Dentist Providers In Wichita Falls, Texas

Search Dentist NPI records in Wichita Falls, TX

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Wichita Falls, TX. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 112, of which 34 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.

70% Individuals

30% Organizations

21% Female

48% Male

70% Individual Providers (78)30% Medical Organizations (34)21% Female Providers (24)48% Male Providers (54)

Map of Providers

We have mapped the Dentist providers in Wichita Falls, TX 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 Wichita Falls, TX
NPI	Name	Address	Insurance	Medicare	PECOS
1023107828	JOHN BRADLEY HARMON (Individual)	3631 MAPLEWOOD AVE SUITE #3 WICHITA FALLS, TX 76308 (940) 692-1530		Non-Participating Provider	NO
1023195427	DENTISTRY 4 KIDZ, P.A. (Organization)	#1 EUREKA CIRCLE #103 WICHITA FALLS, TX 76308 (940) 691-5027		Non-Participating Provider	NO
1023547676	CALE DAVID LENNARD (Individual)	2405 9TH ST STE A WICHITA FALLS, TX 76301 (940) 322-4401	Guardian	Non-Participating Provider	NO
1043394059	MICHAEL B. LEACH (Individual)	3510 MCNIEL AVE WICHITA FALLS, TX 76308 (940) 692-2050		Non-Participating Provider	NO
1043399637	ROBERT STANLEY POLOVY (Individual)	2925 SOUTHWEST PKWY STE 500 WICHITA FALLS, TX 76308 (940) 696-2064		Non-Participating Provider	NO
1043767221	VALUE SMILES PLLC (Organization)	2710 CENTRAL FREEWAY STE 140 WICHITA FALLS, TX 76306 (559) 779-1083	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma DentaQuest USA Insurance Company Inc. Solstice Healthplans of Texas Inc. UnitedHealthcare	Non-Participating Provider	NO
1053317255	GARY JAMES GRIMES (Individual)	4715 TAFT BLVD WICHITA FALLS, TX 76308 (940) 692-8821		Non-Participating Provider	NO
1053617431	HEETLAND ORTHODONTICS PLLC HH ORTHO (Organization)	2211 MIDWESTERN PKWY SUITE 1 WICHITA FALLS, TX 76308 (940) 691-2911		Non-Participating Provider	NO
1063582120	CHAD M JACKSON (Individual)	#5 EUREKA CIRCLE SUITE A WICHITA FALLS, TX 76308 (940) 691-6066	Florida Combined Life Humana	Non-Participating Provider	NO
1083060909	THOMAS CHOI (Individual)	3711 GREGORY ST, WICHITA FALLS, TX 76308 WICHITA FALLS, TX 76308 (940) 386-6029	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1104919489	CHARLES GLENN BECK (Individual)	1700 11TH ST WICHITA FALLS, TX 76301 (940) 723-4512	Blue Cross and Blue 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
1104932128	DEVEK KENT FRECH (Individual)	3621 MAPLEWOOD AVE WICHITA FALLS, TX 76308 (940) 691-1671		Non-Participating Provider	NO
1104942234	BRIAN LEE HASSE (Individual)	1211 LOOP 11 WICHITA FALLS, TX 76306 (940) 855-3435		Non-Participating Provider	NO
1114410503	SIDRA IQBAL (Individual)	3711 GREGORY ST WICHITA FALLS, TX 76308 (978) 728-2351	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Blue Cross and Blue 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 Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1124136825	ABDOLMAJID SHAROLLI (Individual)	2100 BROOK AVE WICHITA FALLS, TX 76301 (940) 322-5297		Non-Participating Provider	YES
1124427331	MINDY MAY MOSER (Individual)	1414 KEMP BLVD WICHITA FALLS, TX 76309 (940) 723-1301		Non-Participating Provider	NO
