epsdt registry – 2005 update in march of 2002 the ... · epsdt registry – 2005 update in march...

EPSDT Registry – 2005 Update In March of 2002 the University of Iowa Department of Pediatric Dentistry conducted a statewide survey that asked dentists whether they were willing to see new patients on Title XIX (Medicaid), children under the age of three, and children with developmental disabilities. They were also asked if they would be willing to have their name included in a statewide registry of dentists willing to accept patients in any of these categories. This survey was done to update a previous registry completed in 2002. This registry is not meant to be considered a definitive guide. Many dentists in the state see children from all three categories mentioned, but prefer to not have their name published in a registry. Further, the dentists whose names are included in this registry are not bound by any agreements to accept new patients. Some dentists included in the registry added qualifying comments to their responses that are not included here. Please forward any additions or corrections to the EPSDT Dental Registry to: Gayle Gilbaugh, RDH, BS EPSDT Dental Registry University Hospital School Dental Clinic The University of Iowa Iowa City, Iowa 52242-1011 E-mail: gayle-gilbaugh@uiowa.edu Telephone: (319) 356-1513 Provider (Alphabetical by County) Title XIX Children Children with Patients under Developmental Age 3 Disabilities Adair Hockett, Verlin H. Yes Yes Yes 242 Public Square Greenfield, IA 50849 641 743-2314 vercon@iowatelecom.net Siebrasse, Chris Yes Yes Yes 303 SW 7th St. Suite D Stuart, IA 50250 515 523-2521 drchris50250@earthlink.net

Allamakee Carstens, Linda S. Waukon Dental No Yes Yes 18 1st Ave NW Waukon, IA 52172 563 568-4528 Audubon VanDusen, Scott Yes Yes Yes 422 Tracy St. Audubon, IA 50025 712 563-4263 Benton Hanneman, Douglas Yes Yes No 118 East Fourth Street Vinton, IA 52349 319 472-5209 Sheronick, James K. Yes Yes Yes 201 1st Ave Van Horne, IA 52346 319 228-8404 jksteeth@netins.net Black Hawk Cozart, Willliam Yes Yes No 726 South St. Waterloo, IA 50701 319 234-1819 Crall, Michael Yes Yes Yes 1504 Main Street Cedar Falls, IA 50613 319 266-4029 mikecrall@cfu.net Day, Roger Yes Yes Yes 847 West 4th St. Waterloo, IA 50702 319 234-4486

Dutkowski, Bené No Yes Yes 267 E. San Marnan Dr. Waterloo, IA 50702 319 234-3233 Foster Oral Surgery P.C. No Yes Yes 845 West 4th St. Waterloo, IA 50702 319 235-9385 Gregorsok, Robert L. Yes Yes Yes 211 E. 4th Street Waterloo, IA 50703 319 232-3310 Halloran, Carol Yes Yes Yes 905 Franklin Waterloo, IA 50704 319 272-4469 Johnson, Jerry H. No Yes Yes 441 E. San Marnan Dr. Ste 100 Waterloo, IA 50702 319 272-8500 King, Ronald Yes Yes No 2116 Logan Ave Waterloo, IA 50703 319 235-1151 Ruehs, Kelley Yes Yes Yes 1915 Valley Park Drive Cedar Falls, IA 50613 319 277-4600 Thoman, Joseph L. Yes Yes No 1506 Main St. Cedar Falls, IA 50613 319 266-2308 jlthoman@pattersondental.net Vore, Marvin C. Yes Yes Yes 107 Eldora Rd. Hudson, IA 50643 319 988-4131 marvore@forbin.net

Boone Ogden Family Dental PLC No Yes Yes 237 West Mulberry Ogden, IA 50212 515 275-2250 Pollard, James W. Yes Yes Yes 1905 S. Marshall St. Boone, IA 50036 515 432-3511 pollard@willinet.net Pollard, Jason W. No Yes No 1905 S. Marshall St. Boone, IA 50036 515 432-3511 jpdent03@aol.com Bremer Hagen, Marc Yes Yes Yes 108 2nd St. NW Waverly, IA 50677 319 352-3243 marchagendds@starband.net Haw, Richard C. Yes No Yes 113 W. 1st, PO Box 177 Sumner, IA 50674 563 578-5232 rhaw@iowatelecom.net Sheller, Dean H. Yes Yes Yes 201 20th St. NW Waverly, IA 50677 319 352-5281 Buchanan Arend, John Yes Yes Yes 206 3rd Ave NE Independence, IA 50644 319 334-3342

