Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G....

30
VANTAGE CHOICE A Division of Total Dental Administrators of Utah, Inc. (TDAUT, Inc.) domiciled in Utah INDIVIDUAL, FAMILY AND SELF EMPLOYED DENTAL PLAN dentalCOMPANION A Comprehensive General Dentist PPO / INDEMNITY Program Retain this for your your peronsonal records

Transcript of Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G....

Page 1: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

VANTAGE CHOICE A Division of Total Dental Administrators of Utah, Inc. (TDAUT, Inc.) domiciled in Utah

INDIVIDUAL, FAMILY AND SELF EMPLOYED DENTAL PLAN

dentalCOMPANIONA Comprehensive General Dentist PPO / INDEMNITY Program

Retain this for your your peronsonal records

Page 2: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

GENERAL DENTISTS

ALPINE

David Blackhurst, DDS 32 Red Pine Drive (801) 756-9595Professional Dental

Glade Crowther, DDS 32 Red Pine Drive (801) 756-9595Professional Dental

Bradley DeVries, DMD 32 Red Pine Drive (801) 756-9595Professional Dental

David Faerber, DMD 32 Red Pine Drive (801) 756-9595Professional Dental

Robert Guenter, DDS 32 Red Pine Drive (801) 756-9595Professional Dental

Garon Larsen, DMD 70 West Canyon Crest Road (801) 756-4440Alpine Dental Care

Matthew McInnes, DDS 32 Red Pine Drive (801) 756-9595Professional Dental

Bret Osborne, DMD 32 Red Pine Drive (801) 756-9595Professional Dental

L. Craig Rosvall, DDS 32 Red Pine Drive (801) 756-9595Professional Dental

Teemu Scarborough, DDS 32 Red Pine Drive (801) 756-9595Professional Dental

Steven Sorensen, DDS 32 Red Pine Drive (801) 756-9595Professional Dental

AMERICAN FORK

Thomas Austad, DDS 476 North 900 West (801) 756-5522Monarch Dental

Michael Blamires, DDS 476 North 900 West (801) 756-5522Monarch Dental

Michael Blamires, DDS 476 North 900 West (801) 756-5522Monarch Dental

Ryan Bott, DDS 183 South 500 East (801) 763-9080Ryan Bott, DDS, Willow Creek Dental

Michael Boyack, DDS 483 East 200 South (801) 756-7173Young Family Dental

Randy Braithwaite, DDS 218 N. West State Road (801) 763-7737Elite Dental

Wes Cardall, DMD 476 North 900 West (801) 756-5522Monarch Dental

William Cerny, DDS 483 East 200 South (801) 756-7173Young Family Dental

Robert Chidester, DDS 476 North 900 West (801) 756-5522Monarch Dental

Rdean M Clark, DDS 476 North 900 West (801) 756-5522Monarch Dental

Kyle Clark, DMD 5255 West 11000 North (801) 770-6900Mont Blanc Center for Dentistry

Glade Crowther, DDS 476 North 900 West (801) 756-5522Monarch Dental

Kent Dastrup, DDS 476 North 900 West (801) 756-5522Monarch Dental

Thomas Davenport, DDS 476 North 900 West (801) 756-5522Monarch Dental

Darin A. Dickerson, DMD 476 North 900 West (801) 756-5522Monarch Dental

David Erekson, DDS 186 South 1100 East (801) 756-5136Masterpiece Dental

William Fisher, DDS 476 North 900 West (801) 756-5522Monarch Dental

Brandon Greenwood, DDS 226 North 1100 East #D (801) 756-6037Greenwood Dental

Dale Greenwood, DDS 226 North 1100 East #D (801) 756-6037Greenwood Dental

Bryan Greenwood, DDS 226 North 1100 East #D (801) 756-6037Greenwood Dental

Clayton M Hansen, DDS 366 South 500 East (801) 756-2809Hansen Clayton M

Roger Harding, DDS 183 South 500 East (801) 763-9080Roger Harding, DDS, Willow Creek Dental

Clark Hicken, DDS 476 North 900 West (801) 756-5522Monarch Dental

William Hickman, DMD 476 North 900 West (801) 756-5522Monarch Dental

Robert Johnson, DDS 476 North 900 West (801) 756-5522Monarch Dental

Jack Jorgenson, DDS 262-N West State Rd. (801) 763-7737Jorgenson Jack

Greg P. Larsen, DDS 483 East 200 South (801) 756-7173Young Family Dental

Joseph D. Liddle, DDS 120 North Center St. (801) 756-3377Liddle Joseph D.

Jeremiah Lindgren, DDS 476 North 900 West (801) 756-5522Monarch Dental

Michael Loeser, DMD 483 East 200 South (801) 756-7173Young Family Dental

Daniel Meeks, DDS 476 North 900 West (801) 756-5522Monarch Dental

Benjamin Menlove, DDS 476 North 900 West (801) 756-5522

Monarch Dental Clinton Miller, DMD 10925 North Alpine Highway (801) 756-2400

Highland Dental Bruce T. Murdock, DDS 356 East 20 South (801) 756-4595

Murdock & Searle FAmily Dentistry Sarah Naisbitt, DDS 476 North 900 West (801) 756-5522

Monarch Dental Andrew Noble, DDS 321 E 300 N (801) 763-7655

Noble Family Dental Darliece Nye, DMD 476 North 900 West (801) 756-5522

Monarch Dental Phillip Olsen, DMD 476 North 900 West (801) 756-5522

Monarch Dental Kwang Park, DDS 483 East 200 South (801) 756-7173

Young Family Dental Ritchie Pelton, DMD 945 West 500 North (801) 756-5643

American Fork Modern Dentistry and Orthodontics Ritchie Pelton, DMD 945 West 500 North (801) 756-5643

American Fork Modern Dentistry and Orthodontics John Reschke, DDS 476 North 900 West (801) 756-5522

Monarch Dental Jeffrey Roberson, DDS 476 North 900 West (801) 756-5522

Monarch Dental Kim G. Roberts, DDS 476 North 900 West (801) 756-5522

Monarch Dental L. Craig Rosvall, DDS 224 South 1100 East (801) 756-6581

Rosvall L. Craig Natali Schofield, DDS 198 South 1100 East (801) 756-7129

Canyon Vista Dental Care Bryce Searle, DMD 356 East 20 South (801) 756-4595

Murdock & Searle FAmily Dentistry Richard A. Shulze, DMD 476 North 900 West (801) 756-5522

Monarch Dental James Skousen, DDS 476 North 900 West (801) 756-5522

Monarch Dental Greg Smith, DDS 476 North 900 West (801) 756-5522

Monarch Dental Scott David Stringham, DDS 476 North 900 West (801) 756-5522

Monarch Dental William Sundberg, DDS 476 North 900 West (801) 756-5522

Monarch Dental Eric Swensen, DDS 945 West 500 North (801) 756-5643

American Fork Modern Dentistry and Orthodontics Shane Taylor, DDS 476 North 900 West (801) 756-5522

Monarch Dental Paige White, DDS 483 East 200 South (801) 756-7173

Young Family Dental James A. Willardsen, DDS 945 West 500 North (801) 756-5643

American Fork Modern Dentistry and Orthodontics George Winder, DDS 476 North 900 West (801) 756-5522

Monarch Dental Christopher Young, DDS 483 East 200 South (801) 756-7173

Young Family Dental Michael Young, DDS 483 East 200 South (801) 756-7173

Young Family Dental

BICKNELL

Christopher Harward, DDS 128 South 300 West (435) 425-3744Wayne Community Health Centers

Wilford Stilson, DDS 128 South 300 West (435) 425-3744Wayne Community Health Centers

BLANDING

Paul R. McDonald, DDS 401 South Main Street (435) 678-2815McDonald Paul R.

BOUNTIFUL

Robert W. Albertelli, DDS 319 South Main Street (801) 295-7171Rocky Mountain Dental

Thomas Austad, DDS 24 South 500 West (801) 296-1606Monarch Dental

Christian Bahr, DDS 460 South 400 East (801) 295-5586Bahr DDS, Christian

Anthony Baird, DDS 1455 South 500 West (801) 292-4009Baird Anthony

Josef Benzon, DMD 425 South Medical Drive #211 (801) 787-1700Alpenglow Dental

Michael Blamires, DDS 24 South 500 West (801) 296-1606Monarch Dental

Michael Blamires, DDS 24 South 500 West (801) 296-1606Monarch Dental

Matthew Brinkerhoff, DMD 469 East Medical Dr. (801) 298-7728Brinkerhoff Matthew

Hyrum Cannon, DDS 55 East 2200 South (801) 295-5115Cannon Family Dental

Gary Cavaness, DDS 24 South 500 West (801) 296-1606Monarch Dental

Robert Chidester, DDS 24 South 500 West (801) 296-1606Monarch Dental

Glade Crowther, DDS 24 South 500 West (801) 296-1606Monarch Dental

Cabot Curtis, DMD 425 South Medical Drive #211 (801) 787-1700

Page 1

** Roster Only

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

Page 3: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Alpenglow Dental Raymond J. Curtis, DDS 425 South Medical Drive #211 (801) 787-1700

Alpenglow Dental Kent Dastrup, DDS 24 South 500 West (801) 296-1606

Monarch Dental Thomas Davenport, DDS 24 South 500 West (801) 296-1606

Monarch Dental Troy DeDecker, DDS 1480 South Orchard Drive #110 (801) 295-9500

DeDecker DDS, Troy Darin A. Dickerson, DMD 24 South 500 West (801) 296-1606

Monarch Dental William Fisher, DDS 24 South 500 West (801) 296-1606

Monarch Dental David L Flynn, DDS 460 South 400 East (801) 292-1304

Flynn David L Devin Gerrard, DDS 311 East 500 South (801) 295-5796

Family and Cosmetic Dentistry Jennifer Greenhalgh, DMD 1512 Renaissance Drive (801) 292-2622

Jennifer Greenhalgh Benjamin Hadfield, DDS 1480 South Orchard Drive (801) 295-4551

Bountiful Dental Paul Hanna, DDS 24 South 500 West (801) 296-1606

Monarch Dental James Hartvigsen, DDS 1325 N Main Street (801) 292-1221

Hartvigsen James Clark Hicken, DDS 24 South 500 West (801) 296-1606

Monarch Dental William Hickman, DMD 24 South 500 West (801) 296-1606

Monarch Dental Robert Johnson, DDS 24 South 500 West (801) 296-1606

Monarch Dental Paul C. Larsen, DMD 395 East 500 South (801) 295-8881

Larsen Paul C. Jeremiah Lindgren, DDS 24 South 500 West (801) 296-1606

Monarch Dental Fred Luedtke, DDS 1260 South 500 West (801) 294-6174

Luedtke Fred Matthew Mackay, DDS 280 North 200 West (801) 397-2323

Mackay Matthew Craig Mattinson, DDS 1355 North Main Street (801) 294-3345

Mattinson DDS, Craig Mark McGowan, DMD 415 Medical Drive (801) 203-0290

Bountiful Ridge Dental Daniel Meeks, DDS 24 South 500 West (801) 296-1606

Monarch Dental Benjamin Menlove, DDS 24 South 500 West (801) 296-1606

Monarch Dental Sarah Naisbitt, DDS 24 South 500 West (801) 296-1606

Monarch Dental Phillip Olsen, DMD 625 East 500 South (801) 292-4141

Olsen Family Dental Phillip Olsen, DMD 24 South 500 West (801) 296-1606

Monarch Dental Devin Orvin, DDS 24 South 500 West (801) 296-1606

Monarch Dental John Reschke, DDS 24 South 500 West (801) 296-1606

Monarch Dental Jeffrey Roberson, DDS 24 South 500 West (801) 296-1606

Monarch Dental Kim G. Roberts, DDS 24 South 500 West (801) 296-1606

Monarch Dental Paul Schmutz, DDS 581 West 2600 South (801) 295-4746

Paul Schmutz Jay Shields, DDS 1037 E. Claremont Drive (801) 295-1613

Shields Jay Greg Smith, DDS 24 South 500 West (801) 296-1606

Monarch Dental William Sundberg, DDS 24 South 500 West (801) 296-1606

Monarch Dental Shane Taylor, DDS 24 South 500 West (801) 296-1606

Monarch Dental Kent J. Toone, DDS 460 South 400 East (801) 295-5585

Toone Kent J. Andrew Vernon, DMD 24 South 500 West (801) 296-1606

Monarch Dental George Winder, DDS 24 South 500 West (801) 296-1606

Monarch Dental Sydney E. Wray, DDS 395 East 500 South (801) 295-8881

Wray Sydney E.

BRIGHAM CITY

Brady Benson, DDS 111 East Forest (435) 723-2318Benson Brady

Brent Butler, DDS 305 North Main Street (435) 734-2626Butler Brent

Howard R. Daines, DDS 104 West 200 South (435) 734-2394Daines Howard R.

Jayson Haws, DDS 862 South Main Street (435) 734-9144Haws Family Dentistry

Richard H. Jenson, DDS 117 West Forest St. (435) 723-8136Jenson Richard H.

Nathan McArthur, DMD 980 South Medical Drive (435) 734-2364McArthur DMD, Nathan

Mark Murdock, DDS 30 East 700 South (435) 734-2248Murdock Mark

Daniel Nelson, DDS 104 West 200 South (435) 734-2394Daniel Nelson

Aaron Olson, DDS 990 Medical Drive (435) 723-8913Aaron Olson

PJ Sutton, DDS 102 East Forest Street (435) 723-6009Sutton DDS, PJ

Kevin Torres, DDS 241 West Forrest Street (435) 723-6120Torres DDS, Kevin

Troy Walton, DDS 14 North 100 East (435) 723-8276Brigham City Dental Clinic

BUSHNELL

Jody Adams, DDS 241 W Forest (435) 723-6120Jody W Adams, DDS

CEDAR CITY

Robert Barrick, DDS 1883 W. Royal Hunt Drive #100 (435) 586-6541Barrick Robert

Michael Barrick, DDS 1883 West Royal Hunt Drive (435) 586-6541Michael Barrick

Scott H. Brown, DDS 415 North Main (435) 586-3885Brown Scott H.

Shawn H. Brown, DDS 415 North Main (435) 586-3885Brown Shawn H.

Greg H. Brown, DDS 415 North Main (435) 586-3885Brown Greg H.

Douglas Corry, DMD 427 S Main Street (435) 586-6526Corry and Lewis Dental

Craig D. Fackrell, DDS 395 South 100 West (435) 586-3849Fackrell Craig D.

Davin Faulkner, DMD 110 West 1325 North (435) 586-3884Faulkner Davin

Brian Glazier, DDS 1760 North Main Street #103 (435) 867-0644Advanced Family Dental

Ryan Gunn, DMD 409 Main Street (435) 865-9797All About Smiles Dentistry

Brad Halverson, DMD 1760 North Main Street #103 (435) 867-0644Advanced Family Dental

Brian Harward, DDS 1760 North Main Street #103 (435) 867-0644Advanced Family Dental

Aaron Lewis, DMD 427 S Main Street (435) 586-6526Corry and Lewis Dental

Jeremy Ludlow, DMD 110 West 1325 North (435) 586-3884Ludlow Jeremy

Becky Moore, DMD 1760 North Main Street #103 (435) 867-0644Advanced Family Dental

Shad Morris, DMD 427 S. Main Street #101 (435) 586-6526Morris, Shad

James W. Sorenson, DDS 1883 W. Royal Hunt Drive (435) 586-6541Sorenson James W.

Chase Williams, DDS 510 South Main Street (435) 586-9543Williams DDS, Chase

CEDAR HILLS

Brian Isaacson, DMD 4565 Cedar Hills Drive (801) 756-9154Cedar Hills Family Dentistry

W. Edward Isaacson, DMD 4565 Cedar Hills Drive (801) 756-9154Cedar Hills Family Dentistry

Steven Sorensen, DDS 4587 Cedar Hills Drive (801) 492-6074Sorensen Steven

James Standring, DDS 4587 Cedar Hills Drive (801) 756-2006Lexington Heights Dental

CENTERVILLE

Gaylen Asay, DDS 1090 South 400 East (801) 292-4440Asay Gaylen

Michael Blamires, DDS 331 W Parrish Lane (801) 298-3230Centerville Dental Group and Orthodontics

John Green, DMD 134 South Main Street (801) 992-3221Mountain Ridge Dental

David Huffaker, DDS 134 South Main Street (801) 292-5172David Huffaker

Ford Huffaker, DDS 134 South Main Street (801) 292-5172Huffaker Ford

Todd Huffaker, DDS 134 South Main Street (801) 292-5172Huffaker Todd

Jason Pitt, DDS 281 South Main Street (801) 295-6192Pitt Family Dental

Jerem Pitt, DDS 281 South Main Street (801) 295-6192Pitt Family Dental

Ammon Pitt, DDS 281 South Main Street (801) 295-6192Pitt Family Dental

Bruce Pitt, DMD 281 South Main Street (801) 295-6192Pitt Family Dental

Christopher Ramsdell, DDS 1080 South 400 East (801) 292-4449Ramsdell Chris

Eric Swensen, DDS 331 W Parrish Lane (801) 298-3230Centerville Dental Group and Orthodontics

Thomas Zafiratos, DDS 331 W Parrish Lane (801) 298-3230

Page 2

** Roster Only

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

Page 4: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Centerville Dental Group and Orthodontics

CLEARFIELD

Robert Anderson, DDS 1264 West 300 North (801) 825-3424Robert Anderson

Mark Callan, DDS 573 North 1000 West (801) 776-1000Dental Care Center

Scott R. Carlton, DDS 1435 South 1350 East (801) 774-6567Carlton Scott R.

Kevin Cox, DDS 975 S. State Street (801) 773-5914Cox Kevin

John Day, DMD 573 North 1000 West (801) 776-1000Dental Care Center

Mark Eggert, DDS 1435 South 1350 East (801) 773-6170Mark Eggert

Robert G. Goupios, DDS 573 North 1000 West (801) 776-1000Dental Care Center

Peter Goupios, DDS 573 North 1000 West (801) 776-1000Dental Care Center

Reed Jarvis, DDS 573 North 1000 West (801) 776-1000Dental Care Center

Karl Koerner, DDS 466 N Main Street (801) 776-8441IDA-Hillside Dental

Clair Palmer, DDS 183 North Main Street (801) 825-1822Clair Palmer

R. Kent Scoville, DDS 466 North Main Street (801) 776-8441Hillside Dental

Ronald Scoville, DDS 466 North Main Street (801) 776-8441Hillside Dental

CLINTON

Thomas Austad, DDS 1737 North 2000 West (801) 728-9000Clinton Dental Group and Orthodontics

Nathan Cooney, DDS 2207 West 1800 North (801) 825-3993Comfort Dental of Clinton

Karl Koerner, DDS 2207 West 1800 North (801) 825-3993IDA-Comfort Dental

Brent Milne, DMD 2207 West 1800 North (801) 825-3993Comfort Dental of Clinton

John Roring, DDS 2207 West 1800 North (801) 825-3993Comfort Dental of Clinton

Eric Swensen, DDS 1737 North 2000 West (801) 728-9000Clinton Dental Group and Orthodontics

COALVILLE

Glade Crowther, DDS 60 South Main Street (435) 336-2657Crowther DDS, Glade

Michael Judi, DMD 60 South Main Street (435) 336-2657Judi DMD, Michael

Chris Vernon, DDS 142 South 50 East (435) 336-8478Spring Creek Dental

DELTA

Craig S. Church, DDS 85 North Center (435) 864-4623Church Craig S.

DRAPER

Donald Allred, DDS 11576 South State (801) 619-8664Glassett Nelson

Neil Baird, DDS 286 East 12200 South (801) 576-9725Apex Dental

David Blackhurst, DDS 656 East 11400 South (801) 572-2006Professional Dental

Greg Cahoon, DDS 656 East 11400 South (801) 572-2006Professional Dental

Devin Christensen, DDS 114 East 12450 South (801) 576-1100Canyon Pointe Dental

Glade Crowther, DDS 656 East 11400 South (801) 572-2006Professional Dental

Glade Crowther, DDS 656 East 11400 South (801) 572-2006Professional Dental

N. Jared Dastrup, DDS 12465 South Fort Street (801) 576-1167N. Jared Dastrup

Bradley DeVries, DMD 656 East 11400 South (801) 572-2006Professional Dental

Kelly A. Faddis, DDS 11760 South 700 East (801) 571-6688Faddis Kelly

David Faerber, DMD 656 East 11400 South (801) 572-2006Professional Dental

David Fischer, DDS 11576 South State (801) 619-8664Fischer David

Nelson Glassett, DDS 11576 South State (801) 619-8664Glassett Nelson

Chad Goeckeritz, DDS 112 E. 12450 S. #101 (801) 495-3567Falling Creek Dental

Robert Guenter, DDS 656 East 11400 South (801) 572-2006Professional Dental

Aaron Hall, DMD 1442 East Draper Parkway (801) 571-9555Hall Aaron

Nathan Holt, DMD 219 E. 12300 S. #I-5 (801) 495-4440

Corner Canyon Dentistry Tony Jensen, DDS 12226 South 1000 East #4 (801) 571-6663

Smile Design of Utah Christopher Johnson, DDS 1388 E Draper Parkway (801) 501-0209

South Mountain Dental Kent Johnson, DMD 1388 E Draper Parkway (801) 501-0209

South Mountain Dental Lloyd Liu, DMD 432 East 12300 South (801) 553-2588

Liu Lloyd Matthew McInnes, DDS 656 East 11400 South (801) 572-2006

Professional Dental Walter Meden, DDS 11762 South State Street (801) 572-6262

Meden Walter Matthew L. Noorda, DMD 12226 South 1000 East (801) 553-2350

Hidden Valley Dental Bret Osborne, DMD 656 East 11400 South (801) 572-2006

Professional Dental Richard G. Parker, DDS 112 E 12450 South (801) 302-8897

Parker Richard G. Fernando Pessoa, DDS 949 East 12400 South (801) 571-6541

Draper Smiles L. Craig Rosvall, DDS 656 East 11400 South (801) 572-2006

Professional Dental Don M. Rubisch, DDS 946 East 12300 South (801) 553-2521

Draper Family Dental Gary Spangler, DDS 10 West Scenic Pointe Drive (801) 816-9990

South Pointe Dental Seth Spangler, DDS 10 West Scenic Pointe Drive (801) 816-9990

South Pointe Dental Kyle D. Sullivan, DMD 112 E 12450 South (801) 495-3567

Sullivan Kyle D. Andrew Theurer, DDS 12465 South Fort Street (801) 576-1167

Corner Cove Dental

EAGLE MOUNTAIN

Joshua Martin, DDS 3688 East Campus Drive Suite 220 (801) 341-7999Kids Dental Barn

EDEN

Cade G Baldwin, DDS 2640 North Highway 162 (801) 745-1100Zimbi Dental

Vern Q. Iverson, DDS 2627 North Hwy 162 (801) 745-3882Iverson Dental

ENTERPRISE

Benjamin Cope, DDS 223 East 200 South (435) 878-2775Cope Benjamin

EPHRAIM

Colton Douglas, DMD 41 West 700 South (435) 283-3800Douglas Dentistry

Conner Thompson, DMD 309 South Main Street (435) 283-4081Ephraim Family Dental

Wesley Thompson, DMD 309 South Main Street (435) 283-4081Ephraim Family Dental

Leland Thompson, DDS 309 South Main Street (435) 283-4081Ephraim Family Dental

FARMINGTON

Brian D. Call, DDS 1433 North 1075 West (801) 451-6222Oakridge Dental

Robert Chidester, DDS 280 N Union Avenue (801) 934-3181Monarch Dental - Station Park

Scott W. Corry, DDS 88 East State Street (801) 451-2341Rock Hotel Dental

Santiago Gardois, DDS 280 N Union Avenue (801) 934-3181Monarch Dental - Station Park

Paul Hanna, DDS 280 N Union Avenue (801) 934-3181Monarch Dental - Station Park

David R. King, DMD 88 East State Street (801) 451-2341Rock Hotel Dental

Benjamin Leaver, DMD 1466 N Highway 89 (801) 451-7812Alpine Dental

Mark McGowan, DMD 280 N Union Avenue (801) 934-3181Monarch Dental - Station Park

Angelica McHugh, DDS 280 N Union Avenue (801) 934-3181Monarch Dental - Station Park

Devin Orvin, DDS 280 N Union Avenue (801) 934-3181Monarch Dental - Station Park

Preston Packer, DDS 88 East State Street (801) 451-2341Rock Hotel Dental

Craig Packer, DDS 88 East State Street (801) 451-2341Rock Hotel Dental

Brian Palmer, DDS 56 South 200 East (801) 451-2841Palmer Brian

Bradley C. Palmer, DDS 56 South 200 East (801) 451-2841Palmer Bradley C.

Nicholas Peterson, DMD 88 East State Street (801) 451-2341Rock Hotel Dental

John Reschke, DDS 280 N Union Avenue (801) 934-3181

Page 3

** Roster Only

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

Page 5: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Monarch Dental - Station Park Greg Smith, DDS 280 N Union Avenue (801) 934-3181

Monarch Dental - Station Park Shane Taylor, DDS 280 N Union Avenue (801) 934-3181

Monarch Dental - Station Park Troy Walton, DDS 280 N Union Avenue (801) 934-3181

Monarch Dental - Station Park

FARR WEST

Brad Butterfield, DDS 1761 North 2000 WestFarr West Family Dental

Cameron Francis, DDS 1761 North 2000 West (801) 731-9058Francis Cameron

GARLAND

Dustin Goodwin, DDS 75 East 1400 South (435) 257-7016Goodwin DDS, Dustin

GRANTSVILLE

Blaine Curtis, DDS 14 North Hale Street (435) 884-3476Grantsville Family Dental

Dan Dansie, DDS 822 East Main Street (435) 884-3002Dansie Dan

Brian Frandsen, DDS 822 E Main Street (435) 884-3002Frandsen Family Dental

GUNNISON

Kelly Frandsen, DDS 75 North 100 East (435) 528-7316Kelly M. Frandsen, DDS & Associates

HARRISVILLE

Daniel McConkie, DDS 539 N. Harrisville Rd (801) 786-0700Mountain Vista Dental Care

Michael Russell, DDS 2240 North Highway 89 (801) 782-4745Russell Michael

HEBER CITY

Peter DeBuck, DMD 380 East 1500 South (435) 657-1432Heber Family Dental

Kraig Ford, DDS 340 North Main Street (435) 654-2020Ford Kraig

Brandon Jensen, DDS 340 North Main Street (435) 654-2020Jensen Brandon

Reed Lobrot, DDS 380 East 1500 South (435) 654-4500Lobrot Reed

Brandon McKee, DDS 345 West 600 South (435) 657-3694Heber Valley Dental

Benjamin McNaughtan, DMD 750 West 100 South (435) 654-1202Spring Creek Dental

Ralph Ogilvie, DMD 425 East 1200 South (435) 654-4004Alpine Family Dentistry

Kent Probst, DDS 620 West 100 South (435) 654-4009Probst Kent

Brett Talbot, DMD 340 North Main Street (435) 654-2020Talbot Brett

HERRIMAN

David Blackhurst, DDS 6355 West 13400 South (801) 302-7808Professional Dental

David Clegg, DDS 5069 West 13400 South (801) 446-7030Herriman Hills Dental

Glade Crowther, DDS 6355 West 13400 South (801) 302-7808Professional Dental

Glade Crowther, DDS 6355 West 13400 South (801) 302-7808Professional Dental

Bradley DeVries, DMD 6355 West 13400 South (801) 302-7808Professional Dental

David Faerber, DMD 6355 West 13400 South (801) 302-7808Professional Dental

Jon C Fairbanks, DMD 5514 W 13400 S (801) 446-9533Jon C Fairbanks

Robert Guenter, DDS 6355 West 13400 South (801) 302-7808Professional Dental

Jeffrey T Lambert, DDS 5734 W 13400 S (801) 302-0222Lambert Jeffrey T

Matthew McInnes, DDS 6355 West 13400 South (801) 302-7808Professional Dental

Bret Osborne, DMD 6355 West 13400 South (801) 302-7808Professional Dental

L. Craig Rosvall, DDS 6355 West 13400 South (801) 302-7808Professional Dental

Teemu Scarborough, DDS 6355 West 13400 South (801) 302-7808Professional Dental

Steven Sorensen, DDS 6355 West 13400 South (801) 302-7808Professional Dental

HIGHLAND

James D. Alcorn, DMD 5455 West 11000 North (801) 492-0055

Alcorn James D.

