Utah Medicaid Dental Services

A REGISTERED MARK OF DELTA DENTAL PLANS ASSOCIATION
Utah Medicaid Dental Services
Provider Directory
September 2013
Delta Dental Insurance Company
a subsidiary of Delta Dental of California
Utah Medicaid Dental Services
Member Services 1-866-467-4219
#73922 (07/13)
Delta Dental Insurance Company
Utah Medicaid
Dental Services
Provider Directory
September 2013
UTAH MEDICAID DENTAL SERVICES
Welcome to Utah Medicaid Dental Services!
A Primary Care Dentist is an individual Dentist that you pick to provide your dental care.
Please use this book to find a Primary Care Dentist who will meet your needs. You can
choose a dentist who is close to where you live or work. If English is not your first
language, you can choose one with staff who speaks the same language you do.
Helpful Information about this Directory
The dentists in this book are contracting dentists for Utah Medicaid Dental Services.
The book tells you the names of the dentists who work in each office. This book also
shows languages spoken in the office other than English.
Dentists join the Utah Medicaid Dental Services program all the time. If you already
have a dentist you like, but don’t see his/her name in this book, please call us. We can
tell you if that dentist has joined the program.
Want More Information or Need Help?
Be sure to read your Member Handbook. The handbook tells you what services the
Utah Medicaid Dental Services program covers. It will tell you how to get a dental
appointment. It will tell you what to do in an emergency. It will also tell you what to do if
you need dental care on weekends and holidays. It will tell about finding a dentist when
you are out of town. It tells you what Utah Medicaid Dental Services members’ rights
and responsibilities are. It also tells you what to do if you have a complaint or want to
file an appeal.
Please call us if you have any questions. Our toll-free telephone number is
1-866-467-4219. You can call us Monday through Friday, from 8:00 a.m. to 7:00 p.m.
(Mountain Time) excluding state-approved holidays. Our automated system is available
Monday to Sunday, 24 hours a day. For TTY service, please call 7-1-1 (Relay Utah).
TABLE OF CONTENTS
DAVIS ....................................................................................................................................... 1
Bountiful .................................................................................................................................1
Centerville ...............................................................................................................................1
Clearfield .................................................................................................................................1
Layton .....................................................................................................................................2
Syracuse ..................................................................................................................................2
SALT LAKE ................................................................................................................................ 2
Herriman .................................................................................................................................2
Holladay ..................................................................................................................................2
Magna .....................................................................................................................................2
Midvale ...................................................................................................................................3
Murray ....................................................................................................................................3
Riverton ..................................................................................................................................3
Salt Lake City ...........................................................................................................................4
Sandy ......................................................................................................................................5
Taylorsville .............................................................................................................................6
West Jordan ............................................................................................................................6
West Valley .............................................................................................................................6
UTAH ....................................................................................................................................... 7
American Fork ........................................................................................................................ 7
Orem .......................................................................................................................................8
Pleasant Grove ........................................................................................................................9
Provo .......................................................................................................................................9
Spanish Fork ...........................................................................................................................10
WEBER ..................................................................................................................................... 10
Egen ........................................................................................................................................10
Ogden .....................................................................................................................................10
Pleasant View .........................................................................................................................11
Roy ..........................................................................................................................................11
South Ogden ...........................................................................................................................12
Delta Dental
Directory of Network Providers
EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN
Davis
Pitt Family Dental
Bountiful
Dental Care 4 Kids
Facility #:
44550
535 E. Medical Dr.
Bountiful , UT 84010
(801)292-2828
281 So. Main
Centerville , UT 84014
(801)295-6192
Practice Limitations:
Dentist(s):
Y Jason Pitt
Y Jeremy Pitt
Clearfield
Practice Limitations:
Monarch Dental Bountiful
Specialty:
Pedodontist
Facility #:
