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Directory produced for: Collin County General Dentists Dental Provider Directory - Texas as of September 12, 2016 Search Criteria: State: TX County: Collin For more current information, visit www.assurantemployeebenefits.com The Assurant name, and related logos are trademarks of Assurant, Inc. and are used under license. Products and services marketed by Assurant Employee Benefits are underwritten or provided by one or more of the following companies: Union Security Insurance Company, DentiCare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., United Dental Care of Colorado, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of Michigan, Inc., Union Security DentalCare of New Jersey, Inc., United Dental Care of New Mexico, Inc., Union Security Life Insurance Company of New York, UDC Ohio, Inc., United Dental Care of Texas, Inc., United Dental Care of Utah, Inc. DHMO Dental Series

Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

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Page 1: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Directory produced for:Collin County General Dentists

Dental Provider Directory - Texasas of September 12, 2016

Search Criteria:State: TXCounty: Collin

For more current information, visit www.assurantemployeebenefits.com

The Assurant name, and related logos are trademarks of Assurant, Inc. and are used under license. Products and services marketed by Assurant Employee Benefits are underwritten or provided by one or more of the following companies: Union Security Insurance Company, DentiCare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., United Dental Care of Colorado, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of Michigan, Inc., Union Security DentalCare of New Jersey, Inc., United Dental Care of New Mexico, Inc., Union Security Life Insurance Company of New York, UDC Ohio, Inc., United Dental Care of Texas, Inc., United Dental Care of Utah, Inc.

DHMO Dental Series

Page 2: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Important information about selecting a provider

Choosing a plan provider1. Select an available provider from this directory. You will

need to choose a General Dentist for your Plan Dentist. You may also find network providers on our web site at www.assurantemployeebenefits.com under "For Members" go to "Find a dentist". To select the participating network associated with your plan please refer to the cover of this directory or your dental ID card for the network name.

2. List the provider's name on your enrollment form along with the ID#. Providers not available to new patients are indicated with an * in the Status field. If you are not currently a patient, you may not select these providers.

3. If you are unable to choose a provider at the time of enrollment, you must call Customer Service at 800.443.2995 on or after your effective date of coverage and select a plan provider. You will need to have a plan provider assigned before you can make an appointment.

Changing your selected providerYou may select another available provider for your family by calling Customer Service and requesting a change of provider or by using Online Advantage for Members on our web site to change the facility. Request must be received by the 20th of the month to be effective the 1st day of the following month. Updated directories of available providers can be obtained from Customer Service or on our web site at www.assurantemployeebenefits.com.

Your dental plan is simple to use when you follow these steps: Verify with your Plan Dentist that you are on their roster

before making a dental appointment. Call early for routine dental care for the best availability

of appointment times. Be familiar with your copayment schedule to determine

your costs for dental services. Discuss concerns regarding proposed treatments with your

Plan Dentist. Contact customer service at 800.443.2995 for assistance

with selecting or changing your Plan Dentist.

Información importante sobre cómo seleccionar a un proveedor

Cómo elegir a un proveedor integrado al plan1. Elija de este directorio a un proveedor que se encuentre disponible.

Tendrá que elegir a un Dentista de Práctica General como su Dentista Integrado al Plan. También puede encontrar proveedores pertenecientes a la red en nuestro sitio Web www.assurantemployeebenefits.com en “For Members" ("Para Miembros") y haga clic en “Find a dentist" (“Encuentre a un dentista”). Para seleccionar la red participante asociada a su plan consulte la portada de este directorio o su tarjeta de identificación dental en la que aparece el nombre de la red.

2. Anote el nombre del proveedor en el formulario de registro junto con el ID#. Los proveedores que no están disponibles para pacientes nuevos han sido identificados con un * bajo la columna “Status” ("Estado"). Si actualmente usted no fuese un paciente, no podrá elegir a uno de estos proveedores.

3. Si usted no pudiese elegir a un proveedor en el momento de su registro, tiene que llamar al Centro de Servicio al Cliente al 800.443.2995 en o después de la fecha de entrada en vigencia de la cobertura y seleccionar a un proveedor integrado al plan. Se le deberá haber asignado un proveedor integrado al plan antes de que pueda hacer una cita.

Cómo cambiarse a otro proveedorUsted puede seleccionar a otro proveedor que se encuentre disponible para su familia llamando al Centro de Servicio al Cliente y pidiendo un cambio de proveedor, o por Internet en Online Advantage for Members en nuestro sitio Web para cambiar de consultorio. La petición para el cambio tendrá que ser recibida a más tardar el 20vo día del mes para que surta efectos a partir del 1er día del mes subsiguiente. Los directorios de proveedores que se encuentran disponibles pueden obtenerse a través del Centro de Servicio al Cliente o en nuestro sitio Web en www.assurantemployeebenefits.com .

Le resultará sencillo utilizar su plan dental si sigue estos pasos: Antes de hacer una cita, confirme con su Dentista Integrado al Plan

que usted está en su lista de pacientes. Llame con tiempo cuando desee hacer una cita periódica con su

dentista para que tenga más opciones al elegir la hora de su cita. Familiarícese con la lista de copagos para determinar sus costos por

los servicios de cuidado dental. Hable con su Dentista Integrado al Plan sobre las inquietudes que

pueda tener acerca del tratamiento que el dentista le proponga. Llame al Centro de Servicio al Cliente al 800.443.2995 si necesita

ayuda para seleccionar o cambiar a su Dentista Integrado al Plan.

NoticeThis is a translation of a document originally drawn up in English. Accordingly, it is understood that all legal rights, responsibilities and/or obligations are governed by the original English version of this document. Furthermore, we reserve the right to correct any errors in this document

AdvertenciaÉsta es la traducción de un documento originalmente redactado en inglés. Consiguientemente, hágase saber que todos los derechos legales, responsabilidades y/u obligaciones expresadas en el mismo se regirán por la versión original del documento expedida en inglés. Además, nosotros nos reservamos el derecho de corregir cualquier error en este documento

Page 3: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

Allen

ALLEN CENTER DENTALSulman Ahmed806 S Allen Heights Dr, Ste 400Allen, TX 75002(972) 727-1700GENERAL DENTISTSpanishID #: 0022897Lic# 22618

ALLEN CENTER DENTALRodney N Alles, JR806 S Allen Heights Dr, Ste 400Allen, TX 75002(972) 727-1700GENERAL DENTISTSpanishID #: 0022897Lic# 22290

ALLEN CENTER DENTALDoan H Bui806 S Allen Heights Dr, Ste 400Allen, TX 75002(972) 727-1700GENERAL DENTISTSpanishID #: 0022897Lic# 31164

ALLEN CENTER DENTALMartha Day806 S Allen Heights Dr, Ste 400Allen, TX 75002(972) 727-1700GENERAL DENTISTSpanishID #: 0022897Lic# 30293

ALLEN CENTER DENTALShalin Patel806 S Allen Heights Dr, Ste 400Allen, TX 75002(972) 727-1700GENERAL DENTISTSpanishID #: 0022897Lic# 23316

ALLEN CENTER DENTALManjusha Tummala806 S Allen Heights Dr, Ste 400Allen, TX 75002(972) 727-1700GENERAL DENTISTSpanishID #: 0022897Lic# 24902

ALLEN CENTER DENTALE Jan Tung806 S Allen Heights Dr, Ste 400Allen, TX 75002(972) 727-1700GENERAL DENTISTSpanishID #: 0022897Lic# 29866

DFW ABSOLUTE DENTALMaria Shahdad2023 W McDermott Dr, Ste 140Allen, TX 75013(972) 727-8100GENERAL DENTISTHindi Vietnamese UrduID #: 0022165Lic# 27499

FAMILY AND COSMETIC DENTISTRYNamrita Singh915 W Exchange Pkwy, Ste 170Allen, TX 75013(972) 727-7900GENERAL DENTISTID #: 0017185Lic# 20555

IDEAL SMILESSulman Ahmed190 E Stacy Rd, Ste 1618Allen, TX 75002(469) 854-6220GENERAL DENTISTID #: 0021435Lic# 22618

IDEAL SMILESRodney N Alles, JR190 E Stacy Rd, Ste 1618Allen, TX 75002(469) 854-6220GENERAL DENTISTID #: 0021435Lic# 22290

IDEAL SMILESSyeda Ara190 E Stacy Rd, Ste 1618Allen, TX 75002(469) 854-6220GENERAL DENTISTID #: 0021435Lic# 29108

IDEAL SMILESJulie Covino190 E Stacy Rd, Ste 1618Allen, TX 75002(469) 854-6220GENERAL DENTISTID #: 0021435Lic# 28312

IDEAL SMILESShalin Patel190 E Stacy Rd, Ste 1618Allen, TX 75002(469) 854-6220GENERAL DENTISTID #: 0021435Lic# 23316

IDEAL SMILESChristin Vaello190 E Stacy Rd, Ste 1618Allen, TX 75002(469) 854-6220GENERAL DENTISTID #: 0021435Lic# 26568

IDEAL SMILESWilliam I Zerby190 E Stacy Rd, Ste 1618Allen, TX 75002(469) 854-6220GENERAL DENTISTID #: 0021435Lic# 20073

MONARCH DENTAL ALLENKhushboo Gandhi204 Central Expy S, Ste 59Allen, TX 75013(972) 649-0039GENERAL DENTISTSpanishID #: 0021389Lic# 28973

MONARCH DENTAL ALLENMimi B Harmon204 Central Expy S, Ste 59Allen, TX 75013(972) 649-0039GENERAL DENTISTSpanishID #: 0021389Lic# 19087

MONARCH DENTAL ALLENStephen J Lee204 Central Expy S, Ste 59Allen, TX 75013(972) 649-0039GENERAL DENTISTSpanishID #: 0021389Lic# 20082

MONARCH DENTAL ALLENFarahmand Toosi204 Central Expy S, Ste 59Allen, TX 75013(972) 649-0039GENERAL DENTISTSpanishID #: 0021389Lic# 17534

NIK DENTALDiane Nik210 Central Expwy S, Ste 85Allen, TX 75013(972) 359-8500GENERAL DENTISTID #: 0016641Lic# 19226

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 5

Page 4: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

Dallas

ARBORS MODERN DENTISTRYJohn S Barnes18152 Preston Rd, Ste 1-2Dallas, TX 75252(972) 964-6949GENERAL DENTISTSpanishID #: 0021324Lic# 12406

Frisco

COMFORT DENTAL FRISCOManhvu T Nguyen8745 Gary Burns Dr, Ste 154Frisco, TX 75034(214) 494-4441GENERAL DENTISTSpanish Vietnamese PortugueseID #: 0021979Lic# 27426

HICKORY CENTER DENTALJames Adams8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300GENERAL DENTISTSpanishID #: 0022767Lic# 10561

HICKORY CENTER DENTALSulman Ahmed8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300GENERAL DENTISTSpanishID #: 0022767Lic# 22618

HICKORY CENTER DENTALRodney N Alles, JR8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300GENERAL DENTISTSpanishID #: 0022767Lic# 22290

HICKORY CENTER DENTALSyeda Ara8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300GENERAL DENTISTSpanishID #: 0022767Lic# 29108

HICKORY CENTER DENTALJulie Covino8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300GENERAL DENTISTSpanishID #: 0022767Lic# 28312

HICKORY CENTER DENTALDouglas Wayne Fonville8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300GENERAL DENTISTSpanishID #: 0022767Lic# 13082

HICKORY CENTER DENTALSarah Herman8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300GENERAL DENTISTSpanishID #: 0022767Lic# 27821

HICKORY CENTER DENTALAshley Jackson8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300GENERAL DENTISTSpanishID #: 0022767Lic# 27149

HICKORY CENTER DENTALBrittany Kopecky8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300GENERAL DENTISTSpanishID #: 0022767Lic# 30195

HICKORY CENTER DENTALAlex Manrique8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300GENERAL DENTISTSpanishID #: 0022767Lic# 26534

HICKORY CENTER DENTALDustin McCammon8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300GENERAL DENTISTSpanishID #: 0022767Lic# 28819

HICKORY CENTER DENTALRachel Obrien8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300GENERAL DENTISTSpanishID #: 0022767Lic# 29482

HICKORY CENTER DENTALShalin Patel8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300GENERAL DENTISTSpanishID #: 0022767Lic# 23316

HICKORY CENTER DENTALChristin Vaello8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300GENERAL DENTISTSpanishID #: 0022767Lic# 26568

HICKORY CENTER DENTALWilliam I Zerby8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300GENERAL DENTISTSpanishID #: 0022767Lic# 20073

MONARCH DENTAL-FRISCOHamidreza Mirsepasi5404 Preston Rd, Ste 108Frisco, TX 75034(972) 963-9104GENERAL DENTISTSpanishID #: 0019237Lic# 30750

MONARCH DENTAL-FRISCOSandya Narayan5404 Preston Rd, Ste 108Frisco, TX 75034(972) 963-9104GENERAL DENTISTSpanishID #: 0019237Lic# 19520

Mc Kinney

MONARCH DENTALMichael A Jackson1720 N Central Expy, Ste 130Mc Kinney, TX 75070(972) 547-6033GENERAL DENTISTID #: 0015302Lic# 12847

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 6

Page 5: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTALStephen J Lee1720 N Central Expy, Ste 130Mc Kinney, TX 75070(972) 547-6033GENERAL DENTISTID #: 0015302Lic# 20082

MONARCH DENTALFarahmand Toosi1720 N Central Expy, Ste 130Mc Kinney, TX 75070(972) 547-6033GENERAL DENTISTID #: 0015302Lic# 17534

Mckinney

380 SMILESTimothy J Icenhower4685 W University Dr, Ste 100Mckinney, TX 75071(972) 979-3539GENERAL DENTISTSpanishID #: 0022531Lic# 17200

APOLLO FAMILY DENTISTRYTathagat Chawala1521 W University Dr, Ste 120Mckinney, TX 75069(469) 617-2522GENERAL DENTISTHindi Spanish GujarathiID #: 0023577Lic# 24720

IDEAL SMILES OF MCKINNEYJames Adams5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850GENERAL DENTISTSpanishID #: 0022350Lic# 10561

IDEAL SMILES OF MCKINNEYSulman Ahmed5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850GENERAL DENTISTSpanishID #: 0022350Lic# 22618

IDEAL SMILES OF MCKINNEYRodney N Alles, JR5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850GENERAL DENTISTSpanishID #: 0022350Lic# 22290

IDEAL SMILES OF MCKINNEYSyeda Ara5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850GENERAL DENTISTSpanishID #: 0022350Lic# 29108

IDEAL SMILES OF MCKINNEYJulie Covino5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850GENERAL DENTISTSpanishID #: 0022350Lic# 28312

IDEAL SMILES OF MCKINNEYDouglas Wayne Fonville5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850GENERAL DENTISTSpanishID #: 0022350Lic# 13082

IDEAL SMILES OF MCKINNEYAshley Jackson5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850GENERAL DENTISTSpanishID #: 0022350Lic# 27149

IDEAL SMILES OF MCKINNEYJessica S Lee5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850GENERAL DENTISTSpanishID #: 0022350Lic# 31881

IDEAL SMILES OF MCKINNEYAlex Manrique5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850GENERAL DENTISTSpanishID #: 0022350Lic# 26534

IDEAL SMILES OF MCKINNEYSpencer L Moon5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850GENERAL DENTISTSpanishID #: 0022350Lic# 31392

IDEAL SMILES OF MCKINNEYShalin Patel5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850GENERAL DENTISTSpanishID #: 0022350Lic# 23316

IDEAL SMILES OF MCKINNEYChristin Vaello5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850GENERAL DENTISTSpanishID #: 0022350Lic# 26568

IDEAL SMILES OF MCKINNEYWilliam I Zerby5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850GENERAL DENTISTSpanishID #: 0022350Lic# 20073

MONARCH DENTAL MCKINNEY TOWNE CROSSINGSaadia Basit8910 State Highway 121, Ste 210Mckinney, TX 75070(214) 383-7676GENERAL DENTISTID #: 0017252Lic# 28272

MONARCH DENTAL MCKINNEY TOWNE CROSSINGAnuritha Chepyala8910 State Highway 121, Ste 210Mckinney, TX 75070(214) 383-7676GENERAL DENTISTID #: 0017252Lic# 24090

MONARCH DENTAL MCKINNEY TOWNE CROSSINGGlen Paul Day8910 State Highway 121, Ste 210Mckinney, TX 75070(214) 383-7676GENERAL DENTISTID #: 0017252Lic# 22061

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 7

Page 6: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTAL MCKINNEY TOWNE CROSSINGDennis Spencer Greene8910 State Highway 121, Ste 210Mckinney, TX 75070(214) 383-7676GENERAL DENTISTID #: 0017252Lic# 16423

MONARCH DENTAL MCKINNEY TOWNE CROSSINGStephen J Lee8910 State Highway 121, Ste 210Mckinney, TX 75070(214) 383-7676GENERAL DENTISTID #: 0017252Lic# 20082

MONARCH DENTAL MCKINNEY TOWNE CROSSINGShelly Verma8910 State Highway 121, Ste 210Mckinney, TX 75070(214) 383-7676GENERAL DENTISTID #: 0017252Lic# 28299

Plano

ALLEN FAIZAli A Faiz4101 W Spring Creek Pkwy, Ste 100Plano, TX 75024(469) 467-0242GENERAL DENTISTFarsi SpanishID #: 0016584Lic# 18506

COLLIN CREEK DENTALLarry Whiting660 N Central Expy, Ste 644Plano, TX 75074(972) 881-7550GENERAL DENTISTID #: 0008105Lic# 14009

COMFORT DENTAL CARERay Ziaei4101 W Spring Creek Pkwy, Ste 100Plano, TX 75024(972) 599-1221GENERAL DENTISTFarsi Persian SpanishID #: 0015694Lic# 18108

DON EDWARD BROOKINS DDSDon Edward Brookins1225 19th St, Ste 103Plano, TX 75074(972) 578-1944GENERAL DENTISTID #: 0007697Lic# 12545

GENTLE DENTAL CARESanjay Venku Rao4105 W Spring Creek Pkwy, Ste 704Plano, TX 75024(972) 596-3300GENERAL DENTISTID #: 0017033Lic# 18757

IDEAL DENTAL OF PLANOSulman Ahmed4949 Hedgcoxe Rd, Ste 160Plano, TX 75024(214) 387-8800GENERAL DENTISTID #: 0019968Lic# 22618

IDEAL DENTAL OF PLANORodney N Alles, JR4949 Hedgcoxe Rd, Ste 160Plano, TX 75024(214) 387-8800GENERAL DENTISTID #: 0019968Lic# 22290

IDEAL DENTAL OF PLANOEric P Andersen4949 Hedgcoxe Rd, Ste 160Plano, TX 75024(214) 387-8800GENERAL DENTISTID #: 0019968Lic# 30758

IDEAL DENTAL OF PLANOSyeda Ara4949 Hedgcoxe Rd, Ste 160Plano, TX 75024(214) 387-8800GENERAL DENTISTID #: 0019968Lic# 29108

IDEAL DENTAL OF PLANOJulie Covino4949 Hedgcoxe Rd, Ste 160Plano, TX 75024(214) 387-8800GENERAL DENTISTID #: 0019968Lic# 28312

IDEAL DENTAL OF PLANODouglas Wayne Fonville4949 Hedgcoxe Rd, Ste 160Plano, TX 75024(214) 387-8800GENERAL DENTISTID #: 0019968Lic# 13082

IDEAL DENTAL OF PLANOPatrick Joseph Iglinsky4949 Hedgcoxe Rd, Ste 160Plano, TX 75024(214) 387-8800GENERAL DENTISTID #: 0019968Lic# 12665

IDEAL DENTAL OF PLANODanny Ba Nguyen4949 Hedgcoxe Rd, Ste 160Plano, TX 75024(214) 387-8800GENERAL DENTISTID #: 0019968Lic# 28418

IDEAL DENTAL OF PLANOShalin Patel4949 Hedgcoxe Rd, Ste 160Plano, TX 75024(214) 387-8800GENERAL DENTISTID #: 0019968Lic# 23316

IDEAL DENTAL OF PLANOChristin Vaello4949 Hedgcoxe Rd, Ste 160Plano, TX 75024(214) 387-8800GENERAL DENTISTID #: 0019968Lic# 26568

IDEAL DENTAL OF PLANOSarah Wojciechowski4949 Hedgcoxe Rd, Ste 160Plano, TX 75024(214) 387-8800GENERAL DENTISTID #: 0019968Lic# 31009

IDEAL DENTAL OF PLANOWilliam I Zerby4949 Hedgcoxe Rd, Ste 160Plano, TX 75024(214) 387-8800GENERAL DENTISTID #: 0019968Lic# 20073

IDEAL DENTAL OF WILLOW BENDSulman Ahmed1885 Dallas Pkwy, Ste 900Plano, TX 75093(972) 248-6000GENERAL DENTISTID #: 0023812Lic# 22618

IDEAL DENTAL OF WILLOW BENDRodney N Alles, JR1885 Dallas Pkwy, Ste 900Plano, TX 75093(972) 248-6000GENERAL DENTISTID #: 0023812Lic# 22290

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 8

Page 7: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

IDEAL DENTAL OF WILLOW BENDToya Dudley1885 Dallas Pkwy, Ste 900Plano, TX 75093(972) 248-6000GENERAL DENTISTID #: 0023812Lic# 29454

IDEAL DENTAL OF WILLOW BENDShalin Patel1885 Dallas Pkwy, Ste 900Plano, TX 75093(972) 248-6000GENERAL DENTISTID #: 0023812Lic# 23316

IDEAL DENTAL OF WILLOW BENDKaren G Shovak1885 Dallas Pkwy, Ste 900Plano, TX 75093(972) 248-6000GENERAL DENTISTID #: 0023812Lic# 31204

METROPLEX DENTAL CARE PLLCGuillermo Alegre4701 W Park Blvd, Ste 201Plano, TX 75093(972) 985-4450GENERAL DENTISTID #: 0023663Lic# 27010

MONARCH DENTAL OF NORTH PLANOGlen Paul Day3516 Preston Rd, Ste 600Plano, TX 75093(972) 535-0338GENERAL DENTISTID #: 0013108Lic# 22061

MONARCH DENTAL OF NORTH PLANOMichael A Jackson3516 Preston Rd, Ste 600Plano, TX 75093(972) 535-0338GENERAL DENTISTID #: 0013108Lic# 12847

MONARCH DENTAL OF NORTH PLANOBrinda U Patel3516 Preston Rd, Ste 600Plano, TX 75093(972) 535-0338GENERAL DENTISTID #: 0013108Lic# 23051

MONARCH DENTAL OF NORTH PLANODeepthi Shetty3516 Preston Rd, Ste 600Plano, TX 75093(972) 535-0338GENERAL DENTISTID #: 0013108Lic# 31192

MONARCH DENTAL OF NORTH PLANOParul Vishisht3516 Preston Rd, Ste 600Plano, TX 75093(972) 535-0338GENERAL DENTISTID #: 0013108Lic# 28704

PLANO MODERN DENTISTRYJohn S Barnes7120 Coit Rd, Ste 110Plano, TX 75025(972) 208-0333GENERAL DENTISTSpanishID #: 0021325Lic# 12406

PLANO MODERN DENTISTRYDerek M Chan7120 Coit Rd, Ste 110Plano, TX 75025(972) 208-0333GENERAL DENTISTSpanishID #: 0021325Lic# 25315

PRESTON CENTER DENTALSulman Ahmed8404 Preston Rd, Ste 212Plano, TX 75024(972) 377-5530GENERAL DENTISTSpanishID #: 0023023Lic# 22618

PRESTON CENTER DENTALRodney N Alles, JR8404 Preston Rd, Ste 212Plano, TX 75024(972) 377-5530GENERAL DENTISTSpanishID #: 0023023Lic# 22290

PRESTON CENTER DENTALChonda B Copeland8404 Preston Rd, Ste 212Plano, TX 75024(972) 377-5530GENERAL DENTISTSpanishID #: 0023023Lic# 31598

PRESTON CENTER DENTALShalin Patel8404 Preston Rd, Ste 212Plano, TX 75024(972) 377-5530GENERAL DENTISTSpanishID #: 0023023Lic# 23316

WEST PLANO MODERN DENTISTRYJohn S Barnes6202-B West Park BlvdPlano, TX 75093(972) 403-7364GENERAL DENTISTSpanishID #: 0021461Lic# 12406

WEST PLANO MODERN DENTISTRYMitra Partow-Soroushi6202-B West Park BlvdPlano, TX 75093(972) 403-7364GENERAL DENTISTSpanishID #: 0021461Lic# 18192

Wylie

IDEAL DENTAL OF WYLIE PLLCJames Adams805 Woodridge Parkway, Ste 400Wylie, TX 75098(972) 442-4454GENERAL DENTISTSpanishID #: 0022319Lic# 10561

IDEAL DENTAL OF WYLIE PLLCSulman Ahmed805 Woodridge Parkway, Ste 400Wylie, TX 75098(972) 442-4454GENERAL DENTISTSpanishID #: 0022319Lic# 22618

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 9

Page 8: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

IDEAL DENTAL OF WYLIE PLLCRodney N Alles, JR805 Woodridge Parkway, Ste 400Wylie, TX 75098(972) 442-4454GENERAL DENTISTSpanishID #: 0022319Lic# 22290

IDEAL DENTAL OF WYLIE PLLCSyeda Ara805 Woodridge Parkway, Ste 400Wylie, TX 75098(972) 442-4454GENERAL DENTISTSpanishID #: 0022319Lic# 29108

IDEAL DENTAL OF WYLIE PLLCJulie Covino805 Woodridge Parkway, Ste 400Wylie, TX 75098(972) 442-4454GENERAL DENTISTSpanishID #: 0022319Lic# 28312

IDEAL DENTAL OF WYLIE PLLCDouglas Wayne Fonville805 Woodridge Parkway, Ste 400Wylie, TX 75098(972) 442-4454GENERAL DENTISTSpanishID #: 0022319Lic# 13082

IDEAL DENTAL OF WYLIE PLLCAlex Manrique805 Woodridge Parkway, Ste 400Wylie, TX 75098(972) 442-4454GENERAL DENTISTSpanishID #: 0022319Lic# 26534

IDEAL DENTAL OF WYLIE PLLCShalin Patel805 Woodridge Parkway, Ste 400Wylie, TX 75098(972) 442-4454GENERAL DENTISTSpanishID #: 0022319Lic# 23316

IDEAL DENTAL OF WYLIE PLLCSejal Shah805 Woodridge Parkway, Ste 400Wylie, TX 75098(972) 442-4454GENERAL DENTISTSpanishID #: 0022319Lic# 24937

IDEAL DENTAL OF WYLIE PLLCChristin Vaello805 Woodridge Parkway, Ste 400Wylie, TX 75098(972) 442-4454GENERAL DENTISTSpanishID #: 0022319Lic# 26568

IDEAL DENTAL OF WYLIE PLLCWilliam I Zerby805 Woodridge Parkway, Ste 400Wylie, TX 75098(972) 442-4454GENERAL DENTISTSpanishID #: 0022319Lic# 20073

PACKARD ORTHODONTICS DBA APPLE ORTHODONTIXRalf Poineal2640 W Fm 544, Ste 200Wylie, TX 75098(972) 578-7800GENERAL DENTISTID #: 0023253Lic# 18904

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 10

Page 9: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Directory produced for:Collin County Specialists

Dental Provider Directory - Texasas of September 12, 2016

Search Criteria:State: TXCounty: Collin

For more current information, visit www.assurantemployeebenefits.com

The Assurant name, and related logos are trademarks of Assurant, Inc. and are used under license. Products and services marketed by Assurant Employee Benefits are underwritten or provided by one or more of the following companies: Union Security Insurance Company, DentiCare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., United Dental Care of Colorado, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of Michigan, Inc., Union Security DentalCare of New Jersey, Inc., United Dental Care of New Mexico, Inc., Union Security Life Insurance Company of New York, UDC Ohio, Inc., United Dental Care of Texas, Inc., United Dental Care of Utah, Inc.

DHMO Dental Series

Page 10: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Important information about selecting a provider

Choosing a plan provider1. Select an available provider from this directory. You will

need to choose a General Dentist for your Plan Dentist. You may also find network providers on our web site at www.assurantemployeebenefits.com under "For Members" go to "Find a dentist". To select the participating network associated with your plan please refer to the cover of this directory or your dental ID card for the network name.

2. List the provider's name on your enrollment form along with the ID#. Providers not available to new patients are indicated with an * in the Status field. If you are not currently a patient, you may not select these providers.

3. If you are unable to choose a provider at the time of enrollment, you must call Customer Service at 800.443.2995 on or after your effective date of coverage and select a plan provider. You will need to have a plan provider assigned before you can make an appointment.

Changing your selected providerYou may select another available provider for your family by calling Customer Service and requesting a change of provider or by using Online Advantage for Members on our web site to change the facility. Request must be received by the 20th of the month to be effective the 1st day of the following month. Updated directories of available providers can be obtained from Customer Service or on our web site at www.assurantemployeebenefits.com.

Your dental plan is simple to use when you follow these steps: Verify with your Plan Dentist that you are on their roster

before making a dental appointment. Call early for routine dental care for the best availability

of appointment times. Be familiar with your copayment schedule to determine

your costs for dental services. Discuss concerns regarding proposed treatments with your

Plan Dentist. Contact customer service at 800.443.2995 for assistance

with selecting or changing your Plan Dentist.

Información importante sobre cómo seleccionar a un proveedor

Cómo elegir a un proveedor integrado al plan1. Elija de este directorio a un proveedor que se encuentre disponible.

Tendrá que elegir a un Dentista de Práctica General como su Dentista Integrado al Plan. También puede encontrar proveedores pertenecientes a la red en nuestro sitio Web www.assurantemployeebenefits.com en “For Members" ("Para Miembros") y haga clic en “Find a dentist" (“Encuentre a un dentista”). Para seleccionar la red participante asociada a su plan consulte la portada de este directorio o su tarjeta de identificación dental en la que aparece el nombre de la red.

2. Anote el nombre del proveedor en el formulario de registro junto con el ID#. Los proveedores que no están disponibles para pacientes nuevos han sido identificados con un * bajo la columna “Status” ("Estado"). Si actualmente usted no fuese un paciente, no podrá elegir a uno de estos proveedores.

3. Si usted no pudiese elegir a un proveedor en el momento de su registro, tiene que llamar al Centro de Servicio al Cliente al 800.443.2995 en o después de la fecha de entrada en vigencia de la cobertura y seleccionar a un proveedor integrado al plan. Se le deberá haber asignado un proveedor integrado al plan antes de que pueda hacer una cita.

Cómo cambiarse a otro proveedorUsted puede seleccionar a otro proveedor que se encuentre disponible para su familia llamando al Centro de Servicio al Cliente y pidiendo un cambio de proveedor, o por Internet en Online Advantage for Members en nuestro sitio Web para cambiar de consultorio. La petición para el cambio tendrá que ser recibida a más tardar el 20vo día del mes para que surta efectos a partir del 1er día del mes subsiguiente. Los directorios de proveedores que se encuentran disponibles pueden obtenerse a través del Centro de Servicio al Cliente o en nuestro sitio Web en www.assurantemployeebenefits.com .

Le resultará sencillo utilizar su plan dental si sigue estos pasos: Antes de hacer una cita, confirme con su Dentista Integrado al Plan

que usted está en su lista de pacientes. Llame con tiempo cuando desee hacer una cita periódica con su

dentista para que tenga más opciones al elegir la hora de su cita. Familiarícese con la lista de copagos para determinar sus costos por

los servicios de cuidado dental. Hable con su Dentista Integrado al Plan sobre las inquietudes que

pueda tener acerca del tratamiento que el dentista le proponga. Llame al Centro de Servicio al Cliente al 800.443.2995 si necesita

ayuda para seleccionar o cambiar a su Dentista Integrado al Plan.

NoticeThis is a translation of a document originally drawn up in English. Accordingly, it is understood that all legal rights, responsibilities and/or obligations are governed by the original English version of this document. Furthermore, we reserve the right to correct any errors in this document

AdvertenciaÉsta es la traducción de un documento originalmente redactado en inglés. Consiguientemente, hágase saber que todos los derechos legales, responsabilidades y/u obligaciones expresadas en el mismo se regirán por la versión original del documento expedida en inglés. Además, nosotros nos reservamos el derecho de corregir cualquier error en este documento

Page 11: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

Allen

ALLEN CENTER DENTALJames I Ballou806 S Allen Heights Dr, Ste 400Allen, TX 75002(972) 727-1700ORTHODONTISTSpanishOPENLic# 25102

ALLEN CENTER DENTALStephen J Breaud806 S Allen Heights Dr, Ste 400Allen, TX 75002(972) 727-1700ORTHODONTISTSpanishOPENLic# 11475

ALLEN CENTER DENTALChris L Cramer806 S Allen Heights Dr, Ste 400Allen, TX 75002(972) 727-1700ORTHODONTISTSpanishOPENLic# 28933

ALLEN CENTER DENTALPhilip Hsin An Pan806 S Allen Heights Dr, Ste 400Allen, TX 75002(972) 727-1700ORTHODONTISTSpanishOPENLic# 27170

ALLEN CENTER DENTALLyle M Schofield806 S Allen Heights Dr, Ste 400Allen, TX 75002(972) 727-1700ORTHODONTISTSpanishOPENLic# 30874

IDEAL SMILESJames I Ballou190 E Stacy Rd, Ste 1618Allen, TX 75002(469) 854-6220ORTHODONTISTSpanishOPENLic# 25102

IDEAL SMILESStephen J Breaud190 E Stacy Rd, Ste 1618Allen, TX 75002(469) 854-6220ORTHODONTISTSpanishOPENLic# 11475

IDEAL SMILESChris L Cramer190 E Stacy Rd, Ste 1618Allen, TX 75002(469) 854-6220ORTHODONTISTSpanishOPENLic# 28933

IDEAL SMILESPhilip Hsin An Pan190 E Stacy Rd, Ste 1618Allen, TX 75002(469) 854-6220ORTHODONTISTSpanishOPENLic# 27170

IDEAL SMILESLyle M Schofield190 E Stacy Rd, Ste 1618Allen, TX 75002(469) 854-6220ORTHODONTISTSpanishOPENLic# 30874

MONARCH DENTAL ALLENCharles C Chilcoat204 Central Expy S, Ste 59Allen, TX 75013(972) 649-0039ORAL SURGEON-SBASpanishOPENLic# 12807

MONARCH DENTAL ALLENColin P McCartney204 Central Expy S, Ste 59Allen, TX 75013(972) 649-0039ORAL SURGEON-SBASpanishOPENLic# 18908

MONARCH DENTAL ALLENLaurie Parks204 Central Expy S, Ste 59Allen, TX 75013(972) 649-0039ORTHODONTISTSpanishOPENLic# 21404

MONARCH DENTAL ALLENWilner Loiseau204 Central Expy S, Ste 59Allen, TX 75013(972) 649-0039PERIODONTIST-SBASpanishOPENLic# 22356

NORTH TEXAS ORTHODONTIC ASSOCIATESDonald J Copenhaver400 N Allen Dr, Ste 305Allen, TX 75013(972) 727-5781ORTHODONTIST-SBAOPENLic# 11063

NORTH TEXAS ORTHODONTIC ASSOCIATESDonald J Copenhaver201 North Alma Dr, Ste 102Allen, TX 75013(972) 727-4221ORTHODONTIST-SBASpanishOPENLic# 11063

NORTH TEXAS ORTHODONTIC ASSOCIATESRobert J Lugo400 N Allen Dr, Ste 305Allen, TX 75013(972) 727-5781ORTHODONTIST-SBAOPENLic# 18244

NORTH TEXAS ORTHODONTIC ASSOCIATESRobert J Lugo201 North Alma Dr, Ste 102Allen, TX 75013(972) 727-4221ORTHODONTIST-SBASpanishOPENLic# 18244

NORTH TEXAS ORTHODONTIC ASSOCIATESCarlos Nurko400 N Allen Dr, Ste 305Allen, TX 75013(972) 727-5781ORTHODONTIST-SBAOPENLic# 21599

NORTH TEXAS ORTHODONTIC ASSOCIATESCarlos Nurko201 North Alma Dr, Ste 102Allen, TX 75013(972) 727-4221ORTHODONTIST-SBASpanishOPENLic# 21599

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 5

Page 12: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

NORTH TEXAS ORTHODONTIC ASSOCIATESJerome S Schechter400 N Allen Dr, Ste 305Allen, TX 75013(972) 727-5781ORTHODONTIST-SBAOPENLic# 11966

NORTH TEXAS ORTHODONTIC ASSOCIATESJerome S Schechter201 North Alma Dr, Ste 102Allen, TX 75013(972) 727-4221ORTHODONTIST-SBASpanishOPENLic# 11966

Frisco

APPLE ORTHODONTIXDavid P Blackburn9175 Lebanon RdFrisco, TX 75035(972) 578-7800ORTHODONTIST-SBASpanishOPENLic# 26372

APPLE ORTHODONTIXTimothy R Collins9175 Lebanon RdFrisco, TX 75035(972) 578-7800ORTHODONTIST-SBASpanishOPENLic# 25170

APPLE ORTHODONTIXRobert C Packard9175 Lebanon RdFrisco, TX 75035(972) 578-7800ORTHODONTIST-SBASpanishOPENLic# 13930

ENDODONTIC ASSOCIATES OF FRISCO, PLLCRobert B Hale5350 Independence Parkway Suite 150Frisco, TX 75035(469) 238-8372ENDODONTISTSpanishOPENLic# 29127

ENDODONTIC ASSOCIATES OF FRISCO, PLLCGeorge Kohout5350 Independence Parkway Suite 150Frisco, TX 75035(469) 238-8372ENDODONTISTSpanishOPENLic# 29700

ENDODONTIC ASSOCIATES OF FRISCO, PLLCYogesh T Patel5350 Independence Parkway Suite 150Frisco, TX 75035(469) 238-8372ENDODONTISTSpanishOPENLic# 20123

