you’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake...

57
As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one from our network has its advantages: - You’re not responsible for charges over the allowed amount for covered services from a network dental provider – that’s more savings on out-of- pocket dental expenses. - Less paperwork for you: Network dental providers will file your dental claims for you. If you’re a group member with access to our DentalPlus provider network, the DentalPlus network includes the same BCBSNC network in North Carolina, plus additional providers across the United States. Check your member ID card to find out if you have DentalPlus access, or contact your group administrator for help. DISCLAIMER: You must be enrolled in a dental plan that offers a participating provider arrangement. Please refer to your Member Guide for details. THIS DATA UPDATED AS NEEDED TWICE PER MONTH We do our best to post the most accurate, up-to-date information. However, because we continually add providers to our network and providers occasionally decide to discontinue their participation, we cannot guarantee the accuracy or currency of our information at the time of your search. While this PDF file is open, select Edit from the top of the page, then select Find. A small window should open up; type the word that you want to locate into the text field. Then click on the "Find" or "Find Next" button. The document should jump to the section containing that word and should highlight it. Please check with the provider before receiving services to confirm the provider is active in the BCBSNC network in NC or the DenteMax network outside of NC or call 1-800-305-6638. Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Upload: others

Post on 10-Oct-2020

2 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one from our network has its advantages:

- You’re not responsible for charges over the allowed amount for covered services from a network dental provider – that’s more savings on out-of-pocket dental expenses.

- Less paperwork for you: Network dental providers will file your dental claims for you.

If you’re a group member with access to our DentalPlus provider network, the DentalPlus network includes the same BCBSNC network in North Carolina, plus additional providers across the United States. Check your member ID card to find out if you have DentalPlus access, or contact your group administrator for help.

DISCLAIMER: You must be enrolled in a dental plan that offers a participating provider arrangement. Please refer to your Member Guide for details.

THIS DATA UPDATED AS NEEDED TWICE PER MONTH

We do our best to post the most accurate, up-to-date information. However, because we continually add providers to our network and providers occasionally decide to discontinue their participation, we cannot guarantee the accuracy or currency of our information at the time of your search.

While this PDF file is open, select Edit from the top of the page, then select Find. A small window should open up; type the word that you want to locate into the text field. Then click on the "Find" or "Find Next" button. The document should jump to the section containing that word and should highlight it.

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 2: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

BAIRD, DANIEL ADAMS, JODYGeneral Dentistry General Dentistry

COMMUNITY HEALTH CENTERS JODY W ADAMS DDS

14 NORTH 100 EAST, BRIGHAM CITY 241 WEST FOREST, BRIGHAM CITY

BRIGHAM CITY, UT 84302 BRIGHAM CITY, UT 84302

Phone: (435) 723-8276 Phone: (435) 723-6120

County: BOX ELDER County: BOX ELDER

DAINES, HOWARD WALTON, TROY INGRAM, SHADGeneral Dentistry General Dentistry General Dentistry

104 WEST DENTAL COMMUNITY HEALTH CENTERS MARK B MURDOCK DDS

104 WEST 200 SOUTH, BRIGHAM CITY 14 NORTH 100 EAST, BRIGHAM CITY 30 EAST 700 SOUTH, BRIGHAM CITY

BRIGHAM CITY, UT 84302 BRIGHAM CITY, UT 84302 BRIGHAM CITY, UT 84302

Phone: (435) 734-2394 Phone: (435) 723-8276 Phone: (435) 734-2248

County: BOX ELDER County: BOX ELDER County: BOX ELDER

NELSON, DANIEL JESSEN, FRANK MURDOCK, MARKGeneral Dentistry Oral Surgery General Dentistry

104 WEST DENTAL DOCTOR F ZANE JESSEN DDS MARK B MURDOCK DDS

104 WEST 200 SOUTH, BRIGHAM CITY 30 EAST 700 SOUTH, BRIGHAM CITY 30 EAST 700 SOUTH, BRIGHAM CITY

BRIGHAM CITY, UT 84302 BRIGHAM CITY, UT 84302 BRIGHAM CITY, UT 84302

Phone: (435) 734-2394 Phone: (435) 723-4144 Phone: (435) 734-2248

County: BOX ELDER County: BOX ELDER County: BOX ELDER

BLANCHARD, STEVEN JESSEN, GREGORY BATEMAN, RYANOrthodontics Orthodontics General Dentistry

BLANCHARDS BRACES DOCTOR F ZANE JESSEN DDS PERRY DENTAL

105 SKYLINE DRIVE, BRIGHAM CITY 30 EAST 700 SOUTH, BRIGHAM CITY 2535 SOUTH HIGHWAY 89, BRIGHAM CITY

BRIGHAM CITY, UT 84302 BRIGHAM CITY, UT 84302 BRIGHAM CITY, UT 84302

Phone: (435) 723-9200 Phone: (435) 723-4144 Phone: (435) 723-4300

County: BOX ELDER County: BOX ELDER County: BOX ELDER

BENSON, BRADY ADAMS, DOUGLAS MACKLEY, MARKGeneral Dentistry General Dentistry General Dentistry

BRADY E BENSON DDS DOUGLAS R ADAMS DDS PERRY DENTAL

111 EAST FOREST, BRIGHAM CITY 990 MEDICAL DRIVE, BRIGHAM CITY 2535 SOUTH HIGHWAY 89, BRIGHAM CITY

BRIGHAM CITY, UT 84302 BRIGHAM CITY, UT 84302 BRIGHAM CITY, UT 84302

Phone: (435) 723-2318 Phone: (435) 723-6113 Phone: (435) 723-4300

County: BOX ELDER County: BOX ELDER County: BOX ELDER

SCHULTZ, BRONSON ANDERSON, GREGORY KNUDSON, PETERGeneral Dentistry Oral Surgery Orthodontics

BRONSON C SCHULTZ DMD GREGORY E ANDERSON PETER C KNUDSON DDS

525 NORTH 400 WEST, TREMONTON 1335 SOUTH MAIN STREET, GARLAND 105 SKYLINE DRIVE, BRIGHAM CITY

TREMONTON, UT 84337 GARLAND, UT 84312 BRIGHAM CITY, UT 84302

Phone: (435) 257-7344 Phone: (435) 755-5000 Phone: (435) 723-6366

County: BOX ELDER County: BOX ELDER County: BOX ELDER

AOKI, ALAN HAWS, JAYSON SUTTON, PHILLIPGeneral Dentistry General Dentistry General Dentistry

COMMUNITY HEALTH CENTERS HAWS FAMILY DENTISTRY PJ SUTTON DDS

14 NORTH 100 EAST, BRIGHAM CITY 862 SOUTH MAIN STREET, BRIGHAM CITY 102 EAST FOREST STREET, BRIGHAM CITY

BRIGHAM CITY, UT 84302 BRIGHAM CITY, UT 84302 BRIGHAM CITY, UT 84302

Phone: (435) 723-8276 Phone: (435) 734-9144 Phone: (435) 723-6009

County: BOX ELDER County: BOX ELDER County: BOX ELDER

BOX ELDER County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 3: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

PETERSON, REX COLE, DAREN LARSON, ANTHONYOrthodontics General Dentistry General Dentistry

REX J PETERSON DDS BEAR LAKE COMMUNITY HEALTH CENTER CHERRY CREEK DENTAL

33 NORTH 2ND EAST, TREMONTON 1515 NORTH 400 EAST, NORTH LOGAN 105 HIGHWAY 91, RICHMOND

TREMONTON, UT 84337 NORTH LOGAN, UT 84341 RICHMOND, UT 84333

Phone: (435) 257-7040 Phone: (435) 755-6061 Phone: (435) 258-2301

County: BOX ELDER County: CACHE County: CACHE

JENSON, RICHARD CROWTHER, GLADE PRIEBE, BRANDONGeneral Dentistry General Dentistry General Dentistry

RICHARD H JENSON DDS BEAR LAKE COMMUNITY HEALTH CENTER CHERRY CREEK DENTAL

117 WEST FOREST STREET, BRIGHAM CITY 1515 NORTH 400 EAST, NORTH LOGAN 105 HIGHWAY 91, RICHMOND

BRIGHAM CITY, UT 84302 NORTH LOGAN, UT 84341 RICHMOND, UT 84333

Phone: (435) 723-8136 Phone: (435) 755-6061 Phone: (435) 258-2301

County: BOX ELDER County: CACHE County: CACHE

OLSON, AARON SCHVANEVELDT, BRANDON GROLL, SHAWNGeneral Dentistry General Dentistry General Dentistry

SKYLINE DENTAL BRANDON SCHVANEVELDT COMPREHENSIVE FAMILY DENTAL

105 SKYLINE DRIVE, BRIGHAM CITY 40 WEST CACHE VALLEY BOULEVARD, LOGAN 26 WEST MAIN STREET, HYRUM

BRIGHAM CITY, UT 84302 LOGAN, UT 84341 HYRUM, UT 84319

Phone: (435) 723-8913 Phone: (435) 752-1434 Phone: (435) 245-5866

County: BOX ELDER County: CACHE County: CACHE

WHITE, JARED GRAY, BRENT GORDON, DAVIDGeneral Dentistry General Dentistry General Dentistry

WHITE DENTAL BRENT W GRAY DMD DAVID R GORDON DDS

431 WEST 600 NORTH, TREMONTON 1445 NORTH 400 EAST, LOGAN 981 SOUTH MAIN STREET, LOGAN

TREMONTON, UT 84337 LOGAN, UT 84341 LOGAN, UT 84321

Phone: (435) 257-3210 Phone: (435) 752-4136 Phone: (435) 787-0222

County: BOX ELDER County: CACHE County: CACHE

WHITE, RUSSELL CHUDLEIGH, BRIAN JESSEN, FRANKGeneral Dentistry General Dentistry Oral Surgery

WHITE DENTAL BRIAN CHUDLEIGH DMD DOCTOR F ZANE JESSEN DDS

431 WEST 600 NORTH, TREMONTON 550 EAST 1400 NORTH, LOGAN 1230 NORTH 200 EAST, LOGAN

TREMONTON, UT 84337 LOGAN, UT 84341 LOGAN, UT 84341

Phone: (435) 257-3210 Phone: (435) 752-4850 Phone: (435) 750-5082

County: BOX ELDER County: CACHE County: CACHE

WORKMAN, CAMERON JESSEN, GREGORYGeneral Dentistry Orthodontics

CAMERON M WORKMAN DDS DOCTOR F ZANE JESSEN DDS

150 EAST 200 NORTH, LOGAN 1230 NORTH 200 EAST, LOGAN

LOGAN, UT 84321 LOGAN, UT 84341

Phone: (435) 752-8721 Phone: (435) 750-5082

County: CACHE County: CACHE

ALLEN, STANTON CARLSON, MONTE SMITH, DOUGLASPediatric Dentistry General Dentistry General Dentistry

ABC PEDIATRIC DENTISTRY CHERRY CREEK DENTAL DOUGLAS F SMITH INCORPORATED

169 SPRING CREEK PARKWAY, PROVIDENCE 105 HIGHWAY 91, RICHMOND 160 EAST 200 NORTH, LOGAN

PROVIDENCE, UT 84332 RICHMOND, UT 84333 LOGAN, UT 84321

Phone: (435) 787-2223 Phone: (435) 258-2301 Phone: (435) 752-4882

County: CACHE County: CACHE County: CACHE

CACHE County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 4: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

FOSTER, GARY HUNT, TYLER JENSEN, STEWARTGeneral Dentistry General Dentistry General Dentistry

GARY G FOSTER DDS LEGACY DENTAL OF CACHE VALLEY S WAYNE JENSEN DDS

110 EAST 200 NORTH, LOGAN 51 EAST MAIN, WELLSVILLE 167 EAST 200 NORTH, LOGAN

LOGAN, UT 84321 WELLSVILLE, UT 84339 LOGAN, UT 84321

Phone: (435) 752-0300 Phone: (435) 245-6035 Phone: (435) 752-5451

County: CACHE County: CACHE County: CACHE

ANDERSON, GREGORY BINGHAM, LEGRAND HARRIS, CHADOral Surgery General Dentistry General Dentistry

GREGORY E ANDERSON DDS LEGRAND BINGHAM FAMILY DENTISTRY SMITHFIELD DENTAL CARE

1395 NORTH 400 EAST, LOGAN 120 WEST CACHE VALLEY BOULEVARD, LOGAN 1189 SOUTH MAIN STREET, SMITHFIELD

LOGAN, UT 84341 LOGAN, UT 84341 SMITHFIELD, UT 84335

Phone: (435) 755-5000 Phone: (435) 753-7563 Phone: (435) 563-3025

County: CACHE County: CACHE County: CACHE

CARLSON, MONTE HARRIS, PAUL JOHNSON, RICHARDGeneral Dentistry General Dentistry General Dentistry

HYDE PARK DENTAL LOGAN DENTAL ASSOCIATES SOUTH VALLEY FAMILY DENTAL

3125 NORTH MAIN, LOGAN 40 WEST CACHE VALLEY BOULEVARD, LOGAN 169 NORTH SPRINGCREEK PARKWAY, PROVIDENCE

LOGAN, UT 84341 LOGAN, UT 84341 PROVIDENCE, UT 84332

Phone: (435) 787-4444 Phone: (435) 787-8207 Phone: (435) 787-2122

County: CACHE County: CACHE County: CACHE

BLANCH, JOSEPH LARSON, ANTHONY BUTLER, TODDGeneral Dentistry General Dentistry General Dentistry

JOSEPH P BLANCH DDS LOGAN DENTAL ASSOCIATES SPRING CREEK DENTAL ASSOCIATES

167 EAST 200 NORTH, LOGAN 40 WEST CACHE VALLEY BOULEVARD, LOGAN 274 NORTH SPRING CREEK PARKWAY, PROVIDENCE

LOGAN, UT 84321 LOGAN, UT 84341 PROVIDENCE, UT 84332

Phone: (435) 752-2704 Phone: (435) 787-8207 Phone: (435) 713-0096

County: CACHE County: CACHE County: CACHE

HAMMOND, KEITH SUISSE, BRENT CURTIS, STEVENGeneral Dentistry General Dentistry General Dentistry

KEITH D HAMMOND DDS LOGAN DENTAL ASSOCIATES STEVEN B CURTIS DMD

290 NORTH 200 EAST, LOGAN 40 WEST CACHE VALLEY BOULEVARD, LOGAN 1320 NORTH 600 EAST, LOGAN

LOGAN, UT 84321 LOGAN, UT 84341 LOGAN, UT 84341

Phone: (435) 753-0505 Phone: (435) 787-8207 Phone: (435) 753-1690

County: CACHE County: CACHE County: CACHE

MORTENSON, CELESTE MAUGHAN, WILLARDGeneral Dentistry Periodontology

KEITH D HAMMOND DDS MAUGHAN PERIODONTICS

290 NORTH 200 EAST, LOGAN 1445 NORTH 400 EAST, LOGAN

LOGAN, UT 84321 LOGAN, UT 84341

Phone: (435) 753-0505 Phone: (801) 786-9006

County: CACHE County: CACHE

FRYER, KENNETH WALTON, TROY JACKSON, MARVINPediatric Dentistry General Dentistry General Dentistry

KENNETH DOUGLAS FRYER REDWOOD DENTAL A PERFECT SMILE

1300 NORTH 200 EAST, LOGAN 271 NORTH SPRINGCREEK PARKWAY, PROVIDENCE 690 WEST PRICE RIVER DRIVE, PRICE

LOGAN, UT 84341 PROVIDENCE, UT 84332 PRICE, UT 84501

Phone: (435) 792-3033 Phone: (435) 755-6562 Phone: (435) 637-2100

County: CACHE County: CACHE County: CARBON

CARBON County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 5: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

LARSEN, CLYDE THOMAS, RYAN EATON, JASONGeneral Dentistry General Dentistry General Dentistry

C S LARSEN DDS BAER CANYON DENTAL BRIGHTER DENTAL

190 NORTH CARBON AVENUE, PRICE 275 NORTH 300 WEST, KAYSVILLE 1916 NORTH 700 WEST, LAYTON

PRICE, UT 84501 KAYSVILLE, UT 84037 LAYTON, UT 84041

Phone: (435) 637-0795 Phone: (801) 544-9444 Phone: (801) 525-2200

County: CARBON County: DAVIS County: DAVIS

OLSON, MARK LEAVER, BENJAMIN CHRISTENSEN, CHADGeneral Dentistry General Dentistry Endodontics

MARK OLSON DDS BENJAMIN D LEAVER DMD CHAD E CHRISTENSEN DMD

96 NORTH 400 EAST, PRICE 1466 NORTH HIGHWAY 89, FARMINGTON 1842 SOUTH 2000 WEST, SYRACUSE

PRICE, UT 84501 FARMINGTON, UT 84025 SYRACUSE, UT 84075

Phone: (435) 637-3236 Phone: (801) 451-7812 Phone: (801) 773-2366

County: CARBON County: DAVIS County: DAVIS

LUND, TRACE FELLER, JOSEPH FRENCH, RONALDPediatric Dentistry Orthodontics Pediatric Dentistry

PROVO PEDIATRIC DENTAL BOUNTIFUL ORTHODONTICS CHILDRENS DENTAL SPECIALIST

391 NORTH 400 EAST, PRICE 625 EAST 500 SOUTH, BOUNTIFUL 2112 NORTH HILL FIELD ROAD, LAYTON

PRICE, UT 84501 BOUNTIFUL, UT 84010 LAYTON, UT 84041

Phone: (435) 637-9590 Phone: (801) 295-3467 Phone: (435) 201-1416

County: CARBON County: DAVIS County: DAVIS

MARKHAM, KEVIN PALMER, BRIAN BAHR, CHRISTIANPediatric Dentistry General Dentistry General Dentistry

PROVO PEDIATRIC DENTAL BRADLEY PALMER CHRISTIAN K BAHR DDS

391 NORTH 400 EAST, PRICE 56 SOUTH 200 EAST, FARMINGTON 460 SOUTH 400 EAST, BOUNTIFUL

PRICE, UT 84501 FARMINGTON, UT 84025 BOUNTIFUL, UT 84010

Phone: (435) 637-9590 Phone: (801) 451-2841 Phone: (801) 295-5586

County: CARBON County: DAVIS County: DAVIS

PALMER, BRADLEY RAMSDELL, CHRISTOPHERGeneral Dentistry General Dentistry

BRADLEY PALMER CHRISTOPHER MICHAEL RAMSDELL DDS

56 SOUTH 200 EAST, FARMINGTON 1080 SOUTH 400 EAST, CENTERVILLE

FARMINGTON, UT 84025 CENTERVILLE, UT 84014

Phone: (801) 451-2841 Phone: (801) 292-4449

County: DAVIS County: DAVIS

HADLEY, CURTIS JACKSON, BRETT ROBINS, CHRISTOPHERGeneral Dentistry General Dentistry General Dentistry

ANTELOPE DENTAL BRETT R JACKSON DMD CHRISTOPHER ROBINS DDS

971 WEST 1700 SOUTH, SYRACUSE 1868 NORTH 400 WEST, LAYTON 255 NORTH 3000 WEST, WEST POINT

SYRACUSE, UT 84075 LAYTON, UT 84041 WEST POINT, UT 84015

Phone: (801) 774-8967 Phone: (801) 774-8190 Phone: (801) 784-9000

County: DAVIS County: DAVIS County: DAVIS

BAIRD, ANTHONY CALL, BRIAN MORGAN, CHRISTOPHERGeneral Dentistry General Dentistry General Dentistry

ANTHONY J BAIRD DDS BRIAN D CALL DDS CHRISTOPHER T MORGAN DDS

1455 SOUTH 500 WEST, BOUNTIFUL 1433 NORTH 1075 WEST, FARMINGTON 47 EAST CRESTWOOD ROAD, KAYSVILLE

BOUNTIFUL, UT 84010 FARMINGTON, UT 84025 KAYSVILLE, UT 84037

Phone: (801) 292-4009 Phone: (801) 451-6222 Phone: (801) 546-2439

County: DAVIS County: DAVIS County: DAVIS

DAVIS County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 6: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

COLEMAN, BRETT CHASTON, REVE PRICE, CORYOrthodontics Periodontology Orthodontics

COLEMAN ORTHODONTICS DAVIS CENTER DAVIS CENTER

780 SOUTH 2200 WEST, SYRACUSE 1492 WEST ANTELOPE DRIVE, LAYTON 1492 WEST ANTELOPE DRIVE, LAYTON

SYRACUSE, UT 84075 LAYTON, UT 84041 LAYTON, UT 84041

Phone: (801) 614-9090 Phone: (801) 776-6566 Phone: (801) 776-6566

County: DAVIS County: DAVIS County: DAVIS

RORING, JOHN CHIDESTER, ROBERT READING, TYLERGeneral Dentistry General Dentistry Pediatric Dentistry

COMFORT DENTAL DAVIS CENTER DAVIS CENTER

2207 WEST 1800 NORTH, CLINTON 1492 WEST ANTELOPE DRIVE, LAYTON 1492 WEST ANTELOPE DRIVE, LAYTON

CLINTON, UT 84015 LAYTON, UT 84041 LAYTON, UT 84041

Phone: (801) 825-3993 Phone: (801) 776-6566 Phone: (801) 776-6566

County: DAVIS County: DAVIS County: DAVIS

MATTINSON, CRAIG CHRISTENSEN, JOSEPH RIZZO, RICHARDGeneral Dentistry Endodontics Periodontology

CRAIG J MATTINSON DDS DAVIS CENTER DAVIS CENTER

1355 NORTH MAIN STREET, BOUNTIFUL 1492 WEST ANTELOPE DRIVE, LAYTON 1492 WEST ANTELOPE DRIVE, LAYTON

BOUNTIFUL, UT 84010 LAYTON, UT 84041 LAYTON, UT 84041

Phone: (801) 294-3345 Phone: (801) 776-6566 Phone: (801) 776-6566

County: DAVIS County: DAVIS County: DAVIS

COOMBS, CRAIG HART, RYAN STEELE, RICHARDOrthodontics General Dentistry General Dentistry

CRAIG L COOMBS DDS DAVIS CENTER DAVIS CENTER

2185 NORTH 1700 WEST, LAYTON 1492 WEST ANTELOPE DRIVE, LAYTON 1492 WEST ANTELOPE DRIVE, LAYTON

LAYTON, UT 84041 LAYTON, UT 84041 LAYTON, UT 84041

Phone: (801) 773-5836 Phone: (801) 776-6566 Phone: (801) 776-6566

County: DAVIS County: DAVIS County: DAVIS

MCMILLAN, DAVID KARREN, GARY STEVENSON, NATHANGeneral Dentistry Endodontics Pediatric Dentistry

DAVID G MCMILLAN DDS DAVIS CENTER DAVIS CENTER

70 WEST GORDON AVENUE, LAYTON 1492 WEST ANTELOPE DRIVE, LAYTON 1492 WEST ANTELOPE DRIVE, LAYTON

LAYTON, UT 84041 LAYTON, UT 84041 LAYTON, UT 84041

Phone: (801) 546-9400 Phone: (801) 776-6566 Phone: (801) 776-6566

County: DAVIS County: DAVIS County: DAVIS

HUFFAKER, DAVID LEAVER, BENJAMIN THUNELL, DANIELGeneral Dentistry General Dentistry Periodontology

DAVID M HUFFAKER DDS DAVIS CENTER DAVIS CENTER

134 SOUTH MAIN, CENTERVILLE 1492 WEST ANTELOPE DRIVE, LAYTON 1492 WEST ANTELOPE DRIVE, LAYTON

CENTERVILLE, UT 84014 LAYTON, UT 84041 LAYTON, UT 84041

Phone: (801) 292-5172 Phone: (801) 776-6566 Phone: (801) 776-6566

County: DAVIS County: DAVIS County: DAVIS

ARRINGTON, BLYTHE LINDGREN, JEREMIAH VERNON, ANDREWGeneral Dentistry General Dentistry General Dentistry

DAVIS CENTER DAVIS CENTER DAVIS CENTER

1492 WEST ANTELOPE DRIVE, LAYTON 1492 WEST ANTELOPE DRIVE, LAYTON 1492 WEST ANTELOPE DRIVE, LAYTON

LAYTON, UT 84041 LAYTON, UT 84041 LAYTON, UT 84041

Phone: (801) 776-6566 Phone: (801) 776-6566 Phone: (801) 776-6566

County: DAVIS County: DAVIS County: DAVIS

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 7: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

WATSON, JAMEY DAY, JOHN JESSEN, GREGORYOrthodontics General Dentistry Orthodontics

DAVIS CENTER DENTAL CARE CENTER DOCTOR F ZANE JESSEN DDS

1492 WEST ANTELOPE DRIVE, LAYTON 573 NORTH 1000 WEST, CLEARFIELD 1448 NORTH 2000 WEST, CLEARFIELD

LAYTON, UT 84041 CLEARFIELD, UT 84015 CLEARFIELD, UT 84015

Phone: (801) 776-6566 Phone: (801) 776-1000 Phone: (801) 479-8201

County: DAVIS County: DAVIS County: DAVIS

WATSON, JEREMY GOUPIOS, PANOS PETER BROUGH, GRANTOrthodontics General Dentistry General Dentistry

DAVIS CENTER DENTAL CARE CENTER DOCTOR GRANT A BROUGH DDS

1492 WEST ANTELOPE DRIVE, LAYTON 573 NORTH 1000 WEST, CLEARFIELD 2307 NORTH HILL FIELD ROAD, LAYTON

LAYTON, UT 84041 CLEARFIELD, UT 84015 LAYTON, UT 84041

Phone: (801) 776-6566 Phone: (801) 776-1000 Phone: (801) 773-5285

County: DAVIS County: DAVIS County: DAVIS

WATTS, ROBERT GOUPIOS, ROBERT HANSEN, JEFFREYEndodontics General Dentistry General Dentistry

DAVIS CENTER DENTAL CARE CENTER DOCTOR HANSENS FAMILY DENTISTRY

1492 WEST ANTELOPE DRIVE, LAYTON 573 NORTH 1000 WEST, CLEARFIELD 1747 SOUTH HERITAGE LANE, SYRACUSE

LAYTON, UT 84041 CLEARFIELD, UT 84015 SYRACUSE, UT 84075

Phone: (801) 776-6566 Phone: (801) 776-1000 Phone: (801) 525-1725

County: DAVIS County: DAVIS County: DAVIS

KNOLES, DENNIS HIBLER, GEORGE GRAY, ERICOrthodontics General Dentistry General Dentistry

DB KNOLES DDS DENTAL CARE CENTER ERIC T GRAY DDS

193 SOUTH 200 WEST, FARMINGTON 573 NORTH 1000 WEST, CLEARFIELD 475 NORTH 300 WEST, KAYSVILLE

FARMINGTON, UT 84025 CLEARFIELD, UT 84015 KAYSVILLE, UT 84037

Phone: (801) 451-0333 Phone: (801) 776-1000 Phone: (801) 543-2220

County: DAVIS County: DAVIS County: DAVIS

KNOLES, DENNIS TROILI, DEAN FINLINSON, CLARKOrthodontics General Dentistry General Dentistry

DB KNOLES DDS DENTAL CARE CENTER FINLINSON DENTISTRY

281 SOUTH MAIN, CENTERVILLE 573 NORTH 1000 WEST, CLEARFIELD 195 EAST GENTILE, LAYTON

CENTERVILLE, UT 84014 CLEARFIELD, UT 84015 LAYTON, UT 84041

Phone: (801) 298-3000 Phone: (801) 776-1000 Phone: (801) 544-1818

County: DAVIS County: DAVIS County: DAVIS

BINGHAM, ROBERT TOMLINSON, BLAIR FLYNN, ROBERTGeneral Dentistry General Dentistry General Dentistry

DENALI DENTAL DOCTOR BLAIR D TOMLINSON DDS FLYNN DENTISTRY KAYSVILLE

47 CRESTWOOD ROAD, KAYSVILLE 360 SOUTH FORT LANE, LAYTON 206 SOUTH MAIN STREET, KAYSVILLE

KAYSVILLE, UT 84037 LAYTON, UT 84041 KAYSVILLE, UT 84037

Phone: (801) 544-4204 Phone: (801) 546-1066 Phone: (801) 497-0619

County: DAVIS County: DAVIS County: DAVIS

JENSEN, DANIEL JESSEN, FRANK HUFFAKER, FORDGeneral Dentistry Oral Surgery General Dentistry

DENALI DENTAL DOCTOR F ZANE JESSEN DDS FORD B HUFFAKER DDS

47 CRESTWOOD ROAD, KAYSVILLE 1448 NORTH 2000 WEST, CLEARFIELD 134 SOUTH MAIN STREET, CENTERVILLE

KAYSVILLE, UT 84037 CLEARFIELD, UT 84015 CENTERVILLE, UT 84014

Phone: (801) 544-4204 Phone: (801) 479-8201 Phone: (801) 292-5172

County: DAVIS County: DAVIS County: DAVIS

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 8: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

LUEDTKE, FRED SCOVILLE, RONALD BARTON, JASONGeneral Dentistry General Dentistry General Dentistry

FRED W LUEDTKE DDS HILLSIDE DENTAL ASSOCIATES JASON G BARTON DDS

1260 SOUTH 500 WEST, BOUNTIFUL 466 NORTH MAIN STREET, CLEARFIELD 302 NORTH MAIN STREET, KAYSVILLE

BOUNTIFUL, UT 84010 CLEARFIELD, UT 84015 KAYSVILLE, UT 84037

Phone: (801) 294-6174 Phone: (801) 776-8441 Phone: (801) 544-3953

County: DAVIS County: DAVIS County: DAVIS

KNUDSON, DARIN ELMER, JONATHAN SHIELDS, JAYGeneral Dentistry General Dentistry General Dentistry

HERITAGE DENTAL ASSOCIATES HORIZON DENTAL OF BOUNTIFUL JAY G SHIELDS DDS

1747 SOUTH HERITAGE LANE, SYRACUSE 55 EAST 2200 SOUTH, BOUNTIFUL 1037 EAST CLAREMONT DRIVE, BOUNTIFUL

SYRACUSE, UT 84075 BOUNTIFUL, UT 84010 BOUNTIFUL, UT 84010

Phone: (801) 525-1415 Phone: (801) 295-5115 Phone: (801) 295-1613

County: DAVIS County: DAVIS County: DAVIS

NIELD, ANDREW TROTTER, HOWARD GREENHALGH, JENNIFERGeneral Dentistry General Dentistry General Dentistry

HERITAGE DENTAL ASSOCIATES HOWARD TROTTER DDS JENNIFER GREENHALGH DMD

1747 SOUTH HERITAGE LANE, SYRACUSE 170 WEST 1800 NORTH, SUNSET 1512 RENAISSANCE TOWNE DRIVE, BOUNTIFUL

SYRACUSE, UT 84075 SUNSET, UT 84015 BOUNTIFUL, UT 84010

Phone: (801) 525-1415 Phone: (801) 733-1533 Phone: (801) 292-2622

County: DAVIS County: DAVIS County: DAVIS

WILDING, ALAN COOK, MATTHEW GODDERIDGE, JEREMYGeneral Dentistry General Dentistry General Dentistry

HERITAGE DENTAL ASSOCIATES J CRAIG KARREN DDS PC JEREMY GODDERIDGE DDS

1747 SOUTH HERITAGE LANE, SYRACUSE 1480 SOUTH ORCHARD DRIVE, BOUNTIFUL 1792 WEST 1700 SOUTH, SYRACUSE

SYRACUSE, UT 84075 BOUNTIFUL, UT 84010 SYRACUSE, UT 84075

Phone: (801) 525-1415 Phone: (801) 295-9500 Phone: (801) 779-6037

County: DAVIS County: DAVIS County: DAVIS

WARD, MARK KARREN, JOSEPH JONES, MICHAELGeneral Dentistry General Dentistry Pediatric Dentistry

HERITAGE PARK DENTAL J CRAIG KARREN DDS PC KAYSVILLE PEDIATRIC DENTAL

890 HERITAGE PARK BOULEVARD, LAYTON 1480 SOUTH ORCHARD DRIVE, BOUNTIFUL 250 WEST 200 NORTH, KAYSVILLE

LAYTON, UT 84041 BOUNTIFUL, UT 84010 KAYSVILLE, UT 84037

Phone: (801) 593-6888 Phone: (801) 295-9500 Phone: (801) 544-3323

County: DAVIS County: DAVIS County: DAVIS

OBERG, BRANDI HARTVIGSEN, JAMES EGAN, KELLYGeneral Dentistry General Dentistry General Dentistry