22207
Dental Care Center
24 S 500 W # A
Bountiful , UT 84010
(801)296-1606
513 N. 1000 W.
Clearfield , UT 84015
(801)776-1000
Languages: EN
Languages: EN
Practice Limitations:
Practice Limitations:
Dentist(s):
Y Aaron Wright
Y Andrew Vernon
Y Benjamin Menlove
Y Brian Baird
Y Clark Hicken
Y Darin Dickerson
Y Diya Chadha
Y Glade Crowther
Y Jeffery Roberson
Y Jeremiah Lindgren
Y Kent Dastrup
Y Kim Roberts
Y Mark Endrizzi
Y Nathan Wayment
Y Paul Hanna
Y Phillip Olsen
Y Richard Steele
Y Robert Chidester
Y Robert Johnson
Y Sarah Naisbitt
Y Scott Stringham
Y Sean Mckeown
Y Shane Taylor
Y Thomas Davenport
Y William Fisher
Centerville
Utah Medicaid Dental Services
45009
Languages: EN
Languages: EN
Dentist(s):
Y Colleen Taylor
Facility #:
General Dentist
Dentist(s):
Y John Day
Y Peter Goupios
Y Reed Jarvis
Y Robert Goupios
General Dentist
Midtown Community Health Center
General Dentist
22 S. State Street, Ste 1007
Clearfield , UT 84015
(801)393-5355
Specialty:
General Dentist
General Dentist
General Dentist
Pedodontist
General Dentist
General Dentist
General Dentist
Endodontist
General Dentist
R. Clair Palmer Dds
General Dentist
General Dentist
183 N. Main
Clearfield , UT 84015
(801)825-1822
General Dentist
Languages: EN
General Dentist
Practice Limitations:
General Dentist
General Dentist
Periodontist
General Dentist
General Dentist
Facility #:
26245
Specialty:
General Dentist
General Dentist
General Dentist
General Dentist
Facility #:
44641
Practice Limitations:
Dentist(s):
Y Joe Hopkin
Y Robert Bingham
General Dentist
General Dentist
Languages: EN
General Dentist
General Dentist
Specialty:
Dentist(s):
Y Robert Palmer
Specialty:
General Dentist
General Dentist
Facility #:
44759
Specialty:
General Dentist
General Dentist
General Dentist
Y = Accepting New Patients
Page 1
EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN
Clinton
Comfort Dental Of Clinton
Dr. Jeremy Godderidge
Facility #:
44630
Languages: EN
Languages: EN
Practice Limitations:
Practice Limitations:
Dentist(s):
Y Jeremy Godderidge
Dawson Pediatric Dentistry &
Orthodontic
Specialty:
Facility #:
44549
Dawson Pediatric Dentistry &
Orthodontic
Languages: EN
Practice Limitations:
Practice Limitations:
Dentist(s):
Y Brad Dawson
Holladay
Specialty:
Pedodontist
Facility #:
45182
R. Scott Dickson, Dds, Pc
Specialty:
General Dentist
General Dentist
General Dentist
Facility #:
44764
Dentist(s):
Y R. Dickson
Magna
Genesis Dental Of Magna
Facility #:
44760
Languages: EN
Languages: EN
Practice Limitations:
Practice Limitations:
Dentist(s):
Y David Cannon
Y David Stubbs
Y Richard Buck
Specialty:
General Dentist
Specialty:
General Dentist
Facility #:
44892
3665 So. 8400 We., Ste 250
Magna , UT 84044
(801)250-0450
2148 N. Hill Field Rd, Ste 5
Layton , UT 84041
(801)370-0050
Page 2
Pedodontist
Practice Limitations:
Practice Limitations:
Dentist(s):
Y Raymond Hendrickson
Syracuse
Specialty:
Languages: EN
Languages: EN
Wisdom Teeth Only
44613
2040 Murray Holladay Rd, #200
Holladay , UT 84117
(801)277-1424
2112 Hillfield Rd, Ste 1
Layton , UT 84041
(801)774-0770
Dentist(s):
Y Darren Wible
Y Heath Hendrickson
Y Jared Weaver
Facility #:
6351 W. 13400 S. #200
Herriman , UT 84096
(801)302-1045
Languages: EN
Hillfield Pediatric And Family
Dentistry
General Dentist
Herriman
1086 N. Fairfeld Rd
Layton , UT 84041
(801)544-1940
Dentist(s):
Y Brad Dawson
Specialty:
Salt Lake
General Dentist
General Dentist
25872
1792 W. 1700 S. Suite 203
Syracuse , UT 84075
(801)779-6037
2207 W. 1800 N., Ste A
Clinton , UT 84015
(801)825-3993
Dentist(s):
Y Brent Milne
Y John Roring
Layton
Facility #:
Y = Accepting New Patients
Specialty:
General Dentist
General Dentist
General Dentist
Utah Medicaid Dental Services
Directory of Network Providers
EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN
Midvale
Marz Orthodontics
Riverton
Facility #:
45134
B. Charles Pugh Dds
918 E. Fort Union Blvd
Midvale , UT 84047
(801)304-9391
12694 So. Redwood Rd
Riverton , UT 84065
(801)254-1278
Languages: EN
Languages: EN
Practice Limitations:
Practice Limitations:
Dentist(s):
Y Kenneth Marz
Wisdom Teeth Only
Specialty:
General Dentist
Facility #:
44763
Dentist(s):