HICKORY CENTER DENTALJames I Ballou8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300ORTHODONTISTSpanishOPENLic# 25102

HICKORY CENTER DENTALStephen J Breaud8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300ORTHODONTISTSpanishOPENLic# 11475

HICKORY CENTER DENTALChris L Cramer8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300ORTHODONTISTSpanishOPENLic# 28933

HICKORY CENTER DENTALPhilip Hsin An Pan8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300ORTHODONTISTSpanishOPENLic# 27170

HICKORY CENTER DENTALLyle M Schofield8755 Preston Rd, Ste 310Frisco, TX 75034(214) 705-7300ORTHODONTISTSpanishOPENLic# 30874

MONARCH DENTAL FRISCOCharles C Chilcoat5404 Preston Rd, Ste 108Frisco, TX 75034(972) 963-9104ORAL SURGEON-SBASpanishOPENLic# 12807

MONARCH DENTAL FRISCOLaurie Parks5404 Preston Rd, Ste 108Frisco, TX 75034(972) 963-9104ORTHODONTISTSpanishOPENLic# 21404

NORTH TEXAS ORTHODONTIC ASSOCIATESRobert J Lugo7500 Stonebrook Pkwy, Ste 104Frisco, TX 75034(972) 712-3962ORTHODONTIST-SBASpanishOPENLic# 18244

NORTH TEXAS ORTHODONTIC ASSOCIATESCarlos Nurko7500 Stonebrook Pkwy, Ste 104Frisco, TX 75034(972) 712-3962ORTHODONTIST-SBASpanishOPENLic# 21599

NORTH TEXAS ORTHODONTIC ASSOCIATESJerome S Schechter7500 Stonebrook Pkwy, Ste 104Frisco, TX 75034(972) 712-3962ORTHODONTIST-SBASpanishOPENLic# 11966

RUSSELL K BASS DDSRussell K Bass6960 Parkwood Dr, Ste 300Frisco, TX 75034(972) 712-2288ORAL SURGEON-SBAOPENLic# 14604

Mc Kinney

DONALD V NIX DDSDonald Van Nix5605 Virginia PkwyMc Kinney, TX 75070(972) 985-7555ORAL SURGEON-SBAOPENLic# 12607

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 6

Page 13: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTAL MCKINNEYCharles C Chilcoat1720 N Central Expy, Ste 130Mc Kinney, TX 75070(972) 547-6038ORAL SURGEON-SBAOPENLic# 12807

MONARCH DENTAL MCKINNEYJared Corbridge1720 N Central Expy, Ste 130Mc Kinney, TX 75070(972) 547-6038ORTHODONTIST-SBAOPENLic# 26013

MONARCH DENTAL MCKINNEYJerry D Mills1720 N Central Expy, Ste 130Mc Kinney, TX 75070(972) 547-6038ORTHODONTIST-SBAOPENLic# 7305

Mckinney

IDEAL SMILES OF MCKINNEYJames I Ballou5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850ORTHODONTISTSpanishOPENLic# 25102

IDEAL SMILES OF MCKINNEYStephen J Breaud5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850ORTHODONTISTSpanishOPENLic# 11475

IDEAL SMILES OF MCKINNEYChris L Cramer5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850ORTHODONTISTSpanishOPENLic# 28933

IDEAL SMILES OF MCKINNEYPhilip Hsin An Pan5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850ORTHODONTISTSpanishOPENLic# 27170

IDEAL SMILES OF MCKINNEYLyle M Schofield5080 Virginia Pkwy, Ste 100Mckinney, TX 75071(972) 540-5850ORTHODONTISTSpanishOPENLic# 30874

MONARCH DENTAL MCKINNEY TOWNE CROSSINGCharles C Chilcoat8910 State Highway 121, Ste 210Mckinney, TX 75070(214) 383-7676ORAL SURGEONOPENLic# 12807

MONARCH DENTAL MCKINNEY TOWNE CROSSINGLaurie Parks8910 State Highway 121, Ste 210Mckinney, TX 75070(214) 383-7676ORTHODONTIST-SBAOPENLic# 21404

MONARCH DENTAL MCKINNEY TOWNE CROSSINGPhylicia Combest8910 State Highway 121, Ste 210Mckinney, TX 75070(214) 383-7676PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 31638

MONARCH DENTAL MCKINNEY TOWNE CROSSINGArthur E Williams8910 State Highway 121, Ste 210Mckinney, TX 75070(214) 383-7676PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 24152

NORTH TEXAS ORTHODONTIC ASSOCIATESDonald J Copenhaver1750 N Stonebridge Dr, Ste 101Mckinney, TX 75071(972) 548-7005ORTHODONTIST-SBAOPENLic# 11063

NORTH TEXAS ORTHODONTIC ASSOCIATESRobert J Lugo1750 N Stonebridge Dr, Ste 101Mckinney, TX 75071(972) 548-7005ORTHODONTIST-SBAOPENLic# 18244

NORTH TEXAS ORTHODONTIC ASSOCIATESCarlos Nurko1750 N Stonebridge Dr, Ste 101Mckinney, TX 75071(972) 548-7005ORTHODONTIST-SBAOPENLic# 21599

NORTH TEXAS ORTHODONTIC ASSOCIATESJerome S Schechter1750 N Stonebridge Dr, Ste 101Mckinney, TX 75071(972) 548-7005ORTHODONTIST-SBAOPENLic# 11966

RUSSELL K BASS DDSRussell K Bass5605 Virginia Pkwy, Ste 3Mckinney, TX 75071(214) 726-1004ORAL SURGEON-SBASpanishOPENLic# 14604

Plano

APPLE ORTHODONTIXRobert C Packard6509 W Park Blvd, Ste 410Plano, TX 75093(972) 578-7800ORTHODONTIST-SBAOPENLic# 13930

DONALD V NIX DDSDonald Van Nix5501 Independence Pkwy, Ste 104Plano, TX 75023(972) 985-7555ORAL SURGEON-SBAOPENLic# 12607

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 7

Page 14: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

IDEAL DENTAL OF PLANOJames I Ballou4949 Hedgcove Rd, Ste 160Plano, TX 75024(214) 387-8800ORTHODONTISTSpanishOPENLic# 25102

IDEAL DENTAL OF PLANOStephen J Breaud4949 Hedgcove Rd, Ste 160Plano, TX 75024(214) 387-8800ORTHODONTISTSpanishOPENLic# 11475

IDEAL DENTAL OF PLANOChris L Cramer4949 Hedgcove Rd, Ste 160Plano, TX 75024(214) 387-8800ORTHODONTISTSpanishOPENLic# 28933

IDEAL DENTAL OF PLANOPhilip Hsin An Pan4949 Hedgcove Rd, Ste 160Plano, TX 75024(214) 387-8800ORTHODONTISTSpanishOPENLic# 27170

IDEAL DENTAL OF PLANOLyle M Schofield4949 Hedgcove Rd, Ste 160Plano, TX 75024(214) 387-8800ORTHODONTISTSpanishOPENLic# 30874

IDEAL DENTAL OF WILLOW BENDJames I Ballou1885 N Dallas Pakwy, Ste 900Plano, TX 75093(972) 248-6000ORTHODONTIST-SBAOPENLic# 25102

IDEAL DENTAL OF WILLOW BENDStephen J Breaud1885 N Dallas Pakwy, Ste 900Plano, TX 75093(972) 248-6000ORTHODONTIST-SBAOPENLic# 11475

IDEAL DENTAL OF WILLOW BENDNathan Coughlin1885 N Dallas Pakwy, Ste 900Plano, TX 75093(972) 248-6000ORTHODONTIST-SBAOPENLic# 28586

IDEAL DENTAL OF WILLOW BENDChris L Cramer1885 N Dallas Pakwy, Ste 900Plano, TX 75093(972) 248-6000ORTHODONTIST-SBAOPENLic# 28933

IDEAL DENTAL OF WILLOW BENDPhilip Hsin An Pan1885 N Dallas Pakwy, Ste 900Plano, TX 75093(972) 248-6000ORTHODONTIST-SBAOPENLic# 27170

IDEAL DENTAL OF WILLOW BENDLyle M Schofield1885 N Dallas Pakwy, Ste 900Plano, TX 75093(972) 248-6000ORTHODONTIST-SBAOPENLic# 30874

JEFFREY J GLASER DDS MSD PAJeffrey Jay Glaser3804 W 15th St, Ste 100Plano, TX 75075(972) 867-3900PERIODONTIST-SBAOPENLic# 11947

JEROME SCHECHTERJerome S Schechter5501 Independence Pkwy, Ste 201Plano, TX 75023(214) 377-2263ORTHODONTISTOPENLic# 11966

METROPLEX DENTAL CARE PLLCSteven R Hansen4701 W Park Blvd, Ste 201Plano, TX 75093(972) 985-4450ENDODONTIST-SBAOPENLic# 23545

METROPLEX DENTAL CARE PLLCHarvey H Mossak4701 W Park Blvd, Ste 201Plano, TX 75093(972) 985-4450ORAL SURGEON-SBAOPENLic# 28666

METROPLEX DENTAL CARE PLLCAnkit Shah4701 W Park Blvd, Ste 201Plano, TX 75093(972) 985-4450ORTHODONTIST-SBAOPENLic# 26240

METROPLEX DENTAL CARE PLLCDaniel Choi4701 W Park Blvd, Ste 201Plano, TX 75093(972) 985-4450PERIODONTIST-SBAOPENLic# 27131

MONARCH DENTAL OF NORTH PLANORyan L Gordon3516 Preston Rd, Ste 600Plano, TX 75093(972) 535-0338ENDODONTISTOPENLic# 20542

MONARCH DENTAL OF NORTH PLANOAnas Athar3516 Preston Rd, Ste 600Plano, TX 75093(972) 535-0338ORTHODONTIST-SBAOPENLic# 25953

MONARCH DENTAL OF NORTH PLANOHardik T Kapadia3516 Preston Rd, Ste 600Plano, TX 75093(972) 535-0338ORTHODONTIST-SBAOPENLic# 24505

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 8

Page 15: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

NORTH TEXAS ORTHODONTIC ASSOCIATESDonald J Copenhaver5501 Independence Pkwy, Ste 201Plano, TX 75023(972) 867-1222ORTHODONTIST-SBAOPENLic# 11063

NORTH TEXAS ORTHODONTIC ASSOCIATESRobert J Lugo5501 Independence Pkwy, Ste 201Plano, TX 75023(972) 867-1222ORTHODONTIST-SBAOPENLic# 18244

NORTH TEXAS ORTHODONTIC ASSOCIATESCarlos Nurko5501 Independence Pkwy, Ste 201Plano, TX 75023(972) 867-1222ORTHODONTIST-SBAOPENLic# 21599

NORTH TEXAS ORTHODONTIC ASSOCIATESJerome S Schechter5501 Independence Pkwy, Ste 201Plano, TX 75023(972) 867-1222ORTHODONTIST-SBAOPENLic# 11966

PACKARD ORTHODONTICS, P.A.Ernest T Lontos2929 Custer Rd, Ste 302Plano, TX 75075(817) 498-5500ORTHODONTIST-SBAOPENLic# 7740

PRESTON CENTER DENTALJames I Ballou8404 Preston Rd, Ste 212Plano, TX 75024(972) 377-5530ORTHODONTISTSpanishOPENLic# 25102

PRESTON CENTER DENTALStephen J Breaud8404 Preston Rd, Ste 212Plano, TX 75024(972) 377-5530ORTHODONTISTSpanishOPENLic# 11475

PRESTON CENTER DENTALChris L Cramer8404 Preston Rd, Ste 212Plano, TX 75024(972) 377-5530ORTHODONTISTSpanishOPENLic# 28933

PRESTON CENTER DENTALPhilip Hsin An Pan8404 Preston Rd, Ste 212Plano, TX 75024(972) 377-5530ORTHODONTISTSpanishOPENLic# 27170

PRESTON CENTER DENTALLyle M Schofield8404 Preston Rd, Ste 212Plano, TX 75024(972) 377-5530ORTHODONTISTSpanishOPENLic# 30874

SMILE ISLAND DENTAL PLLCRupande Patel6513 Preston Rd, Ste 500Plano, TX 75024(972) 378-6762PEDODONTIST (PEDIATRIC DENTIST)HindiOPENLic# 16742

Wylie

IDEAL DENTAL OF WYLIEJames I Ballou805 Woodridge Pkwy, Ste 400Wylie, TX 75098(972) 442-4454ORTHODONTISTSpanishOPENLic# 25102

IDEAL DENTAL OF WYLIEStephen J Breaud805 Woodridge Pkwy, Ste 400Wylie, TX 75098(972) 442-4454ORTHODONTISTSpanishOPENLic# 11475

IDEAL DENTAL OF WYLIEChris L Cramer805 Woodridge Pkwy, Ste 400Wylie, TX 75098(972) 442-4454ORTHODONTISTSpanishOPENLic# 28933

IDEAL DENTAL OF WYLIEPhilip Hsin An Pan805 Woodridge Pkwy, Ste 400Wylie, TX 75098(972) 442-4454ORTHODONTISTSpanishOPENLic# 27170

IDEAL DENTAL OF WYLIELyle M Schofield805 Woodridge Pkwy, Ste 400Wylie, TX 75098(972) 442-4454ORTHODONTISTSpanishOPENLic# 30874

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 9

Page 16: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Directory produced for:Dallas County General Dentists

Dental Provider Directory - Texasas of September 12, 2016

Search Criteria:State: TXCounty: Dallas

For more current information, visit www.assurantemployeebenefits.com

The Assurant name, and related logos are trademarks of Assurant, Inc. and are used under license. Products and services marketed by Assurant Employee Benefits are underwritten or provided by one or more of the following companies: Union Security Insurance Company, DentiCare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., United Dental Care of Colorado, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of Michigan, Inc., Union Security DentalCare of New Jersey, Inc., United Dental Care of New Mexico, Inc., Union Security Life Insurance Company of New York, UDC Ohio, Inc., United Dental Care of Texas, Inc., United Dental Care of Utah, Inc.

DHMO Dental Series

Page 17: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Important information about selecting a provider

Choosing a plan provider1. Select an available provider from this directory. You will

need to choose a General Dentist for your Plan Dentist. You may also find network providers on our web site at www.assurantemployeebenefits.com under "For Members" go to "Find a dentist". To select the participating network associated with your plan please refer to the cover of this directory or your dental ID card for the network name.

2. List the provider's name on your enrollment form along with the ID#. Providers not available to new patients are indicated with an * in the Status field. If you are not currently a patient, you may not select these providers.

3. If you are unable to choose a provider at the time of enrollment, you must call Customer Service at 800.443.2995 on or after your effective date of coverage and select a plan provider. You will need to have a plan provider assigned before you can make an appointment.

Changing your selected providerYou may select another available provider for your family by calling Customer Service and requesting a change of provider or by using Online Advantage for Members on our web site to change the facility. Request must be received by the 20th of the month to be effective the 1st day of the following month. Updated directories of available providers can be obtained from Customer Service or on our web site at www.assurantemployeebenefits.com.

Your dental plan is simple to use when you follow these steps: Verify with your Plan Dentist that you are on their roster

before making a dental appointment. Call early for routine dental care for the best availability

of appointment times. Be familiar with your copayment schedule to determine

your costs for dental services. Discuss concerns regarding proposed treatments with your

Plan Dentist. Contact customer service at 800.443.2995 for assistance

with selecting or changing your Plan Dentist.

Información importante sobre cómo seleccionar a un proveedor

Cómo elegir a un proveedor integrado al plan1. Elija de este directorio a un proveedor que se encuentre disponible.

Tendrá que elegir a un Dentista de Práctica General como su Dentista Integrado al Plan. También puede encontrar proveedores pertenecientes a la red en nuestro sitio Web www.assurantemployeebenefits.com en “For Members" ("Para Miembros") y haga clic en “Find a dentist" (“Encuentre a un dentista”). Para seleccionar la red participante asociada a su plan consulte la portada de este directorio o su tarjeta de identificación dental en la que aparece el nombre de la red.

2. Anote el nombre del proveedor en el formulario de registro junto con el ID#. Los proveedores que no están disponibles para pacientes nuevos han sido identificados con un * bajo la columna “Status” ("Estado"). Si actualmente usted no fuese un paciente, no podrá elegir a uno de estos proveedores.

3. Si usted no pudiese elegir a un proveedor en el momento de su registro, tiene que llamar al Centro de Servicio al Cliente al 800.443.2995 en o después de la fecha de entrada en vigencia de la cobertura y seleccionar a un proveedor integrado al plan. Se le deberá haber asignado un proveedor integrado al plan antes de que pueda hacer una cita.

Cómo cambiarse a otro proveedorUsted puede seleccionar a otro proveedor que se encuentre disponible para su familia llamando al Centro de Servicio al Cliente y pidiendo un cambio de proveedor, o por Internet en Online Advantage for Members en nuestro sitio Web para cambiar de consultorio. La petición para el cambio tendrá que ser recibida a más tardar el 20vo día del mes para que surta efectos a partir del 1er día del mes subsiguiente. Los directorios de proveedores que se encuentran disponibles pueden obtenerse a través del Centro de Servicio al Cliente o en nuestro sitio Web en www.assurantemployeebenefits.com .

Le resultará sencillo utilizar su plan dental si sigue estos pasos: Antes de hacer una cita, confirme con su Dentista Integrado al Plan

que usted está en su lista de pacientes. Llame con tiempo cuando desee hacer una cita periódica con su

dentista para que tenga más opciones al elegir la hora de su cita. Familiarícese con la lista de copagos para determinar sus costos por

los servicios de cuidado dental. Hable con su Dentista Integrado al Plan sobre las inquietudes que

pueda tener acerca del tratamiento que el dentista le proponga. Llame al Centro de Servicio al Cliente al 800.443.2995 si necesita

ayuda para seleccionar o cambiar a su Dentista Integrado al Plan.

NoticeThis is a translation of a document originally drawn up in English. Accordingly, it is understood that all legal rights, responsibilities and/or obligations are governed by the original English version of this document. Furthermore, we reserve the right to correct any errors in this document

AdvertenciaÉsta es la traducción de un documento originalmente redactado en inglés. Consiguientemente, hágase saber que todos los derechos legales, responsabilidades y/u obligaciones expresadas en el mismo se regirán por la versión original del documento expedida en inglés. Además, nosotros nos reservamos el derecho de corregir cualquier error en este documento

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PrePaid Dental Series

Carrollton

BRIDENT DENTAL & ORTHODONTICS TLTSridhar Krishna Chinta2217 Marsh LnCarrollton, TX 75006(469) 557-7570GENERAL DENTISTSpanishID #: 0024291Lic# 30188

METROPLEX DENTAL CAREGuillermo Alegre1235 S Josey Ln, Ste 534Carrollton, TX 75006(972) 416-9607GENERAL DENTISTID #: 0019272Lic# 27010

METROPLEX DENTAL CARESamina Ashraf1235 S Josey Ln, Ste 534Carrollton, TX 75006(972) 416-9607GENERAL DENTISTID #: 0019272Lic# 22898

METROPLEX DENTAL CAREStephanie Bassin1235 S Josey Ln, Ste 534Carrollton, TX 75006(972) 416-9607GENERAL DENTISTID #: 0019272Lic# 23628

METROPLEX DENTAL CAREAndre Ellis1235 S Josey Ln, Ste 534Carrollton, TX 75006(972) 416-9607GENERAL DENTISTID #: 0019272Lic# 16340

METROPLEX DENTAL CAREMelliza George1235 S Josey Ln, Ste 534Carrollton, TX 75006(972) 416-9607GENERAL DENTISTID #: 0019272Lic# 30146

METROPLEX DENTAL CAREAngela S Han1235 S Josey Ln, Ste 534Carrollton, TX 75006(972) 416-9607GENERAL DENTISTID #: 0019272Lic# 25215

METROPLEX DENTAL CARETracy M Kirk1235 S Josey Ln, Ste 534Carrollton, TX 75006(972) 416-9607GENERAL DENTISTID #: 0019272Lic# 29655

METROPLEX DENTAL CAREMojan Madison1235 S Josey Ln, Ste 534Carrollton, TX 75006(972) 416-9607GENERAL DENTISTID #: 0019272Lic# 21289

METROPLEX DENTAL CAREAsana Mohamad1235 S Josey Ln, Ste 534Carrollton, TX 75006(972) 416-9607GENERAL DENTISTID #: 0019272Lic# 29530

METROPLEX DENTAL CAREPrimal Sekhon1235 S Josey Ln, Ste 534Carrollton, TX 75006(972) 416-9607GENERAL DENTISTID #: 0019272Lic# 31466

MILESTONE DENTAL OF CARROLLTONSulman Ahmed2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453GENERAL DENTISTSpanishID #: 0021948Lic# 22618

MILESTONE DENTAL OF CARROLLTONRodney N Alles, JR2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453GENERAL DENTISTSpanishID #: 0021948Lic# 22290

MILESTONE DENTAL OF CARROLLTONSyeda Ara2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453GENERAL DENTISTSpanishID #: 0021948Lic# 29108

MILESTONE DENTAL OF CARROLLTONJay Arunkumar2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453GENERAL DENTISTSpanishID #: 0021948Lic# 29063

MILESTONE DENTAL OF CARROLLTONJulie Covino2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453GENERAL DENTISTSpanishID #: 0021948Lic# 28312

MILESTONE DENTAL OF CARROLLTONSamir Dalsania2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453GENERAL DENTISTSpanishID #: 0021948Lic# 25055

MILESTONE DENTAL OF CARROLLTONMatthew Doan2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453GENERAL DENTISTSpanishID #: 0021948Lic# 30999

MILESTONE DENTAL OF CARROLLTONAmber M James2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453GENERAL DENTISTSpanishID #: 0021948Lic# 31220

MILESTONE DENTAL OF CARROLLTONShalin Patel2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453GENERAL DENTISTSpanishID #: 0021948Lic# 23316

MILESTONE DENTAL OF CARROLLTONHenry Pham2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453GENERAL DENTISTSpanishID #: 0021948Lic# 30097

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 5

Page 19: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MILESTONE DENTAL OF CARROLLTONChristin Vaello2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453GENERAL DENTISTSpanishID #: 0021948Lic# 26568

MILESTONE DENTAL OF CARROLLTONWilliam I Zerby2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453GENERAL DENTISTSpanishID #: 0021948Lic# 20073

MONARCH DENTAL ASSOCIATESAnuritha Chepyala2540 Old Denton Rd, Ste 188Carrollton, TX 75006(972) 446-1211GENERAL DENTISTID #: 0008193Lic# 24090

MONARCH DENTAL ASSOCIATESSandya Narayan2540 Old Denton Rd, Ste 188Carrollton, TX 75006(972) 446-1211GENERAL DENTISTID #: 0008193Lic# 19520

Cedar Hill

MONARCH DENTAL CEDAR HILLAmary Herrera420 E Pleasant Run, Ste 390Cedar Hill, TX 75104(469) 272-9333GENERAL DENTISTSpanishID #: 0015686Lic# 26176

MONARCH DENTAL CEDAR HILLJoe Frank Jemelka420 E Pleasant Run, Ste 390Cedar Hill, TX 75104(469) 272-9333GENERAL DENTISTSpanishID #: 0015686Lic# 15425

MONARCH DENTAL CEDAR HILLEva Watkis Bynoe420 E Pleasant Run, Ste 390Cedar Hill, TX 75104(469) 272-9333GENERAL DENTISTSpanishID #: 0015686Lic# 22789

Dallas

ANDREW CHAAndrew Cha2560 Royal Ln, Ste 114Dallas, TX 75229(972) 620-2875GENERAL DENTISTID #: 0008033Lic# 16955

ARK DENTAL PCJohn H Lee9777 Ferguson Rd, Ste 101Dallas, TX 75228(214) 320-9444GENERAL DENTISTID #: 0012796Lic# 18012

EDWIN LEW DDSEdwin J Lew2919 S Lancaster RdDallas, TX 75216(214) 375-5900GENERAL DENTISTID #: 0008041Lic# 10212

FELIX W STARGHILLFelix W Starghill2754 W Davis StDallas, TX 75211(214) 330-4100GENERAL DENTISTID #: 0008417Lic# 16997

FOREST LANE DENTALJack E Burroughs11722 Marsh Lane, Ste 349Dallas, TX 75229(214) 350-1425GENERAL DENTISTSpanishID #: 0017008Lic# 21997

HIGHLAND SMILES DENTALGirish Sandadi4925 McKinney Ave, Ste 101Dallas, TX 75205(214) 528-9990GENERAL DENTISTSpanishID #: 0023011Lic# 24535

HUBERT FREEMANHubert Freeman4041 W Wheatland Rd, Ste 150Dallas, TX 75237(972) 283-2700GENERAL DENTISTID #: 0008203Lic# 10657

IDEAL DENTAL OF ADDISONSulman Ahmed5100 Belt Line Rd, Ste 312Dallas, TX 75254(972) 980-8500GENERAL DENTISTSpanishID #: 0023069Lic# 22618

IDEAL DENTAL OF ADDISONRodney N Alles, JR5100 Belt Line Rd, Ste 312Dallas, TX 75254(972) 980-8500GENERAL DENTISTSpanishID #: 0023069Lic# 22290

IDEAL DENTAL OF ADDISONJulie Covino5100 Belt Line Rd, Ste 312Dallas, TX 75254(972) 980-8500GENERAL DENTISTSpanishID #: 0023069Lic# 28312

IDEAL DENTAL OF ADDISONMartha Day5100 Belt Line Rd, Ste 312Dallas, TX 75254(972) 980-8500GENERAL DENTISTSpanishID #: 0023069Lic# 30293

IDEAL DENTAL OF ADDISONDouglas Wayne Fonville5100 Belt Line Rd, Ste 312Dallas, TX 75254(972) 980-8500GENERAL DENTISTSpanishID #: 0023069Lic# 13082

IDEAL DENTAL OF ADDISONMichael A Holmes5100 Belt Line Rd, Ste 312Dallas, TX 75254(972) 980-8500GENERAL DENTISTSpanishID #: 0023069Lic# 31302

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 6

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PrePaid Dental Series

IDEAL DENTAL OF ADDISONMarie Padua5100 Belt Line Rd, Ste 312Dallas, TX 75254(972) 980-8500GENERAL DENTISTSpanishID #: 0023069Lic# 29996

IDEAL DENTAL OF ADDISONShalin Patel5100 Belt Line Rd, Ste 312Dallas, TX 75254(972) 980-8500GENERAL DENTISTSpanishID #: 0023069Lic# 23316

IDEAL DENTAL OF ADDISONSharlenne Sanchez5100 Belt Line Rd, Ste 312Dallas, TX 75254(972) 980-8500GENERAL DENTISTSpanishID #: 0023069Lic# 32153

IDEAL DENTAL OF LAKEWOODSulman Ahmed7331 Gaston Ave, Ste 160Dallas, TX 75214(214) 320-9999GENERAL DENTISTSpanishID #: 0023353Lic# 22618

IDEAL DENTAL OF LAKEWOODRodney N Alles, JR7331 Gaston Ave, Ste 160Dallas, TX 75214(214) 320-9999GENERAL DENTISTSpanishID #: 0023353Lic# 22290

IDEAL DENTAL OF LAKEWOODRichard S Hattaway7331 Gaston Ave, Ste 160Dallas, TX 75214(214) 320-9999GENERAL DENTISTSpanishID #: 0023353Lic# 30158

IDEAL DENTAL OF LAKEWOODMuzamil Sayeed7331 Gaston Ave, Ste 160Dallas, TX 75214(214) 320-9999GENERAL DENTISTSpanishID #: 0023353Lic# 31525

IDEAL DENTAL OF UNIVERSITY PARKSulman Ahmed8611 Hillcrest Ave, Suite 215Dallas, TX 75225(214) 361-3550GENERAL DENTISTID #: 0021119Lic# 22618

IDEAL DENTAL OF UNIVERSITY PARKRodney N Alles, JR8611 Hillcrest Ave, Suite 215Dallas, TX 75225(214) 361-3550GENERAL DENTISTID #: 0021119Lic# 22290

IDEAL DENTAL OF UNIVERSITY PARKSyeda Ara8611 Hillcrest Ave, Suite 215Dallas, TX 75225(214) 361-3550GENERAL DENTISTID #: 0021119Lic# 29108

IDEAL DENTAL OF UNIVERSITY PARKJulie Covino8611 Hillcrest Ave, Suite 215Dallas, TX 75225(214) 361-3550GENERAL DENTISTID #: 0021119Lic# 28312

IDEAL DENTAL OF UNIVERSITY PARKChristopher Herrera8611 Hillcrest Ave, Suite 215Dallas, TX 75225(214) 361-3550GENERAL DENTISTID #: 0021119Lic# 31256

IDEAL DENTAL OF UNIVERSITY PARKShalin Patel8611 Hillcrest Ave, Suite 215Dallas, TX 75225(214) 361-3550GENERAL DENTISTID #: 0021119Lic# 23316

IDEAL DENTAL OF UNIVERSITY PARKChristin Vaello8611 Hillcrest Ave, Suite 215Dallas, TX 75225(214) 361-3550GENERAL DENTISTID #: 0021119Lic# 26568

IDEAL DENTAL OF UNIVERSITY PARKWilliam I Zerby8611 Hillcrest Ave, Suite 215Dallas, TX 75225(214) 361-3550GENERAL DENTISTID #: 0021119Lic# 20073

IDEAL DENTAL OF UPTOWNSulman Ahmed4323 Lemmon AveDallas, TX 75219(214) 522-4444GENERAL DENTISTID #: 0021545Lic# 22618

IDEAL DENTAL OF UPTOWNRodney N Alles, JR4323 Lemmon AveDallas, TX 75219(214) 522-4444GENERAL DENTISTID #: 0021545Lic# 22290

IDEAL DENTAL OF UPTOWNSyeda Ara4323 Lemmon AveDallas, TX 75219(214) 522-4444GENERAL DENTISTID #: 0021545Lic# 29108

IDEAL DENTAL OF UPTOWNSara Cain4323 Lemmon AveDallas, TX 75219(214) 522-4444GENERAL DENTISTID #: 0021545Lic# 29048

IDEAL DENTAL OF UPTOWNJulie Covino4323 Lemmon AveDallas, TX 75219(214) 522-4444GENERAL DENTISTID #: 0021545Lic# 28312

IDEAL DENTAL OF UPTOWNToya Dudley4323 Lemmon AveDallas, TX 75219(214) 522-4444GENERAL DENTISTID #: 0021545Lic# 29454

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 7

Page 21: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

IDEAL DENTAL OF UPTOWNDouglas Wayne Fonville4323 Lemmon AveDallas, TX 75219(214) 522-4444GENERAL DENTISTID #: 0021545Lic# 13082

IDEAL DENTAL OF UPTOWNOmar A Gabr4323 Lemmon AveDallas, TX 75219(214) 522-4444GENERAL DENTISTID #: 0021545Lic# 31313

IDEAL DENTAL OF UPTOWNLong Mugianto4323 Lemmon AveDallas, TX 75219(214) 522-4444GENERAL DENTISTID #: 0021545Lic# 27450

IDEAL DENTAL OF UPTOWNMarie Padua4323 Lemmon AveDallas, TX 75219(214) 522-4444GENERAL DENTISTID #: 0021545Lic# 29996

IDEAL DENTAL OF UPTOWNShalin Patel4323 Lemmon AveDallas, TX 75219(214) 522-4444GENERAL DENTISTID #: 0021545Lic# 23316

IDEAL DENTAL OF UPTOWNGurbaz Sandhu4323 Lemmon AveDallas, TX 75219(214) 522-4444GENERAL DENTISTID #: 0021545Lic# 31420

IDEAL DENTAL OF UPTOWNChristin Vaello4323 Lemmon AveDallas, TX 75219(214) 522-4444GENERAL DENTISTID #: 0021545Lic# 26568

IDEAL DENTAL OF UPTOWNWilliam I Zerby4323 Lemmon AveDallas, TX 75219(214) 522-4444GENERAL DENTISTID #: 0021545Lic# 20073

IRBY B HUNTER DDSIrby B Hunter2826 E Illinois AveDallas, TX 75216(214) 372-4621GENERAL DENTISTID #: 0008267Lic# 8791

JOSEPH PIRIANJoseph Pirian4041 W Wheatland Rd, Ste 202Dallas, TX 75237(972) 780-1919GENERAL DENTISTHebrew SpanishID #: 0021504Lic# 25032

LYNH THY PHAM DDS PA MEDALLIONAshadevi Gottigere324 Medallion CtrDallas, TX 75214(214) 466-1400GENERAL DENTISTHindi Spanish VietnameseID #: 0023194Lic# 28835

LYNH THY PHAM DDS PA MEDALLIONNavaneetha Natchimuthu324 Medallion CtrDallas, TX 75214(214) 466-1400GENERAL DENTISTHindi Spanish VietnameseID #: 0023194Lic# 24082

LYNH THY PHAM DDS PA MEDALLIONRaquel Pacheco324 Medallion CtrDallas, TX 75214(214) 466-1400GENERAL DENTISTHindi Spanish VietnameseID #: 0023194Lic# 23761

LYNH THY PHAM DDS PA MEDALLIONShahin A Sultana324 Medallion CtrDallas, TX 75214(214) 466-1400GENERAL DENTISTHindi Spanish VietnameseID #: 0023194Lic# 30713

LYNH THY PHAM DDS PA MEDALLIONPaul Weissburd324 Medallion CtrDallas, TX 75214(214) 466-1400GENERAL DENTISTHindi Spanish VietnameseID #: 0023194Lic# 24842

MARTIA LEFFALL DDSMartia Elizabeth Leffall2814 S Beckley AveDallas, TX 75211(214) 941-5656GENERAL DENTISTID #: 0008450Lic# 14653

METROPLEX DENTAL CAREGuillermo Alegre2425 S Cockrell Hill, Ste ADallas, TX 75211(214) 623-8221GENERAL DENTISTID #: 0019277Lic# 27010

METROPLEX DENTAL CAREGuillermo Alegre12101 Greenville Ave, Ste 101Dallas, TX 75243(214) 575-5253GENERAL DENTISTID #: 0019276Lic# 27010

METROPLEX DENTAL CAREGuillermo Alegre1143 S Buckner Blvd, Ste 138Dallas, TX 75217(214) 398-4800GENERAL DENTISTID #: 0019270Lic# 27010

METROPLEX DENTAL CAREStephanie Bassin2425 S Cockrell Hill, Ste ADallas, TX 75211(214) 623-8221GENERAL DENTISTID #: 0019277Lic# 23628

METROPLEX DENTAL CAREStephanie Bassin12101 Greenville Ave, Ste 101Dallas, TX 75243(214) 575-5253GENERAL DENTISTID #: 0019276Lic# 23628

METROPLEX DENTAL CAREStephanie Bassin1143 S Buckner Blvd, Ste 138Dallas, TX 75217(214) 398-4800GENERAL DENTISTID #: 0019270Lic# 23628

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 8

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PrePaid Dental Series

METROPLEX DENTAL CAREAllen Charles12101 Greenville Ave, Ste 101Dallas, TX 75243(214) 575-5253GENERAL DENTISTID #: 0019276Lic# 30681

METROPLEX DENTAL CAREAndre Ellis2425 S Cockrell Hill, Ste ADallas, TX 75211(214) 623-8221GENERAL DENTISTID #: 0019277Lic# 16340

METROPLEX DENTAL CAREAndre Ellis12101 Greenville Ave, Ste 101Dallas, TX 75243(214) 575-5253GENERAL DENTISTID #: 0019276Lic# 16340

METROPLEX DENTAL CAREAndre Ellis1143 S Buckner Blvd, Ste 138Dallas, TX 75217(214) 398-4800GENERAL DENTISTID #: 0019270Lic# 16340

METROPLEX DENTAL CAREAngela S Han12101 Greenville Ave, Ste 101Dallas, TX 75243(214) 575-5253GENERAL DENTISTID #: 0019276Lic# 25215

METROPLEX DENTAL CAREAngela S Han1143 S Buckner Blvd, Ste 138Dallas, TX 75217(214) 398-4800GENERAL DENTISTID #: 0019270Lic# 25215

METROPLEX DENTAL CAREAngela S Han2425 S Cockrell Hill, Ste ADallas, TX 75211(214) 623-8221GENERAL DENTISTID #: 0019277Lic# 25215

METROPLEX DENTAL CARETracy M Kirk1143 S Buckner Blvd, Ste 138Dallas, TX 75217(214) 398-4800GENERAL DENTISTID #: 0019270Lic# 29655

METROPLEX DENTAL CAREKacey Mahoney1143 S Buckner Blvd, Ste 138Dallas, TX 75217(214) 398-4800GENERAL DENTISTID #: 0019270Lic# 30802

METROPLEX DENTAL CAREEric D Ricks1143 S Buckner Blvd, Ste 138Dallas, TX 75217(214) 398-4800GENERAL DENTISTID #: 0019270Lic# 25649

METROPLEX DENTAL CARE PLLCGuillermo Alegre2525 Wycliff Ave, Ste 107Dallas, TX 75219(214) 219-3719GENERAL DENTISTID #: 0019275Lic# 27010

METROPLEX DENTAL CARE PLLCTodd Balington2525 Wycliff Ave, Ste 107Dallas, TX 75219(214) 219-3719GENERAL DENTISTID #: 0019275Lic# 24427

METROPLEX DENTAL CARE PLLCStephanie Bassin2525 Wycliff Ave, Ste 107Dallas, TX 75219(214) 219-3719GENERAL DENTISTID #: 0019275Lic# 23628

METROPLEX DENTAL CARE PLLCAndre Ellis2525 Wycliff Ave, Ste 107Dallas, TX 75219(214) 219-3719GENERAL DENTISTID #: 0019275Lic# 16340

METROPLEX DENTAL CARE PLLCAngela S Han2525 Wycliff Ave, Ste 107Dallas, TX 75219(214) 219-3719GENERAL DENTISTID #: 0019275Lic# 25215