Hartsook, Tim Yes Yes Yes 223 First Street West Independence, IA 50644 319 334-3512 Buena Vista Hansen, Gregory Yes Yes Yes 217 West 6th Storm Lake, IA 50588 712 732-3377 Butler North, George F. Yes Yes No Box 367 - 511 N. Main St. Allison, IA 50602 319 267-2739 Calhoun Swenson, Larry No Yes Yes 1303 11th Ave Manson, IA 50563 712 469-3000 Carroll Bogue, Chris Yes Yes Yes 522 N. Clark St. Carroll, IA 51401 712 792-4375 Curry, Lynn D. Yes Yes Yes 522 North Clark Carroll, IA 51401 712 792-4375 cyberrob@pionet.net Fangman, N J Yes Yes Yes 818 N Main Carroll, IA 51401 712 792-2630 nickdds@thewebunwired.com

Cedar

Grunder, Richard Yes Yes Yes 501 Ninth Ave Durant, IA 52747 563 785-4541 drdick@netins.net Tung, Su-Hsin Yes Yes Yes PO Box 463, 503 Cedar St. Tipton, IA 52772 563 886-3233 Cerro Gordo Burgmeier, Daniel R. Yes Yes Yes 2800 4th St. SW Mason City, IA 50401 641 423-0064 office@drdanburgmeier.com Hansen, Matthew R. No Yes Yes Central Park Dentistry 23 N. Federal Ave. Mason City, IA 50401 641 423-4225 www.centralparkdentistry.com Hoeppner, Todd R. Yes Yes Yes 615 S. Illinois Ave Mason City, IA 50401 641 424-0060 Kelly, Kris Yes Yes Yes 3223 4th St. SW Mason City, IA 50401 641 430-7025 kjk110@mchsi.com Cherokee Menke, Tim Yes Yes Yes 1217 N. 2nd St. Suite 2 Cherokee, IA 51012 712 225-4812 Chickasaw

Boeding, Barb No Yes Yes 321 E. Main St. New Hampton, IA 50659 641 394-3016 Clay Boyd, Patrick R. No Yes Yes 1709 McNaughton Way Spencer, IA 51301 712 262-4382 Sailer, Michaela J. No Yes Yes 1709 McNaughton Way Spencer, IA 51301 712 262-4382 msailer6@mchsi.com Clayton Fohey, Mark G. No Yes Yes 101 Franklin Street Monona, IA 52159 563 539-4651 familydentistry@netins.net Clinton Alt, Robert Yes Yes Yes Clinton Dental Surgery Ctr. P.C. 2314 North Second St. Clinton, IA 52732 563 242-1565 Callan, Michael A. Yes No Yes Clinton, IA 52732 563 243 6622 Decker, Stephen M. No Yes Yes Clinton Dental Assiociates P.C. 314 3rd Ave South Clinton, IA 52732 563 242-5041 Leners, Doris G. No Yes Yes

1801 Manufacturing Dr. Clinton, IA 52732 563 242-4917 Schrody, David W Yes No Yes 2635 Lincoln Way Ste E Clinton, IA 52732 563 242-2999 Decatur Mounsdon, Thomas A. Yes Yes Yes 201 East 1st Street Leon, IA 50144 Delaware Berryhill, Krista No Yes Yes 310 E. Main St. Manchester, IA 520057 563 927-3612 klberryhill@yahoo.com Collier, Timothy A. No Yes Yes 120 E. Fayette St. Manchester, IA 52057 563 927-4746 drcollier@manchestersmiles.com Cooper, Tim No Yes Yes 825 E. Main St. Manchester, IA 52057 563 927-5415 Des Moines Gipple, Barbara J. No Yes Yes 1223 So. Gear Ave. Eastman Plaza Ste #302 West Burlington, IA 52655 319 753-2515 Mathews, Michael No Yes Yes 409 Layne Drive West Burlington, IA 52655 319 752-1444 chlddent@aol.com

