directory of participating dental providers new mexico ... mexico el paso texas_alliance...

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New Mexico & El Paso Texas Directory of Participating Dental Providers Alliance Network NEW MEXICO Bernalillo County Albuquerque - 87102 General Dentist BACHICHA, CHRISTINA M., DDS 606 Encino Pl NE (505) 243-6714 BORGMANN, DAVID S., DDS 809 Tijeras Ave NW (505) 842-9350 COMMUNITY DENTAL SERVICES 2116 Hinkle St SE (505) 843-7493 CORIZ, PATRICK D., DDS 1101 Medical Arts Ave NE Bldg 1 (505) 843-6655 CUTTRELL, GARY W., DDS 1127 University Blvd NE (505) 272-5326 CUTTRELL, GARY W., DDS 1801 Camino De Salud NE Ste 1200 (505) 925-7797 DAMON MALLETTE, DEZBAA A., DMD 2116 Hinkle St SE (505) 843-7493 SP Language(s): DAVID S BORGMAN DDS PC 809 Tijeras Ave NW (505) 842-9350 DUNN, PAUL R., DDS 2116 Hinkle St SE (505) 765-5683 SP Language(s): ENCINO DENTAL CARE 717 Encino Pl NE Ste 7 (505) 843-9636 FARLEY, DAVID L., DDS 717 Encino Pl NE Ste 2 (505) 243-1451 FARLEY, DAVID L., DDS 717 Encino Pl NE Ste 7 (505) 843-9636 GIANNINI, ROBERT J., DDS 502 Slate Ave NW (505) 224-9444 HO, MY T., DDS 2116 Hinkle St SE (505) 843-7493 VT Language(s): HORN, RICHARD E., DDS 801 Encino Pl NE D 1 Medical Arts Sq (505) 242-9781 JACKSON, MELISSA D., DMD 2116 Hinkle St SE (505) 843-7493 JENSEN, PETER M., DDS 1801 Camino De Salud NE Ste 1200 (505) 925-7797 JENSEN, PETER M., DDS 1127 University Blvd NE (505) 272-5326 MARIETTA, WILLIAM S., DDS 717 Encino Pl NE Ste 6 (505) 247-8005 SP Language(s): MATTE, MATTHEW A., DDS 2116 Hinkle St SE (505) 843-7493 MILLS, PAUL E., DDS 809 Tijeras Ave NW (505) 842-9350 OSOFSKY, RICHARD L., DDS 303 10th St SW (505) 247-0303 RIESENBERGER, ZACHARY, DDS 2116 Hinkle St SE (505) 843-7493 STERBA, PATRICK M., DDS 606 Encino Pl NE (505) 243-6714 TATLOCK, CHARLES D., DDS 1801 Camino De Salud NE Ste 1200 (505) 925-7797 SP, VT Language(s): TATLOCK, CHARLES D., DDS 1127 University Blvd NE (505) 272-5326 SP, VT Language(s): VALLES, JOE L., DDS 500 Central Ave SE (505) 243-3535 WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 SP Language(s): WOLLEN, DAVID H., DDS 717 Encino Pl NE Ste 7 (505) 843-9636 YARBROUGH, G MARK, DDS 1801 Camino De Salud NE Ste 1200 (505) 925-7797 YARBROUGH, G MARK, DDS 1127 University Blvd NE (505) 272-5326 Orthodontist NORRIS, JULIA M., DDS 2116 Hinkle St SE (505) 843-7493 SP Language(s): Multi-Specialty UNM MEDICAL GROUP INC 1801 Camino De Salud NE Ste 1200 (505) 925-7797 SP, VT Language(s): UNM MEDICAL GROUP INC 1127 University Blvd NE (505) 272-5326 SP, VT Language(s): Albuquerque - 87104 General Dentist MILLS, PAUL E., DDS 809 Tyeras Ave NW (505) 842-9350 Albuquerque - 87105 General Dentist AHN, YEHOON, DDS 4201 Central Ave NW Ste F1 (505) 843-7172 KO Language(s): ASBAGHI MAMAGHANI, NAGHMEH, DDS 4201 Central Ave NW Ste F1 (505) 843-7172 BACIU, EVA C., DDS 4201 Central Ave NW Ste F1 (505) 843-7172 BENCIC, ROBERT J., DDS 2001 El Centro Familiar Blvd SW (505) 873-7423 BENSON, KEITH J., DMD 2001 El Centro Familiar Blvd SW (505) 873-7400 SP Language(s): BISHOP, MICHELE M., DDS 2127 Los Padillas Rd SW (505) 452-8633 BOWERS, JONATHAN L., DMD 2001 El Centro Familiar Blvd SW (505) 873-7400 BRINTON, CLARK F., DMD 1625 Rio Bravo Blvd SW Ste 33 (505) 554-2831 SP Language(s): BRUM, MARK D., DDS 2001 El Centro Familiar Blvd SW (505) 873-7400 BRUNACINI, LISA M., DDS 2001 El Centro Familiar Blvd SW (505) 873-7423 BURNS, WILLIAM R., DDS 2001 El Centro Familiar Blvd SW (505) 873-7405 CAIN, LEE E., DDS 3001 Isleta Blvd SW (505) 877-8910 CDB RIO BRAVO LLC 1625 Rio Bravo Blvd SW Ste 33 (505) 431-6779 CHAVEZ, ARMANDO J., DDS 2001 El Centro Familiar Blvd SW (505) 873-7400 SP Language(s): CLARK, LANCE D., DMD 1698 Rio Bravo Blvd SW (505) 247-2717 PT Language(s): CLIFFORD, LETITIA M., DDS 2001 El Centro Familiar Blvd SW (505) 873-7400 CLIFFORD, LETITIA, DDS 2001 N Centro Familiar Blvd SW (505) 873-7400 DYE, JEREMIAH M., DDS 2001 El Centro Familiar Blvd SW (505) 873-7400 FAMILY SMILES LLC 4201 Central Ave NW Ste F1 (505) 843-7172 FIRST CHOICE COMMUNITY HEALTHCARE INC 2001 El Centro Familiar Blvd SW (505) 873-7400 FLACK, MARCIE A., DDS 1625 Rio Bravo Blvd SW Ste 33 (505) 431-6779 FOUTZ, JONAH L., DDS 1625 Rio Bravo Blvd SW Ste 33 (505) 877-5555 GIRON, DEVIN K., DDS 1 Sagebrush St SW (505) 869-3200 GOYAL, NIKITA, DDS 2001 El Centro Familiar Blvd SW (505) 873-7423 IVERS, MELISSA, DDS 1010 Bridge Blvd SW Ste E (505) 877-0435 LEE, SHAUN M., DDS 4201 Central Ave NW Ste F1 (505) 843-7172 MANSOUR, RAFAT M., DDS 1010 Bridge Blvd SW Ste E (505) 877-0435 AR, SP Language(s): MCGARRY, CODY G., DMD 1698 Rio Bravo Blvd SW (505) 247-2717 SP Language(s): MIDTHANA, SRINIVASA R., DDS 4201 Central Ave NW Ste F1 (505) 843-7172 OPACK, DAVID J., DDS 4201 Central Ave NW Ste F1 (505) 843-7172 PHIPPS, JONATHAN R., DMD 6400 Central Ave SW (505) 836-0322 EN, SP Language(s): PRAKASH, NAGASHREE B., DDS 4201 Central Ave NW Ste F1 (505) 843-7172 HI, KA, SP, TL Language(s): QUAM, ZELLISHA A., DMD 4201 Central Ave NW Ste F1 (505) 843-7172 ROUKEMA, PETER J., DMD 6400 Central Ave SW (505) 836-0322 RYU, HOJOONG, DDS 4201 Central Ave NW Ste F1 (505) 843-7172 KO Language(s): SACHS, PAUL F., DDS 1010 Bridge Blvd SW Ste C (505) 898-4650 SALAZAR, JANICE N., DDS 1698 Rio Bravo Blvd SW (505) 247-2717 SP Language(s): SCHLOTTMAN, DAVID E., DDS 2001 El Centro Familiar Blvd SW (505) 873-7400 SCHOLL, CARA M., DDS 2001 El Centro Familiar Blvd SW (505) 873-7400 SP Language(s): Page 1 of 37 September 2015 New Mexico & El Paso Texas Currently not accepting new patients. This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

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Page 1: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso Texas

Directory of Participating Dental Providers

Alliance Network

NEW MEXICOBernalillo County

Albuquerque - 87102

General Dentist

BACHICHA, CHRISTINA M., DDS606 Encino Pl NE (505) 243-6714

BORGMANN, DAVID S., DDS809 Tijeras Ave NW (505) 842-9350

COMMUNITY DENTAL SERVICES2116 Hinkle St SE (505) 843-7493

CORIZ, PATRICK D., DDS1101 Medical Arts Ave NE Bldg 1 (505) 843-6655

CUTTRELL, GARY W., DDS1127 University Blvd NE (505) 272-5326

CUTTRELL, GARY W., DDS1801 Camino De Salud NE Ste 1200 (505) 925-7797

DAMON MALLETTE, DEZBAA A., DMD2116 Hinkle St SE (505) 843-7493

SPLanguage(s):

DAVID S BORGMAN DDS PC809 Tijeras Ave NW (505) 842-9350

DUNN, PAUL R., DDS2116 Hinkle St SE (505) 765-5683

SPLanguage(s):

ENCINO DENTAL CARE717 Encino Pl NE Ste 7 (505) 843-9636

FARLEY, DAVID L., DDS717 Encino Pl NE Ste 2 (505) 243-1451

FARLEY, DAVID L., DDS717 Encino Pl NE Ste 7 (505) 843-9636

GIANNINI, ROBERT J., DDS502 Slate Ave NW (505) 224-9444

HO, MY T., DDS2116 Hinkle St SE (505) 843-7493

VTLanguage(s):

HORN, RICHARD E., DDS801 Encino Pl NE D 1 Medical Arts Sq (505) 242-9781

JACKSON, MELISSA D., DMD2116 Hinkle St SE (505) 843-7493

JENSEN, PETER M., DDS1801 Camino De Salud NE Ste 1200 (505) 925-7797

JENSEN, PETER M., DDS1127 University Blvd NE (505) 272-5326

MARIETTA, WILLIAM S., DDS717 Encino Pl NE Ste 6 (505) 247-8005

SPLanguage(s):

MATTE, MATTHEW A., DDS2116 Hinkle St SE (505) 843-7493

MILLS, PAUL E., DDS809 Tijeras Ave NW (505) 842-9350

OSOFSKY, RICHARD L., DDS303 10th St SW (505) 247-0303

RIESENBERGER, ZACHARY, DDS2116 Hinkle St SE (505) 843-7493

STERBA, PATRICK M., DDS606 Encino Pl NE (505) 243-6714

TATLOCK, CHARLES D., DDS1801 Camino De Salud NE Ste 1200 (505) 925-7797

SP, VTLanguage(s):

TATLOCK, CHARLES D., DDS1127 University Blvd NE (505) 272-5326

SP, VTLanguage(s):

VALLES, JOE L., DDS500 Central Ave SE (505) 243-3535

WELLS, KELLY S., DDS2116 Hinkle St SE (505) 843-7493

SPLanguage(s):

WOLLEN, DAVID H., DDS717 Encino Pl NE Ste 7 (505) 843-9636

YARBROUGH, G MARK, DDS1801 Camino De Salud NE Ste 1200 (505) 925-7797

YARBROUGH, G MARK, DDS1127 University Blvd NE (505) 272-5326

Orthodontist

NORRIS, JULIA M., DDS2116 Hinkle St SE (505) 843-7493

SPLanguage(s):

Multi-Specialty

UNM MEDICAL GROUP INC1801 Camino De Salud NE Ste 1200 (505) 925-7797

SP, VTLanguage(s):

UNM MEDICAL GROUP INC1127 University Blvd NE (505) 272-5326

SP, VTLanguage(s):

Albuquerque - 87104

General Dentist

MILLS, PAUL E., DDS809 Tyeras Ave NW (505) 842-9350

Albuquerque - 87105

General Dentist

AHN, YEHOON, DDS4201 Central Ave NW Ste F1 (505) 843-7172

KOLanguage(s):

ASBAGHI MAMAGHANI, NAGHMEH, DDS4201 Central Ave NW Ste F1 (505) 843-7172

BACIU, EVA C., DDS4201 Central Ave NW Ste F1 (505) 843-7172

BENCIC, ROBERT J., DDS2001 El Centro Familiar Blvd SW (505) 873-7423

BENSON, KEITH J., DMD2001 El Centro Familiar Blvd SW (505) 873-7400

SPLanguage(s):

BISHOP, MICHELE M., DDS2127 Los Padillas Rd SW (505) 452-8633

BOWERS, JONATHAN L., DMD2001 El Centro Familiar Blvd SW (505) 873-7400

BRINTON, CLARK F., DMD1625 Rio Bravo Blvd SW Ste 33 (505) 554-2831

SPLanguage(s):

BRUM, MARK D., DDS2001 El Centro Familiar Blvd SW (505) 873-7400

BRUNACINI, LISA M., DDS2001 El Centro Familiar Blvd SW (505) 873-7423

BURNS, WILLIAM R., DDS2001 El Centro Familiar Blvd SW (505) 873-7405

CAIN, LEE E., DDS3001 Isleta Blvd SW (505) 877-8910

CDB RIO BRAVO LLC1625 Rio Bravo Blvd SW Ste 33 (505) 431-6779

CHAVEZ, ARMANDO J., DDS2001 El Centro Familiar Blvd SW (505) 873-7400

SPLanguage(s):

CLARK, LANCE D., DMD1698 Rio Bravo Blvd SW (505) 247-2717

PTLanguage(s):

CLIFFORD, LETITIA M., DDS2001 El Centro Familiar Blvd SW (505) 873-7400

CLIFFORD, LETITIA, DDS2001 N Centro Familiar Blvd SW (505) 873-7400

DYE, JEREMIAH M., DDS2001 El Centro Familiar Blvd SW (505) 873-7400

FAMILY SMILES LLC4201 Central Ave NW Ste F1 (505) 843-7172

FIRST CHOICE COMMUNITY HEALTHCARE INC2001 El Centro Familiar Blvd SW (505) 873-7400

FLACK, MARCIE A., DDS1625 Rio Bravo Blvd SW Ste 33 (505) 431-6779

FOUTZ, JONAH L., DDS1625 Rio Bravo Blvd SW Ste 33 (505) 877-5555

GIRON, DEVIN K., DDS1 Sagebrush St SW (505) 869-3200

GOYAL, NIKITA, DDS2001 El Centro Familiar Blvd SW (505) 873-7423

IVERS, MELISSA, DDS1010 Bridge Blvd SW Ste E (505) 877-0435

LEE, SHAUN M., DDS4201 Central Ave NW Ste F1 (505) 843-7172

MANSOUR, RAFAT M., DDS1010 Bridge Blvd SW Ste E (505) 877-0435

AR, SPLanguage(s):

MCGARRY, CODY G., DMD1698 Rio Bravo Blvd SW (505) 247-2717

SPLanguage(s):

MIDTHANA, SRINIVASA R., DDS4201 Central Ave NW Ste F1 (505) 843-7172

OPACK, DAVID J., DDS4201 Central Ave NW Ste F1 (505) 843-7172

PHIPPS, JONATHAN R., DMD6400 Central Ave SW (505) 836-0322

EN, SPLanguage(s):

PRAKASH, NAGASHREE B., DDS4201 Central Ave NW Ste F1 (505) 843-7172

HI, KA, SP, TLLanguage(s):

QUAM, ZELLISHA A., DMD4201 Central Ave NW Ste F1 (505) 843-7172

ROUKEMA, PETER J., DMD6400 Central Ave SW (505) 836-0322

RYU, HOJOONG, DDS4201 Central Ave NW Ste F1 (505) 843-7172

KOLanguage(s):

SACHS, PAUL F., DDS1010 Bridge Blvd SW Ste C (505) 898-4650

SALAZAR, JANICE N., DDS1698 Rio Bravo Blvd SW (505) 247-2717

SPLanguage(s):

SCHLOTTMAN, DAVID E., DDS2001 El Centro Familiar Blvd SW (505) 873-7400

SCHOLL, CARA M., DDS2001 El Centro Familiar Blvd SW (505) 873-7400

SPLanguage(s):

Page 1 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 2: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasAlbuquerque - 87105 (continued)

Directory of Participating Dental Providers

Alliance Network

SHAFER, NOAH M., DDS4201 Central Ave NW Ste F1 (505) 843-7172

SPENCER, SHAMAINE R., DDS2001 El Centro Familiar Blvd SW (505) 873-7400

STEWART, BRYAN D., DDS1625 Rio Blvd Ste 33 (505) 877-5555

SPLanguage(s):

SUNRIDGE DENTAL CARE6400 Central Ave SW (505) 836-0322

TUNG, LIANG TSO, DDS2001 El Centro Familiar Blvd SW (505) 873-7400

CN, MZLanguage(s):

TWEET, CHANDRA J., DDS2001 El Centro Familiar Blvd SW (505) 873-7400

SPLanguage(s):

UJDA, KATARZYNA, DDS2001 El Centro Familiar Blvd SW (505) 873-7400

PLLanguage(s):

URBANE, MARK E., DDS1625 Rio Bravo Blvd SW Ste 33 (505) 877-5555

VICUNA, EMERSON L., DDS1010 Bridge Blvd SW Ste F (505) 877-1113

YANG, JAE, DDS4201 Central Ave NW Ste F1 (505) 843-7172

Orthodontist

CLAYDEN, DAVID M., DDS1625 Rio Bravo Blvd SW Ste 33 (505) 877-5555

Albuquerque - 87106

General Dentist

DEIRDRE HERZER RDH3003 Silver Ave SE (505) 256-3509

NIENDORFF, WILLIAM J., DDS801 Vassar Dr NE (505) 248-4070

Albuquerque - 87107

General Dentist

BOWER, ASHLEE L., DMD901 Lamberton Pl NE Ste W (505) 323-1300

CHISHOLM, DOUGLAS P., DMD5308 4th St NW (505) 341-2273

CLAYTON, MARK, DMD5308 4th St NW (505) 341-2273

COMMUNITY DENTAL SERVICES1231 Candelaria Rd NW (505) 843-7493

DAMON MALLETTE, DEZBAA A., DMD1231 Candelaria Rd NW (505) 843-7493

SPLanguage(s):

DENTAL PARTNERS OF NORTHVALLEY5308 4th St NW (505) 341-2273

DOMINGUEZ, FRANK, DMD5721 4th St NW (505) 345-0515

DREY, DENNIS R., DDS1231 Candelaria Rd NW (505) 345-8300

SPLanguage(s):

FETTIG, ALEAHA J., DDS6211 4th St NW Ste 13 (505) 821-5437

GIFFORD, JONATHAN L., DDS5721 4th St NW (505) 345-0515

JACKSON, MELISSA D., DMD1231 Candelaria Rd NW (505) 843-7493

JOSEPHSON, RANDY T., DMD6301 4th St NW (505) 345-0880

JOSEPHSON, STEVEN L., DMD6301 4th St NW (505) 345-0880

KIDS CHOICE DENTAL INC6211 4th St NW Ste 13 (505) 821-5437

LAMBERT, KURT P., DDS5721 4th St NW (505) 345-0515

LANTZ, THOMAS E., DDS5721 4th St NW (505) 345-0515

LE, TRANG T., DMD5721 4th St NW (505) 345-0515

SPLanguage(s):

MATTE, MATTHEW A., DDS1231 Candelaria Rd NW (505) 843-7493

MORSE, NATALIA A., DDS5721 4th St NW (505) 345-0515

MYERS, ERIC A., DDS6211 4th St NW Ste 13 (505) 821-5437

NIETO, ANTHONY M., DMD3401 Comanche Rd NE Ste A (505) 883-6279

SPLanguage(s):

NOYES JR., JOHN D., DDS6211 4th St NW Ste 13 (505) 821-5437

OCHENRIDER, DAVID M., DMD5721 4th St NW (505) 345-0515

RIESENBERGER, ZACHARY, DDS1231 Candelaria Rd NW (505) 843-7493

ROSS, GARY M., DDS3520 Montgomery Blvd NE (505) 888-2606

SAVLA, JINESH J., DDS5721 4th St NW (505) 345-0515

SCHNEIDER, AMANDA M., DDS5721 4th St NW (505) 345-0515

SCOTT, ANNE M., DDS3520 Montgomery Blvd NE (505) 888-2606

SPLanguage(s):

SNOW, DALLIN R., DMD5721 4th St NW (505) 345-0515

SPLanguage(s):

TANAKA, LEILANI K., DDS5721 4th St NW (505) 345-0515

TRUJILLO, KENDAL R., DDS6211 4th St NW Ste 13 (505) 821-5437

VANLEEUWEN, ELIZABETH A., DDS5721 4th St NW (505) 345-0515

WELLS, KELLY S., DDS1231 Candelaria Rd NW (505) 843-7493

SPLanguage(s):

WELLS, KELLY S., DDS6211 4th St NW Ste 13 (505) 821-5437

SPLanguage(s):

Endodontist

WHITE SR., JOHN H., DDS5721 4th St NW (505) 345-0515

Oral Surgery

WAGNER, JON D., DDS5721 4th St NW (505) 345-0515

Orthodontist

DARMITZEL, STEPHEN E., DDS5721 4th St NW (505) 345-0515

Periodontist

ESPINOSA JR., HENRY D., DDS5721 4th St NW (505) 345-0515

Multi-Specialty

PERFECT TEETH FOURTH ST PC5721 4th St NW (505) 345-0515

Albuquerque - 87108

General Dentist

ABSHERE, PHILIP M., DDS201 San Pedro Dr SE Ste B2 (505) 232-5437

GR, SPLanguage(s):

AHN, YEHOON, DDS5505 Central Ave NE (505) 843-6060

KOLanguage(s):

ASBAGHI MAMAGHANI, NAGHMEH, DDS5505 Central Ave NE (505) 843-6060

BACIU, EVA C., DDS5505 Central Ave NE (505) 843-6060

BINGHAM, SCOTT, DMD7711 Zuni Rd SE (505) 256-7711

CHA, LILY, DDS201 San Pedro Dr SE Ste B2 (505) 232-5437

CHAVEZ, KEELY J., DDS201 San Pedro Dr SE Ste B2 (505) 232-5437

COBLE, JEREMY C., DDS333 San Mateo Blvd SE Unit A (505) 268-8888

SPLanguage(s):

COX, PAMELA B., DDS201 San Pedro Dr SE Ste B2 (505) 232-5437

DARDANO, MAURICIO E., DDS333 San Mateo Blvd SE Unit A (505) 268-8888

SPLanguage(s):

EVANS, TRAVIS K., DDS333 San Mateo Blvd SE Ste A (505) 268-8888

GIRON, KERI R., DDS5608 Zuni Rd SE (505) 262-6547

HAGGERTY JR., ROBERT W., DDS5124 Zuni Rd SE (505) 268-3384

HONG, KEE JU, DDS333 San Mateo Blvd SE Unit A (505) 268-8888

HUBBERT, STEPHEN, DDS5608 Zuni Rd SE (505) 262-6547

SPLanguage(s):

JACKSON, LOUIS A., DDS201 San Pedro Dr SE Ste B2 (505) 232-5437

KAWAMOTO, SHEENA Z., DMD201 San Pedro Dr SE Ste B2 (505) 232-5437

KINZER, KYE G., DDS201 San Pedro Dr SE Ste B2 (505) 232-5437

KNOTT, KENNETH E., DDS201 San Pedro Dr SE Ste B2 (505) 232-5437

LAPSKER, JENNIFER A., DDS201 San Pedro Dr SE Ste B2 (505) 232-5437

LEE, RYAN E., DDS201 San Pedro Dr SE Ste B2 (505) 232-5437

LEE, SHAUN M., DDS201 San Pedro Dr SE Ste B2 (505) 232-5437

LEE, SHAUN M., DDS5505 Central Ave NE (505) 843-6060

GHLanguage(s):

Page 2 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 3: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasAlbuquerque - 87108 (continued)

Directory of Participating Dental Providers

Alliance Network

LIM, JOHN T., DDS533 Washington St NE (505) 268-9047

MARIANETTI, OLIVER L., DMD5608 Zuni Rd SE (505) 262-6547

MATTE, AMY C., DDS637 San Mateo Blvd SE Ste A (505) 256-8855

MATTE, JOHN J., DDS637 San Mateo Blvd SE (505) 255-7891

MCCLURG, DANE L., DDS5608 Zuni Rd SE (505) 262-6547

SPLanguage(s):

MCLEAN, ANNE C., DMD201 San Pedro Dr SE Ste B2 (505) 232-5437

MCMENEMY, MEGHAN E., DDS333 San Mateo Blvd SE Unit A (505) 268-8888

SPLanguage(s):

MIDTHANA, SRINIVASA R., DDS5505 Central Ave NE (505) 843-6060

NGUYEN, TRAM T., DDS5608 Zuni Rd SE (505) 262-6560

OPACK, DAVID J., DDS5505 Central Ave NE (505) 843-6060

PARCO, TODD M., DDS201 San Pedro Dr SE Ste B2 (505) 232-5437

PARSONS, JACOB D., DDS7711 Zuni Rd SE (505) 256-7711

PECK, CHRISTIAN S., DDS201 San Pedro Dr SE Ste B2 (505) 232-5437

PEPPERMINT DENTAL SAN MATEO LLC333 San Mateo Blvd SE Unit A (505) 268-8888

PRAKASH, NAGASHREE B., DDS5505 Central Ave NE (505) 843-6060

HI, KA, SP, TLLanguage(s):

QUAM, ZELLISHA A., DMD5505 Central Ave NE (505) 843-6060

RYU, HOJOONG, DDS333 San Mateo Blvd SE Unit A (505) 268-8888

KOLanguage(s):

RYU, HOJOONG, DDS5505 Central Ave NE (505) 843-6060

KOLanguage(s):

SANCHEZ, MICHAEL A., DDS333 San Mateo Blvd SE Unit A (505) 268-8888

SHAFER, NOAH M., DDS5505 Central Ave NE (505) 843-6060

SHAFER, NOAH M., DDS333 San Mateo Blvd SE Unit A (505) 268-8888

SMALL SMILES OF EAST ALBUQUERQUE201 San Pedro Dr SE Ste B2 (505) 232-5437

TRAN, BO V., DDS5608 Zuni Rd SE (505) 262-6560

VIGIL, STEPHEN H., DDS4401 Silver Ave SE Ste F (505) 255-7990

WOLF, JACOB B., DDS201 San Pedro Dr SE Ste B2 (505) 232-5437

YAI, RICHARD Y., DDS333 San Mateo Blvdse Ste A (505) 268-8888

YANG, JAE, DDS5505 Central Ave NE (505) 843-6060

ZIMMER, DANIELA R., DDS333 San Mateo Blvd SE Ste A (505) 268-8888

Orthodontist

BUSH, HELEN D., DDS201 San Pedro Dr SE Ste B2 (505) 232-5437

Pediatric Dentist

JACKSON, JOSEPH L., DDS201 San Pedro Dr SE Ste B2 (505) 232-5437

Albuquerque - 87109

General Dentist

ABSOLUTE DENTAL INC6830 Montgomery Blvd NE (505) 294-9208

ALGERMISSEN, ANTHONY J., DDS7520 Montgomery Blvd NE Bldg E12 (505) 888-6980

ARMIJO, MICHAEL J., DDS5900 Cubero Dr NE Ste B (505) 797-1000

BACA, DIANA M., DDS5900 Cubero Dr NE Ste C (505) 822-8589

BELFON, ROBERT, DMD6800 Montgomery Blvd NE Ste F (505) 883-7262

BUNDY, KENNETH B., DDS4233 Montgomery Blvd NE Ste 120W (505) 884-7556

SPLanguage(s):

CASAUS, JENNIFER I., DDS5920 Cubero Dr NE (505) 822-0664

CHAN, GREGG T., DDS4411 San Mateo Blvd NE Ste E1 (505) 872-4867

SPLanguage(s):

COBLE, JEREMY C., DDS4411 San Mateo Blvd NE Ste E1 (505) 872-4867

SPLanguage(s):

DARDANO, MAURICIO E., DDS4411 San Mateo Blvd NE Ste E1 (505) 872-4867

SPLanguage(s):

DAVIS, MICHAEL W., DDS6808 Academy Parkway E NE Ste A2 (505) 898-2797

DOMINGUEZ, FRANK, DMD5900 Cubero Dr NE Ste E (505) 797-7466

DUHON, ALAN L., DMD, PC6808 Academy Parkway E NE Ste A2 (505) 898-2797

EDWARDS, ANTHONY H., DDS6830 Montgomery Blvd NE Ste B (505) 294-9208

EKLUND, CHARLES H., DDS7520 Montgomery Blvd NE Ste D5 (505) 888-3956

ESSENMACHER, LINDSAY M., DDS6830 Montgomery Blvd NE Ste D (505) 881-0334

FARRELL, MICHAEL J., DDS5920 Cubero Dr NE (505) 822-0663

FEDE, CASSIE I., DMD6800 Montgomery Blvd NE Ste J (505) 883-8830

FORDE, COLIN A., DDS7520 Montgomery Blvd NE Bldg C Ste C (505) 883-3722

SPLanguage(s):

FRALEIGH, C. MAHLON, DDS5910 Cubero Dr NE Ste B (505) 243-9094

SPLanguage(s):

FRITZ, SHELLY L., DDS7520 Montgomery Blvd NE Bldg E12 (505) 888-6980

GIANNINI, ARMAND J., DDS6208 Montgomery Blvd NE Ste A (505) 881-8488

GIFFORD, JONATHAN L., DDS5900 Cubero Dr NE Ste E (505) 797-7466

GOMEZ KROETER, TERRY, DDS6830 Montgomery Blvd NE Ste F (505) 296-5200

GREINEL BLUM, CARISSA J., DDS7007 Wyoming Blvd NE Ste B2 (505) 821-1430

SPLanguage(s):

HALLE, JEROME D., DDS7520 Montgomery Blvd NE Ste A (505) 889-3777

HANOSH, ELIAS L., DDS6208 Montgomery Blvd NE Ste A (505) 881-8488

HONG, KEE JU, DDS4411 San Mateo Blvd NE Ste E1 (505) 872-4867

HUFFMAN, THOMAS C., DDS6808 Academy Parkway E NE Ste A2 (505) 898-2797

IVERS, MELISSA, DMD7520 Montgomery Blvd NE Bldg E10 (505) 323-3630

JACKSON, MELISSA, DMD5901 Wyoming Blvd NE Ste W (505) 821-4422

KASSAM, SARAH L., DDS6800 Montgomery Blvd NE Ste C (505) 884-8000

SPLanguage(s):

KIRACOFE, KIRK L., DDS6208 Montgomery Blvd NE Ste A (505) 226-3672

SPLanguage(s):

LAMBERT, KURT P., DDS5900 Cubero Dr NE Ste E (505) 797-7466

LANTZ, THOMAS E., DDS5900 Cubero Dr NE Ste E (505) 797-7466

LE, TRANG T., DMD5900 Cubero Dr NE Ste E (505) 797-7466

SPLanguage(s):

LEE, CURTIS G., DMD7520 Montgomery Blvd NE Bldg D-11 (505) 884-6237

LEIGH, CHRISTOPHER L., DDS7520 Montgomery Blvd NE Bldg E10 (505) 323-3630

SPLanguage(s):

LINES, DEREK C., DDS5343 Wyoming Blvd NE Ste A (505) 822-8777

LYNCH, THOMAS J., DMD6208 Montgomery Blvd NE Ste C & D (505) 830-9081

MARSHALL, DUANE G., DMD6800 Montgomery Blvd NE Ste C (505) 884-8000

MARTINEZ, DANIEL L., DDS7930 Wyoming Blvd NE Ste A (575) 881-7337

MATTESON, THOMAS R., DDS6800 Montgomery Blvd NE Ste C (505) 884-8000

MATTHEWS, WILLIAM L., DDS7520 Montgomery Blvd NE Bldg Cc (505) 872-4444

MCALLISTER, GREGORY R., DDS5910 Cubero Dr NE Ste B (505) 243-7655

MCCANN, KATIE L., DDS5901 Wyoming Blvd NE Ste W (505) 821-4422

SPLanguage(s):

MCMENEMY, MEGHAN E., DDS4411 San Mateo Blvd NE Ste E1 (505) 872-4867

MIRA CONSULTING INC6808 Academy Parkway E NE Ste A2 (505) 898-2797

MORRISON, HONG M., DDS7520 Montgomery Blvd NE Bldg C Ste C (505) 872-4444

MORSE, NATALIA A., DDS5900 Cubero Dr NE Ste E (505) 797-7466

NIENDORFF, WILLIAM J., DDS6808 Academy Parkway E NE Ste A2 (505) 898-2797

Page 3 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 4: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasAlbuquerque - 87109 (continued)

Directory of Participating Dental Providers

Alliance Network

OCHENRIDER, DAVID M., DMD5900 Cubero Dr NE Ste E (505) 797-7466

PEPPERMINT DENTAL4411 San Mateo Blvd NE Ste E1 (505) 872-4867

PERFECT TEETH5900 Cubero Dr NE Ste E (505) 797-7466

QUINTANA, OSCAR C., DDS7520 Montgomery Blvd NE Ste E10 (505) 323-3630

REED, ATEM AE, DDS7007 Wyoming Blvd NE Ste A4 (505) 821-1433

SPLanguage(s):

RIDGEWAY, JENNIFER A., DDS7520 Montgomery Blvd NE Bldg D1 (505) 872-8800

RYU, HOJOONG, DDS4411 San Mateo Blvd NE Ste E1 (505) 872-4867

KOLanguage(s):

SAVLA, JINESH J., DDS5900 Cubero Dr NE Ste E (505) 797-7466

SCHNEIDER, AMANDA M., DDS5900 Cubero Dr NE Ste E (505) 797-7466

SCHNEIDER, AMANDA, DDS7520 Montgomery Blvd NE Bldg E10 (505) 323-3630

SHAFER, NOAH M., DDS4411 San Mateo Blvd NE Ste E-1 (505) 872-4867

SMITH EDWARDS, JULIET V., DDS6830 Montgomery Blvd NE Ste B (505) 294-9208

SNOW, DALLIN R., DMD5900 Cubero Dr NE Ste E (505) 797-7466

SPLanguage(s):

STOCKTON 22 INC6208 Montgomery Blvd NE Ste C & D (505) 830-9081

STOCKTON, ERIN E., DMD6208 Montgomery Blvd NE Ste C & D (505) 830-9081

STOCKTON, SETH J., DMD6208 Montgomery Blvd NE Ste C & D (505) 830-9081

TANAKA, LEILANI K., DDS5900 Cubero Dr NE Ste E (505) 797-7466

TILSON, CHARLES E., DMD7007 Wyoming Blvd NE Ste 4A (505) 821-1433

SPLanguage(s):

VANLEEUWEN, ELIZABETH A., DDS5900 Cubero Dr NE Ste E (505) 797-7466

WALKER, MARK E., DDS6830 Montgomery Blvd NE Ste D (505) 881-0334

WESTBROOK, JEFFREY H., DDS7520 Montgomery Blvd NE Bldg Cc (505) 872-4444

WILSON, JOE, DDS8010 Palomas Ave NE Ste B (505) 881-7586

YAI, RICHARD Y., DDS4411 San Mateo Blvdne Ste E1 (505) 872-4867

YANG, JAE, DDS5901 Wyoming Blvd NE Ste W (505) 821-4422

ZAMORA, JAMES, DDS5920 Cubero Dr NE (505) 822-0663

ZELLER, STEPHANIE K., DDS7520 Montgomery Blvd NE Bldg E10 (505) 323-3630

SPLanguage(s):

ZIMMER, DANIELA, DDS4411 San Mateo Blvd NE Ste E1 (505) 872-4867

Endodontist

ADVANCED ENDODONTICS7520 Montgomery Blvd NE Bldg E1 (505) 797-1212

CHAVEZ, ROBERT D., DDS7520 Montgomery Blvd NE Ste C B (505) 881-6902

SPLanguage(s):

CLARK, SHANE T., DMD5901 Wyoming Blvd NE Ste W (505) 821-4422

EISENHUTH, GLEN A., DDS7520 Montgomery Blvd NE Bldg E1 (505) 797-1212

GOODIS, CHARLES J., DDS7520 Montgomery Blvd NE Bldg E1 (505) 797-1212

SHAW, COLIN S., DMD6208 Montgomery Blvd NE Ste C (505) 888-3395

WHITE SR., JOHN H., DDS5900 Cubero Dr NE Ste E (505) 797-7466

Oral Surgery

BUTTNER, CHRISTOPHER, DDS6800 Montgomery Blvd NE Ste O (505) 338-9833

CANDELARIA, LIONEL M., DDS6800 Montgomery Blvd NE Ste A (505) 881-1130

HAGEN, JEFFREY M., DMD6800 Montgomery Blvd NE Ste A (505) 881-1130

JONES, JERRY L., DDS5900 Cubero Dr NE Ste A (505) 797-3530

MCCONNELL, MARK S., DDS5925 Wyoming Blvd NE Ste B (505) 858-0500

MITCHELL, JOHN C., DDS6800 Montgomery Blvd NE Ste A (505) 881-1130

NG, WAI P., DMD5900 Cubero Dr NE Ste A (505) 797-3530

ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES6800 Montgomery Blvd NE Ste A (505) 881-1130

WAGNER, JON D., DDS5900 Cubero Dr NE Ste E (505) 797-7466

WHEATON, JEFFREY B., DMD5901 Wyoming Blvd NE Ste W (505) 821-4422

SPLanguage(s):

Orthodontist

ANDERSON, KIMSEY K., DDS7520 Montgomery Blvd NE Bldg D9 (505) 884-5610

BUTTNER, JAYNE, DDS6800 Montgomery Blvd NE Ste B (505) 881-1100

CASAUS, DANA M., DDS5910 Cubero Dr NE Ste D (505) 508-4939

CORNALI, JOHN M., DDS8010 Palomas Ave NE Ste A (505) 828-1244

DARMITZEL, STEPHEN E., DDS5900 Cubero Dr NE Ste E (505) 797-7466

TOLLESON, SHANE R., DDS4411 San Mateo Blvd NE Ste E1 (505) 872-4867

Pediatric Dentist

SJOSTROM, DANEN S., DDS7007 Wyoming Blvd NE Suite C-2 (505) 200-3516

SPLanguage(s):

Periodontist

ESPINOSA JR., HENRY D., DDS5900 Cubero Dr NE Ste E (505) 797-7466

MELTON, JOHN J., DDS7520 Montgomery Blvd NE Ste D3 (505) 984-8300

REYES, RYAN D., DDS5901 Wyoming Blvd NE Ste W (505) 821-4422

Multi-Specialty

NE HEIGHTS MODERN DENTISTRY LLC5901 Wyoming Blvd NE Ste W (505) 821-4422

PEPPERMINT DENTAL MONTGOMERY4411 San Mateo Blvd NE Ste E1 (505) 872-4867

Albuquerque - 87110

General Dentist

BROWN, SHEILA M., DDS5000 Menaul Blvd NE Ste B (505) 872-1212

BURNETT JR., WILLIAM D., DDS4400 Cutler Ave NE (505) 875-8555

CHANG, PE, DDS7111 Prospect Pl NE Ste B (505) 888-5131

LO, VTLanguage(s):

COMEAU, LAURA M., DDS5000 Menaul Blvd NE Ste B (505) 872-1212

COMFORT DENTAL5820 Menaul Blvd NE (505) 872-2772

COMFORT DENTAL OF CORONADO5820 Menaul Blvd NE (505) 872-2772

COPPLE, TALMAGE B., DDS5820 Menaul Blvd NE (505) 872-2772

SPLanguage(s):

CURRIE, ZACHARY T., DDS2100 Louisiana Blvd NE Ste 104 (505) 883-4867

DELVALLE, RAYMOND S., DDS7700 Menaul Blvd NE Ste A (505) 296-5521

DOCKSTADER, JEREMY R., DMD4701 Lomas Blvd NE (505) 232-2273

PTLanguage(s):

DOMINGUEZ, FRANK, DMD6101 Candelaria Rd NE (505) 883-0005

DOMINGUEZ, FRANK, DMD5800 Lomas Blvd NE (505) 268-6388

FANNING, RACHEL H., DDS3901 Georgia St NE Ste C4 (505) 884-9793

FARLEY, DAVID L., DDS2100 Louisiana Blvd NE Ste 131 (505) 883-4867

FIFE, STEVEN R., DDS6101 Candelaria Rd NE (505) 883-0005

FRYE, JOSHUA R., DMD6810 Menaul Blvd NE Ste B (505) 872-1100

SPLanguage(s):

GHERARDI, ROBERT J., DMD3901 Louisiana Blvd NE Ste E (505) 883-5066

GIFFORD, JONATHAN L., DDS5800 Lomas Blvd NE (505) 268-6388

GIFFORD, JONATHAN L., DDS6101 Candelaria Rd NE (505) 883-0005

GRADY, ALICIA A., DDS7905 Marble Ave NE (505) 232-5710

SP, VTLanguage(s):

GRODNER, ROBERT W., DDS3901 Georgia St NE Ste A1 (505) 883-7799

GUTIERREZ, DONALD P., DMD1441 Carlisle Blvd NE Ste A (505) 255-9859

GUTIERREZ, ELOY R., DDS1441 Carlisle Blvd NE Ste B (505) 255-9860

Page 4 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 5: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasAlbuquerque - 87110 (continued)

Directory of Participating Dental Providers

Alliance Network

HERO DENTAL OF ALBUQUERQUE PC5000 Menaul Blvd NE Ste B (505) 872-1212

HERREJON RUIZ, MARIO, DMD6810 Menaul Blvd NE Ste B (505) 872-1100

SPLanguage(s):

HOLSEY, DAVID E., DDS2201 Louisiana Blvd NE Ste D (505) 883-4867

HORTON, NATHAN S., DMD5820 Menaul Blvd NE (505) 872-2772

SPLanguage(s):

IRICK, BRUCE W., DDS5820 Menaul Blvd NE (505) 237-2273

SPLanguage(s):

JACKSON, MELISSA, DMD6810 Menaul Blvd NE Ste B (505) 872-1100

KIRAN, ASLI B., DDS6101 Candelaria Rd NE (505) 883-0056

KIRAN, ASLI B., DDS4400 Cutler Ave NE (505) 875-8555

SPLanguage(s):

LAMBERT, KURT P., DDS5800 Lomas Blvd NE (505) 268-6388

LAMBERT, KURT P., DDS6101 Candelaria Rd NE (505) 883-0005

LANTZ, THOMAS E., DDS6101 Candelaria Rd NE (505) 883-0005

LANTZ, THOMAS E., DDS5800 Lomas Blvd NE (505) 268-6388

LAYTON, C. CRAIG, DDS5820 Menaul Blvdne (505) 872-2772

LE, TRANG T., DMD5800 Lomas Blvd NE (505) 268-6388

SPLanguage(s):

LE, TRANG T., DMD6101 Candelaria Rd NE (505) 883-0005

SPLanguage(s):

LEE, FOOK C., DDS2017 San Mateo Blvd NE (505) 856-1081

LINDSLEY, HOLLY M., DDS5000 Menaul Blvd NE Ste B (505) 872-1212

LINDSLEY, HOLLY M., DDS2100 Louisiana Blvd NE Ste 104 (505) 883-4867

LUCERO, MARY A., DDS2100 Louisiana Blvd NE Ste 104 (505) 883-4867

MAESE, GERALD P., DDS3901 Georgia St NE Bldg G (505) 888-3112

MAHER, DANIEL L., DDS4400 Cutler Ave NE (505) 875-8555

MCCANN, KATIE L., DDS6810 Menaul Blvd NE Ste B (505) 872-1100

SPLanguage(s):

MCFARLAND, ANDREW R., DMD4701 Lomas Blvd NE (505) 232-2273

SPLanguage(s):

MILLBURN, MICHAEL J., DDS5820 Menaul Blvd NE (505) 872-2772

SPLanguage(s):

MISLA, KAREN C., DDS5000 Menaul Blvd NE Ste B (505) 872-1212

MISNER, REBECCA S., DMD5000 Menaul Blvd NE Ste B (505) 872-1212

MONTANO, MELISSA P., DDS5000 Menaul Blvd NE Ste B (505) 872-1212

MONTANO, RONALD B., DDS5000 Menaul Blvd NE Ste B (505) 872-1212

SPLanguage(s):

MORSE, NATALIA A., DDS6101 Candelaria Rd NE (505) 883-0005

MORTLEY, HUNTER L., DDS3901 Georgia St NE Ste A3 (505) 881-1998

OCHENRIDER, DAVID M., DMD5800 Lomas Blvd NE (505) 268-6388

OCHENRIDER, DAVID M., DMD6101 Candelaria Rd NE (505) 883-0005

OLLASON, STEVEN L., DDS7127 Prospect Pl NE (505) 881-4365

PERFECT TEETH6101 Candelaria Rd NE (505) 883-0005

PERFECT TEETH5800 Lomas Blvd NE (505) 268-6388

PHELAN, CYNTHIA A., DDS5820 Menaul Blvd NE (505) 237-2273

POLINKOVSKY, LEONID, DDS6810 Menaul Blvd NE Ste B (505) 872-1100

ROUSSEL, MIKE E., DMD7127 Prospect Pl NE (505) 881-4365

SAESIM, SAMUEL, DDS5000 Menaul Blvd NE Ste B (505) 872-1212

SPLanguage(s):

SAESIM, SAMUEL, DDS5800 Lomas Blvd NE (505) 268-6388

SAPP, WILLIAM A., DDS2100 Louisiana Blvd NE Ste 131 (505) 883-4867

SAVLA, JINESH J., DDS6101 Candelaria Rd NE (505) 883-0005

SAVLA, JINESH J., DDS5800 Lomas Blvd NE (505) 268-6388

SCHILLING, KIM, DDS2201 Louisiana Blvd NE Ste D (505) 883-4867

SCHNEIDER, AMANDA M., DDS6101 Candelaria Rd NE (505) 883-0005

SCHNEIDER, AMANDA M., DDS5800 Lomas Blvd NE (505) 268-6388

SHEPHERD, RYAN S., DMD7101 Prospect Pl NE (505) 268-4484

SPLanguage(s):

SNOW, DALLIN R., DMD6101 Candelaria Rd NE (505) 883-0005

SPLanguage(s):

SNOW, DALLIN R., DMD5800 Lomas Blvd NE (505) 268-6388

SPLanguage(s):

