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Directory of Participating Dentists – Kansas City Metro Area As a subscriber covered under Surency Dental’s PPO network, you have the freedom to obtain treatment from any licensed dentist of your choice. In order to maximize your benefits under this program and have less outofpocket expense, InNetwork dentists should be used to provide your dental services. An InNetwork dentist or a Surency Participating Provider is defined as a licensed dentist who has signed a participating dentist agreement directly with Surency or who has signed a provider contract with a network leasing organization that Surency has contracted with. Participating Dentist (InNetwork)* All dentists in this directory are InNetwork and are available for your use. Surency Life and Health utilizes the DenteMax network and the Maverest Dental Network , in addition to the Surency Dental network, to offer our members additional access to providers. Direct payments will be made to the dentist based on the appropriate network fee schedule. NonParticipating Dentist (Outof Network) As a subscriber covered under the Surency Dental PPO program, you have the freedom to obtain treatment from any licensed dentists of your choice. If you choose to see a dentist who is not a provider with Surency, payment will be made at an outofnetwork level which may be lower. You will receive payment directly from Surency, and you will be responsible for all dentist charges. The network is always expanding and is subject to change. To verify participation in the network, ask your dentist prior to your visit if he/she participates with Surency, DenteMax or Maverest, visit our website at www.surency.com, or call our customer service department toll free at 18668188805. Specialty Code Definitions GP General Practitioner EN Endodontist OS Oral Surgeon OR Orthodontist PD Pediatric Dentist PR Periodontist PS Prosthodontist Surency Life and Health Insurance Company 1619 N. Waterfront Parkway P.O. Box 789773 Wichita, KS 672789773 *A Participating Dentist is solely responsible for the dental care provided to any patient and Surency Life & Health Insurance Company does not control the detail, manner or methods by which the Participating Dentist provides dental care. Surency Life & Health Insurance Company and Participating Dentists do not have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists provision of dental care to Surency Dental PPO members may be deemed to exist. DenteMax Participating Dentists are contracted directly with DenteMax and will be paid from the DenteMax fee schedule that applies to his/her contract with DenteMax. Maverest Participating Dentists are contracted directly with Maverest and will be paid from the Maverest fee schedule that applies to his/her contract with Maverest.

Directory of Participating Dentists Kansas City Metro Area Dental List 2015.pdf · Directory of Participating Dentists – Kansas City Metro Area ... treatment from any licensed dentist

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Directory of Participating Dentists – Kansas City Metro Area 

As a subscriber covered under Surency Dental’s PPO network, you have the freedom to obtain treatment from any licensed dentist of your choice.  In order to maximize your benefits under this program and have less out‐of‐pocket expense, In‐Network dentists should be used to provide your dental services.  An In‐Network dentist or a Surency Participating Provider is defined as a licensed dentist who has signed a participating dentist agreement directly with Surency or who has signed a provider contract with a network leasing organization that Surency has contracted with.    Participating Dentist (In‐Network)* All dentists in this directory are In‐Network and are available for your use.  Surency Life and Health utilizes the DenteMax network and the Maverest Dental Network , in addition to the Surency Dental network, to offer our members additional access to providers.  Direct payments will be made to the dentist based on the appropriate network fee schedule.  Non‐Participating Dentist (Out‐of Network) As a subscriber covered under the Surency Dental PPO program, you have the freedom to obtain treatment from any licensed dentists of your choice.  If you choose to see a dentist who is not a provider with Surency, payment will be made at an out‐of‐network level which may be lower.  You will receive payment directly from Surency, and you will be responsible for all dentist charges.  The network is always expanding and is subject to change.  To verify participation in the network, ask your dentist prior to your visit if he/she participates with Surency, DenteMax or Maverest, visit our website at www.surency.com, or call our customer service department toll free at 1‐866‐818‐8805.  

Specialty Code Definitions GP  ‐ General Practitioner EN ‐ Endodontist OS ‐ Oral Surgeon OR ‐ Orthodontist PD ‐ Pediatric Dentist PR ‐ Periodontist PS ‐ Prosthodontist 

 

Surency Life and Health Insurance Company   1619 N. Waterfront Parkway   

P.O. Box 789773   Wichita, KS 67278‐9773 

 *A Participating Dentist is solely responsible for the dental care provided to any patient and Surency Life & Health Insurance Company does not 

control the detail, manner or methods by which the Participating Dentist provides dental care. Surency Life & Health Insurance Company and 

Participating Dentists do not have a relationship of employer and employee nor of principal and agent.  No such relationship other than that of 

independent parties contracting with each other solely for the purpose of Participating Dentists provision of dental care to Surency Dental PPO 

members may be deemed to exist.  DenteMax Participating Dentists are contracted directly with DenteMax and will be paid from the 

DenteMax fee schedule that applies to his/her contract with DenteMax.  Maverest Participating Dentists are contracted directly with Maverest 

and will be paid from the Maverest fee schedule that applies to his/her contract with Maverest.  

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Aarons Kurt 4411 Belleview Ave Kansas City MO 64111 (816) 531-2070 PD

Adams Robert 501 South Hughes Hamilton MO 64644 (816) 583-2750 GP

Adjemian Maria Del 6651 North Oak Trafficway, Suite 8 Gladstone MO 64118 (816) 468-6767 GP

Adjemian Arsen 5713 Northwest 64th Terrace Kansas City MO 64151 (816) 587-2400 GP

Afzali Mojan 511 SW Jefferson Lees Summit MO 64063 (816) 554-7720 GP

Ahmad Yousaf 940 NW Blue Pkwy Ste A Lees Summit MO 64086 (816) 524-5752 GP

Ahmed Saher 13430 W 62nd Ter Shawnee KS 66216 (913) 962-4400 GP

Al Jumaili Ali 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 GP

Al Jumaili Ali 13316 Metcalf Ave Overland Park KS 66213 (913) 741-5113 GP

Al Jumaili Ali 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP

Al Jumaili Ali 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP

Al Salman Abdulmola 5950 North Oak Trafficway, Suite 103 Gladstone MO 64118 (816) 436-5558 PS

Al Salman Rajiha 5950 North Oak Trafficway, Suite 103 Gladstone MO 64118 (816) 436-5558 GP

Alexander Ronald 17201 E US Highway 40, Ste 102 Independence MO 64055 (816) 478-2036 GP

Alexander Craig 450 South Parker Olathe KS 66061 (913) 829-1438 GP

Allen Gregory 3916 South Lynn Court Independence MO 64055 (816) 254-2345 OS

Allen Gregory 1010 Carondelet Drive, Suite 316 Kansas City MO 64114 (816) 941-0000 OS

Allen Iii Charles 751 East 63rd Street, Suite 404 Kansas City MO 64110 (816) 333-4411 GP

Altenburg Stephanie 5571 Northwest Barry Road Kansas City MO 64154 (816) 587-0600 GP

Altenburg Timothy 5571 Northwest Barry Road Kansas City MO 64154 (816) 587-0600 GP

Anderson Justin 831 Vermont St Lawrence KS 66044 (785) 843-6060 GP

Anderson Eugene 13010 Fuller Avenue Grandview MO 64030 (816) 966-0202 GP

Anderson Farrah 1619 W 24 Hwy Independence MO 64050 (816) 461-0055 GP

Anderson Jeffrey 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 GP

Anderson Thomas 4911 South Arrowhead Drive, Suite 202 Independence MO 64055 (816) 373-4440 GP

Anderson Clifford 4240 Blue Ridge Boulevard, Suite 800 Kansas City MO 64133 (816) 353-7200 PD

Anderson Clifford 915 Southwest Lemans Lane Lees Summit MO 64082 (816) 623-3055 PD

Anderson Jeffrey 13541 Madison Ave Kansas City MO 64145 (816) 942-0033 GP

Anderson Linda 823 Northeast Lakewood Boulevard Lees Summit MO 64064 (816) 478-0909 GP

Anderson Thomas 1000 Walnut Street, Suite 210 Kansas City MO 64106 (816) 421-6667 GP

Anderson Thomas 411 Nichols Road, Suite 231 Kansas City MO 64112 (816) 531-3439 GP

Anderson Farrah 18130 West 119th Street Olathe KS 66061 (913) 948-7711 GP

Anderson Jeffrey 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP

Ang Dan 9233 Ward Parkway, Suite 330 Kansas City MO 64114 (816) 444-8822 PR

Applegate Shelby 3908 South Noland Road Independence MO 64055 (816) 461-2273 GP

Applegate Shelby 651 E US Highway 24 Independence MO 64050 (816) 461-6911 GP

Applegate Shelby 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP

Applegate Shelby 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 GP

Applegate Shelby 9600 East Highway 350 Raytown MO 64133 (816) 356-2273 GP

Arnett Michael 2119 Minnesota Avenue Kansas City KS 66102 (913) 621-3113 GP

Arora Kirandeep 8650 W 95th St Ste 2 Overland Park KS 66212 (913) 642-0031 GP

Asandra Luckana 12 Westwoods Dr, Ste A Liberty MO 64068 (816) 781-0993 GP

Ash Scott 651 East US Highway 24 Independence MO 64050 (816) 461-6911 GP

Ash Scott 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 GP

Ash Scott 9600 E State Route 350 Raytown MO 64133 (816) 356-2273 GP

Ashbaugh Jonas 3908 South Noland Road Independence MO 64055 (816) 461-2273 GP

Ashbaugh Jonas 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP

Ashley David 1520 E 23rd St S Ste Q Independence MO 64055 (816) 252-9190 GP

Page 1 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Ashley David 519 South Main Street Concordia MO 64020 (660) 463-2264 GP

Augustyn Mary 1212 SW Luttrell Rd Blue Springs MO 64015 (816) 525-7155 GP

Augustyn Mary 521 Southeast Second Street, Suite B Lees Summit MO 64063 (816) 525-7155 GP

Augustyn Mary 14109 Overbrook Road, Suite A Leawood KS 66224 (913) 851-1018 GP

Avondet Robert 1525 South 7 Highway Blue Springs MO 64014 (816) 224-0088 GP

Ayer Dennis 6651 North Oak Traffic Way, Suite 8 Kansas City MO 64118 (816) 468-6767 GP

Ayer Dennis 11150 Pflumm Road Lenexa KS 66215 (913) 439-1800 GP

Bagby Mark 7301 Mission Rd, Ste 240 Prairie Village KS 66208 (913) 642-1999 GP

Bagby Thomas 6610 Parallel Parkway Kansas City KS 66102 (913) 299-4100 GP

Bagley Amy 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Bahr Carl 651 East US Highway 24 Independence MO 64050 (816) 461-0300 OR

Bahr Craig 651 East US Highway 24 Independence MO 64050 (816) 461-0300 OR

Bahr Carl 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 OR

Bahr Carl 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 OR

Bahr Craig 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 OR

Bahr Craig 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 OR

Bailey Fred 5420 Northeast Antioch Road Kansas City MO 64119 (816) 452-9700 GP

Bailey Weltman 4301 Paseo Boulevard Kansas City MO 64110 (816) 924-1190 GP

Bailey Jaden 2933 S 47th St Kansas City KS 66106 (913) 677-1004 GP

Baker Caryn 2300 Hutton Road, Suite 102 Kansas City KS 66109 (913) 721-3525 GP

Baraban Paul 6351 West 110th Street Overland Park KS 66211 (913) 451-8300 GP

Barden Dennis 301 E Main St Osawatomie KS 66064 (913) 755-3014 GP

Barreca Christopher 9500 E 63rd St Ste 103 Raytown MO 64133 (816) 737-1110 GP

Baxter John 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 OR

Baxter John 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 OR

Baxter John 10818 Parallel Pkwy Kansas City KS 66109 (913) 299-8860 OR

Bazar Edward 1771 Northwest Burdett Crossing Blue Springs MO 64015 (816) 228-0001 GP

Bazar Edward 1301 S W Arborwalk Blvd, Suite E Lees Summit MO 64082 (816) 228-0001 GP

Beard Mark 6 Victory Ln, Ste 1 Liberty MO 64068 (816) 781-7280 GP

Beard Rodney 6 Victory Ln, Ste 1 Liberty MO 64068 (816) 781-7280 GP

Beard Mark 4746 Belleview Ave Kansas City MO 64112 (816) 531-8740 GP

Beck Suzanne 8603 North Oak Trafficway Kansas City MO 64155 (816) 436-8338 GP

Beck David 3741 SW Raintree Dr Lees Summit MO 64082 (816) 875-3339 GP

Beck Suzanne 3741 SW Raintree Dr Lees Summit MO 64082 (816) 875-3339 GP

Beckman Jason 4911 South Arrowhead Drive, Suite 202 Independence MO 64055 (816) 373-4440 GP

