Dentist Providers In Ypsilanti, Michigan

Search Dentist NPI records in Ypsilanti, MI

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Ypsilanti, MI. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 116, of which 23 are registered as organizations and 93 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.

80% Individuals

20% Organizations

44% Female

36% Male

80% Individual Providers (93)20% Medical Organizations (23)44% Female Providers (51)36% Male Providers (42)

Map of Providers

We have mapped the Dentist providers in Ypsilanti, MI 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 Ypsilanti, MI
NPI	Name	Address	Insurance	Medicare	PECOS
1023295813	NOOR MOUSSAWI (Individual)	3020 PACKARD RD YPSILANTI, MI 48197 (734) 528-9132	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Florida Combined Life Paramount Paramount Dental	Non-Participating Provider	NO
1023678141	SHIVANI RAI SHARMA (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1033232764	ERIC WAYNE SMITH (Individual)	1820 WHITTAKER RD YPSILANTI, MI 48197 (734) 480-3600	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1053518449	PETER JON KINGSTON (Individual)	32 N WASHINGTON ST SUITE #8 YPSILANTI, MI 48197 (734) 482-5350		Non-Participating Provider	NO
1063095313	ALLISON ALSHATRI (Individual)	5425 WHITTAKER RD YPSILANTI, MI 48197 (734) 480-0033	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan DentaTrust/DentaSpan Dominion National Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1063567733	DENNIS LLOYD PERKINS (Individual)	1637 S HURON ST YPSILANTI, MI 48197 (313) 737-0057	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1063702207	STEVEN ROBERT SCHMID (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Guardian	Non-Participating Provider	NO
1063894558	AMANDA AKASHEH (Individual)	740 EMERICK ST YPSILANTI, MI 48198 (734) 482-8671	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National Guardian Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1073125258	NISHA VASU SRIDHARAN (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1083770226	JOHN EDWARD FLESZAR (Individual)	1900 PACKARD RD YPSILANTI, MI 48197 (734) 485-2200		Non-Participating Provider	NO
1093023442	YPSILANTI FAMILY DENTAL P.C (Organization)	127 N WASHINGTON ST YPSILANTI, MI 48197 (734) 782-3500		Non-Participating Provider	NO
1104618669	HADI HESHAM ELGAALI (Individual)	1820 WHITTAKER RD YPSILANTI, MI 48197 (734) 215-3907		Non-Participating Provider	NO
1104917376	CORI KUHTA CRIDER (Individual)	2444 PACKARD RD YPSILANTI, MI 48197 (734) 572-4428	Blue Cross and Blue 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
1124237409	SOMIA AHMAD (Individual)	3020 PACKARD RD YPSILANTI, MI 48197 (734) 528-9132	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1124440391	DENTAL DREAMS PLLC (Organization)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Ambetter from Meridian Ambetter Health Blue Cross Blue Shield of Michigan Mutual Insurance Company	Non-Participating Provider	NO
1134654023	TEBA RASHID (Individual)	2444 PACKARD RD YPSILANTI, MI 48197 (734) 572-4428	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1134794654	ASHLYNN NICOLE LOENSER (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1144361023	DOUGLAS ARTHUR HOCK (Individual)	4918 W CLARK #101 YPSILANTI, MI 48197 (734) 434-2300	Delta Dental of Michigan	Non-Participating Provider	YES
1164533204	YPSILANTI FAMILY & COSMETIC DENTISTRY (Organization)	124 PEARL ST STE 207 YPSILANTI, MI 48197 (734) 481-0180		Non-Participating Provider	NO
1164930194	NOORJAHAN KHAN (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Ambetter from Meridian Ambetter Health BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1174201271	RIYA S REDDY (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Ambetter from Meridian Ambetter Health BEST Life Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan DentaTrust/DentaSpan Dominion National EMI Health Humana	Non-Participating Provider	NO