STEICHEN, CRAIG T., DDS7131 Prospect Pl NE (505) 883-6562

TANAKA, LEILANI K., DDS6101 Candelaria Rd NE (505) 883-0005

TANAKA, LEILANI K., DDS5800 Lomas Blvd NE (505) 268-6388

TINGEN, RACHAEL H., DDS2100 Louisiana Blvd NE Ste 131 (505) 883-4867

TRAMONTANAS, KERRY, DDS5000 Menaul Blvd NE Ste B (505) 872-1212

VANLEEUWEN, ELIZABETH A., DDS5800 Lomas Blvd NE (505) 268-6388

VANLEEUWEN, ELIZABETH A., DDS6101 Candelaria Rd NE (505) 883-0005

VANSICKLE, KENNETH W., DMD5000 Menaul Blvd NE Ste B (505) 872-1212

YANG, HUAN, DDS4701 Lomas Blvd NE (505) 232-2273

ZINK, AURORA V., DDS5000 Menaul Blvd NE Ste B (505) 872-1212

Endodontist

CLARK, SHANE T., DMD6810 Menaul Blvd NE Ste B (505) 872-1100

EISENHUTH, GLEN A., DDS7700 Menaul Blvd NE Ste B (505) 918-3933

WHITE SR., JOHN H., DDS5800 Lomas Blvd NE (505) 268-6388

WHITE SR., JOHN H., DDS6101 Candelaria Rd NE (505) 883-0005

Oral Surgery

GUTIERREZ, TIMOTHY L., DMD1513 Carlisle Blvd NE (505) 881-7373

MEEHAN, JAMES D., DDS2100 Louisiana Blvd NE Ste 104 (505) 883-4867

WAGNER, JON D., DDS6101 Candelaria Rd NE (505) 883-0005

WAGNER, JON D., DDS5800 Lomas Blvd NE (505) 268-6388

WHEATON, JEFFREY B., DMD6810 Menaul Blvd NE Ste B (505) 872-1100

SPLanguage(s):

Orthodontist

BAHR, CRAIG A., DMD4701 Lomas Blvd NE (505) 254-2273

BUSH, HELEN D., DMD5000 Menaul Blvd NE Ste B (505) 872-1212

DARMITZEL, STEPHEN E., DDS6101 Candelaria Rd NE (505) 883-0005

DARMITZEL, STEPHEN E., DDS5800 Lomas Blvd NE (505) 268-6388

JOHANSEN, ROBERT W., DDS5000 Menaul Blvd NE Ste B (505) 872-1212

KELLAM, GARY A., DDS3901 Georgia St NE Ste B1 (505) 293-0687

KELLAM, STEPHEN A., DMD3901 Georgia St NE Ste B1 (505) 293-0687

MCMILLAN, JEFFREY B., DDS5000 Menaul Blvd NE Ste B (508) 872-1212

SHAH, RAJA, DDS4701 Lomas Blvd NE (505) 254-2273

SPALDING, PETER M., DDS5000 Menaul Blvd NE Ste B (505) 872-1212

Pediatric Dentist

NICHOLS, WILLIAM R., DDS4701 Lomas Blvd NE (505) 232-2273

Periodontist

ESPINOSA JR., HENRY D., DDS6101 Candelaria Rd NE (505) 883-0005

ESPINOSA JR., HENRY D., DDS5800 Lomas Blvd NE (505) 268-6388

Page 5 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 6: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasAlbuquerque - 87110 (continued)

Directory of Participating Dental Providers

Alliance Network

REYES, RYAN D., DDS6810 Menaul Blvd NE Ste B (505) 872-1100

Multi-Specialty

ALBUQUERQUE MODERN DENTISTS6810 Menaul Blvd NE Ste B (505) 872-1100

UPTOWN PARK DENTAL PRACTICE LLC2100 Louisiana Blvd NE Ste 104 (505) 883-4867

Albuquerque - 87111

General Dentist

ADKINS, ZACHARY E., DDS3900 Eubank Blvd NE Ste 17 (505) 293-6705

AL TIMIMI, ZEENA A., DDS3900 Eubank Blvd NE Ste 10 (505) 298-7561

AR, TKLanguage(s):

ALBUQUERQUE GENERAL DENTISTRY ASSOC4101 Morris St NE (505) 292-4000

ANDERSON, STEWART J., DMD4520 Lower Terrace Cir NE (505) 299-4431

ARMSTRONG, KENNETH J., DDS5850 Eubank Blvd NE Ste B38 (505) 275-3167

BLEAK, MARK B., DMD4550 Eubank Blvd NE Ste 101 (505) 292-8588

SPLanguage(s):

BOEHMER, MONICA, DDS3309 Juan Tabo Blvd NE Ste A (505) 271-8009

BOWERS, JONATHAN L., DMD8401 Osuna Rd NE Ste E (505) 884-6408

BROOKS, ROBERT L., DDS4101 Morris St NE Ste G (505) 292-4000

BUNDY, DAVID R., DDS10820 Comanche Rd NE Ste C (505) 296-9911

CITO, STEPHEN M., DDS3900 Eubank Blvd NE Ste 2 (505) 298-5522

CLEM, NATHAN F., DMD10555 Montgomery Blvd NE Ste 160 (505) 275-2492

FAMILY DENTAL SERVICES LLC8400 Osuna Rd NE Ste 4A (505) 294-4700

GALBRETH, BILL, DDS4830 Juan Tabo Blvd NE Ste H (505) 298-8103

GHERARDI AND MOORE PA3900 Eubank Blvd NE Ste 5 (505) 293-6125

GHERARDI, JOSEPH R., DDS3900 Eubank Blvdne Ste 5 (505) 293-6125

GHERARDI, ROBERT J., DMD3900 Eubank Blvd NE Ste 5 (505) 293-6125

HAM III, W. BENJAMIN, DDS4101 Morris St NE Ste G (505) 292-4000

HOLLINGSWORTH RYALS , KELLEY, DDS12611 Montgomery Blvd NE Ste A-1 (505) 323-1004

JAMHARIAN, REUBEN A., DMD11001 Spain Rd NE Ste A (505) 293-1687

JENKINS, STEPHEN D., DDS10151 Montgomery Blvd NE Ste 2B (505) 830-3636

KEANNA, GEORGE A., DDS8400 Osuna Rd NE (505) 292-8533

KU, JAMES H., DDS4101 Morris St NE (505) 292-4000

KOLanguage(s):

LAMONT, JENNIFER K., DDS7050 Barstow St NE Ste A (505) 508-5429

LEE, MONIQUE L., DMD12241 Academy Rd NE Ste 203 (505) 332-8025

LEE, MONIQUE, DMD8401 Osuna Rd NE Ste B (505) 332-3544

LENANDER JR., HARLAN E., DDS8400 Osuna Rd NE Bldg D (505) 323-7966

LENHOFF, CHRISTINE A., DMD3900 Eubank Blvd NE Ste 11 (505) 292-3933

LIEBELT, LYNDON L., DDS10555 Montgomery Blvd NE Ste 70 (505) 296-6100

LUFFEY, JEFFREY S., DDS8400 Osuna Rd NE Ste 4A (505) 294-4700

LYSONSKI, MICHAEL, DDS10820 Comanche Rd NE Ste D (505) 323-7700

MARIANETTI, DAVID L., DDS8400 Osuna Rd NE Ste 2B (505) 292-6414

SPLanguage(s):

MARTINEZ, RUBEN J., DDS8400 Osuna Rd NE Ste 5A (505) 884-1989

EN, SPLanguage(s):

MEEKS, SAMUEL A., DMD3900 Eubank Blvd NE Ste 2 (505) 298-5522

MONDRAGON, TERESA L., DDS4101 Morris St NE Ste C (505) 298-7470

EN, SPLanguage(s):

MOORE, DAVID T., DDS3900 Eubank Blvd NE Ste 5 (505) 293-6125

NGUYEN, TINA T., DMD9212 Montgomery Blvd NE (505) 292-4940

NGUYEN, VINH Q., DMD9212 Montgomery Blvd NE (505) 292-4940

SP, VTLanguage(s):

NUANES, PAUL A., DDS10820 10820 Comanche Rd Ste D (505) 323-7700

SPLanguage(s):

OKI, JENNIFER S., DMD8401 Osuna Rd NE Ste E (505) 884-6408

PADILLA, CHRISTOPHER G., DDS4550 Eubank Blvd NE Ste 203 (505) 292-2323

SPLanguage(s):

PADILLA, STEPHANIE A., DDS4550 Eubank Blvd NE Ste 203 (505) 292-2323

SPLanguage(s):

PAVLAKOS, VASILIOS J., DDS3904 Juan Tabo Blvd NE (505) 292-7526

PELLERANO, DANIA A., DDS8400 Osuna Rd NE Ste 5B (505) 292-8515

PEREYRA, OMAR A., DDS8400 Osuna Rd NE Ste 5D (505) 323-7966

SPLanguage(s):

RAVAGO, MELISSA, DMD8400 Osuna Rd NE Ste 2B (505) 292-6414

ROSS, JASON W., DDS10330 Montgomery Blvd NE (505) 293-7441

ROSS, KERRY L., DDS10330 Montgomery Blvd NE (505) 293-7441

SCHROEDER, GARY R., DDS4101 Morris St NE Ste G (505) 292-4000

WENICUR, BARBARA L., DDS3309 Juan Tabo Blvd NE Ste B (505) 292-8310

WILLIAMS, COLLEEN M., DDS10409 Montgomery Pkwy NE Ste 202 (505) 881-8979

YOUNG TRUJILLO, NAZARIO N., DDS10820 Comanche Rd NE Ste D (505) 323-7700

ZIEMANN, RONALD W., DDS4101 Morris St NE Ste D (505) 294-2974

ENLanguage(s):

Endodontist

HADLEY, DAVID L., DDS10409 Montgomery Pkwy NE Ste 100 (505) 291-8630

PTLanguage(s):

LASH, ROBERT S., DDS10409 Montgomery Pkwy NE (505) 291-8630

NEW MEXICO ENDODONTIC SPECIALISTS PC10151 Montgomery Blvd NE Ste 2B (505) 830-3636

PACHECO, MARC A., DDS10409 Montgomery Pkwy NE Ste 100 (505) 291-8630

PAPWORTH, BRIAN R., DDS10151 Montgomery Blvd NE Ste 1C (505) 294-3636

SAVAGE, RYAN P., DDS10151 Montgomery Blvd NE Ste 2B (505) 830-3636

Oral Surgery

BEAR CANYON ORAL & FACIAL SURGERY10151 Montgomery Blvd NE Ste 2D (505) 292-3400

CARLBERG, TERRY L., DMD10820 Comanche Rd NE Ste D (505) 323-7700

COLLETTE, DAVID C., DMD3900 Eubank Blvd NE Ste 12 (505) 294-6009

BI, FRLanguage(s):

CONOVER, MARK A., DDS7050 Barstow St NE Ste A (505) 508-5429

ROHOLT, STEVEN B., DDS10151 Montgomery Blvd NE Ste 2D (505) 292-3400

RUDD, TRAVIS C., DDS10151 Montgomery Blvd NE Ste 2D (505) 292-3400

SPLanguage(s):

TUGGLE, DAVID E., DDS4550 Eubank Blvd NE Ste 103 (505) 291-9600

URQUHART, ROBERT C., DDS8400 Osuna Rd NE Ste 4B (505) 554-2575

Orthodontist

GILBERT III, RAYMOND H., DDS8400 Osuna Rd NE Ste 2 (505) 293-2332

HALTOM, TUCKER, DDS10433 Lagrima De Oro Rd NE (505) 299-4458

HARNICK, DAVID J., DDS4101 Morris St NE Ste B (504) 620-1291

MUNOZ, RICARDO J., DDS10151 Montgomery Blvd NE Bldg 3 Ste A (505) 275-0910

Pediatric Dentist

CITO JR., STEPHEN M., DDS3900 Eubank Blvd NE Ste 2 (505) 298-5522

SPLanguage(s):

Periodontist

BOWERS, JOSEPH H., DMD4550 Eubank Blvd NE Ste 207 (505) 291-9500

ESPINOSA JR., HENRY D., DDS10409 Montgomery Pkwy NE Ste 203 (505) 888-1116

HARRISON, KEVIN C., DMD10151 Montgomery Blvd NE Bldg 3 Ste C (505) 275-1662

WILLIAMS, DAVID S., DDS10409 Montgomery Pkwy NE Ste 101 (505) 293-8310

Page 6 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 7: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasAlbuquerque - 87111 (continued)

Directory of Participating Dental Providers

Alliance Network

Multi-Specialty

ABQ MODERN DENTAL GROUP12611 Montgomery Blvd NE Ste A-1 (505) 323-1004

Albuquerque - 87112

General Dentist

ABSHERE, PHILIP M., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9606

BAUGH, NEAL J., DMD2010 Juan Tabo Blvd NE (505) 237-2273

SPLanguage(s):

BELLA SMILES DENTAL9204 Menaul Blvd NE Ste 3 (505) 299-6112

BISHOP, MATTHEW R., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9606

SPLanguage(s):

CHA, LILY, DDS8501 Candelaria Rd NE Ste D2 (505) 299-9606

CHAVEZ, KEELY J., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9606

CHUNG, CHRISTINA K., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9606

COX, PAMELA B., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9606

DELIC, VESNA, DDS1924 Juan Tabo Blvd NE Ste C (505) 293-3451

FR, SRLanguage(s):

DENTAL PARTNERS OF BRENTWOOD HILLS2010 Juan Tabo Blvd NE (505) 237-2273

SPLanguage(s):

DOMINGUEZ, FRANK, DMD8501 Candelaria Rd NE Ste D3 (505) 293-2334

DUNN, PAUL R., DDS2010 Juan Tabo Blvd NE (505) 237-2273

ESQUIBEL, DAVINA R., DDS9204 Menaul Blvd NE (505) 299-6112

SPLanguage(s):

GIFFORD, JONATHAN L., DDS8501 Candelaria Rd NE Ste D3 (505) 293-2334

GIRON, DEVIN K., DDS8501 Candelaria Rd NE Bldg B & C (505) 298-9600

HATCH, CAMERON J., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9606

SPLanguage(s):

HUBBERT, STEPHEN E., DDS8501 Candelaria Rd NE Ste E3 (505) 292-7838

IRICK, BRUCE W., DDS2010 Juan Tabo Blvd NE (505) 237-2273

SPLanguage(s):

IVERS, MELISSA, DMD8501 Caudelaria NE Bldg C (505) 292-8300

JACKSON, LOUIS A., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9740

SPLanguage(s):

JENKINS, HEATHER L., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9606

JOHNSON, AARON M., DMD2010 Juan Tabo Blvd NE (505) 237-2273

KAWAMOTO, SHEENA Z., DDS8501 Candelaria Rd NE Suite D 2 (505) 299-9740

SPLanguage(s):

KINZER, KYE G., DDS8501 Candelaria Rd NE (505) 299-9740

SPLanguage(s):

LAMBERT, KURT P., DDS8501 Candelaria Rd NE Ste D3 (505) 293-2334

LANTZ, THOMAS E., DDS8501 Candelaria Rd NE Ste D3 (505) 293-2334

LAPSKER, JENNIFER A., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9606

LAPSKER, JENNIFER A., DDS8501 Candelaria Rd NE Bldg B & C (505) 298-9600

LE, TRANG T., DMD8501 Candelaria Rd NE Ste D3 (505) 293-2334

SPLanguage(s):

LEE, JUNG W., DMD8501 Candelaria Rd NE Ste D2 (505) 299-9606

LEE, RYAN E., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9606

LEIGH, CHRISTOPHER L., DDS8501 Candelaria Rd NE Bldg C (505) 292-8300

SPLanguage(s):

LUCERO, ROBERT T., DDS1710 Wyoming Blvd NE (505) 299-9122

MCLEAN, ANNE C., DMD8501 Candelaria Rd NE Ste D2 (505) 299-9606

SPLanguage(s):

MILLER, MARK A., DMD9430 Indian School Rd NE (505) 299-2979

MISLA, KAREN C., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9606

MONTANO, ERIN M., DDS8501 Candelaria Rd NE Ste D-2 (505) 299-9606

MORSE, NATALIA A., DDS8501 Candelaria Rd NE Ste D3 (505) 293-2334

SPLanguage(s):

OCHENRIDER, DAVID M., DMD8501 Candelaria Rd NE Ste D3 (505) 293-2334

PACHECO, ERIC M., DDS2010 Juan Tabo Blvd NE (505) 237-2273

PECK, CHRISTIAN S., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9606

SPLanguage(s):

PEDIATRIC DENTAL ASSOCIATES OF NM PC8501 Candelaria Rd NE Ste D2 (505) 299-9606

PHELAN, CYNTHIA A., DDS2010 Juan Tabo Blvd NE (505) 237-2273

PURCELL, KAITLYN K., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9606

QUINTANA, OSCAR C., DDS, PC8501 Candelaria Rd NE Bldg C (505) 292-8300

RODRIGUEZ, KENNETH D., DDS8501 Candelaria Rd NE Ste C (505) 292-8300

ROSINIA, MICHAEL L., DDS9204 Menaul Blvd NE Ste 3 (505) 299-6112

SPLanguage(s):

ROWAN, RICHARD G., DMD8501 Candelaria Rd NE Ste D2 (505) 299-9606

SPLanguage(s):

SAVLA, JINESH J., DDS8501 Candelaria Rd NE Ste D3 (505) 293-2334

SCHNEIDER, AMANDA M., DDS8501 Candelaria Rd NE Ste D3 (505) 293-2334

SNOW, DALLIN R., DMD8501 Candelaria Rd NE Ste D3 (505) 293-2334

SPLanguage(s):

TANAKA, LEILANI K., DDS8501 Candelaria Rd NE Ste D3 (505) 293-2334

TASKER, SPENCER J., DMD8501 Candelaria Rd NE Ste D2 (505) 299-9606

VANLEEUWEN, ELIZABETH A., DDS8501 Candelaria Rd NE Ste D3 (505) 293-2334

WOLF, JACOB B., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9740

SPLanguage(s):

ZELLER, STEPHANIE K., DDS8501 Candelaria Rd NE Bldg B & C (505) 298-9600

SPLanguage(s):

ZINK, AURORA V., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9606

Endodontist

EISENHUTH, GLEN A., DDS8501 Candelaria Rd NE Ste D3 (505) 293-2334

WHITE SR., JOHN H., DDS8501 Candelaria Rd NE Ste D3 (505) 293-2334

Oral Surgery

ALVAREZ, CARLOS M., DMD8501 Candelaria Rd NE Ste D3 (505) 293-2334

SPLanguage(s):

WAGNER, JON D., DDS8501 Candelaria Rd NE Ste D3 (505) 293-2334

Orthodontist

BUSH, HELEN D., DMD8501 Candelaria Rd NE Ste D-2 (505) 299-9606

DARMITZEL, STEPHEN E., DDS8501 Candelaria Rd NE Ste D3 (505) 293-2334

TRAPNELL, RUSSELL M., DMD8501 Candelaria Rd NE Ste D2 (505) 299-9606

SPLanguage(s):

TRAPNELL, RUSSELL M., DMD2010 Wyoming Blvd NE Ste G (505) 296-0761

Pediatric Dentist

JACKSON, JOSEPH L., DDS8501 Candelaria Rd NE Ste D2 (505) 299-9606

SPLanguage(s):

Periodontist

ESPINOSA JR., HENRY D., DDS8501 Candelaria Rd NE Ste D3 (505) 293-2334

SUN, CHUN XIAO, DMD8501 Candelaria Rd NE Ste D3 (505) 293-2334

Multi-Specialty

PERFECT TEETH WYOMING AND CANDELARIA PC8501 Candelaria Rd NE Ste D3 (505) 293-2334

Albuquerque - 87113

General Dentist

BUTTON, NICHOLAS R., DMD6230 Paseo Del Norte NE Ste B (714) 845-8890

HOLBROOK, STEVEN E., DMD8228 Louisiana Blvd NE Ste C (505) 881-1159

MCCANN, KATIE L., DDS6230 Paseo Del Norte NE Ste B (714) 845-8890

SPLanguage(s):

Page 7 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 8: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasAlbuquerque - 87113 (continued)

Directory of Participating Dental Providers

Alliance Network

POLINKOVSKY, LEONID, DDS6230 Paseo Del Norte NE Ste B (714) 845-8890

Endodontist

CLARK, SHANE T., DMD6230 Paseo Del Norte NE Ste B (714) 845-8890

Oral Surgery

MCGEE, GREGORY R., DMD8228 Louisiana Blvd NE Ste B (505) 821-2111

WHEATON, JEFFREY B., DMD6230 Paseo Del Norte NE Ste B (714) 845-8890

SPLanguage(s):

Orthodontist

FANNING, MICHAEL J., DDS8212 Louisiana Blvd NE Ste A (505) 200-0945

SPLanguage(s):

HOLLIDAY, M BRETT, DDS6230 Paseo Del Norte NE Ste B (714) 845-8890

SPLanguage(s):

MOHR, ROSS I., DDS7500 Holly Ave NE Bldg 2 (505) 292-1282

SILVERMAN, MITCHELL B., DMD8216 Louisiana Blvd NE (505) 822-1234

Pediatric Dentist

COFFMAN, TAMERA P., DDS8220 Louisiana Blvd NE Ste A (505) 433-3366

MARTINEZ, DAVID J., DDS7500 Holly Ave NE Ste 1 (505) 314-0645

SPLanguage(s):

Periodontist

REYES, RYAN D., DDS6230 Paseo Del Norte NE Ste B (714) 845-8890

Multi-Specialty

EAGLE POINTE DENTISTS AND ORTHDONTICS6230 Paseo Del Norte NE Ste B (714) 845-8890

Albuquerque - 87114

General Dentist

ALEGRE DENTAL @ BOSQUE9384 Valley View Dr NW Ste 200 (505) 332-9198

ALLMAN, CASEY C., DMD5740 Night Whisper Rd NW Ste 100 (505) 792-1585

BALDWIN, RICHARD A., DMD3400 New Mexico 528 NW Ste A107 (505) 244-1111

SPLanguage(s):

BRIMHALL, DALLAS C., DDS4421 Irving Blvd NW Ste B (505) 821-6910

CLARK, GUY C., DDS3613 State Highway 528 NW Ste G (505) 898-8011

CLARK, JOHN C., DDS8611 Golf Course Rd NW (505) 890-6101

COTTONWOOD MALL DENTAL PRACTICE LLC10000 Coors Bypass NW Ste G 218 (505) 242-4867

CURRIE, ZACHARY T., DDS10000 Coors Bypass NW Ste G 218 (505) 242-4867

DAVIS, JOHN D., DDS3610 Calle Cuervo NW Ste A (505) 898-1976

DENTAL PARTNERS OF COTTONWOOD LLC9401 Coors Blvd NW Ste 1 (505) 890-2773

DOMINGUEZ, FRANK, DMD10250 Cottonwood Park NW Ste B (505) 890-0858

FRIESS, MALIN G., DMD10000 Coors Bypass NW Ste G 218 (505) 242-4867

GALLEGOS, PHILIP M., DDS4824 McMahon Blvd NW Ste 119 (505) 369-0074

GIAQUINTO, DAVID R., DDS3613 State Highway 528 NW Ste D (505) 899-7645

SPLanguage(s):

GIFFORD, JONATHAN L., DDS10250 Cottonwood Park NW Ste B (505) 890-0858

GRANT DAVIS DENTAL ASSOCIATES P C3610 Calle Cuervo NW Ste A (505) 898-1976

GRANT, STEPHEN D., DDS3610 Calle Cuervo NW Ste A (505) 898-1976

GRAY, DAVID T., DMD9401 Coors Blvd NW Ste 1 (505) 890-2773

LOLanguage(s):

GREENE, JEFFERY C., DMD9401 Coors Blvd NW Ste 1 (505) 890-2773

GRIBBLE, BRIAN J., DDS3610 Calle Cuervo NW Ste A (505) 898-1976

HOLSEY, DAVID E., DDS10000 Coors Bypass NW Ste G218 (505) 242-4867

SPLanguage(s):

HWANG, SHAUN K., DDS8611 Golf Course Rd NW (505) 890-6101

JACKSON, MELISSA, DMD3400 New Mexico 528 NW Ste A107 (505) 244-1111

KIM, ELLY B., DDS4824 McMahon Blvd NW Ste 119 (505) 369-0074

KOLanguage(s):

KING, DAVID N., DDS3400 New Mexico 528 NW Ste A107 (505) 244-1111

LAMBERT, KURT P., DDS10250 Cottonwood Park NW Ste B (505) 890-0858

LANTZ, THOMAS E., DDS10250 Cottonwood Park NW Ste B (505) 890-0858

LE, TRANG T., DMD10250 Cottonwood Park NW Ste B (505) 890-0858

SPLanguage(s):

LINDSLEY, HOLLY M., DDS3613 State Highway 528 NW Ste G (505) 898-8011

LUCERO, MARY A., DDS1000 Coors By Pass NW Ste RG218 (505) 242-4867

MAJOR, PAKO M., DDS9384 Valley View Dr NW Ste 200 (505) 332-9198

GR, PLLanguage(s):

MARSHALL, DUANE G., DMD9384 Valley View Dr NW Ste 200 (505) 332-9198

MCCANN, KATIE L., DDS3400 New Mexico 528 NW Ste A107 (505) 244-1111

SPLanguage(s):

NEWSOME, BOYD E., DMD4421 Irving Blvd NW Ste B (505) 821-6910

PT, SPLanguage(s):

OCHENRIDER, DAVID M., DMD10250 Cottonwood Park NW Ste B (505) 890-0858

PATTERSON, ANDREA, DDS4824 McMahon Blvd NW Ste 119 (505) 466-5400

SPLanguage(s):

PITLUCK III, JOSEPH E., DDS9401 Coors Blvd NW Ste 1 (505) 890-2773

ROBERTSON, JARED S., DDS9384 Valley View Dr NW Ste 200 (505) 332-9198

ROGERS, JACOB H., DDS6521 Paradise Blvd NW Ste M (505) 890-3000

RSLanguage(s):

SAPP, WILLIAM A., DDS10000 Coors Bypass NW Ste G 218 (505) 242-4867

SAVLA, JINESH J., DDS10250 Cottonwood Park NW Ste B (505) 890-0858

SCHNEIDER, AMANDA M., DDS10250 Cottonwood Park NW Ste B (505) 890-0858

SNOW, DALLIN R., DMD10250 Cottonwood Park NW Ste B (505) 890-0858

SPLanguage(s):

TANAKA, LEILANI K., DDS10250 Cottonwood Park NW Ste B (505) 890-0858

VANLEEUWEN, ELIZABETH A., DDS10250 Cottonwood Park NW Ste B (505) 890-0858

VANSICKLE, KENNETH W., DMD10000 Coors Bypass NW Ste G 218 (505) 242-4867

WILLIAMS, JACOB R., DMD6521 Paradise Blvd NW Ste M (505) 890-3000

YANG, JAE, DDS3400 New Mexico 528 NW Ste A107 (505) 244-1111

Endodontist

CLARK, SHANE T., DMD3400 New Mexico 528 NW Ste A107 (505) 244-1111

WHITE SR., JOHN H., DDS10250 Cottonwood Park NW Ste 100 (505) 890-0858

Oral Surgery

ALVAREZ, CARLOS M., DMD10250 Cottonwood Park NW Ste B (505) 890-0858

SPLanguage(s):

CHRISTIANSEN, STEPHEN H., DDS4801 McMahon Blvd NW Ste 230 (505) 792-4788

JEFFRIES, JOYCE A., DDS9674 Eagle Ranch Rd NW Ste 1 (505) 348-0877

LARMOUR, CHRISTOPHER J., DMD1628 Alameda Blvd NW (505) 899-6979

MEEHAN, JAMES D., DDS10000 Coors Bypass NW Ste G 218 (505) 242-4867

WAGNER, JON D., DDS10250 Cottonwood Park NW Ste B (505) 890-0858

WAGNER, JON D., DDS10000 Coors Bypass NW Ste G 218 (505) 242-4867

WHEATON, JEFFREY B., DMD3400 New Mexico 528 NW Ste A107 (505) 244-1111

SPLanguage(s):

Orthodontist

BAHR, CRAIG A., DMD9401 Coors Blvd NW (505) 254-2273

DARMITZEL, STEPHEN E., DDS10250 Cottonwood Park NW Ste B (505) 890-0858

HARNICK, DAVID J., DDS8631 Golf Course Rd NW Ste F (505) 831-1600

HOLLIDAY, M BRETT, DDS3400 New Mexico 528 NW Ste A107 (505) 244-1111

SPLanguage(s):

SHAH, RAJA, DDS9401 Coors Blvd NW (505) 792-7887

Page 8 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 9: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasAlbuquerque - 87114 (continued)

Directory of Participating Dental Providers

Alliance Network

TORREBIARTE, CARLOS E., DDS3730 Ellison Rd NW Ste B (505) 766-4800

SPLanguage(s):

Pediatric Dentist

NICHOLS, WILLIAM R., DDS9401 Coors Blvd NW (505) 890-2773

Periodontist

ESPINOSA JR., HENRY D., DDS10250 Cottonwood Park NW Ste B (505) 890-0858

REYES, RYAN D., DDS3400 New Mexico 528 NW Ste A107 (505) 244-1111

SUN, CHUN XIAO, DMD10250 Cottonwood Park NW Ste B (505) 890-0858

Multi-Specialty

COTTONWOOD SMILES DENTISTRY & ORTHODONTI3400 New Mexico 528 NW Ste A107 (505) 244-1111

PERFECT TEETH COTTONWOOD PC10250 Cottonwood Park NW Ste B (505) 890-0858

Albuquerque - 87120

General Dentist

ABSHERE, PHILIP M., DDS8201 Golf Course Rd NW Ste C4 (505) 553-3607

AHN, YEHOON, DDS6001 Winter Haven Dr NW (505) 842-9799

KOLanguage(s):

ANDERSON, LINDI B., DDS4801 Montano Rd NW Ste A3 (505) 898-4504

ANDERSON, STEVEN P., DDS4801 Montano Rd NW Ste A3 (505) 898-4504

ARMIJO, MARTIN D., DDS6100 Coors Blvd NW Ste K6 (505) 897-7740

ASBAGHI MAMAGHANI, NAGHMEH, DDS6001 Winter Haven Dr NW (505) 842-9799

BACIU, EVA C., DDS6001 Winter Haven Dr NW (505) 842-9799

BALDWIN, RICHARD A., DMD2800 Coors Blvd NW Ste A (505) 352-1166

SPLanguage(s):

BISHOP, MATTHEW R., DDS8201 Golf Course Rd NW Ste C 3 (505) 892-9010

SPLanguage(s):

BURK, THERON R., DMD3700 Coors Blvd NW Ste D (505) 344-6565

CRLanguage(s):

CHA, LILY, DDS8201 Golf Course Rd NW Ste C3 (505) 892-9010

CHAVEZ, KEELY J., DDS8201 Golf Course Rd NW Ste C 3 (505) 892-9010

CHAVEZ, KEELY J., DDS8201 Golf Course Rd NW Ste C4 (505) 553-3607

CHUNG, CHRISTINA K., DDS8201 Golf Course Rd NW Ste C 3 (505) 892-9010

COLLINS, THOMAS A., DDS8104 Cedar Creek Dr NW (505) 615-0951

COX, PAMELA B., DDS8201 Golf Course Rd NW Ste C4 (505) 553-3607

COX, PAMELA B., DDS8201 Golf Course Rd NW Ste C3 (505) 892-9010

GALLEGOS, PHILIP M., DDS4411 Montano Rd NW Ste D (505) 550-8886

GAUNTT, DAVIS R., DDS8604 Mesa Top Rd NW (505) 836-7337

HATCH, CAMERON J., DDS8201 Golf Course Rd NW Ste C4 (505) 553-3607

SPLanguage(s):

HERREJON RUIZ, MARIO, DMD2800 Coors Blvd NW Ste A (505) 352-1166

SPLanguage(s):

HESCH, THOMAS E., DDS3740 Coors Blvd NW Ste A (505) 836-1280

JACKSON, LOUIS A., DDS8201 Golf Course Rd NW Ste C3 (505) 892-9010

SPLanguage(s):

JENSEN, STEPHEN, DDS8201 Golf Course Rd NW Ste C-3 (505) 892-9010

JOHNSON, MARK W., DDS5115 Coors Blvd NW Ste F (505) 922-9511

KAWAMOTO, SHEENA Z., DDS8201 Golf Course Rd C 3 (505) 892-9010

SPLanguage(s):

KAWAMOTO, SHEENA Z., DMD8201 Golf Course Rd NW Ste C4 (805) 553-3607

KELLEY, GRETCHEN M., DDS4801 Montano Rd NW Ste A3 (505) 898-4504

SPLanguage(s):

KELLEY, JONATHAN, DDS4801 Montano Rd NW Ste A3 (505) 898-4504

SPLanguage(s):

KELLY FAMILY DENTAL CENTER4801 Montano Rd NW Ste A3 (505) 898-4504

KINZER, KYE G., DDS8201 Golf Course Rd NW Suite C3 (505) 892-9010

SPLanguage(s):

KIRACOFE, KIRK L., DDS8104 Cedar Creek Dr NW (505) 377-0865

LAPSKER, JENNIFER A., DDS8201 Golf Course Rd NW Ste C-4 (505) 553-3607

LEE, RYAN E., DDS8201 Golf Course Rd NW Ste C3 (505) 892-9010

LEE, SHAUN M., DDS6001 Winter Haven Dr NW (505) 842-9799

LEWIS HEYWOOD, BARBARA V., DMD6330 Riverside Plaza Ln NW Ste 150 (505) 922-6000

LONG, C. ROSS, DDS3740 Coors Blvd NW Ste A (505) 836-1280

MAJOR, PAKO M., DDS2116 Vista Oeste NW Ste 202 (505) 836-1076

GR, PLLanguage(s):

MARSHALL, DUANE G., DMD2116 Vista Oeste NW Ste 202 (505) 836-1076

MCLEAN, ANNE C., DMD8201 Golf Course Rd NW Ste C3 (505) 892-9010

MCLEAN, ANNE C., DMD8201 Golf Course Rd NW Ste C4 (505) 553-3607

SPLanguage(s):

MIDTHANA, SRINIVASA R., DDS6001 Winter Haven Dr NW (505) 842-9799

MONTANO, ERIN M., DDS8201 Golf Course Rd NW Ste C-3 (505) 892-9010

MORTAJI, MICHAEL H., DDS3301 Coors Blvd NW Ste I (505) 839-3703

OPACK, DAVID J., DDS6001 Winter Haven Dr NW (505) 842-9799

PECK, CHRISTIAN S., DDS8201 Golf Course Rd NW Ste C3 (505) 892-9010

PRAKASH, NAGASHREE B., DDS6001 Winter Haven Dr NW (505) 899-3333

HI, KA, SP, TLLanguage(s):

PRESTWICH, BRENDON E., DDS5920 Whiteman Dr NW (505) 897-6889

ITLanguage(s):

PURCELL, KAITLYN K., DDS8201 Golf Course Rd NW Ste C3 (505) 892-9010

QUAM, ZELLISHA A., DMD6001 Winter Haven Dr NW (505) 842-9799

ROBERTSON, JARED S., DDS2116 Vista Oeste NW Ste 202 (505) 836-1076

ROCK, MARY P., DDS3740 Coors Blvd NW Ste A (505) 836-1280

ROWAN, RICHARD G., DMD8201 Golf Course Rd NW Ste C4 (505) 553-3607

SPLanguage(s):

RYU, HOJOONG, DDS6001 Winter Haven Dr NW (505) 842-9799

KOLanguage(s):

SHAFER, NOAH M., DDS6001 Winter Haven Dr NW (505) 842-9799

TASKER, SPENCER J., DMD8201 Golf Course Rd NW Ste C4 (505) 553-3607

FRLanguage(s):

TRAN, LINDA K., DMD2800 Coors Blvd NW Ste A (505) 352-1166

WENGERT, GLORIA H., DDS3803 Atrisco Dr NW Ste D (505) 833-1550

YANG, JAE, DDS6001 Winter Haven Dr NW (505) 842-9799

Endodontist

CLARK, SHANE T., DMD2800 Coors Blvd NW Ste A (505) 352-1166

SAVAGE, RYAN P., DDS9169 Coors Blvd NW (505) 346-2306

Oral Surgery

LARMOUR, CHRISTOPHER J., DMD9101 High Assets Way NW Ste 101 (505) 899-6979

WHEATON, JEFFREY B., DMD2800 Coors Blvd NW Ste A (505) 352-1166

SPLanguage(s):

Orthodontist

BUSH, HELEN D., DMD8201 Golf Course Rd NW Ste C-3 (505) 892-9010

HOLLIDAY, M BRETT, DDS2800 Coors Blvd NW Ste A (505) 352-1166

SPLanguage(s):

HURT, KENNETH C., DDS6330 Riverside Plaza Ln NW Ste 100 (505) 897-2060

LINDQUIST, ELIZA, DDS8201 Golf Course Rd NW Ste C4 (505) 892-9010

SPLanguage(s):

Pediatric Dentist

JACKSON, JOSEPH L., DDS8201 Golf Course Rd NW Ste C4 (505) 892-9010

Page 9 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 10: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasAlbuquerque - 87120 (continued)

Directory of Participating Dental Providers

Alliance Network

Periodontist

REYES, RYAN D., DDS2800 Coors Blvd NW Ste A (505) 352-1166

Multi-Specialty

ALBUQUERQUE MODERN DENTISTRY LLC2800 Coors Blvd NW Ste A (505) 352-1166

ALEGRE DENTAL @ PETROGLYPHS2116 Vista Oeste NW Ste 202 (505) 836-1076

SMILES 4 NEW MEXICO KIDS8201 Golf Course Rd NW Ste C4 (505) 553-3607

Albuquerque - 87121

General Dentist

ABSHERE, PHILIP M., DDS111 Coors Blvd NW Ste E6 (505) 352-3808

GR, SPLanguage(s):

ALBUQUERQUE WEST SMILES YOUTH DENTISTRY P111 Coors Blvd NW Ste E6 (505) 352-3808

ATTIPOE, QUINCY S., DDS4401 Coors Blvdsw Ste Cd (505) 369-1703

CHAVEZ, KEELY J., DDS3510 Coors Blvd SW (505) 873-4444

CHAVEZ, KEELY J., DDS111 Coors Blvd NW Ste E6 (505) 352-3808

COBLE, JEREMY C., DDS3211 Coors Blvd SW Ste D2 (505) 877-4867

SPLanguage(s):

COMMUNITY DENTAL SERVICES6900 Gonzales Rd SW (505) 843-7493

COX, PAMELA B., DDS111 Coors Blvd NW Ste E6 (505) 352-3808

COX, PAMELA B., DDS3510 Coors Blvd SW (505) 873-4444

DAMON MALLETTE, DEZBAA A., DMD6900 Gonzales Rd SW (505) 843-7493

SPLanguage(s):

DARDANO, MAURICIO E., DDS3211 Coors Blvd SW Ste D2 (505) 877-4867

SPLanguage(s):

FETTIG, ALEAHA J., DDS120 98th St NW Ste C3 (505) 352-5439

FRALEIGH, C. MAHLON, DDS111 Coors Blvd NW Ste E6 (505) 352-3808

GONZALEZ, MARTIN, DDS3211 Coors Blvd SW Ste D2 (505) 877-4867

SPLanguage(s):

HONG, KEE JU, DDS3211 Coors Blvd SW Ste D2 (505) 877-4867

JACKSON, LOUIS A., DDS111 Coors Blvd NW Ste E6 (505) 352-3808

JACKSON, LOUIS A., DDS3510 Coors Blvd SW (505) 873-4444

JACKSON, MELISSA D., DMD6900 Gonzales Rd SW (505) 843-7493

KAWAMOTO, SHEENA Z., DMD3510 Coors Blvd SW (505) 873-4444

KAWAMOTO, SHEENA Z., DMD111 Coors Blvd NW Ste E6 (505) 352-3808

KIDS CHOICE DENTAL INC120 98th St NW Ste C3 (505) 352-5439

KINZER, KYE G., DDS111 Coors Blvd NW Ste E6 (505) 352-3808

KINZER, KYE G., DDS3510 Coors Blvd SW (505) 873-4444

KNOTT, KENNETH E., DDS111 Coors Blvd NW Ste E6 (505) 352-3808

SPLanguage(s):

LAPSKER, JENNIFER A., DDS111 Coors Blvd NW Ste E6 (505) 352-3808

LAPSKER, JENNIFER A., DDS3510 Coors Blvd SW (505) 873-4444

LEE, RYAN E., DDS111 Coors Blvd NW Ste E6 (505) 352-3808

LEE, RYAN E., DDS3510 Coors Blvd SW (505) 873-4444

SPLanguage(s):

LEE, SHAUN M., DDS111 Coors Blvd NW Ste E6 (505) 352-3808

GHLanguage(s):

MATTE, MATTHEW A., DDS6900 Gonzales Rd SW (505) 843-7493

MCCLURG, DANE L., DDS120 98th St NW Ste C3 (505) 352-5439

MCLEAN, ANNE C., DMD111 Coors Blvd NW Ste E6 (505) 352-3808

MCLEAN, ANNE C., DMD3510 Coors Blvd SW (505) 873-4444

MCMENEMY, MEGHAN E., DDS3211 Coors Blvd SW Ste D-2 (505) 877-4867

MYERS, ERIC A., DDS120 98th St NW Ste C3 (505) 352-5439

NOYES JR., JOHN D., DDS120 98th St NW Ste C3 (505) 352-5439

PARCO, TODD M., DDS111 Coors Blvd NW Ste E6 (505) 352-3808

PECK, CHRISTIAN S., DDS111 Coors Blvd NW Ste E6 (505) 352-3808

PECK, CHRISTIAN S., DDS3510 Coors Blvd SW (505) 873-4444

PEPPERMINT DENTAL RIO BRAVO3211 Coors Blvd SW Ste D2 (505) 877-4867

PURCELL, KAITLYN K., DDS111 Coors Blvd NW Ste E6 (505) 352-2380

SP, VTLanguage(s):

RIESENBERGER, ZACHARY, DDS6900 Gonzales Rd SW (505) 843-7493

RYU, HOJOONG, DDS3211 Coors Blvd SW Ste D2 (505) 877-4867

KOLanguage(s):

SHAFER, NOAH M., DDS3211 Coors Blvd SW Ste D2 (505) 877-4867

TRUJILLO, KENDAL R., DDS120 98th St NW Ste C3 (505) 352-5439

WELLS, KELLY S., DDS6900 Gonzales Rd SW (505) 843-7493

SPLanguage(s):

WELLS, KELLY S., DDS120 98th St NW Ste C3 (505) 352-5439

SPLanguage(s):

WOLF, JACOB B., DDS111 Coors Blvd NW Ste E6 (505) 352-3808

YAI, RICHARD Y., DDS3211 Coors Blvdsw Ste D2 (505) 877-4867

ZIMMER, DANIELA, DDS3211 Coors Blvd SW Ste D2 (505) 877-4867

Orthodontist

BUSH, HELEN D., DDS111 Coors Blvd NW Ste E6 (505) 352-3808

BUSH, HELEN D., DDS3510 Coors Blvd SW (505) 873-4444

Pediatric Dentist

JACKSON, JOSEPH L., DDS111 Coors Blvd NW Ste E6 (505) 352-3808

JACKSON, JOSEPH L., DDS3510 Coors Blvd SW (505) 873-4444

Multi-Specialty

PEPPERMINT DENTAL RIO BRAVO3211 Coors Blvd SW Ste D2 (505) 877-4867

Albuquerque - 87122

General Dentist

ANDERSON, JAMES F., DDS8300 Carmel NE Unit 1 Ste 102 (505) 600-3008

SPLanguage(s):

GARDNER, WILLIAM C., DDS8200 Carmel Ave NE Ste 101 (505) 828-2669

MACKIW, STEPHEN R., DDS8000 Eubank Blvd NE (505) 298-6732

MORGAN, SPENCER S., DDS9501 Paseo Del Norte NE Ste A (505) 369-1881

SPLanguage(s):

RAUCH, TIMOTHY C., DDS9501 Paseo Del Norte NE Ste A (505) 369-1881

SPLanguage(s):

Orthodontist

KING, LISA, DDS8300 Carmel Ave NE Ste 403 (505) 299-7678

Pediatric Dentist

MECKLER PEDIATRIC DENTISTRY8300 Carmel Ave NE Ste 602 (505) 878-0700

MECKLER, GARY A., DDS8300 Carmel Ave NE Ste 602 (505) 878-0700

MECKLER, JOSEPH B., DDS8300 Carmel Ave NE Ste 602 (505) 878-0700

Albuquerque - 87123

General Dentist

DOMINGUEZ, FRANK, DMD13140 Central Ave SE Ste E (505) 292-3323

EHAT, CHRISTOPHER J., DDS13031 Central Ave NE (505) 332-2273

PHLanguage(s):

FABRIZIO, CORY J., DMD13031 Central Ave NE (505) 332-2273

GALLEGOS, JOHN W., DDS201 Wyoming Blvd NE (505) 266-5881

GARDNER, WILLIAM C., DDS201 Wyoming Blvd NE (505) 266-5881

GIFFORD, JONATHAN L., DDS13140 Central Ave SE Ste E (505) 292-3323

HOLLINGSWORTH RYALS , KELLEY, DDS10221 Central Ave NE Ste 103 (505) 918-9189

Page 10 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 11: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasAlbuquerque - 87123 (continued)

Directory of Participating Dental Providers

Alliance Network

LAMBERT, KURT P., DDS13140 Central Ave SE Ste E (505) 292-3323

LANTZ, THOMAS E., DDS13140 Central Ave SE Ste E (505) 292-3323

LE, TRANG T., DMD13140 Central Ave SE Ste E (505) 292-3323

SPLanguage(s):

LYSONSKI, MICHAEL, DDS441 Wyoming Blvd NE (505) 872-4444

SPLanguage(s):

MATTHEWS, WILLIAM L., DDS441 Wyoming Blvd NE (505) 872-4444

SPLanguage(s):

MORSE, NATALIA A., DDS13140 Central Ave SE (505) 292-3323

OCHENRIDER, DAVID M., DMD13140 Central Ave SE Ste E (505) 292-3323

PERFECT TEETH FOUR HILLS PC13140 Central Ave SE Ste E (505) 292-3323

REHORN, CLARENCE R., DDS201 Wyoming Blvd NE (505) 266-5881

RIMAN, RAWAD MALIK, DDS13031 Central Ave NE (505) 332-2273

ARLanguage(s):

