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A REGISTERED MARK OF DELTA DENTAL PLANS ASSOCIATION Utah Medicaid Dental Services Delta Dental Insurance Company a subsidiary of Delta Dental of California Provider Directory September 2013 #73922 (07/13) Utah Medicaid Dental Services Member Services 1-866-467-4219

Utah Medicaid Dental Services - Delta Dental Insurance · PDF fileUTAH MEDICAID DENTAL SERVICES Welcome to Utah Medicaid Dental Services! A Primary Care Dentist is an individual Dentist

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A REGISTERED MARK OF DELTA DENTAL PLANS ASSOCIATION

Utah Medicaid Dental Services

Delta Dental Insurance Companya subsidiary of Delta Dental of California

Provider DirectorySeptember 2013

#73922 (07/13)

Utah Medicaid Dental ServicesMember Services 1-866-467-4219

Delta Dental Insurance Company

Utah Medicaid Dental Services

Provider Directory September 2013

UTAH MEDICAID DENTAL SERVICES

Welcome to Utah Medicaid Dental Services! A Primary Care Dentist is an individual Dentist that you pick to provide your dental care. Please use this book to find a Primary Care Dentist who will meet your needs. You can choose a dentist who is close to where you live or work. If English is not your first language, you can choose one with staff who speaks the same language you do. Helpful Information about this Directory The dentists in this book are contracting dentists for Utah Medicaid Dental Services. The book tells you the names of the dentists who work in each office. This book also shows languages spoken in the office other than English. Dentists join the Utah Medicaid Dental Services program all the time. If you already have a dentist you like, but don’t see his/her name in this book, please call us. We can tell you if that dentist has joined the program. Want More Information or Need Help? Be sure to read your Member Handbook. The handbook tells you what services the Utah Medicaid Dental Services program covers. It will tell you how to get a dental appointment. It will tell you what to do in an emergency. It will also tell you what to do if you need dental care on weekends and holidays. It will tell about finding a dentist when you are out of town. It tells you what Utah Medicaid Dental Services members’ rights and responsibilities are. It also tells you what to do if you have a complaint or want to file an appeal. Please call us if you have any questions. Our toll-free telephone number is 1-866-467-4219. You can call us Monday through Friday, from 8:00 a.m. to 7:00 p.m. (Mountain Time) excluding state-approved holidays. Our automated system is available Monday to Sunday, 24 hours a day. For TTY service, please call 7-1-1 (Relay Utah).

T A B L E O F C O N T E N T S

DAVIS ....................................................................................................................................... 1

Bountiful .................................................................................................................................1

Centerville ...............................................................................................................................1

Clearfield .................................................................................................................................1

Layton .....................................................................................................................................2

Syracuse ..................................................................................................................................2

SALT LAKE ................................................................................................................................ 2

Herriman .................................................................................................................................2

Holladay ..................................................................................................................................2

Magna .....................................................................................................................................2

Midvale ...................................................................................................................................3

Murray ....................................................................................................................................3

Riverton ..................................................................................................................................3

Salt Lake City ...........................................................................................................................4

Sandy ......................................................................................................................................5

Taylorsville .............................................................................................................................6

West Jordan ............................................................................................................................6

West Valley .............................................................................................................................6

UTAH ....................................................................................................................................... 7

American Fork ........................................................................................................................ 7

Orem .......................................................................................................................................8

Pleasant Grove ........................................................................................................................9

Provo .......................................................................................................................................9

Spanish Fork ...........................................................................................................................10

WEBER ..................................................................................................................................... 10

Egen ........................................................................................................................................10

Ogden .....................................................................................................................................10

Pleasant View .........................................................................................................................11

Roy ..........................................................................................................................................11

South Ogden ...........................................................................................................................12

Delta Dental

Directory of Network ProvidersEN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN

Davis

Bountiful

Bountiful , UT 84010

(801)292-2828

Dentist(s):

Languages: EN

535 E. Medical Dr.

Practice Limitations:

Facility #: 44550Dental Care 4 Kids

Specialty:

Colleen TaylorY Pedodontist

Bountiful , UT 84010

(801)296-1606

Dentist(s):

Languages: EN

24 S 500 W # A

Practice Limitations:

Facility #: 22207Monarch Dental Bountiful

Specialty:

Aaron WrightY General Dentist

Andrew VernonY General Dentist

Benjamin MenloveY General Dentist

Brian BairdY General Dentist

Clark HickenY General Dentist

Darin DickersonY General Dentist

Diya ChadhaY Pedodontist

Glade CrowtherY General Dentist

Jeffery RobersonY General Dentist

Jeremiah LindgrenY General Dentist

Kent DastrupY General Dentist

Kim RobertsY General Dentist

Mark EndrizziY General Dentist

Nathan WaymentY Endodontist

Paul HannaY General Dentist

Phillip OlsenY General Dentist

Richard SteeleY General Dentist

Robert ChidesterY General Dentist

Robert JohnsonY General Dentist

Sarah NaisbittY General Dentist

Scott StringhamY General Dentist

Sean MckeownY Periodontist

Shane TaylorY General Dentist

Thomas DavenportY General Dentist

William FisherY General Dentist

Centerville

Centerville , UT 84014

(801)295-6192

Dentist(s):

Languages: EN

281 So. Main

Practice Limitations:

Facility #: 45009Pitt Family Dental

Specialty:

Jason PittY General Dentist

Jeremy PittY General Dentist

Clearfield

Clearfield , UT 84015

(801)776-1000

Dentist(s):

Languages: EN

513 N. 1000 W.

Practice Limitations:

Facility #: 26245Dental Care Center

Specialty:

John DayY General Dentist

Peter GoupiosY General Dentist

Reed JarvisY General Dentist

Robert GoupiosY General Dentist

Clearfield , UT 84015

(801)393-5355

Dentist(s):

Languages: EN

22 S. State Street, Ste 1007

Practice Limitations:

Facility #: 44641Midtown Community Health Center

Specialty:

Joe HopkinY General Dentist

Robert BinghamY General Dentist

Clearfield , UT 84015

(801)825-1822

Dentist(s):

Languages: EN

183 N. Main

Practice Limitations:

Facility #: 44759R. Clair Palmer Dds

Specialty:

Robert PalmerY General Dentist

Utah Medicaid Dental Services Page 1Y = Accepting New Patients

EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN

Clinton

Clinton , UT 84015

(801)825-3993

Dentist(s):

Languages: EN

2207 W. 1800 N., Ste A

Practice Limitations:

Facility #: 44630Comfort Dental Of Clinton

Specialty:

Brent MilneY General Dentist

John RoringY General Dentist

Layton

Layton , UT 84041

(801)544-1940

Dentist(s):

Languages: EN

1086 N. Fairfeld Rd

Practice Limitations:

Facility #: 44549Dawson Pediatric Dentistry & Orthodontic

Specialty:

Brad DawsonY Pedodontist

Layton , UT 84041

(801)774-0770

Dentist(s):

Languages: EN

2112 Hillfield Rd, Ste 1

Practice Limitations:

Facility #: 45182Hillfield Pediatric And Family Dentistry

Specialty:

Darren WibleY General Dentist

Heath HendricksonY General Dentist

Jared WeaverY General Dentist

Layton , UT 84041

(801)370-0050

Dentist(s):

Languages: EN

2148 N. Hill Field Rd, Ste 5

Practice Limitations:

Facility #: 44764Wisdom Teeth Only

Specialty:

Raymond HendricksonY General Dentist

Syracuse

Syracuse , UT 84075

(801)779-6037

Dentist(s):

Languages: EN

1792 W. 1700 S. Suite 203

Practice Limitations:

Facility #: 25872Dr. Jeremy Godderidge

Specialty:

Jeremy GodderidgeY General Dentist

Salt Lake

Herriman

Herriman , UT 84096

(801)302-1045

Dentist(s):

Languages: EN

6351 W. 13400 S. #200

Practice Limitations:

Facility #: 44613Dawson Pediatric Dentistry & Orthodontic

Specialty:

Brad DawsonY Pedodontist

Holladay

Holladay , UT 84117

(801)277-1424

Dentist(s):

Languages: EN

2040 Murray Holladay Rd, #200

Practice Limitations:

Facility #: 44760R. Scott Dickson, Dds, Pc

Specialty:

R. DicksonY General Dentist

Magna

Magna , UT 84044

(801)250-0450

Dentist(s):

Languages: EN

3665 So. 8400 We., Ste 250

Practice Limitations:

Facility #: 44892Genesis Dental Of Magna

Specialty:

David CannonY General Dentist

David StubbsY General Dentist

Richard BuckY General Dentist

Page 2 Utah Medicaid Dental ServicesY = Accepting New Patients

Directory of Network ProvidersEN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN

Midvale

Midvale , UT 84047

(801)304-9391

Dentist(s):

Languages: EN

918 E. Fort Union Blvd

Practice Limitations:

Facility #: 45134Marz Orthodontics

Specialty:

Kenneth MarzY General Dentist

Midvale , UT 84047

(801)370-0050

Dentist(s):

Languages: EN

7001 South 900 East, Ste 350

Practice Limitations:

Facility #: 44763Wisdom Teeth Only

Specialty:

Raymond HendricksonY General Dentist

Murray

Murray , UT 84107

(801)288-0039

Dentist(s):