1144306416	BENNY F FLEMING DDS PC (Organization)	1501 BROOK AVE SUITE A WICHITA FALLS, TX 76301 (940) 723-0441		Non-Participating Provider	NO
1154542231	KENNETH E. ABOUSSIE DDS (Organization)	2300 HARRISON ST WICHITA FALLS, TX 76308 (940) 723-6677		Non-Participating Provider	NO
1154708162	WICHITA SMILES SMART MOUTH FAMILY DENTAL (Organization)	2120 VIRGINIA DR STE A WICHITA FALLS, TX 76309 (940) 761-5979		Non-Participating Provider	NO
1174074041	VALUE SMILES PLLC (Organization)	2710 CENTRAL FWY STE140 WICHITA FALLS, TX 76306 (817) 992-7005		Non-Participating Provider	NO
1174631840	MAJID SHAROLLI, D.D.S., P.A. WICHITA FALLS DENTAL (Organization)	2100 BROOK AVE WICHITA FALLS, TX 76301 (940) 322-5297		Non-Participating Provider	NO
1184004996	DUSTIN E VAN TASSELL (Individual)	2200 KELL BLVD WICHITA FALLS, TX 76309 (940) 322-2252	Guardian	Non-Participating Provider	NO
1205807633	STEVEN D GULBRANSON (Individual)	200 MARTIN LUTHER KING BLVD WICHITA FALLS, TX 76301 (940) 766-6306		Non-Participating Provider	NO
1215297759	BEN BAKER (Individual)	1804 BROOK AVE WICHITA FALLS, TX 76301 (940) 247-0286		Non-Participating Provider	NO
1255358966	KINNARI JAYESH GHIA (Individual)	4501 CALL FIELD RD WICHITA FALLS, TX 76308 (940) 692-8411	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1255377826	RAY H HYDE (Individual)	4245 KEMP BLVD SUITE 500 WICHITA FALLS, TX 76308 (940) 692-5112	Guardian	Non-Participating Provider	NO
1255710752	WICHITA FALLS ORAL AND FACIAL SURGERY, PLLC TEXOMA FACIAL AND ORAL SURGERY (Organization)	2304 MIDWESTERN PKWY SUITE 102 WICHITA FALLS, TX 76308 (940) 696-1544		Non-Participating Provider	NO
1265156715	SMILEY DENTAL KEMP PLLC (Organization)	3901 KEMP BLVD WICHITA FALLS, TX 76308 (940) 488-4511	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1265793582	JAMES LAWRENCE GARRETT (Individual)	4111 SOUTHWEST PKWY STE 500 WICHITA FALLS, TX 76308 (940) 301-3669	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1275104846	NHI BALOGH (Individual)	5200 STONE LAKE DR WICHITA FALLS, TX 76310 (940) 341-2119	Delta Dental PPO	Non-Participating Provider	NO
1295003671	DENTAL WORKS (Organization)	2515 EAST ELLIOTT ST R WICHITA FALLS, TX 76308 (940) 696-9701		Non-Participating Provider	NO
1306041140	WALTER LAWRENCE BLUMENFELD (Individual)	1804 BROOK AVENUE WICHITA FALLS, TX 76301 (940) 322-2252		Non-Participating Provider	NO
1316066723	JAMES ROYCE GREEN (Individual)	2200 KELL BLVD. WICHITA FALLS, TX 76309 (940) 322-2252		Non-Participating Provider	NO
1336296607	VERNON R. NESMITH (Individual)	2405 9TH ST SUITE A WICHITA FALLS, TX 76301 (940) 322-4401		Non-Participating Provider	NO
1346083037	TUAN ANH NGUYEN (Individual)	5200 STONE LAKE DR WICHITA FALLS, TX 76310 (940) 341-2119	Guardian	Non-Participating Provider	NO
1366553471	STEPHEN LYNN BAIRD (Individual)	2915 GRANT ST WICHITA FALLS, TX 76308 (940) 723-1511	Aetna CVS Health Delta Dental PPO Guardian Humana	Non-Participating Provider	NO
1366594822	TRACY JILL HILL (Individual)	2211 MIDWESTERN PARKWAY SUITE 5 WICHITA FALLS, TX 76308 (940) 692-0321	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Florida Combined Life Humana UnitedHealthcare	Opted out of Medicare	YES
