Total Care Booklet - Executive - Full Sized Care Provider Booklet 5-1-2013.pdf · Santiago Gardois,...

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TOTAL CARE A Division of Total Dental Administrators of Utah, Inc. (TDAUT, Inc.) domiciled in Utah INDIVIDUAL DENTAL PLAN Executive A Comprehensive General Dentist DHMO Program Retain this for your Enrollment Plan Booklet

Transcript of Total Care Booklet - Executive - Full Sized Care Provider Booklet 5-1-2013.pdf · Santiago Gardois,...

TOTAL CARE A Division of Total Dental Administrators of Utah, Inc. (TDAUT, Inc.) domiciled in Utah

INDIVIDUAL DENTAL PLANExecutive

A Comprehensive General Dentist DHMO Program

Retain this for your Enrollment Plan Booklet

PREPAID PROVIDER DIRECTORY

GENERAL DENTISTS

ALPINE

40539 Professional Dental (801) 756-959532 Red Pine Drive #14

David Blackhurst, DDS Glade Crowther, DDS Bradley DeVries, DMD David Faerber, DMD Robert Guenter, DDS Matthew McInnes, DDS Bret Osborne, DMD L. Craig Rosvall, DDS Teemu Scarborough, DDS Craig Smith, DMD

40490 Stucki Randall (801) 492-777875 W. Main Street Ct #200

Randall Stucki, DDS

AMERICAN FORK

40710 American Fork Modern Dentistry and (801) 756-5643945 West 500 North Suite 105

Ritchie Pelton, DMD Eric Swensen, DDS James A. Willardsen, DDS

40548 Davies Kendall (801) 756-2346291 North 300 East

Kendall Davies, DMD

40303 Liddle Joseph D. (801) 756-3377120 North Center St.

Joseph D. Liddle, DDS

40386 Masterpiece Dental (801) 756-5136186 South 1100 East

David Erekson, DDS

40670 Monarch Dental (801) 756-5522476 North 900 West #A

Robert Chidester, DDS Glade Crowther, DDS Kent Dastrup, DDS Thomas Davenport, DDS Darin A. Dickerson, DMD Clark Hicken, DDS Robert Johnson, DDS Daniel Meeks, DDS Benjamin Menlove, DDS Sarah Naisbitt, DDS Darliece Nye, DMD Phillip Olsen, DMD John Reschke, DDS Jeffrey Roberson, DDS Kim G. Roberts, DDS Richard A. Shulze, DMD James Skousen, DDS Greg Smith, DDS Scott David Stringham, DDS Shane Taylor, DDS George Winder, DDS

40558 Roger Harding, DDS, Willow Creek De (801) 763-9080183 South 500 East

Roger Harding, DDS

40716 Rosvall L. Craig (801) 756-6581224 South 1100 East

L. Craig Rosvall, DDS

40642 Ryan Bott, DDS, Willow Creek Dental (801) 763-9080183 South 500 East

Ryan Bott, DDS

BOUNTIFUL

40688 Cannon Family Dental (801) 295-511555 East 2200 South

Hyrum Cannon, DDS

40671 Monarch Dental (801) 296-160624 South 500 West #A

Robert Chidester, DDS Glade Crowther, DDS

Kent Dastrup, DDS Darin A. Dickerson, DMD Paul Hanna, DDS Robert Johnson, DDS Jeremiah Lindgren, DDS Daniel Meeks, DDS Benjamin Menlove, DDS Sarah Naisbitt, DDS Phillip Olsen, DMD Devin Orvin, DDS John Reschke, DDS Jeffrey Roberson, DDS Greg Smith, DDS Shane Taylor, DDS Andrew Vernon, DMD George Winder, DDS

CEDAR HILLS

40727 Lexington Heights Dental (801) 756-20064587 Cedar Hills Drive Suite 100

Additional Languages Spoken: Spanish

James Standring, DDS

CENTERVILLE

40711 Centerville Dental Group and Orthod (801) 298-3230331 W Parrish Lane Suite 101

Additional Languages Spoken: Spanish

Michael Blamires, DDS Eric Swensen, DDS Thomas Zafiratos, DDS

40712 Mountain Ridge Dental (801) 992-3221134 South Main Street

John Green, DMD

CLINTON

40713 Clinton Dental Group and Orthodonti (801) 728-90001737 North 2000 West Suite G

Thomas Austad, DDS Eric Swensen, DDS

DRAPER

*****40446 Hidden Valley Dental (801) 553-235012226 South 1000 East #8

Matthew L. Noorda, DMD

*****40506 Parker Richard G. (801) 302-8897112 E 12450 South

Richard G. Parker, DDS

40696 Professional Dental (801) 572-2006656 East 11400 South #H

David Blackhurst, DDS Bradley DeVries, DMD David Faerber, DMD Robert Guenter, DDS Matthew McInnes, DDS Bret Osborne, DMD L. Craig Rosvall, DDS Craig Smith, DMD

FARMINGTON

40699 Monarch Dental - Station Park (801) 934-3181280 N Union Avenue #L110

Additional Languages Spoken: Spanish

Robert Chidester, DDS Glade Crowther, DDS Santiago Gardois, DDS Paul Hanna, DDS Mark McGowan, DMD Angelica McHugh, DDS Devin Orvin, DDS John Reschke, DDS Greg Smith, DDS Shane Taylor, DDS Troy Walton, DDS

HARRISVILLE

40515 Russell Michael (801) 782-47452240 North Highway 89

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PREPAID PROVIDER DIRECTORY

Michael Russell, DDS

HERRIMAN

**40500 Lambert Jeffrey T (801) 302-02225734 W 13400 S

Jeffrey T Lambert, DDS

40559 Professional Dental (801) 302-78086355 West 13400 South

David Blackhurst, DDS Bradley DeVries, DMD David Faerber, DMD Robert Guenter, DDS Brody Hart, DDS Matthew McInnes, DDS Bret Osborne, DMD L. Craig Rosvall, DDS Teemu Scarborough, DDS Craig Smith, DMD Steven Sorensen, DDS

HIGHLAND

40522 Alcorn James D. (801) 492-00555455 West 11000 North #103

Additional Languages Spoken: Spanish

James D. Alcorn, DMD

KAYSVILLE

40738 Progressive Dental Group (801) 544-3953302 North Main

Jason G. Barton, DDS

LAYTON

40700 Family Smiles Dental (801) 771-45051148 E. Highway 139 #B

Lance Crowther, DDS

40722 Layton Smiles Dentistry and Orthodo (801) 771-8000820 North Main Street Suite B

Darin A. Dickerson, DMD Katie McCann, DDS Bryon Talbot, DDS

40449 Monarch Dental (801) 776-65661492 West Antelope Dr. #201

Robert Chidester, DDS Glade Crowther, DDS Kent Dastrup, DDS Darin A. Dickerson, DMD Santiago Gardois, DDS Paul Hanna, DDS Robert Johnson, DDS Jeremiah Lindgren, DDS Daniel Meeks, DDS Sarah Naisbitt, DDS Phillip Olsen, DMD John Reschke, DDS Jeffrey Roberson, DDS Greg Smith, DDS Scott David Stringham, DDS Shane Taylor, DDS Andrew Vernon, DMD Troy Walton, DDS

LEHI

40369 Cascade Dental (801) 768-8028588 East Main

Jerry V. Brown, DDS

40563 Ostheller Joseph (801) 770-28361530 N. State St. #A

Joseph Ostheller, DDS

LINDON

40525 Professional Dental (801) 785-6000537 West 550 North #E

David Blackhurst, DDS Glade Crowther, DDS Bradley DeVries, DMD David Faerber, DMD

Robert Guenter, DDS Brody Hart, DDS Matthew McInnes, DDS Bret Osborne, DMD L. Craig Rosvall, DDS Teemu Scarborough, DDS Craig Smith, DMD Steven Sorensen, DDS