HOLLADAY

Andrew Ericksen, DDS 2160 East 4500 South (801) 277-9213Holladay Dental Center

HURRICANE

Maurice DeMille, DDS 50 South 700 West (435) 635-2470Maurice C DeMille DMD

Jared French, DMD 82 South 700 West (435) 635-4333Zion Dental Care

Jeremy Hatch, DMD 52 South 850 West (435) 635-9471Mountain View Dental

Kelly Lundeen, DDS 75 South 300 West (435) 635-5940Lundeen DDS, Kelly

James Powell, DDS 82 South 700 West (435) 635-4333Zion Dental

Mason Wells, DMD 50 South 700 West (435) 635-4492Wells Mason

HYRUM

Shawn Groll, DMD 26 West Main Street (435) 245-5866Groll Shawn

Lance F Gunnell, DDS 26 West Main Street (435) 245-0550Gunnell DDS, Lance F

KANAB

K. John Armstrong, DDS 181 West Center (801) 644-2211Armstrong K. John

Matthew Kelly, DMD 181 W Center (435) 644-2211Kanab Dental Center

John Schmutz, DDS 76 East 100 South (801) 644-2719Schmutz DDS, John

KAYSVILLE

Jason G. Barton, DDS 302 North Main (801) 544-3953Progressive Dental Group

Adon Crook, DDS 307 N 300 W (801) 644-4003Crook Adon

Robert M Flynn, DMD 206 S Main (801) 497-0619Flynn Robert M

Eric T. Gray, DDS 475 North 300 West (801) 543-2220Gray Eric T.

Dan Jensen, DDS 47 Crestwood Road #3 (801) 544-4204Denali Dental

Mark Miller, DDS 307 North 300 West (801) 544-4003Mark T. Miller Dental

Kyle Morgan, DDS 47 Crestwood Road #5 (801) 546-2439Kyle Morgan

Stephen Morgan, DDS 47 East Crestwood Road #5 (801) 546-2439Stephen Morgan

Christopher Morgan, DDS 47 East Crestwood Road (801) 546-2439Morgan Christopher

McKay Packer, DDS 275 North 300 West #404 (801) 544-9444Baer Canyon Dental

Marcus Pope, DDS 302 North Main (801) 544-3953Progressive Dental Group

Jared Richardson, DMD 47 East Crestwood Road #4 (801) 544-0091Jared Richardson

John E. Steiner, DMD 47 East Crestwood Road (801) 544-0091Steiner John E.

Ryan Thomas, DDS 275 North 300 West #404 (801) 544-9444Baer Canyon Dental

LAVERKIN

Hugh Howard, DDS 144 South State Street (435) 635-4244Howard Hugh

LAYTON

Thomas Austad, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

David Babcock, DMD 2112 Hillfield Road (801) 774-0770Hillfield Pediatric & Family Dentistry

Michael Blamires, DDS 3225 W. Gordon Ave. (801) 547-8800Blamires Michael

Michael Blamires, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Michael Blamires, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Graydon Briggs, DDS 2112 Hillfield Road (801) 774-0770Hillfield Pediatric & Family Dentistry

Grant Brough, DDS 2307 N. Hillfield Rd. #101 (801) 773-5285Grant Brough

Jennifer Brown, DDS 2112 Hillfield Road (801) 774-0770Hillfield Pediatric & Family Dentistry

Gary Cavaness, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Robert Chidester, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Page 4

** Roster Only

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

Page 6: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Glade Crowther, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Lance Crowther, DDS 1148 E. Highway 139 (801) 771-4505Family Smiles Dental

Jason Crozier, DDS 2152 North Hill Field Road (801) 776-3300Crozier DDS, Jason

Kent Dastrup, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Darin A. Dickerson, DMD 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Darin A. Dickerson, DMD 820 North Main Street (801) 771-8000Layton Smiles Dentistry and Orthodontic

Jason Eaton, DDS 1916 N. 700 W. #100 (801) 525-2200Brighter Dental

Kelly Egan, DMD 70 West Gordon Avenue (801) 544-3844Egan Kelly

David Felt, DDS 195 East Gentile Street (801) 546-0007Felt Family Dentistry

Clark R. Finlinson, DDS 195 East Gentile (801) 544-1818Finlinson Clark R.

William Fisher, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Ron A. Frost, DMD 1868 North 400 West (801) 774-8190Frost Ron A.

Timothy Gardner, DMD 525 North Fairfield (801) 444-9911Gardner Dental Layton

Santiago Gardois, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Paul Hanna, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Kyle Harmon, DDS 360 South Fort Lane (801) 544-9777Central Davis Dental Inc

Heath Hendrickson, DDS 2112 Hillfield Road (801) 774-0770Hillfield Pediatric & Family Dentistry

Raymond Hendrickson, DDS 2148 N Hill Field Road (801) 370-0050Wisdom Teeth Only

Heath Hendrickson, DDS 2148 N Hill Field Road (801) 370-0050Wisdom Teeth Only

Clark Hicken, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

William Hickman, DMD 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Brett Jackson, DMD 1868 North 400 West (801) 774-8148Jackson Brett

Robert Johnson, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Jeremiah Lindgren, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Katie McCann, DDS 820 North Main Street (801) 771-8000Layton Smiles Dentistry and Orthodontic

David McMillan, DDS 70 West Gordon Avenue (801) 546-9400McMillan David

Daniel Meeks, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Gerald Miya, DDS 2185 North 1700 West (801) 773-5460Miya Gerald

Sarah Naisbitt, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Paul Naylor, DMD 890 W Heritage Park Blvd (801) 999-4431Utah Orthodontic Care

Scott Neil, DDS 3225 W. Gordon Avenue (801) 547-8800Summit Dental

Rachelle Neil, DDS 3225 West Gordon Avenue (801) 547-8800Rachelle Neil

Jeff Neville, DMD 743 North King Street (801) 543-2273Layton Hills Dental Care

Phillip Olsen, DMD 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Blaine Pierson, DDS 360 S. Fort Lane #101 (801) 546-1234Blaine Pierson

John Reschke, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Jeffrey Roberson, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Kim G. Roberts, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Ryan Rush, DDS 3225 W. Gordon Avenue (801) 547-8800Summit Dental

Brad Salmon, DMD 1086 N Fairfield Road (801) 547-8880Fairfield Dental Care

Greg Smith, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

David L. Spainhower, DDS 2112 North Hillfield Road (801) 775-8005Spainhower David L.

Scott David Stringham, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

William Sundberg, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Bryon Talbot, DDS 820 North Main Street (801) 771-8000Layton Smiles Dentistry and Orthodontic

Bryon Talbot, DDS 820 North Main Street (801) 771-8000Layton Smiles Dentistry and Orthodontic

Shane Taylor, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Blair Tomlinson, DDS 360 S. Fort Lane (801) 546-1066Tomlinson Blair

Andrew Vernon, DMD 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Troy Walton, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Mark Ward, DDS 890 W. Heritage Park (801) 593-6888Heritage Park Dental

Jared Weaver, DDS 2112 Hillfield Road (801) 774-0770Hillfield Pediatric & Family Dentistry

Darren Wible, DDS 2112 Hillfield Road (801) 774-0770Hillfield Pediatric & Family Dentistry

Wesley H. Wilcox, DDS 1868 North 400 West (801) 544-9777Wilcox Wesley H.

William E. Woodbury, DDS 195 East Gentile (801) 546-0007Woodbury William E.

Terrell Woodmansee, DMD 3225 W. Gordon Ave. (801) 547-8800Woodmansee Terrell

LEHI

Blaine Bateman, DDS 2961 W. Maple Loop Drive #110 (801) 766-4042Bateman Blaine

Kiley Boss, DDS 181 North 1200 East (801) 766-3600Stonehaven Dental

Leslie Brooks, DDS 325 East 100 North (801) 768-9471Timpanogos Dental

Jerry V. Brown, DDS 588 East Main (801) 768-8028Cascade Dental

David Densley, DDS 10 East State Street (801) 766-3700Center Creek Dental

Cliff Doman, DMD 3300 North Running Creek Way (801) 768-0404Doman Dental

D. Terry Ferrell, DDS 325 East 100 North (801) 766-3700Ferrell D. Terry

D. Terry Ferrell, DDS 10 East State Street (801) 766-3700Center Creek Dental

Randal Hadfield, DDS 3300 North Running Creek Way (801) 768-4072Hadfield Randal

Jeffery Holyoak, DDS 181 North 1200 East (801) 766-3600Stonehaven Dental

Angela Kerr, DDS 181 North 1200 East (801) 766-3600Stonehaven Dental

Guy Leavitt, DMD 181 North 1200 East (801) 766-3600Stonehaven Dental

Blair Losee, DMD 3098 Executive Parkway (801) 766-5300Thanksgiving Point Dental

Joseph Ostheller, DDS 1530 N. State St. (801) 770-2836Ostheller Joseph

Brandon Tayler, DDS 325 East 100 North (801) 768-9471Timpanogos Dental

LINDON

David Blackhurst, DDS 537 West 550 North (801) 785-6000Professional Dental

Glade Crowther, DDS 537 West 550 North (801) 785-6000Professional Dental

Bradley DeVries, DMD 537 West 550 North (801) 785-6000Professional Dental

David Faerber, DMD 537 West 550 North (801) 785-6000Professional Dental

Robert Guenter, DDS 537 West 550 North (801) 785-6000Professional Dental

Scott M. Healey, DDS 530 North State St. (801) 785-0584Healey Scott M.

Matthew McInnes, DDS 537 West 550 North (801) 785-6000Professional Dental

Bret Osborne, DMD 537 West 550 North (801) 785-6000Professional Dental

L. Craig Rosvall, DDS 537 West 550 North (801) 785-6000Professional Dental

Teemu Scarborough, DDS 537 West 550 North (801) 785-6000Professional Dental

Steven Sorensen, DDS 537 West 550 North (801) 785-6000Professional Dental

LOGAN

Travis Baldwin, DDS 1260 North 200 East (435) 752-8000Beta and Baldwin Family Dental

Ralph Binns, DDS 150 East 200 North (435) 753-1686Ralph Wayne Binns, DDS

Blake Cameron, DDS 193 East 1600 North (435) 753-5166Logan Ridge Dental

Monte Carlson, DDS 3125 N Main Street (435) 787-4444Hyde Park Dental

Justin Carter, DDS 1451 North 200 East (435) 753-4400Aspen Dental of Cache Valley

Brian Chudleigh, DMD 550 East 1400 North #E (435) 752-4850Brian Chudleigh

Daren Cole, DMD 1515 North 400 East (435) 755-6061Cache Valley Community Health Center

Glade Crowther, DDS 1515 North 400 East (435) 755-6061Cache Valley Community Health Center

Page 5

** Roster Only

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

Page 7: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Steven Curtis, DMD 1320 North 600 East (435) 753-1690Bryan N Porter DDS

Bryce Cushing, DDS 150 East 200 North #B2 (435) 752-8721Bryce Cushing

Jeremy W. Ellis, DDS 965 South 100 West (435) 752-9741Ellis Jeremy W.

Jared Ferguson, DDS 550 E. 1400 N. (435) 752-4850Logan Canyon Dental

David Royce Gordon, DDS 981 South Main St. #260 (435) 787-0222Logan Peak Dental Care

Brent Gray, DMD 1445 North 400 East (435) 752-4136Gray Brent W.

Lance F Gunnell, DDS 1320 North 600 East (435) 752-1747Gunnell DDS, Lance F

Keith D. Hammond, DDS 290 North 200 East (435) 753-0505Hammond Keith D.

Frank O. Harris, DMD 193 East 1600 North (435) 753-5166Harris Frank O.

S. Wayne Jensen, DDS 167 East 200 North #1 (435) 752-5451S. Wayne Jensen

M. Andrew Johnson, DDS 1153 N Main (435) 752-2153M. Andrew Johnson DDS

Van Johnson, DDS 1445 North 400 East (435) 752-4348Mountain Vista Dental

Karl Koerner, DDS 1451 North 200 East (435) 753-4400IDA-Aspen Dental

Karl Koerner, DDS 40 W Cache Valley Blvd (435) 787-8207IDA-Logan Dental

Karl Koerner, DDS 3125 N Main Street (435) 787-4444IDA-Hyde Park Dental

Brian Lundberg, DMD 655 Darwin Avenue (435) 752-7442Lundberg, Brian

Celeste Mortenson, DDS 290 North 200 East (435) 753-0505Hammond Keith D.

Andrew Olson, DDS 167 East 200 North (435) 752-2704A Olson DDS

Samuel Peery, DMD 30 North 100 East (435) 752-1362Peery Family Dentistry

Bryan Porter, DDS 1320 North 600 East (435) 753-1690Bryan N Porter DDS

Brandon Priebe, DDS 1451 North 200 East (435) 753-4400Aspen Dental of Cache Valley

Brandon Schvaneveldt, DDS 40 W. Cache Valley Blvd. #4A (435) 752-1434Schvaneveldt, Brandon

Douglas F. Smith, DDS 160 East 200 North (435) 752-4882Smith Douglas F.

Jake D Sorensen, DDS 40 W Cache Valley Blvd (435) 787-8207Logan Dental Associates

Brent Suisse, DDS 40 W Cache Valley Blvd (435) 787-8207Logan Dental Associates

Micah Thornley, DDS 3125 N Main Street (435) 787-4444Hyde Park Dental

Jeffrey Wegener, DMD 1451 North 200 East (435) 753-4400Aspen Dental of Cache Valley

Cameron Workman, DDS 150 East 200 North (435) 752-5681Cameron Workman

MAGNA

Yejin Ahn, DDS 8031 West 3500 South (801) 250-0668Oquirrh Dental

Tab Bingham, DDS 8370 West 3500 South (801) 250-7422Bingahm Dental & Orthodontics

Richard Buck, DDS 3665 South 8400 West #250 (801) 250-0450Genesis Dental of Magna

David Cannon, DDS 3665 South 8400 West #250 (801) 250-0450Genesis Dental of Magna

Nicholas Cantwell, DDS 8370 West 3500 South (801) 250-0203Cyprus Family Dental

Bryan Gottfredson, DDS 9010 West 2700 South (801) 250-7311Bryan Gottfredson

Michel B. Haynie, DDS 8031 West 3500 South (801) 250-0668Oquirrh Dental

Steven Lambourne, DDS 3665 South 8400 West #250 (801) 250-0450Genesis Dental of Magna

Terry Sorenson, DMD 3665 South 8400 West #250 (801) 250-0450Genesis Dental of Magna

David Stubbs, DDS 3665 South 8400 West #250 (801) 250-0450Genesis Dental of Magna

Chris Vernon, DDS 3441 South 8400 West (801) 250-0203Vernon Chris

MAPLETON

Benjamin Griffiths, DDS 108 North 1600 West (801) 491-6844Mapleton Family Dental Care

Tanya Westmoreland, DDS 425 North Main Street (801) 491-8191Maple Mountain Dentistry

Craig Wright, DDS 425 North Main Street (801) 491-8191Maple Mountain Dentisrty

MIDVALE

J. Brian Abrams, DMD 942 East 7145 South (801) 562-2147Fort Union Family Dental PC

Gerald Berg, DDS 7001 South 900 East (801) 561-0061Berg Gerald

Ronald Blackhurst, DDS 7001 South 900 East (801) 561-5212RJ Blackhurst

Ronald Bowen, DDS 954 East 7145 South (801) 565-8080Bowen Ronald

Jeffrey Bowman, DMD 1144 E Fort Union Blvd (801) 566-3118Midvale Modern Dentistry and Orthodontics

Lester Cannon, DDS 714 E Fort Union Blvd (801) 567-0343Creekstone Dental

Raymond J. Curtis, DDS 6770 South 900 East (801) 255-7101Focus Dental Group

Darin A. Dickerson, DMD 1144 E Fort Union Blvd (801) 566-3118Midvale Modern Dentistry and Orthodontics

Steven Duke, DMD 6770 South 900 East (801) 255-7101Focus Dental Group

Timothy Gardner, DMD 7001 South 900 East (801) 255-4421Gardner Dental

Heath Hendrickson, DDS 7001 South 900 East (801) 370-0050Wisdom Teeth Only

Raymond Hendrickson, DDS 7001 South 900 East (801) 370-0050Wisdom Teeth Only

Brent D. Lundberg, DMD 684 West Center St. (801) 255-4953Lundberg Brent D.

Ryan McNeil, DDS 6895 South 900 East (801) 255-4555Midvale Family Dental

Ryan McNeil, DDS 6895 South 900 East (801) 255-4555Midvale Family Dental

Jaimee Ann Morgan, DDS 204 E. Fort Union Blvd. (801) 561-9999Presley Orthodontics

McKay Packer, DDS 1275 East Ft. Union (801) 566-5959Packer McKay

Barlow Packer, DDS 1275 East Ft. Union (801) 566-5959Packer Barlow

Cesar Paredes, DMD 7321 South State Street (801) 563-5848Prestige Dental

Daniel Poelman, DDS 714 E Fort Union Blvd (801) 567-0343Creekstone Dental

Stan Presley, DDS 204 E. Fort Union Blvd. (801) 561-9999Presley Orthodontics

Eric Swensen, DDS 1144 E Fort Union Blvd (801) 566-3118Midvale Modern Dentistry and Orthodontics

Jeffrey Thomas, DDS 942 East 7145 South (801) 562-2147Thomas Jeffrey

Craig VanAlfen, DDS 6770 South 900 East (801) 255-7101Focus Dental Group

Stephen Wright, DDS 852 East Fort Union Blvd (801) 566-3332Wright Stephen

Shannon Young, DMD 6770 South 900 East (801) 255-7101Focus Dental Group

MOAB

Colleen Cornelius, DDS 2700 S. Highway 191 (435) 259-5318Moab Dental Health Center

Bryant Cornelius, DDS 2700 S. Highway 191 (435) 259-5318Moab Dental Health Center

Jeffery Cornelius, DMD 2700 S. Highway 191 (435) 259-5318Moab Dental Health Center

MONTEZUMA CREEK

Brian Olsen, DDS East Highway 262 (435) 651-3291Utah Navajo Health System

Vance Telford, DDS East Highway 262 (435) 651-3291Utah Navajo Health System

MONTICELLO

Bryant Cornelius, DDS 225 S Main (435) 419-0485Monticello Dental

Jeffery Cornelius, DMD 225 S Main (435) 419-0485Monticello Dental

Brian J. Goodwine, DDS 217 South 100 West (435) 587-2528Goodwine Brian J.

G.O. Miller, DDS 217 South 100 West (435) 587-2528Miller G.O.

MONUMENT VALLEY

Craig DeHart, DMD 30 West Medical Drive (435) 727-3000Utah Navajo Health System

MORGAN

Theran Crowther, DDS 195 East 100 North (801) 829-6471Crowther Theran

Lance Crowther, DDS 195 East 100 North (801) 829-6471Crowther Lance

Jess C. Hopkin, DDS 209 North State Street (801) 845-9090Hopkin Jess C.

Joe Hopkin, DDS 4883 Old Highway Road #B (801) 876-3846Hopkin Joe

Page 6

** Roster Only

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

Page 8: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

MOUNT PLEASANT

Nathan Huntington, DDS 1055 S Medical Dr. (435) 462-3800Huntington Dental

MURRAY

Eric Anderson, DDS 292 East 3900 South (801) 747-8000A Kids Place Dentistry

Matthew Binns, DDS 586 West 5300 South #103 (801) 261-8200Matthew Binns

Michael Boyack, DDS 292 East 3900 South (801) 747-8000The Center of Dental Professionals

Graydon Briggs, DDS 279 East 5900 South (801) 293-1234Platinum Dental Care

William Burns, DDS 279 East 5900 South (801) 293-1234Platinum Dental Care

Devon Call, DDS 292 East 3900 South (801) 747-8000A Kids Place Dentistry

Juan Chavez, DMD 279 East 5900 South (801) 293-1234Platinum Dental Care

Scott P. Daynes, DDS 463 West Murray Blvd. (801) 268-2323Daynes Scott P.

Christopher Goodman, DMD 6095 Fashion Blvd. (801) 262-7770Fashion Place Dental

Stephen Haslam, DDS 6095 Fashion Blvd. (801) 262-4628Stephen Haslam

Jason Hodge, DMD 5642 South 900 East (802) 612-202Apex Dental Murray

Jason Hodge, DMD 5642 South 900 East (802) 612-202Apex Dental Murray

Benjamin Hulse, DDS 292 East 3900 South (801) 747-8000The Center of Dental Professionals

David Julian, DDS 168 East 5900 South #C-103 (801) 293-8950David Julian

David Loftus, DDS 865 East 4800 South (801) 262-7424Loftus David

Joseph Maio, DDS 5642 South 900 East (802) 612-202Apex Dental Murray

David McGowen, DDS 154 East 5065 South (801) 263-1632David McGowen

John Middleton, DDS 4800 South 140 East (801) 266-7351Middleton John

Jeffrey Pearson, DMD 279 East 5900 South (801) 293-1234Platinum Dental Care

John Poulter, DDS 292 East 3900 South (801) 747-8000The Center of Dental Professionals

David R. Powell, DDS 6065 South 300 East (801) 266-1414Powell David R.

Ted Rigby, DDS 575 East 4500 South (801) 266-5455Professional Smile Center

Kris H. Rosander, DDS 292 East 3900 South (801) 747-8000The Center of Dental Professionals

David Stubbs, DDS 292 East 3900 South (801) 747-8000The Center of Dental Professionals

Gerald Torgeson, DDS 164 East 5900 South (801) 262-1181Gerald Torgeson

Spencer Updike, DDS 292 East 3900 South (801) 747-8000The Center of Dental Professionals

Spencer Wagner, DMD 279 East 5900 South (801) 293-1234Platinum Dental Care

David Wright, DMD 575 East 4500 South (801) 266-5455Professional Smile Center

David Wright, DMD 575 East 4500 South (801) 266-5455Professional Smile Center

NEPHI

Devin Davidson, DMD 1007 North Main (435) 623-0866All Around Dental Care

Justin Hilmo, DDS 1007 North Main (435) 623-0866All Around Dental Care

Andrew Noble, DDS 1007 North Main (435) 623-0866All Around Dental Care

Scott Petersen, DMD 310 North 400 East (435) 623-1916Scott Petersen

Douglas Petersen, DMD 310 North 400 East (435) 623-1918Douglas Petersen

Ryan Rush, DDS 1007 North Main (435) 623-0866All Around Dental Care

NORTH LOGAN

Bradley Bills, DDS 550 East 1400 North #A (435) 752-1699Bradley Bills

NORTH OGDEN

Marc Collman, DDS 2251 North 400 East (801) 782-9544Collman Marc

Wade Larson, DDS 2707 N 400 E (801) 782-0866Ben Lomond Dental LLC

NORTH SALT LAKE

Christopher C DeMille, DMD 386 North Redwood Road (801) 397-5262Demille Mackay Dental

Christopher C DeMille, DMD 386 North Redwood Road (801) 397-5262Demille Mackay Dental

Darin Knudson, DDS 3377 Orchard Drive (801) 951-8038Burg Pediatric Dentistry Orchard

David MacKay, DMD 386 North Redwood Road (801) 397-5262Demille Mackay Dental

David MacKay, DMD 386 North Redwood Road (801) 397-5262Demille Mackay Dental

OGDEN

Jon Albrechtsen, DMD 2201 North 400 East (801) 782-6681Northview Dental

Brett Anderton, DDS 1220 33rd Street (801) 621-1835Anderton Dental Group

Thomas Austad, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

James Barclay, DDS 2717 North Highway 89 (801) 737-2410Mountain View Dental

James Barclay, DDS 2201 North 400 East (801) 782-6681Northview Dental

Ryan Bateman, DMD 2717 North Highway 89 (801) 737-2410Mountain View Dental

Ryan Bateman, DMD 2201 North 400 East (801) 782-6681Northview Dental

Robert Bingham, DDS 448 E. 5350 S. (801) 479-7870Crowton Michael

David Blackhurst, DDS 4305 Harrison Boulevard (801) 479-1300Professional Dental

Michael Blamires, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Jeffrey Broadbent, DMD 3590 Harrison Blvd (801) 628-1440Broadbent DDS, Jeffrey

Daniel Burdett, DDS 5331 Adams Ave (801) 475-0680Burdett Dental

Nathan Call, DDS 4590 Harrison Blvd. #100 B (801) 392--563Call Family Dental

Blake Cameron, DDS 1186 E 4600 S (801) 334-9444Ridge View Dental

Robert Chidester, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Robert Chidester, DDS 1140 W Riverdale Road (866) 898-1355Monarch Dental

Nathan Cooney, DDS 2717 North Highway 89 (801) 737-2410Mountain View Dental

Glade Crowther, DDS 4305 Harrison Boulevard (801) 479-1300Professional Dental

Glade Crowther, DDS 1140 W Riverdale Road (866) 898-1355Monarch Dental

Glade Crowther, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Glade Crowther, DDS 4305 Harrison Boulevard (801) 479-1300Professional Dental

Michael Crowton, DDS 448 E. 5350 S. (801) 479-7870Crowton Michael

Clifford D. Daines, DDS 5974 South Fashion Pointe Dr. (801) 621-8440Daines Dental

Kent Dastrup, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Thomas Davenport, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

John Day, DMD 5738 South 1475 East (801) 479-3500South Ogden Dental

Bradley DeVries, DMD 4305 Harrison Boulevard (801) 479-1300Professional Dental

Darin A. Dickerson, DMD 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Christopher Dorny, DMD 128 East 4600 South (801) 626-0996Washington Terrace Dental

Mary Draper, DDS 1508 East Skyline Dr. (801) 475-6500Draper Mary

Glen Eliason, DDS 3955 Harrison Blvd. (801) 393-7781Glen Eliason

James Ellis, DDS 1220 33rd Street #C (801) 394-4519James Ellis

David Faerber, DMD 4305 Harrison Boulevard (801) 479-1300Professional Dental

William Fisher, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Jonathan Ford, DDS 1508 East Skyline Dr. (801) 475-6500Ford Jonathan

Candice Fresques, DMD 2717 North Highway 89 (801) 737-2410Mountain View Dental

Candice Fresques, DMD 2201 North 400 East (801) 782-6681Northview Dental

Santiago Gardois, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Santiago Gardois, DDS 1140 W Riverdale Road (866) 898-1355Monarch Dental