Beckman Jason 1000 Walnut Street, Suite 210 Kansas City MO 64106 (816) 421-6667 GP

Beckman Jason 411 Nichols Road, Suite 231 Kansas City MO 64112 (816) 531-3439 GP

Bednarczyk Daniel 11164 S Noble Dr Ste 103 Olathe KS 66061 (913) 829-7000 GP

Behrens Deeann 6420 Parallel Ave Kansas City KS 66102 (913) 299-6699 GP

Belfield James 15220 West 87th Street Lenexa KS 66219 (913) 888-0005 GP

Bell Nicholas 5750 Antioch Rd Merriam KS 66202 (913) 671-7066 GP

Bell Nicholas 13316 Metcalf Ave Overland Park KS 66213 (913) 851-5110 GP

Bell Nicholas 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP

Bell Nicholas 10818 Parallel Pkwy Kansas City KS 66109 (913) 299-8860 GP

Bellafiore Joseph 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Bellafiore Joseph 5314 East 115 Street Kansas City MO 64137 (816) 761-2878 GP

Bellafiore Joseph 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP

Beltgens Natalie 1730 South 7 Highway Blue Springs MO 64014 (816) 228-8400 GP

Page 2 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Berkvam Dawn 1010 Walnut St Ste 280 Kansas City MO 64106 (816) 474-9131 GP

Berkvam Dawn 1010 Carondelet Drive, Suite 316 Lenexa KS 66220 (913) 254-1300 GP

Berry Michael 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 PD

Berry Michael 13541 Madison Ave Kansas City MO 64145 (816) 942-0033 PD

Berry Ellen 407 S Clairborne Rd, Ste 104 Olathe KS 66062 (913) 648-2266 GP

Berry Ellen 7171 W 95th St, Ste 100 Shawnee Mission KS 66212 (913) 433-7582 GP

Berry Ellen 25955 W 327th St Paola KS 66071 (913) 294-9223 GP

Berry Michael 6004 North 9 Highway Parkville MO 64152 (816) 746-5437 PD

Bevan Jon 450 South Parker Olathe KS 66061 (913) 829-1438 GP

Bhoot Sonal 1212 SW Luttrell Rd Blue Springs MO 64015 (816) 525-7155 GP

Bhoot Sonal 521 Southeast Second Street, Suite B Lees Summit MO 64063 (816) 525-7155 GP

Bhoot Sonal 14109 Overbrook Road, Suite A Leawood KS 66224 (913) 851-1018 GP

Biggs Nathan 13031 Kansas Avenue Bonner Springs KS 66012 (913) 441-1600 GP

Bikson Bruce 11150 Pflumm Road, Suite 100 Lenexa KS 66215 (913) 317-6453 GP

Bikson Bruce 11737 College Blvd Overland Park KS 66210 (913) 317-6453 GP

Biria Firoozeh 14364 Metcalf Ave Overland Park KS 66223 (913) 499-1111 GP

Bishop Charles 7211 NW 83rd St Ste 120 Kansas City MO 64152 (816) 587-9170 GP

Blacker Mitchell 11208 Quincy Ave Kansas City MO 64137 (816) 763-8400 GP

Blackwell Daniel 10 Northwest Chipman Road Lees Summit MO 64063 (816) 524-6525 OR

Boe Irwin 10346 State Line Rd Leawood KS 66206 (913) 341-2292 GP

Boe Irwin 5940 Lamar Ave Mission KS 66202 (913) 341-2292 GP

Boe Irwin 8650 W 95th St Ste 2 Overland Park KS 66212 (913) 964-0031 GP

Boe Irwin 13430 W 62nd Ter Shawnee KS 66216 (913) 962-4400 GP

Boe Irwin 21 West Wea Street Paola KS 66071 (913) 557-3333 GP

Boles Nathan 1100 Northwest Jefferson Court Blue Springs MO 64015 (816) 229-3828 GP

Bono Vincent 113 Blue Jay Drive, Suite 202 Liberty MO 64068 (816) 792-4080 GP

Boomsaad Oscar 121 North Chester Olathe KS 66061 (913) 782-4449 GP

Bowden Samuel 5321 West 151St Street Leawood KS 66224 (913) 851-9969 GP

Bowden Samuel 1258 West Amity Road Louisburg KS 66053 (913) 851-9969 GP

Boyce Kyle 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP

Boyce Kyle 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP

Boyce Kyle 940 NW Blue Pkwy Ste A Lees Summit MO 64086 (816) 524-5752 GP

Boyce Kyle 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP

Boydston Harry 4601 West 109th, Suite 322 Overland Park KS 66211 (913) 491-3395 GP

Bratton Sara 10803 E State Route 350 Raytown MO 64138 (405) 286-9024 GP

Brent Sarah 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP

Brent Sarah 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP

Brewer Timothy 13100 W 87th Street Parkway Lenexa KS 66215 (913) 248-8880 GP

Brinckman Dayna 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Brinckman Dayna 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP

Britt David 1771 NW Burdett Xing Blue Springs MO 64015 (816) 228-0001 GP

Brobst Edward 6301 North Oak Trafficway, Suite 201 Glasdstone MO 64118 (816) 413-8285 GP

Brotherson Stephen 4116 Strong Avenue Kansas City KS 66106 (913) 831-1212 GP

Brower Harold 20 NW Chipman Rd, Ste 100 Lees Summit MO 64063 (816) 525-5656 GP

Brower Todd 20 NW Chipman Rd, Ste 100 Lees Summit MO 64063 (816) 525-5656 GP

Brown James 3908 South Noland Road Independence MO 64055 (816) 461-2273 GP

Brown James 651 E US Highway 24 Independence MO 64050 (816) 461-6911 GP

Brown James 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP

Page 3 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Brown Melissa 11150 Pflumm Road, Suite 100 Lenexa KS 66215 (913) 317-6453 GP

Brown Rachelle 13100 W 87th Street Parkway Lenexa KS 66215 (913) 248-8880 GP

Brown Ghoston Vermelle 7450 Quivira Rd Lenexa KS 66216 (913) 217-7536 GP

Bruner Hugh 4860 College Boulevard, Suite 114 Overland Park KS 66211 (913) 469-1612 PR

Bruns Bernard 5501 NW 62nd Ter Ste 101 Kansas City MO 64151 (816) 741-6960 GP

Bulleigh Chad 8600 West 95th Street Overland Park KS 66212 (913) 962-7223 OR

Bulleigh Chad 6804 Silverheel Street Shawnee KS 66226 (913) 962-7223 OR

Bunton James 4636 Wyandotte St, Ste 200 Kansas City MO 64112 (816) 753-2664 GP

Bunton Ryan 4635 Wyandotte St, Ste 200 Kansas City MO 64112 (816) 753-2664 GP

Burch James 514 South Noland Road, Suite 140 Independence MO 64050 (816) 833-2124 GP

Burch James 7611 State Line Road, Suite 145 Kansas City MO 64114 (816) 822-0990 GP

Burgess Barry 4461 Indian Creek Pkwy Overland Park KS 66207 (913) 642-4070 GP

Burk Kurt 4104 Northeast Vivion Road Kansas City MO 64119 (816) 452-8700 GP

Burleson Amy 4135 N Mulberry Dr Kansas City MO 64116 (816) 741-5311 PD

Burleson Dustin 4135 N Mulberry Dr Kansas City MO 64116 (816) 741-5311 OR

Burleson Dustin 4151 N Mulberry Dr Ste 210 Kansas City MO 64116 (816) 741-5311 OR

Burneson James 9150 Northeast Barry Road, Suite B Kansas City MO 64157 (816) 792-3500 GP

Burris Todd 7070 Renner Road, Suite 202 Shawnee Mission KS 66217 (913) 268-0888 GP

Burrow Matthew 15953 West 65th Street Shawnee KS 66217 (913) 248-8200 GP

Busch William 2000 Swift Street North Kansas City MO 64116 (816) 471-2911 GP

Call Kasey 4700 Belleview, Suite L 10 Kansas City MO 64112 (816) 561-1115 OS

Call Kasey 7577 Northwest Barry Road, Suite B Kansas City MO 64153 (816) 741-8999 OS

Cantrell Edward 601 North Mur Len Road, Suite 9 Olathe KS 66062 (913) 764-9191 GP

Carr Mark 312 N Walnut St Cameron MO 64429 (816) 632-5812 GP

Casa Adela 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP

Casey Joanna 125 East Park Street Olathe KS 66061 (913) 782-7580 GP

Casper Roger 506 Northwest Murray Road Lees Summit MO 64081 (816) 525-5414 GP

Castaneda Alberto 21620 Midland Dr Shawnee KS 66218 (913) 268-1337 GP

Castellano Anthony 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP

Catallozzi Nicholas 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP

Catallozzi Nicholas 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP

Cates Iii Thomas 4437 S River Blvd Ste 110 Independence MO 64055 (816) 350-9988 GP

Caye Stephen 105 N Stewart Ct Ste 140 Liberty MO 64068 (816) 792-4455 GP

Champen Washing April 620 W 23rd St Independence MO 64055 (816) 254-3382 GP

Champen Washing April 1524 White Avenue Kansas City MO 64126 (816) 418-3670 GP

Champen Washing April 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP

Champen Washing April 811 A South Highway 13 Lexington MO 64067 (660) 259-3823 GP

Chang Youngjune 6708 State Avenue Kansas City KS 66102 (913) 299-8554 GP

Childers Logan 12600 East 40 Highway, Suite 200 Independence MO 64055 (816) 478-4202 PD

Christensen David 7111 Northwest 86th Street Kansas City MO 64153 (816) 741-1155 OR

Christian Nikki 2121 Summit St Kansas City MO 64108 (816) 471-0900 GP

Chung Julia 1619 W 24 Hwy Independence MO 64050 (816) 461-0055 GP

Ciminieri Jason 11111 Nall Ave Ste 100 Leawood KS 66211 (913) 491-4900 GP

Claassen Robert 301 E Armour Blvd Ste 316 Kansas City MO 64111 (816) 756-5600 GP

Clabaugh Richard 651 East US Highway 24 Independence MO 64050 (816) 461-0300 OR

Clabaugh Richard 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 OR

Clabaugh Richard 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 OR

Claiborne Ronald 5316 East 115th Kansas City MO 64137 (816) 763-0511 GP

Page 4 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Clark Artis 751 E 63rd St Ste 200 Kansas City MO 64110 (816) 333-4110 GP

Clark Evelyn 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Clark Evelyn 6724 Troost Ste 407 Kansas City MO 64131 (816) 523-1414 GP

Clemons Trevor 11221 Shawnee Mission Parkway Shawnee KS 66203 (913) 236-8899 GP

Cohen Seth 11005 West 60th Street, Suite 240 Shawnee KS 66203 (913) 631-5622 GP

Cohen Seth 2933 S 47th St Kansas City KS 66106 (913) 677-1004 GP

Colgan Daniel 115 Blue Jay Drive, Suite 104 Liberty MO 64068 (816) 781-7123 GP

Collier Kirk 12208 West 87th Street Parkway, Suite 150 Lenexa KS 66215 (913) 541-1888 OS

Collier Kirk 1441 East 151st, Suite 2 Olathe KS 66062 (913) 782-1529 OS

Collier Kirk 3700 West 83rd, Suite 103 Prairie Village KS 66208 (913) 381-5194 OS

Collins Latedra 620 W 23rd St Independence MO 64055 (816) 254-3382 GP

Collins Latedra 1524 White Avenue Kansas City MO 64126 (816) 418-3670 GP

Collins Latedra 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP

Collins Latedra 811 A South Highway 13 Lexington MO 64067 (660) 259-3823 GP

Combs Melissa 209 Northeast Barry Road Kansas City MO 64155 (816) 436-6767 PR

Combs Melissa 411 Nichols Road, Suite 236 Kansas City MO 64112 (816) 753-0202 PR

Combs Melissa 3355 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 525-4867 PR

Combs Melissa 11401 Nall Avenue Leawood KS 66211 (913) 663-4867 PR

Cook Lewis 1734 East 63rd Street, Suite 401 Kansas City MO 64110 (816) 523-4444 GP

Cook Lewis 9600 E State Route 350 Raytown MO 64133 (816) 356-2273 GP

Cook Jay 4601 W 109th St Ste 320 Overland Park KS 66211 (913) 381-2600 GP

Cottrell Michael 1200 Northwest Jefferson Court Blue Springs MO 64015 (816) 228-3688 GP

