dental grid (ppo) provider directory effective 01/01/2018dental grid (ppo) provider directory...

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Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site. An Independent Licensee of the Blue Cross Blue Shield Association. Dental Grid (PPO) Provider Directory Effective 01/01/2018. ABILENE COOPER, LAWRENCE M - DDS 1111 BRADY ST ABILENE KS 67410-0000 (785) 263-2012 SCHAULIS, WILLIAM B - DDS 1000 N BROWN ST ABILENE KS 67410-1824 (785) 263-4400 ANDOVER FOLEY, DAVID L - DDS 940 N ANDOVER RD ANDOVER KS 67002-9787 (316) 733-0411 HOWELL, MATTHEW D - DDS 1145 N ANDOVER RD ANDOVER KS 67002-0000 (316) 260-6220 ARGONIA SMALL, HAROLD A - DDS 102 N MAIN ST ARGONIA KS 67004-0000 (620) 435-6367 ARKANSAS CITY KINSCH, NICHOLAS L - DDS 102 W KANSAS AVE ARKANSAS CITY KS 67005-1531 (620) 442-1820 PIEPER, BENJAMIN R - DDS 220 W CENTRAL AVE ARKANSAS CITY KS 67005-2644 (620) 442-0320 ATCHISON CARPENTER, LUCAS B - DDS 1412 N 2ND ST ATCHISON KS 66002-1203 (913) 367-4879 DOLENZ, JOHN A - DDS 817 SANTE FE ST ATCHISON KS 66002-2332 (913) 367-7270 HUNTINGTON, KYLE - DDS 1412 N 2ND ST ATCHISON KS 66002-0000 (913) 367-4879 MISSURA, ALLYSON K - DDS 222 N 7TH ST ATCHISON KS 66002-0000 (913) 367-3473 PATEL, AMISH H - DDS 413 S 10TH ST ATCHISON KS 66002-0000 (913) 367-0203 REAVIS, ALLEN B - DDS 1412 N 2ND ST ATCHISON KS 66002-0000 (913) 367-4879 WINGATE, JONATHAN R - DDS 222 N 7TH ST ATCHISON KS 66002-0000 (913) 367-3473 AUGUSTA CHAMBERS, WILLIAM D - DDS 401 STATE ST AUGUSTA KS 67010-0000 (316) 775-2482 MITSCH, PAUL F - DDS 401 STATE ST AUGUSTA KS 67010-0000 (316) 775-2482 06/12/2020

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Page 1: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

An Independent Licensee of theBlue Cross Blue Shield Association.

Dental Grid (PPO) Provider Directory Effective 01/01/2018.

