directory of participating dental providers new …nmpsia.com/pdfs/nm_alliance network directory...

43
New Mexico 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 BODZIAK, JENNIFER R., DDS 1801 CAMINO DE SALUD NE (505) 925-4031 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 1801 CAMINO DE SALUD NE STE 1200 (505) 925-4031 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 GREWAL, KAPIL, DDS 717 ENCINO PL NE STE 7 (505) 843-9636 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 S (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) 925-4031 MATTE, MATTHEW A., 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) 925-4031 SP, VT Language(s): VALLES, JOE L., DDS 500 CENTRAL AVE SE (505) 243-3535 Multi-Specialty UNM MEDICAL GROUP INC 1801 CAMINO DE SALUD NE STE 1200 (505) 925-4031 SP, VT Language(s): UNM MEDICAL GROUP INC 1127 UNIVERSITY BLVD NE (505) 272-5326 SP, VT Language(s): ALBUQUERQUE - 87104 General Dentist GAUNTT, DAVIS R., DDS 109 RIO GRANDE NW (505) 243-1546 SP Language(s): MILLS, PAUL E., DDS 809 TYERAS AVE NW (505) 842-9350 VIGIL, STEPHEN H., DDS 901 RIO GRANDE BLVD NW STE 154G (505) 255-7990 ALBUQUERQUE - 87105 General Dentist 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 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 BUTTERFIELD, DONALD E., DDS 4201 CENTRAL AVE NW STE F1 (505) 843-7172 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 CHIEM, BECKY D., DDS 4201 CENTRAL AVE NW STE F1 (505) 843-7172 CLARK, LANCE D., DMD 1698 RIO BRAVO BLVD SW (505) 247-2717 PT Language(s): DYE, JEREMIAH M., DDS 2001 EL CENTRO FAMILIAR BLVD SW (505) 873-7400 EBRAHIMI, HAMID R., DDS 4201 CENTRAL AVE NW NW STE F1 (505) 843-7172 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) 554-2831 SP Language(s): FOUTZ, JONAH L., DDS 1625 RIO BRAVO BLVD SW STE 33 (505) 554-2831 GALVIN, JARED D., DMD 1698 RIO BRAVO BLVD SW (505) 247-2717 SP Language(s): GIRON, DEVIN K., DDS 1 SAGEBRUSH ST SW (505) 869-3200 GOYAL, NIKITA, DDS 2001 EL CENTRO FAMILIAR BLVD SW (505) 873-7423 HOLLOWWA, CONNOR J., DDS 1 SAGEBRUSH ST SW (505) 869-3200 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 LOWE, BETHANY, DDS 1625 RIO BRAVO BLVD SW (505) 554-2831 MANSOUR, RAFAT M., DDS 1010 BRIDGE BLVD SW STE E (505) 877-0435 AR, SP Language(s): MATTE, MATTHEW A., DDS 1 SAGEBRUSH ST SW (505) 869-3200 MCGARRY, CODY G., DMD 1698 RIO BRAVO BLVD SW (505) 247-2717 SP Language(s): MONTES, SANDRA, DDS 2001 N CENTRO FAMILIAR (505) 873-7423 PARK, HYUNJUNG, 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): QUAM, ZELLISHA A., DMD 4201 CENTRAL AVE NW STE F1 (505) 843-7172 RIESENBERGER, ZACHARY, DDS 2001 N CENTRO FAMILIAR SW (505) 873-7423 SP Language(s): 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 407 ISLETA BLVD SW (505) 898-4650 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 SHAFER, NOAH M., DDS 4201 CENTRAL AVE NW STE F1 (505) 843-7172 SPENCER, SHAMAINE R., DDS 2001 EL CENTRO FAMILIAR BLVD SW (505) 873-7400 STAKER, ALLAN P., DDS 6400 CENTRAL AVE SW (505) 836-0322 STEWART, BRYAN D., DDS 1625 RIO BRAVO BLVD SW STE 33 (505) 554-2831 SP Language(s): SUNRIDGE DENTAL CARE 6400 CENTRAL AVE SW (505) 836-0322 TRUONG, TUYET PHI N., DMD 2001 EL CENTRO FAMILIAR BLVD SW (505) 873-7400 TUNG, LIANG TSO, DDS 2001 EL CENTRO FAMILIAR BLVD SW (505) 873-7400 CN, MZ Language(s): TWEET, CHANDRA J., DDS 2001 EL CENTRO FAMILIAR BLVD SW (505) 873-7400 SP Language(s): UJDA, KATARZYNA, DDS 2001 EL CENTRO FAMILIAR BLVD SW (505) 873-7400 PL Language(s): Page 1 of 42 August 2017 New Mexico Alliance Network 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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New Mexico

Directory of Participating Dental Providers

Alliance Network

NEW MEXICOBERNALILLO County

ALBUQUERQUE - 87102

General Dentist

BACHICHA, CHRISTINA M., DDS606 ENCINO PL NE (505) 243-6714

BODZIAK, JENNIFER R., DDS1801 CAMINO DE SALUD NE (505) 925-4031

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., DDS1801 CAMINO DE SALUD NE STE 1200 (505) 925-4031

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

GREWAL, KAPIL, DDS717 ENCINO PL NE STE 7 (505) 843-9636

HO, MY T., DDS2116 HINKLE ST SE (505) 843-7493

VTLanguage(s):

HORN, RICHARD E., DDS801 ENCINO PL NE D 1 MEDICAL ARTS S (505) 242-9781

JACKSON, MELISSA D., DMD2116 HINKLE ST SE (505) 843-7493

JENSEN, PETER M., DDS1801 CAMINO DE SALUD NE STE 1200 (505) 925-4031

MATTE, MATTHEW A., 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) 925-4031

SP, VTLanguage(s):

VALLES, JOE L., DDS500 CENTRAL AVE SE (505) 243-3535

Multi-Specialty

UNM MEDICAL GROUP INC1801 CAMINO DE SALUD NE STE 1200 (505) 925-4031

SP, VTLanguage(s):

UNM MEDICAL GROUP INC1127 UNIVERSITY BLVD NE (505) 272-5326

SP, VTLanguage(s):

ALBUQUERQUE - 87104

General Dentist

GAUNTT, DAVIS R., DDS109 RIO GRANDE NW (505) 243-1546

SPLanguage(s):

MILLS, PAUL E., DDS809 TYERAS AVE NW (505) 842-9350

VIGIL, STEPHEN H., DDS901 RIO GRANDE BLVD NW STE 154G (505) 255-7990

ALBUQUERQUE - 87105

General Dentist

ASBAGHI MAMAGHANI, NAGHMEH, DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

BACIU, EVA C., DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

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

BUTTERFIELD, DONALD E., DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

CAIN, LEE E., DDS3001 ISLETA BLVD SW (505) 877-8910

CDB RIO BRAVO LLC1625 RIO BRAVO BLVD SW STE 33 (505) 431-6779

CHIEM, BECKY D., DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

CLARK, LANCE D., DMD1698 RIO BRAVO BLVD SW (505) 247-2717

PTLanguage(s):

DYE, JEREMIAH M., DDS2001 EL CENTRO FAMILIAR BLVD SW (505) 873-7400

EBRAHIMI, HAMID R., DDS4201 CENTRAL AVE NW NW STE F1 (505) 843-7172

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) 554-2831

SPLanguage(s):

FOUTZ, JONAH L., DDS1625 RIO BRAVO BLVD SW STE 33 (505) 554-2831

GALVIN, JARED D., DMD1698 RIO BRAVO BLVD SW (505) 247-2717

SPLanguage(s):

GIRON, DEVIN K., DDS1 SAGEBRUSH ST SW (505) 869-3200

GOYAL, NIKITA, DDS2001 EL CENTRO FAMILIAR BLVD SW (505) 873-7423

HOLLOWWA, CONNOR J., DDS1 SAGEBRUSH ST SW (505) 869-3200

IVERS, MELISSA, DDS1010 BRIDGE BLVD SW STE E (505) 877-0435

LEE, SHAUN M., DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

LOWE, BETHANY, DDS1625 RIO BRAVO BLVD SW (505) 554-2831

MANSOUR, RAFAT M., DDS1010 BRIDGE BLVD SW STE E (505) 877-0435

AR, SPLanguage(s):

MATTE, MATTHEW A., DDS1 SAGEBRUSH ST SW (505) 869-3200

MCGARRY, CODY G., DMD1698 RIO BRAVO BLVD SW (505) 247-2717

SPLanguage(s):

MONTES, SANDRA, DDS2001 N CENTRO FAMILIAR (505) 873-7423

PARK, HYUNJUNG, DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

PHIPPS, JONATHAN R., DMD6400 CENTRAL AVE SW (505) 836-0322

EN, SPLanguage(s):

QUAM, ZELLISHA A., DMD4201 CENTRAL AVE NW STE F1 (505) 843-7172

RIESENBERGER, ZACHARY, DDS2001 N CENTRO FAMILIAR SW (505) 873-7423

SPLanguage(s):

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., DDS407 ISLETA BLVD SW (505) 898-4650

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

SHAFER, NOAH M., DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

SPENCER, SHAMAINE R., DDS2001 EL CENTRO FAMILIAR BLVD SW (505) 873-7400

STAKER, ALLAN P., DDS6400 CENTRAL AVE SW (505) 836-0322

STEWART, BRYAN D., DDS1625 RIO BRAVO BLVD SW STE 33 (505) 554-2831

SPLanguage(s):

SUNRIDGE DENTAL CARE6400 CENTRAL AVE SW (505) 836-0322

TRUONG, TUYET PHI N., DMD2001 EL CENTRO FAMILIAR BLVD SW (505) 873-7400

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):

Page 1 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoALBUQUERQUE - 87105 (continued)

Directory of Participating Dental Providers

Alliance Network

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

WILCOTS, KAI K., DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

YANG, JAE, DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

ZIEMANN, RONALD W., DDS1 SAGEBRUSH ST SW (505) 869-3200

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

SMITH, SANDRA A., DDS3410 INDIAN SCHOOL RD NE (505) 265-6921

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

DENTAL PARTNERS OF NORTHVALLEY5308 4TH ST NW (505) 341-2273

DOMINGUEZ, FRANK, DMD5721 4TH ST NW (505) 345-0515

FAMILY CHOICE DENTAL6211 4TH ST NW STE 13 (505) 821-5437

HOWELL, RICHARD E., DDS5721 4TH ST NW (505) 345-0515

JOSEPHSON, RANDY T., DMD6301 4TH ST NW (505) 345-0880

JOSEPHSON, STEVEN L., DMD6301 4TH ST NW (505) 345-0880

KADKHODA, AFSANEH, DDS5721 4TH ST NW (505) 345-0515

UNLanguage(s):

LAM, JIM D., DDS5721 4TH ST NW (505) 345-0515

CNLanguage(s):

LANTZ, THOMAS E., DDS5721 4TH ST NW (505) 345-0515

MYERS, ERIC A., DDS6211 4TH ST NW STE 13 (505) 821-5437

SPLanguage(s):

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

ROSS, GARY M., DDS3520 MONTGOMERY BLVD NE (505) 888-2606

RUYLE, BONNIE, DDS5721 4TH ST NW (505) 345-0515

SCOTT, ANNE M., DDS3520 MONTGOMERY BLVD NE (505) 888-2606

SPLanguage(s):

THOMAS, MATTHEW M., DDS5308 4TH ST NW (505) 341-2273

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., DDS6211 4TH ST NW STE 13 (505) 821-5437

SPLanguage(s):

Endodontist

WHITE SR., JOHN H., DDS5721 4TH ST NW (505) 345-0515

Orthodontist

DARMITZEL, STEPHEN E., DDS5721 4TH ST NW (505) 345-0515

Periodontist

SUN, CHUN XIAO, DMD5721 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

BURNS SANCHEZ, SUSAN, DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

BUTTERFIELD, DONALD E., DDS5505 CENTRAL AVE NE (505) 843-6060

CARTER JR., BARNEY W., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

CHA, LILY, DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

CHAVEZ, ARMANDO J., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

CHAVEZ, KEELY J., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

CHUNG, CHRISTINA K., 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):

EBRAHIMI, HAMID R., DDS5505 CENTRAL AVE NE (505) 843-6060

GONZALEZ, MARTIN, DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

SPLanguage(s):

HAGGERTY JR., ROBERT W., DDS5124 ZUNI RD SE (505) 268-3384

HATCH, CAMERON J., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

HEMPSTEAD, ANNE K., DDS201 SAN PEDRO DR SE STE B-2 (505) 232-5437

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., DDS5505 CENTRAL AVE NE (505) 843-6060

GHLanguage(s):

LEE, SHAUN M., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

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

MCLEAN, ANNE C., DMD201 SAN PEDRO DR SE STE B2 (505) 232-5437

MURGA, FIELFER L., DDS333 SAN MATEO BLVDSE STE A (505) 268-8888

NEILL, JESSICA V., DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

NG, NOAH S., DMD5505 CENTRAL AVE NE (505) 843-6060

NGUYEN, TRAM T., DDS5608 ZUNI RD SE (505) 262-6560

OWENS, DEREK E., DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

PARCO, TODD M., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

PARK, HYUNJUNG, DDS5505 CENTRAL AVE NE (505) 843-6060

Page 2 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoALBUQUERQUE - 87108 (continued)

Directory of Participating Dental Providers

Alliance Network

PARK, HYUNJUNG, DDS5400 CENTRAL AVE SE STE C 101 (505) 508-1118

SPLanguage(s):

PARK, HYUNJUNG, DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

PARSONS, JACOB D., DDS7711 ZUNI RD SE (505) 256-7711

SPLanguage(s):

PEPPERMINT DENTAL SAN MATEO LLC333 SAN MATEO BLVD SE UNIT A (505) 268-8888

PHOENIX, SHIMA B., DMD333 SAN MATEO BLVDSE STE A (505) 268-8888

QUAM, ZELLISHA A., DMD5505 CENTRAL AVE NE (505) 843-6060

ROCLEVITCH, CHRISTOPHER N., DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

ROWAN, RICHARD G., DMD201 SAN PEDRO DR SE STE B2 (505) 232-5437

RYU, HOJOONG, DDS5505 CENTRAL AVE NE (505) 843-6060

KOLanguage(s):

RYU, HOJOONG, DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

KOLanguage(s):

SANCHEZ, MICHAEL A., DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

SHAFER, NOAH M., DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

SHAFER, NOAH M., DDS5505 CENTRAL AVE NE (505) 843-6060

SMALL SMILES OF EAST ALBUQUERQUE201 SAN PEDRO DR SE STE B2 (505) 232-5437

TRAN, BO V., DDS5608 ZUNI RD SE (505) 262-6560

TROPP, STEPHEN, DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

WILCOTS, KAI K., DDS5505 CENTRAL AVE NE (505) 843-6060

WILLIAMS, DREW J., DMD333 SAN MATEO BLVD SE UNIT A (505) 268-8888

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

HANN, ROBERT C., DDS201 SAN PEDRO DR SE STE B-2 (505) 232-5437

NAISBITT, MARK A., DDS201 SAN PEDRO DR SE STE B-2 (505) 232-5437

ONUORA, OBIAJULU I., DDS333 SAN MATEO BLVDSE STE A (505) 268-8888

RUDD, DANIEL B., DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

Pediatric Dentist

CALL, VAUGHN D., DMD201 SAN PEDRO DR SE STE B-2 (505) 232-5437

JACKSON, JOSEPH L., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

PECK, CHRISTIAN S., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

SIEGEL, SCOTT L., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

SIEGEL, SCOTT L., DMD201 SAN PEDRO DR SE STE B-2 (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

ANDERSON, STEWART J., DMD5343 WYOMING BLVD NE STE A (505) 822-8777

ARMIJO, MICHAEL J., DDS5900 CUBERO DR NE STE B (505) 797-1000

BACA, DIANA M., DDS5900 CUBERO DR NE STE C (505) 822-8589

BEAR CANYON FAMILY DENTISTRY7007 WYOMING BLVD NE STE B2 (505) 821-1430

BELFON, ROBERT, DMD6800 MONTGOMERY BLVD NE STE F (505) 883-7262

BIR, NEESHA R., DDS5900 CUBERO DR NE STE E (505) 797-7466

BLUM, CARISSA J., DDS7007 WYOMING BLVDNE STE B2 (505) 821-1430

BUNDY, KENNETH B., DDS4233 MONTGOMERY BLVD NE STE 120W (505) 884-7556

SPLanguage(s):

BURNS SANCHEZ, SUSAN, DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

CASAREZ QUINTANA, ALICIA R., DDS7520 MONTGOMERY BLVD NE STE E10 (505) 323-3630

SPLanguage(s):

CASAUS, JENNIFER I., DDS5920 CUBERO DR NE (505) 822-0664

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 EAST NE STE (505) 898-2797

DAVIS, TREVOR M., DMD5901 WYOMING BLVD NE STE W (505) 821-4422

DELGADO, MELLINA E., DDS7520 MONTGOMERY BLVD NE STE E10 (505) 323-3630

SPLanguage(s):

DOMINGUEZ, FRANK, DMD5900 CUBERO DR NE STE E (505) 797-7466

DUHON, ALAN L., DMD, PC6808 ACADEMY PARKWAY EAST NE STE (505) 898-2797

EDWARDS, ANTHONY H., DDS6830 MONTGOMERY BLVD NE STE B (505) 294-9208

SPLanguage(s):

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

FAZEL, NADIA S., DMD7520 MONTGOMERY BLVD NE STE E 10 (505) 323-3630

FEDE, CASSIE I., DMD6800 MONTGOMERY BLVD NE STE J (505) 883-8830

FORDE, COLIN A., DDS7520 MONTGOMERY BLVD NE BLDG C S (505) 883-3722

SPLanguage(s):

FRITZ, SHELLY L., DDS7520 MONTGOMERY BLVD NE BLDG E12 (505) 888-6980

GALLEGOS, CHRISTOPHER F., DDS5901 WYOMING BLVD NE STE W (505) 821-4422

GOMEZ KROETER, TERRY, DDS6830 MONTGOMERY BLVD NE STE F (505) 296-5200

GONZALEZ, MARTIN, DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

SPLanguage(s):

GREENE, DAVID W., DDS7007 WYOMING BLVD NE STE B2 (505) 821-1430

GREINEL BLUM, CARISSA J., DDS7007 WYOMING BLVD NE STE B2 (505) 821-1430

SPLanguage(s):

GRODNER, ROBERT W., DDS6800 MONTGOMERY BLVD NE STE J (505) 883-8830

HALLE, JEROME D., DDS7520 MONTGOMERY BLVD NE STE A (505) 889-3777

HONG, KEE JU, DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

HOWELL, RICHARD E., DDS5900 CUBERO DR NE STE E (505) 797-7466

HUFFMAN, THOMAS C., DDS6808 ACADEMY PARKWAY EAST NE STE (505) 898-2797

JACKSON, MELISSA, DMD5901 WYOMING BLVD NE STE W (505) 821-4422

JOHNSON, RASHEEDA A., DDS5700 SAN ANTONIO DR NE (505) 797-3000

KADKHODA, AFSANEH, DDS5900 CUBERO DR NE STE E (505) 797-7466

UNLanguage(s):

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):

LAM, JIM D., DDS5900 CUBERO DR NE STE E (505) 797-7466

CNLanguage(s):

LANTZ, THOMAS E., DDS5900 CUBERO DR NE STE E (505) 797-7466

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):

LIEBELT, LYNDON L., DDS8010 PALOMAS AVE NE STE B (505) 881-7586

Page 3 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoALBUQUERQUE - 87109 (continued)

Directory of Participating Dental Providers

Alliance Network

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

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):

MCDONALD, ANDREW R., DDS8010 PALOMAS AVE NE (505) 828-1244

MCFARLAND, ANDREW R., DDS7900 SAN PEDRO DR NE STE C 5 (505) 993-6871

MIRA CONSULTING INC6808 ACADEMY PARKWAY EAST NE STE (505) 898-2797

MORRISON, HONG M., DDS7520 MONTGOMERY BLVD NE BLDG C S (505) 872-4444

MURGA, FIELFER L., DDS4411 SAN MATEO BLVDNE STE E1 (505) 872-4867

NEILL, JESSICA V., DDS5700 SAN ANTONIO DR NE STE A1 (505) 797-3000

NEILL, JESSICA V., DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

NGO, TIMOTHY T., DDS7520 MONTGOMERY BLVD NE BLDG CA (505) 889-3777

NIENDORFF, WILLIAM J., DDS6808 ACADEMY PARKWAY EAST NE STE (505) 898-2797

OCHENRIDER, DAVID M., DMD5900 CUBERO DR NE STE E (505) 797-7466

OLLASON, JOHN R., DDS4273 MONTGOMERY BLVDNE STE 120E (505) 883-3229

OWENS, DEREK E., DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

PARK, HYUNJUNG, DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

PEPPERMINT DENTAL4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

PEREYRA, OMAR A., DDS4233 MONTGOMERY BLVD NE 120 W (505) 323-7966

SPLanguage(s):

PERFECT TEETH5900 CUBERO DR NE STE E (505) 797-7466

PHOENIX, SHIMA B., DMD4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

PISOTTI, GREGORY D., DDS5700 SAN ANTONIO DR NE STE A1 (505) 797-3000

POLITO, LAUREN L., DMD7900 SAN PEDRO DR NE STE C5 (505) 993-6871

FRLanguage(s):

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

ROCLEVITCH, CHRISTOPHER N., DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

RUYLE, BONNIE, DDS5900 CUBERO DR NE STE E (505) 797-7466

RYU, HOJOONG, DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

KOLanguage(s):

SCHNEIDER, AMANDA M., 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

SOLOMON, RICHARD D., DMD5700 SAN ANTONIO DR NE STE A1 (505) 797-3000

STOCKTON 22 INC6208 MONTGOMERY BLVD NE STE C & D (505) 830-9081

STOCKTON 22 INC6830 MONTGOMERY BLVD NE STE A (505) 830-9081

STOCKTON, ERIN E., DMD6800 MONTGOMERY BLVD NE STE G (505) 883-3933

STOCKTON, ERIN E., DMD6830 MONTGOMERY BLVD NE STE A (505) 830-9081

STOCKTON, ERIN E., DMD6208 MONTGOMERY BLVD NE STE C & D (505) 830-9081

STOCKTON, SETH J., DMD6800 MONTGOMERY BLVD NE STE G (505) 883-3933

STOCKTON, SETH J., DMD6208 MONTGOMERY BLVD NE STE C & D (505) 830-9081

STOCKTON, SETH J., DMD6830 MONTGOMERY BLVD NE STE A (505) 830-9081

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

WESTBROOK, JEFFREY H., DDS7520 MONTGOMERY BLVD NE STE E 10 (505) 323-3630

WILLIAMS, DREW J., DMD4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

WILSON, JOE, DDS8010 PALOMAS AVE NE STE B (505) 881-7586

WOODS, COREY W., DMD7007 WYOMING BLVD NE STE B2 (505) 821-1430

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

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., DDS6830 MONTGOMERY BLVD NE STE A (505) 830-9081

CHAVEZ, ROBERT D., DDS7520 MONTGOMERY BLVD NE STE C B (505) 881-6902

SPLanguage(s):

CLARK, SHANE T., DMD7520 MONTGOMERY BLVD NE BLDG E1 (505) 797-1212

GOODIS, CHARLES J., DDS7520 MONTGOMERY BLVD NE BLDG E1 (505) 797-1212

LOVATO, KAREN F., DDS5901 WYOMING BLVD NE STE W (505) 821-4422

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

HANCHETT, MATTHEW C., 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

STEEL, DREW V., DMD5901 WYOMING BLVD NE STE W (505) 821-4422

STONE, JOSHUA A., DDS5900 CUBERO DR NE STE A (505) 797-3530

TUGGLE, DAVID E., DDS7009 MONTGOMERY BLVD NE (505) 291-9600

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

ONUORA, OBIAJULU I., DDS4411 SAN MATEO BLVDNE STE E1 (505) 872-4867

RUDD, DANIEL B., DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

TOLLESON, SHANE R., DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

Periodontist

GHAFFARIGARAKANI, SASAN, DDS5901 WYOMING BLVD NE STE W (505) 821-4422

MELTON, JOHN J., DDS7520 MONTGOMERY BLVD NE STE D3 (505) 984-8300

SUN, CHUN XIAO, DMD5900 CUBERO DR NE STE E (505) 797-7466

Page 4 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoALBUQUERQUE - 87109 (continued)

Directory of Participating Dental Providers

Alliance Network

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

AINSWORTH, NICOLE R., DDS6810 MENAUL BLVD NE STE B (505) 872-1100

BIR, NEESHA R., DDS6101 CANDELARIA RD NE (505) 883-0005

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):

COMFORT DENTAL OF CORONADO5820 MENAUL BLVD NE (505) 872-2772

CONNER, MICHAEL R., DDS6810 MENAUL BLVD NE STE B (505) 872-1100

COPPLE, TALMAGE B., DDS5820 MENAUL BLVD NE (505) 872-2772

SPLanguage(s):

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

FIFE, STEVEN R., DDS5800 LOMAS BLVDNE (505) 268-6388

FRYE, JOSHUA R., DMD6810 MENAUL BLVD NE STE B (505) 872-1100

SPLanguage(s):

GALLEGOS, CHRISTOPHER F., DDS6810 MENAUL BLVD NE STE B (505) 872-1100

GHIASSI, JORDAN Z., DMD2100 LOUISIANA BLVD NE STE 104 (505) 883-4867

GRADY, ALICIA A., DDS7905 MARBLE AVE NE (505) 232-5710

SP, VTLanguage(s):

GUTIERREZ, DONALD P., DMD1441 CARLISLE BLVD NE STE A (505) 255-9859

GUTIERREZ, ELOY R., DDS1441 CARLISLE BLVD NE STE B (505) 255-9860

HATCH, BRIAN, DMD5800 LOMAS BLVD NE (505) 268-6388

HERO DENTAL OF ALBUQUERQUE PC5000 MENAUL BLVD NE STE B (505) 872-1212

HORTON, NATHAN S., DMD5820 MENAUL BLVD NE (505) 872-2772

SPLanguage(s):

HOWELL, RICHARD E., DDS6101 CANDELARIA RD NE (505) 883-0005

HOWELL, RICHARD E., DDS5800 LOMAS BLVD NE (505) 268-6388

IRICK, BRUCE W., DDS5820 MENAUL BLVD NE (505) 237-2273

SPLanguage(s):

KADKHODA, AFSANEH, DDS6101 CANDELARIA RD NE (505) 883-0005

UNLanguage(s):

KADKHODA, AFSANEH, DDS5800 LOMAS BLVD NE (505) 268-6388

UNLanguage(s):

KELLY, TIMOTHY M., DMD1441 CARLISLE BLVD NE STE D (505) 256-1770

KIRAN, ASLI B., DDS6101 CANDELARIA RD NE (505) 883-0056

LAM, JIM D., DDS5800 LOMAS BLVD NE (505) 268-6388

CNLanguage(s):

LAM, JIM D., DDS6101 CANDELARIA RD NE (505) 883-0005

CNLanguage(s):

LANTZ, THOMAS E., DDS5800 LOMAS BLVD NE (505) 268-6388

LANTZ, THOMAS E., DDS6101 CANDELARIA RD NE (505) 883-0005

LAYTON, C. CRAIG, DDS5820 MENAUL BLVDNE (505) 872-2772

LEE, FOOK C., DDS2017 SAN MATEO BLVD NE (505) 856-1081

LEINWEBER, JOHN A., DMD5820 MENAUL BLVD NE (505) 872-2772

SPLanguage(s):

LINDSLEY, HOLLY M., DDS2100 LOUISIANA BLVD NE STE 104 (505) 883-4867

LINDSLEY, HOLLY M., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

LUCERO, MARY A., DDS2100 LOUISIANA BLVD NE STE 104 (505) 883-4867

MAAS, SARA E., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

SPLanguage(s):

MAESE, GERALD P., DDS3901 GEORGIA ST NE BLDG G (505) 888-3112

MARSHALL, DUANE G., DMD6810 MENAUL BLVD NE STE B (505) 872-1100

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

MONTANEZ, MARIO, DDS5000 MENAUL BLVD NE STE B (505) 872-1212

MONTANO, RONALD B., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

SPLanguage(s):

MONTANO, STACEY M., DDS3901 GEORGIA ST NE BLDG G 1 (505) 888-3112

MONTGOMERY, GREGORY D., DDS6810 MENAUL BLVD NE STE B (505) 872-1100

MORGAN, SEAN, DDS4701 LOMAS BLVD NE (505) 232-2273

MORTLEY, HUNTER L., DDS3901 GEORGIA ST NE STE A3 (505) 881-1998

OCHENRIDER, DAVID M., DMD6101 CANDELARIA RD NE (505) 883-0005

OCHENRIDER, DAVID M., DMD5800 LOMAS BLVD NE (505) 268-6388

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

POLITO, YOANN P., DDS4701 LOMAS BLVD NE (505) 232-2273

FRLanguage(s):