Cottrell Michael 19401 East 40 Highway, Suite 155 Independence MO 64055 (816) 795-5620 GP

Cottrell Michael 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP

Cottrell Michael 819 Walnut Street, Suite 101 Kansas City MO 64016 (816) 421-6065 GP

Courtney Gary 842 N Main St Lansing KS 66043 (913) 682-5615 GP

Craig Aaron 1100 NW Jefferson Ct Blue Springs MO 64015 (816) 229-3828 GP

Craven Bobby 212 South St Excelsior Spgs MO 64024 (816) 637-8112 OR

Craven Bobby Westowne V Ste 502 Liberty MO 64068 (816) 781-2255 OR

Craven Scott 5000 West 95th Street, Suite 300 Prairie Village KS 66207 (913) 649-0310 GP

Crawford Oran 516 E 63rd St Kansas City MO 64110 (816) 523-4455 GP

Crist Frank 11401 Nall Avenue Leawood KS 66211 (913) 649-5437 OR

Crist Loren 7577 Northwest Barry Road, Suite A Kansas City MO 64153 (816) 746-1200 OR

Crooker Gregory 2933 S 47th St Kansas City KS 66106 (913) 677-1004 GP

Crowder Richard 14922 West 87th Street Lenexa KS 66215 (913) 322-2222 GP

Crumbaugh Jennifer 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 GP

Crumbaugh Jennifer 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP

Culp Steven 1854 Minnesota Avenue, Suite 3 Kansas City KS 66102 (913) 371-1474 GP

Cummings Kevin 401 SW Ward Rd Ste 204 Lees Summit MO 64081 (816) 246-1003 GP

Cummings Tabitha 13643 Holmes Road, Suite A Kansas City MO 64145 (816) 941-7788 GP

Cunningham Kevin 11900 West 87th Street Parkway, Suite 160 Lenexa KS 66215 (913) 599-0888 EN

Daifallah Thaer 831 Vermont St Lawrence KS 66044 (785) 843-6060 GP

Dale Gregory 2109 NE 72nd St, Ste 101 Kansas City MO 64118 (816) 452-3420 GP

Dallal Nadeem 12611 Antioch Road Overland Park KS 66213 (913) 685-9111 GP

Dallal Nadeem 5125 Roe Blvd Ste 100 Roeland Park KS 66920 (913) 831-4300 GP

Dallam Edward 5000 West 95th Street, Suite 300 Prairie Village KS 66207 (913) 649-0310 GP

Darling Robin 1508 NW Mock Ave Ste A Blue Springs MO 64015 (816) 224-9444 GP

Davis Brian 9918 Holmes Road, Suite B Kansas City MO 64131 (816) 943-0003 GP

Page 5 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Davis Robert 6530 Raytown Rd Ste F Raytown MO 64133 (816) 358-0800 GP

Davis Carter 6540 W 95th St Ste 2 Overland Park KS 66212 (913) 381-3033 GP

Day Emily 7381 W 133rd St, Ste 303 Shawnee Mission KS 66213 (913) 239-0713 PD

Day Mollie 407 S Clairborne Rd, Ste 104 Olathe KS 66062 (913) 648-2266 GP

Day Mollie 7171 W 95th St, Ste 100 Shawnee Mission KS 66212 (913) 433-7582 GP

Day Mollie 25955 W 327th St Paola KS 66071 (913) 294-9223 GP

De Laurent Guerschon 2328 Armour Road North Kansas City MO 64116 (816) 472-5660 GP

Deakins John 6 Victory Ln, Ste 1 Liberty MO 64068 (816) 781-7280 GP

Deay Robert 4121 W 83rd St, Ste 239 Prairie Village KS 66208 (913) 385-5950 GP

Demskey Dennis 13905 E Noland Ct Independence MO 64055 (816) 461-2916 GP

Demskey Dennis 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Derenzy Brook 2 Westwood Drive Liberty MO 64068 (816) 781-1430 GP

Deskin Ronald 2029 Burlington St, Ste 3 N Kansas City MO 64116 (816) 421-3437 GP

Deskin Ronald 10616 W 87th St Overland Park KS 66214 (913) 888-9399 GP

Deskin Ronald 1121 N 5th St Kansas City KS 66101 (913) 233-2900 GP

Deutch Michelle 8575 West 110 Street, Suite 326 Overland Park KS 66210 (913) 469-0085 GP

Dighton Steven 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP

Dimas Theodore 688 SE Bayberry Ln Ste 101 Lees Summit MO 64063 (816) 524-3282 GP

Dimas Theodore 4121 W 83rd St Ste 230 Prairie Village KS 66208 (913) 649-1171 GP

Dixson James 1508 North East 96th Street, Suite A Liberty MO 64068 (816) 415-8080 GP

Dolson Mark 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 GP

Dolson Mark 9600 E State Route 350 Raytown MO 64133 (816) 356-2273 GP

Doshi Anjali 10818 Parallel Pkwy Kansas City KS 66109 (913) 299-8860 GP

Dostal Michael 5408 Roberts Street Shawnee KS 66226 (913) 322-6455 GP

Dotson Peter 411 Nichols Road, Suite 257 Kansas City MO 64112 (816) 931-3636 GP

Doyle William 5370 College Boulevard, Suite 120 Overland Park KS 66211 (913) 469-6555 PD

Draper Mathew 3908 South Noland Road Independence MO 64055 (816) 461-2273 GP

Draper Mathew 651 E US Highway 24 Independence MO 64050 (816) 461-6911 GP

Draper Mathew 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP

Draper Mathew 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 GP

Draper Mathew 9600 East Highway 350 Raytown MO 64133 (816) 356-2273 GP

Driscoll Rachel 1170 W Kansas St, Ste R Liberty MO 64068 (816) 715-1000 GP

Drumright Desch Leanne 10818 Parallel Pkwy Kansas City KS 66109 (913) 299-8860 OR

Drumright-Desch Leanne 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP

Duello Daniel 230 Northeast Tudor Road Lees Summit MO 64086 (816) 524-4343 GP

Dye James 4240 Blue Ridge Boulevard Kansas City MO 64133 (816) 353-5038 GP

Dyer Chenoweth Diane 7501 Mission Road, Suite N11 Prairie Village KS 66208 (913) 383-9338 GP

Dykhouse David 1300 South Outer Road Blue Springs MO 64015 (816) 229-0444 OR

Dykhouse Vance 1300 South Outer Road Blue Springs MO 64015 (816) 229-0444 OR

Earp Caryl 11132 S Lone Elm Rd Olathe KS 66061 (913) 780-0011 GP

Echols Kurt 22450 South Harrison Street, Suite 102 Spring Hill KS 66083 (913) 592-4149 GP

Eckenberg Robert 13031 Kansas Avenue Bonner Springs KS 66012 (913) 441-1600 GP

Edgington Blair 4746 Belleview Ave Kansas City MO 64112 (816) 531-8740 GP

Ediger Gordon 13450 Roe Avenue Leawood KS 66209 (913) 345-2929 GP

Eichenlaub Mark 4121 W 83rd St, Ste 224 Prairie Village KS 66208 (913) 649-9300 GP

Engel Gene 11111 Nall Ave Ste 100 Leawood KS 66211 (913) 381-9200 GP

Engelmann Lori 4300 West 133rd Street, Suite 100 Leawood KS 66209 (913) 451-0006 GP

Ennis Robert 3916 South Lynn Court Independence MO 64055 (816) 254-2345 OS

Page 6 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Ennis Robert 1010 Carondelet Drive, Suite 316 Kansas City MO 64114 (816) 941-0000 OS

Euler George 8361 N Congress Ave Kansas City MO 64152 (816) 505-3636 EN

Evans Joseph 1129C W Kansas St Ste C Liberty MO 64068 (816) 781-1224 GP

Faerber John 4121 West 83rd Street, Suite 245 Prairie Village KS 66208 (913) 648-6694 GP

Fain Douglas 12208 W 87th Street Pkwy Ste 150 Lenexa KS 66215 (913) 541-1888 OS

Fain Douglas 1441 East 151st, Suite 2 Olathe KS 66062 (913) 782-1529 OS

Fain Douglas 3700 W 83rd St Ste 203 Prairie Village KS 66208 (913) 381-5194 OS

Farahani Mahdokht 2141 East 151St Street Olathe KS 66062 (913) 764-1018 GP

Fasbinder John 3700 West 83rd Street, Suite 109 Prairie Village KS 66208 (913) 341-6767 GP

Feagan Lonnie 10800 E 77th Ter Raytown MO 64138 (816) 358-1122 GP

Fechner Robert 5750 Antioch Rd Shawnee Mission KS 66202 (913) 671-7066 GP

Fechner Robert 10818 Parallel Pkwy Kansas City KS 66109 (913) 299-8860 GP

Feldhaus Gerard 415 East 69 Highway Claycomo MO 64119 (816) 454-0377 PD

Fender Roger 519 SW 3rd St, Ste G Lees Summit MO 64063 (816) 524-3434 GP

Fisher Perdita 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Fisher Erica 6300 North Revere, Suite 210 Kansas City MO 64151 (816) 505-9767 GP

Fisher Kristy 6300 North Revere, Suite 210 Kansas City MO 64151 (816) 505-9767 GP

Fleming James 1819 Wyandotte Street Kansas City MO 64108 (816) 841-0206 GP

Forbes Matthew 5830 Nall Avenue, Suite 1 Mission KS 66202 (913) 432-3112 GP

Forbes Matthew 6852 Silverheel Street Shawnee Mission KS 66226 (913) 721-6477 GP

Francois Scott 10 Northwest Chipman Road Lees Summit MO 64063 (816) 524-6525 OR

Freeland Gary 912 E 63rd St Kansas City MO 64110 (816) 523-2221 GP

Freytag Larissa 110 S 6th St Atchison KS 66002 (913) 469-9191 OR

Freytag Larissa 216 W 13th St Ottawa KS 66067 (913) 469-9191 OR

Freytag Larissa 15060 S Blackbob Rd Olathe KS 66062 (913) 469-9191 OR

Freytag Larissa 11940 Quivira Rd Overland Park KS 66213 (913) 469-9191 OR

Freytag Larissa 8764 W 151st St Overland Park KS 66221 (913) 469-9191 OR

Freytag Larissa 4026 W 83rd St Prairie Village KS 66208 (913) 469-9191 OR

Freytag Larissa 12125 Shawnee Mission Pkwy Shawnee KS 66216 (913) 469-9191 OR

Friend William 10301 East 61st street Raytown MO 64133 (816) 353-0742 GP

Fry Jeremy 110 S 6th St Atchison KS 66002 (913) 469-9191 OR

Fry Jeremy 2109 NE 72nd St Ste 103 Gladstone MO 64118 (913) 469-9191 OR

Fry Jeremy 216 W 13th St Ottawa KS 66067 (913) 469-9191 OR

Fry Jeremy 15060 S Blackbob Rd Olathe KS 66062 (913) 469-9191 OR

Fry Jeremy 11940 Quivira Rd Overland Park KS 66213 (913) 469-9191 OR

Fry Jeremy 8764 W 151st St Overland Park KS 66221 (913) 469-9191 OR

Fry Jeremy 4026 W 83rd St Prairie Village KS 66208 (913) 469-9191 OR

Fry Jeremy 12125 Shawnee Mission Pkwy Shawnee KS 66216 (913) 469-9191 OR

Fry Jeremy 700 Branch St Ste 7 Platte City MO 64079 (913) 469-9191 OR

Gaik Richard 8568 Church Road Kansas City MO 64157 (816) 792-0801 GP

Galea James 110 S 6th St Atchison KS 66002 (913) 469-9191 OR

Galea James 216 W 13th St Ottawa KS 66067 (913) 469-9191 OR

Galea James 15060 S Blackbob Rd Olathe KS 66062 (913) 469-9191 OR

Galea James 11940 Quivira Rd Overland Park KS 66213 (913) 469-9191 OR

Galea James 8764 W 151st St Overland Park KS 66221 (913) 469-9191 OR

Galea James 4026 W 83rd St Prairie Village KS 66208 (913) 469-9191 OR

Galea James 12125 Shawnee Mission Pkwy Shawnee KS 66216 (913) 469-9191 OR

Gallagher Creighton 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP

Page 7 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Gallagher Creighton 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP

Galvin Shelly 9241 North Oak Trafficway Kansas City MO 64155 (816) 436-2525 GP

Galvin Shelly 4527 Rainbow Boulevard Kansas City KS 66103 (913) 432-0765 GP

Garcia Melinda 9241 North Oak Trafficway Kansas City MO 64155 (816) 436-2525 GP

Garcia Melinda 4527 Rainbow Boulevard Kansas City KS 66103 (913) 432-0765 GP

Gardner Donna 11016 Quivira Rd Overland Park KS 66210 (913) 469-8010 GP

Garner Justin 1126 Northeast Coronado Drive, Suite 109 Blue Springs MO 64014 (816) 229-4527 GP

Garrison Helen 8603 North Oak Trafficway Kansas City MO 64155 (816) 436-8338 GP

Gatti John 3383 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 554-7373 EN

Gaugh Craig 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 GP

Gaus Philip 6844 Silverheel Street Shawnee KS 66226 (913) 948-7766 OS

Gegenheimer Lan 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP

Page 8 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Gerhardt Jared 13905 E Noland Ct Independence MO 64055 (816) 461-2916 GP

Gerhardt Jared 10915 NW Highway 45 Parkville MO 64152 (816) 587-1420 GP

Gier Alexandra 5000 West 95th Street, Suite 300 Prairie Village KS 66207 (913) 649-0310 GP

Gier Ronald 5000 West 95th Street, Suite 300 Prairie Village KS 66207 (913) 649-0310 GP

Gillihan Amy 3151 South 291 Highway, Suite B Independence MO 64051 (816) 373-5400 PR

Gillihan Amy 9225 Ward Pkwy, Ste 104 Kansas City MO 64114 (816) 444-8822 GP

Gilman Richard 9233 Ward Parkway, Suite 330 Kansas City MO 64114 (816) 444-8822 PR

Gilmore Mark 932 North 50th Street Kansas City KS 66102 (913) 287-9600 GP

Goodheart Timothy 6530 Raytown Road, Suite A Raytown MO 64133 (816) 353-0673 GP

Gossett Donald 1600 East Evergreen Cameron MO 64429 (816) 632-2723 OS

Gossett Donald 2900 Northeast 60th Street, Suite 203 Gladstone MO 64119 (816) 455-0333 OS

Grassle Kent 507 North Mur Len Road Olathe KS 66062 (913) 782-0873 GP

Graue John 106 N Main St Plattsburg MO 64477 (816) 539-2707 GP

Graue J 6301 North Oak Trafficway, Suite 202 Gladstone MO 64118 (816) 452-2420 GP

Gray Peter 1520 E 23rd St S Ste Q Independence MO 64055 (816) 252-9190 GP

Gray Stefanie 5000 West 95th Street, Suite 300 Prairie Village KS 66207 (913) 649-0310 GP

Gray Peter 519 South Main Street Concordia MO 64020 (660) 463-2264 GP

Green Steven 11551 Granada St, Ste 100 Leawood KS 66211 (913) 491-4488 OS

Green Steven 8919 Parallel Parkway, Suite 480 Kansas City KS 66112 (913) 334-6000 OS

Greenhalgh Dallan 6302 Monrovia Shawnee KS 66216 (913) 631-2400 GP

Greenhalgh Dallan 6345 Long St Shawnee KS 66216 (913) 631-2400 GP

Grider Craig 485 Southwest Ward Road Lees Summit MO 64081 (816) 246-9995 OR

Grove Jane 620 W 23rd St Independence MO 64055 (816) 254-3382 GP

Grove Jane 1524 White Avenue Kansas City MO 64126 (816) 417-3670 GP

Grove Jane 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP

Hagerty Matthew 3922 South Lynn Court, Suite B Independence MO 64055 (816) 252-3520 GP

Haggerty Christopher 3600 NE Ralph Powell Rd, Ste D Lees Summit MO 64064 (816) 554-8300 OS

Haggerty Edward 818 NW Park Ln Lees Summit MO 64063 (816) 525-1655 GP

Hajduch Meghan 9150 Northeast Barry Road, Suite B Kansas City MO 64157 (816) 792-3500 GP

Hajduch Meghan 5940 Lamar Ave Mission KS 66202 (913) 341-2292 GP

Hajduch Meghan 8650 W 95th St Ste 2 Overland Park KS 66212 (913) 642-0031 GP

Hajduch Meghan 13430 W 62nd Ter Shawnee KS 66216 (913) 962-4400 GP

Haley Charles 8137 Parallel Pkwy Kansas City KS 66112 (913) 299-8900 GP

Halford Tricia 3700 W 83rd St Ste 217 Prairie Village KS 66208 (913) 341-9600 GP

Hall Susan 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP

Hambrick Haywood 1115 E 65th St Kansas City MO 64131 (816) 523-7766 OR

Handley Emily 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP

Handley Emily 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP

Handley Emily 10803 E State Route 350 Raytown MO 64138 (405) 286-9024 GP

Haney Jerry 404 North 4th Street Odessa MO 64076 (816) 633-5393 GP

Hansen Gary 6301 North Oak Street, Suite 101 Kansas City MO 64118 (816) 452-0300 OS

Hansen Gary 113 Blue Jay Drive, Suite 201 Liberty MO 64068 (816) 792-3888 OS

Hansen Jo 309 Southwest Market Street Lees Summit MO 64063 (816) 246-4671 OR

Hanson David 912 E 63rd St Kansas City MO 64110 (816) 523-2221 GP

Harman Heidi 14247 Metcalf Avenue Overland Park KS 66223 (913) 782-7223 OR

Harper Dennis 16A Westwoods Dr Liberty MO 64068 (816) 781-9230 OR

Hartman William 13031 Kansas Avenue Bonner Springs KS 66012 (913) 441-1600 GP

Hartter Mark 3568 SW Market St Lees Summit MO 64082 (816) 537-6161 GP

Page 9 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Hassen Harlan 4100 Northeast Vivion Road Kansas City MO 64119 (816) 454-6443 GP

Hastings Kenneth 705 Broadway, Suite E Oak Grove MO 64075 (816) 690-8744 GP

Hawkinson Nicole 209 Northeast Barry Road Kansas City MO 64155 (816) 741-8881 PD

Hawkinson Nicole 411 Nichols Road, Suite 236 Kansas City MO 64112 (816) 753-0202 PD

Hawkinson Nicole 3351 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 524-5447 PD

Hawkinson Nicole 11401 Nall Avenue Leawood KS 66211 (913) 649-5437 PD

Hayes Emily 101 E 63rd St Kansas City MO 64113 (816) 333-1393 GP

Hayes Sam 101 E 63rd St Kansas City MO 64113 (816) 333-1393 GP

He Kenny 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP

Herrera Joe 701 Washington Boulevard Kansas City KS 66101 (913) 362-8868 GP

Higgerson Brad 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 GP

Higgerson Brad 10803 E State Route 350 Raytown MO 64138 (405) 286-9024 GP

Higgerson Brad 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP

Higgerson Brad 7848 State Ave Kansas City KS 66112 (913) 299-1001 GP

Hildebrand Matthew 10803 E State Route 350 Raytown MO 64138 (405) 286-9024 GP

Hillman Matthew 14700 Metcalf Avenue, Suite 110 Overland Park KS 66223 (913) 685-9990 PD

Hills-Attebery Teresa 2000 Kentucky Ave Ste C Platte City MO 64079 (816) 858-2032 GP

Hlavacek Larinda 8568 Church Road Kansas City MO 64157 (816) 792-0801 GP

Hlavacek Matthew 8080 N Flintlock Rd Kansas City MO 64158 (816) 286-4126 OS

Hogan Michael 2043 West Kansas Avenue Liberty MO 64068 (816) 781-5502 GP

Hogard Denise 13905 E Noland Ct Independence MO 64055 (816) 461-2916 GP

Hopkins Mitchell 11551 Granada Lane, Suite 200 Leawood KS 66211 (913) 642-3939 GP

Howard Jerry 13905 E Noland Ct Independence MO 64055 (816) 461-2916 GP

Huddart John 9241 North Oak Trafficway Kansas City MO 64155 (816) 436-2525 GP

Huerter Daniel 4121 West 83rd Street, Suite 232 Prairie Village KS 66208 (913) 381-4132 OR

Huerter Gerard 22120 Midland Drive, Suite B Shawnee KS 66226 (913) 745-2020 OR

Huerter Gerard 8919 Paraller Parkway, Suite 450 Kansas City KS 66112 (913) 334-3055 OR

Hughes Teresa 9241 North Oak Trafficway Kansas City MO 64155 (816) 436-2525 GP

Hughes Teresa 13100 W 87th Street Parkway Lenexa KS 66215 (913) 248-8880 GP

Hughey Joseph 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Hughey Joseph 14270 NW 60th Ct Parkville MO 64152 (800) 409-2563 GP

Humphrey Jr John 12705 W 87th Street Pkwy Lenexa KS 66215 (913) 432-9414 GP

Humphries Julia 125 East Park Street Olathe KS 66061 (913) 782-7580 GP

Hunter Edwin 2011 West Jesse James Road Excelsior Springs MO 64024 (816) 630-5533 GP

Hurd Francis 1508 NW Mock Ave Ste A Blue Springs MO 64015 (816) 224-9444 GP

Hurd Francis 410D SE 3rd St Ste 102 Lees Summit MO 64063 (816) 524-4509 GP

Hurd Joanna 410D SE 3rd St Ste 102 Lees Summit MO 64063 (816) 524-4509 GP

Huyett Laura 2933 S 47th St Kansas City KS 66106 (913) 677-1004 GP

Jackson David 5000 West 95th Street, Suite 300 Prairie Village KS 66207 (913) 649-0310 GP

Jackson Aniika 206 N Bismark St, Ste A Concordia MO 64020 (660) 463-0234 GP

Jackson Aniika 608 Missouri St Waverly MO 64096 (660) 493-2262 GP

Jacobson Larry 6675 Holmes, Suite 690 Kansas City MO 64131 (816) 444-7787 PR

James Rubelita 9500 E 63rd St Ste 103 Raytown MO 64133 (813) 737-1110 GP

Jenkins Jill 15151 S Blackbob Rd Olathe KS 66062 (913) 764-5600 PD

Jenkins Jill 14253 Metcalf Avenue Overland Park KS 66223 (913) 387-3500 PD

Jenkins Jill 6810 Silverheel Street Shawnee KS 66226 (913) 745-2500 PD

Jenkins Jill 8919 Parallel Parkway, Suite 460 Kansas City KS 66112 (913) 299-3300 PD

Jennings Ronald 514 South Noland Road, Noland Medical Plaza Suite 120 Independence MO 64050 (816) 836-5520 GP

Page 10 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Jensen Mark 8005 W 110th St, Ste 212 Shawnee Mission KS 66210 (913) 491-4516 GP

Jensen Mark 8901 W 74th St, Ste 245 Shawnee Mission KS 66204 (913) 384-0600 GP

Jirovec Donald 7301 Mission Road, Suite 225 Prairie Village KS 66208 (913) 831-6060 GP

Johnson Anne 3715 East Gregory Boulevard Kansas City MO 64132 (816) 523-4334 GP

Johnson Clinton 1734 East 63rd Street, Suite 520 Kansas City MO 64110 (816) 523-7788 GP

Johnson Ryan 5830 Nall Avenue, Suite 1 Mission KS 66202 (913) 432-3112 GP

Johnson Ryan 6852 Silverheel Street Shawnee Mission KS 66226 (913) 721-6477 GP

Johnson Higgins Sue 609 Northeast 291 Highway, Suite 360 Lees Summit MO 64086 (816) 525-7100 GP

Jones Stephen 13905 E Noland Ct Independence MO 64055 (816) 461-2916 GP

Jones Carol 707 Minnesota Avenue, Suite 100 Kansas City KS 66101 (913) 321-4385 GP

Jones Randall 1321 Central Ave Kansas City KS 66102 (913) 342-5280 GP

Jordan John 7501 Mission Road, Suite N 1 Prairie Village KS 66208 (913) 649-1712 GP

Journee Michael 4910 NE 81St St Ste A Kansas City MO 64119 (816) 420-9070 GP

Journee Michael 726 Shawnee St Leavenworth KS 66048 (913) 682-2595 GP

Juhn David 7030 West 107th Street, Suite 220 Overland Park KS 66212 (913) 341-8891 GP