ABILENECOOPER, LAWRENCE M - DDS1111 BRADY ST ABILENE KS 67410-0000(785) 263-2012

SCHAULIS, WILLIAM B - DDS1000 N BROWN ST ABILENE KS 67410-1824(785) 263-4400

ANDOVERFOLEY, DAVID L - DDS940 N ANDOVER RD ANDOVER KS 67002-9787(316) 733-0411

HOWELL, MATTHEW D - DDS1145 N ANDOVER RD ANDOVER KS 67002-0000(316) 260-6220

ARGONIASMALL, HAROLD A - DDS102 N MAIN ST ARGONIA KS 67004-0000(620) 435-6367

ARKANSAS CITYKINSCH, NICHOLAS L - DDS102 W KANSAS AVE ARKANSAS CITY KS 67005-1531(620) 442-1820

PIEPER, BENJAMIN R - DDS220 W CENTRAL AVE ARKANSAS CITY KS 67005-2644(620) 442-0320

ATCHISONCARPENTER, LUCAS B - DDS1412 N 2ND ST ATCHISON KS 66002-1203(913) 367-4879

DOLENZ, JOHN A - DDS817 SANTE FE ST ATCHISON KS 66002-2332(913) 367-7270

HUNTINGTON, KYLE - DDS1412 N 2ND ST ATCHISON KS 66002-0000(913) 367-4879

MISSURA, ALLYSON K - DDS222 N 7TH ST ATCHISON KS 66002-0000(913) 367-3473

PATEL, AMISH H - DDS413 S 10TH ST ATCHISON KS 66002-0000(913) 367-0203

REAVIS, ALLEN B - DDS1412 N 2ND ST ATCHISON KS 66002-0000(913) 367-4879

WINGATE, JONATHAN R - DDS222 N 7TH ST ATCHISON KS 66002-0000(913) 367-3473

AUGUSTACHAMBERS, WILLIAM D - DDS401 STATE ST AUGUSTA KS 67010-0000(316) 775-2482

MITSCH, PAUL F - DDS401 STATE ST AUGUSTA KS 67010-0000(316) 775-2482

06/12/2020

Page 2: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

BAXTER SPRINGSAHMED, SAHER - DDS2990 MILITARY AVE BAXTER SPRINGS KS 66713-2331(620) 856-2900

ANDERSEN, DAVID C - DDS2990 MILITARY AVE BAXTER SPRINGS KS 66713-2331(620) 856-2900

BARTON, DRUE M - DDS2990 MILITARY AVE BAXTER SPRINGS KS 66713-2331(620) 856-2900

BOE, IRWIN M - DDS1440 PARK AVE BAXTER SPRINGS KS 66713-2727(620) 856-2173

GENSWEIDER, AMY M - DDS2990 MILITARY AVE BAXTER SPRINGS KS 66713-2331(620) 856-2900

LEMUS, RICARDO - DDS2990 MILITARY AVE BAXTER SPRINGS KS 66713-2331(620) 856-2900

MINNIS, DANIEL N - DDS2990 MILITARY AVE BAXTER SPRINGS KS 66713-2331(620) 856-2900

NEARING, SCOTT H - DDS2990 MILITARY AVE BAXTER SPRINGS KS 66713-2331(620) 856-2900

RAMOS, FREDDIE - DDS2990 MILITARY AVE BAXTER SPRINGS KS 66713-2331(620) 856-2900

SCHMIDT, ANNE M - DDS2990 MILITARY AVE BAXTER SPRINGS KS 66713-2331(620) 856-2900

VICK, LATASHA M - DDS2990 MILITARY AVE BAXTER SPRINGS KS 66713-2331(620) 856-2900

WEBSTER, GRANT M - DDS2990 MILITARY AVE BAXTER SPRINGS KS 66713-2331(620) 856-2900

BUHLERHUNT, DALTON L - DDS115 N MAIN BUHLER KS 67522-0000(620) 543-2768

BURLINGTONHARGREAVES, LARRY C - DDS314 NEOSHO ST BURLINGTON KS 66839-1926(620) 364-8414

SMITH, RICKY D - DDS314 NEOSHO ST BURLINGTON KS 66839-1926(620) 364-8414

WEBER, JORDAN L - DDS314 NEOSHO ST BURLINGTON KS 66839-1926(620) 264-8414

WURDEMAN, GABRIEL W - DDS311 NEOSHO ST BURLINGTON KS 66839-0000(620) 364-2040

CALDWELLSMALL, HAROLD A - DDS3 S MAIN CALDWELL KS 67022-1531(620) 845-6417

CANEYCOWELL, NANCY J - DDS101 S MCGEE ST CANEY KS 67333-0000(620) 879-2386

RANDELL, MELISSA D - DDS101 S MCGEE ST CANEY KS 67333-0000(620) 879-2386

CHANUTEWILLIAMS, KENNETH L - DDS2607 S SANTA FE CHANUTE KS 66720-0000(620) 431-3000

CHENEYTWIETMEYER, REBECCA L - DDS107 N MAIN CHENEY KS 67025-0000(316) 540-3171

CHENEY continues in the next page

06/12/2020

Page 3: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

TWIETMEYER, STEVEN F - DDS107 N MAIN CHENEY KS 67025-0000(316) 540-3171

TWIETMEYER, CHARLES D - DDS107 N MAIN CHENEY KS 67025-0000(316) 540-3171

CHERRYVALEREYNOLDS, MOLLY E - DDS220 W MAIN ST CHERRYVALE KS 67335-1323(620) 336-3766

CLEARWATERFRISCH BACHRODT, CHARISSE C - DDS136 N GORIN ST CLEARWATER KS 67026-7802(620) 584-2223

HIGGINS, RONALD G - DDS136 N GORIN CLEARWATER KS 67026-0000(620) 584-2223

COFFEYVILLEAHMED, SAHER - DDS801 W 8TH ST COFFEYVILLE KS 67337-4109(620) 251-4300

AHMED, SAHER - DDS102 CLINE RD COFFEYVILLE KS 67337-3022(620) 252-6989

AHMED, SAHER - DDS1110 W 8TH ST COFFEYVILLE KS 67337-3916(620) 252-1798

ANDERSEN, DAVID C - DDS801 W 8TH ST COFFEYVILLE KS 67337-4109(620) 251-4300

ANDERSEN, DAVID C - DDS1110 W 8TH ST COFFEYVILLE KS 67337-3916(620) 252-1798

BARTON, DRUE M - DDS801 W 8TH ST COFFEYVILLE KS 67337-4109(620) 251-4300

BARTON, DRUE M - DDS102 CLINE RD COFFEYVILLE KS 67337-3022(620) 252-6989