LOGAN

40553 Aspen Dental of Cache Valley (435) 753-44001451 North 200 East #200

Paul Anderson, DMD Justin Carter, DDS Brandon Priebe, DDS Jeffrey Wegener, DMD

40725 Hyde Park Dental (435) 787-44443125 N Main Street Suite 104

Micah Thornley, DDS

*****40417 Logan Dental Associates (435) 787-820740 W Cache Valley Blvd #2A

Additional Languages Spoken: Spanish

Paul Harris, DDS Anthony Larsen, DDS Jake D Sorensen, DDS Brent Suisse, DDS

40741 Mountain Vista Dental (435) 752-43481445 North 400 East Suite 1

Van Johnson, DDS

40694 Smith Douglas F. (435) 752-4882160 East 200 North Ste. J

Douglas F. Smith, DDS

MAGNA

**40703 Genesis Dental of Magna (801) 250-04503665 South 8400 West #250

Richard Buck, DDS David Cannon, DDS Steven Lambourne, DDS Terry Sorenson, DMD David Stubbs, DDS

MAPLETON

40733 Maple Mountain Dentistry (801) 491-8191425 North Main Street

Tanya Westmoreland, DDS

MIDVALE

40309 Berg Gerald (801) 561-00617001 South 900 East #450

Additional Languages Spoken: Spanish

Gerald Berg, DDS

40709 Midvale Modern Dentistry and Orthod (801) 566-31181144 E Fort Union Blvd

Jeffrey Bowman, DMD Darin A. Dickerson, DMD Eric Swensen, DDS

MOUNT PLEASANT

40697 Huntington Dental (435) 462-38001055 S Medical Dr.

Nathan Huntington, DDS

MURRAY

40723 Platinum Dental Care (801) 293-1234279 East 5900 South Suite 200

Additional Languages Spoken: Spanish

Graydon Briggs, DDS William Burns, DDS Juan Chavez, DMD Jeffrey Pearson, DMD Spencer Wagner, DMD

40459 Professional Smile Center (801) 266-5455575 East 4500 South #B-250

Ted Rigby, DDS

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***** Closed to New DHMO Patients January 27, 2014

PREPAID PROVIDER DIRECTORY

David Wright, DMD

NEPHI

40632 All Around Dental Care (435) 623-08661007 North Main

Additional Languages Spoken: Spanish

Devin Davidson, DMD James Fairbanks, DMD Andrew Noble, DDS John P. Weber, DDS

NORTH SALT LAKE

40730 Demille Mackay Dental (801) 397-5262386 North Redwood Road #106

Additional Languages Spoken: Spanish

Christopher C DeMille, DMD David MacKay, DMD

OGDEN

40719 Bonneville Preventive Dentistry (801) 627-04203860 Jackson Avenue Suite 6

Matthew Wolpert, DMD

40698 Burch Creek Family Dentistry (801) 479-65905640 Wasatch Drive #A

Brian Miles, DMD

40732 Half Dental (801) 852-52522274 N Washington Blvd #202

Additional Languages Spoken: Russian,Spanish

Bryan Larson, DDS Travis Perkins, DMD Brady Powell, DDS

40701 Monarch Dental (866) 898-13551140 W Riverdale Road Suite D

Robert Chidester, DDS Glade Crowther, DDS Santiago Gardois, DDS Paul Hanna, DDS Devin Orvin, DDS Troy Walton, DDS

40441 Monarch Dental (801) 475-61215974 South Fashion Pointe Dr. #210

Additional Languages Spoken: Spanish

Thomas Austad, DDS Robert Chidester, DDS Glade Crowther, DDS Kent Dastrup, DDS Darin A. Dickerson, DMD William Fisher, DDS Santiago Gardois, DDS Paul Hanna, DDS Robert Johnson, DDS Jeremiah Lindgren, DDS Daniel Meeks, DDS Benjamin Menlove, DDS Sarah Naisbitt, DDS Phillip Olsen, DMD John Reschke, DDS Jeffrey Roberson, DDS Greg Smith, DDS Shane Taylor, DDS Andrew Vernon, DMD Troy Walton, DDS George Winder, DDS

40704 Mountain View Dental (801) 737-24102717 North Highway 89 #100

Scott Craven, DDS Candice Fresques, DMD Jonathan Greenhalgh, DDS Heather Hansen, DMD Joseph Kuchenmeister, DDS Kent O. Linsley, DDS Paul Mackley, DDS Jennifer Phillips, DDS Devin Walker, DDS

40639 Mund Kody (801) 621-21163785 Harrison Blvd.

Kody Mund, DMD

40726 Professional Dental (801) 479-1300

4305 Harrison Boulevard Suite 10 David Blackhurst, DDS Bradley DeVries, DMD David Faerber, DMD Robert Guenter, DDS Matthew McInnes, DDS Bret Osborne, DMD L. Craig Rosvall, DDS Craig Smith, DMD

OREM

40625 College Dental Clinic (801) 426-82341176 South 1480 West

Additional Languages Spoken: Spanish

Kenneth Molen, DDS

40702 M. Andrew Atwood (801) 225-1002169 North 400 West Suite A3

M. Andrew Atwood, DDS

40438 Monarch Dental (801) 225-3300575 East University Pkwy #A-24

Robert Chidester, DDS Glade Crowther, DDS Kent Dastrup, DDS Darin A. Dickerson, DMD Clark Hicken, DDS Robert Johnson, DDS Daniel Meeks, DDS Benjamin Menlove, DDS Sarah Naisbitt, DDS Darliece Nye, DMD Phillip Olsen, DMD John Reschke, DDS Jeffrey Roberson, DDS Kim G. Roberts, DDS Richard A. Shulze, DMD James Skousen, DDS Greg Smith, DDS Scott David Stringham, DDS Shane Taylor, DDS Andrew Vernon, DMD George Winder, DDS

40513 Morrison Jeffrey S. (801) 225-2640344 West 920 North

Jeffrey S. Morrison, DDS

40714 Mountain Ridge Dental (801) 224-71821256 South State Street Suite 103

Additional Languages Spoken: Spanish

Juan Chavez, DMD John Green, DMD Ryan Workman, DDS

40531 Pincock David W. (801) 762-01001694 North State Street

David W. Pincock, DMD

40560 Professional Dental (801) 225-1400503 East 770 North

David Blackhurst, DDS Bradley DeVries, DMD David Faerber, DMD Robert Guenter, DDS Brody Hart, DDS Matthew McInnes, DDS Bret Osborne, DMD L. Craig Rosvall, DDS Teemu Scarborough, DDS Craig Smith, DMD Steven Sorensen, DDS

*****40528 Sachs Steven P. (801) 225-47011442 East 820 North

Additional Languages Spoken: Spanish

Steven P. Sachs, DDS

PAYSON

40509 All Around Dental Care (801) 465-4855110 South 100 West

Devin Davidson, DMD James Fairbanks, DMD Andrew Noble, DDS John P. Weber, DDS

Page 3

** Roster Only

***** Closed to New DHMO Patients January 27, 2014

PREPAID PROVIDER DIRECTORY

40628 Cascade Family Dental (801) 465-44901392 W. Turf Farm Way #1

Additional Languages Spoken: Spanish

Robert Baird, DMD Nathan Johnson, DMD Brad Strong, DDS

40664 Payson Family Dental (801) 465-7966107 South 500 West

Kevin Cahoon, DDS

40514 Professional Dental (801) 465-055078 East 100 South

David Blackhurst, DDS Glade Crowther, DDS Bradley DeVries, DMD David Faerber, DMD Robert Guenter, DDS Brody Hart, DDS Matthew McInnes, DDS Bret Osborne, DMD L. Craig Rosvall, DDS Teemu Scarborough, DDS Craig Smith, DMD Steven Sorensen, DDS