Jungmeyer Sheila 246 Northeast Tudor Road Lees Summit MO 64086 (816) 554-1600 GP

Kahn Michael 3711 West 133rd Street Leawood KS 66209 (913) 491-3700 GP

Kahn Michael 11150 Pflumm Road, Suite 100 Lenexa KS 66215 (913) 317-6453 GP

Kahn Michael 11737 College Blvd Overland Park KS 66210 (913) 317-6453 GP

Kanagawa Ronald 6651 North Oak Traffic Way, Suite 8 Kansas City MO 64118 (816) 468-6767 GP

Kanion Shaun 5240 Prospect Avenue Kansas City MO 64130 (816) 921-8187 GP

Kanion Zavon 5240 Prospect Avenue Kansas City MO 64130 (816) 921-8187 GP

Kasiyamhuru Talence 6916 W 135th St Overland Park KS 66223 (913) 940-3585 GP

Kaur Satkar 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP

Keith Donald 6299 Nall Avenue, Suite 200 Mission KS 66202 (913) 384-0044 GP

Kelkar Shilpa 13905 E Noland Ct Independence MO 64055 (816) 461-2916 GP

Kelkar Shilpa 11221 Shawnee Mission Parkway Shawnee KS 66203 (913) 236-8899 GP

Kellenberger Galen 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP

Kelly Neil 400 East Red Bridge Road, Suite 119 Kansas City MO 64131 (816) 942-8550 GP

Kemmling Michael 17214 Midland Drive Shawnee KS 66217 (913) 396-4800 GP

Kemmling Michael 6004 North 9 Highway Parkville MO 64152 (816) 746-5437 GP

Kennedy Thomas 2043 West Kansas Avenue Liberty MO 64068 (816) 781-5502 GP

Kennedy Sean 691 Northwest Blue Parkway Lees Summit MO 64086 (816) 525-2056 GP

Kepler Kyle 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 GP

Kepler Jessica 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP

Kiene James 11005 West 60th Street, Suite 240 Shawnee KS 66203 (913) 631-5622 GP

Kim Maria 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

King David 1170 West Kansas Street, Suite R Liberty MO 64068 (816) 716-1000 GP

King Mark 2431 Burlington St N Kansas City MO 64116 (816) 221-3255 GP

King David 14825 East 42nd Street South, Suite 130 Independence MO 64055 (816) 356-1300 GP

King David 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 GP

King Carla 315 Nichols Rd, Ste 217 Kansas City MO 64112 (816) 561-9847 GP

Kirby Charles 7450 Quivira Rd Lenexa KS 66216 (913) 217-7536 GP

Klaassen Leland 407 Clairborne, Suite 203 Olathe KS 66062 (913) 782-1335 GP

Klein Robert 9764 North Ash Avenue Kansas City MO 64157 (816) 792-8030 GP

Klein Robert 12 Westwoods Dr Liberty MO 64068 (816) 781-0993 GP

Klein Nathan 7611 State Line Road, Suite 310 Kansas City MO 64114 (816) 822-1800 GP

Klumb Eric 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Page 11 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Knewtson Jeremy 2043 West Kansas Avenue Liberty MO 64068 (816) 781-5502 GP

Kolarik Paul 9226 Pflumm Lenexa KS 66215 (913) 888-6220 GP

Kong Kyong 16900 E US Highway 24 Independence MO 64056 (816) 257-3720 GP

Kong Kyong 620 W 23rd St Independence MO 64055 (816) 254-3382 GP

Kong Kyong 1524 White Avenue Kansas City MO 64126 (816) 418-3670 GP

Kong Kyong 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP

Kong Kyong 811 A South Highway 13 Lexington MO 64067 (660) 259-3823 GP

Korsten Gerald 248 Northeast Chipman Road Lees Summit MO 64063 (816) 246-4144 PD

Kortje Jana 4746 Belleview Ave Kansas City MO 64112 (816) 531-8740 GP

Koshland Stephen 7301 Mission Rd, Ste 200 Prairie Village KS 66208 (913) 722-6611 GP

Kramer Kelly 246 NE Tudor Rd Lees Summit MO 64086 (816) 554-1600 GP

Krause Donald 9401 Null Avenue, Suite 201 Prairie Village KS 66207 (913) 642-7272 GP

Krause Kevin 9401 Nall Ave Ste 201 Prairie Village KS 66207 (913) 642-7272 GP

Krause Lana 9401 Nall Ave Ste 201 Prairie Village KS 66207 (913) 642-7272 PR

Kremers William 5830 Nall Avenue, Suite 1 Mission KS 66202 (913) 432-3112 GP

Kremers William 6852 Silverheel Street Shawnee Mission KS 66226 (913) 721-6477 GP

Krueger Harold 6807 West 121St Street Leawood KS 66209 (913) 529-5999 OS

Krusich Ian 11111 Nall Ave Ste 106 Leawood KS 66211 (913) 383-2600 GP

Kumar Amit 2043 West Kansas Avenue Liberty MO 64068 (816) 781-5502 GP

Kumar Amit 4731 S Cochise Dr, Ste 204 Independence MO 64055 (816) 373-0753 GP

Kusiak Melissa 407 S Clairborne Rd, Ste 104 Olathe KS 66062 (913) 648-2266 GP

Kusiak Melissa 7171 W 95th St, Ste 100 Shawnee Mission KS 66212 (913) 433-7582 GP

Kusiak Melissa 25955 W 327th St Paola KS 66071 (913) 294-9223 GP

La Manno William 4700 Belleview Ave, Ste L14 Kansas City MO 64112 (816) 934-4585 GP

Labart Justin 6844 Silverheel Street Shawnee KS 66226 (913) 948-7766 OS

Lakebrink Thomas 105 N Stewart Ct Ste 140 Liberty MO 64068 (816) 792-4455 GP

Lam Winnie 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP

Lamanno William 4700 Bellview Avenue, Suite L14 Kansas City MO 64112 (816) 931-4585 GP

Lasater George 8900 State Line Road, Suite 349 Leawood KS 66206 (913) 341-3324 GP

Lask John 1504 Northeast 96th Street, Suite B Liberty MO 64068 (816) 415-4700 EN

Laudie Jacob 622 Southwest 3rd St, Ste M Lees Summit MO 64063 (816) 524-3535 GP

Le John 2029 Burlington St, Ste 3 N Kansas City MO 64116 (816) 421-3437 GP

Le John 10616 W 87th St Overland Park KS 66214 (913) 888-9399 GP

Le John 1121 N 5th St Kansas City KS 66101 (913) 233-2900 GP

Leblanc Michael 15151 S Blackbob Rd Olathe KS 66062 (913) 764-5600 PD

Leblanc Michael 14253 Metcalf Avenue Overland Park KS 66223 (913) 387-3500 PD

Leblanc Michael 6810 Silverheel Street Shawnee KS 66226 (913) 745-2500 PD

Leblanc Michael 8919 Parallel Parkway, Suite 460 Kansas City KS 66112 (913) 299-3300 PD

Ledford William 1236 West 103rd Kansas City MO 64114 (816) 941-0980 GP

Leins Charles 234 South Cherry Street Olathe KS 66061 (913) 782-1420 GP

Lenz Matthew 14221 Metcalf, Suite 100 Overland Park KS 66223 (913) 851-5900 GP

Lerner Douglas 325 E Main St Ste A Gardner KS 66030 (913) 856-8721 GP

Levine Thomas 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP

Lewandowski Joseph 14700 Metcalf Avenue Overland Park KS 66223 (913) 851-8000 GP

Lindgren Meghan 206 East Main Street Gardner KS 66030 (913) 856-4456 OR

Lindgren Meghan 12260 State Line Road Leawood KS 66209 (913) 317-8811 OR

Line Anthony 21900 South Webster, Apartment A Spring Hill KS 66083 (913) 592-2200 GP

Linneman Terry 7515 Nall Ave Prairie Village KS 66208 (913) 649-7500 GP

Page 12 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Long Edwin 9225 Ward Pkwy, Ste 105 Kansas City MO 64114 (816) 523-8100 GP

Lopez Claudia 209 Northeast Barry Road Kansas City MO 64155 (816) 741-8881 PD

Lopez Claudia 411 Nichols Road, Suite 236 Kansas City MO 64112 (816) 753-0202 PD

Lopez Claudia 3351 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 524-5447 PD

Lopez Claudia 11401 Nall Avenue Leawood KS 66211 (913) 649-5437 PD

Lovinggood Thomas 3010 S State Route 291 Ste R Independence MO 64057 (816) 373-2227 OR

Lovinggood Thomas 1295 E 151st St Ste 1 Olathe KS 66062 (913) 782-1663 OR

Lowe Michael 1524 Northeast 96th Street Liberty MO 64068 (816) 792-1022 OS

Lowe Michael 5707 Northwest 64th Terrace Kansas City MO 64151 (816) 454-2200 OS

Lucero James 7000 W 121St St Ste 200 Overland Park KS 66209 (913) 344-9990 GP

Ma Jeffrey 16641 E 23rd St S Independence MO 64055 (816) 833-2700 GP

Mabe Paul 971 E Lincoln Ln Gardner KS 66030 (913) 856-7123 GP

Maize Jesse 1321 SW Market St Lees Summit MO 64081 (816) 554-3400 GP

Maize Jesse 301 NE Mulberry Street, Suite 205 Lees Summit MO 64086 (816) 554-3400 OR

Mancin Andrew 7229 North Oak Trafficway Kansas City MO 64118 (816) 436-2760 GP

Mancin Mark 7229 North Oak Trafficway Kansas City MO 64118 (816) 436-2760 GP

Manroe Mark 11221 Shawnee Mission Parkway Shawnee KS 66203 (913) 236-8899 GP

Mardis Donald 7450 Quivira Rd Lenexa KS 66216 (913) 217-7536 GP

Marengo Anthony 16103 West 135th Street Olathe KS 66062 (913) 829-9222 GP

Markle Taylor 3916 South Lynn Court Independence MO 64055 (816) 254-2345 OS

Markle Taylor 1010 Carondelet Drive, Suite 316 Kansas City MO 64114 (816) 941-0000 OS

Markle Taylor 8748 West 151st Street Overland Park KS 66221 (913) 897-3400 OS

Markle Taylor 11005 West 60th Street, Suite 150 Shawnee KS 66203 (913) 268-9500 OS

Marrs Tyson 12208 West 87th Street Parkway, Suite 150 Lenexa KS 66215 (913) 541-1888 OS

Marrs Tyson 1441 East 151st, Suite 2 Olathe KS 66062 (913) 782-1529 OS

Marrs Tyson 3700 West 83rd, Suite 103 Prairie Village KS 66208 (913) 381-5194 OS

Martincich Gerald 7301 Mission Road, Suite 233 Prairie Village KS 66208 (913) 648-6486 GP

Mason Dozier Charlyne 620 W 23rd St Independence MO 64055 (816) 254-3382 GP

Mason Dozier Charlyne 1524 White Avenue Kansas City MO 64126 (816) 418-3670 GP

Mason Dozier Charlyne 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP

Mason Dozier Charlyne 811 A South Highway 13 Lexington MO 64067 (660) 259-3823 GP

Matlock Paul 301 NE Mulberry, Suite 205 Lees Summit MO 64086 (816) 246-4920 GP

Mattingly David 500 South Davis Street Hamilton MO 64644 (816) 583-2266 GP

Mattingly Emily 500 South Davis Street Hamilton MO 64644 (816) 583-2266 GP

Mcaroy Jennifer 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP

Mccartney Colin 4700 Belleview, Suite L 10 Kansas City MO 64112 (816) 561-1115 OS

Mccartney Colin 7577 Northwest Barry Road, Suite B Kansas City MO 64153 (816) 741-8999 OS

Mcclellan Adam 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 PR

Mccoy Rolfe 500 South Davis Street Hamilton MO 64644 (816) 583-2266 GP

Mccreary James 1734 East 63rd Street, Suite 401 Kansas City MO 64110 (816) 523-4444 GP

Medley Nicole 1212 W Truman Rd Independence MO 64050 (816) 252-1590 GP

Meggison Jacob 10200 West 87th Street Overland Park KS 66212 (913) 642-3939 GP

Mehrrafiee Laleh 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 GP

Mehrrafiee Laleh 13541 Madison Ave Kansas City MO 64145 (816) 942-0033 GP

Mehrrafiee Laleh 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP

Mehrrafiee Laleh 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP

Melson Mark 691 Northwest Blue Parkway Lees Summit MO 64086 (816) 525-2056 GP

Melson Mark 10016 East 67th Street Raytown MO 64133 (816) 737-3400 GP

Page 13 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Melton Scott 6000 North Oak Trafficway, Suite 304 Gladstone MO 64118 (816) 455-6300 GP