SAVLA, JINESH J., DDS13140 Central Ave SE Ste E (505) 292-3323

SCHNEIDER, AMANDA M., DDS13140 Central Ave SE Ste E (505) 292-3323

SNOW, DALLIN R., DMD13140 Central Ave SE Ste E (505) 292-3323

SPLanguage(s):

TANAKA, LEILANI K., DDS13140 Central Ave SE Ste E (505) 292-3323

VANLEEUWEN, ELIZABETH A., DDS13140 Central Ave SE Ste E (505) 292-3323

WAGNER, MAX, DDS201 Wyoming Blvd NE (505) 266-5881

WAGNER, MICKEY J., DDS201 Wyoming Blvd NE (505) 266-5881

WESTBROOK, JEFFREY H., DDS441 Wyoming Blvd NE (505) 872-4444

SPLanguage(s):

WILLIAMS, COLLEEN M., DDS441 Wyoming Blvd NE (505) 872-4444

SPLanguage(s):

Endodontist

CLARK, SHANE T., DMD10221 Central Ave NE Ste 103 (505) 918-9189

WHITE SR., JOHN H., DDS13140 Central Ave SE Ste E (505) 292-3323

Oral Surgery

WAGNER, JON D., DDS13140 Central Ave SE Ste E (505) 292-3323

Orthodontist

DARMITZEL, STEPHEN E., DDS13140 Central Ave SE Ste E (505) 292-3323

Periodontist

ESPINOSA JR., HENRY D., DDS13140 Central Ave SE Ste E (505) 292-3323

Multi-Specialty

ALBUQUERQUE DENTIST OFFICE10221 Central Ave NE Ste 103 (505) 918-9189

Albuquerque - 87131

General Dentist

CUTTRELL, GARY W., DDS2320 Tucker NE (505) 272-1161

JENSEN, PETER M., DDS2320 Tucker NE (505) 272-4515

TATLOCK, CHARLES D., DDS2320 Tucker Ave NE (505) 272-4106

SP, VTLanguage(s):

YARBROUGH, G MARK, DDS2320 Tucker Ave NE (505) 272-4106

Multi-Specialty

UNM MEDICAL GROUP INC2320 Tucker Ave NE (505) 272-4106

SP, VTLanguage(s):

Catron County

Reserve - 87830

General Dentist

BENNION, JASON K., DDS1 Foster Ln (575) 533-6456

FULLER, ANNA G., DMD1 Foster Ln (575) 533-6456

GR, PLLanguage(s):

HANSON, DAVID M., DDS1 Foster Ln (575) 533-6456

LOPEZ, INEZ M., DMD1 Foster Ln (575) 533-6456

WESTBROOK, JEFFREY H., DDS1 Foster Ln (575) 533-6456

Chaves County

Dexter - 88230

General Dentist

PARSONS, HARRY R., DDS118 E 2nd St (575) 734-5402

Roswell - 88201

General Dentist

ACHALLA, VENKATA, DDS2600 N Main St (888) 988-4066

ALL SMILES FAMILY DENTAL CLINICS LLC3751 N Main St Ste D (575) 622-5835

ALL SMILES FAMILY DENTAL CLINICS LLC110 W Country Club Rd Ste 6 (575) 622-5835

ANTANI, KARTIK, DMD2600 N Main St (888) 988-4066

ARAKOTARAM RAVIKUMAR, RAKSHITH, DMD2600 N Main St (888) 988-4066

FR, PR, SPLanguage(s):

AZAD, KOUSHAN H., DMD2600 N Main St (847) 915-3040

BANSAL, ROHINI, DDS2600 N Main St (888) 988-4066

BARNEY, LASON J., DDS110 W Country Club Rd Ste 6 (575) 622-5835

BARNEY, LASON J., DDS3751 N Main St Ste D (575) 622-5835

BARONE, RANDY A., DDS250 W Country Club Rd (575) 623-4161

BAYMILLER, SCOTT A., DDS110 W Country Club Rd Ste 6 (575) 622-5835

BAYMILLER, SCOTT A., DDS3751 N Main St Ste D (575) 622-5835

BOWLES, ROBERT D., DMD1405 N Union Ave (575) 622-2469

BROWN, DAVID M., DDS2000 N Union Ave (575) 627-0141

BURNETT, SCOTT L., DDS1405 N Union Ave (575) 622-2469

BUTTERFIELD, DONALD E., DDS3751 N Main St Ste D (575) 622-5835

CAREY, MARK A., DDS824 N Main St (575) 622-4455

ENLanguage(s):

CARTER, MICHELE L., DDS3751 N Main St Ste D (575) 622-5835

CARTER, MICHELE L., DDS3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

CARTER, MICHELE L., DDS110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

CAYCEDO, CLAUDIO H., DDS204 W 2nd St Ste 3 (505) 625-1135

CHAUHAN, HARPREET S., DMD2600 N Main St (888) 988-4066

CHHABRA, AJNEESH, DDS2600 N Main St Ste A (888) 988-4066

CIELO GRANDE DENTAL ARTS INC313 W Country Club Rd Ste 6 (575) 622-3300

COWDEN, JASON T., DMD2600 N Main St Ste A (888) 988-4066

CROSS, RANDOLPH R., DDS110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

CROSS, RANDOLPH R., DDS3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

DAHIYA, MONICA, DDS4511 N Main St Ste B (575) 208-2380

HI, SPLanguage(s):

ENUGANTI, NARAYANA R., DDS2600 N Main St Ste A (888) 988-4066

FEIBINSKY RAMOS, POLYNA, DDS3751 N Main St Ste D (575) 622-5835

GADE, HANUMAN S., DDS2600 N Main St Ste A (888) 988-4066

GARLA, HARSHAVARDHAN, DDS2600 N Main St Ste A (888) 988-4066

GARY, DAVID W., DMD110 W Country Club Rd Ste 6 (575) 622-5835

GARY, DAVID W., DMD3751 N Main St Ste D (575) 622-5835

GILL, MANBIR S., DDS2600 N Main St Ste A (888) 988-4066

GREWAL, KAPIL, DDS2600 N Main St Ste A (888) 988-4066

Page 11 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 12: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasRoswell - 88201 (continued)

Directory of Participating Dental Providers

Alliance Network

HAKIMZADEH, SARA, DDS2600 N Main St (847) 915-3040

HANEY, PHILIP C., DDS203 E Mescalero Rd (575) 623-9110

HARRELL, SEAN M., DDS3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

HARRELL, SEAN M., DDS110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

HERNANDEZ GIL, JOSE A., DMD2600 N Main St (888) 988-4066

JO, YOUNG S., DDS2600 N Main St (888) 988-4066

KAMAL ALDEEN, MURTAJA, DDS2600 N Main St Ste A (888) 988-4066

KIDS KARE PC110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

KIDS KARE PC3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

KONDRAGUNTA, SUMAN, DDS2600 N Main St (847) 915-3040

LAMBA, BHANU P., DMD2600 N Main St Ste A (888) 988-4066

LE, NATALIE K., DDS2600 N Main St Ste A (888) 988-4066

LE, TONY V., DDS2600 N Main St Ste A (888) 988-4066

LIEBERENZ, MEGAN K., DDS3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

LIEBERENZ, MEGAN K., DDS110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

LIN, YUNQI R., DMD2600 N Main St (888) 988-4066

LUIKENS, MICHELLE J., DMD2000 N Union Ave (575) 627-0141

MACKEY, JACOB B., DDS110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

MACKEY, JACOB B., DDS3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

MANGLA, KAPIL, DDS2600 N Main St (888) 988-4066

FR, SP, UNLanguage(s):

MANN, TYLER A., DDS3751 N Main St Ste D (575) 532-5437

SPLanguage(s):

MANN, TYLER A., DDS110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

MAUPIN DENTAL LLC2000 N Union Ave (575) 627-0141

MAUPIN, PAUL J., DDS2000 N Union Ave (575) 627-0141

SPLanguage(s):

MAZLOOMI, FARZAD, DMD2600 N Main St (888) 988-4066

MIDTHANA, SRINIVASA R., DDS2600 N Main St (888) 988-4066

MIYAMASU, PATRICK K., DDS2600 N Main St Ste A (888) 988-4066

MOLAVI, SASAN, DDS2600 N Main St (888) 988-4066

MOON, SORA, DMD2600 N Main St (575) 208-1520

NEUBAUER, EDWARD E., DDS110 W Country Club Rd Ste 6 (575) 622-5835

NEUBAUER, EDWARD E., DDS3751 N Main St Ste D (575) 622-5835

OMARI, WASSIM, DDS2600 N Main St Ste A (575) 208-1520

OPHASO, NISSA, DMD2600 N Main St (888) 988-4066

PAPISETTI, SRIKANTH, DDS2600 N Main St (888) 988-4066

PARK, CHAN M., DDS2600 N Main St (888) 988-4066

PATEL, VIRALKUMAR N., DDS2600 N Main St (888) 988-4066

FR, PR, SPLanguage(s):

PAUL, CRAIG R., DDS3751 N Main St Ste D (575) 622-5835

PAUL, CRAIG R., DDS110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

PAUL, CRAIG R., DDS3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

PEREZ, PAUL D., DDS110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

PEREZ, PAUL D., DDS3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

PHAM, THOMAS M., DMD2600 N Main St (888) 988-4066

PHAN, DANIELLE, DDS110 W Country Club Rd Ste 6 (575) 622-5835

PHAN, DANIELLE, DDS3751 N Main St Ste D (575) 622-5835

POGACEAN, IOANA E., DDS110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

POGACEAN, IOANA E., DDS3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

POLINKOVSKY, LEONID, DDS2600 N Main St (888) 988-4066

PRICE, TIMOTHY B., DDS313 W Country Club Rd Ste 6 (575) 622-3300

PUCHALAPALLI, NISHANTH R., DDS2600 N Main St (888) 988-4066

RAMOS, ANGEL, DDS110 W Country Club Rd Ste 6 (575) 622-5835

RAMOS, ANGEL, DDS3751 N Main St Ste D (575) 622-5835

RASMUSSEN, KEVIN D., DDS2600 N Main St (888) 988-4066

RHODES, JOSEPH I., DDS3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

RHODES, JOSEPH I., DDS110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

RUYLE, BONNIE L., DDS110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

RUYLE, BONNIE L., DDS3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

SACKHEIM, WILLIAM E., DMD2600 N Main St (847) 915-3040

SAMI, TONI, DDS2600 N Main St (888) 988-4066

SCHEIB, JEFFREY R., DDS110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

SCHEIB, JEFFREY R., DDS3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

SEO, MICHAEL D., DDS2600 N Main St Ste A (575) 208-1520

SEYOUM, GIRMACHEW D., DDS3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

SEYOUM, GIRMACHEW D., DDS110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS2600 N Main St (888) 988-4066

TAM, STELLA, DMD2600 N Main St (888) 988-4066

TAMMINIDI, KIRAN KUMAR, DMD2600 N Main St (888) 988-4066

TANEJA, NIDHI, DDS2600 N Main St Ste A (888) 988-4066

TARANTINO, ERNEST E., DDS3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

TARANTINO, ERNEST E., DDS110 W Country Club Rd Ste 6 (505) 622-5835

SPLanguage(s):

TRAN, ALEXANDER S., DDS2600 N Main St Ste A (888) 988-4066

SPLanguage(s):

TRUONG, HENRY, DDS2600 N Main St (888) 988-4066

VAHDATINIA, SINA, DMD2600 N Main St (888) 988-4066

WANG, JEFFREY M., DDS3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

WANG, JEFFREY M., DDS110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

WEI, ROGER B., DDS2600 N Main St Ste A (847) 988-4066

WILSON, ELIZABETH M., DMD2600 N Main St (888) 988-4066

WILSON, ERIC J., DDS3751 N Main St Ste D (575) 622-5835

Page 12 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 13: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasRoswell - 88201 (continued)

Directory of Participating Dental Providers

Alliance Network

WILSON, ERIC J., DDS110 W Country Club Rd Ste 6 (575) 622-5835

WOOLF, MARK A., DDS110 W Country Club Rd Ste 6 (575) 622-5835

SPLanguage(s):

WOOLF, MARK A., DDS3751 N Main St Ste D (575) 622-5835

SPLanguage(s):

Oral Surgery

HEINER, BRYCE B., DMD207 N Union Ave Ste E (575) 522-8800

Orthodontist

BRUCE, JOSHUA D., DDS2600 N Main St Ste A (888) 988-4066

FR, MZ, SPLanguage(s):

CLAYDEN, DAVID M., DDS2600 N Main St (888) 988-4066

DEHGHAN, AMIR H., DDS2600 N Main St Ste A (888) 988-4066

FR, M0, SPLanguage(s):

FATUNDE, ADEJOKE A., DDS2600 N Main St (888) 988-4066

FR, SPLanguage(s):

GUYMON, RUSSELL J., DDS2600 N Main St (888) 988-4066

SINGH, AJAY P., DDS2600 N Main St Ste A (888) 988-4066

TAYLOR, MICHAEL M., DDS200 W Wilshire Blvd Ste E (575) 622-4369

SPLanguage(s):

Periodontist

MATTLAGE, GLENN T., DDS2000 N Union Ave (575) 627-0141

Roswell - 88203

General Dentist

AHGHAR, KEON J., DDS75 University Blvd (575) 624-7207

BREWER, LINUS, DDS711 W Alameda St (575) 622-7367

CATHEY, PHILLIP M., DDS803 W Alameda St (575) 622-9134

LONGWILL, THOMAS J., DDS306 W Tilden St (575) 623-3204

SPLanguage(s):

USHER, SARAH R., DMD75 University Blvd (575) 624-7207

SPLanguage(s):

Cibola County

Grants - 87020

General Dentist

ABRAHAM, KENNETH L., DDS901 E Roosevelt Ave (505) 285-4444

BACA, DERRICK R., DDS1209 Bonita St (505) 876-4034

BERRIN, ROBIN S., DMD805 E High St (505) 285-3443

BUKSA VALDIVIA, PATRICIA L., DDS1209 Bonita St (505) 876-4034

MATTILA, JEFFERY R., DDS200 Lincoln Ave (505) 287-2000

Orthodontist

BUTTNER, JAYNE, DDS200 Lincoln Ave (505) 287-2000

Pediatric Dentist

GLADNEY, MARCELLUS N., DMD805 E High St (505) 285-3443

KAMINSKI, PAMELA M., DMD805 E High St (505) 285-3443

SPLanguage(s):

TRUONG, KURT, DDS805 E High St (505) 285-3443

Multi-Specialty

A TO Z CHILDRENS DENTAL CLINIC805 E High St (505) 285-3443

Pinehill - 87357

General Dentist

HARPER, GEORGE W., DDSBia Route 125 (505) 775-3261

Colfax County

Angel Fire - 87710

General Dentist

MCCASH, STRIDER A., DDS27479 Hwy 64 (575) 377-1383

Raton - 87740

General Dentist

NAZERI FAMILY DENTISTRY LLC162 Hospital Dr (575) 445-3596

NAZERI, BRIAN J., DDS162 Hospital Dr (575) 445-3596

NAZERI, BRIAN J., DDS162 Hospital Dr (575) 445-3596

WILSON, TROY L., DDS217 York Canyon Rd (575) 445-8370

EN, SPLanguage(s):

Springer - 87747

General Dentist

EBELL, EDWARD B., DDS417 Maxwell Ave (575) 483-2629

EN, SPLanguage(s):

Curry County

Clovis - 88101

General Dentist

ACHALLA, VENKATA, DDS4017 N Prince St (888) 988-4066

ALL SMILES FAMILY DENTAL CLINICS LLC600 Texas St Ste C (575) 762-1900

ANTANI, KARTIK, DMD4017 N Prince St (888) 988-4066

ARAKOTARAM RAVIKUMAR, RAKSHITH, DMD4017 N Prince St (888) 988-4066

AZAD, KOUSHAN H., DMD4017 N Prince St (847) 915-3040

PRLanguage(s):

BANSAL, ROHINI, DDS4017 N Prince St (888) 988-4066

BARNEY, LASON J., DDS600 Texas St Ste C (575) 762-1900

BAYMILLER, SCOTT A., DDS600 Texas St Ste C (575) 762-1900

BURGIN, JEREMY W., DDS821 Lexington Rd Ste 1 (575) 762-2355

BUTTERFIELD, DONALD E., DDS600 Texas St Ste C (575) 762-1900

CARDON, CRAIG M., DMD1521 W 13th St (575) 769-5021

SPLanguage(s):

CARTER, MICHELE L., DDS600 Texas St Ste C (575) 762-1900

SPLanguage(s):

CHAUHAN, HARPREET S., DMD4017 N Prince St (888) 988-4066

CHHABRA, AJNEESH, DDS4017 N Prince St (213) 290-8160

FR, PR, SPLanguage(s):

COWDEN, JASON T., DMD4017 N Prince St (888) 988-4066

CROSS, RANDOLPH R., DDS600 Texas St Ste C (575) 762-1900

SPLanguage(s):

ENUGANTI, NARAYANA R., DDS4017 N Prince St (888) 988-4066

FEIBINSKY RAMOS, POLYNA, DDS600 Texas St Ste C (575) 762-1900

GADE, HANUMAN S., DDS4017 N Prince St (888) 988-4066

FR, PR, SPLanguage(s):

GARLA, HARSHAVARDHAN, DDS4017 N Prince St (888) 988-4066

GARY, DAVID W., DMD600 Texas St Ste C (575) 762-1900

GILL, MANBIR S., DDS4017 N Prince St (888) 988-4066

GREWAL, KAPIL, DDS4017 N Prince St (888) 988-4066

HAKIMZADEH, SARA, DDS4017 N Prince St (847) 915-3040

HARRELL, SEAN M., DDS600 Texas St Ste C (575) 762-1900

SPLanguage(s):

HERNANDEZ GIL, JOSE A., DMD4017 N Prince St (888) 988-4066

HISEL, GLEN W., DDS221 Fairway Ter N (575) 762-3711

JERRY W CROOK DDS PC1420 Pile St (575) 762-1254

JO, YOUNG S., DDS4017 N Prince St (888) 988-4066

KAMAL ALDEEN, MURTAJA, DDS4017 N Prince St (888) 988-4066

KIDS KARE PC600 Texas St Ste C (575) 762-1900

SPLanguage(s):

KONDRAGUNTA, SUMAN, DDS4017 N Prince St (847) 915-3040

Page 13 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 14: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasClovis - 88101 (continued)

Directory of Participating Dental Providers

Alliance Network

LA CASA FAMILY HEALTH CENTER1521 W 13th St (575) 769-5021

LAMBA, BHANU P., DMD4017 N Prince St (888) 988-4066

LE, NATALIE K., DDS4017 N Prince St (888) 988-4066

LE, TONY V., DDS4017 N Prince St (888) 988-4066

LIEBERENZ, MEGAN K., DDS600 Texas St Ste C (575) 762-1900

SPLanguage(s):

LIN, YUNQI R., DMD4017 N Prince St (888) 988-4066

MACKEY, JACOB B., DDS600 Texas St Ste C (575) 762-1900

SPLanguage(s):

MADRID, JUAN A., DDS105 W Manana Blvd (575) 762-1881

MANGLA, KAPIL, DDS4017 N Prince St (888) 988-4066

MAZLOOMI, FARZAD, DMD4017 N Prince St (888) 988-4066

MCKINNEY, D. RICHARD, DDS116 W 21st St (575) 763-4851

MERRITT, KENNEDY W., DDS2000 W 21st St Ste L1 (575) 762-8000

MIDTHANA, SRINIVASA R., DDS4017 N Prince St (888) 988-4066

MIYAMASU, PATRICK K., DDS4017 Zn Prince St (888) 988-4066

MOBERLY, JACOB H., DDS2000 W 21st St Ste L1 (575) 762-0986

MOLAVI, SASAN, DDS4017 N Prince St (888) 988-4066

MOON, SORA, DMD4017 N Prince St (575) 762-2757

NAGGS, JEFF A., DDS821 Lexington Rd Ste A (575) 762-2201

NEUBAUER, EDWARD E., DDS600 Texas St Ste C (575) 762-1900

NIETO, EMILY H., DMD1521 W 13th St (505) 356-5517

OMARI, WASSIM, DDS4017 N Prince St (575) 762-2757

FR, SPLanguage(s):

OPHASO, NISSA, DMD4017 N Prince St (888) 988-4066

PAPISETTI, SRIKANTH, DDS4017 N Prince St (888) 988-4066

FR, M0, SPLanguage(s):

PARK, CHAN M., DDS4017 N Prince St (888) 988-4066

PATEL, VIRALKUMAR N., DDS4017 N Prince St (888) 988-4066

PAUL, CRAIG R., DDS600 Texas St Ste C (575) 762-1900

SPLanguage(s):

PEREZ, PAUL D., DDS600 Texas St Ste C (575) 762-1900

SPLanguage(s):

PHAM, THOMAS M., DMD4017 N Prince St (888) 988-4066

FR, SPLanguage(s):

PHAN, DANIELLE, DDS600 Texas St Ste C (575) 762-1900

POGACEAN, IOANA E., DDS600 Texas St Ste C (575) 762-1900

SPLanguage(s):

POLINKOVSKY, LEONID, DDS4017 N Prince St (888) 988-4066

POWELL, JULIE A., DDS121 W Llano Estacado Blvd (575) 742-3100

PUCHALAPALLI, NISHANTH R., DDS4017 N Prince St (888) 988-4066

FR, SPLanguage(s):

RAMOS, ANGEL, DDS600 Texas St Ste C (575) 762-1900

RASMUSSEN, KEVIN D., DDS4017 N Prince St (888) 988-4066

RHODES, JOSEPH I., DDS600 Texas St Ste C (575) 762-1900

SPLanguage(s):

ROWLEY II, NICHOLAS J., DDS201 Commerce Way Ste 101 (575) 769-2459

RUYLE, BONNIE L., DDS600 Texas St Ste C (575) 762-1900

SPLanguage(s):

SACKHEIM, WILLIAM E., DMD4017 N Prince St (847) 915-3040

SAMI, TONI, DDS4017 N Prince St (888) 988-4066

SCHEIB, JEFFREY R., DDS600 Texas St Ste C (575) 762-1900

SPLanguage(s):

SEO, MICHAEL D., DDS4017 N Prince St (575) 762-2757

SEYOUM, GIRMACHEW D., DDS600 Texas St Ste C (575) 762-1900

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS4017 N Prince St (888) 988-4066

SMITH, BARBARA A., DDS1420 Pile St (575) 762-1254

TAM, STELLA, DMD4017 N Prince St (888) 988-4066

TAMMINIDI, KIRAN KUMAR, DMD4017 N Prince St (888) 988-4066

FR, PR, SPLanguage(s):

TANEJA, NIDHI, DDS4017 N Prince St (888) 988-4066

FR, M0, SPLanguage(s):

TARANTINO, ERNEST E., DDS600 Texas St Ste C (575) 762-1900

SPLanguage(s):

TRAN, ALEXANDER S., DDS4017 N Prince St (888) 988-4066

SPLanguage(s):

TRUONG, HENRY, DDS4017 N Prince St (888) 988-4066

VAHDATINIA, SINA, DMD4017 N Prince St (888) 988-4066

WANG, JEFFREY M., DDS600 Texas St Ste C (575) 762-1900

SPLanguage(s):

WATERS, MARK N., DDS116 W 21st St (575) 763-7632

WATERS, MAURICE N., DDS116 W 21st St (575) 763-7632

WEI, ROGER B., DDS4017 N Prince St (888) 988-4066

WILSON, ELIZABETH M., DDS4017 N Prince St (888) 988-4066

WILSON, ERIC J., DDS600 Texas St Ste C (575) 762-1900

WOOD, MICHAEL G., DDS, PA211 Innsdale Ter (575) 762-7797

WOOLF, MARK A., DDS600 Texas St Ste C (575) 762-1900

SPLanguage(s):

YANALA, KIRAN M., DMD4017 N Prince St (888) 988-4066

ZARIKTA, BRIAN A., DDS813 Parkland Dr (575) 762-4501

ZARIKTA, MICHAEL P., DDS813 Parkland Dr (575) 762-4501

Orthodontist

BRUCE, JOSHUA D., DDS4017 N Prince St (888) 988-4066

FR, MZ, SPLanguage(s):

CLAYDEN, DAVID M., DDS4017 N Prince St (888) 988-4066

DEHGHAN, AMIR H., DDS4017 N Prince St (888) 988-4066

FARNSWORTH, DAVID W., DDS901 E 21st St Ste B (575) 762-4794

FATUNDE, ADEJOKE A., DDS4017 N Prince St (575) 762-6757

FR, SPLanguage(s):

GUYMON, RUSSELL J., DDS4017 N Prince St (888) 988-4066

JENNINGS, JAMES H., DDS901 E 21st St Ste B (575) 762-4794

SINGH, AJAY P., DDS4017 N Prince St (888) 988-4066

De Baca County

Fort Sumner - 88119

General Dentist

DELVALLE, RAYMOND S., DDS546 N 10th St (575) 355-2414

FAZEL, NADIA S., DMD546 N 10th St (575) 355-2417

PTLanguage(s):

MCALLISTER, GREGORY R., DDS546 N 10th St (575) 355-2417

ODASSO, GARY, DMD546 N 10th St (575) 355-2417

PACHECO, WILFRED B., DDS546 North 10th St (575) 355-2414

Page 14 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 15: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso Texas

Directory of Participating Dental Providers

Alliance Network

Dona Ana County

Anthony - 88021

General Dentist

ALL SMILES FAMILY DENTAL CLINICS LLC1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

BARNEY, LASON J., DDS1275 Anthony Dr Unit 2 (505) 882-7800

BAYMILLER, SCOTT A., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

BHATTU, BHARANI K., DDS855 N Main (575) 526-1105

BUTTERFIELD, DONALD E., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

CARTER, MICHELE L., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

CASCI, FRANCIS T., DDS855 N Main (575) 882-3607

CHURCHILL, WENDY L., DDS855 N Main (575) 882-3607

CROSS, RANDOLPH R., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

ENUGANTI, NARAYANA R., DDS855 N Main (575) 882-3607

FEIBINSKY RAMOS, POLYNA, DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

GAJULA, TULASI S., DDS855 N Main (575) 882-3607

HI, TELanguage(s):

GARY, DAVID W., DMD1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

HARRELL, SEAN M., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

HARVEY, MADANA, DDS855 N Main (575) 882-2909

HARVEY, MATTHEW R., DDS855 N Main (575) 882-3607

KIDS KARE PC1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

KOHLI, SHIV K., DDS855 N Main (575) 882-3607

HI, PU, SPLanguage(s):

KUBIAK, RONALD R., DDS855 N Main (575) 882-3607

SPLanguage(s):

LA CLINICA DE FAMILIA INC855 N Main (575) 882-3607

SPLanguage(s):

LA CLINICA DE FAMILIA INC855 N Main (575) 526-1105

LIEBERENZ, MEGAN K., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

MACKEY, JACOB B., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

MAGRUDER, MEGAN L., DMD855 N Main (575) 882-3607

NEUBAUER, EDWARD E., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

PAUL, CRAIG R., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

PEREZ, PAUL D., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

PHAN, DANIELLE, DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

POGACEAN, IOANA E., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

RAMOS, ANGEL, DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

RHODES, JOSEPH I., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

RUYLE, BONNIE L., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

SAMPERI, JEANINE M., DMD855 N Main (575) 882-5706

SCHEIB, JEFFREY R., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

SEYOUM, GIRMACHEW D., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS855 N Main (575) 882-3607

TARANTINO, ERNEST E., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

THOMPSON, CORY G., DMD855 N Main (575) 882-3607

SPLanguage(s):

TRIGO, JOY T., DDS855 N Main (575) 882-3607

WANG, JEFFREY M., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

WILSON, ERIC J., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

WOOLF, MARK A., DDS1275 Anthony Dr Bldg E Ste 2 (575) 882-7800

SPLanguage(s):

WOOLF, MARK A., DDS1275 Anthony Dr Unit 2 (505) 882-7800

Chaparral - 88081

General Dentist

BHATTU, BHARANI K., DDS510 E Lisa Dr (575) 824-0128

CASCI, FRANCIS T., DDS510 E Lisa Dr (575) 824-0128

CHURCHILL, WENDY L., DDS510 E Lisa Dr (575) 824-0128

ENUGANTI, NARAYANA R., DDS510 E Lisa Dr (575) 824-0128

GAJULA, TULASI S., DDS510 E Lisa Dr Bldg 3 (575) 824-0128

HI, TELanguage(s):

HARVEY, MADANA, DDS510 E Lisa Dr (575) 526-1105

HARVEY, MATTHEW R., DDS510 E Lisa Dr (575) 824-0128

KOHLI, SHIV K., DDS510 E Lisa Dr (575) 824-0128

HI, PU, SPLanguage(s):

KUBIAK, RONALD R., DDS510 E Lisa Dr (575) 824-0128

SPLanguage(s):

LA CLINICA DE FAMILIA INC510 E Lisa Dr (575) 824-0128

SPLanguage(s):

SAMPERI, JEANINE M., DMD510 E Lisa Dr (575) 824-0128

SHAMAPANTH, RAHUL, DDS510 E Lisa Dr (575) 824-0128

THOMPSON, CORY G., DMD510 E Lisa Dr Bldg 3 (575) 824-0128

SPLanguage(s):

TRIGO, JOY T., DDS510 E Lisa Dr (575) 824-0128

Hatch - 87937

General Dentist

ABRAMS, ELSA F., DDS255 Highway 187 (575) 267-3088

ACKALL, IBRAHEEM G., DDS255 Highway 187 (575) 267-3088

BACA JR., LEROY, DDS255 Highway 187 (575) 267-3088

BOHNSTEDT, RICHARD S., DMD255 Highway 187 (575) 267-3088

DEAN, TYRELL C., DMD255 Highway 187 (575) 267-3088

EDGERTON, DEBRA L., DDS255 Highway 187 (575) 267-3088

SPLanguage(s):

ELLIOTT, PHILLIP J., DDS255 Hwy 187 (575) 267-3088

GLOVER, DAWN K., DDS255 Highway 187 (575) 267-3088

HALL, JONATHAN M., DMD255 Highway 187 (575) 267-3088

SPLanguage(s):

LIAO, WEN, DDS255 Highway 187 (575) 267-3088

CNLanguage(s):

LIAO, WEN, DDS255 Hwy 187 (575) 267-3088

CNLanguage(s):

LOTZ, JENNA, DMD255 Highway 187 (575) 267-3088

MATHIAS, RICHARD B., DMD255 Highway 187 (575) 267-3088

MAY, AMANDA C., DDS255 Highway 187 (575) 267-3088

MORENO CABRERA, PATRICIA, DDS255 Highway 187 (575) 267-3088

SPLanguage(s):

ODA, SAHARU, DDS255 Highway 187 (575) 267-3088

JP, PRLanguage(s):

Page 15 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 16: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasHatch - 87937 (continued)

Directory of Participating Dental Providers

Alliance Network

POLLARD, JILLANA L., DMD255 Highway 187 (575) 267-3088

PUCKETT JR., RAY, DDS255 Highway 187 (575) 267-3088

PUGH, SCOTT C., DDS255 Hwy 187 (575) 267-3088

QUAN, KRISTI, DDS255 Highway 187 (575) 267-3088

SHAH, JAY A., DMD255 Highway 187 (575) 267-3088

SHASTRI, SHRUTI N., DDS255 Highway 187 (575) 267-3088

STRALEY, VINCENT D., DDS255 Hwy 187 (575) 267-3088

WANGLER, ASHLEY D., DDS255 Highway 187 (575) 267-3088

WIATT, MARK E., DDS255 Highway 187 (575) 267-3088

ZINK, AURORA E., DDS255 Hwy 187 (575) 267-3088

Pediatric Dentist

HAYES, PETER A., DMD255 Highway 187 (575) 267-3088

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER255 Highway 187 (575) 267-3088

La Cruces - 88001

General Dentist

COWDEN, JASON T., DMD1160 El Paseo Rd Ste D1 (888) 988-4066

FR, M0, SPLanguage(s):

PARK, CHAN M., DDS1160 El Paseo Rd Ste D1 (888) 988-4066

SHAMAPANTH, RAHUL, DDS1160 El Paseo Rd Ste D1 (888) 988-4066

Las Cruces - 88001

General Dentist

ACHALLA, VENKATA, DDS1025 El Paseo Rd Ste D1 (888) 988-4066

ANTANI, KARTIK, DMD1160 El Paseo Rd Ste D1 (888) 988-4066

ARAKOTARAM RAVIKUMAR, RAKSHITH, DMD1025 El Paseo Rd (888) 988-4066

ASHIDA, DEBBIE L., DDS1001 E Boutz Rd (575) 526-5671

AZAD, KOUSHAN H., DMD1025 El Paseo Rd (847) 915-3040

AZAD, KOUSHAN H., DMD1160 El Paseo Rd Ste 610 (888) 988-4066

BANSAL, ROHINI, DDS1160 El Paseo Rd Ste D 1 (888) 988-4066

NLLanguage(s):

BANSAL, ROHINI, DDS1025 El Paseo Rd (888) 988-4066

NLLanguage(s):

CHAUHAN, HARPREET S., DMD1160 El Paseo Rd Ste D1 (888) 988-4066

CHHABRA, AJNEESH, DDS1160 El Paseo Rd Ste D1 (888) 988-4066

CHHABRA, AJNEESH, DDS1025 El Paseo Rd (888) 988-4066

CHOI, HYUNSUK, DDS1160 El Paseo Rd Ste 610 (888) 988-4066

CHURCHILL, WENDY L., DDS705 E University Ave Ste B (575) 521-0127

COOPWOOD EARLE, DIANE M., DDS1300 El Paseo Rd Ste N ( ) -

COWDEN, JASON T., DMD1025 El Paseo Rd (888) 988-4066

ENUGANTI, NARAYANA R., DDS1160 El Paseo Rd Ste D1 (888) 988-4066

ENUGANTI, NARAYANA R., DDS1025 El Paseo Rd (888) 988-4066

FERN, PAUL J., DMD780 S Walnut St Bldg 2 (575) 526-2273

GABALDON, GENE A., DDS2460 S Locust St Ste C (575) 521-0306

GADE, HANUMAN S., DDS1160 El Paseo Rd Ste D-1 (888) 988-4066

GARLA, HARSHAVARDHAN, DDS1025 El Paseo Rd (888) 988-4066

GILL, MANBIR S., DDS1160 El Paseo Rd Ste 610 (888) 988-4066

FR, SPLanguage(s):

GREWAL, KAPIL, DDS1160 El Paseo Rd Ste D-1 (888) 988-4066

HAKIMZADEH, SARA, DDS1160 El Paseo Rd Ste D1 (847) 915-3040

HAYMORE, MICHAEL C., DDS1300 El Paseo Rd Ste N (800) 920-9947

HERNANDEZ GIL, JOSE A., DMD1025 El Paseo Rd (888) 988-4066

HERNANDEZ GIL, JOSE A., DMD1160 El Paseo Rd Ste D1 (888) 988-4066

HOLLYWOOD, CAMERON D., DDS808 Spruce Ave (575) 526-3066

JO, YOUNG S., DDS1025 El Paseo Rd (888) 988-4066

KAMAL ALDEEN, MURTAJA, DDS1160 El Paseo Rd Ste D1 (888) 988-4066

KONDRAGUNTA, SUMAN, DDS1160 El Paseo Rd Ste D1 (847) 915-3040

KS2 NM PC1300 El Paseo Rd Ste N (800) 920-9947

LAMBA, BHANU P., DMD1160 El Paseo Rd Ste D-1 (888) 988-4066

LAS CRUCES DENTAL SOLUTIONS2011 E Lohman Ave Ste 121 (575) 527-4746

LE, NATALIE K., DDS1160 El Paseo Rd Ste D 1 (888) 988-4066

LE, TONY V., DDS1160 El Paseo Rd Ste D 1 (888) 988-4066

LEBLANC, MARY LOUISE, DMD1300 El Paseo Rd Ste N (800) 920-9947

SPLanguage(s):

LIN, YUNQI R., DMD1025 El Paseo Rd (888) 988-4066

MACKEY, ORRIN L., DMD2001 E Lohman Ave Ste 121 (575) 527-4746

SPLanguage(s):

MANGLA, KAPIL, DDS1160 El Paseo Rd Ste D1 (888) 988-4066

MANGLA, KAPIL, DDS1025 El Paseo Rd (888) 988-4066

MANZANARES, DAVID J., DDS705 E University Ave (575) 521-0127

MARTIN, KIMBERLY H., DMD705 E University Ave Ste B (575) 521-0127

MAYFIELD, DALE G., DMD1300 El Paseo Rd Ste N (800) 920-9947

MAZLOOMI, FARZAD, DMD1025 El Paseo Rd (888) 988-4066

MEKLED, SALWA, DMD1300 El Paseo Rd Ste N (800) 920-9947

MIDTHANA, SRINIVASA R., DDS1160 El Paseo Rd Ste D1 (888) 988-4066

MILAVEC, ANTON F., DDS2980 N Main St (575) 524-3722

MIYAMASU, PATRICK K., DDS1160 El Paseo Rd Ste D1 (888) 988-4066

MOLAVI, SASAN, DDS1025 El Paseo Rd (888) 988-4066

MOLAVI, SASAN, DDS1160 El Paseo Rd Ste 610 (888) 988-4066

MOON, SORA, DMD1025 El Paseo Rd (575) 652-3084

FR, M0, SPLanguage(s):

MOON, SORA, DMD1160 El Paseo Rd Ste D-1 (888) 988-4066

FR, M0, SPLanguage(s):

OMARI, WASSIM, DDS1160 El Paseo Rd (575) 652-3084

OPHASO, NISSA, DMD1160 El Paseo Rd Ste D1 (888) 988-4066

OPHASO, NISSA, DMD1025 El Paseo Rd (888) 988-4066

OWEN, RICHARD J., DMD301 E Lohman Ave (575) 524-4900

FR, GR, SPLanguage(s):

PAPISETTI, SRIKANTH, DDS1160 El Paseo Rd Ste D 1 (888) 988-4066

PARK, CHAN M., DDS1025 El Paseo Rd (888) 988-4066

PATEL, VIRALKUMAR N., DDS1025 El Paseo Rd (888) 988-4066

PATEL, VIRALKUMAR N., DDS1160 El Paseo Rd Ste 610 (888) 988-4066

PETERSEN, MATHEW C., DDS2001 E Lohman Ave Ste 121 (575) 527-4746

SPLanguage(s):

PHAM, THOMAS M., DMD1160 El Paseo Rd Ste D1 (888) 988-4066

POLINKOVSKY, LEONID, DDS1160 El Paseo Rd Ste D 1 (888) 988-4066

PUCHALAPALLI, NISHANTH R., DDS1160 El Paseo Rd Ste D1 (888) 988-4066

RAMOS, ANGEL, DDS1300 El Paseo Rd Ste N (800) 920-9947

RASMUSSEN, KEVIN D., DDS1160 El Paseo Rd Ste 610 (888) 988-4066

Page 16 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 17: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasLas Cruces - 88001 (continued)

Directory of Participating Dental Providers

Alliance Network

REITER, HARVEY S., DMD301 E Lohman Ave (575) 524-4900

SPLanguage(s):

ROSS, TAYLOR R., DDS2001 E Lohman Ave Ste 121 (575) 524-7645

ROSS, TAYLOR R., DDS2011 E Lohman Ave Ste 121 (575) 527-4746

RSMUSSEN, KEVIN D., DDS1025 El Paseo Rd (888) 988-4066

SACKHEIM, WILLIAM E., DMD1160 El Paseo Rd Ste D1 (847) 915-3040

SAMI, TONI, DDS1160 El Paseo Rd Ste D1 (888) 988-4066

SEO, MICHAEL D., DDS1160 El Paseo Rd (575) 652-3084

SHAMAPANTH, RAHUL, DDS1025 El Paseo Rd (888) 988-4066

SINGLETON, ANDRE M., DDS1300 El Paseo Rd Ste N (575) 526-1721

TAM, STELLA, DMD1160 El Paseo Rd Ste D1 (888) 988-4066

TAM, STELLA, DMD1025 El Paseo Rd (888) 988-4066

TAMMINIDI, KIRAN KUMAR, DMD1025 El Paseo Rd (888) 988-4066

TAMMINIDI, KIRAN KUMAR, DMD1160 El Paseo Rd Ste D1 (888) 988-4066

TANEJA, NIDHI, DDS1160 El Paseo Rd Ste D 1 (888) 988-4066

THOMAS, CHRISTOPHER J., DDS2980 N Main St (575) 524-3722

TRAN, ALEXANDER S., DDS1160 El Paseo Rd Ste D 1 (888) 988-4066

SPLanguage(s):

TRUONG, HENRY, DDS1160 El Paseo Rd (888) 988-4066

VAHDATINIA, SINA, DMD1025 El Paseo Rd (888) 988-4066

VANDERMEYDEN, JARED C., DDS1300 El Paseo Rd Ste N (800) 920-9947

SPLanguage(s):

WEI, ROGER B., DDS1025 El Paseo Rd (888) 988-4066

WEI, ROGER B., DDS1160 El Paseo Rd Ste D-1 (888) 988-4066

WILSON, ELIZABETH M., DMD1025 El Paseo Rd (888) 988-4066

WILSON, ELIZABETH M., DMD1160 El Paseo Rd Ste D1 (888) 988-4066

YANALA, KIRAN M., DMD1160 El Paseo Rd Ste D1 (888) 988-4066

Orthodontist

BRUCE, JOSHUA D., DDS1160 El Paseo Rd Ste D1 (888) 988-4066

FR, MZ, SPLanguage(s):

CLAYDEN, DAVID M., DDS1160 El Paseo Rd Ste D1 (888) 988-4066

CLAYDEN, DAVID M., DDS1025 El Paseo Rd (888) 988-4066

DEHGHAN, AMIR H., DDS1160 El Paseo Rd Ste D-1 (888) 988-4066

DEHGHAN, AMIR H., DDS1025 El Paseo Rd (888) 988-4066

FATUNDE, ADEJOKE A., DDS1160 El Paseo Rd Ste D1 (575) 652-3084

FR, SPLanguage(s):

GUYMON, RUSSELL J., DDS1160 El Paseo Rd Ste 610 (888) 988-4066

GUYMON, RUSSELL J., DDS1025 El Paseo Rd (888) 988-4066

SINGH, AJAY P., DDS1160 El Paseo Rd Ste 610 (888) 988-4066

Las Cruces - 88005

General Dentist

ABSHERE, PHILIP M., DDS1901 Calle De Ninos (575) 526-5522

ACHEN, HOWARD M., DDS225 E Idaho Ave Ste 14 (575) 523-8663

SPLanguage(s):

BHATTU, BHARANI K., DDS385 Calle De Alegra Bldg C (575) 532-1933

BISHOP, MATTHEW R., DDS1901 Calle De Ninos (575) 526-5522

CAMUNEZ, JOSEPH P., DDS225 E Idaho Ave Ste 22 (575) 523-8681

SPLanguage(s):

CASCI, FRANCIS T., DDS385 Calle De Alegra Bldg C (575) 532-1933

CHA, LILY, DDS1901 Calle De Ninos (575) 526-5522

CHAVEZ, KEELY J., DDS1901 Calle De Ninos (575) 526-5522

CHILDRENS DENTAL CLINIC OF LAS CRUCES1901 Calle De Ninos (575) 526-5522

CHILDRESS, KENNETH W., DDS1901 Calle De Ninos (575) 526-5522

CHUNG, CHRISTINA K., DDS1901 Calle De Ninos (575) 526-5522

CHURCHILL, WENDY L., DDS385 Calle De Alegra Bldg C (575) 532-1933

COX, PAMELA B., DDS1901 Calle De Ninos (575) 526-5522

DAY, MARIANNE R., DDS608 S Alameda Blvd (575) 523-5589

SPLanguage(s):

ENUGANTI, NARAYANA R., DDS385 Calle De Alegra Bldg C (575) 233-3830

GAJULA, TULASI S., DDS385 Calle De Alegra Bldg C (575) 541-9249

HI, TELanguage(s):

HARVEY, MADANA, DDS385 Calle De Alegra Ste A (575) 526-1105

HARVEY, MATTHEW R., DDS385 Calle De Alegra Ste A (575) 526-1105

HATCH, CAMERON, DDS1901 Calle De Ninos (575) 526-5522

JACKSON, LOUIS A., DDS1901 Calle De Ninos (575) 526-5522

JENSEN, STEPHEN, DDS1901 Calle De Ninos (575) 526-5522

KAWAMOTO, SHEENA Z., DDS1901 Calle De Ninos (575) 526-5522

SPLanguage(s):

KINZER, KYE G., DDS1901 Calle De Ninos (575) 526-5522

SPLanguage(s):

KNOTT, KENNETH E., DDS1901 Calle De Ninos (575) 526-5522

KOHLI, SHIV K., DDS385 Calle De Alegra Bldg C (575) 532-1933

HI, PU, SPLanguage(s):

KUBIAK, RONALD R., DDS385 Calle De Alegra Bldg C (575) 532-1933

SPLanguage(s):

LA CLINICA DE FAMILIA INC385 Calle De Alegra Bldg C (575) 532-1933

SPLanguage(s):

LAPSKER, JENNIFER A., DDS1901 Calle De Ninos (575) 526-5522

LEE, RYAN E., DDS1901 Calle De Ninos (575) 526-5522

MABRY, ROBERT B., DDS225 E Idaho Ave Ste 14 (575) 523-8663

MAGRUDER, MEGAN L., DMD385 Calle De Alegra Bldg C (575) 541-9249

MANZANARES, DAVID J., DDS385 Calle De Alegra Bldg C (575) 541-9249

MCCARTHY, TIAPUL Q., DDS1901 Calle De Ninos (575) 526-5522

MCLEAN, ANNE C., DMD1901 Calle De Ninos (575) 526-5522

MONTANO, ERIN M., DDS1901 Calle De Ninos (575) 526-5522

NELSON, LEONARD D., DDS1161 Med Park Dr (575) 523-6414

SPLanguage(s):