1376216598	TYLER GRIFFIN (Individual)	5 EUREKA CIR STE A WICHITA FALLS, TX 76308 (940) 691-6066	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1376792259	SWATI S DIXIT (Individual)	3720 CALL FIELD RD STE 100 WICHITA FALLS, TX 76308 (940) 692-0589	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1386910065	FAMILY DENTISTRY OF TEXOMA (Organization)	4506 KEMP BLVD. WICHITA FALLS, TX 76308 (940) 723-0435		Non-Participating Provider	NO
1396052494	FREDRIC COOPER DAVIS (Individual)	3410 TAFT BLVD WICHITA FALLS, TX 76308 (940) 397-4738		Non-Participating Provider	NO
1396859765	BARRY L JACKSON (Individual)	4111 CALL FIELD RD WICHITA FALLS, TX 76308 (940) 696-2225		Non-Participating Provider	NO
1407010457	PAUL STEVEN BONNER (Individual)	1 EUREKA CIR SUITE 103 WICHITA FALLS, TX 76308 (940) 691-5027	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 Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1437255585	RICHARD CARR GUESS (Individual)	3631 MAPLEWOOD AVE SUITE 3 WICHITA FALLS, TX 76308 (940) 692-8100	Blue Cross and Blue 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 UnitedHealthcare	Non-Participating Provider	NO
1447703046	MAHMOUD MOHAMAD AMINE (Individual)	3916 CALL FIELD RD STE 600 WICHITA FALLS, TX 76308 (940) 217-6000		Non-Participating Provider	NO
1457004178	SPEARMINT KIDS AND ORTHODONTICS PLLC SPEARMINT KIDS AND ORTHODONTICS (Organization)	4111 SOUTHWEST PKWY SUITE #500 WICHITA FALLS, TX 76308 (940) 301-3669		Non-Participating Provider	NO
1457551673	RONALD D. BLANKENSHIP (Individual)	4446 SOUTHWEST PKWY WICHITA FALLS, TX 76308 (940) 692-5093		Non-Participating Provider	NO
1467651729	SRAVANTHI REDDY DANDALA (Individual)	3201 LAWRENCE RD. SUITE #375 WICHITA FALLS, TX 76308 (940) 432-3404	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1467770073	GRILL REPAIR PA RED RIVER ORTHODONTICS (Organization)	1 EUREKA CIR STE 103 WICHITA FALLS, TX 76308 (469) 522-3306		Non-Participating Provider	NO
1477616621	MATTHEW PITTS (Individual)	2515 R. EAST ELLIOT ST WICHITA FALLS, TX 76308 (940) 696-9701	Guardian Humana	Opted out of Medicare	YES
1487279386	BRITTANY TAYLOR HEWETT (Individual)	3201 LAWRENCE RD STE 375 WICHITA FALLS, TX 76308 (940) 432-3404	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1528000841	SANDRA VERGARA (Individual)	1004 BROOK AVE WICHITA FALLS, TX 76301 (940) 264-6000	Blue Cross and Blue 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	Opted out of Medicare	YES
1528365905	ROBERT S. POLOVY, DDS, P.A. (Organization)	2925 SOUTHWEST PKWY SUITE 500 WICHITA FALLS, TX 76308 (940) 696-2064		Non-Participating Provider	NO
1528488475	ROBERT D. ESPARZA, DDS, PC MYDENTIST-WICHITA FALLS (Organization)	3901 KEMP BLVD WICHITA FALLS, TX 76308 (940) 692-0083	Aetna CVS Health	Non-Participating Provider	NO
1548315096	RAY H. HYDE, DDS, PA (Organization)	4245 KEMP BLVD SUITE 500 WICHITA FALLS, TX 76308 (940) 692-5112		Non-Participating Provider	NO
1548321177	CHARLES JESSE HICKMAN (Individual)	2304 MIDWESTERN PKWY SUITE 102 WICHITA FALLS, TX 76308 (940) 696-1544		Non-Participating Provider	NO
1558403030	STEVEN MICHAEL FINLEY (Individual)	4506 KEMP BLVD WICHITA FALLS, TX 76308 (940) 723-0435	Delta Dental PPO Guardian Humana	Opted out of Medicare	YES