ROUSSEL, MIKE E., DMD7127 PROSPECT PL NE (505) 881-4365

RUYLE, BONNIE, DDS5800 LOMAS BLVD NE (505) 268-6388

RUYLE, BONNIE, DDS6101 CANDELARIA RD NE (505) 883-0005

SAPP, WILLIAM A., DDS2100 LOUISIANA BLVD NE STE 131 (505) 883-4867

SCHILLING, KIM, DDS2201 LOUISIANA BLVD NE STE D (505) 883-4867

SCHNEIDER, AMANDA M., DDS5800 LOMAS BLVD NE (505) 268-6388

SMITH, SANDRA A., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

STEICHEN, CRAIG T., DDS7131 PROSPECT PL NE (505) 883-6562

STOCKTON, ERIN E., DMD3901 GEORGIA ST NE BLDG G (505) 888-3112

STOCKTON, SETH J., DMD3901 GEORGIA ST NE BLDG G (505) 888-3112

TINGEN, RACHAEL H., DDS2100 LOUISIANA BLVD NE STE 131 (505) 883-4867

VANLEEUWEN, ELIZABETH A., DDS6101 CANDELARIA RD NE (505) 883-0005

VANLEEUWEN, ELIZABETH A., DDS5800 LOMAS BLVD NE (505) 268-6388

VANSICKLE, KENNETH W., DMD5000 MENAUL BLVD NE STE B (505) 872-1212

YANG, HUAN, DDS4701 LOMAS BLVD NE (505) 232-2273

YANG, JAE, DDS6810 MENAUL BLVD NE STE B (505) 872-1100

ZINK, AURORA V., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

Endodontist

EISENHUTH, GLEN A., DDS7700 MENAUL BLVD NE STE B (505) 918-3933

Page 5 of 42 August 2017New Mexico Alliance Network

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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New MexicoALBUQUERQUE - 87110 (continued)

Directory of Participating Dental Providers

Alliance Network

LOVATO, KAREN F., DDS6810 MENAUL BLVD NE STE B (505) 872-1100

WHITE SR., JOHN H., DDS6101 CANDELARIA RD NE (505) 883-0005

WHITE SR., JOHN H., DDS5800 LOMAS BLVD NE (505) 268-6388

Oral Surgery

GUTIERREZ, TIMOTHY L., DMD1513 CARLISLE BLVD NE (505) 881-7373

STEEL, DREW V., DMD6810 MENAUL BLVD NE STE B (505) 872-1100

Orthodontist

BUSH, HELEN D., DMD5000 MENAUL BLVD NE STE B (505) 872-1212

DARMITZEL, STEPHEN E., DDS5800 LOMAS BLVD NE (505) 268-6388

DARMITZEL, STEPHEN E., DDS6101 CANDELARIA RD NE (505) 883-0005

JOHANSEN, ROBERT W., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

KADKHODA, AFSANEH, DDS5800 LOMAS BLVD NE (505) 268-6388

UNLanguage(s):

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 (505) 872-1212

SHAH, RAJA, DDS4701 LOMAS BLVD NE (505) 254-2273

SPLanguage(s):

SPALDING, PETER M., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

Pediatric Dentist

HATCH, BRIAN K., DMD4701 LOMAS BLVD NE (505) 433-5204

SPLanguage(s):

Periodontist

GHAFFARIGARAKANI, SASAN, DDS6810 MENAUL BLVD NE STE B (505) 872-1100

SUN, CHUN XIAO, DMD6101 CANDELARIA RD NE (505) 883-0005

SUN, CHUN XIAO, DMD5800 LOMAS BLVDNE (505) 268-6388

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

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

ASH, RUSSELL D., DDS5850 EUBANK BLVD NE STE B-38 (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

CARTER JR., BARNEY W., DMD3900 EUBANK BLVD NE STE 19 (505) 299-1714

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 E., DDS4830 JUAN TABO BLVD NE STE H (505) 298-8103

GALLEGOS, CHRISTOPHER F., DDS12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

GHERARDI, JOSEPH R., DDS3900 EUBANK BLVD NE 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) 312-7888

HERREJON RUIZ, MARIO, DMD12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

SPLanguage(s):

HOLLINGSWORTH RYALS , KELLEY, DDS12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

SPLanguage(s):

IVERS, MELISSA, DMD10820 COMANCHE RD NE (505) 796-6880

JENKINS, STEPHEN D., DDS10151 MONTGOMERY BLVD NE STE 2B (505) 830-3636

LAMONT, JENNIFER K., DDS7050 BARSTOW ST NE STE A (505) 508-5429

LEE, MONIQUE L., DMD12241 ACADEMY RD NE STE 203 (505) 332-8025

LEIGH, CHRISTOPHER L., DDS12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

LENHOFF, CHRISTINE A., DMD3900 EUBANK BLVD NE STE 11 (505) 292-3933

LUFFEY, JEFFREY S., DDS8400 OSUNA RD NE STE 4A (505) 294-4700

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 COMANCHE RD NE (505) 323-7700

SPLanguage(s):

OKI, JENNIFER S., DMD8401 OSUNA RD NE STE E (505) 884-6408

PADILLA, CHRISTOPHER G., DDS3809 EUBANK BLVD NE (505) 292-2323

SPLanguage(s):

PADILLA, STEPHANIE A., DDS3809 EUBANK BLVD NE (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

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

CLARK, JEFFREY M., DMD10429 LAGRIMA DE ORO RD NE (505) 291-8630

CLARK, JEFFREY M., DMD10409 MONTGOMERY PKWY NE STE 100 (505) 291-8630

HADLEY, DAVID L., DDS10429 LAGRIMA DE ORO NE (505) 291-8630

PTLanguage(s):

LOVATO, KAREN F., DDS12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

NEW MEXICO ENDODONTIC SPECIALISTS PC10151 MONTGOMERY BLVD NE STE 2B (505) 830-3636

PACHECO, MARC A., DDS10429 LAGRIMA DE ORO NE (505) 291-8630

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

Page 6 of 42 August 2017New Mexico Alliance Network

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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New MexicoALBUQUERQUE - 87111 (continued)

Directory of Participating Dental Providers

Alliance Network

RUDD, TRAVIS C., DDS10151 MONTGOMERY BLVD NE STE 2D (505) 292-3400

SPLanguage(s):

SCHOW, BRETT D., DDS10151 MONTGOMERY BLVD NE BUILDIN (505) 292-3400

STEEL, DREW V., DMD12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

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, DARREN M., DDS10433 LAGRIMA DE ORO RD NE (505) 299-4458

HALTOM, TUCKER, DDS10433 LAGRIMA DE ORO RD NE (505) 299-4458

HARNICK, DAVID J., DDS10425 MONTGOMERY PKWY NE (505) 323-0500

MUNOZ, RICARDO J., DDS10151 MONTGOMERY BLVD NE BLDG 3 S (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 S (505) 275-1662

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

ABSHERE, PHILIP M., DDS2801 EUBANK BLVD NE STE J (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

BELLAM, KRANTIKUMARI, DMD1510 WYOMING BLVD NE STE A (505) 903-6999

HILanguage(s):

BISHOP, MATTHEW R., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

SPLanguage(s):

BISHOP, MATTHEW R., DDS8501 CANDELARIA RD NE STE D2 (505) 299-9606

SPLanguage(s):

BUSH III, LOUIS R., DDS8616 MENAUL BLVD NE (505) 582-2946

BUTTERFIELD, DONALD E., DDS9204 MENAUL BLVD NE STE 3 (505) 299-6112

CASAREZ QUINTANA, ALICIA R., DDS8501 CANDELARIA RD NE STE B (505) 298-9600

SPLanguage(s):

CASAREZ QUINTANA, ALICIA R., DDS8501 CANDELARIA RD NE STE C (505) 292-8300

SPLanguage(s):

CHA, LILY, DDS2801 EUBANK BLVD NE STE J (505) 299-9606

CHA, LILY, DDS8501 CANDELARIA RD NE STE D2 (505) 299-9606

CHAVEZ, ARMANDO J., DDS8501 CANDELARIA RD NE STE D2 (505) 299-9606

CHAVEZ, ARMANDO J., DDS2801 EUBANK BLVD NE STE J (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., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

DELGADO, MELLINA E., DDS8501 CANDELARIA RD NE BLDG B (505) 292-8300

SPLanguage(s):

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):

DETRIK, DAVINA R., DDS9204 MENAUL BLVD NE (505) 299-6112

SPLanguage(s):

DOMINGUEZ, FRANK, DMD8501 CANDELARIA RD NE STE D3 (505) 293-2334

FAZEL, NADIA S., DMD8501 CANDELARIA RD NE BLDG B (505) 298-9600

FAZEL, NADIA S., DMD8501 CANDELARIA RD NE BLDG C (505) 292-8300

HATCH, CAMERON J., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

SPLanguage(s):

HEMPSTEAD, ANNE K., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

HOWELL, RICHARD E., DDS8501 CANDELARIA RD NE STE D3 (505) 293-2334

IRICK, BRUCE W., DDS2010 JUAN TABO BLVD NE (505) 237-2273

SPLanguage(s):

JACKSON, LOUIS A., DDS8501 CANDELARIA RD NE STE D2 (505) 299-9740

SPLanguage(s):

JACKSON, LOUIS A., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

SPLanguage(s):

JACKSON, MELISSA D., DMD9204 MENAUL BLVD NE STE 3 (505) 299-6112

JENKINS, HEATHER L., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

JOHNSON, AARON M., DMD2010 JUAN TABO BLVD NE (505) 237-2273

KADKHODA, AFSANEH, DDS8501 CANDELARIA RD NE STE D3 (505) 293-2334

UNLanguage(s):

KAWAMOTO, SHEENA Z., DDS8501 CANDELARIA RD NE SUITE D 2 (505) 299-9740

SPLanguage(s):

KAWAMOTO, SHEENA Z., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

KINZER, KYE G., DDS8501 CANDELARIA RD NE STC D-2 (505) 299-9740

SPLanguage(s):

KINZER, KYE G., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

SPLanguage(s):

LAM, JIM D., DDS8501 CANDELARIA RD NE STE D3 (505) 293-2334

CNLanguage(s):

LANTZ, THOMAS E., DDS8501 CANDELARIA RD NE STE D3 (505) 293-2334

LAPSKER, JENNIFER A., DDS8501 CANDELARIA RD NE BLDG B & C (505) 298-9600

LAPSKER, JENNIFER A., DDS8501 CANDELARIA RD NE STE D2 (505) 299-9606

LEE, JUNG W., DMD8501 CANDELARIA RD NE STE D2 (505) 299-9606

LEE, RYAN E., DDS2801 EUBANK BLVD NE STE J (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., DMD2801 EUBANK BLVD NE STE J (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

MISLA, KAREN C., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

MONTANO, ERIN M., DDS8501 CANDELARIA RD NE STE D-2 (505) 299-9606

NORBY, DARREN C., DMD2010 WYOMING BLVD NE STE K (505) 217-1722

OCHENRIDER, DAVID M., DMD8501 CANDELARIA RD NE STE D3 (505) 293-2334

PACHECO, ERIC M., DDS2010 JUAN TABO BLVD NE (505) 237-2273

PATTERSON, ANDREA, DDS1510 WYOMING BLVD NE STE A (505) 903-6999

PEDIATRIC DENTAL ASSOCIATES OF NM2801 EUBANK BLVD NE STE J (505) 299-9606

PHELAN, CYNTHIA A., DDS2010 JUAN TABO BLVD NE (505) 237-2273

PURCELL, KAITLYN K., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

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

RAINEY, MARGO L., DMD1510 WYOMING BLVD NE STE A (505) 903-6999

Page 7 of 42 August 2017New Mexico Alliance Network

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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New MexicoALBUQUERQUE - 87112 (continued)

Directory of Participating Dental Providers

Alliance Network

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., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

SPLanguage(s):

RUYLE, BONNIE, DDS8501 CANDELARIA RD NE STE D3 (505) 293-2334

SCHNEIDER, AMANDA M., DDS8501 CANDELARIA RD NE BLDG B&C (505) 292-8300

TROPP, STEPHEN, DDS8501 CANDELARIA RD NE STE D2 (505) 299-9740

VANLEEUWEN, ELIZABETH A., DDS8501 CANDELARIA RD NE STE D3 (505) 293-2334

WOLF, JACOB B., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

SPLanguage(s):

WOLF, JACOB B., DDS8501 CANDELARIA RD NE STE D2 (505) 299-9740

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

Orthodontist

BUSH, HELEN D., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

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

HANN, ROBERT C., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

NAISBITT, MARK A., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

TRAPNELL, RUSSELL M., DMD2010 WYOMING BLVD NE STE G (505) 296-0761

WILDE, BRIAN R., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

Pediatric Dentist

CALL, VAUGHN D., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

CALL, VAUGHN D., DMD8501 CANDELARIA RD NE STE D2 (505) 299-9606

DARCY, KAITLYN N., DDS8501 CANDELARIA RD NE STE D2 (505) 299-9606

JACKSON, JOSEPH L., DDS8501 CANDELARIA RD NE STE D2 (505) 299-9606

SPLanguage(s):

NAVARRO, AUDREY MAE E., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

PECK, CHRISTIAN S., DDS8501 CANDELARIA RD NE STE D2 (505) 299-9606

SPLanguage(s):

SIEGEL, SCOTT L., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

TASKER, SPENCER J., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

TROPP, ALMUT E., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

Periodontist

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

DAVIS, TREVOR M., DMD6230 PASEO DEL NORTE NE STE B (714) 845-8890

GALLEGOS, CHRISTOPHER F., DDS6230 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):

Endodontist

LOVATO, KAREN F., DDS6230 PASEO DEL NORTE NE STE B (714) 845-8890

Oral Surgery

MCGEE, GREGORY R., DMD8228 LOUISIANA BLVD NE STE B (505) 821-2111

STEEL, DREW V., DMD6230 PASEO DEL NORTE NE STE B (714) 845-8890

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

GHAFFARIGARAKANI, SASAN, 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

ABSHERE, PHILIP M., DDS9201 EAGLE RANCH RD NW (505) 553-3607

ABSHERE, PHILIP M., DDS9201 EAGLE RANCH RD NW (505) 892-9010

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

BISHOP, MATTHEW R., DDS9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

BISHOP, MATTHEW R., DDS9201 EAGLE RANCH RD NW (505) 553-3607

BOGOPANE, BOKANG, DDS9401 COORS BLVD NW (505) 890-2773

CARTER JR., BARNEY W., DMD9201 EAGLE RANCH RD NW (505) 553-3607

CARTER JR., BARNEY W., DMD9201 EAGLE RANCH RD NW (505) 892-9010

CHA, LILY, DDS9201 EAGLE RANCH RD NW (505) 892-9010

CHA, LILY, DDS9201 EAGLE RANCH RD NW (505) 553-3607

CHAVEZ, ARMANDO J., DDS9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

CHAVEZ, ARMANDO J., DDS9201 EAGLE RANCH RD NW (505) 553-3607

CHAVEZ, KEELY J., DDS9201 EAGLE RANCH RD NW (505) 892-9010

CHAVEZ, KEELY J., DDS9201 EAGLE RANCH RD NW (505) 553-3607

CHUNG, CHRISTINA K., DDS9201 EAGLE RANCH RD NW (505) 892-9010

CHUNG, CHRISTINA K., DDS9201 EAGLE RANCH RD NW (505) 553-3607

CLARK, GUY C., DDS3613 STATE HIGHWAY 528 NW STE G (505) 898-8011

COTTONWOOD MALL DENTAL PRACTICE LLC10000 COORS BYPASS NW STE G 218 (505) 242-4867

COX, PAMELA B., DDS9201 EAGLE RANCH RD NW (505) 890-9010

COX, PAMELA B., DDS9201 EAGLE RANCH RD NW (505) 892-9010

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 ALAMEDA LLC1125 ALAMEDA BLVD NW (505) 933-6873

DENTAL PARTNERS OF COTTONWOOD LLC9401 COORS BLVD NW STE 1 (505) 890-2773

DOMINGUEZ, FRANK, DMD10250 COTTONWOOD PARK NW STE B (505) 890-0858

FORDE, COLIN A., DDS10320 COTTONWOOD PARK NW (505) 897-1416

SPLanguage(s):

GALLEGOS, PHILIP M., DDS4824 MCMAHON BLVD NW STE 119 (505) 369-0074

GHIASSI, JORDAN Z., DMD10000 COORS BYPASS NW RM G218 (505) 242-4867

GIAQUINTO, DAVID R., DDS3613 STATE HIGHWAY 528 NW STE D (505) 899-7645

SPLanguage(s):

Page 8 of 42 August 2017New Mexico Alliance Network

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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New MexicoALBUQUERQUE - 87114 (continued)

Directory of Participating Dental Providers

Alliance Network

GRANT DAVIS GRIBBLE DENTAL ASSOCIATES PC3610 CALLE CUERVO NW STE A (505) 898-1976

GRANT, STEPHEN D., DDS3610 CALLE CUERVO NW STE A (505) 898-1976

GREENE, JEFFERY C., DMD9401 COORS BLVD NW STE 1 (505) 890-2773

GRIBBLE, BRIAN J., DDS3610 CALLE CUERVO NW STE A (505) 898-1976

HATCH, CAMERON J., DDS9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

HATCH, CAMERON J., DDS9201 EAGLE RANCH RD NW (505) 553-3607

HATCH, CAMERON, DDS9201 EAGLE RANCH RD NW (505) 892-9010

HEMPSTEAD, ANNE K., DDS9201 EAGLE RANCH RD NW (505) 553-3607

HEMPSTEAD, ANNE K., DDS9201 EAGLE RANCH RD NW (505) 892-9010

HOLLINGSWORTH RYALS , KELLEY, DDS3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

SPLanguage(s):

HOLLOWWA, CONNOR J., DDS3610 CALLE CUERVO NW STE A (505) 898-1976

SPLanguage(s):

HOLSEY, DAVID E., DDS10000 COORS BYPASS NW STE G218 (505) 242-4867

SPLanguage(s):

HOWELL, RICHARD E., DDS10250 COTTONWOOD PARK NW STE B (505) 890-0858

HWANG, SHAUN K., DDS8611 GOLF COURSE RD NW (505) 890-6101

JACKSON, LOUIS A., DDS9201 EAGLE RANCH RD NW (505) 553-3607

JACKSON, LOUIS A., DDS9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

JENSEN, STEPHEN, DDS9201 EAGLE RANCH RD NW (505) 892-9010

KADKHODA, AFSANEH, DDS10250 COTTONWOOD PARK NW STE B (505) 890-0858

UNLanguage(s):

KAWAMOTO, SHEENA Z., DDS9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

KAWAMOTO, SHEENA Z., DMD9201 EAGLE RANCH RD NW (505) 890-9010

KING, MARISOL M., DDS3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

KINZER, KYE G., DDS9201 EAGLE RANCH RD NW (505) 553-3607

KINZER, KYE G., DDS9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

KNOTT, KENNETH E., DDS9201 EAGLE RANCH RD NW (505) 553-3607

KNOTT, KENNETH E., DDS9201 EAGLE RANCH RD NW (505) 892-9010

LAM, JIM D., DDS10250 COTTONWOOD PARK NW STE B (505) 890-0858

CNLanguage(s):

LANTZ, THOMAS E., DDS10250 COTTONWOOD PARK NW STE B (505) 890-0858

LAPSKER, JENNIFER A., DDS9201 EAGLE RANCH RD NW (505) 553-3607

LAPSKER, JENNIFER A., DDS9201 EAGLE RANCH RD NW (505) 892-9010

LEE, RYAN E., DDS9201 EAGLE RANCH RD NW (505) 892-9010

LIGHTHALL, SKYLAR A., DDS9401 COORS BLVD NW (505) 890-2773

LUCERO, MARY A., DDS1000 COORS BY PASS NW STE RG218 (505) 242-4867

MAESTAS, GABRIEL D., DDS1125 ALAMEDA BLVD NW (505) 933-6873

MAJOR, PAKO M., DDS9384 VALLEY VIEW DR NW STE 200 (505) 332-9198

GR, PLLanguage(s):

MCCANN, KATIE L., DDS3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

SPLanguage(s):

MCLEAN, ANNE C., DMD9201 EAGLE RANCH RD NW (505) 890-9010

SPLanguage(s):

MCLEAN, ANNE C., DMD9201 EAGLE RANCH RD NW (505) 892-9010

MINK, KEVIN E., DMD6521 PARADISE BLVD NW STE M (505) 890-3000

MISLA, KAREN C., DDS9201 EAGLE RANCH RD NW (505) 892-9010

MONTANO, ERIN M., DDS9201 EAGLE RANCH RD NW (505) 892-9010

MONTANO, ERIN M., DDS9201 EAGLE RANCH RD NW (505) 553-3607

NEWSOME, BOYD E., DMD4421 IRVING BLVD NW STE B (505) 821-6910

PT, SPLanguage(s):

NIELSON, FRANCE J., DDS9401 COORS BLVDNW (505) 890-2773

OCHENRIDER, DAVID M., DMD10250 COTTONWOOD PARK NW STE B (505) 890-0858

PACHECO, ERIC M., DDS1125 ALAMEDA BLVD NW (505) 933-6873

PATTERSON, ANDREA, DDS4824 MCMAHON BLVD NW STE 119 (505) 466-5400

SPLanguage(s):

PISOTTI, GREGORY D., DDS9384 VALLEY VIEW DR NW STE 200 (505) 332-9198

PITLUCK III, JOSEPH E., DDS9401 COORS BLVD NW STE 1 (505) 890-2773

PURCELL, KAITLYN K., DDS9201 EAGLE RANCH RD NW (505) 553-3607

PURCELL, KAITLYN K., DDS9201 EAGLE RANCH RD NW (505) 892-9010

RAINEY, MARGO L., DMD4824 MCMAHON BLVD NW STE 119 (505) 369-0074

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):

ROWAN, RICHARD G., DMD9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

ROWAN, RICHARD G., DMD9201 EAGLE RANCH RD NW (505) 553-3607

RUYLE, BONNIE, DDS10250 COTTONWOOD PARK NW STE B (505) 890-0858

SAPP, WILLIAM A., DDS10000 COORS BYPASS NW STE G 218 (505) 242-4867

SPENCER, DARYL, DDS4824 MCMAHON BLVD NW STE 119 (505) 369-0074

STAKER, ALLAN P., DMD9401 COORS BLVD NW (505) 890-2773

TROPP, STEPHEN, DDS9201 EAGLE RANCH RD NW (505) 892-9010

TROPP, STEPHEN, DDS9201 EAGLE RANCH RD NW (505) 553-3607

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

WOLF, JACOB B., DDS9201 EAGLE RANCH RD NW (505) 892-9010

YANG, JAE, DDS3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

Endodontist

LOVATO, KAREN F., DDS3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

WHITE SR., JOHN H., DDS10250 COTTONWOOD PARK NW STE 100 (505) 890-0858

Oral Surgery

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

STEEL, DREW V., DMD3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

WAGNER, JON D., DDS10000 COORS BYPASS NW STE G 218 (505) 242-4867

Orthodontist

BUSH, HELEN D., DMD9201 EAGLE RANCH RD NW (505) 892-9010

BUSH, HELEN D., DMD9201 EAGLE RANCH RD NW (505) 553-3607

DARMITZEL, STEPHEN E., DDS10250 COTTONWOOD PARK NW STE B (505) 890-0858

HANN, ROBERT C., DDS9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

HANN, ROBERT C., DDS9201 EAGLE RANCH RD NW (505) 553-3607

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):

NAISBITT, MARK A., DDS9201 EAGLE RANCH RD NW (505) 553-3607

Page 9 of 42 August 2017New Mexico Alliance Network

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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New MexicoALBUQUERQUE - 87114 (continued)

Directory of Participating Dental Providers

Alliance Network

SHAH, RAJA, DDS9401 COORS BLVD NW (505) 792-7887

SPLanguage(s):

TORREBIARTE, CARLOS E., DDS3730 ELLISON RD NW STE B (505) 766-4800

SPLanguage(s):

Pediatric Dentist

CALL, VAUGHN D., DMD9201 EAGLE RANCH RD NW (505) 553-3607

CALL, VAUGHN D., DMD9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

HATCH, BRIAN K., DMD9401 COORS BLVD NW (505) 433-5204

SPLanguage(s):

JACKSON, JOSEPH L., DDS9201 EAGLE RANCH RD NW (505) 892-9010

NAVARRO, AUDREY MAE E., DDS9201 EAGLE RANCH RD NW (505) 553-3607

PECK, CHRISTIAN S., DDS9201 EAGLE RANCH RD NW (505) 892-9010

PECK, CHRISTIAN S., DDS9201 EAGLE RANCH RD NW (505) 553-3607

SIEGEL, SCOTT L., DDS9201 EAGLE RANCH RD NW (505) 892-9010

SIEGEL, SCOTT L., DMD9201 EAGLE RANCH RD NW (505) 890-9010

TASKER, SPENCER J., DMD9201 EAGLE RANCH RD NW (505) 892-9010

TASKER, SPENCER J., DMD9201 EAGLE RANCH RD NW (505) 553-3607

Periodontist

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

SMILES FOR NM KIDS MOBILE9201 EAGLE RANCH RD NW (505) 553-3607

SPLanguage(s):

SPENCER TASKER PEDIATRIC DENTISTRY9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

ALBUQUERQUE - 87120

General Dentist

ANDERSON, LINDI B., 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

BURK, THERON R., DMD3700 COORS BLVD NW STE D (505) 344-6565

CRLanguage(s):

BUTTERFIELD, DONALD E., DDS6001 WINTER HAVEN DR NW (505) 842-9799

CARTER JR., BARNEY W., DMD8201 GOLF COURSE RD NW STE C4 (505) 553-3607

CHA, LILY, DDS8201 GOLF COURSE RD NW STE C4 (505) 553-3607

CHAVEZ, ARMANDO J., DDS8201 GOLF COURSE RD NW NW C4 (505) 553-3607

CHUNG, CHRISTINA K., DDS8201 GOLF COURSE RD NW STE C4 (505) 890-9010

CONNER, MICHAEL R., DDS2800 COORS BLVD NW STE A (505) 352-1166

COTTER, BRANDON B., DDS2800 COORS BLVD NW STE A (505) 352-1166

DOMINGUEZ, CORI J., DMD3740 COORS BLVD NW STE A (505) 836-1280

EBRAHIMI, HAMID R., DDS6001 WINTER HAVEN DR NW (505) 842-9799

GAUNTT, DAVIS R., DDS8604 MESA TOP RD NW (505) 836-7337

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 C4 (505) 553-3607

JOHNSON, MARK W., DDS5115 COORS BLVD NW STE F (505) 922-9511

KAMAL ALDEEN, MURTAJA, DDS2800 COORS BLVD NW STE A (505) 352-1166

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 STE C4 (505) 553-3607

KIRACOFE, KIRK L., DDS8104 CEDAR CREEK DR NW (505) 377-0865

KNOTT, KENNETH E., DDS8201 GOLF COURSE RD NW STE C4 (505) 553-3607

LAWLOR, DAVID B., DDS2116 VISTA OESTE NW STE 202 (505) 836-1076

LEE, RYAN E., DDS9169 COORS BLVD NW (505) 346-2306

LEE, SHAUN M., DDS6001 WINTER HAVEN DR NW (505) 842-9799

LEWIS HEYWOOD, BARBARA V., DMD6330 RIVERSIDE PLAZA LN NW STE 165 (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

MIDTHANA, SRINIVASA R., DDS6001 WINTER HAVEN DR NW (505) 842-9799

MIDTHANA, SRINIVASA R., DDS3803 ATRISCO DR STE D (505) 833-1550

MONTANO, ERIN M., DDS8201 GOLF COURSE RD NW STE C4 (505) 553-3607

MORTAJI, MICHAEL H., DDS3301 COORS BLVD NW STE I (505) 839-3703

MOUNTAIN DENTAL OF NEW MEXICO PC3740 COORS BLVD NW STE A (505) 836-1280

NAMBURI, SUNEEL K., DMD3803 ATRISCO DR NW STE D (505) 833-1550

NG, NOAH S., DMD6001 WINTER HAVEN DR NW (505) 842-9799

PARK, HYUNJUNG, DDS6001 WINTER HAVEN DR NW (505) 842-9799

PISOTTI, GREGORY D., DDS2116 VISTA OESTE NW STE 202 (505) 836-1076

PISOTTI, GREGORY D., DDS4411 MONTANO RD NW STE D (505) 898-6000

PRESTWICH, BRENDON E., DDS5920 WHITEMAN DR NW (505) 897-6889

ITLanguage(s):

PURCELL, KAITLYN K., DDS8201 GOLF COURSE RD NW STE C4 (505) 553-3607

QUAM, ZELLISHA A., DMD6001 WINTER HAVEN DR NW (505) 842-9799

ROBERTSON, JARED S., DDS2116 VISTA OESTE NW STE 202 (505) 836-1076

RYU, HOJOONG, DDS6001 WINTER HAVEN DR NW (505) 842-9799

KOLanguage(s):

SANCHEZ, MICHAEL A., DDS2800 COORS BLVD NW STE A (505) 352-1166

SHAFER, NOAH M., DDS6001 WINTER HAVEN DR NW (505) 842-9799

SMITH, SANDRA A., DDS3740 COORS BLVD NW STE A (505) 836-1280

TROPP, STEPHEN, DDS8201 GOLF COURSE RD NW STE C3 (505) 890-9010

WENGERT, GLORIA H., DDS3803 ATRISCO DR NW STE D (505) 833-1550

WILCOTS, KAI K., DDS6001 WINTER HAVEN DR NW (505) 842-9799

YANG, JAE, DDS6001 WINTER HAVEN DR NW (505) 842-9799

Endodontist

LOVATO, KAREN F., DDS2800 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

STEEL, DREW V., DMD2800 COORS BLVD NW STE A (505) 352-1166

Orthodontist

DUNN, THOMAS W., DDS3710 BOSQUE PLAZA LN STE 100 (505) 897-2060

HOLLIDAY, M BRETT, DDS2800 COORS BLVD NW STE A (505) 352-1166

SPLanguage(s):

HURT, KENNETH C., DDS3710 BOSQUE PLAZA LANE NW STE 100 (505) 897-2060

SPLanguage(s):

Page 10 of 42 August 2017New Mexico Alliance Network

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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New MexicoALBUQUERQUE - 87120 (continued)