Moore, John W. No Yes Yes 2010 N. Roosevelt Ave. Burlington, IA 52601 319 753-6265 Reynolds, Hilary Yes Yes Yes Community Health Centers of Southeast Iowa 320 N 3rd Suite 516 Burlington, IA 52641 319 752-5540 hreynolds@chcseia.com Schilling McManis, Mary Yes No Yes 1727 Deer Run Drive Burlington, IA 52601 319 752-8142 marymcm1954@yahoo.com Dickinson Fischer, Richard Yes Yes Yes 2606 17th Spirit Lake, IA 51360 712 336-3037 Lancaster, Brandy No Yes Yes 2210 33rd St. Spirit Lake, IA 51360 712 336-2533 Powers & Pas No Yes No Lakeland Sq. Milford, IA 51331 712 338-2449 Dubuque Bradley, Steven P. Yes Yes Yes 714 1st Ave E Cascade, IA 52033 563 852-7390 sbradley@netins.net Dalton, Michael Yes Yes Yes 100 Bryant St.

Dubuque, IA 52003 563 557-1440 Kalb, Tony J. No Yes No 968 West 3rd St. Ste 200 Dubuque, IA 52001 563 582-6203 Koch-Womer, J.A. Yes Yes No 1410 9th St. SE Dyersville, IA 52040 563 875-8386 Kuttler, William C. No Yes Yes 2728 Asbury Rd., Suite 800 Dubuque, IA 52001 563 583-6424 May, William F. No Yes Yes 989 Langworthy Dubuque, IA 52003 563 583-2681 Nemmers, Jim Yes Yes Yes 968 W 3rd Dubuque, IA 52001 563 583-5617 docnemo@mwci.net Peckosh, Valerie Yes Yes Yes 3455 Stoneman Rd Dubuque, IA 52002 563 582-1478 firstteeth@aol.com Snyder, James Yes Yes Yes 988 W 3rd Dubuque, IA 52001 563 556-7094 djs@544 Stoffel, William J. Yes Yes Yes 2095 JFK Rd Dubuque, IA 52002 563 583-3521

Strohmeyer, Chris Yes Yes No 3300 Windsor Ave Dubuque, IA 52001 563 557-7400 kcstrohmeyer@aol.com Strohmeyer, Gary R. No Yes Yes 3300 Windsor Ave Dubuque, IA 52001 563 557-7400 Fayette Imoehl, Kevin Yes Yes No 11 First Ave NE Oelwein, IA 50662 319 283-4738 Kruger, Al No Yes Yes 135 7th St. SE Oelwein, IA 50662 319 283-4222 Floyd Buehler, Jodie A. Yes Yes Yes 705 N. Main Steet, Suite 3 Charles City, IA 50616 641 228-2936 Hancock Vidal, Peter L. Yes Yes Yes 160 W 4th PO Box 10 Garner, IA 50438 641 923 2294 vidal@sswireless.net Hardin Gimer, David A. Yes Yes Yes 922 Washington Ave Iowa Falls, IA 50126 641 648-4237 Hoversten & Colwell No Yes Yes

1902 Washington Iowa Falls, IA 50126 641 648-9364 Miller, Brad Yes Yes Yes 701 Washington Ave. Iowa Falls, IA 50126 641 648-4293 drbrad@iffamilydentistry.com Shirley, Robert F. Yes Yes Yes 1217 14th Avenue Eldora, IA 50627 641 858-3501 Stickrod, Dean R. Yes Yes Yes 1310 Washington St. Eldora, IA 50627 641 939-3214 Howard Haw, Jeffrey K. Cresco Family Dentistry Yes Yes Yes 210 N. Elm St. PO Box 201 Cresco, IA 52136 563 547-2312 Iowa Baber, Terry L. Yes Yes Yes 599 Eastern Ave P.O. Box 308 Marengo, IA 52301 319 642-7341 tbaber@hotmail.com Jackson Atienza, Salvador No Yes Yes 119 S. Main Ste 1 Maquoketa, IA 52060 563 652-4133 D'Agostino, Bruice Yes Yes Yes 402 West Platt St. Maquoketa, IA 52060