Y B. Charles Pugh
Cornfield Dental Center
7001 South 900 East, Ste 350
Midvale , UT 84047
(801)370-0050
2845 W. 12600 S.
Riverton , UT 84065
(801)254-5255
Languages: EN
Languages: EN
Practice Limitations:
Practice Limitations:
Dentist(s):
Y Raymond Hendrickson
Murray
All Smiles Family Dentistry
Specialty:
General Dentist
Dentist(s):
Y Bong Noh
Ismile Crossroads Dental
Facility #:
44826
Languages: EN
Languages: EN
Practice Limitations:
Practice Limitations:
Specialty:
Dentist(s):
Y Joel Howarth
General Dentist
Riverton Heights Dental Care
General Dentist
3693 West 13400 South
Riverton , UT 89065
(801)878-3111
Ismile Murray Family Dental
164 E. 5900 S. A111
Murray , UT 84107
(801)262-1181
Facility #:
44558
General Dentist
Facility #:
44592
Specialty:
General Dentist
Facility #:
44557
Specialty:
General Dentist
Facility #:
44553
Practice Limitations:
Dentist(s):
Y Brian Borg
Practice Limitations:
Quality Family Dental Care
Specialty:
Languages: EN
Languages: EN
Dentist(s):
Y Gerald Torgeson
44752
3409 W. 12600 S. #100
Riverton , UT 84065
(801)561-1559
445 E. 4500 S., Ste 150
Murray , UT 84107
(801)288-0039
Dentist(s):
Y Hanhngan Nguyentran
Y Russell Smith
Facility #:
Specialty:
General Dentist
Specialty:
General Dentist
Facility #:
45014
168 E. 5900 S, C103
Murray , UT 84107
(801)293-8950
Languages: EN
Practice Limitations:
Dentist(s):
Y David Julian
Utah Medicaid Dental Services
Specialty:
General Dentist
Y = Accepting New Patients
Page 3
EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN
Young Family Dental
Facility #:
44898
Family Dental Care
12562 Rhetski Lane
Riverton , UT 84065
2500 S. State Street #404
Salt Lake City , UT 84115
(385)646-4748
Languages: EN
Languages: EN
Practice Limitations:
Practice Limitations:
Dentist(s):
Y Christopher Young
Y Kwang Park
Y Michael Boyack
Y Michael Loeser
Y Michael Young
Y Paige White
Y William Cerny
Salt Lake City
3g Family Dentistry
Specialty:
General Dentist
General Dentist
Family Dental Plan
General Dentist
168 N. 1950 W., Ste 202
Salt Lake City , UT 84116
(801)715-3400
General Dentist
General Dentist
General Dentist
General Dentist
Facility #:
44628
Languages: EN
Practice Limitations:
Central City Dental Clinic
Dentist(s):
Y Angelica Mchugh
Y Dean Troili
Y Deborah Perry
Y Gary Spangler
Y Hoangcam Nguyen
Y Kim Michelson
Genesis Dental Of Salt Lake City
General Dentist
1060 E. 100 S. Ste 205
Salt Lake City , UT 84102
(801)355-3288
General Dentist
Facility #:
44708
General Dentist
Facility #:
44829
Specialty:
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
Facility #:
45178
Languages: EN
Practice Limitations:
Languages: EN
Dentist(s):
Y Eric Visser
Practice Limitations:
Hutchings Family Dentistry
Dr. Matthew Larson
Specialty:
Languages: EN
Specialty:
4618 400 E.
Salt Lake City , UT 84116
(801)328-5756
Dentist(s):
Y Alan Aoki
Y Chris Ramsdell
Y Daniel Baird
Y Devin Link
44448
Practice Limitations:
2000 S. 1300 E.
Salt Lake City , UT 84105
(801)484-8893
Dentist(s):
Y Jeffrey Sperry
Y Steven Sperry
Dentist(s):
Y Kimel Fisher
Facility #:
Specialty:
General Dentist
General Dentist
Languages: EN
General Dentist
Practice Limitations:
45016
928 E. 100 S.
Salt Lake City , UT 84102
(801)355-5558
General Dentist
Facility #:
44556
440 S. 700 E. #305
Salt Lake City , UT 84102
(801)363-1213
General Dentist
Facility #:
Specialty:
Dentist(s):
Y Brent Hutchings
Y Michael Hutchings
Specialty:
General Dentist
General Dentist
Languages: EN
Practice Limitations:
Dentist(s):
Y Matthew Larson
Page 4
Specialty:
General Dentist
Y = Accepting New Patients
Utah Medicaid Dental Services
Directory of Network Providers
EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN
Monarch Dental Taylorsville
Facility #:
