Dentist Providers In Oshkosh, Wisconsin

Search Dentist NPI records in Oshkosh, WI

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Oshkosh, WI. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 90, of which 24 are registered as organizations and 66 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.

73% Individuals

27% Organizations

19% Female

54% Male

73% Individual Providers (66)27% Medical Organizations (24)19% Female Providers (17)54% Male Providers (49)

Map of Providers

We have mapped the Dentist providers in Oshkosh, WI 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 Oshkosh, WI
NPI	Name	Address	Insurance	Medicare	PECOS
1003992538	KAREN LOUISE DUSTRUDE (Individual)	1218 WITZEL AVE OSHKOSH, WI 54902 (920) 233-6001		Non-Participating Provider	NO
1033283585	LAWRENCE A JOHNSON DDS SC (Organization)	1850 WEST POINTE DRIVE OSHKOSH, WI 54902 (920) 233-2222		Non-Participating Provider	NO
1043266927	CHRISTOPHER S. MCFARLANE (Individual)	1875 WEST POINTE DR. OSHKOSH, WI 54902 (920) 231-4600	Delta Dental of Wisconsin Inc. Network Health Quartz	Opted out of Medicare	YES
1043340540	GRAF FAMILY DENTISTRY (Organization)	824 E MURDOCK AVE OSHKOSH, WI 54901 (920) 233-2279		Non-Participating Provider	NO
1053536466	DOUGLAS ALLAN WOLK (Individual)	1815 WEST POINTE DR. OSHKOSH, WI 54902 (920) 231-3320		Non-Participating Provider	NO
1104364926	SIDNEY SCHULZ DDS LLC ASPEN DENTAL (Organization)	404 S KOELLER ST OSHKOSH, WI 54902 (920) 233-3500		Non-Participating Provider	NO
1164295382	AMITOJ KAUR MAVI (Individual)	550 CITY CTR OSHKOSH, WI 54901 (920) 731-7445	Anthem Blue Cross and Blue Shield Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	NO
1174095996	CHINEDU EDWARD AHANONU (Individual)	550 CITY CTR OSHKOSH, WI 54901 (920) 731-7445		Non-Participating Provider	NO
1174204697	DORIS YANG (Individual)	550 CITY CTR OSHKOSH, WI 54901 (920) 731-7445	Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	NO
1174642383	MICHAEL GERARD BELL (Individual)	1795 WEST POINTE DR OSHKOSH, WI 54904 (920) 235-6453		Non-Participating Provider	NO
1184987489	TENOR FAMILY DENTISTRY, LLC ADVANCED CARE DENTAL CENTER (Organization)	1720 CONGRESS AVE OSHKOSH, WI 54901 (920) 233-0400		Non-Participating Provider	NO
1194065292	THOMAS GALOW (Individual)	1218 WITZEL AVE OSHKOSH, WI 54902 (920) 231-7780		Non-Participating Provider	NO
1194133025	HEATHER CARPENTER (Individual)	1720 CONGRESS AVE OSHKOSH, WI 54901 (920) 235-3251	Delta Dental of Wisconsin Inc.	Opted out of Medicare	YES
1205213899	BRIAN MATTHEW G. MICHEL (Individual)	2626 W 9TH AVE OSHKOSH, WI 54904 (920) 231-4922	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1205929197	MICHELLE GRAF (Individual)	824 E MURDOCK AVE OSHKOSH, WI 54901 (920) 233-2279	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 of Wisconsin Inc. Florida Combined Life Guardian Humana UnitedHealthcare	Non-Participating Provider	YES
1215240353	DEO K PUN (Individual)	404 S KOELLER ST OSHKOSH, WI 54902 (920) 233-3500	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 EMI Health Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1235271792	GORDON D. KORTHALS (Individual)	600 S MAIN ST OSHKOSH, WI 54902 (920) 233-8882		Opted out of Medicare	YES
1255460614	SARA MEGAN TRENT (Individual)	1050 S KOELLER ST OSHKOSH, WI 54902 (920) 235-3023	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 Wisconsin Inc. Dominion National Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1265630636	MARK J RIDENOUR (Individual)	1875 W POINTE DR OSHKOSH, WI 54902 (920) 231-4600	Delta Dental of Wisconsin Inc. Network Health Quartz	Opted out of Medicare	YES
1295782555	MICHAEL W. MCFARLANE (Individual)	1875 WEST POINTE DR. OSHKOSH, WI 54902 (920) 231-4600		Non-Participating Provider	NO