563 652-3811 Pauly, Peter J. Yes Yes Yes 400 S. Riverview Bellevue, IA 52031 563 872-5678 pjp@cis.net Jasper Hagarty, Bradley T. Yes Yes Yes 9 N. Walnut Colfax, IA 50054 515 674-4466 bradleyhagarty@msn.com Jefferson Van Tasell, Stephen C. Yes No Yes 51 West Adams Fairfield, IA 52556 641 472-3158 Johnson Caster, Christopher Yes Yes Yes 2 Hawkeye Drive, Ste #104 North Liberty, IA 52317 319 665-3773 libertydental@southslope.net Cowen, Howard Yes Yes Yes U of I College of Dentistry Iowa City, IA 52242 319 335-6961 howard-cowen@uiowa.edu Goepferd,Stephen Yes Yes Yes U of I College of Dentistry Iowa City, IA 52242 319 356-1326 stephen-goepferd@uiowa.edu Haganman, Kari Yes Yes Yes 401 E Haganman Lane Solon, IA 52333

319 624-4444 Iben, Polly Yes Yes Yes 414 10th Ave. Ste B Coralville, IA 52241 319 338-7520 leeiben@mchsi.com Jacobsen, Glenn Yes Yes Yes 375 Mormon Trek Blvd Iowa City, IA 52246 319 338-3722 McKnight, Carrie Yes Yes Yes UIHC, 200 Hawkins Drive Iowa City, IA 52242 319 353-6411 carrie-mcknight@uiowa.edu McQuistan, Michelle Yes Yes Yes Special Care Clinic - College of Dentistry Iowa City, IA 52246 319 335-7373 michelle-mcquistan@uiowa.edu Morgan, Teresa Yes Yes Yes 51374 PFP, UIHC, 200 Hawkins Drive Iowa City, IA 52242 319 353-6342 teresa-morgan@uiowa.edu North Liberty Dental No Yes Yes 525 W. Cherry St. North Liberty, IA 52317 319 626-2300 Nowysz, Stephanie Yes Yes Yes 611 E. Burlington St. Iowa City, IA 52240 319 354-5550 Snowysz@msn.com Peterson, Donald C., Jr. Yes Yes Yes Iowa Pediatric Dental Center 501 12th Ave, Suite 202 Coralville, IA 52241

319 351-KIDZ (5439) dpap2109@aol.com Stanford, Clark Yes Yes Yes 447 DSB North Iowa City, IA 52242 319 335-7381 clark-stanford@uiowa.edu Stiles, Bradford No Yes Yes River City Dental Care 1950 Lower Muscatine Road Iowa City, IA 52240 319 337-6226 Strief, John R. Yes Yes Yes 2593 Holiday Road Coralville, IA 52241 319 337-2241 Stultz, Dawn No Yes Yes 115 5th St. Coralville, IA 52241 319 351-3414 Vincent, Steven D. Yes Yes Yes U of I College of Dentistry OPRM Iowa City, IA 52242 319 335-9656 steven-vincent@uiowa.edu Jones Kilburg, Brett Yes Yes Yes Anamosa Dental Associates Anamosa, IA 52205 319 462-2531 Oldham, Debra K. Yes Yes Yes 702 W. Main St. Anamosa, IA 52205 319 462-2531 anamosadental@mchsi.com Puffon, Craig No Yes Yes Monticello Family Dentistry

630 S. Main St. Monticello, IA 52310 319 465-3533 Wolken, Richard J. Yes Yes Yes 202 N. Main St. Monticello, IA 52310 319 465-4666 Kossuth Louscher, Michael G. Yes Yes Yes 622 East State Street Algona, IA 50511 515 295-2334 Lee Kunch, Paul S. Yes Yes Yes 1605 Ave E Fort Madison, IA 52627 Linn Blachley, Heidi L. No Yes Yes 1475 Boyson Road Hiawatha, IA 52233 319 393-4019 Blair, Karen No Yes No 1655 Blairs Ferry Rd. Marion, IA 52302 319 373-5082 kblair@dentaltouch.com Brown, Lindsay No Yes Yes 3250 10th Ave Suite 2 Marion, IA 52302 319 377-4805 Choi, Charles J. Yes Yes No 3500 Center Point Road, N.E., Suite 3 Cedar Rapids, IA 52402 319 393-4828 Collins, Jeannie M. No Yes Yes