Santiago Gardois, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Benjamin Garr, DMD 1186 East 4600 South (801) 334-9444

Page 7

** Roster Only

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

Page 9: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Garr Benjamin Derald Geddes, DDS 1220 33rd Street (801) 394-5551

Geddes Derald J Bryan Gilbert, DDS 5685 South 1475 East (801) 476-7299

Gilbert DDS, J Bryan Jonathan Greenhalgh, DDS 2201 North 400 East (801) 782-6681

Northview Dental Jonathan Greenhalgh, DDS 2717 North Highway 89 (801) 737-2410

Mountain View Dental Robert Guenter, DDS 4305 Harrison Boulevard (801) 479-1300

Professional Dental Paul Hanna, DDS 1140 W Riverdale Road (866) 898-1355

Monarch Dental Paul Hanna, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental Heather Hansen, DMD 2201 North 400 East (801) 782-6681

Northview Dental Heather Hansen, DMD 2717 North Highway 89 (801) 737-2410

Mountain View Dental Mark Harris, DDS 2274 North 400 East (801) 399-0458

Cobble Creek Dental LLC LaMont Hesselgesser, DDS 1703 North 1600 West (801) 737-4650

Hesselgesser LaMont Clark Hicken, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental William Hickman, DMD 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental Clint Iverson, DMD 1770 E 5625 S. #B (801) 475-1999

Clint Iverson Robert Johnson, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental James Jones, DMD 1245 Capitol Street (801) 621-8000

Jones James Karl Koerner, DDS 5685 South 1475 East (801) 475-0509

IDA-Comfort Family Dental Karl Koerner, DDS 2201 North 400 East (801) 782-6681

IDA-North View Dental Karl Koerner, DDS 1186 East 4600 South (801) 334-9444

IDA-Ridge View Dental Joseph Kuchenmeister, DDS 2717 North Highway 89 (801) 737-2410

Mountain View Dental Steven Lambourne, DDS 3500 Harrison Blvd (801) 621-1912

Lambourne Family Dental Bryan Larson, DDS 2274 N Washington Blvd (801) 852-5252

Half Dental Jeremiah Lindgren, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental Mark Mackley, DDS 2717 North Highway 89 (801) 737-2410

Mountain View Dental Matthew McInnes, DDS 4305 Harrison Boulevard (801) 479-1300

Professional Dental David McKellar, DDS 3984 Washington Boulevard (801) 399-4477

McKeller DDS, David Daniel Meeks, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental Daniel Meeks, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental Benjamin Menlove, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental David R. Merrill, DDS 3795 Kiesel Avenue (801) 399-1330

Merrill David R. Brian Miles, DMD 5640 Wasatch Drive (801) 479-6590

Burch Creek Family Dentistry Matthew Miller, DDS 5742 South 1475 East (801) 392-2182

Miller Matthew Laurence Moyes, DDS 2783 Madison Ave. #4 (801) 393-5601

Laurence Moyes Brett Moyes, DDS 1770 E. 5625 S. #B (801) 475-1999

Brett Moyes Kody Mund, DMD 3785 Harrison Blvd. (801) 621-2116

Mund Kody Sarah Naisbitt, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental Jay Christian Neeley, DDS 2717 North Highway 89 (801) 737-2410

Mountain View Dental Mark Nichols, DDS 450 39th Street (801) 621-4421

Nichols DDS, Mark Phillip Olsen, DMD 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental Devin Orvin, DDS 1140 W Riverdale Road (866) 898-1355

Monarch Dental Bret Osborne, DMD 4305 Harrison Boulevard (801) 479-1300

Professional Dental Stuart William Osofsky, DDS 1812 North 2000 West (801) 731-4440

Osofsky Stuart William Laurence R. Palmer, DDS 1245 Capitol St. (801) 394-0401

Palmer Laurence R. Travis Perkins, DMD 2274 N Washington Blvd (801) 852-5252

Half Dental Richard Petty, DDS 448 East 5350 South #A (801) 479-7870

Richard Petty Jennifer Phillips, DDS 2201 North 400 East (801) 782-6681

Northview Dental Jennifer Phillips, DDS 2717 North Highway 89 (801) 737-2410

Mountain View Dental Brady Powell, DDS 2274 N Washington Blvd (801) 852-5252

Half Dental Val Radmall, DDS 5300 South Adams (801) 476-9709

Radmall DDS, Val Rochelle Rasmussen, DDS 5738 South 1475 East (801) 479-3500

South Ogden Dental John Reschke, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental Jeffrey Roberson, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental Kim G. Roberts, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental L. Craig Rosvall, DDS 4305 Harrison Boulevard (801) 479-1300

Professional Dental Darrell Saunders, DDS 165 North Harrison Blvd. (801) 394-9488

Darrell Saunders William Shurtleff, DDS 5300 S. Adams Ave. #14 (801) 476-9000

Shurtleff, William Greg Smith, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental Patricia Smyth, DDS 5300 South Adams Avenue

Smyth DDS, Patricia Nathan Starley, DDS 3590 Harrison Blvd. #6 (801) 621-3553

Nathan Starley John Starley, DDS 3590 Harrison Blvd. #6 (801) 621-3553

John Starley Brent Suisse, DDS 2717 North Highway 89 (801) 737-2410

Mountain View Dental Brent Suisse, DDS 2201 North 400 East (801) 782-6681

Northview Dental William Sundberg, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental Shane Taylor, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental Justin Tobias, DDS 5300 South Adams AvEast (801) 479-7600

Tobias Justin Gerald Tobias, DDS 5300 S Adams Ave Parkway (801) 479-7600

Tobias Dental Care Jeffrey Torghele, DMD 245 Capitol Street (801) 621-2702

Torghele Jeffrey Michael Tribe, DDS 1770 East 5625 South (801) 935-4700

Tribe DDS, Michael Andrew Vernon, DMD 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental Devin Walker, DDS 1186 E 4600 S (801) 334-9444

Ridge View Dental Devin Walker, DDS 2717 North Highway 89 (801) 737-2410

Mountain View Dental Devin Walker, DDS 2201 North 400 East (801) 782-6681

Northview Dental Troy Walton, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental Troy Walton, DDS 1140 W Riverdale Road (866) 898-1355

Monarch Dental David K. Wayment, DDS 450 39th Street (801) 621-4422

Wayment David K. E. Judd West Jr., DDS 3860 Jackson Ave (801) 627-0420

West Jr. E. Judd Kelly Cody Wilkins Jr, DDS 2274 North 400 East (801) 399-0458

Cobble Creek Dental LLC George Winder, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental Matthew Wolpert, DMD 3860 Jackson Avenue (801) 627-0420

Bonneville Preventive Dentistry Bart Wolthuis, DDS 512 12th Street (801) 399-5831

Canyon Dental Group, LLC Jared Wolthuis, DDS 512 12th Street (801) 399-5831

Canyon Dental Group, LLC Jorge Zapata, DDS 859 Washington Blvd. #2 (801) 394-5240

Jorge Zapata

OREM

Delos Adams, DDS 1383 West 1600 North (801) 225-7555Adams Delos

M. Andrew Atwood, DDS 169 North 400 West (801) 225-1002M. Andrew Atwood

Thomas Austad, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Douglas Ball, DDS 1344 South 800 East #220 (801) 224-6165Utah County Smiles

Mark Barry, DDS 165 North 400 West (801) 226-0441Barry Family Dental Group

W. Michael Black, DDS 1375 East 800 North (801) 225-2310W. Michael Black DDS

David Blackhurst, DDS 503 East 770 North (801) 225-1400Professional Dental

Michael Blamires, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Michael Blamires, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Michael Boyack, DDS 1834 South State Street (801) 224-0222Young Family Dental

Page 8

** Roster Only

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

Page 10: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Justin Broadbent, DDS 1344 South 800 East #220 (801) 224-6165Utah County Smiles

Garry M. Brown, DDS 320 East 800 South (801) 224-9555Genesis Dental of Orem

William Cerny, DDS 1834 South State Street (801) 224-0222Young Family Dental

Juan Chavez, DMD 1256 South State Street (801) 224-7182Mountain Ridge Dental

Robert Chidester, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Craig Christiansen, DDS 476 West 800 North (801) 221-7615Craig Christiansen

Glade Crowther, DDS 503 East 770 North (801) 225-1400Professional Dental

Glade Crowther, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Glade Crowther, DDS 503 East 770 North (801) 225-1400Professional Dental

Dan Dansie, DDS 845 North 100 West (801) 227-5080Family Legacy Dental

Kent Dastrup, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Thomas Davenport, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Bradley DeVries, DMD 503 East 770 North (801) 225-1400Professional Dental

Darin A. Dickerson, DMD 575 East University Pkwy (801) 225-3300Monarch Dental

Ryan Dowling, DMD 575 East University Pkwy (801) 225-3300Monarch Dental

William Fisher, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Brian Frandsen, DDS 165 South Orem Blvd. (801) 224-7900Frandsen Brian

Darren Gardner, DDS 594 East 800 South (801) 765-1443White Smiles Family Dentistry

John Green, DMD 1256 South State Street (801) 224-7182Mountain Ridge Dental

Robert Guenter, DDS 503 East 770 North (801) 225-1400Professional Dental

Blake Gutierrez, DDS 265 W Center Street (801) 225-5888Crawford Leishman Dental Group

Cameron Heninger, DMD 1802 North State Street (801) 766-3600Stonehaven Dental Orem

Clark Hicken, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

William Hickman, DMD 575 East University Pkwy (801) 225-3300Monarch Dental

Jerel Hill, null 205 North State Street (801) 225-7136Park Place Dental

Jared Hill, DMD 205 North State Street (801) 225-7136Park Place Dental

P Bradley Hills, DMD 560 South State (801) 610-5000Hills P Bradley

Robert Johnson, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Jeffrey D. Johnson, DDS 211 East 840 South (801) 375-9511Johnson Jeffrey D.

Greg P. Larsen, DDS 1834 South State Street (801) 224-0222Young Family Dental

Richard Leishman, DDS 169 North 400 West (801) 225-8788Leishman Richard

Richard Leishman, DDS 265 W Center Street (801) 255-5888Richard Leishman

Jeremiah Lindgren, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Michael Loeser, DMD 1834 South State Street (801) 224-0222Young Family Dental

Dennis R. Madsen, DDS 201 North State Street (801) 224-5220Madsen Dennis R.

Joshua Martin, DDS 845 North 100 West (801) 227-5080Family Legacy Dental

Kenneth Maughan, DMD 167 North 400 West (801) 226-3302KCM Dental

Matthew McInnes, DDS 503 East 770 North (801) 225-1400Professional Dental

Daniel Meeks, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Benjamin Menlove, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Kenneth Molen, DDS 1176 South 1480 West (801) 426-8234College Dental Clinic

Jeffrey S. Morrison, DDS 344 West 920 North (801) 225-2640Morrison Jeffrey S.

Sarah Naisbitt, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Darliece Nye, DMD 575 East University Pkwy (801) 225-3300Monarch Dental

Phillip Olsen, DMD 575 East University Pkwy (801) 225-3300Monarch Dental

Bret Osborne, DMD 503 East 770 North (801) 225-1400Professional Dental

Kwang Park, DDS 1834 South State Street (801) 224-0222Young Family Dental

Bartholomew Paxton, DDS 675 East 800 SOuth (801) 225-2210Orem Family Dental

Glenn R. Payne, DDS 440 West 800 North (801) 764-9444Canyon Gate Dental

Steven Peacock, DDS 1344 South 800 East #220 (801) 224-6165Utah County Smiles

David W. Pincock, DMD 1694 North State Street (801) 762-0100Pincock David W.

David B. Prince, DDS 417 North Orem Blvd (801) 222-0789Prince David B.

John Reschke, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Jeffrey Roberson, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Kim G. Roberts, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Robert Rogers, DDS 201 North State Street (801) 225-7712Rogers Family Dental

Brad Rogers, DDS 201 North State Street (801) 225-7712Rogers Family Dental

Paul Rogers, DDS 845 North 100 West (801) 227-5080Family Legacy Dental

L. Craig Rosvall, DDS 503 East 770 North (801) 225-1400Professional Dental

Steven P. Sachs, DDS 1442 East 820 North (801) 225-4701Sachs Steven P.

Teemu Scarborough, DDS 503 East 770 North (801) 225-1400Professional Dental

Richard A. Shulze, DMD 575 East University Pkwy (801) 225-3300Monarch Dental

James Skousen, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Greg Smith, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Bradley Smith, DMD 845 North 100 West (801) 227-5080Family Legacy Dental

Steven Sorensen, DDS 503 East 770 North (801) 225-1400Professional Dental

Stephen Stansfield, DDS 845 North 100 West (801) 227-5080Family Legacy Dental

Scott David Stringham, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

William Sundberg, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Damon Swenson, DDS 1643 North State Street (801) 224-7337Crosspointe Dental

Shane Taylor, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Gregory Tuttle, DDS 169 West 800 North (801) 224-1997Tuttle Family Dental

Andrew Vernon, DMD 575 East University Pkwy (801) 225-3300Monarch Dental

Paige White, DDS 1834 South State Street (801) 224-0222Young Family Dental

Jeremy White, DDS 594 East 800 South (801) 765-1443White Jeremy

George Winder, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Ryan Workman, DDS 1256 South State Street (801) 224-7182Mountain Ridge Dental

Nicolas Young, DMD 165 North 400 West (801) 226-0441Barry Family Dental Group

Nicolas Young, DMD 440 West 800 North (801) 764-9444Canyon Gate Dental

Christopher Young, DDS 1834 South State Street (801) 224-0222Young Family Dental

Michael Young, DDS 1834 South State Street (801) 224-0222Young Family Dental

Jeffrey Youngquist, DMD 845 North 100 West (801) 227-5080Family Legacy Dental

PANGUITCH

Shawn Parkin, DDS 75 N 200 E (435) 676-2443Panguitch Dental

PARK CITY

James Abraham, DDS 1526 Ute Blvd. #212 (435) 615-8500Park City Dental Spa

Jon Coleman, DDS 1441 Ute Blvd. #200 (435) 604-0887New Park Dentistry

Matthew Griffeth, DMD 1680 Ute Blvd. (435) 647-3012Mountain High Dental Associates

Matthew Griffeth, DMD 1680 Ute Blvd. (435) 647-3012Mountain High Dental Associates

Jason Hodge, DMD 1729 Sidewinder (435) 649-9492Snow Country Dental

Harini Jindal, DMD 1729 Sidewinder (435) 649-9492Snow Country Dental

Darin Knudson, DDS 1910 Prospector Avenue (435) 649-5001Park City Pediatric Dentistry

Jonathan Kolon, DDS 6415 North Business Park Loop (435) 658-0032Silver Creek Dental

Page 9

** Roster Only

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

Page 11: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Brandon McKee, DDS 1830 Prospector Avenue (435) 649-6066Park City Dental Associates

Russell Smith, DMD 6415 N Business Park Loop Road (435) 658-0032Silver Creek Dental

PAYSON

Robert Baird, DMD 1392 W. Turf Farm Way (801) 465-4490Cascade Family Dental

David Blackhurst, DDS 78 East 100 South (801) 465-0550Professional Dental

Kevin Cahoon, DDS 107 South 500 West (801) 465-7966Payson Family Dental

J. Craig Callister, DMD 1172 East 100 North (801) 465-3691Mountain View Dental

John D. Callister, DDS 1172 East 100 North (801) 465-3691Mountain View Dental

Jared Condie, DMD 910 East 100 North (801) 465-1870Mountainlands Community Health Centers

Glade Crowther, DDS 78 East 100 South (801) 465-0550Professional Dental

Devin Davidson, DMD 110 South 100 West (801) 465-4855All Around Dental Care

Bradley DeVries, DMD 78 East 100 South (801) 465-0550Professional Dental

David Faerber, DMD 78 East 100 South (801) 465-0550Professional Dental

James Fairbanks, DMD 110 South 100 West (801) 465-4855All Around Dental Care

John Farley, DDS 805 South 500 West (801) 465-3256Farley DDS, John

Robert Guenter, DDS 78 East 100 South (801) 465-0550Professional Dental

Paul Jackson, DMD 110 South 100 West (801) 465-4855All Around Dental Care

Nathan Johnson, DMD 1392 W. Turf Farm Way (801) 465-4490Cascade Family Dental

Brian R. Jones, DMD 910 East 100 North (801) 465-1870Mountainlands Community Health Centers

Karl Koerner, DDS 107 South 500 West (801) 465-7966IDA-Payson Family & Cosmetic Dentistry

Matthew McInnes, DDS 78 East 100 South (801) 465-0550Professional Dental

Andrew Noble, DDS 110 South 100 West (801) 465-4855All Around Dental Care

Bret Osborne, DMD 78 East 100 South (801) 465-0550Professional Dental

Ritchie Pelton, DMD 107 South 500 West (801) 465-7966Payson Family Dental

L. Craig Rosvall, DDS 78 East 100 South (801) 465-0550Professional Dental

Ryan Rush, DDS 78 East 100 South (801) 465-0550Professional Dental

Teemu Scarborough, DDS 78 East 100 South (801) 465-0550Professional Dental

Steven Sorensen, DDS 78 East 100 South (801) 465-0550Professional Dental

Scott David Stringham, DDS 107 South 500 West (801) 465-7966Payson Family Dental

Brad Strong, DDS 1392 W. Turf Farm Way (801) 465-4490Cascade Family Dental

Mark B. Warren, DDS 822 South US Highway 91 (801) 465-1390Warren Famiy Dental

PERRY

Ryan Bateman, DMD 2535 S. Highway 89 (435) 723-4300Perry Dental

Karl Koerner, DDS 2535 S Hwy 89 (435) 723-4300IDA- Perry Dental

Mark Mackley, DDS 2535 S. Highway 89 (435) 723-4300Perry Dental

Mark Mackley, DDS 2535 S. Highway 89 (435) 723-4300Perry Dental

Brent Milne, DMD 2535 S. Highway 89 (435) 723-4300Perry Dental

Curtis Wahlen, DMD 2480 S Highway 89 (435) 723-9443Curtis D Wahlen

PLEASANT GROVE

William F. Adamson, DMD 233 S. Pleasant Grove Blvd (801) 785-2821Adamson William F.

David Blackhurst, DDS 922 North 2000 West (801) 763-5555Blackhurst David

Heath Blake, DDS 198 South Main (801) 785-8308Blake Heath

D Craig Chamberlain, DDS 238 East State St. (801) 796-7779Chamberlain D Craig

Jonathan Jackson, DDS 238 East State Road #2 (801) 796-7779Grove Creek Dental

Chris M Jolley, DDS 533 W. State Street, Suite 201 (801) 225-2641Cascade Dental Group

Chris M Jolley, DDS 533 W State Street (801) 796-0344Alpenglow Dental

Aaron Jones, DDS 597 S. Pleasant Grove Blvd. (801) 796-3535Jones Dental Care

Ammon Jones, DDS 597 S. Pleasant Grove Blvd. (801) 796-3535Jones Dental Care

John Lohner, null 4587 W Cedar Hills Drive (801) 756-2006Anderson Lohner

M Sean Lorscheider, DMD 10060 North 4600 West (801) 492-0402Lone Peak Dental

Steven F. McIff, DDS 31 West 100 South (801) 785-0083McIff Steven F.

G. Trevor Smith, DDS 60 East State Street (801) 785-2574Smith G. Trevor

Travis Whiteley, DDS 238 East State St. (801) 796-7779Whiteley Travis

PLEASANT VIEW

Nathan Cooney, DDS 2717 N Highway 89 (801) 737-2410IDA-Mountain View Dental

Curtis Cutler, DDS 859 West Pleasant View Drive (801) 737-4477Cutler Curtis

Paul Hopkins, DDS 859 West Pleasant View Drive (801) 737-4477Hopkins Paul

Karl Koerner, DDS 2685 North 1000 West (801) 737-9442IDA-Lomond View Dental

Karl Koerner, DDS 2717 N Highway 89 (801) 737-2410IDA-Mountain View Dental

Jay Christian Neeley, DDS 2717 N Highway 89 (801) 737-2410IDA-Mountain View Dental

Jennifer Phillips, DDS 2717 N Highway 89 (801) 737-2410IDA-Mountain View Dental

R. Kent Scoville, DDS 2685 North 1000 West (801) 737-9442Lomond View Dental

PRICE

Ryan Bailey, DDS 230 North Cedar Hills Drive (435) 637-3186Ryan Bailey

James Bailey, DDS 230 North Cedar Hills Drive (435) 637-3186James Bailey

Monte Dansie, DDS 111 North 200 East (435) 637-0430Monte Dansie Family Dental

Paul Feller, DDS 250 N. Fairgrounds Rd (435) 637-4660Feller Paul

Blane Jackson, DDS 230 North Fairgrounds Road (435) 637-2100Perfect Smile

Clyde S. Larsen, DDS 190 North Carbon AvEast (435) 637-0795Larsen Clyde S.

Brett Lowe, DDS 945 West Hospital Drive (435) 637-2929Lowe Brett

Paul Martinez, DDS 95 South 100 East (435) 637-4545Martinez Paul

Mark A. Olson, DDS 96 North 400 East (435) 637-3236Olson Mark A.

Evan Stilson, DDS 250 N. Fairgrounds Rd (435) 637-0424Stilson Evan

PROVIDENCE

Todd M Butler, DMD 274 N. Spring Creek Pkwy. (435) 713-0096Spring Creek Dental Associates

Richard S. Johnson, DDS 169 North Spring Creek Pkwy (435) 787-2122South Valley Family Dental

Karl Koerner, DDS 274 North Spring Creek Pkway (435) 713-0096IDA-Spring Creek Dental

Micah Thornley, DDS 274 N. Spring Creek Pkwy. (435) 713-0096Spring Creek Dental Associates

Troy Walton, DDS 271 North Spring Creek Pkw (435) 755-6562Walton Troy

PROVO

Tyler Ashman, DMD 1355 North University Ave (801) 373-6928Ashman Dental

Chad Booth, DMD 589 South State Street (801) 429-2000Mountainlands Community Health

Randy Braithwaite, DDS 777 North 500 West #106 (801) 356-8420All Around Dental Care

Larry Braithwaite, DDS 1675 North 200 West #12A (801) 375-4600Larry Braithwaite

Matthew Brinkerhoff, DMD 2520 N. Univeristy Avenue (801) 426-6255Platinum Dental Care

Devon Call, DDS 85 North 500 West (801) 373-8791Utah Children and Family Dental

R. Reed Call, DDS 777 North 500 West (801) 374-1094R. Reed Call

Juan Chavez, DMD 2520 N. Univeristy Avenue (801) 426-6255Platinum Dental Care

Devin Davidson, DMD 777 North 500 West #106 (801) 356-8420All Around Dental Care

Devin Davidson, DMD 777 North 500 West #106 (801) 356-8420All Around Dental Care

Steven Flick, DDS 1355 North University AvEast (801) 373-2693Flick Steven

Robert L. Hamblin, DDS 3200 N Canyon Rd (801) 377-7200

Page 10

** Roster Only

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

Page 12: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Hamblin Robert L. Ryan G. Hamilton, DDS 2335 South State Street (801) 377-0037

Hamilton Ryan G. Nathan F. Hanson, DDS 3685 North 100 East (801) 356-1211

Hanson Nathan F. Raymond Hendrickson, DDS 2230 N. University Pkwy (801) 370-0050

Hendrickson Heath Heath Hendrickson, DDS 2230 N. University Pkwy (801) 370-0050

Hendrickson Heath Justin Hilmo, DDS 1675 North 200 West (801) 356-7329

Blue Mountain Family Dental Preston Huang, DDS 1234 North 900 East (801) 854-9140

Ninth East Dental Gary M. Hulet, DMD 777 North 5th West (801) 375-1275

Hulet Gary M. Paul Jackson, DMD 777 North 500 West #106 (801) 356-8420

All Around Dental Care Robert N Jones, DDS 10 South 300 East (801) 375-8770

Smile Center Brian R. Jones, DMD 3651 North 100 East (801) 374-8218

Jones Dental Robert N Jones, DDS 10 South 300 East (801) 375-8770

Smile Center David G. Lee, DDS 1675 North 200 West (801) 356-7329

Blue Mountain Family Dental Michael Lorscheider, DMD 2476 North University Parkway #103 (801) 377-0990

Lorscheider DDS, Michael Daryn Moody, DDS 1355 North University Avenue (801) 377-6453

Provo Dental Care Kody Mund, DMD 3707 N. Canyon Rd #4 (801) 655-1900

Edgemont Dental Paul Nielsen, DDS 1355 North University Avenue (801) 377-6453

Provo Dental Care Jason Norman, DMD 589 South State Street (801) 429-2000

Mountainlands Community Health Chipman Packer, DMD 1375 N. University Avenue (801) 377-4745

Chipman Packer Jeffery Perrero, DMD 1355 North University Ave (801) 373-6928

Ashman Dental Tyson Perrero, DMD 1355 North University Ave (801) 373-6928

Ashman Dental Tyson Perrero, DMD 1355 N. University Ave. #300 (801) 373-6928

Tyson Perrero Stephen Pratt, DDS 777 North 500 West #106 (801) 356-8420

All Around Dental Care Quinn Schiffman, DDS 1355 N University Ave. (801) 375-1750

Dr. Albert Clark DDS PC Jay Scott, DDS 3330 North University Ave (801) 375-1965

Unison Dental Ronald T. Smith, DDS 3651 North 100 East (801) 356-3025

Courtyard Dental Eric Sorensen, DDS 488 North 100 East (801) 374-0867

Academy Square Dental Care Scott David Stringham, DDS 3707 N. Canyon Road #7D (801) 221-5859

Canyon River Dental Zachary Taylor, DDS 777 North 500 West (801) 373-6362

Rock Canyon Dentistry Eric Tidwell, DDS 777 North 500 West (801) 373-6362

Rock Canyon Dentistry Spencer Wagner, DMD 2520 N. Univeristy Avenue (801) 426-6255

Platinum Dental Care Mark Ward, DDS 10 South 300 East (801) 375-8770

Smile Center Mark Ward, DDS 10 South 300 East (801) 375-8770

Smile Center Travis Whitely, DMD 2520 N. Univeristy Avenue (801) 426-6255

Platinum Dental Care Jeffrey Youngquist, DMD 777 North 500 West (801) 374-8244

Dr. Jay PC

RICHFIELD

Raymond Hendrickson, DDS 140 East 200 North (435) 891-6444Winters DDS, Clinton L

Richard Kunzler, DDS 65 South 100 East (435) 896-9393Kunzler Richard

Todd Lee, DDS 46 West 100 North (435) 893-2190Todd Lee

Clinton Winters, DDS 140 East 200 North (435) 891-6444Winters DDS, Clinton L

RICHMOND

Monte Carlson, DDS 105 South Highway 91 (435) 258-2301Cherry Creek Dental

Karl Koerner, DDS 105 South Hwy 91 (435) 258-2301IDA-Cherry Creek Dental

Anthony L Larson, DDS 105 South Highway 91 (435) 258-2301Cherry Creek Dental

Brandon Priebe, DDS 105 South Highway 91 (435) 258-2301Cherry Creek Dental

RIVERTON

David Babcock, DMD 14100 S Redwood Rd. (801) 254-2626

Bluffdale Dental Brian Borg, DMD 3693 West 13400 South (801) 878-3111

Borg Brian Michael Boyack, DDS 12562 Rhetski Lane (801) 446-2518

Young Family Dental Jacob Bromley, DDS 4019 West 12600 South (801) 253-8633

Rose Creek Dental Wayne Brown, DDS 2332 West 12600 South (801) 253-4547

Stone Creek Family Dental William Cerny, DDS 12562 Rhetski Lane (801) 446-2518

Young Family Dental Craig M. Christensen, DMD 12600 South 1345 West (801) 253-1500

Christensen Craig M. Dan Dansie, DDS 4019 West 12600 South (801) 253-8633

Rose Creek Dental Daniel Dowdle, DMD 4019 West 12600 South (801) 253-8633

Rose Creek Dental Andrew Drollinger, DDS 12684 South Redwood Road (801) 446-8446

Riverbend Dental David Fischer, DDS 2894 West 12600 South (801) 619-8664

Silver Wolf Dental April Hinton, DDS 2332 West 12600 South (801) 253-4547

Stone Creek Family Dental Joel Howarth, DDS 3409 West 12600 South (801) 561-1559

Howarth Joel John Kwant, DMD 12391 South 4000 West (801) 748-0379

Apex Dental Jon W. Lloyd, DDS 1291 West 12600 South (801) 446-1166

Lloyd Jon W. Michael Loeser, DMD 12562 Rhetski Lane (801) 446-2518

Young Family Dental Joseph Maio, DDS 12391 South 4000 West (801) 748-0379

Apex Dental Joshua Martin, DDS 12391 South 4000 West (801) 676-8899

Kids Dental Barn Raechel Nelson, DDS 3409 West 12600 South (801) 542-0267

Raechel Nelson, DDS Bong Koog Noh, DDS 2845 West 12600 South (801) 254-5255

Cornfield Dental Center Kwang Park, DDS 12562 Rhetski Lane (801) 446-2518

Young Family Dental John Peterson, DDS 12427 South 4000 West #200 (801) 254-8812

John Peterson B. Charles Pugh, DDS 12694 South 1700 West (801) 254-1278

Pugh B. Charles Brett Richins, DMD 3693 West 13400 South (801) 878-3111

Borg Brian Terry Sorenson, DMD 12569 South 2700 West #100 (801) 254-7272

Genesis Dental of Riverton Paige White, DDS 12562 Rhetski Lane (801) 446-2518

Young Family Dental Kevin Yeager, DDS 2364 West 12600 South (801) 446-5050

River City Dental Christopher Young, DDS 12562 Rhetski Lane (801) 446-2518

Young Family Dental Michael Young, DDS 12562 Rhetski Lane (801) 446-2518

Young Family Dental

ROOSEVELT

Morrie Talbot, DDS 481 West 200 North (435) 722-0101Uintah Smiles

ROY

James V Anderson, DMD 3626 W 5600 S (801) 985-1940Anderson James V

David Beeston, DDS 3626 West 5600 South (801) 985-2273Lakeview Dental Roy

Nathan Cooney, DDS 4040 South Midland Drive (801) 317-4407Midland Dental

Michael Crookstone, DDS 2779 West 4000 South (801) 731-5528Basin Dental

Curtis Cutler, DDS 4902 South 1900 West (801) 773-1234Cutler Curtis

Carl Dickerson, DDS 5133 South 1900 West (801) 773-7733Roy Dental Health

Daniel Ellingson, DMD 3626 West 5600 South (801) 985-2273Lakeview Dental Roy

Jeremy Felt, DDS 2779 West 4000 South (801) 774-9354Jeremy Felt

Jared Flitton, DMD 2779 West 4000 South (801) 731-5528Basin Dental

Kyle Harmon, DDS 3626 West 5600 South (801) 985-2273Lakeview Dental Roy

Paul Hopkins, DDS 4902 South 1900 West (801) 773-1234Hopkins Paul

Chad Howe, DDS 4902 South 1900 West #1 (801) 776-1240Chad Howe

Brent J. Isakson, DMD 5139 South 1900 West (801) 773-8212Isakson Brent J.