METROPLEX DENTAL CARE PLLCChristopher Roclevitch2525 Wycliff Ave, Ste 107Dallas, TX 75219(214) 219-3719GENERAL DENTISTID #: 0019275Lic# 31606

MIDWAY CROSSING DENTALJames Adams4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 351-0070GENERAL DENTISTSpanishID #: 0022720Lic# 10561

MIDWAY CROSSING DENTALSulman Ahmed4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 351-0070GENERAL DENTISTSpanishID #: 0022720Lic# 22618

MIDWAY CROSSING DENTALRodney N Alles, JR4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 351-0070GENERAL DENTISTSpanishID #: 0022720Lic# 22290

MIDWAY CROSSING DENTALSyeda Ara4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 351-0070GENERAL DENTISTSpanishID #: 0022720Lic# 29108

MIDWAY CROSSING DENTALJulie Covino4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 351-0070GENERAL DENTISTSpanishID #: 0022720Lic# 28312

MIDWAY CROSSING DENTALDouglas Wayne Fonville4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 351-0070GENERAL DENTISTSpanishID #: 0022720Lic# 13082

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 9

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PrePaid Dental Series

MIDWAY CROSSING DENTALSarah Herman4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 351-0070GENERAL DENTISTSpanishID #: 0022720Lic# 27821

MIDWAY CROSSING DENTALAshley Jackson4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 351-0070GENERAL DENTISTSpanishID #: 0022720Lic# 27149

MIDWAY CROSSING DENTALAlex Manrique4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 351-0070GENERAL DENTISTSpanishID #: 0022720Lic# 26534

MIDWAY CROSSING DENTALDustin McCammon4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 351-0070GENERAL DENTISTSpanishID #: 0022720Lic# 28819

MIDWAY CROSSING DENTALShalin Patel4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 351-0070GENERAL DENTISTSpanishID #: 0022720Lic# 23316

MIDWAY CROSSING DENTALChristin Vaello4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 351-0070GENERAL DENTISTSpanishID #: 0022720Lic# 26568

MIDWAY CROSSING DENTALWilliam I Zerby4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 351-0070GENERAL DENTISTSpanishID #: 0022720Lic# 20073

MILESTONE DENTAL OF DALLASJames Adams10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484GENERAL DENTISTSpanishID #: 0022651Lic# 10561

MILESTONE DENTAL OF DALLASSulman Ahmed10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484GENERAL DENTISTSpanishID #: 0022651Lic# 22618

MILESTONE DENTAL OF DALLASRodney N Alles, JR10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484GENERAL DENTISTSpanishID #: 0022651Lic# 22290

MILESTONE DENTAL OF DALLASSyeda Ara10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484GENERAL DENTISTSpanishID #: 0022651Lic# 29108

MILESTONE DENTAL OF DALLASThanh T Chiem10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484GENERAL DENTISTSpanishID #: 0022651Lic# 29999

MILESTONE DENTAL OF DALLASJulie Covino10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484GENERAL DENTISTSpanishID #: 0022651Lic# 28312

MILESTONE DENTAL OF DALLASDouglas Wayne Fonville10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484GENERAL DENTISTSpanishID #: 0022651Lic# 13082

MILESTONE DENTAL OF DALLASAshley Jackson10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484GENERAL DENTISTSpanishID #: 0022651Lic# 27149

MILESTONE DENTAL OF DALLASAlex Manrique10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484GENERAL DENTISTSpanishID #: 0022651Lic# 26534

MILESTONE DENTAL OF DALLASShalin Patel10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484GENERAL DENTISTSpanishID #: 0022651Lic# 23316

MILESTONE DENTAL OF DALLASKaren G Shovak10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484GENERAL DENTISTSpanishID #: 0022651Lic# 31204

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 10

Page 24: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MILESTONE DENTAL OF DALLASChristin Vaello10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484GENERAL DENTISTSpanishID #: 0022651Lic# 26568

MILESTONE DENTAL OF DALLASWilliam I Zerby10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484GENERAL DENTISTSpanishID #: 0022651Lic# 20073

MONARCH DENTALDeepa Alahari9310 E R L Thornton Fwy, Ste 100Dallas, TX 75228(214) 660-8997GENERAL DENTISTID #: 0016196Lic# 23161

MONARCH DENTALRicha Aparajita14400 N Dallas Pkwy, Ste 200Dallas, TX 75240(972) 720-8866GENERAL DENTISTID #: 0013909Lic# 28406

MONARCH DENTALEdie D Crouch9440 Garland Rd, Ste 230Dallas, TX 75218(214) 660-0040GENERAL DENTISTID #: 0016459Lic# 22468

MONARCH DENTALMimi B Harmon9440 Garland Rd, Ste 230Dallas, TX 75218(214) 660-0040GENERAL DENTISTID #: 0016459Lic# 19087

MONARCH DENTALStephen J Lee14400 N Dallas Pkwy, Ste 200Dallas, TX 75240(972) 720-8866GENERAL DENTISTID #: 0013909Lic# 20082

MONARCH DENTALRachna Patel9310 E R L Thornton Fwy, Ste 100Dallas, TX 75228(214) 660-8997GENERAL DENTISTID #: 0016196Lic# 24001

MONARCH DENTALLoretta Peet9310 E R L Thornton Fwy, Ste 100Dallas, TX 75228(214) 660-8997GENERAL DENTISTID #: 0016196Lic# 16735

MONARCH DENTALJahangir Sadighirad9310 E R L Thornton Fwy, Ste 100Dallas, TX 75228(214) 660-8997GENERAL DENTISTID #: 0016196Lic# 26171

MONARCH DENTALCharles M Sauter9440 Garland Rd, Ste 230Dallas, TX 75218(214) 660-0040GENERAL DENTISTID #: 0016459Lic# 15824

MONARCH DENTALThai-Lan T Tran9440 Garland Rd, Ste 230Dallas, TX 75218(214) 660-0040GENERAL DENTISTID #: 0016459Lic# 18949

MONARCH DENTALEdward Gene Ward14400 N Dallas Pkwy, Ste 200Dallas, TX 75240(972) 720-8866GENERAL DENTISTID #: 0013909Lic# 12252

MONARCH DENTAL (FORMERLY CASTLE DENTAL)Anuritha Chepyala7989 Belt Line Rd, Ste 90Dallas, TX 75248(214) 530-0530GENERAL DENTISTID #: 0011988Lic# 24090

MONARCH DENTAL (FORMERLY CASTLE DENTAL)Scott Eckhart7989 Belt Line Rd, Ste 90Dallas, TX 75248(214) 530-0530GENERAL DENTISTID #: 0011988Lic# 26517

MONARCH DENTAL ASSOCIATESKarol L Brown3235 W Camp Wisdom RdDallas, TX 75237(214) 331-1131GENERAL DENTISTID #: 0008184Lic# 19495

MONARCH DENTAL ASSOCIATESMichael Cousins3535 Marvin D Love FwyDallas, TX 75224(214) 376-2663GENERAL DENTISTID #: 0008218Lic# 25298

MONARCH DENTAL ASSOCIATESShilpa Dhawan5400 E Mockingbird Ln, Ste 219Dallas, TX 75206(214) 361-2227GENERAL DENTISTID #: 0008383Lic# 30813

MONARCH DENTAL ASSOCIATESCarlos Garcia5400 E Mockingbird Ln, Ste 219Dallas, TX 75206(214) 361-2227GENERAL DENTISTID #: 0008383Lic# 28940

MONARCH DENTAL ASSOCIATESAshley Jackson5400 E Mockingbird Ln, Ste 219Dallas, TX 75206(214) 361-2227GENERAL DENTISTID #: 0008383Lic# 27149

MONARCH DENTAL ASSOCIATESMichael A Jackson5400 E Mockingbird Ln, Ste 219Dallas, TX 75206(214) 361-2227GENERAL DENTISTID #: 0008383Lic# 12847

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 11

Page 25: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTAL ASSOCIATESNishit Kapadia4140 Lemmon Ave, Ste 290Dallas, TX 75219(214) 599-0778GENERAL DENTISTID #: 0008412Lic# 24611

MONARCH DENTAL ASSOCIATESJane Parks5400 E Mockingbird Ln, Ste 219Dallas, TX 75206(214) 361-2227GENERAL DENTISTID #: 0008383Lic# 28454

MONARCH DENTAL ASSOCIATESBhavik Patel4140 Lemmon Ave, Ste 290Dallas, TX 75219(214) 599-0778GENERAL DENTISTID #: 0008412Lic# 28992

MONARCH DENTAL ASSOCIATESLisa Sibley3235 W Camp Wisdom RdDallas, TX 75237(214) 331-1131GENERAL DENTISTID #: 0008184Lic# 24962

MONARCH DENTAL FORMERLY CASTLE DENTALThai-Lan T Tran9440 Garland Rd, Ste 230Dallas, TX 75218(214) 660-0040GENERAL DENTISTID #: 0015376Lic# 18949

PRESTON MODERN DENTISTRYJohn S Barnes14891 Preston Rd, Ste 200Dallas, TX 75254(972) 661-2766GENERAL DENTISTSpanishID #: 0021462Lic# 12406

PRESTON MODERN DENTISTRYBaha Duraini14891 Preston Rd, Ste 200Dallas, TX 75254(972) 661-2766GENERAL DENTISTSpanishID #: 0021462Lic# 23871

SMILEY DENTAL SKILLMAN PLLCHumaira Azeem9203 Skillman St, Ste 126Dallas, TX 75243(214) 466-1400GENERAL DENTISTSpanishID #: 0023196Lic# 29405

SMILEY DENTAL SKILLMAN PLLCMarcie Bunch9203 Skillman St, Ste 126Dallas, TX 75243(214) 466-1400GENERAL DENTISTSpanishID #: 0023196Lic# 21718

SMILEY DENTAL SKILLMAN PLLCAshadevi Gottigere9203 Skillman St, Ste 126Dallas, TX 75243(214) 466-1400GENERAL DENTISTSpanishID #: 0023196Lic# 28835

SMILEY DENTAL SKILLMAN PLLCNancy L Mizuno9203 Skillman St, Ste 126Dallas, TX 75243(214) 466-1400GENERAL DENTISTSpanishID #: 0023196Lic# 23877

SMILEY DENTAL SKILLMAN PLLCNavaneetha Natchimuthu9203 Skillman St, Ste 126Dallas, TX 75243(214) 466-1400GENERAL DENTISTSpanishID #: 0023196Lic# 24082

SMILEY DENTAL SKILLMAN PLLCRaquel Pacheco9203 Skillman St, Ste 126Dallas, TX 75243(214) 466-1400GENERAL DENTISTSpanishID #: 0023196Lic# 23761

SMILEY DENTAL SKILLMAN PLLCRuby Pandey9203 Skillman St, Ste 126Dallas, TX 75243(214) 466-1400GENERAL DENTISTSpanishID #: 0023196Lic# 26021

SMILEY DENTAL SKILLMAN PLLCPhilip Pham9203 Skillman St, Ste 126Dallas, TX 75243(214) 466-1400GENERAL DENTISTSpanishID #: 0023196Lic# 31233

SMILEY DENTAL SKILLMAN PLLCShahin A Sultana9203 Skillman St, Ste 126Dallas, TX 75243(214) 466-1400GENERAL DENTISTSpanishID #: 0023196Lic# 30713

SMILEY DENTAL SKILLMAN PLLCPaul Weissburd9203 Skillman St, Ste 126Dallas, TX 75243(214) 466-1400GENERAL DENTISTSpanishID #: 0023196Lic# 24842

SOUTH DALLAS SMILESDemetra Corrine Jones4432 Malcolm X BlvdDallas, TX 75215(214) 565-4330GENERAL DENTISTID #: 0008409Lic# 19340

TRIDENT FAMILY DENTISTRYSateesh Kumar Ummareddy3128 Forest Ln, Ste 106Dallas, TX 75234(972) 241-4820GENERAL DENTISTID #: 0024362Lic# 27758

TX DENTAL CENTER PAHima Reddy711 Elm St, Ste 103Dallas, TX 75202(972) 685-5200GENERAL DENTISTID #: 0024195Lic# 28456

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 12

Page 26: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

UNIVERSAL DENTALCoray L Preece, SR426 S Buckner BlvdDallas, TX 75217(214) 320-8400GENERAL DENTISTFarsi SpanishID #: 0023481Lic# 23491

UNIVERSAL DENTALCoray L Preece, SR8238 Erl Thornton Frwy, Ste C & DDallas, TX 75228(214) 320-8400GENERAL DENTISTFarsi SpanishID #: 0023466Lic# 23491

Denton

MONARCH DENTAL ASSOCIATESLeena Alexander2201 I-35 E, L 21 CDenton, TX 76205(940) 387-1921GENERAL DENTISTID #: 0008189Lic# 26255

MONARCH DENTAL ASSOCIATESLynda Pheng Kol2201 I-35 E, L 21 CDenton, TX 76205(940) 387-1921GENERAL DENTISTID #: 0008189Lic# 18351

MONARCH DENTAL ASSOCIATESSailavanya Peramala2201 I-35 E, L 21 CDenton, TX 76205(940) 387-1921GENERAL DENTISTID #: 0008189Lic# 30243

MONARCH DENTAL ASSOCIATESParul Vishisht2201 I-35 E, L 21 CDenton, TX 76205(940) 387-1921GENERAL DENTISTID #: 0008189Lic# 28704

Desoto

KENT A BAYLESS DDSAlvin Kent Bayless1117 E Pleasant Run RdDesoto, TX 75115(972) 224-6675GENERAL DENTISTID #: 0007653Lic# 9476

Duncanville

MONARCH DENTAL ASSOCIATESGirish Sandadi201 S Cedar Ridge DrDuncanville, TX 75116(972) 709-9568GENERAL DENTISTID #: 0008398Lic# 24535

MONARCH DENTAL ASSOCIATESNatalie Stimpson201 S Cedar Ridge DrDuncanville, TX 75116(972) 709-9568GENERAL DENTISTID #: 0008398Lic# 26226

Garland

AMERICAN SUNSET DENTAL CENTERWilliam J Sky328 W Interstate 30Garland, TX 75043(972) 226-0058GENERAL DENTISTID #: 0012307Lic# 12244

CRAIG BAGINSKI DDSCraig Baginski1605 N Garland Ave, Ste BGarland, TX 75040(972) 272-3496GENERAL DENTISTID #: *Lic# 14602

DEO K PUN DMD MSDeo K Pun1780 Northwest Hwy, Ste 150Garland, TX 75041(972) 681-3333GENERAL DENTISTID #: 0023426Lic# 28612

IDEAL DENTAL OF GARLANDJames Adams3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 10561

IDEAL DENTAL OF GARLANDSulman Ahmed3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 22618

IDEAL DENTAL OF GARLANDSaleh Akhras3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 29774

IDEAL DENTAL OF GARLANDRodney N Alles, JR3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 22290

IDEAL DENTAL OF GARLANDSyeda Ara3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 29108

IDEAL DENTAL OF GARLANDTaylor E Brown3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 32206

IDEAL DENTAL OF GARLANDDestinie K Carroll3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 30986

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 13

Page 27: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

IDEAL DENTAL OF GARLANDJyun Chiou3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 29055

IDEAL DENTAL OF GARLANDJulie Covino3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 28312

IDEAL DENTAL OF GARLANDDan H Loving3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 6547

IDEAL DENTAL OF GARLANDDanny Ba Nguyen3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 28418

IDEAL DENTAL OF GARLANDShalin Patel3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 23316

IDEAL DENTAL OF GARLANDLarry Tam3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 28928

IDEAL DENTAL OF GARLANDSarah Tariq3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 31144

IDEAL DENTAL OF GARLANDChristin Vaello3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 26568

IDEAL DENTAL OF GARLANDFeda Zayed3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 30514

IDEAL DENTAL OF GARLANDWilliam I Zerby3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889GENERAL DENTISTID #: 0019969Lic# 20073

MONARCH DENTAL ASSOCIATESDeepa Alahari3325 E Belt Line RdGarland, TX 75043(972) 530-1222GENERAL DENTISTID #: 0008205Lic# 23161

MONARCH DENTAL ASSOCIATESMichael A Jackson3325 E Belt Line RdGarland, TX 75043(972) 530-1222GENERAL DENTISTID #: 0008205Lic# 12847

MONARCH DENTAL ASSOCIATESSusanna G Martirosov3325 E Belt Line RdGarland, TX 75043(972) 530-1222GENERAL DENTISTID #: 0008205Lic# 20350

MONARCH DENTAL ASSOCIATESEdward Gene Ward3325 E Belt Line RdGarland, TX 75043(972) 530-1222GENERAL DENTISTID #: 0008205Lic# 12252

MONARCH DENTAL ASSOCIATES - SOUTH GARLANDGlen Paul Day1101 W Centerville Rd, Ste 200Garland, TX 75041(972) 864-0695GENERAL DENTISTID #: 0008220Lic# 22061

MONARCH DENTAL ASSOCIATES - SOUTH GARLANDDennis Spencer Greene1101 W Centerville Rd, Ste 200Garland, TX 75041(972) 864-0695GENERAL DENTISTID #: 0008220Lic# 16423

MONARCH DENTAL ASSOCIATES - SOUTH GARLANDNishit Kapadia1101 W Centerville Rd, Ste 200Garland, TX 75041(972) 864-0695GENERAL DENTISTID #: 0008220Lic# 24611

MONARCH DENTAL ASSOCIATES - SOUTH GARLANDRachna Patel1101 W Centerville Rd, Ste 200Garland, TX 75041(972) 864-0695GENERAL DENTISTID #: 0008220Lic# 24001

SMILE ATTRACTIONSSeyed Shariati1605 N Garland Ave, Ste AGarland, TX 75040(972) 272-7444GENERAL DENTISTID #: 0023884Lic# 26556

SMILINE DENTAL TEXASChakrapani Nannapaneni1605 N Garland Ave, Ste CGarland, TX 75040(972) 276-4888GENERAL DENTISTHindi SpanishID #: 0023060Lic# 29273

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 14

Page 28: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

SOUTH FIRST DENTALJackson O Osakwe3109 S 1st StGarland, TX 75041(972) 926-5700GENERAL DENTISTSpanishID #: 0013363Lic# 20474

UNIVERSAL DENTAL CLINICCoray L Preece, SR107 North First St, Ste BGarland, TX 75040(972) 487-1500GENERAL DENTISTItalian SpanishID #: 0019641Lic# 23491

Grand Prairie

KENPAN HU DMD PAKenpan Hu2426 S Carrier Pkwy, Ste 100Grand Prairie, TX 75051(972) 641-2994GENERAL DENTISTChinese SpanishID #: 0023785Lic# 27439

MONARCH DENTALGhayth Adhami594 W I 20, Ste 205Grand Prairie, TX 75052(972) 264-6622GENERAL DENTISTID #: 0014839Lic# 25857

MONARCH DENTALJames M Brennan594 W I 20, Ste 205Grand Prairie, TX 75052(972) 264-6622GENERAL DENTISTID #: 0014839Lic# 19779

MONARCH DENTALJames Miller594 W I 20, Ste 205Grand Prairie, TX 75052(972) 264-6622GENERAL DENTISTID #: 0014839Lic# 25561

MONARCH DENTALGirish Sandadi594 W I 20, Ste 205Grand Prairie, TX 75052(972) 264-6622GENERAL DENTISTID #: 0014839Lic# 24535

Irving

ACTIVE DENTALKalpesh A Patel2240 Marketplace Blvd, Ste 140Irving, TX 75063(972) 556-0600GENERAL DENTISTSpanishID #: 0020722Lic# 23031

ACTIVE DENTALJoseph J Strickland2240 Marketplace Blvd, Ste 140Irving, TX 75063(972) 556-0600GENERAL DENTISTSpanishID #: 0020722Lic# 23674

ANTHONY HENEGARAnthony Henegar7475 Las Colinas BlvdIrving, TX 75063(972) 594-6915GENERAL DENTISTID #: 0008317Lic# 18083

CARDINAL DENTISTRY PCRex A Henegar3626 N Macarthur Blvd, Ste 220Irving, TX 75062(972) 255-6160GENERAL DENTISTSpanishID #: 0023520Lic# 27339

COOL BREEZE DENTISTRYSatvinder S Kainth8150 North Macarthur Blvd, Ste #160Irving, TX 75063(972) 432-8811GENERAL DENTISTID #: *Lic# 19853

ENAMEL DENTALShalu Palhan8701 Cypress Waters Blvd, Ste 140Irving, TX 75063(214) 496-0240GENERAL DENTISTHindiID #: 0023562Lic# 23490

IDEAL DENTAL OF IRVINGRodney N Alles, JR6751 N Macarthur Blvd, Ste 140Irving, TX 75039(972) 432-9000GENERAL DENTISTID #: 0023910Lic# 22290

IDEAL DENTAL OF IRVINGShalin Patel6751 N Macarthur Blvd, Ste 140Irving, TX 75039(972) 432-9000GENERAL DENTISTID #: 0023910Lic# 23316

IDEAL SMILES OF IRVING PLLCSulman Ahmed3351 Regent Blvd, Ste 120Irving, TX 75063(214) 441-1000GENERAL DENTISTSpanishID #: 0023034Lic# 22618

IDEAL SMILES OF IRVING PLLCRodney N Alles, JR3351 Regent Blvd, Ste 120Irving, TX 75063(214) 441-1000GENERAL DENTISTSpanishID #: 0023034Lic# 22290

IDEAL SMILES OF IRVING PLLCThanh Hong3351 Regent Blvd, Ste 120Irving, TX 75063(214) 441-1000GENERAL DENTISTSpanishID #: 0023034Lic# 24298

IDEAL SMILES OF IRVING PLLCLily Ko Morgan3351 Regent Blvd, Ste 120Irving, TX 75063(214) 441-1000GENERAL DENTISTSpanishID #: 0023034Lic# 28932

IDEAL SMILES OF IRVING PLLCTyler P Myser3351 Regent Blvd, Ste 120Irving, TX 75063(214) 441-1000GENERAL DENTISTSpanishID #: 0023034Lic# 27136

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 15

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PrePaid Dental Series

IDEAL SMILES OF IRVING PLLCShalin Patel3351 Regent Blvd, Ste 120Irving, TX 75063(214) 441-1000GENERAL DENTISTSpanishID #: 0023034Lic# 23316

IDEAL SMILES OF IRVING PLLCManjusha Tummala3351 Regent Blvd, Ste 120Irving, TX 75063(214) 441-1000GENERAL DENTISTSpanishID #: 0023034Lic# 24902

IDEAL SMILES OF IRVING PLLCWilliam I Zerby3351 Regent Blvd, Ste 120Irving, TX 75063(214) 441-1000GENERAL DENTISTSpanishID #: 0023034Lic# 20073

JOHN ZOTOS DDSJohn N Zotos6230 N Belt Line Rd, Ste 310Irving, TX 75063(972) 550-8272GENERAL DENTISTID #: 0008143Lic# 18002

MONARCH DENTAL ASSOCIATESKimberly Williams7620 Macarthur BlvdIrving, TX 75063(214) 414-3742GENERAL DENTISTID #: 0008148Lic# 25442

Lancaster

WILLARD T STARKWillard T Stark1021 W Pleasant Run RdLancaster, TX 75146(972) 227-3288GENERAL DENTISTID #: *Lic# 13139

Mesquite

CHARLES M SAUTER DDSCharles M Sauter18640 Lyndon B Johnson Fwy, Ste 202Mesquite, TX 75150(972) 288-4401GENERAL DENTISTID #: 0008475Lic# 15824

METROPLEX DENTAL CARE PLLCGuillermo Alegre1515 N Town East Blvd, Ste 215Mesquite, TX 75150(972) 686-1955GENERAL DENTISTID #: 0019268Lic# 27010

METROPLEX DENTAL CARE PLLCSameera Babar1515 N Town East Blvd, Ste 215Mesquite, TX 75150(972) 686-1955GENERAL DENTISTID #: 0019268Lic# 30405

METROPLEX DENTAL CARE PLLCStephanie Bassin1515 N Town East Blvd, Ste 215Mesquite, TX 75150(972) 686-1955GENERAL DENTISTID #: 0019268Lic# 23628

METROPLEX DENTAL CARE PLLCAndre Ellis1515 N Town East Blvd, Ste 215Mesquite, TX 75150(972) 686-1955GENERAL DENTISTID #: 0019268Lic# 16340

METROPLEX DENTAL CARE PLLCAngela S Han1515 N Town East Blvd, Ste 215Mesquite, TX 75150(972) 686-1955GENERAL DENTISTID #: 0019268Lic# 25215

MONARCH DENTAL ASSOCIATESGlen Paul Day3501 Towne Crossing Blvd, Ste 180Mesquite, TX 75150(214) 775-1742GENERAL DENTISTID #: 0013915Lic# 22061

MONARCH DENTAL ASSOCIATESKhushboo Gandhi3501 Towne Crossing Blvd, Ste 180Mesquite, TX 75150(214) 775-1742GENERAL DENTISTID #: 0013915Lic# 28973

MONARCH DENTAL ASSOCIATESDennis Spencer Greene3501 Towne Crossing Blvd, Ste 180Mesquite, TX 75150(214) 775-1742GENERAL DENTISTID #: 0013915Lic# 16423

MONARCH DENTAL ASSOCIATESMichael A Jackson3501 Towne Crossing Blvd, Ste 180Mesquite, TX 75150(214) 775-1742GENERAL DENTISTID #: 0013915Lic# 12847

MONARCH DENTAL ASSOCIATESRachna Patel3501 Towne Crossing Blvd, Ste 180Mesquite, TX 75150(214) 775-1742GENERAL DENTISTID #: 0013915Lic# 24001

MONARCH DENTAL ASSOCIATESLoretta Peet3501 Towne Crossing Blvd, Ste 180Mesquite, TX 75150(214) 775-1742GENERAL DENTISTID #: 0013915Lic# 16735

MONARCH DENTAL ASSOCIATESRandell Wayne Richardson3501 Towne Crossing Blvd, Ste 180Mesquite, TX 75150(214) 775-1742GENERAL DENTISTID #: 0013915Lic# 12891

MONARCH DENTAL ASSOCIATESSheela Thomas3501 Towne Crossing Blvd, Ste 180Mesquite, TX 75150(214) 775-1742GENERAL DENTISTID #: 0013915Lic# 21088

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 16

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PrePaid Dental Series

MONARCH DENTAL ASSOCIATESStephen Trahan3501 Towne Crossing Blvd, Ste 180Mesquite, TX 75150(214) 775-1742GENERAL DENTISTID #: 0013915Lic# 28847

MONARCH DENTAL ASSOCIATESEdward Gene Ward3501 Towne Crossing Blvd, Ste 180Mesquite, TX 75150(214) 775-1742GENERAL DENTISTID #: 0013915Lic# 12252

TEXAS TEETH PAScharla R Collins2758 N Galloway Ave, Ste 200Mesquite, TX 75150(972) 270-5113GENERAL DENTISTAsl/Sign LanguageID #: 0023166Lic# 20102

Richardson

JULIAN M CHONGJulian M Chong670 W Arapaho Rd, Ste 13Richardson, TX 75081(972) 669-0409GENERAL DENTISTID #: 0008052Lic# 15777

PAVILLION DENTAL CENTERAli A Faiz1311 W Campbell RdRichardson, TX 75080(972) 231-3188GENERAL DENTISTFarsi SpanishID #: *Lic# 18506

RICHARDSON FAMILY DENTISTRYNishit Kapadia1251 W Campbell Rd, Ste 200Richardson, TX 75080(972) 889-2166GENERAL DENTISTChinese SpanishID #: 0023318Lic# 24611

Rowlett

KATHLEEN K MCROBBIEKathleen K McRobbie3705 Lakeview Pkwy, Ste 209Rowlett, TX 75088(972) 475-5994GENERAL DENTISTID #: 0008136Lic# 17858

MONARCH DENTAL ROWLETTGlen Paul Day4305 Lakeview Parkway, Ste 100Rowlett, TX 75089(972) 813-2500GENERAL DENTISTSpanishID #: 0019006Lic# 22061

MONARCH DENTAL ROWLETTRachna Patel4305 Lakeview Parkway, Ste 100Rowlett, TX 75089(972) 813-2500GENERAL DENTISTSpanishID #: 0019006Lic# 24001

MONARCH DENTAL ROWLETTThai-Lan T Tran4305 Lakeview Parkway, Ste 100Rowlett, TX 75089(972) 813-2500GENERAL DENTISTSpanishID #: 0019006Lic# 18949

Sachse

CHARLES CARTER DDSCharles E Carter5634 Highway 78, Ste 118Sachse, TX 75048(972) 530-7500GENERAL DENTISTID #: 0007718Lic# 12177

Seagoville

VALUE DENTALSurina Chitkara110 N Highway 175, Ste 106Seagoville, TX 75159(972) 200-3399GENERAL DENTISTSpanishID #: 0024104Lic# 24909

Sunnyvale

SUNNYVALE SMILESSulman Ahmed272 S Collins Rd, Ste 100Sunnyvale, TX 75182(972) 216-1871GENERAL DENTISTID #: 0020218Lic# 22618

SUNNYVALE SMILESRodney N Alles, JR272 S Collins Rd, Ste 100Sunnyvale, TX 75182(972) 216-1871GENERAL DENTISTID #: 0020218Lic# 22290

SUNNYVALE SMILESSyeda Ara272 S Collins Rd, Ste 100Sunnyvale, TX 75182(972) 216-1871GENERAL DENTISTID #: 0020218Lic# 29108

SUNNYVALE SMILESJulie Covino272 S Collins Rd, Ste 100Sunnyvale, TX 75182(972) 216-1871GENERAL DENTISTID #: 0020218Lic# 28312

SUNNYVALE SMILESLindsay Minor272 S Collins Rd, Ste 100Sunnyvale, TX 75182(972) 216-1871GENERAL DENTISTID #: 0020218Lic# 29029

SUNNYVALE SMILESTicole Nguyen272 S Collins Rd, Ste 100Sunnyvale, TX 75182(972) 216-1871GENERAL DENTISTID #: 0020218Lic# 31936

SUNNYVALE SMILESShalin Patel272 S Collins Rd, Ste 100Sunnyvale, TX 75182(972) 216-1871GENERAL DENTISTID #: 0020218Lic# 23316

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 17

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PrePaid Dental Series

SUNNYVALE SMILESChristin Vaello272 S Collins Rd, Ste 100Sunnyvale, TX 75182(972) 216-1871GENERAL DENTISTID #: 0020218Lic# 26568

SUNNYVALE SMILESFrancis L Williams272 S Collins Rd, Ste 100Sunnyvale, TX 75182(972) 216-1871GENERAL DENTISTID #: 0020218Lic# 9014

SUNNYVALE SMILESWilliam I Zerby272 S Collins Rd, Ste 100Sunnyvale, TX 75182(972) 216-1871GENERAL DENTISTID #: 0020218Lic# 20073

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 18

Page 32: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Directory produced for:Dallas County Specilists

Dental Provider Directory - Texasas of September 12, 2016

Search Criteria:State: TXCounty: Dallas

For more current information, visit www.assurantemployeebenefits.com

The Assurant name, and related logos are trademarks of Assurant, Inc. and are used under license. Products and services marketed by Assurant Employee Benefits are underwritten or provided by one or more of the following companies: Union Security Insurance Company, DentiCare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., United Dental Care of Colorado, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of Michigan, Inc., Union Security DentalCare of New Jersey, Inc., United Dental Care of New Mexico, Inc., Union Security Life Insurance Company of New York, UDC Ohio, Inc., United Dental Care of Texas, Inc., United Dental Care of Utah, Inc.

DHMO Dental Series

Page 33: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Important information about selecting a provider

Choosing a plan provider1. Select an available provider from this directory. You will

need to choose a General Dentist for your Plan Dentist. You may also find network providers on our web site at www.assurantemployeebenefits.com under "For Members" go to "Find a dentist". To select the participating network associated with your plan please refer to the cover of this directory or your dental ID card for the network name.

2. List the provider's name on your enrollment form along with the ID#. Providers not available to new patients are indicated with an * in the Status field. If you are not currently a patient, you may not select these providers.

3. If you are unable to choose a provider at the time of enrollment, you must call Customer Service at 800.443.2995 on or after your effective date of coverage and select a plan provider. You will need to have a plan provider assigned before you can make an appointment.

Changing your selected providerYou may select another available provider for your family by calling Customer Service and requesting a change of provider or by using Online Advantage for Members on our web site to change the facility. Request must be received by the 20th of the month to be effective the 1st day of the following month. Updated directories of available providers can be obtained from Customer Service or on our web site at www.assurantemployeebenefits.com.

Your dental plan is simple to use when you follow these steps: Verify with your Plan Dentist that you are on their roster

before making a dental appointment. Call early for routine dental care for the best availability

of appointment times. Be familiar with your copayment schedule to determine

your costs for dental services. Discuss concerns regarding proposed treatments with your

Plan Dentist. Contact customer service at 800.443.2995 for assistance

with selecting or changing your Plan Dentist.

Información importante sobre cómo seleccionar a un proveedor

Cómo elegir a un proveedor integrado al plan1. Elija de este directorio a un proveedor que se encuentre disponible.

Tendrá que elegir a un Dentista de Práctica General como su Dentista Integrado al Plan. También puede encontrar proveedores pertenecientes a la red en nuestro sitio Web www.assurantemployeebenefits.com en “For Members" ("Para Miembros") y haga clic en “Find a dentist" (“Encuentre a un dentista”). Para seleccionar la red participante asociada a su plan consulte la portada de este directorio o su tarjeta de identificación dental en la que aparece el nombre de la red.

2. Anote el nombre del proveedor en el formulario de registro junto con el ID#. Los proveedores que no están disponibles para pacientes nuevos han sido identificados con un * bajo la columna “Status” ("Estado"). Si actualmente usted no fuese un paciente, no podrá elegir a uno de estos proveedores.

3. Si usted no pudiese elegir a un proveedor en el momento de su registro, tiene que llamar al Centro de Servicio al Cliente al 800.443.2995 en o después de la fecha de entrada en vigencia de la cobertura y seleccionar a un proveedor integrado al plan. Se le deberá haber asignado un proveedor integrado al plan antes de que pueda hacer una cita.

Cómo cambiarse a otro proveedorUsted puede seleccionar a otro proveedor que se encuentre disponible para su familia llamando al Centro de Servicio al Cliente y pidiendo un cambio de proveedor, o por Internet en Online Advantage for Members en nuestro sitio Web para cambiar de consultorio. La petición para el cambio tendrá que ser recibida a más tardar el 20vo día del mes para que surta efectos a partir del 1er día del mes subsiguiente. Los directorios de proveedores que se encuentran disponibles pueden obtenerse a través del Centro de Servicio al Cliente o en nuestro sitio Web en www.assurantemployeebenefits.com .

Le resultará sencillo utilizar su plan dental si sigue estos pasos: Antes de hacer una cita, confirme con su Dentista Integrado al Plan

que usted está en su lista de pacientes. Llame con tiempo cuando desee hacer una cita periódica con su

dentista para que tenga más opciones al elegir la hora de su cita. Familiarícese con la lista de copagos para determinar sus costos por

los servicios de cuidado dental. Hable con su Dentista Integrado al Plan sobre las inquietudes que

pueda tener acerca del tratamiento que el dentista le proponga. Llame al Centro de Servicio al Cliente al 800.443.2995 si necesita

ayuda para seleccionar o cambiar a su Dentista Integrado al Plan.