PECK, CHRISTIAN S., DDS1901 Calle De Ninos (575) 526-5522

PINHOLSTER, MICHAEL D., DDS810 S Main St (575) 523-7501

PURCELL, KAITLYN K., DDS1901 Calle De Ninos (575) 526-5522

ROWAN, RICHARD G., DMD1901 Calle De Ninos (575) 526-5522

SAMPERI, JEANINE M., DMD385 Calle De Alegra Bldg C (575) 532-1933

SHAMAPANTH, RAHUL, DDS385 Calle De Alegra Bldg A (575) 526-1105

SHAMAPANTH, RAHUL, DDS385 Calle De Alegra Bldg C (575) 532-1933

THOMPSON, CORY G., DMD385 Calle De Alegra Bldg C (575) 541-9249

SPLanguage(s):

TRIGO, JOY T., DDS385 Calle De Alegra Bldg C (575) 532-1933

TRIGO, JOY T., DDS1201 Med Park Dr (575) 647-4089

TRIGO, ROBERTO L., DDS1131 Med Park Dr (575) 521-7017

WOLF, JACOB B., DDS1901 Calle De Ninos (575) 523-5312

Page 17 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 18: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasLas Cruces - 88005 (continued)

Directory of Participating Dental Providers

Alliance Network

Orthodontist

BUSH, HELEN D., DDS1901 Calle De Ninos (575) 526-5522

Pediatric Dentist

JACKSON, JOSEPH L., DDS1901 Calle De Ninos (575) 526-5522

PARCO, TODD M., DDS1901 Calle De Ninos (575) 526-5522

TASKER, SPENCER J., DMD1901 Calle De Ninos (575) 526-5522

Las Cruces - 88007

General Dentist

ABRAMS, ELSA F., DDS1998 N Motel Blvd (575) 541-5941

ACKALL, IBRAHEEM G., DDS1998 N Motel Blvd (575) 541-5941

BACA JR., LEROY, DDS1998 N Motel Blvd (575) 541-5941

BOHNSTEDT, RICHARD S., DMD1998 N Motel Blvd Bldg A (575) 541-5941

DEAN, TYRELL C., DMD1998 N Motel Blvd Bldg A (575) 541-5941

EDGERTON, DEBRA L., DDS1998 N Motel Blvd (575) 541-5941

SPLanguage(s):

GLOVER, DAWN K., DDS1998 N Motel Blvd Bldg A (575) 541-5941

HALL, JONATHAN M., DMD1998 N Motel Blvd (575) 541-5941

SPLanguage(s):

LIAO, WEN, DDS1998 N Motel Blvd (575) 541-5941

CNLanguage(s):

LOTZ, JENNA, DMD1998 N Motel Blvd Bldg A (575) 541-5941

LOTZ, JENNA, DMD1955 N Valley Dr (575) 541-7323

MATHIAS, RICHARD B., DMD1998 N Motel Blvd (575) 541-5941

MAY, AMANDA C., DDS1998 N Motel Blvd Bldg A (575) 541-5941

MORENO CABRERA, PATRICIA, DDS1998 N Motel Blvd Bldg A (575) 541-5941

SPLanguage(s):

ODA, SAHARU, DDS1998 N Motel Blvd (575) 541-5941

JP, PRLanguage(s):

POLLARD, JILLANA L., DMD1998 N Motel Blvd Bldg A (575) 541-5941

PUCKETT JR., RAY, DDS1998 N Motel Blvd (575) 541-5941

PUGH, SCOTT C., DDS1998 N Motel Blvd (575) 541-5941

QUAN, KRISTI, DDS1998 N Motel Blvd Bldg A (575) 541-5941

SHAH, JAY A., DMD1998 N Motel Blvd (575) 541-5941

SHASTRI, SHRUTI N., DDS1998 N Motel Blvd Bldg A (575) 541-5941

WANGLER, ASHLEY D., DDS1998 N Motel Blvd Bldg A (575) 541-5941

WIATT, MARK E., DDS1998 N Motel Blvd (575) 541-5941

Pediatric Dentist

HAYES, PETER A., DMD1998 N Motel Blvd (575) 541-5941

FRLanguage(s):

HAYES, PETER A., DMD1998 N Motel Blvd (575) 636-4471

Multi-Specialty

BEN ARCHER HEALTH CENTER1998 N Motel Blvd Bldg A (575) 541-5941

Las Cruces - 88011

General Dentist

ABSHERE, PHILIP M., DDS3835 E Lohman Ave (575) 526-4444

ALL SMILES FAMILY DENTAL CLINICS LLC530 N Telshor Blvd Ste A (575) 532-5437

BARNEY, LASON J., DDS530 N Telshor Blvd Ste A (575) 532-5437

BAYMILLER, SCOTT A., DDS530 N Telshor Blvd Ste A (575) 532-5437

BHATTU, BHARANI K., DDS8600 Bataan Memorial E (575) 382-2112

BISHOP, MATTHEW R., DDS3835 E Lohman Ave (575) 526-4444

BUTTERFIELD, DONALD E., DDS530 N Telshor Blvd Ste A (575) 532-5437

CARTER, MICHELE L., DDS530 N Telshor Blvd Ste A (575) 532-5437

SPLanguage(s):

CASCI, FRANCIS T., DDS8600 Bataan Memorial E (575) 382-2112

CHA, LILY, DDS3835 E Lohman Ave (575) 526-4444

CHAVEZ, KEELY J., DDS3835 E Lohman Ave (575) 522-1779

CHUNG, CHRISTINA K., DDS3835 E Lohman Ave (575) 522-1779

CHURCHILL, WENDY L., DDS8600 Bataan Memorial E (575) 382-2112

CONNIFF, JOHN N., DDS2701 Missouri Ave Ste C (575) 522-8229

COX, PAMELA B., DDS3835 E Lohman Ave (575) 522-1779

CROSS, RANDOLPH R., DDS530 N Telshor Blvd Ste A (575) 532-5734

SPLanguage(s):

ELLISS, JOSHUA L., DMD3015 Hillrise Dr (575) 522-0454

ELLISS, JOSHUA L., DMD3340 Rinconada Blvd Ste B (575) 522-0454

ENUGANTI, NARAYANA R., DDS8600 Bataan Memorial E (575) 382-2112

ERON CRANE, JULIA M., DMD2569 E Idaho Ave Ste A (575) 523-1479

ESPINOZA, ROBERTO B., DDS3015 Hillrise Dr (575) 522-0454

ESPINOZA, ROBERTO B., DDS3340 Rinconada Blvd Ste 2 (575) 382-2054

SPLanguage(s):

FEIBINSKY RAMOS, POLYNA, DDS530 N Telshor Blvd Ste A (575) 532-5437

GAJULA, TULASI S., DDS8600 Bataan Memorial E (575) 382-2112

HI, TELanguage(s):

GARY, DAVID W., DMD530 N Telshor Blvd Ste A (575) 532-5437

GONZALEZ, JAIME R., DDS2569 E Idaho Ave Ste A (575) 523-1479

SPLanguage(s):

HARRELL, SEAN M., DDS530 N Telshor Blvd Ste A (575) 532-5437

SPLanguage(s):

HARVEY, MADANA, DDS8600 Bataan Memorial E (575) 382-2112

HARVEY, MATTHEW R., DDS1160 Mall Dr Ste B (575) 532-1933

HARVEY, MATTHEW R., DDS8600 Bataan Memorial E (575) 382-2112

HATCH, CAMERON J., DDS3835 E Lohman Ave (575) 522-1779

JACKSON, LOUIS A., DDS3835 E Lohman Ave (575) 526-4444

SPLanguage(s):

JENSEN, STEPHEN, DDS3835 E Lohman Ave (575) 522-1779

KAWAMOTO, SHEENA Z., DDS3835 E Lohman Ave (575) 526-4444

SPLanguage(s):

KIDS KARE PC530 N Telshor Blvd Ste A (575) 532-5437

SPLanguage(s):

KINZER, KYE G., DDS3835 E Lohman Ave (575) 526-4444

SPLanguage(s):

KNOTT, KENNETH E., DDS3835 E Lohman Ave (575) 522-1779

KOHLI, SHIV K., DDS8600 Bataan Memorial E (575) 382-2112

HI, PU, SPLanguage(s):

KUBIAK, RONALD R., DDS8600 Bataan Memorial E (575) 382-2112

SPLanguage(s):

LA CLINICA DE FAMILIA INC8600 Bataan Memorial E (575) 382-2112

SPLanguage(s):

LAPSKER, JENNIFER A., DDS3835 E Lohman Ave (575) 522-1779

LAS CRUCES DENTAL ASSOC PC2569 E Idaho Ave Ste A (575) 523-1479

SPLanguage(s):

LAW, MICHAEL D., DDS4141 Camino Coyote Ste A (575) 524-5812

LE, TIN M., DMD2569 E Idaho Ave (575) 523-1479

VTLanguage(s):

LEE, RYAN E., DDS3835 E Lohman Ave (575) 526-4444

Page 18 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 19: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasLas Cruces - 88011 (continued)

Directory of Participating Dental Providers

Alliance Network

LIEBERENZ, MEGAN K., DDS530 N Telshor Blvd Ste A (575) 532-5437

SPLanguage(s):

MACKEY, JACOB B., DDS530 N Telshor Blvd Ste A (575) 532-5437

SPLanguage(s):

MAGRUDER, MEGAN L., DMD1160 Mall Dr Ste B (575) 532-1933

MAGRUDER, MEGAN L., DMD8600 Bataan Memorial E (575) 382-2112

MANN, TYLER A., DDS530 N Telshor Blvd Ste A (575) 439-5439

SPLanguage(s):

MARGARIT, JAMES L., DDS2540 N Telshor Blvd Ste E (575) 521-9375

MCLEAN, ANNE C., DMD3835 E Lohman Ave (575) 522-1779

SPLanguage(s):

MESILLA VALLEY CHILDRENS DENTISTRY3835 E Lohman Ave (575) 522-1779

MONTANO, ERIN M., DDS3835 E Lohman Ave (575) 526-4444

NEUBAUER, EDWARD E., DDS530 N Telshor Blvd Ste A (575) 532-5437

ORTIZ, NATALIE J., DDS2141 Hammerand Ct Ste B (575) 521-8720

ORTIZ, RAMON M., DDS2141 Hammerand Ct Ste B (575) 521-8720

OWEN, RICHARD J., DMD1423 S Don Roser Dr (575) 541-0072

FR, GR, SPLanguage(s):

PAUL, CRAIG R., DDS530 N Telshor Blvd (575) 885-3948

SPLanguage(s):

PECK, CHRISTIAN S., DDS3835 E Lohman Ave (575) 526-4444

PEREZ, PAUL D., DDS530 N Telshor Blvd Ste A (575) 532-5437

SPLanguage(s):

PHAN, DANIELLE, DDS530 N Telshor Blvd Ste A (575) 532-5437

POGACEAN, IOANA E., DDS530 N Telshor Blvd Ste A (575) 532-5437

SPLanguage(s):

POTOCKI, BRIAN J., DDS530 N Telshor Blvd Ste A (575) 532-5437

SPLanguage(s):

PURCELL, KAITLYN K., DDS3835 E Lohman Ave (575) 526-4444

RAMOS, ANGEL, DDS530 N Telshor Blvd Ste A (575) 532-5437

REITER, HARVEY S., DMD1423 S Don Roser Dr (575) 541-0072

SPLanguage(s):

RHODES, JOSEPH I., DDS530 N Telshor Blvd Ste A (575) 532-5437

SPLanguage(s):

ROWAN, RICHARD G., DMD3835 E Lohman Ave (575) 522-1779

RUYLE, BONNIE L., DDS530 N Telshor Blvd Ste A (575) 532-5437

SPLanguage(s):

SAMANIEGO, DAVID E., DDS2569 E Idaho Ave Ste A (575) 523-1479

SPLanguage(s):

SAMPERI, JEANINE M., DMD8600 Bataan Memorial E (575) 382-2112

SAMPERI, JEANINE M., DMD1160 Mall Dr (575) 532-1933

SCHEIB, JEFFREY R., DDS530 N Telshor Blvd Ste A (575) 532-5437

SPLanguage(s):

SELLERS, GARY D., DDS2569 E Idaho Ave Ste A (575) 523-1479

SPLanguage(s):

SEYOUM, GIRMACHEW D., DDS530 N Telshor Blvd Ste A (575) 532-5437

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS8600 Bataan Memorial E (575) 382-2112

STRALEY, VINCENT D., DDS3015 Hillrise Dr (575) 522-0454

TARANTINO, ERNEST E., DDS530 N Telshor Blvd Ste A (575) 532-5437

SPLanguage(s):

THOMPSON, CORY G., DMD3340 Rinconada Blvd Ste B (575) 522-0454

THOMPSON, CORY G., DMD3015 Hillrise Dr (575) 522-0454

SPLanguage(s):

THOMPSON, CORY G., DMD8600 Bataan Memorial E (575) 586-1500

SPLanguage(s):

THOMPSON, CORY G., DMD1160 Mall Dr Ste B (575) 532-1933

SPLanguage(s):

TRIGO, JOY T., DDS8600 Bataan Memorial E (575) 382-2112

WANG, JEFFREY M., DDS530 N Telshor Blvd Ste A (575) 532-5437

SPLanguage(s):

WILSON, ERIC J., DDS530 N Telshor Blvd Ste A (575) 532-5437

WOLF, JACOB B., DDS3835 E Lohman Ave (575) 544-9999

WOOLF, MARK A., DDS530 N Telshor Blvd Ste A (575) 532-5437

SPLanguage(s):

Endodontist

KAMINSKY, EDWARD S., DDS2918 Hillrise Dr (575) 522-1760

MINER, MARCUS R., DDS2918 Hillrise Dr (575) 522-1760

Oral Surgery

HEINER, BRYCE B., DMD2103 Telshor Ct (575) 522-8800

ITLanguage(s):

Orthodontist

ADAY, BENNIE J., DDS2701 Missouri Ave Ste D (575) 522-1500

BREWER, BRECK S., DDS920 N Telshor Blvd Ste E (575) 521-0900

BUSH, HELEN D., DDS3835 E Lohman Ave (575) 526-4444

COOMBS, KEITH C., DDS1160 Commerce Dr Ste B (575) 640-3367

FRLanguage(s):

JENSEN, STEPHEN, DDS1161 Mall Dr Ste A (575) 522-1779

SMITH, ASHLEY W., DMD920 N Telshor Blvd Ste E (575) 521-0900

UNITED ORTHODONTICS OF LAS CRUCES920 N Telshor Blvd Ste E (575) 521-0900

VONDRAK, JOHN G., DDS920 N Telshor Blvd Ste E (575) 521-0900

Pediatric Dentist

DRS CONNIFF AND GORMLEY PEDIATRIC2701 Missouri Ave Ste C (575) 522-8229

GORMLEY, LAURIE A., DDS2701 Missouri Ave Ste C (575) 522-8229

HAYES, PETER A., DMD4351 E Lohman Ave (505) 621-0800

FR, SPLanguage(s):

HAYES, PETER A., DMD5475 Remington Rd (575) 382-9292

FR, SPLanguage(s):

JACKSON, JOSEPH L., DDS3835 E Lohman Ave (575) 526-4444

PARCO, TODD M., DDS3835 E Lohman Ave (575) 522-1779

TASKER, SPENCER J., DMD3835 E Lohman Ave (575) 526-4444

Las Cruces - 88012

General Dentist

ABRAMS, ELSA F., DDS1600 Thorpe Rd (575) 382-9292

ACKALL, IBRAHEEM G., DDS1600 Thorpe Rd (575) 382-9292

BACA JR., LEROY, DDS1600 Thorpe Rd (575) 382-9292

BOHNSTEDT, RICHARD S., DMD1600 Thorpe Rd (575) 382-9292

DEAN, TYRELL C., DMD1600 Thorpe Rd (575) 382-9292

EDGERTON, DEBRA L., DDS1600 Thorpe Rd (575) 382-9292

SPLanguage(s):

ELLIOTT, PHILLIP J., DDS1600 Thorpe Rd (575) 382-9292

GLOVER, DAWN K., DDS1600 Thorpe Rd (575) 382-9292

HALL, JONATHAN M., DMD1600 Thorpe Rd (575) 382-9292

SPLanguage(s):

JOHNSON, ASHLEY K., DMD1600 Thorpe Rd (575) 382-9292

LIAO, WEN, DDS1600 Thorpe Rd (575) 382-9292

CNLanguage(s):

LOTZ, JENNA, DMD1600 Thorpe Rd (575) 382-9292

MATHIAS, RICHARD B., DMD1600 Thorpe Rd (575) 382-9292

MAY, AMANDA C., DDS1600 Thorpe Rd (575) 382-9292

Page 19 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 20: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasLas Cruces - 88012 (continued)

Directory of Participating Dental Providers

Alliance Network

MORENO CABRERA, PATRICIA, DDS1600 Thorpe Rd (575) 382-9292

SPLanguage(s):

ODA, SAHARU, DDS1600 Thorpe Rd (575) 382-9292

JP, PRLanguage(s):

POLLARD, JILLANA L., DMD1600 Thorpe Rd (575) 382-9292

PUCKETT JR., RAY, DDS1600 Thorpe Rd (575) 382-9292

PUGH, SCOTT C., DDS1600 Thorpe Rd (575) 382-9292

QUAN, KRISTI, DDS1600 Thorpe Rd (575) 382-9292

SHAH, JAY A., DMD1600 Thorpe Rd (575) 382-9292

SHASTRI, SHRUTI N., DDS1600 Thorpe Rd (575) 382-9292

STRALEY, VINCENT D., DDS1600 Thorpe Rd (575) 382-9292

WANGLER, ASHLEY D., DDS1600 Thorpe Rd (575) 382-9292

WIATT, MARK E., DDS1600 Thorpe Rd (575) 382-9292

Pediatric Dentist

HAYES, PETER A., DMD1600 Thorpe Rd (575) 382-9292

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER1600 Thorpe Rd (575) 382-9292

Radium Springs - 88054

General Dentist

ABRAMS, ELSA F., DDS12080 Lb Lindbeck Rd (575) 267-3280

ACKALL, IBRAHEEM G., DDS12080 Lb Lindbeck Rd (575) 526-2266

BACA JR., LEROY, DDS12080 Lb Lindbeck Rd (575) 526-6200

BOHNSTEDT, RICHARD S., DMD12080 Lb Lindbeck Rd (575) 526-2266

DEAN, TYRELL C., DMD12080 Lb Lindbeck Rd (575) 526-2266

EDGERTON, DEBRA L., DDS12080 Lb Lindbeck Rd (575) 526-2266

SPLanguage(s):

ELLIOTT, PHILLIP J., DDS12080 Lb Lindbeck Rd (575) 526-2266

GLOVER, DAWN K., DDS12080 Lb Lindbeck Rd (575) 526-2266

HALL, JONATHAN M., DMD12080 Lb Lindbeck Rd (575) 526-2266

SPLanguage(s):

LIAO, WEN, DDS12080 Lb Lindbeck Rd (575) 526-2266

CNLanguage(s):

LOTZ, JENNA, DMD12080 Lb Lindbeck Rd (575) 526-2266

MATHIAS, RICHARD B., DMD12080 Lb Lindbeck Rd (575) 526-2266

MAY, AMANDA C., DDS12080 Lb Lindbeck Rd (575) 526-2266

MORENO CABRERA, PATRICIA, DDS12080 Lb Lindbeck Rd (575) 526-2266

SPLanguage(s):

ODA, SAHARU, DDS12080 Lb Lindbeck Rd (575) 526-6200

JP, PRLanguage(s):

POLLARD, JILLANA L., DMD12080 Lb Lindbeck Rd (575) 526-2266

PUCKETT JR., RAY, DDS12080 Lb Lindbeck Rd (575) 526-6200

PUGH, SCOTT C., DDS12080 Lb Lindbeck Rd (575) 526-6200

QUAN, KRISTI, DDS12080 Lb Lindbeck Rd (575) 526-2266

SHAH, JAY A., DMD12080 Lb Lindbeck Rd (575) 526-2266

SHASTRI, SHRUTI N., DDS12080 Lb Lindbeck Rd (575) 526-2266

WANGLER, ASHLEY D., DDS12080 Lb Lindbeck Rd (575) 526-6200

WIATT, MARK E., DDS12080 Lb Lindbeck Rd (575) 526-6200

Pediatric Dentist

HAYES, PETER A., DMD12080 Lb Lindbeck Rd (575) 526-2266

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER12080 Lb Lindbeck Rd (575) 526-2266

Santa Teresa - 88008

General Dentist

ALL SMILES FAMILY DENTAL CLINICS LLC103 Livingston Loop Ste B3 (575) 332-4047

BARNEY, LASON J., DDS103 Livingston Loop Ste B3 (575) 332-4047

BAYMILLER, SCOTT A., DDS103 Livingston Loop Ste B3 (575) 332-4047

BUTTERFIELD, DONALD E., DDS103 Livingston Loop Ste B3 (575) 332-4047

CARTER, MICHELE L., DDS103 Livingston Loop Ste B3 (575) 332-4047

SPLanguage(s):

CROSS, RANDOLPH R., DDS103 Livingston Loop Ste B3 (575) 332-4047

FORDE, COLIN A., DDS103 Livingston Loop Ste B3 (575) 332-4047

GAJULA, TULASI S., DDS100 Airport Rd (575) 526-1105

HI, TELanguage(s):

GARY, DAVID W., DMD103 Livingston Loop Ste B3 (575) 332-4047

GILBEY POTOCKI, MELISA S., DMD103 Livingston Loop Ste B3 (575) 332-4047

SPLanguage(s):

HARRELL, SEAN M., DDS103 Livingston Loop Ste B3 (575) 332-4047

SPLanguage(s):

LEIBINSKY RAMOS, POLYNA, DDS103 Livingston Loop Ste B3 (575) 332-4047

LIEBERENZ, MEGAN K., DDS103 Livingston Loop Ste B3 (575) 332-4047

SPLanguage(s):

MACKEY, JACOB B., DDS103 Livingston Loop Ste B3 (575) 332-4047

SPLanguage(s):

NEUBAUER, EDWARD E., DDS103 Livingston Loop Ste B3 (575) 332-4047

PAUL, CRAIG R., DDS103 Livingston Loop Ste B3 (575) 332-4047

SPLanguage(s):

PEREZ, PAUL D., DDS103 Livingston Loop Ste B3 (575) 332-4047

PHAN, DANIELLE, DDS103 Livingston Loop Ste B3 (575) 332-4047

POGACEAN, IOANA E., DDS103 Livingston Loop Ste B3 (575) 332-4047

SPLanguage(s):

REED, ATEM, DDS103 Livingston Loop Ste B3 (575) 332-4047

SPLanguage(s):

RHODES, JOSEPH I., DDS103 Livingston Loop Ste B3 (575) 332-4047

SCHEIB, JEFFREY R., DDS103 Livingston Loop Ste B3 (575) 332-4047

SPLanguage(s):

SCHEIB, JEFFREY R., DDS103 Livingston Loop Ste B3 (575) 332-4047

SEYOUM, GIRMACHEW D., DDS103 Livingston Loop Ste B3 (575) 332-4047

SPLanguage(s):

WANG, JEFFREY M., DDS103 Livingston Loop Ste B3 (575) 332-4047

SPLanguage(s):

WILSON, ERIC J., DDS103 Livingston Loop Ste B3 (575) 332-4047

WOOLF, MARK A., DDS103 Livingston Loop Ste B3 (575) 332-4047

SPLanguage(s):

Sunland Park - 88063

General Dentist

BHATTU, BHARANI K., DDS2625 McNutt Rd (575) 589-1500

CASCI, FRANCIS T., DDS2625 McNutt Rd (575) 589-1500

CHURCHILL, WENDY L., DDS2625 McNutt Rd (575) 589-1500

ENUGANTI, NARAYANA R., DDS2625 McNutt Rd (575) 589-1500

GAJULA, TULASI S., DDS2625 McNutt Rd (575) 589-1500

HI, TELanguage(s):

HARVEY, MADANA, DDS2625 McNutt Rd (575) 589-1500

HARVEY, MATTHEW R., DDS2625 McNutt Rd (575) 589-1500

KOHLI, SHIV K., DDS2625 McNutt Rd (575) 589-1500

HI, PU, SPLanguage(s):

KUBIAK, RONALD R., DDS2625 McNutt Rd (575) 589-1500

SPLanguage(s):

Page 20 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 21: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasSunland Park - 88063 (continued)

Directory of Participating Dental Providers

Alliance Network

LA CLINICA DE FAMILIA INC2625 McNutt Rd (575) 589-1500

SPLanguage(s):

MAGRUDER, MEGAN L., DMD2625 McNutt Rd (575) 589-1500

SAMPERI, JEANINE M., DMD2625 McNutt Rd (575) 589-1500

SHAMAPANTH, RAHUL, DDS2625 McNutt Rd (575) 589-1500

TRIGO, JOY T., DDS2625 McNutt Rd (575) 589-1500

Eddy County

Albuquerque - 87123

General Dentist

FORDE, COLIN A., DDS201 Wyoming Blvd NE (505) 266-5881

Artesia - 88210

General Dentist

BENNION, JASON K., DDS1105 Memorial Dr (575) 746-9848

CARTER, MICHELE L., DDS2520 W Hermosa Dr. (575) 746-1900

SPLanguage(s):

FARION, MARKO O., DDS606 N 13th St (575) 736-3100

RS, SP, UKLanguage(s):

GREENHAW, WILLIAM T., DDS601 S Roselawn Ave (575) 746-1900

SPLanguage(s):

HANSON, DAVID M., DDS1105 Memorial Dr (575) 746-9848

LOPEZ, INEZ M., DMD1105 Memorial Dr (575) 746-9848

MCKNIGHT, CYRUS, DMD700 W Hermosa Dr (575) 746-1900

RHOADS, HOWARD N., DDS1105 Memorial Dr (575) 746-9848

SCOTT, KEVIN D., DDS606 N 13th St (575) 746-2888

WHITE, STEPHEN D., DDS606 N 13th St (575) 736-3100

SPLanguage(s):

YOUNGGREN, KAY L., DDS2520 W Hermosa Dr (575) 746-1900

YUCCA HEALTH CARE CENTER LLC606 N 13th St (575) 746-2888

Orthodontist

TAYLOR, MICHAEL M., DDS601 S Roselawn Ave (800) 843-6685

SPLanguage(s):

Carlsbad - 88220

General Dentist

ACHALLA, VENKATA, DDS2330 W Pierce St (847) 701-1454

ALL SMILES FAMILY DENTAL CLINICS LLC1201 W Mermod St (575) 887-5111

ALL SMILES FAMILY DENTAL CLINICS LLC618 W Pierce St (575) 532-5437

ANTANI, KARTIK, DMD2330 W Pierce St (888) 988-4066

ARAKOTARAM RAVIKUMAR, RAKSHITH, DMD2230 W Pierce St (888) 988-4066

AZAD, KOUSHAN H., DMD2330 W Pierce St (888) 988-4066

AZAD, KOUSHAN H., DMD2230 W Pierce St (847) 701-1454

BANSAL, ROHINI, DDS2330 W Pierce St (888) 988-4066

BARNEY, LASON J., DDS618 W Pierce St (575) 885-3748

BARNEY, LASON J., DDS1201 W Mermod St (575) 887-5111

BAYMILLER, SCOTT A., DDS618 W Pierce St (575) 885-3948

BAYMILLER, SCOTT A., DDS1201 W Mermod St (575) 887-5111

BUTTERFIELD, DONALD E., DDS618 W Pierce St (575) 885-3748

BUTTERFIELD, DONALD E., DDS1201 W Mermod St (575) 887-5111

CARTER, MICHELE L., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

CARTER, MICHELE L., DDS618 W Pierce St (575) 885-3948

SPLanguage(s):

CHHABRA, AJNEESH, DDS2330 W Pierce St (888) 988-4066

CROSS, RANDOLPH R., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

CROSS, RANDOLPH R., DDS618 W Pierce St (575) 885-3948

SPLanguage(s):

DURSHANAPALLI, SRINIVAS R., DDS2330 W Pierce St (888) 988-4066

FEIBINSKY RAMOS, POLYNA, DDS1201 W Mermod St (575) 887-5111

GADE, HANUMAN S., DDS2330 W Pierce St (888) 988-4066

GARLA, HARSHAVARDHAN, DDS2330 W Pierce St (888) 988-4066

GARY, DAVID W., DMD1201 W Mermod St (575) 887-5111

GARY, DAVID W., DMD618 W Pierce St (575) 885-3748

GILL, MANBIR S., DDS2330 W Pierce St (888) 988-4066

GREWAL, KAPIL, DDS2330 W Pierce St (888) 988-4066

GREWAL, KAPIL, DDS2230 W Pierce (888) 988-4066

HAKIMZADEH, SARA, DDS2330 W Pierce St (847) 701-1454

HARRELL, SEAN M., DDS618 W Pierce St (575) 885-3948

SPLanguage(s):

HARRELL, SEAN M., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

HARRIS, BILLIE J., DDS109 N Canal St (575) 887-3547

HERNANDEZ GIL, JOSE A., DMD2330 W Pierce St (888) 988-4066

JO, YOUNG S., DDS2330 W Pierce St (847) 701-1454

KAMAL ALDEEN, MURTAJA, DDS2230 W Pierce (888) 988-4066

KAMAL ALDEEN, MURTAJA, DDS2330 W Pierce St (888) 988-4066

KIDS KARE PC1201 W Mermod St (575) 887-5111

SPLanguage(s):

KONDRAGUNTA, SUMAN, DDS2330 W Pierce St (888) 988-4066

LAMBA, BHANU P., DMD2230 W Pierce (888) 988-4066

LE, NATALIE K., DDS2330 W Pierce St (888) 988-4066

LE, TONY V., DDS2230 W Pierce (888) 988-4066

LEIBINSKY RAMOS, POLYNA, DDS618 W Pierce St (575) 885-3748

LIEBERENZ, MEGAN K., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

LIEBERENZ, MEGAN K., DDS618 W Pierce St (575) 885-3748

SPLanguage(s):

LIN, YUNQI R., DMD2330 W Pierce St (888) 988-4066

MACKEY, JACOB B., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

MACKEY, JACOB B., DDS618 W Pierce St (575) 885-3948

SPLanguage(s):

MANGLA, KAPIL, DDS2330 W Pierce St (888) 988-4066

MANGLA, KAPIL, DDS2230 W Pierce (888) 988-4066

MANN, TYLER A., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

MAZLOOMI, FARZAD, DMD2330 W Pierce St (888) 988-4066

MCCAULEY, WILLIAM T., DDS612 N Canyon St (575) 887-7594

MCCAULEY, WILLIAM T., DDS114 W Fox St (575) 236-1001

MIDTHANA, SRINIVASA R., DDS2330 W Pierce St (888) 988-4066

MIYAMASU, PATRICK K., DDS2330 W Pierce St (888) 988-4066

MOLAVI, SASAN, DDS2330 W Pierce St (888) 988-4066

MOON, SORA, DMD2330 W Pierce St (575) 234-1125

NEUBAUER, EDWARD E., DDS618 W Pierce St (575) 885-3748

NEUBAUER, EDWARD E., DDS1201 W Mermod St (575) 887-5111

Page 21 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 22: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasCarlsbad - 88220 (continued)

Directory of Participating Dental Providers

Alliance Network

OMARI, WASSIM, DDS2330 W Pierce St (575) 234-1125

OPHASO, NISSA, DMD2330 W Pierce St (888) 988-4066

PAPISETTI, SRIKANTH, DDS2330 W Pierce St (888) 988-4066

PARK, CHAN M., DDS2330 W Pierce St (888) 988-4066

FR, MZ, SPLanguage(s):

PATEL, VIRALKUMAR N., DDS2330 W Pierce St (888) 988-4066

PAUL, CRAIG R., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

PAUL, CRAIG R., DDS618 W Pierce St (575) 885-3948

SPLanguage(s):

PEREZ, PAUL D., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

PEREZ, PAUL D., DDS618 W Pierce St (575) 885-3948

SPLanguage(s):

PHAM, THOMAS M., DMD2330 W Pierce St (888) 988-4066

PHAN, DANIELLE, DDS1201 W Mermod St (575) 887-5111

PHAN, DANIELLE, DDS618 W Pierce St (575) 885-3748

POGACEAN, IOANA E., DDS618 W Pierce St (575) 885-3948

SPLanguage(s):

POGACEAN, IOANA E., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

POLINKOVSKY, LEONID, DDS2330 W Pierce St (888) 988-4066

PUCHALAPALLI, NISHANTH R., DDS2330 W Pierce St (888) 988-4066

RAMOS, ANGEL, DDS618 W Pierce St (575) 885-3948

RAMOS, ANGEL, DDS1201 W Mermod St (575) 887-5111

REED, ATEM, DDS618 W Pierce St (575) 885-3748

SPLanguage(s):

RHODES, JOSEPH I., DDS618 W Pierce St (575) 885-3948

SPLanguage(s):

RHODES, JOSEPH I., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

RUYLE, BONNIE L., DDS618 W Pierce St (575) 885-3948

SPLanguage(s):

RUYLE, BONNIE L., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

SACKHEIM, WILLIAM E., DMD2330 W Pierce St (888) 988-4066

SAMI, TONI, DDS2330 W Pierce St (888) 988-4066

SCHEIB, JEFFREY R., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

SCHEIB, JEFFREY R., DDS618 W Pierce St (575) 885-3948

SPLanguage(s):

SEO, MICHAEL D., DDS2330 W Pierce St (575) 234-1125

SEYOUM, GIRMACHEW D., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

SEYOUM, GIRMACHEW D., DDS618 W Pierce St (575) 885-3948

SPLanguage(s):

TAM, STELLA, DMD2330 W Pierce St (888) 988-4066

TAMMINIDI, KIRAN KUMAR, DMD2330 W Pierce St (888) 988-4066

TANEJA, NIDHI, DDS2230 W Pierce St (888) 988-4066

TANEJA, NIDHI, DDS2330 W Pierce St (888) 988-4066

TARANTINO, ERNEST E., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

TARANTINO, ERNEST E., DDS618 W Pierce St (575) 885-3948

SPLanguage(s):

TRAN, ALEXANDER S., DDS2330 W Pierce St (888) 988-4066

TRUONG, HENRY, DDS2330 W Pierce St (888) 988-4066

VAHDATINIA, SINA, DMD2330 W Pierce St (888) 988-4066

WANG, JEFFREY M., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

WANG, JEFFREY M., DDS618 W Pierce St (575) 885-3948

SPLanguage(s):

WEI, ROGER B., DDS2330 W Pierce St (847) 701-1454

FR, SPLanguage(s):

WILSON, ELIZABETH M., DMD2330 W Pierce St (847) 701-1454

WILSON, ERIC J., DDS1201 W Mermod St (575) 887-5111

WILSON, ERIC J., DDS618 W Pierce St (575) 885-3748

WOMACK, MARY L., DDS701 N Canal St Ste A (575) 887-6837

WOOLF, MARK A., DDS1201 W Mermod St (575) 887-5111

SPLanguage(s):

WOOLF, MARK A., DDS618 W Pierce St (575) 532-5437

SPLanguage(s):

YANALA, KIRAN M., DMD2330 W Pierce St (888) 988-4066

Oral Surgery

HEINER, BRYCE B., DMD109 N Canal St (575) 623-5711

Orthodontist

BRUCE, JOSHUA D., DDS2330 W Pierce St (888) 988-4066

FR, MZ, SPLanguage(s):

CLAYDEN, DAVID M., DDS2330 W Pierce St (888) 988-4066

DEHGHAN, AMIR H., DDS2330 W Pierce St (847) 701-1454

FATUNDE, ADEJOKE A., DDS2330 W Pierce St (575) 234-1125

FR, SPLanguage(s):

GUYMON, RUSSELL J., DDS2330 W Pierce St (888) 988-4066

LUNARDON, JAMES F., DDS701 N Canyon St (575) 887-2444

SINGH, AJAY P., DDS2330 W Pierce St (888) 988-4066

Grant County

Silver City - 88061

General Dentist

ACKALL, IBRAHEEM G., DDS114 W 11th St (575) 388-1511

BECK, JONATHAN A., DDS1340 E 32nd St (575) 538-5664

BECK, JONATHAN A., DDS2109 N Pinos Altos Rd (575) 534-1133

SPLanguage(s):

BROWER, GREGORY E., DDS1007 N Pope St (575) 388-1511

SPLanguage(s):

FLETCHER, ADRIAN B., DMD1007 N Pope St (575) 388-1511

SPLanguage(s):

FLETCHER, ADRIAN B., DMD114 W 11th St (575) 388-1511

SPLanguage(s):

GORTHY, DOUGLAS D., DDS1608 N Bennett St (575) 534-3699

HAUSER, LESLEY R., DDS114 W 11th St (575) 388-1511

SPLanguage(s):

HAUSER, LESLEY R., DDS1007 N Pope St (575) 388-1511

SPLanguage(s):

HUCKANS, PHILLIP R., DDS2109 N Pinos Altos Rd (575) 534-1133

JOHN B SHERMAN DDS PC3115 N Leslie Rd (575) 388-2515

PORTER, JUSTIN C., DDS1340 E 32nd St (575) 538-5664

SALCIDO, KAIYRA F., DDS114 W 11th St (575) 388-1511

SPLanguage(s):

SALCIDO, KAIYRA F., DDS1007 N Pope St (575) 388-1511

SPLanguage(s):

SHERMAN, BENJAMIN K., DDS3115 N Leslie Rd (575) 388-2515

SHERMAN, JOHN B., DDS3115 N Leslie Rd (575) 388-2515

Page 22 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 23: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasSilver City - 88061 (continued)

Directory of Participating Dental Providers

Alliance Network

SILVER CITY DENTAL1340 E 32nd St (575) 538-5664

YORK, ERIC S., DDS311 E 14th St (575) 388-2528

Oral Surgery

LINES OROFACIAL SPECIALISTS PLC528 W 12th St (575) 388-4191

LINES, CHRISTOPHER A., DDS528 W 12th St (575) 388-4191

LINES, PAUL A., DDS528 W 12th St (575) 388-4191

Orthodontist

LINES OROFACIAL SPECIALISTS PLC528 W 12th St (575) 388-4191

SMITH, BRADLEY R., DMD1340 E 32nd St (575) 538-5664

SPLanguage(s):

Guadalupe County

Santa Rosa - 88435

General Dentist

COLLINS, RAYMOND F., DDS1000 Blue Hole Rd Ste A (575) 472-0029

SPLanguage(s):

DEEP BLUE DENTAL1000 Blue Hole Rd Ste A (575) 472-0029

DELVALLE, RAYMOND S., DDS552 Highway 54 (575) 472-2414

FAZEL, NADIA S., DMD552 Us Hwy 54 (575) 472-2414

PTLanguage(s):

LUERAS COLLINS, KATRINA L., DDS1000 Blue Hole Rd Ste A (575) 472-0029

SPLanguage(s):

MCALLISTER, GREGORY R., DDS552 Highway 54 (575) 355-2417

ODASSO, GARY, DMD552 Highway 54 (575) 472-2414

ODASSO, GARY, DMD552 Us Hwy 54 (575) 472-2414

PACHECO, WILFRED B., DDS552 Highway 54 (575) 335-2414

Hidalgo County

Lordsburg - 88045

General Dentist

BROWER, GREGORY E., DDS530 De Moss St (575) 542-8384

SPLanguage(s):

FLETCHER, ADRIAN B., DMD530 De Moss St (575) 542-8384

SPLanguage(s):

HAUSER, LESLEY R., DDS530 De Moss St (575) 542-8384

SPLanguage(s):

HIDALGO MEDICAL SERVICES530 De Moss St (575) 542-8384

SALCIDO, KAIYRA F., DDS530 De Moss St (575) 542-8384

SPLanguage(s):

WATSON, ERIK A., DDS530 De Moss St (575) 542-8384

Lea County

Hobbs - 88240

General Dentist

ACHALLA, VENKATA, DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

ALL SMILES FAMILY DENTAL CLINICS LLC3920 N Lovington Hwy Ste 400 (575) 392-5437

ANTANI, KARTIK, DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

ARAKOTARAM RAVIKUMAR, RAKSHITH, DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

BANSAL, ROHINI, DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

BARNEY, LASON J., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

BAYMILLER, SCOTT A., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

BUTTERFIELD, DONALD E., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

CARTER, MICHELE L., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

CAYCEDO, CLAUDIO H., DDS111 W Clinton St (575) 393-6047

CHAUHAN, HARPREET S., DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

CHHABRA, AJNEESH, DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

COWDEN, JASON T., DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

CROSS, RANDOLPH R., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

ENUGANTI, NARAYANA R., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

SPLanguage(s):

FEIBINSKY RAMOS, POLYNA, DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

GADE, HANUMAN S., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

GARLA, HARSHAVARDHAN, DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

SPLanguage(s):

GARY, DAVID W., DMD3920 N Lovington Hwy Ste 400 (575) 392-5437

GILL, MANBIR S., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

GREWAL, KAPIL, DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

HAKIMZADEH, SARA, DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

HARRELL, SEAN M., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

HENDERSON, BILLY J., DDS3130 N Grimes St (575) 392-3434

HERNANDEZ GIL, JOSE A., DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

JO, YOUNG S., DDS1710 W Joe Havrvey Blvd (888) 988-4066

KAMAL ALDEEN, MURTAJA, DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

KIDS KARE PC3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

KONDRAGUNTA, SUMAN, DDS1710 W Joe Harvey Blvd Ste B (888) 986-4066

KONDRAGUNTA, SUMAN, DDS316 W Scharbauer St (575) 393-0323

LAMBA, BHANU P., DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

LE, NATALIE K., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

LE, TONY V., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

LI, BAO, DMD2400 N Grimes St Ste 8B (575) 964-8700

LIEBERENZ, MEGAN K., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

LIN, YUNQI R., DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

MACKEY, JACOB B., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

MANGLA, KAPIL, DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

MAZLOOMI, FARZAD, DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

MCKNIGHT, CYRUS, DMD316 W Scharbauer St (575) 393-0323

MIDTHANA, SRINIVASA R., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

MIDTHANA, SRINIVASA R., DDS2400 N Grimes St Ste B8 (575) 964-8700

MIYAMASU, PATRICK K., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

MOLAVI, SASAN, DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

MOON, SORA, DMD1710 W Joe Harvey Blvd Ste B (575) 738-0335

NALLA, VENKATA RAMANA, DDS2400 N Grimes St Ste B8 (575) 964-8700

HI, TELanguage(s):

NEUBAUER, EDWARD E., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

OMARI, WASSIM, DDS1710 W Joe Harvey Blvd Ste B (575) 738-0335

OPHASO, NISSA, DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

SPLanguage(s):

PAPISETTI, SRIKANTH, DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

FR, M0, SPLanguage(s):

PARK, CHAN M., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

PATEL, VIRALKUMAR N., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

Page 23 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 24: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasHobbs - 88240 (continued)

Directory of Participating Dental Providers

Alliance Network

PAUL, CRAIG R., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

PEREZ, PAUL D., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

PHAM, THOMAS M., DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

PHAN, DANIELLE, DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

POGACEAN, IOANA E., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

POLINKOVSKY, LEONID, DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

PUCHALAPALLI, NISHANTH R., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

RAMOS, ANGEL, DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

RASMUSSEN, KEVIN D., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

RHODES, JOSEPH I., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

RUYLE, BONNIE L., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

SACKHEIM, WILLIAM E., DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

SAMI, TONI, DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

SCHEIB, JEFFREY R., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

SEO, MICHAEL D., DDS1710 W Joe Harvey Blvd Ste B (575) 738-0335

SEYOUM, GIRMACHEW D., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

SHINE DENTAL LLC2400 N Grimes St Ste B8 (575) 964-8700

HI, SPLanguage(s):

SHOEMAKER, R. PAUL, DMD506 N Shipp St (575) 393-8069

TAM, STELLA, DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

SPLanguage(s):

TAMMINIDI, KIRAN KUMAR, DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

TANEJA, NIDHI, DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

TARANTINO, ERNEST E., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

TRAN, ALEXANDER S., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

SPLanguage(s):

TRUONG, HENRY, DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

VAHDATINIA, SINA, DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

WALKER, CARLTON N., DDS316 W Scharbauer St (575) 393-0323

WANG, JEFFREY M., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

WEI, ROGER B., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

WILSON, ELIZABETH M., DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

WILSON, ERIC J., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

WOOLF, MARK A., DDS3920 N Lovington Hwy Ste 400 (575) 392-5437

SPLanguage(s):

YANALA, KIRAN M., DMD1710 W Joe Harvey Blvd Ste B (888) 988-4066

Orthodontist

BRUCE, JOSHUA D., DDS1710 W Joe Jarvey Blvd Ste B (888) 988-4066

FR, MZ, SPLanguage(s):

CLAYDEN, DAVID M., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

DEHGHAN, AMIR H., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

FATUNDE, ADEJOKE A., DDS1710 W Joe Harvey Blvd Ste B (575) 738-0335

FR, SPLanguage(s):

GUYMON, RUSSELL J., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

LUNARDON, JAMES F., DDS2526 N Fowler St (575) 392-4509

SINGH, AJAY P., DDS1710 W Joe Harvey Blvd Ste B (888) 988-4066

Jal - 88252

General Dentist

POLICARPIO, MYRNA L., DDS423 S 3rd St (575) 395-2205

SP, TALanguage(s):

Lovington - 88260

General Dentist

BUTTYAN, BRIAN S., DDS124 E Central Ave (575) 396-2803

JAMES, JERRY H., DDS701 N Main Ave (575) 396-4074

Lincoln County

Carrizozo - 88301

General Dentist

CARRIZOZO HEALTH CENTER710 Ave E (575) 648-2839

CARRIZOZO HEALTH CENTER DENTAL710 E St (575) 648-2839

GOAD, JAMIE D., DDS710 Ave E (575) 648-2839

Ruidoso - 88345

General Dentist

BENNETT, JOHN T., DDS200 Sudderth Dr Ste C (575) 257-5179

CHILDRESS, KENNETH W., DDS721 Mechem Dr Ste 5 (575) 257-0246

MIDKIFF, PETER D., DDS456 Mechem Dr Ste C (575) 257-1136

WATERS, SALLY L., DMD1098 Mechem Dr (575) 258-3388

Orthodontist

TAYLOR, MICHAEL M., DDS345 Country Club Rd (575) 257-5653

SPLanguage(s):

Los Alamos County

Los Alamos - 87544

General Dentist

BROOKOVER, CURTIS A., DDS3491 Trinity Dr Ste A (505) 662-4503

SPLanguage(s):

MCDONALD, JONATHAN W., DDS185 Central Park Sq (505) 662-2426

PT, SPLanguage(s):