BARTON, DRUE M - DDS1110 W 8TH ST COFFEYVILLE KS 67337-3916(620) 252-1798

GENSWEIDER, AMY M - DDS801 W 8TH ST COFFEYVILLE KS 67337-4109(620) 251-4300

GENSWEIDER, AMY M - DDS102 CLINE RD COFFEYVILLE KS 67337-3022(620) 252-6989

GENSWEIDER, AMY M - DDS1110 W 8TH ST COFFEYVILLE KS 67337-3916(620) 252-1798

LEMUS, RICARDO - DDS801 W 8TH ST COFFEYVILLE KS 67337-4109(620) 251-4300

LEMUS, RICARDO - DDS102 CLINE RD COFFEYVILLE KS 67337-3022(620) 252-6989

LEMUS, RICARDO - DDS1110 W 8TH ST COFFEYVILLE KS 67337-3916(620) 252-1798

MINNIS, DANIEL N - DDS102 CLINE RD COFFEYVILLE KS 67337-3022(620) 252-6989

MINNIS, DANIEL N - DDS801 W 8TH ST COFFEYVILLE KS 67337-4109(620) 251-4300

MINNIS, DANIEL N - DDS1110 W 8TH ST COFFEYVILLE KS 67337-3916(620) 252-1798

NEARING, SCOTT H - DDS1110 W 8TH ST COFFEYVILLE KS 67337-3916(620) 252-1798

NEARING, SCOTT H - DDS801 W 8TH ST COFFEYVILLE KS 67337-4109(620) 251-4300

COFFEYVILLE continues in the next page

06/12/2020

Page 4: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

NEARING, SCOTT H - DDS102 CLINE RD COFFEYVILLE KS 67337-3022(620) 252-6989

RAMOS, FREDDIE - DDS801 W 8TH ST COFFEYVILLE KS 67337-4109(620) 251-4300

RAMOS, FREDDIE - DDS102 CLINE RD COFFEYVILLE KS 67337-3022(620) 252-6989

RAMOS, FREDDIE - DDS1110 W 8TH ST COFFEYVILLE KS 67337-3916(620) 252-1798

SCHMIDT, ANNE M - DDS102 CLINE RD COFFEYVILLE KS 67337-3022(620) 252-6989

SCHMIDT, ANNE M - DDS1110 W 8TH ST COFFEYVILLE KS 67337-3916(620) 252-1798

SCHMIDT, ANNE M - DDS801 W 8TH ST COFFEYVILLE KS 67337-4109(620) 251-4300

STILES, MATTHEW S - DDS801 W 8TH ST COFFEYVILLE KS 67337-4109(620) 251-4300

VICK, LATASHA M - DDS801 W 8TH ST COFFEYVILLE KS 67337-4109(620) 251-4300

VICK, LATASHA M - DDS102 CLINE RD COFFEYVILLE KS 67337-3022(620) 252-6989

VICK, LATASHA M - DDS1110 W 8TH ST COFFEYVILLE KS 67337-3916(620) 252-1798

WEBSTER, GRANT M - DDS801 W 8TH ST COFFEYVILLE KS 67337-4109(620) 251-4300

WEBSTER, GRANT M - DDS102 CLINE RD COFFEYVILLE KS 67337-3022(620) 252-6989

WEBSTER, GRANT M - DDS1110 W 8TH ST COFFEYVILLE KS 67337-3916(620) 252-1798

COLBYNAGLE, BRYAN L - DDS770 S RANGE AVE COLBY KS 67701-2900(785) 460-3922

THUMMEL, KAREN A - DDS480 W 4TH COLBY KS 67701-0000(785) 460-6800

COLUMBUSBARTON, DRUE M - DDS120 W PINE ST COLUMBUS KS 66725-1705(620) 429-2101

HERRON, ROBERT D - DDS806 E MAPLE COLUMBUS KS 66725-0000(620) 429-1020

SCHMIDT, ANNE M - DDS120 W PINE ST COLUMBUS KS 66725-1705(620) 429-2101

THOMAS, SAMANTHA L - DDS806 E MAPLE COLUMBUS KS 66725-0000(620) 429-1020

CONCORDIAHATTAN, GREGORY L - DDS501 WASHINGTON ST CONCORDIA KS 66901-2116(785) 243-7927

KUEKER, MATTHEW S - DDS135 W 11TH ST CONCORDIA KS 66901-0000(785) 243-2212

COUNCIL GROVEALDERMAN, JOHN D - DDS111 W MAIN COUNCIL GROVE KS 66846-0000(620) 767-6744

06/12/2020

Page 5: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

DERBYANDERSON, TREY K - DDS2701 N ROCK RD DERBY KS 67037-0000(316) 681-3228

BARAKEH, OMAR - DDS900 E MEADOWLARK BLVD DERBY KS 67037-3465(316) 788-2118

BROWN, DAVID J - DDS2701 N ROCK RD DERBY KS 67037-3792(316) 681-3228

CHAMBERS, WILLIAM D - DDS1700 E JAMES ST DERBY KS 67037-0000(316) 788-3736

FARHA, VINCENT T - DDS500 N GEORGIE DERBY KS 67037-0000(316) 788-2806

JUDD, BRIAN R - DDS1700 E JAMES ST DERBY KS 67037-0000(316) 788-3736

KILBANE, GREGORY J - DDS900 E MEADOWLARK BLVD DERBY KS 67037-3465(316) 788-2118

MENDOZA, DAVID F - DDS6455 S LYNNRAE ST DERBY KS 67037-9037(316) 522-6791

METTMAN, WENDELL J - DDS1700 E JAMES ST DERBY KS 67037-0000(316) 788-3736

MOORE, STEPHEN P - DDS2701 N ROCK RD DERBY KS 67037-3792(316) 681-3228

NORDEN, BRAD J - DDS1710 E MADISON AVE DERBY KS 67037-0000(316) 788-4000

ROSPOND, STEVEN F - DDS620 N GEORGIE DERBY KS 67037-0000(316) 788-2928

STARK, FRED W - DDS1710 E MADISON AVE DERBY KS 67037-0000(316) 788-4000

TANAKA, TRAVIS K - DDS1710 E MADISON AVE DERBY KS 67037-0000(316) 788-4000

YSIDRO, CAROL M - DDS900 E MEADOWLARK BLVD DERBY KS 67037-3465(316) 788-2118

DODGE CITYANDERSEN, DAVID C - DDS2011 CENTRAL AVE DODGE CITY KS 67801-0000(620) 227-9797