NoticeThis is a translation of a document originally drawn up in English. Accordingly, it is understood that all legal rights, responsibilities and/or obligations are governed by the original English version of this document. Furthermore, we reserve the right to correct any errors in this document

AdvertenciaÉsta es la traducción de un documento originalmente redactado en inglés. Consiguientemente, hágase saber que todos los derechos legales, responsabilidades y/u obligaciones expresadas en el mismo se regirán por la versión original del documento expedida en inglés. Además, nosotros nos reservamos el derecho de corregir cualquier error en este documento

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PrePaid Dental Series

Carrollton

CARROLLTON ADVANCED FAMILY DENTISTRYSony C Markose2155 Marsh Ln, Ste 110Carrollton, TX 75006(972) 695-6037PROSTHODONTISTOPENLic# 24531

METROPLEX DENTAL CAREHarvey H Mossak1235 S Josey Ln, Ste 534Carrollton, TX 75006(972) 416-9607ORAL SURGEON-SBAOPENLic# 28666

METROPLEX DENTAL CAREAnkit Shah1235 S Josey Ln, Ste 534Carrollton, TX 75006(972) 416-9607ORTHODONTIST-SBAOPENLic# 26240

METROPLEX DENTAL CAREDaniel Choi1235 S Josey Ln, Ste 534Carrollton, TX 75006(972) 416-9607PERIODONTIST-SBAOPENLic# 27131

MILESTONE DENTAL OF CARROLTONJames I Ballou2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453ORTHODONTISTSpanishOPENLic# 25102

MILESTONE DENTAL OF CARROLTONStephen J Breaud2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453ORTHODONTISTSpanishOPENLic# 11475

MILESTONE DENTAL OF CARROLTONChris L Cramer2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453ORTHODONTISTSpanishOPENLic# 28933

MILESTONE DENTAL OF CARROLTONPhilip Hsin An Pan2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453ORTHODONTISTSpanishOPENLic# 27170

MILESTONE DENTAL OF CARROLTONLyle M Schofield2150 N Josey Ln, Ste 306Carrollton, TX 75006(972) 820-6453ORTHODONTISTSpanishOPENLic# 30874

MONARCH DENTAL ASSOCIATESCharles C Chilcoat2540 Old Denton Rd, Ste 188Carrollton, TX 75006(972) 446-1211ORAL SURGEON-SBAOPENLic# 12807

MONARCH DENTAL ASSOCIATESNathan D Cotten2540 Old Denton Rd, Ste 188Carrollton, TX 75006(972) 446-1211ORTHODONTIST-SBAOPENLic# 19381

MONARCH DENTAL ASSOCIATESLaurie Parks2540 Old Denton Rd, Ste 188Carrollton, TX 75006(972) 446-1211ORTHODONTIST-SBAOPENLic# 21404

SHINY DENTALSang Ho Shin2625 Old Denton Rd, Ste 101Carrollton, TX 75007(972) 242-3737PERIODONTIST-SBAKorean SpanishOPENLic# 23002

Cedar Hill

APPLE ORTHODONTIXRobert C Packard408 C Highway 67Cedar Hill, TX 75104(972) 578-7800ORTHODONTIST-SBASpanishOPENLic# 13930

MONARCH DENTAL CEDAR HILLSiavash Eftekhari420 E Pleasant Run RdCedar Hill, TX 75104(469) 272-9333ORAL SURGEONSpanishOPENLic# 31061

MONARCH DENTAL CEDAR HILLBrett A Johnson420 E Pleasant Run RdCedar Hill, TX 75104(469) 272-9333ORTHODONTIST-SBASpanishOPENLic# 15998

MONARCH DENTAL CEDAR HILLPaula Ortiz420 E Pleasant Run RdCedar Hill, TX 75104(469) 272-9333PERIODONTISTSpanishOPENLic# 23473

Coppell

ACCESS ENDODONTICS PAJohn S Lee600 S Denton Tap Rd, Ste 200Coppell, TX 75019(972) 471-0647ENDODONTISTSpanishOPENLic# 23777

J DARRELL STEELE DDS MDJames Darrell Steele225 E State Hwy 121, Ste 150Coppell, TX 75019(972) 315-3355ORAL SURGEON-SBAOPENLic# 19290

ORTHODONTIC AVENUEDipak N Chudasama370 W Hwy 121, Ste 100Coppell, TX 75019(972) 899-5455ORTHODONTIST-SBAHindi GujarathiOPENLic# 25317

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 5

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PrePaid Dental Series

RUSSELL K BASS DDSRussell K Bass220 S Denton Tap Rd, Ste 101Coppell, TX 75019(972) 393-6880ORAL SURGEON-SBASpanishOPENLic# 14604

Dallas

APPLE ORTHODONTIXRobert C Packard10455 N Central Expy, Ste 112Dallas, TX 75231(972) 578-7800ORTHODONTISTOPENLic# 13930

CORA MARSAWCora Annette Marsaw445 Bruton Terrace CtrDallas, TX 75227(214) 398-1234PERIODONTISTOPENLic# 15805

CRAIG S GOODMAN DDSCraig S Goodman5925 Forest Ln, Ste 310Dallas, TX 75230(972) 233-1142PERIODONTIST-SBAOPENLic# 14185

DALLAS CITY ENDODONTICSAmit Sethi4475 Adler Dr, Ste 103Dallas, TX 75211(214) 331-7275ENDODONTIST-SBAHindi SpanishOPENLic# 27639

DALLAS CITY ENDODONTICSShaveta Sethi4475 Adler Dr, Ste 103Dallas, TX 75211(214) 331-7275ENDODONTIST-SBAHindi SpanishOPENLic# 28360

DALLAS ORAL SURGERY ASSOCIATESJohn David Wallace10830 N Central Expy, Ste 495Dallas, TX 75231(214) 363-9946ORAL SURGEON-SBASpanishOPENLic# 19862

DALLAS UPTOWN ENDODONTICSAmit Sethi4144 N Central Expy, Ste 905Dallas, TX 75204(214) 826-2364ENDODONTIST-SBAHindi SpanishOPENLic# 27639

DALLAS UPTOWN ENDODONTICSShaveta Sethi4144 N Central Expy, Ste 905Dallas, TX 75204(214) 826-2364ENDODONTIST-SBAHindi SpanishOPENLic# 28360

DAVID BANTADavid Maddox Banta6140 Sherry LnDallas, TX 75225(214) 363-6415ORAL SURGEON-SBAOPENLic# 13059

DAVID BANTADavid Maddox Banta10405 E NW Hwy, Ste 20Dallas, TX 75238(214) 363-6415ORAL SURGEON-SBAOPENLic# 13059

H ODELL MARSHALL JRHarold Odell Marshall, JR7777 Forest Ln, Ste B-1Dallas, TX 75230(972) 566-7622ORAL SURGEONOPENLic# 11398

IDEAL DENTAL OF ADDISONJames I Ballou5100 Belt Line Rd, Ste 312Dallas, TX 75254(972) 980-8500ORTHODONTISTSpanishOPENLic# 25102

IDEAL DENTAL OF ADDISONStephen J Breaud5100 Belt Line Rd, Ste 312Dallas, TX 75254(972) 980-8500ORTHODONTISTSpanishOPENLic# 11475

IDEAL DENTAL OF ADDISONChris L Cramer5100 Belt Line Rd, Ste 312Dallas, TX 75254(972) 980-8500ORTHODONTISTSpanishOPENLic# 28933

IDEAL DENTAL OF ADDISONPhilip Hsin An Pan5100 Belt Line Rd, Ste 312Dallas, TX 75254(972) 980-8500ORTHODONTISTSpanishOPENLic# 27170

IDEAL DENTAL OF ADDISONLyle M Schofield5100 Belt Line Rd, Ste 312Dallas, TX 75254(972) 980-8500ORTHODONTISTSpanishOPENLic# 30874

IDEAL DENTAL OF LAKEWOODJames I Ballou7331 Gaston Ave, Ste 160Dallas, TX 75214(214) 320-9999ORTHODONTIST-SBASpanishOPENLic# 25102

IDEAL DENTAL OF LAKEWOODStephen J Breaud7331 Gaston Ave, Ste 160Dallas, TX 75214(214) 320-9999ORTHODONTIST-SBASpanishOPENLic# 11475

IDEAL DENTAL OF LAKEWOODNathan Coughlin7331 Gaston Ave, Ste 160Dallas, TX 75214(214) 320-9999ORTHODONTIST-SBASpanishOPENLic# 28586

IDEAL DENTAL OF LAKEWOODChris L Cramer7331 Gaston Ave, Ste 160Dallas, TX 75214(214) 320-9999ORTHODONTIST-SBASpanishOPENLic# 28933

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 6

Page 36: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

IDEAL DENTAL OF LAKEWOODPhilip Hsin An Pan7331 Gaston Ave, Ste 160Dallas, TX 75214(214) 320-9999ORTHODONTIST-SBASpanishOPENLic# 27170

IDEAL DENTAL OF LAKEWOODLyle M Schofield7331 Gaston Ave, Ste 160Dallas, TX 75214(214) 320-9999ORTHODONTIST-SBASpanishOPENLic# 30874

IDEAL DENTAL OF UNIVERSITY PARKJames I Ballou8611 Hillcrest Rd, Ste 215Dallas, TX 75225(214) 361-3550ORTHODONTISTSpanishOPENLic# 25102

IDEAL DENTAL OF UNIVERSITY PARKStephen J Breaud8611 Hillcrest Rd, Ste 215Dallas, TX 75225(214) 361-3550ORTHODONTISTSpanishOPENLic# 11475

IDEAL DENTAL OF UNIVERSITY PARKChris L Cramer8611 Hillcrest Rd, Ste 215Dallas, TX 75225(214) 361-3550ORTHODONTISTSpanishOPENLic# 28933

IDEAL DENTAL OF UNIVERSITY PARKPhilip Hsin An Pan8611 Hillcrest Rd, Ste 215Dallas, TX 75225(214) 361-3550ORTHODONTISTSpanishOPENLic# 27170

IDEAL DENTAL OF UNIVERSITY PARKLyle M Schofield8611 Hillcrest Rd, Ste 215Dallas, TX 75225(214) 361-3550ORTHODONTISTSpanishOPENLic# 30874

IDEAL DENTAL OF UPTOWNJames I Ballou4323 Lemmon AveDallas, TX 75219(214) 522-4444ORTHODONTISTSpanishOPENLic# 25102

IDEAL DENTAL OF UPTOWNStephen J Breaud4323 Lemmon AveDallas, TX 75219(214) 522-4444ORTHODONTISTSpanishOPENLic# 11475

IDEAL DENTAL OF UPTOWNChris L Cramer4323 Lemmon AveDallas, TX 75219(214) 522-4444ORTHODONTISTSpanishOPENLic# 28933

IDEAL DENTAL OF UPTOWNPhilip Hsin An Pan4323 Lemmon AveDallas, TX 75219(214) 522-4444ORTHODONTISTSpanishOPENLic# 27170

IDEAL DENTAL OF UPTOWNLyle M Schofield4323 Lemmon AveDallas, TX 75219(214) 522-4444ORTHODONTISTSpanishOPENLic# 30874

JOE JACOBSJoe David Jacobs211 W 10th StDallas, TX 75208(214) 946-3663ORTHODONTIST-SBAOPENLic# 10968

JOE JACOBSJoe David Jacobs10440 N Central Expy, Ste 12Dallas, TX 75231(214) 361-4528ORTHODONTIST-SBAOPENLic# 10968

LYNH THY PHAM DDS PA MEDALLIONRitu Gupta324 Medallion CtrDallas, TX 75214(214) 466-1400ORTHODONTIST-SBAHindi Spanish VietnameseOPENLic# 29754

LYNH THY PHAM DDS PA MEDALLIONIrelia M Machado324 Medallion CtrDallas, TX 75214(214) 466-1400ORTHODONTIST-SBAHindi Spanish VietnameseOPENLic# 22303

METROPLEX DENTAL CAREDaniel Choi1143 S Buckner Blvd, Ste 138Dallas, TX 75217(214) 398-4800PERIODONTIST-SBAOPENLic# 27131

METROPLEX DENTAL CAREDaniel Choi2425 S Cockrell Hill Rd, Ste ADallas, TX 75211(214) 623-8221PERIODONTIST-SBAOPENLic# 27131

METROPLEX DENTAL CAREDaniel Choi12101 Greenville Ave, Ste 101Dallas, TX 75243(214) 575-5253PERIODONTIST-SBAOPENLic# 27131

METROPLEX DENTAL CARE PLLCMohamed Karkuri2525 Wycliff Ave, Ste 107Dallas, TX 75219(214) 219-3719ORTHODONTISTOPENLic# 31410

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 7

Page 37: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

METROPLEX DENTAL CARE PLLCJessica Allen2525 Wycliff Ave, Ste 107Dallas, TX 75219(214) 219-3719PERIODONTIST-SBAOPENLic# 31584

METROPLEX DENTAL CARE PLLCDaniel Choi2525 Wycliff Ave, Ste 107Dallas, TX 75219(214) 219-3719PERIODONTIST-SBAOPENLic# 27131

METROPLEX SURGICAL ARTS PAHoward F Cooke7988 W Virginia Dr, Ste 200Dallas, TX 75237(972) 296-1992ORAL SURGEON-SBARussian SpanishOPENLic# 18861

METROPOLITAN ORAL AND MAXILLOFACIAL SURGERYThad Taylor, IV7125 Marvin D Love Fwy, Ste 360Dallas, TX 75237(972) 572-4600ORAL SURGEON-SBASpanishOPENLic# 18948

MIDWAY CROSSING DENTALJames I Ballou4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 357-0070ORTHODONTISTSpanishOPENLic# 25102

MIDWAY CROSSING DENTALStephen J Breaud4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 357-0070ORTHODONTISTSpanishOPENLic# 11475

MIDWAY CROSSING DENTALChris L Cramer4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 357-0070ORTHODONTISTSpanishOPENLic# 28933

MIDWAY CROSSING DENTALPhilip Hsin An Pan4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 357-0070ORTHODONTISTSpanishOPENLic# 27170

MIDWAY CROSSING DENTALLyle M Schofield4235 W Northwest Hwy, Ste 600Dallas, TX 75220(214) 357-0070ORTHODONTISTSpanishOPENLic# 30874

MILESTONE DENTAL OF DALLASJames I Ballou10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484ORTHODONTISTSpanishOPENLic# 25102

MILESTONE DENTAL OF DALLASStephen J Breaud10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484ORTHODONTISTSpanishOPENLic# 11475

MILESTONE DENTAL OF DALLASChris L Cramer10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484ORTHODONTISTSpanishOPENLic# 28933

MILESTONE DENTAL OF DALLASPhilip Hsin An Pan10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484ORTHODONTISTSpanishOPENLic# 27170

MILESTONE DENTAL OF DALLASLyle M Schofield10455 N Central Expy, Ste 113Dallas, TX 75231(214) 234-0484ORTHODONTISTSpanishOPENLic# 30874

MONARCH DENTALColin P McCartney9310 E R L Thornton Fwy, Ste 100Dallas, TX 75228(214) 660-8997ORAL SURGEON-SBAOPENLic# 18908

MONARCH DENTALColin P McCartney9440 Garland Rd, Ste 230Dallas, TX 75218(214) 660-0040ORAL SURGEONOPENLic# 18908

MONARCH DENTALJared Corbridge9310 E R L Thornton Fwy, Ste 100Dallas, TX 75228(214) 660-8997ORTHODONTISTOPENLic# 26013

MONARCH DENTALJared Corbridge9440 Garland Rd, Ste 230Dallas, TX 75218(214) 660-0040ORTHODONTIST-SBAOPENLic# 26013

MONARCH DENTALHardik T Kapadia9310 E R L Thornton Fwy, Ste 100Dallas, TX 75228(214) 660-8997ORTHODONTISTOPENLic# 24505

MONARCH DENTALJerry D Mills9440 Garland Rd, Ste 230Dallas, TX 75218(214) 660-0040ORTHODONTIST-SBAOPENLic# 7305

MONARCH DENTALPaula Ortiz9310 E R L Thornton Fwy, Ste 100Dallas, TX 75228(214) 660-8997PERIODONTIST-SBAOPENLic# 23473

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 8

Page 38: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTALPaula Ortiz9440 Garland Rd, Ste 230Dallas, TX 75218(214) 660-0040PERIODONTISTOPENLic# 23473

MONARCH DENTAL - FOREST LN/PRESTONColin P McCartney6041 Forest LnDallas, TX 75230(214) 775-2711ORAL SURGEONSpanishOPENLic# 18908

MONARCH DENTAL - FOREST LN/PRESTONOmar M Issa6041 Forest LnDallas, TX 75230(214) 775-2711ORTHODONTIST-SBASpanishOPENLic# 28910

MONARCH DENTAL ASSOCIATESCharles C Chilcoat3235 W Camp Wisdom RdDallas, TX 75237(214) 331-1131ORAL SURGEON-SBAOPENLic# 12807

MONARCH DENTAL ASSOCIATESCharles C Chilcoat4140 Lemmon Ave, Ste 290Dallas, TX 75219(214) 599-0778ORAL SURGEON-SBAOPENLic# 12807

MONARCH DENTAL ASSOCIATESColin P McCartney5400 E Mockingbird LnDallas, TX 75206(214) 361-2227ORAL SURGEONOPENLic# 18908

MONARCH DENTAL ASSOCIATESColin P McCartney4140 Lemmon Ave, Ste 290Dallas, TX 75219(214) 599-0778ORAL SURGEON-SBAOPENLic# 18908

MONARCH DENTAL ASSOCIATESColin P McCartney3535 Marvin D Love FwyDallas, TX 75224(214) 376-2663ORAL SURGEON-SBAOPENLic# 18908

MONARCH DENTAL ASSOCIATESGopikiran Thota3535 Marvin D Love FwyDallas, TX 75224(214) 376-2663ORAL SURGEON-SBAOPENLic# 24679

MONARCH DENTAL ASSOCIATESBenjamin Christman5400 E Mockingbird LnDallas, TX 75206(214) 361-2227ORTHODONTIST-SBAOPENLic# 31683

MONARCH DENTAL ASSOCIATESNathan D Cotten3535 Marvin D Love FwyDallas, TX 75224(214) 376-2663ORTHODONTIST-SBAOPENLic# 19381

MONARCH DENTAL ASSOCIATESLarry Goates3535 Marvin D Love FwyDallas, TX 75224(214) 376-2663ORTHODONTIST-SBAOPENLic# 10922

MONARCH DENTAL ASSOCIATESJerry D Mills3535 Marvin D Love FwyDallas, TX 75224(214) 376-2663ORTHODONTIST-SBAOPENLic# 7305

MONARCH DENTAL ASSOCIATESDouglas R Shaw5400 E Mockingbird LnDallas, TX 75206(214) 361-2227ORTHODONTIST-SBAOPENLic# 30541

MONARCH DENTAL ASSOCIATESArthur E Williams3235 W Camp Wisdom RdDallas, TX 75237(214) 331-1131PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 24152

MONARCH DENTAL ASSOCIATESPaula Ortiz4140 Lemmon Ave, Ste 290Dallas, TX 75219(214) 599-0778PERIODONTIST-SBAOPENLic# 23473

MONARCH DENTAL ASSOCIATESPaula Ortiz3535 Marvin D Love FwyDallas, TX 75224(214) 376-2663PERIODONTIST-SBAOPENLic# 23473

MONARCH DENTAL ASSOCIATES DALLAS PKWYRyan L Gordon14400 N Dallas Pkwy, Ste 200Dallas, TX 75240(972) 720-8866ENDODONTIST-SBAOPENLic# 20542

MONARCH DENTAL ASSOCIATES DALLAS PKWYCharles C Chilcoat14400 N Dallas Pkwy, Ste 200Dallas, TX 75240(972) 720-8866ORAL SURGEON-SBAOPENLic# 12807

MONARCH DENTAL ASSOCIATES DALLAS PKWYColin P McCartney14400 N Dallas Pkwy, Ste 200Dallas, TX 75240(972) 720-8866ORAL SURGEON-SBAOPENLic# 18908

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 9

Page 39: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTAL ASSOCIATES DALLAS PKWYJohn L Barnett14400 N Dallas Pkwy, Ste 200Dallas, TX 75240(972) 720-8866PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 22966

MONARCH DENTAL FORMERLY CASTLE DENTALColin P McCartney7989 Belt Line Rd, Ste 90Dallas, TX 75248(972) 702-9017ORAL SURGEONOPENLic# 18908

MONARCH DENTAL FORMERLY CASTLE DENTALJerry D Mills7989 Belt Line Rd, Ste 90Dallas, TX 75248(972) 702-9017ORTHODONTIST-SBAOPENLic# 7305

MONARCH DENTAL FORMERLY CASTLE DENTALDouglas R Shaw7989 Belt Line Rd, Ste 90Dallas, TX 75248(972) 702-9017ORTHODONTIST-SBAOPENLic# 30541

MONARCH DENTAL FORMERLY CASTLE DENTALMelissa B Tricamo7989 Belt Line Rd, Ste 90Dallas, TX 75248(972) 702-9017PERIODONTISTOPENLic# 21089

NORTH DALLAS ENDODONTIC GROUP PANadia K Budhani12655 N Central ExpyDallas, TX 75243(214) 342-0425ENDODONTIST-SBASpanishOPENLic# 23804

NORTH DALLAS ENDODONTIC GROUP PAAlexandre A Fleury12655 N Central ExpyDallas, TX 75243(214) 342-0425ENDODONTIST-SBASpanishOPENLic# 21848

NORTH DALLAS ENDODONTIC GROUP PAJianing He12655 N Central ExpyDallas, TX 75243(214) 342-0425ENDODONTIST-SBASpanishOPENLic# 21849

NORTH DALLAS ENDODONTIC GROUP PAGeorge Kohout12655 N Central ExpyDallas, TX 75243(214) 342-0425ENDODONTIST-SBASpanishOPENLic# 29700

NORTH DALLAS ENDODONTIC GROUP PAYogesh T Patel12655 N Central ExpyDallas, TX 75243(214) 342-0425ENDODONTIST-SBASpanishOPENLic# 20123

PARK CITIES ORAL & MAXILLOFACIALWilliam Ralph Phillips, III8201 Preston Rd, Ste 260Dallas, TX 75225(214) 528-5500ORAL SURGEONOPENLic# 19017

SMILEY DENTAL SKILLMAN PLLCRitu Gupta9203 Skillman St, Ste 126Dallas, TX 75243(214) 466-1400ORTHODONTIST-SBAHindi Spanish VietnameseOPENLic# 29754

SMILEY DENTAL SKILLMAN PLLCIrelia M Machado9203 Skillman St, Ste 126Dallas, TX 75243(214) 466-1400ORTHODONTIST-SBAHindi Spanish VietnameseOPENLic# 22303

Desoto

PROFESSIONAL ORTHODONTIC ASSOCIATESHarry C Kizer701 N Hampton RdDesoto, TX 75115(972) 230-0155ORTHODONTIST-SBASpanishOPENLic# 6701

Duncanville

CORA A MARSAW DDSCora Annette Marsaw938 Eads Ave # 67Duncanville, TX 75137(972) 572-5990PERIODONTISTSpanishOPENLic# 15805

ENDODONTIC ASSOCIATES OF DALLASJianing He1026 E Wheatland RdDuncanville, TX 75116(972) 479-5588ENDODONTIST-SBAGreek Mandarin GujarathiOPENLic# 21849

ENDODONTIC ASSOCIATES OF DALLASGeorge Kohout1026 E Wheatland RdDuncanville, TX 75116(972) 479-5588ENDODONTIST-SBAGreek Mandarin GujarathiOPENLic# 29700

ENDODONTIC ASSOCIATES OF DALLASYogesh T Patel1026 E Wheatland RdDuncanville, TX 75116(972) 479-5588ENDODONTIST-SBAGreek Mandarin GujarathiOPENLic# 20123

ENDODONTIC ASSOCIATES OF DALLASEmmanouil Sigalas1026 E Wheatland RdDuncanville, TX 75116(972) 479-5588ENDODONTIST-SBAGreek Mandarin GujarathiOPENLic# 21915

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 10

Page 40: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTAL ASSOCIATESCharles C Chilcoat201 S Cedar Ridge DrDuncanville, TX 75116(972) 709-9568ORAL SURGEONOPENLic# 12807

MONARCH DENTAL ASSOCIATESColin P McCartney201 S Cedar Ridge DrDuncanville, TX 75116(972) 709-9568ORAL SURGEONOPENLic# 18908

MONARCH DENTAL ASSOCIATESAnkit Shah201 S Cedar Ridge DrDuncanville, TX 75116(972) 709-9568ORTHODONTIST-SBAOPENLic# 26240

MONARCH DENTAL ASSOCIATESPaula Ortiz201 S Cedar Ridge DrDuncanville, TX 75116(972) 709-9568PERIODONTISTOPENLic# 23473

Garland

GARLAND MAIN DENTAL GROUPNick Khalilkhani100 N Eleventh StGarland, TX 75040(942) 276-0159ENDODONTISTFarsiOPENLic# 25903

IDEAL DENTAL OF GARLANDJames I Ballou3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889ORTHODONTISTSpanishOPENLic# 25102

IDEAL DENTAL OF GARLANDStephen J Breaud3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889ORTHODONTISTSpanishOPENLic# 11475

IDEAL DENTAL OF GARLANDChris L Cramer3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889ORTHODONTISTSpanishOPENLic# 28933

IDEAL DENTAL OF GARLANDPhilip Hsin An Pan3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889ORTHODONTISTSpanishOPENLic# 27170

IDEAL DENTAL OF GARLANDLyle M Schofield3121 N George Bush Tpke, Ste 113Garland, TX 75040(469) 368-9889ORTHODONTISTSpanishOPENLic# 30874

MONARCH DENTAL ASSOCIATESCharles C Chilcoat1101 W Centerville Rd, Ste 200Garland, TX 75041(972) 864-0695ORAL SURGEON-SBAOPENLic# 12807

MONARCH DENTAL ASSOCIATESCharles C Chilcoat3325 Belt Line RdGarland, TX 75044(972) 530-1222ORAL SURGEON-SBAOPENLic# 12807

MONARCH DENTAL ASSOCIATESColin P McCartney1101 W Centerville Rd, Ste 200Garland, TX 75041(972) 864-0695ORAL SURGEON-SBAOPENLic# 18908

MONARCH DENTAL ASSOCIATESColin P McCartney3325 Belt Line RdGarland, TX 75044(972) 530-1222ORAL SURGEON-SBAOPENLic# 18908

MONARCH DENTAL ASSOCIATESAnas Athar1101 W Centerville Rd, Ste 200Garland, TX 75041(972) 864-0695ORTHODONTIST-SBAOPENLic# 25953

MONARCH DENTAL ASSOCIATESAnas Athar3325 Belt Line RdGarland, TX 75044(972) 530-1222ORTHODONTIST-SBAOPENLic# 25953

MONARCH DENTAL ASSOCIATESJared Corbridge3325 Belt Line RdGarland, TX 75044(972) 530-1222ORTHODONTIST-SBAOPENLic# 26013

MONARCH DENTAL ASSOCIATESHardik T Kapadia1101 W Centerville Rd, Ste 200Garland, TX 75041(972) 864-0695ORTHODONTIST-SBAOPENLic# 24505

MURRAY R. RAY DDS INCMurray R Ray1530 Forest Ln S, Ste AGarland, TX 75042(972) 276-0502ORTHODONTISTSpanishOPENLic# 8709

SPARKLE ORTHODONTICSAdejoke A Fatunde1815 Old Mill RunGarland, TX 75042(972) 205-9990ORTHODONTIST-SBASpanishOPENLic# 20296

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 11

Page 41: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

Grand Prairie

MONARCH DENTALC N Deepak594 W I 20, Ste 205Grand Prairie, TX 75052(972) 264-6622PERIODONTISTOPENLic# 21191

MONARCH DENTALPaula Ortiz594 W I 20, Ste 205Grand Prairie, TX 75052(972) 264-6622PERIODONTISTOPENLic# 23473

ORTHODONTIC SMILE DESIGN PCFernan Rodriguez325 W Westchester Pkwy, Ste 100Grand Prairie, TX 75052(972) 263-1755ORTHODONTIST-SBASpanishOPENLic# 21607

THAD TAYLOR IV DDSThad Taylor, IV2630 S Carrier Pkwy, Ste CGrand Prairie, TX 75052(972) 647-8008ORAL SURGEON-SBASpanishOPENLic# 18948

Irving

APPLE ORTHODONTIXSandra R Hernandez2608 N Beltine RoadIrving, TX 75062(972) 578-7800ORTHODONTIST-SBASpanishOPENLic# 23076

APPLE ORTHODONTIXRobert C Packard2608 N Beltine RoadIrving, TX 75062(972) 578-7800ORTHODONTIST-SBASpanishOPENLic# 13930

DFW ORAL AND MAXILLOFACIAL SURGERYPedro F Franco2727 N O Connor RdIrving, TX 75062(972) 594-7414ORAL SURGEON-SBASpanishOPENLic# 20816

ENDODONTIC ASSOCIATESNadia K Budhani3213 N Macarthur BlvdIrving, TX 75062(972) 659-0121ENDODONTIST-SBASpanishOPENLic# 23804

ENDODONTIC ASSOCIATESYogesh T Patel3213 N Macarthur BlvdIrving, TX 75062(972) 659-0121ENDODONTIST-SBASpanishOPENLic# 20123

ENDODONTIC ASSOCIATESEmmanouil Sigalas3213 N Macarthur BlvdIrving, TX 75062(972) 659-0121ENDODONTIST-SBASpanishOPENLic# 21915

IDEAL DENTAL OF IRVINGJames I Ballou6751 N Macarthur Blvd, Ste 140Irving, TX 75039(972) 432-9000ORTHODONTISTOPENLic# 25102

IDEAL DENTAL OF IRVINGStephen J Breaud6751 N Macarthur Blvd, Ste 140Irving, TX 75039(972) 432-9000ORTHODONTISTOPENLic# 11475

IDEAL DENTAL OF IRVINGChris L Cramer6751 N Macarthur Blvd, Ste 140Irving, TX 75039(972) 432-9000ORTHODONTISTOPENLic# 28933

IDEAL DENTAL OF IRVINGJessica Lee6751 N Macarthur Blvd, Ste 140Irving, TX 75039(972) 432-9000ORTHODONTISTOPENLic# 26531

IDEAL DENTAL OF IRVINGPhilip Hsin An Pan6751 N Macarthur Blvd, Ste 140Irving, TX 75039(972) 432-9000ORTHODONTISTOPENLic# 27170

IDEAL DENTAL OF IRVINGLyle M Schofield6751 N Macarthur Blvd, Ste 140Irving, TX 75039(972) 432-9000ORTHODONTISTOPENLic# 30874

IDEAL SMILES OF IRVINGJames I Ballou3351 Regent Blvd, Ste 120Irving, TX 75063(214) 441-1000ORTHODONTISTSpanishOPENLic# 25102

IDEAL SMILES OF IRVINGStephen J Breaud3351 Regent Blvd, Ste 120Irving, TX 75063(214) 441-1000ORTHODONTISTSpanishOPENLic# 11475

IDEAL SMILES OF IRVINGChris L Cramer3351 Regent Blvd, Ste 120Irving, TX 75063(214) 441-1000ORTHODONTISTSpanishOPENLic# 28933

IDEAL SMILES OF IRVINGPhilip Hsin An Pan3351 Regent Blvd, Ste 120Irving, TX 75063(214) 441-1000ORTHODONTISTSpanishOPENLic# 27170

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 12

Page 42: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

IDEAL SMILES OF IRVINGLyle M Schofield3351 Regent Blvd, Ste 120Irving, TX 75063(214) 441-1000ORTHODONTISTSpanishOPENLic# 30874

MONARCH DENTAL ASSOCIATESCharles C Chilcoat7620 Macarthur BlvdIrving, TX 75063(972) 831-0831ORAL SURGEON-SBAOPENLic# 12807

MONARCH DENTAL ASSOCIATESColin P McCartney7620 Macarthur BlvdIrving, TX 75063(972) 831-0831ORAL SURGEON-SBAOPENLic# 18908

MONARCH DENTAL ASSOCIATESChristopher W Edwards3401 W Airport Fwy, Ste 206Irving, TX 75062(214) 256-6700ORTHODONTIST-SBAOPENLic# 21055

MONARCH DENTAL ASSOCIATESLarry Goates7620 Macarthur BlvdIrving, TX 75063(972) 831-0831ORTHODONTIST-SBAOPENLic# 10922

MONARCH DENTAL ASSOCIATESLarry Goates3401 W Airport Fwy, Ste 206Irving, TX 75062(214) 256-6700ORTHODONTIST-SBAOPENLic# 10922

MONARCH DENTAL ASSOCIATESAnkit Shah3401 W Airport Fwy, Ste 206Irving, TX 75062(214) 256-6700ORTHODONTIST-SBAOPENLic# 26240

MONARCH DENTAL ASSOCIATESAnkit Shah7620 Macarthur BlvdIrving, TX 75063(972) 831-0831ORTHODONTIST-SBAOPENLic# 26240

MONARCH DENTAL ASSOCIATESPaula Ortiz3401 W Airport Fwy, Ste 206Irving, TX 75062(214) 256-6700PERIODONTIST-SBAOPENLic# 23473

MONARCH DENTAL ASSOCIATESMelissa B Tricamo3401 W Airport Fwy, Ste 206Irving, TX 75062(214) 256-6700PERIODONTIST-SBAOPENLic# 21089

Mesquite

APPLE ORTHODONTIXKimberly Jan McNeal1425 Gross Rd, Ste 112Mesquite, TX 75149(972) 578-7800ORTHODONTISTSpanishOPENLic# 18855

APPLE ORTHODONTIXRobert C Packard1425 Gross Rd, Ste 112Mesquite, TX 75149(972) 578-7800ORTHODONTISTSpanishOPENLic# 13930

CHARLES OAKESCharles L Oakes315 N Galloway AveMesquite, TX 75149(972) 285-7377ORTHODONTIST-SBAOPENLic# 7110

CORA MARSAWCora Annette Marsaw3605 I 30 West, #BMesquite, TX 75150(972) 270-9647PERIODONTIST-SBAOPENLic# 15805

METROPLEX DENTAL CARE PLLCKayla Tavares1515 Town East Blvd, Ste 215Mesquite, TX 75150(972) 686-1955ENDODONTIST-SBASpanishOPENLic# 31142

METROPLEX DENTAL CARE PLLCMohamed Karkuri1515 Town East Blvd, Ste 215Mesquite, TX 75150(972) 686-1955ORTHODONTISTSpanishOPENLic# 31410

METROPLEX DENTAL CARE PLLCJessica Allen1515 Town East Blvd, Ste 215Mesquite, TX 75150(972) 686-1955PERIODONTIST-SBASpanishOPENLic# 31584

METROPLEX DENTAL CARE PLLCDaniel Choi1515 Town East Blvd, Ste 215Mesquite, TX 75150(972) 686-1955PERIODONTIST-SBASpanishOPENLic# 27131

MONARCH DENTAL ASSOCIATES-MESQUITEColin P McCartney3501 Towne Crossing Blvd, Ste 180Mesquite, TX 75150(972) 270-6646ORAL SURGEON-SBAOPENLic# 18908

MONARCH DENTAL ASSOCIATES-MESQUITECraig Stuart Hicks3501 Towne Crossing Blvd, Ste 180Mesquite, TX 75150(972) 270-6646ORTHODONTIST-SBAOPENLic# 16426

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 13

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PrePaid Dental Series

MONARCH DENTAL ASSOCIATES-MESQUITEArthur E Williams3501 Towne Crossing Blvd, Ste 180Mesquite, TX 75150(972) 270-6646PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 24152

Richardson

APPLE ORTHODONTIXRobert C Packard2137 Buckingham RdRichardson, TX 75081(972) 578-7800ORTHODONTISTOPENLic# 13930

RODNEY P LEWIS DDS MS PARodney P Lewis1001 Buckingham Rd, Ste 200Richardson, TX 75081(972) 907-9900ORTHODONTIST-SBAOPENLic# 19681

SOUTHWEST ORAL SURGERY ASSOCIATESStephen C Hill1001 Buckingham Rd, Ste 106Richardson, TX 75081(972) 644-8500ORAL SURGEON-SBAOPENLic# 10599

Rowlett

MONARCH DENTAL ROWLETTColin P McCartney4305 Lakeview Parkway, Ste 100Rowlett, TX 75089(972) 535-1485ORAL SURGEON-SBASpanishOPENLic# 18908

MONARCH DENTAL ROWLETTAnas Athar4305 Lakeview Parkway, Ste 100Rowlett, TX 75089(972) 535-1485ORTHODONTISTSpanishOPENLic# 25953

MONARCH DENTAL ROWLETTCraig Stuart Hicks4305 Lakeview Parkway, Ste 100Rowlett, TX 75089(972) 535-1485ORTHODONTISTSpanishOPENLic# 16426

MONARCH DENTAL ROWLETTWilner Loiseau4305 Lakeview Parkway, Ste 100Rowlett, TX 75089(972) 535-1485PERIODONTIST-SBASpanishOPENLic# 22356

Sunnyvale

CHILDRENS DENTAL CLINICAnil K Reddy274 S Collins RdSunnyvale, TX 75182(972) 329-5437PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 17965

SUNNYVALE SMILESJames I Ballou272 S Collins Rd, Ste 100Sunnyvale, TX 75182(972) 216-1871ORTHODONTISTSpanishOPENLic# 25102

SUNNYVALE SMILESStephen J Breaud272 S Collins Rd, Ste 100Sunnyvale, TX 75182(972) 216-1871ORTHODONTISTSpanishOPENLic# 11475

SUNNYVALE SMILESChris L Cramer272 S Collins Rd, Ste 100Sunnyvale, TX 75182(972) 216-1871ORTHODONTISTSpanishOPENLic# 28933

SUNNYVALE SMILESPhilip Hsin An Pan272 S Collins Rd, Ste 100Sunnyvale, TX 75182(972) 216-1871ORTHODONTISTSpanishOPENLic# 27170

SUNNYVALE SMILESLyle M Schofield272 S Collins Rd, Ste 100Sunnyvale, TX 75182(972) 216-1871ORTHODONTISTSpanishOPENLic# 30874

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 14

Page 44: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Directory produced for:Denton County General Dentists

Dental Provider Directory - Texasas of September 12, 2016

Search Criteria:State: TXCounty: Denton

For more current information, visit www.assurantemployeebenefits.com

The Assurant name, and related logos are trademarks of Assurant, Inc. and are used under license. Products and services marketed by Assurant Employee Benefits are underwritten or provided by one or more of the following companies: Union Security Insurance Company, DentiCare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., United Dental Care of Colorado, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of Michigan, Inc., Union Security DentalCare of New Jersey, Inc., United Dental Care of New Mexico, Inc., Union Security Life Insurance Company of New York, UDC Ohio, Inc., United Dental Care of Texas, Inc., United Dental Care of Utah, Inc.

DHMO Dental Series

Page 45: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Important information about selecting a provider

Choosing a plan provider1. Select an available provider from this directory. You will

need to choose a General Dentist for your Plan Dentist. You may also find network providers on our web site at www.assurantemployeebenefits.com under "For Members" go to "Find a dentist". To select the participating network associated with your plan please refer to the cover of this directory or your dental ID card for the network name.

2. List the provider's name on your enrollment form along with the ID#. Providers not available to new patients are indicated with an * in the Status field. If you are not currently a patient, you may not select these providers.

3. If you are unable to choose a provider at the time of enrollment, you must call Customer Service at 800.443.2995 on or after your effective date of coverage and select a plan provider. You will need to have a plan provider assigned before you can make an appointment.

Changing your selected providerYou may select another available provider for your family by calling Customer Service and requesting a change of provider or by using Online Advantage for Members on our web site to change the facility. Request must be received by the 20th of the month to be effective the 1st day of the following month. Updated directories of available providers can be obtained from Customer Service or on our web site at www.assurantemployeebenefits.com.

Your dental plan is simple to use when you follow these steps: Verify with your Plan Dentist that you are on their roster

before making a dental appointment. Call early for routine dental care for the best availability

of appointment times. Be familiar with your copayment schedule to determine

your costs for dental services. Discuss concerns regarding proposed treatments with your

Plan Dentist. Contact customer service at 800.443.2995 for assistance

with selecting or changing your Plan Dentist.