1558664417	STROHMAN DENTAL (Organization)	4210 KELL BLVD SUITE 100 WICHITA FALLS, TX 76309 (940) 613-0299		Non-Participating Provider	NO
1558923714	ACCESS DENTAL OF WICHITA FALLS PLLC ACCESS DENTAL AND ORTHODONTICS (Organization)	3901 KEMP BLVD WICHITA FALLS, TX 76308 (972) 514-1672	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1568576882	RICHARD A. URBANEK (Individual)	5 EUREKA CIR SUITE B WICHITA FALLS, TX 76308 (940) 696-2002	Guardian	Opted out of Medicare	NO
1578780425	RAFAEL ANTONIO PEREZ (Individual)	2301 MIDWESTERN PKWY STE. #110 WICHITA FALLS, TX 76308 (940) 692-2851	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma 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 UnitedHealthcare	Non-Participating Provider	NO
1619148723	NORTH MESA DENTAL, PC JUBILEE DENTAL (Organization)	3711 GREGORY ST WICHITA FALLS, TX 76308 (800) 920-9947	Aetna CVS Health	Non-Participating Provider	NO
1619691896	SMILEY DENTAL WICHITA FALLS PLLC (Organization)	1211 LOOP 11 WICHITA FALLS, TX 76306 (940) 855-3435	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1629366281	TONYA LYNN EGLOFF (Individual)	2211 MIDWESTERN PKWY SUITE 5 WICHITA FALLS, TX 76308 (940) 692-0321	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Opted out of Medicare	YES
1629420666	GLENDALY FERNANDEZ, PLLC (Organization)	2515 E ELLIOTT ST WICHITA FALLS, TX 76308 (940) 696-9701	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1639805781	KALIN JEETESH BHAVAN (Individual)	2515 E ELLIOTT ST WICHITA FALLS, TX 76308 (940) 696-9702	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1649349119	STEVEN K BURROSS (Individual)	#5 EUREKA CIRCLE SUITE A WICHITA FALLS, TX 76308 (940) 691-6066	Florida Combined Life Humana	Non-Participating Provider	NO
1649834680	LIVE OAK ORAL SURGERY OF TEXAS PLLC (Organization)	2708 SOUTHWEST PKWY STE 130 WICHITA FALLS, TX 76308 (580) 699-3131	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1659800720	TRICIA MAE CUEVA (Individual)	200 MLK JR BLVD WICHITA FALLS, TX 76301 (940) 766-6306	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1669699427	SARAH ANN FRITZSCH (Individual)	2301 MIDWESTERN PKWY STE. #110 WICHITA FALLS, TX 76308 (940) 692-2851		Non-Participating Provider	NO
1689024515	THANH VU (Individual)	3711 GREGORY ST WICHITA FALLS, TX 76308 (940) 228-1508	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 Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1689876542	BILLY G. HENDRICKSON (Individual)	2211 MIDWESTERN PKWY STE 1 WICHITA FALLS, TX 76308 (940) 691-2911		Non-Participating Provider	NO
1699053207	JIHEE HONG (Individual)	3711 GREGORY ST WICHITA FALLS, TX 76308 (940) 228-0963	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 DentaQuest USA Insurance Company Inc. EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1699135087	AFFORDABLE DENTURES & IMPLANTS - TEXAS, PLLC (Organization)	3916 CALL FIELD RD STE 600 WICHITA FALLS, TX 76308 (940) 217-6000	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1699451633	MEDEA MOHSENI (Individual)	2515 E ELLIOTT ST WICHITA FALLS, TX 76308 (940) 696-9701	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1700011160	DIVYA IYER (Individual)	1 EUREKA CIR SUITE 103 WICHITA FALLS, TX 76308 (940) 691-5027	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 Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1700016904	PATRICK JOSEPH WATERS (Individual)	2304 MIDWESTERN PKWY STE 102 WICHITA FALLS, TX 76308 (940) 696-1544	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Blue Cross and Blue 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 Renaissance Dental	Opted out of Medicare	YES