MEYER, RACHEL, DDS112 Central Park Sq (505) 662-3163

ORTIZ, NEREIDA, DDS2101 Trinity Dr Ste P (505) 662-2426

SPLanguage(s):

VEST, DEVAN R., DDS3250 Trinity Dr Ste A (505) 662-4555

Orthodontist

MEYERS, DANIEL M., DDS2610 Trinity Dr Ste 5 (505) 662-6288

SCHACKEL, WILLIAM A., DDS2610 Trinity Dr Ste 11 (505) 983-5000

Pediatric Dentist

NICHOLS, WILLIAM R., DDS751 Trinity Dr Bldg 3 Ste A-B (505) 661-9060

Luna County

Columbus - 88029

General Dentist

ABRAMS, ELSA F., DDS626 Taft St (575) 531-2165

ACKALL, IBRAHEEM G., DDS626 Taft St (575) 531-2165

BACA JR., LEROY, DDS626 Taft St (575) 531-2165

BOHNSTEDT, RICHARD S., DMD626 Taft St (575) 531-2165

DEAN, TYRELL C., DMD626 Taft St (575) 531-2165

EDGERTON, DEBRA L., DDS626 Taft St (575) 531-2165

SPLanguage(s):

ELLIOTT, PHILLIP J., DDS626 Taft St (575) 531-2165

GLOVER, DAWN K., DDS626 Taft St (575) 531-2165

HALL, JONATHAN M., DMD626 Taft St (575) 531-2165

SPLanguage(s):

LIAO, WEN, DDS626 Taft St (575) 531-2165

CNLanguage(s):

Page 24 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 25: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasColumbus - 88029 (continued)

Directory of Participating Dental Providers

Alliance Network

LOTZ, JENNA, DMD626 Taft St (575) 531-2165

MATHIAS, RICHARD B., DMD626 Taft St (575) 531-2165

MAY, AMANDA C., DDS626 Taft St (575) 531-2165

MORENO CABRERA, PATRICIA, DDS626 Taft St (575) 531-2165

SPLanguage(s):

ODA, SAHARU, DDS626 Taft St (575) 531-2165

JP, PRLanguage(s):

ORTIZ, NATALIE J., DDS626 Taft (575) 531-2165

ORTIZ, RAMON M., DDS626 Taft (575) 531-2165

POLLARD, JILLANA L., DMD626 Taft St (575) 531-2165

PUCKETT JR., RAY, DDS626 Taft St (575) 531-2165

PUGH, SCOTT C., DDS626 Taft (575) 531-2165

QUAN, KRISTI, DDS626 Taft St (575) 531-2165

SHAH, JAY A., DMD626 Taft St (575) 531-2165

SHASTRI, SHRUTI N., DDS626 Taft St (575) 531-2165

STRALEY, VINCENT D., DDS626 Taft (575) 531-2165

WANGLER, ASHLEY D., DDS626 Taft St (575) 531-2165

WIATT, MARK E., DDS626 Taft St (575) 531-2165

Pediatric Dentist

HAYES, PETER A., DMD626 Taft St (575) 531-2165

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER626 Taft St (575) 531-2165

Deming - 88030

General Dentist

ABRAMS, ELSA F., DDS125 Chaparrel Blvd NW (575) 546-4800

ABSHERE, PHILIP M., DDS1310 E Pine St Ste B (575) 544-9999

ACKALL, IBRAHEEM G., DDS125 Chaparrel Blvd NW (575) 546-4800

ANDREWS, WALTER A., DDS1419 S Santa Barbara St (575) 546-0415

ARGANT, RICHARD, DDS119 N 8th St (575) 544-8381

BACA JR., LEROY, DDS125 Chaparrel Blvd NW (575) 546-4800

BISHOP, MATTHEW R., DDS1310 E Pine St Set B (575) 544-9999

SPLanguage(s):

BOHNSTEDT, RICHARD S., DMD125 Chaparrel Blvd NW (575) 546-4800

CHA, LILY, DDS1310 E Pine St Ste B (575) 544-9999

CHAVEZ, KEELY J., DDS1310 E Pine St Ste B (575) 544-9999

CHUNG, CHRISTINA K., DDS1310 E Pine St Ste B (575) 544-9999

COX, PAMELA B., DDS1310 E Pine St Ste B (575) 544-9999

DEAN, TYRELL C., DMD125 Chaparrel Blvd NW (575) 546-4800

DEMING CHILDRENS DENTISTRY1310 E Pine St Ste B (575) 544-9999

EDGERTON, DEBRA L., DDS125 Chaparrel Blvd NW (575) 546-4800

SPLanguage(s):

ELLIOTT, PHILLIP J., DDS125 Chaparrel Blvd NW (575) 546-4800

GLOVER, DAWN K., DDS125 Chaparrel Blvd NW (575) 546-4800

GORDON, JOHN L., DDS1315 S 8th St (575) 546-6591

EN, SPLanguage(s):

HALL, JONATHAN M., DMD125 Chaparrel Blvd NW (575) 546-4800

SPLanguage(s):

HATCH, CAMERON J., DDS1310 E Pine St Ste B (575) 544-9999

JACKSON, JOESEPH L., DDS1310 E Pine St Ste B (575) 544-9999

JACKSON, LOUIS A., DDS1310 E Pine St Ste B (575) 544-9999

SPLanguage(s):

JENSEN, STEPHEN, DDS1310 E Pine St Ste B (575) 544-9999

KAWAMOTO, SHEENA Z., DDS1310 E Pine St Ste B (575) 544-9999

SPLanguage(s):

KINZER, KYE G., DDS1310 E Pine St (575) 544-9999

SPLanguage(s):

LAPSKER, JENNIFER A., DDS1310 E Pine St Ste B (575) 544-9999

LEE, RYAN E., DDS1310 E Pine St Set B (575) 544-9999

SPLanguage(s):

LIAO, WEN, DDS125 Chaparrel Blvd NW (575) 546-4800

CNLanguage(s):

LOTZ, JENNA, DMD125 Chaparrel Blvd NW (575) 546-4800

MATHIAS, RICHARD B., DMD125 Chaparrel Blvd NW (575) 546-4800

MAY, AMANDA C., DDS125 Chaparrel Blvd NW (575) 546-4800

MCLEAN, ANNE C., DMD1310 E Pine St Ste B (575) 544-9999

SPLanguage(s):

MONTANO, ERIN M., DDS1310 E Pine St St B (575) 544-9999

MORENO CABRERA, PATRICIA, DDS125 Chaparrel Blvd NW (575) 546-4800

SPLanguage(s):

ODA, SAHARU, DDS125 Chaparrel Blvd NW (575) 546-4800

JP, PRLanguage(s):

PECK, CHRISTIAN S., DDS1310 E Pine St Ste B (575) 544-9999

POLLARD, JILLANA L., DMD125 Chaparrel Blvd NW (575) 546-4800

PUCKETT JR., RAY, DDS125 Chaparrel Blvd NW (575) 546-4800

PUGH, SCOTT C., DDS125 Chaparrel Blvd NW (575) 546-4800

PURCELL, KAITLYN K., DDS1310 E Pine St Ste B (575) 544-9999

QUAN, KRISTI, DDS125 Chaparrel Blvd NW (575) 546-4800

ROWAN, RICHARD G., DMD1310 E Pine St Ste B (575) 544-9999

SHAH, JAY A., DMD125 Chaparrel Blvd NW (575) 546-4800

SHASTRI, SHRUTI N., DDS125 Chaparrel Blvd NW (575) 546-4800

STRALEY, VINCENT D., DDS125 Chaparrel Blvd NW (575) 546-4800

TASKER, SPENCER J., DMD1310 E Pine St Ste B (575) 544-9999

TREVOR A WILLIAMS DDS400 S Gold Ave (575) 546-2684

WANGLER, ASHLEY D., DDS125 Chaparrel Blvd NW (575) 546-4800

WIATT, MARK E., DDS125 Chaparrel Blvd NW (575) 546-4800

WILLIAMS, TREVOR A., DMD400 S Gold Ave (575) 546-2684

WOLF, JACOB B., DDS119 N 8th St (575) 544-8381

SPLanguage(s):

WOLF, JACOB B., DDS1310 E Pine St Ste B (575) 544-9999

SPLanguage(s):

Orthodontist

BREWKA, ROBERT E., DDS710 S Gold Ave (303) 877-4400

BUSH, HELEN D., DMD1310 E Pine St Ste B (575) 544-9999

Pediatric Dentist

HAYES, PETER A., DMD125 Chaparrel Blvd NW (575) 546-4800

FRLanguage(s):

JACKSON, JOSEPH L., DDS1310 E Pine St Ste B (575) 544-9999

Multi-Specialty

BEN ARCHER HEALTH CENTER125 Chaparrel Blvd NW (575) 546-4800

McKinley County

Fort Wingate - 87316

General Dentist

ALFORD, JEROME B., DMD286B State Highway 400 Postmaster (505) 722-1172

Page 25 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 26: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasFort Wingate - 87316 (continued)

Directory of Participating Dental Providers

Alliance Network

ALFORD, JEROME B., DMD520 B Shush Dr Exit 33 State Rd 400 (505) 722-1770

PACHECO, IVAN F., DMD520 B Shush Dr Exit 33 State Rd 400 (505) 722-1770

SPLanguage(s):

PACHECO, IVAN F., DMD286B State Highway 400 Postmaster (505) 722-1172

SPLanguage(s):

PATTEN, JAMES I., DDS286B State Highway 400 Postmaster (505) 722-1172

PATTEN, JAMES I., DDS520 B Shush Dr Exit 33 State Rd 400 (505) 722-1770

SABAL, JOVITO G., DDS286B State Highway 400 Postmaster (505) 722-1172

GRLanguage(s):

SABAL, JOVITO G., DDS520 B Shush Dr Exit 33 State Rd 400 (505) 722-1770

GRLanguage(s):

SOBKOWSKI, JASON S., DMD520 B Shush Dr Exit 33 State Rd 400 (505) 722-1770

SOBKOWSKI, JASON S., DMD286B State Highway 400 Postmaster (505) 722-1172

VITALI, ANTHONY, DMD520 B Shush Dr Exit 33 State Rd 400 (505) 722-1770

VITALI, ANTHONY, DMD286B State Highway 400 Postmaster (505) 722-1172

Multi-Specialty

GALLUP INDIAN MEDICAL CENTER286B State Highway 400 Postmaster (505) 722-1172

GALLUP INDIAN MEDICAL CENTER520 B Shush Dr Exit 33 State Rd 400 (505) 722-1770

Gallup - 87301

General Dentist

ABSHERE, PHILIP M., DDS802 N 491 Us Hwy (505) 862-5018

ALFORD, JEROME B., DMD516 E Nizhoni Blvd (505) 722-1560

AMBROSE, TIMOTHY L., DDS516 E Nizhoni Blvd (505) 722-1000

SPLanguage(s):

ANANDARAJAH, SHANKAR, DDS1748 W Maloney Ave (505) 863-8100

APONTE, CHAFICATH T., DDS516 E Nizhoni Blvd (505) 722-1560

SPLanguage(s):

BAKER, RICHARD P., DDS214 W Aztec Ave (505) 863-4457

BISHOP, MATTHEW R., DDS802 Us Highway 491 (505) 862-5018

SPLanguage(s):

CHA, LILY, DDS802 N 491 Us Hwy (505) 862-5018

CHAVEZ, KEELY J., DDS802 Us Highway 491 Ste 802 (505) 862-5018

CHUNG, CHRISTINA K., DDS802 Us Highway 491 Ste 802 (505) 862-5018

COX, PAMELA B., DDS802 Us Highway 491 Ste 802 (505) 862-5018

DESANTIS, NICK A., DDS214 W Aztec Ave (505) 863-4457

EVANS, TRAVIS K., DDS1601 S Second St (505) 722-4422

SPLanguage(s):

FEIST, DAVID C., DDS516 E Nizhoni Blvd (505) 722-1000

HATCH, CAMERON J., DDS802 Us Highway 491 (505) 862-5018

HUBLEY, DAIN C., DMD516 E Nizhoni Blvd (505) 722-1000

JACKSON, LOUIS A., DDS802 Us Highway 491 (505) 862-5018

SPLanguage(s):

JENNINGS, JACOB D., DDS1601 S Second St (505) 722-4422

SPLanguage(s):

KAWAMOTO, SHEENA Z., DDS802 Us Highway 491 (505) 862-5018

SPLanguage(s):

KIM, SEO YOUNG, DMD516 E Nizhoni Blvd (505) 722-1000

KOLanguage(s):

KING, MICHAEL D., DMD1601 S Second St (505) 722-4422

KINZER, KYE G., DDS802 Us Highway 491 (505) 862-5018

SPLanguage(s):

KRAUSE, SHARON E., DDS516 E Nizhoni Blvd (505) 722-1560

LAPSKER, JENNIFER A., DDS802 N 491 Us Hwy (505) 862-5018

LEE, JUNG W., DMD802 N 491 Us Hwy (505) 862-5018

LEE, RYAN E., DDS802 Us Highway 491 (505) 862-5018

MCLEAN, ANNE C., DMD802 Us Highway 491 (505) 862-5018

MISLA, KAREN C., DDS802 Us Highway 491 Ste 802 (505) 862-5018

MOK, VICTOR M., DMD516 E Nizhoni Blvd (505) 722-1560

CNLanguage(s):

MONTANO, ERIN M., DDS214 W Aztec Ave (505) 863-4457

MONTANO, ERIN M., DDS802 Us Highway 491 (505) 862-5018

MONTANO, JARED A., DDS214 W Aztec Ave (505) 863-4457

MORRIS, JOHN M., DDS1421 Us Highway 491 (505) 863-8000

KOLanguage(s):

PACHECO, IVAN F., DMD516 E Nizhoni Blvd (505) 722-1000

SPLanguage(s):

PATTEN, JAMES I., DDS516 E Nizhoni Blvd (505) 722-1000

PECK, CHRISTIAN S., DDS802 Us Highway 491 (505) 862-5018

PURCELL, KAITLYN K., DDS802 N 491 Us Hwy (505) 862-5018

RAINALDI, LIDIO G., DDS501 E Nizhoni Blvd (505) 863-9363

RICHE, BRETT M., DMD1748 W Maloney Ave (505) 863-8100

ROWAN, RICHARD G., DMD802 N 491 Us Hwy (505) 862-5018

ROWAN, RICHARD G., DMD802 Us Highway 491 Ste 2802 (505) 862-5018

SPLanguage(s):

ROWBERRY, M. RORY, DDS1421 Us Highway 491 (505) 863-8000

SABAL, JOVITO G., DDS516 E Nizhoni Blvd (506) 722-1000

GRLanguage(s):

SHAHEEN, BRUCE B., DDS1601 S Second St (505) 722-4422

PTLanguage(s):

SOBKOWSKI, JASON S., DMD516 E Nizhoni Blvd (505) 722-1560

SUNDANCE DENTAL CARE OF GALLUP LLC1601 S Second St (505) 722-4422

TRAN, BO V., DDS516 E Nizhoni Blvd (505) 722-1000

VTLanguage(s):

TREISTER, NATHANIEL S., DMD516 E Nizhoni Blvd (505) 722-1560

VAHDANI, MITRA H., DDS516 E Nizhoni Blvd (505) 722-1560

VERGIEN, BRADLEY C., DDS1421 Us Highway 491 (505) 863-8000

VITALI, ANTHONY, DMD516 E Nizhoni Blvd (505) 722-1560

WHITEHEAD, TYLER A., DDS1601 S Second St (505) 722-4422

SPLanguage(s):

WOLF, JACOB B., DDS802 Us Highway 491 (505) 862-5018

SPLanguage(s):

Oral Surgery

BARLOW, BRETT W., DMD214 W Aztec Ave (505) 863-4457

HIXSON, JEREMY L., DMD1748 W Maloney Ave (505) 325-8858

GRLanguage(s):

ROGEL, LAURENCE J., DDS1808 E Aztec Ave Ste 2 (505) 863-4863

WOODCOCK, GARY B., DMD516 E Nizhoni Blvd (505) 722-1560

Orthodontist

BUSH, HELEN D., DMD805 Us Highway 491 (505) 862-5018

CATER, ROBERT, DDS107 W Green Ave (505) 722-3871

COWLEY, DANIEL P., DMD1748 W Maloney Ave (505) 863-8100

ORTHO DENTAL PC1748 W Maloney Ave (505) 863-8100

WILSON, JOSEPH A., DMD1748 W Maloney Ave (505) 863-8100

Pediatric Dentist

JACKSON, JOSEPH L., DDS802 N 491 Us Hwy (505) 862-5018

Page 26 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 27: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasGallup - 87301 (continued)

Directory of Participating Dental Providers

Alliance Network

TASKER, SPENCER J., DMD802 Us Highway 491 (505) 862-5018

Multi-Specialty

DENTAL INNOVATIONS214 W Aztec Ave (505) 863-4457

GALLUP INDIAN MEDICAL CENTER516 E Nizhoni Blvd (505) 722-1000

Zuni - 87327

General Dentist

DRYER, RICHARD R., DDS12 B Ave (505) 782-4431

SPLanguage(s):

JOHN, FREDERICK J., DMD12 B Ave (505) 782-4431

ROBERTS, NIXON K., DDSRoute 301 North B Street (505) 782-5723

Mora County

Mora - 87732

General Dentist

AMES, ROGER J., DDSState Highway 518 Mm 26 (575) 387-2481

MORA VALLEY COMMUNITY HEALTH SERVICES INCState Highway 518 Mm 26 (575) 387-2481

QUAN, CLAUDIA L., DDS3 Mora Valley Clinic Rd (575) 387-2481

Otero County

Alamogordo - 88310

General Dentist

ABRAMS, ELSA F., DDS2150 Highway 54 S (575) 443-8133

ACKALL, IBRAHEEM G., DDS2150 Highway 54 S (575) 443-8133

ALL SMILES FAMILY DENTAL CLINICS LLC1713 10th St Ste A (575) 439-5439

ANTHONY WARREN DDS PC780 Scenic Dr (575) 439-0523

ASH, RUSSELL D., DDS1022 9th St (575) 437-7473

ASH, RUSSELL D., DDS2808 Indian Wells Rd (575) 437-4903

ASPIRAS, CRYSTAL, DDS2081 1st St (575) 437-7900

BACA JR., LEROY, DDS2150 Highway 54 S (575) 443-8133

BARNEY, LASON J., DDS1713 10th St Ste A (575) 439-5439

BAYMILLER, SCOTT A., DDS1713 10th St Ste A (575) 439-5439

BEHRMANN, LOGAN D., DMD2808 Indian Wells Rd (575) 437-4903

JPLanguage(s):

BOHNSTEDT, RICHARD S., DMD2150 Highway 54 S (575) 443-8133

BUTTERFIELD, DONALD E., DDS1713 10th St Ste A (575) 439-5439

CARTER, MICHELE L., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

CASON, JOHN C., DDS1211 New York Ave (575) 434-0470

CROSS, RANDOLPH R., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

DEAN, TYRELL C., DMD2150 Highway 54 S (575) 443-8133

EDGERTON, DEBRA L., DDS2150 Highway 54 S (575) 443-8133

SPLanguage(s):

ELLIOTT, PHILLIP J., DDS2150 Highway 54 S (575) 443-8133

ERON CRANE, JULIA M., DMD1022 9th St (575) 437-7473

FEIBINSKY RAMOS, POLYNA, DDS1713 10th St Ste A (575) 439-5439

GARY, DAVID W., DMD1713 10th St Ste A (575) 439-5439

GLOVER, DAWN K., DDS2150 Highway 54 S (575) 443-8133

GNEITING, DEVIN T., DMD2081 1st St (575) 437-7900

SPLanguage(s):

GONZALEZ, JAIME R., DDS1022 9th St (575) 437-7473

SPLanguage(s):

HALL, JONATHAN M., DMD2150 Highway 54 S (575) 443-8133

SPLanguage(s):

HARRELL, SEAN M., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

KIDS KARE PC1713 10th St Ste A (575) 439-5439

SPLanguage(s):

KLUMP, JAMES J., DDS610 Cuba Ave (575) 434-3026

LAS CRUCES DENTAL ASSOC PC1022 9th St (575) 437-7473

LIAO, WEN, DDS2150 Highway 54 S (575) 443-8133

CNLanguage(s):

LIEBERENZ, MEGAN K., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

LOTZ, JENNA, DMD2150 Highway 54 S (575) 443-8133

MACKEY, JACOB B., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

MANN, TYLER A., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

MATHIAS, RICHARD B., DMD2150 Highway 54 S (575) 443-8133

MAY, AMANDA C., DDS2150 Highway 54 S (575) 443-8133

MORENO CABRERA, PATRICIA, DDS2150 Highway 54 S (575) 443-8133

SPLanguage(s):

NEUBAUER, EDWARD E., DDS1713 10th St Ste A (575) 439-5439

ODA, SAHARU, DDS2150 Highway 54 S (575) 443-8133

JP, PRLanguage(s):

PAUL, CRAIG R., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

PEREZ, PAUL D., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

PHAN, DANIELLE, DDS1713 10th St Ste A (575) 439-5439

POGACEAN, IOANA E., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

POLLARD, JILLANA L., DMD2150 Highway 54 S (575) 443-8133

PUCKETT JR., RAY, DDS2150 Highway 54 S (575) 443-8133

PUGH, SCOTT C., DDS2150 Highway 54 S (575) 443-8133

QUAN, KRISTI, DDS2150 Highway 54 S (575) 443-8133

RAMOS, ANGEL, DDS1713 10th St Ste A (575) 439-5439

RHODES, JOSEPH I., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

RUYLE, BONNIE L., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

SAMANIEGO, DAVID E., DDS1022 9th St (575) 437-7473

SPLanguage(s):

SCHEIB, JEFFREY R., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

SEYOUM, GIRMACHEW D., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

SHAH, JAY A., DMD2150 Highway 54 S (575) 443-8133

SHASTRI, SHRUTI N., DDS2150 Highway 54 S (575) 443-8133

SNYDER, JOSEPH A., DDS2832 Indian Wells Rd (575) 439-0446

STRALEY, VINCENT D., DDS2150 Highway 54 S (575) 443-8133

TARANTINO, ERNEST E., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

TAYLOR, KENDALL J., DDS1300 9th St (570) 437-6699

WANG, JEFFREY M., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

WANGLER, ASHLEY D., DDS2150 Highway 54 S (575) 443-8133

WARREN, ANTHONY J., DDS780 Scenic Dr (575) 439-0523

WESTOVER, JOSEPH E., DMD2081 1st St (575) 437-7900

CNLanguage(s):

Page 27 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 28: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasAlamogordo - 88310 (continued)

Directory of Participating Dental Providers

Alliance Network

WIATT, MARK E., DDS2150 Highway 54 S (575) 443-8133

WILSON, ERIC J., DDS1713 10th St Ste A (575) 439-5439

WOOLF, MARK A., DDS1713 10th St Ste A (575) 439-5439

SPLanguage(s):

Oral Surgery

HEINER, BRYCE B., DMD700 Cuba Ave (575) 522-8800

ITLanguage(s):

Orthodontist

KLUMP, JOHN P., DDS700 Cuba Ave (575) 434-4957

Pediatric Dentist

HAYES, PETER A., DMD2150 Highway 54 S (575) 443-8133

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER2150 Highway 54 S (575) 443-8133

Quay County

Tucumcari - 88401

General Dentist

BALZANO, GARY L., DDS305 E Washington Ave (575) 461-2400

HOBBS II, HARLEN D., DDS2101 S 1st St (505) 262-6547

Rio Arriba County

Chama - 87520

General Dentist

ALLEN, GRANT H., DDS451 Maple Ave (575) 756-2901

SPLanguage(s):

COLLABORATIVE HYGIENE PRACTICE211 N Pine (575) 756-2901

MARTIN, M. R., DDS211 Pine Ave (505) 756-2901

MARTIN, M. RAY, DDS211 North Pine (575) 756-2901

WOOD, JOHN S., DDS211 N Pine Ave (575) 756-2901

Chimayo - 87522

General Dentist

PHAM, THOMAS M., DMD1508 N Riverside Dr (888) 988-4066

Orthodontist

BRUCE, JOSHUA D., DDS1508 N Riverside Dr (888) 988-4066

FR, MZ, SPLanguage(s):

El Rito - 87530

General Dentist

BORRERO, DANIEL A., DDSState Rd 571 Bldg 28 (575) 581-4728

SPLanguage(s):

COLLINS, ROXANNE C., DMDSr 571 #28 (575) 581-0028

ELLIOTT, ROBERT M., DDSHwy 571 Ste 28 (575) 581-4728

GARCIA, D. ANTHONY, DDSSr 571 #28 (575) 581-0028

LARRAGOITE, PATRICIO C., DDSState Rd 571 Bldg 28 (505) 581-4728

LAS CLINICAS DEL NORTESr 571 #28 (575) 581-0028

MALONE, KATHALYN A., DDSState Rd 571 Bldg 28 (505) 581-4728

ROGERS, KATHLEEN A., DDSSr 571 #28 (575) 581-0028

SCHILLING, KIM E., DDSHwy 571 #28 (575) 581-0028

TRUJILLO, EDMUND L., DDSSr 571 #28 (575) 581-4728

Embudo - 87531

General Dentist

PADBERG, RICHARD D., DMD1102 St Rd 68 Mm 20 19 (505) 579-4680

SPLanguage(s):

Espanola - 87532

General Dentist

ACHALLA, VENKATA, DDS1508 N Riverside Dr (888) 988-4066

ANTANI, KARTIK, DMD1508 N Riverside Dr (888) 988-4066

ARAKOTARAM RAVIKUMAR, RAKSHITH, DMD1508 N Riverside Dr (888) 988-4066

AZAD, KOUSHAN H., DMD1508 N Riverside Dr (505) 753-0544

BANSAL, ROHINI, DDS1508 N Riverside Dr (888) 988-4066

BAUER, GREGORY A., DDS608 La Joya St (505) 753-9454

GRLanguage(s):

BAUER, GREGORY A., DDS538 N Paseo De Onate (505) 753-7218

GRLanguage(s):

CHAUHAN, HARPREET S., DMD1508 N Riverside Dr (888) 988-4066

CHHABRA, AJNEESH, DDS1508 N Riverside Dr (888) 988-4066

COWDEN, JASON T., DMD1508 N Riverside Dr Ste C (888) 988-4066

FR, M0, SPLanguage(s):

EL CENTRO FAMILY HEALTH608 La Joya St (505) 753-9454

EL CENTRO FAMILY HEALTH538 N Paseo De Onate (505) 753-7218

ENUGANTI, NARAYANA R., DDS1508 N Riverside Dr Ste C (888) 988-4066

GADE, HANUMAN S., DDS1508 N Riverside Dr Ste C (888) 988-4066

GARLA, HARSHAVARDHAN, DDS1508 N Riverside Dr Ste C (888) 988-4066

GILL, MANBIR S., DDS1508 N Riverside Dr (888) 988-4066

GREWAL, KAPIL, DDS1508 N Riverside Dr (888) 988-4066

HAKIMZADEH, SARA, DDS1508 N Riverside Dr (847) 915-3040

HERNANDEZ GIL, JOSE A., DMD1508 N Riverside Dr (888) 988-4066

FR, SPLanguage(s):

JO, YOUNG S., DDS1508 N Riverside Dr (888) 988-4066

KAMAL ALDEEN, MURTAJA, DDS1508 N Riverside Dr (888) 988-4066

KONDRAGUNTA, SUMAN, DDS1508 N Riverside Dr (847) 915-3040

LAMBA, BHANU P., DMD1508 N Riverside Dr (888) 988-4066

FR, SP, UNLanguage(s):

LE, NATALIE K., DDS1508 N Riverside Dr Ste C (888) 988-4066

LE, TONY V., DDS1508 N Riverside Dr (888) 988-4066

FR, M0, SPLanguage(s):

LIN, YUNQI R., DMD1508 N Riverside Dr (888) 988-4066

MANGLA, KAPIL, DDS1508 N Riverside Dr (888) 988-4066

MANZANARES, ROBERT J., DDS232 N Paseo De Onate (505) 753-7246

SPLanguage(s):

MAZLOOMI, FARZAD, DMD1508 N Riverside Dr (888) 988-4066

MIYAMASU, PATRICK K., DDS1508 N Riverside Dr (888) 988-4066

MOLAVI, SASAN, DDS1508 N Riverside Dr (888) 988-4066

MOON, SORA, DMD1508 N Riverside Dr Ste C (505) 753-0544

OGAS, LAURA N., DDS608 La Joya St (505) 753-9454

SPLanguage(s):

OGAS, LAURA N., DDS538 N Paseo De Onate (505) 753-7218

SPLanguage(s):

OMARI, WASSIM, DDS1508 N Riverside Dr (505) 753-0544

OPHASO, NISSA, DMD1508 N Riverside Dr (888) 988-4066

PAPISETTI, SRIKANTH, DDS1508 N Riverside Dr (888) 988-4066

PARK, CHAN M., DDS1508 N Riverside Dr (888) 988-4066

PATEL, VIRALKUMAR N., DDS1508 N Riverside Dr Ste C (888) 988-4066

POLINKOVSKY, LEONID, DDS1508 N Riverside Dr Ste C (888) 988-4066

SPLanguage(s):

PUCHALAPALLI, NISHANTH R., DDS1508 N Riverside Dr Ste C (888) 988-4066

RASMUSSEN, KEVIN D., DDS1508 N Riverside Dr (888) 988-4066

REDMAN, MICHAEL S., DMD704 La Joya St Ste B (505) 753-2230

Page 28 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 29: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasEspanola - 87532 (continued)

Directory of Participating Dental Providers

Alliance Network

SACKHEIM, WILLIAM E., DMD1508 N Riverside Dr (847) 915-3040

SAMI, TONI, DDS1508 N Riverside Dr (888) 988-4066

SEO, MICHAEL D., DDS1508 N Riverside Dr (505) 753-0544

FR, SPLanguage(s):

SHAMAPANTH, RAHUL, DDS1508 N Riverside Dr (888) 988-4066

SISNEROS, ARTURO D., DDS608 La Joya St Ste B (505) 753-9454

SISNEROS, ARTURO D., DDS538 N Paseo De Onate (505) 753-7218

TAM, STELLA, DMD1508 N Riverside Dr (888) 988-4066

TAMMINIDI, KIRAN KUMAR, DMD1508 N Riverside Dr (888) 988-4066

TANEJA, NIDHI, DDS1508 N Riverside Dr (888) 988-4066

TAYLOR, STEPHEN H., DDS608 La Joya St Ste B (505) 753-9454

TRAN, ALEXANDER S., DDS1508 N Riverside Dr Ste C (888) 988-4066

SPLanguage(s):

TRUONG, HENRY, DDS1508 C N Riverside Dr (888) 988-4066

FR, PT, SPLanguage(s):

VAHDATINIA, SINA, DMD1508 N Riverside Dr (888) 988-4066

WEI, ROGER B., DDS1508 N Riverside Dr Ste C (888) 988-4066

WILSON, ELIZABETH M., DMD1508 N Riverside Dr (888) 988-4066

YANALA, KIRAN M., DMD1508 N Riverside Dr (888) 988-4066

Orthodontist

CLAYDEN, DAVID M., DDS1508 N Riverside Dr (888) 988-4066

DEHGHAN, AMIR H., DDS1508 N Riverside Dr Ste C (888) 988-4066

FATUNDE, ADEJOKE A., DDS1508 N Riverside Dr Ste C (505) 753-0544

FR, SPLanguage(s):

GUYMON, RUSSELL J., DDS1508 N Riverside Dr (888) 988-4066

SCHACKEL, WILLIAM A., DDS232 N Paseo De Onate (505) 983-5000

SINGH, AJAY P., DDS1508 N Riverside Dr (888) 988-4066

Tierra Amarilla - 87575

General Dentist

ESSENMACHER, LINDSAY M., DDSHighway 84 County Rd 0324 Ste 14 (575) 588-7252

ESSENMACHER, LINDSAY M., DDSHwy 84 (505) 588-7289

LA CLINICA DEL PUEBLO DE RIO ARRIBAHighway 84 County Rd 0324 Ste 14 (575) 588-7252

LARRAGOITE, PATRICIO C., DDSHighway 84 County Rd 0324 Ste 14 (575) 588-7289

THOMASON, GLENN G., DDSHwy 84 (575) 588-4252

Roosevelt County

Portales - 88130

General Dentist

CARDON, CRAIG M., DMD1515 W Fir St (575) 356-6695

SPLanguage(s):

GUNNING, NATHAN M., DDS1521 W 18th St (575) 356-8514

IMMANNI, GANGADHAR, DDS1515 W Fir St (575) 356-5517

IMMANNI, GANGADHAR, DDSPO Box 843 PO Box 843 (505) 356-5517

LA CASA FAMILY HEALTH CENTER1515 W Fir St (575) 356-6695

THOMPSON, PETER L., DDS123 W 2nd St (575) 359-1011

WILSON, BUCK R., DDS1521 W 18th St (575) 356-8514

San Juan County

Aztec - 87410

General Dentist

DURFEY, JAMES G., DDS503 S Main Ave (505) 334-9453

Bloomfield - 87413

General Dentist

ANDERSON, CHRISTIAN R., DMD100 S 1st St (505) 632-3344

SPLanguage(s):

BRAWNER, CRAIG I., DMD100 S 1st St (505) 632-3344

CHAMPANY, RICHARD, DDS6 Road 7586 (505) 632-1801

EAGAR, BRYCE R., DDS100 N Church St Ste B (505) 632-8585

KING, JOHN W., DDS6 Road 7586 (505) 632-1801

LOEPPKE, MATTHEW S., DDS100 N Church St Ste B (505) 632-8585

RASMUSSEN, AARON D., DDS100 S 1st St (505) 632-3344

PT, SPLanguage(s):

SHEPHERD, TRAVIS T., DDS100 S 1st St (505) 632-3344

SUNDANCE DENTAL CARE INC100 S 1st St (505) 632-3344

TORNOW, MICHAEL S., DMD100 S 1st St (505) 632-3344

SPLanguage(s):

Farmington - 87401

General Dentist

ALL SMILES FAMILY DENTAL CLINICS LLC506 Airport Dr (575) 325-7700

ANTONIO, JOHN E., DMD1001 W Broadway (575) 289-3297

SPLanguage(s):

ANTONIO, JOHN E., DMD2700 Farmington Ave Bldg C (505) 325-0369

SPLanguage(s):

BARNEY, LASON J., DDS506 Airport Dr (575) 325-7700

BAYMILLER, SCOTT A., DDS506 Airport Dr (575) 325-7700

BENNION, JASON K., DDS2700 Farmington Ave Bldg C (505) 325-9133

BLEAK, MARK B., DMD2700 Farmington Ave Bldg C-1 (505) 820-3466

SPLanguage(s):

BLEAK, MARK B., DMD800 E 30th St Bldg 3 (505) 327-9161

BURGESS, CLARISSA E., DDS2525 E 30th St (505) 327-4863

SPLanguage(s):

BURGESS, CLARISSA E., DDS2700 Farmington Ave Bldg C (505) 325-9133

BUTTERFIELD, DONALD E., DDS506 Airport Dr (505) 325-7700

CARL, ROBERT A., DDS708 E 20th St (505) 327-6155

CARTER, MICHELE L., DDS506 Airport Dr (575) 325-7700

SPLanguage(s):

CEDAR POINTE FAMILY DENTISTRY4760 N Butler Ave Ste C (505) 278-7007

CLARK, CANDICE E., DDS141 W 20th St (575) 325-7121

CLARK, JEFFREY C., DDS141 W 20th St (505) 325-7121

COLE, JAMES R., DDS850 E Main St Ste A (505) 327-0441

COLEMAN, CODY B., DDS800 E 30th St (505) 327-9161

CROSS, RANDOLPH R., DDS506 Airport Dr (575) 325-7700

SPLanguage(s):

DESERT HILL DENTAL CARE LLC2525 E 30th St (505) 327-4863

EN, SPLanguage(s):

DUNN, PHILLIP R., DDS708 E 20th St (505) 327-6155

FEIBINSKY RAMOS, POLYNA, DDS506 Airport Dr (505) 325-7700

GARY, DAVID W., DMD506 Airport Dr (575) 325-7700

GETZ, DEWEY I., DDS4760 N Butler Ave Ste A (505) 325-8858

HANSON, DAVID M., DDS2700 Farmington Ave Bldg C (505) 325-9133

HARRELL, SEAN M., DDS506 Airport Dr (575) 325-7700

SPLanguage(s):

HEATON, JONATHAN K., DMD703 N Dustin Ave (505) 386-4023

KOLanguage(s):

HILTON III, ALLEN E., DDS2525 E 30th St (505) 327-4863

JACKSON, LLOYD B., DMD4760 N Butler Ave Ste C (505) 327-0044

KAWAHAKUI, LINDSEY K., DDS708 E 20th St (505) 327-6155

Page 29 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 30: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasFarmington - 87401 (continued)

Directory of Participating Dental Providers

Alliance Network

KIDS KARE PC506 Airport Dr (575) 325-7700

SPLanguage(s):

KOTTKE, WILLIAM C., DDS802 E Navajo St (505) 327-2525

LIEBERENZ, MEGAN K., DDS506 Airport Dr (575) 325-7700

SPLanguage(s):

LOEPPKE, BRITA, DDS1510 E 20th St Ste B (505) 327-6151

LOPEZ, INEZ M., DMD2700 Farmington Ave Bldg C (505) 325-9133

LUSK, KENNETH J., DDS204 N Auburn Ave (505) 325-8401

MACKEY, JACOB B., DDS506 Airport Dr (575) 325-7700

SPLanguage(s):

MANN, TYLER A., DDS506 Airport Dr (575) 325-7700

SPLanguage(s):

MANN, TYLER A., DDS3501 N Butler Ave Ste 104 (505) 564-4470

SPLanguage(s):

MANZANARES, ROBERT J., DDS708 E 20th St (505) 327-6155

SPLanguage(s):

MOUNTAIN DENTAL FARMINGTON708 E 20th St (505) 327-6155

NEUBAUER, EDWARD E., DDS506 Airport Dr (505) 325-7700

PAUL, CRAIG R., DDS506 Airport Dr (575) 325-7700

SPLanguage(s):

PEREZ, PAUL D., DDS506 Airport Dr (505) 325-7700

SPLanguage(s):

PHAN, DANIELLE, DDS506 Airport Dr (575) 325-7700

POGACEAN, IOANA E., DDS506 Airport Dr (575) 325-7700

SPLanguage(s):

RAMOS, ANGEL, DDS506 Airport Dr (505) 325-7700

RASMUSSEN, AARON D., DDS800 E 30th St (505) 327-9161

PT, SPLanguage(s):

RHOADS, HOWARD N., DDS2700 Farmington Ave Ste C-1 (505) 325-9133

RHODES, JOSEPH I., DDS506 Airport Dr (575) 325-7700

SPLanguage(s):

RICHE, BRETT M., DMD2401 E 30th St (505) 325-8858

RUYLE, BONNIE L., DDS506 Airport Dr (575) 325-7700

SPLanguage(s):

SCHEIB, JEFFREY R., DDS506 Airport Dr (575) 325-7700

SPLanguage(s):

SCHUMACHER, CHARLES M., DDS2525 E 30th St (505) 327-4863

EN, SPLanguage(s):

SEEWALD, STANTON R., DDS4801 N Butler Ave Ste 9102 (505) 327-7461

SEYOUM, GIRMACHEW D., DDS506 Airport Dr (575) 325-7700

SPLanguage(s):

SHEPHERD, TRAVIS T., DMD800 E 30th St (505) 327-9161

SUNDANCE DENTAL CARE800 E 30th St (505) 327-9161

TARANTINO, ERNEST E., DDS506 Airport Dr (505) 325-7700

SPLanguage(s):

THOMPSON, DONNA M., DDS1212 E 20th St (505) 327-6233

SPLanguage(s):

THOMPSON, JENNIFER L., DDS1212 E 20th St (505) 327-6233

TORNOW, MICHAEL S., DMD800 E 30th St (505) 325-6657

VOLKERDING, BRUCE D., DDS708 E 20th St (505) 327-6155

WAHLIN, TODD G., DDS3751 N Butler Ave Ste 113 (505) 564-9000

WANG, JEFFREY M., DDS506 Airport Dr (575) 325-7700

SPLanguage(s):

WILSON, ERIC J., DDS506 Airport Dr (575) 325-7700

WILSON, RYAN H., DDS4760 N Butler Ave Ste C (505) 278-7007

WOOLF, MARK A., DDS506 Airport Dr (575) 325-7700

SPLanguage(s):

Oral Surgery

CUNDICK, DAVID L., DDS1700 N Butler Ave (505) 333-8635

PT, SPLanguage(s):

HIXSON, JEREMY L., DMD4760 N Butler Ave Ste B-1 (505) 325-8858

GRLanguage(s):

JAMES, N. WHITNEY, DDS708 E 20th St (505) 860-7722

SPLanguage(s):

PETERSEN, SAMUEL G., DDS2401 E 30th St Bldg 2 (505) 326-2611

Orthodontist

CLARK, STEPHEN B., DDS701 N Dustin Ave (505) 327-4495

COWLEY, DANIEL P., DMD4760 N Butler Ave Ste A (505) 325-8858

DANIEL P COWLEY DMD PC4760 N Butler Ave Ste A (505) 325-8858

GRAFF, DEREK J., DMD3180 N Butler Ave Ste 200 (505) 327-4884

HERMAN, DAVID, DDS3751 N Butler Ave (505) 564-9000

STROMEYER, ERNEST L., DDS2200 E 20th St (505) 327-4872

WILSON, JOSEPH A., DMD4760 N Butler Ave Ste A (505) 325-8858

Pediatric Dentist

DUNSTON, KENNETH R., DDS2050 N Butler Ave (505) 327-5057

Multi-Specialty

FOUR CORNERS ORTHODONTIC CENTERS INC3751 N Butler Ave Ste 113 (505) 564-9000

Farmington - 87402

General Dentist

BRAWNER, CRAIG I., DDS6588 E Main St (505) 326-6800

COUNTRY CLUB FAMILY DENTAL CARE LLC6588 E Main St (505) 326-6800

DARDANO, MAURICIO E., DDS3030 E Main St Ste T1 (505) 325-4867

SPLanguage(s):

ENDRIZZI, SCOTT T., DMD6600 E Main St Ste A (505) 436-2727

GONZALEZ, MARTIN, DDS3030 E Main St Ste T-1 (505) 325-4867

SPLanguage(s):

HEAP, JOSEPH C., DMD6588 E Main St (505) 326-6800

HONG, KEE JU, DDS3030 E Main St Ste T1 (505) 325-4867

MCMENEMY, MEGHAN E., DDS3030 E Main St Ste T-1 (505) 325-4867

RYU, HOJOONG, DDS3030 E Main St Ste T1 (505) 325-4867

KOLanguage(s):

SANCHEZ, MICHAEL A., DDS3030 E Main St Ste T1 (505) 325-4867

SCHMUTZ, JARED W., DMD6588 E Main St (505) 326-6800

SHEPHERD, TRAVIS T., DMD6588 E Main St (505) 326-6800

SMALLEY, JACK O., DDS2650 E Pinon Frontage Rd Bldg 300 (505) 327-3331

THOMPSON, ROBERT R., DDS2100 Hutton Ave (505) 327-1186

TORNOW, MICHAEL S., DMD6588 E Main St (505) 326-6800

SPLanguage(s):

WATSON, TRAVIS E., DDS4725 Foothills Dr (505) 325-2859

WEBER, HARVEY R., DDS4725 Foothills Dr (505) 325-2859

ENLanguage(s):

WURSTEN, JEFFREY, DMD4337 E Main St Ste 205 (505) 592-0226

YAI, RICHARD Y., DDS3030 E Main St (505) 325-4867

ZIMMER, DANIELA, DDS3030 E Main St Ste T1 (505) 325-4867

Pediatric Dentist

ANIMAS PEDIATRIC DENTAL GROUP PC2650 E Pinon Frontage Rd Bldg 200 (505) 599-9359

HOLMES, DOUGLAS E., DDS2650 E Pinon Frontage Rd Bldg 200 (505) 599-9359

SUAZO, LAWRENCE E., DDS2650 E Pinon Frontage Rd Bldg 200 (505) 599-9359

Page 30 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 31: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasFarmington - 87402 (continued)

Directory of Participating Dental Providers

Alliance Network

Multi-Specialty

RED ROCK DENTAL3030 E Main St Ste T1 (505) 325-4867

Kirtland - 87417

General Dentist

ANDERSON, JAMES F., DDS3 Road 6523 (505) 598-6800

COLEMAN, CODY B., DDS3 Road 6523 (505) 598-6800

GIBLETTE, CHRIS J., DMD3 Road 6523 (505) 598-6800

SPLanguage(s):

HEAP, JOSEPH C., DMD3 Road 6523 (505) 598-6800

SPLanguage(s):

LAYTON, CRAIG, DDS3 Road 6523 (505) 598-6800

RASMUSSEN, AARON D., DDS3 Road 6523 (505) 598-6800

PT, SPLanguage(s):

SHEPHERD, TRAVIS T., DDS3 Road 6523 (505) 598-6800

SUNDANCE DENTAL CARE KIRTLAND LLC3 Road 6523 (505) 598-6800

TORNOW, MICHAEL S., DMD3 Road 6523 (505) 598-6800

SPLanguage(s):

Shiprock - 87420

General Dentist

CHAMPANY, RICHARD, DDS708 E 20th St (505) 368-6001

DAMON MALLETTE, DEZBAA A., DMD91 Highway 491 S (505) 368-5626

KING, JOHN W., DDS708 E 20th St (505) 368-6001

LAYTON, CRAIG, DDS91 Highway 491 S (505) 368-5626

LESLIE, KATRINA J., DDSHwy 491 North (505) 368-6001

LESLIE, KATRINA J., DDS708 E 20th St (505) 368-6001

Orthodontist

BECK, C. MICHAEL, DDSN Hwy 491 (505) 368-5626

San Miguel County

Las Vegas - 87701

General Dentist

ARAGON, DENNIS E., DDS800 Mills Ave (505) 454-0631

SPLanguage(s):

BAUER, GREGORY A., DDS3031 Hot Springs Blvd (505) 425-6677

GRLanguage(s):

BAUER, GREGORY A., DDS30 Nm Highway 65 (505) 425-6677

GRLanguage(s):