Tad Johnson, DDS 1845 West 4400 South #3B (801) 731-0088Johnson Orthodontics

Karl Koerner, DDS 4040 South Midland (801) 317-4407

Page 11

** Roster Only

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

Page 13: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

IDA-Midland Dental Joseph Kuchenmeister, DDS 4040 South Midland Drive (801) 317-4407

Midland Dental Julie McDonald, DDS 5924 South 1900 West (801) 614-0082

Pine View Dental Scott Moore, DDS 4896 South 1900 West (801) 773-9198

Moore Scott Paul Naylor, DMD 3485 West 4800 South (801) 999-4431

Utah Orthodontic Care Jay Christian Neeley, DDS 4040 South Midland Drive (801) 317-4407

Midland Dental J.D. Packard, DMD 3405 West 4800 South (801) 985-3300

Packard Dental Trey Parker, DMD 2779 West 4000 South (801) 731-5528

Basin Dental Jennifer Phillips, DDS 4040 South Midland Drive (801) 317-4407

Midland Dental Brett Richins, DMD 3626 West 5600 South (801) 985-2273

Lakeview Dental Roy Daniel Snedaker, DDS 3626 West 5600 South (801) 985-2273

Lakeview Dental Roy Glen Wade, DDS 5139 S 1900 W (801) 773-7721

Wade Glen Spencer Wade, DDS 5139 S 1900 W (801) 773-7721

Wade Glen Jessie Welsh, DDS 3626 West 5600 South (801) 985-2273

Lakeview Dental Roy F.D. Reggie Whitaker, DMD 4902 South 1900 West (801) 776-2806

Roy Dental Care

SAINT GEORGE

John Albrecht, DDS 1150 South Bluff (435) 628-8885John Albrecht

Joshua Albrecht, DDS 1150 South Bluff (435) 628-8885Joshua Albrecht

Evan Allred, DMD 1085 South Bluff (435) 215-4805Evan L Allred DMD

Susan Baker, DDS 1449 North 1400 West (435) 656-2800Snow Canyon Dental

Clinton Blake, DDS 437 South Bluff Street (435) 688-2772Clinton Blake DDS

Michael Brown, DDS 1240 E. 100 S. #120 (435) 634-9933Michael Brown

Louis Christensen, DDS 1404 W Sunriver Parkway (435) 256-6167Sunset Dental Group

Dan Cox, DMD 640 East 700 South (435) 652-1212Dan Cox

Jamison Cox, DMD 736 South 900 E (435) 673-2491Jamison S Cox, DMD

Richard Denos, DDS 437 South Bluff Street (435) 628-0500Richard Denos DDS

Kevin Dorius, DMD 1404 W Sunriver Parkway (435) 256-6167Sunset Dental Group

Stanley Dorius, DDS 929 W Sunset Blvd. (435) 656-5900Sunset Dental Group

Kevin Dorius, DMD 929 W Sunset Blvd. (435) 656-5900Sunset Dental Group

Bricanei A. Dyer, DDS 1150 South Bluff (435) 628-8885Bricanei A. Dyer

Darren Earl, DMD 321 North Mall Drive (435) 656-4550Darren Earl DMD

James Ence, DDS 754 South Main Street #1 (435) 628-2667James Ence

Nathan Ence, DDS 10 Diagonal Street (435) 628-6026Nathan Ence

Eric Ence, DMD 10 Diagonal Street (435) 673-0964Eric Ence

I. Lee Ence, DDS 10 Diagonal Street (435) 628-6026I. Lee Ence

Mark Ence, DDS 754 S. Main Street #1 (435) 628-2667Mark Ence

Verd Erickson, DDS 330 East Tabernacle (435) 673-3211VIP Dental

Jeff Erickson, DDS 640 East 700 South (435) 673-9661Orthodontic Specialists

Derek Evans, DMD 720 S River Road (435) 986-9799Gentle Dentistry

Kyle D. Frei, DDS 111 East 100 South (435) 673-6831Kyle D. Frei

Daniel K. Frei, DDS 111 East 100 South (435) 673-6831Southern Utah Dental

Phillip Hall, DDS 382 South Bluff Street Suite 250 (435) 656-8111Phillip Hall DDS

Matthew J Hammons, DDS 2107 West Sunset Blvd (435) 628-6644Hammons Dental

Eric Hanson, DDS 437 S Bluff (435) 688-2772Smiles Restored

Darren Hatch, DMD 1224 South River Road (435) 628-9600Michael Jeppson DDS

George Hatsis, DDS 1404 W Sunriver Parkway (435) 256-6167Sunset Dental Group

Allen Hilton, DDS 736 South 900 East (435) 673-7694Allen Hilton

Michael Jeppson, DDS 1224 South River Road (435) 628-9600Michael Jeppson DDS

M. Kahle Leavitt, DMD 111 East 100 South (435) 673-6831M. Kahle Leavitt

John McArthur, DDS 133 East Tabernacle (435) 628-3288John McArthur

David R. Morris, DDS 158 Morth Main Street (435) 673-4809David R. Morris

Chris Neilson, DDS 169 West 2710 South Circle (435) 674-9977Bloomington Dental

Kelvin Q. Nisson, DDS 352 East Riverside Dr (435) 673-1360Kelvin Q. Nisson

William Plumb, DDS 427 West 100 South (435) 673-9606Plumb Dental

Ashton Prince, DMD 144 West Brigham Road (435) 656-8003Bloomington Courtyard Dental

Thomas Vee Robinson, DDS 10 Diagonal Street (435) 673-5538Thomas Vee Robinson DDS

Michael Rowe, DDS 350 East 600 South #1 (435) 673-9904Half Dental

Jared Staples, DMD 437 S Bluff (435) 688-2772Smiles Restored

Wade Stevens, DDS 368 East Riverside Drive (435) 673-3363Riverside Dental

Wade Stevens, DDS 368 East Riverside Drive (435) 673-3363Riverside Dental

David Stevens, DDS 368 East Riverside Drive (435) 673-3363Riverside Dental

Russell Stewart, DDS 1054 E Riverside Drive (435) 656-8888Russell Stewart DDS

D. Scott Stucki, DDS 315 West Hilton Drive #1 (435) 628-5001D. Scott Stucki

Rex Tobler, DDS 10 Diagonal Street #102 (435) 628-6026Rex Tobler

Thad Twiss, DDS 923 River Rd (435) 656-5987Thad Twiss

Matthew Valantine, DDS 10 Diagonal Street (435) 673-7373Matthew Valantine DDS

Woodrow Wagner, DMD 754 South Main Street (435) 674-9777Woodrow Wagner DDS

Noelle Wilhelmsen, DDS 929 W Sunset Blvd. (435) 656-5900Sunset Dental Group

SALEM

James Bonny, DDS 245 West State Hwy 189 (801) 423-2244Bonny James

Robert Guenter, DDS 204 East 400 North #C (801) 504-6133Salem Hills Dental

David Hansen, DMD 204 East 400 North (801) 423-0905Hansen David

Benjamin Hulse, DDS 601 North State Road 198 (801) 423-7969Salem Smiles

Justin Perry, DMD 40 South 200 West (801) 423-1345Salem Dental Center

SALINA

Scott Wilkins, DDS 145 North State Street (435) 529-7715Wilkins DDS, Scott

SALT LAKE

Ashley Bailey, DDS 3798 South 700 East (801) 747-8007The Center of Dental Professionals

Michael Boyack, DDS 3798 South 700 East (801) 747-8007The Center of Dental Professionals

Graydon Briggs, DDS 3798 South 700 East (801) 747-8007The Center of Dental Professionals

Benjamin Hulse, DDS 3798 South 700 East (801) 747-8007The Center of Dental Professionals

Reed Lobrot, DDS 3798 South 700 East (801) 747-8007The Center of Dental Professionals

Luke Petersen, DDS 3798 South 700 East (801) 747-8007The Center of Dental Professionals

John Poulter, DDS 3798 South 700 East (801) 747-8007The Center of Dental Professionals

Kris H. Rosander, DDS 3798 South 700 East (801) 747-8007The Center of Dental Professionals

David Stubbs, DDS 3798 South 700 East (801) 747-8007The Center of Dental Professionals

Spencer Updike, DDS 3798 South 700 East (801) 747-8007The Center of Dental Professionals

Shannon Young, DMD 3798 South 700 East (801) 747-8007The Center of Dental Professionals

SALT LAKE CITY

Reed Adams, DDS 928 East 100 South (801) 355-5657Adams Reed

Franklin Allen, DMD 6065 S. Highland Drive (801) 277-5181Allen Family Dental

Jeffrey D. Almond, DDS 850 East 300 South (801) 363-5652Almond Jeffrey D.

Kenneth R. Anderson, DDS 2290 East 4500 South (801) 278-4131

Page 12

** Roster Only

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

Page 14: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Anderson Kenneth R. Eric Anderson, DDS 3798 South 700 East (801) 747-8007

A Kids Place Dentistry Timothy Anger, DMD 1356 South 2100 East (801) 581-0054

Bowen Bradford Thomas Austad, DDS 370 East South Temple (801) 320-9810

Monarch Dental Ashley Bailey, DDS 530 East 500 South (801) 747-8000

The Center of Dental Professionals Stephen Barker, DDS 2792 South 5600 West (801) 969-9669

Aloha Dental Jason G. Barton, DDS 928 East 100 South (801) 355-5657

iSmile at Salt Lake City Landon Bell, DDS 2000 South 1300 East (801) 484-8893

3G Family Dentistry Curtis Bevan, DDS 4046 South Highland Drive (801) 272-3690

Bevan Curtis C. Greg Beyeler, DDS 2936 South Highland Drive (801) 485-8888

Beyeler Greg Greg Biddulph, DDS 2792 South 5600 West (801) 969-9669

Aloha Dental Daniel Joseph Bishop, DMD 2120 E 3900 S (801) 274-2500

Woodbury Family Dental Richard Blackhurst, DDS 754 South State Street (801) 359-1233

Utah Dental Centers Michael Blamires, DDS 370 East South Temple (801) 320-9810

Monarch Dental Michael Blamires, DDS 370 East South Temple (801) 320-9810

Monarch Dental David P. Blanco, DDS 4370 South Redwood Rd. (801) 969-1802

Blanco David P. Bradford Bowen, DDS 1356 South 2100 East (801) 581-0054

Bowen Bradford Michael Boyack, DDS 530 East 500 South (801) 747-8000

The Center of Dental Professionals Robert Boyden, DDS 3920 South 1100 East (801) 576-1799

Boyden Robert D. John Braithwaite, DMD 1377 East 3900 South (801) 272-1199

Braithwaite John Graydon Briggs, DDS 5292 South College Drive (801) 707-3424

Graydon J Briggs DDS Graydon Briggs, DDS 530 East 500 South (801) 747-8000

The Center of Dental Professionals Layne Brown, DDS 1345 East 3900 South (801) 278-1333

Brown Layne Richard Buck, DDS 3060 South Redwood Road (801) 972-0555

The Tooth Doctor Noel Burns, DDS 6070 South 1300 East (801) 266-7831

Burns Noel Jeffrey Buxton, DMD 5872 South 900 East (801) 278-3214

Buxton Dentistry Walter Landon Bye, DDS 175 South West Temple (801) 364-7943

Bye Walter Landon Greg Cahoon, DDS 530 East 500 South (801) 747-8000

The Center of Dental Professionals Galen Campbell, DDS 1345 East 3900 South (801) 278-4223

Legacy Dental LLC Jonathan Campbell, DDS 1345 East 3900 South (801) 278-4223

Legacy Dental LLC Steven M. Canfield, DDS 4970 S. 900 East #D (801) 261-3635

Canfield Steven M. David H Cannon, DDS 1060 East 100 South (801) 363-1321

Cannon DDS, David David Cannon, DDS 1434 South 4500 South #202 (801) 274-3889

DS Cannon Dental Kelly Carroll, DDS 2114 E Fort Union Blvd (801) 943-2020

Carroll Kelly D. Bradley Carter, DMD 2120 South 700 East (801) 487-0760

Salt Lake Dental LLC Stephen Carter, DDS 545 East 4500 South #200 (801) 261-2273

Stephen Carter Gary Cavaness, DDS 370 East South Temple (801) 320-9810

Monarch Dental Joseph M. Checchio, DDS 1060 East 100 South (801) 355-326

Genesis Dental J.C. Cheney, DMD 2040 East 4800 South (801) 278-7100

Cheney J.C. Robert Chidester, DDS 370 East South Temple (801) 320-9810

Monarch Dental Todd Chikaraishi, DDS 7138 Highland (801) 942-7770

Chikaraishi Todd Denny Cho, DDS 1400 Foothill Drive #36 (801) 583-4500

Smile Dental Studio Richard Christensen, DDS 2319 Foothill Drive (801) 467-6311

Christensen Richard Angela Christensen, DDS 3920 South 1100 East (801) 576-1799

Boyden Robert D. R. Lars Christensen, DMD 1356 South 2100 East (801) 581-0054

Christensen R. Lars David G. Christensen, DDS 508 East South Temple (801) 359-4732

Christensen David G. David Christensen, DDS 6065 S. Highland Dr. #1 (801) 277-5181

David Christensen Hyung-Joon Chun, DDS 1400 Foothill Dr (801) 583-4500

Smilewave Dental Group David Clark, DDS 2180 East 4500 South (801) 272-8609

Smart Dental Richard Clegg, DDS 1377 East 3900 South (801) 277-8222

Clegg Richard Richard Clegg, DDS 1377 East 3900 South (801) 272-1199

All Valley Dental Daren Cole, DMD 1377 East 3900 South (801) 272-1199

All Valley Dental Daren Cole, DMD 1345 East 3900 South #206 (801) 278-1333

39th and 13th Street Dental John Conner Jr., DDS 1345 East 3900 South (801) 277-2637

John Conner Jr. Courtland G. Cottrell, DDS 3920 South 1100 East (801) 266-5005

Cottrell Courtland G. Glade Crowther, DDS 370 East South Temple (801) 320-9810

Monarch Dental Scott Dahlquist, DDS 2180 East 4500 South (801) 278-4431

Dahlquist Scott Dan Dansie, DDS 2222 West 3500 South (801) 304-9391

Marz Orthodontics Kent Dastrup, DDS 370 East South Temple (801) 320-9810

Monarch Dental Thomas Davenport, DDS 370 East South Temple (801) 320-9810

Monarch Dental Stephen Davis, DDS 3950 South 700 East (801) 263-2226

Davis DDS, Stephen Bradley DeVries, DMD 1060 East 100 South (801) 355-326

Genesis Dental Darin A. Dickerson, DMD 370 East South Temple (801) 320-9810

Monarch Dental R. Scott Dickson, DDS 2040 East Murray Holladay Road (801) 277-1424

Dickson R. Scott Ray Dillman, DDS 3060 South Redwood Road (801) 972-0555

The Tooth Doctor Ray Dillman, DDS 2180 East Ft. Union (801) 944-4141

Dillman Ray Ryan Dowling, DMD 2180 East Ft. Union (801) 944-4141

Dillman Ray Ryan Dowling, DMD 3060 South Redwood Road (801) 972-0555

The Tooth Doctor Randy Downing, DDS 7138 S Highland Dr. (801) 572-1600

Downing Randy Scot D. Drury, DDS 1400 Foothill Drive (801) 582-9351

Drury Scot D. David Duke, DDS 420 East South Temple (801) 355-2202

David Duke Stanford Durrant, DMD 1770 Fort Union Blvd. (801) 942-1400

Stanford Durrant Eli Edmunds, DDS 1638 West 6235 South (801) 966-0617

Edmunds Eli Michael Eggett, DDS 1963 South 1200 East #103 (801) 466-1212

Platinum Dental Care Dennis Elder, DDS 4110 South Highland Drive (801) 278-8800

Olympus View Dental Richard Ellis II, DDS 5 South 700 East (801) 355-3263

Richard L Ellis II DMD Richard L Ellis III DDS LLC Richard Ellis III, null 5 South 700 East (801) 355-3263

Richard L Ellis II DMD Richard L Ellis III DDS LLC Dustin Farris, DMD 370 E. South Temple #220 (801) 355-8287

Dustin Farris Eric C. Felt, DDS 215 South 1000 East (801) 533-9879

Felt Eric C. Timothy Ferre, DDS 3690 E. Fort Union Blvd (801) 942-2324

Ferre Timothy Gary Findley, DDS 4110 South Highland Drive (801) 277-1722

Findley Gary Kimel Fischer, DMD 2500 South State Street (385) 646-4748

Family Dental Care William Fisher, DDS 370 East South Temple (801) 320-9810

Monarch Dental Joshua Frandsen, DDS 2195 West 5400 South (801) 969-6740

Horizon Dental Associates LLC Jacob Froerer, DDS 4110 South Highland Drive (801) 278-8800

Olympus View Dental Chris Giauque, DDS 1345 East 3900 South #210 (801) 273-8100

Chris Giauque Barton Gleave, DDS 5872 South 900 East (801) 288-1818

Gleave Barton Aaron S. Goldberg, DDS 1050 East 3300 South (801) 487-2206

Quality Plaza Dental Care Hans Gray, DDS 1345 East 3900 South (801) 278-4223

Legacy Dental LLC Jesse N. Greaves, DMD 1548 East 4500 South (801) 272-8051

Greaves Jesse N. Benjamin Hadfield, DDS 530 East 500 South (801) 747-8000

The Center of Dental Professionals Bradley Hair, DDS 702 East South Temple (801) 532-1122

Bradley Hair Sanford Hamilton, DDS 1638 West 6235 South (801) 264-0617

Sanford Hamilton Shawn Hamilton, DDS 1638 West 6235 South (801) 264-0617

Sanford Hamilton Darin Hartvigsen, DDS 1377 East 3900 South (801) 272-1199

Page 13

** Roster Only

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

Page 15: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

All Valley Dental George Hatsis, DDS 1060 East 100 South (801) 355-326

Genesis Dental Clark Hicken, DDS 370 East South Temple (801) 320-9810

Monarch Dental William Hickman, DMD 370 East South Temple (801) 320-9810

Monarch Dental William Holmberg, DDS 1377 East 3900 South (801) 274-7700

Holmberg William Benjamin Hulse, DDS 530 East 500 South (801) 747-8000

The Center of Dental Professionals Benjamin Hulse, DDS 530 East 500 South (801) 747-8000

The Center of Dental Professionals Brent Hutchings, DDS 440 South 700 East (801) 363-1213

Hutchings Family Dental Michael Hutchings, DMD 440 S. 700 E. #305 (801) 363-1213

Michael Hutchings Paul Jackson, DMD 1345 East Fort Union Blvd (801) 590-8160

Meadowbrook Dental Brandon Jensen, DDS 1345 East 3900 South (801) 278-2817

Brandon Jensen DDS PC Jay D. Jensen, DDS 3098 S. Highland Drive #400 (801) 467-9111

Jensen Jay D. Robert Johnson, DDS 370 East South Temple (801) 320-9810

Monarch Dental Drew L. Jones, DDS 7050 South Highland Dr (801) 942-6464

Jones Drew L. Drew L. Jones, DDS 7050 South Highland Dr (801) 942-6464

Jones Drew L. Ronald J. Kehl, DDS 1565 E 3900 S (801) 272-3642

Dental & Oral Health Clinic Brady Keller, DDS 2792 South 5600 West (801) 969-9669

Aloha Dental Kenneth King, DDS 1345 East 3900 South (801) 278-2817

King Kenneth David K. Knowlton, DDS 4788 South Redwood Rd (801) 969-4264

Knowlton David K. Darin Knudson, DDS 7050 South Highland Drive (801) 943-3233

Cottonwood Pediatric Dentistry Elise Kobe, DDS 3798 South 700 East (801) 747-8007

A Kids Place Dentistry Elise Kobe, DDS 530 East 500 South (801) 747-8000

A Kids Place Dentistry Steven Lambourne, DDS 175 South West Temple (801) 364-7943

Bye Walter Landon John LaPine, DDS 3865 South Wasatch Blvd. (801) 272-4999

John Paul LaPine Eric A. Larson, DDS 928 East 100 South (801) 355-4733

Larsen Eric A. Matt Larson, DDS 928 East 100 South (801) 355-5558

Matt B Larson DDS LLC Kent S. Lewis, DDS 4970 South 900 East (801) 262-9444

Lewis Kent S. Stephen B. Liddle, DDS 7069 Highland Drive (801) 943-2222

Stephen B. Liddle DDS Jeremiah Lindgren, DDS 370 East South Temple (801) 320-9810

Monarch Dental Daniel Linford, DDS 2725 E Parleys Way (801) 875-0570

Parleys Creek Dental Devin Link, DDS 1365 West 1000 North (801) 328-5750

Stephen Ratcliffe Dental Clinic Devin Link, DDS 1365 West 1000 North (801) 328-5756

Community Health Centers Devin Link, DDS 4745 South 3200 West (801) 961-6214

Oquirrh View Dental Clinic Reed Lobrot, DDS 530 East 500 South (801) 747-8000

The Center of Dental Professionals Steven Lowe, DDS 7138 Highland Drive (801) 943-0901

Steven B Lowe, DDS Sean P. Lucas, DDS 7186 S Highland Dr (801) 453-0244

Lucas Sean P. Val Ludlow, DDS 4568 S. Highland Drive (801) 277-1748

Ludlow Val Thomas Ludlow, DDS 850 East 300 South #3 (801) 355-0380

Thomas Ludlow Spencer Luke, DDS 1011 N Catherine St (801) 596-3000

Lakeside Dental Kelly Mangrum, DDS 7110 South Highland Drive (801) 943-6880

Mangrum, Kelly DDS Adam D. Marberger, DDS 4110 Highland Drive #100B (801) 272-0271

Marberger Adam D. Richard Martinez, DDS 3001 Richmond Street (801) 467-6555

Martinez Richard Michael K. Matheson, DDS 3939 South Wasatch Blvd (801) 424-0027

Matheson Dental Associates Jason O. May, DDS 3060 South Redwood Road (801) 972-0555

The Tooth Doctor Tyler May, DDS 2180 East Fort Union Blvd. (801) 944-4141

The Tooth Doctor Tyler May, DDS 3060 South Redwood Road (801) 972-0555

The Tooth Doctor Adam McLachlan, DDS 2043 East 2700 South (801) 467-4874

McLachlan DDS, Adam Daniel Meeks, DDS 370 East South Temple (801) 320-9810

Monarch Dental Benjamin Menlove, DDS 7050 South Highland Drive (801) 943-3233

Cottonwood Pediatric Dentistry Benjamin Menlove, DDS 370 East South Temple (801) 320-9810

Monarch Dental Benjamin Menlove, DDS 1580 East 3900 South #110 (801) 272-8555

Eastgate Pediatric Dentistry Clinton Miller, DMD 3060 South Redwood Road (801) 972-0555

The Tooth Doctor Gregery L. Muse, DDS 4460 South Highland Dr. (801) 272-4111

Muse Gregery L. Sarah Naisbitt, DDS 370 East South Temple (801) 320-9810

Monarch Dental Sarah Naisbitt, DDS 999 East Murray Holladay Road (801) 281-3500

Cadenza Family Dental Robert Nielson, DDS 4802 South Holladay Blvd (801) 733-7035