1201 42nd St. NE Cedar Rapids, IA 52402 319 393-6152 Cox, Jim No Yes Yes 4135 Wilson Ave SW Cedar Rapids, IA 52404 319 396-0700 Crippes, Joseph J. No Yes Yes 4048 Glass Rd. Cedar Rapids, IA 52402 319 832-2000 Easker, Douglas No Yes Yes 412 1st Ave S Mount Vernon, IA 52314 319 895-8451 doug_easker@hotmail.com Gehring, David No No Yes 5012 Center Point Rd NE Cedar Rapids, IA 52402 319 378-3333 Grimes, Thomas Yes Yes Yes 601 Tama Streeet Marion, IA 52302 319 366-2451 Grimm, Tammy No Yes Yes Blair Ridge Dental 1700 Blairs Ferry Rd Hiawatha, IA 52233 319 396-3596 grimmx3@mchsi.com Hasek, Ondrej F. Yes Yes Yes 119 3rd Street N.E., Suite 201 Cedar Rapids, IA 52401 319 362-1831 Horton, Douglas Yes Yes Yes 4141 Glass Rd NE Cedar Rapids, IA 52402 319 393-0773

djhddspc1@aol.com Jones, Rhys B. Yes Yes Yes St. Luke's Dental Health Center 855 A Ave NE Cedar Rapids, IA 52402 319 369-7730 Kelly, Steven M Yes Yes Yes 892 8th Ave Marion, IA 52302 319 377-5155 Kral, Paula K. No Yes Yes 4245 1st Ave SE Cedar Rapids, IA 52402 319 363-9889 DrPaulaKral@dentalhealthpartners.com Li, Shanon Yes Yes Yes Linn-Mar Dental 955 31st Street Marion, IA 52302 319 377-1898 linnmardental@yahoo.com Livengood, Curtis D. Yes Yes Yes 2727 1st Ave SE Cedar Rapids, IA 52402 319 363-2643 McCray, Larry A Yes Yes Yes 835 3rd Ave SE Cedar Rapids, IA 52403 319 366-8277 tnisbum@aol.com Miller Ballard, Jennifer R. Yes Yes Yes 1201 - 42nd St. NE Cedar Rapids, IA 52401 319 393-6152 Rehak, Adrian No Yes Yes Mt Vernon Rd Dental 4015 Mt Vernon Rd SE Cedar Rapids, IA 52403

319 362-3179 adrianrehak@mchsi.com Recker, Douglas J. No Yes Yes 1475 Boyson Road Hiawatha, IA 52233 319 393-4019 Tyler, Christopher M. No Yes Yes 126 2nd St. NE Cedar Rapids, IA 52401 319 366-8095 cmtdds24@aol.com Lucas Stream, Rodney R. Yes Yes Yes 934 N. 7th St Chariton, IA 50049 641 774-5031 Lyon Murphy, Joseph A Yes Yes Yes 601 N 2nd Ave Rock Rapids, IA 51246 712 472-3797 Madison Keul, WJ No Yes Yes 820 W. Summit Winterset, IA 50273 515 462-4474 Ward, T.S. Yes Yes Yes 108 West Court Ave Winterset, IA 50273 515 462-4002 Marshall Stufflebeam, Michael Yes Yes Yes 102 N. 1st St. Marshalltown, IA 50158 641 752-9550

Mitchell Lafferty, John D. No Yes Yes 306 W. 4th St. Ansgar, IA 50472 641 736-4302 Monroe Bates, Joseph L. Yes Yes Yes 222 Washington Ave. East Albia, IA 52531 641 932-5103 espndds@aol.com Scieszinski, John J. Yes Yes Yes 26 South Main St. Albia, IA 52531 641 932-2729 jjskis4@hotmail.com Muscatine Moreno, Carol L. Yes Yes Yes 1205 N Columbus / PO Box #305 West Liberty, IA 52776 319 627-2612 Proffitt, Brian W. No Yes No 200 Cleveland St. Suite B Muscatine, IA 52761 563 264-8970 Page Belknap, Marvin E. Yes No Yes 617 West Thomas Shenandoah, IA 51601 712 246-5587 mbelkna@heartland.net Palo Alto Louscher, Aaron M. Yes Yes Yes 3202 1st Street