1700288131	SARAH BERRICHE (Individual)	3201 LAWRENCE RD STE 375 WICHITA FALLS, TX 76308 (940) 691-4867	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1710994819	CHARLES MORGAN OLINGER (Individual)	1616 10TH ST SUITE A WICHITA FALLS, TX 76301 (940) 716-9900		Non-Participating Provider	NO
1720184864	RICHARD C. GUESS, D.D.S., P.A. (Organization)	3631 MAPLEWOOD AVE SUITE 3 WICHITA FALLS, TX 76308 (940) 692-8100		Non-Participating Provider	NO
1750701058	DIVYA VENKATARAMAN DMD PLLC (Organization)	1 EUREKA CIR SUITE 103 WICHITA FALLS, TX 76308 (940) 691-5027		Non-Participating Provider	NO
1770185480	ACCESS DENTAL OF LA CASA PLLC (Organization)	1211 LOOP 11 WICHITA FALLS, TX 76306 (940) 855-3435	Aetna CVS Health	Non-Participating Provider	NO
1770850331	SPEARMINT DENTAL WICHITA FALLS PLLC (Organization)	3201 LAWRENCE RD STE 375 WICHITA FALLS, TX 76308 (940) 691-4867	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1770852014	LANDON TAYLOR BAIRD (Individual)	1810 SOUTHWEST PKWY SUITE 100 WICHITA FALLS, TX 76302 (940) 723-1511	Aetna CVS Health Delta Dental PPO Humana	Non-Participating Provider	NO
1780047522	WICHITA SMILES (Organization)	2120 VIRGINIA DR STE A WICHITA FALLS, TX 76309 (940) 761-5979		Non-Participating Provider	NO
1801903299	LARRY WAYNE RAINS (Individual)	2915 GRANT WICHITA FALLS, TX 76308 (940) 723-1733	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 TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1811666464	AN THI KHANH LY (Individual)	3711 GREGORY ST WICHITA FALLS, TX 76308 (940) 386-6029	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of 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 DentaQuest USA Insurance Company Inc. Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1821255779	BURROSS JACKSON RATZLAFF DDS (Organization)	5 EUREKA CIR SUITE A WICHITA FALLS, TX 76308 (940) 691-6066		Non-Participating Provider	NO
1831291046	JOHN RICHARD THORNTON (Individual)	2224 BROOK STREET WICHITA FALLS, TX 76301 (940) 767-8009		Non-Participating Provider	NO
1831316694	MICHAEL W. SPILLER (Individual)	2200 KELL BLVD. WICHITA FALLS, TX 76309 (940) 322-2252		Non-Participating Provider	NO
1841347325	DENTAL WORKS OF TEXAS II (Organization)	2515 R EAST ELLIOTT STREET WICHITA FALLS, TX 76308 (940) 696-9701		Non-Participating Provider	NO
1861164568	AMIRREZA SADRMANOCHEHRINAEINI (Individual)	3720 CALL FIELD RD STE 100 WICHITA FALLS, TX 76308 (940) 249-9089	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 Dental Health Services EMI Health Humana Paramount Paramount Dental Premera Blue Cross Blue Shield of Alaska Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1861619611	STONE LAKE DENTAL RAFAEL A PEREZ, DDS MICHAEL W. SPILLER, JR. DDS (Organization)	2301 MIDWESTERN PKWY STE. #110 WICHITA FALLS, TX 76308 (940) 692-2851	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1891939542	EUREE CHOI (Individual)	3711 GREGORY ST KOOL SMILES WICHITA FALLS, TX 76308 (940) 228-0963	Blue Cross and Blue 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