1184613309	BRIAN MEADE (Individual)	1900 PACKARD RD YPSILANTI, MI 48197 (734) 340-2450	Blue Cross and Blue 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 Michigan Guardian	Non-Participating Provider	NO
1184759755	GARY SASAKI (Individual)	1900 PACKARD RD YPSILANTI, MI 48197 (734) 482-7466	Delta Dental of Michigan	Non-Participating Provider	NO
1184833014	THOMAS A PARMENTER (Individual)	3075 W CLARK RD SUITE 209 YPSILANTI, MI 48197 (734) 434-6020		Non-Participating Provider	NO
1215556741	JOSHUA BUSSARD (Individual)	3785 CARPENTER RD YPSILANTI, MI 48197 (734) 272-4527	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1215708391	KAUR DENTAL PLLC (Organization)	6180 W MICHIGAN AVE YPSILANTI, MI 48197 (734) 352-0570		Non-Participating Provider	NO
1225111420	WILSON GEORGE SMILLIE (Individual)	567 N HEWITT RD YPSILANTI, MI 48197 (734) 434-1211	Blue Cross and Blue 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
1225192545	ROBERT STEPHEN SCHNEIDER (Individual)	5615 HAMPSHIRE LN YPSILANTI, MI 48197 (239) 450-6977	Aetna CVS Health Guardian	Non-Participating Provider	NO
1225214570	ELIZABETH ANN MEADE (Individual)	1900 PACKARD RD YPSILANTI, MI 48197 (734) 481-1060	Delta Dental of Michigan	Non-Participating Provider	NO
1235183104	TODD FELLER (Individual)	567 N HEWITT RD YPSILANTI, MI 48197 (734) 528-9306	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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan DentaTrust/DentaSpan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental	Non-Participating Provider	YES
1235426586	KALAISELVI KARIVALAVAN (Individual)	1857 SAVANNAH LN YPSILANTI, MI 48198 (734) 482-1356	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1245392307	WASHTENAW GENERAL DENTISTRY ASSOCIATES (Organization)	3075 W CLARK ROAD SUITE 209 YPSILANTI, MI 48197 (734) 434-6020		Non-Participating Provider	NO
1245769736	CATHY H CHENG (Individual)	567 N HEWITT RD YPSILANTI, MI 48197 (734) 434-1211	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1255548574	DOUGLAS W. COLE (Individual)	1820 WASHTENAW RD YPSILANTI, MI 48197 (734) 482-3101	Delta Dental of Michigan Guardian	Non-Participating Provider	YES
1265587919	TRACEY UPELL (Individual)	1820 WHITTAKER RD YPSILANTI, MI 48197 (734) 480-3600	Aetna CVS Health Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1265723357	LILA PATRICIA WILSON (Individual)	8889 TRILLIUM DR YPSILANTI, MI 48197 (734) 277-6161	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
1275606386	GARY L MASCH (Individual)	1900 PACKARD RD YPSILANTI, MI 48197 (734) 481-0010		Non-Participating Provider	NO
1275956773	WILLIAM CHAPMAN (Individual)	3201 BEMIS ROAD YPSILANTI, MI 48197 (734) 572-9900		Non-Participating Provider	NO
1285083279	SAMANTHA BASSIL (Individual)	5425 WHITTAKER RD YPSILANTI, MI 48197 (734) 480-0033	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1285889170	PHILNITA R HINES TOLBERT (Individual)	124 PEARL ST STE 207 YPSILANTI, MI 48197 (734) 481-0180	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental	Non-Participating Provider	YES
1306370457	HANA M YOSIEF (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (615) 892-5041	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1306866355	ROBERT N. HERN (Individual)	1747 E MICHIGAN AVE YPSILANTI, MI 48198 (734) 484-4710	Blue Cross and Blue 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
1306925318	KELLY MEGAN MACARTHUR (Individual)	2444 PACKARD RD YPSILANTI, MI 48197 (734) 572-4428	Blue Cross and Blue 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
1316320625	YASAMAN KAHNAMOUEI (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National UnitedHealthcare	Non-Participating Provider	YES
1316838535	AKSHAYA VENUGOPALAN (Individual)	2936 WASHTENAW RD APT 2B YPSILANTI, MI 48197 (248) 678-9423		Non-Participating Provider	NO
1326118233	WASHTENAW DENTAL ASSOCIATES PC (Organization)	2100 WASHTENAW AVE YPSILANTI, MI 48197 (734) 485-4600		Non-Participating Provider	NO
1326539198	JESAKA DAVITT-WEBSTER (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Humana	Non-Participating Provider	NO