HILLSIDE DENTAL ASSOCIATES JAMES L HARTVIGSEN KELLY C EGAN DMD

466 NORTH MAIN STREET, CLEARFIELD 1325 NORTH MAIN, BOUNTIFUL 70 WEST GORDON AVENUE, LAYTON

CLEARFIELD, UT 84015 BOUNTIFUL, UT 84010 LAYTON, UT 84041

Phone: (801) 776-8441 Phone: (801) 292-1221 Phone: (801) 544-3844

County: DAVIS County: DAVIS County: DAVIS

SCOVILLE, RONALD RICHARDSON, JARED DASTRUP, KENTGeneral Dentistry General Dentistry General Dentistry

HILLSIDE DENTAL ASSOCIATES JARED L RICHARDSON DDS KENT A DASTRUP DDS

466 NORTH MAIN STREET, CLEARFIELD 47 EAST CRESTWOOD ROAD, KAYSVILLE 281 SOUTH MAIN STREET, CENTERVILLE

CLEARFIELD, UT 84015 KAYSVILLE, UT 84037 CENTERVILLE, UT 84014

Phone: (801) 776-8441 Phone: (801) 546-2439 Phone: (801) 292-0411

County: DAVIS County: DAVIS County: DAVIS

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 9: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

TOONE, KENT EGGERT, MARK WASUITA, MICHAELGeneral Dentistry General Dentistry Orthodontics

KENT J TOONE DDS MARK P EGGERT DDS MICHAEL L WASUITA DMD

460 SOUTH 400 EAST, BOUNTIFUL 1435 SOUTH 1350 EAST, CLEARFIELD 1747 SOUTH 1865 WEST HERITAGE LANE, SYRACUSE

BOUNTIFUL, UT 84010 CLEARFIELD, UT 84015 SYRACUSE, UT 84075

Phone: (801) 295-5585 Phone: (801) 773-6170 Phone: (801) 525-1500

County: DAVIS County: DAVIS County: DAVIS

MORGAN, KYLE MILLER, MARK WASUITA, MICHAELGeneral Dentistry General Dentistry Orthodontics

KYLE S MORGAN MARK T MILLER DDS MICHAEL L WASUITA DMD

47 EAST CRESTWOOD ROAD, KAYSVILLE 307 NORTH 300 WEST, KAYSVILLE 525 NORTH FAIRFIELD ROAD, LAYTON

KAYSVILLE, UT 84037 KAYSVILLE, UT 84037 LAYTON, UT 84041

Phone: (801) 546-2439 Phone: (801) 544-4003 Phone: (801) 546-1012

County: DAVIS County: DAVIS County: DAVIS

ALLEN, FRANKLIN BRINKERHOFF, MATTHEW BRONSON, MICHAELGeneral Dentistry General Dentistry General Dentistry

LAKEVIEW DENTAL SYRACUSE MATTHEW S BRINKERHOFF MICHAEL R BRONSON DDS

1662 SOUTH 2000 WEST, SYRACUSE 469 MEDICAL DRIVE, BOUNTIFUL 1448 NORTH 2000 WEST, CLINTON

SYRACUSE, UT 84075 BOUNTIFUL, UT 84010 CLINTON, UT 84015

Phone: (801) 825-2273 Phone: (801) 298-7728 Phone: (801) 728-3924

County: DAVIS County: DAVIS County: DAVIS

ANDERSON, JAMES DEMILLE, CHRISTOPHER ARRINGTON, BLYTHEGeneral Dentistry General Dentistry General Dentistry

LAKEVIEW DENTAL SYRACUSE MEMILL MACKAY DENTAL MONARCH DENTAL BOUNTIFUL

1662 SOUTH 2000 WEST, SYRACUSE 386 NORTH REDWOOD ROAD, NORTH SALT LAKE 24 SOUTH 500 WEST, BOUNTIFUL

SYRACUSE, UT 84075 NORTH SALT LAKE, UT 84054 BOUNTIFUL, UT 84010

Phone: (801) 825-2273 Phone: (801) 397-5262 Phone: (801) 296-1606

County: DAVIS County: DAVIS County: DAVIS

PATTON, BEKKI MACKAY, LYNDON CHASTON, REVEGeneral Dentistry General Dentistry Periodontology

LAKEVIEW DENTAL SYRACUSE MEMILL MACKAY DENTAL MONARCH DENTAL BOUNTIFUL

1662 SOUTH 2000 WEST, SYRACUSE 386 NORTH REDWOOD ROAD, NORTH SALT LAKE 24 SOUTH 500 WEST, BOUNTIFUL

SYRACUSE, UT 84075 NORTH SALT LAKE, UT 84054 BOUNTIFUL, UT 84010

Phone: (801) 825-2273 Phone: (801) 397-5262 Phone: (801) 296-1606

County: DAVIS County: DAVIS County: DAVIS

CANNON, HYRUM MACKAY, DAVID CHIDESTER, ROBERTGeneral Dentistry General Dentistry General Dentistry

LEGACY FAMILY DENTAL OF BOUNTIFUL MEMILL MACKAY DENTAL MONARCH DENTAL BOUNTIFUL

55 EAST 2200 SOUTH, BOUNTIFUL 386 NORTH REDWOOD ROAD, NORTH SALT LAKE 24 SOUTH 500 WEST, BOUNTIFUL

BOUNTIFUL, UT 84010 NORTH SALT LAKE, UT 84054 BOUNTIFUL, UT 84010

Phone: (801) 295-5115 Phone: (801) 397-5262 Phone: (801) 296-1606

County: DAVIS County: DAVIS County: DAVIS

MACKAY, MATTHEW MORTENSEN, MICAH CHRISTENSEN, JOSEPHGeneral Dentistry Orthodontics Endodontics

MACKAY DENTAL CARE MICAH G MORTENSEN DDS MONARCH DENTAL BOUNTIFUL

280 NORTH 200 WEST, BOUNTIFUL 195 EAST GENTILE STREET, LAYTON 24 SOUTH 500 WEST, BOUNTIFUL

BOUNTIFUL, UT 84010 LAYTON, UT 84041 BOUNTIFUL, UT 84010

Phone: (801) 397-2323 Phone: (801) 544-1184 Phone: (801) 296-1606

County: DAVIS County: DAVIS County: DAVIS

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 10: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

CLARK, RDEAN STEELE, RICHARD CHANDLER, JASONOrthodontics General Dentistry Orthodontics

MONARCH DENTAL BOUNTIFUL MONARCH DENTAL BOUNTIFUL ORAL AND MAXILLOFACIAL SURGEONS OF UTAH

24 SOUTH 500 WEST, BOUNTIFUL 24 SOUTH 500 WEST, BOUNTIFUL 469 EAST MEDICAL DRIVE, BOUNTIFUL

BOUNTIFUL, UT 84010 BOUNTIFUL, UT 84010 BOUNTIFUL, UT 84010

Phone: (801) 296-1606 Phone: (801) 296-1606 Phone: (801) 299-8531

County: DAVIS County: DAVIS County: DAVIS

HICKMAN, WILLIAM VERNON, ANDREW LISTON, TODDGeneral Dentistry General Dentistry Oral Surgery

MONARCH DENTAL BOUNTIFUL MONARCH DENTAL BOUNTIFUL ORAL AND MAXILLOFACIAL SURGEONS OF UTAH

24 SOUTH 500 WEST, BOUNTIFUL 24 SOUTH 500 WEST, BOUNTIFUL 2297 NORTH HILL FIELD ROAD SUITE 105, LAYTON

BOUNTIFUL, UT 84010 BOUNTIFUL, UT 84010 LAYTON, UT 84041

Phone: (801) 296-1606 Phone: (801) 296-1606 Phone: (801) 779-0506

County: DAVIS County: DAVIS County: DAVIS

JOHNSON, ROBERT NEVILLE, JEFFRY LISTON, TODDGeneral Dentistry General Dentistry Oral Surgery

MONARCH DENTAL BOUNTIFUL NEVILLE DENTAL CARE ORAL AND MAXILLOFACIAL SURGEONS OF UTAH

24 SOUTH 500 WEST, BOUNTIFUL 743 KING STREET, LAYTON 469 EAST MEDICAL DRIVE, BOUNTIFUL

BOUNTIFUL, UT 84010 LAYTON, UT 84041 BOUNTIFUL, UT 84010

Phone: (801) 296-1606 Phone: (801) 543-2273 Phone: (801) 299-8531

County: DAVIS County: DAVIS County: DAVIS

LEAVER, BENJAMIN NEVILLE, JEFFRY SCHMUTZ, PAULGeneral Dentistry General Dentistry General Dentistry

MONARCH DENTAL BOUNTIFUL NEVILLE DENTAL CARE PAUL A SCHMUTZ DDS

24 SOUTH 500 WEST, BOUNTIFUL 743 NORTH KING STREET, LAYTON 581 WEST 2600 SOUTH, BOUNTIFUL

BOUNTIFUL, UT 84010 LAYTON, UT 84041 BOUNTIFUL, UT 84010

Phone: (801) 296-1606 Phone: (801) 543-2273 Phone: (801) 295-4746

County: DAVIS County: DAVIS County: DAVIS

OLSEN, PHILLIP BROADBENT, MICHAEL LARSEN, PAULGeneral Dentistry Oral Surgery General Dentistry

MONARCH DENTAL BOUNTIFUL ORAL AND MAXILLOFACIAL SURGEONS OF UTAH PAUL C LARSEN DMD

24 SOUTH 500 WEST, BOUNTIFUL 469 EAST MEDICAL DRIVE, BOUNTIFUL 395 EAST 500 SOUTH, BOUNTIFUL

BOUNTIFUL, UT 84010 BOUNTIFUL, UT 84010 BOUNTIFUL, UT 84010

Phone: (801) 296-1606 Phone: (801) 299-8531 Phone: (801) 295-8881

County: DAVIS County: DAVIS County: DAVIS

READING, TYLER BROADBENT, MICHAEL ANDERSON, JOHNPediatric Dentistry Oral Surgery Pediatric Dentistry

MONARCH DENTAL BOUNTIFUL ORAL AND MAXILLOFACIAL SURGEONS OF UTAH PEDIATRIC DENTAL

24 SOUTH 500 WEST, BOUNTIFUL 2297 NORTH HILL FIELD ROAD SUITE 105, LAYTON 1401 NORTH 1075 WEST, FARMINGTON

BOUNTIFUL, UT 84010 LAYTON, UT 84041 FARMINGTON, UT 84025

Phone: (801) 296-1606 Phone: (801) 779-0506 Phone: (801) 447-5437

County: DAVIS County: DAVIS County: DAVIS

RIZZO, RICHARD CHANDLER, JASON JOHNSON, RICHARDPeriodontology Orthodontics General Dentistry

MONARCH DENTAL BOUNTIFUL ORAL AND MAXILLOFACIAL SURGEONS OF UTAH PEDIATRIC DENTAL

24 SOUTH 500 WEST, BOUNTIFUL 2297 NORTH HILL FIELD ROAD SUITE 105, LAYTON 1401 NORTH 1075 WEST, FARMINGTON

BOUNTIFUL, UT 84010 LAYTON, UT 84041 FARMINGTON, UT 84025

Phone: (801) 296-1606 Phone: (801) 779-0506 Phone: (801) 447-5437

County: DAVIS County: DAVIS County: DAVIS

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 11: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

ARKOUDAS, WADE WIBLE, DARREN FROST, RONPediatric Dentistry General Dentistry General Dentistry

PEDIATRIC DENTISTRY PEDIATRIC DENTISTRY RON A FROST DMD

2112 NORTH HILL FIELD ROAD, LAYTON 2112 NORTH HILL FIELD ROAD, LAYTON 1868 NORTH 400 WEST, LAYTON

LAYTON, UT 84041 LAYTON, UT 84041 LAYTON, UT 84041

Phone: (801) 774-0770 Phone: (801) 774-0770 Phone: (801) 774-8190

County: DAVIS County: DAVIS County: DAVIS

BABCOCK, DAVID PITT, BRUCE WALDRON, RYDERGeneral Dentistry General Dentistry General Dentistry

PEDIATRIC DENTISTRY PITT FAMILY DENTAL RYDER WALDRON DDS

2112 NORTH HILL FIELD ROAD, LAYTON 281 SOUTH MAIN STREET, CENTERVILLE 170 WEST 1800 NORTH, CLEARFIELD

LAYTON, UT 84041 CENTERVILLE, UT 84014 CLEARFIELD, UT 84015

Phone: (801) 774-0770 Phone: (801) 295-6192 Phone: (801) 773-1533

County: DAVIS County: DAVIS County: DAVIS

BROWN, JENNIFER PITT, JASON CARLTON, SCOTTGeneral Dentistry General Dentistry General Dentistry

PEDIATRIC DENTISTRY PITT FAMILY DENTAL SCOTT CARLTON DDS

2112 NORTH HILL FIELD ROAD, LAYTON 281 SOUTH MAIN STREET, CENTERVILLE 1435 SOUTH 1350 EAST, CLEARFIELD

LAYTON, UT 84041 CENTERVILLE, UT 84014 CLEARFIELD, UT 84015

Phone: (801) 774-0770 Phone: (801) 295-6192 Phone: (801) 774-6567

County: DAVIS County: DAVIS County: DAVIS

FRENCH, RONALD PITT, JEREM PECK, SHELDONPediatric Dentistry General Dentistry Orthodontics

PEDIATRIC DENTISTRY PITT FAMILY DENTAL SHELDON PECK ORTHODONTICS

2112 NORTH HILL FIELD ROAD, LAYTON 281 SOUTH MAIN STREET, CENTERVILLE 1792 WEST 1700 SOUTH, SYRACUSE

LAYTON, UT 84041 CENTERVILLE, UT 84014 SYRACUSE, UT 84075

Phone: (801) 774-0770 Phone: (801) 295-6192 Phone: (801) 525-1333

County: DAVIS County: DAVIS County: DAVIS

HENDRICKSON, HEATH PALMER, ROBERT MORGAN, STEPHENGeneral Dentistry General Dentistry General Dentistry

PEDIATRIC DENTISTRY R CLAIR PALMER DDS STEPHEN S MORGAN

2112 NORTH HILL FIELD ROAD, LAYTON 183 NORTH MAIN STREET, CLEARFIELD 47 EAST CRESTWOOD ROAD, KAYSVILLE

LAYTON, UT 84041 CLEARFIELD, UT 84015 KAYSVILLE, UT 84037

Phone: (801) 774-0770 Phone: (801) 825-1822 Phone: (801) 546-2439

County: DAVIS County: DAVIS County: DAVIS

PACK, LELAND JOHNSON, RALPH HESS, JASONOrthodontics General Dentistry General Dentistry

PEDIATRIC DENTISTRY RALPH S JOHNSON DDS STONERIDGE DENTAL

2112 NORTH HILL FIELD ROAD, LAYTON 415 SOUTH MEDICAL DRIVE, BOUNTIFUL 1448 NORTH 2000 WEST, CLEARFIELD

LAYTON, UT 84041 BOUNTIFUL, UT 84010 CLEARFIELD, UT 84015

Phone: (801) 774-0770 Phone: (801) 295-1198 Phone: (801) 774-5200

County: DAVIS County: DAVIS County: DAVIS

POWELL, LELAND ALBERTELLI, ROBERT WOODMANSEE, TERRELLPediatric Dentistry General Dentistry General Dentistry

PEDIATRIC DENTISTRY ROCKY MOUNTIAN DENTAL ASSOCIATES SUMMIT DENTAL

2112 NORTH HILL FIELD ROAD, LAYTON 1480 SOUTH ORCHARD DRIVE, BOUNTIFUL 3225 WEST GORDON AVENUE, LAYTON

LAYTON, UT 84041 BOUNTIFUL, UT 84010 LAYTON, UT 84041

Phone: (801) 774-0770 Phone: (801) 295-7171 Phone: (801) 547-8800

County: DAVIS County: DAVIS County: DAVIS

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 12: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

JOHNSON, TAD WOODBURY, WILLIAM ALBRECHT, TYLEROrthodontics General Dentistry Pediatric Dentistry

TAD T JOHNSON WILLIAM E WOODBURY DDS CEDAR VIEW PADIATRIC DENTISTRY

3225 WEST GORDON AVENUE, LAYTON 195 EAST GENTILE STREET, LAYTON 1251 NORTH NORTHFIELD ROAD, CEDAR CITY

LAYTON, UT 84041 LAYTON, UT 84041 CEDAR CITY, UT 84721

Phone: (801) 731-0088 Phone: (801) 546-0007 Phone: (435) 586-8188

County: DAVIS County: DAVIS County: IRON

COX, KEVIN ISRAELSEN, LAURENCE FAULKNER, DAVINGeneral Dentistry Oral Surgery General Dentistry

THE DENTAL AND ORAL CARE CLINIC WISDOM TEETH ORAL SURGERY DAVIN G FAULKNER DMD

975 SOUTH STATE STREET, CLEARFIELD 1551 SOUTH MAIN, BOUNTIFUL 110 WEST 1325 NORTH, CEDAR CITY

CLEARFIELD, UT 84015 BOUNTIFUL, UT 84010 CEDAR CITY, UT 84721

Phone: (801) 773-5914 Phone: (801) 397-2727 Phone: (485) 586-3884

County: DAVIS County: DAVIS County: IRON

NEWEY, MARK BROWN, GREGORYOral Surgery General Dentistry

THE ORAL AND FACIAL SURGERY CENTER GREGORY H BROWN DDS

938 SOUTH UNIVERSITY PARK BOULEVARD, CLEARFIELD 415 NORTH MAIN STREET, CEDAR CITY

CLEARFIELD, UT 84015 CEDAR CITY, UT 84721

Phone: (801) 825-1116 Phone: (435) 586-3885

County: DAVIS County: IRON

HUFFAKER, TODD GORMAN, GREGORY SORENSEN, JAMESGeneral Dentistry General Dentistry General Dentistry

TODD B HUFFAKER DDS GREGORY J GORMAN DMD JAMES W SORENSEN DDS PC

134 SOUTH MAIN STREET, CENTERVILLE 570 WEST 400 NORTH, MOAB 1883 WEST ROYAL HUNTE DRIVE, CEDAR CITY

CENTERVILLE, UT 84014 MOAB, UT 84532 CEDAR CITY, UT 84720

Phone: (801) 292-5172 Phone: (435) 259-4333 Phone: (435) 586-6541

County: DAVIS County: GRAND County: IRON

DEDECKER, TROY WHETTEN, LANCEGeneral Dentistry Orthodontics

TROY DEDECKER DDS LANCE L WHETTEN DDS

1480 SOUTH ORCHARD DRIVE, BOUNTIFUL 66 WEST HARDING AVENUE, CEDAR CITY

BOUNTIFUL, UT 84010 CEDAR CITY, UT 84720

Phone: (801) 295-9500 Phone: (435) 586-8980

County: DAVIS County: IRON

HIBBERT, STEVEN HAIGHT, BRYAN GUNN, RYANPediatric Dentistry General Dentistry General Dentistry

VALLEY VIEW BUSINESS SOLUTIONS BRYAN D HAIDHT DDS RYAN S GUNN DMD

1792 WEST 1700 SOUTH, SYRACUSE 450 EAST CLINIC WAY, PAROWAN 409 SOUTH MAIN STREET, CEDAR CITY

SYRACUSE, UT 84075 PAROWAN, UT 84761 CEDAR CITY, UT 84720

Phone: (801) 614-0099 Phone: (435) 477-8501 Phone: (435) 865-9797

County: DAVIS County: IRON County: IRON

WILCOX, WESLEY HAIGHT, BRYAN BROWN, SCOTTGeneral Dentistry General Dentistry General Dentistry

WESLEY H WILCOX DDS BRYAN D HAIGHT DDS SCOTT H BROWN DDS

360 SOUTH FORT LANE, LAYTON 1870 NORTH MAIN STREET, CEDAR CITY 415 NORTH MAIN STREET, CEDAR CITY

LAYTON, UT 84041 CEDAR CITY, UT 84721 CEDAR CITY, UT 84721

Phone: (801) 544-9777 Phone: (435) 586-9201 Phone: (435) 586-3885

County: DAVIS County: IRON County: IRON

GRAND County

IRON County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 13: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

MORRIS, SHAD LARSEN, JAMES HOPKIN, JOEGeneral Dentistry General Dentistry General Dentistry

SHAD L MORRIS DMD HOLDEN DENTAL CLINIC MOUNTAIN GREEN DENTAL

427 SOUTH MAIN STREET, CEDAR CITY 50 NORTH MAIN STREET, HOLDEN 5923 WEST OLD HIGHWAY ROAD, MORGAN

CEDAR CITY, UT 84720 HOLDEN, UT 84636 MORGAN, UT 84050

Phone: (435) 586-6526 Phone: (435) 795-2306 Phone: (801) 876-3845

County: IRON County: MILLARD County: MORGAN

BROWN, SHAWN STEPHENSON, JAMES CROWTHER, THERANGeneral Dentistry General Dentistry General Dentistry

SHAWN H BROWN DDS HOLDEN DENTAL CLINIC THERAN L CROWTHER DDS

415 NORTH MAIN STREET, CEDAR CITY 50 NORTH MAIN STREET, HOLDEN 195 EAST 100 NORTH, MORGAN

CEDAR CITY, UT 84721 HOLDEN, UT 84636 MORGAN, UT 84050

Phone: (435) 586-3885 Phone: (435) 795-2306 Phone: (801) 829-6471

County: IRON County: MILLARD County: MORGAN

BECKSTRAND, JANGeneral Dentistry

JAN BRUCE BECKSTRAND DDS

140 SOUTH MAIN STREET, FILLMORE

FILLMORE, UT 84631

Phone: (435) 743-6521

County: MILLARD

PETERSEN, DOUGLAS MOODY, JON KWANT, JOHNGeneral Dentistry General Dentistry General Dentistry

DOUGLAS A PETERSEN DMD JON Y MOODY DDS APEX DENTAL RIVERTON

310 NORTH 400 EAST, NEPHI 55 SOUTH MAIN STREET, FILLMORE 12391 SOUTH 4000 WEST, RANDOLPH

NEPHI, UT 84648 FILLMORE, UT 84631 RANDOLPH, UT 84064

Phone: (435) 623-1918 Phone: (435) 743-6178 Phone: (801) 748-0379

County: JUAB County: MILLARD County: RICH

WEBER, JOHN MAIO, JOSEPHGeneral Dentistry General Dentistry

JOHN P WEBER DDS APEX DENTAL RIVERTON

1007 NORTH MAIN STREET, NEPHI 12391 SOUTH 4000 WEST, RANDOLPH

NEPHI, UT 84648 RANDOLPH, UT 84064

Phone: (435) 623-0866 Phone: (801) 748-0379

County: JUAB County: RICH

PETERSEN, SCOTT HOPKINS, JESS COLE, DARENGeneral Dentistry General Dentistry General Dentistry

SCOTT WILLIAM PETERSEN JESS C HOPKIN DDS BEAR LAKE COMMUNITY HEALTH CENTER

310 NORTH 400 EAST, NEPHI 209 NORTH STATE STREET, MORGAN 325 WEST LOGAN HIGHWAY, GARDEN CITY

NEPHI, UT 84648 MORGAN, UT 84050 GARDEN CITY, UT 84028

Phone: (435) 623-1916 Phone: (801) 845-9090 Phone: (435) 755-6061

County: JUAB County: MORGAN County: RICH

CROWTHER, LANCE CROWTHER, GLADEGeneral Dentistry General Dentistry

LANCE D CROWTHER DDS BEAR LAKE COMMUNITY HEALTH CENTER

195 EAST 100 NORTH, MORGAN 325 WEST LOGAN HIGHWAY, GARDEN CITY

MORGAN, UT 84050 GARDEN CITY, UT 84028

Phone: (801) 829-6471 Phone: (435) 755-6061

County: MORGAN County: RICH

JUAB County RICH County

MILLARD County

MORGAN County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 14: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

GROLL, SHAWN ALLEN, FRANKLIN CURTIS, CABOTGeneral Dentistry General Dentistry General Dentistry

COMPREHENSIVE FAMILY DENTAL ALLEN FAMILY DENTAL ALPENGLOW DENTAL

275 NORTH MAIN STREET, RANDOLPH 6065 SOUTH HIGHLAND DRIVE, SALT LAKE CITY 7001 SOUTH 900 EAST, MIDVALE

RANDOLPH, UT 84064 SALT LAKE CITY, UT 84121 MIDVALE, UT 84047

Phone: (435) 793-2210 Phone: (801) 277-5181 Phone: (801) 561-8131

County: RICH County: SALT LAKE County: SALT LAKE

ALMOND, JEFFERY CURTIS, CABOTGeneral Dentistry General Dentistry

ALMOND DENTAL ALPENGLOW DENTAL

850 EAST 300 SOUTH, SALT LAKE CITY 3672 WEST SOUTH JORDAN PARKWAY, SOUTH JORDAN

SALT LAKE CITY, UT 84102 SOUTH JORDAN, UT 84095

Phone: (801) 363-5652 Phone: (801) 878-1700

County: SALT LAKE County: SALT LAKE

PINEGAR, STEVEN ALMOND, JEFFERY FAERBER, DAVIDGeneral Dentistry General Dentistry General Dentistry

39TH STREET DENTAL ALMOND DENTAL ALPENGLOW DENTAL

1377 EAST 3900 SOUTH, SALT LAKE CITY 1793 WEST 9000 SOUTH, WEST JORDAN 3672 WEST SOUTH JORDAN PARKWAY, SOUTH JORDAN

SALT LAKE CITY, UT 84124 WEST JORDAN, UT 84088 SOUTH JORDAN, UT 84095

Phone: (801) 272-1199 Phone: (801) 562-2662 Phone: (801) 878-1700

County: SALT LAKE County: SALT LAKE County: SALT LAKE

MCLACHLAN, ADAM BIDDULPH, GREGORY HUGHES, RICHARDGeneral Dentistry General Dentistry General Dentistry

ADAM MCLACHLAN DDS ALOHA DENTAL INC ALTA VIEW DENTAL CARE

154 MYRTLE AVENUE, MURRAY 2792 SOUTH 5600 WEST, WEST VALLEY CITY 9844 SOUTH 1300 EAST, SANDY

MURRAY, UT 84107 WEST VALLEY CITY, UT 84120 SANDY, UT 84094

Phone: (801) 590-8150 Phone: (801) 969-9669 Phone: (801) 572-4261

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BAUGH, ALAN GUSTAFSON, DAVE HASSAN, AMIRAOrthodontics Pediatric Dentistry General Dentistry

ALAN C BAUGH DMD ALOHA DENTAL INC AMIRA HASSAN DDS

4019 WEST 12600 SOUTH, RIVERTON 2792 SOUTH 5600 WEST, WEST VALLEY CITY 3280 WEST 3500, SALT LAKE CITY

RIVERTON, UT 84096 WEST VALLEY CITY, UT 84120 SALT LAKE CITY, UT 84119

Phone: (801) 253-6460 Phone: (801) 969-9669 Phone: (801) 969-2121

County: SALT LAKE County: SALT LAKE County: SALT LAKE

NGUYEN TRAN, HANHNGAN MANDELARIS, JASON TIDWELL, ANTHONYGeneral Dentistry Pediatric Dentistry General Dentistry

ALL SMILES FAMILY DENTISTRY ALOHA DENTAL INC ANTHONY C TIDWELL DDS

445 EAST 4500 SOUTH, SALT LAKE CITY 2792 SOUTH 5600 WEST, WEST VALLEY CITY 4110 SOUTH HIGHLAND DRIVE, SALT LAKE CITY

SALT LAKE CITY, UT 84107 WEST VALLEY CITY, UT 84120 SALT LAKE CITY, UT 84124

Phone: (801) 671-8714 Phone: (801) 969-9669 Phone: (801) 278-1164

County: SALT LAKE County: SALT LAKE County: SALT LAKE

POWELL, DAVID TALBOT, TRAVIS KWANT, JOHNGeneral Dentistry Orthodontics General Dentistry

ALLCARE DENTISTRY ALOHA DENTAL INC APEX DENTAL WEST JORDAN

6065 SOUTH 300 EAST, MURRAY 2792 SOUTH 5600 WEST, WEST VALLEY CITY 1227 WEST 9000 SOUTH, WEST JORDAN

MURRAY, UT 84107 WEST VALLEY CITY, UT 84120 WEST JORDAN, UT 84088

Phone: (801) 266-1414 Phone: (801) 969-9669 Phone: (801) 677-2739

County: SALT LAKE County: SALT LAKE County: SALT LAKE

SALT LAKE County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 15: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

MAIO, JOSEPH YOUNG, BENJAMIN CHRISTENSEN, RONALDGeneral Dentistry General Dentistry General Dentistry

APEX DENTAL WEST JORDAN BENJAMIN L YOUNG DDS BRADFORD D BOWEN DDS

1227 WEST 9000 SOUTH, WEST JORDAN 10011 SOUTH CENTENNIAL PARKWAY, SANDY 1356 SOUTH 2100 EAST, SALT LAKE CITY

WEST JORDAN, UT 84088 SANDY, UT 84070 SALT LAKE CITY, UT 84108

Phone: (801) 677-2739 Phone: (801) 352-8288 Phone: (801) 581-0054

County: SALT LAKE County: SALT LAKE County: SALT LAKE

KWANT, JOHN BINGHAM, TAB WALKER, BRADLEYGeneral Dentistry General Dentistry General Dentistry

APEX FAMILY AND COSMETIC DENTISTRY BINGHAM DENTAL AND ORTHODONTICS BRADLEY S WALKER

3725 WEST 4100 SOUTH, WEST VALLEY 3441 SOUTH 8400 WEST, MAGNA 3920 SOUTH 1100 EAST, SALT LAKE CITY

WEST VALLEY, UT 84120 MAGNA, UT 84044 SALT LAKE CITY, UT 84124

Phone: (801) 965-2700 Phone: (801) 250-7422 Phone: (801) 262-9785

County: SALT LAKE County: SALT LAKE County: SALT LAKE

MAIO, JOSEPH AUSTIN, BLAINE LUNDBERG, BRENTGeneral Dentistry Oral Surgery General Dentistry

APEX FAMILY AND COSMETIC DENTISTRY BLAINE D AUSTIN DDS BRENT D LUNDBERG DMD

3725 WEST 4100 SOUTH, WEST VALLEY 2180 EAST 4500 SOUTH, SALT LAKE CITY 684 WEST CENTER STREET, MIDVALE

WEST VALLEY, UT 84120 SALT LAKE CITY, UT 84117 MIDVALE, UT 84047

Phone: (801) 965-2700 Phone: (801) 277-3942 Phone: (801) 255-4953

County: SALT LAKE County: SALT LAKE County: SALT LAKE

LUDLOW, MARK MAXFIELD, BLAKE NIELSON, BRENTGeneral Dentistry Orthodontics Orthodontics

ASPIRE DENTAL CARE BLAKE J MAXFIELD DDS BRENT NIELSON DDS

2651 WEST 10400 SOUTH, SOUTH JORDAN 6243 SOUTH REDWOOD ROAD, SALT LAKE CITY 4970 SOUTH 900 EAST, SALT LAKE CITY

SOUTH JORDAN, UT 84095 SALT LAKE CITY, UT 84123 SALT LAKE CITY, UT 84117

Phone: (801) 898-0868 Phone: (801) 263-1333 Phone: (801) 262-8777

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BABCOCK, DAVID MAXFIELD, BLAKE BORG, BRIANGeneral Dentistry Orthodontics General Dentistry

AWE ENTERPRISES BLAKE J MAXFIELD DDS BRIAN BORG DMD

3672 WEST SOUTH JORDAN PARKWAY, SOUTH JORDAN 7050 SOUTH HIGHLAND DRIVE, SALT LAKE CITY 3693 WEST 13400 SOUTH, RIVERTON

SOUTH JORDAN, UT 84095 SALT LAKE CITY, UT 84121 RIVERTON, UT 84065

Phone: (801) 260-0400 Phone: (801) 943-6666 Phone: (801) 878-3111

County: SALT LAKE County: SALT LAKE County: SALT LAKE

JENKINS, MICHAEL WAHLSTROM, BRAD LORD, BRIANGeneral Dentistry General Dentistry General Dentistry

AWE ENTERPRISES BRAD A WAHLSTROM DDS BRIAN J LORD

3672 WEST SOUTH JORDAN PARKWAY, SOUTH JORDAN 7089 SOUTH REDWOOD ROAD, WEST JORDAN 3785 WEST 10400 SOUTH, SOUTH JORDAN

SOUTH JORDAN, UT 84095 WEST JORDAN, UT 84084 SOUTH JORDAN, UT 84095

Phone: (801) 260-0400 Phone: (801) 566-3003 Phone: (801) 253-2249

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BLADEN, B BOWEN, BRADFORD CARLSON, TYLERGeneral Dentistry General Dentistry General Dentistry