Emmetsburg, IA 50536 712 852-2054 Plymouth Brower Dental Health Yes Yes Yes 37 3rd Ave NW LeMars, IA 51031 712 548-4615 Kingsley Dental Clinic No Yes Yes 12 E 2nd St. Kingsley, IA 51028 712 378-3118 drsks@frontiernet.net Pocahontas Christensen, Steven No Yes Yes 111 West Main Street Laurens, IA 50554 712 841-4930 no2thdk@longlines.com Olson Bieri, Linda No Yes Yes 111 West Main Street Laurens, IA 50554 712 841-4930 no2thdk@longlines.com Wernimont, Dan No Yes Yes 102 3rd Ave NW Pocahontas, IA 50574 712 335-4132 Polk Amerman, Gary No No Yes 4090 Westown Parkway Suite A-4 West Des Moines, IA 50266 515 223-9700 Book, Larry C. No Yes No 1801 Grand Ave. West Des Moines, IA 50265 515 225-1316

Campbell, John No Yes Yes 215 Euclid Des Moines, IA 50313 515 288-1343 Gradoville, Bernard L. No Yes No 1067 5th Ave Des Moines, IA 50314 515 243-2412 Grask, William T. No Yes Yes Mercy West Dental Clinic 1601 NW 114th St. #351 Clive, IA 50225 515 221-0381 wigrask@mchsi.com Hammond, Jansen, Lussman Yes Yes Yes 4090 Westown Parkway Suite B-1 West Des Moines, IA 50266 515 267-0737 Nihammond@Hammonddds.com Hawks, James No Yes Yes 1200 Valley West Dr. Suite 109 West Des Moines, IA 50266 515 225-6665 Hooker, Nick Yes Yes Yes Primary Health Care 2353 SE 14th St. Des Moines, IA 50320 515 248-1470 Jorgensen Fairchild, Amanda Yes Yes Yes 1111 E Army Post Road, Suite 470 Des Moines, IA 50315 515 287-6900 amandaandkent@msn.com Kubovich, Matthew Yes Yes Yes 1454 30th Street Suite #208 West Des Moines, IA 50266 515 225-0066 mskubovich@earthlink.net

Lang, Larry L. Yes Yes Yes 1454 30th St. Suite 208 West Des Moines, IA 50266 515 225-0066 llldds@aol.com Lussman, MM Yes Yes Yes 4090 Westown Parkway West Des Moines, IA 50325 545 267-0737 Mancuso, Vincent W. Jr. No Yes Yes 1000 73rd St. Suite 10 Des Moines, IA 50311 515 223-1298 McCullough, Matt No Yes Yes 306 SW Walnut Ankeny, IA 50021 515 964-0621 McDonald, Christopher J. No Yes Yes 2400 128th Street Urbandale, IA 50323 515 334-3838 Mohan, Steffany L. Yes Yes Yes 1212 Pleasant Street, Suite 102 Des Moines, IA 50309 515 243-5070 m.mohan@mchsi.com Purk, Jeff No Yes Yes 4405 SW 9th St. Des Moines, IA 50315 515 287-3588 Roos, Ethan Yes Yes No The Dental Store Southridge Mall Des Moines, IA 50315 515 287-6900 dsthe4@qwest.net Skinner, Bill Yes Yes Yes 5525 Meredith Drive, Suite A

Des Moines, IA 50310 515 278-2888 Snavely, Rodney A. No Yes Yes 3102 Ingersoll Avenue Des Moines, IA 50312 515 279-0926 rsnavely@aol.com Stevenson, Chad No Yes No 1005 Grand Ave. Suite 200 West Des Moines, IA 50265 515 223-1940 Westra, Rebecca L. Yes Yes Yes 3311 SW 9th St., Suite 200 Des Moines, IA 50315 515 243-7641 rlddds@qwest.com Wilson, Thomas G. Yes Yes Yes 8515 Douglas, Suite 26 Des Moines, IA 50322 515 278-2333 twilsondds@aol.com Pottawattamie Andersen, John D. Yes Yes Yes 201 Ridge St. Suite 308 Council Bluffs, IA 51503 712 328-8892 Cardenzana, Andrea Yes Yes Yes 427 E. Kanesville Blvd Ste 200 Council Bluffs, IA 51503 712 322 5318 cardenzanabarnes@aol.com Dudzinski, Bernard P. Yes No Yes 2800 Twin City Plaza Suite IR Council Bluffs, IA 51501 712 366-7077 cbscan@radiks.net Higginbotham, Dennis Yes No Yes