Información importante sobre cómo seleccionar a un proveedor

Cómo elegir a un proveedor integrado al plan1. Elija de este directorio a un proveedor que se encuentre disponible.

Tendrá que elegir a un Dentista de Práctica General como su Dentista Integrado al Plan. También puede encontrar proveedores pertenecientes a la red en nuestro sitio Web www.assurantemployeebenefits.com en “For Members" ("Para Miembros") y haga clic en “Find a dentist" (“Encuentre a un dentista”). Para seleccionar la red participante asociada a su plan consulte la portada de este directorio o su tarjeta de identificación dental en la que aparece el nombre de la red.

2. Anote el nombre del proveedor en el formulario de registro junto con el ID#. Los proveedores que no están disponibles para pacientes nuevos han sido identificados con un * bajo la columna “Status” ("Estado"). Si actualmente usted no fuese un paciente, no podrá elegir a uno de estos proveedores.

3. Si usted no pudiese elegir a un proveedor en el momento de su registro, tiene que llamar al Centro de Servicio al Cliente al 800.443.2995 en o después de la fecha de entrada en vigencia de la cobertura y seleccionar a un proveedor integrado al plan. Se le deberá haber asignado un proveedor integrado al plan antes de que pueda hacer una cita.

Cómo cambiarse a otro proveedorUsted puede seleccionar a otro proveedor que se encuentre disponible para su familia llamando al Centro de Servicio al Cliente y pidiendo un cambio de proveedor, o por Internet en Online Advantage for Members en nuestro sitio Web para cambiar de consultorio. La petición para el cambio tendrá que ser recibida a más tardar el 20vo día del mes para que surta efectos a partir del 1er día del mes subsiguiente. Los directorios de proveedores que se encuentran disponibles pueden obtenerse a través del Centro de Servicio al Cliente o en nuestro sitio Web en www.assurantemployeebenefits.com .

Le resultará sencillo utilizar su plan dental si sigue estos pasos: Antes de hacer una cita, confirme con su Dentista Integrado al Plan

que usted está en su lista de pacientes. Llame con tiempo cuando desee hacer una cita periódica con su

dentista para que tenga más opciones al elegir la hora de su cita. Familiarícese con la lista de copagos para determinar sus costos por

los servicios de cuidado dental. Hable con su Dentista Integrado al Plan sobre las inquietudes que

pueda tener acerca del tratamiento que el dentista le proponga. Llame al Centro de Servicio al Cliente al 800.443.2995 si necesita

ayuda para seleccionar o cambiar a su Dentista Integrado al Plan.

NoticeThis is a translation of a document originally drawn up in English. Accordingly, it is understood that all legal rights, responsibilities and/or obligations are governed by the original English version of this document. Furthermore, we reserve the right to correct any errors in this document

AdvertenciaÉsta es la traducción de un documento originalmente redactado en inglés. Consiguientemente, hágase saber que todos los derechos legales, responsabilidades y/u obligaciones expresadas en el mismo se regirán por la versión original del documento expedida en inglés. Además, nosotros nos reservamos el derecho de corregir cualquier error en este documento

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PrePaid Dental Series

Carrollton

22 DENTALAli A Faiz1711 E Frankford Rd, Ste 107Carrollton, TX 75007(972) 820-6200GENERAL DENTISTFrench SpanishID #: 0017181Lic# 18506

MARSH RIDGE FAMILY DENTAL & ORTHODONTICSApril Kaneira2501 E Hebron Pkwy, Ste 500Carrollton, TX 75010(972) 300-4155GENERAL DENTISTSpanishID #: 0022484Lic# 20062

MARSH RIDGE FAMILY DENTAL & ORTHODONTICSGayatri Raina2501 E Hebron Pkwy, Ste 500Carrollton, TX 75010(972) 300-4155GENERAL DENTISTSpanishID #: 0022484Lic# 24522

MARSH RIDGE FAMILY DENTAL & ORTHODONTICSPuja Sainju2501 E Hebron Pkwy, Ste 500Carrollton, TX 75010(972) 300-4155GENERAL DENTISTSpanishID #: 0022484Lic# 26284

Corinth

MONARCH DENTAL-CORINTHJeffrey Borgman7650 S I 35 E, Ste 152Corinth, TX 76210(940) 497-2252GENERAL DENTISTID #: 0014906Lic# 15291

MONARCH DENTAL-CORINTHMark D Christensen7650 S I 35 E, Ste 152Corinth, TX 76210(940) 497-2252GENERAL DENTISTID #: 0014906Lic# 15137

MONARCH DENTAL-CORINTHSwati J Doshi7650 S I 35 E, Ste 152Corinth, TX 76210(940) 497-2252GENERAL DENTISTID #: 0014906Lic# 23988

MONARCH DENTAL-CORINTHAnil K Gudipati7650 S I 35 E, Ste 152Corinth, TX 76210(940) 497-2252GENERAL DENTISTID #: 0014906Lic# 29622

MONARCH DENTAL-CORINTHJohn Guidry7650 S I 35 E, Ste 152Corinth, TX 76210(940) 497-2252GENERAL DENTISTID #: 0014906Lic# 20775

MONARCH DENTAL-CORINTHMichael A Jackson7650 S I 35 E, Ste 152Corinth, TX 76210(940) 497-2252GENERAL DENTISTID #: 0014906Lic# 12847

MONARCH DENTAL-CORINTHNishit Kapadia7650 S I 35 E, Ste 152Corinth, TX 76210(940) 497-2252GENERAL DENTISTID #: 0014906Lic# 24611

MONARCH DENTAL-CORINTHReza Moghbel7650 S I 35 E, Ste 152Corinth, TX 76210(940) 497-2252GENERAL DENTISTID #: 0014906Lic# 30396

MONARCH DENTAL-CORINTHJerry Shehane7650 S I 35 E, Ste 152Corinth, TX 76210(940) 497-2252GENERAL DENTISTID #: 0014906Lic# 10638

Denton

TEASLEY CENTER DENTALJonathan Aguilar5050 Teasley Ln, Ste 110Denton, TX 76210(940) 382-1199GENERAL DENTISTSpanishID #: 0023175Lic# 29990

TEASLEY CENTER DENTALSulman Ahmed5050 Teasley Ln, Ste 110Denton, TX 76210(940) 382-1199GENERAL DENTISTSpanishID #: 0023175Lic# 22618

TEASLEY CENTER DENTALJulie Covino5050 Teasley Ln, Ste 110Denton, TX 76210(940) 382-1199GENERAL DENTISTSpanishID #: 0023175Lic# 28312

TEASLEY CENTER DENTALAlex Manrique5050 Teasley Ln, Ste 110Denton, TX 76210(940) 382-1199GENERAL DENTISTSpanishID #: 0023175Lic# 26534

TEASLEY CENTER DENTALAnniece Ward5050 Teasley Ln, Ste 110Denton, TX 76210(940) 382-1199GENERAL DENTISTSpanishID #: 0023175Lic# 26135

TEASLEY CENTER DENTALWilliam I Zerby5050 Teasley Ln, Ste 110Denton, TX 76210(940) 382-1199GENERAL DENTISTSpanishID #: 0023175Lic# 20073

Flower Mound

CORNERSTONE DENTAL FLOWER MOUNDSulman Ahmed2616 Long Prairie Rd, Ste 105Flower Mound, TX 75022(972) 899-3499GENERAL DENTISTSpanishID #: 0020001Lic# 22618

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 5

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PrePaid Dental Series

CORNERSTONE DENTAL FLOWER MOUNDRodney N Alles, JR2616 Long Prairie Rd, Ste 105Flower Mound, TX 75022(972) 899-3499GENERAL DENTISTSpanishID #: 0020001Lic# 22290

CORNERSTONE DENTAL FLOWER MOUNDSyeda Ara2616 Long Prairie Rd, Ste 105Flower Mound, TX 75022(972) 899-3499GENERAL DENTISTSpanishID #: 0020001Lic# 29108

CORNERSTONE DENTAL FLOWER MOUNDJulie Covino2616 Long Prairie Rd, Ste 105Flower Mound, TX 75022(972) 899-3499GENERAL DENTISTSpanishID #: 0020001Lic# 28312

CORNERSTONE DENTAL FLOWER MOUNDDarya Dimin2616 Long Prairie Rd, Ste 105Flower Mound, TX 75022(972) 899-3499GENERAL DENTISTSpanishID #: 0020001Lic# 28285

CORNERSTONE DENTAL FLOWER MOUNDKristy Hong2616 Long Prairie Rd, Ste 105Flower Mound, TX 75022(972) 899-3499GENERAL DENTISTSpanishID #: 0020001Lic# 30068

CORNERSTONE DENTAL FLOWER MOUNDShalin Patel2616 Long Prairie Rd, Ste 105Flower Mound, TX 75022(972) 899-3499GENERAL DENTISTSpanishID #: 0020001Lic# 23316

CORNERSTONE DENTAL FLOWER MOUNDChristin Vaello2616 Long Prairie Rd, Ste 105Flower Mound, TX 75022(972) 899-3499GENERAL DENTISTSpanishID #: 0020001Lic# 26568

CORNERSTONE DENTAL FLOWER MOUNDWilliam I Zerby2616 Long Prairie Rd, Ste 105Flower Mound, TX 75022(972) 899-3499GENERAL DENTISTSpanishID #: 0020001Lic# 20073

IDEAL DENTAL OF HIGHLAND VILLAGEJames Adams3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088GENERAL DENTISTID #: 0022761Lic# 10561

IDEAL DENTAL OF HIGHLAND VILLAGESulman Ahmed3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088GENERAL DENTISTID #: 0022761Lic# 22618

IDEAL DENTAL OF HIGHLAND VILLAGERodney N Alles, JR3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088GENERAL DENTISTID #: 0022761Lic# 22290

IDEAL DENTAL OF HIGHLAND VILLAGESyeda Ara3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088GENERAL DENTISTID #: 0022761Lic# 29108

IDEAL DENTAL OF HIGHLAND VILLAGEJulie Covino3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088GENERAL DENTISTID #: 0022761Lic# 28312

IDEAL DENTAL OF HIGHLAND VILLAGEDouglas Wayne Fonville3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088GENERAL DENTISTID #: 0022761Lic# 13082

IDEAL DENTAL OF HIGHLAND VILLAGESarah Herman3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088GENERAL DENTISTID #: 0022761Lic# 27821

IDEAL DENTAL OF HIGHLAND VILLAGEAshley Jackson3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088GENERAL DENTISTID #: 0022761Lic# 27149

IDEAL DENTAL OF HIGHLAND VILLAGEAlex Manrique3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088GENERAL DENTISTID #: 0022761Lic# 26534

IDEAL DENTAL OF HIGHLAND VILLAGEDustin McCammon3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088GENERAL DENTISTID #: 0022761Lic# 28819

IDEAL DENTAL OF HIGHLAND VILLAGEShalin Patel3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088GENERAL DENTISTID #: 0022761Lic# 23316

IDEAL DENTAL OF HIGHLAND VILLAGEOlga S Selezneva3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088GENERAL DENTISTID #: 0022761Lic# 30738

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 6

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PrePaid Dental Series

IDEAL DENTAL OF HIGHLAND VILLAGEChristin Vaello3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088GENERAL DENTISTID #: 0022761Lic# 26568

IDEAL DENTAL OF HIGHLAND VILLAGEWilliam I Zerby3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088GENERAL DENTISTID #: 0022761Lic# 20073

Frisco

FRISCO CENTER DENTALSulman Ahmed5110 Main St, Ste 300Frisco, TX 75033(972) 377-5990GENERAL DENTISTSpanishID #: 0021943Lic# 22618

FRISCO CENTER DENTALRodney N Alles, JR5110 Main St, Ste 300Frisco, TX 75033(972) 377-5990GENERAL DENTISTSpanishID #: 0021943Lic# 22290

FRISCO CENTER DENTALSyeda Ara5110 Main St, Ste 300Frisco, TX 75033(972) 377-5990GENERAL DENTISTSpanishID #: 0021943Lic# 29108

FRISCO CENTER DENTALJulie Covino5110 Main St, Ste 300Frisco, TX 75033(972) 377-5990GENERAL DENTISTSpanishID #: 0021943Lic# 28312

FRISCO CENTER DENTALAllie Cox5110 Main St, Ste 300Frisco, TX 75033(972) 377-5990GENERAL DENTISTSpanishID #: 0021943Lic# 31897

FRISCO CENTER DENTALDustin McCammon5110 Main St, Ste 300Frisco, TX 75033(972) 377-5990GENERAL DENTISTSpanishID #: 0021943Lic# 28819

FRISCO CENTER DENTALVeronica Mueller5110 Main St, Ste 300Frisco, TX 75033(972) 377-5990GENERAL DENTISTSpanishID #: 0021943Lic# 28026

FRISCO CENTER DENTALShalin Patel5110 Main St, Ste 300Frisco, TX 75033(972) 377-5990GENERAL DENTISTSpanishID #: 0021943Lic# 23316

FRISCO CENTER DENTALChristin Vaello5110 Main St, Ste 300Frisco, TX 75033(972) 377-5990GENERAL DENTISTSpanishID #: 0021943Lic# 26568

FRISCO CENTER DENTALWilliam I Zerby5110 Main St, Ste 300Frisco, TX 75033(972) 377-5990GENERAL DENTISTSpanishID #: 0021943Lic# 20073

IDEAL SMILES OF FRISCOJames Adams5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285GENERAL DENTISTSpanishID #: 0022804Lic# 10561

IDEAL SMILES OF FRISCOSulman Ahmed5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285GENERAL DENTISTSpanishID #: 0022804Lic# 22618

IDEAL SMILES OF FRISCORodney N Alles, JR5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285GENERAL DENTISTSpanishID #: 0022804Lic# 22290

IDEAL SMILES OF FRISCOSyeda Ara5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285GENERAL DENTISTSpanishID #: 0022804Lic# 29108

IDEAL SMILES OF FRISCOJulie Covino5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285GENERAL DENTISTSpanishID #: 0022804Lic# 28312

IDEAL SMILES OF FRISCODouglas Wayne Fonville5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285GENERAL DENTISTSpanishID #: 0022804Lic# 13082

IDEAL SMILES OF FRISCOSarah Herman5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285GENERAL DENTISTSpanishID #: 0022804Lic# 27821

IDEAL SMILES OF FRISCOAshley Jackson5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285GENERAL DENTISTSpanishID #: 0022804Lic# 27149

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 7

Page 49: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

IDEAL SMILES OF FRISCOAlex Manrique5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285GENERAL DENTISTSpanishID #: 0022804Lic# 26534

IDEAL SMILES OF FRISCODustin McCammon5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285GENERAL DENTISTSpanishID #: 0022804Lic# 28819

IDEAL SMILES OF FRISCOShalin Patel5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285GENERAL DENTISTSpanishID #: 0022804Lic# 23316

IDEAL SMILES OF FRISCORosemary L Ribera5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285GENERAL DENTISTSpanishID #: 0022804Lic# 31132

IDEAL SMILES OF FRISCOChristin Vaello5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285GENERAL DENTISTSpanishID #: 0022804Lic# 26568

IDEAL SMILES OF FRISCOWilliam I Zerby5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285GENERAL DENTISTSpanishID #: 0022804Lic# 20073

Hickory Creek

CORNERSTONE DENTALSulman Ahmed4020 Fm 2181Hickory Creek, TX 75065(940) 321-2088GENERAL DENTISTID #: 0019970Lic# 22618

CORNERSTONE DENTALRodney N Alles, JR4020 Fm 2181Hickory Creek, TX 75065(940) 321-2088GENERAL DENTISTID #: 0019970Lic# 22290

CORNERSTONE DENTALSyeda Ara4020 Fm 2181Hickory Creek, TX 75065(940) 321-2088GENERAL DENTISTID #: 0019970Lic# 29108

CORNERSTONE DENTALJulie Covino4020 Fm 2181Hickory Creek, TX 75065(940) 321-2088GENERAL DENTISTID #: 0019970Lic# 28312

CORNERSTONE DENTALAlex Manrique4020 Fm 2181Hickory Creek, TX 75065(940) 321-2088GENERAL DENTISTID #: 0019970Lic# 26534

CORNERSTONE DENTALShalin Patel4020 Fm 2181Hickory Creek, TX 75065(940) 321-2088GENERAL DENTISTID #: 0019970Lic# 23316

CORNERSTONE DENTALChristin Vaello4020 Fm 2181Hickory Creek, TX 75065(940) 321-2088GENERAL DENTISTID #: 0019970Lic# 26568

CORNERSTONE DENTALWilliam I Zerby4020 Fm 2181Hickory Creek, TX 75065(940) 321-2088GENERAL DENTISTID #: 0019970Lic# 20073

Lewisville

CHARLES KU DDSCharles T Ku1168 W Main St, Ste ELewisville, TX 75067(972) 436-4242GENERAL DENTISTID #: 0008004Lic# 10329

COMMON ROOTS FAMILY DENTALWhitney B Wolff420 E Round Grove Rd, Ste 640Lewisville, TX 75067(972) 436-4556GENERAL DENTISTSpanishID #: 0022062Lic# 24565

IDEAL DENTAL OF CASTLE HILLSSulman Ahmed4940 E Hwy 121, Ste 115Lewisville, TX 75056(214) 983-0413GENERAL DENTISTID #: 0024216Lic# 22618

IDEAL DENTAL OF CASTLE HILLSRodney N Alles, JR4940 E Hwy 121, Ste 115Lewisville, TX 75056(214) 983-0413GENERAL DENTISTID #: 0024216Lic# 22290

IDEAL DENTAL OF CASTLE HILLSShalin Patel4940 E Hwy 121, Ste 115Lewisville, TX 75056(214) 983-0413GENERAL DENTISTID #: 0024216Lic# 23316

MONARCH DENTAL ASSOCIATESJeffrey Borgman1288 W Main St, Ste 123Lewisville, TX 75067(972) 538-0420GENERAL DENTISTSpanishID #: 0008197Lic# 15291

MONARCH DENTAL ASSOCIATESAaron Horsley Teny1288 W Main St, Ste 123Lewisville, TX 75067(972) 538-0420GENERAL DENTISTSpanishID #: 0008197Lic# 28855

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 8

Page 50: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTAL ASSOCIATESNishit Kapadia1288 W Main St, Ste 123Lewisville, TX 75067(972) 538-0420GENERAL DENTISTSpanishID #: 0008197Lic# 24611

MONARCH DENTAL ASSOCIATESRandell Wayne Richardson1288 W Main St, Ste 123Lewisville, TX 75067(972) 538-0420GENERAL DENTISTSpanishID #: 0008197Lic# 12891

MONARCH DENTAL THE COLONY-JOSEY LANEBrijita C Christian4770 State Highway 121, Ste 100Lewisville, TX 75056(972) 963-9900GENERAL DENTISTID #: 0019601Lic# 30510

MONARCH DENTAL THE COLONY-JOSEY LANEKenneth Henderson4770 State Highway 121, Ste 100Lewisville, TX 75056(972) 963-9900GENERAL DENTISTID #: 0019601Lic# 23617

MONARCH DENTAL THE COLONY-JOSEY LANEVijaya Tippireddy4770 State Highway 121, Ste 100Lewisville, TX 75056(972) 963-9900GENERAL DENTISTID #: 0019601Lic# 24264

Little Elm

MONARCH DENTAL - LITTLE ELMKhushboo Gandhi2700 East El Dorado Pkwy, Ste 106Little Elm, TX 75068(469) 237-3064GENERAL DENTISTID #: 0018886Lic# 28973

MONARCH DENTAL - LITTLE ELMDennis Spencer Greene2700 East El Dorado Pkwy, Ste 106Little Elm, TX 75068(469) 237-3064GENERAL DENTISTID #: 0018886Lic# 16423

MONARCH DENTAL - LITTLE ELMAngie Hasan2700 East El Dorado Pkwy, Ste 106Little Elm, TX 75068(469) 237-3064GENERAL DENTISTID #: 0018886Lic# 28911

MONARCH DENTAL - LITTLE ELMNishit Kapadia2700 East El Dorado Pkwy, Ste 106Little Elm, TX 75068(469) 237-3064GENERAL DENTISTID #: 0018886Lic# 24611

Roanoke

IDEAL DENTAL OF ROANOKESulman Ahmed860 East Highway 114, Ste 200Roanoke, TX 76262(817) 491-3000GENERAL DENTISTID #: 0023471Lic# 22618

IDEAL DENTAL OF ROANOKENamrata Shah860 East Highway 114, Ste 200Roanoke, TX 76262(817) 491-3000GENERAL DENTISTID #: 0023471Lic# 27713

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 9

Page 51: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Directory produced for:Denton County Specialists

Dental Provider Directory - Texasas of September 19, 2016

Search Criteria:State: TXCounty: Denton

For more current information, visit www.assurantemployeebenefits.com

The Assurant name, and related logos are trademarks of Assurant, Inc. and are used under license. Products and services marketed by Assurant Employee Benefits are underwritten or provided by one or more of the following companies: Union Security Insurance Company, DentiCare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., United Dental Care of Colorado, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of Michigan, Inc., Union Security DentalCare of New Jersey, Inc., United Dental Care of New Mexico, Inc., Union Security Life Insurance Company of New York, UDC Ohio, Inc., United Dental Care of Texas, Inc., United Dental Care of Utah, Inc.

DHMO Dental Series

Page 52: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Important information about selecting a provider

Choosing a plan provider1. Select an available provider from this directory. You will

need to choose a General Dentist for your Plan Dentist. You may also find network providers on our web site at www.assurantemployeebenefits.com under "For Members" go to "Find a dentist". To select the participating network associated with your plan please refer to the cover of this directory or your dental ID card for the network name.

2. List the provider's name on your enrollment form along with the ID#. Providers not available to new patients are indicated with an * in the Status field. If you are not currently a patient, you may not select these providers.

3. If you are unable to choose a provider at the time of enrollment, you must call Customer Service at 800.443.2995 on or after your effective date of coverage and select a plan provider. You will need to have a plan provider assigned before you can make an appointment.

Changing your selected providerYou may select another available provider for your family by calling Customer Service and requesting a change of provider or by using Online Advantage for Members on our web site to change the facility. Request must be received by the 20th of the month to be effective the 1st day of the following month. Updated directories of available providers can be obtained from Customer Service or on our web site at www.assurantemployeebenefits.com.

Your dental plan is simple to use when you follow these steps: Verify with your Plan Dentist that you are on their roster

before making a dental appointment. Call early for routine dental care for the best availability

of appointment times. Be familiar with your copayment schedule to determine

your costs for dental services. Discuss concerns regarding proposed treatments with your

Plan Dentist. Contact customer service at 800.443.2995 for assistance

with selecting or changing your Plan Dentist.

Información importante sobre cómo seleccionar a un proveedor

Cómo elegir a un proveedor integrado al plan1. Elija de este directorio a un proveedor que se encuentre disponible.

Tendrá que elegir a un Dentista de Práctica General como su Dentista Integrado al Plan. También puede encontrar proveedores pertenecientes a la red en nuestro sitio Web www.assurantemployeebenefits.com en “For Members" ("Para Miembros") y haga clic en “Find a dentist" (“Encuentre a un dentista”). Para seleccionar la red participante asociada a su plan consulte la portada de este directorio o su tarjeta de identificación dental en la que aparece el nombre de la red.

2. Anote el nombre del proveedor en el formulario de registro junto con el ID#. Los proveedores que no están disponibles para pacientes nuevos han sido identificados con un * bajo la columna “Status” ("Estado"). Si actualmente usted no fuese un paciente, no podrá elegir a uno de estos proveedores.

3. Si usted no pudiese elegir a un proveedor en el momento de su registro, tiene que llamar al Centro de Servicio al Cliente al 800.443.2995 en o después de la fecha de entrada en vigencia de la cobertura y seleccionar a un proveedor integrado al plan. Se le deberá haber asignado un proveedor integrado al plan antes de que pueda hacer una cita.

Cómo cambiarse a otro proveedorUsted puede seleccionar a otro proveedor que se encuentre disponible para su familia llamando al Centro de Servicio al Cliente y pidiendo un cambio de proveedor, o por Internet en Online Advantage for Members en nuestro sitio Web para cambiar de consultorio. La petición para el cambio tendrá que ser recibida a más tardar el 20vo día del mes para que surta efectos a partir del 1er día del mes subsiguiente. Los directorios de proveedores que se encuentran disponibles pueden obtenerse a través del Centro de Servicio al Cliente o en nuestro sitio Web en www.assurantemployeebenefits.com .

Le resultará sencillo utilizar su plan dental si sigue estos pasos: Antes de hacer una cita, confirme con su Dentista Integrado al Plan

que usted está en su lista de pacientes. Llame con tiempo cuando desee hacer una cita periódica con su

dentista para que tenga más opciones al elegir la hora de su cita. Familiarícese con la lista de copagos para determinar sus costos por

los servicios de cuidado dental. Hable con su Dentista Integrado al Plan sobre las inquietudes que

pueda tener acerca del tratamiento que el dentista le proponga. Llame al Centro de Servicio al Cliente al 800.443.2995 si necesita

ayuda para seleccionar o cambiar a su Dentista Integrado al Plan.

NoticeThis is a translation of a document originally drawn up in English. Accordingly, it is understood that all legal rights, responsibilities and/or obligations are governed by the original English version of this document. Furthermore, we reserve the right to correct any errors in this document

AdvertenciaÉsta es la traducción de un documento originalmente redactado en inglés. Consiguientemente, hágase saber que todos los derechos legales, responsabilidades y/u obligaciones expresadas en el mismo se regirán por la versión original del documento expedida en inglés. Además, nosotros nos reservamos el derecho de corregir cualquier error en este documento

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PrePaid Dental Series

Carrollton

ENDODONTIC ASSOCIATES OF CARROLLTONRobert B Hale4323 N Josey Ln, Ste 205Carrollton, TX 75010(972) 394-0912ENDODONTIST-SBASpanishOPENLic# 29127

ENDODONTIC ASSOCIATES OF CARROLLTONJianing He4323 N Josey Ln, Ste 205Carrollton, TX 75010(972) 394-0912ENDODONTIST-SBASpanishOPENLic# 21849

ENDODONTIC ASSOCIATES OF CARROLLTONGeorge Kohout4323 N Josey Ln, Ste 205Carrollton, TX 75010(972) 394-0912ENDODONTIST-SBASpanishOPENLic# 29700

ENDODONTIC ASSOCIATES OF CARROLLTONYogesh T Patel4323 N Josey Ln, Ste 205Carrollton, TX 75010(972) 394-0912ENDODONTIST-SBASpanishOPENLic# 20123

ENDODONTIC ASSOCIATES OF CARROLLTONEmmanouil Sigalas4323 N Josey Ln, Ste 205Carrollton, TX 75010(972) 394-0912ENDODONTIST-SBASpanishOPENLic# 21915

WESTGROVE DENTAL CAREBenito J Benitez3012 E Hebron Pkwy, Ste 108Carrollton, TX 75010(972) 662-3111ORTHODONTIST-SBAOPENLic# 23616

Corinth

MONARCH DENTAL CORINTHCharles C Chilcoat7650 S I 35 E, Ste 152Corinth, TX 76210(940) 497-2252ORAL SURGEONOPENLic# 12807

MONARCH DENTAL CORINTHLaurie Parks7650 S I 35 E, Ste 152Corinth, TX 76210(940) 497-2252ORTHODONTIST-SBAOPENLic# 21404

Denton

APPLE ORTHODONTIXRobert C Packard2430 Lillian Miller PkwyDenton, TX 76205(972) 578-7800ORTHODONTISTChineseOPENLic# 13930

APPLE ORTHODONTIXMarites Yap Del Mundo2430 Lillian Miller PkwyDenton, TX 76205(972) 578-7800ORTHODONTISTChineseOPENLic# 23667

MONARCH DENTAL ASSOCIATESCharles C Chilcoat2201 S Interstate 35 EDenton, TX 76205(940) 387-1921ORAL SURGEON-SBAOPENLic# 12807

MONARCH DENTAL ASSOCIATESColin P McCartney2201 S Interstate 35 EDenton, TX 76205(940) 387-1921ORAL SURGEON-SBAOPENLic# 18908

MONARCH DENTAL ASSOCIATESJerry D Mills2201 S Interstate 35 EDenton, TX 76205(940) 387-1921ORTHODONTIST-SBAOPENLic# 7305

MONARCH DENTAL ASSOCIATESLaurie Parks2201 S Interstate 35 EDenton, TX 76205(940) 387-1921ORTHODONTIST-SBAOPENLic# 21404

TEASLEY CENTER DENTALJames I Ballou5050 Teasley Ln, Ste 110Denton, TX 76210(940) 382-1199ORTHODONTISTSpanishOPENLic# 25102

TEASLEY CENTER DENTALStephen J Breaud5050 Teasley Ln, Ste 110Denton, TX 76210(940) 382-1199ORTHODONTISTSpanishOPENLic# 11475

TEASLEY CENTER DENTALChris L Cramer5050 Teasley Ln, Ste 110Denton, TX 76210(940) 382-1199ORTHODONTISTSpanishOPENLic# 28933

TEASLEY CENTER DENTALPhilip Hsin An Pan5050 Teasley Ln, Ste 110Denton, TX 76210(940) 382-1199ORTHODONTISTSpanishOPENLic# 27170

TEASLEY CENTER DENTALLyle M Schofield5050 Teasley Ln, Ste 110Denton, TX 76210(940) 382-1199ORTHODONTISTSpanishOPENLic# 30874

Flower Mound

CORNERSTONE DENTAL FLOWER MOUNDJames I Ballou2616 Long Prairie Rd, Ste 105Flower Mound, TX 75022(972) 899-3499ORTHODONTISTSpanishOPENLic# 25102

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 5

Page 54: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

CORNERSTONE DENTAL FLOWER MOUNDStephen J Breaud2616 Long Prairie Rd, Ste 105Flower Mound, TX 75022(972) 899-3499ORTHODONTISTSpanishOPENLic# 11475

CORNERSTONE DENTAL FLOWER MOUNDChris L Cramer2616 Long Prairie Rd, Ste 105Flower Mound, TX 75022(972) 899-3499ORTHODONTISTSpanishOPENLic# 28933

CORNERSTONE DENTAL FLOWER MOUNDPhilip Hsin An Pan2616 Long Prairie Rd, Ste 105Flower Mound, TX 75022(972) 899-3499ORTHODONTISTSpanishOPENLic# 27170

CORNERSTONE DENTAL FLOWER MOUNDLyle M Schofield2616 Long Prairie Rd, Ste 105Flower Mound, TX 75022(972) 899-3499ORTHODONTISTSpanishOPENLic# 30874

HASHEM ORTHODONTICSRobbie Adib Hashem2021 Morriss Rd, Ste 200Flower Mound, TX 75028(972) 874-8100ORTHODONTIST-SBAArabic SpanishOPENLic# 17197

IDEAL DENTAL OF HIGHLAND VILLAGEJames I Ballou3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088ORTHODONTISTSpanishOPENLic# 25102

IDEAL DENTAL OF HIGHLAND VILLAGEStephen J Breaud3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088ORTHODONTISTSpanishOPENLic# 11475

IDEAL DENTAL OF HIGHLAND VILLAGEChris L Cramer3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088ORTHODONTISTSpanishOPENLic# 28933

IDEAL DENTAL OF HIGHLAND VILLAGEPhilip Hsin An Pan3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088ORTHODONTISTSpanishOPENLic# 27170

IDEAL DENTAL OF HIGHLAND VILLAGELyle M Schofield3651 Justin Rd, Ste 130Flower Mound, TX 75028(972) 874-0088ORTHODONTISTSpanishOPENLic# 30874

Frisco

FRISCO CENTER DENTALJames I Ballou5110 Main St, Ste 300Frisco, TX 75033(972) 377-5990ORTHODONTISTSpanishOPENLic# 25102

FRISCO CENTER DENTALStephen J Breaud5110 Main St, Ste 300Frisco, TX 75033(972) 377-5990ORTHODONTISTSpanishOPENLic# 11475

FRISCO CENTER DENTALChris L Cramer5110 Main St, Ste 300Frisco, TX 75033(972) 377-5990ORTHODONTISTSpanishOPENLic# 28933

FRISCO CENTER DENTALPhilip Hsin An Pan5110 Main St, Ste 300Frisco, TX 75033(972) 377-5990ORTHODONTISTSpanishOPENLic# 27170

FRISCO CENTER DENTALLyle M Schofield5110 Main St, Ste 300Frisco, TX 75033(972) 377-5990ORTHODONTISTSpanishOPENLic# 30874

IDEAL SMILES OF FRISCOJames I Ballou5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285ORTHODONTISTSpanishOPENLic# 25102

IDEAL SMILES OF FRISCOStephen J Breaud5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285ORTHODONTISTSpanishOPENLic# 11475

IDEAL SMILES OF FRISCOChris L Cramer5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285ORTHODONTISTSpanishOPENLic# 28933

IDEAL SMILES OF FRISCOPhilip Hsin An Pan5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285ORTHODONTISTSpanishOPENLic# 27170

IDEAL SMILES OF FRISCOLyle M Schofield5570 Fm 423, Ste 400Frisco, TX 75034(214) 303-1285ORTHODONTISTSpanishOPENLic# 30874

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 6

Page 55: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

VILLAGE ELM DENTAL CAREThomas Bourland2832 Eldorado Pkwy, Ste 210Frisco, TX 75033(214) 618-5311ORAL SURGEON-SBAOPENLic# 22690

Hickory Creek

CORNERSTONE DENTALJames I Ballou4020 Fm 2181Hickory Creek, TX 75065(940) 321-2088ORTHODONTISTSpanishOPENLic# 25102

CORNERSTONE DENTALStephen J Breaud4020 Fm 2181Hickory Creek, TX 75065(940) 321-2088ORTHODONTISTSpanishOPENLic# 11475

CORNERSTONE DENTALChris L Cramer4020 Fm 2181Hickory Creek, TX 75065(940) 321-2088ORTHODONTISTSpanishOPENLic# 28933

CORNERSTONE DENTALPhilip Hsin An Pan4020 Fm 2181Hickory Creek, TX 75065(940) 321-2088ORTHODONTISTSpanishOPENLic# 27170

CORNERSTONE DENTALLyle M Schofield4020 Fm 2181Hickory Creek, TX 75065(940) 321-2088ORTHODONTISTSpanishOPENLic# 30874

CORNERSTONE ORTHODONTICSJames I Ballou4010 Fm 2181Hickory Creek, TX 75065(940) 497-4723ORTHODONTIST-SBAOPENLic# 25102

CORNERSTONE ORTHODONTICSTrevor S Bonilla4010 Fm 2181Hickory Creek, TX 75065(940) 497-4723ORTHODONTIST-SBAOPENLic# 19752

CORNERSTONE ORTHODONTICSStephen J Breaud4010 Fm 2181Hickory Creek, TX 75065(940) 497-4723ORTHODONTIST-SBAOPENLic# 11475

CORNERSTONE ORTHODONTICSNathan Coughlin4010 Fm 2181Hickory Creek, TX 75065(940) 497-4723ORTHODONTIST-SBAOPENLic# 28586

CORNERSTONE ORTHODONTICSChris L Cramer4010 Fm 2181Hickory Creek, TX 75065(940) 497-4723ORTHODONTIST-SBAOPENLic# 28933

CORNERSTONE ORTHODONTICSPhilip Hsin An Pan4010 Fm 2181Hickory Creek, TX 75065(940) 497-4723ORTHODONTIST-SBAOPENLic# 27170

CORNERSTONE ORTHODONTICSLyle M Schofield4010 Fm 2181Hickory Creek, TX 75065(940) 497-4723ORTHODONTIST-SBAOPENLic# 30874

Lewisville

IDEAL DENTAL OF CASTLE HILLSJames I Ballou4940 E Hwy 121, Ste 115Lewisville, TX 75056(314) 983-0413ORTHODONTISTOPENLic# 25102

IDEAL DENTAL OF CASTLE HILLSStephen J Breaud4940 E Hwy 121, Ste 115Lewisville, TX 75056(314) 983-0413ORTHODONTISTOPENLic# 11475

IDEAL DENTAL OF CASTLE HILLSChris L Cramer4940 E Hwy 121, Ste 115Lewisville, TX 75056(314) 983-0413ORTHODONTISTOPENLic# 28933

IDEAL DENTAL OF CASTLE HILLSPhilip Hsin An Pan4940 E Hwy 121, Ste 115Lewisville, TX 75056(314) 983-0413ORTHODONTISTOPENLic# 27170

IDEAL DENTAL OF CASTLE HILLSLyle M Schofield4940 E Hwy 121, Ste 115Lewisville, TX 75056(314) 983-0413ORTHODONTISTOPENLic# 30874

MONARCH DENTAL ASSOCIATESCharles C Chilcoat1288 W Main St, Ste 123Lewisville, TX 75067(972) 221-2220ORAL SURGEONOPENLic# 12807

MONARCH DENTAL ASSOCIATESLaurie Parks1288 W Main St, Ste 123Lewisville, TX 75067(972) 221-2220ORTHODONTIST-SBAOPENLic# 21404

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 7

Page 56: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTAL ASSOCIATESJohn L Barnett1288 W Main St, Ste 123Lewisville, TX 75067(972) 221-2220PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 22966

MONARCH DENTAL ASSOCIATESArthur E Williams1288 W Main St, Ste 123Lewisville, TX 75067(972) 221-2220PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 24152

MONARCH DENTAL THE COLONY-JOSEY LANECharles C Chilcoat4770 State Highway 121, Ste 100Lewisville, TX 75056(972) 963-9900ORAL SURGEONOPENLic# 12807

MONARCH DENTAL THE COLONY-JOSEY LANELaurie Parks4770 State Highway 121, Ste 100Lewisville, TX 75056(972) 963-9900ORTHODONTIST-SBAOPENLic# 21404

MONARCH DENTAL THE COLONY-JOSEY LANEWilner Loiseau4770 State Highway 121, Ste 100Lewisville, TX 75056(972) 963-9900PERIODONTISTOPENLic# 22356

ROBERT C PACKARD AND ASSOCIATESDipak N Chudasama2417 S Stemmons Fwy, Ste 105Lewisville, TX 75067(817) 498-5500ORTHODONTIST-SBAOPENLic# 25317

ROBERT C PACKARD AND ASSOCIATESSandra R Hernandez2417 S Stemmons Fwy, Ste 105Lewisville, TX 75067(817) 498-5500ORTHODONTIST-SBAOPENLic# 23076

Little Elm

APPLE ORTHODONTIX (PACKARD ORTHODONTICS PA)Robert C Packard1000 E Eldorado Pkwy, Ste 100Little Elm, TX 75068(972) 578-7800ORTHODONTIST-SBASpanishOPENLic# 13930

APPLE ORTHODONTIX (PACKARD ORTHODONTICS PA)Marites Yap Del Mundo1000 E Eldorado Pkwy, Ste 100Little Elm, TX 75068(972) 578-7800ORTHODONTIST-SBASpanishOPENLic# 23667

MONARCH DENTAL - LITTLE ELMCharles C Chilcoat2700 East El Dorado Pkwy, Ste 106Little Elm, TX 75068(972) 987-4944ORAL SURGEONOPENLic# 12807

MONARCH DENTAL - LITTLE ELMLaurie Parks2700 East El Dorado Pkwy, Ste 106Little Elm, TX 75068(972) 987-4944ORTHODONTISTOPENLic# 21404

Roanoke

IDEAL DENTAL OF ROANOKEJames I Ballou860 East Highway 114, Ste 200Roanoke, TX 76262(817) 491-3000ORTHODONTISTOPENLic# 25102

IDEAL DENTAL OF ROANOKEStephen J Breaud860 East Highway 114, Ste 200Roanoke, TX 76262(817) 491-3000ORTHODONTISTOPENLic# 11475

IDEAL DENTAL OF ROANOKEChris L Cramer860 East Highway 114, Ste 200Roanoke, TX 76262(817) 491-3000ORTHODONTISTOPENLic# 28933

IDEAL DENTAL OF ROANOKEPhilip Hsin An Pan860 East Highway 114, Ste 200Roanoke, TX 76262(817) 491-3000ORTHODONTISTOPENLic# 27170

IDEAL DENTAL OF ROANOKELyle M Schofield860 East Highway 114, Ste 200Roanoke, TX 76262(817) 491-3000ORTHODONTISTOPENLic# 30874

The Colony

APPLE ORTHODONTIXTimothy R Collins4713 State Highway 121, Ste 304The Colony, TX 75056(972) 578-7800ORTHODONTISTOPENLic# 25170

APPLE ORTHODONTIXMarites Yap Del Mundo4713 State Highway 121, Ste 304The Colony, TX 75056(972) 578-7800ORTHODONTISTOPENLic# 23667

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 8

Page 57: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Directory produced for:Ellis County General Dentists

Dental Provider Directory - Texasas of September 12, 2016

Search Criteria:State: TXCounty: Ellis

For more current information, visit www.assurantemployeebenefits.com

The Assurant name, and related logos are trademarks of Assurant, Inc. and are used under license. Products and services marketed by Assurant Employee Benefits are underwritten or provided by one or more of the following companies: Union Security Insurance Company, DentiCare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., United Dental Care of Colorado, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of Michigan, Inc., Union Security DentalCare of New Jersey, Inc., United Dental Care of New Mexico, Inc., Union Security Life Insurance Company of New York, UDC Ohio, Inc., United Dental Care of Texas, Inc., United Dental Care of Utah, Inc.