B KENT BLADEN BRADFORD D BOWEN DDS BRIAN L HOMER DMD

1662 W 9000 SOUTH, WEST JORDAN 1356 SOUTH 2100 EAST, SALT LAKE CITY 7369 CREEK ROAD, SANDY

WEST JORDAN, UT 84088 SALT LAKE CITY, UT 84108 SANDY, UT 84093

Phone: (801) 255-6581 Phone: (801) 581-0054 Phone: (801) 566-5577

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 16: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

HOMER, BRIAN AARABI, BAGHER JOHNSTON, EILEENGeneral Dentistry General Dentistry General Dentistry

BRIAN L HOMER DMD CENTURY DENTAL WEST CHRISTOPHER SHAKESPEAR DMD

7369 CREEK ROAD, SANDY 3601 SOUTH 2700 WEST, WEST VALLEY CITY 34 SOUTH 500 EAST, SALT LAKE CITY

SANDY, UT 84093 WEST VALLEY CITY, UT 84119 SALT LAKE CITY, UT 84102

Phone: (801) 566-5577 Phone: (801) 968-0798 Phone: (801) 521-8188

County: SALT LAKE County: SALT LAKE County: SALT LAKE

GOTTFREDSON, BRYAN EGAN, KELLY SHAKESPEAR, CHRISTOPHERGeneral Dentistry General Dentistry General Dentistry

BRYAN E GOTTFREDSON DDS CENTURY DENTAL WEST CHRISTOPHER SHAKESPEAR DMD

9010 WEST 2700 SOUTH, MAGNA 3601 SOUTH 2700 WEST, WEST VALLEY CITY 34 SOUTH 500 EAST, SALT LAKE CITY

MAGNA, UT 84044 WEST VALLEY CITY, UT 84119 SALT LAKE CITY, UT 84102

Phone: (801) 250-7311 Phone: (801) 968-0798 Phone: (801) 521-8188

County: SALT LAKE County: SALT LAKE County: SALT LAKE

ALLAN, CRAIG SHAW, GARY ROMNEY, LAWRENCEGeneral Dentistry General Dentistry Pediatric Dentistry

C JACKSON ALLAN DDS CENTURY DENTAL WEST CLARK ROMNEY DMD

2414 WEST 7800 SOUTH, WEST JORDAN 3601 SOUTH 2700 WEST, WEST VALLEY CITY 525 EAST 100 SOUTH, SALT LAKE CITY

WEST JORDAN, UT 84088 WEST VALLEY CITY, UT 84119 SALT LAKE CITY, UT 84102

Phone: (801) 565-7455 Phone: (801) 968-0798 Phone: (801) 355-8677

County: SALT LAKE County: SALT LAKE County: SALT LAKE

COLEMAN, CHET BURT, CHAD AOKI, ALANGeneral Dentistry General Dentistry General Dentistry

C RAY COLEMAN DDS CHAD S BURT DMD COMMUNITY HEALTH CARE CENTERS

3165 WEST 4700 SOUTH, SALT LAKE CITY 204 EAST FORT UNION BOULEVARD, MIDVALE 461 SOUTH 400 EAST, SALT LAKE CITY

SALT LAKE CITY, UT 84118 MIDVALE, UT 84047 SALT LAKE CITY, UT 84111

Phone: (801) 966-9956 Phone: (801) 255-3578 Phone: (801) 325-9538

County: SALT LAKE County: SALT LAKE County: SALT LAKE

LEE, JUNG JACKSON, CHARLES BAIRD, DANIELGeneral Dentistry Orthodontics General Dentistry

C RAY COLEMAN DDS CHARLES B JACKSON JUNIOR DDS COMMUNITY HEALTH CARE CENTERS

3165 WEST 4700 SOUTH, SALT LAKE CITY 669 UNION SQUARE, SANDY 461 SOUTH 400 EAST, SALT LAKE CITY

SALT LAKE CITY, UT 84118 SANDY, UT 84070 SALT LAKE CITY, UT 84111

Phone: (801) 966-9956 Phone: (801) 571-1231 Phone: (801) 325-9538

County: SALT LAKE County: SALT LAKE County: SALT LAKE

SUMARAUW, CINDY TEW, MICHAEL RAMSDELL, CHRISTOPHERGeneral Dentistry Pediatric Dentistry General Dentistry

CADENZA FAMILY DENTISTRY CHILDRENS LANDING PEDIATRIC DENTISTRY COMMUNITY HEALTH CARE CENTERS

1345 EAST 3900 SOUTH, SALT LAKE CITY 3855 WEST 7800, WEST JORDAN 461 SOUTH 400 EAST, SALT LAKE CITY

SALT LAKE CITY, UT 84124 WEST JORDAN, UT 84088 SALT LAKE CITY, UT 84111

Phone: (801) 272-2949 Phone: (801) 282-1802 Phone: (801) 325-9538

County: SALT LAKE County: SALT LAKE County: SALT LAKE

CHRISTENSEN, DEVIN KEEFE, CHRIS WALTON, TROYGeneral Dentistry General Dentistry General Dentistry

CANYON POINTE DENTAL CHRIS KEEFE DDS COMMUNITY HEALTH CARE CENTERS

114 EAST 12450 SOUTH, DRAPER 10393 SOUTH 1300 WEST, SOUTH JORDAN 461 SOUTH 400 EAST, SALT LAKE CITY

DRAPER, UT 84020 SOUTH JORDAN, UT 84095 SALT LAKE CITY, UT 84111

Phone: (801) 576-1100 Phone: (801) 254-1400 Phone: (801) 325-9538

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 17: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

WARREN, MARK WALTON, TROY LIDDIARD, KENNETHGeneral Dentistry General Dentistry General Dentistry

COMMUNITY HEALTH CARE CENTERS COMMUNITY HEALTH CENTERS CORNERSTONE DENTAL CARE

461 SOUTH 400 EAST, SALT LAKE CITY 4745 SOUTH 3200 WEST, SALT LAKE CITY 10458 SOUTH REDWOOD ROAD, SOUTH JORDAN

SALT LAKE CITY, UT 84111 SALT LAKE CITY, UT 84118 SOUTH JORDAN, UT 84095

Phone: (801) 325-9538 Phone: (801) 964-6214 Phone: (801) 302-8989

County: SALT LAKE County: SALT LAKE County: SALT LAKE

AOKI, ALAN WALTON, TROY NOH, BONGGeneral Dentistry General Dentistry General Dentistry

COMMUNITY HEALTH CENTERS COMMUNITY HEALTH CENTERS CORNFIELD DENTAL CENTER

1365 WEST 1000 NORTH, SALT LAKE CITY 1365 WEST 1000 NORTH, SALT LAKE CITY 2845 WEST 12600 SOUTH, RIVERTON

SALT LAKE CITY, UT 84116 SALT LAKE CITY, UT 84116 RIVERTON, UT 84065

Phone: (801) 328-5756 Phone: (801) 328-5756 Phone: (801) 254-5255

County: SALT LAKE County: SALT LAKE County: SALT LAKE

AOKI, ALAN WARREN, MARK JONES, DREWGeneral Dentistry General Dentistry General Dentistry

COMMUNITY HEALTH CENTERS COMMUNITY HEALTH CENTERS COTTONWOOD DENTAL CENTER

4745 SOUTH 3200 WEST, SALT LAKE CITY 1365 WEST 1000 NORTH, SALT LAKE CITY 7050 SOUTH HIGHLAND DRIVE, SALT LAKE CITY

SALT LAKE CITY, UT 84118 SALT LAKE CITY, UT 84116 SALT LAKE CITY, UT 84121

Phone: (801) 964-6214 Phone: (801) 328-5756 Phone: (801) 942-6464

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BAIRD, DANIEL WARREN, MARK WALKER, LESLIEGeneral Dentistry General Dentistry Endodontics

COMMUNITY HEALTH CENTERS COMMUNITY HEALTH CENTERS COTTONWOOD ENDODONTICS

1365 WEST 1000 NORTH, SALT LAKE CITY 4745 SOUTH 3200 WEST, SALT LAKE CITY 4252 HIGHLAND DRIVE, SALT LAKE CITY

SALT LAKE CITY, UT 84116 SALT LAKE CITY, UT 84118 SALT LAKE CITY, UT 84124

Phone: (801) 328-5756 Phone: (801) 964-6214 Phone: (801) 278-3636

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BAIRD, DANIEL COOK, MICHAEL WARREN, ROGERGeneral Dentistry Orthodontics Endodontics

COMMUNITY HEALTH CENTERS COOK ORTHODONTIC SPECIALISTS COTTONWOOD ENDODONTICS

4745 SOUTH 3200 WEST, SALT LAKE CITY 1025 EAST 11400 SOUTH, SANDY 4252 HIGHLAND DRIVE, SALT LAKE CITY

SALT LAKE CITY, UT 84118 SANDY, UT 84094 SALT LAKE CITY, UT 84124

Phone: (801) 964-6214 Phone: (801) 523-2509 Phone: (801) 278-3636

County: SALT LAKE County: SALT LAKE County: SALT LAKE

LINK, DEVIN ELMER, JONATHAN COTTRELL, COURTLANDGeneral Dentistry General Dentistry General Dentistry

COMMUNITY HEALTH CENTERS COPPERFIELD FAMILY DENTAL COURTLAND G COTTRELL DDS

1365 WEST 1000 NORTH, SALT LAKE CITY 2414 WEST 7800 SOUTH, WEST JORDAN 3920 SOUTH 1100 EAST, SALT LAKE CITY

SALT LAKE CITY, UT 84116 WEST JORDAN, UT 84088 SALT LAKE CITY, UT 84124

Phone: (801) 328-5756 Phone: (801) 566-0631 Phone: (801) 266-5005

County: SALT LAKE County: SALT LAKE County: SALT LAKE

LINK, DEVIN STRINGFELLOW, CORBIN SMITH, CRAIGGeneral Dentistry General Dentistry General Dentistry

COMMUNITY HEALTH CENTERS CORBIN B STRINGFELLOW DMD CRAIG T SMITH

4745 SOUTH 3200 WEST, SALT LAKE CITY 1345 EAST 3900 SOUTH, SALT LAKE CITY 4046 SOUTH HIGHLAND DRIVE, SALT LAKE CITY

SALT LAKE CITY, UT 84118 SALT LAKE CITY, UT 84124 SALT LAKE CITY, UT 84124

Phone: (801) 964-6214 Phone: (801) 272-8284 Phone: (801) 277-1412

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 18: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

HAYMOND, CREED MASSON, DANIEL CHRISTENSEN, DAVIDOral Surgery General Dentistry General Dentistry

CREED S HAYMOND DDS DANIEL L MASSON DAVID G CHRISTENSEN DDS

1434 EAST 9400 SOUTH, SANDY 9457 SOUTH 700 EAST, SANDY 508 EAST SOUTH TEMPLE, SALT LAKE CITY

SANDY, UT 84093 SANDY, UT 84070 SALT LAKE CITY, UT 84102

Phone: (801) 576-0077 Phone: (801) 572-5550 Phone: (801) 359-4732

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BRIMLEY, CURTIS DOWDLE, DANIEL MCGOWAN, DAVIDEndodontics General Dentistry General Dentistry

CURTIS J BRIMLEY DMD DANIEL R DOWDLE DMD DAVID J MCGOWAN DDS

3409 WEST 12600 SOUTH, RIVERTON 4019 WEST 12600 SOUTH, RIVERTON 154 EAST 5065 SOUTH, SALT LAKE CITY

RIVERTON, UT 84065 RIVERTON, UT 84096 SALT LAKE CITY, UT 84107

Phone: (801) 432-8200 Phone: (801) 253-8633 Phone: (801) 263-1632

County: SALT LAKE County: SALT LAKE County: SALT LAKE

CHRISTENSEN, JOSEPH ORMSBY, DANIEL JOHNSON, DAVIDEndodontics General Dentistry Pediatric Dentistry

CURTIS J BRIMLEY DMD DANIEL W ORMSBY DDS DAVID JOHNSON DMD

3409 WEST 12600 SOUTH, RIVERTON 4578 SOUTH HIGHLAND DRIVE, SALT LAKE CITY 2364 WEST 12600 SOUTH, RIVERTON

RIVERTON, UT 84065 SALT LAKE CITY, UT 84117 RIVERTON, UT 84065

Phone: (801) 432-8200 Phone: (801) 424-9031 Phone: (801) 253-8866

County: SALT LAKE County: SALT LAKE County: SALT LAKE

FLATH, ROBERT WEST, DANIEL KNOWLTON, DAVIDEndodontics General Dentistry General Dentistry

CURTIS J BRIMLEY DMD DANIEL W WEST DMD DAVID K KNOWLTON DDS

3409 WEST 12600 SOUTH, RIVERTON 5292 SOUTH COLLEGE DRIVE, SALT LAKE CITY 4788 SOUTH REDWOOD ROAD, TAYLORSVILLE

RIVERTON, UT 84065 SALT LAKE CITY, UT 84123 TAYLORSVILLE, UT 84123

Phone: (801) 432-8200 Phone: (801) 266-3000 Phone: (801) 969-4264

County: SALT LAKE County: SALT LAKE County: SALT LAKE

RICHARDS, JONATHAN LE, DANIEL ALVORD, DAVIDEndodontics General Dentistry General Dentistry

CURTIS J BRIMLEY DMD DANNY LE DDS DAVID L ALVORD

3409 WEST 12600 SOUTH, RIVERTON 4066 SOUTH 4000 WEST, WEST VALLEY 1685 WEST 10600 SOUTH, SOUTH JORDAN

RIVERTON, UT 84065 WEST VALLEY, UT 84120 SOUTH JORDAN, UT 84095

Phone: (801) 432-8200 Phone: (801) 968-2864 Phone: (801) 254-7003

County: SALT LAKE County: SALT LAKE County: SALT LAKE

CANTWELL, NICHOLAS ROWELL, DAVID CHRISTENSEN, DAVIDGeneral Dentistry General Dentistry General Dentistry

CYPRUS FAMILY DENTAL DAVID B ROWELL DDS DAVID L CHRISTENSEN DDS

8370 WEST 3500 SOUTH, MAGNA 6095 FASHION BOULEVARD, MURRAY 6065 SOUTH HIGHLAND DRIVE, HOLLADAY

MAGNA, UT 84044 MURRAY, UT 84107 HOLLADAY, UT 84121

Phone: (801) 250-0203 Phone: (801) 262-4662 Phone: (801) 277-5181

County: SALT LAKE County: SALT LAKE County: SALT LAKE

VERNON, CHRIS JACKSON, DAVID ANDERSON, DAVIDGeneral Dentistry General Dentistry Oral Surgery

CYPRUS FAMILY DENTAL DAVID E JACKSON DDS DAVID M ANDERSON DDS

3441 SOUTH 8400 WEST, MAGNA 870 EAST 9400 SOUTH, SANDY 7390 SOUTH CREEK ROAD, SANDY

MAGNA, UT 84044 SANDY, UT 84094 SANDY, UT 84093

Phone: (801) 250-0203 Phone: (801) 571-8391 Phone: (801) 255-2422

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 19: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

STEWART, DAVID YOUNG, DAVID BABCOCK, DAVIDPediatric Dentistry Orthodontics General Dentistry

DAVID M S STEWART DDS DAVID V YOUNG DDS MDS DOCTOR CORY M STARK DDS

1268 WEST SOUTH JORDAN PARKWAY, SOUTH JORDAN 622 EAST 4500 SOUTH, SALT LAKE CITY 1577 WEST 7000 SOUTH, WEST JORDAN

SOUTH JORDAN, UT 84095 SALT LAKE CITY, UT 84107 WEST JORDAN, UT 84084

Phone: (801) 446-8007 Phone: (801) 266-3578 Phone: (801) 542-7009

County: SALT LAKE County: SALT LAKE County: SALT LAKE

LOFTUS, DAVID KNOLES, DENNIS GHIZ, MATTHEWGeneral Dentistry Orthodontics Orthodontics

DAVID O LOFTUS DDS INCORPORATED DB KNOLES DDS DOCTOR CORY M STARK DDS

865 EAST 4800 SOUTH, SALT LAKE CITY 4370 SOUTH REDWOOD ROAD, SALT LAKE CITY 1577 WEST 7000 SOUTH, WEST JORDAN

SALT LAKE CITY, UT 84107 SALT LAKE CITY, UT 84123 WEST JORDAN, UT 84084

Phone: (801) 262-7427 Phone: (801) 969-1802 Phone: (801) 542-7009

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BLANCO, DAVID JOHNSON, DEAN GHIZ, MATTHEWGeneral Dentistry Orthodontics Orthodontics

DAVID P BLANCO DDS DEAN B JOHNSON DMD DOCTOR CORY M STARK DDS

4370 SOUTH REDWOOD ROAD, SALT LAKE CITY 1025 EAST 11400 SOUTH, SANDY 112 EAST 12450 SOUTH, DRAPER

SALT LAKE CITY, UT 84123 SANDY, UT 84094 DRAPER, UT 84020

Phone: (801) 969-1802 Phone: (801) 523-2509 Phone: (801) 571-6751

County: SALT LAKE County: SALT LAKE County: SALT LAKE

CANNON, DAVID GAILEY, DAVID STARK, CORYGeneral Dentistry General Dentistry Pediatric Dentistry

DAVID S CANNON DDS DENTAL CARE INCORPORATED DOCTOR CORY M STARK DDS

1434 EAST 4500 SOUTH, SALT LAKE CITY 1662 WEST 9000 SOUTH, WEST JORDAN 112 EAST 12450 SOUTH, DRAPER

SALT LAKE CITY, UT 84117 WEST JORDAN, UT 84088 DRAPER, UT 84020

Phone: (801) 274-3889 Phone: (801) 566-7269 Phone: (801) 571-6751

County: SALT LAKE County: SALT LAKE County: SALT LAKE

DOWLING, RYAN ROOKLIDGE, ERIK STARK, CORYGeneral Dentistry Pediatric Dentistry Pediatric Dentistry

DAVID SCOTT TOPHAM DDS DENTISTRY FOR CHILDREN WEST VALLEY DOCTOR CORY M STARK DDS

3060 SOUTH REDWOOD ROAD, SALT LAKE CITY 3540 SOUTH 4000 WEST, SALT LAKE CITY 1577 WEST 7000 SOUTH, WEST JORDAN

SALT LAKE CITY, UT 84119 SALT LAKE CITY, UT 84120 WEST JORDAN, UT 84084

Phone: (801) 972-0555 Phone: (801) 955-5200 Phone: (801) 542-7009

County: SALT LAKE County: SALT LAKE County: SALT LAKE

LOOSLI, BRUCE GIAUQUE, CHRISTOPHER OSTERHOUDT, DARRELLGeneral Dentistry General Dentistry General Dentistry

DAVID SCOTT TOPHAM DDS DOCTOR CHRISTOPHER K GIAUQUE DDS DOCTOR DARREL L OSTERHOUDT AND ASSOCIATES

3060 SOUTH REDWOOD ROAD, SALT LAKE CITY 1345 EAST 3900 SOUTH, SALT LAKE CITY 9217 SOUTH REDWOOD ROAD, WEST JORDAN

SALT LAKE CITY, UT 84119 SALT LAKE CITY, UT 84124 WEST JORDAN, UT 84088

Phone: (801) 972-0555 Phone: (801) 273-8100 Phone: (801) 568-0172

County: SALT LAKE County: SALT LAKE County: SALT LAKE

TOPHAM, DAVID BABCOCK, DAVID JESSEN, FRANKGeneral Dentistry General Dentistry Oral Surgery

DAVID SCOTT TOPHAM DDS DOCTOR CORY M STARK DDS DOCTOR F ZANE JESSEN DDS

3060 SOUTH REDWOOD ROAD, SALT LAKE CITY 112 EAST 12450 SOUTH, DRAPER 9730 SOUTH 700 EAST, SANDY

SALT LAKE CITY, UT 84119 DRAPER, UT 84020 SANDY, UT 84070

Phone: (801) 972-0555 Phone: (801) 571-6751 Phone: (801) 571-3311

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 20: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

JESSEN, GREGORY MADSEN, ERIK PEARSON, GREGORYOrthodontics Orthodontics General Dentistry

DOCTOR F ZANE JESSEN DDS ERIK H MADSEN DDS MS G GEORGE PEARSON DMD AND CRAIG B THEURER DDS

9730 SOUTH 700 EAST, SANDY 10315 SOUTH 1300 EAST, SANDY 1955 SOUTH 1300 EAST, SALT LAKE CITY

SANDY, UT 84070 SANDY, UT 84094 SALT LAKE CITY, UT 84105

Phone: (801) 571-3311 Phone: (801) 943-2700 Phone: (801) 487-5805

County: SALT LAKE County: SALT LAKE County: SALT LAKE

MUSE, GREGREY ROOKLIDGE, ERIK CARTER, GARYGeneral Dentistry Pediatric Dentistry Orthodontics

DOCTOR GREGREY L MUSE ERIK ROOKLIDGE DDS GARY CARTER DDS

4460 SOUTH HIGHLAND DRIVE, SALT LAKE CITY 10011 SOUTH CENTENNIAL PARKWAY, SANDY 6052 SOUTH STATE STREET, MURRAY

SALT LAKE CITY, UT 84124 SANDY, UT 84070 MURRAY, UT 84107

Phone: (801) 272-4111 Phone: (801) 562-2222 Phone: (801) 288-9100

County: SALT LAKE County: SALT LAKE County: SALT LAKE

MAXFIELD, NORMAN FEATHERSTONE, SCOTT CARTER, GARYOrthodontics General Dentistry Orthodontics

DOCTOR NORMAN A MAXFIELD DDS MS FASHION PLACE DENTAL GARY CARTER DDS

7050 SOUTH HIGHLAND DRIVE, SALT LAKE CITY 6095 SOUTH FASHION BOULEVARD, MURRAY 10011 CENTENNIAL PARKWAY, SANDY

SALT LAKE CITY, UT 84121 MURRAY, UT 84107 SANDY, UT 84070

Phone: (801) 943-6666 Phone: (801) 262-7770 Phone: (801) 255-9000

County: SALT LAKE County: SALT LAKE County: SALT LAKE

HARTVIGSEN, DARIN GOODMAN, CHRISTOPHER FINDLEY, GARYGeneral Dentistry General Dentistry General Dentistry

DPAT 2 FASHION PLACE DENTAL GARY L FINDLEY DDS

1377 EAST 3900 SOUTH, SALT LAKE CITY 6095 SOUTH FASHION BOULEVARD, MURRAY 4110 SOUTH HIGHLAND DRIVE, SALT LAKE CITY

SALT LAKE CITY, UT 84124 MURRAY, UT 84107 SALT LAKE CITY, UT 84124

Phone: (801) 277-8222 Phone: (801) 262-7770 Phone: (801) 277-1722

County: SALT LAKE County: SALT LAKE County: SALT LAKE

FELT, ERIC ABRAMS, JEREMY SORENSON, TERRYGeneral Dentistry General Dentistry General Dentistry

ERIC C FELT DDS FORT UNION FAMILY DENTAL GENESIS DENTAL OF RIVERTON

215 SOUTH 1000 EAST, SALT LAKE CITY 942 EAST 7145 SOUTH, MIDVALE 12569 SOUTH 2700 WEST, RIVERTON

SALT LAKE CITY, UT 84102 MIDVALE, UT 84047 RIVERTON, UT 84065

Phone: (801) 533-9879 Phone: (801) 562-2147 Phone: (801) 254-7272

County: SALT LAKE County: SALT LAKE County: SALT LAKE

MARTIN, ERIC GHIZ, FREDRICK FREER, GEORGEPediatric Dentistry Orthodontics General Dentistry

ERIC E MARTIN DDS FREDRICK A GHIZ DDS GEORGE A FREER DDS PC

12391 SOUTH 4000 WEST, RIVERTON 6095 SOUTH FASHION BOULEVARD, MURRAY 6243 SOUTH REDWOOD ROAD, TAYLORSVILLE

RIVERTON, UT 84096 MURRAY, UT 84107 TAYLORSVILLE, UT 84123

Phone: (801) 676-8899 Phone: (801) 269-0303 Phone: (801) 281-8081

County: SALT LAKE County: SALT LAKE County: SALT LAKE

SWENSEN, ERIC LARSON, ERIC BAILEY, GEORGEGeneral Dentistry General Dentistry Periodontology

ERIC J SWENSEN DDS FREEDOM DENTAL GEORGE M BAILEY DDS

4046 SOUTH HIGHLAND DRIVE, SALT LAKE CITY 928 EAST 100 SOUTH, SALT LAKE CITY 1275 EAST FORT UNION AVENUE, MIDVALE

SALT LAKE CITY, UT 84124 SALT LAKE CITY, UT 84102 MIDVALE, UT 84047

Phone: (801) 277-1412 Phone: (801) 355-4733 Phone: (801) 569-1400

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 21: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

GILSTRAP, BENJAMIN BAWDEN, HAL SMITH, MICHAELGeneral Dentistry General Dentistry General Dentistry

GILSTRAP BENJAMIN DDS HAL C BAWDEN DDS HOLLADAY SMILES

880 EAST 9400 SOUTH, SANDY 10011 SOUTH CENTENNIAL PARKWAY, SANDY 2180 EAST 4500 SOUTH, SALT LAKE CITY

SANDY, UT 84094 SANDY, UT 84070 SALT LAKE CITY, UT 84117

Phone: (801) 571-5081 Phone: (801) 256-0808 Phone: (801) 278-4431

County: SALT LAKE County: SALT LAKE County: SALT LAKE

SANDS, GLENN POLLOCK, HAL HOLMAN, BRIANGeneral Dentistry General Dentistry Orthodontics

GLENN L SANDS DDS HAL POLLOCK DDS HOLMAN ORTHODONTICS

1770 EAST FORT UNION BOULEVARD, SALT LAKE CITY 1345 EAST 3900 SOUTH, SALT LAKE CITY 1345 EAST 3900 SOUTH, SALT LAKE CITY

SALT LAKE CITY, UT 84121 SALT LAKE CITY, UT 84124 SALT LAKE CITY, UT 84124

Phone: (801) 942-0610 Phone: (801) 278-2826 Phone: (801) 278-2819

County: SALT LAKE County: SALT LAKE County: SALT LAKE

MORTENSEN, MICAH HENDRICKSON, HEATH FRANDSEN, JOSHUAOrthodontics General Dentistry General Dentistry

GRANGER ORTHODONTICS HEATH HENDRICKSON HORIZON DENTAL ASSOCIATES

3725 WEST 4100 SOUTH, SALT LAKE CITY 515 SOUTH 1000 EAST, SALT LAKE CITY 2195 WEST 5400 SOUTH, SALT LAKE CITY

SALT LAKE CITY, UT 84120 SALT LAKE CITY, UT 84102 SALT LAKE CITY, UT 84118

Phone: (801) 966-6681 Phone: (866) 947-8338 Phone: (801) 969-6740

County: SALT LAKE County: SALT LAKE County: SALT LAKE

TAYLOR, ROBERT DEHART, BRENT VOORHEES, IVANOrthodontics Pediatric Dentistry General Dentistry

GRANGER ORTHODONTICS HIDDEN VALLEY PEDIATRIC DENTAL IVAN DARRELL VOORHEES DDS

3725 WEST 4100 SOUTH, SALT LAKE CITY 114 EAST 12450 SOUTH, DRAPER 1343 EAST FORT UNION BOULEVARD, SALT LAKE CITY

SALT LAKE CITY, UT 84120 DRAPER, UT 84020 SALT LAKE CITY, UT 84121

Phone: (801) 966-6681 Phone: (801) 495-1610 Phone: (801) 943-3661

County: SALT LAKE County: SALT LAKE County: SALT LAKE

LARSEN, GREGORY MOFFAT, RYAN IVERSON, JEFFREYGeneral Dentistry Pediatric Dentistry Orthodontics

GREG LARSEN DDS HIDDEN VALLEY PEDIATRIC DENTAL IVERSON ORTHODONTICS

7370 SOUTH CREEK ROAD, SANDY 114 EAST 12450 SOUTH, DRAPER 1580 EAST 3900 SOUTH, SALT LAKE CITY

SANDY, UT 84093 DRAPER, UT 84020 SALT LAKE CITY, UT 84124

Phone: (801) 566-4100 Phone: (801) 495-1610 Phone: (801) 571-9664

County: SALT LAKE County: SALT LAKE County: SALT LAKE

PERKINS, GREGORY KNUDSON, DARIN MAUGHAN, WILLARDGeneral Dentistry General Dentistry Periodontology

GREGORY D PERKINSDDS HIGHLAND DENTAL CENTER IZZY

1275 EAST FORT UNION BOULEVARD, MIDVALE 1955 SOUTH 1300 EAST, SALT LAKE CITY 292 EAST 3900 SOUTH, MURRAY

MIDVALE, UT 84047 SALT LAKE CITY, UT 84105 MURRAY, UT 84107

Phone: (801) 255-4870 Phone: (801) 487-5755 Phone: (801) 747-8015

County: SALT LAKE County: SALT LAKE County: SALT LAKE

EGBERT, GREGORY SCHERSCHLIGT, RHET MAUGHAN, WILLARDOral Surgery General Dentistry Periodontology

GREGORY W EGBERT DDS HIGHLAND PARK DENTAL CARE IZZY

1250 EAST 3900 SOUTH, SALT LAKE CITY 3098 SOUTH HIGHLAND DRIVE, SALT LAKE CITY 530 EAST 500 SOUTH, SALT LAKE CITY

SALT LAKE CITY, UT 84124 SALT LAKE CITY, UT 84106 SALT LAKE CITY, UT 84102

Phone: (801) 265-1500 Phone: (801) 484-1032 Phone: (801) 747-8000

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 22: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

ROSANDER, KRIS MORGAN, JAIMEE BROWN, JEFFREYGeneral Dentistry General Dentistry General Dentistry

IZZY JAMSTAN JEFFREY C BROWN

292 EAST 3900 SOUTH, MURRAY 204 E FORT UNION BOULEVARD, MIDVALE 9251 SOUTH REDWOOD ROAD, WEST JORDAN

MURRAY, UT 84107 MIDVALE, UT 84047 WEST JORDAN, UT 84088

Phone: (801) 747-8015 Phone: (801) 561-9999 Phone: (801) 566-2155

County: SALT LAKE County: SALT LAKE County: SALT LAKE

GARDNER, JONATHAN PRESLEY, STANLEY LAMBERT, JEFFGeneral Dentistry General Dentistry General Dentistry

J B GARDNER AND ASSOCIATES JAMSTAN JEFFREY T LAMBERT

12684 SOUTH REDWOOD ROAD, RIVERTON 204 E FORT UNION BOULEVARD, MIDVALE 5734 WEST 13400 SOUTH, HERRIMAN

RIVERTON, UT 84065 MIDVALE, UT 84047 HERRIMAN, UT 84096

Phone: (801) 446-8446 Phone: (801) 561-9999 Phone: (801) 302-0222

County: SALT LAKE County: SALT LAKE County: SALT LAKE

FROERER, JACOB WEAVER, JARED MAYMI, GERARDOGeneral Dentistry General Dentistry General Dentistry

JACOB S FROERER JARED M WEAVER DDS JERRY F MAYMI AND ASSOCIATES

4110 SOUTH HIGHLAND DRIVE, SALT LAKE CITY 2011 SOUTH 1300 EAST, SALT LAKE CITY 3672 WEST SOUTH JORDAN PARKWAY, SOUTH JORDAN

SALT LAKE CITY, UT 84124 SALT LAKE CITY, UT 84105 SOUTH JORDAN, UT 84095

Phone: (801) 278-8800 Phone: (801) 484-0792 Phone: (801) 253-7553

County: SALT LAKE County: SALT LAKE County: SALT LAKE

WRIGHT, JAMES BARTON, JASON CHENEY, JESSGeneral Dentistry General Dentistry General Dentistry

JAMES M WRIGHT JASON G BARTON DDS JESS C CHENEY

32 NORTH STATE STREET, SALT LAKE CITY 928 EAST 100 SOUTH, SALT LAKE CITY 2040 EAST 4800 SOUTH, SALT LAKE CITY

SALT LAKE CITY, UT 84103 SALT LAKE CITY, UT 84102 SALT LAKE CITY, UT 84117

Phone: (801) 359-2655 Phone: (801) 355-5657 Phone: (801) 278-7100

County: SALT LAKE County: SALT LAKE County: SALT LAKE

JOHNSON, JAMES GODDERIDGE, JEREMY GREAVES, JESSEGeneral Dentistry General Dentistry General Dentistry