Languages: EN

445 E. 4500 S., Ste 150

Practice Limitations:

Facility #: 44826All Smiles Family Dentistry

Specialty:

Hanhngan NguyentranY General Dentist

Russell SmithY General Dentist

Murray , UT 84107

(801)262-1181

Dentist(s):

Languages: EN

164 E. 5900 S. A111

Practice Limitations:

Facility #: 44558Ismile Murray Family Dental

Specialty:

Gerald TorgesonY General Dentist

Murray , UT 84107

(801)293-8950

Dentist(s):

Languages: EN

168 E. 5900 S, C103

Practice Limitations:

Facility #: 45014Quality Family Dental Care

Specialty:

David JulianY General Dentist

Riverton

Riverton , UT 84065

(801)254-1278

Dentist(s):

Languages: EN

12694 So. Redwood Rd

Practice Limitations:

Facility #: 44752B. Charles Pugh Dds

Specialty:

B. Charles PughY General Dentist

Riverton , UT 84065

(801)254-5255

Dentist(s):

Languages: EN

2845 W. 12600 S.

Practice Limitations:

Facility #: 44592Cornfield Dental Center

Specialty:

Bong NohY General Dentist

Riverton , UT 84065

(801)561-1559

Dentist(s):

Languages: EN

3409 W. 12600 S. #100

Practice Limitations:

Facility #: 44557Ismile Crossroads Dental

Specialty:

Joel HowarthY General Dentist

Riverton , UT 89065

(801)878-3111

Dentist(s):

Languages: EN

3693 West 13400 South

Practice Limitations:

Facility #: 44553Riverton Heights Dental Care

Specialty:

Brian BorgY General Dentist

Utah Medicaid Dental Services Page 3Y = Accepting New Patients

EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN

Riverton , UT 84065

Dentist(s):

Languages: EN

12562 Rhetski Lane

Practice Limitations:

Facility #: 44898Young Family Dental

Specialty:

Christopher YoungY General Dentist

Kwang ParkY General Dentist

Michael BoyackY General Dentist

Michael LoeserY General Dentist

Michael YoungY General Dentist

Paige WhiteY General Dentist

William CernyY General Dentist

Salt Lake City

Salt Lake City , UT 84105

(801)484-8893

Dentist(s):

Languages: EN

2000 S. 1300 E.

Practice Limitations:

Facility #: 446283g Family Dentistry

Specialty:

Jeffrey SperryY General Dentist

Steven SperryY General Dentist

Salt Lake City , UT 84116

(801)328-5756

Dentist(s):

Languages: EN

4618 400 E.

Practice Limitations:

Facility #: 44708Central City Dental Clinic

Specialty:

Alan AokiY General Dentist

Chris RamsdellY General Dentist

Daniel BairdY General Dentist

Devin LinkY General Dentist

Salt Lake City , UT 84102

(801)355-5558

Dentist(s):

Languages: EN

928 E. 100 S.

Practice Limitations:

Facility #: 45016Dr. Matthew Larson

Specialty:

Matthew LarsonY General Dentist

Salt Lake City , UT 84115

(385)646-4748

Dentist(s):

Languages: EN

2500 S. State Street #404

Practice Limitations:

Facility #: 44448Family Dental Care

Specialty:

Kimel FisherY General Dentist

Salt Lake City , UT 84116

(801)715-3400

Dentist(s):

Languages: EN

168 N. 1950 W., Ste 202

Practice Limitations:

Facility #: 44829Family Dental Plan

Specialty:

Angelica MchughY General Dentist

Dean TroiliY General Dentist

Deborah PerryY General Dentist

Gary SpanglerY General Dentist

Hoangcam NguyenY General Dentist

Kim MichelsonY General Dentist

Salt Lake City , UT 84102

(801)355-3288

Dentist(s):

Languages: EN

1060 E. 100 S. Ste 205

Practice Limitations:

Facility #: 45178Genesis Dental Of Salt Lake City

Specialty:

Eric VisserY General Dentist

Salt Lake City , UT 84102

(801)363-1213

Dentist(s):

Languages: EN

440 S. 700 E. #305

Practice Limitations:

Facility #: 44556Hutchings Family Dentistry

Specialty:

Brent HutchingsY General Dentist

Michael HutchingsY General Dentist

Page 4 Utah Medicaid Dental ServicesY = Accepting New Patients

Directory of Network ProvidersEN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN

SALT LAKE CTY , UT 84123

(801)263-6400

Dentist(s):

Languages: EN

5419 S REDWOOD RD

Practice Limitations:

Facility #: 22203Monarch Dental Taylorsville

Specialty:

Diya ChadhaY Pedodontist

Robert ChidesterY General Dentist

Salt Lake City , UT 84102

(801)355-3263

Dentist(s):