BUNKALL, DAVID M - DDS705 FIRST AVE DODGE CITY KS 67801-0000(620) 227-2234

BURNS, FRANK R - DDS2011 CENTRAL AVE DODGE CITY KS 67801-0000(620) 227-9797

HENRICHS, KELLY S - DDS100 W ROSS BLVD DODGE CITY KS 67801-7217(620) 225-6555

POTTS, RICHARD R - DDS2011 CENTRAL AVE DODGE CITY KS 67801-0000(620) 227-9797

EL DORADOANDREWS, NOLAN R - DDS535 S MAIN ST EL DORADO KS 67042-0000(316) 321-4222

KEMMLING, MICHAEL A - DDS202 N MAIN ST EL DORADO KS 67042-0000(316) 321-0300

NICHOLS, DONALD A - DDS202 N MAIN ST EL DORADO KS 67042-0000(316) 321-0300

RASBAND, WILLIAM S - DDS202 N MAIN ST EL DORADO KS 67042-0000(316) 321-0300

EL DORADO continues in the next page

06/12/2020

Page 6: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

RESCH, GUY R - DDS202 N MAIN ST EL DORADO KS 67042-0000(316) 321-0300

STOSKOPF, MARK L - DDS200 N STAR EL DORADO KS 67042-0000(316) 321-3140

EMPORIAARMSTRONG, JEFFERY W - DDS2510 W 15TH AVE EMPORIA KS 66801-6102(620) 342-5930

BELL, BRENDAN E - DDS2510 W 15TH AVE EMPORIA KS 66801-6102(620) 342-5930

CASTILLO, DEBORA K - DDS420 W 15TH AVE EMPORIA KS 66801-5367(620) 342-4864

CHRISTLINE, CODY L - DDS2510 W 15TH AVE EMPORIA KS 66801-6102(620) 342-5930

DYER CHENOWETH, DIANE L - DDS1507 W 12TH AVE EMPORIA KS 66801-2457(620) 342-0673

FARRELL, BRENDAN T - DDS2510 W 15TH AVE EMPORIA KS 66801-6102(620) 342-5930

FLANAGIN, MARLIN L - DDS1200 C OF E DR EMPORIA KS 66801-2578(620) 343-3171

HANNAH, J JOSEPH - DDS3021 EAGLECREST DR EMPORIA KS 66801-0000(620) 343-3000

HARVEY, JOSEPH M - DDS2510 W 15TH AVE EMPORIA KS 66801-6102(620) 342-5930

HARVEY, PHILLIP J - DDS2510 W 15TH AVE EMPORIA KS 66801-6102(620) 342-5930

HAUGHT, STEPHEN R - DDS919 W 12TH AVE EMPORIA KS 66801-5584(620) 343-7275

KOHLMEIER, RYAN - DDS1104 E 12TH AVE EMPORIA KS 66801-3320(620) 342-9555

KRISS, THOMAS A - DDS1212 CHESTNUT ST EMPORIA KS 66801-0000(620) 342-8256

NEILSON, MICHAEL G - DDS2510 W 15TH AVE EMPORIA KS 66801-6102(620) 342-5930

ODOM, KYLE W - DDS2510 W 15TH AVE EMPORIA KS 66801-6102(620) 342-5930

ORR, REGAN A - DDS420 W 15TH AVE EMPORIA KS 66801-5367(620) 342-4864

PATTON, JOHN C - DDS1507 W 12TH AVE EMPORIA KS 66801-2457(620) 342-0673

THOMPSON, KERRI R - DDS2518 W 15TH AVE EMPORIA KS 66801-0000(620) 343-8000

EUREKACASTILLO, DEBORA K - DDS1602 W ELM ST EUREKA KS 67045-1090(620) 583-7436

ORR, REGAN A - DDS1602 N ELM ST EUREKA KS 67045-1090(620) 583-7436

FORT SCOTTCRAWFORD, TIMOTHY P - DDS2 N MAIN ST FORT SCOTT KS 66701-1435(620) 223-4448

MINNIS, DANIEL N - DDS204 STATE ST FORT SCOTT KS 66701-2031(620) 223-0130

FORT SCOTT continues in the next page

06/12/2020

Page 7: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

NOLTE, ROGER G - DDS204 STATE ST FORT SCOTT KS 66701-2031(620) 223-0130

FREDONIACLEVERLEY, R GUY - DDS428 N 7TH ST FREDONIA KS 66736-0000(620) 378-2001

FRONTENACBELL, WYLIE L - DDS1034 N US HWY 69 FRONTENAC KS 66763-0000(620) 232-2273

SAIA PILE, JILL - DDS4095 PARKVIEW DR FRONTENAC KS 66763-0000(620) 231-7242

GARDEN CITYANDERSEN, DAVID C - DDS310 E WALNUT ST STE LL5 GARDEN CITY KS 67846-0000(620) 275-0570

BURNS, FRANK R - DDS310 E WALNUT ST STE LL5 GARDEN CITY KS 67846-0000(620) 275-0570

ETLING, JAMES B - DDS1502 E HARDING GARDEN CITY KS 67846-0000(620) 276-3240

KELTNER, CORWIN J - DDS1133 E KANSAS PLZ GARDEN CITY KS 67846-5870(620) 276-7681

MAIN, JAY D - DDS2510 HENDERSON DR GARDEN CITY KS 67846-3624(620) 275-4949

MOUTRAY, MELISSA M - DDS311 N CAMPUS DR GARDEN CITY KS 67846-6298(620) 272-0100

PALMER, LANCE M - DDS2510 HENDERSON DR GARDEN CITY KS 67846-3624(620) 275-4949

POTTS, RICHARD R - DDS310 E WALNUT ST STE LL5 GARDEN CITY KS 67846-0000(620) 275-0570

ROHOLT, RONALD L - DDS311 N CAMPUS DR GARDEN CITY KS 67846-6298(620) 272-0100

GARNETTCARLSON, ROBERT G - DDS240 W 4TH AVE GARNETT KS 66032-1316(785) 448-2487

HALE, RICHARD T - DDS519 S MAPLE ST GARNETT KS 66032-1427(785) 242-1800

OTIPOBY, SANDRA L - DDS240 W 4TH AVE GARNETT KS 66032-1316(785) 448-2487

GIRARDPAONI, CHRISTOPHER J - DDS106 S OZARK ST GIRARD KS 66743-1530(620) 724-6103

GODDARDHANSEN, LEVI - DDS19931 W KELLOGG DR GODDARD KS 67052-8864(316) 413-4265