DHMO Dental Series

Page 58: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Important information about selecting a provider

Choosing a plan provider1. Select an available provider from this directory. You will

need to choose a General Dentist for your Plan Dentist. You may also find network providers on our web site at www.assurantemployeebenefits.com under "For Members" go to "Find a dentist". To select the participating network associated with your plan please refer to the cover of this directory or your dental ID card for the network name.

2. List the provider's name on your enrollment form along with the ID#. Providers not available to new patients are indicated with an * in the Status field. If you are not currently a patient, you may not select these providers.

3. If you are unable to choose a provider at the time of enrollment, you must call Customer Service at 800.443.2995 on or after your effective date of coverage and select a plan provider. You will need to have a plan provider assigned before you can make an appointment.

Changing your selected providerYou may select another available provider for your family by calling Customer Service and requesting a change of provider or by using Online Advantage for Members on our web site to change the facility. Request must be received by the 20th of the month to be effective the 1st day of the following month. Updated directories of available providers can be obtained from Customer Service or on our web site at www.assurantemployeebenefits.com.

Your dental plan is simple to use when you follow these steps: Verify with your Plan Dentist that you are on their roster

before making a dental appointment. Call early for routine dental care for the best availability

of appointment times. Be familiar with your copayment schedule to determine

your costs for dental services. Discuss concerns regarding proposed treatments with your

Plan Dentist. Contact customer service at 800.443.2995 for assistance

with selecting or changing your Plan Dentist.

Información importante sobre cómo seleccionar a un proveedor

Cómo elegir a un proveedor integrado al plan1. Elija de este directorio a un proveedor que se encuentre disponible.

Tendrá que elegir a un Dentista de Práctica General como su Dentista Integrado al Plan. También puede encontrar proveedores pertenecientes a la red en nuestro sitio Web www.assurantemployeebenefits.com en “For Members" ("Para Miembros") y haga clic en “Find a dentist" (“Encuentre a un dentista”). Para seleccionar la red participante asociada a su plan consulte la portada de este directorio o su tarjeta de identificación dental en la que aparece el nombre de la red.

2. Anote el nombre del proveedor en el formulario de registro junto con el ID#. Los proveedores que no están disponibles para pacientes nuevos han sido identificados con un * bajo la columna “Status” ("Estado"). Si actualmente usted no fuese un paciente, no podrá elegir a uno de estos proveedores.

3. Si usted no pudiese elegir a un proveedor en el momento de su registro, tiene que llamar al Centro de Servicio al Cliente al 800.443.2995 en o después de la fecha de entrada en vigencia de la cobertura y seleccionar a un proveedor integrado al plan. Se le deberá haber asignado un proveedor integrado al plan antes de que pueda hacer una cita.

Cómo cambiarse a otro proveedorUsted puede seleccionar a otro proveedor que se encuentre disponible para su familia llamando al Centro de Servicio al Cliente y pidiendo un cambio de proveedor, o por Internet en Online Advantage for Members en nuestro sitio Web para cambiar de consultorio. La petición para el cambio tendrá que ser recibida a más tardar el 20vo día del mes para que surta efectos a partir del 1er día del mes subsiguiente. Los directorios de proveedores que se encuentran disponibles pueden obtenerse a través del Centro de Servicio al Cliente o en nuestro sitio Web en www.assurantemployeebenefits.com .

Le resultará sencillo utilizar su plan dental si sigue estos pasos: Antes de hacer una cita, confirme con su Dentista Integrado al Plan

que usted está en su lista de pacientes. Llame con tiempo cuando desee hacer una cita periódica con su

dentista para que tenga más opciones al elegir la hora de su cita. Familiarícese con la lista de copagos para determinar sus costos por

los servicios de cuidado dental. Hable con su Dentista Integrado al Plan sobre las inquietudes que

pueda tener acerca del tratamiento que el dentista le proponga. Llame al Centro de Servicio al Cliente al 800.443.2995 si necesita

ayuda para seleccionar o cambiar a su Dentista Integrado al Plan.

NoticeThis is a translation of a document originally drawn up in English. Accordingly, it is understood that all legal rights, responsibilities and/or obligations are governed by the original English version of this document. Furthermore, we reserve the right to correct any errors in this document

AdvertenciaÉsta es la traducción de un documento originalmente redactado en inglés. Consiguientemente, hágase saber que todos los derechos legales, responsabilidades y/u obligaciones expresadas en el mismo se regirán por la versión original del documento expedida en inglés. Además, nosotros nos reservamos el derecho de corregir cualquier error en este documento

Page 59: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

Red Oak

MONARCH DENTAL ASSOCIATESKarol L Brown109 E Ovilla Rd, Ste 400Red Oak, TX 75154(972) 617-0208GENERAL DENTISTID #: 0008505Lic# 19495

Waxahachie

MILESTONE DENTAL OF WAXAHACHIE PLLCSulman Ahmed1439 N Highway 77, Ste 101Waxahachie, TX 75165(972) 923-0900GENERAL DENTISTSpanishID #: 0021950Lic# 22618

MILESTONE DENTAL OF WAXAHACHIE PLLCRodney N Alles, JR1439 N Highway 77, Ste 101Waxahachie, TX 75165(972) 923-0900GENERAL DENTISTSpanishID #: 0021950Lic# 22290

MILESTONE DENTAL OF WAXAHACHIE PLLCSyeda Ara1439 N Highway 77, Ste 101Waxahachie, TX 75165(972) 923-0900GENERAL DENTISTSpanishID #: 0021950Lic# 29108

MILESTONE DENTAL OF WAXAHACHIE PLLCJulie Covino1439 N Highway 77, Ste 101Waxahachie, TX 75165(972) 923-0900GENERAL DENTISTSpanishID #: 0021950Lic# 28312

MILESTONE DENTAL OF WAXAHACHIE PLLCShalin Patel1439 N Highway 77, Ste 101Waxahachie, TX 75165(972) 923-0900GENERAL DENTISTSpanishID #: 0021950Lic# 23316

MILESTONE DENTAL OF WAXAHACHIE PLLCRichard Shuman1439 N Highway 77, Ste 101Waxahachie, TX 75165(972) 923-0900GENERAL DENTISTSpanishID #: 0021950Lic# 28154

MILESTONE DENTAL OF WAXAHACHIE PLLCChristin Vaello1439 N Highway 77, Ste 101Waxahachie, TX 75165(972) 923-0900GENERAL DENTISTSpanishID #: 0021950Lic# 26568

MILESTONE DENTAL OF WAXAHACHIE PLLCWilliam I Zerby1439 N Highway 77, Ste 101Waxahachie, TX 75165(972) 923-0900GENERAL DENTISTSpanishID #: 0021950Lic# 20073

MONARCH DENTAL WAXAHACHIE CORNERSLisa Sibley895 Highway 77 North, Ste 400Waxahachie, TX 75165(972) 937-3501GENERAL DENTISTID #: 0018072Lic# 24962

MONARCH DENTAL WAXAHACHIE CORNERSKanika Shani Stewart895 Highway 77 North, Ste 400Waxahachie, TX 75165(972) 937-3501GENERAL DENTISTID #: 0018072Lic# 24974

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 5

Page 60: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Directory produced for:Ellis County Specialists

Dental Provider Directory - Texasas of September 12, 2016

Search Criteria:State: TXCounty: Ellis

For more current information, visit www.assurantemployeebenefits.com

The Assurant name, and related logos are trademarks of Assurant, Inc. and are used under license. Products and services marketed by Assurant Employee Benefits are underwritten or provided by one or more of the following companies: Union Security Insurance Company, DentiCare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., United Dental Care of Colorado, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of Michigan, Inc., Union Security DentalCare of New Jersey, Inc., United Dental Care of New Mexico, Inc., Union Security Life Insurance Company of New York, UDC Ohio, Inc., United Dental Care of Texas, Inc., United Dental Care of Utah, Inc.

DHMO Dental Series

Page 61: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Important information about selecting a provider

Choosing a plan provider1. Select an available provider from this directory. You will

need to choose a General Dentist for your Plan Dentist. You may also find network providers on our web site at www.assurantemployeebenefits.com under "For Members" go to "Find a dentist". To select the participating network associated with your plan please refer to the cover of this directory or your dental ID card for the network name.

2. List the provider's name on your enrollment form along with the ID#. Providers not available to new patients are indicated with an * in the Status field. If you are not currently a patient, you may not select these providers.

3. If you are unable to choose a provider at the time of enrollment, you must call Customer Service at 800.443.2995 on or after your effective date of coverage and select a plan provider. You will need to have a plan provider assigned before you can make an appointment.

Changing your selected providerYou may select another available provider for your family by calling Customer Service and requesting a change of provider or by using Online Advantage for Members on our web site to change the facility. Request must be received by the 20th of the month to be effective the 1st day of the following month. Updated directories of available providers can be obtained from Customer Service or on our web site at www.assurantemployeebenefits.com.

Your dental plan is simple to use when you follow these steps: Verify with your Plan Dentist that you are on their roster

before making a dental appointment. Call early for routine dental care for the best availability

of appointment times. Be familiar with your copayment schedule to determine

your costs for dental services. Discuss concerns regarding proposed treatments with your

Plan Dentist. Contact customer service at 800.443.2995 for assistance

with selecting or changing your Plan Dentist.

Información importante sobre cómo seleccionar a un proveedor

Cómo elegir a un proveedor integrado al plan1. Elija de este directorio a un proveedor que se encuentre disponible.

Tendrá que elegir a un Dentista de Práctica General como su Dentista Integrado al Plan. También puede encontrar proveedores pertenecientes a la red en nuestro sitio Web www.assurantemployeebenefits.com en “For Members" ("Para Miembros") y haga clic en “Find a dentist" (“Encuentre a un dentista”). Para seleccionar la red participante asociada a su plan consulte la portada de este directorio o su tarjeta de identificación dental en la que aparece el nombre de la red.

2. Anote el nombre del proveedor en el formulario de registro junto con el ID#. Los proveedores que no están disponibles para pacientes nuevos han sido identificados con un * bajo la columna “Status” ("Estado"). Si actualmente usted no fuese un paciente, no podrá elegir a uno de estos proveedores.

3. Si usted no pudiese elegir a un proveedor en el momento de su registro, tiene que llamar al Centro de Servicio al Cliente al 800.443.2995 en o después de la fecha de entrada en vigencia de la cobertura y seleccionar a un proveedor integrado al plan. Se le deberá haber asignado un proveedor integrado al plan antes de que pueda hacer una cita.

Cómo cambiarse a otro proveedorUsted puede seleccionar a otro proveedor que se encuentre disponible para su familia llamando al Centro de Servicio al Cliente y pidiendo un cambio de proveedor, o por Internet en Online Advantage for Members en nuestro sitio Web para cambiar de consultorio. La petición para el cambio tendrá que ser recibida a más tardar el 20vo día del mes para que surta efectos a partir del 1er día del mes subsiguiente. Los directorios de proveedores que se encuentran disponibles pueden obtenerse a través del Centro de Servicio al Cliente o en nuestro sitio Web en www.assurantemployeebenefits.com .

Le resultará sencillo utilizar su plan dental si sigue estos pasos: Antes de hacer una cita, confirme con su Dentista Integrado al Plan

que usted está en su lista de pacientes. Llame con tiempo cuando desee hacer una cita periódica con su

dentista para que tenga más opciones al elegir la hora de su cita. Familiarícese con la lista de copagos para determinar sus costos por

los servicios de cuidado dental. Hable con su Dentista Integrado al Plan sobre las inquietudes que

pueda tener acerca del tratamiento que el dentista le proponga. Llame al Centro de Servicio al Cliente al 800.443.2995 si necesita

ayuda para seleccionar o cambiar a su Dentista Integrado al Plan.

NoticeThis is a translation of a document originally drawn up in English. Accordingly, it is understood that all legal rights, responsibilities and/or obligations are governed by the original English version of this document. Furthermore, we reserve the right to correct any errors in this document

AdvertenciaÉsta es la traducción de un documento originalmente redactado en inglés. Consiguientemente, hágase saber que todos los derechos legales, responsabilidades y/u obligaciones expresadas en el mismo se regirán por la versión original del documento expedida en inglés. Además, nosotros nos reservamos el derecho de corregir cualquier error en este documento

Page 62: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

Midlothian

ORTHODONTIC SMILE DESIGN PCFernan Rodriguez1131 George Hopper Rd, Ste 200Midlothian, TX 76065(972) 775-2757ORTHODONTIST-SBASpanishOPENLic# 21607

Red Oak

MONARCH DENTAL ASSOCIATESCharles C Chilcoat109 E Ovilla Rd, Ste 400Red Oak, TX 75154(972) 617-0208ORAL SURGEON-SBAOPENLic# 12807

MONARCH DENTAL ASSOCIATESColin P McCartney109 E Ovilla Rd, Ste 400Red Oak, TX 75154(972) 617-0208ORAL SURGEON-SBAOPENLic# 18908

MONARCH DENTAL ASSOCIATESGopikiran Thota109 E Ovilla Rd, Ste 400Red Oak, TX 75154(972) 617-0208ORAL SURGEON-SBAOPENLic# 24679

MONARCH DENTAL ASSOCIATESArthur E Williams109 E Ovilla Rd, Ste 400Red Oak, TX 75154(972) 617-0208PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 24152

MONARCH DENTAL ASSOCIATESWilner Loiseau109 E Ovilla Rd, Ste 400Red Oak, TX 75154(972) 617-0208PERIODONTIST-SBAOPENLic# 22356

MONARCH DENTAL ASSOCIATESPaula Ortiz109 E Ovilla Rd, Ste 400Red Oak, TX 75154(972) 617-0208PERIODONTIST-SBAOPENLic# 23473

Waxahachie

MILESTONE DENTAL OF WAXAHACHIEJames I Ballou1439 N Highway 77, Ste 101Waxahachie, TX 75165(972) 923-0900ORTHODONTISTSpanishOPENLic# 25102

MILESTONE DENTAL OF WAXAHACHIEStephen J Breaud1439 N Highway 77, Ste 101Waxahachie, TX 75165(972) 923-0900ORTHODONTISTSpanishOPENLic# 11475

MILESTONE DENTAL OF WAXAHACHIEChris L Cramer1439 N Highway 77, Ste 101Waxahachie, TX 75165(972) 923-0900ORTHODONTISTSpanishOPENLic# 28933

MILESTONE DENTAL OF WAXAHACHIEPhilip Hsin An Pan1439 N Highway 77, Ste 101Waxahachie, TX 75165(972) 923-0900ORTHODONTISTSpanishOPENLic# 27170

MILESTONE DENTAL OF WAXAHACHIELyle M Schofield1439 N Highway 77, Ste 101Waxahachie, TX 75165(972) 923-0900ORTHODONTISTSpanishOPENLic# 30874

MONARCH DENTAL WAXAHACHIE CORNERSColin P McCartney895 Highway 77 North, Ste 400Waxahachie, TX 75165(972) 937-3501ORAL SURGEON-SBAOPENLic# 18908

MONARCH DENTAL WAXAHACHIE CORNERSPaula Ortiz895 Highway 77 North, Ste 400Waxahachie, TX 75165(972) 937-3501PERIODONTIST-SBAOPENLic# 23473

WAXAHACHIE ORAL & MAXILLOFACIAL SURGERYHoward F Cooke1626 W Highway 287 Business, Ste 108Waxahachie, TX 75165(972) 923-2900ORAL SURGEON-SBASpanishOPENLic# 18861

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 5

Page 63: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Directory produced for:Grayson County General Dentist

Dental Provider Directory - Texasas of September 12, 2016

Search Criteria:State: TXCounty: Grayson

For more current information, visit www.assurantemployeebenefits.com

The Assurant name, and related logos are trademarks of Assurant, Inc. and are used under license. Products and services marketed by Assurant Employee Benefits are underwritten or provided by one or more of the following companies: Union Security Insurance Company, DentiCare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., United Dental Care of Colorado, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of Michigan, Inc., Union Security DentalCare of New Jersey, Inc., United Dental Care of New Mexico, Inc., Union Security Life Insurance Company of New York, UDC Ohio, Inc., United Dental Care of Texas, Inc., United Dental Care of Utah, Inc.

DHMO Dental Series

Page 64: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Important information about selecting a provider

Choosing a plan provider1. Select an available provider from this directory. You will

need to choose a General Dentist for your Plan Dentist. You may also find network providers on our web site at www.assurantemployeebenefits.com under "For Members" go to "Find a dentist". To select the participating network associated with your plan please refer to the cover of this directory or your dental ID card for the network name.

2. List the provider's name on your enrollment form along with the ID#. Providers not available to new patients are indicated with an * in the Status field. If you are not currently a patient, you may not select these providers.

3. If you are unable to choose a provider at the time of enrollment, you must call Customer Service at 800.443.2995 on or after your effective date of coverage and select a plan provider. You will need to have a plan provider assigned before you can make an appointment.

Changing your selected providerYou may select another available provider for your family by calling Customer Service and requesting a change of provider or by using Online Advantage for Members on our web site to change the facility. Request must be received by the 20th of the month to be effective the 1st day of the following month. Updated directories of available providers can be obtained from Customer Service or on our web site at www.assurantemployeebenefits.com.

Your dental plan is simple to use when you follow these steps: Verify with your Plan Dentist that you are on their roster

before making a dental appointment. Call early for routine dental care for the best availability

of appointment times. Be familiar with your copayment schedule to determine

your costs for dental services. Discuss concerns regarding proposed treatments with your

Plan Dentist. Contact customer service at 800.443.2995 for assistance

with selecting or changing your Plan Dentist.

Información importante sobre cómo seleccionar a un proveedor

Cómo elegir a un proveedor integrado al plan1. Elija de este directorio a un proveedor que se encuentre disponible.

Tendrá que elegir a un Dentista de Práctica General como su Dentista Integrado al Plan. También puede encontrar proveedores pertenecientes a la red en nuestro sitio Web www.assurantemployeebenefits.com en “For Members" ("Para Miembros") y haga clic en “Find a dentist" (“Encuentre a un dentista”). Para seleccionar la red participante asociada a su plan consulte la portada de este directorio o su tarjeta de identificación dental en la que aparece el nombre de la red.

2. Anote el nombre del proveedor en el formulario de registro junto con el ID#. Los proveedores que no están disponibles para pacientes nuevos han sido identificados con un * bajo la columna “Status” ("Estado"). Si actualmente usted no fuese un paciente, no podrá elegir a uno de estos proveedores.

3. Si usted no pudiese elegir a un proveedor en el momento de su registro, tiene que llamar al Centro de Servicio al Cliente al 800.443.2995 en o después de la fecha de entrada en vigencia de la cobertura y seleccionar a un proveedor integrado al plan. Se le deberá haber asignado un proveedor integrado al plan antes de que pueda hacer una cita.

Cómo cambiarse a otro proveedorUsted puede seleccionar a otro proveedor que se encuentre disponible para su familia llamando al Centro de Servicio al Cliente y pidiendo un cambio de proveedor, o por Internet en Online Advantage for Members en nuestro sitio Web para cambiar de consultorio. La petición para el cambio tendrá que ser recibida a más tardar el 20vo día del mes para que surta efectos a partir del 1er día del mes subsiguiente. Los directorios de proveedores que se encuentran disponibles pueden obtenerse a través del Centro de Servicio al Cliente o en nuestro sitio Web en www.assurantemployeebenefits.com .

Le resultará sencillo utilizar su plan dental si sigue estos pasos: Antes de hacer una cita, confirme con su Dentista Integrado al Plan

que usted está en su lista de pacientes. Llame con tiempo cuando desee hacer una cita periódica con su

dentista para que tenga más opciones al elegir la hora de su cita. Familiarícese con la lista de copagos para determinar sus costos por

los servicios de cuidado dental. Hable con su Dentista Integrado al Plan sobre las inquietudes que

pueda tener acerca del tratamiento que el dentista le proponga. Llame al Centro de Servicio al Cliente al 800.443.2995 si necesita

ayuda para seleccionar o cambiar a su Dentista Integrado al Plan.

NoticeThis is a translation of a document originally drawn up in English. Accordingly, it is understood that all legal rights, responsibilities and/or obligations are governed by the original English version of this document. Furthermore, we reserve the right to correct any errors in this document

AdvertenciaÉsta es la traducción de un documento originalmente redactado en inglés. Consiguientemente, hágase saber que todos los derechos legales, responsabilidades y/u obligaciones expresadas en el mismo se regirán por la versión original del documento expedida en inglés. Además, nosotros nos reservamos el derecho de corregir cualquier error en este documento

Page 65: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

Denison

LEE CLAYTON DDSRobert Lee Clayton, III214 N Rusk AveDenison, TX 75020(903) 465-8040GENERAL DENTISTID #: *Lic# 11164

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 5

Page 66: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Directory produced for:Parker County General Dentists

Dental Provider Directory - Texasas of September 12, 2016

Search Criteria:State: TXCounty: Parker

For more current information, visit www.assurantemployeebenefits.com

The Assurant name, and related logos are trademarks of Assurant, Inc. and are used under license. Products and services marketed by Assurant Employee Benefits are underwritten or provided by one or more of the following companies: Union Security Insurance Company, DentiCare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., United Dental Care of Colorado, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of Michigan, Inc., Union Security DentalCare of New Jersey, Inc., United Dental Care of New Mexico, Inc., Union Security Life Insurance Company of New York, UDC Ohio, Inc., United Dental Care of Texas, Inc., United Dental Care of Utah, Inc.

DHMO Dental Series

Page 67: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Important information about selecting a provider

Choosing a plan provider1. Select an available provider from this directory. You will

need to choose a General Dentist for your Plan Dentist. You may also find network providers on our web site at www.assurantemployeebenefits.com under "For Members" go to "Find a dentist". To select the participating network associated with your plan please refer to the cover of this directory or your dental ID card for the network name.

2. List the provider's name on your enrollment form along with the ID#. Providers not available to new patients are indicated with an * in the Status field. If you are not currently a patient, you may not select these providers.

3. If you are unable to choose a provider at the time of enrollment, you must call Customer Service at 800.443.2995 on or after your effective date of coverage and select a plan provider. You will need to have a plan provider assigned before you can make an appointment.

Changing your selected providerYou may select another available provider for your family by calling Customer Service and requesting a change of provider or by using Online Advantage for Members on our web site to change the facility. Request must be received by the 20th of the month to be effective the 1st day of the following month. Updated directories of available providers can be obtained from Customer Service or on our web site at www.assurantemployeebenefits.com.

Your dental plan is simple to use when you follow these steps: Verify with your Plan Dentist that you are on their roster

before making a dental appointment. Call early for routine dental care for the best availability

of appointment times. Be familiar with your copayment schedule to determine

your costs for dental services. Discuss concerns regarding proposed treatments with your

Plan Dentist. Contact customer service at 800.443.2995 for assistance

with selecting or changing your Plan Dentist.

Información importante sobre cómo seleccionar a un proveedor

Cómo elegir a un proveedor integrado al plan1. Elija de este directorio a un proveedor que se encuentre disponible.

Tendrá que elegir a un Dentista de Práctica General como su Dentista Integrado al Plan. También puede encontrar proveedores pertenecientes a la red en nuestro sitio Web www.assurantemployeebenefits.com en “For Members" ("Para Miembros") y haga clic en “Find a dentist" (“Encuentre a un dentista”). Para seleccionar la red participante asociada a su plan consulte la portada de este directorio o su tarjeta de identificación dental en la que aparece el nombre de la red.

2. Anote el nombre del proveedor en el formulario de registro junto con el ID#. Los proveedores que no están disponibles para pacientes nuevos han sido identificados con un * bajo la columna “Status” ("Estado"). Si actualmente usted no fuese un paciente, no podrá elegir a uno de estos proveedores.

3. Si usted no pudiese elegir a un proveedor en el momento de su registro, tiene que llamar al Centro de Servicio al Cliente al 800.443.2995 en o después de la fecha de entrada en vigencia de la cobertura y seleccionar a un proveedor integrado al plan. Se le deberá haber asignado un proveedor integrado al plan antes de que pueda hacer una cita.

Cómo cambiarse a otro proveedorUsted puede seleccionar a otro proveedor que se encuentre disponible para su familia llamando al Centro de Servicio al Cliente y pidiendo un cambio de proveedor, o por Internet en Online Advantage for Members en nuestro sitio Web para cambiar de consultorio. La petición para el cambio tendrá que ser recibida a más tardar el 20vo día del mes para que surta efectos a partir del 1er día del mes subsiguiente. Los directorios de proveedores que se encuentran disponibles pueden obtenerse a través del Centro de Servicio al Cliente o en nuestro sitio Web en www.assurantemployeebenefits.com .

Le resultará sencillo utilizar su plan dental si sigue estos pasos: Antes de hacer una cita, confirme con su Dentista Integrado al Plan

que usted está en su lista de pacientes. Llame con tiempo cuando desee hacer una cita periódica con su

dentista para que tenga más opciones al elegir la hora de su cita. Familiarícese con la lista de copagos para determinar sus costos por

los servicios de cuidado dental. Hable con su Dentista Integrado al Plan sobre las inquietudes que

pueda tener acerca del tratamiento que el dentista le proponga. Llame al Centro de Servicio al Cliente al 800.443.2995 si necesita

ayuda para seleccionar o cambiar a su Dentista Integrado al Plan.

NoticeThis is a translation of a document originally drawn up in English. Accordingly, it is understood that all legal rights, responsibilities and/or obligations are governed by the original English version of this document. Furthermore, we reserve the right to correct any errors in this document

AdvertenciaÉsta es la traducción de un documento originalmente redactado en inglés. Consiguientemente, hágase saber que todos los derechos legales, responsabilidades y/u obligaciones expresadas en el mismo se regirán por la versión original del documento expedida en inglés. Además, nosotros nos reservamos el derecho de corregir cualquier error en este documento

Page 68: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

Azle

FOREVER TEETHTran B Dang112 N Industrial AveAzle, TX 76020(817) 270-3700GENERAL DENTISTSpanish VietnameseID #: 0015917Lic# 20521

Weatherford

MONARCH DENTAL - WEATHERFORDNicole Branca220 Adams Dr, Ste 250Weatherford, TX 76086(214) 932-1200GENERAL DENTISTID #: 0019103Lic# 22774

MONARCH DENTAL - WEATHERFORDPaul Hahn220 Adams Dr, Ste 250Weatherford, TX 76086(214) 932-1200GENERAL DENTISTID #: 0019103Lic# 20861

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 5

Page 69: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Directory produced for:Parker County Specialists

Dental Provider Directory - Texasas of September 12, 2016

Search Criteria:State: TXCounty: Parker

For more current information, visit www.assurantemployeebenefits.com

The Assurant name, and related logos are trademarks of Assurant, Inc. and are used under license. Products and services marketed by Assurant Employee Benefits are underwritten or provided by one or more of the following companies: Union Security Insurance Company, DentiCare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., United Dental Care of Colorado, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of Michigan, Inc., Union Security DentalCare of New Jersey, Inc., United Dental Care of New Mexico, Inc., Union Security Life Insurance Company of New York, UDC Ohio, Inc., United Dental Care of Texas, Inc., United Dental Care of Utah, Inc.

DHMO Dental Series

Page 70: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Important information about selecting a provider

Choosing a plan provider1. Select an available provider from this directory. You will

need to choose a General Dentist for your Plan Dentist. You may also find network providers on our web site at www.assurantemployeebenefits.com under "For Members" go to "Find a dentist". To select the participating network associated with your plan please refer to the cover of this directory or your dental ID card for the network name.

2. List the provider's name on your enrollment form along with the ID#. Providers not available to new patients are indicated with an * in the Status field. If you are not currently a patient, you may not select these providers.

3. If you are unable to choose a provider at the time of enrollment, you must call Customer Service at 800.443.2995 on or after your effective date of coverage and select a plan provider. You will need to have a plan provider assigned before you can make an appointment.

Changing your selected providerYou may select another available provider for your family by calling Customer Service and requesting a change of provider or by using Online Advantage for Members on our web site to change the facility. Request must be received by the 20th of the month to be effective the 1st day of the following month. Updated directories of available providers can be obtained from Customer Service or on our web site at www.assurantemployeebenefits.com.

Your dental plan is simple to use when you follow these steps: Verify with your Plan Dentist that you are on their roster

before making a dental appointment. Call early for routine dental care for the best availability

of appointment times. Be familiar with your copayment schedule to determine

your costs for dental services. Discuss concerns regarding proposed treatments with your

Plan Dentist. Contact customer service at 800.443.2995 for assistance

with selecting or changing your Plan Dentist.

Información importante sobre cómo seleccionar a un proveedor

Cómo elegir a un proveedor integrado al plan1. Elija de este directorio a un proveedor que se encuentre disponible.

Tendrá que elegir a un Dentista de Práctica General como su Dentista Integrado al Plan. También puede encontrar proveedores pertenecientes a la red en nuestro sitio Web www.assurantemployeebenefits.com en “For Members" ("Para Miembros") y haga clic en “Find a dentist" (“Encuentre a un dentista”). Para seleccionar la red participante asociada a su plan consulte la portada de este directorio o su tarjeta de identificación dental en la que aparece el nombre de la red.

2. Anote el nombre del proveedor en el formulario de registro junto con el ID#. Los proveedores que no están disponibles para pacientes nuevos han sido identificados con un * bajo la columna “Status” ("Estado"). Si actualmente usted no fuese un paciente, no podrá elegir a uno de estos proveedores.

3. Si usted no pudiese elegir a un proveedor en el momento de su registro, tiene que llamar al Centro de Servicio al Cliente al 800.443.2995 en o después de la fecha de entrada en vigencia de la cobertura y seleccionar a un proveedor integrado al plan. Se le deberá haber asignado un proveedor integrado al plan antes de que pueda hacer una cita.

Cómo cambiarse a otro proveedorUsted puede seleccionar a otro proveedor que se encuentre disponible para su familia llamando al Centro de Servicio al Cliente y pidiendo un cambio de proveedor, o por Internet en Online Advantage for Members en nuestro sitio Web para cambiar de consultorio. La petición para el cambio tendrá que ser recibida a más tardar el 20vo día del mes para que surta efectos a partir del 1er día del mes subsiguiente. Los directorios de proveedores que se encuentran disponibles pueden obtenerse a través del Centro de Servicio al Cliente o en nuestro sitio Web en www.assurantemployeebenefits.com .

Le resultará sencillo utilizar su plan dental si sigue estos pasos: Antes de hacer una cita, confirme con su Dentista Integrado al Plan

que usted está en su lista de pacientes. Llame con tiempo cuando desee hacer una cita periódica con su

dentista para que tenga más opciones al elegir la hora de su cita. Familiarícese con la lista de copagos para determinar sus costos por

los servicios de cuidado dental. Hable con su Dentista Integrado al Plan sobre las inquietudes que

pueda tener acerca del tratamiento que el dentista le proponga. Llame al Centro de Servicio al Cliente al 800.443.2995 si necesita

ayuda para seleccionar o cambiar a su Dentista Integrado al Plan.

NoticeThis is a translation of a document originally drawn up in English. Accordingly, it is understood that all legal rights, responsibilities and/or obligations are governed by the original English version of this document. Furthermore, we reserve the right to correct any errors in this document

AdvertenciaÉsta es la traducción de un documento originalmente redactado en inglés. Consiguientemente, hágase saber que todos los derechos legales, responsabilidades y/u obligaciones expresadas en el mismo se regirán por la versión original del documento expedida en inglés. Además, nosotros nos reservamos el derecho de corregir cualquier error en este documento

Page 71: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

Weatherford

CHARLES D STEWART (STEWART ORTHODONTICS)Charles D Stewart1429 Clear Lake Rd, Ste 300Weatherford, TX 76086(817) 341-2777ORTHODONTIST-SBAOPENLic# 11736

MONARCH DENTAL - WEATHERFORDLarry Goates220 Adams Dr, Ste 250Weatherford, TX 76086(817) 458-3270ORTHODONTIST-SBAOPENLic# 10922

MONARCH DENTAL - WEATHERFORDJerry D Mills220 Adams Dr, Ste 250Weatherford, TX 76086(817) 458-3270ORTHODONTIST-SBAOPENLic# 7305

MONARCH DENTAL - WEATHERFORDAnkit Shah220 Adams Dr, Ste 250Weatherford, TX 76086(817) 458-3270ORTHODONTIST-SBAOPENLic# 26240

MONARCH DENTAL - WEATHERFORDC N Deepak220 Adams Dr, Ste 250Weatherford, TX 76086(817) 458-3270PERIODONTISTOPENLic# 21191

Providers last updated: 2016-09-05 13:59:40NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 5

Page 72: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Directory produced for:Tarrant County

Dental Provider Directory - Texasas of September 19, 2016

Search Criteria:State: TXCounty: Tarrant

For more current information, visit www.assurantemployeebenefits.com

The Assurant name, and related logos are trademarks of Assurant, Inc. and are used under license. Products and services marketed by Assurant Employee Benefits are underwritten or provided by one or more of the following companies: Union Security Insurance Company, DentiCare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., United Dental Care of Colorado, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of Michigan, Inc., Union Security DentalCare of New Jersey, Inc., United Dental Care of New Mexico, Inc., Union Security Life Insurance Company of New York, UDC Ohio, Inc., United Dental Care of Texas, Inc., United Dental Care of Utah, Inc.

DHMO Dental Series

Page 73: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Important information about selecting a provider

Choosing a plan provider1. Select an available provider from this directory. You will

need to choose a General Dentist for your Plan Dentist. You may also find network providers on our web site at www.assurantemployeebenefits.com under "For Members" go to "Find a dentist". To select the participating network associated with your plan please refer to the cover of this directory or your dental ID card for the network name.

2. List the provider's name on your enrollment form along with the ID#. Providers not available to new patients are indicated with an * in the Status field. If you are not currently a patient, you may not select these providers.

3. If you are unable to choose a provider at the time of enrollment, you must call Customer Service at 800.443.2995 on or after your effective date of coverage and select a plan provider. You will need to have a plan provider assigned before you can make an appointment.

Changing your selected providerYou may select another available provider for your family by calling Customer Service and requesting a change of provider or by using Online Advantage for Members on our web site to change the facility. Request must be received by the 20th of the month to be effective the 1st day of the following month. Updated directories of available providers can be obtained from Customer Service or on our web site at www.assurantemployeebenefits.com.

Your dental plan is simple to use when you follow these steps: Verify with your Plan Dentist that you are on their roster

before making a dental appointment. Call early for routine dental care for the best availability

of appointment times. Be familiar with your copayment schedule to determine

your costs for dental services. Discuss concerns regarding proposed treatments with your

Plan Dentist. Contact customer service at 800.443.2995 for assistance

with selecting or changing your Plan Dentist.