915 N 26th St. Council Bluffs, IA 51501 712 323-5801 Marshall, Andersen, Obenchain, & Wood Yes Yes Yes Oral & Maxillofacial Surgery 201 Ridge St. Suite 308 Council Bluffs, IA 57503 712 328-8892 McArdle, Kent E. Yes No Yes 2800 Twin City Plaza Suite IR Council Bluffs, IA 51501 712 366-7077 cbscan@radiks.net Murray, Edward B Yes Yes Yes 40 Northcrest Dr. Council Bluffs, IA 51503 712 328-9605 Obenchain, David C. Yes Yes Yes 201 Ridge St. Suite 308 Council Bluffs, IA 51503 712 328-8892 Quattrocchi, Joseph A. Yes Yes Yes 40 Northcrest Dr. Council Bluffs, IA 51503 712 328-9605 Schierbrock, Thomas Yes Yes Yes 427 E. Kanesville Blvd Ste 200 Council Bluffs, IA 51503 712 322-5318 sia2thdoc@aol.com Steg, Thomas B. Yes Yes Yes 317 Main Minden, IA 51553 712 483-2122 Poweshiek Baumann, Robert W. Yes Yes Yes 902 Park St.

Grinnell, IA 50112 641 236-6174 Sac Ching, R. Louie Yes No No 322 South 13th Street Sac, IA 50583 712 662-4766 rchingjr@frontiernet.net Scott Anderson, Steven P. No Yes Yes 2208 E. 52nd St. Davenport, IA 52807 563 359-5599 Bayne, Philip No Yes Yes 133 E. Mayne Blue Grass, IA 52726 563 381-4830 Beathe Family Dental No Yes Yes 516 W. 35th St. Davenport, IA 52806 563 386-6910 Beattie, Matthew No Yes Yes 516 W. 35th St. Davenport, IA 52806 563 386-6910 drmbeattie@yahoo.com Brandtner, Alex Yes Yes Yes 5108 Jersey Ridge Rd. Davenport, IA 52803 563 355-0437 alexjbrandtner@mchsi.com Byers, Stephen W. Yes Yes No 126 So Cody Rd. P.O. Box 606 LeClaire, IA 52753 563 289-3249 Community Health Care Inc. Yes Yes Yes

500 W River Drive Davenport, IA 52801 Doyle, Keri No Yes Yes 1895 Middle Rd. Bettendorf, IA 52722 563 355-7884 D'Souza, Joseph E. Yes Yes No 3475 Jersey Ridge Road Davenport, IA 52807 563 359-5510 Hathaway, Alan D. Yes Yes No 1333 W Lombard St. Davenport, IA 52804 563 322-1451 Hubner, John C. Yes No No 3516 Jersey Ridge Rd. Davenport, IA 52807 563 359-1309 Hulting, Jon P. Yes No Yes 116 - N. 2nd St. Eldridge, IA 52748 563 285-9555 Iglehart, David R. No Yes No 3429 Spring St. Davenport, IA 52807 563 355-3600 Irwin, Thomas P. Jr. No Yes Yes 3024 Victoria St. Bettendorf, IA 52722 563 332-2447 drchipdmd@netexpress.net Kell, Kathryn No Yes Yes 5359 Eastern Ave Davenport, IA 52807 563 355-6626 rudkell@msn.com Mariani, Mary Yes Yes Yes

Community Health Care Inc 560 W River Davenport, IA 52801 563 336-3221 mmariani@davchi.com Mayfield, John Yes Yes No 516 W. 35th St. Bldg. 1 Davenport, IA 52806 563 391-6245 Nelson, Richard No Yes Yes 2430 Tech Drive #A Bettendorf, IA 52722 563 332-0415 rnelson@rnelsondds.com Olson, Tom No Yes Yes 1912 Middle Rd. Bettendorf, IA 52722 563 355-5513 thomasotwo@aol.com Smith, Paul R. Yes Yes Yes 5345 Spring St. Davenport, IA 52807 563 359-1601 Thurman, Terry L. Yes Yes Yes 2501 18th Street, Ste. 104 Bettendorf, IA 52722 563 355-0330 Wainwright, Brandon M. No No Yes 3520 Utica Ridge Rd. Bettendorf, IA 52722 319 762-8445 brandonwainwright@yahoo.com Wilwert, Monica Yes Yes Yes Community Health Care 125 Scott St. Davenport, IA 52801 563 336-3222 Shelby