MCANALLY, ERIC L - DDS19931 W KELLOG DR GODDARD KS 67052-8864(316) 550-6020

GOODLANDWATERHOUSE, JEFFREY D - DDS1014 MAIN ST GOODLAND KS 67735-0000(785) 899-3025

GREAT BENDGUST, JEFFREY E - DDS2340 WASHINGTON ST GREAT BEND KS 67530-2457(620) 792-4217

KUTINA, LARRY G - DDS3820 6TH ST GREAT BEND KS 67530-0000(620) 792-2114

GREAT BEND continues in the next page

06/12/2020

Page 8: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

REINHARDT, RANDALL D - DDS1821 KANSAS AVE GREAT BEND KS 67530-2502(620) 603-6838

GREENSBURGSWEET, ROBERT L - DDS721 W KANSAS AVE GREENSBURG KS 67054-0000(620) 723-4256

HALSTEADSWEET, ROBERT L - DDS212 N MAIN ST HALSTEAD KS 67056-0000(316) 835-2070

HAYSLOWE, JEFFREY H - DDS2701 STERNBERG DR HAYS KS 67601-2060(785) 625-7969

NELSON, BROCK T - DDS2701 STERNBERG DR HAYS KS 67601-2060(785) 625-7969

PARIS, PETER N - DDS105 W 13TH ST HAYS KS 67601-3650(785) 621-4990

THOMAS, CHRISTINE M - DDS105 W 13TH ST HAYS KS 67601-3650(785) 621-4990

HAYSVILLELEE, TOBY J - DDS1425 W GRAND AVE HAYSVILLE KS 67060-1270(316) 524-8661

PALMER, SCOTT V - DDS1425 W GRAND AVE HAYSVILLE KS 67060-1270(316) 524-8661

HIAWATHAGEISENDORF, WILLIAM G - DDS314 OREGON ST HIAWATHA KS 66434-2218(785) 740-4000

HORTONKEEPES, DANIELLE M - DDS1117 GOLDFINCH RD HORTON KS 66439-0000(785) 486-2154

HOXIEGROVE, JANE M - DDS826 18TH ST HOXIE KS 67740-4373(785) 675-3018

MARWAHA, ADITYA - DDS826 18TH ST HOXIE KS 67740-4373(785) 675-3018

HUTCHINSONBARNHART, JUSTIN L - DDS3008 GARDEN GROVE PKWY HUTCHINSON KS 67502-0000(620) 669-0835

BARNHART, MELISSA C - DDS3008 GARDEN GROVE PKWY HUTCHINSON KS 67502-0000(620) 669-0835

BLACK, HARRISON M - DDS2700 E 30TH AVE HUTCHINSON KS 67502-1242(620) 663-8484

EDIGER, KORY V - DDS200 E 30TH AVE HUTCHINSON KS 67502-0000(620) 663-9136

FAIRBANKS, JAMES I - DDS2700 E 30TH AVE HUTCHINSON KS 67502-1242(620) 663-8484

GUST, JEFFREY E - DDS1000 E 30TH AVE HUTCHINSON KS 67502-4227(620) 662-3255

HANSEN, LEVI - DDS2 COMPOUND DR HUTCHINSON KS 67502-4300(620) 662-6667

HATCH, JASON B - DDS2411 N MAIN HUTCHINSON KS 67502-3638(620) 665-5582

HUTCHINSON continues in the next page

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Page 9: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

JENSEN, SHAWN D - DDS4 COMPOUND DR HUTCHINSON KS 67502-0000(620) 663-1788

KNEE, EMILY C - DDS2700 E 30TH AVE HUTCHINSON KS 67502-1242(620) 663-8484

LOUDENBACK, CHAD R - DDS3130 N PLUM ST HUTCHINSON KS 67502-0000(620) 663-2121

MILLER, CHRISTOPHER M - DDS2700 E 30TH AVE HUTCHINSON KS 67502-1242(620) 663-8484

RINGLER, GRANT D - DDS3008 GARDEN GROVE PKWY HUTCHINSON KS 67502-0000(620) 669-0835

TRIMMELL, LAWRENCE L - DDS1625 N LORRAINE ST HUTCHINSON KS 67501-5656(620) 728-0888

INDEPENDENCEBARTON, DRUE M - DDS3751 W MAIN ST INDEPENDENCE KS 67301-8446(620) 577-2131

GENSWEIDER, AMY M - DDS3751 W MAIN ST INDEPENDENCE KS 67301-8446(620) 577-2131

RAMOS, FREDDIE - DDS111 E MAIN ST INDEPENDENCE KS 67301-0000(620) 331-4446

IOLAAHMED, SAHER - DDS2051 N STATE ST IOLA KS 66749-1677(620) 380-6600

ANDERSEN, DAVID C - DDS2051 N STATE ST IOLA KS 66749-1677(620) 380-6600

BARTON, DRUE M - DDS2051 N STATE ST IOLA KS 66749-1677(620) 380-6600

CHAMBERS, JERRY D - DDS423 N WASHINGTON IOLA KS 66749-0000(620) 365-3991

COFFIELD, RYAN N - DDS415 N WASHINGTON AVE IOLA KS 66749-0000(620) 365-6262

EATON, CIERRA D - DDS2051 N STATE ST IOLA KS 66749-1677(620) 380-6600

GENSWEIDER, AMY M - DDS2051 N STATE ST IOLA KS 66749-1677(620) 380-6600

LEMUS, RICARDO - DDS2051 N STATE ST IOLA KS 66749-1677(620) 380-6600

MINNIS, DANIEL N - DDS2051 N STATE ST IOLA KS 66749-1677(620) 380-6600

NEARING, SCOTT H - DDS2051 N STATE ST IOLA KS 66749-1677(620) 380-6600

RAMOS, FREDDIE - DDS2051 N STATE ST IOLA KS 66749-1677(620) 380-6600

SCHMIDT, ANNE M - DDS2051 N STATE ST IOLA KS 66749-1677(620) 380-6600

STILES, MATTHEW S - DDS2051 N STATE ST IOLA KS 66749-1677(620) 380-6600

VICK, LATASHA M - DDS2051 N STATE ST IOLA KS 66749-1677(620) 380-6600

WEBSTER, GRANT M - DDS2051 N STATE ST IOLA KS 66749-1677(620) 380-6600

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Page 10: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