Información importante sobre cómo seleccionar a un proveedor

Cómo elegir a un proveedor integrado al plan1. Elija de este directorio a un proveedor que se encuentre disponible.

Tendrá que elegir a un Dentista de Práctica General como su Dentista Integrado al Plan. También puede encontrar proveedores pertenecientes a la red en nuestro sitio Web www.assurantemployeebenefits.com en “For Members" ("Para Miembros") y haga clic en “Find a dentist" (“Encuentre a un dentista”). Para seleccionar la red participante asociada a su plan consulte la portada de este directorio o su tarjeta de identificación dental en la que aparece el nombre de la red.

2. Anote el nombre del proveedor en el formulario de registro junto con el ID#. Los proveedores que no están disponibles para pacientes nuevos han sido identificados con un * bajo la columna “Status” ("Estado"). Si actualmente usted no fuese un paciente, no podrá elegir a uno de estos proveedores.

3. Si usted no pudiese elegir a un proveedor en el momento de su registro, tiene que llamar al Centro de Servicio al Cliente al 800.443.2995 en o después de la fecha de entrada en vigencia de la cobertura y seleccionar a un proveedor integrado al plan. Se le deberá haber asignado un proveedor integrado al plan antes de que pueda hacer una cita.

Cómo cambiarse a otro proveedorUsted puede seleccionar a otro proveedor que se encuentre disponible para su familia llamando al Centro de Servicio al Cliente y pidiendo un cambio de proveedor, o por Internet en Online Advantage for Members en nuestro sitio Web para cambiar de consultorio. La petición para el cambio tendrá que ser recibida a más tardar el 20vo día del mes para que surta efectos a partir del 1er día del mes subsiguiente. Los directorios de proveedores que se encuentran disponibles pueden obtenerse a través del Centro de Servicio al Cliente o en nuestro sitio Web en www.assurantemployeebenefits.com .

Le resultará sencillo utilizar su plan dental si sigue estos pasos: Antes de hacer una cita, confirme con su Dentista Integrado al Plan

que usted está en su lista de pacientes. Llame con tiempo cuando desee hacer una cita periódica con su

dentista para que tenga más opciones al elegir la hora de su cita. Familiarícese con la lista de copagos para determinar sus costos por

los servicios de cuidado dental. Hable con su Dentista Integrado al Plan sobre las inquietudes que

pueda tener acerca del tratamiento que el dentista le proponga. Llame al Centro de Servicio al Cliente al 800.443.2995 si necesita

ayuda para seleccionar o cambiar a su Dentista Integrado al Plan.

NoticeThis is a translation of a document originally drawn up in English. Accordingly, it is understood that all legal rights, responsibilities and/or obligations are governed by the original English version of this document. Furthermore, we reserve the right to correct any errors in this document

AdvertenciaÉsta es la traducción de un documento originalmente redactado en inglés. Consiguientemente, hágase saber que todos los derechos legales, responsabilidades y/u obligaciones expresadas en el mismo se regirán por la versión original del documento expedida en inglés. Además, nosotros nos reservamos el derecho de corregir cualquier error en este documento

Page 74: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

Arlington

BRIDENT DENTAL & ORTHODONTICS TALRaffi Asadorian3779 S Cooper StArlington, TX 76015(682) 560-4468GENERAL DENTISTID #: 0024301Lic# 31385

BRIDENT DENTAL & ORTHODONTICS TALSridhar Krishna Chinta3779 S Cooper StArlington, TX 76015(682) 560-4468GENERAL DENTISTID #: 0024301Lic# 30188

BRIDENT DENTAL & ORTHODONTICS TALAnuradha Gade3779 S Cooper StArlington, TX 76015(682) 560-4468GENERAL DENTISTID #: 0024301Lic# 22979

BRIDENT DENTAL & ORTHODONTICS TALPrakash V Gadhiya3779 S Cooper StArlington, TX 76015(682) 560-4468GENERAL DENTISTID #: 0024301Lic# 30148

CHARLES C GAINES DDSCharles C Gaines5616 SW Green Oaks Blvd, Ste 1Arlington, TX 76017(817) 572-3351GENERAL DENTISTID #: 0008207Lic# 12565

COOPER STREET DENTALFatima A Kamara6204 S Cooper St, Ste 104Arlington, TX 76001(682) 323-7095GENERAL DENTISTSpanishID #: 0022799Lic# 28046

COOPER STREET DENTALHarold Kamara6204 S Cooper St, Ste 104Arlington, TX 76001(682) 323-7095GENERAL DENTISTSpanishID #: 0022799Lic# 26527

FRED TURNERCecil Frederick Turner4050 Interstate 20 WArlington, TX 76017(817) 274-0366GENERAL DENTISTID #: 0008509Lic# 12516

IDEAL DENTAL OF ARLINGTONSulman Ahmed2150 E Lamar Blvd, Ste 106Arlington, TX 76006(817) 274-9999GENERAL DENTISTSpanishID #: 0023177Lic# 22618

IDEAL DENTAL OF ARLINGTONRodney N Alles, JR2150 E Lamar Blvd, Ste 106Arlington, TX 76006(817) 274-9999GENERAL DENTISTSpanishID #: 0023177Lic# 22290

IDEAL DENTAL OF ARLINGTONMinaxi Mirkal2150 E Lamar Blvd, Ste 106Arlington, TX 76006(817) 274-9999GENERAL DENTISTSpanishID #: 0023177Lic# 30431

IDEAL DENTAL OF ARLINGTONLinda N Oniah2150 E Lamar Blvd, Ste 106Arlington, TX 76006(817) 274-9999GENERAL DENTISTSpanishID #: 0023177Lic# 24884

IDEAL DENTAL OF ARLINGTONKevin Park2150 E Lamar Blvd, Ste 106Arlington, TX 76006(817) 274-9999GENERAL DENTISTSpanishID #: 0023177Lic# 31403

MANSOUR AHANGARZADEHMansour Ahangarzadeh803 Washington DrArlington, TX 76011(817) 265-3533GENERAL DENTISTID #: 0007493Lic# 13578

MILESTONE DENTALJames Adams5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453GENERAL DENTISTSpanishID #: 0022665Lic# 10561

MILESTONE DENTALSulman Ahmed5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453GENERAL DENTISTSpanishID #: 0022665Lic# 22618

MILESTONE DENTALRodney N Alles, JR5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453GENERAL DENTISTSpanishID #: 0022665Lic# 22290

MILESTONE DENTALSyeda Ara5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453GENERAL DENTISTSpanishID #: 0022665Lic# 29108

MILESTONE DENTALJulie Covino5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453GENERAL DENTISTSpanishID #: 0022665Lic# 28312

MILESTONE DENTALDouglas Wayne Fonville5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453GENERAL DENTISTSpanishID #: 0022665Lic# 13082

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 5

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PrePaid Dental Series

MILESTONE DENTALAshley Jackson5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453GENERAL DENTISTSpanishID #: 0022665Lic# 27149

MILESTONE DENTALAlex Manrique5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453GENERAL DENTISTSpanishID #: 0022665Lic# 26534

MILESTONE DENTALRishad Merchant5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453GENERAL DENTISTSpanishID #: 0022665Lic# 29946

MILESTONE DENTALRamamrinalini Nalla5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453GENERAL DENTISTSpanishID #: 0022665Lic# 22005

MILESTONE DENTALDevishkumar Patel5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453GENERAL DENTISTSpanishID #: 0022665Lic# 30081

MILESTONE DENTALShalin Patel5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453GENERAL DENTISTSpanishID #: 0022665Lic# 23316

MILESTONE DENTALChristin Vaello5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453GENERAL DENTISTSpanishID #: 0022665Lic# 26568

MILESTONE DENTALPhilip Voissem5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453GENERAL DENTISTSpanishID #: 0022665Lic# 31086

MILESTONE DENTALWilliam I Zerby5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453GENERAL DENTISTSpanishID #: 0022665Lic# 20073

MONARCH DENTALRobert Ballard1005 N Collins Street, Ste 100Arlington, TX 76011(817) 795-4044GENERAL DENTISTSpanishID #: 0015345Lic# 12537

MONARCH DENTALAllen Charles1005 N Collins Street, Ste 100Arlington, TX 76011(817) 795-4044GENERAL DENTISTSpanishID #: 0015345Lic# 30681

MONARCH DENTALRekha R Chaudhari1005 N Collins Street, Ste 100Arlington, TX 76011(817) 795-4044GENERAL DENTISTSpanishID #: 0015345Lic# 29654

MONARCH DENTALMark D Christensen1005 N Collins Street, Ste 100Arlington, TX 76011(817) 795-4044GENERAL DENTISTSpanishID #: 0015345Lic# 15137

MONARCH DENTALDebra Yvette Coleman1005 N Collins Street, Ste 100Arlington, TX 76011(817) 795-4044GENERAL DENTISTSpanishID #: 0015345Lic# 14167

MONARCH DENTALYehia Elgohary1005 N Collins Street, Ste 100Arlington, TX 76011(817) 795-4044GENERAL DENTISTSpanishID #: 0015345Lic# 27706

MONARCH DENTALAnil K Gudipati1005 N Collins Street, Ste 100Arlington, TX 76011(817) 795-4044GENERAL DENTISTSpanishID #: 0015345Lic# 29622

MONARCH DENTALAtul Gulati1005 N Collins Street, Ste 100Arlington, TX 76011(817) 795-4044GENERAL DENTISTSpanishID #: 0015345Lic# 30828

MONARCH DENTALTae Ho Kang1005 N Collins Street, Ste 100Arlington, TX 76011(817) 795-4044GENERAL DENTISTSpanishID #: 0015345Lic# 31576

MONARCH DENTALJames Miller1005 N Collins Street, Ste 100Arlington, TX 76011(817) 795-4044GENERAL DENTISTSpanishID #: 0015345Lic# 25561

MONARCH DENTALRoland E Moore1005 N Collins Street, Ste 100Arlington, TX 76011(817) 795-4044GENERAL DENTISTSpanishID #: 0015345Lic# 10067

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 6

Page 76: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTALGirish Sandadi1005 N Collins Street, Ste 100Arlington, TX 76011(817) 795-4044GENERAL DENTISTSpanishID #: 0015345Lic# 24535

MONARCH DENTAL ASSOCIATESJoe Frank Jemelka5760 W Pleasant Ridge Rd, Ste 110Arlington, TX 76016(817) 561-9199GENERAL DENTISTID #: 0008161Lic# 15425

MONARCH DENTAL ASSOCIATESAmanda Krysiak5760 W Pleasant Ridge Rd, Ste 110Arlington, TX 76016(817) 561-9199GENERAL DENTISTID #: 0008161Lic# 25690

MONARCH DENTAL ASSOCIATESJames Miller5760 W Pleasant Ridge Rd, Ste 110Arlington, TX 76016(817) 561-9199GENERAL DENTISTID #: 0008161Lic# 25561

MONARCH DENTAL ASSOCIATESGirish Sandadi5760 W Pleasant Ridge Rd, Ste 110Arlington, TX 76016(817) 561-9199GENERAL DENTISTID #: 0008161Lic# 24535

MONARCH DENTAL ASSOCIATESLisa Sibley5760 W Pleasant Ridge Rd, Ste 110Arlington, TX 76016(817) 561-9199GENERAL DENTISTID #: 0008161Lic# 24962

STEVEN W THOMAS DDS PCSteven W Thomas4164 S Cooper StArlington, TX 76015(817) 468-1166GENERAL DENTISTID #: 0023569Lic# 13955

VALUE DENTAL OF ARLINGTONSurina Chitkara5081 Little School Rd, Ste 109Arlington, TX 76017(817) 561-9000GENERAL DENTISTSpanishID #: 0024103Lic# 24909

Bedford

BRANSON DENTALHenry Kenneth Branson1220 Airport Fwy, Ste FBedford, TX 76022(817) 268-6677GENERAL DENTISTID #: 0008434Lic# 14467

MONARCH DENTAL ASSOCIATESAws Aldarkazali1717 Airport FwyBedford, TX 76021(817) 540-2223GENERAL DENTISTID #: 0008156Lic# 29939

MONARCH DENTAL ASSOCIATESDebra Yvette Coleman1717 Airport FwyBedford, TX 76021(817) 540-2223GENERAL DENTISTID #: 0008156Lic# 14167

MONARCH DENTAL ASSOCIATESSarmad H Khamas1717 Airport FwyBedford, TX 76021(817) 540-2223GENERAL DENTISTID #: 0008156Lic# 30159

MONARCH DENTAL ASSOCIATESLakshmi Venigalla1717 Airport FwyBedford, TX 76021(817) 540-2223GENERAL DENTISTID #: 0008156Lic# 29886

Benbrook

BENBROOK FAMILY DENTISTRYFatima A Kamara8731 Us Highway Benbrook BlvdBenbrook, TX 76126(817) 717-7433GENERAL DENTISTSpanishID #: 0022050Lic# 28046

BENBROOK FAMILY DENTISTRYHarold Kamara8731 Us Highway Benbrook BlvdBenbrook, TX 76126(817) 717-7433GENERAL DENTISTSpanishID #: 0022050Lic# 26527

Colleyville

IDEAL DENTAL OF COLLEYVILLE PLLCSulman Ahmed4712 Colleyville Blvd, Ste 110Colleyville, TX 76034(817) 428-5111GENERAL DENTISTSpanishID #: 0023366Lic# 22618

IDEAL DENTAL OF COLLEYVILLE PLLCRodney N Alles, JR4712 Colleyville Blvd, Ste 110Colleyville, TX 76034(817) 428-5111GENERAL DENTISTSpanishID #: 0023366Lic# 22290

IDEAL DENTAL OF COLLEYVILLE PLLCPrabhdeep Kaur4712 Colleyville Blvd, Ste 110Colleyville, TX 76034(817) 428-5111GENERAL DENTISTSpanishID #: 0023366Lic# 31146

IDEAL DENTAL OF COLLEYVILLE PLLCShalin Patel4712 Colleyville Blvd, Ste 110Colleyville, TX 76034(817) 428-5111GENERAL DENTISTSpanishID #: 0023366Lic# 23316

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 7

Page 77: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

Euless

IDEAL DENTAL OF EULESSBlerta Abdi3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368GENERAL DENTISTID #: 0020855Lic# 30620

IDEAL DENTAL OF EULESSSulman Ahmed3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368GENERAL DENTISTID #: 0020855Lic# 22618

IDEAL DENTAL OF EULESSRodney N Alles, JR3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368GENERAL DENTISTID #: 0020855Lic# 22290

IDEAL DENTAL OF EULESSSyeda Ara3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368GENERAL DENTISTID #: 0020855Lic# 29108

IDEAL DENTAL OF EULESSJulie Covino3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368GENERAL DENTISTID #: 0020855Lic# 28312

IDEAL DENTAL OF EULESSSarah E Flanigan3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368GENERAL DENTISTID #: 0020855Lic# 32110

IDEAL DENTAL OF EULESSObinna Nwankwo3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368GENERAL DENTISTID #: 0020855Lic# 32228

IDEAL DENTAL OF EULESSShalin Patel3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368GENERAL DENTISTID #: 0020855Lic# 23316

IDEAL DENTAL OF EULESSChristin Vaello3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368GENERAL DENTISTID #: 0020855Lic# 26568

IDEAL DENTAL OF EULESSWilliam I Zerby3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368GENERAL DENTISTID #: 0020855Lic# 20073

MONARCH DENTAL EULESSSandra T Horner2721 State Highway 121, Ste 300Euless, TX 76039(817) 786-3110GENERAL DENTISTID #: 0023073Lic# 22691

MONARCH DENTAL EULESSShitalben Patel2721 State Highway 121, Ste 300Euless, TX 76039(817) 786-3110GENERAL DENTISTID #: 0023073Lic# 31451

MONARCH DENTAL EULESSChaitra Shanthagowda2721 State Highway 121, Ste 300Euless, TX 76039(817) 786-3110GENERAL DENTISTID #: 0023073Lic# 21355

Fort Worth

BEACH STREET DENTAL CAREEric D Ricks7430 N Beach St, Ste 312Fort Worth, TX 76137(817) 428-6100GENERAL DENTISTID #: 0023725Lic# 25649

DWIGHT A RUDDOCK DDSDwight A Ruddock719 Hemphill StFort Worth, TX 76104(817) 335-3806GENERAL DENTISTID #: 0008471Lic# 14888

E A MITCHELLE A Mitchell1511 E Berry StFort Worth, TX 76119(817) 924-7171GENERAL DENTISTID #: 0008147Lic# 11041

FORT WORTH GENTLE DENTALJin W Park3613 Hulen StFort Worth, TX 76107(817) 731-2179GENERAL DENTISTKorean SpanishID #: 0023847Lic# 29792

GALE L DRAKE BDSLeigh Gale Drake1120 S Henderson StFort Worth, TX 76104(817) 877-4600GENERAL DENTISTID #: 0008168Lic# 15711

IDEAL DENTAL OF CLIFFORD CROSSINGSulman Ahmed515 W 820 Loop N Frwy, Ste 101Fort Worth, TX 76108(817) 916-8757GENERAL DENTISTID #: 0024415Lic# 22618

IDEAL DENTAL OF CLIFFORD CROSSINGRodney N Alles, JR515 W 820 Loop N Frwy, Ste 101Fort Worth, TX 76108(817) 916-8757GENERAL DENTISTID #: 0024415Lic# 22290

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 8

Page 78: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

IDEAL DENTAL OF CLIFFORD CROSSINGShalin Patel515 W 820 Loop N Frwy, Ste 101Fort Worth, TX 76108(817) 916-8757GENERAL DENTISTID #: 0024415Lic# 23316

IDEAL DENTAL OF FORT WORTHSulman Ahmed12584 N Beach St, Ste 150Fort Worth, TX 76244(817) 337-0021GENERAL DENTISTSpanishID #: 0021767Lic# 22618

IDEAL DENTAL OF FORT WORTHRodney N Alles, JR12584 N Beach St, Ste 150Fort Worth, TX 76244(817) 337-0021GENERAL DENTISTSpanishID #: 0021767Lic# 22290

IDEAL DENTAL OF FORT WORTHSyeda Ara12584 N Beach St, Ste 150Fort Worth, TX 76244(817) 337-0021GENERAL DENTISTSpanishID #: 0021767Lic# 29108

IDEAL DENTAL OF FORT WORTHJulie Covino12584 N Beach St, Ste 150Fort Worth, TX 76244(817) 337-0021GENERAL DENTISTSpanishID #: 0021767Lic# 28312

IDEAL DENTAL OF FORT WORTHLiem Nguyen12584 N Beach St, Ste 150Fort Worth, TX 76244(817) 337-0021GENERAL DENTISTSpanishID #: 0021767Lic# 32172

IDEAL DENTAL OF FORT WORTHRupal H Patel12584 N Beach St, Ste 150Fort Worth, TX 76244(817) 337-0021GENERAL DENTISTSpanishID #: 0021767Lic# 27982

IDEAL DENTAL OF FORT WORTHShalin Patel12584 N Beach St, Ste 150Fort Worth, TX 76244(817) 337-0021GENERAL DENTISTSpanishID #: 0021767Lic# 23316

IDEAL DENTAL OF FORT WORTHChristin Vaello12584 N Beach St, Ste 150Fort Worth, TX 76244(817) 337-0021GENERAL DENTISTSpanishID #: 0021767Lic# 26568

IDEAL DENTAL OF FORT WORTHWilliam I Zerby12584 N Beach St, Ste 150Fort Worth, TX 76244(817) 337-0021GENERAL DENTISTSpanishID #: 0021767Lic# 20073

LAKE WORTH CENTER DENTALSulman Ahmed4625 Boat Club Rd, Ste 225Fort Worth, TX 76135(817) 237-8177GENERAL DENTISTSpanishID #: 0023176Lic# 22618

LAKE WORTH CENTER DENTALRodney N Alles, JR4625 Boat Club Rd, Ste 225Fort Worth, TX 76135(817) 237-8177GENERAL DENTISTSpanishID #: 0023176Lic# 22290

LAKE WORTH CENTER DENTALDoan H Bui4625 Boat Club Rd, Ste 225Fort Worth, TX 76135(817) 237-8177GENERAL DENTISTSpanishID #: 0023176Lic# 31164

LAKE WORTH CENTER DENTALShalin Patel4625 Boat Club Rd, Ste 225Fort Worth, TX 76135(817) 237-8177GENERAL DENTISTSpanishID #: 0023176Lic# 23316

LAKE WORTH CENTER DENTALOlena Razo4625 Boat Club Rd, Ste 225Fort Worth, TX 76135(817) 237-8177GENERAL DENTISTSpanishID #: 0023176Lic# 31223

LAKE WORTH CENTER DENTALSina Sadeghi4625 Boat Club Rd, Ste 225Fort Worth, TX 76135(817) 237-8177GENERAL DENTISTSpanishID #: 0023176Lic# 30595

M DENTISTRYPartha Mukherji9500 Ray White Rd, Ste 105Fort Worth, TX 76244(817) 741-1300GENERAL DENTISTSpanishID #: 0022022Lic# 20850

MARK A MALONE DDSMark A Malone3618 W 7th St, Ste BFort Worth, TX 76107(817) 735-9844GENERAL DENTISTID #: 0008090Lic# 16073

MARSHALL BROWN DDSMarshall Brown1818 8th AvenueFort Worth, TX 76110(817) 920-0882GENERAL DENTISTID #: 0007708Lic# 16328

MARSHALL BROWN DDSBarry Buschel1818 8th AvenueFort Worth, TX 76110(817) 920-0882GENERAL DENTISTID #: 0007708Lic# 16953

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 9

Page 79: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MILESTONE DENTAL OF KELLER PLLCSulman Ahmed5800 N Tarrant Pkwy, Ste 102Fort Worth, TX 76244(817) 581-6453GENERAL DENTISTSpanishID #: 0021949Lic# 22618

MILESTONE DENTAL OF KELLER PLLCRodney N Alles, JR5800 N Tarrant Pkwy, Ste 102Fort Worth, TX 76244(817) 581-6453GENERAL DENTISTSpanishID #: 0021949Lic# 22290

MILESTONE DENTAL OF KELLER PLLCSyeda Ara5800 N Tarrant Pkwy, Ste 102Fort Worth, TX 76244(817) 581-6453GENERAL DENTISTSpanishID #: 0021949Lic# 29108

MILESTONE DENTAL OF KELLER PLLCHardik Chodavadia5800 N Tarrant Pkwy, Ste 102Fort Worth, TX 76244(817) 581-6453GENERAL DENTISTSpanishID #: 0021949Lic# 30046

MILESTONE DENTAL OF KELLER PLLCJulie Covino5800 N Tarrant Pkwy, Ste 102Fort Worth, TX 76244(817) 581-6453GENERAL DENTISTSpanishID #: 0021949Lic# 28312

MILESTONE DENTAL OF KELLER PLLCDanny Ba Nguyen5800 N Tarrant Pkwy, Ste 102Fort Worth, TX 76244(817) 581-6453GENERAL DENTISTSpanishID #: 0021949Lic# 28418

MILESTONE DENTAL OF KELLER PLLCShalin Patel5800 N Tarrant Pkwy, Ste 102Fort Worth, TX 76244(817) 581-6453GENERAL DENTISTSpanishID #: 0021949Lic# 23316

MILESTONE DENTAL OF KELLER PLLCChristin Vaello5800 N Tarrant Pkwy, Ste 102Fort Worth, TX 76244(817) 581-6453GENERAL DENTISTSpanishID #: 0021949Lic# 26568

MILESTONE DENTAL OF KELLER PLLCWilliam I Zerby5800 N Tarrant Pkwy, Ste 102Fort Worth, TX 76244(817) 581-6453GENERAL DENTISTSpanishID #: 0021949Lic# 20073

MONARCH DENTALMark D Christensen6909 Green Oaks RdFort Worth, TX 76116(817) 735-8801GENERAL DENTISTID #: 0016653Lic# 15137

MONARCH DENTAL ASSOCIATESAashish Bhakta6261 Granbury RdFort Worth, TX 76133(682) 233-9119GENERAL DENTISTID #: 0008200Lic# 21989

MONARCH DENTAL ASSOCIATESKari Blankenship6261 Granbury RdFort Worth, TX 76133(682) 233-9119GENERAL DENTISTID #: 0008200Lic# 27017

MONARCH DENTAL ASSOCIATESToni Rena Carr6261 Granbury RdFort Worth, TX 76133(682) 233-9119GENERAL DENTISTID #: 0008200Lic# 19926

MONARCH DENTAL ASSOCIATESMark D Christensen6261 Granbury RdFort Worth, TX 76133(682) 233-9119GENERAL DENTISTID #: 0008200Lic# 15137

MONARCH DENTAL ASSOCIATESDebra Yvette Coleman6261 Granbury RdFort Worth, TX 76133(682) 233-9119GENERAL DENTISTID #: 0008200Lic# 14167

MONARCH DENTAL ASSOCIATESSandra T Horner6261 Granbury RdFort Worth, TX 76133(682) 233-9119GENERAL DENTISTID #: 0008200Lic# 22691

MONARCH DENTAL ASSOCIATESJames Miller6261 Granbury RdFort Worth, TX 76133(682) 233-9119GENERAL DENTISTID #: 0008200Lic# 25561

MONARCH DENTAL ASSOCIATESJane Poquiz6261 Granbury RdFort Worth, TX 76133(682) 233-9119GENERAL DENTISTID #: 0008200Lic# 19111

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 10

Page 80: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTAL ASSOCIATESThaddeus J Rowell6261 Granbury RdFort Worth, TX 76133(682) 233-9119GENERAL DENTISTID #: 0008200Lic# 25699

MONARCH DENTAL ASSOCIATESKanika Shani Stewart6261 Granbury RdFort Worth, TX 76133(682) 233-9119GENERAL DENTISTID #: 0008200Lic# 24974

MONARCH DENTAL ASSOCIATESJohn R Strickland1900 Mall CirFort Worth, TX 76116(817) 256-9823GENERAL DENTISTID #: 0008181Lic# 18289

MONARCH DENTAL ASSOCIATESJoe A Sunbarger6261 Granbury RdFort Worth, TX 76133(682) 233-9119GENERAL DENTISTID #: 0008200Lic# 8589

MONARCH DENTAL SEMINARYAmary Herrera4200 South Fwy, Ste 15Fort Worth, TX 76115(817) 921-1554GENERAL DENTISTSpanishID #: 0016863Lic# 26176

MONARCH DENTAL SEMINARYJames Miller4200 South Fwy, Ste 15Fort Worth, TX 76115(817) 921-1554GENERAL DENTISTSpanishID #: 0016863Lic# 25561

MONARCH DENTAL SEMINARYGirish Sandadi4200 South Fwy, Ste 15Fort Worth, TX 76115(817) 921-1554GENERAL DENTISTSpanishID #: 0016863Lic# 24535

OLEANDER FAMILY DENTALWilliam R Hanna1112 S Lake StFort Worth, TX 76104(817) 870-9719GENERAL DENTISTID #: 0023488Lic# 12447

PRESIDIO CENTER DENTAL PLLCSulman Ahmed8917 North Fwy, Ste 117Fort Worth, TX 76177(817) 203-1344GENERAL DENTISTSpanishID #: 0024188Lic# 22618

PRESIDIO CENTER DENTAL PLLCRodney N Alles, JR8917 North Fwy, Ste 117Fort Worth, TX 76177(817) 203-1344GENERAL DENTISTSpanishID #: 0024188Lic# 22290

PRESIDIO CENTER DENTAL PLLCDestinie K Carroll8917 North Fwy, Ste 117Fort Worth, TX 76177(817) 203-1344GENERAL DENTISTSpanishID #: 0024188Lic# 30986

PRESIDIO CENTER DENTAL PLLCElianne G Ortiz8917 North Fwy, Ste 117Fort Worth, TX 76177(817) 203-1344GENERAL DENTISTSpanishID #: 0024188Lic# 32195

PRESIDIO CENTER DENTAL PLLCShalin Patel8917 North Fwy, Ste 117Fort Worth, TX 76177(817) 203-1344GENERAL DENTISTSpanishID #: 0024188Lic# 23316

SONRIA DENTAL PLLCAndy B Le612 NW 25th StFort Worth, TX 76164(817) 625-4311GENERAL DENTISTSpanish VietnameseID #: 0023758Lic# 24549

TWIN LAKES DENTAL CAREKeon Anderson6076 Azle Ave, Ste 100Fort Worth, TX 76135(817) 238-6222GENERAL DENTISTID #: 0024389Lic# 31042

WEST TEXAS DENTALHossain Dezham6600 Brentwood Stair RdFort Worth, TX 76112(817) 457-4141GENERAL DENTISTSpanishID #: 0021814Lic# 19711

Grand Prairie

ACTIVE DENTALKalpesh A Patel2205 W Interstate 20, Ste 100Grand Prairie, TX 75052(972) 606-2999GENERAL DENTISTSpanishID #: 0020723Lic# 23031

ACTIVE DENTALJoseph J Strickland2205 W Interstate 20, Ste 100Grand Prairie, TX 75052(972) 606-2999GENERAL DENTISTSpanishID #: 0020723Lic# 23674

INFINITY DENTALDwayne Earl Evans4927 Lake Ridge Pkwy, Ste 130Grand Prairie, TX 75052(972) 602-1935GENERAL DENTISTID #: 0021558Lic# 16342

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 11

Page 81: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

Grapevine

MONARCH DENTAL ASSOCIATESAws Aldarkazali306 S Park BlvdGrapevine, TX 76051(817) 251-0057GENERAL DENTISTID #: 0008211Lic# 29939

MONARCH DENTAL ASSOCIATESHanife Bayraktarogly306 S Park BlvdGrapevine, TX 76051(817) 251-0057GENERAL DENTISTID #: 0008211Lic# 31094

MONARCH DENTAL ASSOCIATESNeda Mohammadi306 S Park BlvdGrapevine, TX 76051(817) 251-0057GENERAL DENTISTID #: 0008211Lic# 31901

MONARCH DENTAL ASSOCIATESShalu Palhan306 S Park BlvdGrapevine, TX 76051(817) 251-0057GENERAL DENTISTID #: 0008211Lic# 23490

MONARCH DENTAL ASSOCIATESJennelle C Rushin306 S Park BlvdGrapevine, TX 76051(817) 251-0057GENERAL DENTISTID #: 0008211Lic# 19546

SMILES FOR YOU PLLCMaria Fernandez Morais2350 Hall Johnson Rd, Ste 105Grapevine, TX 76051(817) 481-7300GENERAL DENTISTHindi SpanishID #: 0017898Lic# 21650

Hurst

HP DENTAL CLINICHai X Pham983 W Glade RdHurst, TX 76054(817) 605-3551GENERAL DENTISTSpanish VietnameseID #: 0013044Lic# 18145

Keller

BOCA SANA DENTALMarshall A Olson777 Bandit Trl, Ste AKeller, TX 76248(817) 427-2622GENERAL DENTISTSpanishID #: *Lic# 23256

IDEAL DENTAL OF KELLERSulman Ahmed1431 Keller Pkwy, Ste 300Keller, TX 76248(817) 431-5599GENERAL DENTISTID #: 0023727Lic# 22618

IDEAL DENTAL OF KELLERRodney N Alles, JR1431 Keller Pkwy, Ste 300Keller, TX 76248(817) 431-5599GENERAL DENTISTID #: 0023727Lic# 22290

IDEAL DENTAL OF KELLERArielle Norris1431 Keller Pkwy, Ste 300Keller, TX 76248(817) 431-5599GENERAL DENTISTID #: 0023727Lic# 28000

IDEAL DENTAL OF KELLERShalin Patel1431 Keller Pkwy, Ste 300Keller, TX 76248(817) 431-5599GENERAL DENTISTID #: 0023727Lic# 23316

Lake Worth

MONARCH DENTAL LAKE WORTHRobert Ballard6628 Lake Worth Blvd, Ste 200Lake Worth, TX 76135(817) 238-7984GENERAL DENTISTID #: 0016067Lic# 12537

MONARCH DENTAL LAKE WORTHJames M Brennan6628 Lake Worth Blvd, Ste 200Lake Worth, TX 76135(817) 238-7984GENERAL DENTISTID #: 0016067Lic# 19779

MONARCH DENTAL LAKE WORTHThaddeus J Rowell6628 Lake Worth Blvd, Ste 200Lake Worth, TX 76135(817) 238-7984GENERAL DENTISTID #: 0016067Lic# 25699

MONARCH DENTAL LAKE WORTHAlexander Sakthivelu6628 Lake Worth Blvd, Ste 200Lake Worth, TX 76135(817) 238-7984GENERAL DENTISTID #: 0016067Lic# 28981

MONARCH DENTAL LAKE WORTHAshraf Seif6628 Lake Worth Blvd, Ste 200Lake Worth, TX 76135(817) 238-7984GENERAL DENTISTID #: 0016067Lic# 26482

Mansfield

DEBBIE LANE DENTAL & ORTHODONTICS PLLCRamona Applewhite Taylor1551 Us Highway 287, Ste 411Mansfield, TX 76063(817) 453-6108GENERAL DENTISTSpanishID #: 0022296Lic# 18732

DEBBIE LANE DENTAL & ORTHODONTICS PLLCBlake Williamson1551 Us Highway 287, Ste 411Mansfield, TX 76063(817) 453-6108GENERAL DENTISTSpanishID #: 0022296Lic# 11940

LOWES FARM DENTAL CAREAngel Rodriguez3806 E Broad St, Ste 108Mansfield, TX 76063(817) 842-2600GENERAL DENTISTID #: 0024428Lic# 32222

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 12

Page 82: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTALGhayth Adhami101 W Debbie Lane, Ste 106Mansfield, TX 76063(682) 518-5200GENERAL DENTISTID #: 0015450Lic# 25857

MONARCH DENTALToni Rena Carr101 W Debbie Lane, Ste 106Mansfield, TX 76063(682) 518-5200GENERAL DENTISTID #: 0015450Lic# 19926

MONARCH DENTALJames Miller101 W Debbie Lane, Ste 106Mansfield, TX 76063(682) 518-5200GENERAL DENTISTID #: 0015450Lic# 25561

MONARCH DENTALJane Poquiz101 W Debbie Lane, Ste 106Mansfield, TX 76063(682) 518-5200GENERAL DENTISTID #: 0015450Lic# 19111

MONARCH DENTALGirish Sandadi101 W Debbie Lane, Ste 106Mansfield, TX 76063(682) 518-5200GENERAL DENTISTID #: 0015450Lic# 24535

MONARCH DENTALKanika Shani Stewart101 W Debbie Lane, Ste 106Mansfield, TX 76063(682) 518-5200GENERAL DENTISTID #: 0015450Lic# 24974

North Richland Hills

MONARCH DENTAL ASSOCIATESGail Hollar8528 Davis Blvd, Ste 100North Richland Hills, TX 76180(817) 605-8067GENERAL DENTISTID #: 0015528Lic# 15328

MONARCH DENTAL ASSOCIATESSandra T Horner6455 Hilltop Dr, Ste 114North Richland Hills, TX 76180(817) 577-3433GENERAL DENTISTID #: 0008208Lic# 22691

MONARCH DENTAL ASSOCIATESSandra T Horner8528 Davis Blvd, Ste 100North Richland Hills, TX 76180(817) 605-8067GENERAL DENTISTID #: 0015528Lic# 22691

STEVEN M HUFFSTUTLER DDSSteven M Huffstutler5600 Rufe Snow Dr, Ste 102North Richland Hills, TX 76180(817) 577-1444GENERAL DENTISTID #: 0008256Lic# 15510

STEVEN M HUFFSTUTLER DDSLance Edward Woodard5600 Rufe Snow Dr, Ste 102North Richland Hills, TX 76180(817) 577-1444GENERAL DENTISTID #: 0008256Lic# 17833

Saginaw

SAGINAW FAMILY DENTALApril Kaneira1453 N Saginaw Blvd, Ste 150Saginaw, TX 76179(817) 306-5410GENERAL DENTISTSpanishID #: 0022798Lic# 20062

SAGINAW FAMILY DENTALAnuradha Vallabhaneni1453 N Saginaw Blvd, Ste 150Saginaw, TX 76179(817) 306-5410GENERAL DENTISTSpanishID #: 0022798Lic# 27886

Southlake

IDEAL DENTAL OF SOUTHLAKE PLLCJames Adams2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999GENERAL DENTISTSpanishID #: 0022328Lic# 10561

IDEAL DENTAL OF SOUTHLAKE PLLCSulman Ahmed2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999GENERAL DENTISTSpanishID #: 0022328Lic# 22618

IDEAL DENTAL OF SOUTHLAKE PLLCRodney N Alles, JR2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999GENERAL DENTISTSpanishID #: 0022328Lic# 22290

IDEAL DENTAL OF SOUTHLAKE PLLCSyeda Ara2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999GENERAL DENTISTSpanishID #: 0022328Lic# 29108

IDEAL DENTAL OF SOUTHLAKE PLLCJulie Covino2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999GENERAL DENTISTSpanishID #: 0022328Lic# 28312

IDEAL DENTAL OF SOUTHLAKE PLLCDouglas Wayne Fonville2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999GENERAL DENTISTSpanishID #: 0022328Lic# 13082

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 13

Page 83: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

IDEAL DENTAL OF SOUTHLAKE PLLCSirethon Kengskool2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999GENERAL DENTISTSpanishID #: 0022328Lic# 30880

IDEAL DENTAL OF SOUTHLAKE PLLCAlex Manrique2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999GENERAL DENTISTSpanishID #: 0022328Lic# 26534

IDEAL DENTAL OF SOUTHLAKE PLLCShalin Patel2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999GENERAL DENTISTSpanishID #: 0022328Lic# 23316

IDEAL DENTAL OF SOUTHLAKE PLLCJames Reagan2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999GENERAL DENTISTSpanishID #: 0022328Lic# 29980

IDEAL DENTAL OF SOUTHLAKE PLLCChristin Vaello2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999GENERAL DENTISTSpanishID #: 0022328Lic# 26568

IDEAL DENTAL OF SOUTHLAKE PLLCWilliam I Zerby2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999GENERAL DENTISTSpanishID #: 0022328Lic# 20073

Watauga

BRANSON DENTALHenry Kenneth Branson8436 Denton Hwy, Ste 218Watauga, TX 76148(817) 281-8225GENERAL DENTISTID #: 0018719Lic# 14467

White Settlement

CROSS DENTAL PLLCSteven Jacob Cross7925 Whitney DrWhite Settlement, TX 76108(817) 367-3368GENERAL DENTISTSpanish VietnameseID #: 0015916Lic# 19382

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 14

Page 84: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Directory produced for:Tarrant County Specialists

Dental Provider Directory - Texasas of September 19, 2016

Search Criteria:State: TXCounty: Tarrant

For more current information, visit www.assurantemployeebenefits.com

The Assurant name, and related logos are trademarks of Assurant, Inc. and are used under license. Products and services marketed by Assurant Employee Benefits are underwritten or provided by one or more of the following companies: Union Security Insurance Company, DentiCare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., United Dental Care of Colorado, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of Michigan, Inc., Union Security DentalCare of New Jersey, Inc., United Dental Care of New Mexico, Inc., Union Security Life Insurance Company of New York, UDC Ohio, Inc., United Dental Care of Texas, Inc., United Dental Care of Utah, Inc.