Directory of Participating Dental Providers

Alliance Network

NAISBITT, MARK A., DDS106 MAIN ST STE B (505) 865-1999

Pediatric Dentist

CALL, VAUGHN D., DMD8201 GOLF COURSE RD NW STE C4 (505) 892-9010

DARCY, KAITLYN N., DDS8201 GOLF COURSE RD NW STE C4 (505) 892-9010

JACKSON, JOSEPH L., DDS8201 GOLF COURSE RD NW STE C4 (505) 553-3607

Periodontist

GHAFFARIGARAKANI, SASAN, 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

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

BAO, LI, DMD475 COORS BLVD NW (505) 208-0505

CN, SPLanguage(s):

BURNS SANCHEZ, SUSAN, DDS3211 COORS BLVD SW STE D2 (505) 877-4867

CARTER JR., BARNEY W., DDS3510 COORS BLVD SW (505) 873-4444

CARTER JR., BARNEY W., DDS111 COORS BLVD NW STE E6 (505) 352-3808

CHAVEZ, ARMANDO J., DDS111 COORS BLVD NW STE E6 (505) 352-3808

CHAVEZ, ARMANDO J., DDS3510 COORS BLVD SW (505) 873-4444

CHAVEZ, KEELY J., DDS3510 COORS BLVD SW (505) 873-4444

CHAVEZ, KEELY J., DDS111 COORS BLVD NW STE E6 (505) 352-3808

CHUNG, CHRISTINA K., DDS111 COORS BLVD NW STE E6 (505) 352-3808

CHUNG, CHRISTINA K., DDS3510 COORS BLVD SW (505) 873-4444

COBLE, JEREMY C., DDS3211 COORS BLVD SW STE D2 (505) 877-4867

SPLanguage(s):

CONNER, MICHAEL R., DDS3715 LAS ESTANCIA DR STE 101 (505) 209-9081

COX, PAMELA B., DDS3510 COORS BLVD SW (505) 873-4444

COX, PAMELA B., DDS111 COORS BLVD NW STE E6 (505) 352-3808

DARDANO, MAURICIO E., DDS3211 COORS BLVD SW STE D2 (505) 877-4867

SPLanguage(s):

DOMINGUEZ, FRANK, DMD6660 CENTRAL AVE SW (505) 833-0033

FAMILY CHOICE DENTAL120 98TH ST NW STE C3 (505) 352-5439

FIFE, STEVEN R., DDS6660 CENTRAL AVE SW (505) 833-0033

GONZALEZ, MARTIN, DDS3211 COORS BLVD SW STE D2 (505) 877-4867

SPLanguage(s):

HATCH, BRIAN, DMD6660 CENTRAL AVE SW (505) 833-0033

HATCH, CAMERON, DDS3510 COORS BLVD SW (505) 873-4444

HATCH, CAMERON, DDS111 COORS BLVD NW STE E6 (505) 352-3808

HEMPSTEAD, ANNE K., DDS111 COORS BLVD NW STE E-6 (505) 352-3808

HEMPSTEAD, ANNE K., DDS3510 COORS BLVD SW STE A (505) 873-4444

HONG, KEE JU, DDS3211 COORS BLVD SW STE D2 (505) 877-4867

HOWELL, RICHARD E., DDS6660 CENTRAL AVE SW (505) 833-0033

JACKSON, LOUIS A., DDS111 COORS BLVD NW STE E6 (505) 352-3808

JACKSON, LOUIS A., DDS3510 COORS BLVD SW (505) 873-4444

KADKHODA, AFSANEH, DDS6660 CENTRAL AVE SW (505) 833-0033

UNLanguage(s):

KAWAMOTO, SHEENA Z., DMD3510 COORS BLVD SW (505) 873-4444

KAWAMOTO, SHEENA Z., DMD111 COORS BLVD NW STE E6 (505) 352-3808

KINZER, KYE G., DDS3510 COORS BLVD SW (505) 873-4444

KINZER, KYE G., DDS111 COORS BLVD NW STE E6 (505) 352-3808

KNOTT, KENNETH E., DDS111 COORS BLVD NW STE E6 (505) 352-3808

SPLanguage(s):

LAM, JIM D., DDS6660 CENTRAL AVE SW (505) 833-0033

CNLanguage(s):

LANTZ, THOMAS E., DDS6660 CENTRAL AVE SW (505) 833-0033

LAPSKER, JENNIFER A., DDS111 COORS BLVD NW STE E6 (505) 352-3808

LAPSKER, JENNIFER A., DDS3510 COORS BLVD SW (505) 873-4444

LAS ESTANCIAS DENTAL GROUP3715 LAS ESTANCIA DR STE 101 (505) 209-9081

SPLanguage(s):

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):

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

MURGA, FIELFER L., DDS3211 COORS BLVDSW STE D2 (505) 877-4867

MYERS, ERIC A., DDS120 98TH ST NW STE C3 (505) 352-5439

SPLanguage(s):

NEILL, JESSICA V., DDS3211 COORS BLVD SW STE D-2 (505) 877-4867

NOYES JR., JOHN D., DDS120 98TH ST NW STE C3 (505) 352-5439

OWENS, DEREK E., DDS3211 COORS BLVD SW STE D2 (505) 877-4867

PARCO, TODD M., DDS111 COORS BLVD NW STE E6 (505) 352-3808

PARK, HYUNJUNG, DDS3211 COORS BLVD SW STE D2 (505) 877-4867

PEPPERMINT DENTAL RIO BRAVO3211 COORS BLVD SW STE D2 (505) 877-4867

PHOENIX, SHIMA B., DMD3211 COORS BLVD SW STE D2 (505) 877-4867

PURCELL, KAITLYN K., DDS111 COORS BLVD NW STE E6 (505) 352-2380

SP, VTLanguage(s):

ROCLEVITCH, CHRISTOPHER N., DDS3211 COORS BLVD SW STE D-2 (505) 877-4867

ROWAN, RICHARD G., DMD111 COORS BLVD NW STE E6 (505) 352-3808

ROWAN, RICHARD G., DMD3510 COORS BLVD SW STE A (505) 873-4444

RUYLE, BONNIE, DDS6660 CENTRAL AVE SW (505) 833-0033

RYU, HOJOONG, DDS3211 COORS BLVD SW STE D2 (505) 877-4867

KOLanguage(s):

SANCHEZ, MICHAEL A., DDS3715 LAS ESTANCIA DR STE 101 (505) 209-9081

SHAFER, NOAH M., DDS3211 COORS BLVD SW STE D2 (505) 877-4867

SOUTH VALLEY CHILDRENS DENTISTRY3510 COORS BLVD SW STE A (505) 873-4444

STEEL, DREW V., DMD3715 LAS ESTANCIA DR STE 101 (505) 209-9081

TROPP, STEPHEN, DDS3510 COORS BLVD SW (505) 873-4444

TROPP, STEPHEN, DDS111 COORS BLVD NW STE E6 (505) 352-3808

TRUJILLO, KENDAL R., DDS120 98TH ST NW STE C3 (505) 352-5439

VANLEEUWEN, ELIZABETH A., DDS6660 CENTRAL AVE SW (505) 833-0033

WELLS, KELLY S., DDS120 98TH ST NW STE C3 (505) 352-5439

SPLanguage(s):

WILLIAMS, DREW J., DMD3211 COORS BLVD SW STE D2 (505) 877-4867

WOLF, JACOB B., DDS111 COORS BLVD NW STE E6 (505) 352-3808

Page 11 of 42 August 2017New Mexico Alliance Network

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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New MexicoALBUQUERQUE - 87121 (continued)

Directory of Participating Dental Providers

Alliance Network

YAI, RICHARD Y., DDS3211 COORS BLVDSW STE D2 (505) 877-4867

ZIMMER, DANIELA, DDS3211 COORS BLVD SW STE D2 (505) 877-4867

Endodontist

LOVATO, KAREN F., DDS3715 LAS ESTANCIA DR STE 101 (505) 209-9081

Oral Surgery

STEEL, DREW V., DMD3715 LAS ESTANCIA DR STE 101 (505) 209-9081

Orthodontist

BUSH, HELEN D., DDS111 COORS BLVD NW STE E6 (505) 352-3808

BUSH, HELEN D., DDS3510 COORS BLVD SW (505) 873-4444

DARMITZEL, STEPHEN E., DDS6660 CENTRAL AVE SW (505) 833-0033

HANN, ROBERT C., DDS111 COORS BLVD NW STE E-6 (505) 352-3808

HANN, ROBERT C., DDS3510 COORS BLVD SW STE A (505) 873-4444

NAISBITT, MARK A., DDS111 COORS BLVD NW STE E-6 (505) 352-3808

NAISBITT, MARK A., DDS3510 COORS BLVD SW STE A (505) 873-4444

ONUORA, OBIAJULU I., DDS3211 COORS BLVD SW STE D2 (505) 877-4867

RUDD, DANIEL B., DDS3211 COORS BLVD SW STE D2 (505) 877-4867

Pediatric Dentist

CALL, VAUGHN D., DMD3510 COORS BLVD SW STE A (505) 873-4444

CALL, VAUGHN D., DMD111 COORS BLVD NW STE E-6 (505) 352-3808

JACKSON, JOSEPH L., DDS111 COORS BLVD NW STE E6 (505) 352-3808

JACKSON, JOSEPH L., DDS3510 COORS BLVD SW (505) 873-4444

PECK, CHRISTIAN S., DDS3510 COORS BLVD SW (505) 873-4444

PECK, CHRISTIAN S., DDS111 COORS BLVD NW STE E6 (505) 352-3808

SIEGEL, SCOTT L., DDS111 COORS BLVD NW STE E6 (505) 352-3808

SIEGEL, SCOTT L., DMD3510 COORS BLVD SW STE A (505) 873-4444

SIEGEL, SCOTT L., DMD111 COORS BLVD NW STE E-6 (505) 352-3808

Multi-Specialty

PEPPERMINT DENTAL RIO BRAVO3211 COORS BLVD SW STE D2 (505) 877-4867

PERFECT TEETH COORS AND CENTRAL PC6660 CENTRAL AVE SW (505) 833-0033

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):

TRAN, HOA V., DDS9551 PASEO DEL NORTE NE STE A (505) 821-8726

VTLanguage(s):

Endodontist

PAPWORTH, BRIAN R., DDS8300 CARMEL AVE NE STE 101 (505) 294-3636

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

ALBUQUERQUE - 87123

General Dentist

ARMSTRONG, KENNETH J., DDS28 CANADA DE LOS ALAMOS TRL SE (505) 266-6598

CARTER JR., BARNEY W., DMD280 EUBANK BLVD NE STE J (505) 299-9606

CHAVEZ, KEELY J., DDS280 EUBANK BLVD NE STE J (505) 299-9606

CHUNG, CHRISTINA K., DDS280 EUBANK BLVD NE STE J (505) 299-9606

COTTER, BRANDON B., DDS10221 CENTRAL AVE NE STE 103 (505) 918-9189

DOMINGUEZ, FRANK, DMD13140 CENTRAL AVE SE STE E (505) 292-3323

EHAT, CHRISTOPHER J., DDS13031 CENTRAL AVE NE (505) 332-2273

PHLanguage(s):

FARR, ANDREW L., DMD13031 CENTRAL AVE NE (505) 332-2273

ITLanguage(s):

GARDNER, WILLIAM C., DDS201 WYOMING BLVD NE (505) 266-5881

HINRICHS, WADE A., DDS13031 CENTRAL AVE NE (505) 332-2273

RSLanguage(s):

HOLLINGSWORTH RYALS , KELLEY, DDS10221 CENTRAL AVE NE STE 103 (505) 918-9189

SPLanguage(s):

HOWELL, RICHARD E., DDS13140 CENTRAL AVE SE STE E (505) 292-3323

KADKHODA, AFSANEH, DDS13140 CENTRAL AVE SE STE E (505) 292-3323

UNLanguage(s):

LAM, JIM D., DDS13140 CENTRAL AVE SE STE E (505) 292-3323

CNLanguage(s):

LANTZ, THOMAS E., DDS13140 CENTRAL AVE SE STE E (505) 292-3323

LAPSKER, JENNIFER A., DDS280 EUBANK BLVD NE STE J (505) 299-9606

LYSONSKI, MICHAEL, DDS441 WYOMING BLVD NE (505) 872-4444

SPLanguage(s):

MATTHEWS, WILLIAM L., DDS441 WYOMING BLVD NE (505) 872-4444

SPLanguage(s):

MIDTHANA, SRINIVASA R., DDS800 JUAN TABO BLVD NE STE Q (505) 554-2262

MONTANO, ERIN M., DDS280 EUBANK BLVD NE STE J (505) 299-9606

MONTGOMERY, GREGORY D., DDS10221 CENTRAL AVE NE STE 103 (505) 918-9189

NAMBURI, SUNEEL K., DMD800 JUAN TABO BLVD NE STE Q (505) 750-8787

HI, KA, SP, TELanguage(s):

NM CENTER FOR COSMETIC AND FAMILY DENTISTR201 WYOMING BLVD NE (505) 266-5881

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

RIMAN, RAWAD MALIK, DDS13031 CENTRAL AVE NE (505) 332-2273

ARLanguage(s):

RUYLE, BONNIE, 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

WESTBROOK, JEFFREY H., DDS441 WYOMING BLVD NE (505) 872-4444

SPLanguage(s):

WILLIAMS, COLLEEN M., DDS441 WYOMING BLVD NE (505) 872-4444

SPLanguage(s):

ZIMMER, DANIELA R., DDS201 WYOMING BLVD NE (505) 266-5881

Endodontist

LOVATO, KAREN F., DDS10221 CENTRAL AVE NE STE 103 (505) 918-9189

WHITE SR., JOHN H., DDS13140 CENTRAL AVE SE STE E (505) 292-3323

Oral Surgery

STEEL, DREW V., DMD10221 CENTRAL AVE NE STE 103 (505) 918-9189

Orthodontist

DARMITZEL, STEPHEN E., DDS13140 CENTRAL AVE SE STE E (505) 292-3323

Pediatric Dentist

PECK, CHRISTIAN S., DDS280 EUBANK BLVD NE STE J (505) 299-9606

SPLanguage(s):

Periodontist

SUN, CHUN XIAO, DMD13140 CENTRAL AVE SE (505) 292-3323

Page 12 of 42 August 2017New Mexico Alliance Network

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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New MexicoALBUQUERQUE - 87123 (continued)

Directory of Participating Dental Providers

Alliance Network

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):

Multi-Specialty

UNM MEDICAL GROUP INC2320 TUCKER AVE NE (505) 272-4106

SP, VTLanguage(s):

CATRON County

RESERVE - 87830

General Dentist

ANTONIO JR., JOHN E., DMD1 FOSTER LANE (575) 533-6456

SPLanguage(s):

BRIMHALL, STEELE T., DDS1 FOSTER LN (575) 533-6456

DUNIVEN, DAVID W., DDS1 FOSTER LN (575) 533-6456

HANSON, DAVID M., DDS1 FOSTER LN (575) 533-6456

LOPEZ, INEZ M., DMD1 FOSTER LN (575) 533-6456

MONTOYA, C. PATRICK, DDS1 FOSTER LANE (575) 533-6456

SPLanguage(s):

MORGAN, TYLER S., DDS1 FOSTER LN (575) 533-6456

RHOADS, HOWARD N., DDS1 FOSTER LANE (575) 533-6456

TOBIN, MEGAN K., DDS1 FOSTER LANE (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

ACOSTA LENIS, CLAUDIA J., 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 STE A (888) 701-1457

ARORA, SURPREET S., DDS3751 N MAIN ST STE D (575) 622-5835

HI, PU, SPLanguage(s):

ASTARAEE, NIMA, DDS2600 N MAIN ST (888) 988-4066

AUNG, NYI NYI, DDS2600 N MAIN ST ST A (888) 988-4066

AZAD, KOUSHAN H., DMD2600 N MAIN ST STE A (888) 988-4066

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., DDS3751 N MAIN ST STE D (575) 622-5835

BAYMILLER, SCOTT A., DDS110 W COUNTRY CLUB RD STE 6 (575) 622-5835

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):

CAYCEDO, CLAUDIO H., DDS204 W 2ND ST STE 3 (505) 625-1135

CHOUDHARY, NIKHILESH, DMD2600 N MAIN ST (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

DAHIYA, MONICA, DDS4511 N MAIN ST STE B (575) 208-2380

HILanguage(s):

DESAI, ADITYA A., DDS2600 N MAIN ST (888) 988-4066

HILanguage(s):

FAMILIA DENTAL ROS LLC2600 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

GILL, MANBIR S., DDS2600 N MAIN ST STE A (888) 988-4066

HAKIMZADEH, SARA, DDS2600 N MAIN ST (575) 208-1520

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):

HE, SHENYE, DMD110 W COUNTRY CLUB RD STE 6 (505) 622-5835

CN, SPLanguage(s):

HE, SHENYE, DMD3751 N MAIN ST STE D (575) 622-5835

CN, SPLanguage(s):

HERNANDEZ GIL, JOSE A., DMD2600 N MAIN ST (888) 988-4066

ISSAC, SAIF S., DDS2600 N MAIN ST STE A (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 (575) 208-1520

KOTHA, ABHIROOP, DMD2600 N MAIN ST (888) 988-4066

LAMBA, BHANU P., DMD2600 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, DDS4511 N MAIN ST STE B (575) 208-2380

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

MOON, SORA, DMD2600 N MAIN ST (575) 208-1520

Page 13 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoROSWELL - 88201 (continued)

Directory of Participating Dental Providers

Alliance Network

MORAN, STEPHEN C., DDS317 W COUNTRY CLUB RD (575) 624-0636

MURGA, FIELFER L., DDS2600 N MAIN ST (888) 988-4066

SPLanguage(s):

NEUBAUER, EDWARD E., DDS3751 N MAIN ST STE D (575) 622-5835

NEUBAUER, EDWARD E., DDS110 W COUNTRY CLUB RD STE 6 (575) 622-5835

OH, SARA H., DDS3751 N MAIN ST STE D (575) 622-5835

KO, SPLanguage(s):

OPHASO, NISSA, DMD2600 N MAIN ST (888) 988-4066

OUSHY EISSA, NOHA, DDS3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

PARK, CHAN M., DDS2600 N MAIN ST (888) 988-4066

PARK, JOSEPH, DMD3751 N MAIN ST STE D (575) 622-5835

CN, KO, SPLanguage(s):

PARK, JOSEPH, DMD110 W COUNTRY CLUB RD STE 6 (505) 622-5835

CN, KO, SPLanguage(s):

PATEL, NIPA K., DMD2600 N MAIN ST (888) 988-4066

PAUL, CRAIG R., DDS3751 N MAIN ST STE D (575) 622-5835

PAUL, CRAIG R., DDS2000 N UNION AVE (575) 627-0141

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, ANH T., DDS2600 N MAIN ST STE A (888) 988-4066

PHAN, DANIELLE, DDS3751 N MAIN ST STE D (575) 622-5835

PRICE, TIMOTHY B., DDS313 W COUNTRY CLUB RD STE 6 (575) 622-3300

QUACH, VU, DMD2600 N MAIN ST (888) 988-4066

QUAN, KRISTI, DDS117 E 19TH ST (575) 621-0800

RAMOS, ANGEL, DDS3751 N MAIN ST STE D (575) 622-5835

RAMOS, ANGEL, DDS110 W COUNTRY CLUB RD STE 6 (575) 622-5835

RASMUSSEN, KEVIN D., DDS2600 N MAIN ST (888) 988-4066

REED, ATEM, DDS3751 N MAIN ST STE D (575) 622-5835

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):

ROETTGER, TIMOTHY J., DMD3751 N MAIN ST STE D (575) 622-5835

RUYLE, BONNIE L., DDS3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

RUYLE, BONNIE L., DDS110 W COUNTRY CLUB RD STE 6 (575) 622-5835

SPLanguage(s):

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, JAESUNG, DDS2600 N MAIN ST (888) 988-4066

SHAMAPANTH, RAHUL, DDS2600 N MAIN ST (888) 988-4066

SIMPSON, AARON J., DDS2600 N MAIN ST (888) 988-4066

SUBGANI, RAMYA, DDS2600 N MAIN ST (888) 988-4066

TANEJA, NIDHI, DDS2600 N MAIN ST STE A (888) 988-4066

TARANTINO, ERNEST E., DDS110 W COUNTRY CLUB RD STE 6 (505) 622-5835

SPLanguage(s):

TARANTINO, ERNEST E., DDS3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

THIRIVIDI, BHARATH, DDS2600 N MAIN ST (888) 988-4066

TRUONG, HENRY, DDS2600 N MAIN ST (888) 988-4066

TSENG, STEVE H., DDS117 E 19TH ST (575) 621-0800

SPLanguage(s):

TSENG, STEVE H., DDS1998 MOTEL BLVD (575) 621-0800

SPLanguage(s):

VAHDATINIA, SINA, DMD2600 N MAIN ST (888) 988-4066

WANG, JEFFREY M., DDS110 W COUNTRY CLUB RD STE 6 (575) 622-5835

SPLanguage(s):

WANG, JEFFREY M., DDS3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

WEI, ROGER B., DDS2600 N MAIN ST STE A (575) 208-1520

WILSON, ERIC J., DDS3751 N MAIN ST STE D (575) 622-5835

WILSON, ERIC J., DDS110 W COUNTRY CLUB RD STE 6 (575) 622-5835

YAMAZAKI, YASUFUMI, DDS2600 N MAIN ST (888) 988-4066

YOON, JAJUNG, DMD2600 N MAIN ST (888) 988-4066

Oral Surgery

HEINER, BRYCE B., DMD207 N UNION AVE STE E (575) 522-8800

SMITH, BEN M., DMD2600 N MAIN ST (888) 988-4066

Orthodontist

BAVAR, BEROKH, DMD2600 N MAIN ST STE A (888) 988-4066

PRLanguage(s):

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, SPLanguage(s):

GUYMON, RUSSELL J., DDS2600 N MAIN ST (888) 988-4066

LEWIS, BRANDI E., DDS2600 N MAIN ST (888) 988-4066

PARK, JONG WOOK, DMD2600 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):

Pediatric Dentist

HAYES, PETER A., DMD405 W COUNTRY CLUB RD (575) 622-8170

FR, SPLanguage(s):

HAYES, PETER A., DMD117 E 19TH ST (575) 621-0800

FR, 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

CARTER, MICHELE L., DDS711 W ALAMEDA ST (575) 622-3012

CATHEY, PHILLIP M., DDS803 W ALAMEDA ST (575) 622-9134

GAJULA, TULASI S., DDS75 UNIVERSITY BLVD (575) 624-7207

IMMANNI, GANGADHAR, DDS75 UNIVERSITY BLVD (575) 624-7207

LONGWILL, THOMAS J., DDS306 W TILDEN ST (575) 623-3204

SPLanguage(s):

NIETO, EMILY H., DMD75 UNIVERSITY BLVD (575) 624-7207

POLICARPIO, MYRNA L., DDS75 UNIVERSITY BLVD (575) 624-7207

Page 14 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoROSWELL - 88203 (continued)

Directory of Participating Dental Providers

Alliance Network

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

JENNINGS, JACOB D., DDS920 LOBO CANYON RD (505) 722-4422

KING, MICHAEL D., DMD920 LOBO CANYON RD (505) 722-4422

MATTILA, JEFFERY R., DDS200 LINCOLN AVE (505) 287-2000

SHAHEEN, BRUCE B., DDS920 LOBO CANYON RD (505) 722-4422

PTLanguage(s):

SMITH, DAMIEN R., DMD920 LOBO CANYON RD (505) 722-4422

SUNDANCE DENTAL CARE OF GRANTS LLC920 LOBO CANYON RD (505) 722-4422

WHITEHEAD, TYLER A., DDS920 LOBO CANYON RD (505) 722-4422

Oral Surgery

STEEL, DREW V., DMD920 LOBO CANYON RD (505) 722-4422

Orthodontist

BUTTNER, JAYNE, DDS200 LINCOLN AVE (505) 287-2000

Pediatric Dentist

GLADNEY, MARCELLUS N., DMD805 E HIGH ST (505) 285-3443

MURPHY, KRISTIN K., DMD805 E HIGH ST (505) 285-3443

SPLanguage(s):

Multi-Specialty

A TO Z CHILDRENS DENTAL CLINIC805 E HIGH ST (505) 285-3443

SUNDANCE DENTAL CARE OF GRANTS LLC920 LOBO CANYON RD (505) 722-4422

PUEBLO OF ACOMA - 87034

General Dentist

FEIST, DAVID C., DDS80 VETERANS BLVD STE B (505) 248-4500

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

SPRINGER - 87747

General Dentist

EBELL, EDWARD B., DDS417 MAXWELL AVE (575) 483-2629

EN, SPLanguage(s):

CURRY County

CANNON AFB - 88103

General Dentist

SARKISYAN, ARTUR A., DMD3751 N MAIN ST STE D (575) 622-5835

RS, SPLanguage(s):

CLOVIS - 88101

General Dentist

ACHALLA, VENKATA, DDS4017 N PRINCE ST (888) 988-4066

ACOSTA LENIS, CLAUDIA J., DDS4017 N PRINCE ST (847) 701-1457

AHGHAR, KEON J., DDS1521 W 13TH ST (575) 769-5021

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

ARORA, SURPREET S., DDS600 TEXAS ST STE C (575) 762-1900

HI, PU, SPLanguage(s):

ASTARAEE, NIMA, DDS4017 N PRINCE ST (888) 988-4066

AUNG, NYI NYI, DDS4017 N PRINCE ST (888) 988-4066

AZAD, KOUSHAN H., DMD4017 N PRINCE ST (888) 988-4066

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

CHOUDHARY, NIKHILESH, DMD4017 N PRINCE ST (888) 988-4066

COWDEN, JASON T., DMD4017 N PRINCE ST (888) 988-4066

DESAI, ADITYA A., DDS4017 N PRINCE ST (888) 988-4066

HILanguage(s):

FAMILIA DENTAL CLOVIS LLC4017 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):

GAJULA, TULASI S., DDS1521 W 13TH ST (575) 769-5021

GARLA, HARSHAVARDHAN, DDS4017 N PRINCE ST (888) 988-4066

GILL, MANBIR S., DDS4017 N PRINCE ST (888) 988-4066

HAKIMZADEH, SARA, DDS4017 N PRINCE ST (575) 762-2757

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

IMMANNI, GANGADHAR, DDS1521 W 13TH ST (575) 769-5021

IMMANNI, GANGADHAR, DDS4017 N PRINCE ST (575) 762-2757

ISSAC, SAIF S., DDS4017 N PRINCE ST (888) 988-4066

JERRY W CROOK DDS PC1420 PILE ST (575) 762-1254

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

KOTHA, ABHIROOP, DMD4017 N PRINCE ST (888) 988-4066

LA CASA FAMILY HEALTH CENTER1521 W 13TH ST (575) 769-5021

LAMBA, BHANU P., DMD4017 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

MAZLOOMI, FARZAD, DMD4017 N PRINCE ST (888) 988-4066

MCKINNEY, D. RICHARD, DDS116 W 21ST ST (575) 763-4851

MIDTHANA, SRINIVASA R., DDS4017 N PRINCE ST (888) 988-4066

Page 15 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoCLOVIS - 88101 (continued)

Directory of Participating Dental Providers

Alliance Network

MIYAMASU, PATRICK K., DDS4017 N PRINCE ST (888) 988-4066

MOBERLY, JACOB H., DDS2000 W 21ST ST STE L1 (575) 762-0986

MOON, SORA, DMD4017 N PRINCE ST (575) 762-2757

MURGA, FIELFER L., DDS4017 N PRINCE ST (888) 988-4066

SPLanguage(s):

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 (575) 796-5021

OH, SARA H., DDS600 TEXAS ST STE C (575) 762-1900

KO, SPLanguage(s):

OPHASO, NISSA, DMD4017 N PRINCE ST (888) 988-4066

OUSHY EISSA, NOHA, DDS600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

PARK, CHAN M., DDS4017 N PRINCE ST (888) 988-4066

PARK, JONG WOOK, DMD4017 N PRINCE ST (888) 988-4066

PARK, JOSEPH, DMD600 TEXAS ST STE C (575) 762-1900

CN, KO, SPLanguage(s):

PATEL, NIPA K., DMD4017 N PRINCE ST (888) 988-4066

PEREZ, PAUL D., DDS600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

PHAM, ANH T., DDS4017 N PRINCE ST (888) 988-4066

PHAN, DANIELLE, DDS600 TEXAS ST STE C (575) 762-1900

POLICARPIO, MYRNA L., DDS1521 W 13TH ST (575) 769-5021

POWELL, JULIE A., DDS121 W LLANO ESTACADO BLVD (575) 742-3100

QUACH, VU, DMD4017 N PRINCE ST (888) 988-4066

RAMOS, ANGEL, DDS600 TEXAS ST STE C (575) 762-1900

RASMUSSEN, KEVIN D., DDS4017 N PRINCE ST (888) 988-4066

REED, ATEM, DDS600 TEXAS ST STE C (575) 762-1900

RHODES, JOSEPH I., DDS600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

ROETTGER, TIMOTHY J., DMD600 TEXAS ST STE C (575) 762-1900

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):

SAMI, TONI, DDS4017 N PRINCE ST (888) 988-4066

SCHEIB, JEFFREY R., DDS600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

SEO, JAESUNG, DDS4017 N PRINCE ST (888) 988-4066

SHAMAPANTH, RAHUL, DDS4017 N PRINCE ST (888) 988-4066

SIMPSON, AARON J., DDS4017 N PRINCE ST (888) 988-4066

SMITH, BARBARA A., DDS1420 PILE ST (575) 762-1254

SUBGANI, RAMYA, DDS4017 N PRINCE ST (888) 988-4066

TANEJA, NIDHI, DDS4017 N PRINCE ST (888) 988-4066

FR, SPLanguage(s):