COLLINS DENTAL INC1900 7th St (505) 425-3331

COLLINS, RAYMOND F., DDS1900 7th St (575) 425-3331

SPLanguage(s):

EBELL, EDWARD B., DDS717 5th St (505) 425-8942

EL CENTRO FAMILY HEALTH30 Nm Highway 65 (505) 425-6677

GARCIA, RANDALL E., DDS1950 7th St (505) 454-8148

LUERAS COLLINS, KATRINA L., DDS1900 7th St (575) 425-3331

SPLanguage(s):

OGAS, LAURA N., DDS30 Nm Highway 65 (505) 425-6677

SPLanguage(s):

OGAS, LAURA N., DDS3031 Hot Springs Blvd (505) 425-6677

SISNEROS, ARTURO D., DDS30 Nm Hwy 65 (505) 425-6677

TAYLOR, STEPHEN H., DDS30 New Mexico Hwy 65 (505) 425-6677

VALDEZ, ESMAEL R., DDS2500 7th St Ste H (505) 454-8483

SPLanguage(s):

YOON, CHRISTOPHER J., DDS711 6th St (505) 425-3435

SPLanguage(s):

Pecos - 87552

General Dentist

HUMBERSON, JEFFREY W., DDS199 Hwy 50 (505) 757-6666

PETERS, RICHARD C., DDS199 Hwy 50 (505) 757-6666

Sandoval County

Algodones - 87001

General Dentist

ODASSO, GARY, DMD8 Cedar Rd (505) 867-5025

Bernalillo - 87004

General Dentist

DOMINGUEZ, FRANK, DMD510 Highway 528 Ste I (505) 867-0665

GIFFORD, JONATHAN L., DDS510 Highway 528 Ste I (505) 867-0665

HERREJON RUIZ, MARIO, DMD470 New Mexico 5285 Ste A (505) 867-7444

SPLanguage(s):

LAMBERT, KURT P., DDS510 Highway 528 Ste I (505) 867-0665

LANTZ, THOMAS E., DDS510 Highway 528 Ste I (505) 867-0665

LE, TRANG T., DMD510 Highway 528 Ste I (505) 867-0665

SPLanguage(s):

LEE, CURTIS G., DMD510 Nm 528 Ste 1 (505) 867-0665

MONTANO, STACEY M., DDS510 Nm 528 Ste I (505) 867-0665

MORSE, NATALIA A., DDS510 Nm 528 Ste I (505) 867-0665

OCHENRIDER, DAVID M., DMD510 Highway 528 Ste I (505) 867-0665

SAESIM, SAMUEL, DDS510 Nm 528 Ste 1 (505) 867-0665

SAVLA, JINESH J., DDS510 Highway 528 Ste I (505) 867-0665

SCHNEIDER, AMANDA M., DDS510 Highway 528 Ste I (505) 867-0665

SNOW, DALLIN R., DMD510 Highway 528 Ste I (505) 867-0665

SPLanguage(s):

STANLEY, STEPHEN E., DMD510 Nm 528 Ste I (505) 867-0665

TANAKA, LEILANI K., DDS510 Highway 528 Ste I (505) 867-0665

TILSON, CHARLES E., DMD510 Nm 528 Ste I (505) 867-0665

VANLEEUWEN, ELIZABETH A., DDS510 Highway 528 Ste I (505) 867-0665

Endodontist

WHITE SR., JOHN H., DDS510 Highway 528 Ste I (505) 867-0665

Oral Surgery

WAGNER, JON D., DDS510 Highway 528 Ste I (505) 867-0665

Orthodontist

DARMITZEL, STEPHEN E., DDS510 Highway 528 Ste I (505) 867-0665

Periodontist

ESPINOSA JR., HENRY D., DDS510 Highway 528 Ste I (505) 867-0665

Multi-Specialty

ENCHANTED HILLS DENTISTRY470 New Mexico 5285 Ste A (505) 867-7444

PERFECT TEETH VENADA PLAZA PC510 Highway 528 Ste I (505) 867-0665

Corrales - 87048

General Dentist

BURNS SANCHEZ, SUSAN, DDS60 Koontz Rd (505) 896-4657

GAUNTT, DAVIS R., DDS454 Camino De Lucia (505) 872-0882

Cuba - 87013

General Dentist

ANTONIO, JOHN E., DMD2500 State Hwy 197 (505) 731-2284

SPLanguage(s):

BENNION, JASON K., DDSC/O Torreon Clinic 2500 State Hwy 197 (505) 731-2219

BENNION, JASON K., DDS6349 Highway 550 (505) 289-3291

EICKER, ANDREA M., DMD6349 Us Hwy 550 (575) 289-3291

EICKER, ANDREA M., DMDC/O Torreon Clinic 2500 State Hwy 197 (505) 731-2219

Page 31 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 32: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasCuba - 87013 (continued)

Directory of Participating Dental Providers

Alliance Network

HANSON, DAVID M., DDS2500 State Highway 197 (505) 731-2284

HANSON, DAVID M., DDSC/O Torreon Clinic 2500 State Hwy 197 (505) 731-2219

HANSON, DAVID M., DDS6349 Us Highway 550 (575) 289-3291

LARRAGOITE, PATRICIO C., DDS6349 Us Highway 550 (505) 983-9168

SPLanguage(s):

LOPEZ, INEZ M., DMDC/O Torreon Clinic 2500 State Hwy 197 (505) 731-2219

LOPEZ, INEZ M., DMD6349 Highway 550 (505) 289-3291

ODASSO, GARY, DMD6349 Hwy 550 (505) 289-3291

ODASSO, GARY, DMD6349 Us Hwy 550 (575) 289-3291

POTTER, DALE E., DDS6349 Us Highway 550 (575) 289-3297

SCHLOTTMAN, DAVID E., DDSHwy 197 (505) 731-2219

SCHLOTTMAN, DAVID E., DDS6349 Us Hwy 550 (575) 289-3291

TOBIN, MEGAN K., DDS6349 Us Hwy 550 (575) 289-3291

Placitas - 87043

General Dentist

TINGEN, RACHAEL H., DMD3 Homesteads Rd Bldge B (505) 771-1122

Rio Rancho - 87124

General Dentist

ALKIRE, RANDY G., DDS1316 Jackie Rd SE Ste 300 (505) 892-5749

ALLEN, GRANT H., DDS4041 Ridge Rock Rd SE (505) 891-4510

EN, SPLanguage(s):

ANDERSON, CHRISTIAN R., DDS770 Broadmoor Blvd NE (505) 891-0554

ANTON, JOHN F., DDS1400 Jackie Rd SE Ste 106 (505) 994-9693

ANTON, JOHN F., DDS1316 Jackie Rd SE Ste 300 (505) 994-9693

BERGMAN, DENNIS W., DMD2200 Grande Blvd SE Ste A (505) 891-1500

BROUSSARD, RAYMOND E., DDS1724 Grande Blvd SE (505) 896-0245

EN, SPLanguage(s):

CABEZON DENTAL LLC2401 Cabezon Blvd SE Ste 101-A (505) 896-8862

CANDELARIA, JOHN J., DDS4041 Ridge Rock Rd SE (505) 891-4510

CANDELARIA, JOHN J., DDS1105 Golf Course Rd SE Bldg A (505) 891-3190

COLEMAN, CODY B., DDS770 Broadmoor Blvd NE (505) 891-0554

CRISLER, JOHN F., DDS2600 the American Rd SE Ste 369 (505) 898-6000

DEBUCK, PETER J., DMD2200 Grande Blvd SE Ste A (505) 891-1500

FRLanguage(s):

DOMINGUEZ, FRANK, DMD4500 Arrowhead Ridge Dr SE (505) 994-1110

EDWARDS, ANTHONY HERB, DDS1137 Commercial Dr SE (505) 896-9399

ESQUIBEL, DAVINA R., DDS1316 Jackie Rd SE Ste 300 (505) 994-9693

FIFE, STEVEN R., DDS2240 Grande Blvd SE Ste 101 (505) 994-1700

GIFFORD, JONATHAN L., DDS4500 Arrowhead Ridge Dr SE (505) 994-1110

HARPER, GEORGE W., DDS918 Pinehurst Rd SE Ste 103 (505) 896-3600

FR, SPLanguage(s):

HARTENBERGER, GALEN D., DDS1316 Jackie Rd SE Ste 300 (505) 994-9693

SPLanguage(s):

IVERS, MELISSA, DMD1105 Golf Course Rd SE Bldg A (505) 891-3190

JENSEN, NICHOLAS P., DDS770 Broadmoor Blvd NE (505) 891-0554

SPLanguage(s):

KING, DAVID N., DDS950 Unser Blvd SE Ste 100 (505) 892-2900

KING, MICHAEL D., DMD770 Broadmoor Blvd NE (505) 891-0554

LAMBERT, KURT P., DDS4500 Arrowhead Ridge Dr SE (505) 994-1110

LANTZ, THOMAS E., DDS4500 Arrowhead Ridge Dr SE (505) 994-1110

LE, TRANG T., DMD4500 Arrowhead Ridge Dr SE (505) 994-1110

SPLanguage(s):

MADRID, FELIX C., DDS2345 Southern Blvd SE Ste B1 (505) 892-0111

SPLanguage(s):

MARSHALL, DUANE G., DMD2345 Southern Blvd SE Ste B1 (505) 892-0111

MCCANN, KATIE L., DDS950 Unser Blvd SE Ste 100 (505) 892-2900

SPLanguage(s):

MEEKS, SAMUEL A., DMD2200 Grande Blvd SE Ste A (505) 891-1500

RSLanguage(s):

MORRISON, HONG M., DDS2401 Cabezon Blvd SE Ste 101A (505) 896-8862

MORRISON, JEREMY M., DDS4041 Ridge Rock Rd SE (505) 891-4510

MORSE, NATALIA A., DDS4500 Arrowhead Ridge Dr SE (505) 994-1110

OCHENRIDER, DAVID M., DMD4500 Arrowhead Ridge Dr SE (505) 994-1110

OLLASON, STEVEN L., DDS1105 Golf Course Rd SE Bldg A (505) 891-3190

PEARLY WHITES DENTAL INC2200 Grande Blvd SE Ste A (505) 891-1500

PECK, CHRISTINA S., DDS2421 Cabezon Blvd SE (505) 884-1344

RASMUSSEN, AARON D., DDS770 Broadmoor Blvd NE (505) 891-0554

RIO RANCHO FAMILY DENTAL CARE4041 Ridge Rock Rd SE (505) 891-4510

ROSINIA, MICHAEL L., DDS1400 Barbara Loop SE Ste B (505) 896-4657

SPLanguage(s):

SAVLA, JINESH J., DDS4500 Arrowhead Ridge Dr SE (505) 994-1110

SCHNEIDER, AMANDA M., DDS4500 Arrowhead Ridge Dr SE (505) 994-1110

SCHOPPERT, ROY F., DDS1316 Jackie Rd SE Ste 300 (505) 994-9693

SMITH EDWARDS, JULIET V., DDS1137 Commercial Dr SE Ste 104 (505) 896-9399

SNOW, DALLIN R., DMD4500 Arrowhead Ridge Dr SE (505) 994-1110

SPLanguage(s):

TANAKA, LEILANI K., DDS4500 Arrowhead Ridge Dr SE (505) 994-1110

TASKER, SPENCER J., DMD2421 Cabezon Blvd SE (505) 884-1344

THE HYGIENE CENTER LLC1316 Jackie Rd SE Ste 300 (505) 994-9693

TORNOW, MICHAEL S., DDS770 Broadmoor Blvd NE (505) 891-0554

TRAN, HOA V., DDS4111 Barbara Loop SE Ste D1 (505) 892-2010

VTLanguage(s):

TRUJILLO, EDMUND L., DDS312 Unser Blvd NE (505) 796-6880

URBANE, MARK E., DDS950 Unser Blvd SE Ste 100 (505) 892-2900

SPLanguage(s):

VANLEEUWEN, ELIZABETH A., DDS4500 Arrowhead Ridge Dr SE (505) 994-1110

VELASQUEZ, KENDRA D., DDS770 Broadmoor Blvd NE (505) 891-0554

WONDRA, KIRK S., DDS701 Broadmoor Blvd NE (505) 891-1100

YOUNG TRUJILLO, NAZARIO N., DDS312 Unser Blvd NE (505) 796-6880

Endodontist

CLARK, SHANE T., DMD950 Unser Blvd SE Ste 100 (505) 892-2900

GILBRETH, JOHN B., DDS4111 Barbara Loop SE Ste B (505) 903-6916

HARMON, F. JOHN, DDS2320 Grande Blvd SE Ste A (505) 891-2100

HARMON, MELISSA A., DDS2320 Grande Blvd SE Ste A (505) 891-2100

WHITE SR., JOHN H., DDS4500 Arrowhead Ridge Dr SE (505) 994-1110

Oral Surgery

ROGEL, LAURENCE J., DDS1316 Jackie Rd SE Ste 600 (505) 994-4772

WAGNER, JON D., DDS4500 Arrowhead Ridge Dr SE (505) 994-1110

Orthodontist

DARMITZEL, STEPHEN E., DDS4500 Arrowhead Ridge Dr SE (505) 994-1110

HOLLIDAY, M BRETT, DDS950 Unser Blvd SE Ste 100 (505) 892-2900

SPLanguage(s):

Page 32 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 33: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasRio Rancho - 87124 (continued)

Directory of Participating Dental Providers

Alliance Network

HUGHES, DIANE, DMD2401 Cabezon Blvd SE (505) 891-5145

JORGENSEN, GREGORY J., DMD1401 Barbara Loop SE (505) 891-9440

RUDD, DANIEL B., DDS4320 Ridgecrest Dr SE Ste E (505) 891-1151

SPLanguage(s):

Pediatric Dentist

JACKSON, JOSEPH L., DDS2421 Cabezon Blvd SE (505) 715-4526

WESTSIDE PEDIATRIC DENTISTRY1724 Grande Blvd SE (505) 896-0245

Periodontist

ESPINOSA JR., HENRY D., DDS4500 Arrowhead Ridge Dr SE (505) 994-1110

MONTOYA, DIANNA R., DDS1105 Golf Course Rd SE (505) 891-3190

REYES, RYAN D., DDS950 Unser Blvd SE Ste 100 (505) 892-2900

VERDERAME, RICHARD A., DDS4111 Barbara Loop SE Ste E2 (505) 891-3000

Multi-Specialty

PERFECT TEETH RIO RANCHO PC4500 Arrowhead Ridge Dr SE (505) 994-1110

RIO RANCHO MODERN DENTISTRY950 Unser Blvd SE Ste 100 (505) 892-2900

Rio Rancho - 87144

General Dentist

COWDEN, JASON T., DMD7800 Carr Way NE Ste 105 (505) 867-3999

SPLanguage(s):

LUCO, WAYNE A., DDS4405 Jager Dr NE Ste C 1 (505) 867-1442

Santo Domingo Pueblo - 87052

General Dentist

BODZIAK, JENNIFER R., DDS85 West Highway 22 (505) 465-3060

WESTBROOK, JEFFREY H., DDS85 W Hwy 22 (505) 465-3060

Santa Fe County

Edgewood - 87015

General Dentist

BENSON, KEITH J., DMD8 Medical Center Rd (505) 281-3406

SPLanguage(s):

BOWERS, JONATHAN L., DMD8 Medical Center Rd (505) 281-3406

BRUM, MARK D., DDS8 Medical Center Rd (505) 281-3406

CHAVEZ, ARMANDO J., DDS8 Medical Center Rd (505) 281-3406

SPLanguage(s):

CLIFFORD, LETITIA M., DDS8 Medical Center Rd (505) 281-3406

CLIFFORD, LETITIA, DDS8 Medical Center Rd (505) 281-3406

DYE, JEREMIAH M., DDS8 Medical Center Rd (505) 281-3406

FIRST CHOICE COMMUNITY HEALTHCARE INC8 Medical Center Rd (505) 281-3406

GOYAL, NIKITA, DDS8 Medical Center Rd (505) 281-3406

HARRINGTON, STEPHEN L., DDS1851 Old Us 66 Ste C (505) 281-0373

SPLanguage(s):

SCHLOTTMAN, DAVID E., DDS8 Medical Center Rd (505) 873-7462

SCHOLL, CARA M., DDS8 Medical Center Rd (505) 281-3406

SPLanguage(s):

SPENCER, SHAMAINE R., DDS8 Medical Center Rd (505) 281-3406

TUNG, LIANG TSO, DDS8 Medical Center Rd (505) 281-3406

CN, MZLanguage(s):

TWEET, CHANDRA J., DDS8 Medical Center Rd (505) 281-3406

SPLanguage(s):

UJDA, KATARZYNA, DDS8 Medical Center Rd (505) 281-3406

PLLanguage(s):

YOUNG, ROYCE J., DDS8 Medical Center Rd (505) 281-3406

Orthodontist

KELLAM, STEPHEN A., DMD1917 Us Highway 66 (505) 286-1193

Santa Fe - 87501

General Dentist

HANSON, DAVID M., DDS1422 Paseo De Peralta (505) 982-5565

WILSON, ELIZABETH M., DDS217 E Marcy St (505) 988-4333

Periodontist

MELTON, JOHN J., DDS141 Paseo De Peralta Ste C (505) 984-8300

Santa Fe - 87505

General Dentist

BISHOP, MATTHEW R., DDS2008 St Michaels Dr Ste B (505) 892-9010

SPLanguage(s):

BROOKOVER, CURTIS A., DDS11 Calle Medico Ste 1 (505) 982-6426

SPLanguage(s):

BROWN, SHEILA M., DDS2027 Cerrillos Rd (505) 820-1212

CHAVEZ, KEELY J., DDS2008 St Michaels Dr Ste B (505) 896-2292

CHRISTENSEN, LINDSAY D., DMD435 St Michaels Dr Ste B101 (505) 983-4117

CHUNG, CHRISTINA K., DDS2008 St Michaels Dr Ste B (505) 896-2292

COMEAU, LAURA M., DDS2027 Cerrillos Rd (505) 820-1212

COX, PAMELA B., DDS2008 St Michaels Dr Ste B (505) 896-2292

DAVIS, MICHAEL W., DDS1751 Old Pecos Trl Ste B (505) 988-4444

DOMINGUEZ, FRANK, DMD720 Saint Michaels Dr Ste O (505) 424-7998

DUVURRI, SAMYUKTHA R., DMD2027 Cerrillos Rd (505) 820-1212

ELLEDGE, SCOTT L., DMD402 Kiva Ct (505) 982-4317

ESPINOSA, TRACI M., DMD490B W Zia Rd Ste 6 (505) 428-7878

FENG, KATHRYNE W., DDS1700 Cerrillos Rd (505) 946-9485

GIFFORD, JONATHAN L., DDS720 Saint Michaels Dr Ste O (505) 424-7998

GOMEZ BARTEK, JACQUELYN M., DDS1533 S St Francis Dr Ste F (505) 954-1073

GONZALEZ, JASON A., DDS1456 S St Francis Dr (505) 984-1827

GONZALEZ, JASON A., DDS2904 Rodeo Park Dr E Ste 300B (505) 473-5437

GUTIERREZ, BLAKE, DDS2904 Rodeo Park Dr E Ste 300B (505) 473-5437

GUTIERREZ, BLAKE, DDS1456 S Saint Francis Dr (505) 984-1827

HATCH, CAMERON J., DDS2008 St Michaels Dr Ste B (505) 896-2292

HENDRICKS, KELLY G., DDS1456 S Saint Francis Dr (505) 984-1827

PTLanguage(s):

HENDRICKS, KELLY G., DDS2904 Rodeo Park Dr E Ste 300B (505) 473-5437

PTLanguage(s):

HUMBERSON, JEFFREY W., DDS490B W Zia Rd Ste B (505) 428-7878

JACKSON, LOUIS A., DDS2008 St Michaels Dr Ste B (505) 892-9010

SPLanguage(s):

JENSEN ELLEDGE LLC402 Kiva Ct (505) 982-4317

JENSEN, RYAN E., DMD402 Kiva Ct (505) 982-4317

KASSAM, SARAH L., DDS2027 Cerrillos Rd (505) 820-1212

KAWAMOTO, SHEENA Z., DDS2008 St Michaels Dr Suite B (505) 896-2292

SPLanguage(s):

KINZER, KYE G., DDS2008 St Michaels Dr Suite B (505) 892-9010

SPLanguage(s):

KIRAN, ASLI B., DDS811 Saint Michaels Dr Ste 101 (505) 820-2344

LAMBERT, KURT P., DDS720 Saint Michaels Dr Ste O (505) 424-7998

LANTZ, THOMAS E., DDS720 Saint Michaels Dr Ste O (505) 424-7998

LAPSKER, JENNIFER A., DDS2008 St Michaels Dr Ste B (505) 896-2292

LE, TRANG T., DMD720 Saint Michaels Dr Ste O (505) 424-7998

SPLanguage(s):

LEE, MONIQUE, DMD811 Saint Michaels Dr Ste 101 (505) 820-2344

LEE, RYAN E., DDS2008 Saint Michaels Dr Ste B (505) 896-2292

Page 33 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 34: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasSanta Fe - 87505 (continued)

Directory of Participating Dental Providers

Alliance Network

LEE, RYAN S., DDS2008 St Michaels Dr Ste B (505) 892-9010

LEE, SHAUN M., DDS2008 Saint Michaels Dr Ste B (505) 474-4993

LINDSLEY, HOLLY M., DDS2027 Cerrillos Rd (505) 820-1212

MCLEAN, ANNE C., DMD2008 St Michaels Dr Ste B (505) 896-2292

SPLanguage(s):

MILLS, PAUL E., DDS465 Saint Michaels Dr Ste 208 (505) 988-9635

MISLA, KAREN C., DDS2027 Cerrillos Rd (505) 820-1212

MISNER, REBECCA S., DMD2027 Cerrillos Rd (505) 820-1212

MONARCH DENTAL811 Saint Michaels Dr Ste 101 (505) 820-2344

MONTANEZ, MARIO, DDS2027 Cerrillos Rd (505) 820-1212

SPLanguage(s):

MONTANO, ERIN M., DDS2008 St Michaels Dr Ste B (505) 424-7272

MONTANO, MELISSA P., DDS2027 Cerrillos Rd (505) 820-1212

MONTANO, RONALD B., DDS2027 Cerrillos Rd (505) 820-1212

SPLanguage(s):

MORSE, NATALIA A., DDS720 Saint Michaels Dr Ste O (505) 424-7998

OCHENRIDER, DAVID M., DMD720 Saint Michaels Dr Ste O (505) 424-7998

ORTEGA, DAVID J., DDS550 Saint Michaels Dr Ste B (505) 984-0881

PATTERSON, CHRISTOPHER A., DDS1456 S St Francis Dr (505) 473-5437

PATTERSON, CHRISTOPHER A., DDS2904 Rodeo Park Dr E Ste 300B (505) 473-5437

SPLanguage(s):

PECK, CHRISTIAN S., DDS2008 Saint Michaels Dr Ste B (505) 896-2292

REHORN, CLARENCE R., DDS6 Arroyo Vista (505) 982-2578

ROWAN, RICHARD G., DMD2008 St Michaels Dr Ste B (505) 896-2292

SAMYUKTHA R DUVURRI DMD2027 Cerrillos Rd (505) 820-1212

SANTA FE CHILDRENS DENTISTRY2008 St Michaels Dr Ste B (505) 896-2292

SAVLA, JINESH J., DDS720 Saint Michaels Dr Ste O (505) 424-7998

SCHNEIDER, AMANDA M., DDS720 Saint Michaels Dr Ste O (505) 424-7998

SNOW, DALLIN R., DMD720 Saint Michaels Dr Ste O (505) 424-7998

SPLanguage(s):

TAFOYA, PETER J., DDS404 Kiva Ct Ste D (505) 988-3804

TANAKA, LEILANI K., DDS720 Saint Michaels Dr Ste O (505) 424-7998

TASKER, SPENCER J., DMD2008 St Michaels Dr Ste B (505) 424-7272

TRAMONTANAS, KERRY, DDS2027 Cerrillos Rd (505) 820-1212

VALDEZ, ESMAEL R., DDS550B Saint Michaels Dr Ste 2 (505) 471-7000

VANLEEUWEN, ELIZABETH A., DDS720 Saint Michaels Dr Ste O (505) 424-7998

VANSICKLE, KENNETH W., DMD2027 Cerrillos Rd (505) 820-1212

WOLF, JACOB B., DDS2008 St Michaels Dr Ste B (505) 892-9010

SPLanguage(s):

ZINK, AURORA E., DDS2008 Saint Michaels Dr Ste B (505) 474-4993

ZINK, AURORA V., DDS2027 Cerrillos Rd (505) 820-1212

Endodontist

EDGERTON, PHILIP B., DMD5 Calle Medico Ste A (505) 988-3209

GAVRON, BERNARD R., DDS465 Saint Michaels Dr Ste 208 (505) 988-7356

WHITE SR., JOHN H., DDS720 Saint Michaels Dr Ste O (505) 424-7998

WOLCOTT, JAMES F., DDS539 Harkle Rd Ste C (505) 819-5690

Oral Surgery

ALVAREZ, CARLOS M., DMD720 Saint Michaels Dr Ste O (505) 424-7998

SPLanguage(s):

HEALY, SEAN M., DDS1645 Galisteo St (505) 984-0694

REID, DOUGLAS M., DMD490B W Zia Rd Ste 3 (505) 992-1550

SPLanguage(s):

WAGNER, JON D., DDS720 Saint Michaels Dr Ste O (505) 424-7998

WHEATON, JEFFREY B., DMD490B W Zia Rd Ste 3 (505) 992-1550

Orthodontist

ASHBROOK, MELVIN T., DDS2904 Rodeo Park Dr E (505) 473-5437

BUSH, HELEN D., DMD2027 Cerrillos Rd (505) 820-1212

BUSH, HELEN D., DMD2008 St Michaels Dr Ste B (505) 424-7272

DARMITZEL, STEPHEN E., DDS720 Saint Michaels Dr Ste O (505) 424-7998

DARMITZEL, STEPHEN E., DDS400 Kiva Ct Ste A (505) 982-6656

JOHANSEN, ROBERT W., DDS2027 Cerrillos Rd (505) 820-1212

KELLAM, STEPHEN A., DMD539 Harkle Rd Ste D (505) 982-5531

MCMILLAN, JEFFREY B., DDS2027 Cerrillos Rd (505) 820-1212

MCMILLAN, JEFFREY B., DDS2027 Cerrillos Rd (505) 820-1218

SP, THLanguage(s):

MEYERS, DANIEL M., DDS550 Saint Michaels Dr Ste A (505) 983-8605

PICK, CLARICE K., DDS125 Siringo Rd Ste A (505) 982-0094

SCHACKEL, WILLIAM A., DDS2100 Calle De La Vuelta Ste B102 (505) 983-5000

SPALDING, PETER M., DDS2027 Cerrillos Rd (505) 820-1212

STEPHEN A KELLAM LLC539 Harkle Rd Ste D (505) 982-5531

Pediatric Dentist

HENDRICKS, KRISTIN W., DDS1456 S St Francis Dr (505) 984-1827

HENDRICKS, KRISTIN W., DDS2904 Rodeo Park Dr E Ste 300 (505) 473-5437

GRLanguage(s):

JACKSON, JOSEPH L., DDS2008 Saint Michaels Dr Ste B (505) 896-2292

MASON, MICHAEL H., DDS2904 Rodeo Park Dr E Ste 300B (505) 473-5437

PECK, PATRICIA H., DDS1692 Hospital Dr Ste 102 Bldg B (505) 989-9033

SPLanguage(s):

PRISHKULNIK, ELIZABETH T., DDS490 B West Zia Rd (505) 428-7878

SJOSTROM, DANEN S., DDS490B W Zia Rd (505) 428-7878

Periodontist

ESPINOSA JR., HENRY D., DDS720 Saint Michaels Dr Ste O (505) 424-7998

SUN, CHUN XIAO, DMD720 Saint Michaels Dr Ste O (505) 424-7998

Multi-Specialty

PERFECT TEETH PLAZA DEL SOL PC720 Saint Michaels Dr Ste O (505) 424-7998

WHOLE CHILD DENTAL LLC2904 Rodeo Park Dr E Ste 300B (505) 473-5437

Santa Fe - 87507

General Dentist

BORRERO, DANIEL A., DDS3252 Cerrillos Rd Ste A (505) 954-1128

SPLanguage(s):

CURRIE, ZACHARY, DDS4250 Cerrillos Rd Ste 1202 (505) 982-4867

FRIESS, MALIN G., DMD4250 Cerrillos Rd Ste 1202 (505) 982-4867

FUNG, MELANIE C., DDS4041 Cerrillos Rd (505) 438-3276

HOLLINGSWORTH RYALS , KELLEY, DDS3569 Zafarano Dr (505) 986-8000

HOLSEY, DAVID E., DDS4250 Cerrillos Rd Ste 1202 (505) 982-4867

JACKSON, MELISSA, DMD3569 Zafarano Dr (505) 986-8000

LINDSLEY, HOLLY M., DDS4250 Cerrillos Rd Ste 1202 (505) 982-4867

MARTIN, M. RAY, DDS3600 Cerrillos Rd Ste 507 (505) 438-0756

SAPP, WILLIAM A., DDS4250 Cerrillos Rd Ste 1202 (505) 982-4867

SHAFIE HOLIGHI, MARZIEH, DMD3569 Zafarano Dr (505) 986-8000

SIEMIASZKO, WILLIAM J., DDS3569 Zafarano Dr (505) 986-8000

Page 34 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 35: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasSanta Fe - 87507 (continued)

Directory of Participating Dental Providers

Alliance Network

VILLA LINDA MALL FAMILY DENTAL CTR4250 Cerrillos Rd Ste 1202 (505) 982-4867

YOUNG TRUJILLO, NAZARIO N., DDS2145 Caja Del Oro Grant Rd (505) 474-1438

Endodontist

CLARK, SHANE T., DMD3569 Zafarano Dr (505) 986-8000

Oral Surgery

MEEHAN, JAMES D., DDS4250 Cerrillos Rd Ste 1202 (505) 982-4867

WAGNER, JON D., DDS4250 Cerrillos Rd Ste 1202 (505) 982-4867

WHEATON, JEFFREY B., DMD3569 Zafarano Dr (505) 986-8000

SPLanguage(s):

Orthodontist

HOLLIDAY, M BRETT, DDS3569 Zafarano Dr (505) 986-8000

SPLanguage(s):

Periodontist

REYES, RYAN D., DDS3569 Zafarano Dr (505) 986-8000

Multi-Specialty

SANTA FE MODERN DENTISTRY AND ORTHODONTI3569 Zafarano Dr (505) 986-8000

Santa Fe - 87508

General Dentist

BREWSTER, JESSICA M., DDS6401 S Richards Ave (505) 984-5048

DYER MOORE, JULASTENE, DDS6401 S Richards Ave (505) 984-5048

SPLanguage(s):

HUMBERSON, JEFFREY W., DDS6401 S Richards Ave (505) 984-5048

JENKINS, DALE C R, DDS6401 S Richards Ave (505) 984-5048

JENKINS, JUDITH G., DDS6401 S Richards Ave (505) 984-5048

LA FAMILIA MEDICAL DENTAL CENTER6401 S Richards Ave (505) 984-5048

RENNER, LINDA C., DDS6401 S Richards Ave (505) 984-5048

RITCHEY, HALEY S., DDS1 Caliente Rd Ste E (505) 466-0999

SAKARIASON, JILLIAN K., DDS6401 S Richards Ave (505) 984-5048

SPLanguage(s):

YOUNG TRUJILLO, NAZARIO N., DDS6401 S Richards Ave (505) 984-5048

Sierra County

T Or C - 87901

General Dentist

STRALEY, VINCENT D., DDS1960 N Date St (575) 894-7662

Truth Or Consequences - 87901

General Dentist

ABRAMS, ELSA F., DDS1950 N Date St (575) 894-8057

ABRAMS, ELSA F., DDS1960 N Date St (575) 894-7662

ACKALL, IBRAHEEM G., DDS1960 N Date St (575) 894-7662

ACKALL, IBRAHEEM G., DDS1950 N Date St (575) 894-8057

BACA JR., LEROY, DDS1950 N Date St (575) 894-8057

BACA JR., LEROY, DDS1960 N Date St (575) 894-7662

BOHNSTEDT, RICHARD S., DMD1960 N Date St (575) 894-7662

BOHNSTEDT, RICHARD S., DMD1950 N Date St (575) 894-8057

DEAN, TYRELL C., DMD1950 N Date St (575) 894-8057

DEAN, TYRELL C., DMD1960 N Date St (575) 894-7662

EDGERTON, DEBRA L., DDS1950 N Date St (575) 894-8057

SPLanguage(s):

EDGERTON, DEBRA L., DDS1960 N Date St (575) 894-7662

SPLanguage(s):

ELLIOTT, PHILLIP J., DDS1960 N Date St (575) 894-7662

FELTS, MATTHEW H., DDS800 N Cedar St (575) 894-7711

GLOVER, DAWN K., DDS1960 N Date St (575) 894-7662

GLOVER, DAWN K., DDS1950 N Date St (575) 894-8057

HALL, JONATHAN M., DMD1960 N Date St (575) 894-7662

SPLanguage(s):

HALL, JONATHAN M., DMD1950 N Date St (575) 894-8057

SPLanguage(s):

LIAO, WEN, DDS1950 N Date St (575) 894-8057

CNLanguage(s):

LIAO, WEN, DDS1960 N Date St (575) 894-7662

CNLanguage(s):

LOTZ, JENNA, DMD1960 N Date St (575) 894-7662

LOTZ, JENNA, DMD1950 N Date St (575) 894-8057

MATHIAS, RICHARD B., DMD1950 N Date St (575) 894-8057

MATHIAS, RICHARD B., DMD1960 N Date St (575) 894-7662

MAY, AMANDA C., DDS1950 N Date St (575) 894-8057

MAY, AMANDA C., DDS1960 N Date St (575) 894-7662

MORENO CABRERA, PATRICIA, DDS1960 N Date St (575) 894-7662

SPLanguage(s):

MORENO CABRERA, PATRICIA, DDS1950 N Date St (575) 894-8057

SPLanguage(s):

ODA, SAHARU, DDS1960 N Date St (575) 894-7662

JP, PRLanguage(s):

ODA, SAHARU, DDS1950 N Date St (575) 894-8057

JP, PRLanguage(s):

POLLARD, JILLANA L., DMD1960 N Date St (575) 894-7662

POLLARD, JILLANA L., DMD1950 N Date St (575) 894-8057

PUCKETT JR., RAY, DDS1950 N Date St (575) 894-8057

PUCKETT JR., RAY, DDS1960 N Date St (575) 894-7662

PUGH, SCOTT C., DDS1950 N Date St (575) 894-8057

PUGH, SCOTT C., DDS1960 N Date St (575) 894-7662

QUAN, KRISTI, DDS1960 N Date St (575) 894-7662

QUAN, KRISTI, DDS1950 N Date St (575) 894-8057

SHAH, JAY A., DMD1960 N Date St (575) 894-7662

SHAH, JAY A., DMD1950 N Date St (575) 894-8057

SHASTRI, SHRUTI N., DDS1960 N Date St (575) 894-7662

SHASTRI, SHRUTI N., DDS1950 N Date St (575) 894-8057

WANGLER, ASHLEY D., DDS1960 N Date St (575) 894-7662

WANGLER, ASHLEY D., DDS1950 N Date St (575) 894-8057

WIATT, MARK E., DDS1950 N Date St (575) 894-8057

WIATT, MARK E., DDS1960 N Date St (575) 894-7662

Pediatric Dentist

HAYES, PETER A., DMD1960 N Date St (575) 894-7662

FRLanguage(s):

HAYES, PETER A., DMD1950 N Date St (575) 894-8057

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER1950 N Date St (575) 894-8057

BEN ARCHER HEALTH CENTER1960 N Date St (575) 894-7662

Page 35 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 36: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso Texas

Directory of Participating Dental Providers

Alliance Network

Socorro County

Socorro - 87801

General Dentist

LUCERO, MARIAN, DDS824 Highway 60 (575) 835-2342

OATES, C. BONNER, DDS210 Neel Ave (575) 835-1623

Pediatric Dentist

CITO JR., STEPHEN M., DDS828 Us Hwy 60 (505) 298-5522

Taos County

Penasco - 87553

General Dentist

BAUER, GREGORY A., DDS15136 State Road 75 (575) 587-2809

GRLanguage(s):

EL CENTRO FAMILY HEALTH15136 State Road 75 (575) 587-2809

OGAS, LAURA N., DDS15136 State Road 75 (575) 587-2809

SPLanguage(s):

SISNEROS, ARTURO D., DDS15136 State Highway 75 (575) 587-2809

TAYLOR, STEPHEN H., DDS15136 State Road 75 (575) 587-2809

Questa - 87556

General Dentist

BENNION, JASON K., DDS2573 State Hwy 522 (505) 586-0331

HANSON, DAVID M., DDS2573 State Hwy 522 (505) 586-0331

JAMESON, KEITH D., DDS2451 N Hwy 522 (575) 586-0259

LOPEZ, INEZ M., DMD2573 State Hwy 522 (505) 586-0331

Taos - 87571

General Dentist

ANDERSON, JUDY H., DDS105 Paseo Del Canon W (575) 758-7337

HAMMERMAN, WILLARD J., DDS1027 Salazar Rd Ste 1 (575) 758-1100

SPLanguage(s):

HARRIS, KELLIE A., DDS1337 Gusdorf Rd Ste A (575) 751-9661

NIEMIEC, MARK A., DDS1399 Weimer Rd Ste 800 (575) 758-9777

ROGERS, KATHLEEN A., DDS1335 Gusdorf Rd Ste A (575) 751-9333

SHELKO, RAYMOND A., DDS1090 Goat Springs Rd (575) 758-4224

TARANTINO, ERNEST E., DDS1335 A Gusorf (575) 751-9333

SPLanguage(s):

Endodontist

WOLCOTT, JAMES F., DDS1337 Gusdorf Rd Ste A (575) 751-9661

WOLCOTT, SUSAN L., DDS1337 Gusdorf Rd Ste A (575) 751-9661

Orthodontist

PICK, CLARICE K., DDS711 Paseo Del Pueblo Sur (575) 758-9661

SCHACKEL, WILLIAM A., DDS1392 Weimer Rd (505) 983-5000

Torrance County

Estancia - 87016

General Dentist

BENNION, JASON K., DDS903 C Fifth St (505) 384-2777

HANSON, DAVID M., DDS903 C Fifth St (505) 384-2777

LOPEZ, INEZ M., DMD903 C Fifth St (505) 384-2777

MCADOO JR., WILLIAM W., DDS102 Highway 82 (505) 384-2777

MCADOO JR., WILLIAM W., DDS903 C 5th St (505) 384-2777

Valencia County

Belen - 87002

General Dentist

BOWERS, JONATHAN L., DMD120 S 9th St (505) 873-7462

BRUM, MARK D., DDS120 S 9th St (505) 861-1013

ENCHANTED SMILES LLC305 Rio Communities Blvd (505) 864-2978

HIXON, LINDA, DDS1501 E River Rd (505) 864-6969

RICHEY, DANNY R., DDS305 Rio Communities Blvd (505) 864-2978

SANCHEZ II, ROLAND K., DDS704 Christopher Dr (505) 864-7000

SPLanguage(s):

SANDOVAL, CECIL C., DDS601 Dalies Ave (505) 864-8912

SPLanguage(s):

SCHLOTTMAN, DAVID E., DDS120 S 9th St (505) 873-7462

VANSICKLE, KENNETH W., DMD305 Rio Communities Blvd (505) 864-2978

WILSON, JOE, DDS205 Rio Communities Blvd (505) 864-3065

Los Lunas - 87031

General Dentist

ABSHERE, PHILIP M., DDS106 Main St NE Ste B (505) 865-1999

ACHALLA, VENKATA, DDS1620 Main St NW Ste D (888) 988-4066

ANTANI, KARTIK, DMD1620 Main St NW Ste D (888) 988-4066

ARAKOTARAM RAVIKUMAR, RAKSHITH, DMD1620 Main St NW Ste D (888) 988-4066

AZAD, KOUSHAN H., DMD1620 Main St NW Ste D (888) 988-4066

BANSAL, ROHINI, DDS1620 Main St NW Ste D (888) 988-4066

BENSON, KEITH J., DMD145 Don Pasqual Rd NW (505) 865-4618

SPLanguage(s):

BISHOP, MATTHEW R., DDS106 Main St NE Ste B (505) 865-1999

SPLanguage(s):

BLACK, STEPHEN R., DDS145 Don Pasqual Rd NW (505) 224-8740

SPLanguage(s):

BOWERS, JONATHAN L., DMD145 Don Pasqual Rd NW (505) 865-4618

BRUM, MARK D., DDS145 Don Pasqual Rd NW (505) 865-4618

CHA, LILY, DDS106 Main St NE Ste B (505) 865-1999

CHAUHAN, HARPREET S., DMD1620 Main St NW Ste D (888) 988-4066

FR, SPLanguage(s):

CHAVEZ, ARMANDO J., DDS145 Don Pasqual Rd NW (505) 865-4618

SPLanguage(s):

CHAVEZ, KEELY J., DDS106 Main St NE Ste B (505) 865-1999

CHHABRA, AJNEESH, DDS1620 Main St NW Ste D (888) 988-4066

CHUNG, CHRISTINA K., DDS106 Main St NE Ste B (505) 865-1999

CLIFFORD, LETITIA M., DDS145 Don Pasqual Rd NW (505) 865-4618

CLIFFORD, LETITIA, DDS145 Don Pasqual Rd NW (505) 865-4618

COX, PAMELA B., DDS106 Main St NE Ste B (505) 865-1999

DYE, JEREMIAH M., DDS145 Don Pasqual Rd NW (505) 865-4618

FIRST CHOICE COMMUNITY HEALTHCARE INC145 Don Pasqual Rd NW (505) 865-4618

FORDE, COLIN A., DDS135 Teles St SW (505) 883-3722

SPLanguage(s):

GADE, HANUMAN S., DDS1620 Main St NW Ste D (888) 988-4066

GARLA, HARSHAVARDHAN, DDS1620 Main St NW Ste D (888) 988-4066

GILL, MANBIR S., DDS1620 Main St NW Ste D (888) 988-4066

GONZALES, ANTHONY D., DDS219 Courthouse Rd SE (505) 865-4341

GOYAL, NIKITA, DDS145 Don Pasqual Rd NW (505) 224-8740

GREWAL, KAPIL, DDS1620 Main St NW Ste D (888) 988-4066

FR, SPLanguage(s):

HAKIMZADEH, SARA, DDS1620 Main St NW Ste D (888) 988-4066

HATCH, CAMERON J., DDS106 Main St NE Ste B (505) 865-1999

HAWKINS, DAVID A., DDS135 Teles St SW (505) 865-4003

Page 36 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 37: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasLos Lunas - 87031 (continued)

Directory of Participating Dental Providers

Alliance Network

JACKSON, LOUIS A., DDS106 Main St NE Ste B (505) 865-1999

SPLanguage(s):

JENKINS, HEATHER L., DDS106 Main St NE Ste B (505) 865-1999

JO, YOUNG S., DDS1620 Main St NW Ste D (888) 988-4066

KAMAL ALDEEN, MURTAJA, DDS1620 Main St NW Ste D (888) 988-4066

FR, SPLanguage(s):

KAWAMOTO, SHEENA Z., DDS106 Main St NE Suite B (505) 865-1999

SPLanguage(s):

KINZER, KYE G., DDS106 Main St NE Suite B (505) 865-1999

SPLanguage(s):

KONDRAGUNTA, SUMAN, DDS1620 Main St NW Ste D (888) 988-4066

LAMBA, BHANU P., DMD1620 Main St NW Ste D (888) 988-4066

LAPSKER, JENNIFER A., DDS106 Main St NE Ste B (505) 865-1999

SPLanguage(s):

LE, TONY V., DDS1620 Main St NW Ste D (888) 988-4066

LEE, JUNG W., DMD106 Main St NE Ste B (505) 865-1999

LEE, RYAN E., DDS106 Main St NE Ste B (505) 865-1999

LENHOFF, CHRISTINE A., DMD1005 Main St SW (505) 865-9438

MANGLA, KAPIL, DDS1620 Main St NW (888) 988-4066

MAZLOOMI, FARZAD, DMD1620 Main St NW Ste D (888) 988-4066

PRLanguage(s):

MCLEAN, ANNE C., DMD106 Main St NE Ste B (505) 865-1999

SPLanguage(s):

MISLA, KAREN C., DDS106 Main St NE Ste B (505) 865-1999

MIYAMASU, PATRICK K., DDS1620 Main St NW Ste D (888) 988-4066

MOLAVI, SASAN, DDS1620 Main St NW Ste D (888) 988-4066

MONTANO, ERIN M., DDS106 Main St NE Ste B (505) 865-1999

MOON, SORA, DMD1620 Main St NW Ste D (888) 988-4066

OMARI, WASSIM, DDS1620 Main St NW Ste D (888) 988-4066

OPHASO, NISSA, DMD1620 Main St NW Ste D (888) 988-4066

PARK, CHAN M., DDS1620 Main St NW Ste D (888) 988-4066

PATEL, VIRALKUMAR, DDS1620 Main St NW Ste D (888) 988-4066

PECK, CHRISTIAN S., DDS106 Main St NE Ste B (505) 865-1999

PHAM, THOMAS M., DMD1620 Main St NW Ste D (888) 988-4066

PURCELL, KAITLYN K., DDS106 Main St NE Ste B (505) 865-1999

RIO GRANDE CHILDRENS DENTISTRY DMD106 Main St NE Ste B (505) 865-1999

ROWAN, RICHARD G., DMD106 Main St NE Ste B (505) 865-1999

SAMI, TONI, DDS1620 Main St NW Ste D (888) 988-4066

SCHLOTTMAN, DAVID E., DDS145 Don Pasqual Rd NW (505) 865-4618

SCHOLL, CARA M., DDS145 Don Pasqual Rd NW (505) 865-4618

SPLanguage(s):

SEO, MICHAEL D., DDS1620 Main St NW Ste D (888) 988-4066

SPENCER, SHAMAINE R., DDS145 Don Pasqual Rd NW (505) 865-4618

TAM, STELLA, DMD1620 Main St NW Ste D (888) 988-4066

TAMMINIDI, KIRAN KUMAR, DMD1620 Main St NW Ste D (888) 988-4066

TANEJA, NIDHI, DDS1620 Main St NW Ste D (888) 988-4066

TRUONG, HENRY, DDS1620 Main St NW Ste D (888) 988-4066

TUNG, LIANG TSO, DDS145 Don Pasqual Rd NW (505) 865-4618

CN, MZLanguage(s):