JAMES D JOHNSON DDS JASON G BARTON DDS JESSE N GREAVES DMD

2651 WEST 10400 SOUTH, SOUTH JORDAN 928 EAST 100 SOUTH, SALT LAKE CITY 1401 EAST 3900 SOUTH STREET, SALT LAKE CITY

SOUTH JORDAN, UT 84095 SALT LAKE CITY, UT 84102 SALT LAKE CITY, UT 84124

Phone: (801) 253-0595 Phone: (801) 355-5657 Phone: (801) 272-8051

County: SALT LAKE County: SALT LAKE County: SALT LAKE

LUND, JAMES POPE, MARCUS HOWARTH, JOELGeneral Dentistry General Dentistry General Dentistry

JAMES DAVID LUND DDS JASON G BARTON DDS JOEL L HOWARTH DDS

10430 SOUTH 2700 WEST, SOUTH JORDAN 928 EAST 100 SOUTH, SALT LAKE CITY 3409 WEST 12600 SOUTH, RIVERTON

SOUTH JORDAN, UT 84095 SALT LAKE CITY, UT 84102 RIVERTON, UT 84065

Phone: (801) 254-7777 Phone: (801) 355-5657 Phone: (801) 561-1559

County: SALT LAKE County: SALT LAKE County: SALT LAKE

TULLIS, JAMES JENSEN, JAY MILLER, JOHNGeneral Dentistry General Dentistry General Dentistry

JAMES Z TULLIS DMD JAY D JENSEN DDS JOHN D MILLER DMD

5547 SOUTH 4015 WEST, SALT LAKE CITY 3098 SOUTH HIGHLAND DRIVE, SALT LAKE CITY 10393 SOUTH 1300 WEST, SOUTH JORDAN

SALT LAKE CITY, UT 84118 SALT LAKE CITY, UT 84106 SOUTH JORDAN, UT 84095

Phone: (801) 968-3585 Phone: (801) 467-9111 Phone: (801) 254-1400

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 23: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

MIDDLETON, JOHN FRANK, JONATHAN BOYACK, MICHAELGeneral Dentistry General Dentistry General Dentistry

JOHN HICKS MIDDLETON JONATHAN R FRANK DDS JXC

140 EAST 4800 SOUTH, MURRAY 9103 SOUTH 1300 WEST, WEST JORDAN 3451 SOUTH 5600 WEST, WEST VALLEY CITY

MURRAY, UT 84107 WEST JORDAN, UT 84088 WEST VALLEY CITY, UT 84120

Phone: (801) 266-7351 Phone: (801) 255-8030 Phone: (801) 969-1400

County: SALT LAKE County: SALT LAKE County: SALT LAKE

RICH, JOHN LEWIS, JONATHAN BOYACK, MICHAELGeneral Dentistry General Dentistry General Dentistry

JOHN P RICH III DDS JONATHAN W LEWIS DDS JXC

2180 EAST 4500 SOUTH, SALT LAKE CITY 9103 SOUTH 1300 WEST, WEST JORDAN 4575 SOUTH 5600 WEST, WEST VALLEY CITY

SALT LAKE CITY, UT 84117 WEST JORDAN, UT 84088 WEST VALLEY CITY, UT 84120

Phone: (801) 278-2941 Phone: (801) 255-8030 Phone: (801) 955-4400

County: SALT LAKE County: SALT LAKE County: SALT LAKE

LAPINE, JOHN ERICKSON, ANDREW BROWN, MELVINGeneral Dentistry General Dentistry Orthodontics

JOHN PAUL LAPINE DDS JORDAN LANDING DENTAL CARE JXC

3865 WASATCH BOULEVARD, SALT LAKE CITY 7611 SOUTH JORDAN LANDING BOULEVARD, WEST JORDAN4575 SOUTH 5600 WEST, WEST VALLEY CITY

SALT LAKE CITY, UT 84109 WEST JORDAN, UT 84084 WEST VALLEY CITY, UT 84120

Phone: (801) 272-4999 Phone: (801) 280-7001 Phone: (801) 955-4400

County: SALT LAKE County: SALT LAKE County: SALT LAKE

AYRE, JOHN HARRIS, DANIEL CHIPIAN, EGeneral Dentistry General Dentistry General Dentistry

JOHN R AYRE JUNIOR DDS JORDAN RIVER DENTAL JXC

6973 COUGAR LANE, WEST JORDAN 10393 SOUTH 1300 WEST, SOUTH JORDAN 4575 SOUTH 5600 WEST, WEST VALLEY CITY

WEST JORDAN, UT 84084 SOUTH JORDAN, UT 84095 WEST VALLEY CITY, UT 84120

Phone: (801) 840-4833 Phone: (801) 254-1400 Phone: (801) 955-4400

County: SALT LAKE County: SALT LAKE County: SALT LAKE

CONNER, JOHN MORRIS, DEREK DANA, REEDGeneral Dentistry General Dentistry General Dentistry

JOHN R CONNER JUNIOR DDS JORDAN RIVER DENTAL JXC

1345 EAST 3900 SOUTH, SALT LAKE CITY 10393 SOUTH 1300 WEST, SOUTH JORDAN 4575 SOUTH 5600 WEST, WEST VALLEY CITY

SALT LAKE CITY, UT 84124 SOUTH JORDAN, UT 84095 WEST VALLEY CITY, UT 84120

Phone: (801) 277-2637 Phone: (801) 254-1400 Phone: (801) 955-4400

County: SALT LAKE County: SALT LAKE County: SALT LAKE

SILCOX, JON COLTON, BRIGHAM FAIRBANKS, JONOrthodontics General Dentistry General Dentistry

JON W SILCOX DDS JORDAN VALLEY DENTAL JXC

7138 HIGHLAND DRIVE, SALT LAKE CITY 7613 JORDAN LANDING BOULEVARD, WEST JORDAN 5514 WEST 13400 SOUTH, HERRIMAN

SALT LAKE CITY, UT 84121 WEST JORDAN, UT 84084 HERRIMAN, UT 84096

Phone: (801) 943-4423 Phone: (801) 282-2323 Phone: (801) 446-9533

County: SALT LAKE County: SALT LAKE County: SALT LAKE

LLOYD, JON PARKER, JUSTIN WRIGHT, STEPHENGeneral Dentistry Orthodontics General Dentistry

JON WILLIAM LLOYD JUSTIN O PARKER DDS JXC

1291 WEST 12600 SOUTH, RIVERTON 586 WEST 5300 SOUTH, SALT LAKE CITY 3451 SOUTH 5600 WEST, WEST VALLEY CITY

RIVERTON, UT 84065 SALT LAKE CITY, UT 84123 WEST VALLEY CITY, UT 84120

Phone: (801) 446-1166 Phone: (801) 262-1500 Phone: (801) 969-1400

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 24: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

FADDIS, KELLY ROBERTS, KIM BROWN, LAYNEGeneral Dentistry General Dentistry General Dentistry

KELLY FADDIS DDS KIM G ROBERTS DDS PC LAYNE C BROWN DDS

11760 SOUTH 700 EAST, DRAPER 4046 SOUTH HIGHLAND DRIVE, SALT LAKE CITY 1345 EAST 3900 SOUTH, SALT LAKE CITY

DRAPER, UT 84020 SALT LAKE CITY, UT 84124 SALT LAKE CITY, UT 84124

Phone: (801) 571-6688 Phone: (801) 424-3500 Phone: (801) 278-1333

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BILLS, KENNETH KOCHEVAR, JOHN GRIFFITHS, BENJAMINGeneral Dentistry Endodontics General Dentistry

KENNETH G BILLS DDS KOCHEVAR ENDODONTICS LC DENTAL CARE

2180 EAST 4500 SOUTH, SALT LAKE CITY 4970 SOUTH 900 EAST, SALT LAKE CITY 2200 EAST 4500 SOUTH, HOLLADAY

SALT LAKE CITY, UT 84117 SALT LAKE CITY, UT 84117 HOLLADAY, UT 84117

Phone: (801) 277-0090 Phone: (801) 268-9722 Phone: (801) 288-1888

County: SALT LAKE County: SALT LAKE County: SALT LAKE

ANDERSON, KENNETH KOCHEVAR, JOHN ERICKSON, LOUISGeneral Dentistry Endodontics General Dentistry

KENNETH R ANDERSON DDS KOCHEVAR ENDODONTICS LOUIS A ERICKSON DDS

2290 EAST 4500 SOUTH, SALT LAKE CITY 3632 WEST SOUTH JORDAN PARKWAY, SOUTH JORDAN 1963 SOUTH 1200 EAST, SALT LAKE CITY

SALT LAKE CITY, UT 84117 SOUTH JORDAN, UT 84095 SALT LAKE CITY, UT 84105

Phone: (801) 278-4131 Phone: (801) 282-1651 Phone: (801) 466-1212

County: SALT LAKE County: SALT LAKE County: SALT LAKE

DIBBLE, KENNETH KOCHEVAR, JEFFERY ANDERSON, LOWELLGeneral Dentistry Endodontics Oral Surgery

KENNETH R DIBBLE DDS KOCHEVAR ENDODONTICS LOWELL K ANDERSON DMD

9853 SOUTH 700 EAST, SANDY 3632 WEST SOUTH JORDAN PARKWAY, SOUTH JORDAN 7138 SOUTH 2000 EAST, SALT LAKE CITY

SANDY, UT 84070 SOUTH JORDAN, UT 84095 SALT LAKE CITY, UT 84121

Phone: (801) 572-4430 Phone: (801) 282-1651 Phone: (801) 943-8703

County: SALT LAKE County: SALT LAKE County: SALT LAKE

DOWDLE, DANIEL KOCHEVAR, JEFFERY WALKER, LYNNGeneral Dentistry Endodontics General Dentistry

KENNETH R DIBBLE DDS KOCHEVAR ENDODONTICS LYNN R WALKER DDS MAGD CRESTRIDGE

9853 SOUTH 700 EAST, SANDY 4970 SOUTH 900 EAST, SALT LAKE CITY 7679 SOUTH CENTER SQUARE, MIDVALE

SANDY, UT 84070 SALT LAKE CITY, UT 84117 MIDVALE, UT 84047

Phone: (801) 572-4430 Phone: (801) 268-9722 Phone: (801) 255-4821

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BAUGH, KENT CHRISTENSEN, KYLE JOHNSON, LYNNOrthodontics Oral Surgery General Dentistry

KENT J BAUGH DMD KYLE S CHRISTENSEN DDS LYNN S JOHNSON DDS

164 EAST 5900 SOUTH, MURRAY 1268 WEST 10400 SOUTH, SOUTH JORDAN 3564 SOUTH 7200 WEST, MAGNA

MURRAY, UT 84107 SOUTH JORDAN, UT 84095 MAGNA, UT 84044

Phone: (801) 266-0061 Phone: (801) 561-8088 Phone: (801) 250-1717

County: SALT LAKE County: SALT LAKE County: SALT LAKE

LEWIS, KENT LAMBOURNE, KEVIN DEMILLE, CHRISTOPHERGeneral Dentistry Orthodontics General Dentistry

KENT S LEWIS DDS LAMBOURNE ORTHODONTICS MACKAY DENTAL

4970 SOUTH 900 EAST STREET, SALT LAKE CITY 1025 EAST 11400 SOUTH, SANDY 3550 SOUTH 4800 WEST, SALT LAKE CITY

SALT LAKE CITY, UT 84117 SANDY, UT 84094 SALT LAKE CITY, UT 84120

Phone: (801) 262-9444 Phone: (801) 523-2509 Phone: (801) 969-3025

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 25: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

MACKAY, DAVID LARSON, MATTHEW ROSVALL, MICHAELGeneral Dentistry General Dentistry Orthodontics

MACKAY DENTAL MATTHEW B LARSON DDS MICHAEL D ROSVALL DDS MS

3550 SOUTH 4800 WEST, SALT LAKE CITY 2158 SOUTH 2100 EAST, SALT LAKE CITY 13178 SOUTH 5600 WEST, HERRIMAN

SALT LAKE CITY, UT 84120 SALT LAKE CITY, UT 84109 HERRIMAN, UT 84096

Phone: (801) 969-3025 Phone: (801) 572-5550 Phone: (801) 253-6645

County: SALT LAKE County: SALT LAKE County: SALT LAKE

MACKAY, LYNDON NOORDA, MATTHEW CHIDESTER, ROBERTGeneral Dentistry General Dentistry General Dentistry

MACKAY DENTAL MATTHEW L NOORDA DMD MONARCH DENTAL

3550 SOUTH 4800 WEST, SALT LAKE CITY 12226 SOUTH 1000 EAST, DRAPER 420 EAST SOUTH TEMPLE, SALT LAKE CITY

SALT LAKE CITY, UT 84120 DRAPER, UT 84020 SALT LAKE CITY, UT 84111

Phone: (801) 969-3025 Phone: (801) 553-2350 Phone: (801) 220-0940

County: SALT LAKE County: SALT LAKE County: SALT LAKE

CALLAN, MARK BINNS, MATTHEW VAN MOORLEHEM, RYANGeneral Dentistry General Dentistry Endodontics

MARK J CALLAN DDS MATTHEW R BINNS DDS MONARCH DENTAL

370 EAST SOUTH TEMPLE, SALT LAKE CITY 586 WEST 5300 SOUTH, SALT LAKE CITY 420 EAST SOUTH TEMPLE, SALT LAKE CITY

SALT LAKE CITY, UT 84111 SALT LAKE CITY, UT 84123 SALT LAKE CITY, UT 84111

Phone: (801) 355-8287 Phone: (801) 261-8200 Phone: (801) 220-0940

County: SALT LAKE County: SALT LAKE County: SALT LAKE

ENDRIZZI, MARK STOHL, MATTHEW CHIDESTER, ROBERTOrthodontics General Dentistry General Dentistry

MARK T ENDRIZZI DDS MATTHEW R STOHL PLLC MONARCH DENTAL TAYLORSVILLE

3105 WEST 5400 SOUTH, TAYLORSVILLE 1355 SOUTH FOOTHILL DRIVE, SALT LAKE CITY 5419 SOUTH REDWOOD ROAD, TAYLORSVILLE

TAYLORSVILLE, UT 84118 SALT LAKE CITY, UT 84108 TAYLORSVILLE, UT 84123

Phone: (801) 969-6236 Phone: (801) 582-5787 Phone: (801) 263-6400

County: SALT LAKE County: SALT LAKE County: SALT LAKE

MATHESON, MICHAEL SNYDER, MATTHEW CLARK, RDEANGeneral Dentistry General Dentistry Orthodontics

MATHESON DENTAL ASSOCIATES MATTHEW SNYDER DDS MONARCH DENTAL TAYLORSVILLE

3939 SOUTH WASATCH BOULEVARD, SALT LAKE CITY 2681 EAST PARLEYS WAY, SALT LAKE CITY 5419 SOUTH REDWOOD ROAD, TAYLORSVILLE

SALT LAKE CITY, UT 84124 SALT LAKE CITY, UT 84109 TAYLORSVILLE, UT 84123

Phone: (801) 424-0027 Phone: (801) 485-2627 Phone: (801) 263-6400

County: SALT LAKE County: SALT LAKE County: SALT LAKE

LARSON, MATTHEW PACKER, BARLOW DASTRUP, KENTGeneral Dentistry General Dentistry General Dentistry

MATTHEW B LARSON DDS MCKAY B PACKER DDS MONARCH DENTAL TAYLORSVILLE

9457 SOUTH 700 EAST, SANDY 1275 FORT UNION BOULEVARD, MIDVALE 5419 SOUTH REDWOOD ROAD, TAYLORSVILLE

SANDY, UT 84070 MIDVALE, UT 84047 TAYLORSVILLE, UT 84123

Phone: (801) 572-5550 Phone: (801) 566-5959 Phone: (801) 263-6400

County: SALT LAKE County: SALT LAKE County: SALT LAKE

LARSON, MATTHEW PACKER, MCKAY ELDREDGE, STEPHENGeneral Dentistry General Dentistry General Dentistry

MATTHEW B LARSON DDS MCKAY B PACKER DDS MONARCH DENTAL TAYLORSVILLE

928 EAST 100 SOUTH, SALT LAKE CITY 1275 FORT UNION BOULEVARD, MIDVALE 5419 SOUTH REDWOOD ROAD, TAYLORSVILLE

SALT LAKE CITY, UT 84102 MIDVALE, UT 84047 TAYLORSVILLE, UT 84123

Phone: (801) 355-5558 Phone: (801) 566-5959 Phone: (801) 263-6400

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 26: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

HICKMAN, WILLIAM TORGESON, GERALD BLUTH, OSCARGeneral Dentistry General Dentistry Oral Surgery

MONARCH DENTAL TAYLORSVILLE MURRAY FAMILY DENTAL O DANIEL BLUTH

5419 SOUTH REDWOOD ROAD, TAYLORSVILLE 164 EAST 5900 SOUTH, SALT LAKE CITY 515 SOUTH 1000 EAST, SALT LAKE CITY

TAYLORSVILLE, UT 84123 SALT LAKE CITY, UT 84107 SALT LAKE CITY, UT 84102

Phone: (801) 263-6400 Phone: (801) 262-1181 Phone: (801) 370-0050

County: SALT LAKE County: SALT LAKE County: SALT LAKE

READING, TYLER STEVENSON, NATHAN BAIRD, BRIANPediatric Dentistry Pediatric Dentistry Orthodontics

MONARCH DENTAL TAYLORSVILLE NATHAN D STEVENSON DDS ONE SANDY CENTER

5419 SOUTH REDWOOD ROAD, TAYLORSVILLE 4019 WEST 12600 SOUTH, RIVERTON 10011 SOUTH CENTENNIAL, SANDY

TAYLORSVILLE, UT 84123 RIVERTON, UT 84096 SANDY, UT 84070

Phone: (801) 263-6400 Phone: (801) 302-7938 Phone: (801) 256-3700

County: SALT LAKE County: SALT LAKE County: SALT LAKE

RESCHKE, JOHN HOLT, NATHAN CHIDESTER, ROBERTGeneral Dentistry General Dentistry General Dentistry

MONARCH DENTAL TAYLORSVILLE NATHAN HOLT DMD ONE SANDY CENTER

5419 SOUTH REDWOOD ROAD, TAYLORSVILLE 219 EAST 12300 SOUTH, DRAPER 10011 SOUTH CENTENNIAL, SANDY

TAYLORSVILLE, UT 84123 DRAPER, UT 84020 SANDY, UT 84070

Phone: (801) 263-6400 Phone: (801) 495-4440 Phone: (801) 256-3700

County: SALT LAKE County: SALT LAKE County: SALT LAKE

RIZZO, RICHARD FISCHER, DAVID CHRISTENSEN, JOSEPHPeriodontology General Dentistry Endodontics

MONARCH DENTAL TAYLORSVILLE NELSON D GLASSETT DDS ONE SANDY CENTER

5419 SOUTH REDWOOD ROAD, TAYLORSVILLE 11576 SOUTH STATE STREET, DRAPER 10011 SOUTH CENTENNIAL, SANDY

TAYLORSVILLE, UT 84123 DRAPER, UT 84020 SANDY, UT 84070

Phone: (801) 263-6400 Phone: (801) 619-8664 Phone: (801) 256-3700

County: SALT LAKE County: SALT LAKE County: SALT LAKE

ROBERSON, JEFFREY GLASSETT, NELSON HICKMAN, WILLIAMGeneral Dentistry General Dentistry General Dentistry

MONARCH DENTAL TAYLORSVILLE NELSON D GLASSETT DDS ONE SANDY CENTER

5419 SOUTH REDWOOD ROAD, TAYLORSVILLE 11576 SOUTH STATE STREET, DRAPER 10011 SOUTH CENTENNIAL, SANDY

TAYLORSVILLE, UT 84123 DRAPER, UT 84020 SANDY, UT 84070

Phone: (801) 263-6400 Phone: (801) 619-8664 Phone: (801) 256-3700

County: SALT LAKE County: SALT LAKE County: SALT LAKE

STEELE, RICHARD RUDELICH, NICK LEAVER, BENJAMINGeneral Dentistry General Dentistry General Dentistry

MONARCH DENTAL TAYLORSVILLE NICK J RUDELICH DDS ONE SANDY CENTER

5419 SOUTH REDWOOD ROAD, TAYLORSVILLE 5255 SOUTH 4015 WEST, SALT LAKE CITY 10011 SOUTH CENTENNIAL, SANDY

TAYLORSVILLE, UT 84123 SALT LAKE CITY, UT 84118 SANDY, UT 84070

Phone: (801) 263-6400 Phone: (801) 968-9003 Phone: (801) 256-3700

County: SALT LAKE County: SALT LAKE County: SALT LAKE

SUNDBERG, WILLIAM MAXFIELD, NORMAN MEEKER, RONGeneral Dentistry Orthodontics General Dentistry

MONARCH DENTAL TAYLORSVILLE NORMAN A MAXFIELD DDS ONE SANDY CENTER

5419 SOUTH REDWOOD ROAD, TAYLORSVILLE 6243 SOUTH REDWOOD ROAD, SALT LAKE CITY 10011 SOUTH CENTENNIAL, SANDY

TAYLORSVILLE, UT 84123 SALT LAKE CITY, UT 84123 SANDY, UT 84070

Phone: (801) 263-6400 Phone: (801) 263-1333 Phone: (801) 256-3700

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 27: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

READING, TYLER WATTS, ROBERT ODONOGHUE, BRUCEPediatric Dentistry Endodontics General Dentistry

ONE SANDY CENTER ONE SANDY CENTER ORAL HEALTH CENTER

10011 SOUTH CENTENNIAL, SANDY 10011 SOUTH CENTENNIAL, SANDY 1951 WEST 4700 SOUTH, TAYLORSVILLE

SANDY, UT 84070 SANDY, UT 84070 TAYLORSVILLE, UT 84118

Phone: (801) 256-3700 Phone: (801) 256-3700 Phone: (801) 969-1800

County: SALT LAKE County: SALT LAKE County: SALT LAKE

RIZZO, RICHARD AHN, YE JIN YEAGER, KEVINPeriodontology General Dentistry General Dentistry

ONE SANDY CENTER OQUIRRH DENTAL ORAL HEALTH CENTER

10011 SOUTH CENTENNIAL, SANDY 8031 WEST 3500 SOUTH, MAGNA 1951 WEST 4700 SOUTH, TAYLORSVILLE

SANDY, UT 84070 MAGNA, UT 84044 TAYLORSVILLE, UT 84118

Phone: (801) 256-3700 Phone: (801) 250-0668 Phone: (801) 969-1800

County: SALT LAKE County: SALT LAKE County: SALT LAKE

STEELE, RICHARD HAYNIE, MICHEL ELISON, TIMOTHYGeneral Dentistry General Dentistry Orthodontics

ONE SANDY CENTER OQUIRRH DENTAL ORTHODONTIC CENTER

10011 SOUTH CENTENNIAL, SANDY 8031 WEST 3500 SOUTH, MAGNA 3556 WEST 9800 SOUTH, SOUTH JORDAN

SANDY, UT 84070 MAGNA, UT 84044 SOUTH JORDAN, UT 84095

Phone: (801) 256-3700 Phone: (801) 250-0668 Phone: (801) 446-3549

County: SALT LAKE County: SALT LAKE County: SALT LAKE

STEVENSON, NATHAN ROSANDER, KRIS ALLEN, OWENPediatric Dentistry General Dentistry General Dentistry

ONE SANDY CENTER ORAL DENTAL LAB OWEN ALLEN DMD

10011 SOUTH CENTENNIAL, SANDY 4802 SOUTH HOLLADAY BOULEVARD, SALT LAKE CITY 6321 SOUTH REDWOOD ROAD, TAYLORSVILLE

SANDY, UT 84070 SALT LAKE CITY, UT 84117 TAYLORSVILLE, UT 84123

Phone: (801) 256-3700 Phone: (801) 733-7035 Phone: (801) 747-0840

County: SALT LAKE County: SALT LAKE County: SALT LAKE

SUNDBERG, WILLIAM BLACKHURST, STEVEN BROADWATER, PAULGeneral Dentistry General Dentistry Orthodontics

ONE SANDY CENTER ORAL HEALTH CENTER PAUL M BROADWATER DDS

10011 SOUTH CENTENNIAL, SANDY 1951 WEST 4700 SOUTH, TAYLORSVILLE 2080 EAST 4800 SOUTH, SALT LAKE CITY

SANDY, UT 84070 TAYLORSVILLE, UT 84118 SALT LAKE CITY, UT 84117

Phone: (801) 256-3700 Phone: (801) 969-1800 Phone: (801) 278-7272

County: SALT LAKE County: SALT LAKE County: SALT LAKE

VERNON, ANDREW DAVIS, RYAN PAYNE, RODNEYGeneral Dentistry General Dentistry Orthodontics

ONE SANDY CENTER ORAL HEALTH CENTER PAYNE ORTHODONTICS

10011 SOUTH CENTENNIAL, SANDY 1951 WEST 4700 SOUTH, TAYLORSVILLE 3668 WEST 9800 SOUTH, SOUTH JORDAN

SANDY, UT 84070 TAYLORSVILLE, UT 84118 SOUTH JORDAN, UT 84095

Phone: (801) 256-3700 Phone: (801) 969-1800 Phone: (801) 260-1515

County: SALT LAKE County: SALT LAKE County: SALT LAKE

WATSON, JEREMY DEAN, JOHN KNUDSON, PETEROrthodontics General Dentistry Orthodontics

ONE SANDY CENTER ORAL HEALTH CENTER PETER C KNUDSON DDS

10011 SOUTH CENTENNIAL, SANDY 1951 WEST 4700 SOUTH, TAYLORSVILLE 2120 SOUTH 700 EAST, SALT LAKE CITY

SANDY, UT 84070 TAYLORSVILLE, UT 84118 SALT LAKE CITY, UT 84106

Phone: (801) 256-3700 Phone: (801) 969-1800 Phone: (801) 466-4600

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 28: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

PAULOS, PETER BLACKHURST, DAVID SORENSEN, STEVENOrthodontics General Dentistry General Dentistry

PETER E PAULOS DDS PROFESSIONAL DENTAL PROFESSIONAL DENTAL

6287 SOUTH REDWOOD ROAD, SALT LAKE CITY 6355 WEST 13500 SOUTH, HERRIMAN 6351 WEST 13400 SOUTH, HERRIMAN

SALT LAKE CITY, UT 84123 HERRIMAN, UT 84096 HERRIMAN, UT 84096

Phone: (801) 262-3777 Phone: (801) 302-7808 Phone: (801) 302-8787

County: SALT LAKE County: SALT LAKE County: SALT LAKE

MOORE, PETER COLTON, BRIGHAM GOLDBERG, AARONGeneral Dentistry General Dentistry General Dentistry

PETER S MOORE DDS PROFESSIONAL DENTAL QUALITY PLAZA DENTAL CARE

7555 SOUTH CENTER VIEW COURT, WEST JORDAN 6355 WEST 13500 SOUTH, HERRIMAN 1050 EAST 3300 SOUTH, SALT LAKE CITY

WEST JORDAN, UT 84084 HERRIMAN, UT 84096 SALT LAKE CITY, UT 84106

Phone: (801) 748-4151 Phone: (801) 302-7808 Phone: (801) 487-2206

County: SALT LAKE County: SALT LAKE County: SALT LAKE

GOUPIOS, ROBERT HART, BRODY WARD, RUFUSGeneral Dentistry General Dentistry General Dentistry

PREMIER DENTAL CARE PROFESSIONAL DENTAL R CHARLES WARD DDS

3280 WEST 3500 SOUTH, SALT LAKE CITY 6351 WEST 13400 SOUTH, HERRIMAN 575 EAST 4500 SOUTH, SALT LAKE CITY

SALT LAKE CITY, UT 84119 HERRIMAN, UT 84096 SALT LAKE CITY, UT 84107

Phone: (801) 964-6850 Phone: (801) 302-8787 Phone: (801) 261-3622

County: SALT LAKE County: SALT LAKE County: SALT LAKE

MCGARRY, CODY HART, BRODY COZAD, REYMANGeneral Dentistry General Dentistry General Dentistry

PREMIER DENTAL CARE PROFESSIONAL DENTAL R THOMAS COZAD DDS

3280 WEST 3500 SOUTH, SALT LAKE CITY 6355 WEST 13500 SOUTH, HERRIMAN 3961 WEST 9000 SOUTH, WEST JORDAN

SALT LAKE CITY, UT 84119 HERRIMAN, UT 84096 WEST JORDAN, UT 84088

Phone: (801) 964-6850 Phone: (801) 302-7808 Phone: (801) 260-1131

County: SALT LAKE County: SALT LAKE County: SALT LAKE

TROILI, DEAN MCDONALD, JONATHAN RYSER, MARKGeneral Dentistry General Dentistry Oral Surgery

PREMIER DENTAL CARE PROFESSIONAL DENTAL RALPH W RYSER DMD AND MARK R RYSER DMD

3280 WEST 3500 SOUTH, SALT LAKE CITY 6355 WEST 13500 SOUTH, HERRIMAN 1955 SOUTH 1300 EAST, SALT LAKE CITY

SALT LAKE CITY, UT 84119 HERRIMAN, UT 84096 SALT LAKE CITY, UT 84105

Phone: (801) 964-6850 Phone: (801) 302-7808 Phone: (801) 487-3264

County: SALT LAKE County: SALT LAKE County: SALT LAKE

PAREDES, CESAR MCINNES, MATTHEW RYSER, RALPHGeneral Dentistry General Dentistry Oral Surgery

PRESTIGE DENTAL CARE PROFESSIONAL DENTAL RALPH W RYSER DMD AND MARK R RYSER DMD

7321 SOUTH STATE STREET, MIDVALE 6351 WEST 13400 SOUTH, HERRIMAN 1955 SOUTH 1300 EAST, SALT LAKE CITY

MIDVALE, UT 84047 HERRIMAN, UT 84096 SALT LAKE CITY, UT 84105

Phone: (801) 563-5848 Phone: (801) 302-8787 Phone: (801) 487-3264

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BLACKHURST, DAVID PITTMAN, TYLER RYSER, RALPHGeneral Dentistry General Dentistry Oral Surgery

PROFESSIONAL DENTAL PROFESSIONAL DENTAL RALPH W RYSER DMD AND MARK R RYSER DMD

6351 WEST 13400 SOUTH, HERRIMAN 6355 WEST 13500 SOUTH, HERRIMAN 6287 SOUTH REDWOOD ROAD, SALT LAKE CITY

HERRIMAN, UT 84096 HERRIMAN, UT 84096 SALT LAKE CITY, UT 84123

Phone: (801) 302-8787 Phone: (801) 302-7808 Phone: (801) 261-2444

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 29: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

RYSER, MARK MARTINEZ, RICHARD PETERSON, JOHNOral Surgery General Dentistry General Dentistry

RALPH W RYSER DMD AND MARK R RYSER DMD RICHARD D MARTINEZ DDS RIVER CROSSING PROFESSIONAL DENTAL CORPORATION

6287 SOUTH REDWOOD ROAD, SALT LAKE CITY 2936 SOUTH HIGHLAND DRIVE, SALT LAKE CITY 12427 SOUTH 4000 WEST, RIVERTON

SALT LAKE CITY, UT 84123 SALT LAKE CITY, UT 84106 RIVERTON, UT 84096

Phone: (801) 261-2444 Phone: (801) 467-6555 Phone: (801) 254-8812

County: SALT LAKE County: SALT LAKE County: SALT LAKE

PACKER, RANDELL PARKER, RICHARD MCGARRY, CODYGeneral Dentistry General Dentistry General Dentistry

RANDELL B PACKER DDS RICHARD G PARKER DDS RIVERS EDGE DENTAL

8238 SOUTH 700 EAST, SANDY 112 EAST 12450 SOUTH, DRAPER 1264 VILLAGE MAIN DRIVE, WEST VALLEY

SANDY, UT 84070 DRAPER, UT 84020 WEST VALLEY, UT 84119

Phone: (801) 566-4697 Phone: (801) 302-8897 Phone: (801) 978-1000

County: SALT LAKE County: SALT LAKE County: SALT LAKE

DOWNING, RANDY NYDEGGER, RICHARD PAXTON, ROBERTGeneral Dentistry General Dentistry General Dentistry

RANDY N DOWNING DDS RICHARD I NYDEGGER DDS ROBERT C PAXTON DMD

7138 HIGHLAND DRIVE, SALT LAKE CITY 1996 EAST 6400 SOUTH, SALT LAKE CITY 1268 WEST SOUTH JORDAN PARKWAY, SOUTH JORDAN

SALT LAKE CITY, UT 84121 SALT LAKE CITY, UT 84121 SOUTH JORDAN, UT 84095

Phone: (801) 572-1600 Phone: (801) 943-2242 Phone: (801) 253-3900

County: SALT LAKE County: SALT LAKE County: SALT LAKE

DILLMAN, RAY ELLIS, RICHARD FLINT, ROBERTGeneral Dentistry General Dentistry Oral Surgery