TARANTINO, ERNEST E., DDS600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

THIRIVIDI, BHARATH, DDS4017 N PRINCE ST (888) 988-4066

TRUONG, HENRY, DDS4017 N PRINCE ST (888) 988-4066

USHER, SARAH R., DMD1521 W 13TH ST (575) 769-5021

SPLanguage(s):

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

WEI, ROGER B., 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

YAMAZAKI, YASUFUMI, DDS4017 N PRINCE ST (888) 988-4066

YOON, JAJUNG, 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

Oral Surgery

SMITH, BEN M., DMD4017 N PRINCE ST (888) 988-4066

Orthodontist

BAVAR, BEROKH, DMD4017 N PRINCE ST (888) 988-4066

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

GUYMON, RUSSELL J., DDS4017 N PRINCE ST (888) 988-4066

JENNINGS, JAMES H., DDS901 E 21ST ST STE B (575) 762-4794

LEWIS, BRANDI E., DDS4017 N PRINCE ST (888) 988-4066

SINGH, AJAY P., DDS4017 N PRINCE ST (888) 988-4066

DE BACA County

FORT SUMNER - 88119

General Dentist

FAZEL, NADIA S., DMD546 N 10TH ST (575) 355-2417

PTLanguage(s):

MCALLISTER, GREGORY R., DDS546 N 10TH ST (575) 355-2417

RHOADS, HOWARD N., DDS546 N 10TH ST (575) 355-2417

SPLanguage(s):

DONA ANA County

ANTHONY - 88021

General Dentist

ALL SMILES FAMILY DENTAL CLINICS LLC1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

ARORA, SURPREET S., DDS1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

HI, PU, SPLanguage(s):

BADDOUR, MARY C., DDS855 N MAIN (575) 882-3607

SPLanguage(s):

BADDOUR, MARY C., DDS855 ANTHONY DR (575) 882-5706

SPLanguage(s):

BARNEY, LASON J., DDS1275 ANTHONY DR BLDG E STE 2 (505) 882-7800

BHATTU, BHARANI K., DDS855 ANTHONY DR (575) 526-1105

BUTTERFIELD, DONALD E., DDS1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

CASCI, FRANCIS T., DDS855 ANTHONY DR (575) 882-5706

CHURCHILL, WENDY L., DDS855 ANTHONY DR (575) 882-5706

FEIBINSKY RAMOS, POLYNA, DDS1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

GAJULA, TULASI S., DDS855 ANTHONY DR (575) 882-3607

HI, TELanguage(s):

GUPTA, RAJAN, DDS855 ANTHONY DR (575) 882-3607

HILanguage(s):

HARRELL, SEAN M., DDS1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

SPLanguage(s):

Page 16 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoANTHONY - 88021 (continued)

Directory of Participating Dental Providers

Alliance Network

HE, SHENYE, DMD1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

CN, SPLanguage(s):

KIDS KARE PC1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

SPLanguage(s):

KUBIAK, RONALD R., DDS855 ANTHONY DR (575) 882-5706

SPLanguage(s):

LA CLINICA DE FAMILIA INC855 ANTHONY DR (575) 882-5706

SPLanguage(s):

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):

NEUBAUER, EDWARD E., DDS1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

OGAS, LAURA N., DDS855 N MAIN (575) 882-5706

SPLanguage(s):

OH, SARA H., DDS1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

KO, SPLanguage(s):

OUSHY EISSA, NOHA, DDS1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

SPLanguage(s):

PARK, JOSEPH, DMD1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

CN, KO, 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

RAMOS, ANGEL, DDS1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

REED, ATEM, 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):

RIVERO, ANGELICA, DDS855 ANTHONY DR (575) 882-3607

SPLanguage(s):

ROETTGER, TIMOTHY J., DMD1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

RUYLE, BONNIE L., DDS1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

SPLanguage(s):

SAMPERI, JEANINE M., DMD855 ANTHONY DR (575) 882-5706

SARKISYAN, ARTUR A., DMD1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

RS, SPLanguage(s):

SCHEIB, JEFFREY R., DDS1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS855 ANTHONY DR (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 ANTHONY DR (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 UNIT 2 (505) 882-7800

CHAPARRAL - 88081

General Dentist

BADDOUR, MARY C., DDS510 E LISA DR (575) 824-0128

SPLanguage(s):

BHATTU, BHARANI K., DDS510 E LISA DR (575) 824-0820

CASCI, FRANCIS T., DDS510 E LISA DR (575) 824-0820

CHURCHILL, WENDY L., DDS510 E LISA DR (575) 824-0820

GAJULA, TULASI S., DDS510 E LISA DR BLDG 3 (575) 824-0820

HI, TELanguage(s):

GUPTA, RAJAN, DDS510 E LISA DR (575) 824-0820

HILanguage(s):

KUBIAK, RONALD R., DDS510 E LISA DR (575) 824-0820

SPLanguage(s):

LA CLINICA DE FAMILIA INC510 E LISA DR (575) 824-0820

SPLanguage(s):

OGAS, LAURA N., DDS510 E LISA DR (575) 824-0820

SPLanguage(s):

RIVERO, ANGELICA, DDS510 E LISA DR BLDG 3 (575) 824-0820

SPLanguage(s):

SAMPERI, JEANINE M., DMD510 E LISA DR (575) 824-0820

SHAMAPANTH, RAHUL, DDS510 E LISA DR (575) 824-0820

THOMPSON, CORY G., DMD510 E LISA DR BLDG 3 (575) 824-0128

SPLanguage(s):

TRIGO, JOY T., DDS510 E LISA DR (575) 824-0820

HATCH - 87937

General Dentist

BACA JR., LEROY, DDS255 HWY 187 (575) 267-3088

COYNE, PATRICK J., DDS255 HWY 187 (575) 267-3088

SPLanguage(s):

DEAN, TYRELL C., DMD255 HWY 187 (575) 267-3088

FEMAT, RUBEN, DDS255 HWY 187 (575) 267-3088

FRALEIGH, C. MAHLON, DDS255 HWY 187 (575) 267-3088

SPLanguage(s):

GLOVER, DAWN K., DDS255 HWY 187 (575) 267-3088

GUTTIKONDA, BHARAT RAM C., DDS255 HWY 187 (575) 267-3088

GUTTIKONDA, KRISHNAVENI, DDS255 HWY 187 (575) 267-3088

MARKETTO, DREW E., DDS255 HWY 187 (575) 267-3088

MATHIAS, RICHARD B., DMD255 HWY 187 (575) 267-3088

MAY, AMANDA C., DDS255 HIGHWAY 187 (575) 267-3088

MCCARTHY, TIAPUL Q., DDS255 HWY 187 (575) 267-3088

O, GIBSON S., DDS255 HWY 187 (575) 267-3088

ODA, SAHARU, DDS255 HWY 187 (575) 267-3088

JP, PRLanguage(s):

PELLEGRINO, CAMILLE R., DDS255 HWY 187 (575) 267-3088

POLLARD, JILLANA L., DMD255 HWY 187 (575) 267-3088

PUCKETT JR., C RAY, DDS255 HIGHWAY 187 (575) 267-3088

QUAN, KRISTI, DDS255 HWY 187 (575) 267-3088

SHAH, JAY A., DMD255 HWY 187 (575) 267-3088

SHASTRI, SHRUTI N., DDS255 HWY 187 (575) 267-3088

WIATT, MARK E., DDS255 HWY 187 (575) 267-3088

WILKINSON, TAYLOR G., DDS255 HWY 187 (575) 267-3088

ZIAFAT, MEHRYAR, DMD255 HIGHWAY 187 (575) 267-3088

ZINK, AURORA E., DDS255 HWY 187 (575) 267-3088

Pediatric Dentist

HAYES, PETER A., DMD255 HWY 187 (575) 267-3088

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER255 HWY 187 (575) 267-3088

LA CRUCES - 88001

General Dentist

COWDEN, JASON T., DMD1160 EL PASEO RD STE D1 (888) 988-4066

FR, SPLanguage(s):

PARK, CHAN M., DDS1160 EL PASEO RD STE D1 (888) 988-4066

Page 17 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoLA CRUCES - 88001 (continued)

Directory of Participating Dental Providers

Alliance Network

SHAMAPANTH, RAHUL, DDS1160 EL PASEO RD STE D1 (888) 988-4066

LA MESA - 88044

General Dentist

BADDOUR, MARY C., DDS18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

BHATTU, BHARANI K., DDS18420 S HIGHWAY 28 (575) 233-3830

CASCI, FRANCIS T., DDS18420 S HIGHWAY 28 (575) 233-3830

CHURCHILL, WENDY L., DDS18420 S HIGHWAY 28 (575) 233-3830

ENUGANTI, NARAYANA R., DDS18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

GAJULA, TULASI S., DDS18420 S HIGHWAY 28 (575) 233-3830

HI, TELanguage(s):

KUBIAK, RONALD R., DDS18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

LA CLINICA DE FAMILIA INC18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

OGAS, LAURA N., DDS18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

RIVERO, ANGELICA, DDS18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

SAMPERI, JEANINE M., DMD18420 S HIGHWAY 28 (575) 233-3830

SHAMAPANTH, RAHUL, DDS18420 S HIGHWAY 28 (575) 233-3830

TRIGO, JOY T., DDS18420 S HIGHWAY 28 (575) 233-3830

LAS CRUCES - 88001

General Dentist

ACHALLA, VENKATA, DDS1025 EL PASEO RD STE D1 (888) 988-4066

ACOSTA LENIS, CLAUDIA J., DDS1160 EL PASEO RD STE 610 (847) 701-1457

ANTANI, KARTIK, DMD1160 EL PASEO RD STE D1 (888) 988-4066

ARAKOTARAM RAVIKUMAR, RAKSHITH, DMD1160 EL PASEO RD STE D1 (888) 988-4066

ASHIDA, DEBBIE L., DDS1001 E BOUTZ RD (575) 526-5671

ASTARAEE, NIMA, DDS1160 EL PASEO RD STE D1 (888) 988-4066

AUNG, NYI NYI, DDS1160 EL PASEO RD STE D1 (888) 988-4066

AZAD, KOUSHAN H., DMD1160 EL PASEO RD STE D1 (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):

CHOUDHARY, NIKHILESH, DMD1160 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 (575) 526-1721

COWDEN, JASON T., DMD1025 EL PASEO RD (888) 988-4066

DESAI, ADITYA A., DDS1160 EL PASEO RD STE D1 (888) 988-4066

HILanguage(s):

DURAN, DANIEL A., DDS2974 N MAIN ST (575) 541-9366

FAMILIA DENTAL LAS CRUCES LLC1160 EL PASEO RD STE D1 (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

SPLanguage(s):

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):

HAKIMZADEH, SARA, DDS1160 EL PASEO RD STE D1 (888) 988-4066

HERNANDEZ GIL, JOSE A., DMD1160 EL PASEO RD STE D1 (888) 988-4066

HERNANDEZ GIL, JOSE A., DMD1025 EL PASEO RD (888) 988-4066

HOLLYWOOD, CAMERON DOC, DDS808 SPRUCE AVE (575) 526-3066

ISSAC, SAIF S., DDS1160 EL PASEO RD STE D1 (888) 988-4066

KAMAL ALDEEN, MURTAJA, DDS1160 EL PASEO RD STE D1 (888) 988-4066

KONDRAGUNTA, SUMAN, DDS1160 EL PASEO RD STE D1 (888) 988-4066

KOTHA, ABHIROOP, DMD1160 EL PASEO RD STE D1 (888) 988-4066

KS2 NM PC1300 EL PASEO RD STE N (575) 526-1721

LAMBA, BHANU P., DMD1160 EL PASEO RD STE D-1 (888) 988-4066

LAS CRUCES DENTAL SOLUTIONS2001 E LOHMAN AVE STE 121 (575) 527-4746

LE, TONY V., DDS1160 EL PASEO RD STE D 1 (888) 988-4066

LIAO, WEN, DDS301 E LOHMAN AVE (575) 524-4900

CNLanguage(s):

LIN, YUNQI R., DMD1025 EL PASEO RD (888) 988-4066

LIN, YUNQI R., DMD1160 EL PASEO RD STE D1 (888) 988-4066

MANGLA, KAPIL, DDS1300 EL PASEO RD STE N (575) 526-1721

SPLanguage(s):

MANZANARES, DAVID J., DDS705 E UNIVERSITY AVE (575) 521-0127

MARKETTO IV., DOMINIC L., DDS2980 N MAIN ST (575) 524-3722

SPLanguage(s):

MARTIN, KIMBERLY H., DMD705 E UNIVERSITY AVE STE B (575) 521-0127

MAYFIELD, DALE G., DMD1300 EL PASEO RD STE N (575) 526-1721

MAZLOOMI, FARZAD, DMD1025 EL PASEO RD (888) 988-4066

MAZLOOMI, FARZAD, DMD1160 EL PASEO RD STE D1 (888) 988-4066

MEKLED, SALWA, DMD1300 EL PASEO RD STE N (575) 526-1721

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

MOON, SORA, DMD1025 EL PASEO RD (575) 652-3084

FR, SPLanguage(s):

MOON, SORA, DMD1160 EL PASEO RD STE D-1 (888) 988-4066

FR, SPLanguage(s):

MURGA, FIELFER L., DDS1160 EL PASEO RD STE D1 (888) 988-4066

SPLanguage(s):

OPHASO, NISSA, DMD1025 EL PASEO RD (888) 988-4066

OPHASO, NISSA, DMD1160 EL PASEO RD STE D1 (888) 988-4066

PARK, CHAN M., DDS1025 EL PASEO RD (888) 988-4066

PARK, JONG WOOK, DMD1160 EL PASEO RD STE D1 (888) 988-4066

PATEL, NIPA K., DMD1160 EL PASEO RD STE 610 (888) 988-4066

PETERSEN, MATHEW C., DDS2001 E LOHMAN AVE STE 121 (575) 527-4746

SPLanguage(s):

PHAM, ANH T., DDS1160 EL PASEO RD STE D1 (888) 988-4066

QUACH, VU, DMD1160 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

RASMUSSEN, KEVIN D., DDS1025 EL PASEO RD (888) 988-4066

REITER, HARVEY S., DMD301 E LOHMAN AVE (575) 524-4900

SPLanguage(s):

SAMI, TONI, DDS1160 EL PASEO RD STE D1 (888) 988-4066

SAMI, TONI, DDS1025 EL PASEO RD (888) 988-4066

SEO, JAESUNG, DDS1160 EL PASEO RD STE D1 (888) 988-4066

Page 18 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoLAS CRUCES - 88001 (continued)

Directory of Participating Dental Providers

Alliance Network

SHAMAPANTH, RAHUL, DDS1025 EL PASEO RD (888) 988-4066

SIMPSON, AARON J., DDS1160 EL PASEO RD STE D1 (888) 988-4066

SINGLETON, ANDRE M., DDS1300 EL PASEO RD STE N (575) 526-1721

SUBGANI, RAMYA, DDS1160 EL PASEO RD STE D1 (888) 988-4066

TANEJA, NIDHI, DDS1160 EL PASEO RD STE D 1 (888) 988-4066

THIRIVIDI, BHARATH, DDS1160 EL PASEO RD STE D1 (888) 988-4066

THOMAS, CHRISTOPHER J., DDS2980 N MAIN ST (575) 524-3722

TROPP, STEPHEN, DDS2001 E LOHMAN AVE STE 121 (575) 527-4746

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 (575) 526-1721

SPLanguage(s):

WAGNER, MARK V., DMD2001 E LOHMAN AVE STE 121 (575) 527-4746

WALLIS, JARED S., DDS2980 N MAIN ST (575) 524-3722

WEI, ROGER B., DDS1025 EL PASEO RD (888) 988-4066

WEI, ROGER B., DDS1160 EL PASEO RD STE D-1 (888) 988-4066

YAMAZAKI, YASUFUMI, DDS1160 EL PASEO RD STE D1 (888) 988-4066

YOON, JAJUNG, DMD1160 EL PASEO RD STE D1 (888) 988-4066

Oral Surgery

SMITH, BEN M., DMD1160 EL PASEO RD STE D1 (888) 988-4066

Orthodontist

BAVAR, BEROKH, DMD1160 EL PASEO RD STE D1 (888) 988-4066

BRUCE, JOSHUA D., DDS1160 EL PASEO RD STE D1 (888) 988-4066

FR, MZ, SPLanguage(s):

CLAYDEN, DAVID M., DDS1025 EL PASEO RD (888) 988-4066

CLAYDEN, DAVID M., DDS1160 EL PASEO RD STE D1 (888) 988-4066

DEHGHAN, AMIR H., DDS1025 EL PASEO RD (888) 988-4066

DEHGHAN, AMIR H., DDS1160 EL PASEO RD STE D-1 (888) 988-4066

GUYMON, RUSSELL J., DDS1160 EL PASEO RD STE 610 (888) 988-4066

GUYMON, RUSSELL J., DDS1025 EL PASEO RD (888) 988-4066

LEWIS, BRANDI E., DDS1160 EL PASEO RD STE 610 (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):

BADDOUR, MARY C., DDS575 S ALAMEDA BLVD (575) 528-6400

SPLanguage(s):

BADDOUR, MARY C., DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

SPLanguage(s):

BHATTU, BHARANI K., DDS575 S ALAMEDA BLVD (575) 528-6400

BHATTU, BHARANI K., DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

BISHOP, MATTHEW R., DDS1901 CALLE DE NINOS (575) 526-5522

BORHAM, WAEL, DDS608 S ALAMEDA BLVD (575) 523-5589

CAMUNEZ, JOSEPH P., DDS225 E IDAHO AVE STE 22 (575) 523-8681

SPLanguage(s):

CARTER JR., BARNEY W., DDS1901 CALLE DE NINOS (575) 526-5522

CASCI, FRANCIS T., DDS575 S ALAMEDA BLVD (575) 528-6400

CASCI, FRANCIS T., DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

CHA, LILY, DDS1901 CALLE DE NINOS (575) 526-5522

CHAVEZ, ARMANDO J., DDS1901 CALLE DE NINOS (575) 526-5522

CHAVEZ, KEELY J., DDS1901 CALLE DE NINOS (575) 526-5522

CHUNG, CHRISTINA K., DDS1901 CALLE DE NINOS (575) 526-5522

CHURCHILL, WENDY L., DDS575 S ALAMEDA BLVD (575) 528-6400

CHURCHILL, WENDY L., DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

COX, PAMELA B., DDS1901 CALLE DE NINOS (575) 526-5522

DAY, MARIANNE R., DDS608 S ALAMEDA BLVD (575) 523-5589

SPLanguage(s):

GAJULA, TULASI S., DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

HI, TELanguage(s):

GUPTA, RAJAN, DDS575 S ALAMEDA BLVD (575) 528-6400

HILanguage(s):

GUPTA, RAJAN, DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

HILanguage(s):

HATCH, CAMERON J., DDS1901 CALLE DE NINOS (575) 526-5522

HEMPSTEAD, ANNE K., 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

KUBIAK, RONALD R., DDS575 S ALAMEDA BLVD (575) 528-6400

SPLanguage(s):

KUBIAK, RONALD R., DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

SPLanguage(s):

LA CLINICA DE FAMILIA INC575 S ALAMEDA BLVD (575) 528-6400

SPLanguage(s):

LA CLINICA DE FAMILIA INC385 CALLE DE ALEGRA BLDG A (575) 521-7181

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

MANZANARES, DAVID J., DDS385 CALLE DE ALEGRA BLDG C (575) 541-9249

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):

OGAS, LAURA N., DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

SPLanguage(s):

OGAS, LAURA N., DDS575 S ALAMEDA BLVD (575) 528-6400

SPLanguage(s):

PINHOLSTER, MICHAEL D., DDS810 S MAIN ST (575) 523-7501

PURCELL, KAITLYN K., DDS1901 CALLE DE NINOS (575) 526-5522

RIVERO, ANGELICA, DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

SPLanguage(s):

RIVERO, ANGELICA, DDS575 S ALAMEDA BLVD (575) 528-6400

SPLanguage(s):

ROWAN, RICHARD G., DMD1901 CALLE DE NINOS (575) 526-5522

SAMPERI, JEANINE M., DMD385 CALLE DE ALEGRA BLDG A (575) 521-7181

SAMPERI, JEANINE M., DMD575 S ALAMEDA BLVD (575) 528-6400

SHAMAPANTH, RAHUL, DDS575 S ALAMEDA BLVD (575) 528-6400

Page 19 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoLAS CRUCES - 88005 (continued)

Directory of Participating Dental Providers

Alliance Network

SHAMAPANTH, RAHUL, DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

THOMPSON, CORY G., DMD385 CALLE DE ALEGRA BLDG C (575) 541-9249

SPLanguage(s):

TRIGO, JOY T., DDS575 S ALAMEDA BLVD (575) 528-6400

TRIGO, JOY T., DDS1201 MED PARK DR (575) 647-4089

TRIGO, ROBERTO L., DDS1131 MED PARK DR (575) 521-7017

TROPP, STEPHEN, DDS1901 CALLE DE NINOS (575) 526-5312

WHITE SANDS CHILDRENS DENTISTRY1901 CALLE DE NINOS (575) 526-5522

WOLF, JACOB B., DDS1901 CALLE DE NINOS (575) 523-5312

Orthodontist

BUSH, HELEN D., DDS1901 CALLE DE NINOS (575) 526-5522

HANN, ROBERT C., DDS1901 CALLE DE NINOS (575) 526-5522

NAISBITT, MARK A., DDS1901 CALLE DE NINOS (575) 526-5522

Pediatric Dentist

CALL, VAUGHN D., DMD1901 CALLE DE NINOS (575) 526-5522

JACKSON, JOSEPH L., DDS1901 CALLE DE NINOS (575) 526-5522

PECK, CHRISTIAN S., DDS1901 CALLE DE NINOS (575) 526-5522

SIEGEL, SCOTT L., DMD1901 CALLE DE NINOS (575) 526-5522

TASKER, SPENCER J., DMD1901 CALLE DE NINOS (575) 526-5522

LAS CRUCES - 88007

General Dentist

BACA JR., LEROY, DDS1955 N VALLEY D (575) 541-7323

BACA JR., LEROY, DDS1998 N MOTEL BLVD (575) 541-5941

COYNE, PATRICK J., DDS1955 N VALLEY DR (575) 523-2772

SPLanguage(s):

COYNE, PATRICK J., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

SPLanguage(s):

DEAN, TYRELL C., DMD1998 N MOTEL BLVD BLDG A (575) 541-5941

DEAN, TYRELL C., DMD1955 N VALLEY D (575) 541-7323

FEMAT, RUBEN, DDS1955 N VALLEY DR (575) 523-2772

FEMAT, RUBEN, DDS1998 N MOTEL BLVD (575) 541-5941

FRALEIGH, C. MAHLON, DDS1955 N VALLEY DR (575) 523-2772

SPLanguage(s):

FRALEIGH, C. MAHLON, DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

SPLanguage(s):

GLOVER, DAWN K., DDS1955 N VALLEY DR (575) 523-2772

GLOVER, DAWN K., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

GUTTIKONDA, BHARAT RAM C., DDS1955 N VALLEY DR (575) 523-2772

GUTTIKONDA, BHARAT RAM C., DDS1998 N MOTEL BLVD (575) 541-5941

GUTTIKONDA, KRISHNAVENI, DDS1955 N VALLEY DR (575) 523-2772

GUTTIKONDA, KRISHNAVENI, DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

MARKETTO, DREW E., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

MARKETTO, DREW E., DDS1955 N VALLEY DR (575) 523-2772

MATHIAS, RICHARD B., DMD1955 N VALLEY D (575) 541-7323

MATHIAS, RICHARD B., DMD1998 N MOTEL BLVD (575) 541-5941

MAY, AMANDA C., DDS1955 N VALLEY D (575) 541-7323

MAY, AMANDA C., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

MCCARTHY, TIAPUL Q., DDS1955 N VALLEY DR (575) 523-2772

MCCARTHY, TIAPUL Q., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

O, GIBSON S., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

O, GIBSON S., DDS1955 N VALLEY DR (575) 523-2772

ODA, SAHARU, DDS1955 N VALLEY DR (575) 523-2772

JP, PRLanguage(s):

ODA, SAHARU, DDS1998 N MOTEL BLVD (575) 541-5941

JP, PRLanguage(s):

PELLEGRINO, CAMILLE R., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

PELLEGRINO, CAMILLE R., DDS1955 N VALLEY DR (575) 541-7323

POLLARD, JILLANA L., DMD1955 N VALLEY D (575) 541-7323

POLLARD, JILLANA L., DMD1998 N MOTEL BLVD BLDG A (575) 541-5941

PUCKETT JR., C RAY, 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

SHAH, JAY A., DMD1955 N VALLEY D (575) 541-7323

SHASTRI, SHRUTI N., DDS1955 N VALLEY D (575) 541-7323

SHASTRI, SHRUTI N., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

WIATT, MARK E., DDS1998 N MOTEL BLVD (575) 541-5941

WIATT, MARK E., DDS1955 N VALLEY D (575) 541-7323

WILKINSON, TAYLOR G., DDS1955 N VALLEY DR (575) 523-2772

WILKINSON, TAYLOR G., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

ZIAFAT, MEHRYAR, DMD1955 N VALLEY D (575) 541-7323

ZIAFAT, MEHRYAR, DMD1998 N MOTEL BLVD BLDG A (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

FR, SPLanguage(s):

HAYES, PETER A., DMD1955 N VALLEY DR (575) 523-2772

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER1955 N VALLEY DR (575) 523-2772

BEN ARCHER HEALTH CENTER1998 N MOTEL BLVD BLDG A (575) 541-5941

LAS CRUCES - 88011

General Dentist

ALL SMILES FAMILY DENTAL CLINICS LLC530 N TELSHOR BLVD STE A (575) 532-5437

ARORA, SURPREET S., DDS530 N TELSHOR BLVD STE A (575) 532-5437

HI, PU, SPLanguage(s):

BADDOUR, MARY C., DDS8600 BATAAN MEMORIAL E (575) 373-9202

SPLanguage(s):

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) 373-9202

BISHOP, MATTHEW R., DDS3835 E LOHMAN AVE (575) 526-4444

BUTTERFIELD, DONALD E., DDS530 N TELSHOR BLVD STE A (575) 532-5437

CARTER JR., BARNEY W., DMD3835 E LOHMAN AVE (575) 526-4444

CASCI, FRANCIS T., DDS8600 BATAAN MEMORIAL E (575) 373-9202

CHA, LILY, DDS3835 E LOHMAN AVE (575) 526-4444

CHAVEZ, ARMANDO J., 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

Page 20 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoLAS CRUCES - 88011 (continued)

Directory of Participating Dental Providers

Alliance Network

CHURCHILL, WENDY L., DDS8600 BATAAN MEMORIAL E (575) 373-9202

CONNIFF, JOHN N., DDS2701 MISSOURI AVE STE C (575) 522-8229

COX, PAMELA B., DDS3835 E LOHMAN AVE (575) 522-1779

ELLISS, JOSHUA L., DMD3015 HILLRISE DR (575) 522-0454

ELLISS, JOSHUA L., DMD3340 RINCONADA BLVD STE B (575) 522-0454

ERON CRANE, JULIA M., DMD2569 E IDAHO AVE (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) 373-9202

HI, TELanguage(s):

GONZALEZ, JAIME R., DDS2569 E IDAHO AVE (575) 523-1479

SPLanguage(s):

GUPTA, RAJAN, DDS8600 BATAAN MEMORIAL E (575) 373-9202

HILanguage(s):

HARRELL, SEAN M., DDS530 N TELSHOR BLVD STE A (575) 532-5437

SPLanguage(s):

HATCH, CAMERON J., DDS3835 E LOHMAN AVE (575) 522-1779

HE, SHENYE, DMD530 N TELSHOR BLVD STE A (575) 532-5437

CN, SPLanguage(s):

HEMPSTEAD, ANNE K., 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) 522-1779

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

KUBIAK, RONALD R., DDS8600 BATAAN MEMORIAL E (575) 373-9202

SPLanguage(s):

LA CLINICA DE FAMILIA INC8600 BATAAN MEMORIAL E (575) 373-9202

SPLanguage(s):

LAPSKER, JENNIFER A., DDS3835 E LOHMAN AVE (575) 522-1779

LAS CRUCES DENTAL ASSOC PC2569 E IDAHO AVE (575) 523-1479

SPLanguage(s):

LAW, MICHAEL D., DDS4141 CAMINO COYOTE STE A (575) 524-5812

LEE, RYAN E., DDS3835 E LOHMAN AVE (575) 526-4444

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):

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

MCCARTHY, TIAPUL Q., DDS3835 E LOHMAN AVE (575) 526-4444

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

OGAS, LAURA N., DDS8600 BATAAN MEMORIAL E (575) 373-9202

SPLanguage(s):

OH, SARA H., DDS530 N TELSHOR BLVD STE A (575) 532-5437

KO, SPLanguage(s):

ORTIZ, NATALIE J., DDS2141 HAMMERAND CT STE B (575) 521-8720

ORTIZ, RAMON M., DDS2141 HAMMERAND CT STE B (575) 521-8720

OUSHY EISSA, NOHA, DDS530 N TELSHOR BLVD STE A (575) 532-5437

SPLanguage(s):

OWEN, RICHARD J., DMD3015 HILLRISE DR (575) 522-0454

OWEN, RICHARD J., DMD3340 RINCONADA BLVD STE 2 (575) 382-2054

PARK, JOSEPH, DMD530 N TELSHOR BLVD STE A (575) 532-5437

CN, KO, SPLanguage(s):