PLEASANT GROVE

40534 Blake Heath (801) 785-8308198 South Main

Heath Blake, DDS

40665 Grove Creek Dental (801) 796-7779238 East State Road #2

Jonathan Jackson, DDS

40680 Smith G. Trevor (801) 785-257460 East State Street

G. Trevor Smith, DDS

PRICE

40545 Feller Paul (435) 637-4660250 N. Fairgrounds Rd #4

Paul Feller, DDS

PROVO

40705 Academy Square Dental Care (801) 374-0867488 North 100 East

Eric Sorensen, DDS

40383 All Around Dental Care (801) 356-8420777 North 500 West #106

Additional Languages Spoken: Spanish

Devin Davidson, DMD

40691 Canyon River Dental (801) 221-58593707 N. Canyon Road #7D

Additional Languages Spoken: Spanish

Scott David Stringham, DDS

*****40380 Flick Steven (801) 373-26931355 North University AvEast #310

Steven Flick, DDS

40658 Hamblin Robert L. (801) 377-72003200 N Canyon Rd #F

Robert L. Hamblin, DDS

40468 Hanson Nathan F. (801) 356-12113685 North 100 East Suite B

Nathan F. Hanson, DDS

*****40715 Platinum Dental Care (801) 426-62552520 N. Univeristy Avenue #101

Additional Languages Spoken: Spanish

Matthew Brinkerhoff, DMD Juan Chavez, DMD Spencer Wagner, DMD Travis Whitely, DMD

40383 Weber John P. (801) 356-8420777 North 500 West #202

John P. Weber, DDS

RIVERTON

40657 Borg Brian (801) 878-31113693 West 13400 South #B

Brian Borg, DMD

40721 Howarth Joel (801) 561-15593409 West 12600 South #100

Joel Howarth, DDS

40679 John Peterson (801) 254-881212427 South 4000 West #200

John Peterson, DDS

*****40399 Pugh B. Charles (801) 254-127812694 South 1700 West

B. Charles Pugh, DDS

40735 Raechel Nelson, DDS (801) 542-02673409 West 12600 South Ste 220

Raechel Nelson, DDS

SAINT GEORGE

40643 David R. Morris (435) 673-4809158 Morth Main Street

David R. Morris, DDS

40707 Kelvin Q. Nisson (435) 673-1360352 East Riverside Dr Ste C-3

Kelvin Q. Nisson, DDS

SALEM

40561 Hansen David (801) 423-0905204 East 400 North #A

David Hansen, DMD

40666 Salem Hills Dental (801) 504-6133204 East 400 North #C

Robert Guenter, DDS

40736 Salem Smiles (801) 423-7969601 North State Road 198

Additional Languages Spoken: Spanish

Benjamin Hulse, DDS

SALT LAKE CITY

40904 Aloha Dental (801) 969-96692792 South 5600 West

Greg Biddulph, DDS

*****40471 Cadenza Family Dental (801) 281-3500999 East Murray Holladay Road Suite 105

Sarah Naisbitt, DDS Cindy Sumarauw, DDS

40641 Christensen Richard (801) 467-63112319 Foothill Drive #210

Richard Christensen, DDS

40368 Daniel W Ormsby DDS (801) 424-90315801 South Fashion Blvd Suite 150

Daniel Ormsby, DDS

40562 Holladay Hills Dental (801) 288-18882200 East 4500 South #100

Steven Soelberg, DMD

*****40629 Holmberg William (801) 274-77001377 East 3900 South #202

William Holmberg, DDS

*****40653 Horizon Dental Associates LLC (801) 969-67402195 West 5400 South #203

Joshua Frandsen, DDS

40637 John Paul LaPine (801) 272-49993865 South Wasatch Blvd. #201

John LaPine, DDS

40740 Kris H. Rosander (801) 278-50002059 East 3900 South

Kris H. Rosander, DDS

40734 Mangrum, Kelly DDS (801) 943-68807110 South Highland Drive

Additional Languages Spoken: Korean

Kelly Mangrum, DDS

40439 Monarch Dental (801) 320-9810370 East South Temple #350

Robert Chidester, DDS Glade Crowther, DDS Kent Dastrup, DDS Darin A. Dickerson, DMD

Page 4

** Roster Only

***** Closed to New DHMO Patients January 27, 2014

PREPAID PROVIDER DIRECTORY

Robert Johnson, DDS Daniel Meeks, DDS Benjamin Menlove, DDS Sarah Naisbitt, DDS Darliece Nye, DMD Phillip Olsen, DMD John Reschke, DDS Jeffrey Roberson, DDS James Skousen, DDS Greg Smith, DDS Shane Taylor, DDS George Winder, DDS

40717 Parleys Creek Dental (801) 875-05702725 E Parleys Way Suite 150

Daniel Linford, DDS

40739 Platinum Dental Care (801) 466-12121963 South 1200 East #103

Jeffrey Pearson, DMD

*****40366 Proctor Craig R. (801) 486-28002936 South Highland Dr. #200

Craig R. Proctor, DDS

40325 Quality Plaza Dental Care (801) 487-22061050 East 3300 South

Aaron S. Goldberg, DDS

**40394 Roberts Kim G. (801) 424-35004046 South Highland Dr. Ste 114

Kim G. Roberts, DDS

40466 Smart Dental (801) 272-86092180 East 4500 South #250

Additional Languages Spoken: Spanish

J. Richard Smart, DDS

40659 Smile Dental Studio (801) 583-45001400 Foothill Drive #36

Denny Cho, DDS

**40464 Smith Brian W. (801) 943-54436360 South 3000 East Suite 330

Brian W. Smith, DDS

40442 Stephen B. Liddle DDS (801) 943-22227069 Highland Drive

Stephen B. Liddle, DDS

*****40385 Theurer Craig B. (801) 487-58051955 South 1300 East #L-1

Craig B. Theurer, DDS

*****40686 Voorhees Darrell (801) 943-36611343 Ft Union Blvd

Darrell Voorhees, DDS

SANDY

40706 Easton Dental Care (801) 571-3400850 E 9400 S Suite 202

Robert Jeff Easton, DMD

40436 Monarch Dental (801) 256-370010011 South Centennial Pkwy #330

Additional Languages Spoken: Spanish

Robert Chidester, DDS Glade Crowther, DDS Kent Dastrup, DDS Darin A. Dickerson, DMD Robert Johnson, DDS Daniel Meeks, DDS Benjamin Menlove, DDS Sarah Naisbitt, DDS Darliece Nye, DMD Phillip Olsen, DMD John Reschke, DDS Jeffrey Roberson, DDS Richard A. Shulze, DMD James Skousen, DDS Greg Smith, DDS Scott David Stringham, DDS Shane Taylor, DDS George Winder, DDS

*****40444 Packer Randell (801) 566-46978238 South 700 East #202

Randell Packer, DDS

40463 South Towne Dental (801) 576-7500

10450 South State Street #1210Additional Languages Spoken: Korean

Steve Kim, DDS

40330 Willow Creek Dental (801) 947-05058757 Highland Drve

Josef Benzon, DMD

SARATOGA SPRINGS

40656 Professional Dental (801) 768-04401314 N. Redwood Road

David Blackhurst, DDS Bradley DeVries, DMD David Faerber, DMD Robert Guenter, DDS Matthew McInnes, DDS Bret Osborne, DMD L. Craig Rosvall, DDS Craig Smith, DMD Steven Sorensen, DDS

SMITHFIELD

40693 Canyon Dental Care (435) 563-2553291 South Main Street Suite C

Anthony L Larson, DDS Jake D Sorensen, DDS

SOUTH JORDAN

40677 Professional Dental (801) 260-01003648 West 9800 South

David Blackhurst, DDS Bradley DeVries, DMD David Faerber, DMD Robert Guenter, DDS Bret Osborne, DMD L. Craig Rosvall, DDS Steven Sorensen, DDS