RAY E DILLMAN DDS RICHARD L ELLIS II DMD AND RICHARD L ELLIS III DDSROBERT L FLINT DMD

2180 EAST FORT UNION BOULEVARD, SALT LAKE CITY 5 SOUTH 700 EAST, SALT LAKE CITY 114 EAST 12450 SOUTH, DRAPER

SALT LAKE CITY, UT 84121 SALT LAKE CITY, UT 84102 DRAPER, UT 84020

Phone: (801) 944-4141 Phone: (801) 355-3263 Phone: (801) 576-5910

County: SALT LAKE County: SALT LAKE County: SALT LAKE

DOWLING, RYAN ELLIS, RICHARD FLINT, ROBERTGeneral Dentistry General Dentistry Oral Surgery

RAY E DILLMAN DDS RICHARD L ELLIS II DMD AND RICHARD L ELLIS III DDSROBERT L FLINT DMD

2180 EAST FORT UNION BOULEVARD, SALT LAKE CITY 5 SOUTH 700 EAST, SALT LAKE CITY 4970 SOUTH 900 EAST, SALT LAKE CITY

SALT LAKE CITY, UT 84121 SALT LAKE CITY, UT 84102 SALT LAKE CITY, UT 84117

Phone: (801) 944-4141 Phone: (801) 355-3263 Phone: (801) 263-3309

County: SALT LAKE County: SALT LAKE County: SALT LAKE

TOPHAM, DAVID CLEGG, RICHARD THORUP, ROBERTGeneral Dentistry General Dentistry General Dentistry

RAY E DILLMAN DDS RICHARD R CLEGG DDS ROBERT R THORUP DDS

2180 EAST FORT UNION BOULEVARD, SALT LAKE CITY 1377 EAST 3900 SOUTH, SALT LAKE CITY 7138 HIGHLAND DRIVE, SALT LAKE CITY

SALT LAKE CITY, UT 84121 SALT LAKE CITY, UT 84124 SALT LAKE CITY, UT 84121

Phone: (801) 944-4141 Phone: (801) 277-8222 Phone: (801) 944-9494

County: SALT LAKE County: SALT LAKE County: SALT LAKE

JACKSON, DAVID RIGBY, TED YATES, ROBERTGeneral Dentistry General Dentistry General Dentistry

RED PINE DENTAL RIGBY DENTAL ROBERT W YATES TROY W YATES DDS

3550 SOUTH 5600 WEST, WEST VALLEY CITY 9457 SOUTH 700 EAST, SANDY 6936 SOUTH PROMONADE DRIVE, SALT LAKE CITY

WEST VALLEY CITY, UT 84120 SANDY, UT 84070 SALT LAKE CITY, UT 84121

Phone: (801) 966-3166 Phone: (801) 572-5550 Phone: (801) 943-4577

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 30: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

OWENS, ROBERT BOWEN, RONALD RUDD, MITCHELLGeneral Dentistry General Dentistry Endodontics

ROBERT WALTER OWENS RONALD S BOWEN DDS SALT LAKE ENDODONTICS

8045 SOUTH 700 EAST, SANDY 954 EAST 7145 SOUTH, MIDVALE 1955 SOUTH 1300 EAST, SALT LAKE CITY

SANDY, UT 84070 MIDVALE, UT 84047 SALT LAKE CITY, UT 84105

Phone: (801) 561-5191 Phone: (801) 565-8080 Phone: (801) 487-0758

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BLACK, ROMNEY JOHANSEN, RICHARD DRURY, SCOTGeneral Dentistry Pediatric Dentistry General Dentistry

ROMNEY R BLACK DDS ROSE PARK PEDIATRIC DENTISTRY SCOT DRURY DDS

4370 SOUTH REDWOOD ROAD, SALT LAKE CITY 55 NORTH REDWOOD ROAD, SALT LAKE CITY 1400 FOOTHILL DRIVE, SALT LAKE CITY

SALT LAKE CITY, UT 84123 SALT LAKE CITY, UT 84116 SALT LAKE CITY, UT 84108

Phone: (801) 969-1802 Phone: (801) 519-2222 Phone: (801) 582-9351

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BARNGROVER, RONALD WOLTHUIS, JARED URBAN, SCOTTGeneral Dentistry General Dentistry Oral Surgery

RONALD BARNGROVER DDS ROSE PARK PEDIATRIC DENTISTRY SCOTT D URBAN DMD

4085 SOUTH 2200 WEST, SALT LAKE CITY 55 NORTH REDWOOD ROAD, SALT LAKE CITY 7611 SOUTH JORDAN LANDING BOULEVARD, WEST JORDAN

SALT LAKE CITY, UT 84119 SALT LAKE CITY, UT 84116 WEST JORDAN, UT 84084

Phone: (801) 886-1116 Phone: (801) 519-2222 Phone: (801) 282-5363

County: SALT LAKE County: SALT LAKE County: SALT LAKE

ASHTON, RONALD TILLMANN, RUEDIGER DAYNES, SCOTTGeneral Dentistry General Dentistry General Dentistry

RONALD G ASHTON DDS RUEDIGER TILLMANN DDS SCOTT DAYNES DDS

9233 SOUTH REDWOOD ROAD, WEST JORDAN 5872 SOUTH 900 EAST, SALT LAKE CITY 463 WEST MURRAY BOULEVARD, MURRAY

WEST JORDAN, UT 84088 SALT LAKE CITY, UT 84121 MURRAY, UT 84123

Phone: (801) 566-0971 Phone: (801) 281-8433 Phone: (801) 268-2323

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BLACKHURST, RONALD JOHANSEN, RICHARD STEIN, SCOTTGeneral Dentistry Pediatric Dentistry General Dentistry

RONALD J BLACKHURST DDS RYAN JOHANSEN DDS SCOTT R STEIN DDS

7001 SOUTH 900 EAST, MIDVALE 7613 SOUTH JORDAN LANDING BOULEVARD, WEST JORDAN3920 SOUTH 1100 EAST, SALT LAKE CITY

MIDVALE, UT 84047 WEST JORDAN, UT 84084 SALT LAKE CITY, UT 84124

Phone: (801) 561-5212 Phone: (801) 943-3539 Phone: (801) 268-3516

County: SALT LAKE County: SALT LAKE County: SALT LAKE

SHAW, RONALD WORKMAN, RYAN FESSENDEN, SEANGeneral Dentistry General Dentistry Endodontics

RONALD K SHAW DDS RYAN M WORKMAN DDS SEAN D FESSENDEN DDS

1025 EAST 11400 SOUTH, SANDY 1949 EAST 5600 SOUTH, SALT LAKE CITY 7555 CENTER VIEW COURT, WEST JORDAN

SANDY, UT 84094 SALT LAKE CITY, UT 84121 WEST JORDAN, UT 84084

Phone: (801) 572-8955 Phone: (801) 277-8395 Phone: (801) 282-4333

County: SALT LAKE County: SALT LAKE County: SALT LAKE

CHRISTENSEN, RONALD BAUMAN, RICHARD LUCAS, SEANGeneral Dentistry Endodontics General Dentistry

RONALD L CHRISTENSEN DMD SALT LAKE ENDODONTICS SEAN P LUCAS DDS

1356 SOUTH 2100 EAST, SALT LAKE CITY 1955 SOUTH 1300 EAST, SALT LAKE CITY 7186 SOUTH HIGHLAND DRIVE, SALT LAKE CITY

SALT LAKE CITY, UT 84108 SALT LAKE CITY, UT 84105 SALT LAKE CITY, UT 84121

Phone: (801) 581-0054 Phone: (801) 487-0758 Phone: (801) 453-0244

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 31: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

CLONTS, DAVID MOLEN, CHAD PRICE, CORYGeneral Dentistry Endodontics Orthodontics

SMART DENTAL CARE SOUTH MOUNTAIN ENDODONTICS SOUTH TEMPLE

807 EAST SOUTH TEMPLE, SALT LAKE CITY 12226 SOUTH 1000 EAST, DRAPER 370 EAST SOUTH TEMPLE, SALT LAKE CITY

SALT LAKE CITY, UT 84102 DRAPER, UT 84020 SALT LAKE CITY, UT 84111

Phone: (801) 521-2333 Phone: (801) 495-3636 Phone: (801) 320-9810

County: SALT LAKE County: SALT LAKE County: SALT LAKE

SMART, J CHIDESTER, ROBERT READING, TYLERGeneral Dentistry General Dentistry Pediatric Dentistry

SMART DENTAL CARE SOUTH TEMPLE SOUTH TEMPLE

2180 EAST 4500 SOUTH, SALT LAKE CITY 370 EAST SOUTH TEMPLE, SALT LAKE CITY 370 EAST SOUTH TEMPLE, SALT LAKE CITY

SALT LAKE CITY, UT 84117 SALT LAKE CITY, UT 84111 SALT LAKE CITY, UT 84111

Phone: (801) 272-8609 Phone: (801) 320-9810 Phone: (801) 320-9810

County: SALT LAKE County: SALT LAKE County: SALT LAKE

SMITH, JOHN CHRISTENSEN, JOSEPH RIZZO, RICHARDGeneral Dentistry Endodontics Periodontology

SMART DENTAL CARE SOUTH TEMPLE SOUTH TEMPLE

2180 EAST 4500 SOUTH, SALT LAKE CITY 370 EAST SOUTH TEMPLE, SALT LAKE CITY 370 EAST SOUTH TEMPLE, SALT LAKE CITY

SALT LAKE CITY, UT 84117 SALT LAKE CITY, UT 84111 SALT LAKE CITY, UT 84111

Phone: (801) 272-8609 Phone: (801) 320-9810 Phone: (801) 320-9810

County: SALT LAKE County: SALT LAKE County: SALT LAKE

CHO, DENNY FENTON, ANDREW STEELE, RICHARDGeneral Dentistry Orthodontics General Dentistry

SMILE DENTAL STUDIO SOUTH TEMPLE SOUTH TEMPLE

1400 FOOTHILL DRIVE, SALT LAKE CITY 370 EAST SOUTH TEMPLE, SALT LAKE CITY 370 EAST SOUTH TEMPLE, SALT LAKE CITY

SALT LAKE CITY, UT 84108 SALT LAKE CITY, UT 84111 SALT LAKE CITY, UT 84111

Phone: (801) 583-4500 Phone: (801) 320-9810 Phone: (801) 320-9810

County: SALT LAKE County: SALT LAKE County: SALT LAKE

SMOOT, DAVID HART, RYAN WATSON, JEREMYOral Surgery General Dentistry Orthodontics

SMOOT CENTER SOUTH TEMPLE SOUTH TEMPLE

6095 SOUTH FASHION BOULEVARD, SALT LAKE CITY 370 EAST SOUTH TEMPLE, SALT LAKE CITY 370 EAST SOUTH TEMPLE, SALT LAKE CITY

SALT LAKE CITY, UT 84107 SALT LAKE CITY, UT 84111 SALT LAKE CITY, UT 84111

Phone: (801) 264-8504 Phone: (801) 320-9810 Phone: (801) 320-9810

County: SALT LAKE County: SALT LAKE County: SALT LAKE

SMOOT, DAVID MEEKS, DANIEL BARCLAY, JAMESOral Surgery General Dentistry General Dentistry

SMOOT CENTER SOUTH TEMPLE SOUTH VALLEY DENTAL ASSOCIATES

2651 WEST SOUTH JORDAN PARKWAY, SOUTH JORDAN 370 EAST SOUTH TEMPLE, SALT LAKE CITY 9217 SOUTH REDWOOD ROAD, WEST JORDAN

SOUTH JORDAN, UT 84095 SALT LAKE CITY, UT 84111 WEST JORDAN, UT 84088

Phone: (801) 253-4352 Phone: (801) 320-9810 Phone: (801) 566-1873

County: SALT LAKE County: SALT LAKE County: SALT LAKE

JOHNSON, CHRISTOPHER PETERSON, DENNIS GREEN, MICHAELGeneral Dentistry General Dentistry General Dentistry

SOUTH MOUNTAIN DENTAL SOUTH TEMPLE SOUTH VALLEY DENTAL ASSOCIATES

12288 SOUTH 900 EAST, DRAPER 370 EAST SOUTH TEMPLE, SALT LAKE CITY 9217 SOUTH REDWOOD ROAD, WEST JORDAN

DRAPER, UT 84020 SALT LAKE CITY, UT 84111 WEST JORDAN, UT 84088

Phone: (801) 501-0209 Phone: (801) 320-9810 Phone: (801) 566-1873

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 32: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

FARNSWORTH, RUSSELL OTTO, STEPHAN RUPP, JEFFERYPediatric Dentistry General Dentistry Pediatric Dentistry

SOUTHRIDGE PEDIATRIC DENTISTRY STEPHAN W OTTO DDS SUGARHOUSE PEDIATRIC DENTISTRY

2651 WEST 10400 SOUTH, SOUTH JORDAN 6321 SOUTH REDWOOD ROAD, TAYLORSVILLE 1955 SOUTH 1300 EAST, SALT LAKE CITY

SOUTH JORDAN, UT 84095 TAYLORSVILLE, UT 84123 SALT LAKE CITY, UT 84105

Phone: (801) 446-1515 Phone: (801) 747-0840 Phone: (801) 463-1900

County: SALT LAKE County: SALT LAKE County: SALT LAKE

ROTH, DAVID LIDDLE, STEPHEN JULIAN, DAVIDPediatric Dentistry General Dentistry General Dentistry

SOUTHRIDGE PEDIATRIC DENTISTRY STEPHEN B LIDDLE DDS SUMMIT GROUP

2651 WEST 10400 SOUTH, SOUTH JORDAN 7069 SOUTH HIGHLAND DRIVE, SALT LAKE CITY 168 EAST 5900 SOUTH, SALT LAKE CITY

SOUTH JORDAN, UT 84095 SALT LAKE CITY, UT 84121 SALT LAKE CITY, UT 84107

Phone: (801) 446-1515 Phone: (801) 943-2222 Phone: (801) 293-8950

County: SALT LAKE County: SALT LAKE County: SALT LAKE

CONDIE, CURTIS BURTON, STEPHEN BATEMAN, ADAMGeneral Dentistry General Dentistry Oral Surgery

SOUTHWEST DENTAL STEPHEN M BURTON DDS THANKSGIVING POINT ORAL AND MAXILLOFACIAL SURGERY

5255 SOUTH 4015 WEST, SALT LAKE CITY 1955 SOUTH 1300 EAST, SALT LAKE CITY 3632 WEST SOUTH JORDAN PARKWAY, SOUTH JORDAN

SALT LAKE CITY, UT 84118 SALT LAKE CITY, UT 84105 SOUTH JORDAN, UT 84095

Phone: (801) 968-9003 Phone: (801) 487-7062 Phone: (801) 253-6117

County: SALT LAKE County: SALT LAKE County: SALT LAKE

LOESER, MICHAEL WRIGHT, STEPHEN JOHNSON, JAMESGeneral Dentistry General Dentistry General Dentistry

SOUTHWEST DENTAL STEPHEN O WRIGHT DDS THE DENTIST

5255 SOUTH 4015 WEST, SALT LAKE CITY 852 EAST FORT UNION BOULEVARD, MIDVALE 8813 SOUTH REDWOOD ROAD, WEST JORDAN

SALT LAKE CITY, UT 84118 MIDVALE, UT 84047 WEST JORDAN, UT 84088

Phone: (801) 968-9003 Phone: (801) 566-3332 Phone: (801) 255-7800

County: SALT LAKE County: SALT LAKE County: SALT LAKE

PICKETT, VICTOR LOWE, STEVEN LUDLOW, THOMASGeneral Dentistry General Dentistry General Dentistry

SOUTHWEST DENTAL STEVEN B LOWE DDS THOMAS H LUDLOW DDS PC

5255 SOUTH 4015 WEST, SALT LAKE CITY 7138 SOUTH HIGHLAND DRIVE, SALT LAKE CITY 850 EAST 300 SOUTH, SALT LAKE CITY

SALT LAKE CITY, UT 84118 SALT LAKE CITY, UT 84121 SALT LAKE CITY, UT 84102

Phone: (801) 968-9003 Phone: (801) 943-0901 Phone: (801) 355-0380

County: SALT LAKE County: SALT LAKE County: SALT LAKE

LUKE, SPENCER SMITH, STEVEN CHIKARAISHI, TODDGeneral Dentistry General Dentistry General Dentistry

SPENCER LUKE DMD STEVEN D SMITH DMD TODD CHIKARAISHI DDS

1011 CATHERINE STREET, SALT LAKE CITY 1268 WEST SOUTH JORDAN PARKWAY, SOUTH JORDAN 7138 HIGHLAND DRIVE, SALT LAKE CITY

SALT LAKE CITY, UT 84116 SOUTH JORDAN, UT 84095 SALT LAKE CITY, UT 84121

Phone: (801) 596-3000 Phone: (801) 260-9150 Phone: (801) 942-7770

County: SALT LAKE County: SALT LAKE County: SALT LAKE

SPURRIER, STEVEN SPERRY, JEFFREY HOGGAN, TODDOrthodontics General Dentistry Orthodontics

SPURRIER ORTHODONTICS STEVEN M SPERRY DMD TODD HOGGAN DDS

3115 LION LANE, SALT LAKE CITY 2000 SOUTH 1300 EAST, SALT LAKE CITY 7478 SOUTH CAMPUS VIEW DRIVE, WEST JORDAN

SALT LAKE CITY, UT 84121 SALT LAKE CITY, UT 84105 WEST JORDAN, UT 84084

Phone: (801) 943-7349 Phone: (801) 484-8893 Phone: (801) 280-5377

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 33: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

TALBOT, TRAVIS LUDLOW, VAL ENGLISH, WALTEROrthodontics General Dentistry General Dentistry

TRAVIS Q TALBOT DDS VAL E LUDLOW DDS WALTER DANIEL ENGLISH

2364 WEST 12600 SOUTH, RIVERTON 4568 HIGHLAND DRIVE, SALT LAKE CITY 3521 SOUTH MARKET STREET, WEST VALLEY CITY

RIVERTON, UT 84065 SALT LAKE CITY, UT 84117 WEST VALLEY CITY, UT 84119

Phone: (801) 446-7175 Phone: (801) 277-1748 Phone: (801) 969-7261

County: SALT LAKE County: SALT LAKE County: SALT LAKE

WINEGAR, TROY VANLEEUWEN, ADAM BROOKS, DONALDProsthodontics General Dentistry General Dentistry

TROY H WINEGAR DDS VANLEEUWEN DENTAL WALTER LANDON BYE DDS

1931 EAST 5600 SOUTH, SALT LAKE CITY 6936 PROMENADE DRIVE, SALT LAKE CITY 175 SOUTH WEST TEMPLE, SALT LAKE CITY

SALT LAKE CITY, UT 84121 SALT LAKE CITY, UT 84121 SALT LAKE CITY, UT 84101

Phone: (801) 272-0423 Phone: (801) 943-1612 Phone: (801) 364-7943

County: SALT LAKE County: SALT LAKE County: SALT LAKE

ELLINGSON, DANIEL VANLEEUWEN, MICHAEL BYE, WALTERGeneral Dentistry General Dentistry General Dentistry

UTAH DENTAL PROVIDERS VANLEEUWEN DENTAL WALTER LANDON BYE DDS

1844 EAST 9400 SOUTH, SANDY 6936 PROMENADE DRIVE, SALT LAKE CITY 175 SOUTH WEST TEMPLE, SALT LAKE CITY

SANDY, UT 84093 SALT LAKE CITY, UT 84121 SALT LAKE CITY, UT 84101

Phone: (801) 816-9366 Phone: (801) 943-1612 Phone: (801) 364-7943

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BALDWIN, KENNETH LE, KIEU MEDEN, WALTEROral Surgery General Dentistry General Dentistry

UTAH ORTHOFACIAL SURGERY VEIT DENTISTRY WALTER MEDEN DDS

4046 SOUTH HIGHLAND DRIVE, SALT LAKE CITY 1819 WEST 3500 SOUTH, WEST VALLEY 1680 REUNION AVENUE, SOUTH JORDAN

SALT LAKE CITY, UT 84124 WEST VALLEY, UT 84119 SOUTH JORDAN, UT 84095

Phone: (801) 273-5600 Phone: (801) 887-7264 Phone: (801) 446-7800

County: SALT LAKE County: SALT LAKE County: SALT LAKE

HARRIS, MICHAEL ROSANDER, W KRIS BURNS, WALTEROral Surgery General Dentistry General Dentistry

UTAH SURGICAL ARTS W KRIS ROSANDER DDS WALTER R BURNS DDS

3409 WEST 12600 SOUTH, RIVERTON 2059 EAST 3900 SOUTH, SALT LAKE CITY 3378 SOUTH 2300 EAST, SALT LAKE CITY

RIVERTON, UT 84065 SALT LAKE CITY, UT 84124 SALT LAKE CITY, UT 84109

Phone: (801) 446-4428 Phone: (801) 278-5000 Phone: (801) 486-1500

County: SALT LAKE County: SALT LAKE County: SALT LAKE

PARK, DAVID ROSANDER, KRIS COLD, SCOTTOral Surgery General Dentistry General Dentistry

UTAH SURGICAL ARTS W KRIS ROSANDER DDS WARM FAMILY DENTISTRY

3409 WEST 12600 SOUTH, RIVERTON 2059 EAST 3900 SOUTH, SALT LAKE CITY 4143 SOUTH 1785 WEST, SALT LAKE CITY

RIVERTON, UT 84065 SALT LAKE CITY, UT 84124 SALT LAKE CITY, UT 84119

Phone: (801) 446-4428 Phone: (801) 278-5000 Phone: (801) 965-9898

County: SALT LAKE County: SALT LAKE County: SALT LAKE

PRICE, CHRISTOPHER ROMNEY, WALTER HODGE, JASONOral Surgery Pediatric Dentistry General Dentistry

UTAH SURGICAL ARTS WALTER A ROMNEY DMD WASATCH DENTAL AND ORTHODONTICS

3409 WEST 12600 SOUTH, RIVERTON 525 EAST 100 SOUTH, SALT LAKE CITY 5642 SOUTH 900 EAST, MURRAY

RIVERTON, UT 84065 SALT LAKE CITY, UT 84102 MURRAY, UT 84121

Phone: (801) 446-4428 Phone: (801) 355-8677 Phone: (801) 261-2202

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 34: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

EGGETT, MICHAEL JENSEN, MATTHEW RESCHKE, JOHNGeneral Dentistry Pediatric Dentistry General Dentistry

WASATCH FAMILY DENTAL WEST VALLEY PEDIATRIC DENTISTRY WESTRIDGE CENTER

1963 SOUTH 1200 EAST, SALT LAKE CITY 2964 WEST 4700 SOUTH, SALT LAKE CITY 3730 WEST 4700 SOUTH, SALT LAKE CITY

SALT LAKE CITY, UT 84105 SALT LAKE CITY, UT 84118 SALT LAKE CITY, UT 84118

Phone: (801) 466-1212 Phone: (801) 417-8080 Phone: (801) 955-1900

County: SALT LAKE County: SALT LAKE County: SALT LAKE

IVERSON, JEFFREY CHASTON, REVE RIZZO, RICHARDOrthodontics Periodontology Periodontology

WASATCH ORTHODONTICS AND DENTOFACIAL ORTHOPEDICSWESTRIDGE CENTER WESTRIDGE CENTER

850 EAST 9400 SOUTH, SANDY 3730 WEST 4700 SOUTH, SALT LAKE CITY 3730 WEST 4700 SOUTH, SALT LAKE CITY

SANDY, UT 84094 SALT LAKE CITY, UT 84118 SALT LAKE CITY, UT 84118

Phone: (801) 571-9662 Phone: (801) 955-1900 Phone: (801) 955-1900

County: SALT LAKE County: SALT LAKE County: SALT LAKE

WATSON, MICHAEL CHIDESTER, ROBERT SMITH, GREGORYGeneral Dentistry General Dentistry General Dentistry

WATSON DDS WESTRIDGE CENTER WESTRIDGE CENTER

1401 EAST 3900 SOUTH, SALT LAKE CITY 3730 WEST 4700 SOUTH, SALT LAKE CITY 3730 WEST 4700 SOUTH, SALT LAKE CITY

SALT LAKE CITY, UT 84124 SALT LAKE CITY, UT 84118 SALT LAKE CITY, UT 84118

Phone: (801) 278-0704 Phone: (801) 955-1900 Phone: (801) 955-1900

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BROWN, WAYNE CHRISTENSEN, JOSEPH SMITH, NATHANGeneral Dentistry Endodontics Pediatric Dentistry

WAYNE D BROWN DDS WESTRIDGE CENTER WESTRIDGE CENTER

2332 WEST 12600 SOUTH, RIVERTON 3730 WEST 4700 SOUTH, SALT LAKE CITY 3730 WEST 4700 SOUTH, SALT LAKE CITY

RIVERTON, UT 84065 SALT LAKE CITY, UT 84118 SALT LAKE CITY, UT 84118

Phone: (801) 253-4547 Phone: (801) 955-1900 Phone: (801) 955-1900

County: SALT LAKE County: SALT LAKE County: SALT LAKE

WAGNER, WELLS ELDREDGE, STEPHEN STEELE, RICHARDGeneral Dentistry General Dentistry General Dentistry

WELLS WAGNER DDS WESTRIDGE CENTER WESTRIDGE CENTER

6973 SOUTH 4800 WEST, WEST JORDAN 3730 WEST 4700 SOUTH, SALT LAKE CITY 3730 WEST 4700 SOUTH, SALT LAKE CITY

WEST JORDAN, UT 84084 SALT LAKE CITY, UT 84118 SALT LAKE CITY, UT 84118

Phone: (801) 982-0332 Phone: (801) 955-1900 Phone: (801) 955-1900

County: SALT LAKE County: SALT LAKE County: SALT LAKE

BOWMAN, TODD ENDRIZZI, MARK SUNDBERG, WILLIAMGeneral Dentistry Orthodontics General Dentistry

WEST 56TH DENTAL ASSOCIATES WESTRIDGE CENTER WESTRIDGE CENTER

3444 SOUTH 5600 WEST, WEST VALLEY CITY 3730 WEST 4700 SOUTH, SALT LAKE CITY 3730 WEST 4700 SOUTH, SALT LAKE CITY

WEST VALLEY CITY, UT 84120 SALT LAKE CITY, UT 84118 SALT LAKE CITY, UT 84118

Phone: (801) 964-0444 Phone: (801) 955-1900 Phone: (801) 955-1900

County: SALT LAKE County: SALT LAKE County: SALT LAKE

ARROYO, MARK READING, TYLER WATTS, ROBERTGeneral Dentistry Pediatric Dentistry Endodontics

WEST JORDAN DENTAL WESTRIDGE CENTER WESTRIDGE CENTER

1847 WEST 9000 SOUTH, WEST JORDAN 3730 WEST 4700 SOUTH, SALT LAKE CITY 3730 WEST 4700 SOUTH, SALT LAKE CITY

WEST JORDAN, UT 84088 SALT LAKE CITY, UT 84118 SALT LAKE CITY, UT 84118

Phone: (801) 567-9200 Phone: (801) 955-1900 Phone: (801) 955-1900

County: SALT LAKE County: SALT LAKE County: SALT LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 35: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

WILLDEN, RYAN ISRAELSEN, LAURENCE DEHART, CRAIGGeneral Dentistry Oral Surgery General Dentistry

WILLDEN FAMILY DENTAL WISDOM TEETH ORAL SURGERY UTAH NAVAJO HEALTH SYSTEM INCORPORATED

10334 SOUTH REDWOOD ROAD, SOUTH JORDAN 3632 WEST SOUTH JORDAN PARKWAY, SOUTH JORDAN 30 WEST MEDICAL DRIVE, MONUMENT VALLEY

SOUTH JORDAN, UT 84095 SOUTH JORDAN, UT 84095 MONUMENT VALLEY, UT 84536

Phone: (801) 446-4668 Phone: (801) 397-2727 Phone: (435) 727-3000

County: SALT LAKE County: SALT LAKE County: SAN JUAN

VARGO, WILLIAM ZURCHER, WILLARD TELFORD, VANCEGeneral Dentistry General Dentistry General Dentistry

WILLIAM C VARGO DDS ZURCHER ORTHODONTICS UTAH NAVAJO HEALTH SYSTEM INCORPORATED

7138 HIGHLAND DRIVE, SALT LAKE CITY 863 EAST 12300 SOUTH, DRAPER EAST HIGHWAY 262, MONTEZUMA CREEK

SALT LAKE CITY, UT 84121 DRAPER, UT 84020 MONTEZUMA CREEK, UT 84534

Phone: (801) 943-9090 Phone: (801) 572-8999 Phone: (435) 651-3291

County: SALT LAKE County: SALT LAKE County: SAN JUAN

WEBB, WILLIAM ZURCHER, WILLARD VREEKEN, JOSEPHGeneral Dentistry General Dentistry General Dentistry

WILLIAM H WEBB DDS ZURCHER ORTHODONTICS UTAH NAVAJO HEALTH SYSTEM INCORPORATED

3855 WEST 7800 SOUTH, WEST JORDAN 2180 EAST 4500 SOUTH, SALT LAKE CITY 30 WEST MEDICAL DRIVE, MONUMENT VALLEY

WEST JORDAN, UT 84088 SALT LAKE CITY, UT 84117 MONUMENT VALLEY, UT 84536

Phone: (801) 260-0530 Phone: (801) 272-4600 Phone: (435) 727-3000

County: SALT LAKE County: SALT LAKE County: SAN JUAN

SERGAKIS, WILLIAM VREEKEN, JOSEPHGeneral Dentistry General Dentistry

WILLIAM M SERGAKIS DDS UTAH NAVAJO HEALTH SYSTEM INCORPORATED

7240 SOUTH HIGHLAND DRIVE, SALT LAKE CITY EAST HIGHWAY 262, MONTEZUMA CREEK

SALT LAKE CITY, UT 84121 MONTEZUMA CREEK, UT 84534

Phone: (801) 733-0864 Phone: (435) 651-3291

County: SALT LAKE County: SAN JUAN

KIDDER, WILLIAM CHO, DENNYGeneral Dentistry General Dentistry

WILLIAM S KIDDER DDS UTAH NAVAJO HEALTH SYSTEM INCORPORATED

204 EAST FORT UNION BOULEVARD, MIDVALE EAST HIGHWAY 262, MONTEZUMA CREEK

MIDVALE, UT 84047 MONTEZUMA CREEK, UT 84534

Phone: (801) 255-3578 Phone: (435) 651-3291

County: SALT LAKE County: SAN JUAN

WILLIAMSON, MICHAEL CHO, DENNY OLDROYD, ROGERGeneral Dentistry General Dentistry Orthodontics

WILLIAMSON DENTAL UTAH NAVAJO HEALTH SYSTEM INCORPORATED ROGER OLDROYD DDS

4735 SOUTH 2700 WEST, SALT LAKE CITY 30 WEST MEDICAL DRIVE, MONUMENT VALLEY 36 NORTH MAIN STREET, MANTI

SALT LAKE CITY, UT 84118 MONUMENT VALLEY, UT 84536 MANTI, UT 84642

Phone: (801) 966-4481 Phone: (435) 727-3000 Phone: (435) 835-4048

County: SALT LAKE County: SAN JUAN County: SANPETE

ISRAELSEN, LAURENCE DEHART, CRAIG RACKHAM, LAURINOral Surgery General Dentistry General Dentistry

WISDOM TEETH ORAL SURGERY UTAH NAVAJO HEALTH SYSTEM INCORPORATED WESLEY B THOMPSON DMD

6710 SOUTH BLACKSTONE ROAD, COTTONWOOD HEIGHTS EAST HIGHWAY 262, MONTEZUMA CREEK 35 EAST 400 SOUTH, EPHRAIM

COTTONWOOD HEIGHTS, UT 84121 MONTEZUMA CREEK, UT 84534 EPHRAIM, UT 84627

Phone: (801) 397-2727 Phone: (435) 651-3291 Phone: (435) 283-4081

County: SALT LAKE County: SAN JUAN County: SANPETE

SANPETE County

SAN JUAN County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 36: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

THOMPSON, CONNOR LEE, TODD PETERSON, JOHNGeneral Dentistry General Dentistry General Dentistry