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

POTOCKI, BRIAN J., DDS530 N TELSHOR BLVD STE A (575) 532-5437

SPLanguage(s):

PURCELL, KAITLYN K., DDS3835 E LOHMAN AVE (575) 526-4444

QUAN, KRISTI, DDS4351 E LOHMAN AVE (575) 636-4471

QUAN, KRISTI, DDS4311 E LOHMAN AVE (575) 636-4471

QUAN, KRISTI, DDS2450 S TELSHOR BLVD (575) 636-4471

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):

RIVERO, ANGELICA, DDS8600 BATAAN MEMORIAL E (575) 373-9202

SPLanguage(s):

ROETTGER, TIMOTHY J., DMD530 N TELSHOR BLVD STE A (575) 532-5437

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 (575) 523-1479

SPLanguage(s):

SAMANIEGO, MARIO, DDS2569 E IDAHO AVE STE A (575) 523-1479

SAMPERI, JEANINE M., DMD8600 BATAAN MEMORIAL E (575) 373-9202

SAMPERI, JEANINE M., DMD1160 MALL DR (575) 532-1933

SARKISYAN, ARTUR A., DMD530 N TELSHOR BLVD STE A (575) 532-5437

RS, SPLanguage(s):

SCHEIB, JEFFREY R., DDS530 N TELSHOR BLVD STE A (575) 532-5437

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS8600 BATAAN MEMORIAL E (575) 373-9202

TARANTINO, ERNEST E., DDS530 N TELSHOR BLVD STE A (575) 532-5437

SPLanguage(s):

THOMPSON, CORY G., DMD3015 HILLRISE DR (575) 522-0454

SPLanguage(s):

THOMPSON, CORY G., DMD1160 MALL DR STE B (575) 532-1933

SPLanguage(s):

THOMPSON, CORY G., DMD3340 RINCONADA BLVD STE 2B (575) 382-2054

THOMPSON, CORY G., DMD8600 BATAAN MEMORIAL E (575) 586-1500

SPLanguage(s):

TRIGO, JOY T., DDS8600 BATAAN MEMORIAL E (575) 373-9202

TROPP, STEPHEN, DDS3835 E LOHMAN AVE (575) 526-4444

TSENG, STEVE H., DDS2450 S TELSHOR BLVD (575) 636-4471

SPLanguage(s):

TSENG, STEVE H., DDS4351 E LOHMAN AVE (575) 636-4471

SPLanguage(s):

TSENG, STEVE H., DDS4311 E LOHMAN AVE (575) 636-4471

SPLanguage(s):

Page 21 of 42 August 2017New Mexico Alliance Network

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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New MexicoLAS CRUCES - 88011 (continued)

Directory of Participating Dental Providers

Alliance Network

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

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):

HANN, ROBERT C., DDS3835 E LOHMAN AVE (575) 522-1779

LIGHTHEART, KURTIS G., DMD920 N TELSHOR BLVD STE E (575) 521-0900

MARTIN, CAMARON L., DDS920 N TELSHOR BLVD STE E (575) 521-0900

NAISBITT, MARK A., DDS3835 E LOHMAN AVE (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

CALL, VAUGHN D., DMD3835 E LOHMAN AVE (575) 522-1779

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 (575) 649-7027

FR, SPLanguage(s):

HAYES, PETER A., DMD2450 S TELSHOR BLVD (575) 636-4471

FR, SPLanguage(s):

JACKSON, JOSEPH L., DDS3835 E LOHMAN AVE (575) 526-4444

PARCO, TODD M., DDS3835 E LOHMAN AVE (575) 522-1779

PECK, CHRISTIAN S., DDS3835 E LOHMAN AVE (575) 526-4444

SIEGEL, SCOTT L., DMD3835 E LOHMAN AVE (575) 526-4444

TASKER, SPENCER J., DMD3835 E LOHMAN AVE (575) 526-4444

LAS CRUCES - 88012

General Dentist

BACA JR., LEROY, DDS3331 DEL REY BLVD (575) 373-1033

BACA JR., LEROY, DDS1600 THORPE RD (575) 382-9292

BOHNSTEDT, RICHARD S., DMD3331 DEL REY BLVD (575) 373-1033

COYNE, PATRICK J., DDS3331 DEL REY BLVD (575) 373-1033

SPLanguage(s):

COYNE, PATRICK J., DDS1600 THORPE RD (575) 382-9292

SPLanguage(s):

DEAN, TYRELL C., DMD1600 THORPE RD (575) 382-9292

DEAN, TYRELL C., DMD3331 DEL REY BLVD (575) 373-1033

FEMAT, RUBEN, DDS3331 DEL REY BLVD (575) 373-1033

FEMAT, RUBEN, DDS1600 THORPE RD (575) 382-9292

FRALEIGH, C. MAHLON, DDS1600 THORPE RD (575) 382-9292

SPLanguage(s):

GLOVER, DAWN K., DDS1600 THORPE RD (575) 382-9292

GUTTIKONDA, BHARAT RAM C., DDS3331 DEL REY BLVD (575) 373-1033

GUTTIKONDA, BHARAT RAM C., DDS1600 THORPE RD (575) 382-9292

GUTTIKONDA, KRISHNAVENI, DDS1600 THORPE RD (575) 382-9292

GUTTIKONDA, KRISHNAVENI, DDS3331 DEL REY BLVD (575) 373-1033

MARKETTO, DREW E., DDS1600 THORPE RD (575) 382-9292

MARKETTO, DREW E., DDS3331 DEL REY BLVD (575) 373-1033

MATHIAS, RICHARD B., DMD1600 THORPE RD (575) 382-9292

MATHIAS, RICHARD B., DMD3331 DEL REY BLVD (575) 373-1033

MAY, AMANDA C., DDS1600 THORPE RD (575) 382-9292

MAY, AMANDA C., DDS3331 DEL REY BLVD (575) 373-1033

MCCARTHY, TIAPUL Q., DDS1600 THORPE RD (575) 382-9292

O, GIBSON S., DDS3331 DEL REY BLVD (575) 373-1033

O, GIBSON S., DDS1600 THORPE RD (575) 382-9292

ODA, SAHARU, DDS3331 DEL REY BLVD (575) 373-1033

JP, PRLanguage(s):

ODA, SAHARU, DDS1600 THORPE RD (575) 382-9292

JP, PRLanguage(s):

PELLEGRINO, CAMILLE R., DDS1600 THORPE RD (575) 382-9292

PELLEGRINO, CAMILLE R., DDS3331 DEL REY BLVD (575) 373-1033

POLLARD, JILLANA L., DMD1600 THORPE RD (575) 382-9292

POLLARD, JILLANA L., DMD3331 DEL REY BLVD (575) 373-1033

PUCKETT JR., C RAY, DDS3331 DEL REY BLVD (575) 373-1033

PUCKETT JR., C RAY, DDS1600 THORPE RD (575) 382-9292

QUAN, KRISTI, DDS1600 THORPE RD (575) 382-9292

QUAN, KRISTI, DDS3331 DEL REY BLVD (575) 373-1033

SHAH, JAY A., DMD1600 THORPE RD (575) 382-9292

SHAH, JAY A., DMD3331 DEL REY BLVD (575) 373-1033

SHASTRI, SHRUTI N., DDS1600 THORPE RD (575) 382-9292

SHASTRI, SHRUTI N., DDS3331 DEL REY BLVD (575) 373-1033

WIATT, MARK E., DDS1600 THORPE RD (575) 382-9292

WIATT, MARK E., DDS3331 DEL REY BLVD (575) 373-1033

WILKINSON, TAYLOR G., DDS3331 DEL REY BLVD (575) 373-1033

WILKINSON, TAYLOR G., DDS1600 THORPE RD (575) 382-9292

ZIAFAT, MEHRYAR, DMD1600 THORPE RD (575) 382-9292

ZIAFAT, MEHRYAR, DMD3331 DEL REY BLVD (575) 373-1033

Pediatric Dentist

HAYES, PETER A., DMD1600 THORPE RD (575) 382-9292

FRLanguage(s):

HAYES, PETER A., DMD3331 DEL REY BLVD (575) 373-1033

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER3331 DEL REY BLVD (575) 373-1033

BEN ARCHER HEALTH CENTER1600 THORPE RD (575) 382-9292

RADIUM SPRINGS - 88054

General Dentist

BACA JR., LEROY, DDS12080 LB LINDBECK RD (575) 526-6200

COYNE, PATRICK J., DDS12080 LB LINDBECK RD (575) 526-6200

SPLanguage(s):

DEAN, TYRELL C., DMD12080 LB LINDBECK RD (575) 526-6200

Page 22 of 42 August 2017New Mexico Alliance Network

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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New MexicoRADIUM SPRINGS - 88054 (continued)

Directory of Participating Dental Providers

Alliance Network

FEMAT, RUBEN, DDS12080 LB LINDBECK RD (575) 526-6200

FRALEIGH, C. MAHLON, DDS12080 LB LINDBECK RD (575) 526-6200

SPLanguage(s):

GLOVER, DAWN K., DDS12080 LB LINDBECK RD (575) 526-6200

GUTTIKONDA, BHARAT RAM C., DDS12080 LB LINDBECK RD (575) 526-6200

GUTTIKONDA, KRISHNAVENI, DDS12080 LB LINDBECK RD (575) 526-6200

LIAO, WEN, DDS12080 LB LINDBECK RD (575) 526-6200

CNLanguage(s):

MARKETTO, DREW E., DDS12080 LB LINDBECK RD (575) 526-6200

MATHIAS, RICHARD B., DMD12080 LB LINDBECK RD (575) 526-6200

MAY, AMANDA C., DDS12080 LB LINDBECK RD (575) 526-2266

MCCARTHY, TIAPUL Q., DDS12080 LB LINDBECK RD (575) 526-6200

O, GIBSON S., DDS12080 LB LINDBECK RD (575) 526-6200

ODA, SAHARU, DDS12080 LB LINDBECK RD (575) 526-6200

JP, PRLanguage(s):

PELLEGRINO, CAMILLE R., DDS12080 LB LINDBECK RD (575) 526-6200

POLLARD, JILLANA L., DMD12080 LB LINDBECK RD (575) 526-6200

PUCKETT JR., C RAY, DDS12080 LB LINDBECK RD (575) 526-6200

QUAN, KRISTI, DDS12080 LB LINDBECK RD (575) 526-6200

SHAH, JAY A., DMD12080 LB LINDBECK RD (575) 526-6200

SHASTRI, SHRUTI N., DDS12080 LB LINDBECK RD (575) 526-6200

WIATT, MARK E., DDS12080 LB LINDBECK RD (575) 526-6200

WILKINSON, TAYLOR G., DDS12080 LB LINDBECK RD (575) 526-6200

ZIAFAT, MEHRYAR, DMD12080 LB LINDBECK RD (575) 526-2266

Pediatric Dentist

HAYES, PETER A., DMD12080 LB LINDBECK RD (575) 526-2266

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER12080 LB LINDBECK RD (575) 526-6200

SANTA TERESA - 88008

General Dentist

ALL SMILES FAMILY DENTAL CLINICS LLC103 LIVINGSTON LOOP STE B3 (575) 332-4047

ARORA, SURPREET S., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

HI, PU, SPLanguage(s):

BADDOUR, MARY C., DDS100 AIRPORT RD (575) 874-9338

SPLanguage(s):

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

FORDE, COLIN A., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

GAJULA, TULASI S., DDS100 AIRPORT RD BLDG A (575) 874-9338

HI, TELanguage(s):

GILBEY POTOCKI, MELISA S., DMD103 LIVINGSTON LOOP STE B3 (575) 332-4047

SPLanguage(s):

GUPTA, RAJAN, DDS100 AIRPORT RD (575) 874-9338

HILanguage(s):

HARRELL, SEAN M., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

SPLanguage(s):

HE, SHENYE, DMD103 LIVINGSTON LOOP STE B3 (575) 332-4047

LA CLINICA DE FAMILIA INC100 AIRPORT RD (575) 874-9338

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

OGAS, LAURA N., DDS100 AIRPORT RD (575) 874-9338

SPLanguage(s):

OH, SARA H., DDS103 LIVINGSTON LOOP STE B-3 (575) 332-4047

OUSHY EISSA, NOHA, DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

PARK, JOSEPH, DMD103 LIVINGSTON LOOP STE B3 (575) 332-4047

CN, KO, SPLanguage(s):

PEREZ, PAUL D., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

PHAN, DANIELLE, DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

RAMOS, ANGEL, DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

REED, ATEM, DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

SPLanguage(s):

RHODES, JOSEPH I., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

RIVERO, ANGELICA, DDS100 AIRPORT RD (575) 874-9338

SPLanguage(s):

ROETTGER, TIMOTHY J., DMD103 LIVINGSTON LOOP STE B 3 (575) 332-4047

SCHEIB, JEFFREY R., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

TRIGO, JOY T., DDS100 AIRPORT RD (575) 874-9338

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

BADDOUR, MARY C., DDS2625 MCNUTT RD (575) 589-0887

SPLanguage(s):

BHATTU, BHARANI K., DDS2625 MCNUTT RD (575) 589-0887

CASCI, FRANCIS T., DDS2625 MCNUTT RD (575) 589-0887

CHURCHILL, WENDY L., DDS2625 MCNUTT RD (575) 589-0887

GAJULA, TULASI S., DDS2625 MCNUTT RD (575) 589-0887

HI, TELanguage(s):

GUPTA, RAJAN, DDS2625 MCNUTT RD (575) 589-0887

HILanguage(s):

KUBIAK, RONALD R., DDS2625 MCNUTT RD (575) 589-0887

SPLanguage(s):

LA CLINICA DE FAMILIA INC2625 MCNUTT RD (575) 589-0887

SPLanguage(s):

OGAS, LAURA N., DDS2625 MCNUTT RD (575) 589-0887

SPLanguage(s):

RIVERO, ANGELICA, DDS2625 MCNUTT RD (575) 589-0887

SPLanguage(s):

SAMPERI, JEANINE M., DMD2625 MCNUTT RD (575) 589-0887

SHAMAPANTH, RAHUL, DDS2625 MCNUTT RD (575) 589-0887

TRIGO, JOY T., DDS2625 MCNUTT RD (575) 589-0887

EDDY County

ARTESIA - 88210

General Dentist

ANTONIO JR., JOHN E., DMD1105 MEMORIAL DR (575) 746-9848

SPLanguage(s):

BRIMHALL, STEELE T., DDS1105 MEMORIAL DR (575) 746-9848

DOSS, JIHAN L., DMD1105 MEMORIAL DR (575) 746-9848

DOSS, JIHAN L., DMD1 FOSTER LN (575) 533-6456

Page 23 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoARTESIA - 88210 (continued)

Directory of Participating Dental Providers

Alliance Network

DUNIVEN, DAVID W., DDS1105 MEMORIAL DR (575) 746-9848

EICKER, ANDREA M., DMD1105 MEMORIAL DR (575) 746-9848

EICKER, ANDREA M., DMD1 FOSTER LANE (575) 533-6456

FARION, MARKO O., DDS606 N 13TH ST STE 400 (575) 736-3100

HANSON, DAVID M., DDS1105 MEMORIAL DR (575) 746-9848

KNUTSEN, GREGORY R., DDS1105 MEMORIAL DR (575) 746-9848

KNUTSEN, GREGORY R., DDS1 FOSTER LN (575) 533-6456

LOPEZ, INEZ M., DMD1105 MEMORIAL DR (575) 746-9848

MONTOYA, C. PATRICK, DDS1105 MEMORIAL DR (575) 746-9848

SPLanguage(s):

MORGAN, TYLER S., DDS1105 MEMORIAL DR (575) 746-9848

RHOADS, HOWARD N., DDS1105 MEMORIAL DR (575) 746-9848

TOBIN, MEGAN K., DDS1105 MEMORIAL DR (575) 746-9848

WESTBROOK, JEFFREY H., DDS1105 MEMORIAL DR (575) 746-9848

WHITE, STEPHEN D., DDS606 N 13TH ST STE 400 (575) 736-3100

SPLanguage(s):

WILSON, ELIZABETH M., DDS1 FOSTER LN (575) 533-6456

WILSON, ELIZABETH M., DDS1105 MEMORIAL DR (575) 746-9848

YOUNGGREN, KAY L., DDS2520 W HERMOSA DR (575) 746-1900

YUCCA HEALTH CARE CENTER LLC606 N 13TH ST STE 400 (575) 736-3100

Orthodontist

TAYLOR, MICHAEL M., DDS601 S ROSELAWN AVE (800) 843-6685

SPLanguage(s):

CARLSBAD - 88220

General Dentist

ACHALLA, VENKATA, DDS2330 W PIERCE ST (575) 234-1125

ACOSTA LENIS, CLAUDIA J., DDS2330 W PIERCE ST (847) 701-1457

ALL SMILES FAMILY DENTAL CLINICS LLC701 N CANAL ST STE A (575) 885-3948

ALL SMILES FAMILY DENTAL CLINICS LLC1201 W MERMOD ST (575) 887-5111

ANTANI, KARTIK, DMD2330 W PIERCE ST (888) 988-4066

ARAKOTARAM RAVIKUMAR, RAKSHITH, DMD2330 W PIERCE ST (888) 988-4066

ARORA, SURPREET S., DDS1201 W MERMOD ST (575) 887-5111

HI, PU, SPLanguage(s):

ARORA, SURPREET S., DDS701 N CANAL ST STE A (575) 885-3948

HI, PU, SPLanguage(s):

ASTARAEE, NIMA, DDS2330 W PIERCE ST (888) 988-4066

AUNG, NYI NYI, DDS2330 W PIERCE ST (888) 988-4066

AZAD, KOUSHAN H., DMD2330 W PIERCE ST (888) 988-4066

BANSAL, ROHINI, DDS2330 W PIERCE ST (888) 988-4066

BARNEY, LASON J., DDS1201 W MERMOD ST (575) 887-5111

BARNEY, LASON J., DDS701 N CANAL ST STE A (575) 885-3948

BARNEY, LASON J., DDS618 W PIERCE ST (575) 885-3748

BAYMILLER, SCOTT A., DDS618 W PIERCE ST (575) 885-3948

BAYMILLER, SCOTT A., DDS701 N CANAL ST STE A (575) 885-3948

BAYMILLER, SCOTT A., DDS1201 W MERMOD ST (575) 887-5111

BUTTERFIELD, DONALD E., DDS1201 W MERMOD ST (575) 887-5111

BUTTERFIELD, DONALD E., DDS618 W PIERCE ST (575) 885-3748

BUTTERFIELD, DONALD E., DDS701 N CANAL ST STE A (575) 885-3948

CHOUDHARY, NIKHILESH, DMD2330 W PIERCE ST (888) 988-4066

DESAI, ADITYA A., DDS2330 W PIERCE ST (888) 988-4066

HILanguage(s):

FAMILIA DENTAL CARLSBAD LLC2330 W PIERCE ST (888) 988-4066

FEIBINSKY RAMOS, POLYNA, DDS1201 W MERMOD ST (575) 887-5111

FORDE, COLIN A., DDS701 N CANAL ST STE A (575) 885-3948

GADE, HANUMAN S., DDS2330 W PIERCE ST (888) 988-4066

GARLA, HARSHAVARDHAN, DDS2330 W PIERCE ST (888) 988-4066

GILL, MANBIR S., DDS2330 W PIERCE ST (888) 988-4066

GREWAL, KAPIL, DDS2230 W PIERCE (888) 988-4066

GREWAL, KAPIL, DDS2330 W PIERCE ST (888) 988-4066

HAKIMZADEH, SARA, DDS2330 W PIERCE ST (575) 234-1125

HARRELL, SEAN M., DDS1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

HARRELL, SEAN M., DDS701 N CANAL ST STE A (575) 885-3948

SPLanguage(s):

HE, SHENYE, DMD1201 W MERMOD ST (575) 887-5111

CN, SPLanguage(s):

HE, SHENYE, DMD618 W PIERCE ST (575) 532-5437

HERNANDEZ GIL, JOSE A., DMD2330 W PIERCE ST (888) 988-4066

ISSAC, SAIF S., DDS2330 W PIERCE ST (888) 988-4066

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

KOTHA, ABHIROOP, DMD2330 W PIERCE ST (888) 988-4066

LAMBA, BHANU P., DMD2230 W PIERCE (888) 988-4066

LE, TONY V., DDS2230 W PIERCE (888) 988-4066

LEIBINSKY RAMOS, POLYNA, DDS701 N CANAL ST STE A (575) 885-3948

LIEBERENZ, MEGAN K., DDS1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

LIEBERENZ, MEGAN K., DDS618 W PIERCE ST (575) 885-3748

SPLanguage(s):

LIEBERENZ, MEGAN K., DDS701 N CANAL ST STE A (575) 885-3948

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):

MANN, TYLER A., DDS1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

MAZLOOMI, FARZAD, DMD2330 W PIERCE ST (888) 988-4066

MIDTHANA, SRINIVASA R., DDS2330 W PIERCE ST (888) 988-4066

MIYAMASU, PATRICK K., DDS2330 W PIERCE ST (888) 988-4066

MOON, SORA, DMD2330 W PIERCE ST (575) 234-1125

MURGA, FIELFER L., DDS2330 W PIERCE ST (575) 234-1125

SPLanguage(s):

NEUBAUER, EDWARD E., DDS618 W PIERCE ST (575) 885-3748

NEUBAUER, EDWARD E., DDS1201 W MERMOD ST (575) 887-5111

NEUBAUER, EDWARD E., DDS701 N CANAL ST STE A (575) 885-3948

OH, SARA H., DDS1201 W MERMOD ST (575) 887-5111

KO, SPLanguage(s):

Page 24 of 42 August 2017New Mexico Alliance Network

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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New MexicoCARLSBAD - 88220 (continued)

Directory of Participating Dental Providers

Alliance Network

OH, SARA H., DDS701 N CANAL ST STE A (575) 885-3948

OPHASO, NISSA, DMD2330 W PIERCE ST (888) 988-4066

OUSHY EISSA, NOHA, DDS701 N CANAL ST STE A (575) 885-3948

OUSHY EISSA, NOHA, DDS1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

PARK, CHAN M., DDS2330 W PIERCE ST (888) 988-4066

FR, MZ, SPLanguage(s):

PARK, JONG WOOK, DMD2330 W PIERCE ST (888) 988-4066

PARK, JOSEPH, DMD1201 W MERMOD ST (575) 887-5111

CN, KO, SPLanguage(s):

PARK, JOSEPH, DMD701 N CANAL ST STE A (575) 885-3948

CN, KO, SPLanguage(s):

PATEL, NIPA K., DMD2330 W PIERCE ST (888) 988-4066

PAUL, CRAIG R., DDS701 N CANAL ST STE A (575) 885-3948

PEREZ, PAUL D., DDS701 N CANAL ST STE A (575) 885-3948

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, ANH T., DDS2330 W PIERCE ST (888) 988-4066

PHAN, DANIELLE, DDS618 W PIERCE ST (575) 885-3748

PHAN, DANIELLE, DDS1201 W MERMOD ST (575) 887-5111

PHAN, DANIELLE, DDS701 N CANAL ST STE A (575) 885-3948

QUACH, VU, DMD2330 W PIERCE ST (888) 988-4066

QUAN, KRISTI, DDS2430 W PIERCE ST (575) 636-4471

RAMOS, ANGEL, DDS618 W PIERCE ST (575) 885-3948

RAMOS, ANGEL, DDS701 N CANAL ST STE A (575) 885-3948

RAMOS, ANGEL, DDS1201 W MERMOD ST (575) 887-5111

REED, ATEM, DDS618 W PIERCE ST (575) 885-3748

SPLanguage(s):

REED, ATEM, DDS1201 W MERMOD ST (575) 887-5111

REED, ATEM, DDS701 N CANAL ST STE A (575) 885-3948

SPLanguage(s):

RHODES, JOSEPH I., DDS1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

RHODES, JOSEPH I., DDS618 W PIERCE ST (575) 885-3948

SPLanguage(s):

RHODES, JOSEPH I., DDS701 N CANAL ST STE A (575) 885-3948

ROETTGER, TIMOTHY J., DMD701 N CANAL ST STE A (575) 885-3948

ROETTGER, TIMOTHY J., DMD1201 W MERMOD ST (575) 887-5111

RUYLE, BONNIE L., DDS1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

RUYLE, BONNIE L., DDS618 W PIERCE ST (575) 885-3948

SPLanguage(s):

SAMI, TONI, DDS2330 W PIERCE ST (888) 988-4066

SARKISYAN, ARTUR A., DMD1201 W MERMOD ST (575) 532-5437

RS, SPLanguage(s):

SCHEIB, JEFFREY R., DDS701 N CANAL ST STE A (575) 885-3948

SPLanguage(s):

SCHEIB, JEFFREY R., DDS1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

SEO, JAESUNG, DDS2330 W PIERCE ST (888) 988-4066

SIMPSON, AARON J., DDS2330 W PIERCE ST (888) 988-4066

SUBGANI, RAMYA, DDS2330 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):

THIRIVIDI, BHARATH, DDS2330 W PIERCE ST (888) 988-4066

TRUONG, HENRY, DDS2330 W PIERCE ST (888) 988-4066

TSENG, STEVE H., DDS2430 W PIERCE ST (575) 636-4471

SPLanguage(s):

VAHDATINIA, SINA, DMD2330 W PIERCE ST (888) 988-4066

WANG, JEFFREY M., DDS701 N CANAL ST STE A (575) 885-3948

SPLanguage(s):

WANG, JEFFREY M., DDS1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

WEI, ROGER B., DDS2330 W PIERCE ST (847) 701-1454

FR, SPLanguage(s):

WILSON, ERIC J., DDS701 N CANAL ST STE A (575) 885-3948

WILSON, ERIC J., DDS618 W PIERCE ST (575) 885-3748

WILSON, ERIC J., DDS1201 W MERMOD ST (575) 887-5111

WOOLF, MARK A., DDS701 N CANAL ST STE A (575) 885-3948

SPLanguage(s):

YAMAZAKI, YASUFUMI, DDS2330 W PIERCE ST (888) 988-4066

YOON, JAJUNG, DMD2330 W PIERCE ST (888) 988-4066

Oral Surgery

HEINER, BRYCE B., DMD109 N CANAL ST (575) 623-5711

SMITH, BEN M., DMD2330 W PIERCE ST (888) 988-4066

Orthodontist

BAVAR, BEROKH, DMD2330 W PIERCE ST (888) 988-4066

BRUCE, JOSHUA D., DDS2330 W PIERCE ST (888) 988-4066

FR, MZ, SPLanguage(s):

CLAYDEN, DAVID M., DDS2330 W PIERCE ST (888) 988-4066

GUYMON, RUSSELL J., DDS2330 W PIERCE ST (888) 988-4066

LEWIS, BRANDI E., 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

Pediatric Dentist

HAYES, PETER A., DMD2430 W PIERCE ST (575) 636-4471

FR, SPLanguage(s):

GRANT County

SILVER CITY - 88061

General Dentist

ACKALL, IBRAHEEM G., DDS114 W 11TH ST (575) 388-1511

BECK, JONATHAN A., DDS2109 N PINOS ALTOS RD (575) 534-1133

SPLanguage(s):

BECK, JONATHAN A., DDS1340 E 32ND ST (575) 538-5664

BONURA, CAYTLYN F., DDS1608 N BENNETT ST (575) 534-3699

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

Page 25 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoSILVER CITY - 88061 (continued)

Directory of Participating Dental Providers

Alliance Network

HAUSER, LESLEY R., DDS114 W 11TH ST (575) 388-1511

SPLanguage(s):

HAUSER, LESLEY R., DDS1007 N POPE ST (575) 388-1511

SPLanguage(s):

HIDALGO MEDICAL SERVICES114 W 11TH ST (575) 388-1511

HIDALGO MEDICAL SERVICES1007 N POPE ST (575) 388-1511

HUCKANS, PHILLIP R., DDS2109 N PINOS ALTOS RD (575) 534-1133

JOHN B SHERMAN DDS PC3115 N LESLIE RD (575) 388-2515

KREBSBACH, TAYLOR E., DDS1007 N POPE ST (575) 388-1511

SPLanguage(s):

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, JOHN B., DDS3115 N LESLIE RD (575) 388-2515

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):

Periodontist

EVERETT, JOSEPH D., DDS1608 N BENNETT ST (575) 534-3699

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

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) 472-2414

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

KREBSBACH, TAYLOR E., DDS530 DE MOSS ST (575) 542-8384

SPLanguage(s):

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

ACOSTA LENIS, CLAUDIA J., DDS1710 W JOE HARVEY BLVD STE B (847) 701-1457

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

ARORA, SURPREET S., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

HI, PU, SPLanguage(s):

ASTARAEE, NIMA, DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

AUNG, NYI NYI, DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

AZAD, KOUSHAN H., 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

CAYCEDO, CLAUDIO H., DDS111 W CLINTON ST (575) 393-6047

CHOUDHARY, NIKHILESH, DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

COWDEN, JASON T., DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

DESAI, ADITYA A., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

HILanguage(s):

FAMILIA DENTAL HOB LLC1710 W JOE HARVEY BLVD STE B (888) 988-4066

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, DDS316 W SCHARBAUER ST (575) 396-9000

HI, TELanguage(s):

GARLA, HARSHAVARDHAN, DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

SPLanguage(s):

GARLA, HARSHAVARDHAN, DDS2400 N GRIMES ST STE 88 (575) 964-8700

HI, TELanguage(s):

GILL, MANBIR S., 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):

HE, SHENYE, DMD3920 N LOVINGTON HWY STE 400 (575) 392-5437

CN, 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

ISSAC, SAIF S., DDS1710 W JOE HARVEY BLVD STE B (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

KOTHA, ABHIROOP, DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

HI, TELanguage(s):

LAMBA, BHANU P., DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

LE, TONY V., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

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):