*****40479 Willden Family Dental (801) 446-46683632 W. South Jordan Pkwy #202

Lisa Romney, DMD Ryan Willden, DDS

SOUTH OGDEN

40720 Comfort Family Dental of South Ogde (801) 475-05095685 South 1475 East #2A

Owen Allen, DMD

SPANISH FORK

40556 Main Plaza Dental (801) 794-9684312 North Main

John Peterson, DDS

40555 Sorensen David J. (801) 798-329690 West 600 North

David J. Sorensen, DMD

SPRINGVILLE

40661 Cascade Family Dental (801) 491-69201795 West 500 South #B2

Additional Languages Spoken: Spanish

Robert Baird, DMD Renn Flinders, DDS

TAYLORSVILLE

40352 Coleman C. Ray (801) 966-99563165 West 4700 South

C. Ray Coleman, DDS

*****40634 Horizon Dental of Taylorsville (801) 969-67402195 West 5400 South #203

Additional Languages Spoken: Spanish

Joshua Frandsen, DDS

40672 Monarch Dental (801) 263-64005419 S. Redwood Road

Additional Languages Spoken: Spanish

Robert Chidester, DDS Glade Crowther, DDS Kent Dastrup, DDS

Page 5

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***** Closed to New DHMO Patients January 27, 2014

PREPAID PROVIDER DIRECTORY

Darin A. Dickerson, DMD Robert Johnson, DDS Mark McGowan, DMD Daniel Meeks, DDS Sarah Naisbitt, DDS Darliece Nye, DMD Phillip Olsen, DMD John Reschke, DDS Jeffrey Roberson, DDS James Skousen, DDS Greg Smith, DDS Scott David Stringham, DDS Shane Taylor, DDS

40676 Warm Family Dental (801) 965-98984143 South 1785 West

Scott Cold, DDS

TOOELE

*****40646 Genesis Dental (435) 882-8600102 West 1180 North #1

John L. Bishop, DMD

WEST JORDAN

*****40502 A Dental Touch (801) 282-51127478 South Campus View Dr. #200

Brian L. Johnson, DMD

40538 Colton Brigham (801) 282-23237613 South Jordan Landing Blvd. #110

Brigham Colton, DDS

40644 Kent Bladen (801) 255-65811662 West 9000 South

Kent Bladen, DDS

40483 South Valley Dental (801) 566-18739217 South Redwood Road #B

Additional Languages Spoken: Spanish

Brandon Green, DDS

40708 West Jordan Modern Dentistry (801) 282-41427632 South Campus View Dr.

Eric Swensen, DDS James A. Willardsen, DDS

WEST VALLEY

40724 Brush Dental (801) 955-11125633 West 6200 South Suite A-6

Additional Languages Spoken: Spanish

Jason Teerlink, DMD

40640 Hassan Amira (801) 969-21213280 West 3500 South #3

Additional Languages Spoken: Arabic,Spanish

Amira Hassan, DDS

40430 Le Kieu (801) 887-72641819 West 3500 South #1A

Kieu Le, DDS

40440 Monarch Dental (801) 955-19004645 South 4000 West #B

Additional Languages Spoken: Spanish

Robert Chidester, DDS Glade Crowther, DDS Kent Dastrup, DDS Darin A. Dickerson, DMD Robert Johnson, DDS Daniel Meeks, DDS Benjamin Menlove, DDS Sarah Naisbitt, DDS Phillip Olsen, DMD John Reschke, DDS Jeffrey Roberson, DDS Richard A. Shulze, DMD James Skousen, DDS Greg Smith, DDS Shane Taylor, DDS George Winder, DDS

40695 Professional Dental (801) 982-99992592 South 5600 West #102

David Blackhurst, DDS Glade Crowther, DDS Bradley DeVries, DMD

David Faerber, DMD Robert Guenter, DDS Matthew McInnes, DDS Bret Osborne, DMD L. Craig Rosvall, DDS Craig Smith, DMD