Languages: EN

5 South 700 East Suite B30

Practice Limitations:

Facility #: 44414Richard L. Ellis Ii

Specialty:

Richard Ellis IiY General Dentist

Salt Lake City , UT 84121

(801)943-1625

Dentist(s):

Languages: EN

7138 S. Highland Dr Ste 101

Practice Limitations:

Facility #: 44450Roger T Russell Dds

Specialty:

Roger RussellY General Dentist

Salt Lake City , UT 84121

(801)281-8433

Dentist(s):

Languages: EN

5872 So 900E, #202

Practice Limitations:

Facility #: 44449Ruedi Tillmann, Dds

Specialty:

Ruidiger TillmannY General Dentist

Salt Lake City , UT 84121

(801)943-2222

Dentist(s):

Languages: EN

7069 S. Highland Dr Ste 200

Practice Limitations:

Facility #: 447401Stephen B Liddle Dds

Specialty:

Stephen LiddleY General Dentist

Salt Lake City , UT 84116

(801)328-5756

Dentist(s):

Languages: EN

1365 W. 1000 N.

Practice Limitations:

Facility #: 33358Stephen D Ratcliffe Clinic

Specialty:

Alan AokiY General Dentist

Chris RamsdellY General Dentist

Daniel BairdY General Dentist

Devin LinkY General Dentist

Salt Lake City , UT 84107

(801)261-2273

Dentist(s):

Languages: EN

545 E 4500 So #E200

Practice Limitations:

Facility #: 44452Stephen W Carter

Specialty:

Stephen CarterY General Dentist

Salt Lake City , UT 84121

(801)943-9090

Dentist(s):

Languages: EN

7138 S. Highland Dr, #219

Practice Limitations:

Facility #: 44584William C Vargo Dds

Specialty:

William VargoY General Dentist

Sandy

Sandy , UT 84070

(801)996-3437

Dentist(s):

Languages: EN

10011 S. Centennial Pkwy, #210

Practice Limitations:

Facility #: 446273g Family Dentistry

Specialty:

Jeffrey SperryY General Dentist

Utah Medicaid Dental Services Page 5Y = Accepting New Patients

EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN

Sandy , UT 84070

(801)572-4430

Dentist(s):

Languages: EN

9853 S. 700 E.

Practice Limitations:

Facility #: 44842Lone Peak Dental Care

Specialty:

Kenneth DibbleY General Dentist

Taylorsville

Taylorsville , UT 84123

(801)263-6400

Dentist(s):

Languages: EN

5419 S Redwood Rd

Practice Limitations:

Facility #: 20214Monarch Dental

Specialty:

Aaron WrightY General Dentist

Andrew VernonY General Dentist

Brian BairdY General Dentist

Clark HickenY General Dentist

Daniel MeeksY General Dentist

Darin DickersonY General Dentist

Glade CrowtherY General Dentist

James SkousenY General Dentist

Jeffery RobersonY General Dentist

Jeremiah LindgrenY General Dentist

Kent DastrupY General Dentist

Kim RobertsY General Dentist

Mark EndrizziY General Dentist

Mark McgowanY General Dentist

Phillip OlsenY General Dentist

Richard SteeleY General Dentist

Robert ChidesterY General Dentist

Robert JohnsonY General Dentist

Sarah NaisbittY General Dentist

Scott StringhamY General Dentist

Sean MckeownY Periodontist

Shane TaylorY General Dentist

Thomas DavenportY General Dentist

William FisherY General Dentist

William SunbergY General Dentist

Taylorsville , UT 84123

(801)264-0617

Dentist(s):

Languages: EN

1638 W. 6235 So.

Practice Limitations:

Facility #: 44470Sanford Hamilton Dmd Pc

Specialty:

Sanford HamiltonY General Dentist

Shawn HamiltonY General Dentist

West Jordan

West Jordan , UT 84088

(801)566-2155

Dentist(s):

Languages: EN

9251 Redwood Rd

Practice Limitations:

Facility #: 44554Fox Park Dental Care

Specialty:

Jeffrey BrownY General Dentist

West Jordan , UT 84084

(801)282-2323

Dentist(s):

Languages: EN

7613 S. Jordan Landing Blvd, #110

Practice Limitations:

Facility #: 44755Jordan Valley Dental

Specialty:

Brigham ColtonY General Dentist

West Valley

West Valley , UT 84119

(801)304-9391

Dentist(s):

Languages: EN

2222 W. 3500 S. Ste A1

Practice Limitations:

Facility #: 45136Marz Orthodontics

Specialty:

Kenneth MarzY General Dentist

Page 6 Utah Medicaid Dental ServicesY = Accepting New Patients

Directory of Network ProvidersEN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN

West Valley , UT 84120

(801)955-1900

Dentist(s):