JUNCTION CITYBALLINGHAM, BRETT G - DDS361 GRANT AVE JUNCTION CITY KS 66441-0000(785) 238-4711

FREDRICKSON, GARY L - DDS361 GRANT AVE JUNCTION CITY KS 66441-0000(785) 238-4711

LARKIN, JOSHUA J - DDS1038 W ASH ST JUNCTION CITY KS 66441-0000(785) 762-4313

LIN, THOMAS CHI - DDS361 GRANT AVE JUNCTION CITY KS 66441-0000(785) 238-4711

MCDONNELL, MICHAEL J - DDS923 W 6TH ST JUNCTION CITY KS 66441-0000(785) 762-3605

MCGARY, LARRY T - DDS903 W 6TH JUNCTION CITY KS 66441-0000(785) 238-3500

MCGARY, LARRY T - DDS361 GRANT AVE JUNCTION CITY KS 66441-0000(785) 238-4711

PIVONKA, TIMOTHY M - DDS361 GRANT AVE JUNCTION CITY KS 66441-0000(785) 238-4711

POULSON, OWEN W - DDS361 GRANT AVE JUNCTION CITY KS 66441-0000(785) 238-4711

PRATT, TAYLOR J - DDS361 GRANT AVE JUNCTION CITY KS 66441-0000(785) 238-4711

SNOWBARGER, MIKE L - DDS361 GRANT AVE JUNCTION CITY KS 66441-0000(785) 238-4711

LANSINGNOWLIN, KENT T - DDS842 N MAIN ST LANSING KS 66043-0000(913) 682-5615

LARNEDSMITH, TERRY - DDS706 FT LARNED AVE LARNED KS 67550-0000(620) 285-6531

SMITH, TRENT D - DDS706 FT LARNED AVE LARNED KS 67550-0000(620) 285-6531

LAWRENCEARMSTRONG, JEFFERY W - DDS308 MAINE ST LAWRENCE KS 66044-1359(785) 843-5490

BELL, JAMES J - DDS2210 YALE RD LAWRENCE KS 66049-2647(785) 312-7770

BELL, BRENDAN E - DDS308 MAINE ST LAWRENCE KS 66044-1359(785) 843-5490

BELL, JAMES J - DDS200 MAINE ST LAWRENCE KS 66044-0000(785) 841-7297

BELL, JAMES J - DDS346 MAINE ST STE 150 LAWRENCE KS 66044-1393(785) 841-7297

BIESTERFELD, CHERYL M - DDS2210 YALE RD LAWRENCE KS 66049-2647(785) 312-7770

BOCK, DANIEL O - DDS2415 MASSACHUSETTS ST LAWRENCE KS 66044-0000(785) 843-3750

BOE, IRWIN M - DDS4102 W 6TH ST LAWRENCE KS 66049-4626(785) 842-7976

BRATTON, SARA K - DDS4102 W 6TH ST LAWRENCE KS 66049-4626(785) 842-7976

CARACIONI, STEFANIA A - DDS3110 NIEDER RD LAWRENCE KS 66047-0000(785) 592-6652

LAWRENCE continues in the next page

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Page 11: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

CHOI, JAKE - DDS2415 MASSACHUSETTS ST LAWRENCE KS 66044-0000(785) 843-3750

CHRISTLINE, CODY L - DDS308 MAINE ST LAWRENCE KS 66044-1359(785) 843-5490

COBB, DAVID J - DDS346 MAINE ST LAWRENCE KS 66044-0000(785) 842-9223

CORRELL, HOLDEN L - DDS4102 W 6TH ST LAWRENCE KS 66049-4626(785) 842-7976

DAY, MOLLIE K - DDS2210 YALE RD LAWRENCE KS 66049-2647(785) 312-7770

DAY, MOLLIE K - DDS346 MAINE ST LAWRENCE KS 66044-1393(785) 841-7297

DAY, MOLLIE K - DDS200 MAINE ST LAWRENCE KS 66044-0000(785) 841-7297

FARRELL, BRENDAN T - DDS308 MAINE ST LAWRENCE KS 66044-1359(785) 843-5490

FORMANEK, ADRIAN E - DDS3110 NIEDER ROAD LAWRENCE KS 66047-0000(785) 592-6652

GLENDENING, KURT L - DDS10 E 9TH ST LAWRENCE KS 66044-0000(785) 749-2525

GLENDENING, KURT L - DDS1425 WAKARUSA DR LAWRENCE KS 66049-0000(785) 841-3311

GOLLIER, ROBERT A - DDS346 MAINE ST LAWRENCE KS 66044-1359(785) 843-1557

GOODELL, KURT B - DDS3110 NIEDER RD LAWRENCE KS 66047-0000(785) 592-6652

HAMILTON, SCOTT D - DDS1425 WAKARUSA DR STE C LAWRENCE KS 66049-4287(785) 843-3183

HARVEY, JOSEPH M - DDS308 MAINE ST LAWRENCE KS 66044-1359(785) 843-5490

HARVEY, PHILLIP J - DDS308 MAINE ST LAWRENCE KS 66044-1359(785) 843-5490

HEINBACH, MARVIN - DDS10 E 9TH ST LAWRENCE KS 66044-0000(785) 749-2525

HENDERSON, KELLI - DDS4320 W 6TH ST STE 101 LAWRENCE KS 66049-3613(785) 856-5600

HENDRICKSON, GENAVIEVE L - DDS1425 WAKARUSA DR STE C LAWRENCE KS 66049-4287(785) 843-3183

HENNING, CLAY D - DDS2415 MASSACHUSETTS ST LAWRENCE KS 66046-4827(785) 843-3750

HOANG-NGUYEN, CHRISTINE F - DDS4931 W 6TH ST LAWRENCE KS 66049-0000(785) 312-9912

HOLLABAUGH, BRIAN A - MS3110 NIEDER ROAD LAWRENCE KS 66047-0000(785) 592-6652

IDEUS, NATHAN A - DDS10 E 9TH ST LAWRENCE KS 66044-0000(785) 749-2525

JOICE, KELLY A - DDS1100 E 23RD ST LAWRENCE KS 66046-5004(785) 856-8600

JONES, BRENT R - DDS1425 WAKARUSA DR LAWRENCE KS 66049-4287(785) 841-3311

KHAN, FARHAN N - DDS3110 NIEDER RD LAWRENCE KS 66047-0000(785) 592-6652

LAWRENCE continues in the next page

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Page 12: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