22203
Stephen D Ratcliffe Clinic
5419 S REDWOOD RD
SALT LAKE CTY , UT 84123
(801)263-6400
1365 W. 1000 N.
Salt Lake City , UT 84116
(801)328-5756
Languages: EN
Languages: EN
Practice Limitations:
Practice Limitations:
Dentist(s):
Y Diya Chadha
Y Robert Chidester
Richard L. Ellis Ii
Specialty:
Pedodontist
General Dentist
Facility #:
44414
5 South 700 East Suite B30
Salt Lake City , UT 84102
(801)355-3263
Stephen W Carter
Practice Limitations:
Roger T Russell Dds
General Dentist
Facility #:
44450
Dentist(s):
Y Stephen Carter
Specialty:
Languages: EN
General Dentist
Practice Limitations:
Facility #:
44449
5872 So 900E, #202
Salt Lake City , UT 84121
(801)281-8433
Dentist(s):
Y William Vargo
Sandy
3g Family Dentistry
Languages: EN
Specialty:
10011 S. Centennial Pkwy, #210
Sandy , UT 84070
(801)996-3437
General Dentist
Languages: EN
Practice Limitations:
Stephen B Liddle Dds
General Dentist
General Dentist
General Dentist
Facility #:
44452
Specialty:
General Dentist
Facility #:
44584
7138 S. Highland Dr, #219
Salt Lake City , UT 84121
(801)943-9090
Practice Limitations:
Dentist(s):
Y Ruidiger Tillmann
General Dentist
Practice Limitations:
William C Vargo Dds
Languages: EN
Ruedi Tillmann, Dds
Specialty:
Languages: EN
Specialty:
7138 S. Highland Dr Ste 101
Salt Lake City , UT 84121
(801)943-1625
Dentist(s):
Y Roger Russell
33358
545 E 4500 So #E200
Salt Lake City , UT 84107
(801)261-2273
Languages: EN
Dentist(s):
Y Richard Ellis Ii
Dentist(s):
Y Alan Aoki
Y Chris Ramsdell
Y Daniel Baird
Y Devin Link
Facility #:
Facility #: 447401
7069 S. Highland Dr Ste 200
Salt Lake City , UT 84121
(801)943-2222
Specialty:
General Dentist
Facility #:
44627
Practice Limitations:
Dentist(s):
Y Jeffrey Sperry
Specialty:
General Dentist
Languages: EN
Practice Limitations:
Dentist(s):
Y Stephen Liddle
Utah Medicaid Dental Services
Specialty:
General Dentist
Y = Accepting New Patients
Page 5
EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN
Lone Peak Dental Care
Facility #:
44842
Sanford Hamilton Dmd Pc
9853 S. 700 E.
Sandy , UT 84070
(801)572-4430
1638 W. 6235 So.
Taylorsville , UT 84123
(801)264-0617
Languages: EN
Languages: EN
Practice Limitations:
Practice Limitations:
Dentist(s):
Y Kenneth Dibble
Taylorsville
Monarch Dental
Specialty:
General Dentist
Facility #:
20214
Languages: EN
9251 Redwood Rd
West Jordan , UT 84088
(801)566-2155
Practice Limitations:
Languages: EN
Page 6
Specialty:
Practice Limitations:
General Dentist
Dentist(s):
Y Jeffrey Brown
General Dentist
General Dentist
General Dentist
Facility #:
General Dentist
Jordan Valley Dental
General Dentist
7613 S. Jordan Landing Blvd, #110
West Jordan , UT 84084
(801)282-2323
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
44755
Practice Limitations:
Dentist(s):
Y Brigham Colton
West Valley
Marz Orthodontics
2222 W. 3500 S. Ste A1
West Valley , UT 84119
(801)304-9391
Languages: EN
General Dentist
Practice Limitations:
Periodontist
Facility #:
Languages: EN
General Dentist
General Dentist
44554
Specialty:
General Dentist
General Dentist
44470
Specialty:
Dentist(s):
Y Sanford Hamilton
Y Shawn Hamilton
West Jordan
Fox Park Dental Care
5419 S Redwood Rd
Taylorsville , UT 84123
(801)263-6400
Dentist(s):
Y Aaron Wright
Y Andrew Vernon
Y Brian Baird
Y Clark Hicken
Y Daniel Meeks
Y Darin Dickerson
Y Glade Crowther
Y James Skousen
Y Jeffery Roberson
Y Jeremiah Lindgren
Y Kent Dastrup
Y Kim Roberts
Y Mark Endrizzi
Y Mark Mcgowan
Y Phillip Olsen
Y Richard Steele
Y Robert Chidester
Y Robert Johnson
Y Sarah Naisbitt
Y Scott Stringham
Y Sean Mckeown
Y Shane Taylor
Y Thomas Davenport
Y William Fisher
Y William Sunberg