40729 Westways Dental (801) 969-14003451 South 5600 West Suite B

Laura Fisher, DDS

WEST VALLEY CITY

40731 DeMille Mackay Dental (801) 969-30253550 South 4800 West Suite J

Additional Languages Spoken: Spanish

Christopher C DeMille, DMD David MacKay, DMD

40728 West 56th Dental (801) 964-04443444 South 5600 West

Todd A. Bowman, DMD

ENDODONTISTS

AMERICAN FORK

Monarch Dental (801) 756-5522476 North 900 West #A

Joshua Jeppson, DDS

BOUNTIFUL

Monarch Dental (801) 296-160624 South 500 West #A

Joshua Jeppson, DDS Nathan Wayment, DDS

Wasatch Endodontics (801) 298-1101185 South 400 East #201

25% Discount Availiable

Brady Olsen, DMD

CLEARFIELD

IDA Endo - Hillside Dental (801) 776-8441466 N Main Street Suite 101

John Vandenberghe, DDS

CLINTON

IDA Endo - Comfort Dental of Clinto (801) 825-39932207 West 1800 North

Thomas Vandenberghe, DDS

LAYTON

Monarch Dental (801) 776-65661492 West Antelope Dr. #201

Joshua Jeppson, DDS Nathan Wayment, DDS

LOGAN

IDA Endo - Aspen Dental (435) 753-44001451 N 200 E #200

Thomas Vandenberghe, DDS Thomas Vandenberghe, DDS

IDA Endo - Logan Dental (435) 787-820740 W Cache Valley Boulevard #2A

Thomas Vandenberghe, DDS

NORTH LOGAN

IDA Endo - Hyde Park Dental (435) 787-44443125 N Main Street Suite 104

John Vandenberghe, DDS

NORTH OGDEN

Wayment Endodontics (801) 782-83002274 North 400 East #202

Nathan Wayment, DDS

Page 6

** Roster Only

***** Closed to New DHMO Patients January 27, 2014

PREPAID PROVIDER DIRECTORY

OGDEN

IDA Endo - Ridge View Dental (801) 334-94441186 East 4600 South Suite #410

John Vandenberghe, DDS

Monarch Dental (801) 475-61215974 South Fashion Pointe Dr. #210

Additional Languages Spoken: Spanish

Joshua Jeppson, DDS Gary Karren, DDS

OREM

Monarch Dental (801) 225-3300575 East University Pkwy #A-24

Joshua Jeppson, DDS Nathan Wayment, DDS

PAYSON

IDA Endo - Payson (801) 465-7966107 South 500 West

John Vandenberghe, DDS

PERRY

IDA Endo - Perry Dental (435) 723-43002535 S Highway 89 Suite 1

John Vandenberghe, DDS

PLEASANT VIEW

IDA Endo - Lomond View Dental (801) 737-94422685 North 1000 West

John Vandenberghe, DDS

IDA Endo - Mountain View Dental (801) 737-24102717 N Highway 89 Suite 100

Thomas Vandenberghe, DDS

IDA Endo - North View (801) 941-33002201 North 400 East

John Vandenberghe, DDS John Vandenberghe, DDS

PROVIDENCE

IDA Endo - Spring Creek Dental (435) 713-0096274 North Spring Creek Parkway

Thomas Vandenberghe, DDS

PROVO

Rocky Mountain Endodontics (801) 356-36363355 University Ave #100

20% Discount Availiable

John M Coats, DDS

RICHMOND

IDA Endo - Cherry Creek (435) 258-2301105 S Highway 91

John Vandenberghe, DDS

RIVERTON

Copper Creek Endodontics (801) 750-47963409 West 12600 South #120

Joseph Christensen, DMD Jeffrey Hanzon, DMD

ROY

IDA Endo - Midland Dental (801) 317-44074040 S Midland Suite 1

John Vandenberghe, DDS

SALT LAKE CITY

Koelliker Endodontics (801) 278-95056364 S Highland Drive Suite 200

Additional Languages Spoken: Spanish

Christopher Sadler, DDS

Monarch Dental (801) 320-9810

370 East South Temple #350 Joshua Jeppson, DDS Nathan Wayment, DDS

Rocky Mountain Endodontics (801) 262-77706095 S. Fashion Blvd. #290

20% Discount Availiable

John M Coats, DDS Randall Madsen, DDS

Rocky Mountain Endodontics (801) 942-86867138 South Highland Drive 109

20% Discount Availiable

John M Coats, DDS

Rocky Mountain Endodontics Assocait (801) 942-86867138 South Highland Drive

20% Discount Availiable

Steven Facer, DDS

SANDY

Monarch Dental (801) 256-370010011 South Centennial Pkwy #330

Additional Languages Spoken: Spanish

Joshua Jeppson, DDS Nathan Wayment, DDS

SMITHFIELD

IDA Endo -Canyon Dental (435) 563-2553291 South Main Suite C

John Vandenberghe, DDS

SOUTH OGDEN

IDA Endo - Comfort Family Dental of (801) 475-05095685 South 1475 East Suite 2A

John Vandenberghe, DDS

SPANISH FORK

Alpine Endodontics (801) 504-6070826 North 100 East #3

Ryan Van Moorlehem, DMD

SYRACUSE

IDA Endo - Heritage Dental (801) 525-14151747 S Heritage Lane Suite A1

John Vandenberghe, DDS

TAYLORSVILLE

Monarch Dental (801) 263-64005419 S. Redwood Road

Additional Languages Spoken: Spanish

Joshua Jeppson, DDS

TOOELE

Rocky Mountain Endodontics (435) 882-8800181 W Vine St #B

20% Discount Availiable

John M Coats, DDS Richard Pulsipher, DDS

WEST JORDAN

Fessenden Sean (801) 282-43337555 Center View Ct. #202

20% Discount Availiable

Sean Fessenden, DDS

WEST VALLEY

Monarch Dental (801) 955-19004645 South 4000 West #B

Additional Languages Spoken: Spanish

Joshua Jeppson, DDS Nathan Wayment, DDS

ORAL SURGEONS

AMERICAN FORK

Page 7

** Roster Only

***** Closed to New DHMO Patients January 27, 2014

PREPAID PROVIDER DIRECTORY

American Fork Modern Dentistry and (801) 756-5643945 West 500 North Suite 105

Dustin Hopkin, DDS

Monarch Dental (801) 756-5522476 North 900 West #A

Richard Steele, DDS

BOUNTIFUL

DeDecker DDS, Dennis (801) 298-2242625 East 500 South #204

Dennis DeDecker, DDS

Monarch Dental (801) 296-160624 South 500 West #A

Richard Steele, DDS

Oral & Maxillofacial Surgeons of Ut (801) 299-8531469 East Medical Dr. #202

20% Discount Availiable

Michael Broadbent, DMD Jason Chandler, DMD Todd Liston, DDS Adam McCormick, DDS

Oral Surgery Specialty (801) 397-27271551 S. Renaissance Towne Dr #540

L. Douglas Israelsen, DDS

BRIGHAM CITY

JESSENOMFS (435) 723-414430 East 700 South

F. Zane Jessen, DDS

CLEARFIELD

Newey Mark (801) 825-1116938 S. University Park Blvd. #100

Mark Newey, DDS

CLINTON

Clinton Dental Group and Orthodonti (801) 728-90001737 North 2000 West Suite G

Dustin Hopkin, DDS

JESSENOMFS (801) 479-82011448 North 2000 West #12

G. Shane Jessen, DDS

DRAPER

Flint Robert L. (801) 576-5910114 East 12450 South #104

Robert L. Flint, DMD

FARMINGTON

Monarch Dental - Station Park (801) 934-3181280 N Union Avenue #L110

Additional Languages Spoken: Spanish

Richard Steele, DDS

GARLAND

Gregory Anderson (435) 755-50001335 S. Main Street #102

Gregory Anderson, DDS

LAYTON

Benson Paul (801) 614-0999890 West Heritage Park Blvd. #103

Paul Benson, DMD

Layton Smiles Dentistry and Orthodo (801) 771-8000820 North Main Street Suite B

Dustin Hopkin, DDS

Monarch Dental (801) 776-65661492 West Antelope Dr. #201

Richard Steele, DDS

Oral & Maxillofacial Surgeons of Ut (801) 779-05062297 Hillfield Road #A105

20% Discount Availiable

Michael Broadbent, DMD Jason Chandler, DMD Todd Liston, DDS Adam McCormick, DDS

Oral Surgery Specialty (801) 397-27271240 E Highway 193 #G-1

L. Douglas Israelsen, DDS

LEHI

Bateman Adam (801) 653-29292961 W. Maple Loop Drive #130

Adam Bateman, DDS

Utah Surgical Arts (801) 356-22263300 N. Running Creek Way

Michael Harris, DDS David Park, DDS Christopher Price, DDS

LINDON

Oral Surgery Specialty (801) 397-2727275 West 200 North #175

L. Douglas Israelsen, DDS

LOGAN

Jessen G. Shane (435) 750-50821230 North 200 East

G. Shane Jessen, DDS

JESSENOMFS (435) 750-50821230 North 200 East

F. Zane Jessen, DDS

MIDVALE

Midvale Modern Dentistry and Orthod (801) 566-31181144 E Fort Union Blvd

Dustin Hopkin, DDS

OGDEN

Austin Blaine (801) 399-37015742 South 1475 East #100

Blaine Austin, DDS

Jessen G. Shane (801) 479-82001508 East Skyline Drive #800

G. Shane Jessen, DDS

JESSENOMFS (801) 479-82001508 East Skyline Drive #800

F. Zane Jessen, DDS

Monarch Dental (801) 475-61215974 South Fashion Pointe Dr. #210

Additional Languages Spoken: Spanish

Richard Steele, DDS

Norris William D. (801) 392-71763590 Harrison Blvd. #2

William D. Norris, DMD

Oral & Maxillofacial Surgeons of Ut (801) 392-71763590 Harrison Blvd. #2

20% Discount Availiable

Michael Broadbent, DMD Jason Chandler, DMD Todd Liston, DDS Adam McCormick, DDS

OREM

Monarch Dental (801) 225-3300575 East University Pkwy #A-24

Richard Steele, DDS

Utah Valley Oral Surgery (801) 224-1200480 West 800 North

Christopher C Burton, DDS David Nicholls, DDS

PAYSON

Utah Surgical Arts (801) 356-22261107 South Highway 189

Page 8

** Roster Only

***** Closed to New DHMO Patients January 27, 2014

PREPAID PROVIDER DIRECTORY

Michael Harris, DDS David Park, DDS Christopher Price, DDS

PLEASANT VIEW

Oral & Maxillofacial Surgeons of Ut (801) 779-05062711 North Highway 89 #200

20% Discount Availiable

Michael Broadbent, DMD Jason Chandler, DMD Todd Liston, DDS Adam McCormick, DDS

PROVO

Utah Surgical Arts (801) 356-22263610 North University Avenue #150

Michael Harris, DDS David Park, DDS Christopher Price, DDS

RIVERTON

Utah Surgical Arts (801) 446-44283409 W. 12600 S. #120

Michael Harris, DDS David Park, DDS Christopher Price, DDS

SALT LAKE CITY

Austin Blaine D (801) 277-39422180 East 4500 South #285

Blaine D Austin, DDS

Bluth O. Daniel (888) 888-8888515 South 1000 East #L2

O. Daniel Bluth, DDS

David J. Smoot (801) 264-85046095 South Fashion Boulevard #120

David J. Smoot, DDS

Dustin J Hopkin DDS Oral and Maxill (801) 277-39422180 E 4500 S Suite 285

Dustin Hopkin, DDS

Monarch Dental (801) 320-9810370 East South Temple #350

Richard Steele, DDS

Oral & Facial Reconstructive Surgeo (801) 262-74473920 South 1100 East Suite 150

Nathan Adams, DMD Michael Gladwell, DMD

Oral & Maxillofacial Surgery of Uta (801) 943-87037138 South Highland Drive Suite 211