KINCAID, CHARLES L - DDS306 E 23RD ST LAWRENCE KS 66046-4801(785) 843-4333

KOESTER, BRIANNE L - DDS2210 YALE RD LAWRENCE KS 66049-2647(785) 312-7770

KRISCHE, MATTHEW F - DDS530 FOLKS RD LAWRENCE KS 66049-0000(785) 842-0705

LARKIN, JEFFREY G - DDS10 E 9TH ST LAWRENCE KS 66044-0000(785) 749-2525

LARKIN, E GRANT - DDS10 E 9TH ST LAWRENCE KS 66044-0000(785) 749-2525

LIKES, ANTHONY - DDS2415 MASSACHUSETTS ST LAWRENCE KS 66044-0000(785) 843-3750

MALAN, ANDREW J - DDS2415 MASSACHUSETTS ST LAWRENCE KS 66044-0000(785) 843-3750

MANDA, EDWARD A - DDS306 E 23RD ST LAWRENCE KS 66046-4801(785) 843-4333

MARINA, ADAM A - DDS3110 NIEDER RD LAWRENCE KS 66047-0000(785) 592-6652

MCCOLM, SHELLY L - DDS12 W 8TH ST LAWRENCE KS 66044-2602(785) 832-0809

METTMAN, DAVID J - DDS2415 MASSACHUSETTS ST LAWRENCE KS 66044-0000(785) 843-3750

NEILSON, MICHAEL G - DDS308 MAINE ST LAWRENCE KS 66044-1359(785) 843-5490

ODOM, KYLE W - DDS308 MAINE ST LAWRENCE KS 66044-1359(785) 843-5490

PETERSON, KENT T - DDS530 FOLKS RD LAWRENCE KS 66049-0000(785) 842-0705

POWERS, ELIZABETH M - DDS4320 W 6TH ST STE 101 LAWRENCE KS 66049-3613(785) 856-5600

RITCHIE, JAMIE L - DDS1425 WAKARUSA DR LAWRENCE KS 66049-4287(785) 841-3311

SCHUPP, BARBARA O - DDS346 MAINE ST LAWRENCE KS 66044-0000(785) 842-9223

VALBUENA, RICHARD R - DDS1100 E 23RD ST LAWRENCE KS 66046-5004(785) 856-8600

VAN HORN, KEITH D - DDS530 FOLKS RD LAWRENCE KS 66049-0000(785) 842-0705

VINCENT, S KIRK - DDS4811 BOB BILLINGS PKW LAWRENCE KS 66049-0000(785) 841-2902

WILSON, DONALD C - DDS1425 WAKARUSA DR STE C LAWRENCE KS 66049-4287(785) 843-3183

WOOD, BRENT C - DDS4320 W 6TH ST STE 102 LAWRENCE KS 66049-3613(785) 856-2483

LEAVENWORTHARNETT, MICHAEL D - DDS111 DELAWARE ST STE A LEAVENWORTH KS 66048-0000(913) 651-8565

BECKER, MARY A - DDS2115 S 4TH ST LEAVENWORTH KS 66048-4555(913) 469-9191

FRY, JEREMY R - DDS2115 S 4TH ST LEAVENWORTH KS 66048-4555(913) 469-9191

LEAVENWORTH continues in the next page

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Page 13: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

GREEN, HEATHER C - DDS2115 S 4TH ST LEAVENWORTH KS 66048-4555(913) 469-9191

JOURNEE, MICHAEL C - DDS726 SHAWNEE ST LEAVENWORTH KS 66048-1804(913) 682-2595

KISER, ROBINSON T - DDS2511 S 4TH ST LEAVENWORTH KS 66048-0000(913) 250-6583

KLINGLER, JASON R - DDS2115 S 4TH ST LEAVENWORTH KS 66048-4555(913) 469-9191

MARTIN, ADAM J - DDS2115 S 4TH ST LEAVENWORTH KS 66048-4555(913) 469-9191

MCKNIGHT, JOHN H - DDS4500 S 4TH ST LEAVENWORTH KS 66048-5041(913) 682-1550

MISSURA, LUIS F - DDS2541 S 4TH ST LEAVENWORTH KS 66048-4512(913) 346-3636

NGUYEN, UYEN H - DDS2115 S 4TH ST LEAVENWORTH KS 66048-4555(913) 469-9191

OLIVER, SARA E - DDS3507 S 4TH ST LEAVENWORTH KS 66048-0000(913) 682-1000

ROBINSON, MICHAEL C - DDS3601 S 4TH ST LEAVENWORTH KS 66048-0000(913) 682-5926

SANCHEZ, DONALD J - DDS2115 S 4TH ST LEAVENWORTH KS 66048-4555(913) 469-9191

LIBERALDUTTON, PERLITA M - DDS23 PROFESSIONAL DR LIBERAL KS 67901-1803(620) 626-4700

LINCOLNGEIST, STEVEN E - DDS130 E LINCOLN AVE LINCOLN KS 67455-0000(785) 524-4441

LINDSBORGPETERSON, ERIK J - DDS101 N HARRISON ST LINDSBORG KS 67456-0000(785) 227-2299

LOUISBURGTRUMPP, MELISSA L - DDS4 S BERKLEY LOUISBURG KS 66053-3578(913) 837-4746

MAIZEBAXTER, STEVEN W - DDS3800 REED AVE MAIZE KS 67101-3800(316) 773-6161

HEALY, MATTHEW R - DDS3933 N MAIZE RD MAIZE KS 67101-9619(316) 202-0140

MARTIN, COURTNEE A - DDS3933 N MAIZE RD MAIZE KS 67101-9619(316) 202-0140

WHITE, KELSEY M - DDS3933 N MAIZE RD MAIZE KS 67101-9619(316) 260-6566

WHITE, SCOTT M - DDS3933 N MAIZE RD MAIZE KS 67101-9619(316) 202-0140

MANHATTANBELL, BRENDAN E - DDS2004 CLOCK TOWER PLZ MANHATTAN KS 66503-6401(785) 843-5490

ELLNER, JILL DLABAL - DDS1640 CHARLES PL MANHATTAN KS 66502-2750(785) 537-8484

FELTNER, BRITT C - DDS1640 CHARLES PL MANHATTAN KS 66502-2750(785) 537-8484

MANHATTAN continues in the next page

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Page 14: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