Oral Design Dental Richard J. Nydegger, DDS 1996 East 6400 South (801) 943-2242

Nydegger Richard J. Darliece Nye, DMD 370 East South Temple (801) 320-9810

Monarch Dental Justin Nylander, DMD 1345 East 3900 South (801) 278-4223

Legacy Dental LLC Phillip Olsen, DMD 370 East South Temple (801) 320-9810

Monarch Dental Daniel Ormsby, DDS 5801 South Fashion Blvd (801) 424-9031

Daniel W Ormsby DDS Robert Palmer, DDS 223 South 700 East (801) 355-6997

Robert S. Palmer, DDS PC Jeffrey Pearson, DMD 1963 South 1200 East #103 (801) 466-1212

Platinum Dental Care George Pearson, DMD 1955 South 1300 East (801) 487-5805

Pearson George Luke Petersen, DDS 530 East 500 South (801) 747-8000

The Center of Dental Professionals Burke B. Peterson, DDS 250 Broadway (801) 322-4082

Peterson Burke B. Mark Pettit, DDS 1060 East 100 South (801) 328-1633

Mark L. Pettit Steven Pinegar, DDS 1377 East 3900 South (801) 272-1199

All Valley Dental Steven Pinegar, DDS 1345 East 3900 South #206 (801) 278-1333

39th and 13th Street Dental Henry Pond, DMD 688 E Vine Street (801) 262-8728

Henry Pond Marcus Pope, DDS 928 East 100 South (801) 355-5657

iSmile at Salt Lake City Paul Porter, DDS 215 South 1000 East (801) 524-4173

Avenues Family Dentistry John Poulter, DDS 530 East 500 South (801) 747-8000

The Center of Dental Professionals Craig R. Proctor, DDS 2936 South Highland Dr. (801) 486-2800

Proctor Craig R. Michael Rasch, DDS 2180 East 4500 South (801) 277-1916

Village Dental Richard E. Reber, DMD 1996 East 6400 South (801) 943-2627

Reber Richard E. John Reschke, DDS 370 East South Temple (801) 320-9810

Monarch Dental John Rich, DDS 7086 S Highland Drive (801) 942-5520

John Rich Jeffrey Roberson, DDS 370 East South Temple (801) 320-9810

Monarch Dental Randy Roberts, DDS 6321 S Redwood Rd (801) 590-8694

Utah Smile Clinic Kim G. Roberts, DDS 370 East South Temple (801) 320-9810

Monarch Dental Kim G. Roberts, DDS 4046 South Highland Dr. (801) 424-3500

Roberts Kim G. W. Kris Rosander, DDS 2059 East 3900 South (801) 278-5000

Rosander W. Kris Kris H. Rosander, DDS 4802 South Holladay Blvd (801) 733-7035

Oral Design Dental Kris H. Rosander, DDS 2059 East 3900 South (801) 278-5000

Kris H. Rosander Roger Russell, DDS 7138 S Highland Dr. (801) 943-1625

Russell Roger Glenn Sands, DDS 1770 East Fort Union Blvd. (801) 942-0610

Sands Glenn Gregory Sansom, DDS 2036 South 1300 East (801) 467-6381

Sansom Gregory Kyle Scott, DDS 3060 South Redwood Road (801) 972-0555

The Tooth Doctor William Sergakis, DDS 7240 S. Highland Dr. (801) 733-0864

Sergakis William Jason Skinner, DDS 622 East 4500 South (801) 313-1800

Jason D Skinner DDS James Skousen, DDS 370 East South Temple (801) 320-9810

Monarch Dental J. Richard Smart, DDS 2180 East 4500 South (801) 272-8609

Smart Dental Brian W. Smith, DDS 6360 South 3000 East (801) 943-5443

Smith Brian W. Andrew M Smith, DMD 6040 South Fashion Boulevard (801) 262-6661

Page 14

** Roster Only

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

Page 16: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Wasatch Gentle Dental Inc Bradley Smith, DMD 6040 South Fashion Boulevard (801) 262-6661

Wasatch Gentle Dental Inc Greg Smith, DDS 370 East South Temple (801) 320-9810

Monarch Dental Matthew Snyder, DDS 2681 E. Parleys Way (801) 485-2627

Snyder Matthew Steven Soelberg, DMD 2200 East 4500 South (801) 288-1888

Holladay Hills Dental Jeffrey Sperry, DMD 2000 South 1300 East (801) 484-8893

3G Family Dentistry C William Springer, DDS 160 South 1000 East (801) 355-4582

Springer DDS, C Willilam James Standring, DDS 4370 S Redwood Road (801) 969-4100

Redwood Dental Scott Stein, DDS 3920 South 1100 East #370 (801) 268-3516

Scott Stein Brad Stewart, DDS 1345 East 3900 South (801) 278-4223

Legacy Dental LLC David Stohl, DMD 2120 South 700 East (801) 487-0760

Salt Lake Dental LLC Matthew Stohl, DMD 2120 South 700 East (801) 487-0760

Salt Lake Dental LLC David Stohl, DMD 1355 S Foothill Drive (801) 582-5787

Stohl David Matthew Stohl, DMD 1355 South Foothill Drive (801) 582-5787

Stohl Matthew John Stohl, DMD 1355 South Foothill Drive (801) 582-5787

Stohl John Brigham Stoker, DDS 144 South 700 East (801) 505-6850

Salt Lake City Dental Center John E. Storheim, DDS 1345 East 3900 South (801) 272-8284

Storheim John E. Aaron Straw, DDS 3920 South 1100 East (801) 576-1799

Boyden Robert D. Corbin Stringfellow, DMD 1345 East 3900 South (801) 272-8284

Corbin Stringfellow Brad Strong, DDS 1345 East 3900 South (801) 278-4223

Legacy Dental LLC David Stubbs, DDS 530 East 500 South (801) 747-8000

The Center of Dental Professionals Todd Suekawa, DDS 2178 South 900 East (801) 487-4606

Suekawa Todd Cindy Sumarauw, DDS 999 East Murray Holladay Road (801) 281-3500

Cadenza Family Dental William Sundberg, DDS 370 East South Temple (801) 320-9810

Monarch Dental Shane Taylor, DDS 370 East South Temple (801) 320-9810

Monarch Dental Craig B. Theurer, DDS 1955 South 1300 East (801) 487-5805

Theurer Craig B. Darrell Thomas, DDS 250 East 300 South (801) 532-6279

Thomas Darrell Robert Thorup, DDS 7130 S. Highland Dr. #218 (801) 944-9494

Robert Thorup Anthony Tidwell, DDS 4110 S. Highland Drive (801) 278-1164

Tidwell Anthony Wesley Tillman, DMD 5872 South 900 East (801) 281-8433

Tillmann Ruediger Ruediger Tillmann, DDS 5872 South 900 East (801) 281-8433

Tillmann Ruediger D. Scott Topham, DDS 3060 South Redwood Road (801) 972-0555

Topham D. Scott D. Scott Topham, DDS 2180 East Fort Union Blvd. (801) 944-4141

The Tooth Doctor Spencer Updike, DDS 34 S 500 E (801) 521-8188

South Temple Dental Scott M Updyke, DDS 3369 South 2300 East (801) 489-5048

Updyke DDS, Scott M Michael Van Leeuwen, DMD 6936 S. 2475 E. (801) 943-1612

Van Leeuwen Michael Adam Van Leeuwen, DDS 6936 S. 2475 E. (801) 943-1612

Van Leeuwen Michael Erika Vekter, DMD 2180 East Fort Union Blvd. (801) 944-4141

The Tooth Doctor Erika Vekter, DMD 3060 South Redwood Road (801) 972-0555

The Tooth Doctor Eric Michael Visser, DMD 1060 East 100 South (801) 355-326

Genesis Dental Darrell Voorhees, DDS 1343 Ft Union Blvd (801) 943-3661

Voorhees Darrell Troy Walton, DDS 1365 West 1000 North (801) 328-5756

Community Health Centers Charles Ward, DDS 4578 South Highland Drive (801) 261-3622

Ward DDS, Charles Jeffrey F Ward, DDS 4020 South 700 East (801) 266-4352

Jeffrey F Ward, DDS Michael Watson, DDS 4465 South 900 East (801) 278-0704

Watson Michael Jared Weaver, DDS 2011 South 1300 East (801) 484-0792

Jared Weaver Daniel West, DMD 5292 South College Drive #204 (801) 266-3000

West DMD, Daniel George Winder, DDS 370 East South Temple (801) 320-9810

Monarch Dental George Winder, DDS 1035 West Bellwood Lane (801) 261-2613

River Park Dental Jared Wolthuis, DDS 55 North Redwood Road (801) 519-2222

Rose Park Pediatric Dentistry James M. Wright, DDS 32 North State Street (801) 359-2655

Wright James M. Troy W. Yates, DDS 6936 S 2475 E (801) 943-4577

Yates Troy W. Robert W. Yates, DDS 6936 S 2475 E (801) 943-4577

Yates Robert W. Shannon Young, DMD 530 East 500 South (801) 747-8000

The Center of Dental Professionals

SANDY

Thomas Austad, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Landon Bell, DDS 10011 South Centennial Pkwy (801) 996-34373G Family Dentistry

Josef Benzon, DMD 8757 Highland Drve (801) 947-0505Willow Creek Dental

Michael Blamires, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Michael Blamires, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Tyler Carlson, DMD 7369 Creek Road (801) 566-5577Creek Road Dental

Gary Cavaness, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Robert Chidester, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Craig M. Christensen, DMD 9455 Union Square (801) 571-5050Christensen Craig M.

Gary Clark, DMD 9730 South 700 East #106 (801) 572-1130Gary Clark

Cabot Curtis, DMD 7430 South Creek Road (801) 561-8131Alpenglow Dental

Kent Dastrup, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Kenneth Dibble, DDS 9853 South 700 East (801) 572-4430Lone Peak Dental Care

Darin A. Dickerson, DMD 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Daniel Dowdle, DMD 9853 South 700 East (801) 572-4430Lone Peak Dental Care

David Duke, DDS 9457 South 700 East (801) 572-5550Heritage Dental

Robert Jeff Easton, DMD 850 E 9400 S (801) 571-3400Easton Dental Care

William Ellingson, DMD 850 East 9400 South (801) 255-2100Graniteview Dental

Louis Erickson, DDS 53 West 10600 South (801) 576-1444Grandpa's Dental Care Inc

William Fisher, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Amy Florence , DMD 7369 Creek Road (801) 566-5577Creek Road Dental

Clark Hicken, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

William Hickman, DMD 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

William Hickman, DMD 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

James E Hillstrom, DDS 8757 Highland Drve (801) 947-0505Willow Creek Dental

Jason Hodge, DMD 1844 East 9400 South (801) 816-9366Canyon View Dental Care 1, LLC

Brian Homer, DMD 7369 Creek Road (801) 566-5577Creek Road Dental

Richard Hughes, DMD 9844 South 1300 East (801) 572-4261Alta View Dental Care

David E. Jackson, DDS 870 East 9400 South (801) 571-8391Jackson David E.

Steven Jensen, DDS 880 East 9400 South (801) 553-1616Steven K Jensen, DDS

Stephen Johansen, DDS 7370 South Creek Road (801) 676-1234Johansen DDS, Stephen

Randall Johnson, DDS 1434 East 9400 South (801) 572-4404Johnson Watts DDS

Robert Johnson, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Michael Judi, DMD 8757 Highland Drve (801) 947-0505Willow Creek Dental

Steve Kim, DDS 10450 South State Street (801) 576-7500South Towne Dental

Nicholas LaFeber, DMD 8941 South 700 East (801) 566-0660Nicholas Lefeber

Greg P. Larsen, DDS 7370 South Creek Road (801) 566-4100Larsen Greg P.

Matt Larson, DDS 9457 South 700 East (801) 355-5558Sandy Village Dental

Jeremiah Lindgren, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Page 15

** Roster Only

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

Page 17: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Kevin Mansell, DDS 1030 East 11400 South (801) 572-2250Mansell Dental Center

Daniel Masson, DDS 9457 South 700 East (801) 572-5550Daniel Masson

Daniel Meeks, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Benjamin Menlove, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Sarah Naisbitt, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Darliece Nye, DMD 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Phillip Olsen, DMD 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Robert Owens, DDS 8045 South 700 East (801) 561-5161Robert Owens

Randell Packer, DDS 8238 South 700 East (801) 566-4697Packer Randell

Gregory D. Perkins, DDS 7430 S. Creek Road #100 (801) 255-4870Perkins Gregory D.

Luke Petersen, DDS 8757 Highland Drve (801) 947-0505Willow Creek Dental

Shane Phillips, DDS 850 East 9400 South #100 (801) 255-2100Shane Phillips

Tyson Pickett, DDS 7430 South Creek Road (801) 561-8131Alpenglow Dental

Greg Randall, DMD 9141 S. Village Shop Drive (801) 362-5165Greg Randall

John Reschke, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Jeffrey Roberson, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Kim G. Roberts, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Richard A. Shulze, DMD 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

James Skousen, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Joshua Smith, DMD 1030 East 11400 South (801) 572-2250Smith Dental Care LLC

Greg Smith, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Jeffrey Sperry, DMD 10011 South Centennial Pkwy (801) 996-34373G Family Dentistry

Scott David Stringham, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

William Sundberg, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Shane Taylor, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Jaron Traveller, DDS 7430 South Creek Road (801) 561-8131Alpenglow Dental

Bart Watts, DDS 1434 East 9400 South (801) 572-4404Johnson Watts DDS

Randy Webb, DDS 1434 E 9400 S (801) 571-0063Matthew D. Webb, DDS, PC

Matthew Webb, DDS 1434 E 9400 S (801) 571-0063Matthew D. Webb, DDS, PC

David Webb, DDS 1434 E 9400 S (801) 571-0063Matthew D. Webb, DDS, PC

George Winder, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

SANTA CLARA

Nathan Moore, DDS 2313 Santa Clara (435) 652-4100Moore Nathan

Jay Redd, DMD 2301 Santa Clara Drive (435) 688-1577Santa Clara Dental

SANTAQUIN

Jon R. Chisholm, DDS 10 South 300 West (801) 754-0678Chisholm Jon R.

Gavin Huntington, DDS 151 E Main Street (801) 754-3100Gavin Huntington

Paul Rogers, DDS 151 E Main Street (801) 754-3100Gavin Huntington

SARATOGA SPRINGS

David Blackhurst, DDS 1314 N. Redwood Road (801) 768-0440Professional Dental

Michael Boyack, DDS 1376 North Redwood Road (801) 766-2112Young Family Dental

William Cerny, DDS 1376 North Redwood Road (801) 766-2112Young Family Dental

Glade Crowther, DDS 1314 N. Redwood Road (801) 768-0440Professional Dental

Glade Crowther, DDS 1314 N. Redwood Road (801) 768-0440Professional Dental

Cabot Curtis, DMD 76 E Commerce Drive (801) 768-4600Alpenglow Dental

Bradley DeVries, DMD 1314 N. Redwood Road (801) 768-0440Professional Dental

David Faerber, DMD 76 E Commerce Drive (801) 768-4600Alpenglow Dental

Bryan Greenwood, DDS 76 E Commerce Drive (801) 766-3269Greenwood Dental

Brandon Greenwood, DDS 76 E Commerce Drive (801) 766-3269Greenwood Dental

Dale Greenwood, DDS 76 E Commerce Drive (801) 766-3269Greenwood Dental

Robert Guenter, DDS 1314 N. Redwood Road (801) 768-0440Professional Dental

Nathan Holt, DMD 245 E Crossroads Boulevard (801) 495-4440Corner Canyon Dentistry

Greg P. Larsen, DDS 1376 North Redwood Road (801) 766-2112Young Family Dental

Michael Loeser, DMD 1376 North Redwood Road (801) 766-2112Young Family Dental

Jeremy B. Matthews, DMD 1305 North Commerce Dr. (801) 766-4944Matthews Jeremy B.

Corbin Matthews, DDS 1305 North Commerce Dr. (801) 766-4944Matthews Jeremy B.

Matthew McInnes, DDS 1314 N. Redwood Road (801) 768-0440Professional Dental

Bret Osborne, DMD 1314 N. Redwood Road (801) 768-0440Professional Dental

Kwang Park, DDS 1376 North Redwood Road (801) 766-2112Young Family Dental

L. Craig Rosvall, DDS 1314 N. Redwood Road (801) 768-0440Professional Dental

Steven Sorensen, DDS 1314 N. Redwood Road (801) 768-0440Professional Dental

Paige White, DDS 1376 North Redwood Road (801) 766-2112Young Family Dental

Christopher Young, DDS 1376 North Redwood Road (801) 766-2112Young Family Dental

Michael Young, DDS 1376 North Redwood Road (801) 766-2112Young Family Dental

SLATERVILLE

Justin Tobias, DDS 1920 West 250 North (801) 731-4848Tobias Justin

SMITHFIELD

Daniel Hatch, DDS 1189 South Main Street (435) 563-3025Smithfield Dental Care

Karl Koerner, DDS 291 South Main (435) 563-2553IDA-Canyon Dental

Anthony L Larson, DDS 291 South Main Street (435) 563-2553Canyon Dental Care

Jonathan Miles, DDS 510 South Main (435) 563-3266Jonathan Miles

Jake D Sorensen, DDS 291 South Main Street (435) 563-2553Canyon Dental Care

Darren Webber, DMD 130 West 700 South (435) 563-0140Community Dental Center

F.D. Reggie Whitaker, DMD 1189 South Main Street (435) 563-3025Smithfield Dental Care

SOUTH JORDAN

David L. Alvord, DDS 1685 West 10600 South (801) 254-7003Oquirrh Mountain Dental

David Babcock, DMD 3672 W. South Jordan Parkway (801) 260-0400Village Dental of South Jordan

John Shea Bess, DDS 3556 West 9800 South (801) 280-5558Autumn Ridge Dental

David Blackhurst, DDS 3648 West 9800 South (801) 260-0100Professional Dental

David J. Coates, DDS 2563 West 10400 South (801) 254-5553Coates David J.

Glade Crowther, DDS 3648 West 9800 South (801) 260-0100Professional Dental

Glade Crowther, DDS 3648 West 9800 South (801) 260-0100Professional Dental

Cabot Curtis, DMD 3672 W. South Jordan Pkwy/ (801) 878-1700Alpenglow Dental

Bradley DeVries, DMD 3648 West 9800 South (801) 260-0100Professional Dental

David Faerber, DMD 3648 West 9800 South (801) 260-0100Professional Dental

Robert Guenter, DDS 3648 West 9800 South (801) 260-0100Professional Dental

Daniel Harris, DMD 10393 South 1300 West (801) 254-1400Jordan River Dental

M. Douglas Jenkins, DDS 3672 W. South Jordan Parkway (801) 260-0400Village Dental of South Jordan

James D Johnson, DDS 2651 West 10400 South (801) 253-0595James D Johnson DDS PC

Chris W. Keefe, DDS 10393 South 1300 West (801) 254-1400Keefe Chris W.

Angela Kerr, DDS 3785 West 10400 South (801) 766-3600Stonehaven Dental

Guy Leavitt, DMD 3785 West 10400 South (801) 766-3600Stonehaven Dental

Page 16

** Roster Only

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

Page 18: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

K. John Liddiard, DMD 10458 S Redwood Road (801) 302-8989Cornerstone Dental Care

James Lund, DDS 10430 South 2700 West (801) 254-7777Lund James

Jerry Maymi, DMD 10400 South 2651 West (801) 253-7553Maymi Jerry

Matthew McInnes, DDS 3556 West 9800 South (801) 280-5558McInnes DDS, Matthew

John D. Miller, DDS 10393 South 1300 West (801) 254-1400Miller John D.

David W. Miller, DDS 10393 South 1300 West (801) 254-1400Miller David W.

Derek Morris, DDS 10393 South 1300 West (801) 254-1400Morris Derek

Bret Osborne, DMD 3648 West 9800 South (801) 260-0100Professional Dental

Robert Paxton, DMD 1268 W South Jordan Pkwy (801) 253-3900South Jordan Dental

Tyson Pickett, DDS 3672 W. South Jordan Pkwy/ (801) 878-1700Alpenglow Dental

Lisa Romney, DMD 3632 W. South Jordan Pkwy (801) 446-4668Willden Family Dental

L. Craig Rosvall, DDS 3648 West 9800 South (801) 260-0100Professional Dental

Roger Russell, DDS 10334 S. Redwood Road (801) 253-8771South Jordan Family Dentistry

Steven Smith, DMD 3473 W. South Jordan Pkwy (801) 260-9150Smith Steven

Steven Sorensen, DDS 3648 West 9800 South (801) 260-0100Professional Dental

John Stark, DDS 21258 W. South Jordan Pkwy (801) 254-0713Restoration Dental

Michael Warner, DMD 2651 West 10400 South (801) 254-4454Aspire Dental Care

Ryan Willden, DDS 3632 W. South Jordan Pkwy (801) 446-4668Willden Family Dental

SOUTH OGDEN

Owen Allen, DMD 5685 South 1475 East (801) 475-0509Comfort Family Dental of South Ogden

Blake Cameron, DDS 6017 Fashion Point Drive (801) 475-5155Experienced Dental

Thomas Johnston, DDS 5685 S 1475 E (801) 475-4646Johnston Dental

SPANISH FORK

Shaun Briggs, DDS 826 North 100 East (801) 798-0061Briggs Shaun

Wells Brockbank, DDS 490 North Main (801) 798-9874Brockbank Wells

Forrest Buhler, DMD 63 East 800 North (801) 794-9905Buhler Forrest

Aaron D. Cloward, DMD 90 West 600 North (801) 798-2616Cloward Aaron D.

William Davis, DMD 665 East 300 South (801) 798-8496Canyon Dental Clinic

Jon C Fairbanks, DMD 83 West 900 North (801) 794-1834Cloward DDS, Aaron

Brent D. Hansen, DDS 290 West Center Street (801) 498-7464Hansen Brent D.

Justin Hilmo, DDS 826 North 100 East (801) 794-3567Spanish Fork Dental

Tyler Hoelzer, DDS 826 North 100 East (801) 794-3567Spanish Fork Dental

Paul Nielsen, DDS 826 North 100 East (801) 794-3567Spanish Fork Dental

Kenneth Palmer, DDS 128 West 900 North (801) 794-2254Palmer Kenneth

John Peterson, DDS 312 North Main (801) 794-9684Main Plaza Dental

Paul Rogers, DDS 714 North Main Street (801) 794-8344Rogers Center for Dentistry

David J. Sorensen, DMD 90 West 600 North (801) 798-3296Sorensen David J.

Thomas Sorensen, DDS 90 West 600 North (801) 798-2616Sorensen Thomas

SPRINGVILLE

Daniel W. Asay, DMD 688 West 400 South (801) 489-9494Asay Daniel W.

Robert Baird, DMD 1795 West 500 South (801) 491-6920Cascade Family Dental

Dennis Blume, DDS 143 East 200 South (801) 489-4541Hobble Creek Dental Care

Bret Crandall, DDS 609 East 400 South (801) 489-7500Crandall DDS, Bret

Renn Flinders, DDS 1795 West 500 South (801) 491-6920Cascade Family Dental

Richard Francis, DDS 378 East 400 South #1 (801) 489-9456Springville Dentistry

Mark C. Fullmer, DDS 225 East 400 South (801) 489-3611Fullmer Mark C.

Dale Hadley, DDS 378 East 400 South #1 (801) 489-9456Springville Dentistry

Jonathan Jackson, DDS 335 East 400 South (801) 489-4411Jackson Jonathan

Kyle R. Marshall, DDS 378 East 400 South #1 (801) 489-9456Springville Dentistry

David Nance, DMD 285 East 400 South (801) 489-1000David Nance

Robert N. Perkins, DMD 335 East 400 South (801) 489-4411Perkins Robert N.

Stephen Pratt, DDS 143 East 200 South (801) 489-4541Hobble Creek Dental Care

Eric Swenson, DDS 378 East 400 South #1 (801) 489-9456Springville Dentistry

David Wright, DMD 378 East 400 South #1 (801) 489-9456Springville Dentistry

STANSBURY PARK

April Hinton, DDS 576 Highway 138 (435) 728-0550Hinton Family Dental

Darin Knudson, DDS 220 Millpond Drive #107 (435) 843-5437Stansbury Pediatric Dentistry

SUNSET

Howard Trotter, DDS 170 West 1800 North (801) 773-1533Trotter Howard

Ryder Waldron, DDS 170 West 1800 North (801) 773-1533Waldron Ryder

SYRACUSE

James V Anderson, DMD 1662 S. 2000 W. #A1 (801) 825-2273Lakeview Dental Syracuse

Brett Anderton, DDS 1792 West 1700 South (801) 614-0099Valley View Dental Group PC

Jaren Argyle, DMD 780 South 2000 West (801) 774-0600Argyle Jaren

Daniel Ellingson, DMD 1662 S. 2000 W. #A1 (801) 825-2273Lakeview Dental Syracuse

Jeremy Godderidge, DDS 1792 West 1700 South (801) 779-6037Godderidge Jeremy

Jeff Hansen, DDS 1747 South Heritage Lane (801) 525-1725Dr. Hansen's Family Dentistry

Richard Ingram, DMD 780 East 2000 West (801) 776-3000VIP Tooth Care Dental

Shad Ingram, DDS 780 East 2000 West (801) 776-3000VIP Tooth Care Dental

Clive Ingram, DDS 780 East 2000 West (801) 776-3000VIP Tooth Care Dental

Courtney Jackson, DDS 1747 South Heritage Lane (801) 525-1725Dr. Hansen's Family Dentistry

Karl Koerner, DDS 1747 S Heritage Lane (801) 525-1415IDA-Heritage Dental

Andrew Nield, DDS 1747 S. Heritage Lane #A1 (801) 525-1415Heritage Dental Associates

Bekki Patton, DDS 1662 S. 2000 W. #A1 (801) 825-2273Lakeview Dental Syracuse

Mark Redd, DDS 1792 West 1700 South (801) 614-0099Valley View Dental Group PC

Brett Richins, DMD 1662 S. 2000 W. #A1 (801) 825-2273Lakeview Dental Syracuse

John Roring, DDS 1747 S. Heritage Lane #A1 (801) 525-1415Heritage Dental Associates

Daniel Snedaker, DDS 1662 S. 2000 W. #A1 (801) 825-2273Lakeview Dental Syracuse

Scott Stansfield, DMD 1662 S. 2000 W. #A1 (801) 825-2273Lakeview Dental Syracuse

Jessie Welsh, DDS 1662 S. 2000 W. #A1 (801) 825-2273Lakeview Dental Syracuse

Alan Wilding, DDS 1747 S. Heritage Lane #A1 (801) 525-1415Heritage Dental Associates

TAYLORSVILLE

Owen Allen, DMD 6321 S. Redwood Road (801) 747-0840Owen Allen

Romney R. Black, DDS 6575 South Redwood (801) 716-2500Black Romney R.