20% Discount Availiable

Matthew Maxfield, DMD Judd E Partridge, DMD

SANDY

Creekside Oral & Facial Surgery (801) 255-24227390 South Creek Road #101

David Anderson, DDS

Haymond Creed (801) 576-00771434 East 9400 South #102

20% Discount Availiable

Additional Languages Spoken: Spanish

Creed Haymond, DDS

Jessen G. Shane (801) 571-33119730 South 700 East

G. Shane Jessen, DDS

JESSENOMFS (801) 571-33119730 South 700 East

F. Zane Jessen, DDS

Monarch Dental (801) 256-370010011 South Centennial Pkwy #330

Additional Languages Spoken: Spanish

Richard Steele, DDS

SARATOGA SPRINGS

Utah Valley Oral Surgery (801) 224-120076 East Commerce Drive Suite 203

Christopher C Burton, DDS

SOUTH JORDAN

Adam Bateman (801) 253-61173632 S. Jordan Pkwy #1

Adam Bateman, DDS

Oral and Facial Surgery of Utah (801) 280-55354775 W Daybreak Parkway Suite 104

Matthew Maxfield, DMD Judd E Partridge, DMD

Oral Surgery Specialty (801) 397-27273648 West 9800 South

L. Douglas Israelsen, DDS

Smoot David J. (801) 264-85042651 West South Jordan Prkwy #102

David J. Smoot, DDS

SPRINGVILLE

Utah Surgical Arts (801) 356-2226 187 East 400 South

Michael Harris, DDS David Park, DDS Christopher Price, DDS

TAYLORSVILLE

Monarch Dental (801) 263-64005419 S. Redwood Road

Additional Languages Spoken: Spanish

Richard Steele, DDS

VERNAL

Jessen G. Shane (435) 781-821140 West 100 North

G. Shane Jessen, DDS

JESSENOMFS (435) 781-821140 West 100 North

F. Zane Jessen, DDS

WEST JORDAN

Utah Facial Surgical Arts (801) 282-53637532 S Center View Ct #102

20% Discount Availiable

Scott D. Urban, DMD

West Jordan Modern Dentistry (801) 282-41427632 South Campus View Dr.

Dustin Hopkin, DDS

WEST VALLEY

Monarch Dental (801) 955-19004645 South 4000 West #B

Additional Languages Spoken: Spanish

Richard Steele, DDS

The Center of Dental Professionals (801) 747-80102843 South 5600 West

Michael Bauman, DMD

ORTHODONTISTS

ALPINE

Professional Dental (801) 756-959532 Red Pine Drive #14

Michael Meru, DDS

AMERICAN FORK

American Fork Modern Dentistry and (801) 756-5643945 West 500 North Suite 105

Michael Meru, DDS

Brent Nielson (801) 756-4279135 North 100 East

Brent Nielson, DDS

Page 9

** Roster Only

***** Closed to New DHMO Patients January 27, 2014

PREPAID PROVIDER DIRECTORY

Monarch Dental (801) 756-5522476 North 900 West #A

Brian Baird, DDS Mark Naisbitt, DDS

Watson Jeremy R. (801) 763-7977496 North 990 West #G

20% Discount Availiable

Jeremy R. Watson, DDS

BOUNTIFUL

Monarch Dental (801) 296-160624 South 500 West #A

Brian Baird, DDS Mark Naisbitt, DDS

CENTERVILLE

Centerville Dental Group and Orthod (801) 298-3230331 W Parrish Lane Suite 101

Additional Languages Spoken: Spanish

Michael Meru, DDS

CLINTON

Clinton Dental Group and Orthodonti (801) 728-90001737 North 2000 West Suite G

Michael Meru, DDS

DRAPER

Professional Dental (801) 572-2006656 East 11400 South #H

Michael Meru, DDS

Watson Jamey (801) 278-2841114 East 12450 South #202

20% Discount Availiable

Jamey Watson, DDS

Young David V. (801) 523-933312226 South 1000 East #6

25% Discount Availiable

David V. Young, DDS

Zurcher Willard (801) 572-8999863 East 12300 South #102

20% Discount Availiable

Willard Zurcher, DDS

FARMINGTON

Endrizzi DDS, Mark (801) 447-6707193 South 200 West

20% Discount Availiable

Mark Endrizzi, DDS

Monarch Dental - Station Park (801) 934-3181280 N Union Avenue #L110

Additional Languages Spoken: Spanish

Mark Naisbitt, DDS

Young David V. (801) 266-357856 South 200 East

25% Discount Availiable

David V. Young, DDS

HERRIMAN

Professional Dental (801) 302-78086355 West 13400 South

Michael Meru, DDS

HOLLADAY

Jackson Orthodontics (801) 278-58222200 East 4500 South Suite 250

20% Discount Availiable

Additional Languages Spoken: Spanish

Charles Jackson, DDS

LAYTON

Hillfield Pediatric & Family Dentis (801) 774-07702112 Hillfield Road #1

Leland Pack, DMD

Layton Smiles Dentistry and Orthodo (801) 771-8000820 North Main Street Suite B

Michael Meru, DDS

Monarch Dental (801) 776-65661492 West Antelope Dr. #201

Brian Baird, DDS Mark Naisbitt, DDS

LEHI

Brandon Fairbanks (801) 766-46603300 N. Running Creek Way #F-102

20% Discount Availiable

Brandon Fairbanks, DMD

Brent Nielson (801) 768-42662961 West Maple Loop Drive Suite 120

Brent Nielson, DDS

Jensen Alan (801) 768-2100216 East Main St

Alan Jensen, DDS

LINDON

Professional Dental (801) 785-6000537 West 550 North #E

Michael Meru, DDS

LOGAN

Aspen Dental of Cache Valley (435) 753-44001451 North 200 East #200

Jeffrey W Johnson, DDS

Logan Dental Associates (435) 787-820740 W Cache Valley Blvd #2A

Additional Languages Spoken: Spanish

Jeffrey W Johnson, DDS

MIDVALE

Midvale Modern Dentistry and Orthod (801) 566-31181144 E Fort Union Blvd

Michael Meru, DDS

MORGAN

Francis Karl M. (801) 829-3831200 East 125 North

20% Discount Availiable

Karl M. Francis, DDS

MURRAY

Baugh Alan (801) 266-0061164 East 5900 South A-109

20% Discount Availiable

Alan Baugh, DMD

Neibaur Family Orthodontics (801) 269-03036095 S Fashion Boulevard Suite 210

Additional Languages Spoken: Spanish

Ben Neibaur, DMD

Orthodontic Specialists of Utah (801) 288-91006052 South State Street #7

25% Discount Availiable

Gary A. Carter, DDS

NORTH OGDEN

Kirk Allred (801) 393-62002251 N. Washington Blvd.