1295852432	JACQUELINE GRABER BELTER (Individual)	212 OHIO ST OSHKOSH, WI 54902 (920) 235-0594	Delta Dental of Wisconsin Inc.	Non-Participating Provider	YES
1295853505	DAVID R HARRY (Individual)	226 OHIO ST OSHKOSH, WI 54902 (920) 231-3830	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1326113200	FAMILY DENTAL PRACTICE S.C. (Organization)	1218 WITZEL AVE OSHKOSH, WI 54902 (920) 231-7780		Non-Participating Provider	NO
1346762424	MADALYN FAYE WERNER (Individual)	1720 CONGRESS AVE OSHKOSH, WI 54901 (920) 235-3251	Delta Dental of Wisconsin Inc.	Opted out of Medicare	YES
1356355242	PHILLIP ANDREW BAKER (Individual)	230 N SAWYER ST OSHKOSH, WI 54902 (920) 233-1030	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1356394621	TIMOTHY T RYAN (Individual)	2200 OMRO ROAD OSHKOSH, WI 54904 (920) 231-7160	Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	YES
1356535033	ANGELL ORAL SURGERY ASSOCIATES LTD (Organization)	2700 W 9TH AVE SUITE 103 OSHKOSH, WI 54904 (920) 236-1680		Non-Participating Provider	NO
1386715662	OAKPARK DENTAL (Organization)	450 N KOELLER ST OSHKOSH, WI 54902 (920) 235-5503	UnitedHealthcare	Non-Participating Provider	NO
1386765840	WINNEBAGO ORAL SURGERY, S.C. (Organization)	1875 W POINTE DR OSHKOSH, WI 54902 (920) 231-4600	Quartz	Non-Participating Provider	NO
1396546339	NICHOLAS CHARLES BAKER (Individual)	230 N SAWYER ST OSHKOSH, WI 54902 (920) 233-1030		Non-Participating Provider	NO
1407041866	PATRICK GARVEY HUGHES (Individual)	2202 OMRO RD OSHKOSH, WI 54904 (920) 426-4540	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
1427061647	TERRY LEE KIPPA (Individual)	600 S MAIN ST OSHKOSH, WI 54902 (920) 233-8882	Blue Cross and Blue 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
1437285566	LOREN C. SWANSON, D.D.S., S.C. (Organization)	2215 OREGON ST OSHKOSH, WI 54902 (920) 231-8120		Non-Participating Provider	NO
1437377355	JOHN PAUL CHRISTIAN (Individual)	2202 OMRO RD OSHKOSH, WI 54904 (920) 426-4540	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 Companion Life Insurance Company Delta Dental of Wisconsin Inc. Dominion National Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	YES
1477167047	YING WANG (Individual)	550 CITY CTR OSHKOSH, WI 54901 (920) 651-3474	Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	NO
1477626604	TODD GERALD CALDER (Individual)	450 N KOELLER ST OSHKOSH, WI 54902 (920) 235-5503		Non-Participating Provider	YES
1477682086	LAWRENCE A JOHNSON (Individual)	1850 W POINTE DR OSHKOSH, WI 54902 (920) 233-2222		Non-Participating Provider	NO
1487812855	TERRY L. KIPPA DDS SC TERRY L. KIPPA, DDS AND GORDON D. KORTHALS, DDS (Organization)	600 S MAIN ST OSHKOSH, WI 54902 (920) 233-8882		Non-Participating Provider	NO
1508939265	SAWYER CREEK ORTHODONTICS WILLIAM S SCHUSTIN DDS SC (Organization)	2626 W 9TH AVENUE OSHKOSH, WI 54904 (920) 231-4922		Non-Participating Provider	NO
1528071990	ROBERT HEIL (Individual)	1013 N MAIN ST OSHKOSH, WI 54901 (920) 428-5416	Blue Cross and Blue 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. Guardian	Non-Participating Provider	YES
1538815733	MODERN DENTAL CENTER OSHKOSH LLC (Organization)	1795 W POINTE DR OSHKOSH, WI 54902 (920) 235-6453		Non-Participating Provider	NO
1548431398	MARK EDWARD HANNAN (Individual)	450 N KOELLER ST OSHKOSH, WI 54902 (920) 235-5503	Blue Cross and Blue 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
1548468721	BRET TRENT (Individual)	450 N KOELLER ST OSHKOSH, WI 54902 (920) 235-5503	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 Wisconsin Inc. Dominion National Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1548571383	SHAHEDA GENE MARIE GOVANI (Individual)	1819 EVANS ST OSHKOSH, WI 54901 (920) 231-1955	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1558584755	BRIDGEVIEW DENTAL S.C. JOHN F. RICHARDSON, DDS SC (Organization)	212 OHIO ST OSHKOSH, WI 54902 (920) 235-6040		Non-Participating Provider	NO