Facility #:
Dentist(s):
Y Kenneth Marz
Specialty:
General Dentist
Facility #:
45136
Specialty:
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
Y = Accepting New Patients
Utah Medicaid Dental Services
Directory of Network Providers
EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN
Monarch Dental Assoc
Facility #:
22798
Viet Dentistry Pc
Facility #:
4645 S 4000 W STE B
West Valley , UT 84120
(801)955-1900
1819 West 3500 South, Ste 1A
West Valley, UT 84119
(801)887-7264
Languages: EN, HR, RU, ES
Languages: EN
Practice Limitations:
Practice Limitations:
Dentist(s):
Y Aaron Wright
Y Andrew Vernon
Y Brian Baird
Y Clark Hicken
Y Daniel Meeks
Y Darin Dickerson
Y Glade Crowther
Y Gregory Smith
Y James Skousen
Y Jeffery Roberson
Y Jeremiah Lindgren
Y John Reschke
Y Kent Dastrup
Y Kim Roberts
Y Mark Endrizzi
Y Phillip Olsen
Y Richard Steele
Y Robert Chidester
Y Robert Johnson
Y Sarah Naisbitt
Y Scott Stringham
Y Shane Taylor
Y Thomas Davenport
Y William Fisher
Y William Sunberg
Monarch Dental/ West Valley
Specialty:
General Dentist
General Dentist
General Dentist
Specialty:
Dentist(s):
Y Benjamin Wilson
Y Kieu Le
General Dentist
44644
General Dentist
General Dentist
Utah
American Fork
General Dentist
General Dentist
Davies Family Dental
General Dentist
General Dentist
291 N. 300 E.
American Fork , UT 84003
(801)756-2346
General Dentist
Languages: EN
General Dentist
Practice Limitations:
General Dentist
General Dentist
General Dentist
General Dentist
Dentist(s):
Y Kendell Davies
Facility #:
21010
Specialty:
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
Facility #:
22798
4645 S 4000 W STE B
WEST VALLEY , UT 84120
(801)955-1900
Languages: EN
Practice Limitations:
Dentist(s):
Y Diya Chadha
Y Robert Chidester
Utah Medicaid Dental Services
Specialty:
Pedodontist
General Dentist
Y = Accepting New Patients
Page 7
EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN
Monarch Dental American Fork
Facility #:
22204
Young Family Dental
476 N 900 W Ste A
American Fork , UT 84003
(801)756-5522
483 E. 200 S.
American Fork , UT 84003
(801)756-7173
Languages: EN
Languages: EN
Practice Limitations:
Practice Limitations:
Dentist(s):
Y Aaron Wright
Y Andrew Vernon
Y Brian Baird
Y Clark Hicken
Y Cory Price
Y Daniel Meeks
Y Daniel Thunell
Y Darin Dickerson
Y Diya Chadha
Y Glade Crowther
Y James Skousen
Y Jeffery Roberson
Y Jeremiah Lindgren
Y Kent Dastrup
Y Kim Roberts
Y Mark Endrizzi
Y Phillip Olsen
Y Rdean Clark
Y Richard Steele
Y Robert Chidester
Y Robert Johnson
Y Sarah Naisbitt
Y Scott Stringham
Y Sean Mckeown
Y Shane Taylor
Y Thomas Davenport
Y William Fisher
Murdock & Searle Family Dentistry
Specialty:
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
Periodontist
General Dentist
Dentist(s):
Y Christopher Young
Y Kwang Park
Y Michael Boyack
Y Michael Loeser
Y Michael Young
Y Paige White
Y William Cerny
Orem
General Dentist
Dodge Family Dentistry
General Dentist
336 W. 920 N.
Orem , UT 84057
(801)225-8060
General Dentist
Languages: EN
General Dentist
Practice Limitations:
General Dentist
Dentist(s):
Y Keith Dodge
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
Double Take Dental
Specialty:
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
Languages: EN
Periodontist
Practice Limitations:
General Dentist
General Dentist
General Dentist
Facility #:
44757
Dentist(s):
Y Michael Atwood
Gentle Dental Arts
44632
Specialty:
General Dentist
Facility #:
44552
Specialty:
General Dentist
Facility #:
44841
385 W. Center St.
Orem , UT 84057
(801)224-1117
Languages: EN
Practice Limitations:
Practice Limitations:
Dentist(s):
Y Alexander Larsen
Specialty:
Facility #:
169 N. 400 W. #A3
Orem , UT 84057
(801)225-1002
Languages: EN
Page 8
44901
Pedodontist
356 E. 20 S.
American Fork , UT 84003
(801)756-4595
Dentist(s):
Y Bruce Murdock
Y Bryce Searle
Facility #:
Specialty:
General Dentist
General Dentist
General Dentist
Y = Accepting New Patients
Utah Medicaid Dental Services
Directory of Network Providers
EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN
Pediatric Smiles Of Orem
Facility #:
44642
167 N. 400 W., Ste A4
Orem , UT 84057
(801)434-5437
Mountainlands Community Health
Center
Languages: EN
589 So. State Street
Provo , UT 84606
(801)429-2000
Practice Limitations:
Languages: EN
Dentist(s):
Y Adam Shepherd
Young Family Dental
Pedodontist
44902
Dentist(s):
Y Chad Booth
Provo Dental Care
1834 S. State
Orem , UT 84097
(801)224-0222
Languages: EN
1355 N. University Ave, Ste 330
Provo , UT 84604
(801)377-6453
Practice Limitations:
Languages: EN
Dentist(s):
Y Christopher Young
Y Kwang Park
Y Michael Boyack
Y Michael Loeser
Y Michael Young
Y Paige White
Y William Cerny
Pleasant Grove
G. Trevor Smith Dds
General Dentist
Dentist(s):
Y Daryn Moody
Y David Iroz
Y Paul Nielsen
Y Tyler Hoelzer
General Dentist
Unison Dental
General Dentist
3330 N. University Ave, Ste A
Provo , UT 84604
(801)375-1965
General Dentist
General Dentist
General Dentist
General Dentist
44242
Facility #:
44574
Specialty:
General Dentist
General Dentist
General Dentist
General Dentist
Facility #:
44583
Practice Limitations:
Languages: EN
Dentist(s):
Y Jay Scott
Practice Limitations:
Wisdom Teeth Only
Michael H. Lorscheider Dmd
General Dentist
Languages: EN
60 East State Road
Pleasant Grove , UT 84062
(801)785-2574
Dentist(s):
Y Gavin Smith
Provo
Specialty:
Practice Limitations:
Specialty:
Facility #:
44756
Practice Limitations:
Specialty:
Facility #:
Facility #:
Specialty:
General Dentist
Facility #:
44568
2476 N. University Pkwy, #103
Provo , UT 84604
(801)377-0990
Specialty:
General Dentist
Facility #:
44762
2230 N. University Pkwy, #8A
Provo , UT 84604
(801)370-0050
Languages: EN
Practice Limitations:
Dentist(s):
Y Raymond Hendrickson
Specialty:
General Dentist
Languages: EN
Practice Limitations:
Dentist(s):
Y Michael Lorscheider
Utah Medicaid Dental Services
Specialty:
General Dentist
Y = Accepting New Patients
Page 9
EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN
Saratoga Springs
Call Family Dental
Young Family Dental
Facility #:
44894
Languages: EN
Languages: EN
Practice Limitations:
Practice Limitations:
Specialty:
Dentist(s):
Y Nathan Call
General Dentist
Dr. Todd C. Cummings, Dds
General Dentist
4590 Harrison Blvd, Ste 1C
Ogden , UT 84403
(801)621-0258
Spanish Fork Dental
General Dentist
General Dentist
General Dentist
Languages: EN
General Dentist
Practice Limitations:
General Dentist
Dentist(s):
Y Todd Cummings
Facility #:
45124
Family Dental Plan
826 N. 100 E. #1
Spanish Fork , UT 84660
(801)794-3567
950 E. 25th St., Ste A
Ogden , UT 84401
(801)395-7090
Languages: EN
Languages: EN
Practice Limitations:
44796
4590 Harrison Blvd, Ste 100 B
Ogden , UT 84403
(801)392-5637
1376 N. Redwood Rd
Saratoga Springs , UT 84045
(801)766-2112
Dentist(s):
Y Christopher Young
Y Kwang Park
Y Michael Boyack
Y Michael Loeser
Y Michael Young
Y Paige White
Y William Cerny
Spanish Fork
Facility #:
Specialty:
General Dentist
Facility #:
45139
Specialty:
General Dentist
Facility #:
44834
Practice Limitations:
Specialty:
Dentist(s):
Y Tyler Hoelzer
General Dentist
Weber
Egen
Iverson And Larsen Dental
Facility #:
44561
2627 N. Hwy 162
Egen , UT 84310
(801)745-3882
James W Ellis Dds Pc
Practice Limitations:
Bryon J Talbot Dds Pc
Specialty:
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
General Dentist
Facility #:
44562
1220 33rd St, #C
Ogden , UT 84403
(801)394-5554
Languages: EN
Dentist(s):
Y Vern Iverson
Ogden
Dentist(s):
Y Angelica Mchugh
Y Dean Troili
Y Deborah Perry
Y Gary Spangler
Y Hoangcam Nguyen
Y Kim Michelson
Specialty:
Languages: EN
General Dentist
Facility #:
44539
Practice Limitations:
Dentist(s):
Y James Ellis
Specialty:
General Dentist
5640 S. Wasatch Dr, Ste B
Ogden , UT 84403
(801)479-4830
Languages: EN
Practice Limitations:
Dentist(s):
Y Bryon Talbot
Page 10
Specialty:
General Dentist
Y = Accepting New Patients
Utah Medicaid Dental Services
Directory of Network Providers
EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN
Jeffrey R Haslam
Facility #:
44445
Wade E. Larson, Llc
448 E 5350 S #C
Ogden , UT 84405
(801)479-1700
2707 N. 400 E.
North Ogden , UT 84414
(801)782-0566
Languages: EN
Languages: EN
Practice Limitations:
Practice Limitations:
Dentist(s):
Y Jeffrey Haslam
Midtown Community Health Center
Specialty:
General Dentist
Facility #:
44634
2240 Adams Ave.
Ogden , UT 84401
(801)393-5355
Lamont E. Hesselgesser Dds Pc
Practice Limitations:
Mount Ogden Dental, Pc
General Dentist
Facility #:
45120
Dentist(s):
Y Lamont Hesselgesser
Pleasant View Dental Center
Languages: EN
Languages: EN
Practice Limitations:
Practice Limitations:
Specialty:
General Dentist
Facility #:
44582
1770 E. 5625 S. #1
Ogden , UT 84403
(801)475-4700
General Dentist
Facility #:
45015
Specialty:
General Dentist
Facility #:
44758
Specialty:
General Dentist
Facility #:
44845
Practice Limitations:
Dentist(s):
Y Carl Dickerson
Russell Seamons, Dmd
Specialty:
General Dentist
Facility #:
44581
4902 S. 1900 W. #2
Roy , UT 84067
(801)773-1234
Languages: EN
Practice Limitations:
Utah Medicaid Dental Services
31255
Languages: EN
Specialty:
1245 Capitol Street, Ste 111S
Ogden , UT 84401
(801)394-1289
Dentist(s):
Y Tyler Shaw
Facility #:
5133 So 1900 W.
Roy , UT 84067
(801)773-7733
Practice Limitations:
Tyler C. Shaw Dds
Dentist(s):
Y Paul Hopkins
Roy
Roy Dental Care
Languages: EN
Dentist(s):
Y Michael Tribe
General Dentist
Practice Limitations:
General Dentist
859 W. Pleasant View Dr
Pleasant View , UT 84414
(801)737-4477
Tribe Dental
Specialty:
Languages: EN, FR
Specialty:
1220 33rd St, #D
Ogden , UT 84403
(801)394-5554
Dentist(s):
Y Derald Geddes
44538
2703 N. 1600 W.
Pleasant View , UT 84404
(801)737-4650
Languages: EN
Dentist(s):
Y Joe Hopkin
Y Robert Bingham
Dentist(s):
Y Wade Larson
Pleasant View
Facility #:
Specialty:
General Dentist
Languages: EN
Practice Limitations:
Dentist(s):
Y Russell Seamons
Y = Accepting New Patients
Specialty:
General Dentist
Page 11
EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN
South Ogden
Donald W Sorensen Dds
Facility #:
44753
1508 E. Skyline Dr., Ste 500
South Ogden , UT 84405
(801)393-2217
Languages: EN
Practice Limitations:
Dentist(s):
Y Donald Sorensen
Experienced Dental
Specialty:
General Dentist
Facility #:
44754
6017 Fashion Pointe Dr.
South Ogden , UT 84403
(801)475-5155
Languages: EN
Practice Limitations:
Dentist(s):
Y Blake Cameron
Y James Barclay
Y Paul Makley
Page 12
Specialty:
General Dentist
General Dentist
General Dentist
Y = Accepting New Patients
Utah Medicaid Dental Services
Page
American Fork
Aaron Wright
Andrew Vernon
Brian Baird
Bruce Murdock
Bryce Searle
Christopher Young
Clark Hicken
Cory Price
Daniel Meeks
Daniel Thunell
Darin Dickerson
Diya Chadha
Glade Crowther
James Skousen
Jeffery Roberson
Jeremiah Lindgren
Kendell Davies
Kent Dastrup
Kim Roberts
Kwang Park
Mark Endrizzi
Michael Boyack
Michael Loeser
Michael Young
Paige White
Phillip Olsen
Rdean Clark
William Cerny
Bountiful
Aaron Wright
Andrew Vernon
Benjamin Menlove
Brian Baird
Clark Hicken
Colleen Taylor
Darin Dickerson
Diya Chadha
Glade Crowther
Jeffery Roberson
Jeremiah Lindgren
Kent Dastrup
Kim Roberts
Mark Endrizzi
Nathan Wayment
Paul Hanna
Phillip Olsen
Richard Steele
Robert Chidester
Robert Johnson
Sarah Naisbitt
Scott Stringham
Sean Mckeown
Shane Taylor
Thomas Davenport
William Fisher
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
7
8
8
8
8
8
8
8
8
8
8
8
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Page
Centerville
Jason Pitt
Jeremy Pitt
Clearfield
Joe Hopkin
John Day
Peter Goupios
Reed Jarvis
Robert Bingham
Robert Goupios
Robert Palmer
Egen
Vern Iverson
Herriman
Brad Dawson
Holladay
R. Dickson
Layton
Brad Dawson
Darren Wible
Heath Hendrickson
Jared Weaver
Raymond Hendrickson
Magna
David Cannon
David Stubbs
Richard Buck
Midvale
Raymond Hendrickson
Murray
David Julian
Gerald Torgeson
Hanhngan Nguyentran
Russell Smith
Ogden
Angelica Mchugh
Bryon Talbot
Dean Troili
Deborah Perry
Derald Geddes
Gary Spangler
Hoangcam Nguyen
James Ellis
Joe Hopkin
Kim Michelson
Michael Tribe
Nathan Call
Robert Bingham
Todd Cummings
Tyler Shaw
Wade Larson
Orem
1
1
1
1
1
1
1
1
1
10
2
2
2
2
2
2
2
2
2
2
3
3
3
3
3
10
10
10
10
11
10
10
10
11
10
11
10
11
10
11
11
Delta Dental Main Dentist Index
Page
Alexander Larsen
Christopher Young
Keith Dodge
Kwang Park
Michael Atwood
Michael Boyack
Michael Loeser
Michael Young
Paige White
William Cerny
Pleasant Grove
Gavin Smith
Pleasant View
Lamont Hesselgesser
Paul Hopkins
Provo
Chad Booth
Daryn Moody
David Iroz
Jay Scott
Michael Lorscheider
Paul Nielsen
Raymond Hendrickson
Tyler Hoelzer
Riverton
B. Charles Pugh
Bong Noh
Brian Borg
Christopher Young
Joel Howarth
Kwang Park
Michael Boyack
Roy
Carl Dickerson
Russell Seamons
Salt Lake City
Alan Aoki
Angelica Mchugh
Brent Hutchings
Chris Ramsdell
Daniel Baird
Dean Troili
Deborah Perry
Devin Link
Eric Visser
Gary Spangler
Hoangcam Nguyen
Jeffrey Sperry
Kim Michelson
Kimel Fisher
Matthew Larson
Michael Hutchings
Richard Ellis Ii
Roger Russell
8
9
8
9
8
9
9
9
9
9
9
11
11
9
9
9
9
9
9
9
9
3
3
3
4
3
4
4
11
11
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
5
5
Page
Ruidiger Tillmann
Stephen Carter
Stephen Liddle
Steven Sperry
William Vargo
Sandy
Jeffrey Sperry
South Ogden
Blake Cameron
James Barclay
Paul Makley
Spanish Fork
Tyler Hoelzer
Syracuse
Jeremy Godderidge
Taylorsville
Aaron Wright
Andrew Vernon
Brian Baird
Clark Hicken
Daniel Meeks
Darin Dickerson
Glade Crowther
James Skousen
Jeffery Roberson
Jeremiah Lindgren
Kent Dastrup
Kim Roberts
Mark Endrizzi
Mark Mcgowan
Phillip Olsen
Richard Steele
Robert Chidester
Robert Johnson
Sanford Hamilton
Sarah Naisbitt
Scott Stringham
Sean Mckeown
Shane Taylor
Shawn Hamilton
Thomas Davenport
William Fisher
William Sunberg
West Jordan
Brigham Colton
Jeffrey Brown
West Valley
Aaron Wright
Benjamin Wilson
Diya Chadha
Kenneth Marz
Kieu Le
Robert Chidester
5
5
5
4
5
5
12
12
12
10
2
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
7
7
7
6
7
7
Page
Page
Specialists Listings Descriptions Endodontist: A dentist that may take care of you when you need a root canal. They help prevent, diagnose and treat other diseases and injuries to a tooth. Oral Surgeon: A dentist that may take care of you when you need to pull a tooth. They diagnose and operate on diseases, injuries and defects in the mouth, jaw and face. Orthodontist: A dentist that may take care of you if you need braces. They treat and help with things that are not normal with your teeth and jaws. Periodontist : A dentist that may treat gums, bone or other tissues that support your teeth. Prosthodontist: A dentist that may replace a missing tooth or other oral structure. They may provide things such as a denture, a fixed bridge or a crown.