Michael Blamires, DDS 5419 S. Redwood Road (801) 263-6400Monarch Dental

Joseph M. Checchio, DDS 6087 South Redwood Road (801) 969-7282Genesis Dental

Robert Chidester, DDS 5419 S. Redwood Road (801) 263-6400Monarch Dental

Scott Cold, DDS 4143 South 1785 West (801) 965-9898Warm Family Dental

C. Ray Coleman, DDS 3165 West 4700 South (801) 966-9956Coleman C. Ray

Curtis Condie, DDS 5255 South 4015 West (801) 968-9003South West Dental

Glade Crowther, DDS 5419 S. Redwood Road (801) 263-6400Monarch Dental

Kent Dastrup, DDS 5419 S. Redwood Road (801) 263-6400

Page 17

** Roster Only

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

Page 19: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Monarch Dental John Dean, DDS 1951 West 4700 South (801) 969-1800

Oral Health Center Darin A. Dickerson, DMD 5419 S. Redwood Road (801) 263-6400

Monarch Dental Brian Duncan, DMD 6183 S Prairie View Drive (801) 969-0881

Duncan Dental Daniel Ellingson, DMD 6087 South Redwood Road (801) 969-7282

Genesis Dental William Fisher, DDS 5419 S. Redwood Road (801) 263-6400

Monarch Dental Clark Hicken, DDS 5419 S. Redwood Road (801) 263-6400

Monarch Dental Robert Johnson, DDS 5419 S. Redwood Road (801) 263-6400

Monarch Dental Nate Lewis, DDS 1951 West 4700 South (801) 969-1800

Oral Health Center Jeremiah Lindgren, DDS 5419 S. Redwood Road (801) 263-6400

Monarch Dental Scott McGavin, DMD 6243 S. Redwood Road (801) 293-8740

McGavin Scott Mark McGowan, DMD 5419 S. Redwood Road (801) 263-6400

Monarch Dental Daniel Meeks, DDS 5419 S. Redwood Road (801) 263-6400

Monarch Dental Sarah Naisbitt, DDS 5419 S. Redwood Road (801) 263-6400

Monarch Dental Paul Naylor, DMD 6183 Prairie View Drive (801) 999-4431

Utah Orthodontic Care Darliece Nye, DMD 5419 S. Redwood Road (801) 263-6400

Monarch Dental Bruce J. O'Donoghue, DDS 1951 West 4700 South (801) 969-1800

Oral Health Center Phillip Olsen, DMD 5419 S. Redwood Road (801) 263-6400

Monarch Dental Stephan Otto, DDS 6321 S. Redwood Road (801) 747-0840

Otto Stephan Victor Pickett, DDS 5255 South 4015 West (801) 968-9003

South West Dental John Reschke, DDS 5419 S. Redwood Road (801) 263-6400

Monarch Dental Jeffrey Roberson, DDS 1909 West 4700 South (801) 968-9548

Jeffrey Roberson DDS Jeffrey Roberson, DDS 5419 S. Redwood Road (801) 263-6400

Monarch Dental Kim G. Roberts, DDS 5419 S. Redwood Road (801) 263-6400

Monarch Dental Nick Rudelich, DDS 5255 South 4015 West (801) 968-9003

South West Dental James Skousen, DDS 5419 S. Redwood Road (801) 263-6400

Monarch Dental Greg Smith, DDS 5419 S. Redwood Road (801) 263-6400

Monarch Dental Scott David Stringham, DDS 5419 S. Redwood Road (801) 263-6400

Monarch Dental William Sundberg, DDS 5419 S. Redwood Road (801) 263-6400

Monarch Dental Shane Taylor, DDS 5419 S. Redwood Road (801) 263-6400

Monarch Dental James Tullis, DMD 5547 South 4015 West #1 (801) 968-3585

James Tullis Brent Twitchell, DMD 5547 South 4015 West #1 (801) 968-3585

Brent Twitchell

TOOELE

Landon Bell, DDS 1204 N Main Street (435) 579-4600Tooele Dental Office

Graydon Briggs, DDS 263 Country Club (801) 707-3424Graydon J Briggs DDS

Steven Bruderer, DMD 1887 N Aaron Dr. (435) 833-9900Blue Rock Family Dental PLLC

Richard Buck, DDS 102 West 1180 North (435) 882-8600Genesis Dental

Joseph M. Checchio, DDS 102 West 1180 North (435) 882-8600Genesis Dental

Joseph M. Checchio, DDS 102 West 1180 North (435) 882-8600Genesis Dental

David Clonts, DDS 263 Country Club Drive (435) 882-2850Apex Dental Tooele

Michael Eggett, DDS 394 South Main Street (435) 882-2331Little Mountain Dental

Joseph Johnson, DDS 181 West Vine Street (435) 882-0099Rosewood Dental Associates

Joseph Maio, DDS 263 Country Club Drive (435) 882-2850Apex Dental Tooele

James McConnell, DMD 263 Country Club Drive (435) 882-2850Apex Dental Tooele

Brett Richins, DMD 1204 N Main Street (435) 579-4600Tooele Dental Office

Landon Rockwell, DDS 181 West Vine Street (435) 882-0099Rosewood Dental Associates

Aaron J. Stobbe, DMD 394 South Main Street (435) 882-2331Little Mountain Dental

Brett Wells, DMD 668 N Garden St. (435) 882-1381Tooele Dental Associates

Michael Wells, DMD 668 N Garden St. (435) 882-1381Tooele Dental Associates

TREMONTON

Kay B Christensen, DDS 718 East Main Street (435) 257-5678Christensen DDS, Kay B

Rod Gardner, DDS 814 E Main Street (435) 257-3880Rod T. Gardner DDS

Jared White, DDS 431 West 600 North (435) 257-3210White Dental

R. Darin Williams, DDS 718 East Main Street (435) 257-3631Williams R. Darin

VERNAL

Robert Hunt, DDS 606 North 1700 West (435) 789-1748Robert K. Hunt, DDS

Tyler Shiner, DDS 1169 W Hwy 40 (435) 781-0660Advanced Dental

Morrie Talbot, DDS 333 West 350 South (435) 789-7711Vernal Smiles

WASHINGTON

David Brown, DDS 195 W Telegraph (435) 673-4605David V Brown DDS

Richard Heideman, DMD 195 West Telegraph (435) 673-4605Heideman DMD, Richard

Kent Heideman, DDS 195 W Telegraph (435) 674-4605Heideman Dental

WELLSVILLE

Tyler J. Hunt, DDS 51 East Main Street (435) 245-6035Hunt Tyler J.

WENDOVER

Bradley DeVries, DMD 399 North Aria Blvd. (435) 665-2962Wendover Dental Care

Jared Hill, DMD 399 North Aria Blvd. (435) 665-2962Wendover Dental Care

Kerry Winkel, DMD 225 Skyhawk Drive (435) 665-7730Winkel Kerry

WEST HAVEN

Louis Meyer, DDS 4645 Midland Drive (801) 731-5600Meyer Family Dental

WEST JORDAN

Jackson Allan, DDS 3855 West 7800 South (801) 565-7455Allan Jackson

Jeffrey D. Almond, DDS 1793 West 9000 South (801) 562-2662Almond Jeffrey

Mark S. Arroyo, DDS 1847 West 9000 South (801) 567-9200Arroyo Mark S.

Ronald Ashton, DDS 9233 South Redwood Road (801) 566-0971Ashton Ronald

John Ayre, DDS 6973 S. 4800 W. #C (801) 840-4833John Ayre

Stephen Barker, DDS 3961 West 9000 South (801) 260-1131Evergreen Dental

Kent Bladen, DDS 1662 West 9000 South (801) 255-6581Kent Bladen

Jeffrey Brown, DDS 9251 S. Redwood Road (801) 566-2155Jeffrey Brown

Brigham Colton, DDS 7613 South Jordan Landing Blvd. (801) 282-2323Colton Brigham

R. Thomas Cozad, DDS 3961 West 9000 South (801) 260-1131Cozad R. Thomas

Jonathan Elmer, DDS 8846 South Redwood Road (801) 566-0631Elmer Jonathan

Andrew Erickson, DMD 7611 S. Jordan Landing Blvd. (801) 280-7001Jordan Landing Dental Care

Brian Frandsen, DDS 3078 West 7800 South (801) 890-0030Frandsen Family Dental

Jonathan Frank, DDS 9103 South 1300 West (801) 255-8030Frank Jonathan

Craig Gailey, DDS 1662 West 9000 South #B (801) 566-7269Craig Gailey

Brandon Green, DDS 9217 South Redwood Road (801) 566-1873South Valley Dental

James Hart, DDS 9269 Redwood Rd. (801) 566-4153Hart James

Kenneth Hicks, DMD 7555 S. Centerview Cr. (801) 566-8540Dental First

Joshua Holt, DDS 3855 West 7800 South (801) 282-5839Holt Joshua

R. Eric Johansen, DDS 7611 S Jordan Landing Boulevard (801) 563-0699R. Eric Johansen

James L. Johnson, DDS 8813 South Redwood Rd. (801) 255-7800

Page 18

** Roster Only

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

Page 20: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Johnson James L. Brian L. Johnson, DMD 7478 South Campus View Dr. (801) 282-5112

A Dental Touch Darin Knudson, DDS 6973 South 4800 West (801) 840-4833

Oquirrh Park Pediatric Dentistry Karl Koerner, DDS 9217 S Redwood Road (801) 566-1873

IDA-South Valley Dental Jonthan Lewis, DDS 9103 South 1300 West (801) 255-8030

Lewis Jonthan Mark Lloyd, DDS 6783 S Redwood Rd. (801) 957-1850

Lloyd Mark Joseph Maio, DDS 1227 West 9000 South (801) 677-2739

Apex Family Dental Benjamin Menlove, DDS 6973 South 4800 West (801) 840-4833

Oquirrh Park Pediatric Dentistry Peter Moore, DDS 7555 S. Center View Ct (801) 748-4151

Peter Moore Matthew Mouritsen, DMD 7555 S. Center View Court (801) 562-0115

Matthew Mouritsen Paul Naylor, DMD 1231 West 9000 South (801) 999-4431

Utah Orthodontic Care Robert Nielson, DDS 6973 South 4800 West (801) 840-4833

Oquirrh Park Pediatric Dentistry Bret Osborne, DMD 7555 S. Centerview Cr. (801) 566-8540

Dental First Bret Osborne, DMD 1847 West 9000 South (801) 255-7243

Osborne Bret Darrell L. Osterhoudt, DMD 9217 South Redwood Rd. (801) 568-0172

Osterhoudt Darrell L. Eldon Petersen, DDS 9269 Redwood Rd. (801) 566-4153

Petersen Eldon Paul Quiram, DDS 7611 S. Jordan Landing Blvd. (801) 280-7001

Jordan Landing Dental Care Bradley S. Rigby, DDS 1561 West 7000 South (801) 255-7600

Rigby Bradley S. Brandon Robison, DMD 3590 West 9000 South (801) 748-1399

Robison Brandon Eric Swensen, DDS 7632 South Campus View Dr. (801) 282-4142

West Jordan Modern Dentistry Wells Wagner, DDS 6993 South 4800 West (801) 982-0332

Wagner DDS, Wells Brad A. Wahlstrom, DDS 7089 South Redwood Rd (801) 566-3003

Wahlstrom Brad A. James A. Willardsen, DDS 7632 South Campus View Dr. (801) 282-4142

West Jordan Modern Dentistry

WEST KAYSVILLE

Paul Hoeft, DDS 690 N Main Street (801) 719-6621Kaysville Dental

WEST POINT

Christopher Robins, DDS 255 North 3000 West (801) 781-9000Christopher Robins

WEST VALLEY

Alexander Aarabi, DDS 4445 West 3500 South (801) 968-0798Aarabi Alexander

Shahab Ardalan, DDS 4085 South 2200 West (801) 886-1116Barngrover Ronald

Thomas Austad, DDS 4645 South 4000 West (801) 955-1900Monarch Dental

Ronald Barngrover, DDS 4085 South 2200 West (801) 886-1116Barngrover Ronald

David Blackhurst, DDS 2592 South 5600 West (801) 982-9999Professional Dental

Michael Blamires, DDS 4645 South 4000 West (801) 955-1900Monarch Dental

Michael Blamires, DDS 4645 South 4000 West (801) 955-1900Monarch Dental

Michael Boyack, DDS 4575 S 5600 W (801) 349-6542Dana Orthodontics

Michael Boyack, DDS 3451 South 5600 West (801) 969-1400Westways Dental

Greg Cahoon, DDS 2592 South 5600 West (801) 982-9999Professional Dental

Robert Chidester, DDS 4645 South 4000 West (801) 955-1900Monarch Dental

Kent Dastrup, DDS 4645 South 4000 West (801) 955-1900Monarch Dental

Bradley DeVries, DMD 2592 South 5600 West (801) 982-9999Professional Dental

Darin A. Dickerson, DMD 4645 South 4000 West (801) 955-1900Monarch Dental

Kelly Egan, DMD 4445 West 3500 South (801) 968-0798Aarabi Alexander

Dennis Elder, DDS 3280 West 3500 South #2 (801) 964-6850Premier Dental Care of Utah

Andrew Ericksen, DDS 3280 West 3500 South #2 (801) 964-6850Premier Dental Care of Utah

David Faerber, DMD 2592 South 5600 West (801) 982-9999Professional Dental

William Fisher, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental Laura Fisher, DDS 3451 South 5600 West (801) 969-1400

Westways Dental Robert Guenter, DDS 2592 South 5600 West (801) 982-9999

Professional Dental Brent D. Hansen, DDS 3280 West 3500 South (801) 967-7089

Hansen Brent D. Amira Hassan, DDS 3280 West 3500 South (801) 969-2121

Hassan Amira Clark Hicken, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental William Hickman, DMD 4645 South 4000 West (801) 955-1900

Monarch Dental David Jackson, DDS 3550 South 5600 West #3 (801) 966-3166

Red Pine Dental Robert Johnson, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental Don Kimball, DDS 2860 West 4700 South (801) 968-1142

Don Kimball Kieu Le, DDS 1819 West 3500 South (801) 887-7264

Le Kieu Daniel Le, DDS 4066 South 4000 West (801) 968-2864

BKP Dental Jeremiah Lindgren, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental Bruce Loosli, DMD 3060 Redwood Rd. (801) 972-0555

The Tooth Doctor Cody McGarry, DMD 3280 West 3500 South #2 (801) 964-6850

Premier Dental Care of Utah Cody McGarry, DMD 1264 Village Main Drive #B (801) 978-1000

Rivers Edge Dental Matthew McInnes, DDS 2592 South 5600 West (801) 982-9999

Professional Dental Daniel Meeks, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental Benjamin Menlove, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental Sarah Naisbitt, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental Phillip Olsen, DMD 4645 South 4000 West (801) 955-1900

Monarch Dental Bret Osborne, DMD 2592 South 5600 West (801) 982-9999

Professional Dental Bartholomew Paxton, DDS 2852 West 4700 South (801) 969-3752

Paxton Dental John Poulter, DDS 2843 South 5600 West (801) 747-8010

The Center of Dental Professionals John Reschke, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental Jeffrey Roberson, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental Jeffrey Roberson, DDS 2860 West 4700 South (801) 968-1142

Jeffrey B. Roberson DDS Kim G. Roberts, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental L. Craig Rosvall, DDS 2592 South 5600 West (801) 982-9999

Professional Dental Ryan Rush, DDS 2592 South 5600 West (801) 982-9999

Professional Dental Gary Shaw, DDS 4445 West 3500 South (801) 968-0798

Aarabi Alexander Richard A. Shulze, DMD 4645 South 4000 West (801) 955-1900

Monarch Dental James Skousen, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental Greg Smith, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental David Stubbs, DDS 2843 South 5600 West (801) 747-8010

The Center of Dental Professionals William Sundberg, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental Shane Taylor, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental Jason Teerlink, DMD 5633 West 6200 South (801) 955-1112

Brush Dental William Webb, DDS 3855 West 7800 South (801) 260-0530

Copper Ridge Dental George Winder, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental George Winder, DDS 4645 South 4000 West (801) 955-1900

Monarch Dental Tom Zimmermann, DDS 3855 West 7800 South (801) 260-0530

Copper Ridge Dental

WEST VALLEY CITY

Todd A. Bowman, DMD 3444 South 5600 West (801) 964-0444West 56th Dental

Dan Dansie, DDS 2222 West 3500 South (801) 908-5474Starzz Dental

Christopher C DeMille, DMD 3550 South 4800 West (801) 969-3025DeMille Mackay Dental

David MacKay, DMD 3550 South 4800 West (801) 969-3025DeMille Mackay Dental

Page 19

** Roster Only

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

Page 21: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

ENDODONTISTS

AMERICAN FORK

Joshua Jeppson, DDS 476 North 900 West (801) 756-5522Monarch Dental

BOUNTIFUL

Joshua Jeppson, DDS 24 South 500 West (801) 296-1606Monarch Dental

Brady Olsen, DMD 185 South 400 East #201 (801) 298-1101Wasatch Endodontics

Nathan Wayment, DDS 24 South 500 West (801) 296-1606Monarch Dental

CLEARFIELD

Thomas Vandenberghe, DDS 466 N Main Street (801) 776-8441IDA Endo - Hillside Dental

John Vandenberghe, DDS 466 N Main Street (801) 776-8441IDA Endo - Hillside Dental

CLINTON

Thomas Vandenberghe, DDS 2207 West 1800 North (801) 825-3993IDA Endo - Comfort Dental of Clinton

John Vandenberghe, DDS 2207 West 1800 North (801) 825-3993IDA Endo - Comfort Dental of Clinton

LAYTON

Joshua Jeppson, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Gary Karren, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Nathan Wayment, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

LOGAN

Thomas Vandenberghe, DDS 1451 N 200 E (435) 753-4400IDA Endo - Aspen Dental

John Vandenberghe, DDS 1451 N 200 E (435) 753-4400IDA Endo - Aspen Dental

Thomas Vandenberghe, DDS 40 W Cache Valley Boulevard (435) 787-8207IDA Endo - Logan Dental

John Vandenberghe, DDS 40 W Cache Valley Boulevard (435) 787-8207IDA Endo - Logan Dental

MAGNA

Steven Facer, DDS 9010 West 2700 South (801) 942-8686Rocky Mountain Endodontics

MIDVALE

Thomas Cipriano, DDS 204 E. Fort Union Blvd. (801) 561-9999Presley Orthodontics

MURRAY

Curtis Brimley, DMD 6095 S. Fashion Blvd. (801) 750-4796Brimley Curtis

NORTH LOGAN

Thomas Vandenberghe, DDS 3125 N Main Street (435) 787-4444IDA Endo - Hyde Park Dental

John Vandenberghe, DDS 3125 N Main Street (435) 787-4444IDA Endo - Hyde Park Dental

NORTH OGDEN

Nathan Wayment, DDS 2274 North 400 East #202 (801) 782-8300Wayment Endodontics

OGDEN

Val Cox, DDS 3590 Harrison Blvd (801) 393-9616Cox Val

Joshua Jeppson, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Gary Karren, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Robert Tayler, DDS 5300 S. Adams Avenue #17 (801) 479-4580Robert Tayler

Thomas Vandenberghe, DDS 1186 East 4600 South (801) 334-9444IDA Endo - Ridge View Dental

John Vandenberghe, DDS 1186 East 4600 South (801) 334-9444IDA Endo - Ridge View Dental

OREM

Joshua Jeppson, DDS 575 East University Pkwy (801) 225-3300

Monarch Dental Nathan Wayment, DDS 575 East University Pkwy (801) 225-3300

Monarch Dental

PARK CITY

John M Coats, DDS 1680 Ute Boulevard (435) 647-3012Mountain High Dental

PAYSON

Thomas Vandenberghe, DDS 107 South 500 West (801) 465-7966IDA Endo - Payson

John Vandenberghe, DDS 107 South 500 West (801) 465-7966IDA Endo - Payson

PERRY

Thomas Vandenberghe, DDS 2535 S Highway 89 (435) 723-4300IDA Endo - Perry Dental

John Vandenberghe, DDS 2535 S Highway 89 (435) 723-4300IDA Endo - Perry Dental

PLEASANT VIEW

Thomas Vandenberghe, DDS 2685 North 1000 West (801) 737-9442IDA Endo - Lomond View Dental

Thomas Vandenberghe, DDS 2201 North 400 East (801) 941-3300IDA Endo - North View

John Vandenberghe, DDS 2685 North 1000 West (801) 737-9442IDA Endo - Lomond View Dental

Thomas Vandenberghe, DDS 2717 N Highway 89 (801) 737-2410IDA Endo - Mountain View Dental

John Vandenberghe, DDS 2717 N Highway 89 (801) 737-2410IDA Endo - Mountain View Dental

John Vandenberghe, DDS 2201 North 400 East (801) 941-3300IDA Endo - North View

PROVIDENCE

Thomas Vandenberghe, DDS 274 North Spring Creek Parkway (435) 713-0096IDA Endo - Spring Creek Dental

John Vandenberghe, DDS 274 North Spring Creek Parkway (435) 713-0096IDA Endo - Spring Creek Dental

PROVO

John M Coats, DDS 3355 University Ave (801) 356-3636Rocky Mountain Endodontics

Randall Madsen, DDS 3355 University Ave (801) 356-3636Rocky Mountain Endodontics

Richard Pulsipher, DDS 3355 University Ave (801) 356-3636Rocky Mountain Endodontics

RICHMOND

Thomas Vandenberghe, DDS 105 S Highway 91 (435) 258-2301IDA Endo - Cherry Creek

John Vandenberghe, DDS 105 S Highway 91 (435) 258-2301IDA Endo - Cherry Creek

RIVERTON

Curtis Brimley, DMD 3409 West 12600 South (801) 750-4796Copper Creek Endodontics

Joseph Christensen, DMD 3409 West 12600 South (801) 750-4796Copper Creek Endodontics

Steven Facer, DDS 3409 West 12600 South (801) 750-4796Copper Creek Endodontics

Daniel Fife, DDS 3409 West 12600 South (801) 750-4796Copper Creek Endodontics

Jeffrey Hanzon, DMD 3409 West 12600 South (801) 750-4796Copper Creek Endodontics

Robert Kristopher Watts, DDS 3409 West 12600 South (801) 750-4796Copper Creek Endodontics

ROY

Thomas Vandenberghe, DDS 4040 S Midland (801) 317-4407IDA Endo - Midland Dental

John Vandenberghe, DDS 4040 S Midland (801) 317-4407IDA Endo - Midland Dental

SALT LAKE CITY

Richard Bauman, DMD 6065 Fashion Boulevard (801) 590-8687Bauman Endodontics

Richard Bauman, DMD 1955 South 1300 East #6 (801) 487-0758Salt Lake Endodontics

John M Coats, DDS 6095 S. Fashion Blvd. (801) 262-7770Rocky Mountain Endodontics

John M Coats, DDS 7138 Highland (801) 942-8686Rocky Mountain Endodontics

Steven Facer, DDS 7138 South Highland Drive (801) 942-8686Rocky Mountain Endodontics Assocaites

Joshua Jeppson, DDS 370 East South Temple (801) 320-9810

Page 20

** Roster Only

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

Page 22: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Monarch Dental Randall Madsen, DDS 7138 Highland (801) 942-8686

Rocky Mountain Endodontics Randall Madsen, DDS 6095 S. Fashion Blvd. (801) 262-7770

Rocky Mountain Endodontics Richard Pulsipher, DDS 7138 Highland (801) 942-8686

Rocky Mountain Endodontics Mitchell Rudd, DDS 1955 South 1300 East #6 (801) 487-0758

Salt Lake Endodontics Christopher Sadler, DDS 6364 S Highland Drive (801) 278-9505

Koelliker Endodontics Keith Sonntag, DDS 2180 East 4500 South (801) 274-6900

Sonntag Keith Leslie Walker, DMD 4252 S Highland Dr (801) 278-3636

Cottonwood Endodontics Roger Warren, DDS 4252 S Highland Dr (801) 278-3636

Cottonwood Endodontics Nathan Wayment, DDS 370 East South Temple (801) 320-9810

Monarch Dental

SANDY

Curtis Brimley, DMD 850 East 9400 South (801) 750-4796Brimley Curtis

Joshua Jeppson, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Brent Sonnenberg, DDS 8941 Soutj 700 East #201 (801) 256-3636Brent Sonnenberg, DDS

Nathan Wayment, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

SMITHFIELD

Thomas Vandenberghe, DDS 291 South Main (435) 563-2553IDA Endo -Canyon Dental

John Vandenberghe, DDS 291 South Main (435) 563-2553IDA Endo -Canyon Dental

SOUTH OGDEN

Thomas Vandenberghe, DDS 5685 South 1475 East (801) 475-0509IDA Endo - Comfort Family Dental of South Ogden

John Vandenberghe, DDS 5685 South 1475 East (801) 475-0509IDA Endo - Comfort Family Dental of South Ogden

SPANISH FORK

Ryan Van Moorlehem, DMD 826 North 100 East #3 (801) 504-6070Alpine Endodontics

Robert Kristopher Watts, DDS 826 North 100 East #3 (801) 504-6070Alpine Endodontics

SYRACUSE

Thomas Vandenberghe, DDS 1747 S Heritage Lane (801) 525-1415IDA Endo - Heritage Dental

John Vandenberghe, DDS 1747 S Heritage Lane (801) 525-1415IDA Endo - Heritage Dental

TAYLORSVILLE

Brad Christensen, DMD 6287 S Redwood Road (801) 266-7393Redwood Endodontics

Richard Elggren, DMD 6287 S Redwood Road (801) 266-7393Redwood Endodontics

Joshua Jeppson, DDS 5419 S. Redwood Road (801) 263-6400Monarch Dental

Joshua Jeppson, DDS 2854 West 4700 South (801) 803-2397Jeppson Endodontics

Jamie Pogue, DMD 6287 S Redwood Road (801) 266-7393Redwood Endodontics

TOOELE

John M Coats, DDS 181 W Vine St (435) 882-8800Rocky Mountain Endodontics

Randall Madsen, DDS 181 W Vine St (435) 882-8800Rocky Mountain Endodontics

Richard Pulsipher, DDS 181 W Vine St (435) 882-8800Rocky Mountain Endodontics

WEST JORDAN

Curtis Brimley, DMD 1561 West 7000 South (801) 750-4796Brimley Curtis

Sean Fessenden, DDS 7555 Center View Ct. (801) 282-4333Fessenden Sean

WEST VALLEY

Val Cox, DDS 4445 West 3500 South (801) 968-0798Aarabi Alexander

Joshua Jeppson, DDS 4645 South 4000 West (801) 955-1900Monarch Dental

Nathan Wayment, DDS 4645 South 4000 West (801) 955-1900Monarch Dental

ORAL SURGEONS

AMERICAN FORK

Adam Bateman, DDS 218 North Center Street (801) 492-4800Thanksgiving Point Oral adn Maxillofacial Surgery

Dustin Hopkin, DDS 945 West 500 North (801) 756-5643American Fork Modern Dentistry and Orthodontics

Richard Steele, DDS 476 North 900 West (801) 756-5522Monarch Dental

BOUNTIFUL

Michael Broadbent, DMD 469 East Medical Dr. #202 (801) 299-8531Oral & Maxillofacial Surgeons of Utah

Jason Chandler, DMD 469 East Medical Dr. #202 (801) 299-8531Oral & Maxillofacial Surgeons of Utah

Dennis DeDecker, DDS 625 East 500 South (801) 298-2242DeDecker DDS, Dennis

L. Douglas Israelsen, DDS 1551 S. Renaissance Towne Dr (801) 397-2727Oral Surgery Specialty

Todd Liston, DDS 469 East Medical Dr. #202 (801) 299-8531Oral & Maxillofacial Surgeons of Utah

Adam McCormick, DDS 469 East Medical Dr. #202 (801) 299-8531Oral & Maxillofacial Surgeons of Utah

Richard Steele, DDS 24 South 500 West (801) 296-1606Monarch Dental

BRIGHAM CITY

G. Shane Jessen, DDS 30 East 700 South (435) 723-4144JESSENOMFS

F. Zane Jessen, DDS 30 East 700 South (435) 723-4144JESSENOMFS

CEDAR CITY

Shawn Davis, DMD 66 West Harding Ave. #A (877) 628-1121Oral & Facial Surgery Institute

Wayne Dudley, DDS 415 N Main Street (435) 867-1474Dixie Oral & Maxillofacial Surgery

John Mizukawa, DMD 415 N Main Street (435) 867-1474Dixie Oral & Maxillofacial Surgery

Matthew Mizukawa, DMD 415 N Main Street (435) 867-1474Dixie Oral & Maxillofacial Surgery

CLEARFIELD

Michael Bauman, DMD 466 N Main Street (801) 776-8441IDA-Hillside Dental

Mark Newey, DDS 938 S. University Park Blvd. (801) 825-1116Newey Mark

Jared Rasmussen, DMD 466 N Main Street (801) 776-8441IDA-Hillside Dental

CLINTON

Michael Bauman, DMD 2207 West 1800 North (801) 825-3993IDA-Comfort Dental

Dustin Hopkin, DDS 1737 North 2000 West (801) 728-9000Clinton Dental Group and Orthodontics

F. Zane Jessen, DDS 1448 North 2000 West (801) 479-8201JESSENOMFS

G. Shane Jessen, DDS 1448 North 2000 West (801) 479-8201JESSENOMFS

Jared Rasmussen, DMD 2207 West 1800 North (801) 825-3993IDA-Comfort Dental

DRAPER

Robert L. Flint, DMD 114 East 12450 South (801) 576-5910Flint Robert L.