1578143699	ALYSSA CHRISTINE PERLICK (Individual)	1720 CONGRESS AVE OSHKOSH, WI 54901 (920) 267-4921	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1609942580	HUGHES & CHRISTIAN SC (Organization)	2202 OMRO RD OSHKOSH, WI 54904 (920) 426-4540		Non-Participating Provider	NO
1619978681	VIN X VU (Individual)	1013 N MAIN ST OSHKOSH, WI 54901 (920) 235-0320		Non-Participating Provider	NO
1629104757	LOREN CHARLES SWANSON (Individual)	2215 OREGON ST OSHKOSH, WI 54902 (920) 231-8120		Non-Participating Provider	NO
1629303136	DAVID ROBERT SMITH (Individual)	1730 W SNELL RD OSHKOSH, WI 54901 (920) 231-4010	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1629526223	BRIGHT ORTHODONTICS (Organization)	1850 W POINTE DR OSHKOSH, WI 54902 (920) 233-2222		Non-Participating Provider	NO
1629639604	BRYCE DUNATHAN (Individual)	450 N KOELLER ST OSHKOSH, WI 54902 (920) 235-5503	Delta Dental of Wisconsin Inc. Guardian	Non-Participating Provider	YES
1639282767	RONALD LEE DUDLEY (Individual)	1763 TAFT AVE OSHKOSH, WI 54902 (920) 233-1927	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 of Wisconsin Inc. Guardian Humana	Non-Participating Provider	YES
1639420094	MDC OSHKOSH, S.C. (Organization)	2215 OREGON ST OSHKOSH, WI 54902 (920) 231-8120		Non-Participating Provider	NO
1649070467	LAUREN GRILL (Individual)	2300 WITZEL AVE OSHKOSH, WI 54904 (920) 306-6526		Non-Participating Provider	NO
1649498528	GLACIER DENTAL (Organization)	1840 EVANS ST OSHKOSH, WI 54901 (920) 235-3251		Non-Participating Provider	NO
1649836610	TYLER ROBERS (Individual)	450 N KOELLER ST OSHKOSH, WI 54902 (920) 235-5503	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 Wisconsin Inc. Dominion National Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1659591220	RICHARD W OLSEN (Individual)	404 S KOELLER ST OSHKOSH, WI 54902 (920) 233-3500		Non-Participating Provider	NO
1669113528	BRANDON LEE COPPERSMITH (Individual)	1720 CONGRESS AVE OSHKOSH, WI 54901 (209) 235-3251	Blue Cross and Blue 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. Humana	Non-Participating Provider	NO
1679543714	KYLE P SCHROEDER (Individual)	600 S MAIN ST OSHKOSH, WI 54902 (920) 233-8882		Opted out of Medicare	YES
1679771570	MICHELLE A WIHLM (Individual)	15 W MURDOCK AVE OSHKOSH, WI 54901 (920) 231-0060	Delta Dental of Wisconsin Inc.	Non-Participating Provider	YES
1679986905	JOSEPH EDWARD OLSEN (Individual)	290 OHIO ST OSHKOSH, WI 54902 (920) 231-5780	Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	YES
1689018848	HANNEMAN DUSTRUDE DENTAL LLC (Organization)	1218 WITZEL AVE OSHKOSH, WI 54902 (920) 233-6001		Non-Participating Provider	NO
1689018848	HANNEMAN DUSTRUDE DENTAL LLC (Organization)	1218 WITZEL AVE OSHKOSH, WI 54902 (920) 233-6001		Non-Participating Provider	NO
1689882789	GARY DUBESTER (Individual)	404 N MAIN ST STE 312 OSHKOSH, WI 54901 (920) 426-3566	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 Companion Life Insurance Company Delta Dental of Wisconsin Inc. Dominion National Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	YES
1699236240	OSHKOSH FAMILY DENTAL LLC (Organization)	1815 W POINTE DR OSHKOSH, WI 54902 (608) 833-2213		Non-Participating Provider	NO
1720001449	THOMAS HALLQUIST (Individual)	2163 W 9TH AVE OSHKOSH, WI 54904 (920) 235-6070	Guardian Humana	Non-Participating Provider	YES