Mendenhall Natalie 506 NE 107th St Kansas City MO 64155 (816) 605-0034 GP

Mendenhall Natalie 651 E US Highway 24 Independence MO 64050 (816) 461-6911 GP

Mendenhall Natalie 2205 E 110th St Kansas City MO 64131 (816) 605-0034 GP

Mendenhall Natalie 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Merello David 10200 West 87th Street Overland Park KS 66212 (913) 383-0440 GP

Messer Gavin 2790 Clay Edwards Dr Ste 605 N Kansas City MO 64116 (816) 842-5203 GP

Meyer Donald 4731 S Cochise Dr, Ste 204 Independence MO 64055 (816) 373-0753 GP

Mingos Steve 4746 Belleview Ave Kansas City MO 64112 (816) 531-8740 GP

Mitts David 1100 Northwest Jefferson Court Blue Springs MO 64015 (816) 229-3828 GP

Mohammed Ali Rasha 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP

Mohn Adrian 13430 Briar Street Leawood KS 66209 (913) 402-8888 GP

Mohn Adrian 13328 Metcalf Ave Overland Park KS 66213 (913) 345-2273 GP

Mohn Peter 700 Branch St Ste 7 Platte City MO 64079 (816) 858-2707 GP

Moncy Mathew 15151 S Blackbob Rd Olathe KS 66062 (913) 764-5600 PD

Moncy Mathew 14253 Metcalf Avenue Overland Park KS 66223 (913) 387-3500 PD

Moncy Mathew 6810 Silverheel Street Shawnee KS 66226 (913) 745-2500 PD

Moncy Mathew 8919 Parallel Parkway, Suite 460 Kansas City KS 66112 (913) 299-3300 PD

Monheiser D 1100 Northwest Jefferson Court Blue Springs MO 64015 (816) 229-3828 GP

Monsma Emily 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP

Montoya Phillip 7848 State Ave Kansas City KS 66112 (913) 299-1001 GP

Moon Joe 14465 Metcalf Avenue Overland Park KS 66223 (913) 422-6699 OR

Moore Thomas 200 West Ohio Butler MO 64730 (660) 679-6105 OR

Moore James 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 EN

Moore Thomas 3553 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 524-7091 OR

Moore James 3700 West 83rd Street, Suite 106 Prairie Village KS 66208 (913) 642-3636 EN

Moore Patrick 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 OS

Moore Patrick 10818 Parallel Pkwy Kansas City KS 66109 (913) 299-8860 OS

Morales John 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 PR

Morris Patrick 613 Southeast 5th Street Lees Summit MO 64063 (816) 554-2663 PR

Morris Lynda 8600 W 95th St, Ste 101 Overland Park KS 66212 (913) 381-4090 GP

Motaref Alex 6406 East 87th Street, Suite 101 Kansas City MO 64138 (816) 763-3030 GP

Mouse John 4321 Northeast Vivion Road, Suite 101 Lucas Plaza Kansas City MO 64119 (816) 453-4994 GP

Moyer David 106 N Main St Plattsburg MO 64477 (816) 539-2707 GP

Moyer David 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP

Moyer David 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP

Muran Charles 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Murray Lynn 400 East Red Bridge Road, Suite 321 Kansas City MO 64131 (816) 943-0600 GP

Musselman Rae 11005 West 60th Street, Suite 240 Shawnee KS 66203 (913) 631-5622 GP

Mutti James 2109 NE 72nd St Ste 103 Gladstone MO 64118 (816) 453-7777 OR

Myer Aleza 400 East Red Bridge Road, Suite 321 Kansas City MO 64131 (816) 943-0600 GP

Myers Edwin 18110 A East 24 Highway Independence MO 64056 (816) 796-9366 GP

Myers Sere 5240 Prospect Avenue Kansas City MO 64130 (816) 921-8187 GP

Myers Cannon Serese 620 W 23rd St Independence MO 64055 (816) 254-3382 PD

Myers Cannon Serese 1524 White Avenue Kansas City MO 64126 (816) 418-3670 PD

Myers Cannon Serese 19 East Gregory Kansas City MO 64114 (816) 444-2483 PD

Myers Cannon Serese 811 A South Highway 13 Lexington MO 64067 (660) 259-3823 PD

Nalamachu Kali 14886 Metcalf Ave Overland Park KS 66223 (913) 814-9252 GP

Page 14 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Naler Adam 510 Branch, Glenn Building Platte City MO 64079 (816) 858-5343 GP

Natanov Albert 11532 West 135th Street Overland Park KS 66221 (913) 948-9488 GP

Nellor Lesley 831 Vermont St Lawrence KS 66044 (785) 843-6060 GP

Nellor Lesley 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP

Nelson Robert 13018 Stateline Road Leawood KS 66209 (913) 498-8899 GP

Nesslein Gary 6301 North Oak Street, Suite 101 Kansas City MO 64118 (816) 452-0300 OS

Nesslein Gary 113 Blue Jay Drive, Suite 201 Liberty MO 64068 (816) 792-3888 OS

Neubauer Edward 1100 NW Jefferson Ct Blue Springs MO 64015 (816) 229-3828 GP

Neuer Eric 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 OR

Neuer Eric 13100 W 87th Street Parkway Lenexa KS 66215 (913) 248-8880 OR

Neuer Eric 11164 S Noble Dr Ste 101 Olathe KS 66061 (913) 393-9911 OR

Neufeld Ira 1709 South Murlen Road Olathe KS 66062 (913) 764-6440 GP

Newland Ragan 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 GP

Newman John 616 Main Street, P O Box 806 Wellsville KS 66092 (785) 883-2117 GP

Newman John 514 South Noland, Suite 140 Independence MO 64050 (816) 833-2124 GP

Nguyen Long 13541 Madison Ave Kansas City MO 64145 (816) 942-0033 GP

Nguyen Long 10803 E State Route 350 Raytown MO 64138 (405) 286-9024 GP

Nguyen Long 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP

Nguyen Scott 8355 North Congress Avenue Kansas City MO 64152 (816) 587-9500 GP

Nielson Donald 16500 Indian Creek Pkwy, Ste 100 Olathe KS 66062 (913) 829-8700 GP

Norman W 1212 Southwest Luttrell Road, Suite D Blue Springs MO 64015 (816) 229-7267 GP

Nowlin Kent 842 N Main St Lansing KS 66043 (913) 682-5615 GP

Oh Se 10803 E State Route 350, Ste A Raytown MO 64138 (816) 356-4008 GP

Oh Se Jin 2001 E Santa Fe St Olathe KS 66062 (913) 839-1490 GP

Okeefe Matthew 7916 W 151St St Stanley KS 66223 (913) 681-5300 GP

Oliver Sara 7301 Mission Rd Ste 246 Prairie Village KS 66208 (913) 362-9688 OR

Oneil Todd 6300 W 143rd St, Ste 110 Overland Park KS 66223 (913) 338-3443 GP

Onnen Jamey 620 W 23rd St Independence MO 64055 (816) 254-3382 GP

Onnen Jamey 1524 White Avenue Kansas City MO 64126 (816) 418-3670 GP

Onnen Jamey 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP

Onnen Jamey 811 A South Highway 13 Lexington MO 64067 (660) 259-3823 GP

Orr Regan 204 East Main Gardner KS 66030 (913) 856-6171 GP

Ouricchio Ana 707 Minnesota Avenue, Suite 100 Kansas City KS 66101 (913) 321-4385 GP

Overman Paul 2043 West Kansas Avenue Liberty MO 64068 (816) 781-5502 GP

Pannell Brian 3916 South Lynn Court Independence MO 64055 (816) 254-2345 OS

Pannell Brian 1010 Carondelet Drive, Suite 316 Kansas City MO 64114 (816) 941-0000 OS

Parkin Ronald 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Parkinson Joseph 2700 Kendallwood Parkway, Suite 205 Gladstone MO 64119 (816) 452-1119 GP

Parrish David 6500 West 95th Street, Suite 102 Overland Park KS 66212 (913) 649-0166 PD

Patel Darpana 16103 West 135th Street Olathe KS 66062 (913) 829-9222 GP

Patrick Richard 4500 College Blvd Ste 302 Overland Park KS 66211 (913) 491-1191 GP

Paulson Jill 17201 E US Highway 40, Ste 102 Independence MO 64055 (816) 478-2036 GP

Peck Turner 400 East Red Bridge Road, Suite 211 Kansas City MO 64131 (816) 942-5977 GP

Pendleton Steven 707 Minnesota Avenue, Suite 100 Kansas City KS 66101 (913) 321-4385 GP

Pendleton Steven 8919 Parallel Parkway, Suite 309 Kansas City KS 66112 (913) 299-0704 GP

Peppes Gregory 11551 Granada Lane, Suite 200 Leawood KS 66211 (913) 642-3939 GP

Perkins Edward 5314 East 115 Street Kansas City MO 64137 (816) 761-2878 GP

Perry Darren 4911 South Arrowhead Drive, Suite 202 Independence MO 64055 (816) 373-4440 GP

Page 15 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Perry Darren 1000 Walnut Street, Suite 210 Kansas City MO 64106 (816) 421-6667 GP

Perry Darren 411 Nichols Road, Suite 231 Kansas City MO 64112 (816) 531-3439 GP

Peterson Geoff 3751 Southwest Hollywood Drive Lees Summit MO 64082 (816) 623-3563 GP

Peterson Geoff 691 Northwest Blue Parkway Lees Summit MO 64086 (816) 525-2056 GP

Peterson Robb 915 Southwest Lemans Lane Lees Summit MO 64082 (816) 358-9691 OR

Peterson Geoff 206 N Bismark St, Ste A Concordia MO 64020 (660) 463-0234 GP

Peterson Geoff 608 Missouri St Waverly MO 64096 (660) 493-2262 GP

Pfeffer Flack Hollie 16500 Indian Creek Pkwy, Ste 100 Olathe KS 66062 (913) 829-8700 GP

Platt David 2109 NE 72nd St, Ste 101 Kansas City MO 64118 (816) 452-3420 GP

Pohl Charles 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP

Pope Micah 4746 Belleview Ave Kansas City MO 64112 (816) 531-8740 GP

Poston John 608 Missouri St Waverly MO 64096 (660) 493-2262 GP

Prstojevich Steven 1208 NE Windsor Dr Lees Summit MO 64086 (816) 524-4334 OS

Putnam Barton 16093 West 135th Street, Suite A Olathe KS 66062 (913) 829-0060 EN

Raccuglia Gary 501 Main Wellsville KS 66092 (785) 883-2222 GP

Rajanna Ravi 721 NE Lakewood Blvd Lees Summit MO 64064 (816) 373-0300 GP

Rajanna Ravi 2001 E Santa Fe St Olathe KS 66062 (913) 839-1490 GP

Reavley Brenton 4151 North Mulberry Drive, Suite 230 Kansas City MO 64116 (816) 326-8204 EN

Reed Tom 8340 Mission Rd Ste 220 Prairie Village KS 66206 (913) 649-4400 GP

Rener Lawson 4320 Wornall Road, Suite 402 Kansas City MO 64111 (816) 561-8050 GP

Reuter Gary 1132 West Kansas Street, Suite 201 Liberty MO 64068 (816) 792-0120 GP

Rich W David 2104 Main St Lexington MO 64067 (660) 259-6223 GP

Richard Derrik 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Richardson Pamela 9500 E 63rd St Ste 103 Raytown MO 64133 (816) 737-1110 GP

Riggs Michael 5517 Foxridge Drive Mission KS 66202 (913) 262-3838 GP

Riley Geoffrey 4444 N Belleview Ave Ste 202 Kansas City MO 64116 (816) 452-1888 GP

Rios Andrea 13100 W 87th Street Parkway Lenexa KS 66215 (913) 248-8880 OR

Rivard Matthew 7847 Parallel Pkwy Kansas City KS 66112 (913) 299-6500 GP

Robbins Thomas 2043 West Kansas Avenue Liberty MO 64068 (816) 781-5502 GP

Roberts Gloria 12611 Antioch Road Overland Park KS 66213 (913) 685-9111 GP

Roberts Travis 2119 Minnesota Avenue Kansas City KS 66102 (913) 621-3113 GP

Rodriguez Jose 4320 Wornall Road, Suite 500 Kansas City MO 64111 (816) 561-4555 GP

Rodriguez Jose 12480 West 62nd Terrace, Suite 200 Shawnee KS 66216 (913) 631-5600 GP