1912300708	SUREKHA BUDHLANI (Individual)	3901 KEMP BLVD WICHITA FALLS, TX 76308 (940) 692-0083		Non-Participating Provider	NO
1912360116	KEITH ARGRAVES (Individual)	2100 BROOK AVE WICHITA FALLS, TX 76301 (940) 500-4110	Delta Dental PPO Humana	Non-Participating Provider	NO
1912576190	ANTHONY DAO (Individual)	3901 KEMP BLVD WICHITA FALLS, TX 76308 (940) 488-4511	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DeltaCare USA EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1912913294	THOMAS JAMES CURRAN (Individual)	1700 11TH ST WICHITA FALLS, TX 76301 (940) 767-8308		Non-Participating Provider	NO
1922110121	WILLIAM SAMUEL NEALE (Individual)	2625 AMHERST DR WICHITA FALLS, TX 76308 (940) 322-0758		Opted out of Medicare	YES
1922238963	ANDREW ROBERT MUELLER (Individual)	2304 MIDWESTERN PKWY STE 102 WICHITA FALLS, TX 76308 (940) 696-1544	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Opted out of Medicare	YES
1932205028	JOHN J HEMPFLING (Individual)	1414 KEMP BLVD WICHITA FALLS, TX 76309 (940) 723-1301	Blue Cross and Blue 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 UnitedHealthcare	Non-Participating Provider	NO
1932399581	ERICA COE GOSS (Individual)	2200 KELL BLVD. WICHITA FALLS, TX 76309 (940) 322-2252	Blue Cross and Blue 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
1932405180	KELLY HEETLAND (Individual)	2211 MIDWESTERN PKWY SUITE 1 WICHITA FALLS, TX 76308 (940) 691-2911		Non-Participating Provider	NO
1932635430	ADITI GARG (Individual)	3711 GREGORY ST WICHITA FALLS, TX 76308 (940) 228-1508	Aetna CVS Health 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 of Wisconsin Inc. DentaTrust/DentaSpan Dominion National Florida Combined Life Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1942274188	SHELLY K STROHMAN (Individual)	200 EASTSIDE DR WICHITA FALLS, TX 76301 (940) 397-2690	Blue Cross and Blue 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
1942397765	BRETT ARTHUR JOHNSON (Individual)	2663 PLAZA PARKWAY WICHITA FALLS, TX 76308 (940) 691-9504	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1952304552	DON W. HEYEN (Individual)	4501 CALL FIELD RD WICHITA FALLS, TX 76308 (940) 692-8411		Non-Participating Provider	NO
1962725994	TIMOTHY D. LEE, DDS, PC CHILDREN'S DENTISTRY OF WICHITA FALLS (Organization)	4021 RHEA RD WICHITA FALLS, TX 76308 (940) 613-0210	Aetna CVS Health UnitedHealthcare	Non-Participating Provider	NO
1972911444	JAMES R. GREEN D.D.S,PA (Organization)	2200 KELL BLVD WICHITA FALLS, TX 76309 (940) 322-2252		Non-Participating Provider	NO
1982638359	TIMOTHY DAE LEE (Individual)	4021 RHEA RD WICHITA FALLS, TX 76308 (214) 923-0648	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 Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1982691234	SHAWNA MAUREEN HEETLAND (Individual)	2211 MIDWESTERN PKWY WICHITA FALLS, TX 76308 (940) 691-2911		Non-Participating Provider	NO
1992110894	JEFFREY JOHNSON (Individual)	2120 VIRGINIA DR WICHITA FALLS, TX 76309 (940) 761-5979	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO

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