20% Discount Availiable

Kirk Allred, DMD

OGDEN

Monarch Dental (866) 898-13551140 W Riverdale Road Suite D

Mark Naisbitt, DDS

Monarch Dental (801) 475-61215974 South Fashion Pointe Dr. #210

Additional Languages Spoken: Spanish

Brian Baird, DDS

Page 10

** Roster Only

***** Closed to New DHMO Patients January 27, 2014

PREPAID PROVIDER DIRECTORY

Mark Naisbitt, DDS

Mountain View Dental (801) 737-24102717 North Highway 89 #100

Jeffrey W Johnson, DDS

Professional Dental (801) 479-13004305 Harrison Boulevard Suite 10

Michael Meru, DDS

OREM

Berg Orthodontics (801) 224-50581375 East 800 North #102

20% Discount Availiable

Christopher Berg, DDS

Monarch Dental (801) 225-3300575 East University Pkwy #A-24

Brian Baird, DDS Mark Naisbitt, DDS

Nord Scott (801) 225-7141291 East University Parkway

20% Discount Availiable

Scott Nord, DMD

Professional Dental (801) 225-1400503 East 770 North

Michael Meru, DDS

Robert Taylor (801) 226-66111692 North State Street

20% Discount Availiable

Robert Taylor, DMD

Thompson Wade (801) 375-7088380 West Center Street

20% Discount Availiable

Wade Thompson, DDS

PAYSON

Professional Dental (801) 465-055078 East 100 South

Michael Meru, DDS

Redrock Orthodontics (801) 465-1118814 South Main Street

Adam N. Lee, DDS

Trapnell Orthodontics (801) 465-25411107 S. Highway 198

20% Discount Availiable

Gregory Trapnell, DMD

PROVO

David M Christiansen (801) 224-99003707 N Canyon Road 8D

David Christiansen, DDS

Trapnell Orthodontics (801) 344-88873610 North University Avenue Suite 175

20% Discount Availiable

Jeffrey Trapnell, DDS

RIVERTON

Talbot Orthodontics (801) 446-71752364 West 12600 South #2C

20% Discount Availiable

Travis Talbot, DDS

ROOSEVELT

Jackson Charles (435) 722-2293157 North 100 East

20% Discount Availiable

Charles Jackson, DDS

ROY

Price Orthodontics (801) 985-16695991 South 3500 West #200

20% Discount Availiable

Cory Price, DDS

SAINT GEORGE

Simister Orthodontics (435) 656-33461054 E. Riverside Drive #101

20% Discount Availiable

Bradley Simister, DDS

Theurer Orthodontics (435) 688-8228965 East 700 South #101

20% Discount Availiable

Michael Theurer, DDS

SALT LAKE CITY

Blake Maxfield (801) 263-13336243 S. Redwood Rd. #240

Blake Maxfield, DDS

Brent Nielson (801) 262-87774970 South 900 East Suite D

Brent Nielson, DDS

Broadwater Paul M. (801) 278-72722080 East 4800 South

25% Discount Availiable

Paul M. Broadwater, DDS

Granger Orthodontics (801) 966-66813725 West 4100 South

20% Discount Availiable

Micah Mortensen, DDS

Monarch Dental (801) 320-9810370 East South Temple #350

Brian Baird, DDS Mark Naisbitt, DDS

Norman Maxfield (801) 263-13336243 S. Redwood Rd. #240

Additional Languages Spoken: Spanish

Norman Maxfield, DDS

Young David V. (801) 266-3578622 East 4500 South #202

25% Discount Availiable

David V. Young, DDS

SANDY

Iverson Jeffrey A (801) 571-9664850 East 9400 South #201

20% Discount Availiable

Jeffery Iverson, DMD

Lambourne Chad (801) 523-25091025 East 11400 South #103

25% Discount Availiable

Chad Lambourne, DDS

Madsen Eric H. (801) 943-270010315 South 1300 East

25% Discount Availiable

Eric H. Madsen, DDS

Michael Cook (801) 523-25091025 East 11400 South #103

20% Discount Availiable

Michael Cook, DMD

Monarch Dental (801) 256-370010011 South Centennial Pkwy #330

Additional Languages Spoken: Spanish

Brian Baird, DDS Mark Naisbitt, DDS

Skanchy Tony (801) 523-111110220 South 1300 East

Tony Skanchy, DDS

SARATOGA SPRINGS

Professional Dental (801) 768-04401314 N. Redwood Road

Michael Meru, DDS

SOUTH JORDAN

Professional Dental (801) 260-01003648 West 9800 South

Michael Meru, DDS

SPANISH FORK

Page 11

** Roster Only

***** Closed to New DHMO Patients January 27, 2014

PREPAID PROVIDER DIRECTORY

Trapnell Orthodontics (801) 798-834389 West 900 North

20% Discount Availiable

Gregory Trapnell, DMD

SPRINGVILLE

Jarss Inc (801) 491-9372378 East 400 South Suite 2

John Schouten, DDS

Trapnell Orthodontics (801) 489-9475187 East 400 South

20% Discount Availiable

Brian Trapnell, DMD

Warren Orthodontics (801) 489-7878688 West 400 South Suite 100

20% Discount Availiable

Casey Warren, DDS

SYRACUSE

Sheldon Peck Orthodontics (801) 525-13331792 W. 1700 S. #201

Sheldon Peck, DDS

TAYLORSVILLE

Endrizzi Mark (801) 969-62363105 West 5400 South

20% Discount Availiable

Additional Languages Spoken: Spanish

Mark Endrizzi, DDS

Monarch Dental (801) 263-64005419 S. Redwood Road

Additional Languages Spoken: Spanish

Brian Baird, DDS Mark Naisbitt, DDS

UINTAH

Sean Oliverson (801) 393-62003550 Harrison Blvd. #2

20% Discount Availiable

Sean Oliverson, DMD

WEST JORDAN

West Jordan Modern Dentistry (801) 282-41427632 South Campus View Dr.

Michael Meru, DDS

WEST VALLEY

Marz Kenneth (801) 304-93912940 West 3650 South

25% Discount Availiable

Kenneth Marz, DDS

Monarch Dental (801) 955-19004645 South 4000 West #B

Additional Languages Spoken: Spanish

Brian Baird, DDS Mark Endrizzi, DDS

Professional Dental (801) 982-99992592 South 5600 West #102

Michael Meru, DDS

Tolman Aaron (801) 966-78463550 South 4800 West

20% Discount Availiable

Aaron Tolman, DDS

PEDODONTISTS

[No Referral Necessary]

Pedodontic specialists listed perform services at a discount off their

regular fees.

ALPINE

Professional Dental (801) 756-9595

32 Red Pine Drive #14 Rodney Slater, DMD

AMERICAN FORK

American Fork Modern Dentistry and (801) 756-5643945 West 500 North Suite 105

Cordell Nebeker, DDS Chester Smyth, DDS

Jensen Scott (801) 492-134625 North 1100 East

Scott Jensen, DDS

Monarch Dental (801) 756-5522476 North 900 West #A

Diya Chadha, DMD

Smith and Macdonald Pediatric Denti (801) 756-6048148 South 1100 East

David MacDonald, DDS Nathan E. Smith, DDS

BEAVER

Pediatric Dentistry (435) 421-12982050 East Cotton Tree Lane

20% Discount Availiable

Ronald French, DDS

BOUNTIFUL

Monarch Dental (801) 296-160624 South 500 West #A

Diya Chadha, DMD

CENTERVILLE

Centerville Dental Group and Orthod (801) 298-3230331 W Parrish Lane Suite 101

Additional Languages Spoken: Spanish

Cordell Nebeker, DDS Chester Smyth, DDS

CLINTON

Clinton Dental Group and Orthodonti (801) 728-90001737 North 2000 West Suite G

Cordell Nebeker, DDS Chester Smyth, DDS

DRAPER

Professional Dental (801) 572-2006656 East 11400 South #H

Rodney Slater, DMD

FARMINGTON

Anderson John R. (801) 447-54371401 North Highway 89 #200

John R. Anderson, DDS

HEBER

Heber Childrens Dentistry (435) 654-5322742 W 100 South

Jeffrey Ellis, DMD

HERRIMAN

Dawson Pediatric Dentistry (801) 302-10456351 West 13400 South Suite 200

Brad Dawson, DMD

Professional Dental (801) 302-78086355 West 13400 South

Rodney Slater, DMD

KAYSVILLE

Kaysville Pediatric Dental (801) 544-3323250 West 200 North #6

M. Brandon Jones, DMD

LAYTON

Page 12

** Roster Only

***** Closed to New DHMO Patients January 27, 2014

PREPAID PROVIDER DIRECTORY

Dawson Pediatric Dentistry (801) 544-19401086 N Fairfield Road

Brad Dawson, DMD

Hillfield Pediatric & Family Dentis (801) 774-07702112 Hillfield Road #1

Wade Arkoudas, DDS Leland Powell, DDS

Layton Smiles Dentistry and Orthodo (801) 771-8000820 North Main Street Suite B

Cordell Nebeker, DDS Chester Smyth, DDS

Monarch Dental (801) 776-65661492 West Antelope Dr. #201

Diya Chadha, DMD

LEHI

Pearson Jared (801) 766-2111588 East Main St

Jared Pearson, DDS

LINDON

Childrens Corner Pediatric Dentistr (801) 769-2530275 West 200 North #175

Jason Mandelaris, DMD Stuart Segura, DDS

Professional Dental (801) 785-6000537 West 550 North #E

Rodney Slater, DMD

LOGAN

Bryce Cushing (435) 752-8721150 East 200 North #B2

David Ho, DDS

MIDVALE

Midvale Modern Dentistry and Orthod (801) 566-31181144 E Fort Union Blvd

Cordell Nebeker, DDS Chester Smyth, DDS

OGDEN

Monarch Dental (801) 475-61215974 South Fashion Pointe Dr. #210

Additional Languages Spoken: Spanish

Diya Chadha, DMD

Professional Dental (801) 479-13004305 Harrison Boulevard Suite 10

Rodney Slater, DMD

Simkins Boyd (801) 782-39202667 North Washington Blvd.