WESLEY B THOMPSON DMD TODD P LEE DDS SNOW COUNTRY DENTAL CARE AND ORTHODONTICS

35 EAST 400 SOUTH, EPHRAIM 46 WEST 100 NORTH, RICHFIELD 1729 SIDEWINDER, PARK CITY

EPHRAIM, UT 84627 RICHFIELD, UT 84701 PARK CITY, UT 84060

Phone: (435) 283-4081 Phone: (435) 893-2190 Phone: (435) 649-9492

County: SANPETE County: SEVIER County: SUMMIT

THOMPSON, WESLEY VERNON, CHRISGeneral Dentistry General Dentistry

WESLEY B THOMPSON DMD SPRING CREEK DENTAL

35 EAST 400 SOUTH, EPHRAIM 142 NORTH 50 EAST, COALVILLE

EPHRAIM, UT 84627 COALVILLE, UT 84017

Phone: (435) 283-4081 Phone: (435) 336-8478

County: SANPETE County: SUMMIT

THOMPSON, LELAND CROWTHER, GLADE PEERS, WADEGeneral Dentistry General Dentistry Oral Surgery

WESLEY B THOMPSON DMD GLADE R CROWTHER DDS WADE PEERS DDS

35 EAST 400 SOUTH, EPHRAIM 60 SOUTH MAIN STREET, COALVILLE 2750 RASMUSSEN ROAD, PARK CITY

EPHRAIM, UT 84627 COALVILLE, UT 84017 PARK CITY, UT 84098

Phone: (435) 283-4081 Phone: (435) 336-2657 Phone: (435) 615-9840

County: SANPETE County: SUMMIT County: SUMMIT

KOLON, JONATHANGeneral Dentistry

JONATHAN KOLON DDS

6415 BUSINESS PARK LOOP ROAD, PARK CITY

PARK CITY, UT 84098

Phone: (435) 658-0032

County: SUMMIT

JEFFERY, DARRIN ABRAHAM, JAMES HALL, AARONGeneral Dentistry General Dentistry General Dentistry

DARRIN R JEFFERY DDS PARK CITY DENTAL SPA AARON HALL DMD

325 NORTH 600 EAST, RICHFIELD 1526 UTE BOULEVARD, PARK CITY 1442 EAST DRAPER PARKWAY, DRAPER

RICHFIELD, UT 84701 PARK CITY, UT 84098 DRAPER, UT 84020

Phone: (435) 893-8888 Phone: (435) 615-8500 Phone: (801) 571-9555

County: SEVIER County: SUMMIT County: TOOELE

SORENSON, BARRY CONDIE, BRIAN DANSIE, DANGeneral Dentistry General Dentistry General Dentistry

DOCTOR BARRY K SORENSON SNOW COUNTRY DENTAL CARE AND ORTHODONTICS DAN W DANSIE DDS

20 EAST 200 NORTH, SALINA 1729 SIDEWINDER, PARK CITY 822 EAST MAIN STREET, GRANTSVILLE

SALINA, UT 84654 PARK CITY, UT 84060 GRANTSVILLE, UT 84029

Phone: (435) 529-1000 Phone: (435) 649-9492 Phone: (435) 884-3002

County: SEVIER County: SUMMIT County: TOOELE

CHAPPELL, KEVIN JINDAL, HARINI ANDERSON, LOWELLGeneral Dentistry General Dentistry Oral Surgery

KEVIN CHAPPELL DDS SNOW COUNTRY DENTAL CARE AND ORTHODONTICS LOWELL K ANDERSON DMD

850 NORTH MAIN STREET, RICHFIELD 1729 SIDEWINDER, PARK CITY 181 WEST VINE STREET, TOOELE

RICHFIELD, UT 84701 PARK CITY, UT 84060 TOOELE, UT 84074

Phone: (435) 896-9696 Phone: (435) 649-9492 Phone: (435) 882-8800

County: SEVIER County: SUMMIT County: TOOELE

SUMMIT County

SEVIER County TOOELE County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 37: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

FARNSWORTH, RUSSELL STUCKI, GRANTPediatric Dentistry General Dentistry

SOUTHRIDGE PEDIATRIC DENTISTRY ALPINE DENTISTRY

1959 NORTH AARON DRIVE, TOOELE 20 WEST MAIN STREET COURT, ALPINE

TOOELE, UT 84074 ALPINE, UT 84004

Phone: (435) 882-9800 Phone: (801) 756-3570

County: TOOELE County: UTAH

ROTH, DAVID TRACY, SCOTT BAIRD, DANIELPediatric Dentistry General Dentistry General Dentistry

SOUTHRIDGE PEDIATRIC DENTISTRY A F FAMILY DENTAL ALPINE MEADOWS FAMILY DENTAL

1959 NORTH AARON DRIVE, TOOELE 321 EAST 300 NORTH, AMERICAN FORK 101 NORTHWEST STATE ROAD, AMERICAN FORK

TOOELE, UT 84074 AMERICAN FORK, UT 84003 AMERICAN FORK, UT 84003

Phone: (435) 882-9800 Phone: (801) 756-0933 Phone: (801) 492-9207

County: TOOELE County: UTAH County: UTAH

REMINGTON, DAVID CLOWARD, AARON VIEHWEG, TATEOrthodontics General Dentistry Oral Surgery

WASATCH ORTHODONTICS AARON CLOWARD DMD ALPINE SURGICAL ARTS

1194 NORTH MAIN STREET, TOOELE 83 WEST 900 NORTH, SPANISH FORK 3300 NORTH RUNNING CREEK WAY SUITE 210, LEHI

TOOELE, UT 84074 SPANISH FORK, UT 84660 LEHI, UT 84043

Phone: (435) 833-9300 Phone: (801) 794-1834 Phone: (801) 766-4834

County: TOOELE County: UTAH County: UTAH

HILL, JARED JONES, AARON HASSAN, AMIRAGeneral Dentistry General Dentistry General Dentistry

WENDOVER DENTAL CARE AARON H JONES DDS AMIRA HASSAN DDS

399 NORTH ARIA BOULEVARD, WENDOVER 597 SOUTH PLEASANT GROVE BOULEVARD, PLEASANT GROVE290 WEST CENTER STREET, SPANISH FORK

WENDOVER, UT 84083 PLEASANT GROVE, UT 84062 SPANISH FORK, UT 84660

Phone: (435) 665-2962 Phone: (801) 796-3535 Phone: (801) 798-7464

County: TOOELE County: UTAH County: UTAH

WRIGHT, AARON MINER, ALAN JONES, AMMONGeneral Dentistry General Dentistry General Dentistry

WENDOVER DENTAL CARE ALAN MINER DMD AMMON G JONES DDS

399 NORTH ARIA BOULEVARD, WENDOVER 330 EAST 400 SOUTH, SPRINGVILLE 597 SOUTH PLEASANT GROVE BOULEVARD, PLEASANT GROVE

WENDOVER, UT 84083 SPRINGVILLE, UT 84663 PLEASANT GROVE, UT 84062

Phone: (435) 665-2962 Phone: (801) 489-4540 Phone: (801) 796-3535

County: TOOELE County: UTAH County: UTAH

CHRISTIANSEN, ALAN JONES, AARONOrthodontics General Dentistry

ALAN T CHRISTIANSEN DMD AMMON G JONES DDS

291 EAST UNIVERSITY PARKWAY, OREM 597 SOUTH PLEASANT GROVE BOULEVARD, PLEASANT GROVE

OREM, UT 84058 PLEASANT GROVE, UT 84062

Phone: (801) 225-7141 Phone: (801) 796-3535

County: UTAH County: UTAH

JACKSON, CHARLES BONNY, JAMES JACKSON, JONATHANOrthodontics General Dentistry General Dentistry

CHARLES B JACKSON JUNIOR DDS ALL SMILES DENTISTRY ART CITY DENTAL

582 NORTH 1700 WEST, VERNAL 245 WEST STATE HIGHWAY 198 SUITE 6, SALEM 335 EAST 400 SOUTH, SPRINGVILLE

VERNAL, UT 84078 SALEM, UT 84653 SPRINGVILLE, UT 84663

Phone: (435) 781-1231 Phone: (801) 423-2244 Phone: (801) 489-4411

County: UINTAH County: UTAH County: UTAH

UINTAH County

UTAH County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 38: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

PERKINS, ROBERT BLACKHURST, ROBERT SHOFF, CARLGeneral Dentistry General Dentistry General Dentistry

ART CITY DENTAL BLACKHURST DENTAL CARL C SHOFF DDS

335 EAST 400 SOUTH, SPRINGVILLE 922 NORTH 2000 WEST, PLEASANT GROVE 76 NORTH 100 EAST STREET, AMERICAN FORK

SPRINGVILLE, UT 84663 PLEASANT GROVE, UT 84062 AMERICAN FORK, UT 84003

Phone: (801) 489-4411 Phone: (801) 763-5555 Phone: (801) 756-0360

County: UTAH County: UTAH County: UTAH

BAIRD, ROBERT BATEMAN, BLAINE BROWN, JERRYGeneral Dentistry General Dentistry General Dentistry

ASPEN FAMILY DENTAL BLAINE S BATEMAN DDS CASCADE DENTAL

1795 WEST 500 SOUTH, SPRINGVILLE 2961 WEST MAPLE LOOP DRIVE, LEHI 588 EAST MAIN STREET, LEHI

SPRINGVILLE, UT 84663 LEHI, UT 84043 LEHI, UT 84043

Phone: (801) 491-6920 Phone: (801) 756-9310 Phone: (801) 768-8028

County: UTAH County: UTAH County: UTAH

BAIRD, ROBERT BLAKE, HEATH MANDELARIS, JASONGeneral Dentistry General Dentistry Pediatric Dentistry

ASPEN FAMILY DENTAL BLAKE DENTAL PC CHILDRENS CORNER PEDIATRIC DENTISTRY

1392 WEST TURF FARM WAY, PAYSON 198 SOUTH MAIN STREET, PLEASANT GROVE 275 WEST 200 NORTH, LINDON

PAYSON, UT 84651 PLEASANT GROVE, UT 84062 LINDON, UT 84042

Phone: (801) 465-4490 Phone: (801) 785-8308 Phone: (801) 769-2530

County: UTAH County: UTAH County: UTAH

ATWOOD, RICHARD NIELSON, BRENT RUPP, JEFFERYGeneral Dentistry Orthodontics Pediatric Dentistry

ATWOOD FAMILY DENTISTRY BRENT NIELSON DDS CHILDRENS CROSSING PEDIATRIC DENTISTY

82 EAST 900 NORTH, SPANISH FORK 135 NORTH 100 EAST, AMERICAN FORK 76 EAST COMMERCE DRIVE, SARATOGA SPRINGS

SPANISH FORK, UT 84660 AMERICAN FORK, UT 84003 SARATOGA SPRINGS, UT 84045

Phone: (801) 798-3526 Phone: (801) 756-4279 Phone: (801) 766-4900

County: UTAH County: UTAH County: UTAH

ATWOOD, MICHAEL SORENSEN, BRET TEW, MICHAELGeneral Dentistry Pediatric Dentistry Pediatric Dentistry

ATWOOD FAMILY DENTISTRY BRET J SORENSON DDS CHILDRENS CROSSING PEDIATRIC DENTISTY

82 EAST 900 NORTH, SPANISH FORK 497 NORTH MAIN STREET, SPANISH FORK 76 EAST COMMERCE DRIVE, SARATOGA SPRINGS

SPANISH FORK, UT 84660 SPANISH FORK, UT 84660 SARATOGA SPRINGS, UT 84045

Phone: (801) 798-3526 Phone: (801) 798-2100 Phone: (801) 766-4900

County: UTAH County: UTAH County: UTAH

PINEGAR, STEVEN MURDOCK, BRUCE HANSEN, CLAYTONGeneral Dentistry General Dentistry General Dentistry

AVENUE DENTAL CENTER BRUCE MURDOCK DDS CLAYTON M HANSEN DDS

1021 NORTH UNIVERSITY AVENUE, PROVO 356 EAST 20 SOUTH, AMERICAN FORK 356 EAST 20 SOUTH, AMERICAN FORK

PROVO, UT 84604 AMERICAN FORK, UT 84003 AMERICAN FORK, UT 84003

Phone: (801) 373-8221 Phone: (801) 756-4595 Phone: (801) 756-2809

County: UTAH County: UTAH County: UTAH

GRIFFITHS, BENJAMIN SCHOFIELD, NATALI MOLEN, KENNETHGeneral Dentistry General Dentistry General Dentistry

BENJAMIN M GRIFFITHS DDS CANYON VISTA DENTAL CARE COLLEGE DENTAL CLINIC

108 NORTH 1600 WEST, MAPLETON 198 SOUTH 1100 EAST, AMERICAN FORK 1176 SOUTH 1480 WEST, OREM

MAPLETON, UT 84664 AMERICAN FORK, UT 84003 OREM, UT 84058

Phone: (801) 491-6844 Phone: (801) 756-7129 Phone: (801) 426-0774

County: UTAH County: UTAH County: UTAH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 39: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

SWENSON, DAMON CHAMBERLAIN, DARREN JOHNSON, NATHANGeneral Dentistry Pediatric Dentistry General Dentistry

CROSSPOINTE DENTAL DARREN CHAMBERLAIN DDS DENNIS J BLUME DDS

1643 NORTH STATE STREET, OREM 1795 WEST 500 SOUTH, SPRINGVILLE 143 EAST 200 SOUTH, SPRINGVILLE

OREM, UT 84057 SPRINGVILLE, UT 84663 SPRINGVILLE, UT 84663

Phone: (801) 224-7337 Phone: (801) 489-1301 Phone: (801) 489-4541

County: UTAH County: UTAH County: UTAH

FERRELL, D PRINCE, DAVID MADSEN, DENNISGeneral Dentistry General Dentistry General Dentistry

D TERRY FERRELL DDS DAVID B PRINCE DDS DENNIS R MADSEN DDS

325 EAST 100 NORTH, LEHI 417 NORTH OREM BOULEVARD, OREM 201 NORTH STATE STREET, OREM

LEHI, UT 84043 OREM, UT 84057 OREM, UT 84057

Phone: (801) 766-3700 Phone: (801) 222-0789 Phone: (801) 224-5220

County: UTAH County: UTAH County: UTAH

GREENWOOD, DALE EREKSON, DAVID CLARK, ALBERTGeneral Dentistry General Dentistry General Dentistry

DALE M GREENWOOD BRANDON D GREENWOOD DAVID G EREKSON DDS DOCTOR ALBERT CLARK DDS

226 NORTH 1100 EAST, AMERICAN FORK 186 SOUTH 1100 EAST, AMERICAN FORK 1355 NORTH UNIVERSITY AVENUE, PROVO

AMERICAN FORK, UT 84003 AMERICAN FORK, UT 84003 PROVO, UT 84604

Phone: (801) 756-6037 Phone: (801) 756-5136 Phone: (801) 375-1750

County: UTAH County: UTAH County: UTAH

GREENWOOD, DALE LEE, DAVID SCHIFFMAN, QUINNGeneral Dentistry General Dentistry General Dentistry

DALE M GREENWOOD BRANDON D GREENWOOD DAVID G LEE DDS DOCTOR ALBERT CLARK DDS

1307 NORTH COMMERCE DRIVE, SARATOGA SPRINGS 1675 NORTH 200 WEST, PROVO 1355 NORTH UNIVERSITY AVENUE, PROVO

SARATOGA SPRINGS, UT 84045 PROVO, UT 84604 PROVO, UT 84604

Phone: (801) 766-3269 Phone: (801) 356-7329 Phone: (801) 375-1750

County: UTAH County: UTAH County: UTAH

GREENWOOD, BRANDON SORENSEN, DAVID LOSEE, BLAIRGeneral Dentistry General Dentistry General Dentistry

DALE M GREENWOOD BRANDON D GREENWOOD DAVID J SORENSEN DMD DOCTOR BLAIR I LOSEE DMD

1307 NORTH COMMERCE DRIVE, SARATOGA SPRINGS 90 WEST 600 NORTH, SPANISH FORK 3098 EXECUTIVE PARKWAY, LEHI

SARATOGA SPRINGS, UT 84045 SPANISH FORK, UT 84660 LEHI, UT 84043

Phone: (801) 766-3269 Phone: (801) 798-7545 Phone: (801) 766-5300

County: UTAH County: UTAH County: UTAH

GREENWOOD, BRANDON HANSEN, DAVID CHISHOLM, JONGeneral Dentistry General Dentistry General Dentistry

DALE M GREENWOOD BRANDON D GREENWOOD DAVID K HANSEN DMD DOCTOR JON R CHISHOLM DDS

226 NORTH 1100 EAST, AMERICAN FORK 204 EAST 400 NORTH, SALEM 10 SOUTH 300 WEST, SANTAQUIN

AMERICAN FORK, UT 84003 SALEM, UT 84653 SANTAQUIN, UT 84655

Phone: (801) 756-6037 Phone: (801) 423-0905 Phone: (801) 754-0678

County: UTAH County: UTAH County: UTAH

ASAY, DANIEL NANCE, DAVID ARTHUR, DOUGLASGeneral Dentistry General Dentistry General Dentistry

DANIEL W ASAY DDS DAVID K NANCE DDS DOUGLAS K ARTHUR DDS

330 EAST 400 SOUTH, SPRINGVILLE 285 EAST 400 SOUTH, SPRINGVILLE 169 WEST 800 NORTH, OREM

SPRINGVILLE, UT 84663 SPRINGVILLE, UT 84663 OREM, UT 84057

Phone: (801) 489-9494 Phone: (801) 489-1000 Phone: (801) 224-1997

County: UTAH County: UTAH County: UTAH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 40: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

HAMILTON, RYAN PAYNE, GLENN ALCORN, JAMESGeneral Dentistry General Dentistry General Dentistry

EAST MOUNTAIN DENTAL GLENN R PAYNE DDS JAMES D ALCORN

2335 SOUTH STATE STREET, PROVO 440 WEST 800 NORTH, OREM 5455 WEST 11000 NORTH, HIGHLAND

PROVO, UT 84606 OREM, UT 84057 HIGHLAND, UT 84003

Phone: (801) 377-0037 Phone: (801) 764-9444 Phone: (801) 492-0055

County: UTAH County: UTAH County: UTAH

BOWMAN, MARK GORDON, DAVID JOHNSON, JEFFEREYGeneral Dentistry General Dentistry General Dentistry

FRANDSEN FAMILY DENTISTRY GORDON FAMILY DENTAL JEFFREY D JOHNSON DDS

165 SOUTH OREM BOULEVARD, OREM 323 EAST 100 NORTH, LEHI 1275 NORTH UNVIERSITY AVENUE, PROVO

OREM, UT 84058 LEHI, UT 84043 PROVO, UT 84604

Phone: (801) 224-7900 Phone: (801) 766-6344 Phone: (801) 375-9511

County: UTAH County: UTAH County: UTAH

FRANDSEN, BRIAN HARDING, ROGER MORRISON, JEFFREYGeneral Dentistry General Dentistry General Dentistry

FRANDSEN FAMILY DENTISTRY HARDING DENTAL JEFFREY SCOTT MORRISON DDS

165 SOUTH OREM BOULEVARD, OREM 488 NORTH 100 EAST, PROVO 344 WEST 920 NORTH, OREM

OREM, UT 84058 PROVO, UT 84606 OREM, UT 84057

Phone: (801) 224-7900 Phone: (801) 374-0867 Phone: (801) 225-2640

County: UTAH County: UTAH County: UTAH

SMITH, GAVIN HART, RYAN HILL, JERELGeneral Dentistry General Dentistry General Dentistry

G TREVOR SMITH DDS HART DENTAL JEREL D HILL DDS

60 EAST STATE STREET, PLEASANT GROVE 3566 EAST PONY EXPRESS PARKWAY, EAGLE MOUNTAIN 205 NORTH STATE STREET, OREM

PLEASANT GROVE, UT 84062 EAGLE MOUNTAIN, UT 84005 OREM, UT 84057

Phone: (801) 785-2574 Phone: (801) 789-7500 Phone: (801) 225-7110

County: UTAH County: UTAH County: UTAH

CARTER, GARY HENDRICKSON, HEATH HILL, JAREDOrthodontics General Dentistry General Dentistry

GARY CARTER DDS HEATH HENDRICKSON JEREL D HILL DDS

240 EAST 1300 SOUTH, OREM 2230 NORTH UNIVERSITY PARKWAY, PROVO 205 NORTH STATE STREET, OREM

OREM, UT 84058 PROVO, UT 84604 OREM, UT 84057

Phone: (801) 227-0600 Phone: (801) 370-0050 Phone: (801) 225-7110

County: UTAH County: UTAH County: UTAH

HULET, GARY MADSEN, WILLIAM WATSON, JEREMYGeneral Dentistry General Dentistry Orthodontics

GARY M HULET DMD HORIZON DENTAL OF PAYSON JEREMY R WATSON DDS

777 NORTH 500 WEST, PROVO 107 SOUTH 500 WEST, PAYSON 496 NORTH 990 WEST, AMERICAN FORK

PROVO, UT 84601 PAYSON, UT 84651 AMERICAN FORK, UT 84003

Phone: (801) 375-1275 Phone: (801) 465-3111 Phone: (801) 763-7977

County: UTAH County: UTAH County: UTAH

BAILEY, GEORGE HOYAL, JAMES ANDERSON, JOHNPeriodontology General Dentistry General Dentistry

GEORGE M BAILEY DDS JAMES C HOYAL DDS JOHN A ANDERSON DDS

3585 NORTH UNIVERSITY AVENUE, PROVO 1802 NORTH STATE STREET, OREM 170 NORTH CENTER STREET, AMERICAN FORK

PROVO, UT 84604 OREM, UT 84057 AMERICAN FORK, UT 84003

Phone: (801) 356-8802 Phone: (801) 224-0320 Phone: (801) 756-2341

County: UTAH County: UTAH County: UTAH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 41: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

CALLISTER, JOHN BATEMAN, JOSHUA DAVIES, KENDELLGeneral Dentistry General Dentistry General Dentistry

JOHN CRAIG CALLISTER DMD JOSHUA M BATEMAN DDS LLC KENDELL T DAVIES

1172 EAST 100 NORTH, PAYSON 218 NORTH CENTER STREET, AMERICAN FORK 291 NORTH 300 EAST, AMERICAN FORK

PAYSON, UT 84651 AMERICAN FORK, UT 84003 AMERICAN FORK, UT 84003

Phone: (801) 465-3691 Phone: (801) 756-9310 Phone: (801) 756-2346

County: UTAH County: UTAH County: UTAH

CALLISTER, JOHN PERRY, JUSTIN MOLEN, KENNETHGeneral Dentistry General Dentistry General Dentistry

JOHN CRAIG CALLISTER DMD JUSTIN T PERRY DMD KENNETH A MOLEN DDS

1172 EAST 100 NORTH, PAYSON 40 SOUTH 200 WEST, SALEM 575 EAST UNIVERSITY PARKWAY, OREM

PAYSON, UT 84651 SALEM, UT 84653 OREM, UT 84097

Phone: (801) 465-3691 Phone: (801) 423-1345 Phone: (801) 426-6255

County: UTAH County: UTAH County: UTAH

WEBER, JOHN GUNNERSON, KRISTOPHER ROSVALL, LGeneral Dentistry General Dentistry General Dentistry

JOHN P WEBER DDS K CHEYN GUNNERSON DMD PC L CRAIG ROSVALL DDS

110 SOUTH 100 WEST, PAYSON 33 WEST 300 SOUTH, PAYSON 224 SOUTH 1100 EAST, AMERICAN FORK

PAYSON, UT 84651 PAYSON, UT 84651 AMERICAN FORK, UT 84003

Phone: (801) 465-4855 Phone: (801) 465-3233 Phone: (801) 756-6581

County: UTAH County: UTAH County: UTAH

WEBER, JOHN FRANCIS, KARL VAN DYKE, LARELLGeneral Dentistry Orthodontics General Dentistry

JOHN P WEBER DDS KARL M FRANCIS DDS LARELL VAN DYKE DDS

777 NORTH 500 WEST, PROVO 375 WEST CENTER STREET, SPANISH FORK 610 SOUTH LOADER AVENUE, PLEASANT GROVE

PROVO, UT 84601 SPANISH FORK, UT 84660 PLEASANT GROVE, UT 84062

Phone: (801) 356-8420 Phone: (801) 798-8226 Phone: (801) 785-7024

County: UTAH County: UTAH County: UTAH

JONES, BRIAN FRANCIS, KARL BRAITHWAITE, LARRYGeneral Dentistry Orthodontics General Dentistry

JONES DENTAL KARL M FRANCIS DDS PC LARRY BRAITHWAITE

1355 NORTH UNIVERSITY AVENUE, PROVO 50 SOUTH MEDICAL DRIVE, PAYSON 1675 NORTH 200 WEST, PROVO

PROVO, UT 84604 PAYSON, UT 84651 PROVO, UT 84604

Phone: (801) 374-8218 Phone: (801) 465-2529 Phone: (801) 375-4600

County: UTAH County: UTAH County: UTAH

CHRISTENSEN, JOSEPH MAUGHAN, KENNETH BROADBENT, LARRYEndodontics General Dentistry General Dentistry

JOSEPH CHRISTENSEN DMD KCM DENTAL LARRY JAY BROADBENT

36 SOUTH 1100 EAST, AMERICAN FORK 167 NORTH 400 WEST, OREM 1355 NORTH UNIVERSITY AVENUE, PROVO

AMERICAN FORK, UT 84003 OREM, UT 84057 PROVO, UT 84604

Phone: (801) 822-9876 Phone: (801) 226-3302 Phone: (801) 374-8218

County: UTAH County: UTAH County: UTAH

LIDDLE, JOSEPH MARTIN, ERIC BLACKHURST, STEVENGeneral Dentistry Pediatric Dentistry General Dentistry

JOSEPH LIDDLE DDS KDB LLC LEHI DENTAL CENTER

120 NORTH CENTER STREET, AMERICAN FORK 245 EAST STATE ROAD 73, LEHI 216 EAST MAIN, LEHI

AMERICAN FORK, UT 84003 LEHI, UT 84043 LEHI, UT 84043

Phone: (801) 756-3377 Phone: (801) 341-7999 Phone: (801) 768-9241

County: UTAH County: UTAH County: UTAH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 42: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

DAVIS, RYAN PRICE, CORY WATSON, JAMEYGeneral Dentistry Orthodontics Orthodontics

LEHI DENTAL CENTER MONARCH DENTAL AMERICAN FORK MONARCH DENTAL AMERICAN FORK

216 EAST MAIN, LEHI 476 NORTH 900 WEST, AMERICAN FORK 476 NORTH 900 WEST, AMERICAN FORK

LEHI, UT 84043 AMERICAN FORK, UT 84003 AMERICAN FORK, UT 84003

Phone: (801) 768-9241 Phone: (801) 756-5522 Phone: (801) 756-5522

County: UTAH County: UTAH County: UTAH

BROOKS, LESLIE READING, TYLER WATTS, ROBERTGeneral Dentistry Pediatric Dentistry Endodontics

LES G BROOKS DDS MONARCH DENTAL AMERICAN FORK MONARCH DENTAL AMERICAN FORK

325 EAST 100 NORTH, LEHI 476 NORTH 900 WEST, AMERICAN FORK 476 NORTH 900 WEST, AMERICAN FORK

LEHI, UT 84043 AMERICAN FORK, UT 84003 AMERICAN FORK, UT 84003

Phone: (801) 768-9471 Phone: (801) 756-5522 Phone: (801) 756-5522

County: UTAH County: UTAH County: UTAH

GORDON, DAVID RIZZO, RICHARD THOMPSON, RUDYGeneral Dentistry Periodontology General Dentistry

LES G BROOKS DDS MONARCH DENTAL AMERICAN FORK MOUNTAIN RIDGE DENTAL

325 EAST 100 NORTH, LEHI 476 NORTH 900 WEST, AMERICAN FORK 1256 SOUTH STATE STREET, OREM

LEHI, UT 84043 AMERICAN FORK, UT 84003 OREM, UT 84097

Phone: (801) 768-9471 Phone: (801) 756-5522 Phone: (801) 224-7182

County: UTAH County: UTAH County: UTAH

WESTMORELAND, TANYA ROBERTS, KIM BOOTH, CHADGeneral Dentistry General Dentistry General Dentistry

MAPLE MOUNTAIN DENTAL MONARCH DENTAL AMERICAN FORK MOUTAINLANDS COMMUNITY HEALTH CENTER

425 NORTH MAIN STREET, MAPLETON 476 NORTH 900 WEST, AMERICAN FORK 215 WEST 100 NORTH, PROVO

MAPLETON, UT 84664 AMERICAN FORK, UT 84003 PROVO, UT 84601

Phone: (801) 491-8191 Phone: (801) 756-5522 Phone: (801) 374-9660

County: UTAH County: UTAH County: UTAH

LORSCHEIDER, MICHAEL SMITH, GREGORY HUANG, ADRIANGeneral Dentistry General Dentistry General Dentistry

MICHAEL H LORSCHEIDER DMD MONARCH DENTAL AMERICAN FORK NINTH EAST DENTAL

2476 NORTH UNIVERSITY PARKWAY, PROVO 476 NORTH 900 WEST, AMERICAN FORK 1234 NORTH 900 EAST, PROVO

PROVO, UT 84604 AMERICAN FORK, UT 84003 PROVO, UT 84604

Phone: (801) 377-0990 Phone: (801) 756-5522 Phone: (801) 854-9140

County: UTAH County: UTAH County: UTAH

CHIDESTER, ROBERT STEELE, RICHARD PINCOCK, DAVIDGeneral Dentistry General Dentistry General Dentistry

MONARCH DENTAL AMERICAN FORK MONARCH DENTAL AMERICAN FORK NORTH OREM DENTAL

476 NORTH 900 WEST, AMERICAN FORK 476 NORTH 900 WEST, AMERICAN FORK 1694 NORTH STATE STREET, OREM

AMERICAN FORK, UT 84003 AMERICAN FORK, UT 84003 OREM, UT 84057

Phone: (801) 756-5522 Phone: (801) 756-5522 Phone: (801) 762-0100

County: UTAH County: UTAH County: UTAH

CHRISTENSEN, JOSEPH THUNELL, DANIEL CALL, JAMESEndodontics Periodontology General Dentistry

MONARCH DENTAL AMERICAN FORK MONARCH DENTAL AMERICAN FORK OREM FAMILY DENTAL

476 NORTH 900 WEST, AMERICAN FORK 476 NORTH 900 WEST, AMERICAN FORK 675 EAST 800 SOUTH, OREM

AMERICAN FORK, UT 84003 AMERICAN FORK, UT 84003 OREM, UT 84097

Phone: (801) 756-5522 Phone: (801) 756-5522 Phone: (801) 225-2210

County: UTAH County: UTAH County: UTAH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 43: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

HILLS, P HICKEN, CLARK SUNDBERG, WILLIAMGeneral Dentistry General Dentistry General Dentistry

P BRADLEY HILLS DMD PARKWAY CENTER PARKWAY CENTER

560 SOUTH STATE, OREM 575 EAST UNIVERSITY PARKWAY, OREM 575 EAST UNIVERSITY PARKWAY, OREM

OREM, UT 84058 OREM, UT 84097 OREM, UT 84097

Phone: (801) 610-5000 Phone: (801) 225-3300 Phone: (801) 225-3300

County: UTAH County: UTAH County: UTAH

JOLLY, CHRIS JOHNSON, ROBERT WATSON, JEREMYGeneral Dentistry General Dentistry Orthodontics

P BRADLEY HILLS DMD PARKWAY CENTER PARKWAY CENTER

560 SOUTH STATE, OREM 575 EAST UNIVERSITY PARKWAY, OREM 575 EAST UNIVERSITY PARKWAY, OREM

OREM, UT 84058 OREM, UT 84097 OREM, UT 84097

Phone: (801) 610-5000 Phone: (801) 225-3300 Phone: (801) 225-3300

County: UTAH County: UTAH County: UTAH

PACKER, CHIPMAN READING, TYLER WATTS, ROBERTGeneral Dentistry Pediatric Dentistry Endodontics

PACKER DENTAL PARKWAY CENTER PARKWAY CENTER

1375 NORTH UNIVERSITY AVENUE, PROVO 575 EAST UNIVERSITY PARKWAY, OREM 575 EAST UNIVERSITY PARKWAY, OREM

PROVO, UT 84604 OREM, UT 84097 OREM, UT 84097

Phone: (801) 377-4745 Phone: (801) 225-3300 Phone: (801) 225-3300

County: UTAH County: UTAH County: UTAH

CHIDESTER, ROBERT RIZZO, RICHARD FRANCIS, PAULGeneral Dentistry Periodontology Periodontology

PARKWAY CENTER PARKWAY CENTER PAUL O FRANCIS DDS MS

575 EAST UNIVERSITY PARKWAY, OREM 575 EAST UNIVERSITY PARKWAY, OREM 3300 NORTH RUNNING CREEK WAY SUITE 300, LEHI

OREM, UT 84097 OREM, UT 84097 LEHI, UT 84043

Phone: (801) 225-3300 Phone: (801) 225-3300 Phone: (801) 766-6966

County: UTAH County: UTAH County: UTAH

CLARK, RDEAN ROBERTS, KIM PAYNE, RODNEYOrthodontics General Dentistry Orthodontics

