHAM, MA 02451 (781) 647-0772		Non-Participating Provider	NO
1841347457	ALAN DAVID NESSON (Individual)	549 LEXINGTON ST WALTHAM, MA 02452 (781) 891-8447	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
1841990504	UYEN THAI HUYNH (Individual)	475 WINTER ST STE 9 WALTHAM, MA 02451 (781) 209-5859	Humana	Non-Participating Provider	NO
1851998827	RAMI SALLOUM (Individual)	879 MAIN ST WALTHAM, MA 02451 (781) 899-3700	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 Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1861502015	ROSS LEE ANAPOLLE (Individual)	980 MAIN ST WALTHAM, MA 02451 (781) 899-2999	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
1871261347	ADVANCED WALTHAM DENTAL (Organization)	100 MAPLE ST WALTHAM, MA 02453 (781) 366-0411	Florida Blue (BlueCross BlueShield FL) Florida Blue HMO (a BlueCross BlueShield FL company) UnitedHealthcare	Non-Participating Provider	NO
1871682906	JEFFREY DAMON REITZEL (Individual)	200 5TH AVE 3RD FLOOR WALTHAM, MA 02451 (781) 647-0772	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 UnitedHealthcare	Non-Participating Provider	NO
1881615680	JOHN FRANCIS GIGLIO (Individual)	66 SOUTH ST WALTHAM, MA 02453 (781) 899-2324	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
1902994155	ROBERT GIRSCHEK (Individual)	879 MAIN ST WALTHAM, MA 02451 (781) 899-3700	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
1922125566	CHRISTIAN M. KARAVOLAS, D.D.S., P.C. (Organization)	20 HOPE AVE SUITE 306 WALTHAM, MA 02453 (781) 647-0804		Non-Participating Provider	NO
1922206523	KIRILL KLIMASHOV (Individual)	879 MAIN ST WALTHAM, MA 02451 (781) 899-3700	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
1922214204	FAILLA & DEFRANCESCO FAMILY DENTISTRY, LLC (Organization)	976 MAIN ST WALTHAM, MA 02451 (781) 894-3143		Non-Participating Provider	NO
1922455542	WOW DENTAL FOR KIDS INC (Organization)	1077 LEXINGTON ST WALTHAM, MA 02452 (781) 899-0014	UnitedHealthcare	Non-Participating Provider	NO
1932256740	SALOME FARZANEH (Individual)	212 CHARLES ST WALTHAM, MA 02453 (781) 894-4424	Anthem Blue Cross and Blue Sheld Anthem Blue Cross and Blue Shield	Non-Participating Provider	YES
1942349360	NEGAAR SAGAFI (Individual)	411 WAVERLEY OAKS RD BLDG #3, SUITE 318 WALTHAM, MA 02452 (781) 647-0022	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	Non-Participating Provider	NO
1952471708	RAFAEL VILLACORTA (Individual)	24 CRESCENT ST STE 303 WALTHAM, MA 02453 (781) 891-5637	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 Humana	Non-Participating Provider	NO
1962062786	NEW ENGLAND TMJ ASSOCIATES (Organization)	376 MOODY ST WALTHAM, MA 02453 (617) 588-2129		Non-Participating Provider	NO
1972354918	DENTAL WELLNESS OF WALTHAM SMART PICK DENTAL (Organization)	475 WINTER ST WALTHAM, MA 02451 (603) 738-6808	UnitedHealthcare	Non-Participating Provider	NO
1992975106	ROBERT JAMES LINDBERG (Individual)	32 SOUTH STREET SUITE 202 WALTHAM, MA 02453 (781) 894-2122		Non-Participating Provider	NO

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