Page 26 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoHOBBS - 88240 (continued)

Directory of Participating Dental Providers

Alliance Network

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

MOON, SORA, DMD1710 W JOE HARVEY BLVD STE B (575) 738-0335

MURGA, FIELFER L., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

SPLanguage(s):

NEUBAUER, EDWARD E., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

OH, SARA H., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

KO, SPLanguage(s):

OPHASO, NISSA, DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

SPLanguage(s):

OUSHY EISSA, NOHA, DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

PARK, CHAN M., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

PARK, JONG WOOK, DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

KOLanguage(s):

PARK, JOSEPH, DMD3920 N LOVINGTON HWY STE 400 (575) 392-5437

CN, KO, SPLanguage(s):

PATEL, NIPA K., DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

PEREZ, PAUL D., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

PHAM, ANH T., DDS1710 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):

QUACH, VU, DMD1710 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

REED, ATEM, DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

RHODES, JOSEPH I., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

ROETTGER, TIMOTHY J., DMD3920 N LOVINGTON HWY STE 400 (575) 392-5437

RUYLE, BONNIE L., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

SAMI, TONI, DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

SARKISYAN, ARTUR A., DMD3920 N LOVINGTON HWY STE 400 (575) 392-5437

RS, SPLanguage(s):

SCHEIB, JEFFREY R., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

SEO, JAESUNG, DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

SHINE DENTAL LLC2400 N GRIMES ST STE B8 (575) 964-8700

HI, SPLanguage(s):

SHOEMAKER, R. PAUL, DMD506 N SHIPP ST (575) 393-8069

SIMPSON, AARON J., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

SUBGANI, RAMYA, DDS1710 W JOE HARVEY BLVD (847) 496-4850

HILanguage(s):

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):

THIRIVIDI, BHARATH, DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

HI, TELanguage(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

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, ERIC J., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

YAMAZAKI, YASUFUMI, DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

YANALA, KIRAN M., DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

YOON, JAJUNG, DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

KOLanguage(s):

Oral Surgery

SMITH, BEN M., DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

Orthodontist

BAVAR, BEROKH, DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

BRUCE, JOSHUA D., DDS1710 W JOE HARVEY 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

GUYMON, RUSSELL J., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

LEWIS, BRANDI E., 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

FRALEIGH, C. MAHLON, DDS423 S 3RD ST (575) 395-2205

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

PUCHALAPALLI, NISHANTH R., 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 EAST AVE (575) 648-2839

GOAD, JAMIE D., DDS710 AVE E (575) 648-2839

RUIDOSO - 88345

General Dentist

BEHRMANN, LOGAN D., DMD456 MECHEM DR STE C (575) 257-1136

JPLanguage(s):

CHILDRESS, KENNETH W., DDS721 MECHEM DR STE 5 (575) 257-5640

SPLanguage(s):

MIDKIFF, PETER D., DDS456 MECHEM DR STE C (575) 257-1136

TRUJILLO, KENDAL R., DDS200 SUDDERTH DR STE C (575) 257-5179

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):

HUMBERSON, JEFFREY W., DDS2101 TRINITY DR (505) 428-7878

MCDONALD, JONATHAN W., DDS185 CENTRAL PARK SQ (505) 662-2426

PT, SPLanguage(s):

Page 27 of 42 August 2017New Mexico Alliance Network

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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New MexicoLOS ALAMOS - 87544 (continued)

Directory of Participating Dental Providers

Alliance Network

MEYER, RACHEL, DDS112 CENTRAL PARK SQ (505) 662-3163

ORTIZ, NEREIDA, DDS185 CENTRAL PARK SQ (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

SPALDING, PETER M., DDS3250 TRINITY DR STE A (505) 662-4555

VEST ORTHODONTICS PC3250 TRINITY DR STE A (505) 662-4555

Pediatric Dentist

NICHOLS, WILLIAM R., DDS751 TRINITY DR BLDG 3 STE A-B (505) 661-9060

PRISHKULNIK, ELIZABETH T., DDS2101 TRINITY DR (505) 428-7878

LUNA County

COLUMBUS - 88029

General Dentist

BACA JR., LEROY, DDS626 TAFT ST (575) 531-2165

COYNE, PATRICK J., DDS626 TAFT ST (575) 531-2165

SPLanguage(s):

DEAN, TYRELL C., DMD626 TAFT ST (575) 531-2165

FEMAT, RUBEN, DDS626 TAFT (575) 531-2165

FRALEIGH, C. MAHLON, DDS626 TAFT ST (575) 531-2165

SPLanguage(s):

GLOVER, DAWN K., DDS626 TAFT ST (575) 531-2165

GUTTIKONDA, BHARAT RAM C., DDS626 TAFT (575) 531-2165

GUTTIKONDA, KRISHNAVENI, DDS626 TAFT ST (575) 531-2165

MARKETTO, DREW E., DDS626 TAFT ST (575) 531-2165

MATHIAS, RICHARD B., DMD626 TAFT ST (575) 531-2165

MAY, AMANDA C., DDS626 TAFT ST (575) 531-2165

MCCARTHY, TIAPUL Q., DDS626 TAFT ST (575) 531-2165

O, GIBSON S., DDS626 TAFT ST (575) 531-2165

ODA, SAHARU, DDS626 TAFT ST (575) 531-2165

JP, PRLanguage(s):

ORTIZ, NATALIE J., DDS626 TAFT ST (575) 531-2165

ORTIZ, RAMON M., DDS626 TAFT ST (575) 531-2165

PELLEGRINO, CAMILLE R., DDS626 TAFT ST (575) 531-2165

POLLARD, JILLANA L., DMD626 TAFT ST (575) 531-2165

PUCKETT JR., C RAY, DDS626 TAFT ST (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

WIATT, MARK E., DDS626 TAFT ST (575) 531-2165

WILKINSON, TAYLOR G., DDS626 TAFT ST (575) 531-2165

ZIAFAT, MEHRYAR, DMD626 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., DDS119 N 8TH ST (575) 544-8381

ABSHERE, PHILIP M., DDS1310 E PINE ST STE B (575) 544-9999

ANDREWS, WALTER A., DDS1419 S SANTA BARBARA ST (575) 546-0415

ARGANT, RICHARD, DDS119 N 8TH ST (575) 544-8381

ASHIDA, DEBBIE L., DDS900 W BIRCH ST (575) 936-4140

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

CARTER JR., BARNEY W., DMD1310 E PINE ST STE B (575) 544-9999

CHA, LILY, DDS1310 E PINE ST STE B (575) 544-9999

CHAVEZ, ARMANDO J., 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

COYNE, PATRICK J., DDS125 CHAPARREL BLVD NW (575) 546-4800

SPLanguage(s):

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):

FEMAT, RUBEN, DDS125 CHAPARREL BLVD NW (575) 546-4800

FRALEIGH, C. MAHLON, DDS125 CHAPARREL BLVD NW (575) 546-4800

SPLanguage(s):

GLOVER, DAWN K., DDS125 CHAPARREL BLVD NW (575) 546-4800

GORDON, JOHN L., DDS1315 S 8TH ST (575) 546-6591

EN, SPLanguage(s):

GUTTIKONDA, BHARAT RAM C., DDS125 CHAPARREL BLVD NW (575) 546-4800

GUTTIKONDA, KRISHNAVENI, DDS125 CHAPARREL BLVD NW (575) 546-4800

HATCH, CAMERON J., DDS1310 E PINE ST STE B (575) 544-9999

HEMPSTEAD, ANNE K., DDS1310 E PINE ST STE B (575) 544-9999

JACKSON, JOSEPH 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 STE B (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):

MARKETTO, DREW E., DDS125 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

MCCARTHY, TIAPUL Q., DDS125 CHAPARREL BLVD NW (575) 546-4800

MONTANO, ERIN M., DDS1310 E PINE ST ST B (575) 544-9999

O, GIBSON S., DDS125 CHAPARREL BLVD NW (575) 546-4800

ODA, SAHARU, DDS125 CHAPARREL BLVD NW (575) 546-4800

JP, PRLanguage(s):

PELLEGRINO, CAMILLE R., DDS125 CHAPARREL BLVD NW (575) 546-4800

POLLARD, JILLANA L., DMD125 CHAPARREL BLVD NW (575) 546-4800

Page 28 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoDEMING - 88030 (continued)

Directory of Participating Dental Providers

Alliance Network

PUCKETT JR., C RAY, 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

SOUTHERN NEW MEXICO ORTHODONTICS LLC1310 E PINE ST STE B (575) 544-9999

TREVOR A WILLIAMS DDS400 S GOLD AVE (575) 546-2684

TROPP, STEPHEN, DDS1310 E PINE ST STE B (575) 544-9999

WIATT, MARK E., DDS125 CHAPARREL BLVD NW (575) 546-4800

WILKINSON, TAYLOR G., DDS125 CHAPARREL BLVD NW (575) 546-4800

WILLIAMS, TREVOR A., DMD400 S GOLD AVE (575) 546-2684

WOLF, JACOB B., DDS1310 E PINE ST STE B (575) 544-9999

SPLanguage(s):

WOLF, JACOB B., DDS119 N 8TH ST (575) 544-8381

SPLanguage(s):

ZIAFAT, MEHRYAR, DMD125 CHAPARREL BLVD NW (575) 546-4800

Orthodontist

BREWKA, ROBERT E., DDS710 S GOLD AVE (575) 546-1400

BUSH, HELEN D., DMD1310 E PINE ST STE B (575) 544-9999

HANN, ROBERT C., DDS1310 E PINE ST STE B (575) 544-9999

NAISBITT, MARK A., DDS1310 E PINE ST STE B (575) 544-9999

Pediatric Dentist

CALL, VAUGHN D., DMD1310 E PINE ST STE B (575) 544-9999

HAYES, PETER A., DMD125 CHAPARREL BLVD NW (575) 546-4800

FRLanguage(s):

JACKSON, JOSEPH L., DDS1310 E PINE ST STE B (575) 544-9999

PECK, CHRISTIAN S., DDS1310 E PINE ST STE B (575) 544-9999

SIEGEL, SCOTT L., DMD1310 E PINE ST STE B (575) 544-9999

TASKER, SPENCER J., DMD1310 E PINE ST STE B (575) 544-9999

Multi-Specialty

BEN ARCHER HEALTH CENTER125 CHAPARREL BLVD NW (575) 546-4800

MCKINLEY County

CROWNPOINT - 87313

General Dentist

KNUTSEN, GREGORY R., DDSHWY JUNCTION 371, RTE 9 (505) 786-5291

FORT WINGATE - 87316

General Dentist

SOBKOWSKI, JASON S., DMD520 B SHUSH DR EXIT 33 STATE RD 400 (505) 722-1770

Multi-Specialty

GALLUP INDIAN MEDICAL CENTER520 B SHUSH DR EXIT 33 STATE RD 400 (505) 722-1770

GALLUP INDIAN MEDICAL CENTER286B STATE HIGHWAY 400 POSTMASTE (505) 722-1172

GALLUP - 87301

General Dentist

ABSHERE, PHILIP M., DDS802 US HIGHWAY 491 (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

BISHOP, MATTHEW R., DDS802 US HIGHWAY 491 (505) 862-5018

SPLanguage(s):

CARTER JR., BARNEY W., DMD802 US HIGHWAY 491 (505) 862-5018

SPLanguage(s):

CHA, LILY, DDS802 US HIGHWAY 491 (505) 862-5018

CHAVEZ, ARMANDO J., DDS802 US HIGHWAY 491 (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

GALLUP CHILDRENS DENTISTRY802 US HIGHWAY 491 (505) 862-5018

HATCH, CAMERON J., DDS802 US HIGHWAY 491 (505) 862-5018

HEMPSTEAD, ANNE K., 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 Y., 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 US HIGHWAY 491 (505) 862-5018

LEE, JUNG W., DMD802 US HIGHWAY 491 (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., DDS1213C US HIGHWAY 491 (505) 979-5600

KOLanguage(s):

PATTEN, JAMES I., DDS516 E NIZHONI BLVD (505) 722-1000

PURCELL, KAITLYN K., DDS802 US HIGHWAY 491 (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 US HIGHWAY 491 (505) 862-5018

ROWBERRY, M. RORY, DDS1421 US HIGHWAY 491 (505) 863-8000

SABAL, JOVITO G., DDS516 E NIZHONI BLVD (505) 722-1000

GRLanguage(s):

SHAHEEN, BRUCE B., DDS1601 S SECOND ST (505) 722-4422

PTLanguage(s):

SMITH, DAMIEN R., DMD1601 S SECOND ST (505) 722-4422

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):

TROPP, STEPHEN, DDS802 US HIGHWAY 491 (505) 862-5018

Page 29 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoGALLUP - 87301 (continued)

Directory of Participating Dental Providers

Alliance Network

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):

WILSON, RYAN H., DDS1748 W MALONEY AVE (888) 325-2797

WOLF, JACOB B., DDS802 US HIGHWAY 491 (505) 862-5018

SPLanguage(s):

Oral Surgery

BARLOW, BRETT W., DMD214 W AZTEC AVE (505) 863-4457

ROGEL, LAURENCE J., DDS1808 E AZTEC AVE STE 2 (505) 863-4863

STEEL, DREW V., DMD1601 S SECOND ST (505) 722-4422

WOODCOCK, GARY B., DMD516 E NIZHONI BLVD (505) 722-1560

Orthodontist

BUSH, HELEN D., DMD805 US HIGHWAY 491 (505) 862-5018

BUSH, HELEN D., DMD802 US HIGHWAY 491 (505) 862-5018

COWLEY, DANIEL P., DMD1748 W MALONEY AVE (505) 863-8100

HANN, ROBERT C., DDS802 US HIGHWAY 491 (505) 862-5018

NAISBITT, MARK A., DDS802 US HIGHWAY 491 (505) 862-5018

ORTHO DENTAL PC1748 W MALONEY AVE (505) 863-8100

SIMONSEN, RANDY T., DDS214 W AZTEC AVE (505) 863-4457

Pediatric Dentist

CALL, VAUGHN D., DMD802 US HIGHWAY 491 (505) 862-5018

JACKSON, JOSEPH L., DDS802 US HIGHWAY 491 (505) 862-5018

PECK, CHRISTIAN S., DDS802 US HIGHWAY 491 (505) 862-5018

SIEGEL, SCOTT L., DMD802 US HIGHWAY 491 (505) 862-5018

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

TOHATCHI - 87325

General Dentist

ALFORD, JEROME B., DMD007 CHOOSGAI DR (505) 733-8413

KIM, SEO Y., DMD007 CHOOSGAI DR (505) 733-8440

KOLanguage(s):

SOBKOWSKI, JASON S., DMD007 CHOOSGAI DR (505) 733-8440

TRAN, BO V., DDS007 CHOOSGAI DR (505) 733-8440

VTLanguage(s):

Multi-Specialty

GALLUP INDIAN MEDICAL CENTER007 CHOOSGAI DR (505) 733-8440

MORA County

MORA - 87732

General Dentist

AMES, ROGER J., DDSSTATE HWY 518 MM 26 (575) 387-2481

MORA VALLEY COMMUNITY HEALTH SERVICES INCSTATE HWY 518 MM 26 (575) 387-2481

MORA VALLEY COMMUNITY HEALTH SERVICES INC3 MORA VALLEY CLINIC RD (575) 387-2481

QUAN, CLAUDIA L., DDS3 MORA VALLEY CLINIC RD (575) 387-2481

OTERO County

ALAMOGORDO - 88310

General Dentist

ALBISTON, ROBERT S., DDS2081 1ST ST (575) 437-7900

ALL SMILES FAMILY DENTAL CLINICS LLC1713 10TH ST STE A (575) 439-5439

ANTHONY WARREN DDS PC780 SCENIC DR (575) 439-0523

ARORA, SURPREET S., DDS1713 10TH ST STE A (575) 439-5439

HI, PU, SPLanguage(s):

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):

BUTTERFIELD, DONALD E., DDS1713 10TH ST STE A (575) 439-5439

CASON, JOHN C., DDS1211 NEW YORK AVE (575) 434-0470

CHILDRESS, KENNETH W., DDS3199 N WHITE SANDS BLVD STE D9 (575) 434-8776

SPLanguage(s):

COYNE, PATRICK J., DDS2150 HIGHWAY 54 S (575) 443-8133

SPLanguage(s):

DAHIYA, MONICA, DDS780 SCENIC DR (575) 437-8994

HILanguage(s):

DEAN, TYRELL C., DMD2150 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

FEMAT, RUBEN, DDS2150 S US HWY 54 (575) 443-8133

FORDE, COLIN A., DDS1713A 10TH ST STE A (575) 439-5439

FRALEIGH, C. MAHLON, DDS2150 HIGHWAY 54 S (575) 443-8133

SPLanguage(s):

GLOVER, DAWN K., DDS2150 HIGHWAY 54 S (575) 443-8133

GONZALEZ, JAIME R., DDS1022 9TH ST (575) 437-7473

SPLanguage(s):

GUTTIKONDA, BHARAT RAM C., DDS2150 S US HWY 54 (575) 443-8133

GUTTIKONDA, KRISHNAVENI, DDS2150 HIGHWAY 54 S (575) 443-8133

HARRELL, SEAN M., DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

HE, SHENYE, DMD1713 10TH ST STE A (575) 439-5439

CN, 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

LIEBERENZ, MEGAN K., DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

MACKEY, JACOB B., DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

MANGLA, KAPIL, DDS780 SCENIC DR (575) 317-4930

MANN, TYLER A., DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

MARKETTO, DREW E., DDS2150 HIGHWAY 54 S (575) 443-8133

MATHIAS, RICHARD B., DMD2150 HIGHWAY 54 S (575) 443-8133

MAY, AMANDA C., DDS2150 HIGHWAY 54 S (575) 443-8133

MCCARTHY, TIAPUL Q., DDS2150 HIGHWAY 54 S (575) 443-8133

NEUBAUER, EDWARD E., DDS1713 10TH ST STE A (575) 439-5439

O, GIBSON S., DDS2150 HIGHWAY 54 S (575) 443-8133

ODA, SAHARU, DDS2150 HIGHWAY 54 S (575) 443-8133

JP, PRLanguage(s):

Page 30 of 42 August 2017New Mexico Alliance Network

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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New MexicoALAMOGORDO - 88310 (continued)

Directory of Participating Dental Providers

Alliance Network

OH, SARA H., DDS1713A 10TH ST STE A (575) 439-5439

KO, SPLanguage(s):

OH, SARA H., DDS1713 10TH ST STE A (575) 439-5439

KO, SPLanguage(s):

OUSHY EISSA, NOHA, DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

PARK, JOSEPH, DMD1713 10TH ST STE A (575) 439-5439

CN, KO, SPLanguage(s):

PAUL, CRAIG R., DDS1713A 10TH ST STE A (575) 439-5439

PELLEGRINO, CAMILLE R., DDS2150 HIGHWAY 54 S (575) 443-8133

PEREZ, PAUL D., DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

PEREZ, PAUL D., DDS1713 10TH ST STE A (575) 439-5439

PHAN, DANIELLE, DDS1713 10TH ST STE A (575) 439-5439

POLLARD, JILLANA L., DMD2150 HIGHWAY 54 S (575) 443-8133

POTOCKI, BRIAN J., DDS1713A 10TH ST STE A (575) 439-5439

SPLanguage(s):

PUCKETT JR., C RAY, 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

REED, ATEM, DDS1713A 10TH ST STE A (575) 439-5439

REED, ATEM, DDS1713 10TH ST STE A (575) 439-5439

RHODES, JOSEPH I., DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

ROETTGER, TIMOTHY J., DMD1713 10TH ST STE A (575) 439-5439

RUYLE, BONNIE L., DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

SAMANIEGO, DAVID E., DDS1022 9TH ST (575) 437-7473

SPLanguage(s):

SAMANIEGO, MARIO, DDS1022 9TH ST (575) 437-7473

SARKISYAN, ARTUR A., DMD103 LIVINGSTON LOOP STE B103 (575) 332-4047

SPLanguage(s):

SARKISYAN, ARTUR A., DMD600 TEXAS AVE STE C (575) 762-1900

RS, SPLanguage(s):

SARKISYAN, ARTUR A., DMD701 N CANAL ST STE A (575) 885-3948

SPLanguage(s):

SARKISYAN, ARTUR A., DMD1713 10TH ST STE A (575) 439-5439

RS, SPLanguage(s):

SCHEIB, JEFFREY R., 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

STEPHENS, RUSSELL J., DDS2081 1ST ST (575) 437-7900

SPLanguage(s):

TARANTINO, ERNEST E., DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

TAYLOR, KENDALL J., DDS1300 9TH ST (575) 437-6699

WALLIS, JARED S., DDS1022 9TH ST (575) 437-7473

SPLanguage(s):

WANG, JEFFREY M., DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

WARREN, ANTHONY J., DDS2081 1ST ST (575) 437-7900

WESTOVER, JOSEPH E., DMD2081 1ST ST (575) 437-7900

CNLanguage(s):

WIATT, MARK E., DDS2150 HIGHWAY 54 S (575) 443-8133

WILKINSON, TAYLOR G., DDS2150 HIGHWAY 54 S (575) 443-8133

WILSON, ERIC J., DDS1713 10TH ST STE A (575) 439-5439

WOOLF, MARK A., DDS1713A 10TH ST STE A (575) 439-5439

ZIAFAT, MEHRYAR, DMD2150 HIGHWAY 54 S (575) 443-8133

Oral Surgery

HEINER, BRYCE B., DMD700 CUBA AVE (575) 522-8800

ITLanguage(s):

Orthodontist

KLUMP, JOHN P., DDS700 CUBA AVE (575) 434-4957

WARD, BRIAN L., DDS516 1ST ST STE K (575) 434-1275

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

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 PINE AVE (575) 756-2901

EL RITO - 87530

General Dentist

BORRERO, DANIEL A., DDSNM 571 BLDG 28 (575) 581-4728

SPLanguage(s):

COLLINS, ROXANNE C., DMDNM 571 BLDG 28 (575) 581-0028

ELLIOTT, ROBERT M., DDSNM 571 BLDG 28 (575) 581-4728

GARCIA, D. ANTHONY, DDSNM 571 BLDG 28 (575) 581-0028

LAS CLINICAS DEL NORTENM 571 BLDG 28 (575) 581-0028

LOTZ, DANIEL J., DMDSTATE RD 571 BLDG 28 (575) 581-4728

MALONE, KATHALYN A., DDSNM 571 BLDG 28 (505) 581-4728

MALONE, KATHALYN A., DDSHIGHWAY 571 (575) 581-4728

ROGERS, KATHLEEN A., DDSNM 571 BLDG 28 (575) 581-0028

TRUJILLO, EDMUND L., DDSNM 571 BLDG 28 (575) 581-4728

EMBUDO - 87531

General Dentist

HARRIS, KELLIE A., DDS1102 STATE HWY 68 (505) 579-4680

ENLanguage(s):

PADBERG, RICHARD D., DMD1102 STATE HWY 68 (505) 579-4680

SPLanguage(s):

ESPANOLA - 87532

General Dentist

LOEPPKE, BRITA, DDS232 N PASEO DE ONATE (505) 753-7246

ACHALLA, VENKATA, DDS1508 N RIVERSIDE DR (888) 988-4066

ACOSTA LENIS, CLAUDIA J., DDS1508 N RIVERSIDE DR (847) 701-1457

ANTANI, KARTIK, DMD1508 N RIVERSIDE DR (888) 988-4066

ARAKOTARAM RAVIKUMAR, RAKSHITH, DMD1508 N RIVERSIDE DR STE C (888) 988-4066

ASTARAEE, NIMA, DDS1508 N RIVERSIDE DR STE C (888) 988-4066

Page 31 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoESPANOLA - 87532 (continued)

Directory of Participating Dental Providers

Alliance Network

AUNG, NYI NYI, DDS1508 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

CHOUDHARY, NIKHILESH, DMD1508 N RIVERSIDE DR (888) 988-4066

COWDEN, JASON T., DMD1508 N RIVERSIDE DR STE C (888) 988-4066

FR, SPLanguage(s):

DESAI, ADITYA A., DDS1508 N RIVERSIDE DR (888) 988-4066

HILanguage(s):

EL CENTRO FAMILY HEALTH538 N PASEO DE ONATE (505) 753-7218

EL CENTRO FAMILY HEALTH608 LA JOYA ST STE B (505) 753-9454

FAMILIA DENTAL ESP LLC1508 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

HAKIMZADEH, SARA, DDS1508 N RIVERSIDE DR (505) 753-0544

HERNANDEZ GIL, JOSE A., DMD1508 N RIVERSIDE DR (888) 988-4066

FR, SPLanguage(s):

ISSAC, SAIF S., DDS1508 N RIVERSIDE DR STE C (888) 988-4066

KAMAL ALDEEN, MURTAJA, DDS1508 N RIVERSIDE DR (888) 988-4066

KONDRAGUNTA, SUMAN, DDS1508 N RIVERSIDE DR (505) 753-0544

KOTHA, ABHIROOP, DMD1508 N RIVERSIDE DR (888) 988-4066

LAMBA, BHANU P., DMD1508 N RIVERSIDE DR (888) 988-4066

FR, SP, UNLanguage(s):

LE, TONY V., DDS1508 N RIVERSIDE DR (888) 988-4066

FR, SPLanguage(s):

LIN, YUNQI R., DMD1508 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 STE C (888) 988-4066

MOON, SORA, DMD1508 N RIVERSIDE DR STE C (505) 753-0544

MURGA, FIELFER L., DDS1508 N RIVERSIDE DR (888) 988-4066

SPLanguage(s):

OPHASO, NISSA, DMD1508 N RIVERSIDE DR (888) 988-4066

PARK, CHAN M., DDS1508 N RIVERSIDE DR (888) 988-4066

PARK, JONG WOOK, DMD1508 N RIVERSIDE DR STE C (888) 988-4066

PATEL, NIPA K., DMD1508 N RIVERSIDE DR (888) 988-4066

PHAM, ANH T., DDS1508 N RIVERSIDE DR STE C (888) 988-4066

QUACH, VU, DMD1508 N RIVERSIDE DR (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

SAMI, TONI, DDS1508 N RIVERSIDE DR (888) 988-4066

SEO, JAESUNG, DDS1508 N RIVERSIDE DR (888) 988-4066

SHAMAPANTH, RAHUL, DDS1508 N RIVERSIDE DR (888) 988-4066

SIMPSON, AARON J., 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

SMITH, SANDRA A., DDS232 N PASEO DE ONATE (505) 753-7246

SUBGANI, RAMYA, DDS1508 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

THIRIVIDI, BHARATH, DDS1508 N RIVERSIDE DR (888) 988-4066

TRUONG, HENRY, DDS1508 N RIVERSIDE DR (888) 988-4066

FR, PT, SPLanguage(s):

VAHDATINIA, SINA, DMD1508 N RIVERSIDE DR (888) 988-4066

WATSON, ERIK A., DDS608 LA JOYA ST STE B (505) 753-7218

WEI, ROGER B., DDS1508 N RIVERSIDE DR STE C (888) 988-4066

YAMAZAKI, YASUFUMI, DDS1508 N RIVERSIDE DR STE C (888) 988-4066

JPLanguage(s):

YOON, JAJUNG, DMD1508 N RIVERSIDE DR (888) 988-4066

Oral Surgery

SMITH, BEN M., DMD1508 N RIVERSIDE DR (888) 988-4066

Orthodontist

BAVAR, BEROKH, DMD1508 N RIVERSIDE DR (888) 988-4066

BRUCE, JOSHUA D., DDS1508 N RIVERSIDE DR STE C (888) 988-4066

FR, MZ, SPLanguage(s):

CLAYDEN, DAVID M., DDS1508 N RIVERSIDE DR (888) 988-4066

DEHGHAN, AMIR H., DDS1508 N RIVERSIDE DR STE C (888) 988-4066

GUYMON, RUSSELL J., DDS1508 N RIVERSIDE DR (888) 988-4066

LEWIS, BRANDI E., 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

OHKAY OWINGEH - 87566

General Dentist

KNUTSEN, GREGORY R., DDS2573 STATE HWY 522 (575) 586-0316

TIERRA AMARILLA - 87575

General Dentist

LA CLINICA DEL PUEBLO DE RIO ARRIBAHIGHWAY 84 COUNTY RD 0324 STE 14 (575) 588-7252

LOTZ, JENNA, DMDHIGHWAY 84 COUNTY RD 0324 STE 14 (575) 588-7252

THOMASON, GLENN G., DDSHWY 84 COUNTY ROAD 0324 STE 14 (575) 588-4252

ROOSEVELT County

PORTALES - 88130

General Dentist

AHGHAR, KEON J., DDS1515 W FIR ST (575) 356-5517

CARDON, CRAIG M., DMD1521 W 18TH ST (575) 356-6695

SPLanguage(s):

GAJULA, TULASI S., DDS1515 W FIR ST (575) 356-5517

GUNNING, NATHAN M., DDS1521 W 18TH ST (575) 356-8514

IMMANNI, GANGADHAR, DDS1515 W FIR ST (575) 356-5517

IMMANNI, GANGADHAR, DDS1515 W FIR ST (575) 356-5117

LA CASA FAMILY HEALTH CENTER1515 W FIR ST (575) 356-6695

NIETO, EMILY H., DMD1515 W FIR ST (575) 356-5517

POLICARPIO, MYRNA L., DDS1515 W FIR ST (575) 769-5021

THOMPSON, PETER L., DDS123 W 2ND ST (575) 359-1011

USHER, SARAH R., DMD1515 W FIR ST (575) 356-5517

SPLanguage(s):