Boyd Simkins, DDS

South Ogden Pediatric Dental P.C. (801) 475-64335275 South Adams Avenue Suite C

M. Wade Rallison, DDS

OREM

Family Legacy Dental (801) 227-5080845 North 100 West #100

Merien Robins, DDS

Howell R. Bruce (801) 802-7200442 West 800 North

R. Bruce Howell, DDS

Monarch Dental (801) 225-3300575 East University Pkwy #A-24

Diya Chadha, DMD

Professional Dental (801) 225-1400503 East 770 North

Rodney Slater, DMD

PAYSON

Professional Dental (801) 465-055078 East 100 South

Rodney Slater, DMD

RIVERTON

Johnson, DDS, David (801) 253-88662364 West 12600 South #1A

David J Johnson, DMD

Stevenson Pediatric Dentistry (801) 302-79384019 West 12600 South #200

Nathan Stevenson, DDS

SAINT GEORGE

Childrens Dental (435) 673-77762746 East 850 North

Additional Languages Spoken: Spanish

Jeremy Scholzen, DMD

Cody Johnson (435) 628-0511772 North Dixie Drive #101

Cody Johnson, DMD

SALEM

Salem Smiles (801) 423-7969601 North State Road 198

Additional Languages Spoken: Spanish

Brad Dawson, DMD

SALT LAKE CITY

Aloha Dental (801) 969-96692792 South 5600 West

David Gustafson, DDS Jason Mandelaris, DMD

Boren Don (801) 268-1135678 East Vine St Suite 12

Don Boren, DDS

Burg Jeff (801) 268-1135678 East Vine St Suite 12

Jeff Burg, DDS

Christensen Kurt (801) 268-1135678 East Vine St Suite 12

Kurt Christensen, DDS

Monarch Dental (801) 320-9810370 East South Temple #350

Diya Chadha, DMD

Romney Pediatric Dentistry (801) 355-8677525 East 100 South #430

Additional Languages Spoken: Spanish

Walter Romney, DMD

Romney Walter (801) 355-867770 South 900 East #12

Walter Romney, DMD

Rose Park Pediatric Dentistry (801) 519-222255 North Redwood Road

Ryan Johansen, DDS

Salt Lake Pediatric Dentistry (801) 463-19001548 East 4500 South Suite 102

David Gustafson, DDS Jeffery Rupp, DMD

SANDY

Monarch Dental (801) 256-370010011 South Centennial Pkwy #330

Additional Languages Spoken: Spanish

Diya Chadha, DMD

Powell David (801) 562-222210011 South Centennial Prkwy #250

David Powell, DDS

Rooklidge Erik (801) 562-222210011 South Centennial Prkwy #250

Erik Rooklidge, DDS

SARATOGA SPRINGS

Childrens Crossing Pediatric Dentis (801) 766-490076 East Commerce Dr. #100

Jeffery Rupp, DMD Michael Tew, DDS

Page 13

** Roster Only

***** Closed to New DHMO Patients January 27, 2014

PREPAID PROVIDER DIRECTORY

Professional Dental (801) 768-04401314 N. Redwood Road

Rodney Slater, DMD

Smith and Macdonald Pediatric Denti (801) 766-841043 East Commerce Drive

David MacDonald, DDS Nathan E. Smith, DDS

SOUTH JORDAN

Farnsworth Russell (801) 446-15152651 West 10400 South #103

Russell Farnsworth, DDS

Little People's Dental (801) 446-80071268 W. South Jordan Pkwy. #101

25% Discount Availiable

David Stewart, DMD

Professional Dental (801) 260-01003648 West 9800 South

Rodney Slater, DMD

Southridge Pediatric Dentistry (801) 446-15152651 West 10400 South #103

David Roth, DDS

ST. GEORGE

Christensen Brett K. (435) 688-8827368 East Riverside Dr. Bldg 6

Brett K. Christensen, DMD

TAYLORSVILLE

Monarch Dental (801) 263-64005419 S. Redwood Road

Additional Languages Spoken: Spanish

Diya Chadha, DMD

TOOELE

Farnsworth Russell (435) 446-1515181 West Vine Street

Russell Farnsworth, DDS

Southridge Pediatric Dentistry (435) 882-88001959 N. Aaron Drive #103

David Roth, DDS

WEST JORDAN

Childrens Landing Pediatric Dentist (801) 282-18023855 West 7800 South #200

Michael Tew, DDS

Jensen Matthew (801) 417-80802964 West 4700 South #103

Matthew Jensen, DMD

Reading Pediatric Dentistry (801) 282-69013895 West 7800 South Suite 203

Tyler Reading, DMD

Ryan Johansen (801) 280-95957613 South Jordan Landing Blvd. #210

Ryan Johansen, DDS

West Jordan Modern Dentistry (801) 282-41427632 South Campus View Dr.

Cordell Nebeker, DDS Chester Smyth, DDS

WEST VALLEY

Monarch Dental (801) 955-19004645 South 4000 West #B

Additional Languages Spoken: Spanish

Diya Chadha, DMD

Professional Dental (801) 982-99992592 South 5600 West #102

Rodney Slater, DMD

PERIODONTISTS

AMERICAN FORK

Monarch Dental (801) 756-5522476 North 900 West #A

Sean McKeown, DDS Richard Rizzo, DDS Daniel Thunell, DMD

BOUNTIFUL

Monarch Dental (801) 296-160624 South 500 West #A

Reve Chaston, DDS Sean McKeown, DDS Richard Rizzo, DDS

LAYTON

Monarch Dental (801) 776-65661492 West Antelope Dr. #201

Reve Chaston, DDS Sean McKeown, DDS Richard Rizzo, DDS Daniel Thunell, DMD

LEHI

Francis Paul (801) 766-69663300 N. Running Crk. Way #C-300

20% Discount Availiable

Paul Francis, DDS

OGDEN

Monarch Dental (801) 475-61215974 South Fashion Pointe Dr. #210

Additional Languages Spoken: Spanish

Reve Chaston, DDS Sean McKeown, DDS Richard Rizzo, DDS

OREM

Monarch Dental (801) 225-3300575 East University Pkwy #A-24

Sean McKeown, DDS Richard Rizzo, DDS

Precision Periodontics (801) 224-0610568 E 770 N

Peter Smith, DMD

PAYSON

Payson Family Dental (801) 465-7966107 South 500 West

Sean McKeown, DDS

SALT LAKE CITY

Monarch Dental (801) 320-9810370 East South Temple #350

Sean McKeown, DDS Richard Rizzo, DDS

SANDY

Monarch Dental (801) 256-370010011 South Centennial Pkwy #330

Additional Languages Spoken: Spanish

Richard Rizzo, DDS

Skanchy Steven (801) 572-03338938 South State

Steven Skanchy, DDS

SPANISH FORK

Main Plaza Dental (801) 794-9684312 North Main

Daniel Indech, DDS

TAYLORSVILLE

Monarch Dental (801) 263-64005419 S. Redwood Road

Additional Languages Spoken: Spanish

Page 14

** Roster Only

***** Closed to New DHMO Patients January 27, 2014

PREPAID PROVIDER DIRECTORY

Sean McKeown, DDS Richard Rizzo, DDS

WEST VALLEY

Monarch Dental (801) 955-19004645 South 4000 West #B

Additional Languages Spoken: Spanish

Reve Chaston, DDS Sean McKeown, DDS Richard Rizzo, DDS

Page 15

** Roster Only

***** Closed to New DHMO Patients January 27, 2014