1346319662	NADIA IQBAL (Individual)	4918 W CLARK RD STE 102 YPSILANTI, MI 48197 (734) 291-0004	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Florida Combined Life Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1346587136	SMILLIE & HOITENGA DDS PLLC (Organization)	567 N HEWITT RD YPSILANTI, MI 48197 (734) 434-1211		Non-Participating Provider	NO
1346868825	ARJEWAN JASSIM (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1356725576	KARRA EVANS (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Ambetter from Meridian Ambetter Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Michigan Dominion National EMI Health Guardian Humana Paramount Paramount Dental	Non-Participating Provider	YES
1366189821	MICHELLE UEKIHARA (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Ambetter from Meridian Ambetter 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 Delta Dental of Michigan Dominion National Humana Paramount Paramount Dental	Non-Participating Provider	NO
1366289183	SOUHIELA HAMMOUD (Individual)	5421 WHITTAKER RD YPSILANTI, MI 48197 (734) 480-0033	Delta Dental of Michigan	Non-Participating Provider	NO
1366591588	KIMBERLY ANNE RICE (Individual)	529 N HEWITT RD YPSILANTI, MI 48197 (734) 434-3820	Delta Dental of Michigan	Non-Participating Provider	YES
1366628406	JAMES EDWARD BERG (Individual)	1820 WASHTENAW RD YPSILANTI, MI 48197 (734) 482-4658	Delta Dental of Michigan	Non-Participating Provider	YES
1376702472	ANNELIES SOPHIA CORNISH (Individual)	830 W CLARK RD YPSILANTI, MI 48198 (734) 646-0419	Delta Dental of Michigan Guardian	Non-Participating Provider	YES
1376750638	DAVID CARL SCHMIDT (Individual)	1900 PACKARD RD YPSILANTI, MI 48197 (734) 485-2200	Delta Dental of Michigan Guardian	Non-Participating Provider	YES
1376762856	HEALTHY SMILE FAMILY DENTISTRY, P.C. (Organization)	3020 PACKARD RD YPSILANTI, MI 48197 (734) 528-9132	Ambetter from Meridian Ambetter Health Blue Cross Blue Shield of Michigan Mutual Insurance Company DentaTrust/DentaSpan UnitedHealthcare	Non-Participating Provider	NO
1396182259	LAITH SAADI ALSAMERAI (Individual)	2444 PACKARD RD YPSILANTI, MI 48197 (734) 572-4428	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan EMI Health Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1407974710	HEWITT ROAD FAMILY DENTAL CENTER FIVE MACS PROPERTIES LLC (Organization)	3060 PACKARD RD YPSILANTI, MI 48197 (734) 434-9815		Non-Participating Provider	NO
1447429170	NAZLI MASSARAT ASRAR (Individual)	1747 E MICHIGAN AVE YPSILANTI, MI 48198 (734) 484-4710	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1447532072	HARJOT K VIRK (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan DentaTrust/DentaSpan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1477769206	PATRICIA JO LABRECK (Individual)	2955 GOLFSIDE YPSILANTI, MI 48197 (734) 434-4400	Delta Dental of Michigan Guardian	Non-Participating Provider	YES
1487197802	WASHTENAW DENTAL, PLC (Organization)	2100 WASHTENAW RD YPSILANTI, MI 48197 (734) 485-4600		Non-Participating Provider	NO
1497083448	JAMES E BERG DDS MS (Organization)	1974 NORTH HURON RIVER DRIVE SUITE #200 YPSILANTI, MI 48197 (734) 482-4658		Non-Participating Provider	NO
1497381636	ARRITA MALLORY TERHAAR (Individual)	567 N HEWITT RD STE B YPSILANTI, MI 48197 (734) 434-1211	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana MedMutual Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1508261207	JONG WOOK PARK (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	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
1518318617	TSERMAA BATSAIKHAN (Individual)	1820 WHITTAKER RD YPSILANTI, MI 48197 (734) 480-3600	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1528346459	RYAN GARY SASAKI (Individual)	1900 PACKARD RD YPSILANTI, MI 48197 (734) 482-7466	Delta Dental of Michigan	Non-Participating Provider	NO
1548444375	JEANINE EATON (Individual)	8240 BLUE JAY DR YPSILANTI, MI 48197 (734) 330-9190		Non-Participating Provider	NO
1568515278	LIFETIME DENTAL CARE OF MICHIGAN, P.C. WHITTAKER ROAD DENTAL (Organization)	1820 WHITTAKER RD YPSILANTI, MI 48197 (734) 480-3600	Ambetter from Meridian Ambetter Health	Non-Participating Provider	NO