TWEET, CHANDRA J., DDS145 Don Pasqual Rd NW (505) 865-4618

SPLanguage(s):

UJDA, KATARZYNA, DDS145 Don Pasqual Rd NW (505) 865-4618

PLLanguage(s):

VAHDATINIA, SINA, DMD1620 Main St NW Ste D (888) 988-4066

PRLanguage(s):

WEI, ROGER B., DDS1620 Main St NW Ste D (888) 988-4066

WILSON, ELIZABETH M., DDS1620 Main St NW Ste D (888) 988-4066

WOLF, JACOB B., DDS106 Main St NE Ste B (505) 865-1999

SPLanguage(s):

Orthodontist

BRUCE, JOSHUA D., DDS1620 Main St NW Ste D (888) 988-4066

FR, MZ, SPLanguage(s):

BUSH, HELEN D., DMD106 Main St NE Ste B (505) 865-1999

FATUNDE, ADEJOKE A., DDS1620 Main St NW Ste D (888) 988-4066

FR, SPLanguage(s):

GUYMON, RUSSELL J., DDS1620 Main St NW Ste D (888) 988-4066

Pediatric Dentist

JACKSON, JOSEPH L., DDS106 Main St NE Ste B (505) 865-1999

TASKER, SPENCER J., DMD106 Main St NE Ste B (505) 865-1999

Multi-Specialty

FAMILIA DENTAL LOS LUNAS LLC1620 Main St NW Ste D (888) 988-4066

Peralta - 87042

General Dentist

MANZANARES, DAVID J., DDS3615 Highway 47 (505) 565-0609

Pueblo of Acoma - 87034

General Dentist

FEIST, DAVID C., DDS80 Veterans Blvd Ste B (505) 248-4500

Rio Rancho - 87124

General Dentist

CANDELARIA, JOHN J., DDS2401 Cabezon Blvd SE Ste 101-A (505) 896-8862

Page 37 of 37 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 38: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso Texas

Directory of Participating Dental Providers

Alliance Network

TEXASEl Paso County

Canutillo - 79835

General Dentist

SHIVARAM, CHETAN, DDS6821 Doniphan Dr (915) 877-4949

SPLanguage(s):

Clint - 79836

General Dentist

SHIVARAM, CHETAN, DDS100 San Elizario Rd Ste M (915) 851-8900

SPLanguage(s):

El Paso - 79901

General Dentist

ABID, KHALDOON, DDS211 Texas Ave (915) 533-1600

CHIANG MCCASLAND, JAMIE A., DDS211 Texas Ave (915) 533-1600

CNLanguage(s):

DARJ, MEHRNOOSH, DDS211 Texas Ave (915) 533-1600

PR, SPLanguage(s):

GUTTIKONDA, BHARAT RAM C., DDS211 Texas Ave (915) 533-1600

KHEHRA, PREETINDER, DDS211 Texas Ave (915) 533-1600

HILanguage(s):

ORTIZ, ROGER M., DDS300 E Main Dr Ste 1120 (915) 533-0114

RODRIGUEZ, MARIA D., DDS222 S Campbell St (915) 313-8000

YI, CHUNKIL, DDS211 Texas Ave (915) 533-1600

El Paso - 79902

General Dentist

ISAAC, GEORGE M., DDS615 E Schuster Ave Ste 9B (915) 532-3611

LOPEZ, JOSE M., DDS1717 Brown St Ste 1B (915) 544-1600

LUQUIS APONTE, WILMA, DDS3260 N Mesa St Ste B (915) 545-1500

MUNOZ, YLEANA I., DDS615 E Schuster Ave Ste 5 (915) 533-3435

SPLanguage(s):

WARD, GUADALUPE M., DDS4009 N Mesa St Ste A (915) 544-3828

Endodontist

POTTER, BRETT R., DMD2311 N Mesa St Bldg H (915) 532-3651

Orthodontist

CASAVANTES, RENE O., DMD615 E Schuster Ave Ste 4 (915) 544-9500

Pediatric Dentist

YEN, CHENG C., DMD2311 N Mesa St Ste H (915) 532-3651

El Paso - 79903

General Dentist

CAMPBELL, DAVID M., DDS5150 Montana Ave (915) 771-0886

CAVAZOS, CLAUDIA L., DDS5150 Montana Ave (915) 771-0886

COPELAND, CRAIG F., DDS5150 Montana Ave (915) 771-0886

EN, SPLanguage(s):

DIULIO, HEATHER M., DMD5150 Montana Ave (915) 771-0886

SPLanguage(s):

DOLEYRES, DORIS, DDS5150 Montana Ave (915) 771-0886

EVANS, EVERETT C., DDS5150 Montana Ave (915) 771-0886

EN, SPLanguage(s):

EZE, KENECHUKWU O., DDS5150 Montana Ave (915) 771-0886

GUNATILAKA, TUSHARA L., DDS5150 Montana Ave (915) 771-0886

EN, SPLanguage(s):

HALL, DANIEL R., DMD5150 Montana Ave (915) 771-0886

HOELZER, TYLER B., DDS5150 Montana Ave (915) 771-0886

JAMAL, HAYFFA, DDS5150 Montana Ave (915) 771-0886

KASALLIS, ANTHONY J., DDS5150 Montana Ave (915) 771-0886

SPLanguage(s):

KHAMBATY, SAKINA Q., DMD5150 Montana Ave (915) 771-0886

LANHAM, LAWRENCE B., DDS5150 Montana Ave (915) 771-0886

LANNING, DONALD W., DDS5150 Montana Ave (915) 771-0886

EN, SPLanguage(s):

MARTINEZ, GINALYN, DMD5150 Montana Ave (915) 771-0886

MASON, JEFFREY L., DMD5150 Montana Ave (915) 771-0886

EN, SPLanguage(s):

MATHISEN, DEANNA L., DMD5150 Montana Ave (915) 771-0886

EN, SPLanguage(s):

MCKENZIE, CHARLES B., DDS5150 Montana Ave (915) 771-0886

EN, SPLanguage(s):

MERAZ, GABRIEL A., DDS5150 Montana Ave (915) 771-0886

SPLanguage(s):

MILANI, MANDANA B., DMD5150 Montana Ave (915) 771-0886

OGUNSOLA, OLUTAYO O., DMD5150 Montana Ave (915) 771-0886

OKECHUKWU, OKEY P., DDS5150 Montana Ave (915) 771-0886

PATEL, MEGHA, DDS5150 Montana Ave (915) 771-0886

PATEL, URVI H., DMD5150 Montana Ave (915) 771-0886

EN, SPLanguage(s):

RICHENS, BRADLEY M., DDS5150 Montana Ave (915) 771-0886

RODRIGUEZ MARQUEZ, DARIUS, DMD5150 Montana Ave (915) 771-0886

SANOVICH, RANDY R., DDS5150 Montana Ave (915) 771-0886

SAVAGE, TRENT C., DMD5150 Montana Ave (915) 771-0886

SPLanguage(s):

SOHAIL, AMAR, DDS5150 Montana Ave (915) 771-0886

SPARACINO, JOSEPH M., DDS5150 Montana Ave (915) 771-0886

TOBLER, JEFFREY W., DMD5150 Montana Ave (915) 771-0886

VARGAS, OSCAR A., DDS811 Chelsea St (915) 779-5553

SPLanguage(s):

WILLIAMS, MARK D., DMD5150 Montana Ave (915) 771-0886

WILLIS, SHAUN P., DMD5150 Montana Ave (915) 771-0886

EN, SPLanguage(s):

WOODY, KEVIN M., DMD5150 Montana Ave (915) 771-0886

Orthodontist

BORKOWSKI, ROBERT N., DDS5150 Montana Ave (915) 771-0886

EN, SPLanguage(s):

LUFF, KELVAN C., DDS5150 Montana Ave (915) 771-0886

EN, SPLanguage(s):

MOORE, MICHAEL H., DDS1200 Chelsea St (915) 772-4491

Pediatric Dentist

RAO, SABITA M., DMD5150 Montana Ave (915) 771-0886

Multi-Specialty

MONTANA DENTAL PLLC5150 Montana Ave (915) 771-0886

SPLanguage(s):

El Paso - 79904

General Dentist

BOUDREAUX, GARY L., DDS8815 Dyer St Ste 255 (915) 757-2688

ESTRADA, CRYSTAL, DDS4875 Maxwell Ave (915) 313-9908

GREENHALGH, DEL G., DDS9040 Dyer St Ste 102 (915) 500-3643

LASTIMADO, MARCUS S., DDS4875 Maxwell Ave (915) 757-0255

LASTIMADO, MARCUS S., DMD4875 Maxwell Ave (915) 313-9908

SPLanguage(s):

LE, TUNG V., DDS4875 Maxwell Ave (915) 313-9908

VTLanguage(s):

Page 1 of 12 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 39: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasEl Paso - 79904 (continued)

Directory of Participating Dental Providers

Alliance Network

MAURICIO KAPPEL, JESSICA S., DDS4717 Maxwell Ave (915) 755-5464

SPIVACK, STEVEN W., DDS8815 Dyer St Ste 210 (915) 755-7697

STEINMANN JR., WILLIAM E., DDS4717 Maxwell Ave (915) 755-5464

WILLIAMS, SHENICE L., DDS9040 Dyer St (915) 500-3643

Orthodontist

BLACK, RICHARD C., DDS4717 Maxwell Ave (915) 592-5853

Multi-Specialty

PROJECT VIDA DENTAL SERVICES4875 Maxwell Ave (915) 313-9908

El Paso - 79905

General Dentist

BEJARANO JR., ARTURO J., DDS5301 Alameda Ave Ste 105 (915) 778-4545

BEJARANO JR., ARTURO J., DDS5630 Gateway Blvd E Ste 4 (915) 772-5200

BREIG, JOSEPH, DMD5561B Alameda Ave (800) 920-9947

CHOI, YOONHYEOK, DDS5561B Alameda Ave (800) 920-9947

CITY OF EL PASO TEXAS3301 Pera Ave (915) 313-8000

COOPWOOD EARLE, DIANE M., DDS5561B Alameda Ave (800) 920-9947

CROARKIN, JEFFREY D., DDS5561 B Alameda Ave (915) 249-2369

ESTRADA, CRYSTAL, DDS3607 Rivera Ave (915) 313-9908

FARRELL, SCOTT C., DDS5561B Alameda Ave (800) 920-9947

SPLanguage(s):

GONZALEZ, ELIZABETH, DDS3301 Pera Ave (915) 313-8000

GUTTIKONDA, KRISHNAVENI, DDS5561B Alameda Ave (800) 920-9947

JOHNSTUN, KEVIN C., DMD5561B Alameda Ave (800) 920-9947

KHASSA, SARABJIT K., DDS6232 Gateway Blvd E (915) 600-7868

LANGFORD, CARREN R., DDS5561 B Alameda Ave (915) 249-2369

LASTIMADO, MARCUS S., DMD3607 Rivera Ave (915) 313-9908

SPLanguage(s):

LE, TUNG V., DDS3607 Rivera Ave (915) 313-9908

VTLanguage(s):

LEE, CHARLES J., DDS5561B Alameda Ave (800) 920-9947

LIND, CHRISTOPHER A., DMD5561B Alameda Ave (800) 920-9947

NAFFAH, ROBERT, DDS5561B Alameda Ave (800) 920-9947

OASIS DENTAL5340 El Paso Dr Ste K (915) 781-7725

PETTY, STEPHEN T., DDS5561B Alameda Ave (800) 920-9947

PINERO CORREA, ROSARIO M., DDS5561 Alameda Ave Ste 23B (678) 904-5665

REID, ALAN D., DMD5561B Alameda Ave (800) 920-9947

RIDDLE, PAIGE A., DDS5561B Alameda Ave (800) 920-9947

SHASTRI, PADMAPRIYA G., DDS5561B Alameda Ave (800) 920-9947

SINGLETON, ANDRE, DDS5561B Alameda Ave (800) 920-9947

SIVANICH, KRISTOFER P., DDS5561B Alameda Ave (800) 920-9947

TIAO, KATIE K., DDS5561B Alameda Ave (800) 920-9947

TIPLEA, MIHAI E., DDS5561B Alameda Ave (800) 920-9947

VUGGAM, ANIL K., DMD5561B Alameda Ave (800) 920-9947

Oral Surgery

BUGUENO, JUAN M., DDS3607 Rivera Ave (915) 313-9908

SPLanguage(s):

RIPLEY, JAMES F., DDS5561B Alameda Ave (800) 920-9947

Multi-Specialty

PROJECT VIDA DENTAL SERVICES3607 Rivera Ave (915) 313-9908

El Paso - 79907

General Dentist

ALLEN, LESLIE C., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

ALLEN, ROBERT W., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

AMES, JONATHAN, DDS9411 Alameda Ave Ste P (915) 858-6868

SPLanguage(s):

AMIN, MITUL A., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

ANNAPAREDDY, ANUPAMA, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

ARREDONDO LYNCH, ALMA G., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

ARYAN, FARAMARAZ, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

AU YEUNG, VICTOR, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

BAIRD, JANYN K., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

SPLanguage(s):

BECK, TYSON T., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

BEJARANO JR., ARTURO, DDS8825 N Loop Dr Ste 126 (915) 778-4545

BLACKWELDER, AARON C., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

BREIG, JOSEPH, DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

BRELAND, MARK F., DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

BUNKER, ADAM E., DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

BURNS, PEGGY L., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

CAMPBELL, DAVID M., DDS500 N Zaragoza Rd Ste K (915) 730-6200

CARLTON, RANDALL W., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

CHHEDA, VIMAL, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

CHOI, EUREE, DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

CHOI, YOONHYEOK, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

CHUENKLUNG, PAKAWAT D., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

SPLanguage(s):

COOPWOOD EARLE, DIANE M., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

COPELAND, CRAIG F., DDS500 N Zaragoza Rd Ste K (915) 730-6200

EN, SPLanguage(s):

CROARKIN, JEFFREY D., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

DAGGULA, PADMA, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

DILAWRI, EKTA, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

DIULIO, HEATHER M., DMD500 N Zaragoza Rd Ste K (915) 730-6200

DOLEYRES, DORIS, DDS500 N Zaragoza Rd Ste K (915) 730-6200

ERICKSON, JEFFREY T., DMD9411 Alameda Ave Ste P (915) 858-6868

ERICKSON, JEFFREY T., DMD1018 N Fabens Rd (915) 764-0096

EVANS, EVERETT C., DDS500 N Zaragoza Rd Ste K (915) 730-6200

EN, SPLanguage(s):

EZE, KENECHUKWU O., DDS500 N Zaragoza Rd Ste K (915) 730-6200

SPLanguage(s):

EZE, KENECHUKWU O., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

FARRELL, SCOTT C., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

SPLanguage(s):

FATUNDE, ADEJOKE A., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

YRLanguage(s):

FOREMAN, THERESA C., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

FURQUERON, BUDDY D., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

GIFFORD, D. RAY, DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

SPLanguage(s):

GUNATILAKA, TUSHARA L., DDS500 N Zaragoza Rd Ste K (915) 730-6200

EN, SPLanguage(s):

Page 2 of 12 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 40: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasEl Paso - 79907 (continued)

Directory of Participating Dental Providers

Alliance Network

GUTTIKONDA, KRISHNAVENI, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

HALL, DANIEL R., DMD500 N Zaragoza Rd Ste 5 (915) 730-6200

SPLanguage(s):

HOELZER, TYLER B., DDS500 N Zaragoza Rd Ste K (915) 730-6200

HUYNH, DUC P., DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

JAMAL, HAYFFA, DDS500 N Zaragoza Rd Ste K (915) 730-6200

JENNINGS, TIMOTHY D., DDS9411 Alameda Ave Ste P (915) 858-6868

SPLanguage(s):

JOHNSTUN, KEVIN C., DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

KARAN, KUNAL, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

KASALLIS, ANTHONY J., DDS500 N Zaragoza Rd Ste K (915) 730-6200

SPLanguage(s):

KAUR, RUSHNEET, DDS500 N Zaragoza Rd Ste K (915) 730-6200

SPLanguage(s):

KHAMBATY, SAKINA Q., DMD500 N Zaragoza Rd Ste K (915) 730-6200

KIM, CHANGHUN, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

KIM, JIHYE, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

KOLanguage(s):

KIM, YOUNGGIL, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

KOLanguage(s):

KOTI, SUSMITHA R., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

KS 2 TX PC615 N Zaragoza Rd Ste 88 (915) 858-5047

LANGFORD, CARREN R., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

LANHAM, LAWRENCE B., DDS500 N Zaragoza Rd Ste K (915) 730-6200

LANNING, DONALD W., DDS500 N Zaragoza Rd Ste K (915) 730-6200

EN, SPLanguage(s):

LEE, CHARLES J., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

LEE, WOONG, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

LEIBINSKY RAMOS, POLYNA, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

LIM, KENNY, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

LIN, PHILIP M., DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

LIND, CHRISTOPHER A., DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

LYNN, SPENCER V., DDS9411 Alameda Ave Ste P (915) 858-6868

SPLanguage(s):

MANANDHAR, ROOPA, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

MARTINEZ, GINALYN, DMD500 N Zaragoza Rd Ste K (915) 730-6200

MASON, JEFFREY L., DMD500 N Zaragoza Rd Ste K (915) 730-6200

EN, SPLanguage(s):

MATHISEN, DEANNA L., DMD500 N Zaragoza Rd Ste K (915) 730-6200

EN, SPLanguage(s):

MAYFIELD, DALE G., DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

MCCOOK, DAVID F., DDS9411 Alameda Ave Ste P (915) 858-6868

MCKENZIE, CHARLES B., DDS500 N Zaragoza Rd Ste K (915) 730-6200

EN, SPLanguage(s):

MELANSON, MICHAEL P., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

MERAZ, GABRIEL A., DDS500 N Zaragoza Rd Ste K (915) 730-6200

SPLanguage(s):

MILANI, MANDANA B., DMD500 N Zaragoza Rd Ste K (915) 730-6200

SPLanguage(s):

MORRIS, THOMAS A., DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

MORRIS, THOMAS, DMD9411 Alameda Ave Ste P (915) 858-6868

SPLanguage(s):

MYSORE RAJAGOPAL, SOWMYA M., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

NAFFAH, ROBERT, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

NARITA, LUCIAN D., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

NARITA, LUMINITA, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

NEWHOUSE, CHARLA O., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

NGUYEN, THOMAS B., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

OGUNSOLA, OLUTAYO O., DMD500 N Zaragoza Rd Ste K (915) 730-6200

OKECHUKWU, OKEY P., DDS500 N Zaragoza Rd Ste K (915) 730-6200

OMBAYO, JACKTONE, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

PANCHMATIA, VISHAL P., DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

PARKINSON, JARED L., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

PATEL, MEGHA, DDS500 N Zaragoza Rd Ste K (915) 730-6200

PATEL, MEGHA, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

PATEL, URVI H., DMD500 N Zaragoza Rd Ste K (915) 730-6200

EN, SPLanguage(s):

PAYNE, JAMES R., DDS9411 Alameda Ave Ste P (915) 858-6868

PETTY, STEPHEN T., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

PHAM, RICHARD K., DDS700 N Zaragoza Rd Ste T (915) 493-2699

PHAN, CHRISTINE A., DDS700 N Zaragoza Rd Ste T (915) 493-2699

SP, VTLanguage(s):

PHUNG, LONG N., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

PINERO CORREA, ROSARIO M., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

PRAKASH, PREETI, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

RAMOS, ANGEL, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

SPLanguage(s):

REID, ALAN D., DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

RIDDLE, PAIGE A., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

RODRIGUEZ MARQUEZ, DARIUS, DMD500 N Zaragoza Rd Ste K (915) 730-6200

ROMERO, DENNIS A., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

SALVI, KAVITA K., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

SANKU, SHALINI, DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

SANOVICH, RANDY R., DDS200 N Zaragoza Rd (915) 730-6200

SANOVICH, RANDY R., DDS500 N Zaragoza Rd Ste K (915) 730-6200

SAVAGE, TRENT C., DMD500 N Zaragoza Rd Ste K (915) 730-6200

SPLanguage(s):

SCHOMAKER, CHRISTOPHER E., DMD9411 Alameda Ave Ste P (915) 858-6868

SHASTRI, PADMAPRIYA G., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

SHUFORD, KELLY P., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

SIDHU, JAGJOT S., DDS9411 Alameda Ave Ste P (915) 858-6868

SINGLETON, ANDRE, DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

SIVANICH, KRISTOFER P., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

SPARACINO, JOSEPH M., DDS500 N Zaragoza Rd Ste K (915) 730-6200

STRICKLAND, JAMES R., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

SPLanguage(s):

TEXAS KIDS DENTAL CARE9411 Alameda Ave Ste P (915) 858-6868

THOMAS, JEFFREY A., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

TIPLEA, MIHAI E., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

TOBLER, JEFFREY W., DMD500 N Zaragoza Rd Ste K (915) 730-6200

TRAN, TU M., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

SPLanguage(s):

Page 3 of 12 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 41: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasEl Paso - 79907 (continued)

Directory of Participating Dental Providers

Alliance Network

UH, SOO Y., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

VUGGAM, ANIL K., DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

WANG, JEFFREY M., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

WILLIAMS, MARK D., DMD500 N Zaragoza Rd Ste K (915) 730-6200

WILLIS, SHAUN P., DMD500 N Zaragoza Rd Ste K (915) 730-6200

EN, SPLanguage(s):

WILSON, CHELSEA, DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

WU, KAREN L., DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

SPLanguage(s):

ZIAFAT, MEHRYAR, DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

Oral Surgery

PRINCE, SANDFORD W., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

RIPLEY, JAMES F., DDS615 N Zaragoza Rd Ste 88 (915) 858-5047

Orthodontist

BORKOWSKI, ROBERT N., DDS500 N Zaragoza Rd Ste K (915) 730-6200

EN, SPLanguage(s):

CURTIS, ALAN A., DDS9411 Alameda Ave Ste P (915) 858-6868

SPLanguage(s):

LUFF, KELVAN C., DDS500 N Zaragoza Rd Ste K (915) 730-6200

EN, SPLanguage(s):

Pediatric Dentist

RAO, SABITA M., DMD500 N Zaragoza Rd Ste K (915) 730-6200

YEN, CHENG C., DMD615 N Zaragoza Rd Ste 88 (915) 858-5047

Multi-Specialty

SMILE MAGIC OF EL PASO PLLC500 N Zaragoza Rd Ste K (915) 730-6200

EN, SPLanguage(s):

El Paso - 79911

General Dentist

TINER, BRANDI L., DDS6901 Helen of Troy Ste B (915) 833-3484

SPLanguage(s):

Endodontist

HOLDEN, DAVID T., DMD6901 Helen of Troy Bldg E Ste E2 (915) 581-3391

PT, SPLanguage(s):

STUART, CHARLES H., DDS6901 Helen of Troy Ste 2E Bldg E (915) 581-3391

GRLanguage(s):

WAYMAN, BLAKE E., DDS6901 Helen of Troy Ste C (915) 581-8070

WESTSIDE ENDODONTIC ASSOCIATES6901 Helen of Troy E2 (915) 581-3391

Orthodontist

RIVERA, JAIME, DMD6901 Helen of Troy Bldg D 1 (915) 585-7550

SPLanguage(s):

El Paso - 79912

General Dentist

ALLEN, LESLIE C., DDS6910 N Mesa St Ste C (915) 317-7565

ALLEN, ROBERT W., DDS6910 N Mesa St Ste C (915) 317-7565

AMIN, MITUL A., DDS6910 N Mesa St Ste C (915) 317-7565

ANNAPAREDDY, ANUPAMA, DDS6910 N Mesa St Ste C (915) 317-7565

APILADO, PAUL V., DDS6955 N Mesa St Ste 110 (915) 584-1131

SPLanguage(s):

ARREDONDO LYNCH, ALMA G., DDS6910 N Mesa St (915) 317-7565

BAI, ANTHONY, DDS7211 N Mesa St Ste 3E (915) 400-2150

BAIRD, JANYN K., DDS6910 N Mesa St Ste C (915) 317-7565

SPLanguage(s):

BECK, TYSON T., DDS6910 N Mesa St Ste C (915) 317-7565

BILBRO, GEORGE S., DDS5555 N Mesa St Ste 400 (915) 581-6673

BREIG, JOSEPH, DMD6910 N Mesa St (915) 317-7565

BRELAND, MARK F., DMD6910 N Mesa St (915) 317-7565

BROOKS, COURTNEY M., DDS7211 N Mesa St Ste 1E (915) 833-2952

BUNKER, ADAM E., DMD6910 N Mesa St Ste C (915) 317-7565

BURCIAGA, ARTHUR T., DDS7181 Westwind Dr Ste A (915) 581-1511

BURNS, PEGGY L., DDS6910 N Mesa St Ste C (915) 317-7565

CARLTON, RANDALL W., DDS6910 N Mesa St Ste C (915) 317-7565

CHHEDA, VIMAL, DDS6910 N Mesa St Ste C (915) 317-7565

CHIANG MCCASLAND, JAMIE A., DDS6555 N Mesa St (915) 584-5457

CHOI, EUREE, DMD6910 N Mesa St Ste C (915) 317-7565

CHOI, YOONHYEOK, DDS6910 N Mesa St Ste C (915) 317-7565

CHUENKLUNG, PAKAWAT D., DDS6910 N Mesa St Ste C (915) 317-7565

SPLanguage(s):

CONNOR III, THOMAS W., DDS840 E Redd Rd Bldg 1B (915) 581-1771

COOK JR., LEWIS E., DDS5867 N Mesa St Ste B (915) 504-6888

SPLanguage(s):

CROARKIN, JEFFREY D., DDS6910 N Mesa St Ste C (915) 317-7565

CULLEN, PHILIP J., DDS6555 N Mesa St (915) 584-5457

SPLanguage(s):

DAGGULA, PADMA, DDS6910 N Mesa St (915) 317-7565

DALLO, NADA, DDS7598 N Mesa St Ste B4 (915) 584-8894

DARANCOU, ENRIQUE, DMD5867 N Mesa St Ste B (915) 504-6888

DILAWRI, EKTA, DDS6910 N Mesa St (915) 317-7565

EP DENTISTRY 4 KIDS5867 N Mesa St Ste B (915) 504-6888

EZE, KENECHUKWU O., DDS6910 N Mesa St Ste C (915) 317-7565

FARLAND, TAYLOR G., DDS5867 N Mesa St Ste B (915) 504-6888

FARRELL, SCOTT C., DDS6910 N Mesa St Ste C (915) 317-7565

SPLanguage(s):

FATUNDE, ADEJOKE A., DDS6910 N Mesa St Ste C (915) 317-7565

YRLanguage(s):

FOREMAN, THERESA C., DDS6910 N Mesa St (915) 317-7565

FURQUERON, BUDDY D., DDS6910 N Mesa St Ste C (915) 317-7565

GUTTIKONDA, KRISHNAVENI, DDS6910 N Mesa St (915) 317-7565

HENDERSON, ROBERT E., DDS824 E Redd Rd Ste B (915) 833-0303

SPLanguage(s):

HUYNH, DUC P., DMD6910 N Mesa St Ste C (915) 317-7565

JOHNSTUN, KEVIN C., DMD5867 N Mesa St Ste B (915) 504-6888

SPLanguage(s):

JOHNSTUN, KEVIN C., DMD6910 N Mesa St Ste C (915) 317-7565

KAMP, AARON, DDS5867 N Mesa St Ste B (915) 504-6888

KARAN, KUNAL, DDS6910 N Mesa St (915) 317-7565

KIM, CHANGHUN, DDS6910 N Mesa St Ste C (915) 317-7565

KIM, JIHYE, DDS6910 N Mesa St Ste C (915) 317-7565

KOLanguage(s):

KIM, YOUNGGIL, DDS6910 N Mesa St Ste C (915) 317-7565

KOLanguage(s):

KOELLING, GEOFFREY C., DMD5867 N Mesa St Ste B (915) 504-6888

KOTI, SUSMITHA R., DDS6910 N Mesa St Ste C (915) 317-7565

KS 2 TX PC6910 N Mesa St Ste C (915) 317-7565

LANGFORD, CARREN R., DDS6910 N Mesa St (915) 317-7565

LARSON, CAMERON C., DMD5867 N Mesa St Ste B (915) 504-6888

Page 4 of 12 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 42: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasEl Paso - 79912 (continued)

Directory of Participating Dental Providers

Alliance Network

LEE, CHARLES J., DDS6910 N Mesa St (915) 317-7565

LEE, WOONG, DDS6910 N Mesa St Ste C (915) 317-7565

LEIBINSKY RAMOS, POLYNA, DDS6910 N Mesa St Ste C (915) 317-7565

LIM, KENNY, DDS6910 N Mesa St Ste C (915) 317-7565

LIN, PHILIP M., DMD6910 N Mesa St Ste C (915) 317-7565

LIND, CHRISTOPHER A., DMD6910 N Mesa St Ste C (915) 317-7565

LIND, CHRISTOPHER A., DMD5867 N Mesa St Ste B (915) 504-6888

LOISELLE, RICHARD P., DDS600 Sunland Park Dr Ste 3-600 (915) 584-0590

LOVELADY, FRANCES A., DDS210 Thunderbird Dr Ste W (915) 833-9597

LUDDEN, TODD N., DDS5867 N Mesa St Ste B (915) 504-6888

SPLanguage(s):

LUQUIS APONTE, WILMA, DDS7040 N Mesa St Ste A (915) 833-1800

LYON, RICHARD G., DDS7598 N Mesa St Ste A (915) 584-4472

MANANDHAR, ROOPA, DDS6910 N Mesa St (915) 317-7565

MANGOLD, CHRISTOPHER A., DDS201 Bartlett Dr Ste B (915) 584-4497

ENLanguage(s):

MAYFIELD, DALE G., DMD6910 N Mesa St Ste C (915) 317-7565

MUCKERHEIDE, CAROLYN A., DDS7211 N Mesa St Ste 1E (915) 833-2952

MURRAY, NICHOLAS J., DMD840 E Redd Rd Bldg 1B (915) 581-1771

MYSORE RAJAGOPAL, SOWMYA M., DDS6910 N Mesa St Ste C (915) 317-7565

NAFFAH, ROBERT, DDS6910 N Mesa St Ste C (915) 317-7565

NARITA, LUCIAN D., DDS6910 N Mesa St Ste C (915) 317-7565

NARITA, LUMINITA, DDS6910 N Mesa St Ste C (915) 317-7565

NAVARRETE JR., JOHN, DDS7040 N Mesa St Ste A (915) 833-1800

NEWHOUSE, CHARLA O., DDS6910 N Mesa St Ste C (915) 317-7565

NGUYEN, CECILE, DDS5929 Cromo Dr Ste B (915) 581-6688

NGUYEN, THOMAS B., DDS6910 N Mesa St Ste C (915) 317-7565

OMBAYO, JACKTONE, DDS6910 N Mesa St Ste C (915) 317-7565

PANCHMATIA, VISHAL P., DMD6910 N Mesa St (915) 317-7565

PARKINSON, JARED L., DDS6910 N Mesa St Ste C (915) 317-7565

PATEL, MEGHA, DDS6910 N Mesa St (915) 317-7565

PETTY, STEPHEN T., DDS6910 N Mesa St Ste C (915) 317-7565

PHUNG, LONG N., DDS6910 N Mesa St Ste C (915) 317-7565

PINERO CORREA, ROSARIO M., DDS6910 N Mesa St Ste C (915) 317-7565

PONSFORD, RICHARD G., DDS210 Thunderbird Dr Ste X (915) 581-4440

PRAKASH, PREETI, DDS6910 N Mesa St Ste C (915) 317-7565

PROVENGHI, TRACY S., DDS7040 N Mesa St Ste A (915) 833-1800

RAMOS, ANGEL, DDS6910 N Mesa St Ste C (915) 317-7565

SPLanguage(s):

REID, ALAN D., DMD6910 N Mesa St Ste C (915) 317-7565

RIDDLE, PAIGE A., DDS6910 N Mesa St Ste C (915) 317-7565

ROBERTS JR., DANIEL O., DDS7370 Remcon Cir (915) 532-5050

ROBERTS, BRADLEY O., DMD5867 N Mesa St Ste B (915) 504-6888

SPLanguage(s):

ROMANO, KISLEY G., DDS5867 N Mesa St Ste B (915) 504-6888

ROMERO, DENNIS A., DDS6910 N Mesa St Ste C (915) 317-7565

SALOME, BRIAN C., DDS7598 N Mesa St Ste A (915) 584-4472

SALOME, ROGER B., DDS7598 N Mesa St Ste A (915) 584-4472

SALVI, KAVITA K., DDS6910 N Mesa St (915) 317-7565

SANKU, SHALINI, DMD6910 N Mesa St (915) 317-7565

SHAMS, TAMIR, DMD255 Shadow Mountain Dr Ste H (915) 857-6453

SHASTRI, PADMAPRIYA G., DDS6910 N Mesa St (915) 317-7565

SHAYESTEH, NIMA E., DMD255 Shadow Mountain Dr Ste G (915) 587-6453

SHUFORD, KELLY P., DDS6910 N Mesa St Ste C (915) 317-7565

SIDDIQUI, AFRIN A., DDS6910 N Mesa St Ste C (915) 317-7565

SIDDIQUI, OMAR, DMD7040 N Mesa St Ste A (915) 833-1800

SPLanguage(s):

SINGLETON, ANDRE, DDS6910 N Mesa St Ste C (915) 317-7565

SIVANICH, KRISTOFER P., DDS6910 N Mesa St Ste C (915) 317-7565

SMITH, DAVID G., DMD5867 N Mesa St Ste B (915) 504-6888

STEIN, SCOTT A., DDS7189 Westwind Dr (915) 584-0400

SPLanguage(s):

THOMAS, JEFFREY A., DDS6910 N Mesa St Ste C (915) 317-7565

TINER, BRANDI L., DDS5867 N Mesa St Ste B (915) 504-6888

SPLanguage(s):

TIPLEA, MIHAI E., DDS6910 N Mesa St Ste C (915) 317-7565

UH, SOO Y., DDS6910 N Mesa St (915) 317-7565

VUGGAM, ANIL K., DMD6910 N Mesa St (915) 317-7565

WANG, JEFFREY M., DDS6910 N Mesa St Ste C (915) 317-7565

WILSON, CHELSEA, DMD6910 N Mesa St Ste C (915) 317-7565

WU, KAREN L., DMD6910 N Mesa St Ste C (915) 317-7565

SPLanguage(s):

YAMOAH, ALBERT, DDS5867 N Mesa St Ste B (915) 504-6888

ZIAFAT, MEHRYAR, DMD6910 N Mesa St Ste C (915) 317-7565

Oral Surgery

BUTLER, RONALD C., DDS7211 N Mesa St Ste 1S (915) 581-7800

DUVERNOIS, MARK F., DDS7211 N Mesa St Ste 1S (915) 581-7800

PRINCE, SANDFORD W., DDS6910 N Mesa St (915) 317-7565

RIPLEY, JAMES F., DDS6910 N Mesa St (915) 317-7565

Orthodontist

ALLEN, DANIEL M., DDS824 E Redd Rd Ste 1A (915) 581-8152

PTLanguage(s):

BLACK, RICHARD C., DDS7598 N Mesa St Ste B1 (915) 592-5853

CROFT, DEVIN L., DDS5867 N Mesa St Ste B (915) 857-9700

SPLanguage(s):

HUNSAKER, STEPHEN D., DDS5867 N Mesa St Ste B (915) 857-9700

SPLanguage(s):

MENENDEZ, SILVIA M., DDS855 N Resler Dr Ste A (915) 581-0833

SPLanguage(s):

MILLS, JERRY D., DDS7040 N Mesa St Ste A (915) 833-1800

MOORE, MICHAEL H., DDS855 N Resler Dr Ste A (915) 585-8595

MUNDY, GARY D., DDS5551 N Mesa St Ste A (915) 581-5476

NOVICK, RICHARD B., DDS7100 Westwind Dr Ste 255 (915) 833-9989

PACKER, KEITH M., DMD5867 N Mesa St Ste B (915) 857-9700

SMILE STRAIGHT ORTHODONTICS LLC5867 N Mesa St Ste B (915) 857-9700

SMITH, BRENDAN D., DDS5867 N Mesa St Ste B (915) 857-9700

SPLanguage(s):

TENG, JESSE, DDS5551 N Mesa St Ste A (915) 581-5476

CNLanguage(s):

Page 5 of 12 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 43: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasEl Paso - 79912 (continued)

Directory of Participating Dental Providers

Alliance Network

Pediatric Dentist

BRIGGS, LLOYD H., DDS7211 N Mesa St Ste 1E (915) 833-2953

GR, SPLanguage(s):

CALDERON KIESLING, KARIN L., DDS7211 N Mesa St Ste 1E (915) 592-4168

CARPIO, CECILIA E., DDS7211 N Mesa St Ste 1E (915) 833-2952

DELAUGHTER, LATOYA M., DDS7211 N Mesa St Ste 1E (915) 833-2952

HOLGUIN, LIZBETH, DDS7211 N Mesa St Ste 1E (915) 833-2952

LIN, ROYANA H., DDS7211 N Mesa St Ste 1E (915) 833-2952

LUQUE, SOFIA A., DDS7211 N Mesa St Ste 1E (915) 592-4168

MOLLERE, RODNEY D., DDS965 N Resler Dr Ste 105 (915) 585-2020

SANCHEZ BAQUERO, DIANA C., DDS7211 N Mesa St Ste 1E (915) 833-2952

STARK, THOMAS R., DDS7211 N Mesa St Ste 1E (915) 833-2952

VADLAMUDI, ARCHANA, DDS5867 N Mesa St Ste B (915) 504-6888

WALLACE, CAYCE, DMD5867 N Mesa St Ste B (915) 504-6888

SPLanguage(s):

YEN, CHENG C., DMD6910 N Mesa St Ste C (915) 317-7565

Multi-Specialty

MONARCH DENTAL7040 N Mesa St Ste A (915) 833-1800

El Paso - 79915

General Dentist

BAI, ANTHONY, DDS8061 Alameda Ave (915) 859-7545

SPLanguage(s):

LOISELLE, RICHARD P., DDS120 S Carolina Dr (915) 772-5521

MASON, TALISHA A., DDS8061 Alameda Ave (915) 859-7545

SPLanguage(s):

SOLIS JR., ANTONIO R., DDS7878 Gateway Blvd E Ste 101 (915) 595-3333

SPLanguage(s):

Orthodontist

BREWKA, ROBERT E., DDS7878 Gateway Blvd E Ste 300 (915) 595-1200

CHAUDHARY, GAURANG H., DDS7878 Gateway Blvd E Ste 300 (915) 595-1200

RODRIGUEZ, SEBASTIAN, DDS7878 Gateway Blvd E Ste 300 (915) 595-1200

SMITH, ASHLEY W., DMD7878 Gateway Blvd E Ste 300 (915) 595-1200

UNITED ORTHODONTICS OF SOUTH EAST EL PASO 7878 Gateway Blvd E Ste 300 (915) 595-1200

VONDRAK, JOHN G., DDS7878 Gateway Blvd E Ste 300 (915) 595-1200

VONDRAK, JOHN G., DDS7878 Gateway Blvd E Ste 201 (915) 595-1200

Pediatric Dentist

PARCO, TODD M., DDS7878 Gateway Blvd E Ste 100 (915) 209-2762

THE CROC DOC PC7878 Gateway Blvd E Ste 100 (915) 209-2762

El Paso - 79922

General Dentist

BROWN, CARMIE L., DDS1050 Sunland Park Dr Ste B200 (915) 213-1200

SPLanguage(s):

WILSON, ROBERT G., DMD1050 Sunland Park Dr Ste B200 (915) 213-1200

WILSON, TIFFANIE S., DMD1050 Sunland Park Dr Ste B200 (915) 213-1200

El Paso - 79924

General Dentist

ABRAMIAN, ARAM J., DDS9813 Dyer St Ste 100 (915) 751-0123

SPLanguage(s):

ALLEN, LESLIE C., DDS5130 Fairbanks Dr (915) 603-4968

ALLEN, ROBERT W., DDS5130 Fairbanks Dr (915) 603-4968

AMIN, MITUL A., DDS5130 Fairbanks Dr (915) 603-4968

ANNAPAREDDY, ANUPAMA, DDS5130 Fairbanks Dr (915) 603-4968

ARREDONDO LYNCH, ALMA G., DDS5130 Fairbanks Dr (915) 603-4968

ARYAN, FARAMARAZ, DDS5130 Fairbanks Dr (915) 603-4968

BAILEY, DWIGHT, DDS9201 Dyer St Ste B (915) 751-7070

BAIRD, JANYN K., DDS5130 Fairbanks Dr (915) 603-4968

SPLanguage(s):

BECK, TYSON T., DDS5130 Fairbanks Dr (915) 603-4968

BLACKWELDER, AARON C., DDS5130 Fairbanks Dr (915) 603-4968

BREIG, JOSEPH, DMD5130 Fairbanks Dr (915) 603-4968

BRELAND, MARK F., DMD5130 Fairbanks Dr (915) 603-4968

BROYLES, DAWN L., DDS9813 Dyer St Ste 100 (915) 751-0123

SPLanguage(s):

BUNKER, ADAM E., DMD5130 Fairbanks Dr (915) 603-4968

BURNS, PEGGY L., DDS5130 Fairbanks Dr (915) 603-4968

CANDELARIO, IVAN, DMD9909 Kenworthy St (915) 755-7639

SPLanguage(s):

CARE, RONALD W., DDS9909 Kenworthy St (915) 755-7639

CARLTON, RANDALL W., DDS5130 Fairbanks Dr (915) 603-4968

CHHEDA, VIMAL, DDS5130 Fairbanks Dr (915) 603-4968

CHOI, EUREE, DMD5130 Fairbanks Dr (915) 603-4968

CHOI, YOONHYEOK, DDS5130 Fairbanks Dr (915) 603-4968

CHUENKLUNG, PAKAWAT D., DDS5130 Fairbanks Dr (915) 603-4968

SPLanguage(s):

COOPWOOD EARLE, DIANE M., DDS5130 Fairbanks Dr (915) 603-4968

CROARKIN, JEFFREY D., DDS5130 Fairbanks Dr (915) 603-4968

DAGGULA, PADMA, DDS5130 Fairbanks Dr (915) 603-4968

DARANCOU, ENRIQUE, DMD9813 Dyer St Ste 100 (915) 751-0123

DILAWRI, EKTA, DDS5130 Fairbanks Dr (915) 603-4968

E P DENTISTRY 4 KIDS9813 Dyer St Ste 100 (915) 751-0123

SPLanguage(s):

EZE, KENECHUKWU O., DDS5130 Fairbanks Dr (915) 603-4968

FARLAND, TAYLOR G., DDS9813 Dyer St Ste 100 (915) 751-0123

SPLanguage(s):

FARRELL, SCOTT C., DDS5130 Fairbanks Dr (915) 603-4968

SPLanguage(s):

FATUNDE, ADEJOKE A., DDS5130 Fairbanks Dr (915) 603-4968

YRLanguage(s):

FOREMAN, THERESA C., DDS5130 Fairbanks Dr (915) 603-4968

FURQUERON, BUDDY D., DDS5130 Fairbanks Dr (915) 603-4968

GIFFORD, D. RAY, DMD5130 Fairbanks Dr (915) 603-4968

SPLanguage(s):

GUTTIKONDA, KRISHNAVENI, DDS5130 Fairbanks Dr (915) 603-4968

HAUSCHILDT, AMY B., DDS9813 Dyer St Ste 100 (915) 751-0123

SPLanguage(s):

HUYNH, DUC P., DMD5130 Fairbanks Dr (915) 603-4968

JOHNSTUN, KEVIN C., DMD5130 Fairbanks Dr (915) 603-4968

JOHNSTUN, KEVIN C., DMD9813 Dyer St Ste 100 (915) 751-0123

SPLanguage(s):

KAMP, AARON, DDS9813 Dyer St Ste 100 (915) 751-0123

SPLanguage(s):

KARAN, KUNAL, DDS5130 Fairbanks Dr (915) 603-4968

KIM, CHANGHUN, DDS5130 Fairbanks Dr (915) 603-4968

KIM, JIHYE, DDS5130 Fairbanks Dr (915) 603-4968

KOLanguage(s):

KIM, YOUNGGIL, DDS5130 Fairbanks Dr (915) 603-4968

KOLanguage(s):

Page 6 of 12 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 44: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasEl Paso - 79924 (continued)

Directory of Participating Dental Providers

Alliance Network

KOOL SMILES EL PASO5130 Fairbanks Dr (915) 603-4968

KOTI, SUSMITHA R., DDS5130 Fairbanks Dr (915) 603-4968

LANGFORD, CARREN R., DDS5130 Fairbanks Dr (915) 603-4968

LARSON, CAMERON C., DMD9813 Dyer St Ste 100 (915) 751-0123

LEE, CHARLES J., DDS5130 Fairbanks Dr (915) 603-4968

LEE, WOONG, DDS5130 Fairbanks Dr (915) 603-4968

LEIBINSKY RAMOS, POLYNA, DDS5130 Fairbanks Dr (915) 603-4968

LIM, KENNY, DDS5130 Fairbanks Dr (915) 603-4968

LIN, PHILIP M., DMD5130 Fairbanks Dr (915) 603-4968

LIND, CHRISTOPHER A., DMD9813 Dyer St Ste 100 (915) 751-0123

SPLanguage(s):

LIND, CHRISTOPHER A., DMD5130 Fairbanks Dr (915) 603-4968

LUDDEN, TODD N., DDS9813 Dyer St Ste 100 (915) 751-0123

SPLanguage(s):

MANANDHAR, ROOPA, DDS5130 Fairbanks Dr (915) 603-4968

MAYFIELD, DALE G., DMD5130 Fairbanks Dr (915) 603-4968

MCREYNOLDS, GLENN C., DDS5320 Will Ruth Ave (915) 751-3600

SPLanguage(s):