PARKWAY CENTER PARKWAY CENTER PAYNE ORTHODONTICS

575 EAST UNIVERSITY PARKWAY, OREM 575 EAST UNIVERSITY PARKWAY, OREM 245 EAST STATE ROAD 73, SARATOGA SPRINGS

OREM, UT 84097 OREM, UT 84097 SARATOGA SPRINGS, UT 84043

Phone: (801) 225-3300 Phone: (801) 225-3300 Phone: (801) 766-8111

County: UTAH County: UTAH County: UTAH

DOWLING, RYAN SMITH, NATHAN DAYNES, DAVIDGeneral Dentistry Pediatric Dentistry General Dentistry

PARKWAY CENTER PARKWAY CENTER PLEASANT GROVE DENTAL

575 EAST UNIVERSITY PARKWAY, OREM 575 EAST UNIVERSITY PARKWAY, OREM 30 SOUTH MAIN, PLEASANT GROVE

OREM, UT 84097 OREM, UT 84097 PLEASANT GROVE, UT 84062

Phone: (801) 225-3300 Phone: (801) 225-3300 Phone: (801) 785-5383

County: UTAH County: UTAH County: UTAH

FENTON, ANDREW STEELE, RICHARD BLACKHURST, DAVIDOrthodontics General Dentistry General Dentistry

PARKWAY CENTER PARKWAY CENTER PROFESSIONAL DENTAL

575 EAST UNIVERSITY PARKWAY, OREM 575 EAST UNIVERSITY PARKWAY, OREM 503 EAST 770 NORTH, OREM

OREM, UT 84097 OREM, UT 84097 OREM, UT 84097

Phone: (801) 225-3300 Phone: (801) 225-3300 Phone: (801) 225-1400

County: UTAH County: UTAH County: UTAH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 44: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

BLACKHURST, DAVID DEVRIES, BRADLEY HART, BRODYGeneral Dentistry General Dentistry General Dentistry

PROFESSIONAL DENTAL PROFESSIONAL DENTAL PROFESSIONAL DENTAL

1314 REDWOOD ROAD, SARATOGA SPRINGS 503 EAST 770 NORTH, OREM 465 EAST 1000 SOUTH, PLEASANT GROVE

SARATOGA SPRINGS, UT 84045 OREM, UT 84097 PLEASANT GROVE, UT 84062

Phone: (801) 768-0440 Phone: (801) 225-1400 Phone: (801) 785-6000

County: UTAH County: UTAH County: UTAH

BLACKHURST, DAVID DEVRIES, BRADLEY HART, BRODYGeneral Dentistry General Dentistry General Dentistry

PROFESSIONAL DENTAL PROFESSIONAL DENTAL PROFESSIONAL DENTAL

465 EAST 1000 SOUTH, PLEASANT GROVE 32 RED PINE DRIVE, ALPINE 78 EAST 100 SOUTH, PAYSON

PLEASANT GROVE, UT 84062 ALPINE, UT 84004 PAYSON, UT 84651

Phone: (801) 785-6000 Phone: (801) 756-9595 Phone: (801) 465-0550

County: UTAH County: UTAH County: UTAH

BLACKHURST, DAVID DEVRIES, BRADLEY MCDONALD, JONATHANGeneral Dentistry General Dentistry General Dentistry

PROFESSIONAL DENTAL PROFESSIONAL DENTAL PROFESSIONAL DENTAL

32 RED PINE DRIVE, ALPINE 78 EAST 100 SOUTH, PAYSON 78 EAST 100 SOUTH, PAYSON

ALPINE, UT 84004 PAYSON, UT 84651 PAYSON, UT 84651

Phone: (801) 756-9595 Phone: (801) 465-0550 Phone: (801) 465-0550

County: UTAH County: UTAH County: UTAH

BLACKHURST, DAVID DEVRIES, BRADLEY MCDONALD, JONATHANGeneral Dentistry General Dentistry General Dentistry

PROFESSIONAL DENTAL PROFESSIONAL DENTAL PROFESSIONAL DENTAL

78 EAST 100 SOUTH, PAYSON 465 EAST 1000 SOUTH, PLEASANT GROVE 465 EAST 1000 SOUTH, PLEASANT GROVE

PAYSON, UT 84651 PLEASANT GROVE, UT 84062 PLEASANT GROVE, UT 84062

Phone: (801) 465-0550 Phone: (801) 785-6000 Phone: (801) 785-6000

County: UTAH County: UTAH County: UTAH

COLTON, BRIGHAM HART, BRODY MCDONALD, JONATHANGeneral Dentistry General Dentistry General Dentistry

PROFESSIONAL DENTAL PROFESSIONAL DENTAL PROFESSIONAL DENTAL

78 EAST 100 SOUTH, PAYSON 503 EAST 770 NORTH, OREM 32 RED PINE DRIVE, ALPINE

PAYSON, UT 84651 OREM, UT 84097 ALPINE, UT 84004

Phone: (801) 465-0550 Phone: (801) 225-1400 Phone: (801) 756-9595

County: UTAH County: UTAH County: UTAH

COLTON, BRIGHAM HART, BRODY MCINNES, MATTHEWGeneral Dentistry General Dentistry General Dentistry

PROFESSIONAL DENTAL PROFESSIONAL DENTAL PROFESSIONAL DENTAL

32 RED PINE DRIVE, ALPINE 1314 REDWOOD ROAD, SARATOGA SPRINGS 78 EAST 100 SOUTH, PAYSON

ALPINE, UT 84004 SARATOGA SPRINGS, UT 84045 PAYSON, UT 84651

Phone: (801) 756-9595 Phone: (801) 768-0440 Phone: (801) 465-0550

County: UTAH County: UTAH County: UTAH

COLTON, BRIGHAM HART, BRODY MCINNES, MATTHEWGeneral Dentistry General Dentistry General Dentistry

PROFESSIONAL DENTAL PROFESSIONAL DENTAL PROFESSIONAL DENTAL

465 EAST 1000 SOUTH, PLEASANT GROVE 32 RED PINE DRIVE, ALPINE 465 EAST 1000 SOUTH, PLEASANT GROVE

PLEASANT GROVE, UT 84062 ALPINE, UT 84004 PLEASANT GROVE, UT 84062

Phone: (801) 785-6000 Phone: (801) 756-9595 Phone: (801) 785-6000

County: UTAH County: UTAH County: UTAH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 45: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

MCINNES, MATTHEW SORENSEN, STEVEN HOWELL, BRUCEGeneral Dentistry General Dentistry Pediatric Dentistry

PROFESSIONAL DENTAL PROFESSIONAL DENTAL R BRUCE HOWELL DDS

32 RED PINE DRIVE, ALPINE 1314 REDWOOD ROAD, SARATOGA SPRINGS 442 WEST 800 NORTH, OREM

ALPINE, UT 84004 SARATOGA SPRINGS, UT 84045 OREM, UT 84057

Phone: (801) 756-9595 Phone: (801) 768-0440 Phone: (801) 802-7200

County: UTAH County: UTAH County: UTAH

MCINNES, MATTHEW SORENSEN, STEVEN CALL, ROBERTSGeneral Dentistry General Dentistry General Dentistry

PROFESSIONAL DENTAL PROFESSIONAL DENTAL R REED CALL DDS

503 EAST 770 NORTH, OREM 78 EAST 100 SOUTH, PAYSON 777 NORTH 500 WEST, PROVO

OREM, UT 84097 PAYSON, UT 84651 PROVO, UT 84601

Phone: (801) 225-1400 Phone: (801) 465-0550 Phone: (801) 374-1094

County: UTAH County: UTAH County: UTAH

MCINNES, MATTHEW SORENSEN, STEVEN CALL, ROBERTSGeneral Dentistry General Dentistry General Dentistry

PROFESSIONAL DENTAL PROFESSIONAL DENTAL R REED CALL DDS

1314 REDWOOD ROAD, SARATOGA SPRINGS 465 EAST 1000 SOUTH, PLEASANT GROVE 891 SOUTH 1700 EAST CANYON, SPANISH FORK

SARATOGA SPRINGS, UT 84045 PLEASANT GROVE, UT 84062 SPANISH FORK, UT 84660

Phone: (801) 768-0440 Phone: (801) 785-6000 Phone: (801) 798-0830

County: UTAH County: UTAH County: UTAH

PITTMAN, TYLER SORENSEN, STEVEN RYSER, MARKGeneral Dentistry General Dentistry Oral Surgery

PROFESSIONAL DENTAL PROFESSIONAL DENTAL RALPH W RYSER DMD AND MARK R RYSER DMD

32 RED PINE DRIVE, ALPINE 32 RED PINE DRIVE, ALPINE 216 EAST MAIN STREET, LEHI

ALPINE, UT 84004 ALPINE, UT 84004 LEHI, UT 84043

Phone: (801) 756-9595 Phone: (801) 756-9595 Phone: (801) 768-1155

County: UTAH County: UTAH County: UTAH

PITTMAN, TYLER NIELSEN, PAUL RYSER, RALPHGeneral Dentistry General Dentistry Oral Surgery

PROFESSIONAL DENTAL PROVO DENTAL CARE RALPH W RYSER DMD AND MARK R RYSER DMD

465 EAST 1000 SOUTH, PLEASANT GROVE 1355 NORTH UNIVERSITY AVENUE, PROVO 216 EAST MAIN STREET, LEHI

PLEASANT GROVE, UT 84062 PROVO, UT 84604 LEHI, UT 84043

Phone: (801) 785-6000 Phone: (801) 373-3150 Phone: (801) 768-1155

County: UTAH County: UTAH County: UTAH

PITTMAN, TYLER LUND, TRACE HADFIELD, RANDALGeneral Dentistry Pediatric Dentistry General Dentistry

PROFESSIONAL DENTAL PROVO PEDIATRIC DENTAL RANDAL L HADFIELD DDS

78 EAST 100 SOUTH, PAYSON 745 NORTH 500 WEST, PROVO 3300 NORTH RUNNING CREEK WAY, LEHI

PAYSON, UT 84651 PROVO, UT 84601 LEHI, UT 84043

Phone: (801) 465-0550 Phone: (801) 373-4200 Phone: (801) 768-4072

County: UTAH County: UTAH County: UTAH

SORENSEN, STEVEN MARKHAM, KEVIN STUCKI, RANDALLGeneral Dentistry Pediatric Dentistry General Dentistry

PROFESSIONAL DENTAL PROVO PEDIATRIC DENTAL RANDALL M STUCKI DDS

503 EAST 770 NORTH, OREM 745 NORTH 500 WEST, PROVO 75 WEST MAIN STREET COURT, ALPINE

OREM, UT 84097 PROVO, UT 84601 ALPINE, UT 84004

Phone: (801) 225-1400 Phone: (801) 373-4200 Phone: (801) 492-7778

County: UTAH County: UTAH County: UTAH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 46: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

ROGERS, ROBERT HEALEY, SCOTT FRANCIS, RICHARDGeneral Dentistry General Dentistry General Dentistry

ROBERT C ROGERS DDS SCOTT HEALEY DMD SPRINGVILLE DENTISTRY

201 NORTH STATE STREET, OREM 530 NORTH STATE STREET, LINDON 378 EAST 400 SOUTH, SPRINGVILLE

OREM, UT 84057 LINDON, UT 84042 SPRINGVILLE, UT 84663

Phone: (801) 225-7712 Phone: (801) 785-0584 Phone: (801) 489-9456

County: UTAH County: UTAH County: UTAH

GUENTER, ROBERT ULM, SEAN HADLEY, DALEGeneral Dentistry General Dentistry General Dentistry

ROBERT JEREMY GUENTER DDS SEAN ULM DMD SPRINGVILLE DENTISTRY

204 EAST 400 NORTH, SALEM 389 WEST 600 NORTH, LINDON 378 EAST 400 SOUTH, SPRINGVILLE

SALEM, UT 84653 LINDON, UT 84042 SPRINGVILLE, UT 84663

Phone: (801) 504-6133 Phone: (801) 796-6882 Phone: (801) 489-9456

County: UTAH County: UTAH County: UTAH

SMITH, RONALD BRIGGS, SHAUN MARSHALL, KYLEGeneral Dentistry General Dentistry General Dentistry

RONALD T SMITH DDS SHAUN S BRIGGS DDS SPRINGVILLE DENTISTRY

3651 NORTH 100 EAST, PROVO 826 NORTH 100 EAST, SPANISH FORK 378 EAST 400 SOUTH, SPRINGVILLE

PROVO, UT 84604 SPANISH FORK, UT 84660 SPRINGVILLE, UT 84663

Phone: (801) 356-3025 Phone: (801) 798-0061 Phone: (801) 489-9456

County: UTAH County: UTAH County: UTAH

VAN MOORLEHEM, RYAN LLOYD, M V WRIGHT, DAVIDEndodontics General Dentistry General Dentistry

RYAN VAN MOORLEHEM DMD SHEFFIELD LLOYD DDS SPRINGVILLE DENTISTRY

826 NORTH 100 EAST, SPANISH FORK 3300 NORTH RUNNING CREEK WAY, LEHI 378 EAST 400 SOUTH, SPRINGVILLE

SPANISH FORK, UT 84660 LEHI, UT 84043 SPRINGVILLE, UT 84663

Phone: (801) 504-6070 Phone: (801) 766-4444 Phone: (801) 489-9456

County: UTAH County: UTAH County: UTAH

MACDONALD, DAVID MACDONALD, DAVID SORENSEN, STEVENPediatric Dentistry Pediatric Dentistry General Dentistry

SARATOGA PEDIATRIC DENTISTRY SMITH PEDIATRIC DENTISTRY STEVEN E SORENSEN DDS MS

245 EAST STATE ROAD 73, SARATOGA SPRINGS 148 SOUTH 1100 EAST, AMERICAN FORK 4587 CEDAR HILLS DRIVE, CEDAR HILLS

SARATOGA SPRINGS, UT 84043 AMERICAN FORK, UT 84003 CEDAR HILLS, UT 84062

Phone: (801) 766-8410 Phone: (801) 756-6048 Phone: (801) 492-6074

County: UTAH County: UTAH County: UTAH

NORD, SCOTT SMITH, NATHAN MCIFF, STEVENOrthodontics Pediatric Dentistry General Dentistry

SCOTT C NORD DMD SMITH PEDIATRIC DENTISTRY STEVEN F MCIFF DDS

291 EAST UNIVERSITY PARKWAY, OREM 148 SOUTH 1100 EAST, AMERICAN FORK 31 WEST 100 SOUTH, PLEASANT GROVE

OREM, UT 84058 AMERICAN FORK, UT 84003 PLEASANT GROVE, UT 84062

Phone: (801) 225-7141 Phone: (801) 756-6048 Phone: (801) 785-0083

County: UTAH County: UTAH County: UTAH

NORD, SCOTT HILMO, JUSTIN FLICK, STEVENOrthodontics General Dentistry General Dentistry

SCOTT C NORD DMD MS SPANISH FORK DENTAL STEVEN K FLICK DMD

3688 CAMPUS DRIVE, EAGLE MOUNTAIN 826 NORTH 100 EAST, SPANISH FORK 1355 NORTH UNIVERSITY AVENUE, PROVO

EAGLE MOUNTAIN, UT 84005 SPANISH FORK, UT 84660 PROVO, UT 84604

Phone: (801) 789-5444 Phone: (801) 794-3567 Phone: (801) 373-2693

County: UTAH County: UTAH County: UTAH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 47: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

SACHS, STEVEN WRIGHT, AARON ADAMSON, DENNISGeneral Dentistry General Dentistry Oral Surgery

STEVEN P SACHS DDS THE DENTIST UTAH VALLEY ORAL SURGERY

1442 EAST 820 NORTH, OREM 238 EAST STATE STREET, PLEASANT GROVE 480 WEST 800 NORTH, OREM

OREM, UT 84097 PLEASANT GROVE, UT 84062 OREM, UT 84057

Phone: (801) 225-4701 Phone: (801) 796-7779 Phone: (801) 224-1200

County: UTAH County: UTAH County: UTAH

LATHAM, DAVID BRAITHWAITE, STEVEN BURTON, CHRISTOPHERGeneral Dentistry General Dentistry Oral Surgery

STONEHAVEN DENTAL TIMP PLAZA DENTAL UTAH VALLEY ORAL SURGERY

181 NORTH 1200 EAST, LEHI 218 NORTH WEST STATE ROAD, AMERICAN FORK 480 WEST 800 NORTH, OREM

LEHI, UT 84043 AMERICAN FORK, UT 84003 OREM, UT 84057

Phone: (801) 766-3600 Phone: (801) 763-7737 Phone: (801) 224-1200

County: UTAH County: UTAH County: UTAH

TOBLER, BRET BALL, DOUGLAS STEVENS, WADEGeneral Dentistry General Dentistry General Dentistry

STONEHAVEN DENTAL UTAH COUNTY SMILES WADE F STEVENS DDS

181 NORTH 1200 EAST, LEHI 1344 SOUTH 800 EAST, OREM 1275 NORTH UNIVERSITY AVENUE, PROVO

LEHI, UT 84043 OREM, UT 84097 PROVO, UT 84604

Phone: (801) 766-3600 Phone: (801) 224-6165 Phone: (801) 375-2273

County: UTAH County: UTAH County: UTAH

TOBLER, ERIC PEACOCK, STEVEN BROCKBANK, WELLSGeneral Dentistry General Dentistry General Dentistry

STONEHAVEN DENTAL UTAH COUNTY SMILES WELLS S BROCKBANK DDS

181 NORTH 1200 EAST, LEHI 1344 SOUTH 800 EAST, OREM 490 NORTH MAIN STREET, SPANISH FORK

LEHI, UT 84043 OREM, UT 84097 SPANISH FORK, UT 84660

Phone: (801) 766-3600 Phone: (801) 224-6165 Phone: (801) 798-9874

County: UTAH County: UTAH County: UTAH

TOBLER, NATHAN HARRIS, MICHAEL WHITE, JEREMYGeneral Dentistry Oral Surgery General Dentistry

STONEHAVEN DENTAL UTAH SURGICAL ARTS WHITE SMILES FAMILY DENTISTRY

181 NORTH 1200 EAST, LEHI 3610 NORTH UNIVERSITY AVENUE, PROVO 594 EAST 800 SOUTH, OREM

LEHI, UT 84043 PROVO, UT 84604 OREM, UT 84097

Phone: (801) 766-3600 Phone: (801) 356-2226 Phone: (801) 765-1443

County: UTAH County: UTAH County: UTAH

TALBOT, TRAVIS PARK, DAVID BOTT, RYANOrthodontics Oral Surgery General Dentistry

TALBOT ORTHODONTICS UTAH SURGICAL ARTS WILLOW CREEK DENTAL CARE

1692 NORTH STATE STREET, OREM 3610 NORTH UNIVERSITY AVENUE, PROVO 183 SOUTH 500 EAST, AMERICAN FORK

OREM, UT 84057 PROVO, UT 84604 AMERICAN FORK, UT 84003

Phone: (801) 226-6611 Phone: (801) 356-2226 Phone: (801) 763-9080

County: UTAH County: UTAH County: UTAH

BATEMAN, ADAM PRICE, CHRISTOPHER CUTLER, CURTISOral Surgery Oral Surgery General Dentistry

THANKSGIVING POINT ORAL AND MAXILLOFACIAL SURGERYUTAH SURGICAL ARTS WILLOW CREEK DENTAL CARE

2961 WEST MAPLE LOOP, LEHI 3610 NORTH UNIVERSITY AVENUE, PROVO 183 SOUTH 500 EAST, AMERICAN FORK

LEHI, UT 84043 PROVO, UT 84604 AMERICAN FORK, UT 84003

Phone: (801) 492-4800 Phone: (801) 356-2226 Phone: (801) 763-9080

County: UTAH County: UTAH County: UTAH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 48: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

HARDING, ROGER HUDSON, SASCHA PARK, KWANGGeneral Dentistry General Dentistry General Dentistry

WILLOW CREEK DENTAL CARE YOUNG FAMILY DENTAL YOUNG FAMILY DENTAL

183 SOUTH 500 EAST, AMERICAN FORK 1376 NORTH REDWOOD ROAD, SARATOGA SPRINGS 1834 SOUTH STATE STREET, OREM

AMERICAN FORK, UT 84003 SARATOGA SPRINGS, UT 84045 OREM, UT 84097

Phone: (801) 763-9080 Phone: (801) 766-2112 Phone: (801) 224-0222

County: UTAH County: UTAH County: UTAH

CERNY, WILLIAM HUDSON, SASCHA PARK, KWANGGeneral Dentistry General Dentistry General Dentistry

YOUNG FAMILY DENTAL YOUNG FAMILY DENTAL YOUNG FAMILY DENTAL

1376 NORTH REDWOOD ROAD, SARATOGA SPRINGS 1834 SOUTH STATE STREET, OREM 483 EAST 200 SOUTH, AMERICAN FORK

SARATOGA SPRINGS, UT 84045 OREM, UT 84097 AMERICAN FORK, UT 84003

Phone: (801) 766-2112 Phone: (801) 224-0222 Phone: (801) 756-7173

County: UTAH County: UTAH County: UTAH

CERNY, WILLIAM HUDSON, SASCHA WALKER, BRADLEYGeneral Dentistry General Dentistry General Dentistry

YOUNG FAMILY DENTAL YOUNG FAMILY DENTAL YOUNG FAMILY DENTAL

1834 SOUTH STATE STREET, OREM 483 EAST 200 SOUTH, AMERICAN FORK 1376 NORTH REDWOOD ROAD, SARATOGA SPRINGS

OREM, UT 84097 AMERICAN FORK, UT 84003 SARATOGA SPRINGS, UT 84045

Phone: (801) 224-0222 Phone: (801) 756-7173 Phone: (801) 766-2112

County: UTAH County: UTAH County: UTAH

CERNY, WILLIAM LOESER, MICHAEL WALKER, BRADLEYGeneral Dentistry General Dentistry General Dentistry

YOUNG FAMILY DENTAL YOUNG FAMILY DENTAL YOUNG FAMILY DENTAL

483 EAST 200 SOUTH, AMERICAN FORK 1376 NORTH REDWOOD ROAD, SARATOGA SPRINGS 1834 SOUTH STATE STREET, OREM

AMERICAN FORK, UT 84003 SARATOGA SPRINGS, UT 84045 OREM, UT 84097

Phone: (801) 756-7173 Phone: (801) 766-2112 Phone: (801) 224-0222

County: UTAH County: UTAH County: UTAH

ELDREDGE, STEPHEN LOESER, MICHAEL WALKER, BRADLEYGeneral Dentistry General Dentistry General Dentistry

YOUNG FAMILY DENTAL YOUNG FAMILY DENTAL YOUNG FAMILY DENTAL

1376 NORTH REDWOOD ROAD, SARATOGA SPRINGS 1834 SOUTH STATE STREET, OREM 483 EAST 200 SOUTH, AMERICAN FORK

SARATOGA SPRINGS, UT 84045 OREM, UT 84097 AMERICAN FORK, UT 84003

Phone: (801) 766-2112 Phone: (801) 224-0222 Phone: (801) 756-7173

County: UTAH County: UTAH County: UTAH

ELDREDGE, STEPHEN LOESER, MICHAEL YOUNG, CHRISTOPHERGeneral Dentistry General Dentistry General Dentistry

YOUNG FAMILY DENTAL YOUNG FAMILY DENTAL YOUNG FAMILY DENTAL

1834 SOUTH STATE STREET, OREM 483 EAST 200 SOUTH, AMERICAN FORK 1376 NORTH REDWOOD ROAD, SARATOGA SPRINGS

OREM, UT 84097 AMERICAN FORK, UT 84003 SARATOGA SPRINGS, UT 84045

Phone: (801) 224-0222 Phone: (801) 756-7173 Phone: (801) 766-2112

County: UTAH County: UTAH County: UTAH

ELDREDGE, STEPHEN PARK, KWANG YOUNG, MICHAELGeneral Dentistry General Dentistry General Dentistry

YOUNG FAMILY DENTAL YOUNG FAMILY DENTAL YOUNG FAMILY DENTAL

483 EAST 200 SOUTH, AMERICAN FORK 1376 NORTH REDWOOD ROAD, SARATOGA SPRINGS 1376 NORTH REDWOOD ROAD, SARATOGA SPRINGS

AMERICAN FORK, UT 84003 SARATOGA SPRINGS, UT 84045 SARATOGA SPRINGS, UT 84045

Phone: (801) 756-7173 Phone: (801) 766-2112 Phone: (801) 766-2112

County: UTAH County: UTAH County: UTAH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 49: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

YOUNG, CHRISTOPHER DEBUCK, PETER SCHOLZEN, JEREMYGeneral Dentistry General Dentistry Pediatric Dentistry

YOUNG FAMILY DENTAL HERBER DENTAL CARE CHILDRENS DENTAL OF SOUTHERN UTAH

1834 SOUTH STATE STREET, OREM 380 EAST 1500 SOUTH, HEBER CITY 39 SOUTH MAIN STREET, HURRICANE

OREM, UT 84097 HEBER CITY, UT 84032 HURRICANE, UT 84737

Phone: (801) 224-0222 Phone: (435) 657-1432 Phone: (435) 673-7776

County: UTAH County: WASATCH County: WASHINGTON

YOUNG, MICHAEL ELLIS, JEFFREY BLAKE, CLINTONGeneral Dentistry Pediatric Dentistry General Dentistry

YOUNG FAMILY DENTAL JEFFREY S ELLIS DMD CLINTON L BLAKE DDS

1834 SOUTH STATE STREET, OREM 160 SOUTH 100 WEST, HEBER CITY 437 SOUTH BLUFF STREET, SAINT GEORGE

OREM, UT 84097 HEBER CITY, UT 84032 SAINT GEORGE, UT 84770

Phone: (801) 224-0222 Phone: (435) 654-5322 Phone: (435) 688-2772

County: UTAH County: WASATCH County: WASHINGTON

YOUNG, CHRISTOPHER FORD, KRAIG ALLDREDGE, DANIELGeneral Dentistry General Dentistry General Dentistry

YOUNG FAMILY DENTAL KRAIG R FORD DDS D BRYCE ALLDREDGE DMD

483 EAST 200 SOUTH, AMERICAN FORK 340 NORTH MAIN, HEBER CITY 1240 EAST 100 SOUTH, SAINT GEORGE

AMERICAN FORK, UT 84003 HEBER CITY, UT 84032 SAINT GEORGE, UT 84790

Phone: (801) 756-7173 Phone: (435) 654-2020 Phone: (435) 652-9105

County: UTAH County: WASATCH County: WASHINGTON

YOUNG, MICHAEL LOBROT, REED COX, DANIELGeneral Dentistry General Dentistry General Dentistry

YOUNG FAMILY DENTAL WASATCH FAMILY DENTISTRY DAN M COX DMD

483 EAST 200 SOUTH, AMERICAN FORK 380 EAST 1500 SOUTH, HEBER CITY 640 EAST 700 SOUTH, SAINT GEORGE

AMERICAN FORK, UT 84003 HEBER CITY, UT 84032 SAINT GEORGE, UT 84770

Phone: (801) 756-7173 Phone: (435) 654-4500 Phone: (435) 652-1212

County: UTAH County: WASATCH County: WASHINGTON

EARL, DARRENGeneral Dentistry

DARREN B EARL DMD

321 NORTH MALL DRIVE, SAINT GEORGE

SAINT GEORGE, UT 84790

Phone: (435) 656-4550

County: WASHINGTON

JENSEN, BRANDON DYER, BRICANEI MORRIS, DAVIDGeneral Dentistry General Dentistry General Dentistry

BRANDON C JENSEN DDS BRICANEI A DYER DDS DAVID R MORRIS

340 NORTH MAIN STREET, HEBER CITY 1150 SOUTH BLUFF STREET, SAINT GEORGE 158 NORTH MAIN STREET, SAINT GEORGE

HEBER CITY, UT 84032 SAINT GEORGE, UT 84770 SAINT GEORGE, UT 84770

Phone: (435) 654-2020 Phone: (435) 628-8885 Phone: (435) 673-4809

County: WASATCH County: WASHINGTON County: WASHINGTON

HAYMOND, CREED SCHOLZEN, JEREMY ROWE, MICHAELOral Surgery Pediatric Dentistry General Dentistry

CREED S HAYMOND DDS PC CHILDRENS DENTAL OF SOUTHERN UTAH DAVINCI DENTAL CENTER

160 SOUTH 100 WEST, HEBER CITY 2746 EAST 850 NORTH, SAINT GEORGE 350 EAST 600 SOUTH, SAINT GEORGE

HEBER CITY, UT 84032 SAINT GEORGE, UT 84790 SAINT GEORGE, UT 84770

Phone: (801) 576-0077 Phone: (435) 673-7776 Phone: (435) 673-9904

County: WASATCH County: WASHINGTON County: WASHINGTON

WASATCH County WASHINGTON County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 50: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

HENDRICKSON, IVAN BILLS, KENNETH THEURER, MICHAELGeneral Dentistry General Dentistry Orthodontics

DOCTOR IVAN K HENDRICKSON DDS KENNETH G BILLS DDS MICHAEL C THEURER DDS

720 SOUTH RIVER ROAD, SAINT GEORGE 1086 SOUTH MAIN STREET, SAINT GEORGE 900 EAST 700 SOUTH, SAINT GEORGE

SAINT GEORGE, UT 84790 SAINT GEORGE, UT 84770 SAINT GEORGE, UT 84790

Phone: (435) 656-0507 Phone: (435) 628-4867 Phone: (435) 688-8228

County: WASHINGTON County: WASHINGTON County: WASHINGTON

HOWARD, HUGH FREI, KYLE BROWN, MICHAELGeneral Dentistry General Dentistry Pediatric Dentistry

HUGH J HOWARD KYLE D FREI DDS MICHAEL RORY BROWN

144 SOUTH STATE STREET, LA VERKIN 111 EAST 100 SOUTH, SAINT GEORGE 1240 EAST 100 SOUTH, SAINT GEORGE

LA VERKIN, UT 84745 SAINT GEORGE, UT 84770 SAINT GEORGE, UT 84790

Phone: (435) 635-4244 Phone: (435) 673-6831 Phone: (435) 634-9933

County: WASHINGTON County: WASHINGTON County: WASHINGTON

ALBRECHT, TYLER CHRISTENSEN, LOUIS ENCE, NATHANPediatric Dentistry General Dentistry General Dentistry

HURRICANE PEDIATRIC DENTISTRY LOUIS R CHRISTENSEN NATHAN L ENCE DDS

48 SOUTH 2500 WEST, HURRICANE 1404 WEST SUNRIVER PARKWAY, SAINT GEORGE 10 DIAGONAL STREET, SAINT GEORGE

HURRICANE, UT 84737 SAINT GEORGE, UT 84790 SAINT GEORGE, UT 84770

Phone: (435) 635-7200 Phone: (435) 256-6167 Phone: (435) 628-6026

County: WASHINGTON County: WASHINGTON County: WASHINGTON

ENCE, JAMES LEAVITT, MARDEN ERICKSON, JEFFREYGeneral Dentistry General Dentistry Orthodontics

JAMES N ENCE DDS M KAHLE LEAVITT DMD ORTHODONTIC SPECIALISTS

754 SOUTH MAIN, SAINT GEORGE 111 EAST 100 SOUTH, SAINT GEORGE 640 EAST 700 SOUTH, SAINT GEORGE

SAINT GEORGE, UT 84770 SAINT GEORGE, UT 84770 SAINT GEORGE, UT 84770

Phone: (435) 628-2667 Phone: (435) 673-6831 Phone: (435) 673-9661

County: WASHINGTON County: WASHINGTON County: WASHINGTON

ALBRECHT, JOHN ENCE, MARK HALL, PHILLIPGeneral Dentistry General Dentistry General Dentistry

JOHN ALBRECHT MARK R ENCE DDS PHILLIP C HALL DDS

1150 SOUTH BLUFF, SAINT GEORGE 754 SOUTH MAIN, SAINT GEORGE 382 SOUTH BLUFF STREET, SAINT GEORGE

SAINT GEORGE, UT 84770 SAINT GEORGE, UT 84770 SAINT GEORGE, UT 84770

Phone: (435) 628-8885 Phone: (475) 678-2667 Phone: (435) 656-1111

County: WASHINGTON County: WASHINGTON County: WASHINGTON

MOODY, JON VALANTINE, MATTHEW TOBLER, REXGeneral Dentistry General Dentistry General Dentistry