FARMINGTON

Richard Steele, DDS 280 N Union Avenue (801) 934-3181Monarch Dental - Station Park

GARLAND

Gregory Anderson, DDS 1335 S. Main Street #102 (435) 755-5000Gregory Anderson

LAYTON

Paul Benson, DMD 890 West Heritage Park Blvd. (801) 614-0999Benson Paul

Michael Broadbent, DMD 2297 Hillfield Road #A105 (801) 779-0506Oral & Maxillofacial Surgeons of Utah

Jason Chandler, DMD 2297 Hillfield Road #A105 (801) 779-0506Oral & Maxillofacial Surgeons of Utah

Dennis DeDecker, DDS 2185 North 1700 West (801) 773-9790DeDecker DDS, Dennis

Dustin Hopkin, DDS 820 North Main Street (801) 771-8000Layton Smiles Dentistry and Orthodontic

Page 21

** Roster Only

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

Page 23: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

L. Douglas Israelsen, DDS 1240 E Highway 193 (801) 397-2727Oral Surgery Specialty

Todd Liston, DDS 2297 Hillfield Road #A105 (801) 779-0506Oral & Maxillofacial Surgeons of Utah

Adam McCormick, DDS 2297 Hillfield Road #A105 (801) 779-0506Oral & Maxillofacial Surgeons of Utah

Greg Roberts, DDS 3225 West Gordon AvEast (801) 479-9070Greg Roberts

Richard Steele, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

LEHI

Adam Bateman, DDS 2961 W. Maple Loop Drive #130 (801) 653-2929Bateman Adam

Michael Harris, DDS 3300 N. Running Creek Way (801) 356-2226Utah Surgical Arts

David Park, DDS 3300 N. Running Creek Way (801) 356-2226Utah Surgical Arts

Christopher Price, DDS 3300 N. Running Creek Way (801) 356-2226Utah Surgical Arts

Tate Viehweg, DMD 3300 N. Running Creek Way #H-210 (801) 766-4834Alpine Surgical Arts

LINDON

L. Douglas Israelsen, DDS 275 West 200 North (801) 397-2727Oral Surgery Specialty

LOGAN

Gregory Anderson, DDS 1395 North 400 East (801) 755-5000Anderson Gregory

Michael Bauman, DMD 1451 North 200 East (435) 753-4400IDA-Aspen Dental

Michael Bauman, DMD 3125 N Main Street (435) 787-4444IDA-Hyde Park Dental

F. Zane Jessen, DDS 1230 North 200 East (435) 750-5082JESSENOMFS

G. Shane Jessen, DDS 1230 North 200 East (435) 750-5082JESSENOMFS

Jared Rasmussen, DMD 1451 North 200 East (435) 753-4400IDA-Aspen Dental

Jared Rasmussen, DMD 1451 North 200 East (435) 753-4400IDA-Aspen Dental

Jared Rasmussen, DMD 40 W Cache Valley Blvd (435) 787-8207IDA-Logan Dental

Jared Rasmussen, DMD 3125 N Main Street (435) 787-4444IDA-Hyde Park Dental

MIDVALE

Dustin Hopkin, DDS 1144 E Fort Union Blvd (801) 566-3118Midvale Modern Dentistry and Orthodontics

MURRAY

Michael Bauman, DMD 292 East 3900 South (801) 747-8000The Center of Dental Professionals

Cameron Egbert, DDS 292 East 3900 South (801) 747-8000The Center of Dental Professionals

Brent Kennedy, DDS 5929 Fashion Boulevard (801) 261-3637Institute of Facial and Cosmetic Surgery

Greg Roberts, DDS 622 East 4500 South (801) 293-8000Roberts Greg

NORTH LOGAN

Scott Matson, DMD 3125 N Main Street (435) 754-7130Logan Oral Surgery

OGDEN

Blaine Austin, DDS 5742 South 1475 East (801) 399-3701Austin Blaine

Michael Broadbent, DMD 3590 Harrison Blvd. #2 (801) 392-7176Oral & Maxillofacial Surgeons of Utah

Jason Chandler, DMD 3590 Harrison Blvd. #2 (801) 392-7176Oral & Maxillofacial Surgeons of Utah

G. Shane Jessen, DDS 1508 East Skyline Drive (801) 479-8200JESSENOMFS

F. Zane Jessen, DDS 1508 East Skyline Drive (801) 479-8200JESSENOMFS

Todd Liston, DDS 3590 Harrison Blvd. #2 (801) 392-7176Oral & Maxillofacial Surgeons of Utah

Adam McCormick, DDS 3590 Harrison Blvd. #2 (801) 392-7176Oral & Maxillofacial Surgeons of Utah

William D. Norris, DMD 3590 Harrison Blvd. (801) 392-7176Norris William D.

Jared Rasmussen, DMD 1186 East 4600 South (801) 334-9444IDA-Ridge View Dental

Jared Rasmussen, DMD 2201 North 400 East (801) 782-6681IDA-North View Dental

Jared Rasmussen, DMD 5685 South 1475 East (801) 475-0509IDA-Comfort Family Dental

Greg Roberts, DDS 5742 South 1475 East (801) 479-9070

Greg Roberts Richard Steele, DDS 5974 South Fashion Pointe Dr. (801) 475-6121

Monarch Dental

OREM

Christopher C Burton, DDS 480 West 800 North (801) 224-1200Utah Valley Oral Surgery

David Nicholls, DDS 480 West 800 North (801) 224-1200Utah Valley Oral Surgery

Jared Rasmussen, DMD 480 West 800 North (801) 224-1200Utah Valley Oral Surgery

Richard Steele, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

PAYSON

Michael Harris, DDS 1107 South Highway 189 (801) 356-2226Utah Surgical Arts

David Park, DDS 1107 South Highway 189 (801) 356-2226Utah Surgical Arts

Christopher Price, DDS 1107 South Highway 189 (801) 356-2226Utah Surgical Arts

Jared Rasmussen, DMD 107 South 500 West (801) 465-7966IDA-Payson Family & Cosmetic Dentistry

PERRY

Michael Bauman, DMD 2535 S Hwy 89 (435) 723-4300IDA- Perry Dental

Jared Rasmussen, DMD 2535 S Hwy 89 (435) 723-4300IDA- Perry Dental

PLEASANT GROVE

William McBee, DDS 912 North 2000 West (801) 756-0766Oral Maxillofacial Surgery

PLEASANT VIEW

Michael Broadbent, DMD 2711 North Highway 89 #200 (801) 779-0506Oral & Maxillofacial Surgeons of Utah

Jason Chandler, DMD 2711 North Highway 89 #200 (801) 779-0506Oral & Maxillofacial Surgeons of Utah

Todd Liston, DDS 2711 North Highway 89 #200 (801) 779-0506Oral & Maxillofacial Surgeons of Utah

Adam McCormick, DDS 2711 North Highway 89 #200 (801) 779-0506Oral & Maxillofacial Surgeons of Utah

Jared Rasmussen, DMD 2717 N Highway 89 (801) 737-2410IDA-Mountain View Dental

Jared Rasmussen, DMD 2685 North 1000 West (801) 737-9442IDA-Lomond View Dental

PRICE

William McBee, DDS 391 North 400 East (435) 637-9590Castle Valley Dental Specialists

Scott D. Urban, DMD 95 South 100 East (435) 637-4545Utah Facial Surgical Arts

PROVIDENCE

Jared Rasmussen, DMD 274 North Spring Creek Pkway (435) 713-0096IDA-Spring Creek Dental

PROVO

Michael Harris, DDS 3610 North University Avenue (801) 356-2226Utah Surgical Arts

Maurice Jenkins, DMD 280 West River Park Drive (801) 435-7701Riverwoods Oral & Maxillofacial Surgery

William McBee, DDS 777 North 500 West (801) 375-4707Oral Maxillofacila Surgery

David Park, DDS 3610 North University Avenue (801) 356-2226Utah Surgical Arts

Christopher Price, DDS 3610 North University Avenue (801) 356-2226Utah Surgical Arts

RICHMOND

Michael Bauman, DMD 105 South Hwy 91 (435) 258-2301IDA-Cherry Creek Dental

Jared Rasmussen, DMD 105 South Hwy 91 (435) 258-2301IDA-Cherry Creek Dental

RIVERTON

Michael Harris, DDS 3409 W. 12600 S. #120 (801) 446-4428Utah Surgical Arts

David Park, DDS 3409 W. 12600 S. #120 (801) 446-4428Utah Surgical Arts

Christopher Price, DDS 3409 W. 12600 S. #120 (801) 446-4428Utah Surgical Arts

ROY

Jared Rasmussen, DMD 4040 South Midland (801) 317-4407

Page 22

** Roster Only

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

Page 24: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

IDA-Midland Dental

SAINT GEORGE

Shawn Davis, DMD 393 East Riverside Dr. #2B (435) 628-1100Oral & Facial Surgery Institute

SALT LAKE

Cameron Egbert, DDS 3798 South 700 East (801) 747-8007The Center of Dental Professionals

Maurice Jenkins, DMD 3798 South 700 East (801) 747-8007The Center of Dental Professionals

Jared Rasmussen, DMD 3798 South 700 East (801) 747-8007The Center of Dental Professionals

SALT LAKE CITY

Nathan Adams, DMD 3920 South 1100 East (801) 262-7447Oral & Facial Reconstructive Surgeons of Utah

Blaine D Austin, DDS 2180 East 4500 South (801) 277-3942Austin Blaine D

Blaine Austin, DDS 2180 East 4500 South (801) 277-3942Austin Blaine D

Michael Bauman, DMD 530 East 500 South (801) 747-8000The Center of Dental Professionals

O. Daniel Bluth, DDS 515 South 1000 East (888) 888-8888Bluth O. Daniel

Bryan Christensen, DMD 6243 South Redwood Road (801) 269-1110Utah Oral Surgery and Dental Implant Clinic

Gregory Egbert, DDS 1250 East 3900 South (801) 265-1500Egbert Gregory

Cameron Egbert, DDS 530 East 500 South (801) 747-8000The Center of Dental Professionals

Cameron Egbert, DDS 6360 South 3000 East (801) 899-9737Summit Oral & Maxillofacial Surgery

Robert L. Flint, DMD 4970 South 900 East (801) 263-3309Flint Robert L.

Michael Gladwell, DMD 3920 South 1100 East (801) 262-7447Oral & Facial Reconstructive Surgeons of Utah

Dustin Hopkin, DDS 2180 E 4500 S (801) 277-3942Dustin J Hopkin DDS Oral and Maxillofacial Surg.

L. Douglas Israelsen, DDS 2792 South 5600 West (801) 969-9669Aloha Dental

Maurice Jenkins, DMD 530 East 500 South (801) 747-8000The Center of Dental Professionals

Matthew Maxfield, DMD 7138 South Highland Drive (801) 943-8703Oral & Maxillofacial Surgery of Utah

Judd E Partridge, DMD 7138 South Highland Drive (801) 943-8703Oral & Maxillofacial Surgery of Utah

Jared Rasmussen, DMD 530 East 500 South (801) 747-8000The Center of Dental Professionals

David J. Smoot, DDS 6095 South Fashion Boulevard (801) 264-8504David J. Smoot

David J. Smoot, DDS 6095 South Fashion Boulevard (801) 264-8504David J. Smoot

Richard Steele, DDS 370 East South Temple (801) 320-9810Monarch Dental

David Stoker, DDS 4190 South Highland Drive (801) 272-9241Oral and Maxillofacial Surgery

Alvin Stosich, DDS 6268 South 900 East (801) 566-5117Stosich Alvin

SANDY

David Anderson, DDS 7390 South Creek Road (801) 255-2422Creekside Oral & Facial Surgery

Patrick Brain, DDS 1030 East 11400 South (801) 572-0100Lone Peak Oral and Maxillofacial Surgery

Jared Brown, DDS 7390 South Creek Road (801) 255-2422Creekside Oral & Facial Surgery

Creed Haymond, DDS 1434 East 9400 South (801) 576-0077Haymond Creed

F. Zane Jessen, DDS 9730 South 700 East (801) 571-3311JESSENOMFS

G. Shane Jessen, DDS 9730 South 700 East (801) 571-3311JESSENOMFS

Richard Steele, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

SARATOGA SPRINGS

Christopher C Burton, DDS 76 East Commerce Drive (801) 224-1200Utah Valley Oral Surgery

David Nicholls, DDS 76 East Commerce Drive (801) 224-1200Utah Valley Oral Surgery

Jared Rasmussen, DMD 76 East Commerce Drive (801) 224-1200Utah Valley Oral Surgery

SMITHFIELD

Michael Bauman, DMD 291 South Main (435) 563-2553IDA-Canyon Dental

Jared Rasmussen, DMD 291 South Main (435) 563-2553IDA-Canyon Dental

SOUTH JORDAN

Adam Bateman, DDS 3632 S. Jordan Pkwy #1 (801) 253-6117Adam Bateman

Jared Brown, DDS 11748 South 3600 West (801) 455-7593Southwest Oral & Facial Surgery

L. Douglas Israelsen, DDS 3648 West 9800 South (801) 397-2727Oral Surgery Specialty

Matthew Maxfield, DMD 4775 W Daybreak Parkway (801) 280-5535Oral and Facial Surgery of Utah

Judd E Partridge, DMD 4775 W Daybreak Parkway (801) 280-5535Oral and Facial Surgery of Utah

David J. Smoot, DDS 2651 West South Jordan Prkwy (801) 264-8504Smoot David J.

SPANISH FORK

Cameron Egbert, DDS 642 East Kirby Lane (801) 798-9500Summit Oral & Maxillofacial Surgery

SPRINGVILLE

Michael Harris, DDS 187 East 400 South (801) 356-2226Utah Surgical Arts

David Park, DDS 187 East 400 South (801) 356-2226Utah Surgical Arts

Christopher Price, DDS 187 East 400 South (801) 356-2226Utah Surgical Arts

SYRACUSE

Michael Bauman, DMD 1747 S Heritage Lane (801) 525-1415IDA-Heritage Dental

Jared Rasmussen, DMD 1747 S Heritage Lane (801) 525-1415IDA-Heritage Dental

TAYLORSVILLE

Richard Steele, DDS 5419 S. Redwood Road (801) 263-6400Monarch Dental

TOOELE

Judd E Partridge, DMD 181 W Vine Street D Drive (435) 882-8800Judd E Partridge DMD

VERNAL

F. Zane Jessen, DDS 40 West 100 North (435) 781-8211JESSENOMFS

G. Shane Jessen, DDS 40 West 100 North (435) 781-8211JESSENOMFS

WEST JORDAN

Dustin Hopkin, DDS 7632 South Campus View Dr. (801) 282-4142West Jordan Modern Dentistry

Jared Rasmussen, DMD 9217 S Redwood Road (801) 566-1873IDA-South Valley Dental

Scott D. Urban, DMD 7532 S Center View Ct (801) 282-5363Utah Facial Surgical Arts

WEST VALLEY

Michael Bauman, DMD 2843 South 5600 West (801) 747-8010The Center of Dental Professionals

Maurice Jenkins, DMD 2843 South 5600 West (801) 747-8010The Center of Dental Professionals

Richard Steele, DDS 4645 South 4000 West (801) 955-1900Monarch Dental

ORTHODONTISTS

ALPINE

Michael Meru, DDS 32 Red Pine Drive (801) 756-9595Professional Dental

AMERICAN FORK

Brian Baird, DDS 476 North 900 West (801) 756-5522Monarch Dental

Michael Meru, DDS 945 West 500 North (801) 756-5643American Fork Modern Dentistry and Orthodontics

Mark Naisbitt, DDS 476 North 900 West (801) 756-5522Monarch Dental

Brent Nielson, DDS 135 North 100 East (801) 756-4279Brent Nielson

Brent Nielson, DDS 135 North 100 East (801) 756-4279Brent Nielson

Cory Price, DDS 476 North 900 West (801) 756-5522Monarch Dental

Jeremy R. Watson, DDS 496 North 990 West (801) 763-7977Watson Jeremy R.

Page 23

** Roster Only

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

Page 25: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

BOUNTIFUL

Brian Baird, DDS 24 South 500 West (801) 296-1606Monarch Dental

Mark Naisbitt, DDS 24 South 500 West (801) 296-1606Monarch Dental

CENTERVILLE

Dennis Knoles, DDS 281 South Main (801) 298-3000DB Knoles DDS

Michael Meru, DDS 331 W Parrish Lane (801) 298-3230Centerville Dental Group and Orthodontics

CLINTON

Michael Meru, DDS 1737 North 2000 West (801) 728-9000Clinton Dental Group and Orthodontics

DRAPER

Michael Meru, DDS 656 East 11400 South (801) 572-2006Professional Dental

Jamey Watson, DDS 114 East 12450 South (801) 278-2841Watson Jamey

David V. Young, DDS 12226 South 1000 East (801) 523-9333Young David V.

Willard Zurcher, DDS 863 East 12300 South (801) 572-8999Zurcher Willard

EAGLE MOUNTAIN

Brady Nance, DMD 3566 East Pony Express Parkway (801) 789-4800Nance DMD, Brady

FARMINGTON

Mark Endrizzi, DDS 193 South 200 West (801) 447-6707Endrizzi DDS, Mark

Mark Naisbitt, DDS 280 N Union Avenue (801) 934-3181Monarch Dental - Station Park

David V. Young, DDS 56 South 200 East (801) 266-3578Young David V.

HERRIMAN

Alan Baugh, DMD 4019 West 12600 South (801) 253-6460Imagine Orthodontics

Michael Meru, DDS 6355 West 13400 South (801) 302-7808Professional Dental

Michael Rosvall, DDS 13178 South 5600 West (801) 253-6648Rosvall Michael

HOLLADAY

Charles Jackson, DDS 2200 East 4500 South (801) 278-5822Jackson Orthodontics

HURRICANE

Bradley Simister, DDS 52 South 850 West (435) 656-3346Simister Orthodontics

Jeffrey Simister, null 52 South 850 West (435) 656-3346Simister Orthodontics

KAYSVILLE

Garison Couser, DDS, null 250 West 200 North (801) 544-9191Couser Orthodontics

Stephen Luddington, DDS 347 North 300 West (801) 498-7400Stephen Luddington DDS, MS

Stephen Luddington, DDS 347 North 300 West (801) 498-7400Stephen Luddington DDS, MS

LAYTON

Brian Baird, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

David Cameron, DMD 2940 North Church Street (801) 544-1184Cameron Orthodontics

David Cameron, DMD 195 E Gentile Street (801) 544-1184Cameron Orthodontics

Stephen Luddington, DDS 2317 N Hill Field Road (801) 775-8000Stephen Luddington DDS, MS

Stephen Luddington, DDS 2317 N Hill Field Road (801) 775-8000Stephen Luddington DDS, MS

Michael Meru, DDS 820 North Main Street (801) 771-8000Layton Smiles Dentistry and Orthodontic

Mark Naisbitt, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Leland Pack, DMD 2112 Hillfield Road (801) 774-0770Hillfield Pediatric & Family Dentistry

Cory Price, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

LEHI

Brandon Fairbanks, DMD 3300 N. Running Creek Way (801) 766-4660Brandon Fairbanks

Alan Jensen, DDS 216 East Main St (801) 768-2100Jensen Alan

Brent Nielson, DDS 2961 West Maple Loop Drive (801) 768-4266Brent Nielson

Matthew Shuldberg, DMD 181 North 1200 East (801) 766-3600Stonehaven Dental

LINDON

Michael Meru, DDS 537 West 550 North (801) 785-6000Professional Dental

LOGAN

Jeffrey W Johnson, DDS 40 W Cache Valley Blvd (435) 787-8207Logan Dental Associates

Jeffrey W Johnson, DDS 1451 North 200 East (435) 753-4400Aspen Dental of Cache Valley

MIDVALE

Michael Meru, DDS 1144 E Fort Union Blvd (801) 566-3118Midvale Modern Dentistry and Orthodontics

MOAB

Alan Jensen, DDS 570 West 400 North (435) 259-2232Jensen Alan

MORGAN

Karl M. Francis, DDS 200 East 125 North (801) 829-3831Francis Karl M.

MORONI

R Gayle Holman, DDS 394 East 100 South (801) 278-2819R Gayle Holman

MURRAY

Alan Baugh, DMD 164 East 5900 South (801) 266-0061Baugh Alan

Gary A. Carter, DDS 6052 South State Street (801) 288-9100Orthodontic Specialists of Utah

Ben Neibaur, DMD 6095 S Fashion Boulevard (801) 269-0303Neibaur Family Orthodontics

NORTH OGDEN

Kirk Allred, DMD 2251 N. Washington Blvd. (801) 393-6200Kirk Allred

Sean Oliverson, DMD 2251 N. Washington Blvd. (801) 393-6200Sean Oliverson

OGDEN

Kirk Allred, DMD 3550 Harrison Blvd. #2 (801) 393-6200Kirk Allred

Brian Baird, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Brian Baird, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Jeffrey W Johnson, DDS 2717 North Highway 89 (801) 737-2410Mountain View Dental

Michael Meru, DDS 4305 Harrison Boulevard (801) 479-1300Professional Dental

Mark Naisbitt, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Mark Naisbitt, DDS 1140 W Riverdale Road (866) 898-1355Monarch Dental

Jerry Shaw, DDS 1761 North 2000 West (801) 731-4850Farr West Orthodontics

OREM

Brian Baird, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Christopher Berg, DDS 1375 East 800 North #102 (801) 224-5058Berg Orthodontics

Scott Cardall, DMD 845 North 100 West (801) 227-5080Family Legacy Dental

Gary A. Carter, DDS 240 East 1300 South (801) 227-0600Orthodontic Specialists of Utah

Benjamin Frandsen, DDS 1375 East 800 North (801) 375-3355Frandsen Orthodontics

Jared Jesperson, DDS 196 W Center Street (801) 999-4431Utah Orthodontic Care

Michael Meru, DDS 503 East 770 North (801) 225-1400Professional Dental

Mark Naisbitt, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Page 24

** Roster Only

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

Page 26: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Scott Nord, DMD 291 East University Parkway (801) 225-7141Nord Scott

Robert Taylor, DMD 1692 North State Street (801) 226-6611Robert Taylor

Wade Thompson, DDS 380 West Center Street (801) 375-7088Thompson Wade

PAYSON

Karl M. Francis, DDS 50 South Medical Dr. (801) 465-2529Francis Karl M.

Adam N. Lee, DDS 814 South Main Street (801) 465-1118Redrock Orthodontics

Michael Meru, DDS 78 East 100 South (801) 465-0550Professional Dental

Gregory Trapnell, DMD 1107 S. Highway 198 (801) 465-2541Trapnell Orthodontics

Christopher Trapnell, DDS 1107 S. Highway 198 (801) 465-2541Trapnell Orthodontics

PRICE

Paul M. Broadwater, DDS 391 North 400 East (435) 637-2222Broadwater Paul

PROVIDENCE

Jeffrey W Johnson, DDS 274 N. Spring Creek Pkwy. (435) 713-0096Spring Creek Dental Associates

PROVO

David Christiansen, DDS 3707 N Canyon Road (801) 224-9900David M Christiansen

Jeffrey Trapnell, DDS 3610 North University Avenue (801) 344-8887Trapnell Orthodontics

RICHMOND

Jeffrey W Johnson, DDS 105 South Highway 91 (435) 258-2301Cherry Creek Dental

RIVERTON

E. Terry Chipian, DDS 2898 West 12600 South (801) 999-4431Utah Orthodontic Care

Travis Talbot, DDS 2364 West 12600 South #2C (801) 446-7175Talbot Orthodontics

ROOSEVELT

Charles Jackson, DDS 157 North 100 East (435) 722-2293Jackson Charles

ROY

Adam Martin, DDS 2779 West 4000 South (801) 776-2290Doc Martin Orthodontics

Cory Price, DDS 5991 South 3500 West (801) 985-1669Price Orthodontics

SAINT GEORGE

Brice Beckstrom, DMD 1091 North Bluff Street (435) 628-6200Beckstrom Orthodontics

Bradley Simister, DDS 1054 E. Riverside Drive (435) 656-3346Simister Orthodontics

Jeffrey Simister, null 1054 E. Riverside Drive (435) 656-3346Simister Orthodontics

Michael Theurer, DDS 965 East 700 South #101 (435) 688-8228Theurer Orthodontics

SALT LAKE

Brian Randle, DMD 1140 E Brickyard Road (801) 999-4431Utah Orthodontic Care

SALT LAKE CITY

Brian Baird, DDS 370 East South Temple (801) 320-9810Monarch Dental

Paul M. Broadwater, DDS 2080 East 4800 South (801) 278-7272Broadwater Paul M.

Gary A. Carter, DDS 445 East 4500 South (801) 523-9335Orthodontic Specialists of Utah

Reed A Dana, DDS 2630 West 3500 South (801) 542-0126Ortho:Dana

Jeffery Iverson, DMD 1580 East 3900 South (801) 571-9663Iverson Jeffrey A

Jeffery Iverson, DMD 1580 East 3900 South (801) 571-9663Iverson Jeffrey A

Alan Jensen, DDS 1377 East 3900 South (801) 272-9900Jensen Alan

Blake Maxfield, DDS 7050 S. Highland Drive (801) 263-1333Blake Maxfield

Norman Maxfield, DDS 7050 S. Highland Drive (801) 263-1333Norman Maxfield

Blake Maxfield, DDS 6243 S. Redwood Rd. #240 (801) 263-1333Blake Maxfield

Norman Maxfield, DDS 6243 S. Redwood Rd. #240 (801) 263-1333Norman Maxfield

Micah Mortensen, DDS 3725 West 4100 South (801) 966-6681Granger Orthodontics

Mark Naisbitt, DDS 2792 South 5600 West (801) 969-9669Aloha Dental

Mark Naisbitt, DDS 370 East South Temple (801) 320-9810Monarch Dental

Brent Nielson, DDS 4970 South 900 East (801) 262-8777Brent Nielson

Justin Parker, DDS 586 West 5300 South (801) 262-1500Parker Orthodontics

Cory Price, DDS 370 East South Temple (801) 320-9810Monarch Dental

Travis Talbot, DDS 2792 South 5600 West (801) 969-9669Aloha Dental

David V. Young, DDS 622 East 4500 South (801) 266-3578Young David V.