1578200036	FAWZIA AHMED SIDDIQUI, DDS, PC (Organization)	428 S GROVE ST STE D YPSILANTI, MI 48198 (734) 547-2800		Non-Participating Provider	NO
1578772638	NANCY A VANALSTINE (Individual)	1900 PACKARD RD YPSILANTI, MI 48197 (734) 482-8500	Delta Dental of Michigan	Non-Participating Provider	NO
1588284046	RITA MAIZY (Individual)	2792 PACKARD RD YPSILANTI, MI 48197 (734) 645-6548	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1639739568	ANUSHEY PERVEZ (Individual)	1866 PACKARD RD YPSILANTI, MI 48197 (734) 528-9132	Ambetter from Meridian Ambetter Health Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Florida Combined Life UnitedHealthcare	Non-Participating Provider	NO
1649486267	DENNIS DONOHO (Individual)	2100 WASHTENAW RD YPSILANTI, MI 48197 (734) 485-4600	Delta Dental of Michigan	Non-Participating Provider	YES
1649708918	MOLLY SCHOTT (Individual)	5425 WHITTAKER RD YPSILANTI, MI 48197 (734) 480-0033	Aetna CVS Health Ambetter from Meridian Ambetter Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Ohio Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1649868159	MIN OH (Individual)	3201 BEMIS RD YPSILANTI, MI 48197 (734) 572-9532	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
1659308542	NILS ELDEN DANIELSON (Individual)	3138 PRIMROSE LN YPSILANTI, MI 48197 (248) 217-8923	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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1679792253	GULAFSHAN PERVEZ (Individual)	3020 PACKARD RD YPSILANTI, MI 48197 (734) 528-9132	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1699385724	RAHUL SRIVASTAVA (Individual)	904 HAWTHORNE AVE YPSILANTI, MI 48198 (734) 709-4548	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Dominion National EMI Health Paramount Paramount Dental	Non-Participating Provider	NO
1699446989	JENNIFER BAEZPOLAN (Individual)	8780 TAMARACK LN YPSILANTI, MI 48197 (517) 920-1569	Delta Dental of Michigan	Non-Participating Provider	NO
1710301783	D2 DENTAL OF MICHIGAN, P.C. (Organization)	2720 WASHTENAW RD YPSILANTI, MI 48197 (517) 882-0800	Blue Cross Blue Shield of Michigan Mutual Insurance Company	Non-Participating Provider	NO
1720280233	RENAISSANCE DENTAL OF YPSILANTI PC (Organization)	2076 WHITTAKER RD YPSILANTI, MI 48197 (734) 485-0815		Non-Participating Provider	NO
1730790692	BRENT MUELLER (Individual)	1820 WHITTAKER RD YPSILANTI, MI 48197 (734) 480-3600	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1740356203	COLLEEN DEANNE BULLARD (Individual)	5425 WHITTAKER RD YPSILANTI, MI 48197 (734) 480-0033	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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	YES
1740697705	SADIYA AHSAN (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Florida Combined Life UnitedHealthcare	Non-Participating Provider	NO
1770180481	MERIDIAN DENTAL ASSOCIATES PLLC (Organization)	1637 S HURON ST YPSILANTI, MI 48197 (734) 482-1300		Non-Participating Provider	NO
1770217093	DONOVAN JOSEPH KACHI (Individual)	2738 WASHTENAW RD YPSILANTI, MI 48197 (734) 390-4040	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1780104117	OMAR IBRAHIM RAGAB (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Blue Cross and Blue 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 Michigan DentaTrust/DentaSpan Humana Renaissance Dental	Non-Participating Provider	NO
1790393288	AMANDA KATHRYN CROSKEY (Individual)	5425 WHITTAKER RD YPSILANTI, MI 48197 (734) 480-0033	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1801817796	BRUCE L. HERN DDS, ROBERT N. HERN DDS, PC HERN FAMILY DENTAL CARE (Organization)	1747 E MICHIGAN AVE YPSILANTI, MI 48198 (734) 484-4710		Non-Participating Provider	NO
1811713225	ZEINAB M.HAMOUDA EL AMAMI (Individual)	3785 CARPENTER RD YPSILANTI, MI 48197 (734) 202-7245		Non-Participating Provider	NO