Roedemeier Jahn 4601 W 109th St Ste 320 Overland Park KS 66211 (913) 387-4217 GP

Rondeau Meagan 6300 W 143rd St, Ste 110 Overland Park KS 66223 (913) 338-3443 GP

Rose Tommy 753 State Avenue, Suite 402 Kansas City KS 66101 (913) 321-3999 GP

Rosel Paul 509 North Murlen Road Olathe KS 66062 (913) 782-0674 GP

Rosenthal Marc 1208 NE Windsor Dr Lees Summit MO 64086 (816) 524-4334 OS

Roth John 14465 Metcalf Avenue Overland Park KS 66223 (913) 422-6699 OR

Russell Stephen 9501 North Oak Trafficway, Suite 205 Kansas City MO 64155 (816) 436-2242 GP

Russell Matthew 3908 South Noland Road Independence MO 64055 (816) 461-2273 GP

Ryan William 12710 South Pflumm, Suite 210 Olathe KS 66062 (913) 764-5703 GP

Sakima Roberts Ginelle 15151 S Blackbob Rd Olathe KS 66062 (913) 764-5600 PD

Sakima Roberts Ginelle 14253 Metcalf Avenue Overland Park KS 66223 (913) 387-3500 PD

Sakima Roberts Ginelle 8919 Parallel Parkway, Suite 460 Kansas City KS 66112 (913) 299-3300 PD

Sakima-Roberts Ginelle 6810 Silverheel Street Shawnee KS 66226 (913) 745-2500 GP

Samples Stuart 500 South Davis Street Hamilton MO 64644 (816) 583-2266 GP

Sanchez Jason 4908 Johnson Drive, Suite B Mission KS 66205 (913) 384-6800 GP

Page 16 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Saunders S Michelle 831 Vermont St Lawrence KS 66044 (785) 843-6060 GP

Scheerer Sonia 8361 N Congress Ave Kansas City MO 64152 (816) 505-3636 EN

Schlang Elliott 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Schuette James 220 NW Mcnary Ct Lees Summit MO 64086 (816) 554-7656 GP

Schugel Thomas 12208 W 87th Street Pkwy Ste 150 Lenexa KS 66215 (913) 541-1888 OS

Schugel Thomas 1441 East 151st, Suite 2 Olathe KS 66062 (913) 782-1529 OS

Schugel Thomas 3700 W 83rd St Ste 203 Prairie Village KS 66208 (913) 381-5194 OS

Schwartz Barry 8012 State Line Road, Suite 101 Prairie Village KS 66208 (816) 361-7969 GP

Scott Kathy 2029 Burlington St, Ste 3 Kansas City MO 64116 (816) 421-3437 GP

Scott Stanley 7312 Troost Ave Kansas City MO 64131 (816) 523-0024 GP

Scott Kathy 10616 W 87th St Overland Park KS 66214 (913) 888-9399 GP

Scott Roscoe 9601 Antioch Rd Overland Park KS 66212 (913) 383-2343 GP

Seaman Jeffrey 13100 W 87th Street Parkway Lenexa KS 66215 (913) 248-8880 GP

Shapiro Howard 8603 North Oak Trafficway Kansas City MO 64155 (816) 436-8338 GP

Sharifian Alex 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 GP

Sharifian Alex 13541 Madison Ave Kansas City MO 64145 (816) 942-0033 GP

Sharifian Alex 940 NW Blue Pkwy Ste A Lees Summit MO 64086 (816) 524-5752 GP

Sharifian Alex 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP

Sharifian Alex 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP

Shaw Harvey 6724 Troost Avenue, Suite 509 Kansas City MO 64131 (816) 333-5700 GP

Shaw Jr Harvey 620 W 23rd St Independence MO 64055 (816) 254-3382 GP

Shaw Jr Harvey 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP

Shaw Jr Harvey 811 A South Highway 13 Lexington MO 64067 (660) 259-3823 GP

Sheldon Daniel 125 East Park Street Olathe KS 66061 (913) 782-7580 GP

Shemwell Gary 110 South West 2nd Street, Suite D Lees Summit MO 64063 (816) 525-4788 GP

Sheridan Ellen 104 Archibald Street Kansas City MO 64111 (816) 531-0382 GP

Shewanick Bryan 244 NE US 69 Hwy Ste 101 Claycomo MO 64119 (816) 454-1313 GP

Shine Lawrence 1734 East 63rd Street, Suite 520 Kansas City MO 64110 (816) 523-7788 GP

Shrum Ronald 1938 Northwest Copper Oaks Circle Blue Springs MO 64015 (816) 229-7575 GP

Shrum Ronald 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Shuey Ronald 1316 Southwest US Highway 40 Blue Springs MO 64015 (816) 229-2511 GP

Shultz Christopher 2 Westwood Drive Liberty MO 64068 (816) 781-1430 GP

Shultz Michael 616 East 63rd Street, Suite 104 Kansas City MO 64110 (816) 363-3360 OR

Sickmeyer Steven 721 Northeast Lakewood Boulevard Lees Summit MO 64064 (816) 373-0300 OR

Silva Orlando 2121 Summit St Kansas City MO 64108 (816) 471-0900 GP

Silver Randal 651 E US Highway 24 Independence MO 64050 (816) 461-6911 GP

Simmons Clarence 315 Nichols Road, Suite 208 Kansas City MO 64112 (816) 753-0377 OR

Singh Jasbeer 14 East 18th Street Higginsville MO 64037 (660) 584-7494 GP

Sjogren Douglas 13772 South Blackbob Road Olathe KS 66062 (913) 469-8019 GP

Sloan Madeline 10016 East 67th Street Raytown MO 64133 (816) 737-3400 GP

Sloan Madeline 10803 E State Route 350 Raytown MO 64138 (405) 286-9024 GP

Sloop Jacquelyn 125 East Park Street Olathe KS 66061 (913) 782-7580 GP

Smiley Jamie 13430 Briar Street Leawood KS 66209 (913) 402-8888 GP

Smith David 9501 North Oak Trafficway, Suite 205 Kansas City MO 64155 (816) 436-2242 GP

Smith Bradley 238 NE Tudor Rd Lees Summit MO 64086 (816) 524-4880 GP

Smith Gary 7600 Raytown Rd, Ste 102 Raytown MO 64138 (816) 356-2445 GP

Smith James 104 South Sterling Sugar Creek MO 64054 (816) 254-6557 GP

Smith Jonathan 11005 West 60th Street, Suite 240 Shawnee KS 66203 (913) 631-5622 GP

Page 17 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Smith Norman 6008 North State Route 9, Suite C Parkville MO 64152 (816) 741-5480 EN

Snitker Keith 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP

Snitker Keith 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 GP

Snow John 17700 Susquehanna Ridge Independence MO 64056 (816) 257-0093 GP

Snowbarger Mike 7450 Quivira Rd, Ste 1 Shawnee KS 66216 (913) 217-7536 GP

Snyder Randall 651 East US Highway 24 Independence MO 64050 (816) 461-0300 OR

Snyder Randall 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 OR

Snyder Randall 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 OR

Sobolevskaya Svetlana 8160 West 135th Street Overland Park KS 66223 (913) 402-0009 GP

Solano Cesar 708 NW Commerce Dr Lees Summit MO 64086 (816) 525-8660 OS

Sousa Andrew 2119 Minnesota Avenue Kansas City KS 66102 (913) 621-3113 GP

Spalitto Frank 6675 Holmes, Suite 690 Kansas City MO 64131 (816) 444-7787 GP

Spalitto Joseph 400 East Red Bridge Road, Suite 107 Kansas City MO 64131 (816) 942-6990 GP

Spencer Glynn 12600 East 40 Highway, Suite 200 Independence MO 64055 (816) 478-4202 PD

Spencer Jodie 12600 East 40 Highway, Suite 200 Independence MO 64055 (816) 478-4202 PD

Spencer Glynn 301 Northeast Mulberry, Suite 201 Lees Summit MO 64086 (816) 607-6000 PD

Spencer Jodie 301 Northeast Mulberry, Suite 201 Lees Summit MO 64086 (816) 607-6000 PD

St John Caroline 9150 Northeast Barry Road, Suite B Kansas City MO 64157 (816) 792-3500 GP

St John Caroline 1126 Northeast Coronado Drive, Suite 109 Blue Springs MO 64014 (816) 229-4527 GP

St John Caroline 3751 Southwest Hollywood Drive Lees Summit MO 64082 (816) 623-3563 GP

St John Caroline 691 Northwest Blue Parkway Lees Summit MO 64086 (816) 525-2056 GP

St John Caroline 10016 East 67th Street Raytown MO 64133 (816) 737-3400 GP

Stamos Daniel 5400 North Oak Trafficway, Suite 201 Kansas City MO 64118 (816) 452-0900 EN

Stamos David 4731 South Cochise Drive, Suite 221 Independence MO 64055 (816) 478-8895 EN

Steen Joy 1126 Northeast Coronado Drive, Suite 109 Blue Springs MO 64014 (816) 229-4527 GP

Steen Joy 3751 Southwest Hollywood Drive Lees Summit MO 64082 (816) 623-3563 GP

Steen Joy 691 Northwest Blue Parkway Lees Summit MO 64086 (816) 525-2056 GP

Stevens Paul 102 North East 92 Highway Smithville MO 64089 (816) 532-0545 GP

Stinnett Jaime 6500 West 95th Street, Suite 102 Overland Park KS 66212 (913) 649-0166 PD

Stites Dennis 1325 NE Douglas St Lees Summit MO 64086 (816) 524-4200 GP

Stiver Gregory 13643 Holmes Road, Suite A Kansas City MO 64145 (816) 941-7788 GP

Stone Joshua 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP

Stone Joshua 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP

Straub Stephanie 651 East US Highway 24 Independence MO 64050 (816) 461-6911 GP

Strong Brad 3908 South Noland Road Independence MO 64055 (816) 461-2273 GP

Strong Brad 651 E US Highway 24 Independence MO 64050 (816) 461-6911 GP

Strong Brad 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP

Strutz William 7070 Renner Road, Suite 201 Shawnee KS 66217 (913) 268-0808 PR

Suppasansathorn Mary 7316 Raytown Rd Raytown MO 64133 (816) 353-0140 GP

Suresh Dhyanesh 2029 Burlington St, Ste 3 N Kansas City MO 64116 (816) 421-3437 GP

Suresh Dhyanesh 1301 S W Arborwalk Blvd, Suite E Lees Summit MO 64082 (816) 228-0001 GP

Suresh Dhyanesh 246 Northeast Tudor Road Lees Summit MO 64086 (816) 554-1600 GP

Suresh Dhyanesh 10616 W 87th St Overland Park KS 66214 (913) 888-9399 GP

Suresh Dhyanesh 1121 N 5th St Kansas City KS 66101 (913) 233-2900 GP

Surratt Heather 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Sutton Brian 4546 Main St Kansas City MO 64111 (816) 931-2342 GP

Swee David 601 NW Jefferson St, Ste 2 Blue Springs MO 64014 (816) 229-1599 GP

Tabakh Diana 12927 State Line Road Kansas City MO 64145 (816) 942-7669 GP

Page 18 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Tanner John 4700 Belleview, Suite L 10 Kansas City MO 64112 (816) 561-1115 OS

Tanner Michael 10400 W 103rd St, Ste 21 Overland Park KS 66214 (913) 722-0610 GP

Tanner John 7577 Northwest Barry Road, Suite B Kansas City MO 64153 (816) 741-8999 OS

Taylor Ronald 1600 East Evergreen Cameron MO 64429 (816) 632-2723 OS

Taylor Ronald 2900 Northeast 60th Street, Suite 203 Gladstone MO 64119 (816) 455-0333 OS

Taylor Cathleen 2121 Summit St Kansas City MO 64108 (816) 471-0900 GP

Taylor Timothy 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Tehrani Bahman 735 Northeast Lakewood Boulevard Lees Summit MO 64064 (816) 478-1010 GP

Theilen James 244 NE US 69 Hwy Ste 101 Claycomo MO 64119 (816) 454-1313 GP

Theilen Jerry 244 NE US 69 Hwy Ste 101 Claycomo MO 64119 (816) 454-1313 GP

Thiele Roderick 111 Delaware St Leavenworth KS 66048 (913) 651-8565 GP

Thigpen Ellis 4911 South Arrowhead Drive, Suite 202 Independence MO 64055 (816) 373-4440 GP