JON Y MOODY DDS MATTHEW R VALANTINE DDS REX E TOBLER DDS

382 SOUTH BLUFF, SAINT GEORGE 10 DIAGONAL STREET, SAINT GEORGE 10 DIAGONAL STREET, SAINT GEORGE

SAINT GEORGE, UT 84770 SAINT GEORGE, UT 84770 SAINT GEORGE, UT 84770

Phone: (435) 628-6168 Phone: (435) 673-7373 Phone: (435) 628-6026

County: WASHINGTON County: WASHINGTON County: WASHINGTON

NISSON, KELVIN JEPPSON, MICHAEL HEIDEMAN, RICHARDGeneral Dentistry General Dentistry General Dentistry

KELVIN Q NISSON DDS MICHAEL C JEPPSON DDS RICHARD K HEIDEMAN DMD PC

352 EAST RIVERSIDE DRIVE, SAINT GEORGE 1224 SOUTH RIVER ROAD, SAINT GEORGE 195 WEST TELEGRAPH, WASHINGTON

SAINT GEORGE, UT 84790 SAINT GEORGE, UT 84790 WASHINGTON, UT 84780

Phone: (435) 673-1360 Phone: (435) 628-9600 Phone: (435) 673-4605

County: WASHINGTON County: WASHINGTON County: WASHINGTON

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 51: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

DENOS, RICHARD CHRISTENSEN, MICHAEL MORRISON, MICHAELGeneral Dentistry General Dentistry General Dentistry

RICHARD L SHERMAN WAYNE COMMUNITY HEALTH CENTER ACCENT DENTAL

437 SOUTH BLUFF STREET, SAINT GEORGE 128 SOUTH 300 WEST PO BOX 303, BICKNELL 5738 SOUTH 1475 EAST, OGDEN

SAINT GEORGE, UT 84770 BICKNELL, UT 84715 OGDEN, UT 84403

Phone: (435) 628-0800 Phone: (435) 425-3744 Phone: (801) 392-1500

County: WASHINGTON County: WAYNE County: WEBER

TAYLOR, SHANE HINTON, APRIL OWENS, CGeneral Dentistry General Dentistry General Dentistry

SHANE TAYLOR DDS WAYNE COMMUNITY HEALTH CENTER ACCENT DENTAL

1506 SOUTH SILICON WAY, SAINT GEORGE 128 SOUTH 300 WEST PO BOX 303, BICKNELL 5738 SOUTH 1475 EAST, OGDEN

SAINT GEORGE, UT 84770 BICKNELL, UT 84715 OGDEN, UT 84403

Phone: (435) 688-9990 Phone: (435) 425-3744 Phone: (801) 392-1500

County: WASHINGTON County: WAYNE County: WEBER

BANKS, STEVEN RACKHAM, LAURIN SYKES, SHANEGeneral Dentistry General Dentistry General Dentistry

STEVEN H BANKS DMD WAYNE COMMUNITY HEALTH CENTER ACCENT DENTAL

444 EAST TABERNACLE STREET, SAINT GEORGE 128 SOUTH 300 WEST PO BOX 303, BICKNELL 5738 SOUTH 1475 EAST, OGDEN

SAINT GEORGE, UT 84770 BICKNELL, UT 84715 OGDEN, UT 84403

Phone: (435) 628-9099 Phone: (435) 425-3744 Phone: (801) 392-1500

County: WASHINGTON County: WAYNE County: WEBER

CHRISTIAN, WAYNE STILSON, WILFORD AUSTIN, BLAINEOrthodontics General Dentistry Oral Surgery

WAYNE J CHRISTIAN DMD WAYNE COMMUNITY HEALTH CENTER BLAINE D AUSTIN DDS

330 EAST TABERNACLE, SAINT GEORGE 128 SOUTH 300 WEST PO BOX 303, BICKNELL 5742 SOUTH 1475 EAST, OGDEN

SAINT GEORGE, UT 84770 BICKNELL, UT 84715 OGDEN, UT 84403

Phone: (435) 628-4422 Phone: (435) 425-3744 Phone: (801) 399-3701

County: WASHINGTON County: WAYNE County: WEBER

ROWE, MICHAEL TALBOT, BRYONGeneral Dentistry General Dentistry

ZION DENTAL CARE BRYON J TALBOT DDS

82 SOUTH 700 WEST, HURRICANE 5640 SOUTH WASATCH DRIVE, OGDEN

HURRICANE, UT 84737 OGDEN, UT 84403

Phone: (435) 635-4333 Phone: (801) 479-4830

County: WASHINGTON County: WEBER

MUND, KODY BURDETT, DANIELGeneral Dentistry General Dentistry

A 1 DENTAL PC BURDETT DENTAL

3785 HARRISON BOULEVARD, OGDEN 5331 SOUTH ADAMS AVENUE, OGDEN

OGDEN, UT 84403 OGDEN, UT 84405

Phone: (801) 621-2116 Phone: (801) 475-0680

County: WEBER County: WEBER

ALBRECHT, TYLER MARTIN, ADAM MOSER, CPediatric Dentistry Orthodontics Endodontics

WAYNE COMMUNITY HEALTH CENTER A J M ORTHODONTICS C RAY MOSER DMD

128 SOUTH 300 WEST PO BOX 303, BICKNELL 4902 SOUTH 1900 WEST, ROY 1245 CAPITAL STREET, OGDEN

BICKNELL, UT 84715 ROY, UT 84067 OGDEN, UT 84401

Phone: (435) 425-3744 Phone: (801) 776-2290 Phone: (801) 394-4549

County: WAYNE County: WEBER County: WEBER

WEBER County

WAYNE County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 52: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

CALL, NATHAN ROBERSON, JEFFREY WAYMENT, DAVIDGeneral Dentistry General Dentistry General Dentistry

CALL FAMILY DENTAL COMFORT FAMILY DENTAL OF SOUTH OGDEN DAVID K WAYMENT DDS

4590 HARRISON BOULEVARD, OGDEN 5685 SOUTH 1475 EAST, OGDEN 450 39TH STREET, OGDEN

OGDEN, UT 84403 OGDEN, UT 84403 OGDEN, UT 84403

Phone: (801) 392-5637 Phone: (801) 475-0509 Phone: (801) 621-4422

County: WEBER County: WEBER County: WEBER

FRANCIS, CAMERON BALDWIN, CADE MERRILL, DAVIDGeneral Dentistry General Dentistry General Dentistry

CAMERON G FRANCIS DDS CROOKSTON BALDWIN DAVID R MERRILL DDS

1761 NORTH 2000 WEST, FARR WEST 2640 NORTH HIGHWAY, EDEN 3795 KIESEL AVENUE, OGDEN

FARR WEST, UT 84404 EDEN, UT 84310 OGDEN, UT 84405

Phone: (801) 731-9058 Phone: (801) 745-1100 Phone: (801) 399-1330

County: WEBER County: WEBER County: WEBER

HOWE, CHAD CROOKSTON, MICHAEL KNOLES, DENNISGeneral Dentistry General Dentistry Orthodontics

CHAD V HOWE DDS CROOKSTON BALDWIN DB KNOLES DDS

4902 SOUTH 1900 WEST, ROY 2640 NORTH HIGHWAY, EDEN 2507 MADISON AVENUE, OGDEN

ROY, UT 84067 EDEN, UT 84310 OGDEN, UT 84401

Phone: (801) 776-1240 Phone: (801) 745-1100 Phone: (801) 394-9428

County: WEBER County: WEBER County: WEBER

DAINES, CLIFFORD SMITH, DARRELL ADAMS, DELOSGeneral Dentistry Orthodontics General Dentistry

CLIFFORD D DAINES DDS D G S ORTHODONTICS DELOS C ADAMS DDS

5974 FASHION POINT DRIVE, OGDEN 4902 SOUTH 1900 WEST, ROY 3915 OGDEN AVENUE, OGDEN

OGDEN, UT 84403 ROY, UT 84067 OGDEN, UT 84403

Phone: (801) 621-8440 Phone: (801) 776-2290 Phone: (801) 392-1000

County: WEBER County: WEBER County: WEBER

ALLEN, OWEN MCCONKIE, DANIEL JENSEN, DANIELGeneral Dentistry General Dentistry General Dentistry

COMFORT FAMILY DENTAL OF SOUTH OGDEN DANIEL RYAN MCCONKIE DDS DENALI DENTAL

5685 SOUTH 1475 EAST, OGDEN 539 NORTH HARRISVILLE ROAD, HARRISVILLE 2717 NORTH HIGHWAY 89, PLEASANT VIEW

OGDEN, UT 84403 HARRISVILLE, UT 84404 PLEASANT VIEW, UT 84404

Phone: (801) 475-0509 Phone: (801) 786-0700 Phone: (801) 737-2410

County: WEBER County: WEBER County: WEBER

GREENHALGH, JONATHAN SAUNDERS, DARRELL COTTLE, DOUGLASGeneral Dentistry General Dentistry General Dentistry

COMFORT FAMILY DENTAL OF SOUTH OGDEN DARRELL J SAUNDERS DDS DOUGLAS G COTTLE DDS

5685 SOUTH 1475 EAST, OGDEN 165 NORTH HARRISON BOULEVARD, OGDEN 1167 24 STREET, OGDEN

OGDEN, UT 84403 OGDEN, UT 84404 OGDEN, UT 84401

Phone: (801) 475-0509 Phone: (801) 394-9488 Phone: (801) 399-0458

County: WEBER County: WEBER County: WEBER

MACKLEY, PAUL HINCKS, DAVID ANDERTON, ERICGeneral Dentistry General Dentistry General Dentistry

COMFORT FAMILY DENTAL OF SOUTH OGDEN DAVID B HINCKS DDS ERIC B ANDERTON DDS

5685 SOUTH 1475 EAST, OGDEN 425 EAST 5350 SOUTH, OGDEN 1220 33RD STREET, OGDEN

OGDEN, UT 84403 OGDEN, UT 84405 OGDEN, UT 84403

Phone: (801) 475-0509 Phone: (801) 479-1181 Phone: (801) 621-1835

County: WEBER County: WEBER County: WEBER

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 53: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

ANDERTON, JARED WADE, GLEN TORGHELE, JEFFREYGeneral Dentistry General Dentistry General Dentistry

ERIC B ANDERTON DDS GLEN L WADE DDS JEFFREY J TORGHELE DMD

1220 33RD STREET, OGDEN 5139 SOUTH 1900 WEST, ROY 1245 CAPITOL STREET, OGDEN

OGDEN, UT 84403 ROY, UT 84067 OGDEN, UT 84401

Phone: (801) 621-1835 Phone: (801) 773-7721 Phone: (801) 621-2702

County: WEBER County: WEBER County: WEBER

BUTTERFIELD, BRAD ROBERTS, GREG SHAW, JERRYGeneral Dentistry Oral Surgery Orthodontics

FARR WEST FAMILY DENTAL GREG A ROBERTS DDS JERRY L SHAW DDS

1761 NORTH 2000 WEST, FARR WEST 5742 SOUTH 1475 EAST, OGDEN 1761 NORTH 2000 WEST, OGDEN

FARR WEST, UT 84404 OGDEN, UT 84403 OGDEN, UT 84404

Phone: (801) 731-9058 Phone: (801) 479-9070 Phone: (801) 731-4850

County: WEBER County: WEBER County: WEBER

FELT, JEREMY ISAKSON, BRENT JOHNSON, TADGeneral Dentistry General Dentistry Orthodontics

FELT FAMILY DENTISTRY ISAKSON FAMILY DENTAL JOHNSON ORTHODONTICS

3491 WEST 4800 SOUTH, ROY 3479 WEST 4800 SOUTH, ROY 1845 WEST 4400 SOUTH, ROY

ROY, UT 84067 ROY, UT 84067 ROY, UT 84067

Phone: (801) 774-9354 Phone: (801) 773-8212 Phone: (801) 731-0088

County: WEBER County: WEBER County: WEBER

DRAPER, MARY Iverson, Vern RICHARDS, JONATHANGeneral Dentistry General Dentistry Endodontics

FORD AND DRAPER DENTAL IVERSON AND LARSEN DENTAL JONATHAN F RICHARDS DDS MS

1508 EAST SKYLINE DRIVE, SOUTH OGDEN 2627 NORTH HIGHWAY 162, EDEN 3540 WEST 6000 SOUTH, ROY

SOUTH OGDEN, UT 84405 EDEN, UT 84310 ROY, UT 84067

Phone: (801) 475-6500 Phone: (801) 745-3882 Phone: (801) 779-2700

County: WEBER County: WEBER County: WEBER

FORD, JONATHAN LARSEN, PAUL ZAPATA, JORGEGeneral Dentistry General Dentistry General Dentistry

FORD AND DRAPER DENTAL IVERSON AND LARSEN DENTAL JORGE F ZAPATA DDS

1508 EAST SKYLINE DRIVE, SOUTH OGDEN 2627 NORTH HIGHWAY 162, EDEN 859 WASHINGTON BOULEVARD, OGDEN

SOUTH OGDEN, UT 84405 EDEN, UT 84310 OGDEN, UT 84404

Phone: (801) 475-6500 Phone: (801) 745-3882 Phone: (801) 394-5240

County: WEBER County: WEBER County: WEBER

JESSEN, GREGORY GILBERT, J KNUDSON, DARINOrthodontics General Dentistry General Dentistry

FRANK ZANE JESSEN DDS J BRYAN GILBERT DDS JUSTIN S TOBIAS DDS

1508 EAST SKYLINE DRIVE, OGDEN 5685 SOUTH 1475 EAST, OGDEN 1920 WEST 250 NORTH, OGDEN

OGDEN, UT 84405 OGDEN, UT 84403 OGDEN, UT 84404

Phone: (801) 479-8200 Phone: (801) 476-7299 Phone: (801) 731-4848

County: WEBER County: WEBER County: WEBER

JESSEN, FRANK SHEPHERD, JEFFREY TOBIAS, JUSTINOral Surgery Orthodontics General Dentistry

FRANK ZANE JESSEN DDS JEFFREY D SHEPHERD DMD JUSTIN S TOBIAS DDS

1508 EAST SKYLINE DRIVE, OGDEN 5300 SOUTH ADAMS AVENUE, OGDEN 1920 WEST 250 NORTH, OGDEN

OGDEN, UT 84405 OGDEN, UT 84405 OGDEN, UT 84404

Phone: (801) 479-8200 Phone: (801) 479-9448 Phone: (801) 731-4848

County: WEBER County: WEBER County: WEBER

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 54: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

TOBIAS, JUSTIN HESSELGESSER, LAMONT MCKELLAR, DAVIDGeneral Dentistry General Dentistry General Dentistry

JUSTIN S TOBIAS DDS LAMONT HESSELGESSER DDS PC MAC ND

5300 SOUTH ADAMS AVENUE PARKWAY, OGDEN 2703 NORTH 1600 WEST, PLEASANT VIEW 3984 WASHINGTON BOULEVARD, OGDEN

OGDEN, UT 84405 PLEASANT VIEW, UT 84404 OGDEN, UT 84403

Phone: (801) 479-7600 Phone: (801) 737-4650 Phone: (801) 399-4477

County: WEBER County: WEBER County: WEBER

NORRIS, KEVIN MOYES, LAURENCE COLLMAN, MARCGeneral Dentistry General Dentistry General Dentistry

KEVIN L NORRIS DMD INC LAURENCE K MOYES DDS MARC COLLMAN DDS

1770 EAST 5625 SOUTH, SOUTH OGDEN 2783 MADISON AVENUE, OGDEN 2251 NORTH 400 EAST, NORTH OGDEN

SOUTH OGDEN, UT 84403 OGDEN, UT 84403 NORTH OGDEN, UT 84414

Phone: (801) 475-4511 Phone: (801) 393-5601 Phone: (801) 782-9544

County: WEBER County: WEBER County: WEBER

ADAMS, DELOS PACK, LELAND HARRIS, MARKGeneral Dentistry Orthodontics General Dentistry

KEVIN L ZAUGG DMD LELAND W PACK DMD MARK E HARRIS DDS

5742 ADAMS AVENUE PARKWAY, OGDEN 1067 24TH STREET, OGDEN 1167 24TH STREET, OGDEN

OGDEN, UT 84405 OGDEN, UT 84401 OGDEN, UT 84401

Phone: (801) 621-3383 Phone: (801) 621-5892 Phone: (801) 399-0458

County: WEBER County: WEBER County: WEBER

CARLTON, JANA CURTIS, LINDSAY MAUGHAN, WILLARDGeneral Dentistry General Dentistry Periodontology

KEVIN L ZAUGG DMD LINDSAY S CURTIS DDS MAUGHAN PERIODONTICS

5742 ADAMS AVENUE PARKWAY, OGDEN 5640 WASATCH DRIVE, OGDEN 2717 NORTH HIGHWAY 89, OGDEN

OGDEN, UT 84405 OGDEN, UT 84403 OGDEN, UT 84404

Phone: (801) 621-3383 Phone: (801) 479-6590 Phone: (801) 786-9009

County: WEBER County: WEBER County: WEBER

ZAUGG, KEVIN MCGARRY, CODY RUSSELL, MICHAELGeneral Dentistry General Dentistry General Dentistry

KEVIN L ZAUGG DMD LINDSAY S CURTIS DDS MICHAEL A RUSSELL DDS

5742 ADAMS AVENUE PARKWAY, OGDEN 5640 WASATCH DRIVE, OGDEN 2240 NORTH HIGHWAY 89, HARRISVILLE

OGDEN, UT 84405 OGDEN, UT 84403 HARRISVILLE, UT 84404

Phone: (801) 621-3383 Phone: (801) 479-6590 Phone: (801) 782-4745

County: WEBER County: WEBER County: WEBER

NORRIS, KIPTON SCOVILLE, RONALD FLORENCE, MICHAELGeneral Dentistry General Dentistry General Dentistry

KIPTON J NORRIS DMD LOMOND VIEW DENTAL MICHAEL E FLORENCE DMD

1770 EAST 5625 SOUTH, OGDEN 2685 NORTH 1000 WEST, PLEASANT VIEW 5742 ADAMS AVENUE PARKWAY, OGDEN

OGDEN, UT 84403 PLEASANT VIEW, UT 84414 OGDEN, UT 84405

Phone: (801) 475-4288 Phone: (801) 737-9442 Phone: (801) 621-3383

County: WEBER County: WEBER County: WEBER

ANDERSON, JAMES SCOVILLE, RONALD CROWTON, MICHAELGeneral Dentistry General Dentistry General Dentistry

LAKEVIEW DENTAL ROY LOMOND VIEW DENTAL MICHAEL L CROWTON DDS

3626 WEST 5600 SOUTH, ROY 2685 NORTH 1000 WEST, PLEASANT VIEW 448 EAST 5350 SOUTH, OGDEN

ROY, UT 84067 PLEASANT VIEW, UT 84414 OGDEN, UT 84405

Phone: (801) 985-2273 Phone: (801) 737-9442 Phone: (801) 479-7870

County: WEBER County: WEBER County: WEBER

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 55: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

PETTY, RICHARD CHRISTENSEN, JOSEPH WATSON, JEREMYGeneral Dentistry Endodontics Orthodontics

MICHAEL L CROWTON DDS MOUNT OGDEN CENTER MOUNT OGDEN CENTER

448 EAST 5350 SOUTH, OGDEN 5974 SOUTH FASHION POINT DRIVE, OGDEN 5974 SOUTH FASHION POINT DRIVE, OGDEN

OGDEN, UT 84405 OGDEN, UT 84403 OGDEN, UT 84403

Phone: (801) 479-7870 Phone: (801) 475-6121 Phone: (801) 475-6121

County: WEBER County: WEBER County: WEBER

TRIBE, MICHAEL FISHER, WILLIAM WATTS, ROBERTGeneral Dentistry General Dentistry Endodontics

MICHAEL L TRIBE MOUNT OGDEN CENTER MOUNT OGDEN CENTER

1770 EAST 5625, OGDEN 5974 SOUTH FASHION POINT DRIVE, OGDEN 5974 SOUTH FASHION POINT DRIVE, OGDEN

OGDEN, UT 84403 OGDEN, UT 84403 OGDEN, UT 84403

Phone: (801) 475-4700 Phone: (801) 475-6121 Phone: (801) 475-6121

County: WEBER County: WEBER County: WEBER

AUSTAD, THOMAS KARREN, GARY WOODMANSEE, TERRELLGeneral Dentistry Endodontics General Dentistry

MOUNT OGDEN CENTER MOUNT OGDEN CENTER MOUNT OGDEN CENTER

5974 SOUTH FASHION POINT DRIVE, OGDEN 5974 SOUTH FASHION POINT DRIVE, OGDEN 5974 SOUTH FASHION POINT DRIVE, OGDEN

OGDEN, UT 84403 OGDEN, UT 84403 OGDEN, UT 84403

Phone: (801) 475-6121 Phone: (801) 475-6121 Phone: (801) 475-6121

County: WEBER County: WEBER County: WEBER

BAIRD, BRIAN READING, TYLER GEDDES, DERALDOrthodontics Pediatric Dentistry General Dentistry

MOUNT OGDEN CENTER MOUNT OGDEN CENTER MOUNT OGDEN DENTAL

5974 SOUTH FASHION POINT DRIVE, OGDEN 5974 SOUTH FASHION POINT DRIVE, OGDEN 1220 33RD STREET, OGDEN

OGDEN, UT 84403 OGDEN, UT 84403 OGDEN, UT 84403

Phone: (801) 475-6121 Phone: (801) 475-6121 Phone: (801) 394-5554

County: WEBER County: WEBER County: WEBER

BLAMIRES, MICHAEL RIZZO, RICHARD GEDDES, WILFORDGeneral Dentistry Periodontology General Dentistry

MOUNT OGDEN CENTER MOUNT OGDEN CENTER MOUNT OGDEN DENTAL

5974 SOUTH FASHION POINT DRIVE, OGDEN 5974 SOUTH FASHION POINT DRIVE, OGDEN 1220 33RD STREET, OGDEN

OGDEN, UT 84403 OGDEN, UT 84403 OGDEN, UT 84403

Phone: (801) 475-6121 Phone: (801) 475-6121 Phone: (801) 394-5554

County: WEBER County: WEBER County: WEBER

CHASTON, REVE STEELE, RICHARD GEDDES, MARKPeriodontology General Dentistry General Dentistry

MOUNT OGDEN CENTER MOUNT OGDEN CENTER MOUNT OGDEN DENTAL CLINIC

5974 SOUTH FASHION POINT DRIVE, OGDEN 5974 SOUTH FASHION POINT DRIVE, OGDEN 1220 33RD STREET, OGDEN

OGDEN, UT 84403 OGDEN, UT 84403 OGDEN, UT 84403

Phone: (801) 475-6121 Phone: (801) 475-6121 Phone: (801) 394-4415

County: WEBER County: WEBER County: WEBER

CHIDESTER, ROBERT STEVENSON, NATHAN QUAYLE, CAMERONGeneral Dentistry Pediatric Dentistry Pediatric Dentistry

MOUNT OGDEN CENTER MOUNT OGDEN CENTER MOUNTAIN VIEW PEDIATRIC DENTISTRY

5974 SOUTH FASHION POINT DRIVE, OGDEN 5974 SOUTH FASHION POINT DRIVE, OGDEN 2719 NORTH HIGHWAY 89, PLEASANT VIEW

OGDEN, UT 84403 OGDEN, UT 84403 PLEASANT VIEW, UT 84414

Phone: (801) 475-6121 Phone: (801) 475-6121 Phone: (801) 737-5437

County: WEBER County: WEBER County: WEBER

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 56: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

IVERSON, CLINT HANSEN, HEATHER PACKARD, JONATHANGeneral Dentistry General Dentistry General Dentistry

MOYES IVERSON DENTAL NORTHVIEW DENTAL ASSOCIATES LLC PACKARD DENTAL

1770 EAST 5625 SOUTH, OGDEN 2201 NORTH 400 EAST, NORTH OGDEN 3505 WEST 4800 SOUTH, ROY

OGDEN, UT 84403 NORTH OGDEN, UT 84414 ROY, UT 84067

Phone: (801) 475-1999 Phone: (801) 782-6681 Phone: (801) 985-3300

County: WEBER County: WEBER County: WEBER

MOYES, BRETT LINSLEY, KENT PALMER, ROBERTGeneral Dentistry General Dentistry General Dentistry

MOYES IVERSON DENTAL NORTHVIEW DENTAL ASSOCIATES LLC PACKARD DENTAL

1770 EAST 5625 SOUTH, OGDEN 2201 NORTH 400 EAST, NORTH OGDEN 3505 WEST 4800 SOUTH, ROY

OGDEN, UT 84403 NORTH OGDEN, UT 84414 ROY, UT 84067

Phone: (801) 475-1999 Phone: (801) 782-6681 Phone: (801) 985-3300

County: WEBER County: WEBER County: WEBER

WAYMENT, NATHAN MACKLEY, PAUL SMYTH, PATRICIAEndodontics General Dentistry General Dentistry

NATHAN S WAYMENT DDS MSD NORTHVIEW DENTAL ASSOCIATES LLC PATRICIA SMYTH DDS

2274 NORTH 400 EAST, NORTH OGDEN 2201 NORTH 400 EAST, NORTH OGDEN 5300 ADAMS AVENUE PARKWAY, SOUTH OGDEN

NORTH OGDEN, UT 84414 NORTH OGDEN, UT 84414 SOUTH OGDEN, UT 84405

Phone: (801) 782-8300 Phone: (801) 782-6681 Phone: (801) 476-1234

County: WEBER County: WEBER County: WEBER

BARCLAY, JAMES SUISSE, BRENT CUTLER, CURTISGeneral Dentistry General Dentistry General Dentistry

NORTHVIEW DENTAL ASSOCIATES LLC NORTHVIEW DENTAL ASSOCIATES LLC PAUL D HOPKINS DDS

2201 NORTH 400 EAST, NORTH OGDEN 2201 NORTH 400 EAST, NORTH OGDEN 4902 SOUTH 1900 WEST, ROY

NORTH OGDEN, UT 84414 NORTH OGDEN, UT 84414 ROY, UT 84067

Phone: (801) 782-6681 Phone: (801) 782-6681 Phone: (801) 773-1234

County: WEBER County: WEBER County: WEBER

BATEMAN, RYAN BROADBENT, MICHAEL CUTLER, CURTISGeneral Dentistry Oral Surgery General Dentistry

NORTHVIEW DENTAL ASSOCIATES LLC ORAL AND MAXILLOFACIAL SURGEONS OF UTAH PAUL D HOPKINS DDS

2201 NORTH 400 EAST, NORTH OGDEN 3590 HARRISON BOULEVARD, OGDEN 859 WEST PLEASANT VIEW DRIVE, PLEASANT VIEW

NORTH OGDEN, UT 84414 OGDEN, UT 84403 PLEASANT VIEW, UT 84414

Phone: (801) 782-6681 Phone: (801) 392-7176 Phone: (801) 737-4477

County: WEBER County: WEBER County: WEBER

CRAVEN, SCOTT CHANDLER, JASON HOPKINS, PAULGeneral Dentistry Orthodontics General Dentistry

NORTHVIEW DENTAL ASSOCIATES LLC ORAL AND MAXILLOFACIAL SURGEONS OF UTAH PAUL D HOPKINS DDS

2201 NORTH 400 EAST, NORTH OGDEN 3590 HARRISON BOULEVARD, OGDEN 859 WEST PLEASANT VIEW DRIVE, PLEASANT VIEW

NORTH OGDEN, UT 84414 OGDEN, UT 84403 PLEASANT VIEW, UT 84414

Phone: (801) 782-6681 Phone: (801) 392-7176 Phone: (801) 737-4477

County: WEBER County: WEBER County: WEBER

GREENHALGH, JONATHAN LISTON, TODD HOPKINS, PAULGeneral Dentistry Oral Surgery General Dentistry

NORTHVIEW DENTAL ASSOCIATES LLC ORAL AND MAXILLOFACIAL SURGEONS OF UTAH PAUL D HOPKINS DDS

2201 NORTH 400 EAST, NORTH OGDEN 3590 HARRISON BOULEVARD, OGDEN 4902 SOUTH 1900 WEST, ROY

NORTH OGDEN, UT 84414 OGDEN, UT 84403 ROY, UT 84067

Phone: (801) 782-6681 Phone: (801) 392-7176 Phone: (801) 773-1234

County: WEBER County: WEBER County: WEBER

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 57: You’re not responsible for charges over the allowed amount ... · richard h jenson dds bear lake community health center cherry creek dental 117 west forest street, brigham city

CHILD, PAUL JOHNSON, ROBERT STUART, OSOFSKYGeneral Dentistry General Dentistry General Dentistry

PAUL L CHILD DDS ROBERT H JOHNSON DDS STUART W OSOFSKY DDS

3785 HARRISON BOULEVARD, OGDEN 6017 FASHION POINT DRIVE, SOUTH OGDEN 1812 NORTH 2000 WEST, FARR WEST

OGDEN, UT 84403 SOUTH OGDEN, UT 84403 FARR WEST, UT 84404

Phone: (801) 621-2116 Phone: (801) 475-5155 Phone: (801) 731-4440

County: WEBER County: WEBER County: WEBER

BOOTH, PAUL TAYLER, ROBERT NAYLOR, PAULGeneral Dentistry Endodontics General Dentistry

PAUL S BOOTH DDS ROBERT L TAYLER DDS UTAH ORTHODONTICS SERVICES

1245 CAPITOL STREET, OGDEN 5300 SOUTH ADAMS AVENUE PARKWAY, OGDEN 4868 SOUTH 1900 WEST, ROY

OGDEN, UT 84401 OGDEN, UT 84405 ROY, UT 84067

Phone: (801) 621-5910 Phone: (801) 479-4580 Phone: (801) 825-5200

County: WEBER County: WEBER County: WEBER

ANDERSON, JOHN DICKERSON, CARL SHOW, DAVIDPediatric Dentistry General Dentistry Orthodontics

PEDIATRIC DENTAL AND ORTHODONTICS ROY DENTAL HEALTH UTAH ORTHODONTICS SERVICES

3485 WEST 4800 SOUTH, ROY 5133 SOUTH 1900 WEST, ROY 6017 FASHION POINT DRIVE, SOUTH OGDEN

ROY, UT 84067 ROY, UT 84067 SOUTH OGDEN, UT 84403

Phone: (801) 774-5437 Phone: (801) 773-7733 Phone: (801) 394-3700

County: WEBER County: WEBER County: WEBER

KNUDSON, PETER KNIGHT, SAMUEL COX, VALOrthodontics General Dentistry Endodontics

PETER C KNUDSON DDS SAMUEL D KNIGHT DDS VAL S COX DDS

5089 ADAMS AVENUE, OGDEN 1761 NORTH 2000 WEST, FARR WEST 3590 HARRISON BOULEVARD, OGDEN

OGDEN, UT 84403 FARR WEST, UT 84404 OGDEN, UT 84403

Phone: (801) 479-8980 Phone: (801) 731-3200 Phone: (801) 393-9616

County: WEBER County: WEBER County: WEBER

MCDONALD, JULIE MOORE, SCOTT PALMER, LAURENCEGeneral Dentistry General Dentistry General Dentistry

PINE VIEW DENTAL SCOTT E MOORE DDS WASATCH DENTAL ASSOCIATION

5924 SOUTH 1900 WEST, ROY 4896 SOUTH 1900 WEST, ROY 1245 CAPITOL STREET, OGDEN

ROY, UT 84067 ROY, UT 84067 OGDEN, UT 84401

Phone: (801) 614-0082 Phone: (801) 773-9198 Phone: (801) 394-0401

County: WEBER County: WEBER County: WEBER

PRICE, CORY RALLISON, M SHURTLEFF, WILLIAMOrthodontics Pediatric Dentistry General Dentistry

PRICE HOLDING SOUTH OGDEN PEDIATRIC DENTAL WILLIAM J SHURTLEFF DDS

5991 SOUTH 3500 WEST, ROY 917 EAST COUNTRY HILLS DRIVE, SOUTH OGDEN 5300 SOUTH ADAMS AVENUE PARKWAY, OGDEN

ROY, UT 84067 SOUTH OGDEN, UT 84403 OGDEN, UT 84405

Phone: (801) 985-1669 Phone: (801) 475-6433 Phone: (801) 476-9000

County: WEBER County: WEBER County: WEBER

PETERSON, REX GIBBY, STUARTOrthodontics Endodontics

REX J PETERSON DDS STUART G GIBBY DDS

5640 WASATCH DRIVE, OGDEN 2719 NORTH HIGHWAY 89, PLEASANT VIEW

OGDEN, UT 84403 PLEASANT VIEW, UT 84404

Phone: (801) 479-9443 Phone: (801) 782-5792

County: WEBER County: WEBER

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.