MELANSON, MICHAEL P., DDS5130 Fairbanks Dr (915) 603-4968

MORRIS, THOMAS A., DMD5130 Fairbanks Dr (915) 603-4968

MUELLER, WILLIAM K., DDS9101 Dyer St Ste 201 (915) 755-5886

MYSORE RAJAGOPAL, SOWMYA M., DDS5130 Fairbanks Dr (915) 603-4968

NAFFAH, ROBERT, DDS5130 Fairbanks Dr (915) 603-4968

NARITA, LUCIAN D., DDS5130 Fairbanks Dr (915) 603-4968

NARITA, LUMINITA, DDS5130 Fairbanks Dr (915) 603-4968

NEWHOUSE, CHARLA O., DDS5130 Fairbanks Dr (915) 603-4968

NGUYEN, THOMAS B., DDS5130 Fairbanks Dr (915) 603-4968

OMARI, WASSIM, DDS10039 Dyer St (915) 759-7000

OMBAYO, JACKTONE, DDS5130 Fairbanks Dr (915) 603-4968

PACE, LINCOLN I., DDS9813 Dyer St Ste 100 (915) 751-0123

SPLanguage(s):

PANCHMATIA, VISHAL P., DMD5130 Fairbanks Dr (915) 603-4968

PARKINSON, JARED L., DDS5130 Fairbanks Dr (915) 603-4968

PATEL, MEGHA, DDS5130 Fairbanks Dr (915) 603-4968

PETTY, STEPHEN T., DDS5130 Fairbanks Dr (915) 603-4968

PHUNG, LONG N., DDS5130 Fairbanks Dr (915) 603-4968

PINERO CORREA, ROSARIO M., DDS5130 Fairbanks Dr (915) 603-4968

PRAKASH, PREETI, DDS5130 Fairbanks Dr (915) 603-4968

RAMOS, ANGEL, DDS5130 Fairbanks Dr (915) 603-4968

SPLanguage(s):

RAVARI, NASIM N., DDS10039 Dyer St (915) 759-7000

REID, ALAN D., DMD5130 Fairbanks Dr (915) 603-4968

RIDDLE, PAIGE A., DDS5130 Fairbanks Dr (915) 603-4968

ROBERTS, BRADLEY O., DMD9813 Dyer St Ste 100 (915) 751-0123

SPLanguage(s):

ROMANO, KISLEY G., DDS9813 Dyer St Ste 100 (915) 751-0123

SPLanguage(s):

ROMERO, DENNIS A., DDS5130 Fairbanks Dr (915) 603-4968

SALVI, KAVITA K., DDS5130 Fairbanks Dr (915) 603-4968

SANKU, SHALINI, DMD5130 Fairbanks Dr (915) 603-4968

SHASTRI, PADMAPRIYA G., DDS5130 Fairbanks Dr (915) 603-4968

SHUFORD, KELLY P., DDS5130 Fairbanks Dr (915) 603-4968

SIDDIQUI, AFRIN A., DDS5130 Fairbanks Dr (915) 603-4968

SIMMONS, TESS A., DDS9830 Gateway Blvd N (915) 755-7900

SINGLETON, ANDRE, DDS5130 Fairbanks Dr (915) 603-4968

SIVANICH, KRISTOFER P., DDS5130 Fairbanks Dr (915) 603-4968

SMITH, DAVID G., DMD9813 Dyer St Ste 100 (915) 751-0123

STRICKLAND, JAMES R., DDS5130 Fairbanks Dr (915) 603-4968

SPLanguage(s):

THOMAS, JEFFREY A., DDS5130 Fairbanks Dr (915) 603-4968

TINER, BRANDI L., DDS9813 Dyer St Ste 100 (915) 751-0123

SPLanguage(s):

TIPLEA, MIHAI E., DDS5130 Fairbanks Dr (915) 603-4968

TRAN, TU M., DDS5130 Fairbanks Dr (915) 603-4968

SPLanguage(s):

UH, SOO Y., DDS5130 Fairbanks Dr (915) 603-4968

VUGGAM, ANIL K., DMD5130 Fairbanks Dr (915) 603-4968

WANG, JEFFREY M., DDS5130 Fairbanks Dr (915) 603-4968

WILSON, CHELSEA, DMD5130 Fairbanks Dr (915) 603-4968

WU, KAREN L., DMD5130 Fairbanks Dr (915) 603-4968

SPLanguage(s):

YAMOAH, ALBERT, DDS9813 Dyer St Ste 100 (915) 751-0123

YI, CHUNKIL, DDS9584 Dyer St Ste B (915) 751-1007

KOLanguage(s):

ZIAFAT, MEHRYAR, DMD5130 Fairbanks Dr (915) 603-4968

Oral Surgery

PRINCE, SANDFORD W., DDS5130 Fairbanks Dr (915) 603-4968

RIPLEY, JAMES F., DDS5130 Fairbanks Dr (915) 603-4968

Orthodontist

ALLEN, DANIEL M., DDS9101 Dyer St Ste 101 (915) 755-8407

PTLanguage(s):

CHAUDHARY, GAURANG H., DDS9830 Gateway Blvd N (915) 755-7900

CROFT, DEVIN L., DDS9813 Dyer St Ste 100 (915) 857-9700

SPLanguage(s):

HUNSAKER, STEPHEN D., DDS9813 Dyer St Ste 100 (915) 857-9700

SPLanguage(s):

PACKER, KEITH M., DMD9813 Dyer St Ste 100 (915) 857-9700

RODRIGUEZ, SEBASTIAN, DDS9830 Gateway Blvd N (915) 755-7900

SMILE STRAIGHT ORTHODONTICS LLC9813 Dyer St Ste 100 (915) 857-9700

SMITH, BRENDAN D., DDS9813 Dyer St Ste 100 (915) 857-9700

SPLanguage(s):

UNITED ORTHODONTICS OF NORTH EAST EL PASO 9830 Gateway Blvd N (915) 755-7900

VONDRAK, JOHN G., DDS9830 Gateway Blvd N (915) 755-7900

Pediatric Dentist

VADLAMUDI, ARCHANA, DDS9813 Dyer St Ste 100 (915) 751-0123

WALLACE, CAYCE, DMD9813 Dyer St Ste 100 (915) 751-0123

YEN, CHENG C., DMD5130 Fairbanks Dr (915) 603-4968

Multi-Specialty

RONALD W CARE DDS INC9909 Kenworthy St (915) 755-7639

El Paso - 79925

General Dentist

ALLEN, LESLIE C., DDS6065 Montana Ave Ste 1 (915) 771-7966

ALLEN, ROBERT W., DDS6065 Montana Ave Ste 1 (915) 771-7966

Page 7 of 12 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 45: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasEl Paso - 79925 (continued)

Directory of Participating Dental Providers

Alliance Network

AMIN, MITUL A., DDS6065 Montana Ave Ste 1 (915) 771-7966

ANNAPAREDDY, ANUPAMA, DDS6065 Montana Ave Ste B5 (915) 771-7966

APILADO, PAUL V., DDS1166 N Yarbrough Dr (405) 707-6152

SPLanguage(s):

ARREDONDO LYNCH, ALMA G., DDS1166 N Yarbrough Dr (915) 595-2239

ARREDONDO LYNCH, ALMA G., DDS6065 Montana Ave Ste B5 (915) 771-7966

ARYAN, FARAMARAZ, DDS6065 Montana Ave Ste B5 (915) 771-7966

BAIRD, JANYN K., DDS6065 Montana Ave Ste 1 (915) 771-7966

SPLanguage(s):

BECK, TYSON T., DDS6065 Montana Ave Ste 1 (915) 771-7966

BELLINGER, DANIEL P., DDS1166 N Yarbrough Dr (915) 595-2239

BERG, MATHEW A., DMD1166 N Yarbrough Dr (915) 595-2239

SPLanguage(s):

BHATTI, GURVINDER, DDS1166 N Yarbrough Dr (915) 595-2239

HI, PU, URLanguage(s):

BLACKWELDER, AARON C., DDS6065 Montana Ave Ste B5 (915) 771-7966

BREIG, JOSEPH, DMD6065 Montana Ave Ste 1 (915) 771-7966

BRELAND, MARK F., DMD6065 Montana Ave Ste B5 (915) 771-7966

BUNKER, ADAM E., DMD6065 Montana Ave Ste 1 (915) 771-7966

BURNHAM, JAMES S., DDS1166 N Yarbrough Dr (915) 595-2239

BURNS, PEGGY L., DDS6065 Montana Ave Ste 1 (915) 771-7966

CARLTON, RANDALL W., DDS6065 Montana Ave Ste 1 (915) 771-7966

CHHEDA, VIMAL, DDS6065 Montana Ave Ste 1 (915) 771-7966

CHOI, EUREE, DMD6065 Montana Ave Ste 1 (915) 771-7966

CHUENKLUNG, PAKAWAT D., DDS6065 Montana Ave Ste 1 (915) 771-7966

SPLanguage(s):

COFFMAN, STEVEN M., DMD10501 Gateway Blvd W Ste 107 (915) 590-4600

COOPWOOD EARLE, DIANE M., DDS6065 Montana Ave Ste 1 (915) 771-7966

COWLING, DAVID A., DDS1166 N Yarbrough Dr (915) 595-2239

SPLanguage(s):

CROARKIN, JEFFREY D., DDS6065 Montana Ave Ste 1 (915) 771-7966

CUMBA GONZALEZ, IVETTE M., DMD1166 N Yarbrough Dr (915) 595-2239

DAGGULA, PADMA, DDS6065 Montana Ave Ste B5 (915) 771-7966

DESAI, PURAV, DDS1166 N Yarbrough Dr (915) 595-2239

GU, HI, SPLanguage(s):

DILAWRI, EKTA, DDS6065 Montana Ave Ste B5 (915) 771-7966

DOLEYRES, DORIS, DDS1166 N Yarbrough Dr (915) 595-2239

FRLanguage(s):

ELANGO, MOSES T., DDS1166 N Yarbrough Dr (915) 595-2239

EZE, KENECHUKWU O., DDS6065 Montana Ave Ste 1 (915) 771-7966

FARRELL, SCOTT C., DDS6065 Montana Ave Ste 1 (915) 771-7966

SPLanguage(s):

FATUNDE, ADEJOKE A., DDS6065 Montana Ave Ste 1 (915) 771-7966

YRLanguage(s):

FOREMAN, THERESA C., DDS6065 Montana Ave Ste B5 (915) 771-7966

FURQUERON, BUDDY D., DDS6065 Montana Ave Ste 1 (915) 771-7966

GARZA MCCABE, HAYDE, DDS1166 N Yarbrough Dr (915) 595-2239

SPLanguage(s):

GIFFORD, D. RAY, DMD6065 Montana Ave Ste B5 (915) 771-7966

SPLanguage(s):

GONZALEZ, JUAN M., DDS1806 McRae Blvd (915) 591-7117

SPLanguage(s):

GUTTIKONDA, KRISHNAVENI, DDS6065 Montana Ave Ste B5 (915) 771-7966

HAMMOUDEH, KHALIL A., DDS1166 N Yarbrough Dr (915) 595-2239

ARLanguage(s):

HOANG, ANDY D., DDS1166 N Yarbrough Dr (915) 595-2239

HOIKKA, ANGELA M., DDS1166 N Yarbrough Dr (915) 595-2239

SPLanguage(s):

HUYNH, DUC P., DMD6065 Montana Ave Ste 1 (915) 771-7966

JOHNSTUN, KEVIN C., DMD6065 Montana Ave Ste 1 (915) 771-7966

JONES, KATHERINE M., DDS1166 N Yarbrough Dr (915) 595-2239

SPLanguage(s):

KARAN, KUNAL, DDS6065 Montana Ave Ste B5 (915) 771-7966

KIM, CHANGHUN, DDS6065 Montana Ave Ste 1 (915) 771-7966

KIM, JIHYE, DDS6065 Montana Ave Ste 1 (915) 771-7966

KOLanguage(s):

KIM, YOUNGGIL, DDS6065 Montana Ave Ste 1 (915) 771-7966

KOLanguage(s):

KOTI, SUSMITHA R., DDS6065 Montana Ave Ste 1 (915) 771-7966

KS 2 TX PC6065 Montana Ave Ste 1 (915) 771-7966

LANGFORD, CARREN R., DDS6065 Montana Ave Ste 1 (915) 771-7966

LEE, CHARLES J., DDS6065 Montana Ave Ste 1 (915) 771-7966

LEE, WOONG, DDS6065 Montana Ave Ste 1 (915) 771-7966

LEIBINSKY RAMOS, POLYNA, DDS6065 Montana Ave Ste 1 (915) 771-7966

LEOS, XAVIER, DDS1166 N Yarbrough Dr (915) 595-2239

SPLanguage(s):

LIM, KENNY, DDS6065 Montana Ave Ste 1 (915) 771-7966

LIN, PHILIP M., DMD6065 Montana Ave Ste 1 (915) 771-7966

LIND, CHRISTOPHER A., DMD6065 Montana Ave Ste 1 (915) 771-7966

LOTZE, DANIELLE M., DDS1166 N Yarbrough Dr (915) 595-2239

SPLanguage(s):

MANANDHAR, ROOPA, DDS6065 Montana Ave Ste B5 (915) 771-7966

MAYFIELD, DALE G., DMD6065 Montana Ave Ste 1 (915) 771-7966

MELANSON, MICHAEL P., DDS6065 Montana Ave Ste B5 (915) 771-7966

MENKE, ABBY K., DDS1166 N Yarbrough Dr (915) 595-2239

SPLanguage(s):

MORRIS, THOMAS A., DMD6065 Montana Ave Ste B5 (915) 771-7966

MUCKERHEIDE, CAROLYN A., DDS1800 McRae Blvd (915) 592-4168

MYSORE RAJAGOPAL, SOWMYA M., DDS6065 Montana Ave Ste 1 (915) 771-7966

NAFFAH, ROBERT, DDS6065 Montana Ave Ste 1 (915) 771-7966

NANDA, NANDITA, DMD1166 N Yarbrough Dr (915) 595-2239

HI, PULanguage(s):

NARITA, LUCIAN D., DDS6065 Montana Ave Ste 1 (915) 771-7966

NARITA, LUMINITA, DDS6065 Montana Ave Ste 1 (915) 771-7966

NEWHOUSE, CHARLA O., DDS6065 Montana Ave Ste 1 (915) 771-7966

NGUYEN, THOMAS B., DDS6065 Montana Ave Ste 1 (915) 771-7966

NGUYEN, THOMAS, DDS1166 N Yarbrough Dr (915) 595-2239

VTLanguage(s):

NOORDMANS, BRANDI B., DDS1166 N Yarbrough Dr (915) 595-2239

OMBAYO, JACKTONE, DDS6065 Montana Ave Ste 1 (915) 771-7966

PANCHMATIA, VISHAL P., DMD6065 Montana Ave Ste B5 (915) 771-7966

PANDEY, SOUMYA, DDS1166 N Yarbrough Dr (915) 595-2239

PARKINSON, JARED L., DDS6065 Montana Ave Ste 1 (915) 771-7966

Page 8 of 12 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 46: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasEl Paso - 79925 (continued)

Directory of Participating Dental Providers

Alliance Network

PASALA, MAMATHA, DDS1166 N Yarbrough Dr (915) 595-2239

PATEL, MEGHA, DDS6065 Montana Ave Ste B5 (915) 771-7966

PEREZ, RAMON, DDS1166 N Yarbrough Dr (915) 595-2443

SPLanguage(s):

PETTY, STEPHEN T., DDS6065 Montana Ave Ste 1 (915) 771-7966

PHUNG, LONG N., DDS6065 Montana Ave Ste 1 (915) 771-7966

PINERO CORREA, ROSARIO M., DDS6065 Montana Ave Ste 1 (915) 771-7966

PRAKASH, PREETI, DDS6065 Montana Ave Ste 1 (915) 771-7966

PROVENGHI, TRACY S., DDS7400 Viscount Blvd Ste 210 (915) 772-4740

SPLanguage(s):

RAMIREZ, RICARDO, DDS9398 Viscount Blvd Ste 3E (915) 592-6070

RAMOS, ANGEL, DDS6065 Montana Ave Ste 1 (915) 771-7966

SPLanguage(s):

RAZAI, ZYNAB L., DDS1166 N Yarbrough Dr (915) 595-2239

REID, ALAN D., DMD6065 Montana Ave Ste 1 (915) 771-7966

REYES, KRYSTAL A., DDS1166 N Yarbrough Dr (915) 595-2239

SPLanguage(s):

REYNOLDS, JOHN W., DDS5939 Gateway Blvd W Ste B (915) 779-5781

RIDDLE, PAIGE A., DDS6065 Montana Ave Ste 1 (915) 771-7966

ROMERO, DENNIS A., DDS6065 Montana Ave Ste 1 (915) 771-7966

SAATHOFF, KYLIE N., DDS1166 N Yarbrough Dr (915) 595-2239

SPLanguage(s):

SALVI, KAVITA K., DDS6065 Montana Ave Ste 1 (915) 771-7966

SANKU, SHALINI, DMD6065 Montana Ave Ste B5 (915) 771-7966

SHASTRI, PADMAPRIYA G., DDS6065 Montana Ave Ste B5 (915) 771-7966

SHUFORD, KELLY P., DDS6065 Montana Ave Ste 1 (915) 771-7966

SINGLETON, ANDRE, DDS6065 Montana Ave Ste 1 (915) 771-7966

SIVANICH, KRISTOFER P., DDS6065 Montana Ave Ste 1 (915) 771-7966

SPEAR, BRENT A., DDS1166 N Yarbrough Dr (915) 595-2239

STRICKLAND, JAMES R., DDS6065 Montana Ave Ste B5 (915) 771-7966

SPLanguage(s):

THOMAS, JEFFREY A., DDS6065 Montana Ave Ste 1 (915) 771-7966

THURBER, PHOEBE A., DDS1166 N Yarbrough Dr (915) 595-2239

SPLanguage(s):

TIPLEA, MIHAI E., DDS6065 Montana Ave Ste 1 (915) 771-7966

TORRES, KATHLEEN A., DDS1166 N Yarbrough Dr (915) 595-2239

TRAN, TU M., DDS6065 Montana Ave Ste B5 (915) 771-7966

SPLanguage(s):

UH, SOO Y., DDS6065 Montana Ave Ste B5 (915) 771-7966

VISCOUNT DENTAL ASSOCIATES9398 Viscount Blvd Ste 3E (915) 592-6070

VU, JAMES T., DDS1166 N Yarbrough Dr (915) 595-2239

SPLanguage(s):

VUGGAM, ANIL K., DMD6065 Montana Ave Ste B5 (915) 771-7966

WANG, JEFFREY M., DDS6065 Montana Ave Ste 1 (915) 771-7966

WILSON, CHELSEA, DMD6065 Montana Ave Ste 1 (915) 771-7966

WILSON, THOMAS E., DDS1166 N Yarbrough Dr (915) 595-2239

WU, KAREN L., DMD6065 Montana Ave Ste 1 (915) 771-7966

SPLanguage(s):

XU, ANDREW Y., DDS1188 N Yarbrough Dr Ste A (915) 599-9192

CN, SPLanguage(s):

YOUNGQUIST, RUTH A., DDS1166 N Yarbrough Dr (915) 595-2239

SPLanguage(s):

ZIAFAT, MEHRYAR, DMD6065 Montana Ave Ste 1 (915) 771-7966

Endodontist

FRUITHANDLER, ROSS C., DDS9398 Viscount Blvd Ste 4 B (915) 595-1399

SPLanguage(s):

Oral Surgery

PRINCE, SANDFORD W., DDS6065 Montana Ave Ste B5 (915) 771-7966

RIPLEY, JAMES F., DDS6065 Montana Ave Ste B5 (915) 771-7966

Orthodontist

MEJIA MAIDL, MARTHA, DDS9130 Viscount Blvd (915) 500-5602

Pediatric Dentist

BRIGGS, LLOYD H., DDS1800 McRae Blvd Ste B (915) 592-4168

GR, SPLanguage(s):

CARPIO, CECILIA E., DDS1800 McRae Blvd Ste B (915) 592-4168

DELAUGHTER, LATOYA M., DDS1800 McRae Blvd (915) 592-4168

HOLGUIN, LIZBETH, DDS1800 McRae Blvd (915) 592-4168

LIN, ROYANA H., DDS1800 McRae Blvd (915) 591-5014

LIN, ROYANA H., DDS9627 Sims Dr Ste N (915) 592-4168

LUQUE, SOFIA A., DDS1800 McRae Blvd (915) 592-4168

RALPH, PATRICK M., DMD1166 N Yarbrough Dr (915) 595-2239

SPLanguage(s):

SANCHEZ BAQUERO, DIANA C., DDS1800 McRae Blvd (915) 592-4168

STARK, THOMAS R., DDS1800 McRae Blvd (915) 592-4168

YEN, CHENG C., DMD6065 Montana Ave Ste 1 (915) 771-7966

Multi-Specialty

OCEAN DENTAL OF TEXAS PC1166 N Yarbrough Dr (915) 595-2239

El Paso - 79927

General Dentist

CHIANG MCCASLAND, JAMIE A., DDS10760 N Loop Dr Ste A-3 (915) 860-1999

CNLanguage(s):

DARJ, MEHRNOOSH, DDS10760 N Loop Dr (915) 860-1999

SPLanguage(s):

DARJ, MEHRNOOSH, DDS10760 N Loop Dr Ste A-3 (915) 860-1999

PR, SPLanguage(s):

GUTTIKONDA, BHARAT RAM C., DDS10760 N Loop Dr Ste A-3 (915) 860-1999

KHEHRA, PREETINDER, DDS10760 N Loop Dr Ste A-3 (915) 860-1999

HILanguage(s):

YI, CHUNKIL, DDS10760 N Loop Dr Ste A2 (915) 860-1999

El Paso - 79928

General Dentist

AMES, JONATHAN, DDS14240 Horizon Blvd Ste A (915) 852-5060

ERICKSON, JEFFREY T., DMD14240 Horizon Blvd Ste A (915) 852-5060

GARLICK, STEVEN W., DDS14240 Horizon Blvd Ste A (915) 852-5060

JENNINGS, TIMOTHY D., DDS14240 Horizon Blvd Ste A (915) 852-5060

KIM, EU KYEOM, DDS13998 Horizon Blvd Ste 130 140 (915) 852-0852

LYNN, SPENCER V., DDS14240 Horizon Blvd Ste A (915) 852-5060

MCCOOK, DAVID F., DDS14240 Horizon Blvd Ste A (915) 852-5060

MCDOUGALL, KATIE K., DDS13650 Eastlake Dr Ste 501 (915) 996-9888

SPLanguage(s):

SCHOMAKER, CHRISTOPHER E., DMD14240 Horizon Blvd Ste A (915) 852-5060

TEXAS KIDS DENTAL CARE OF HORIZON14240 Horizon Blvd Ste A (915) 852-5060

Orthodontist

CURTIS, ALAN A., DDS14240 Horizon Blvd (915) 852-5060

SPLanguage(s):

ROBINSON, PAUL R., DMD14240 Horizon Blvd (915) 852-5060

Page 9 of 12 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 47: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso Texas

Directory of Participating Dental Providers

Alliance Network

El Paso - 79930

General Dentist

JANOS, BRYAN M., DDS3932 Fort Blvd (915) 566-9415

SEBOURN, ISAAC C., DDS3932 Fort Blvd (915) 566-9415

El Paso - 79932

General Dentist

WOLF, CANDACE E., DDS8001 N Mesa St Ste D (915) 833-3232

El Paso - 79935

General Dentist

ALVAREZ, JOSE L., DDS1713 Weston Brent Ln (915) 592-2097

BATRES, SANTIAGO, DDS2150 Trawood Dr Ste A200 (915) 593-7229

SPLanguage(s):

DAVIS, YVETTE A., DDS1713 Weston Brent Ln (915) 592-2097

GREENHALGH, DEL G., DMD10510 Montwood Dr Ste D (915) 778-4681

KIMBALL, STEPHEN, DMD10510 Montwood Dr Ste D (501) 691-0569

KIMBALL, STEPHEN, DMD10510 Montwood Dr Ste B (915) 778-4681

LE, TUNG V., DDS1713 Weston Brent Ln (915) 592-2097

MULLEN, MICHAEL R., DDS2039 Trawood Dr Ste A (915) 593-1900

SEBOURN, ISAAC C., DDS10510 Montwood Dr Ste D (915) 778-4681

VARGAS, NOEMI, DMD10978 Montwood Dr Ste B (915) 545-5453

VISTA HILLS FAMILY DENTAL LLC1713 Weston Brent Ln (915) 592-2097

WILLIAMS, HAVEN R., DDS1715 Weston Brent Ln Ste A (915) 593-1101

Endodontist

MARINO, THOMAS G., DMD1713 Weston Brent Ln (915) 592-2097

SPLanguage(s):

Oral Surgery

BUTLER, RONALD C., DDS2150 Trawood Dr Ste B150 (915) 581-7800

DUVERNOIS, MARK F., DDS2150 Trawood Dr Ste B150 (915) 581-7800

Orthodontist

ALLEN, DANIEL M., DDS1713 Weston Brent Ln (915) 592-2097

CASAVANTES, RENE O., DMD10978 Montwood Dr Ste A (915) 591-2500

NOVICK, RICHARD B., DDS2260 Trawood Dr Ste A (915) 591-6676

El Paso - 79936

General Dentist

ABRAMIAN, ARAM J., DDS1502 N Zaragoza Rd (915) 855-4442

SPLanguage(s):

ALLEN, LESLIE C., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

ALLEN, ROBERT W., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

AMANDA, MARSHA, DMD1319 George Dieter Dr Ste G (855) 377-7433

ID, SPLanguage(s):

AMIN, MITUL A., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

ANAYA, KRYSTELLE N., DDS3110 Trawood Dr Ste D (915) 855-1000

ANNAPAREDDY, ANUPAMA, DDS1840 N Lee Trevino Dr Ste 407 (915) 603-5701

APILADO, PAUL V., DDS3021 Trawood Dr Ste B (915) 855-4200

ARREDONDO LYNCH, ALMA G., DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

ARYAN, FARAMARAZ, DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

BAIRD, JANYN K., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

SPLanguage(s):

BECK, TYSON T., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

BLACKWELDER, AARON C., DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

BREIG, JOSEPH, DMD1840 N Lee Trevino Dr Ste 405 (800) 920-9947

BRELAND, MARK F., DMD1840 N Lee Trevino Dr Ste 405 (800) 920-9947

BUNKER, ADAM E., DMD1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

BURNS, PEGGY L., DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

CARLTON, RANDALL W., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

CHANDLER, JULIEANNE R., DDS11965 Pellicano Dr (915) 855-2337

CHAVARRIA, ARNALDO, DDS11500 Pellicano Dr Ste A1 (915) 855-9655

CHAVEZ, RICARDO, DDS11365 Montwood Dr Ste A & B (915) 849-1019

CHHEDA, VIMAL, DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

CHIANG MCCASLAND, JAMIE A., DDS1861 Robert Wynn St Ste D (915) 595-6680

CNLanguage(s):

CHOI, EUREE, DMD1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

CHOI, YOONHYEOK, DDS1840 N Lee Trevino Dr Ste 407 (915) 603-5701

CHUENKLUNG, PAKAWAT D., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

SPLanguage(s):

COOK JR., LEWIS E., DDS1502 N Zaragoza Rd (915) 855-4442

SPLanguage(s):

COOPWOOD EARLE, DIANE M., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

CROARKIN, JEFFREY D., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

DAGGULA, PADMA, DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

DARANCOU, ENRIQUE, DMD1502 N Zaragoza Rd (915) 855-4442

SPLanguage(s):

DARJ, MEHRNOOSH, DDS1861 Robert Wynn St Ste D (915) 595-6680

PR, SPLanguage(s):

DE LA FUENTE JR., RENE J., DDS1512 N Zaragoza Rd Ste C1 (915) 591-2525

SPLanguage(s):

DILAWRI, EKTA, DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

EZE, KENECHUKWU O., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

EZE, KENECHUKWU O., DDS3590 N Zaragoza Ste 105 106 (888) 439-6661

FARLAND, TAYLOR G., DDS1502 N Zaragoza Rd (915) 855-4442

FARRELL, SCOTT C., DDS1840 N Lee Trevino Dr Ste 405-407 (800) 920-9947

SPLanguage(s):

FATUNDE, ADEJOKE A., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

YRLanguage(s):

FOREMAN, THERESA C., DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

FURQUERON, BUDDY D., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

GIFFORD, D. RAY, DMD1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

SPLanguage(s):

GONZALEZ, IVEN, DDS11240 Montwood Dr Ste J (915) 201-2539

SPLanguage(s):

GREENHALGH, DEL G., DMD1852 Dale Douglas Dr Ste D (915) 778-4681

GUTTIKONDA, BHARAT RAM C., DDS1861 Robert Wynn St Ste D (915) 595-6680

GUTTIKONDA, KRISHNAVENI, DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

HAUSCHILDT, AMY B., DDS1502 N Zaragoza Rd (915) 855-4442

SPLanguage(s):

HUYNH, DUC P., DMD1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

IKEM, KACHIKWULU, DDS3590 N Zaragoza Ste 105 106 (888) 439-6661

JOHNSTUN, KEVIN C., DMD1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

JOHNSTUN, KEVIN C., DMD1502 N Zaragoza Rd (915) 855-4442

SPLanguage(s):

KAMP, AARON, DDS1502 N Zaragoza Rd (915) 855-4442

SPLanguage(s):

KARAN, KUNAL, DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

KHASSA, SARABJIT K., DDS12185 New World Dr (915) 493-2840

KHEHRA, PREETINDER, DDS1861 Robert Wynn St Ste D (915) 595-6680

HILanguage(s):

Page 10 of 12 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 48: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasEl Paso - 79936 (continued)

Directory of Participating Dental Providers

Alliance Network

KHODADADI, SOHEIL, DDS1788 N Zaragoza Rd (915) 849-9000

KIM, CHANGHUN, DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

KIM, JIHYE, DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

KOLanguage(s):

KIM, YOUNGGIL, DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

KOLanguage(s):

KOTI, SUSMITHA R., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

KS 2 TX PC1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

LANGFORD, CARREN R., DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

LARSON, CAMERON C., DMD1502 N Zaragoza Rd (915) 855-4442

SPLanguage(s):

LEE, CHARLES J., DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

LEE, WOONG, DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

LEIBINSKY RAMOS, POLYNA, DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

LIM, KENNY, DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

LIN, PHILIP M., DMD1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

LIND, CHRISTOPHER A., DMD1502 N Zaragoza Rd (915) 855-4442

LIND, CHRISTOPHER A., DMD1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

LUDDEN, TODD N., DDS1502 N Zaragoza Rd (915) 855-4442

SPLanguage(s):

MALDONADO, YVONNE E., DDS11165 La Quinta Pl (915) 591-1999

MALDONADO, YVONNE E., DDS11965 Pellicano Dr (915) 855-2337

SPLanguage(s):

MANANDHAR, ROOPA, DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

MARQUEZ, RICARDO, DDS1421 N Lee Trevino Dr Ste D10 (915) 593-1328

SPLanguage(s):

MAYFIELD, DALE G., DMD1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

MELANSON, MICHAEL P., DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

MORRIS, THOMAS A., DMD1840 N Lee Trevino Dr Ste 405 (800) 920-9947

MYSORE RAJAGOPAL, SOWMYA M., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

NAFFAH, ROBERT, DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

NARITA, LUCIAN D., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

NARITA, LUMINITA, DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

NETT, KARANJIT K., DDS11165 La Quinta Pl (915) 591-1999

NEWHOUSE, CHARLA O., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

NGUYEN, THOMAS B., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

OMARI, WASSIM, DDS1788 N Zaragoza Rd (915) 849-9000

OMBAYO, JACKTONE, DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

PACE, LINCOLN I., DDS1502 N Zaragoza Rd (915) 855-4442

SPLanguage(s):

PANCHMATIA, VISHAL P., DMD1840 N Lee Trevino Dr Ste 405 (800) 920-9947

PARKINSON, JARED L., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

PATEL, MEGHA, DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

PETTY, STEPHEN T., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

PHUNG, LONG N., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

PINERO CORREA, ROSARIO M., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

PRAKASH, PREETI, DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

RAMOS, ANGEL, DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

SPLanguage(s):

RAVARI, NASIM N., DDS1788 N Zaragoza Rd (915) 849-9000

SPLanguage(s):

REID, ALAN D., DMD1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

REY, GABRIELA, DDS1861 Robert Wynn St Ste A (915) 591-3331

SPLanguage(s):

RIDDLE, PAIGE A., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

ROBERTS, BRADLEY O., DMD1502 N Zaragoza Rd (915) 855-4442

ROMANO, KISLEY G., DDS1502 N Zaragoza Rd (915) 855-4442

ROMERO, DENNIS A., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

ROSSON, ROBERT M., DDS3110 Trawood Dr Ste D (915) 855-1000

RUIZ, ROBERT D., DDS1612 N Lee Trevino Dr Ste C (915) 593-6661

SALVI, KAVITA K., DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

SANCHEZ, JOAQUIN, DMD1861 Robert Wynn St Ste A (915) 591-3331

SPLanguage(s):

SANKU, SHALINI, DMD1840 N Lee Trevino Dr Ste 405 (800) 920-9947

SHAMS, TAMIR, DMD1816 N Zaragoza Rd Ste 103 (915) 857-6453

SPLanguage(s):

SHASTRI, PADMAPRIYA G., DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

SHAYESTEH & SHAMS PA1816 N Zaragoza Rd Ste 103 (915) 857-6453

SHAYESTEH, NIMA E., DMD1816 N Zaragoza Rd Ste 103 (915) 857-6453

SPLanguage(s):

SHUFORD, KELLY P., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

SIDDIQUI, AFRIN A., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

SINGLETON, ANDRE, DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

SIU, AMANDA N., DDS11165 La Quinta Pl (915) 591-1999

SIU, AMANDA N., DDS11965 Pellicano Dr (915) 855-2337

SIVANICH, KRISTOFER P., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

SMITH, DAVID G., DMD1502 N Zaragoza Rd (915) 855-4442

STEINLE, LEE M., DDS11965 Pellicano Dr (915) 855-2337

STRICKLAND, JAMES R., DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

SPLanguage(s):

THOMAS, JEFFREY A., DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

TINER, BRANDI L., DDS1502 N Zaragoza Rd (915) 855-4442

SPLanguage(s):

TIPLEA, MIHAI E., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

TIPPIN, WALTER L., DDS3021 Trawood Dr Ste B (915) 855-4200

EN, SPLanguage(s):

TRAN, TU M., DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

SPLanguage(s):

TRAWOOD FAMILY DENTAL3110 Trawood Dr Ste D (915) 855-1000

UH, SOO Y., DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

VARGAS, OSCAR A., DDS12185 New World Dr (915) 921-8300

SPLanguage(s):

VUGGAM, ANIL K., DMD1840 N Lee Trevino Dr Ste 405 (800) 920-9947

WALTER TIPPIN DDS PAUL APILADO DDS INC3021 Trawood Dr Ste B (915) 855-4200

WANG, JEFFREY M., DDS1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

WILSON, CHELSEA, DMD1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

WU, KAREN L., DMD1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

SPLanguage(s):

YAMOAH, ALBERT, DDS1502 N Zaragoza Rd (915) 855-4442

YEN, CHENG C., DMD1475 George Dieter Dr Ste L1 (915) 857-1111

ZIAFAT, MEHRYAR, DMD1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

Endodontist

DALZELL, LUKE K., DDS11365 Montwood Dr Ste A (915) 849-8035

Page 11 of 12 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 49: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

New Mexico & El Paso TexasEl Paso - 79936 (continued)

Directory of Participating Dental Providers

Alliance Network

POTTER, BRETT R., DMD1475 George Dieter Dr Ste L (915) 849-8035

WHITEHILL, HARRY V., DDS1533 N Lee Trevino Dr Ste 210 (915) 594-9097

SPLanguage(s):

Oral Surgery

PRINCE, SANDFORD W., DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

RIPLEY, JAMES F., DDS1840 N Lee Trevino Dr Ste 405 (800) 920-9947

Orthodontist

BLACK, RICHARD C., DDS1514 N Zaragoza Rd Ste A2 (915) 592-5853

CROFT, DEVIN L., DDS1502 N Zaragoza Rd Ste B (915) 857-9700

SPLanguage(s):

DR RICHARD C BLACK DDS1514 N Zaragoza Rd Ste A2 (915) 592-5853

HUNSAKER, STEPHEN D., DDS1502 N Zaragoza Rd Ste B (915) 857-9700

SPLanguage(s):

MAXWELL, WILLIS E., DDS3030 Trawood Dr (915) 855-6616

PACKER, KEITH M., DMD1502 N Zaragoza Rd Ste B (915) 857-9700

SMILE STRAIGHT ORTHODONTICS LLC1502 N Zaragoza Rd Ste B (915) 857-9700

SMITH, BRENDAN D., DDS1502 N Zaragoza Rd Ste B (915) 857-9700

SPLanguage(s):

Pediatric Dentist

BAKER, NANNI T., DDS11965 Pellicano Dr (915) 855-2337

GRLanguage(s):

BAKER, NANNI T., DDS11165 La Quinta Pl (915) 591-1999

GR, SPLanguage(s):

CALDERON KIESLING, KARIN L., DDS11165 La Quinta Pl (915) 591-1999

CALDERON KIESLING, KARIN L., DDS11965 Pellicano Dr (915) 855-2337

CLEVELAND, JOY Y., DMD11965 Pellicano Dr (915) 855-2337

GR, SPLanguage(s):

FERGUSON, STEPHANIE M., DDS11965 Pellicano Dr (915) 855-2337

HAMA, BRIANNE, DDS11965 Pellicano Dr (915) 855-2337

LIN, LORRAINE Y., DDS11965 Pellicano Dr (915) 855-2337

LIN, YI LI E., DDS11965 Pellicano Dr (915) 855-2337

TWLanguage(s):

LOPEZ LOVERICH, ANGELA M., DDS11965 Pellicano Dr (915) 855-2337

LOUGHLIN, NICOLE C., DDS11965 Pellicano Dr (915) 855-2337

LUQUE, SOFIA A., DDS11965 Pellicano Dr (915) 855-2337

NETT, KARANJIT K., DDS11965 Pellicano Dr (915) 855-2337

PEART, MICHELLE V., DMD11965 Pellicano Dr (915) 855-2337

POUX, MAUREEN D., DMD11965 Pellicano Dr (915) 855-2337

SANCHEZ BAQUERO, DIANA C., DDS11965 Pellicano Dr (915) 855-2337

VADLAMUDI, ARCHANA, DDS1502 N Zaragoza Rd (915) 855-4442

WALLACE, CAYCE, DMD1502 N Zaragoza Rd (915) 855-4442

YEN, CHENG C., DMD1840 N Lee Trevino Dr Ste 405-407 (915) 603-5701

Multi-Specialty

E P DENTISTRY 4 KIDS1502 N Zaragoza Rd (915) 855-4442

STEVENSON DENTAL ARK PLLC11165 La Quinta Pl (915) 591-1999

THE DENTAL ARK11965 Pellicano Dr (915) 855-2337

SPLanguage(s):

El Paso - 79938

General Dentist

AMES, JONATHAN, DDS3650 Joe Battle Blvd (915) 855-0948

BROWN, CARMIE L., DDS12801B Edgemere Blvd Ste 112 (915) 493-6310

ERICKSON, JEFFREY T., DMD3650 Joe Battle Blvd (915) 855-0948

GARCIA, RYAN S., DDS2281 N Zaragoza Rd Ste 102 & 103 (915) 855-3220

SPLanguage(s):

GARLICK, STEVEN W., DDS12244 Montana Ave Ste 400 (915) 855-0948

GREENHALGH, DEL G., DMD12371 Edgemere Blvd Ste 206 (915) 921-6200

JENNINGS, TIMOTHY D., DDS3650 Joe Battle Blvd (915) 855-0848

SPLanguage(s):

KEEP SMILIN FAMILY DENTAL PLLC2281 N Zaragoza Rd Ste 102 & 103 (915) 855-3220

SPLanguage(s):

LYNN, SPENCER V., DDS12244 Montana Ave Ste 400 (915) 855-0948

MCCOOK, DAVID, DDS3650 Joe Battle Blvd (915) 855-0948

MCDOUGALL, KATIE K., DDS2281 N Zaragoza Rd Ste 102-103 (915) 855-3220

SPLanguage(s):

PAYNE, JAMES R., DDS3650 Joe Battle Blvd (915) 855-0948

SCHOMAKER, CHRISTOPHER, DMD3650 Joe Battle Blvd (915) 855-0948

SIDHU, JAGJOT S., DDS3650 Joe Battle Blvd (915) 855-0948

SMILE CENTER FOR KIDS PLLC12801 B Edgemere Blvd (915) 493-6310

TEXAS KIDS DENTAL CARE OF MONTANA VISTA3650 Joe Battle Blvd (915) 855-0948

WILSON, ROBERT G., DMD12801B Edgemere Blvd Ste 112 (915) 493-6310

WILSON, TIFFANIE S., DMD12801 B Edgemere Blvd (915) 493-6310

Orthodontist

CHAUDHARY, GAURANG H., DDS1971 N Zaragoza Rd Ste A (915) 849-9400

GU, HILanguage(s):

CURTIS, ALAN A., DDS12244 Montana Ave Bldg A - Ste 400 (915) 855-0948

RIVERA, JAIME, DMD1971 N Zaragoza Rd Ste A (915) 849-9400

RODRIGUEZ, SEBASTIAN, DDS1971 N Zaragoza Rd Ste A (915) 849-9400

SPLanguage(s):

SMITH, ASHLEY W., DMD1971 N Zaragoza Rd Bldg A (915) 849-9400

UNITED ORTHODONTICS OF FAR EAST EL PASO PL1971 N Zaragoza Rd Ste A (915) 849-9400

VONDRAK, JOHN G., DDS1971 N Zaragoza Rd Bldg A (915) 849-9400

Fabens - 79838

General Dentist

AMES, JONATHAN, DDS1018 N Fabens Rd (915) 764-0096

GARLICK, STEVEN W., DDS1018 N Fabens Rd (915) 764-0096

JENNINGS, TIMOTHY D., DDS1018 N Fabens Road (915) 764-0096

LYNN, SPENCER V., DDS1018 N Fabens Rd (915) 764-0096

MCCOOK, DAVID F., DDS1018 N Fabens Rd (915) 764-0096

MORRIS, THOMAS, DMD1018 N Fabens Rd (915) 764-0096

PAYNE, JAMES R., DDS1018 N Fabens Road (915) 764-0096

SCHOMAKER, CHRISTOPHER E., DMD1018 N Fabens Rd (915) 764-0096

SIDHU, JAGJOT S., DDS1018 N Fabens Road (915) 764-0096

TEXAS KIDS DENTAL OF FABENS1018 N Fabens Rd (915) 764-0096

Orthodontist

CURTIS, ALAN A., DDS1018 N Fabens Road (915) 764-0096

Horizon City - 79928

General Dentist

DYER, ANDREW J., DDS14509 Horizon Blvd Ste B (915) 852-1001

GARCIA, RYAN S., DDS13650 Eastlake Dr Ste 501 (915) 996-9888

SPLanguage(s):

KEEP SMILIN FAMILY DENTAL PLLC13650 Eastlake Dr Ste 501 (915) 996-9888

SPLanguage(s):

SIDHU, JAGJOT S., DDS14240 Horizon Blvd Ste A (915) 852-5060

Page 12 of 12 September 2015New Mexico & El Paso Texas

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 50: Directory of Participating Dental Providers New Mexico ... Mexico El Paso Texas_Alliance Networ… · WELLS, KELLY S., DDS 2116 Hinkle St SE (505) 843-7493 Language(s): SP WOLLEN,

Language Index

AF AFRIKAANS....... IN INDIAN....... TE TELUGU.......

AI ASIAN INDIAN....... IR IRANIAN....... TH THAI.......

AL ALBANIANS....... IT ITALIAN....... TK TURKISH.......

AM ARAMAIC....... JP JAPANESE....... TL TAMIL.......

AN ARMENIAN....... KA KANNADA....... TN TUNISIAN.......

AR ARABIC ....... KO KOREAN....... TO TOSK.......

AS ASSYRIAN....... KU KURDISH....... TU TURKMEN.......

AT AZERI TURKISH....... LA LATIN....... TW TAIWANESE.......

AU AZERBAIJANI TURKISH....... LB LEBANESE....... UK UKRAINIAN.......

AV AZERI....... LO LAOS....... UR URDU.......

AW AZARI....... LT LITHUANIAN....... UZ UZBEK.......

AZ AZERBAIJANI....... LV LATVIAN....... VS VISAYAN.......

BA BALOCHI....... MA MARATHI....... VT VIETNAMESE.......

BE BENGALI ....... MD MANDARIN....... YI YIDDISH.......

BL BULGARIAN....... MF MORE FOREIGN LANGUAGES....... YR YORUBA.......

BN BANTUSE....... MG MALAGASY.......

BR BERBERE....... MH MAHRATTI.......

BU BURMESE....... ML MALAYALAM.......

CA CASTILIAN....... MN MANIPURI.......

CL CATALAN ....... MY MALAY.......

CM CAMBODIAN....... NE NEPALISE .......

CN CHINESE....... NO NORWEGIAN.......

CO COORG....... PA PARATHI.......

CR CROATIAN....... PH PHILLIPINO.......

CT CANTONESE....... PI PASHTU.......

CZ CZECH....... PL POLISH.......

DA DARI....... PR PERSIAN .......

DN DANISH....... PS PASHAI.......

DT DUTCH....... PT PORTUGESE.......

EG EGYPTIAN....... PU PUNJABI.......

EI EAST INDIAN....... RM ROMANIAN .......

EN ENGLISH....... RS RUSSIAN.......

FA FARSI....... SA SWAMILIA.......

FI FINNISH....... SC SCOTTISH.......

FM FLEMISH ....... SE SETSWANA .......

FR FRENCH....... SG SINHALESE.......

FU FUKIEN CHINESE....... SH SHONA.......

GA GA....... SI SIGN LANGUAGE .......

GK GREEK....... SL SOUTH INDIAN.......

GL GAELIC....... SM SAMOAN.......

GR GERMAN....... SN SINDHI.......

GU GUJARATI....... SP SPANISH.......

HE HEBREW....... SR SERBIAN.......

HG HUNGARIAN....... SS SCANDANAVIAN.......

HI HINDI....... ST SANSKRIT.......

IB IBO....... SV SLOVAK.......

IC ICELANDIC....... SW SWEDISH.......

ID INDONESIAN/ORIYA ....... SY SYRIAN.......

IL ILOCANO....... TA PILIPINO/TAGALOG .......