Thigpen Ellis 1000 Walnut Road, Suite 210 Kansas City MO 64106 (816) 421-6667 GP

Thigpen Ellis 411 Nichols Road, Suite 231 Kansas City MO 64112 (816) 531-3439 GP

Thomas Daniel 209 Northeast Barry Road Kansas City MO 64155 (816) 436-6767 PR

Thomas David 9051 NE 81St Terr Ste 220 Kansas City MO 64158 (816) 781-5437 PD

Thomas Donna 209 Northeast Barry Road Kansas City MO 64155 (816) 741-8881 PD

Thomas Jonathan 209 Northeast Barry Road Kansas City MO 64155 (816) 436-6767 PR

Thomas Daniel 411 Nichols Road, Suite 236 Kansas City MO 64112 (816) 753-0202 PR

Thomas Daniel 3355 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 525-4867 PR

Thomas Donna 411 Nichols Road, Suite 236 Kansas City MO 64112 (816) 753-0202 PD

Thomas Donna 3351 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 524-5447 PD

Thomas Jonathan 411 Nichols Road, Suite 236 Kansas City MO 64112 (816) 753-0202 PR

Thomas Jonathan 3355 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 525-4867 PR

Thomas Daniel 11401 Nall Avenue Leawood KS 66211 (913) 663-4867 PR

Thomas Donna 11401 Nall Avenue Leawood KS 66211 (913) 649-5437 PD

Thomas Jonathan 11401 Nall Avenue Leawood KS 66211 (913) 663-4867 PR

Thomas Kelly 4861 West 134th Street Leawood KS 66209 (913) 685-1900 GP

Thomas Steven 12800 Metcalf Ave Overland Park KS 66213 (913) 451-7680 OS

Thompson Jeffrey 4851 West 134th Street Leawood KS 66209 (913) 681-8300 OR

Thompson R Wayne 601 North Mur Len Road, Suite 4 Olathe KS 66062 (913) 764-0880 OR

Thompson R Wayne 8740 W 95th St Overland Park KS 66212 (913) 383-3510 OR

Thompson R Wayne 11005 W 60th St Ste 180 Shawnee KS 66203 (913) 631-0110 OR

Thompson Ross 14979 W 119th St Olathe KS 66062 (913) 780-0080 GP

Thompson R Wayne 8919 Parallel Pkwy Ste 219 Kansas City KS 66112 (913) 299-0734 OR

Thomure Jaclyn 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP

Throckmorton James 6309 Morningside Dr Kansas City MO 64113 (816) 523-6615 GP

Thurman Jamie 3568 SW Market St Lees Summit MO 64082 (816) 537-6161 GP

Tillery Bruce 800 Walnut St Valley Falls KS 66088 (785) 945-6248 GP

Tingey Brian 2029 Burlington St, Ste 3 Kansas City MO 64116 (816) 421-3437 GP

Tingey Matthew 7933 State Ave, Ste 100 Kansas City KS 66112 (913) 213-6973 GP

Tinnel Matthew 8919 Parallel Parkway, Suite 309 Kansas City KS 66112 (913) 299-0704 GP

Tinsley William 2 Westwood Drive Liberty MO 64068 (816) 781-1430 GP

Tokar Daniel 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP

Tokar Daniel 8043 Wornall Road, Suite 201 Kansas City MO 64114 (000) 000-0000 GP

Tokar Daniel 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP

Tokar Daniel 9600 E State Route 350 Raytown MO 64133 (816) 356-2273 GP

Toombs Kelly 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 OR

Page 19 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Trakas Anthony 412 Northwest Mock Avenue Blue Springs MO 64014 (816) 229-9225 OS

Tran Harris 13316 Metcalf Ave Overland Park KS 66213 (913) 851-5110 GP

Tran Harris 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP

Tran Harris 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP

Trefil Karleen 3908 South Noland Road Independence MO 64055 (816) 461-2273 GP

Trefil Karleen 651 E US Highway 24 Independence MO 64050 (816) 461-6911 GP

Trefil Karleen 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP

Triplett Douglas 1129 West Kansas Street, Suite C Liberty MO 64068 (816) 781-1224 GP

Truschinger Deedra 1010 Carondelet Drive, Suite 316 Lenexa KS 66220 (913) 254-1300 GP

Tull Gregory 1010 Carondelet Drive, Suite 316 Kansas City MO 64114 (816) 941-0000 GP

Ullman Hillard 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Ullman Hillard 14270 NW 60th Ct Parkville MO 64152 (800) 409-2563 GP

Unruh Benjamin 15151 S Blackbob Rd Olathe KS 66062 (913) 764-5600 GP

Unruh Benjamin 14253 Metcalf Avenue Overland Park KS 66223 (913) 387-3500 GP

Unruh Benjamin 6810 Silverheel Street Shawnee KS 66226 (913) 745-2500 GP

Unruh Benjamin 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP

Unruh Benjamin 8919 Parallel Parkway, Suite 460 Kansas City KS 66112 (913) 299-3300 GP

Van Tasell David 5501 NW 62nd Ter Ste 101 Kansas City MO 64151 (816) 741-6960 GP

Vandenberg Michael 9226 Pflumm Lenexa KS 66215 (913) 888-6220 GP

Vanyperen Tucker 2000 Swift Street North Kansas City MO 64116 (816) 471-2911 GP

Varela Alberto 2121 Summit St Kansas City MO 64108 (816) 471-0900 GP

Varon Frank 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP

Varon Frank 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 GP

Vasanthan Asvin 209 Northeast Barry Road Kansas City MO 64155 (816) 436-6767 PR

Vasquez David 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP

Vasquez David 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP

Vasquez David 125 East Park Street Olathe KS 66061 (913) 728-7580 GP

Viloria Richard 8919 Parallel Parkway, Suite 309 Kansas City KS 66112 (913) 299-0704 GP

Vlasak George 13905 E Noland Ct Independence MO 64055 (816) 461-2916 GP

Vodonick Steven 5638 Nieman Road Shawnee KS 66203 (913) 631-2229 GP

Walden Laura 2121 Summit St Kansas City MO 64108 (816) 471-0900 GP

Waller Smith Jennifer 1619 W 24 Hwy Independence MO 64050 (816) 461-0055 GP

Waller Smith Jennifer 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Waller Smith Jennifer 912 East 63rd Street Kansas City MO 64110 (816) 523-2221 GP

Wallin Harold 11551 Granada St, Ste 100 Leawood KS 66211 (913) 491-4488 OS

Wallin Harold 8919 Parallel Parkway, Suite 480 Kansas City KS 66112 (913) 334-6000 OS

Walls Sara 9233 Ward Parkway, Suite 330 Kansas City MO 64114 (816) 444-8822 PR

Walmann Jeffrey 20168 West 153rd Street Olathe KS 66062 (913) 829-7668 EN

Walters Kinsey 10351 Mastin St Overland Park KS 66212 (913) 492-5180 GP

Walters Kinsey 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP

Walton Gerald 5604 NE Antioch Rd Gladstone MO 64119 (816) 453-9600 GP

Warya Navkiran 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP

Waters Nevin 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP

Watson Lynda 11538 West 119th Street Overland Park KS 66213 (913) 381-4090 GP

Webb Tyler 2043 West Kansas Avenue Liberty MO 64068 (816) 781-5502 GP

Webb Tyler 1212 SW Luttrell Rd Blue Springs MO 64015 (816) 525-7155 GP

Weimer Wendy 4151 North Mulberry Drive, Suite 210 Kansas City MO 64116 (816) 877-0200 GP

Werley Wendy 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 GP

Page 20 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Westfall Adam 303 Marshall Road, Suite 3 Platte City MO 64079 (816) 858-2300 GP

Westfall Wayne 303 Marshall Road, Suite 3 Platte City MO 64079 (816) 858-2300 GP

Westman Benjamin 2109 Northeast 72nd Street, Suite 105 Gladstone MO 64118 (816) 452-4733 GP

White Scott 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

White Scott 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP

Whiteman Edward 103 N Clayview Dr Liberty MO 64068 (816) 781-0039 GP

Whiteman Edward 900 N Morse Ave Liberty MO 64068 (816) 781-0039 GP

Whitmore Dewain 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Wick Christopher 4910 NE 81St St Ste A Kansas City MO 64119 (816) 420-9070 GP

Widdison Joseph 652 E US Highway 24 Independence MO 64050 (816) 461-6911 GP

Wilkerson Brian 831 Vermont St Lawrence KS 66044 (785) 843-6060 GP

Wilkinson Debra 1200 Northwest Jefferson Court Blue Springs MO 64015 (816) 228-3688 GP

Wilkinson Debra 19401 East 40 Highway, Suite 155 Independence MO 64055 (816) 795-5620 GP

Williams Angela 651 East US Highway 24 Independence MO 64050 (816) 461-0300 OR

Williams Angela 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 OR

Williams Angela 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 OR

Williams James 811 NE Rice Rd Lees Summit MO 64086 (816) 524-6510 GP

Williams Zachary 915 Southwest Lemans Lane Lees Summit MO 64082 (816) 358-9691 OR

Williams Zachary 10760 East 350 Highway Raytown MO 64138 (816) 358-9691 OR

Williams Jennifer 707 Minnesota Avenue, Suite 100 Kansas City KS 66101 (913) 321-4385 GP

Williams Jennifer 8919 Parallel Parkway, Suite 309 Kansas City KS 66112 (913) 299-0704 GP

Williamson John 10601 Kaw Dr Kansas City KS 66111 (913) 441-3373 GP

Willis Adam 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP

Wilson Benjamin 1619 W 24 Hwy Independence MO 64050 (816) 461-0055 GP

Wilson Barry 6299 Nall Avenue, Suite 200 Mission KS 66202 (913) 384-0044 GP

Winburn Richard 10351 Mastin St Overland Park KS 66212 (913) 492-5180 GP

Wince Stacy 234 South Cherry Street Olathe KS 66061 (913) 782-1420 GP

Winthrop Dennis 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP

Wismer Russell 6301 Pflumm Rd Shawnee KS 66216 (913) 268-7770 GP

Withhart Jessica 10351 Mastin St Overland Park KS 66212 (913) 492-5180 GP

Wollard Chad 444 W 47th St, Ste 210 Kansas City MO 64112 (816) 561-9666 GP

Wollard Ronald 444 W 47th St, Ste 210 Kansas City MO 64112 (816) 561-9666 GP

Wrenn Thomas 1115 East 65th Street Kansas City MO 64131 (816) 444-9091 GP

Wymore Ryan 4405 S Noland Rd Independence MO 64055 (816) 373-3444 GP

Wymore Ryan 2659 Independence Ave Kansas City MO 64124 (816) 373-3530 GP

Wymore Ryan 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP

Wymore Ryan 912 E 63rd St Kansas City MO 64110 (816) 523-2221 GP

Wymore Ryan 811 South Highway 13, Suite A Lexington MO 64067 (660) 259-3823 GP

Yates David 9600 East Highway 350 Raytown MO 64133 (816) 356-2273 GP

Yee Sharon 10346 State Line Rd Leawood KS 66206 (913) 341-2292 GP

Yee Sharon 5940 Lamar Ave Mission KS 66202 (913) 341-2292 GP

Yee Sharon 8650 W 95th St Ste 2 Overland Park KS 66212 (913) 964-0031 GP

Yee Sharon 5000 West 95th Street, Suite 300 Prairie Village KS 66207 (913) 649-0310 GP

Yee Sharon 13430 W 62nd Ter Shawnee KS 66216 (913) 962-4400 GP

Yip Matthew 13541 Madison Ave Kansas City MO 64145 (816) 942-0033 GP

Yip Matthew 13316 Metcalf Ave Overland Park KS 66213 (913) 851-5110 GP

Yip Matthew 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP

Yip Matthew 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP

Page 21 of 22 03/2015

Participating Dentists Directory Surency Dental

Last Name First Name Address City State Zip Phone Number Spec

Young Andrew 15990 S Bradley Dr Olathe KS 66062 (913) 491-3400 OR

Young Andrew 14880 Metcalf Ave Overland Park KS 66223 (913) 491-3400 OR

Young Andrew 22438 South Harrison Street Spring Hill KS 66083 (913) 491-3400 OR

Zaery Farrah 6700 W 121St St, Suite 101 Overland Park KS 66209 (913) 451-2540 GP

Ziegenhorn Dez 3751 Southwest Hollywood Drive Lees Summit MO 64082 (816) 623-3563 GP

Ziegenhorn Dez 13328 Metcalf Ave Overland Park KS 66213 (913) 345-2273 GP

Page 22 of 22 03/2015