1811954415	WALTER ERIC PHILLIPS (Individual)	124 PEARL ST SUITE 207 YPSILANTI, MI 48197 (734) 481-0180	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1821124678	FAWZIA AHMED (Individual)	428 S GROVE ST SUITE D YPSILANTI, MI 48198 (734) 547-2800	Blue Cross and Blue 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 Michigan Guardian	Non-Participating Provider	NO
1831154012	MARK COOKS (Individual)	2236 PACKARD RD YPSILANTI, MI 48197 (734) 434-9815	Blue Cross Blue Shield of Michigan Mutual Insurance Company Guardian	Non-Participating Provider	NO
1841391539	DANIEL THOMAS HELVEY (Individual)	3020 PACKARD ROAD YPSILANTI, MI 48197 (734) 434-3122	BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana	Non-Participating Provider	YES
1841397379	HUBERT WINKELBAUER (Individual)	567 N HEWITT RD YPSILANTI, MI 48197 (734) 528-9306		Non-Participating Provider	NO
1841647922	MATTHEW BENOIT (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1851035661	DOUGLAS A HOCK, DDS, MS PC (Organization)	4918 W CLARK RD STE 101 YPSILANTI, MI 48197 (734) 434-2300		Non-Participating Provider	NO
1851953301	BASSAM HANNA (Individual)	1820 WHITTAKER RD YPSILANTI, MI 48197 (586) 690-0969	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1861085409	LPC YPSI PLLC (Organization)	3785 CARPENTER RD YPSILANTI, MI 48197 (734) 272-4527	Ambetter from Meridian Ambetter Health Blue Cross Blue Shield of Michigan Mutual Insurance Company	Non-Participating Provider	NO
1861438186	DARREN REGINALD MARSH (Individual)	401 S HAMILTON ST YPSILANTI, MI 48197 (734) 482-3500	Guardian	Non-Participating Provider	NO
1871677013	SCOTT BUCKNER (Individual)	124 PEARL ST STE 207 YPSILANTI, MI 48197 (734) 481-0180	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1881370443	HUSSEIN A HAMKA (Individual)	4870 W CLARK RD STE 201 YPSILANTI, MI 48197 (734) 822-6856	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan DentaTrust/DentaSpan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1891975884	FREDERICK ROGER CASTENHOLZ (Individual)	1900 PACKARD RD YPSILANTI, MI 48197 (734) 481-0330		Non-Participating Provider	NO
1912371956	SWATHI REDDY (Individual)	2429 ELLSWORTH RD YPSILANTI, MI 48197 (734) 434-0043	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1942389549	KIMBERLY A RICE DDS PLC (Organization)	529 N HEWITT ROAD YPSILANTI, MI 48197 (734) 434-3820		Non-Participating Provider	NO
1952632457	STEVEN LAWRENCE FLETCHER (Individual)	1637 S HURON ST YPSILANTI, MI 48197 (734) 482-1300	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company Delta Dental of Michigan DentaTrust/DentaSpan Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1962108241	AMANDA AKASHEH DDS PLLC (Organization)	740 EMERICK ST YPSILANTI, MI 48198 (734) 482-8671		Non-Participating Provider	NO
1962611806	BARTON J HALL (Individual)	3075 W CLARK RD SUITE 209 YPSILANTI, MI 48197 (734) 434-6020	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1972060903	DR NAZ DDS PC (Organization)	1747 E MICHIGAN AVE YPSILANTI, MI 48198 (734) 484-4710	Blue Cross Blue Shield of Michigan Mutual Insurance Company	Non-Participating Provider	NO
1972548063	TODD FELLER DDS, P.C. (Organization)	567 N HEWITT RD YPSILANTI, MI 48197 (734) 528-9306	Blue Cross Blue Shield of Michigan Mutual Insurance Company	Non-Participating Provider	NO
1972598324	SARA JEANNE BOND (Individual)	1900 PACKARD RD YPSILANTI, MI 48197 (734) 482-7466	Ambetter from Meridian Ambetter 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 Blue Cross Blue Shield of Michigan Mutual Insurance Company CareSource Delta Dental of Michigan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1982075586	ZOHRA SALEH (Individual)	5736 WELLESLEY LN YPSILANTI, MI 48197 (434) 409-8862	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Dominion National EMI Health Florida Combined Life Paramount Paramount Dental Premera Blue Cross Blue Shield of Alaska Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1992872279	MICHAEL ALLEN KRESS (Individual)	2792 PACKARD ROAD YPSILANTI, MI 48197 (734) 434-6170	Blue Cross Blue Shield of Michigan Mutual Insurance Company Guardian Renaissance Dental	Non-Participating Provider	NO

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