SANDY

Brian Baird, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Gary A. Carter, DDS 10011 S. Centennial Pkwy (801) 288-9100Orthodontic Specialists of Utah

Michael Cook, DMD 1025 East 11400 South (801) 523-2509Michael Cook

Jeffery Iverson, DMD 850 East 9400 South (801) 571-9664Iverson Jeffrey A

Jeffery Iverson, DMD 850 East 9400 South (801) 571-9664Iverson Jeffrey A

Charles Jackson, DDS 669 Union Square (801) 571-1231Jackson Charles

Chad Lambourne, DDS 1025 East 11400 South (801) 523-2509Lambourne Chad

Eric H. Madsen, DDS 10315 South 1300 East (801) 943-2700Madsen Eric H.

Mark Naisbitt, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Tony Skanchy, DDS 10220 South 1300 East (801) 523-1111Skanchy Tony

SARATOGA SPRINGS

Michael Meru, DDS 1314 N. Redwood Road (801) 768-0440Professional Dental

Scott Nord, DMD 3688 East Campus Drive Suite 220 (801) 789-5444Nord Orthodontics

SMITHFIELD

Jeffrey W Johnson, DDS 291 South Main Street (435) 563-2553Canyon Dental Care

SOUTH JORDAN

Michael Meru, DDS 3648 West 9800 South (801) 260-0100Professional Dental

SPANISH FORK

Karl M. Francis, DDS 367 West Center Street (801) 798-8226Francis Karl M.

Adam N. Lee, DDS 389 North Main (801) 798-1118Redrock Orthodontics

Christopher Trapnell, DDS 89 West 900 North (801) 798-8343Trapnell Orthodontics

Gregory Trapnell, DMD 89 West 900 North (801) 798-8343Trapnell Orthodontics

SPRINGVILLE

John Schouten, DDS 378 East 400 South (801) 491-9372Jarss Inc

Brian Trapnell, DMD 187 East 400 South (801) 489-9475Trapnell Orthodontics

Casey Warren, DDS 688 West 400 South (801) 489-7878Warren Orthodontics

SYRACUSE

Sheldon Peck, DDS 1792 W. 1700 S. #201 (801) 525-1333Sheldon Peck Orthodontics

TAYLORSVILLE

Brian Baird, DDS 5547 S 4015 West (801) 967-3337Baird Orthodontics

Brian Baird, DDS 5419 S. Redwood Road (801) 263-6400Monarch Dental

Mark Endrizzi, DDS 3105 West 5400 South (801) 969-6236Endrizzi Mark

Mark Naisbitt, DDS 5419 S. Redwood Road (801) 263-6400Monarch Dental

Page 25

** Roster Only

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

Page 27: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

UINTAH

Sean Oliverson, DMD 3550 Harrison Blvd. #2 (801) 393-6200Sean Oliverson

VERNAL

Charles Jackson, DDS 582 North 1700 West (435) 781-1234Jackson Charles

WEST JORDAN

Brian Baird, DDS 8822 S Redwood Rd. (801) 280-1722Baird Orthodontics

E. Terry Chipian, DDS 1231 West 9000 South (801) 999-4431Utah Orthodontic Care

Jared Jesperson, DDS 1231 West 9000 South (801) 999-4431Utah Orthodontic Care

Michael Meru, DDS 7632 South Campus View Dr. (801) 282-4142West Jordan Modern Dentistry

Brian Randle, DMD 1231 West 9000 South (801) 999-4431Utah Orthodontic Care

WEST VALLEY

Brian Baird, DDS 4645 South 4000 West (801) 955-1900Monarch Dental

David Cameron, DMD 4575 S 5600 W (801) 349-6542Dana Orthodontics

E. Terry Chipian, DDS 2843 South 5600 West (801) 999-4431Utah Orthodontic Care

Mark Endrizzi, DDS 4645 South 4000 West (801) 955-1900Monarch Dental

Kenneth Marz, DDS 2940 West 3650 South (801) 304-9391Marz Kenneth

Michael Meru, DDS 2592 South 5600 West (801) 982-9999Professional Dental

Mark Naisbitt, DDS 4645 South 4000 West (801) 955-1900Monarch Dental

Aaron Tolman, DDS 3550 South 4800 West (801) 966-7846Tolman Aaron

PEDODONTISTS

ALPINE

Rodney Slater, DMD 32 Red Pine Drive (801) 756-9595Professional Dental

AMERICAN FORK

Diya Chadha, DMD 476 North 900 West (801) 756-5522Monarch Dental

Scott Jensen, DDS 25 North 1100 East (801) 492-1346Jensen Scott

David MacDonald, DDS 148 South 1100 East (801) 756-6048Smith and Macdonald Pediatric Dentistry

Cordell Nebeker, DDS 945 West 500 North (801) 756-5643American Fork Modern Dentistry and Orthodontics

Nathan E. Smith, DDS 148 South 1100 East (801) 756-6048Smith and Macdonald Pediatric Dentistry

Chester Smyth, DDS 945 West 500 North (801) 756-5643American Fork Modern Dentistry and Orthodontics

BEAVER

Ronald French, DDS 2050 East Cotton Tree Lane (435) 421-1298Pediatric Dentistry

BOUNTIFUL

Diya Chadha, DMD 24 South 500 West (801) 296-1606Monarch Dental

Mark Nelson, DDS 1551 Renaissance Towne (801) 295-8322Childrens Dentistry

Colleen Taylor, DMD 535 E Medical Drive (801) 292-2828Dental Care 4 Kids

BRIGHAM CITY

Jesse Low, DMD 1149 S 450 W (435) 723-2223Jesse Low Pediatric Dentistry

CEDAR CITY

Tyler Albrecht, DMD 1251 North Northfield Road (435) 586-8188Cedar View Pediatric Dentistry

Bren Dixon, DMD 1321 South Providence Center Drive (435) 586-6555Childrens Dental of Cedar City

Jeremy Scholzen, DMD 1321 South Providence Center Drive (435) 586-6555Childrens Dental of Cedar City

Brandon Spencer, DMD 1321 South Providence Center Drive (435) 586-6555Childrens Dental of Cedar City

CENTERVILLE

Cordell Nebeker, DDS 331 W Parrish Lane (801) 298-3230Centerville Dental Group and Orthodontics

Chester Smyth, DDS 331 W Parrish Lane (801) 298-3230Centerville Dental Group and Orthodontics

CLINTON

Cordell Nebeker, DDS 1737 North 2000 West (801) 728-9000Clinton Dental Group and Orthodontics

Chester Smyth, DDS 1737 North 2000 West (801) 728-9000Clinton Dental Group and Orthodontics

DRAPER

Brent DeHart, DDS 114 East 12450 South (801) 495-1610Hidden Valley Pediatric Dental

Ryan C. Moffat, DDS 114 East 12450 South (801) 495-1610Hidden Valley Pediatric Dental

Rodney Slater, DMD 656 East 11400 South (801) 572-2006Professional Dental

EAGLE MOUNTAIN

Eric Martin, DDS 3688 East Campus Drive Suite 220 (801) 341-7999Kids Dental Barn

FARMINGTON

John R. Anderson, DDS 1401 North Highway 89 (801) 447-5437Anderson John R.

Samuel Bailey, DMD 1401 North 1075 West (801) 447-5437Mountain View Pediatric Dentistry

Cameron Quayle, DDS 1401 North 1075 West (801) 447-5437Mountain View Pediatric Dentistry

HEBER

Jeffrey Ellis, DMD 742 W 100 South (435) 654-5322Heber Childrens Dentistry

HERRIMAN

Brad Dawson, DMD 6351 West 13400 South (801) 302-1045Dawson Pediatric Dentistry

Rodney Slater, DMD 6355 West 13400 South (801) 302-7808Professional Dental

HURRICANE

Tyler Albrecht, DMD 48 South 2500 West (435) 635-7200Hurrican Pediatric Dentistry

KAYSVILLE

M. Brandon Jones, DMD 250 West 200 North #6 (801) 544-3323Kaysville Pediatric Dental

Matthew Swan, DDS 250 West 200 North #6 (801) 544-3323Kaysville Pediatric Dental

LAYTON

Wade Arkoudas, DDS 2112 Hillfield Road (801) 774-0770Hillfield Pediatric & Family Dentistry

Diya Chadha, DMD 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Brad Dawson, DMD 1086 N Fairfield Road (801) 544-1940Dawson Pediatric Dentistry

Scott Folkman, DDS 3225 W Gordon Avenue (801) 544-3400Legacy Pediatric Dentistry

Cordell Nebeker, DDS 820 North Main Street (801) 771-8000Layton Smiles Dentistry and Orthodontic

Brett Packham, DDS 2940 N Church Street (801) 779-2900Kids Town Pediatric Dentistry

Leland Powell, DDS 2112 Hillfield Road (801) 774-0770Hillfield Pediatric & Family Dentistry

Chester Smyth, DDS 820 North Main Street (801) 771-8000Layton Smiles Dentistry and Orthodontic

Renn Veater, DMD 2940 N Church Street (801) 779-2900Kids Town Pediatric Dentistry

LEHI

Jared Pearson, DDS 588 East Main St (801) 766-2111Pearson Jared

Hans Petersen, DMD 216 E Main St. (801) 766-5557Lehi Pediatric Dental

LINDON

Jason Mandelaris, DMD 275 West 200 North (801) 769-2530Childrens Corner Pediatric Dentistry

Stuart Segura, DDS 275 West 200 North (801) 769-2530Childrens Corner Pediatric Dentistry

Rodney Slater, DMD 537 West 550 North (801) 785-6000

Page 26

** Roster Only

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

Page 28: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Professional Dental

LOGAN

K Douglas Fryer, DDS 1300 North 200 East (435) 792-3033Dr Dougs Pediatric Dentistry

MIDVALE

Cordell Nebeker, DDS 1144 E Fort Union Blvd (801) 566-3118Midvale Modern Dentistry and Orthodontics

Chester Smyth, DDS 1144 E Fort Union Blvd (801) 566-3118Midvale Modern Dentistry and Orthodontics

Chester Smyth, DDS 1144 E Fort Union Blvd (801) 566-3118Midvale Modern Dentistry and Orthodontics

MURRAY

Michael Cottam, DMD 292 East 3900 South (801) 747-8000A Kids Place Dentistry

Erik Rooklidge, DDS 6095 Fashion Boulevard (801) 268-4986Dentistry for Children

Rodney Slater, DMD 292 East 3900 South (801) 747-8000A Kids Place Dentistry

Stuart Thomas, DDS 678 East Vine Street #12 (801) 268-1135Vine Street Pediatric Dentistry

NORTH SALT LAKE

Jeff Burg, DDS 3377 Orchard Drive (801) 951-8038Burg Pediatric Dentistry Orchard

Jeanne Hibler, DDS 3377 Orchard Drive (801) 951-8038Burg Pediatric Dentistry Orchard

Stuart Segura, DDS 3377 Orchard Drive (801) 951-8038Burg Pediatric Dentistry Orchard

Trisha Taylor, DMD 420 North Redwood Road #D (801) 292-5432All About Smiles

Trisha Taylor, DMD 420 North Redwood Road #D (801) 292-5432All About Smiles

Stuart Thomas, DDS 3377 Orchard Drive (801) 951-8038Burg Pediatric Dentistry Orchard

OGDEN

Diya Chadha, DMD 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

M. Wade Rallison, DDS 5275 South Adams Avenue (801) 475-6433South Ogden Pediatric Dental P.C.

Boyd Simkins, DDS 2667 North Washington Blvd. (801) 782-3920Simkins Boyd

Rodney Slater, DMD 4305 Harrison Boulevard (801) 479-1300Professional Dental

OREM

Diya Chadha, DMD 575 East University Pkwy (801) 225-3300Monarch Dental

R. Bruce Howell, DDS 442 West 800 North (801) 802-7200Howell R. Bruce

Eric Martin, DDS 845 North 100 West (801) 227-5080Family Legacy Dental

Merien Robins, DDS 845 North 100 West (801) 227-5080Family Legacy Dental

Adam N Shepherd, DDS 167 N 400 W (801) 824-0861Pediatric Smiles of Orem

Rodney Slater, DMD 503 East 770 North (801) 225-1400Professional Dental

PARK CITY

Jeff Burg, DDS 1910 Prospector Avenue (435) 649-5001Park City Pediatric Dentistry

Jeanne Hibler, DDS 1910 Prospector Avenue (435) 649-5001Park City Pediatric Dentistry

Ryan C. Moffat, DDS 1830 Prospector Avenue (435) 513-2861Moffat Ryan C.

Stuart Segura, DDS 1910 Prospector Avenue (435) 649-5001Park City Pediatric Dentistry

Stuart Thomas, DDS 1910 Prospector Avenue (435) 649-5001Park City Pediatric Dentistry

PAYSON

Scott Bower, DDS 805 South 500 West (801) 465-8300South Valley Pediatric Dentistry

Darren Chamberlain, DDS 805 South 500 West (801) 465-8300South Valley Pediatric Dentistry

Rodney Slater, DMD 78 East 100 South (801) 465-0550Professional Dental

PROVIDENCE

Stanton Allen, DDS 169 Spring Creek Parkway (435) 787-2223ABC Pediatric Dentistry

Jesse Low, DMD 169 Spring Creek Parkway (435) 787-2223ABC Pediatric Dentistry

Kurt Vest, DMD 169 Spring Creek Parkway (435) 787-2223ABC Pediatric Dentistry

PROVO

John Blankenship, DDS 2230 N University Parkway (801) 377-6400Smart Pediatric Dentistry

Donald Gifford, DDS 2230 N University Parkway (801) 377-6400Smart Pediatric Dentistry

Nathan E. Smith, DDS 2230 N University Parkway (801) 377-6400Smart Pediatric Dentistry

RIVERTON

David J Johnson, DMD 2364 West 12600 South (801) 253-8866Johnson, DDS, David

Eric Martin, DDS 12391 South 4000 West (801) 676-8899Kids Dental Barn

Nathan Stevenson, DDS 4019 West 12600 South (801) 302-7938Stevenson Pediatric Dentistry

ROY

John R. Anderson, DDS 3485 West 4800 South (801) 774-5437Anderson John R.

Brett Packham, DDS 3540 W 6000 S (801) 217-3359Kids Town Pediatric Dentistry

Renn Veater, DMD 3540 W 6000 S (801) 217-3359Kids Town Pediatric Dentistry

SAINT GEORGE

Bren Dixon, DMD 2746 East 850 North (435) 673-7776Childrens Dental

Cody Johnson, DMD 772 North Dixie Drive #101 (435) 628-0511Cody Johnson

Jeremy Scholzen, DMD 2746 East 850 North (435) 673-7776Childrens Dental

Brandon Spencer, DMD 2746 East 850 North (435) 673-7776Childrens Dental

SALEM

Brad Dawson, DMD 601 North State Road 198 (801) 423-7969Salem Smiles

SALT LAKE CITY

Don Boren, DDS 1580 East 3900 South #110 (801) 272-8555Eastgate Pediatric Dentistry

Don Boren, DDS 678 East Vine St (801) 268-1135Boren Don

Jeff Burg, DDS 7050 South Highland Drive (801) 943-3233Cottonwood Pediatric Dentistry

Jeff Burg, DDS 678 East Vine St (801) 268-1135Burg Jeff

Jeff Burg, DDS 1580 East 3900 South #110 (801) 272-8555Eastgate Pediatric Dentistry

Diya Chadha, DMD 370 East South Temple (801) 320-9810Monarch Dental

Kurt Christensen, DDS 678 East Vine St (801) 268-1135Christensen Kurt

Michael Cottam, DMD 3798 South 700 East (801) 747-8007A Kids Place Dentistry

Michael Cottam, DMD 530 East 500 South (801) 747-8000A Kids Place Dentistry

David Gustafson, DDS 1548 East 4500 South (801) 463-1900Salt Lake Pediatric Dentistry

David Gustafson, DDS 2792 South 5600 West (801) 969-9669Aloha Dental

Jeanne Hibler, DDS 1580 East 3900 South #110 (801) 272-8555Eastgate Pediatric Dentistry

Jeanne Hibler, DDS 7050 South Highland Drive (801) 943-3233Cottonwood Pediatric Dentistry

Ryan Johansen, DDS 55 North Redwood Road (801) 519-2222Rose Park Pediatric Dentistry

Jason Mandelaris, DMD 2792 South 5600 West (801) 969-9669Aloha Dental

Hans Reinemer, DMD 1434 South 4500 South (801) 273-5632Hans C. Reinemer

Walter Romney, DMD 525 East 100 South (801) 355-8677Romney Pediatric Dentistry

Walter Romney, DMD 70 South 900 East (801) 355-8677Romney Walter

Jeffery Rupp, DMD 1548 East 4500 South (801) 463-1900Salt Lake Pediatric Dentistry

Stuart Segura, DDS 1580 East 3900 South (801) 272-8555Burg Jeff

Stuart Segura, DDS 678 East Vine St (801) 268-1135Burg Jeff

Rodney Slater, DMD 530 East 500 South (801) 747-8000A Kids Place Dentistry

Rodney Slater, DMD 3798 South 700 East (801) 747-8007A Kids Place Dentistry

Chester Smyth, DDS 7050 South Highland Drive (801) 943-3233

Page 27

** Roster Only

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

Page 29: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Cottonwood Pediatric Dentistry Stuart Thomas, DDS 1580 East 3900 South #110 (801) 272-8555

Eastgate Pediatric Dentistry Stuart Thomas, DDS 7050 South Highland Drive (801) 943-3233

Cottonwood Pediatric Dentistry

SANDY

Don Boren, DDS 1030 East 11400 South #101 (801) 553-8882Lonepeak Pediatric Dentistry

Jeff Burg, DDS 1030 East 11400 South #101 (801) 553-8882Lonepeak Pediatric Dentistry

Diya Chadha, DMD 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Jeanne Hibler, DDS 1030 East 11400 South #101 (801) 553-8882Lonepeak Pediatric Dentistry

David Powell, DDS 10011 South Centennial Prkwy (801) 562-2222Powell David

Erik Rooklidge, DDS 10011 South Centennial Prkwy (801) 562-2222Rooklidge Erik

Stuart Segura, DDS 1030 East 11400 South #101 (801) 553-8882Lonepeak Pediatric Dentistry

Stuart Thomas, DDS 1030 East 11400 South #101 (801) 553-8882Lonepeak Pediatric Dentistry

SARATOGA SPRINGS

John Blankenship, DDS 43 East Commerce Drive (801) 766-8410Smith and Macdonald Pediatric Dentistry

David MacDonald, DDS 43 East Commerce Drive (801) 766-8410Smith and Macdonald Pediatric Dentistry

Jeffery Rupp, DMD 76 East Commerce Dr. #100 (801) 766-4900Childrens Crossing Pediatric Dentistry

Rodney Slater, DMD 1314 N. Redwood Road (801) 768-0440Professional Dental

Nathan E. Smith, DDS 43 East Commerce Drive (801) 766-8410Smith and Macdonald Pediatric Dentistry

Michael Tew, DDS 76 East Commerce Dr. #100 (801) 766-4900Childrens Crossing Pediatric Dentistry

SOUTH JORDAN

Michael Cottam, DMD 4775 West Daybreak Parkway (801) 999-4640Daybreak Smiles Pediatric Dent

Russell Farnsworth, DDS 2651 West 10400 South (801) 446-1515Farnsworth Russell

David Roth, DDS 2651 West 10400 South #103 (801) 446-1515Southridge Pediatric Dentistry

Rodney Slater, DMD 3648 West 9800 South (801) 260-0100Professional Dental

David Stewart, DMD 1268 W. South Jordan Pkwy. (801) 446-8007Little People's Dental

SPANISH FORK

Bret J. Sorensen, DDS 497 North Main Street (801) 798-2100Pediatric Dental Care

Ryan Wing, DDS 497 North Main Street (801) 798-2100Pediatric Dental Care

SPRINGVILLE

Scott Bower, DDS 688 West 400 South (801) 489-1301South Valley Pediatric Dentistry

Darren Chamberlain, DDS 688 West 400 South (801) 489-1301South Valley Pediatric Dentistry

Adam N Shepherd, DDS 688 West 400 South (801) 489-1301South Valley Pediatric Dentistry

ST. GEORGE

Michael Brown, DDS 1240 East 100 South (435) 634-9933Brown Michael

Brett K. Christensen, DMD 368 East Riverside Dr. (435) 688-8827Christensen Brett K.

Tyler Torres, DDS 368 East Riverside Dr. (435) 688-8827Christensen Brett K.

STANSBURY PARK

Jeff Burg, DDS 220 Millpond Drive #107 (435) 843-5437Stansbury Pediatric Dentistry

Michael Cottam, DMD 220 Millpond Drive #107 (435) 843-5437Stansbury Pediatric Dentistry

Stuart Thomas, DDS 220 Millpond Drive #107 (435) 843-5437Stansbury Pediatric Dentistry

SYRACUSE

Steve Hibbert, DDS 1792 West 1700 South (801) 614-0099Valley View Dental Group PC

Adam N Shepherd, DDS 1792 West 1700 South (801) 614-0099Valley View Dental Group PC

TAYLORSVILLE

Diya Chadha, DMD 5419 S. Redwood Road (801) 263-6400Monarch Dental

TOOELE

Russell Farnsworth, DDS 181 West Vine Street (435) 446-1515Farnsworth Russell

David Roth, DDS 1959 N. Aaron Drive #103 (435) 882-8800Southridge Pediatric Dentistry

WEST JORDAN

Jeff Burg, DDS 6973 South 4800 West (801) 840-4833Oquirrh Park Pediatric Dentistry

Matthew Jensen, DMD 2964 West 4700 South (801) 417-8080Jensen Matthew

Ryan Johansen, DDS 7613 South Jordan Landing Blvd. (801) 280-9595Ryan Johansen

Ryan Johansen, DDS 7613 South Jordan Landing Blvd. (801) 280-9595Ryan Johansen

Cordell Nebeker, DDS 7632 South Campus View Dr. (801) 282-4142West Jordan Modern Dentistry

Tyler Reading, DMD 3895 West 7800 South (801) 282-6901Reading Pediatric Dentistry

Stuart Segura, DDS 3855 West 7800 South (801) 282-1802Childrens Landing Pediatric Dentistry

Chester Smyth, DDS 7632 South Campus View Dr. (801) 282-4142West Jordan Modern Dentistry

Michael Tew, DDS 3855 West 7800 South (801) 282-1802Childrens Landing Pediatric Dentistry

Stuart Thomas, DDS 6973 South 4800 West (801) 840-4833Oquirrh Park Pediatric Dentistry

WEST VALLEY

Diya Chadha, DMD 4645 South 4000 West (801) 955-1900Monarch Dental

Michael Cottam, DMD 2843 South 5600 West (801) 747-8000A Kids Place Dentistry

Leland Powell, DDS 2682 Anna Caroline Drive (801) 974-5437Planet Tooth

Erik Rooklidge, DDS 3540 South 4000 West (801) 955-5200Rooklidge Erik

Rodney Slater, DMD 2592 South 5600 West (801) 982-9999Professional Dental

PERIODONTISTS

AMERICAN FORK

Sean McKeown, DDS 476 North 900 West (801) 756-5522Monarch Dental

Richard Rizzo, DDS 476 North 900 West (801) 756-5522Monarch Dental

Daniel Thunell, DMD 476 North 900 West (801) 756-5522Monarch Dental

BOUNTIFUL

Reve Chaston, DDS 24 South 500 West (801) 296-1606Monarch Dental

Sean McKeown, DDS 24 South 500 West (801) 296-1606Monarch Dental

Richard Rizzo, DDS 24 South 500 West (801) 296-1606Monarch Dental

DRAPER

Kathleen McCombs, DMD 826 E 12300 S (801) 371-8821Southtowne Implants & Periodontics

LAYTON

Reve Chaston, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Sean McKeown, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Richard Rizzo, DDS 1492 West Antelope Dr. (801) 776-6566Monarch Dental

Daniel Thunell, DMD 1492 West Antelope Dr. (801) 776-6566Monarch Dental

LEHI

Paul Francis, DDS 3300 N. Running Crk. Way (801) 766-6966Francis Paul

OGDEN

Reve Chaston, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Sean McKeown, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Richard Rizzo, DDS 5974 South Fashion Pointe Dr. (801) 475-6121Monarch Dental

Page 28

** Roster Only

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

Page 30: Total Choice Booklet - Executive - Full Sized Choice Provider Booklet 5-1-2013.pdf · Kim G. Roberts, DDS 476 North 900 West (801) 756-5522 Monarch Dental L. Craig Rosvall, DDS 224

PPO PROVIDER DIRECTORY

Lloyd Tilt, DDS 2721 North 400 East (801) 786-0500Intermountain Dental Associates

Aaron Ward, DMD 3590 S Harrison Boulevard (801) 394-6651Dr. Aaron Ward

OREM

Sean McKeown, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Richard Rizzo, DDS 575 East University Pkwy (801) 225-3300Monarch Dental

Peter Smith, DMD 568 E 770 N (801) 224-0610Precision Periodontics

PAYSON

Sean McKeown, DDS 107 South 500 West (801) 465-7966Payson Family Dental

SAINT GEORGE

Kenneth Bills, DDS 1086 South Main Street (435) 628-4867Bills DDS, Kenneth

SALT LAKE CITY

Sean McKeown, DDS 370 East South Temple (801) 320-9810Monarch Dental

Richard Rizzo, DDS 370 East South Temple (801) 320-9810Monarch Dental

SANDY

Sean McKeown, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Richard Rizzo, DDS 10011 South Centennial Pkwy (801) 256-3700Monarch Dental

Steven Skanchy, DDS 8938 South State (801) 572-0333Skanchy Steven

TAYLORSVILLE

Sean McKeown, DDS 5419 S. Redwood Road (801) 263-6400Monarch Dental

Richard Rizzo, DDS 5419 S. Redwood Road (801) 263-6400Monarch Dental

WEST VALLEY

Reve Chaston, DDS 4645 South 4000 West (801) 955-1900Monarch Dental

Sean McKeown, DDS 4645 South 4000 West (801) 955-1900Monarch Dental

Richard Rizzo, DDS 4645 South 4000 West (801) 955-1900Monarch Dental

Aaron Ward, DMD 4445 West 3500 South (801) 968-0798Aarabi Alexander

PROSTHODONTISTS

SALT LAKE CITY

Nicholas Egbert, DDS 6360 South 3000 East (801) 899-9737Reconstructive Dental Specialists of Utah

Troy Winegar, DDS 1931 East 5600 South (801) 272-0423Troy Winegar

Page 29

** Roster Only

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