1720170236	MICHAEL JOHN MASLOWSKI (Individual)	2626 W 9TH AVENUE OSHKOSH, WI 54904 (920) 231-4922	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1720373244	MARSHALL F GIBBS (Individual)	1477 W SOUTH PARK AVE OSHKOSH, WI 54902 (920) 231-3023	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 Florida Combined Life Humana Paramount Paramount Dental Premera Blue Cross Blue Shield of Alaska Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1730272683	THOMAS GRAF (Individual)	824 E MURDOCK AVE OSHKOSH, WI 54901 (920) 233-2279	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 of Wisconsin Inc. Florida Combined Life Guardian Humana UnitedHealthcare	Non-Participating Provider	YES
1730427568	MARIA VERONICA PUNLA SMITH (Individual)	2215 OREGON ST OSHKOSH, WI 54902 (920) 231-8120		Non-Participating Provider	NO
1811033343	JACK RALPH WILLERT (Individual)	1835 W POINTE DR OSHKOSH, WI 54902 (920) 231-3140		Non-Participating Provider	YES
1811077449	DAVID M ANGELL (Individual)	2700 W 9TH AVE SUITE 103 OSHKOSH, WI 54904 (920) 236-1680		Non-Participating Provider	NO
1821118977	JAMES EDWARD HAMMAN (Individual)	1486 W SOUTH PARK AVE OSHKOSH, WI 54902 (920) 303-1803	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 of Wisconsin Inc. Humana	Non-Participating Provider	NO
1821378803	KURT A WALEJKO (Individual)	1795 W POINTE DR OSHKOSH, WI 54902 (920) 235-6453	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 of Wisconsin Inc. Humana	Non-Participating Provider	NO
1831752096	OSHKOSH FAMILY DENTAL 2, LLC (Organization)	1825 W POINTE DR OSHKOSH, WI 54902 (608) 833-2213		Non-Participating Provider	NO
1841391109	WYN STECKBAUER (Individual)	1720 CONGRESS AVE OSHKOSH, WI 54901 (920) 235-3251	Delta Dental of Wisconsin Inc.	Opted out of Medicare	YES
1871699983	ROGER ARTHUR JACOBSEN (Individual)	15 W MURDOCK AVE OSHKOSH, WI 54901 (920) 231-0060		Non-Participating Provider	NO
1871763920	WIHLM DENTAL, LLC (Organization)	2530 W 9TH AVE OSHKOSH, WI 54904 (920) 231-0060		Non-Participating Provider	NO
1891900643	KAREN WEDDE (Individual)	1055 WITZEL AVE OSHKOSH, WI 54902 (920) 235-0448	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1902281876	RACHEL WOZNIAK (Individual)	1720 CONGRESS AVE OSHKOSH, WI 54901 (920) 235-3251	Delta Dental of Wisconsin Inc.	Opted out of Medicare	YES
1902977754	WILLIAM STEPHEN SCHUSTER (Individual)	2626 W 9TH AVE OSHKOSH, WI 54904 (920) 231-4922		Non-Participating Provider	NO
1912083411	MICHAEL LLOYD HANNEMAN (Individual)	1218 WITZEL AVE OSHKOSH, WI 54902 (920) 233-6001	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1922028257	JEFFREY D. WOLK (Individual)	1825 W POINTE DR OSHKOSH, WI 54902 (920) 231-9591	Blue Cross and Blue 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
1932745726	DYLAN W FOGEL (Individual)	1460 W SOUTH PARK AVE OSHKOSH, WI 54902 (920) 303-1803	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 Companion Life Insurance Company Delta Dental of Wisconsin Inc. Dominion National Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1952868325	QUIRT FAMILY DENTISTRY (Organization)	1460 W SOUTH PARK AVE OSHKOSH, WI 54902 (920) 303-1803		Non-Participating Provider	NO
1962531327	ALLEN BEE DEATON (Individual)	155 N SAWYER ST OSHKOSH, WI 54902 (920) 231-5780	Humana	Non-Participating Provider	YES
1962882308	THERESA ADAMCZYK (Individual)	550 CITY CTR OSHKOSH, WI 54901 (920) 731-7445	Delta Dental of Wisconsin Inc. Guardian Humana	Non-Participating Provider	YES
1972104222	DUDLEY FAMILY DENTAL LLC (Organization)	1763 TAFT AVE OSHKOSH, WI 54902 (920) 233-1927		Non-Participating Provider	NO
1992297154	KYLE ZIMMERMAN (Individual)	1720 CONGRESS AVE OSHKOSH, WI 54901 (920) 235-3251	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 of Wisconsin Inc. Dominion National Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO

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