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

Page 32 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New Mexico

Directory of Participating Dental Providers

Alliance Network

BLOOMFIELD - 87413

General Dentist

AKPOBOME, OGHENEJIRO A., DDS100 S 1ST ST (505) 632-3344

ANDERSON, CHRISTIAN R., DMD100 S 1ST ST (505) 632-3344

SPLanguage(s):

CASPERSON, BROCK W., DMD100 S 1ST ST (505) 632-3344

CLARK, TAYLOR, DDS100 S 1ST ST (505) 632-3344

KING, JOHN W., DDS6 ROAD 7586 (505) 632-1801

RASMUSSEN, AARON D., DDS100 S 1ST ST (505) 632-3344

PT, SPLanguage(s):

ROCLEVITCH, CHRISTOPHER N., DDS100 S 1ST ST (505) 632-3344

SUNDANCE DENTAL CARE INC100 S 1ST ST (505) 632-3344

TORNOW, MICHAEL S., DDS100 S 1ST ST (505) 632-3344

Oral Surgery

SIKES, JUSTIN B., DMD6 ROAD 7586 (505) 632-1801

FARMINGTON - 87401

General Dentist

ALL SMILES FAMILY DENTAL CLINICS LLC506 AIRPORT DR (575) 325-7700

ANTONIO JR., JOHN E., DMD1001 W BROADWAY STE D & E (505) 325-9133

SPLanguage(s):

ANTONIO JR., JOHN E., DMD2700 FARMINGTON AVE BLDG C (505) 325-0369

SPLanguage(s):

ARNELL, JORDAN S., DMD4760 N BUTLER AVE STE C (505) 327-0044

ARNELL, JORDAN S., DMD4760 N BUTLER AVE STE D (505) 278-7007

ARORA, SURPREET S., DDS506 AIRPORT DR (575) 325-7700

HI, PU, SPLanguage(s):

BARNEY, LASON J., DDS506 AIRPORT DR (575) 325-7700

BAYMILLER, SCOTT A., DDS506 AIRPORT DR (575) 325-7700

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

BLOMSTEDT, JEFF W., DDS708 E 20TH ST (505) 327-6151

BLOMSTEDT, JEFF W., DDS1510 E 20TH ST STE B (505) 327-6151

BRIMHALL, STEELE T., DDS1001 W BROADWAY STE D E (505) 325-9133

BURGESS, CLARISSA E., DDS2525 E 30TH ST (505) 327-4863

SPLanguage(s):

BUTTERFIELD, DONALD E., DDS506 AIRPORT DR (505) 325-7700

CARL, ROBERT A., DDS708 E 20TH ST (505) 327-6155

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

DOSS, JIHAN L., DMD1001 W BROADWAY STE D & E (505) 325-9133

DUNIVEN, DAVID W., DDS1001 W BROADWAY STE D & E (505) 325-9133

DUNN, PHILLIP R., DDS708 E 20TH ST (505) 327-6155

EICKER, ANDREA M., DMD1001 W BROADWAY STE D & E (505) 325-9133

FEIBINSKY RAMOS, POLYNA, DDS506 AIRPORT DR (505) 325-7700

HAMPTON, MARINA V., DDS2050 N BUTLER AVE (505) 327-5057

RS, SPLanguage(s):

HANSON, DAVID M., DDS1001 W BROADWAY STE D & E (505) 325-9133

HANSON, DAVID M., DDS2700 FARMINGTON AVE BLDG C (505) 325-9133

HARDY, DANIEL H., DMD4760 N BUTLER AVE STE C (505) 278-7007

HARRELL, SEAN M., DDS506 AIRPORT DR (575) 325-7700

SPLanguage(s):

HE, SHENYE, DMD506 AIRPORT DR (575) 325-7700

CN, SPLanguage(s):

HEATON, JONATHAN K., DMD703 N DUSTIN AVE (505) 564-9700

GR, KO, NVLanguage(s):

HILTON III, ALLEN E., DDS2525 E 30TH ST (505) 327-4863

JACKSON, LLOYD B., DMD4760 N BUTLER AVE STE C (505) 327-0044

JOHNSON, RONALD S., DMD1510 E 20TH ST STE B (715) 925-5050

KAWAHAKUI, LINDSEY K., DDS708 E 20TH ST (505) 327-6155

KIDS KARE PC506 AIRPORT DR (575) 325-7700

SPLanguage(s):

KNUTSEN, GREGORY R., DDS1001 W BROADWAY STE D & E (505) 325-9133

LAYTON, CRAIG, DDS3751 N BUTLER AVE STE 113 (505) 564-9000

LAYTON, CRAIG, DDS3751 N BUTLER AVE STE 113 (505) 564-9000

LIEBERENZ, MEGAN K., DDS506 AIRPORT DR (575) 325-7700

SPLanguage(s):

LOEPPKE, BRITA, DDS1510 E 20TH ST STE B (505) 327-6151

LOEPPKE, BRITA, DDS708 E 20TH ST (505) 327-6155

LOPEZ, INEZ M., DMD1001 W BROADWAY STE D & E (505) 325-9133

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):

MONTOYA, C. PATRICK, DDS1001 W BROADWAY STE D&E (505) 325-9133

SPLanguage(s):

MORGAN, TYLER S., DDS1001 W BROADWAY STE D E (505) 325-9133

MOUNTAIN DENTAL OF NEW MEXICO PC708 E 20TH ST (505) 327-6155

NEUBAUER, EDWARD E., DDS506 AIRPORT DR (505) 325-7700

OH, SARA H., DDS506 AIRPORT DR (575) 325-7700

KO, SPLanguage(s):

OUSHY EISSA, NOHA, DDS506 AIRPORT DR (575) 325-7700

SPLanguage(s):

PARK, JOSEPH, DMD506 AIRPORT DR (575) 325-7700

CN, KO, SPLanguage(s):

PEREZ, PAUL D., DDS506 AIRPORT DR (505) 325-7700

SPLanguage(s):

PHAN, DANIELLE, DDS506 AIRPORT DR (575) 325-7700

RAMOS, ANGEL, DDS506 AIRPORT DR (505) 325-7700

RASMUSSEN, AARON D., DDS800 E 30TH ST (505) 327-9161

PT, SPLanguage(s):

REED, ATEM, DDS506 AIRPORT DR (505) 325-7700

RHOADS, HOWARD N., DDS2700 FARMINGTON AVE STE C-1 (505) 325-9133

RHOADS, HOWARD N., DDS1001 W BROADWAY STE D & E (505) 325-9133

RHODES, JOSEPH I., DDS506 AIRPORT DR (575) 325-7700

SPLanguage(s):

RICHE, BRETT M., DMD2401 E 30TH ST (505) 325-8858

ROETTGER, TIMOTHY J., DMD506 AIRPORT DR (505) 325-7700

RUYLE, BONNIE L., DDS506 AIRPORT DR (575) 325-7700

SPLanguage(s):

Page 33 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoFARMINGTON - 87401 (continued)

Directory of Participating Dental Providers

Alliance Network

SARKISYAN, ARTUR A., DMD506 AIRPORT DR (505) 325-7700

RS, 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., DDS141 W 20TH ST (505) 325-7121

SUNDANCE DENTAL CARE800 E 30TH ST (505) 327-9161

TARANTINO, ERNEST E., DDS506 AIRPORT DR (505) 325-7700

SPLanguage(s):

TEA, KASEY W., DDS800 E 30TH ST STE 3 (505) 327-9161

THOMPSON, DONNA M., DDS1212 E 20TH ST (505) 327-6233

SPLanguage(s):

THOMPSON, JENNIFER L., DDS1212 E 20TH ST (505) 327-6233

TOBIN, MEGAN K., DDS1001 W BROADWAY STE D & E (505) 325-9133

TORNOW, MICHAEL S., DMD800 E 30TH ST (505) 325-6657

VOLKERDING, BRUCE D., DDS708 E 20TH ST (505) 327-6155

WANG, JEFFREY M., DDS506 AIRPORT DR (575) 325-7700

SPLanguage(s):

WESTBROOK, JEFFREY H., DDS1001 W BROADWAY STE D & E (505) 325-9133

WILSON, ELIZABETH M., DDS1001 W BROADWAY STE D E (505) 325-9133

WILSON, ERIC J., DDS506 AIRPORT DR (575) 325-7700

WILSON, RYAN H., DDS4760 N BUTLER AVE STE C (505) 327-0044

WILSON, RYAN H., DMD4760 N BUTLER AVE STE D (505) 278-7007

Oral Surgery

CUNDICK, DAVID L., DDS1700 N BUTLER AVE (505) 333-8635

PT, SPLanguage(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

SIKES, JUSTIN B., DMD1700 N BUTLER AVE (505) 333-8635

PT, SPLanguage(s):

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 STE 113 (505) 564-9000

HERMAN, DAVID, DDS3751 N BUTLER AVE STE 113 (505) 564-9000

STROMEYER, ERNEST L., DDS2200 E 20TH ST (505) 327-4872

Pediatric Dentist

DUNSTON, KENNETH R., DDS2050 N BUTLER AVE (505) 327-5057

Multi-Specialty

DR DAVID HERMAN FOUR CORNERS DENTAL LLC3751 N BUTLER AVE STE 113 (505) 564-9000

FARMINGTON - 87402

General Dentist

BRAWNER, CRAIG I., DDS6588 E MAIN ST (505) 326-6800

BURNS SANCHEZ, SUSAN, DDS3030 E MAIN ST STE T1 (505) 325-4867

FR, SPLanguage(s):

CASPERSON, BROCK W., DMD6588 E MAIN ST (505) 326-6800

CLARK, TAYLOR M., DDS3903 BECKLAND DR (505) 436-2735

SPLanguage(s):

COBLE, JEREMY C., DDS3030 E MAIN ST STE T1 (505) 325-4867

COLEMAN, CODY B., DDS3903 BECKLAND DR (505) 436-2735

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., DMD3903 BECKLAND DR (505) 436-2727

GLOVER, DAWN K., DDS2650 E PINON FRONTAGE RD BLDG 300 (505) 327-3331

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

MICKELSON, J. RYAN, DDS4337 E MAIN ST STE 205 (505) 592-0226

MURGA, FIELFER L., DDS3030 E MAIN ST STE T1 (505) 325-4867

NEILL, JESSICA V., DDS3030 E MAIN ST STE T1 (505) 325-4867

OWENS, DEREK E., DDS3030 E MAIN ST STE T1 (505) 325-4867

PARK, HYUNJUNG, DDS3030 E MAIN ST STE T1 (505) 325-4867

PHOENIX, SHIMA B., DMD3030 E MAIN ST STE T1 (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

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

WILLIAMS, DREW J., DMD3030 E MAIN ST STE T1 (505) 325-4867

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

Orthodontist

RUDD, DANIEL B., DDS3030 E MAIN ST STE T1 (505) 325-4867

Pediatric Dentist

HOLMES, DOUGLAS E., DDS2650 E PINON FRONTAGE RD BLDG 200 (505) 599-9359

NCDI ANIMAS PROFESSIONAL LLP2650 E PINON FRONTAGE RD BLDG 200 (505) 599-9359

SUAZO, LAWRENCE E., DDS2650 E PINON FRONTAGE RD BLDG 200 (505) 599-9359

Multi-Specialty

RED ROCK DENTAL3030 E MAIN ST STE T1 (505) 325-4867

KIRTLAND - 87417

General Dentist

CLARK, TAYLOR, 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):

HENDERSON, SHAUN H., DMD3 ROAD 6523 (505) 598-6800

RASMUSSEN, AARON D., DDS3 ROAD 6523 (505) 598-6800

PT, SPLanguage(s):

SUNDANCE DENTAL CARE KIRTLAND LLC3 ROAD 6523 (505) 598-6800

TORNOW, MICHAEL S., DMD3 ROAD 6523 (505) 598-6800

SPLanguage(s):

WAHLIN, TODD G., DDS3 ROAD 6523 (505) 598-6800

SPLanguage(s):

Page 34 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New Mexico

Directory of Participating Dental Providers

Alliance Network

SHIPROCK - 87420

General Dentist

KING, JOHN W., DDSHWY 491 N (505) 368-6001

KING, JOHN W., DDS708 E 20TH ST (505) 368-6001

LESLIE PUHUYAOMA, KATRINA J., DDS708 E 20TH ST (505) 368-6001

LESLIE PUHUYAOMA, KATRINA J., DDSUS HWY 491 NORTH (505) 368-6001

Oral Surgery

SIKES, JUSTIN B., DMDUS HWY 491 N (505) 368-6001

Orthodontist

BECK, C. MICHAEL, DDSUS HWY 491 N (505) 368-5626

SAN MIGUEL County

LAS VEGAS - 87701

General Dentist

ARAGON, DENNIS E., DDS800 MILLS AVE (505) 454-0631

SPLanguage(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):

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):

WATSON, ERIK A., DDS30 NM HIGHWAY 65 (505) 753-7218

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

LARRAGOITE, PATRICIO C., DDS8 CEDAR RD (505) 867-5025

SPLanguage(s):

TILSON, CHARLES E., DMD8 CEDAR RD (505) 867-5025

BERNALILLO - 87004

General Dentist

BALDWIN, RICHARD A., DMD120 E HWY 550 (505) 393-5555

SPLanguage(s):

BIR, RAKTIM T., DDS510 HIGHWAY 528 STE I (505) 867-0665

BRIMHALL, STEELE T., DDS1500 IDALIA BLDG B (505) 404-5894

CDB 550 LLC120 E HWY 550 (505) 877-5555

DAVIS, TREVOR, DDS120 E HIGHWAY 550 (505) 877-5555

DOMINGUEZ, FRANK, DMD510 HIGHWAY 528 STE I (505) 867-0665

DOSS, JIHAN L., DMD1500 IDALIA BLDG B (505) 404-5894

DUNIVEN, DAVID W., DDS1500 IDALIA BLDG B (505) 404-5894

EICKER, ANDREA M., DMD1500 IDALIA STE B (505) 404-5894

FOUTZ, JONAH L., DDS120 E HWY 550 (505) 877-5555

SPLanguage(s):

GRAZIANO, BRYAN J., DDS470 NEW MEXICO 528 STE A (505) 867-7444

HANSON, DAVID M., DDS1500 IDALIA BLDG B (505) 404-5894

HERREJON RUIZ, MARIO, DMD470 NEW MEXICO 528 STE A (505) 867-7444

SPLanguage(s):

HOWELL, RICHARD E., DDS510 HIGHWAY 528 STE I (505) 867-0665

KADKHODA, AFSANEH, DDS510 HIGHWAY 528 STE I (505) 867-0665

UNLanguage(s):

KNUTSEN, GREGORY R., DDS1500 IDALIA BLDG B (505) 404-5894

LAM, JIM D., DDS510 HIGHWAY 528 STE I (505) 867-0665

CNLanguage(s):

LANTZ, THOMAS E., DDS510 HIGHWAY 528 STE I (505) 867-0665

LEE, CURTIS G., DMD510 NM 528 STE 1 (505) 867-0665

LEIGH, CHRISTOPHER L., DDS470 NEW MEXICO 528 STE A (505) 867-7444

LOPEZ, INEZ M., DMD1500 IDALIA STE B (505) 404-5894

MARTINEZ LUJAN, MARIFER, DDS1500 IDALIA (505) 404-5894

MONTOYA, C. PATRICK, DDS1500 IDALIA STE B (505) 404-5894

SPLanguage(s):

MORGAN, TYLER S., DDS1500 IDALIA BLDG B (505) 404-5894

OCHENRIDER, DAVID M., DMD510 HIGHWAY 528 STE I (505) 867-0665

RHOADS, HOWARD N., DDS1500 IDALIA STE B (505) 404-5894

RUYLE, BONNIE, DDS510 HIGHWAY 528 STE I (505) 867-0665

TILSON, CHARLES E., DMD510 NM 528 STE I (505) 867-0665

TILSON, CHARLES E., DMD470 NEW MEXICO 528 STE A (505) 867-7444

TOBIN, MEGAN K., DDS1500 IDALIA STE B (505) 404-5894

VANLEEUWEN, ELIZABETH A., DDS510 HIGHWAY 528 STE I (505) 867-0665

WESTBROOK, JEFFREY H., DDS1500 IDALIA BLDG B (505) 404-5894

WILSON, ELIZABETH M., DDS1500 IDALIA BLDG B (505) 404-5894

Endodontist

LOVATO, KAREN F., DDS470 NEW MEXICO 528 STE A (505) 867-7444

WHITE SR., JOHN H., DDS510 HIGHWAY 528 STE I (505) 867-0665

Oral Surgery

STEEL, DREW V., DMD470 NEW MEXICO 528 STE A (505) 867-7444

Orthodontist

DARMITZEL, STEPHEN E., DDS510 HIGHWAY 528 STE I (505) 867-0665

Periodontist

GHAFFARIGARAKANI, SASAN, DDS470 NEW MEXICO 528 STE A (505) 867-7444

SUN, CHUN XIAO, DMD510 NM 528 STE I (505) 867-0665

Multi-Specialty

ENCHANTED HILLS DENTISTRY470 NEW MEXICO 528 STE A (505) 867-7444

PERFECT TEETH VENADA PLAZA PC510 HIGHWAY 528 STE I (505) 867-0665

CORRALES - 87048

General Dentist

GAUNTT, DAVIS R., DDS454 CAMINO DE LUCIA (505) 872-0882

CUBA - 87013

General Dentist

ANTONIO JR., JOHN E., DMD2500 STATE HWY 197 (505) 731-2284

SPLanguage(s):

ANTONIO JR., JOHN E., DMD50 COUNTY RD 13 (575) 289-2082

SPLanguage(s):

ANTONIO JR., JOHN E., DMD6349 US HWY 550 (575) 289-3291

SPLanguage(s):

Page 35 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoCUBA - 87013 (continued)

Directory of Participating Dental Providers

Alliance Network

BRIMHALL, STEELE T., DDS2500 STATE HIGHWAY 197 (505) 731-2284

BRIMHALL, STEELE T., DDS6349 HIGHWAY 550 (505) 289-3291

BRIMHALL, STEELE T., DDS50 COUNTY ROAD 13 (575) 289-2082

DOSS, JIHAN L., DMD2500 STATE HWY 197 (505) 731-2284

DOSS, JIHAN L., DMD50 COUNTY RD 13 (575) 289-2082

DOSS, JIHAN L., DMD6349 US HWY 550 (575) 289-3291

DUNIVEN, DAVID W., DDS6349 HIGHWAY 550 (505) 289-3291

DUNIVEN, DAVID W., DDS2500 STATE HIGHWAY 197 (505) 731-2284

DUNIVEN, DAVID W., DDS50 COUNTY RD 13 (575) 289-2082

EICKER, ANDREA M., DMD6349 US HWY 550 (575) 289-3291

EICKER, ANDREA M., DMD2500 STATE HWY 197 (505) 731-2284

EICKER, ANDREA M., DMD50 COUNTY ROAD 13 (575) 289-3211

HANSON, DAVID M., DDS2500 STATE HIGHWAY 197 (505) 731-2284

HANSON, DAVID M., DDSC/O TORREON CLINIC 2500 STATE HWY (505) 731-2219

HANSON, DAVID M., DDS6349 US HIGHWAY 550 (575) 289-3291

HANSON, DAVID M., DDS50 COUNTY RD 13 (575) 289-2082

KNUTSEN, GREGORY R., DDSCOUNTY ROAD 13 STE 50 (575) 289-2082

KNUTSEN, GREGORY R., DDS6349 US HWY 550 (575) 289-3291

KNUTSEN, GREGORY R., DDS2500 STATE HWY 197 (505) 731-2284

LOPEZ, INEZ M., DMD6349 HIGHWAY 550 (505) 289-3291

LOPEZ, INEZ M., DMD2500 STATE HWY 197 (505) 731-2284

LOPEZ, INEZ M., DMD50 COUNTY RD 13 (575) 289-2082

MONTOYA, C. PATRICK, DDS2500 STATE HWY 197 (505) 731-2284

SPLanguage(s):

MONTOYA, C. PATRICK, DDS6349 US HWY 550 (575) 289-3291

SPLanguage(s):

MONTOYA, C. PATRICK, DDS50 COUNTY RD 13 (575) 289-2082

SPLanguage(s):

MORGAN, TYLER S., DDS50 COUNTY RD 13 (575) 289-2082

MORGAN, TYLER S., DDS6349 US HWY 550 (575) 289-3291

MORGAN, TYLER S., DDS2500 STATE HWY 197 (505) 731-2284

ODASSO, GARY, DMD2500 STATE HWY 197 (505) 731-2219

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

RHOADS, HOWARD N., DDS50 COUNTY RD 13 (575) 289-2082

RHOADS, HOWARD N., DDS2500 STATE HWY 197 (505) 731-2284

RHOADS, HOWARD N., DDS6349 US HWY 550 (575) 289-3291

SCHLOTTMAN, DAVID E., DDS6349 US HWY 550 (575) 289-3291

SCHLOTTMAN, DAVID E., DDS2500 STATE HWY 197 (505) 731-2219

TOBIN, MEGAN K., DDS2500 STATE HIGHWAY 197 (505) 731-2284

TOBIN, MEGAN K., DDS50 COUNTY ROAD 13 (575) 289-2082

TOBIN, MEGAN K., DDS6349 US HWY 550 (575) 289-3291

WESTBROOK, JEFFREY H., DDS2500 STATE HIGHWAY 197 (505) 731-2284

WESTBROOK, JEFFREY H., DDS6349 US HWY 550 (575) 289-3291

WESTBROOK, JEFFREY H., DDS50 COUNTY RD 13 (575) 289-2082

WILSON, ELIZABETH M., DDS50 COUNTY RD 13 (575) 289-2082

WILSON, ELIZABETH M., DDS2500 STATE HWY 197 (505) 731-2284

WILSON, ELIZABETH M., 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

SPLanguage(s):

ALLEN, GRANT H., DDS4041 RIDGE ROCK RD SE (505) 891-4510

EN, SPLanguage(s):

ANTON, JOHN F., DDS1400 JACKIE RD SE STE 106 (505) 994-9693

ANTON, JOHN F., DDS1316 JACKIE RD SE STE 200 (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., DDS2401 CABEZON BLVD SE STE 101-A (505) 896-8862

CANDELARIA, JOHN J., DDS1105 GOLF COURSE RD SE BLDG A (505) 891-3190

CANDELARIA, JOHN J., DDS4041 RIDGE ROCK RD SE (505) 891-4510

COLEMAN, CODY B., DDS770 BROADMOOR BLVD NE (505) 891-0554

CONNER, MICHAEL R., DDS950 UNSER BLVD SE STE 100 (505) 892-2900

CRISLER, JOHN F., DDS2600 THE AMERICAN RD SE STE 369 (505) 898-6000

DAMON MALLETTE, DEZBAA A., DMD1316 JACKIE RD SE STE 200 (505) 994-9693

DEBUCK, PETER J., DMD2200 GRANDE BLVD SE STE A (505) 891-1500

FRLanguage(s):

DEBUCK, PETER J., DMD4120 BARBARA LOOP SE (505) 892-8086

DETRIK, DAVINA R., DDS1316 JACKIE RD SE STE 200 (505) 994-9693

DOMINGUEZ, FRANK, DMD4500 ARROWHEAD RIDGE DR SE (505) 994-1110

EDWARDS, ANTHONY H., DDS1137 COMMERCIAL DR SE (505) 896-9399

FEDE, CASSIE I., DMD1594 SARA RD SE STE C (505) 896-2200

FIFE, STEVEN R., DDS2240 GRANDE BLVD SE STE 101 (505) 994-1700

GOEBBEL, MARTIN G., DDS2716 SOUTHERN BLVD SE (505) 892-8600

HARPER, GEORGE W., DDS918 PINEHURST RD SE STE 103 (505) 896-3600

FR, SPLanguage(s):

HARTENBERGER, GALEN D., DDS1316 JACKIE RD SE STE 200 (505) 994-9693

SPLanguage(s):

HOWELL, RICHARD E., DDS4500 ARROWHEAD RIDGE DR SE (505) 994-1110

IVERS, MELISSA, DDS950 UNSER BLVD SE STE 100 (505) 892-2900

IVERS, MELISSA, DMD1105 GOLF COURSE RD SE BLDG A (505) 891-3190

IVERS, MELISSA, DMD312 UNSER BLVD NE (505) 796-6880

JENSEN, NICHOLAS P., DDS770 BROADMOOR BLVD NE (505) 891-0554

SPLanguage(s):

KADKHODA, AFSANEH, DDS4500 ARROWHEAD RIDGE DR SE (505) 994-1110

UNLanguage(s):

KING, DAVID N., DDS950 UNSER BLVD SE STE 100 (505) 892-2900

KNUTSEN, GREGORY R., DDS2300 GRANDE BLVD SE STE A (505) 896-7100

LAM, JIM D., DDS4500 ARROWHEAD RIDGE DR SE (505) 994-1110

CNLanguage(s):

LANTZ, THOMAS E., DDS4500 ARROWHEAD RIDGE DR SE (505) 994-1110

LE, TRANG T., DMD1904 WELLSPRING AVE SE STE 101 (505) 896-6654

LIGHTHALL, SKYLAR A., DDS2003 SOUTHERN BLVD NW STE 133 (505) 221-5740

Page 36 of 42 August 2017New Mexico Alliance Network

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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New MexicoRIO RANCHO - 87124 (continued)

Directory of Participating Dental Providers

Alliance Network

MADRID, FELIX C., DDS2345 SOUTHERN BLVD SE STE B1 (505) 892-0111

SPLanguage(s):

MANZANARES, MICHAEL J., DDS2300 GRANDE BLVD SE (505) 896-7100

MARSHALL, DUANE G., DMD770 BROADMOOR BLVD NE (505) 891-0554

MARSHALL, DUANE G., DMD950 UNSER BLVD SE STE 100 (505) 892-2900

MARTINEZ LUJAN, MARIFER, DDS2300 GRANDE BLVD SE (505) 896-7100

MEEKS, SAMUEL A., DMD2200 GRANDE BLVD SE STE A (505) 891-1500

RSLanguage(s):

MILNE, BLAINE G., DMD770 BROADMOOR BLVD NE (505) 891-0554

MORRISON, HONG M., DDS2401 CABEZON BLVD SE STE 101A (505) 896-8862

VTLanguage(s):

MORRISON, JEREMY M., DDS4041 RIDGE ROCK RD SE (505) 891-4510

NEWSOME, BOYD E., DMD424 VISTA ROJA PL NE (505) 821-6910

PT, SPLanguage(s):

NUANES, PAUL A., DDS312 UNSER BLVD NE (505) 796-6880

SPLanguage(s):

OCHENRIDER, DAVID M., DMD4500 ARROWHEAD RIDGE DR SE (505) 994-1110

PEARLY WHITES DENTAL INC2200 GRANDE BLVD SE STE A (505) 891-1500

PECK, CHRISTIAN S., DDS2421 CABEZON BLVD SE (505) 884-1344

PISOTTI, GREGORY D., DDS2600 AMERICAN RD SE STE 369 (505) 898-6000

RASMUSSEN, AARON D., DDS770 BROADMOOR BLVD NE (505) 891-0554

RIO RANCHO DENTAL ARTS4120 BARBARA LOOP SE (505) 892-8086

RIO RANCHO FAMILY DENTAL CARE4041 RIDGE ROCK RD SE (505) 891-4510

RIVERS, ELIZABETH K., DMD1594 SARA RD SE STE C (505) 896-2200

ROSINIA, MICHAEL L., DDS1400 BARBARA LOOP SE STE B (505) 896-4657

SPLanguage(s):

RUYLE, BONNIE, DDS4500 ARROWHEAD RIDGE DR SE (505) 994-1110

SMITH EDWARDS, JULIET V., DDS1137 COMMERCIAL DR SE STE 103 (505) 896-9399

THE HYGIENE CENTER LLC1316 JACKIE RD SE STE 200 (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

WELLS, KELLY S., DDS1594 SARA RD SE (505) 896-2200

SPLanguage(s):

WONDRA, KIRK S., DDS701 BROADMOOR BLVD NE (505) 891-1100

YOUNG TRUJILLO, NAZARIO N., DDS312 UNSER BLVD NE (505) 796-6880

Endodontist

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

LOVATO, KAREN F., DDS950 UNSER BLVD SE STE 100 (505) 892-2900

WHITE SR., JOHN H., DDS4500 ARROWHEAD RIDGE DR SE (505) 994-1110

Oral Surgery

ROGEL, LAURENCE J., DDS1316 JACKIE RD SE STE 200 (505) 994-4772

STEEL, DREW V., DMD950 UNSER BLVD SE STE 100 (505) 892-2900

Orthodontist

DARMITZEL, STEPHEN E., DDS4500 ARROWHEAD RIDGE DR SE (505) 994-1110

HANN, ROBERT C., DDS2421 CABEZON BLVD SE (505) 884-5437

HOLLIDAY, M BRETT, DDS950 UNSER BLVD SE STE 100 (505) 892-2900

SPLanguage(s):

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

CALL, VAUGHN D., DMD2421 CABEZON BLVD SE (505) 884-5437

HATCH, BRIAN K., DMD1904 WELLSPRING AVE SE STE 105 (505) 415-0462

HEMPSTEAD, ANNE K., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

JACKSON, JOSEPH L., DDS2421 CABEZON BLVD SE (505) 715-4526

TASKER, SPENCER J., DMD2421 CABEZON BLVD SE STE 101 (505) 884-5437

WESTSIDE PEDIATRIC DENTISTRY1724 GRANDE BLVD SE (505) 896-0245

Periodontist

GHAFFARIGARAKANI, SASAN, DDS950 UNSER BLVD SE STE 100 (505) 892-2900

SUN, CHUN XIAO, DMD4500 ARROWHEAD RIDGE DR SE (505) 994-1110

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

COBLE, JEREMY C., DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

COWDEN, JASON T., DMD7800 CARR WAY NE STE 105 (505) 867-3999

SPLanguage(s):