Languages: EN, HR, RU, ES

4645 S 4000 W STE B

Practice Limitations:

Facility #: 22798Monarch Dental Assoc

Specialty:

Aaron WrightY General Dentist

Andrew VernonY General Dentist

Brian BairdY General Dentist

Clark HickenY General Dentist

Daniel MeeksY General Dentist

Darin DickersonY General Dentist

Glade CrowtherY General Dentist

Gregory SmithY General Dentist

James SkousenY General Dentist

Jeffery RobersonY General Dentist

Jeremiah LindgrenY General Dentist

John ReschkeY General Dentist

Kent DastrupY General Dentist

Kim RobertsY General Dentist

Mark EndrizziY General Dentist

Phillip OlsenY General Dentist

Richard SteeleY General Dentist

Robert ChidesterY General Dentist

Robert JohnsonY General Dentist

Sarah NaisbittY General Dentist

Scott StringhamY General Dentist

Shane TaylorY General Dentist

Thomas DavenportY General Dentist

William FisherY General Dentist

William SunbergY General Dentist

WEST VALLEY , UT 84120

(801)955-1900

Dentist(s):

Languages: EN

4645 S 4000 W STE B

Practice Limitations:

Facility #: 22798Monarch Dental/ West Valley

Specialty:

Diya ChadhaY Pedodontist

Robert ChidesterY General Dentist

West Valley, UT 84119

(801)887-7264

Dentist(s):

Languages: EN

1819 West 3500 South, Ste 1A

Practice Limitations:

Facility #: 44644Viet Dentistry Pc

Specialty:

Benjamin WilsonY General Dentist

Kieu LeY General Dentist

Utah

American Fork

American Fork , UT 84003

(801)756-2346

Dentist(s):

Languages: EN

291 N. 300 E.

Practice Limitations:

Facility #: 21010Davies Family Dental

Specialty:

Kendell DaviesY General Dentist

Utah Medicaid Dental Services Page 7Y = Accepting New Patients

EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN

American Fork , UT 84003

(801)756-5522

Dentist(s):

Languages: EN

476 N 900 W Ste A

Practice Limitations:

Facility #: 22204Monarch Dental American Fork

Specialty:

Aaron WrightY General Dentist

Andrew VernonY General Dentist

Brian BairdY General Dentist

Clark HickenY General Dentist

Cory PriceY General Dentist

Daniel MeeksY General Dentist

Daniel ThunellY Periodontist

Darin DickersonY General Dentist

Diya ChadhaY Pedodontist

Glade CrowtherY General Dentist

James SkousenY General Dentist

Jeffery RobersonY General Dentist

Jeremiah LindgrenY General Dentist

Kent DastrupY General Dentist

Kim RobertsY General Dentist

Mark EndrizziY General Dentist

Phillip OlsenY General Dentist

Rdean ClarkY General Dentist

Richard SteeleY General Dentist

Robert ChidesterY General Dentist

Robert JohnsonY General Dentist

Sarah NaisbittY General Dentist

Scott StringhamY General Dentist

Sean MckeownY Periodontist

Shane TaylorY General Dentist

Thomas DavenportY General Dentist

William FisherY General Dentist

American Fork , UT 84003

(801)756-4595

Dentist(s):

Languages: EN

356 E. 20 S.

Practice Limitations:

Facility #: 44757Murdock & Searle Family Dentistry

Specialty:

Bruce MurdockY General Dentist

Bryce SearleY General Dentist

American Fork , UT 84003

(801)756-7173

Dentist(s):

Languages: EN

483 E. 200 S.

Practice Limitations:

Facility #: 44901Young Family Dental

Specialty:

Christopher YoungY General Dentist

Kwang ParkY General Dentist

Michael BoyackY General Dentist

Michael LoeserY General Dentist

Michael YoungY General Dentist

Paige WhiteY General Dentist

William CernyY General Dentist

Orem

Orem , UT 84057

(801)225-8060

Dentist(s):

Languages: EN

336 W. 920 N.

Practice Limitations:

Facility #: 44632Dodge Family Dentistry

Specialty:

Keith DodgeY General Dentist

Orem , UT 84057

(801)225-1002

Dentist(s):

Languages: EN

169 N. 400 W. #A3

Practice Limitations:

Facility #: 44552Double Take Dental

Specialty:

Michael AtwoodY General Dentist

Orem , UT 84057

(801)224-1117

Dentist(s):

Languages: EN

385 W. Center St.

Practice Limitations:

Facility #: 44841Gentle Dental Arts

Specialty:

Alexander LarsenY General Dentist

Page 8 Utah Medicaid Dental ServicesY = Accepting New Patients

Directory of Network ProvidersEN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN

Orem , UT 84057

(801)434-5437

Dentist(s):

Languages: EN

167 N. 400 W., Ste A4

Practice Limitations:

Facility #: 44642Pediatric Smiles Of Orem

Specialty:

Adam ShepherdY Pedodontist

Orem , UT 84097

(801)224-0222

Dentist(s):

Languages: EN

1834 S. State

Practice Limitations:

Facility #: 44902Young Family Dental

Specialty:

Christopher YoungY General Dentist

Kwang ParkY General Dentist

Michael BoyackY General Dentist

Michael LoeserY General Dentist

Michael YoungY General Dentist

Paige WhiteY General Dentist

William CernyY General Dentist

Pleasant Grove

Pleasant Grove , UT 84062

(801)785-2574

Dentist(s):

Languages: EN

60 East State Road

Practice Limitations:

Facility #: 44242G. Trevor Smith Dds

Specialty:

Gavin SmithY General Dentist

Provo

Provo , UT 84604

(801)377-0990

Dentist(s):

Languages: EN

2476 N. University Pkwy, #103

Practice Limitations:

Facility #: 44568Michael H. Lorscheider Dmd

Specialty:

Michael LorscheiderY General Dentist

Provo , UT 84606

(801)429-2000

Dentist(s):

Languages: EN

589 So. State Street

Practice Limitations:

Facility #: 44756Mountainlands Community Health Center

Specialty:

Chad BoothY General Dentist

Provo , UT 84604

(801)377-6453

Dentist(s):

Languages: EN

1355 N. University Ave, Ste 330

Practice Limitations:

Facility #: 44574Provo Dental Care

Specialty:

Daryn MoodyY General Dentist

David IrozY General Dentist

Paul NielsenY General Dentist

Tyler HoelzerY General Dentist

Provo , UT 84604

(801)375-1965

Dentist(s):

Languages: EN

3330 N. University Ave, Ste A

Practice Limitations:

Facility #: 44583Unison Dental

Specialty:

Jay ScottY General Dentist

Provo , UT 84604

(801)370-0050

Dentist(s):

Languages: EN

2230 N. University Pkwy, #8A

Practice Limitations:

Facility #: 44762Wisdom Teeth Only

Specialty:

Raymond HendricksonY General Dentist

Utah Medicaid Dental Services Page 9Y = Accepting New Patients

EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN

Saratoga Springs

Saratoga Springs , UT 84045

(801)766-2112

Dentist(s):

Languages: EN

1376 N. Redwood Rd

Practice Limitations:

Facility #: 44894Young Family Dental

Specialty:

Christopher YoungY General Dentist

Kwang ParkY General Dentist

Michael BoyackY General Dentist

Michael LoeserY General Dentist

Michael YoungY General Dentist

Paige WhiteY General Dentist

William CernyY General Dentist

Spanish Fork

Spanish Fork , UT 84660

(801)794-3567

Dentist(s):

Languages: EN

826 N. 100 E. #1

Practice Limitations:

Facility #: 45124Spanish Fork Dental

Specialty:

Tyler HoelzerY General Dentist

Weber

Egen

Egen , UT 84310

(801)745-3882

Dentist(s):

Languages: EN

2627 N. Hwy 162

Practice Limitations:

Facility #: 44561Iverson And Larsen Dental

Specialty:

Vern IversonY General Dentist

Ogden

Ogden , UT 84403

(801)479-4830

Dentist(s):

Languages: EN

5640 S. Wasatch Dr, Ste B

Practice Limitations:

Facility #: 44539Bryon J Talbot Dds Pc

Specialty:

Bryon TalbotY General Dentist

Ogden , UT 84403

(801)392-5637

Dentist(s):

Languages: EN

4590 Harrison Blvd, Ste 100 B

Practice Limitations:

Facility #: 44796Call Family Dental

Specialty:

Nathan CallY General Dentist

Ogden , UT 84403

(801)621-0258

Dentist(s):

Languages: EN

4590 Harrison Blvd, Ste 1C

Practice Limitations:

Facility #: 45139Dr. Todd C. Cummings, Dds

Specialty:

Todd CummingsY General Dentist

Ogden , UT 84401

(801)395-7090

Dentist(s):

Languages: EN

950 E. 25th St., Ste A

Practice Limitations:

Facility #: 44834Family Dental Plan

Specialty:

Angelica MchughY General Dentist

Dean TroiliY General Dentist

Deborah PerryY General Dentist

Gary SpanglerY General Dentist

Hoangcam NguyenY General Dentist

Kim MichelsonY General Dentist

Ogden , UT 84403

(801)394-5554

Dentist(s):

Languages: EN

1220 33rd St, #C

Practice Limitations:

Facility #: 44562James W Ellis Dds Pc

Specialty:

James EllisY General Dentist

Page 10 Utah Medicaid Dental ServicesY = Accepting New Patients

Directory of Network ProvidersEN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN

Ogden , UT 84405

(801)479-1700

Dentist(s):

Languages: EN

448 E 5350 S #C

Practice Limitations:

Facility #: 44445Jeffrey R Haslam

Specialty:

Jeffrey HaslamY General Dentist

Ogden , UT 84401

(801)393-5355

Dentist(s):

Languages: EN

2240 Adams Ave.

Practice Limitations:

Facility #: 44634Midtown Community Health Center

Specialty:

Joe HopkinY General Dentist

Robert BinghamY General Dentist

Ogden , UT 84403

(801)394-5554

Dentist(s):

Languages: EN

1220 33rd St, #D

Practice Limitations:

Facility #: 45120Mount Ogden Dental, Pc

Specialty:

Derald GeddesY General Dentist

Ogden , UT 84403

(801)475-4700

Dentist(s):

Languages: EN

1770 E. 5625 S. #1

Practice Limitations:

Facility #: 44582Tribe Dental

Specialty:

Michael TribeY General Dentist

Ogden , UT 84401

(801)394-1289

Dentist(s):

Languages: EN

1245 Capitol Street, Ste 111S

Practice Limitations:

Facility #: 45015Tyler C. Shaw Dds

Specialty:

Tyler ShawY General Dentist

North Ogden , UT 84414

(801)782-0566

Dentist(s):

Languages: EN

2707 N. 400 E.

Practice Limitations:

Facility #: 44538Wade E. Larson, Llc

Specialty:

Wade LarsonY General Dentist

Pleasant View

Pleasant View , UT 84404

(801)737-4650

Dentist(s):

Languages: EN, FR

2703 N. 1600 W.

Practice Limitations:

Facility #: 31255Lamont E. Hesselgesser Dds Pc

Specialty:

Lamont HesselgesserY General Dentist

Pleasant View , UT 84414

(801)737-4477

Dentist(s):

Languages: EN

859 W. Pleasant View Dr

Practice Limitations:

Facility #: 44758Pleasant View Dental Center

Specialty:

Paul HopkinsY General Dentist

Roy

Roy , UT 84067

(801)773-7733

Dentist(s):

Languages: EN

5133 So 1900 W.

Practice Limitations:

Facility #: 44845Roy Dental Care

Specialty:

Carl DickersonY General Dentist

Roy , UT 84067

(801)773-1234

Dentist(s):

Languages: EN

4902 S. 1900 W. #2

Practice Limitations:

Facility #: 44581Russell Seamons, Dmd

Specialty:

Russell SeamonsY General Dentist

Utah Medicaid Dental Services Page 11Y = Accepting New Patients

EN = ENGLISH , ES = SPANISH, HR =CROATIAN , RU = RUSSIAN

South Ogden

South Ogden , UT 84405

(801)393-2217

Dentist(s):

Languages: EN

1508 E. Skyline Dr., Ste 500

Practice Limitations:

Facility #: 44753Donald W Sorensen Dds

Specialty:

Donald SorensenY General Dentist

South Ogden , UT 84403

(801)475-5155

Dentist(s):

Languages: EN

6017 Fashion Pointe Dr.

Practice Limitations:

Facility #: 44754Experienced Dental

Specialty:

Blake CameronY General Dentist

James BarclayY General Dentist

Paul MakleyY General Dentist

Page 12 Utah Medicaid Dental ServicesY = Accepting New Patients

Delta Dental Main Dentist IndexPage Page Page

American ForkAaron Wright 8

Andrew Vernon 8

Brian Baird 8

Bruce Murdock 8

Bryce Searle 8

Christopher Young 8

Clark Hicken 8

Cory Price 8

Daniel Meeks 8

Daniel Thunell 8

Darin Dickerson 8

Diya Chadha 8

Glade Crowther 8

James Skousen 8

Jeffery Roberson 8

Jeremiah Lindgren 8

Kendell Davies 7

Kent Dastrup 8

Kim Roberts 8

Kwang Park 8

Mark Endrizzi 8

Michael Boyack 8

Michael Loeser 8

Michael Young 8

Paige White 8

Phillip Olsen 8

Rdean Clark 8

William Cerny 8

BountifulAaron Wright 1

Andrew Vernon 1

Benjamin Menlove 1

Brian Baird 1

Clark Hicken 1

Colleen Taylor 1

Darin Dickerson 1

Diya Chadha 1

Glade Crowther 1

Jeffery Roberson 1

Jeremiah Lindgren 1

Kent Dastrup 1

Kim Roberts 1

Mark Endrizzi 1

Nathan Wayment 1

Paul Hanna 1

Phillip Olsen 1

Richard Steele 1

Robert Chidester 1

Robert Johnson 1

Sarah Naisbitt 1

Scott Stringham 1

Sean Mckeown 1

Shane Taylor 1

Thomas Davenport 1

William Fisher 1

CentervilleJason Pitt 1

Jeremy Pitt 1

ClearfieldJoe Hopkin 1

John Day 1

Peter Goupios 1

Reed Jarvis 1

Robert Bingham 1

Robert Goupios 1

Robert Palmer 1

EgenVern Iverson 10

HerrimanBrad Dawson 2

HolladayR. Dickson 2

LaytonBrad Dawson 2

Darren Wible 2

Heath Hendrickson 2

Jared Weaver 2

Raymond Hendrickson 2

MagnaDavid Cannon 2

David Stubbs 2

Richard Buck 2

MidvaleRaymond Hendrickson 3

MurrayDavid Julian 3

Gerald Torgeson 3

Hanhngan Nguyentran 3

Russell Smith 3

OgdenAngelica Mchugh 10

Bryon Talbot 10

Dean Troili 10

Deborah Perry 10

Derald Geddes 11

Gary Spangler 10

Hoangcam Nguyen 10

James Ellis 10

Joe Hopkin 11

Kim Michelson 10

Michael Tribe 11

Nathan Call 10

Robert Bingham 11

Todd Cummings 10

Tyler Shaw 11

Wade Larson 11

Orem

Alexander Larsen 8

Christopher Young 9

Keith Dodge 8

Kwang Park 9

Michael Atwood 8

Michael Boyack 9

Michael Loeser 9

Michael Young 9

Paige White 9

William Cerny 9

Pleasant GroveGavin Smith 9

Pleasant ViewLamont Hesselgesser 11

Paul Hopkins 11

ProvoChad Booth 9

Daryn Moody 9

David Iroz 9

Jay Scott 9

Michael Lorscheider 9

Paul Nielsen 9

Raymond Hendrickson 9

Tyler Hoelzer 9

RivertonB. Charles Pugh 3

Bong Noh 3

Brian Borg 3

Christopher Young 4

Joel Howarth 3

Kwang Park 4

Michael Boyack 4

RoyCarl Dickerson 11

Russell Seamons 11

Salt Lake CityAlan Aoki 4

Angelica Mchugh 4

Brent Hutchings 4

Chris Ramsdell 4

Daniel Baird 4

Dean Troili 4

Deborah Perry 4

Devin Link 4

Eric Visser 4

Gary Spangler 4

Hoangcam Nguyen 4

Jeffrey Sperry 4

Kim Michelson 4

Kimel Fisher 4

Matthew Larson 4

Michael Hutchings 4

Richard Ellis Ii 5

Roger Russell 5

Page Page Page

Ruidiger Tillmann 5

Stephen Carter 5

Stephen Liddle 5

Steven Sperry 4

William Vargo 5

SandyJeffrey Sperry 5

South OgdenBlake Cameron 12

James Barclay 12

Paul Makley 12

Spanish ForkTyler Hoelzer 10

SyracuseJeremy Godderidge 2

Taylorsville Aaron Wright 6

Andrew Vernon 6

Brian Baird 6

Clark Hicken 6

Daniel Meeks 6

Darin Dickerson 6

Glade Crowther 6

James Skousen 6

Jeffery Roberson 6

Jeremiah Lindgren 6

Kent Dastrup 6

Kim Roberts 6

Mark Endrizzi 6

Mark Mcgowan 6

Phillip Olsen 6

Richard Steele 6

Robert Chidester 6

Robert Johnson 6

Sanford Hamilton 6

Sarah Naisbitt 6

Scott Stringham 6

Sean Mckeown 6

Shane Taylor 6

Shawn Hamilton 6

Thomas Davenport 6

William Fisher 6

William Sunberg 6

West JordanBrigham Colton 6

Jeffrey Brown 6

West ValleyAaron Wright 7

Benjamin Wilson 7

Diya Chadha 7

Kenneth Marz 6

Kieu Le 7

Robert Chidester 7

Specialists Listings Descriptions  

 

Endodontist:  A dentist that may take care of you when you need a root canal. They help prevent, diagnose and treat other diseases and injuries to a tooth.  

Oral Surgeon:  A dentist that may take care of you when you need to pull a tooth. They diagnose and operate on diseases, injuries and defects in the mouth, jaw and face. 

Orthodontist:  A dentist that may take care of you if you need braces. They treat and help with things that are not normal with your teeth and jaws. 

Periodontist : A dentist that may treat gums, bone or other tissues that support your teeth.  

Prosthodontist:   A dentist that may replace a missing tooth or other oral structure. They may provide things such as a denture, a fixed bridge or a crown.