DHMO Dental Series

Page 85: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

Important information about selecting a provider

Choosing a plan provider1. Select an available provider from this directory. You will

need to choose a General Dentist for your Plan Dentist. You may also find network providers on our web site at www.assurantemployeebenefits.com under "For Members" go to "Find a dentist". To select the participating network associated with your plan please refer to the cover of this directory or your dental ID card for the network name.

2. List the provider's name on your enrollment form along with the ID#. Providers not available to new patients are indicated with an * in the Status field. If you are not currently a patient, you may not select these providers.

3. If you are unable to choose a provider at the time of enrollment, you must call Customer Service at 800.443.2995 on or after your effective date of coverage and select a plan provider. You will need to have a plan provider assigned before you can make an appointment.

Changing your selected providerYou may select another available provider for your family by calling Customer Service and requesting a change of provider or by using Online Advantage for Members on our web site to change the facility. Request must be received by the 20th of the month to be effective the 1st day of the following month. Updated directories of available providers can be obtained from Customer Service or on our web site at www.assurantemployeebenefits.com.

Your dental plan is simple to use when you follow these steps: Verify with your Plan Dentist that you are on their roster

before making a dental appointment. Call early for routine dental care for the best availability

of appointment times. Be familiar with your copayment schedule to determine

your costs for dental services. Discuss concerns regarding proposed treatments with your

Plan Dentist. Contact customer service at 800.443.2995 for assistance

with selecting or changing your Plan Dentist.

Información importante sobre cómo seleccionar a un proveedor

Cómo elegir a un proveedor integrado al plan1. Elija de este directorio a un proveedor que se encuentre disponible.

Tendrá que elegir a un Dentista de Práctica General como su Dentista Integrado al Plan. También puede encontrar proveedores pertenecientes a la red en nuestro sitio Web www.assurantemployeebenefits.com en “For Members" ("Para Miembros") y haga clic en “Find a dentist" (“Encuentre a un dentista”). Para seleccionar la red participante asociada a su plan consulte la portada de este directorio o su tarjeta de identificación dental en la que aparece el nombre de la red.

2. Anote el nombre del proveedor en el formulario de registro junto con el ID#. Los proveedores que no están disponibles para pacientes nuevos han sido identificados con un * bajo la columna “Status” ("Estado"). Si actualmente usted no fuese un paciente, no podrá elegir a uno de estos proveedores.

3. Si usted no pudiese elegir a un proveedor en el momento de su registro, tiene que llamar al Centro de Servicio al Cliente al 800.443.2995 en o después de la fecha de entrada en vigencia de la cobertura y seleccionar a un proveedor integrado al plan. Se le deberá haber asignado un proveedor integrado al plan antes de que pueda hacer una cita.

Cómo cambiarse a otro proveedorUsted puede seleccionar a otro proveedor que se encuentre disponible para su familia llamando al Centro de Servicio al Cliente y pidiendo un cambio de proveedor, o por Internet en Online Advantage for Members en nuestro sitio Web para cambiar de consultorio. La petición para el cambio tendrá que ser recibida a más tardar el 20vo día del mes para que surta efectos a partir del 1er día del mes subsiguiente. Los directorios de proveedores que se encuentran disponibles pueden obtenerse a través del Centro de Servicio al Cliente o en nuestro sitio Web en www.assurantemployeebenefits.com .

Le resultará sencillo utilizar su plan dental si sigue estos pasos: Antes de hacer una cita, confirme con su Dentista Integrado al Plan

que usted está en su lista de pacientes. Llame con tiempo cuando desee hacer una cita periódica con su

dentista para que tenga más opciones al elegir la hora de su cita. Familiarícese con la lista de copagos para determinar sus costos por

los servicios de cuidado dental. Hable con su Dentista Integrado al Plan sobre las inquietudes que

pueda tener acerca del tratamiento que el dentista le proponga. Llame al Centro de Servicio al Cliente al 800.443.2995 si necesita

ayuda para seleccionar o cambiar a su Dentista Integrado al Plan.

NoticeThis is a translation of a document originally drawn up in English. Accordingly, it is understood that all legal rights, responsibilities and/or obligations are governed by the original English version of this document. Furthermore, we reserve the right to correct any errors in this document

AdvertenciaÉsta es la traducción de un documento originalmente redactado en inglés. Consiguientemente, hágase saber que todos los derechos legales, responsabilidades y/u obligaciones expresadas en el mismo se regirán por la versión original del documento expedida en inglés. Además, nosotros nos reservamos el derecho de corregir cualquier error en este documento

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PrePaid Dental Series

Arlington

APPLE ORTHODONTIXRobert C Packard4400 Little Rd, Ste 331 A SW PlazaArlington, TX 76016(972) 578-7800ORTHODONTIST-SBASpanishOPENLic# 13930

CELEBRITY ORTHODONTICSThuy B Do3020 Matlock Rd, Ste 120Arlington, TX 76015(817) 308-1580ORTHODONTIST-SBAFrench Spanish VietnameseOPENLic# 24477

DIAMOND DENTAL CAREDebby H Wong4050 West I-20Arlington, TX 76017(817) 563-1111ORTHODONTIST-SBAOPENLic# 24506

DRS BIRTH AND STEWART ORTHODONTICS ARLINGTON LLCDavid W Alger2011 West Bardin RdArlington, TX 76017(817) 557-0025ORTHODONTIST-SBAOPENLic# 7405

DRS BIRTH AND STEWART ORTHODONTICS ARLINGTON LLCSheila Gay Birth2011 West Bardin RdArlington, TX 76017(817) 557-0025ORTHODONTIST-SBAOPENLic# 14150

DRS BIRTH AND STEWART ORTHODONTICS ARLINGTON LLCCristi L Fletcher2011 West Bardin RdArlington, TX 76017(817) 557-0025ORTHODONTIST-SBAOPENLic# 22279

DRS BIRTH AND STEWART ORTHODONTICS ARLINGTON LLCCharles D Stewart2011 West Bardin RdArlington, TX 76017(817) 557-0025ORTHODONTIST-SBAOPENLic# 11736

HILDEBRAND ORTHODONTICSJed C Hildebrand2200 Interstate 20 W, Ste 100Arlington, TX 76017(817) 468-4141ORTHODONTIST-SBAOPENLic# 21323

IDEAL DENTAL OF ARLINGTONJames I Ballou2150 E Lamar Blvd, Ste 106Arlington, TX 76006(817) 274-9999ORTHODONTISTSpanishOPENLic# 25102

IDEAL DENTAL OF ARLINGTONStephen J Breaud2150 E Lamar Blvd, Ste 106Arlington, TX 76006(817) 274-9999ORTHODONTISTSpanishOPENLic# 11475

IDEAL DENTAL OF ARLINGTONChris L Cramer2150 E Lamar Blvd, Ste 106Arlington, TX 76006(817) 274-9999ORTHODONTISTSpanishOPENLic# 28933

IDEAL DENTAL OF ARLINGTONPhilip Hsin An Pan2150 E Lamar Blvd, Ste 106Arlington, TX 76006(817) 274-9999ORTHODONTISTSpanishOPENLic# 27170

IDEAL DENTAL OF ARLINGTONLyle M Schofield2150 E Lamar Blvd, Ste 106Arlington, TX 76006(817) 274-9999ORTHODONTISTSpanishOPENLic# 30874

MILESTONE DENTALJames I Ballou5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453ORTHODONTISTSpanishOPENLic# 25102

MILESTONE DENTALStephen J Breaud5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453ORTHODONTISTSpanishOPENLic# 11475

MILESTONE DENTALChris L Cramer5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453ORTHODONTISTSpanishOPENLic# 28933

MILESTONE DENTALPhilip Hsin An Pan5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453ORTHODONTISTSpanishOPENLic# 27170

MILESTONE DENTALLyle M Schofield5005 S Cooper St, Ste 173Arlington, TX 76017(817) 635-6453ORTHODONTISTSpanishOPENLic# 30874

MONARCH DENTAL ASSOCIATESDaniel Ingel5760 W Pleasant Ridge Rd, Ste 110Arlington, TX 76016(817) 561-9199ENDODONTIST-SBAOPENLic# 31646

MONARCH DENTAL ASSOCIATESCharles C Chilcoat5760 W Pleasant Ridge Rd, Ste 110Arlington, TX 76016(817) 561-9199ORAL SURGEON-SBAOPENLic# 12807

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 5

Page 87: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTAL ASSOCIATESAnkit Shah5760 W Pleasant Ridge Rd, Ste 110Arlington, TX 76016(817) 561-9199ORTHODONTIST-SBAOPENLic# 26240

MONARCH DENTAL ASSOCIATESPaula Ortiz5760 W Pleasant Ridge Rd, Ste 110Arlington, TX 76016(817) 561-9199PERIODONTIST-SBAOPENLic# 23473

MONARCH DENTAL AT N ARLINGTONLarry Goates1005 N Collins, Ste 100Arlington, TX 76011(817) 795-4044ORTHODONTIST-SBAOPENLic# 10922

MONARCH DENTAL AT N ARLINGTONJerry D Mills1005 N Collins, Ste 100Arlington, TX 76011(817) 795-4044ORTHODONTIST-SBAOPENLic# 7305

MONARCH DENTAL AT N ARLINGTONAnkit Shah1005 N Collins, Ste 100Arlington, TX 76011(817) 795-4044ORTHODONTIST-SBAOPENLic# 26240

MONARCH DENTAL AT N ARLINGTONDavid E Walker1005 N Collins, Ste 100Arlington, TX 76011(817) 795-4044ORTHODONTIST-SBAOPENLic# 30639

MONARCH DENTAL AT N ARLINGTONJohn L Barnett1005 N Collins, Ste 100Arlington, TX 76011(817) 795-4044PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 22966

MONARCH DENTAL AT N ARLINGTONVernesha Lockhart1005 N Collins, Ste 100Arlington, TX 76011(817) 795-4044PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 27243

MONARCH DENTAL AT N ARLINGTONArthur E Williams1005 N Collins, Ste 100Arlington, TX 76011(817) 795-4044PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 24152

MONARCH DENTAL AT N ARLINGTONPaula Ortiz1005 N Collins, Ste 100Arlington, TX 76011(817) 795-4044PERIODONTISTOPENLic# 23473

PARK FOREST ORAL AND MAXILLOFACIAL SURGERYHaroon Ismaili2304 W I-20, Ste 150Arlington, TX 76017(817) 466-8080ORAL SURGEON-SBASpanishOPENLic# 24439

Bedford

ENDODONTIC ASSOCIATESGavin J Convey2201 Martin Dr, Ste 100Bedford, TX 76021(817) 283-1984ENDODONTIST-SBASpanishOPENLic# 25099

ENDODONTIC ASSOCIATESWalter Neal Horn2201 Martin Dr, Ste 100Bedford, TX 76021(817) 283-1984ENDODONTIST-SBASpanishOPENLic# 22591

ENDODONTIC ASSOCIATESYogesh T Patel2201 Martin Dr, Ste 100Bedford, TX 76021(817) 283-1984ENDODONTIST-SBASpanishOPENLic# 20123

MONARCH DENTAL ASSOCIATESCharles C Chilcoat1717 Airport FwyBedford, TX 76021(817) 540-2223ORAL SURGEON-SBAOPENLic# 12807

MONARCH DENTAL ASSOCIATESChristopher W Edwards1717 Airport FwyBedford, TX 76021(817) 540-2223ORTHODONTIST-SBAOPENLic# 21055

MONARCH DENTAL ASSOCIATESLarry Goates1717 Airport FwyBedford, TX 76021(817) 540-2223ORTHODONTIST-SBAOPENLic# 10922

MONARCH DENTAL ASSOCIATESAnkit Shah1717 Airport FwyBedford, TX 76021(817) 540-2223ORTHODONTIST-SBAOPENLic# 26240

MONARCH DENTAL ASSOCIATESArthur E Williams1717 Airport FwyBedford, TX 76021(817) 540-2223PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 24152

MONARCH DENTAL ASSOCIATESC N Deepak1717 Airport FwyBedford, TX 76021(817) 540-2223PERIODONTIST-SBAOPENLic# 21191

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 6

Page 88: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTAL ASSOCIATESMelissa B Tricamo1717 Airport FwyBedford, TX 76021(817) 540-2223PERIODONTIST-SBAOPENLic# 21089

PEDIATRIC SMILESManivara P Krone3004 Highway 121, Ste BBedford, TX 76021(817) 283-8600PEDODONTIST (PEDIATRIC DENTIST)Spanish ThaiOPENLic# 20602

Burleson

CHARLES R PAYERLE DDS MD PLLCCharles R Payerle12001 South Fwy, Ste 207Burleson, TX 76028(817) 568-6811ORAL SURGEON-SBASpanishOPENLic# 23735

Colleyville

CHRISTOPHER TYE DDSChristopher D Morris6904 Colleyville Blvd, Ste 100Colleyville, TX 76034(817) 552-3223ORAL SURGEON-SBAOPENLic# 23338

CHRISTOPHER TYE DDSChristopher Lee Tye6904 Colleyville Blvd, Ste 100Colleyville, TX 76034(817) 552-3223ORAL SURGEON-SBAOPENLic# 15676

HASHEM ORTHODONTICSRobbie Adib Hashem5001 Heritage Ave, Ste 100Colleyville, TX 76034(817) 283-3000ORTHODONTIST-SBAArabic SpanishOPENLic# 17197

IDEAL DENTAL OF COLLEYVILLE PLLCJames I Ballou4712 Colleyville Blvd, Ste 110Colleyville, TX 76034(817) 428-5111ORTHODONTIST-SBASpanishOPENLic# 25102

IDEAL DENTAL OF COLLEYVILLE PLLCStephen J Breaud4712 Colleyville Blvd, Ste 110Colleyville, TX 76034(817) 428-5111ORTHODONTIST-SBASpanishOPENLic# 11475

IDEAL DENTAL OF COLLEYVILLE PLLCChris L Cramer4712 Colleyville Blvd, Ste 110Colleyville, TX 76034(817) 428-5111ORTHODONTIST-SBASpanishOPENLic# 28933

IDEAL DENTAL OF COLLEYVILLE PLLCPhilip Hsin An Pan4712 Colleyville Blvd, Ste 110Colleyville, TX 76034(817) 428-5111ORTHODONTIST-SBASpanishOPENLic# 27170

IDEAL DENTAL OF COLLEYVILLE PLLCLyle M Schofield4712 Colleyville Blvd, Ste 110Colleyville, TX 76034(817) 428-5111ORTHODONTIST-SBASpanishOPENLic# 30874

Euless

IDEAL DENTAL OF EULESSJames I Ballou3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368ORTHODONTISTSpanishOPENLic# 25102

IDEAL DENTAL OF EULESSStephen J Breaud3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368ORTHODONTISTSpanishOPENLic# 11475

IDEAL DENTAL OF EULESSChris L Cramer3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368ORTHODONTISTSpanishOPENLic# 28933

IDEAL DENTAL OF EULESSJessica Lee3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368ORTHODONTISTSpanishOPENLic# 26531

IDEAL DENTAL OF EULESSPhilip Hsin An Pan3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368ORTHODONTISTSpanishOPENLic# 27170

IDEAL DENTAL OF EULESSLyle M Schofield3010 State Highway 121, Ste 300Euless, TX 76039(817) 571-3368ORTHODONTISTSpanishOPENLic# 30874

MONARCH DENTAL EULESSChristopher W Edwards2721 State Highway 121, Ste 300Euless, TX 76039(817) 786-3110ORTHODONTIST-SBAOPENLic# 21055

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 7

Page 89: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTAL EULESSPaula Ortiz2721 State Highway 121, Ste 300Euless, TX 76039(817) 786-3110PERIODONTIST-SBAOPENLic# 23473

MONARCH DENTAL EULESSMelissa B Tricamo2721 State Highway 121, Ste 300Euless, TX 76039(817) 786-3110PERIODONTIST-SBAOPENLic# 21089

Fort Worth

BENGE DANIELBenge Daniel, JR3600 Hulen St, Ste C4Fort Worth, TX 76107(817) 737-2594PERIODONTIST-SBAOPENLic# 11343

G STAN PREECE DDSAustin R Church5700 Edwards Ranch Rd, Ste 100Fort Worth, TX 76109(817) 292-2004PEDODONTIST (PEDIATRIC DENTIST)SpanishOPENLic# 22241

G STAN PREECE DDSGeorge Stan Preece5700 Edwards Ranch Rd, Ste 100Fort Worth, TX 76109(817) 292-2004PEDODONTIST (PEDIATRIC DENTIST)SpanishOPENLic# 17828

IDEAL DENTAL OF FORT WORTHJames I Ballou12584 N Beach St, Ste 150Fort Worth, TX 76244(817) 331-0021ORTHODONTISTSpanishOPENLic# 25102

IDEAL DENTAL OF FORT WORTHStephen J Breaud12584 N Beach St, Ste 150Fort Worth, TX 76244(817) 331-0021ORTHODONTISTSpanishOPENLic# 11475

IDEAL DENTAL OF FORT WORTHChris L Cramer12584 N Beach St, Ste 150Fort Worth, TX 76244(817) 331-0021ORTHODONTISTSpanishOPENLic# 28933

IDEAL DENTAL OF FORT WORTHPhilip Hsin An Pan12584 N Beach St, Ste 150Fort Worth, TX 76244(817) 331-0021ORTHODONTISTSpanishOPENLic# 27170

IDEAL DENTAL OF FORT WORTHLyle M Schofield12584 N Beach St, Ste 150Fort Worth, TX 76244(817) 331-0021ORTHODONTISTSpanishOPENLic# 30874

KIDS STOP DENTALJohn L Barnett6222 Hulen Bend BlvdFort Worth, TX 76132(817) 546-3335PEDODONTIST (PEDIATRIC DENTIST)SpanishOPENLic# 22966

LAKE WORTH CENTER DENTALJames I Ballou4625 Boat Club Rd, Ste 225Fort Worth, TX 76135(817) 237-8177ORTHODONTISTSpanishOPENLic# 25102

LAKE WORTH CENTER DENTALStephen J Breaud4625 Boat Club Rd, Ste 225Fort Worth, TX 76135(817) 237-8177ORTHODONTISTSpanishOPENLic# 11475

LAKE WORTH CENTER DENTALChris L Cramer4625 Boat Club Rd, Ste 225Fort Worth, TX 76135(817) 237-8177ORTHODONTISTSpanishOPENLic# 28933

LAKE WORTH CENTER DENTALPhilip Hsin An Pan4625 Boat Club Rd, Ste 225Fort Worth, TX 76135(817) 237-8177ORTHODONTISTSpanishOPENLic# 27170

LAKE WORTH CENTER DENTALLyle M Schofield4625 Boat Club Rd, Ste 225Fort Worth, TX 76135(817) 237-8177ORTHODONTISTSpanishOPENLic# 30874

MAX NEILLMax G Neill4421 Oak Park Ln, Ste 101Fort Worth, TX 76109(817) 927-1818ORAL SURGEON-SBAOPENLic# 9448

MILESTONE DENTAL OF KELLERJames I Ballou5800 N Tarrant Pkwy, Ste 102Fort Worth, TX 76244(817) 581-6453ORTHODONTISTSpanishOPENLic# 25102

MILESTONE DENTAL OF KELLERStephen J Breaud5800 N Tarrant Pkwy, Ste 102Fort Worth, TX 76244(817) 581-6453ORTHODONTISTSpanishOPENLic# 11475

MILESTONE DENTAL OF KELLERChris L Cramer5800 N Tarrant Pkwy, Ste 102Fort Worth, TX 76244(817) 581-6453ORTHODONTISTSpanishOPENLic# 28933

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 8

Page 90: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MILESTONE DENTAL OF KELLERPhilip Hsin An Pan5800 N Tarrant Pkwy, Ste 102Fort Worth, TX 76244(817) 581-6453ORTHODONTISTSpanishOPENLic# 27170

MILESTONE DENTAL OF KELLERLyle M Schofield5800 N Tarrant Pkwy, Ste 102Fort Worth, TX 76244(817) 581-6453ORTHODONTISTSpanishOPENLic# 30874

MONARCH DENTAL ASSOCIATESCharles C Chilcoat1900 Mall CirFort Worth, TX 76116(817) 377-2228ORAL SURGEON-SBAOPENLic# 12807

MONARCH DENTAL ASSOCIATESChristopher W Edwards6261 Granbury RdFort Worth, TX 76133(817) 346-9040ORTHODONTIST-SBAOPENLic# 21055

MONARCH DENTAL ASSOCIATESChristopher W Edwards1900 Mall CirFort Worth, TX 76116(817) 377-2228ORTHODONTIST-SBAOPENLic# 21055

MONARCH DENTAL ASSOCIATESLarry Goates6261 Granbury RdFort Worth, TX 76133(817) 346-9040ORTHODONTIST-SBAOPENLic# 10922

MONARCH DENTAL ASSOCIATESLarry Goates1900 Mall CirFort Worth, TX 76116(817) 377-2228ORTHODONTIST-SBAOPENLic# 10922

MONARCH DENTAL ASSOCIATESAnkit Shah6261 Granbury RdFort Worth, TX 76133(817) 346-9040ORTHODONTIST-SBAOPENLic# 26240

MONARCH DENTAL ASSOCIATESAnkit Shah1900 Mall CirFort Worth, TX 76116(817) 377-2228ORTHODONTIST-SBAOPENLic# 26240

MONARCH DENTAL ASSOCIATESJohn L Barnett6261 Granbury RdFort Worth, TX 76133(817) 346-9040PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 22966

MONARCH DENTAL ASSOCIATESArthur E Williams6261 Granbury RdFort Worth, TX 76133(817) 346-9040PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 24152

MONARCH DENTAL ASSOCIATESArthur E Williams1900 Mall CirFort Worth, TX 76116(817) 377-2228PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 24152

MONARCH DENTAL ASSOCIATESC N Deepak1900 Mall CirFort Worth, TX 76116(817) 377-2228PERIODONTIST-SBAOPENLic# 21191

MONARCH DENTAL ASSOCIATESPaula Ortiz6261 Granbury RdFort Worth, TX 76133(817) 346-9040PERIODONTIST-SBAOPENLic# 23473

MONARCH DENTAL ASSOCIATESMelissa B Tricamo1900 Mall CirFort Worth, TX 76116(817) 377-2228PERIODONTIST-SBAOPENLic# 21089

MONARCH DENTAL FORMERLY CASTLE DENTALJohn L Barnett6849 C Green Oaks RdFort Worth, TX 76116(817) 735-8801PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 22966

MONARCH DENTAL FORMERLY CASTLE DENTALC N Deepak6849 C Green Oaks RdFort Worth, TX 76116(817) 735-8801PERIODONTISTOPENLic# 21191

MONARCH DENTAL SEMINARYLarry Goates4200 South Fwy, Ste 15Fort Worth, TX 76115(817) 921-1554ORTHODONTISTSpanishOPENLic# 10922

MONARCH DENTAL SEMINARYJerry D Mills4200 South Fwy, Ste 15Fort Worth, TX 76115(817) 921-1554ORTHODONTISTSpanishOPENLic# 7305

MONARCH DENTAL SEMINARYC N Deepak4200 South Fwy, Ste 15Fort Worth, TX 76115(817) 921-1554PERIODONTIST-SBASpanishOPENLic# 21191

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 9

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PrePaid Dental Series

MONARCH DENTAL SEMINARYPaula Ortiz4200 South Fwy, Ste 15Fort Worth, TX 76115(817) 921-1554PERIODONTIST-SBASpanishOPENLic# 23473

NORTH BEACH DENTALChristopher King12420 Timberland Blvd, Ste 416Fort Worth, TX 76244(817) 518-1100ORAL SURGEONOPENLic# 23568

PACKARD ORTHODONTICS PA DBA APPLE ORTHODONTIXRobert C Packard5500 Overton Ridge Blvd, Ste 228Fort Worth, TX 76132(972) 578-7800ORTHODONTISTSpanishOPENLic# 13930

PRESIDIO CENTER DENTAL PLLCJames I Ballou8917 North Fwy, Ste 117Fort Worth, TX 76177(817) 203-1344ORTHODONTISTSpanishOPENLic# 25102

PRESIDIO CENTER DENTAL PLLCStephen J Breaud8917 North Fwy, Ste 117Fort Worth, TX 76177(817) 203-1344ORTHODONTISTSpanishOPENLic# 11475

PRESIDIO CENTER DENTAL PLLCChris L Cramer8917 North Fwy, Ste 117Fort Worth, TX 76177(817) 203-1344ORTHODONTISTSpanishOPENLic# 28933

PRESIDIO CENTER DENTAL PLLCPhilip Hsin An Pan8917 North Fwy, Ste 117Fort Worth, TX 76177(817) 203-1344ORTHODONTISTSpanishOPENLic# 27170

PRESIDIO CENTER DENTAL PLLCLyle M Schofield8917 North Fwy, Ste 117Fort Worth, TX 76177(817) 203-1344ORTHODONTISTSpanishOPENLic# 30874

SHEILA BIRTHDavid W Alger3060 Sycamore School Rd, Ste 11Fort Worth, TX 76133(817) 370-0268ORTHODONTIST-SBAOPENLic# 7405

SHEILA BIRTHSheila Gay Birth3060 Sycamore School Rd, Ste 11Fort Worth, TX 76133(817) 370-0268ORTHODONTIST-SBAOPENLic# 14150

SHEILA BIRTHCristi L Fletcher3060 Sycamore School Rd, Ste 11Fort Worth, TX 76133(817) 370-0268ORTHODONTIST-SBAOPENLic# 22279

SHEILA BIRTHCharles D Stewart3060 Sycamore School Rd, Ste 11Fort Worth, TX 76133(817) 370-0268ORTHODONTIST-SBAOPENLic# 11736

SHEILA BIRTH ORTHODONTICSDavid W Alger4420 Heritage Trace Pkwy, Ste 300Fort Worth, TX 76244(817) 479-0541ORTHODONTISTSpanishOPENLic# 7405

SHEILA BIRTH ORTHODONTICSSheila Gay Birth4420 Heritage Trace Pkwy, Ste 300Fort Worth, TX 76244(817) 479-0541ORTHODONTISTSpanishOPENLic# 14150

SHEILA BIRTH ORTHODONTICSCristi L Fletcher4420 Heritage Trace Pkwy, Ste 300Fort Worth, TX 76244(817) 479-0541ORTHODONTISTSpanishOPENLic# 22279

WILLIAM G PAULUS DDSWilliam George Paulus4901 Byers AveFort Worth, TX 76107(817) 738-2163ORTHODONTIST-SBAOPENLic# 16381

Grapevine

MONARCH DENTAL ASSOCIATESCharles C Chilcoat306 S Park BlvdGrapevine, TX 76051(817) 251-0057ORAL SURGEON-SBAOPENLic# 12807

MONARCH DENTAL ASSOCIATESChristopher W Edwards306 S Park BlvdGrapevine, TX 76051(817) 251-0057ORTHODONTIST-SBAOPENLic# 21055

MONARCH DENTAL ASSOCIATESLarry Goates306 S Park BlvdGrapevine, TX 76051(817) 251-0057ORTHODONTIST-SBAOPENLic# 10922

MONARCH DENTAL ASSOCIATESAnkit Shah306 S Park BlvdGrapevine, TX 76051(817) 251-0057ORTHODONTIST-SBAOPENLic# 26240

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 10

Page 92: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTAL ASSOCIATESJohn L Barnett306 S Park BlvdGrapevine, TX 76051(817) 251-0057PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 22966

MONARCH DENTAL ASSOCIATESArthur E Williams306 S Park BlvdGrapevine, TX 76051(817) 251-0057PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 24152

Hurst

NEXT CENTURY DENTALDwideshkumar I Hiremath458 Mid Cities BlvdHurst, TX 76054(817) 571-2100ORTHODONTIST-SBAOPENLic# 21183

Keller

G STAN PREECE DDSAustin R Church4100 Heritage Trace Pkwy, Ste 100Keller, TX 76248(817) 741-6100PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 22241

G STAN PREECE DDSGeorge Stan Preece4100 Heritage Trace Pkwy, Ste 100Keller, TX 76248(817) 741-6100PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 17828

IDEAL DENTAL OF KELLERJames I Ballou1431 Keller Pkwy, Ste 300Keller, TX 76248(817) 431-5599ORTHODONTISTOPENLic# 25102

IDEAL DENTAL OF KELLERStephen J Breaud1431 Keller Pkwy, Ste 300Keller, TX 76248(817) 431-5599ORTHODONTISTOPENLic# 11475

IDEAL DENTAL OF KELLERChris L Cramer1431 Keller Pkwy, Ste 300Keller, TX 76248(817) 431-5599ORTHODONTISTOPENLic# 28933

IDEAL DENTAL OF KELLERPhilip Hsin An Pan1431 Keller Pkwy, Ste 300Keller, TX 76248(817) 431-5599ORTHODONTISTOPENLic# 27170

IDEAL DENTAL OF KELLERLyle M Schofield1431 Keller Pkwy, Ste 300Keller, TX 76248(817) 431-5599ORTHODONTISTOPENLic# 30874

Lake Worth

MONARCH DENTAL ASSOCIATESLarry Goates6628 Lake Worth Blvd, Ste 200Lake Worth, TX 76135(817) 238-7984ORTHODONTIST-SBAOPENLic# 10922

MONARCH DENTAL ASSOCIATESJerry D Mills6628 Lake Worth Blvd, Ste 200Lake Worth, TX 76135(817) 238-7984ORTHODONTIST-SBAOPENLic# 7305

MONARCH DENTAL ASSOCIATESVernesha Lockhart6628 Lake Worth Blvd, Ste 200Lake Worth, TX 76135(817) 238-7984PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 27243

MONARCH DENTAL ASSOCIATESArthur E Williams6628 Lake Worth Blvd, Ste 200Lake Worth, TX 76135(817) 238-7984PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 24152

MONARCH DENTAL ASSOCIATESC N Deepak6628 Lake Worth Blvd, Ste 200Lake Worth, TX 76135(817) 238-7984PERIODONTISTOPENLic# 21191

Mansfield

DEBORAH C SULLIVANDeborah Carson Sullivan1830 E Broad St, Ste 104Mansfield, TX 76063(817) 473-7171PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 19246

DEBORAH C SULLIVANDaniel E Wright1830 E Broad St, Ste 104Mansfield, TX 76063(817) 473-7171PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 23170

MONARCH DENTAL MANSFIELDLarry Goates101 W Debbie Lane, Ste 106Mansfield, TX 75070(682) 518-5200ORTHODONTIST-SBAOPENLic# 10922

MONARCH DENTAL MANSFIELDJerry D Mills101 W Debbie Lane, Ste 106Mansfield, TX 75070(682) 518-5200ORTHODONTIST-SBAOPENLic# 7305

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 11

Page 93: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

MONARCH DENTAL MANSFIELDJohn L Barnett101 W Debbie Lane, Ste 106Mansfield, TX 75070(682) 518-5200PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 22966

MONARCH DENTAL MANSFIELDArthur E Williams101 W Debbie Lane, Ste 106Mansfield, TX 75070(682) 518-5200PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 24152

MONARCH DENTAL MANSFIELDPaula Ortiz101 W Debbie Lane, Ste 106Mansfield, TX 75070(682) 518-5200PERIODONTISTOPENLic# 23473

MONARCH DENTAL MANSFIELDMelissa B Tricamo101 W Debbie Lane, Ste 106Mansfield, TX 75070(682) 518-5200PERIODONTISTOPENLic# 21089

North Richland Hills

MONARCH DENTAL ASSOCIATESCharles C Chilcoat6455 Hilltop Dr, Ste 114North Richland Hills, TX 76180(817) 577-3433ORAL SURGEONOPENLic# 12807

MONARCH DENTAL ASSOCIATESLarry Goates6455 Hilltop Dr, Ste 114North Richland Hills, TX 76180(817) 577-3433ORTHODONTIST-SBAOPENLic# 10922

MONARCH DENTAL ASSOCIATESJerry D Mills6455 Hilltop Dr, Ste 114North Richland Hills, TX 76180(817) 577-3433ORTHODONTIST-SBAOPENLic# 7305

MONARCH DENTAL ASSOCIATESJohn L Barnett6455 Hilltop Dr, Ste 114North Richland Hills, TX 76180(817) 577-3433PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 22966

MONARCH DENTAL ASSOCIATESVernesha Lockhart6455 Hilltop Dr, Ste 114North Richland Hills, TX 76180(817) 577-3433PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 27243

MONARCH DENTAL ASSOCIATESArthur E Williams6455 Hilltop Dr, Ste 114North Richland Hills, TX 76180(817) 577-3433PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 24152

MONARCH DENTAL FORMERLY CASTLE DENTALJohn L Barnett7653 Boulevard 26, # DNorth Richland Hills, TX 76180(817) 581-0800PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 22966

MONARCH DENTAL FORMERLY CASTLE DENTALC N Deepak7653 Boulevard 26, # DNorth Richland Hills, TX 76180(817) 581-0800PERIODONTISTOPENLic# 21191

MONARCH DENTAL KELLERChristopher W Edwards8528 Davis Blvd, Ste 100North Richland Hills, TX 76180(817) 605-8067ORTHODONTIST-SBAOPENLic# 21055

MONARCH DENTAL KELLERLarry Goates8528 Davis Blvd, Ste 100North Richland Hills, TX 76180(817) 605-8067ORTHODONTIST-SBAOPENLic# 10922

MONARCH DENTAL KELLERJerry D Mills8528 Davis Blvd, Ste 100North Richland Hills, TX 76180(817) 605-8067ORTHODONTIST-SBAOPENLic# 7305

MONARCH DENTAL KELLERAnkit Shah8528 Davis Blvd, Ste 100North Richland Hills, TX 76180(817) 605-8067ORTHODONTIST-SBAOPENLic# 26240

MONARCH DENTAL KELLERArthur E Williams8528 Davis Blvd, Ste 100North Richland Hills, TX 76180(817) 605-8067PEDODONTIST (PEDIATRIC DENTIST)OPENLic# 24152

MONARCH DENTAL KELLERC N Deepak8528 Davis Blvd, Ste 100North Richland Hills, TX 76180(817) 605-8067PERIODONTISTOPENLic# 21191

Southlake

IDEAL DENTAL OF SOUTHLAKEJames I Ballou2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999ORTHODONTISTSpanishOPENLic# 25102

IDEAL DENTAL OF SOUTHLAKEStephen J Breaud2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999ORTHODONTISTSpanishOPENLic# 11475

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 12

Page 94: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

PrePaid Dental Series

IDEAL DENTAL OF SOUTHLAKEChris L Cramer2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999ORTHODONTISTSpanishOPENLic# 28933

IDEAL DENTAL OF SOUTHLAKEPhilip Hsin An Pan2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999ORTHODONTISTSpanishOPENLic# 27170

IDEAL DENTAL OF SOUTHLAKELyle M Schofield2645 E Southlake Blvd, Ste 150Southlake, TX 76092(817) 421-9999ORTHODONTISTSpanishOPENLic# 30874

Watauga

NEXT CENTURY DENTALDwideshkumar I Hiremath7748 Denton HwyWatauga, TX 76148(817) 581-2100ORTHODONTIST-SBAOPENLic# 21183

Providers last updated: 2016-09-18 18:17:21NOTE: Dentists may be listed more than once due to multiple office locations or participation with Groups. SBA (Specialty Benefit) offers enhanced benefits associated with Plan Specialists (an in-network Endodontist, Periodontist or

Oral Surgeon) who accepts the SBA Plan Specialist Copayments. We recommend members call Customer Service at 800.443.2995 to determine if the SBA is available for your plan.

* Facility and/or Dentist is currently not accepting new patients. Page 13

Page 95: Dental Provider Directory - Texas€¦ · GENERAL DENTIST Hindi Vietnamese Urdu ID #: 0022165 Lic# 27499 FAMILY AND COSMETIC DENTISTRY Namrita Singh 915 W Exchange Pkwy, Ste 170 Allen,

One Sun Life Executive Park Wellesley Hills, MA 02481www.sunlife.com/us

DHMO dental products are provided by United Dental Care of Texas, Inc., an affiliate of Sun Life Assurance Company of Canada (Wellesley Hills, MA), under Form Series UDC-09-GDSA-TX. United Dental Care of Texas, Inc. is a dental HMO (Health Maintenance Organization).

© 2016 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. All rights reserved. Sun Life Financial and the globe symbol are registered trademarks of Sun Life Assurance Company of Canada. Visit us at www.sunlife.com/us.

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