Ludwig, Thomas Yes Yes Yes 1116 Morningview Dr. PO Box 713 Harlan, IA 51537 712 755-2809 info@tomludwigdds.com Sioux Beernink, Greg Yes Yes No Orange City Dentistry 909 Lincoln Circle SE Orange City, IA 51041 712 737-4177 beernink@orangecitycomm.net Joiner Family Dentistry No Yes Yes 123 Albany Ave SE Orange City, IA 51041 712 737-3521 Story Freeburg, M.K. No Yes Yes 137 Lynn Ave Ames, IA 50014 515 292-7262 Grandgenett, Debbie Yes Yes Yes 2208 Philadelphia St Ames, IA 52210 515 956-3423 dgrandgenett@grandgenettdentistry.com Hawthorne, Gregory D. Yes Yes Yes 616 5th Street Ames, IA 50010 515 232-5401 gahawthorne@mchsi.com Kazwell, John No Yes Yes 1212 Duff Ave Ames, IA 50010 515 232-6830 Readhead, Paul No Yes Yes

2720 Stange Rd Ames, IA 50010 515 268-0516 prdds@netins.net Smith, Ronald C. Yes Yes Yes 1212 Duff Ave Ames, IA 50010 515 233-2174 Wass Kim, J. No Yes Yes 707 5th Street #102 Ames, IA 50010 515 232-2152 kimwass@aol.com Taylor Imm, Rudy Yes Yes Yes 108 1/2 N. Main Lenox, IA 50851 641 333-2994 ruimm@ll.net Wapello Evans, Thomas W. Yes Yes Yes 740 Pennsylvania Avenue Ottumwa, IA 52510 641 683-3339 Warren Carlisle Dental Office Yes Yes Yes Box 564 Carlisle, IA 50047 515 989-0447 Cooney, Thomas R Yes Yes Yes 215 N. Buxton St. Indianola, IA 50125 515 961-5351 Goff, Marwin No No Yes 1326 Sunset Dr. Norwalk, IA 50211

515 981-0444 bucsdds@aol.com Washington Heddens, Heather Yes No Yes 1004 E. Washington St. PO Box 530 Washington, IA 52353 319 653-2201 Hughes, Tracey No Yes No Riverside Family Dental 380 E. Hickory St. Riverside, IA 52327 319 648-3901 Webster Arklie, Anne Yes Yes Yes 1120 Market St. Gowrie, IA 50543 515 352-5230 Boswell, Charles Yes Yes Yes 10 N 10th St Fort Dodge, IA 50501 515 576-5020 Winnebago Ralston, Laila Yes Yes Yes 132 East J Street Forest City, IA 50436 641 585-4636 UI2th@hotmail.com Winneshiek Henry, C. Patrick No Yes Yes 105 Lydia St. Ossian, IA 52161 563 532-9860 Woodbury Bokemper, Richard K. No Yes No

703 First St. Seargent Bluff, IA 51054 712 943-4242 rkbdds@pionet.net Frank, Shamayne M. Yes Yes Yes 2918 Hamilton Blvd., Ste 102 Sioux City, IA 51104 712 252-9894 Gennatos, Fotene Yes Yes Yes 1021 Nebraska St. Sioux City, IA 51105 712 202-1006 Hemmingsen, Jeff Yes Yes Yes 2520 Glenn Ave. Sioux City, IA 51106 712 224-4700 jeffjodifamily@netzero.com Hettinger, Richard F. Yes Yes Yes 3900 Floyd Blvd Sioux City, IA 51108 712 239-5812 Kuntz, Timothy Robert Yes Yes Yes 3012 Hamilton Blvd. Sioux City, IA 51104 712 258-0501 Min, Christine Yes Yes Yes Sioux Community Health Center 1021 Nebraska St. Sioux City, IA 51104 712 252-2477 cmin@slandchc.com