GONZALEZ, MARTIN, DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

SPLanguage(s):

HONG, KEE JU, DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

LUCO, WAYNE A., DDS4405 JAGER DR NE STE C 1 (505) 867-1442

MURGA, FIELFER L., DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

NEILL, JESSICA V., DDS3634 RIO RANCHO BLVD NE STE 102 (505) 404-3282

OWENS, DEREK E., DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

PARK, HYUNJUNG, DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

PHOENIX, SHIMA B., DMD3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

RIO DENTAL AND ORTHODONTICS LLC3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

RYU, HOJOONG, DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

SANCHEZ, MICHAEL A., DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

WILLIAMS, DREW J., DMD3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

ZIMMER, DANIELA R., DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

Orthodontist

ONUORA, OBIAJULU I., DDS3634 RIO RANCHO BLVD NE STE 102 (505) 404-3282

RUDD, DANIEL B., DDS3634 RIO RANCHO BLVD NE STE 102 (505) 404-3282

SANTO DOMINGO PUEBLO - 87052

General Dentist

NAMBURI, SUNEEL K., DMD85 W HWY 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

Page 37 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoEDGEWOOD - 87015 (continued)

Directory of Participating Dental Providers

Alliance Network

BRUM, MARK D., DDS8 MEDICAL CENTER RD (505) 281-3406

CURRIE, ZACHARY T., DDS1851 OLD HWY 66 STE C (505) 281-0373

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

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):

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

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

CARTER JR., BARNEY W., DMD2008 ST MICHAELS DR STE B (505) 896-2292

CHAVEZ, ARMANDO J., DDS2008 ST MICHAELS DR STE B (505) 896-2292

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

COX, PAMELA B., DDS2008 ST MICHAELS DR STE B (505) 896-2292

DAVIS, MICHAEL W., DDS1751 OLD PECOS TRL STE B (505) 988-4448

DOMINGUEZ, FRANK, DMD720 SAINT MICHAELS DR STE O (505) 424-7998

DONOGHUE, JANSEN E., DDS1406 LUISA ST STE 1 (505) 988-5850

DUVURRI, SAMYUKTHA R., DMD2027 CERRILLOS RD (505) 820-1212

ELLEDGE, SCOTT L., DMD402 KIVA CT (505) 982-4317

FENG, KATHRYNE W., DDS1700 CERRILLOS RD (505) 946-9485

GOMEZ BARTEK, JACQUELYN M., DDS6 CALLE MEDICO STE 2 (505) 982-4686

GOMEZ BARTEK, JACQUELYN M., DDS1533 S ST FRANCIS DR STE F (505) 954-1073

GONZALEZ, JASON A., DDS1439 S ST FRANCIS DR (505) 473-5437

SPLanguage(s):

GONZALEZ, JASON A., DDS1456 S ST FRANCIS DR (505) 984-1827

SPLanguage(s):

GUTIERREZ, BLAKE A., DDS1456 S SAINT FRANCIS DR (505) 984-1827

GUTIERREZ, BLAKE A., DDS2904 RODEO PARK DR E STE 300B (505) 473-5437

HATCH, CAMERON J., DDS2008 ST MICHAELS DR STE B (505) 896-2292

HEMPSTEAD, ANNE K., DDS2008 ST MICHAELS DR STE B (505) 896-2292

HENDRICKS, KELLY G., DDS1439 S ST FRANCIS DR (505) 473-5437

PT, SPLanguage(s):

HENDRICKS, KELLY G., DDS1456 S SAINT FRANCIS DR (505) 984-1827

PT, SPLanguage(s):

HERO DENTAL OF SANTA FE PC2027 CERRILLOS RD (505) 820-1212

HOWELL, RICHARD E., DDS720 SAINT MICHAELS DR STE O (505) 424-7998

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

KADKHODA, AFSANEH, DDS720 SAINT MICHAELS DR STE O (505) 424-7998

UNLanguage(s):

KASSAM, SARAH L., DDS2027 CERRILLOS RD (505) 820-1212

KAWAHAKUI, LINDSEY, DDS2027 CERRILLOS RD (505) 820-1212

KAWAMOTO, SHEENA Z., DDS2008 ST MICHAELS DR STE 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

LAM, JIM D., DDS720 SAINT MICHAELS DR STE O (505) 424-7998

CNLanguage(s):

LANTZ, THOMAS E., DDS720 SAINT MICHAELS DR STE O (505) 424-7998

LAPSKER, JENNIFER A., DDS2008 ST MICHAELS DR STE B (505) 896-2292

LEE, RYAN E., DDS2008 SAINT MICHAELS DR STE B (505) 896-2292

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

MAAS, SARA E., DDS2027 CERRILLOS RD (505) 820-1212

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

MONTANEZ, MARIO, DDS2027 CERRILLOS RD (505) 820-1212

SPLanguage(s):

MONTANO, ERIN M., DDS2008 ST MICHAELS DR STE B (505) 424-7272

MONTANO, RONALD B., DDS2027 CERRILLOS RD (505) 820-1212

SPLanguage(s):

OCHENRIDER, DAVID M., DMD720 SAINT MICHAELS DR STE O (505) 424-7998

ORTEGA, DAVID J., DDS550 SAINT MICHAELS DR STE B (505) 984-0881

ROWAN, RICHARD G., DMD2008 ST MICHAELS DR STE B (505) 896-2292

RUYLE, BONNIE, DDS720 SAINT MICHAELS DR STE O (505) 424-7998

SANTA FE CHILDRENS DENTISTRY2008 ST MICHAELS DR STE B (505) 896-2292

SMITH, SANDRA A., DDS2027 CERRILLOS RD (505) 820-1212

TAFOYA, PETER J., DDS404 KIVA CT STE D (505) 988-3804

TRAMONTANAS, KERRY, DDS125 SIRINGO RD STE B (505) 795-1285

TROPP, STEPHEN, DDS2008 ST MICHAELS DR STE B (505) 896-2292

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

VEST, DEVAN R., DDS2100 CALLE DE LA VUELTA STE B102 (505) 983-5000

WOLF, JACOB B., DDS2008 ST MICHAELS DR STE B (505) 892-9010

SPLanguage(s):

YADAV, VARUN, DMD1406 LUISA ST STE 1 (505) 988-5850

HILanguage(s):

Page 38 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoSANTA FE - 87505 (continued)

Directory of Participating Dental Providers

Alliance Network

YAMAZAKI, YASUFUMI, DDS720 SAINT MICHAELS DR STE O (505) 424-7998

ZINK, AURORA E., DDS2008 SAINT MICHAELS DR STE B (505) 474-4993

ZINK, AURORA V., DDS2027 CERRILLOS RD (505) 820-1212

Endodontist

GAVRON, BERNARD R., DDS444 ST MICHAELS DR STE C (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

HEALY, SEAN M., DDS1645 GALISTEO ST (505) 984-0694

REID, DOUGLAS M., DMD490B W ZIA RD STE 3 (505) 992-1550

SPLanguage(s):

SCHOW, BRETT D., DDS1700 HOSPITAL DR (505) 988-2121

URIG JR., EDWARD J., DMD1700 HOSPITAL DR (505) 988-2121

WHEATON REID AND ASSOC LLC490B W ZIA RD STE 3 (505) 992-1550

WHEATON, JEFFREY B., DMD490B W ZIA RD STE 3 (505) 992-1550

Orthodontist

BUSH, HELEN D., DMD2027 CERRILLOS RD (505) 820-1212

BUSH, HELEN D., DMD2008 ST MICHAELS DR STE B (505) 424-7272

DARMITZEL, STEPHEN E., DDS400 KIVA CT STE A (505) 982-6656

DARMITZEL, STEPHEN E., DDS720 SAINT MICHAELS DR STE O (505) 424-7998

HANN, ROBERT C., DDS2008 ST MICHAELS DR STE B (505) 892-9010

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) 820-1218

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

RUDD, DANIEL B., DDS490B W ZIA RD (505) 428-2101

SPLanguage(s):

SCHACKEL, WILLIAM A., DDS2100 CALLE DE LA VUELTA STE B102 (505) 983-5000

SPALDING, PETER M., DDS2027 CERRILLOS RD (505) 820-1212

SPALDING, PETER M., DDS2100 CALLE DE LA VUELTA STE B102 (505) 983-5000

STEPHEN A KELLAM LLC539 HARKLE RD STE D (505) 982-5531

VEST ORTHODONTICS PC2100 CALLE DE LA VUELTA STE B102 (505) 983-5000

Pediatric Dentist

CALL, VAUGHN D., DMD2008 ST MICHAELS DR STE B (505) 896-2292

CITO JR., STEPHEN M., DDS490 W ZIA RD STE B (505) 428-7878

HATCH, BRIAN K., DMD490B W ZIA RD (505) 428-7878

HENDRICKS, KRISTIN W., DDS1456 S ST FRANCIS DR (505) 984-1827

HENDRICKS, KRISTIN W., DDS1439 S ST FRANCIS DR (505) 473-5437

HENDRICKS, KRISTIN W., DDS2904 RODEO PARK DR E STE 300B (505) 473-5437

JACKSON, JOSEPH L., DDS2008 SAINT MICHAELS DR STE B (505) 896-2292

PECK, CHRISTIAN S., DDS2008 SAINT MICHAELS DR STE B (505) 896-2292

PECK, PATRICIA H., DDS1692 HOSPITAL DR STE 102 BLDG B (505) 989-9033

SPLanguage(s):

SIEGEL, SCOTT L., DMD2008 ST MICHAELS DR STE B (505) 896-2292

TASKER, SPENCER J., DMD2008 ST MICHAELS DR STE B (505) 424-7272

WHOLE CHILD DENTAL LLC1439 S ST FRANCIS DR (505) 473-5437

Periodontist

SUN, CHUN XIAO, DMD720 SAINT MICHAELS DR STE O (505) 424-7998

TRAMONTANAS, KERRY, DDS125 SIRINGO RD STE B (505) 795-1285

Multi-Specialty

PERFECT TEETH PLAZA DEL SOL PC720 SAINT MICHAELS DR STE O (505) 424-7998

SANTA FE - 87506

General Dentist

FERREIRA, JORGE, DMD17805 US 84/285 (505) 455-2176

SANTA FE - 87507

General Dentist

BORRERO, DANIEL A., DDS3252 CERRILLOS RD STE A (505) 954-1128

SPLanguage(s):

CHIARITO, ROBERT, DDS4250 CERRILLOS RD STE 1202 (505) 982-4867

SPLanguage(s):

CURRIE, ZACHARY, DDS4250 CERRILLOS RD STE 1202 (505) 982-4867

GHIASSI, JORDAN Z., DMD4250 CERRILLOS RD STE 12012 (505) 982-4867

HOLLINGSWORTH RYALS , KELLEY, DDS5131 MAIN ST STE 101 (505) 209-9080

SPLanguage(s):

HOLLINGSWORTH RYALS , KELLEY, DDS3569 ZAFARANO DR (505) 986-8000

SPLanguage(s):

HOLSEY, DAVID E., DDS4250 CERRILLOS RD STE 1202 (505) 982-4867

JACKSON, MELISSA, DMD3569 ZAFARANO DR (505) 986-8000

KEYSER, BRANDON W., DMD3811 CERRILLOS RD STE 102 (505) 933-6872

LINDSLEY, HOLLY M., DDS4250 CERRILLOS RD STE 1202 (505) 982-4867

MARTIN, M. RAY, DDS3600 CERRILLOS RD STE 507 (505) 438-0756

MASON, BRENTON M., DMD5131 MAIN ST STE 101 (505) 209-9080

MASON, BRENTON M., DMD3569 ZAFARANO DR (505) 986-8000

MCDERMOTT, JAMES J., DMD, PC3569 ZAFARANO DR (505) 986-8000

MCDERMOTT, JAMES J., DMD, PC5131 MAIN ST STE 101 (505) 209-9080

MONTGOMERY, GREGORY D., DDS5131 MAIN ST STE 101 (505) 209-9080

MONTGOMERY, GREGORY D., DDS3569 ZAFARANO DR (505) 986-8000

MORESCHINI, SYLVIA R., DDS4041 CERRILLOS RD (505) 438-3276

SAPP, WILLIAM A., DDS4250 CERRILLOS RD STE 1202 (505) 982-4867

SIEMIASZKO, WILLIAM J., DDS3569 ZAFARANO DR (505) 986-8000

SIEMIASZKO, WILLIAM J., DDS5131 MAIN ST STE 101 (505) 209-9080

VEST, DEVAN R., DDS3252 CERRILLOS RD STE B (505) 919-8378

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

LOVATO, KAREN F., DDS5131 MAIN ST STE 101 (505) 209-9080

LOVATO, KAREN F., DDS3569 ZAFARANO DR (505) 986-8000

Oral Surgery

STEEL, DREW V., DMD5131 MAIN ST STE 101 (505) 209-9080

STEEL, DREW V., DMD3569 ZAFARANO DR (505) 986-8000

WAGNER, JON D., DDS4250 CERRILLOS RD STE 1202 (505) 982-4867

Orthodontist

HOLLIDAY, M BRETT, DDS3569 ZAFARANO DR (505) 986-8000

SPLanguage(s):

SPALDING, PETER M., DDS3252 CERRILLOS RD STE B (505) 919-8378

VEST ORTHODONTICS PC3252 CERRILLOS RD STE B (505) 919-8378

Periodontist

GHAFFARIGARAKANI, SASAN, DDS5131 MAIN ST STE 101 (505) 209-9080

Page 39 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoSANTA FE - 87507 (continued)

Directory of Participating Dental Providers

Alliance Network

GHAFFARIGARAKANI, SASAN, DDS3569 ZAFARANO DR (505) 986-8000

Multi-Specialty

SANTA FE DENTIST OFFICE5131 MAIN ST STE 101 (505) 209-9080

SPLanguage(s):

SANTA FE MODERN DENTISTRY AND ORTHODONTI3569 ZAFARANO DR (505) 986-8000

SANTA FE - 87508

General Dentist

AUSBERRY, LYDIA C., 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

MCDERMOTT, JAMES J., DDS6401 S RICHARDS AVE (505) 984-5048

RITCHEY, HALEY S., DDS1 CALIENTE RD STE E (505) 466-0999

STEFFY, EDWIN D., DDS6401 S RICHARDS AVE (505) 984-5048

WATSON, ERIK A., DDS6401 S RICHARDS AVE (505) 984-5048

SIERRA County

TRUTH OR CONSEQUENCES - 87901

General Dentist

BACA JR., LEROY, DDS1950 N DATE ST (575) 894-8057

BACA JR., LEROY, DDS1960 N DATE ST (575) 894-7662

COYNE, PATRICK J., DDS1960 N DATE ST (575) 894-7662

SPLanguage(s):

COYNE, PATRICK J., DDS1950 N DATE ST (575) 894-8057

SPLanguage(s):

DEAN, TYRELL C., DMD1960 N DATE ST (575) 894-7662

DEAN, TYRELL C., DMD1950 N DATE ST (575) 894-8057

FELTS, MATTHEW H., DDS800 N CEDAR ST (575) 894-7711

FEMAT, RUBEN, DDS1960 N DATE ST (575) 894-7662

FEMAT, RUBEN, DDS1950 N DATE ST (575) 894-8057

FRALEIGH, C. MAHLON, DDS1960 N DATE ST (575) 894-7662

SPLanguage(s):

FRALEIGH, C. MAHLON, DDS1950 N DATE ST (575) 894-8057

SPLanguage(s):

GLOVER, DAWN K., DDS1960 N DATE ST (575) 894-7662

GLOVER, DAWN K., DDS1950 N DATE ST (575) 894-8057

GUTTIKONDA, BHARAT RAM C., DDS1950 N DATE ST (575) 894-8057

GUTTIKONDA, BHARAT RAM C., DDS1960 N DATE ST (575) 894-7662

GUTTIKONDA, KRISHNAVENI, DDS1950 N DATE ST (575) 894-8057

GUTTIKONDA, KRISHNAVENI, DDS1960 N DATE ST (575) 894-7662

MARKETTO, DREW E., DDS1950 N DATE ST (575) 894-8057

MARKETTO, DREW E., DDS1960 N DATE ST (575) 894-7662

MATHIAS, RICHARD B., DMD1950 N DATE ST (575) 894-8057

MATHIAS, RICHARD B., DMD1960 N DATE ST (575) 894-7662

MAY, AMANDA C., DDS1960 N DATE ST (575) 894-7662

MAY, AMANDA C., DDS1950 N DATE ST (575) 894-8057

MCCARTHY, TIAPUL Q., DDS1950 N DATE ST (575) 894-8057

MCCARTHY, TIAPUL Q., DDS1960 N DATE ST (575) 894-7662

O, GIBSON S., DDS1950 N DATE ST (575) 894-8057

O, GIBSON S., DDS1960 N DATE ST (575) 894-7662

ODA, SAHARU, DDS1950 N DATE ST (575) 894-8057

JP, PRLanguage(s):

ODA, SAHARU, DDS1960 N DATE ST (575) 894-7662

JP, PRLanguage(s):

PELLEGRINO, CAMILLE R., DDS1950 N DATE ST (575) 894-8057

PELLEGRINO, CAMILLE R., DDS1960 N DATE ST (575) 894-7662

POLLARD, JILLANA L., DMD1950 N DATE ST (575) 894-8057

POLLARD, JILLANA L., DMD1960 N DATE ST (575) 894-7662

PUCKETT JR., C RAY, DDS1950 N DATE ST (575) 894-8057

PUCKETT JR., C RAY, DDS1960 N DATE ST (575) 894-7662

QUAN, KRISTI, DDS1950 N DATE ST (575) 894-8057

QUAN, KRISTI, DDS1960 N DATE ST (575) 894-7662

SHAH, JAY A., DMD1950 N DATE ST (575) 894-8057

SHAH, JAY A., DMD1960 N DATE ST (575) 894-7662

SHASTRI, SHRUTI N., DDS1950 N DATE ST (575) 894-8057

SHASTRI, SHRUTI N., DDS1960 N DATE ST (575) 894-7662

WIATT, MARK E., DDS1960 N DATE ST (575) 894-7662

WIATT, MARK E., DDS1950 N DATE ST (575) 894-8057

WILKINSON, TAYLOR G., DDS1960 N DATE ST (575) 894-7662

WILKINSON, TAYLOR G., DDS1950 N DATE ST (575) 894-8057

ZIAFAT, MEHRYAR, DMD1950 N DATE ST (575) 894-8057

ZIAFAT, MEHRYAR, DMD1960 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

SOCORRO County

SOCORRO - 87801

General Dentist

CITO, STEPHEN M., DDS828 HIGHWAY 60 (575) 838-3912

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

EL CENTRO FAMILY HEALTH15136 STATE ROAD 75 (575) 587-2809

SISNEROS, ARTURO D., DDS15136 STATE HIGHWAY 75 (575) 587-2809

TAYLOR, STEPHEN H., DDS15136 STATE ROAD 75 (575) 587-2809

WATSON, ERIK A., DDS15136 STATE ROAD 75 (505) 753-7218

QUESTA - 87556

General Dentist

ANTONIO JR., JOHN E., DMD2573 STATE HWY 522 (575) 586-0316

SPLanguage(s):

BRIMHALL, STEELE T., DDS2573 STATE HWY 522 (505) 586-0331

DOSS, JIHAN L., DMD2573 STATE HWY (575) 586-0316

DUNIVEN, DAVID W., DDS2573 STATE HWY 522 (575) 586-0316

Page 40 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoQUESTA - 87556 (continued)

Directory of Participating Dental Providers

Alliance Network

EICKER, ANDREA M., DMD2573 STATE HWY 522 (575) 586-0316

HANSON, DAVID M., DDS2573 STATE HWY 522 (575) 586-0316

JAMESON, KEITH D., DDS2451 N HWY 522 (575) 586-0259

LOPEZ, INEZ M., DMD2573 STATE HWY 522 (575) 586-0316

MONTOYA, C. PATRICK, DDS2573 STATE HWY 522 (575) 586-0316

SPLanguage(s):

MORGAN, TYLER S., DDS2573 STATE HWY 522 (575) 586-0316

RHOADS, HOWARD N., DDS2573 STATE HWY 522 (575) 586-0316

TOBIN, MEGAN K., DDS2573 STATE HWY 522 (575) 586-0316

WESTBROOK, JEFFREY H., DDS2573 STATE HWY 522 (575) 586-0316

WILSON, ELIZABETH M., DDS2573 STATE HWY 522 (575) 586-0316

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) 758-6977

TARANTINO, ERNEST E., DDS1335 GUSDORF RD STE A (575) 751-9333

SPLanguage(s):

VEST, DEVAN R., DDS1392 WEIMER RD (505) 983-5000

Endodontist

WOLCOTT, JAMES F., 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

SPALDING, PETER M., DDS1392 WEIMER RD (505) 983-5000

VEST ORTHODONTICS PC1392 WEIMER RD (505) 983-5000

TORRANCE County

ESTANCIA - 87016

General Dentist

ANTONIO JR., JOHN E., DMD903 5TH ST STE C (505) 384-2777

SPLanguage(s):

BRIMHALL, STEELE T., DDS903 C FIFTH ST (505) 384-2777

DOSS, JIHAN L., DMD903 5TH ST STE C (505) 384-2777

DUNIVEN, DAVID W., DDS903 5TH ST STE C (505) 384-2777

EICKER, ANDREA M., DMD903 C N 5TH ST (505) 384-2777

HANSON, DAVID M., DDS903 5TH ST STE C (505) 384-2777

KNUTSEN, GREGORY R., DDS903 5TH ST STE C (505) 384-2777

LOPEZ, INEZ M., DMD903 5TH ST STE C (505) 384-2777

MONTOYA, C. PATRICK, DDS903 5TH ST STE C (505) 384-2777

SPLanguage(s):

MORGAN, TYLER S., DDS903 5TH ST STE C (505) 384-2777

RHOADS, HOWARD N., DDS903 5TH ST STE C (505) 384-2777

TOBIN, MEGAN K., DDS903 5TH ST STE C (505) 384-2777

WESTBROOK, JEFFREY H., DDS903 5TH ST STE C (505) 384-2777

WILSON, ELIZABETH M., DDS903C N 5TH ST (505) 384-2777

VALENCIA County

BELEN - 87002

General Dentist

BALDWIN, RICHARD A., DMD305 RIO COMMUNITIES BLVD (505) 864-2978

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

GRODNER, ROBERT W., DDS305 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

SANDOVAL, CECIL C., DDS601 DALIES AVE (505) 864-8912

SPLanguage(s):

SCHLOTTMAN, DAVID E., DDS120 S 9TH ST (505) 873-7462

WILSON, JOE, DDS205 RIO COMMUNITIES BLVD (505) 864-3065

BOSQUE FARMS - 87068

General Dentist

ANDERSON, JAMES F., DDS1430 BOSQUE FARMS BLVD (505) 869-2371

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

ACOSTA LENIS, CLAUDIA J., DDS1620 MAIN ST NW STE D (847) 701-1457

ANTANI, KARTIK, DMD1620 MAIN ST NW STE D (888) 988-4066

ARAGON, JONATHAN, DDS3472 STATE HWY 47 (505) 865-9788

ARAKOTARAM RAVIKUMAR, RAKSHITH, DMD1620 MAIN ST NW STE D (888) 988-4066

ASTARAEE, NIMA, DDS1620 MAIN ST NW STE D (888) 988-4066

AUNG, NYI NYI, DDS1620 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):

BOWERS, JONATHAN L., DMD145 DON PASQUAL RD NW (505) 865-4618

BRUM, MARK D., DDS145 DON PASQUAL RD NW (505) 865-4618

CARTER JR., BARNEY W., DDS106 MAIN ST NE STE B (505) 865-1999

CHA, LILY, DDS106 MAIN ST NE STE B (505) 865-1999

CHAVEZ, ARMANDO J., DDS106 MAIN ST NE STE B (505) 865-1999

CHAVEZ, KEELY J., DDS106 MAIN ST NE STE B (505) 865-1999

CHOUDHARY, NIKHILESH, DMD1620 MAIN ST NW STE D (888) 988-4066

CHUNG, CHRISTINA K., DDS106 MAIN ST NE STE B (505) 865-1999

COX, PAMELA B., DDS106 MAIN ST NE STE B (505) 865-1999

DESAI, ADITYA A., DDS1620 MAIN ST NW STE D (888) 988-4066

HILanguage(s):

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

Page 41 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

New MexicoLOS LUNAS - 87031 (continued)

Directory of Participating Dental Providers

Alliance Network

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

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

HEMPSTEAD, ANNE K., DDS106 MAIN ST NE STE B (505) 865-1999

ISSAC, SAIF S., DDS1620 MAIN ST NW STE D (888) 988-4066

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

KAMAL ALDEEN, MURTAJA, DDS1620 MAIN ST NW STE D (888) 988-4066

FR, SPLanguage(s):

KAWAMOTO, SHEENA Z., DDS106 MAIN ST NE STE B (505) 865-1999

SPLanguage(s):

KINZER, KYE G., DDS106 MAIN ST NE SUITE B (505) 865-1999

SPLanguage(s):

KNOTT, KENNETH E., DDS106 MAIN ST NE STE B (505) 865-1999

KONDRAGUNTA, SUMAN, DDS1620 MAIN ST NW STE D (888) 988-4066

KOTHA, ABHIROOP, DMD1620 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

LIN, YUNQI R., DMD1620 MAIN ST NW STE D (888) 988-4066

MAZLOOMI, FARZAD, DMD1620 MAIN ST NW STE D (888) 988-4066

PRLanguage(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

MONTANO, ERIN M., DDS106 MAIN ST NE STE B (505) 865-1999

MOON, SORA, DMD1620 MAIN ST NW STE D (888) 988-4066

MURGA, FIELFER L., DDS1620 MAIN ST NW STE D (888) 988-4066

SPLanguage(s):

OPHASO, NISSA, DMD1620 MAIN ST NW STE D (888) 988-4066

PARK, CHAN M., DDS1620 MAIN ST NW STE D (888) 988-4066

PARK, JONG WOOK, DMD1620 MAIN ST NW STE D (888) 988-4066

PATEL, NIPA K., DMD1620 MAIN ST NW STE D (888) 988-4066

PHAM, ANH T., DDS1620 MAIN ST NW STE D (888) 988-4066

PURCELL, KAITLYN K., DDS106 MAIN ST NE STE B (505) 865-1999

QUACH, VU, DMD1620 MAIN ST NW STE D (888) 988-4066

VTLanguage(s):

RIESENBERGER, ZACHARY, DDS145 DON PASQUAL RD NW (505) 865-4618

SPLanguage(s):

RIO GRANDE CHILDRENS DENTISTRY106 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

SEO, JAESUNG, DDS1620 MAIN ST NW STE D (888) 988-4066

SIMPSON, AARON J., DDS1620 MAIN ST NW STE D (888) 988-4066

SMITH, ERIC M., DDS3472 STATE HIGHWAY 47 (505) 865-9788

SPLanguage(s):

SMITH, TIMOTHY J., DDS3472 STATE HIGHWAY 47 (505) 865-9788

SPLanguage(s):

SUBGANI, RAMYA, DDS1620 MAIN ST NW STE D (888) 988-4066

TANEJA, NIDHI, DDS1620 MAIN ST NW STE D (888) 988-4066

THIRIVIDI, BHARATH, DDS1620 MAIN ST NW STE D (888) 988-4066

TROPP, STEPHEN, DDS106 MAIN ST NE STE B (505) 865-1999

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):

VAHDATINIA, SINA, DMD1620 MAIN ST NW STE D (888) 988-4066

PRLanguage(s):

VELASQUEZ, KENDRA D., DDS3472 STATE HWY 47 (505) 865-9788

WEI, ROGER B., DDS1620 MAIN ST NW STE D (888) 988-4066

WOLF, JACOB B., DDS106 MAIN ST NE STE B (505) 865-1999

SPLanguage(s):

YADAV, VARUN, DMD3472 STATE HIGHWAY 47 (505) 865-9788

HILanguage(s):

YAMAZAKI, YASUFUMI, DDS1620 MAIN ST NW STE D (888) 988-4066

YOON, JAJUNG, DMD1620 MAIN ST NW STE D (888) 988-4066

Oral Surgery

SMITH, BEN M., DMD1620 MAIN ST NW STE D (888) 988-4066

Orthodontist

BAVAR, BEROKH, DMD1620 MAIN ST NW STE D (888) 988-4066

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

GUYMON, RUSSELL J., DDS1620 MAIN ST NW STE D (888) 988-4066

HANN, ROBERT C., DDS106 MAIN ST NE STE B (505) 865-1999

JENSEN, STEPHEN, DDS106 MAIN ST NE STE B (505) 865-1999

LEWIS, BRANDI E., DDS1620 MAIN ST NW STE D (888) 988-4066

NAISBITT, MARK A., DDS106 MAIN ST NE STE B (505) 865-1999

SINGH, AJAY P., DDS1620 MAIN ST NW STE D (888) 988-4066

Pediatric Dentist

CALL, VAUGHN D., DMD106 MAIN ST NE STE B (505) 865-1999

JACKSON, JOSEPH L., DDS106 MAIN ST NE STE B (505) 865-1999

PECK, CHRISTIAN S., DDS106 MAIN ST NE STE B (505) 865-1999

SIEGEL, SCOTT L., DMD106 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 STATE HIGHWAY 47 (505) 565-0609

STEWART, JAMES D., DDS3615 STATE HIGHWAY 47 (505) 565-0609

Page 42 of 42 August 2017New Mexico Alliance Network

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 …nmpsia.com/pdfs/NM_Alliance Network Directory 2017-08.pdfDirectory of Participating Dental Providers Alliance Network NEW MEXICO

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 .......