FULTON, RICK A - DDS1133 COLLEGEAVEBLDG D MANHATTAN KS 66502-2770(785) 539-7401

GILSDORF, BRET B - DDS1110 WESTPORT DR MANHATTAN KS 66502-0000(785) 539-2314

JANKOVICH, JOSEPH M - DDS1629 POYNTZ AVE MANHATTAN KS 66502-4148(785) 776-1771

KIM, KYUNG H - DDS1629 POYNTZ AVE MANHATTAN KS 66502-4148(785) 776-1771

KUTINA, ANDREW R - DDS1640 CHARLES PL MANHATTAN KS 66502-2750(785) 537-8484

LEWIS SMITH, MORGAN E - DDS1133 COLLEGEAVEBLDG D MANHATTAN KS 66502-2770(785) 539-7401

LEWIS SMITH, MORGAN E - DDS3200 KIMBALL AVE MANHATTAN KS 66503-2157(785) 537-2800

LIN, THOMAS CHI - DDS2030 TECUMSEH RD MANHATTAN KS 66502-0000(785) 320-7134

MARTIN, ANGELA J - DDS1133 COLLEGEAVEBLDG D MANHATTAN KS 66502-2770(785) 539-7401

NOMANI, MOHAMMAD S - DDS4201 ANDERSON AVE STE E MANHATTAN KS 66503-7603(785) 539-7429

ODOM, KYLE W - DDS2004 CLOCK TOWER PLZ MANHATTAN KS 66503-6401(785) 320-5476

PIVONKA, TIMOTHY M - DDS2030 TECUMSEH RD MANHATTAN KS 66502-0000(785) 320-7134

POULSON, OWEN W - DDS2030 TECUMSEH RD MANHATTAN KS 66502-0000(785) 320-7134

REUSSER, TERRA L - DDS1629 POYNTZ AVE MANHATTAN KS 66502-4148(785) 776-1771

REUSSER, TY M - DDS1629 POYNTZ AVE MANHATTAN KS 66502-4148(785) 776-1771

SMITH, DANA R - DDS1640 CHARLES PL MANHATTAN KS 66502-2750(785) 537-8484

TINDALL, MARK C - DDS1415 WESTPORT LANDING PL MANHATTAN KS 66502-2808(785) 537-0136

VAIL, MARK V - DDS1629 POYNTZ AVE MANHATTAN KS 66502-4148(785) 776-1771

WINTER, DANIEL M - DDS428 HOUSTON ST MANHATTAN KS 66502-0000(785) 776-0760

MARIONBEARD, AVERY B - DDS1015 MELVIN ST MARION KS 66861-9406(620) 382-2520

DECKER, LAUREN - DDS1015 MELVIN ST MARION KS 66861-9406(620) 382-2520

JOHNSON, ANDREW D - DDS1015 MELVIN ST MARION KS 66861-9406(620) 382-2520

OWENS, BRITTANY K - DDS1015 MELVIN ST MARION KS 66861-9406(620) 382-2520

REUSSER, TY M - DDS1015 MELVIN ST MARION KS 66861-9406(620) 382-2520

REUSSER, TERRA L - DDS1015 MELVIN ST MARION KS 66861-9406(620) 382-2520

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Page 15: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

MAYETTABEALS, CHARLES G - DDS11400 158TH RD MAYETTA KS 66509-0249(785) 966-8200

KNOX, BLAINE L - DDS11400 158TH RD MAYETTA KS 66509-0249(785) 966-8200

MC LOUTHJAEGER, DAVID H - DDS609 EAST LAKE ST MC LOUTH KS 66054-0000(913) 796-6113

JAEGER, DAVID H - DDS609 E LAKE ST MC LOUTH KS 66054-0000(913) 417-7333

KHODAKHAST, BEHESHTEH - DDS609 EAST LAKE ST MC LOUTH KS 66054-0000(913) 796-6113

SMITH, NICOLE R - DDS609 EAST LAKE ST MC LOUTH KS 66054-0000(913) 796-6113

TILLERY, BRUCE L - DDS609 E LAKE ST MC LOUTH KS 66054-0000(913) 417-7333

TILLERY, BRUCE L - DDS609 EAST LAKE ST MC LOUTH KS 66054-0000(913) 796-6113

WALTERS, KINSEY L - DDS609 EAST LAKE ST MC LOUTH KS 66054-0000(913) 796-6113

MCPHERSONANDREWS, CONNIE M - DDS322 N MAIN ST STE 100 MCPHERSON KS 67460-4308(316) 866-2000

BUCKBEE, AUDREY E - DDS1540 N MAIN ST MCPHERSON KS 67460-1904(620) 241-0842

CLARK, RACHEL H - DDS322 N MAIN ST MCPHERSON KS 67460-4308(316) 866-2000

DESHAZER, ERIC J - DDS322 N MAIN ST MCPHERSON KS 67460-4308(316) 866-2000

GUST, JEFFREY E - DDS1325 E 1ST ST MCPHERSON KS 67460-3601(620) 245-0411

WIENS, TROY B - DDS503 W 1ST ST MCPHERSON KS 67460-3215(620) 241-1425

YOWELL, MICHAEL V - DDS1540 N MAIN ST MCPHERSON KS 67460-1904(620) 241-0842

MULVANEHOPWOOD, KATHRYN A - DDS104 E MAIN MULVANE KS 67110-0000(316) 777-1362

NEW STRAWNMCMURRAY, JAMES H - DDS209 N MAIN ST NEW STRAWN KS 66839-8980(620) 364-8453

NEWTONDAVIDSON, TERRY L - DDS606 N MAIN NEWTON KS 67114-0000(316) 283-0110

GUST, JEFFREY E - DDS504 N MAIN ST NEWTON KS 67114-0000(316) 283-1090

VINDUSKA, GERALD A - DDS215 S PINE ST NEWTON KS 67114-3745(316) 283-6103

OAKLEYALBERS, TERRI L - DDS418 HUDSON OAKLEY KS 67748-0000(785) 672-4286

OAKLEY continues in the next page

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Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

LOFTUS, RICHARD P - DDS418 HUDSON OAKLEY KS 67748-0000(785) 672-3101

OSAWATOMIEBARDEN, DEANNA M - DDS301 E MAIN ST OSAWATOMIE KS 66064-1129(913) 755-3014

NEILL, STEVE R - DDS501 1ST ST OSAWATOMIE KS 66064-1105(913) 755-2451

OTTAWAARMSTRONG, JEFFERY W - DDS343 W 23RD ST OTTAWA KS 66067-9502(785) 242-4307

BECKER, MARY A - DDS216 W 13TH ST OTTAWA KS 66067-3545(913) 469-9191

BELL, BRENDAN E - DDS343 W 23RD ST OTTAWA KS 66067-9502(785) 242-4370

BRINCKMAN, DAYNA M - DDS107 S MAIN ST OTTAWA KS 66067-0000(913) 648-2266

CHRISTLINE, CODY L - DDS343 W 23RD ST STE 3 OTTAWA KS 66067-9502(785) 242-4307

DRUMRIGHT DESCH, LEANNE M - DDS2030 S PRINCETON ST OTTAWA KS 66067-0000(785) 521-3737

FARRELL, BRENDAN T - DDS343 W 23RD ST OTTAWA KS 66067-9502(785) 242-4307

FRY, JEREMY R - DDS216 W 13TH ST OTTAWA KS 66067-3545(913) 469-9191

GREEN, HEATHER C - DDS216 W 13TH ST OTTAWA KS 66067-3545(913) 469-9191

HALE, RICHARD T - DDS1136 W 15TH ST OTTAWA KS 66067-3929(785) 242-1800

HARVEY, JOSEPH M - DDS343 W 23RD ST OTTAWA KS 66067-9502(785) 242-4307

HARVEY, PHILLIP J - DDS343 W 23RD ST OTTAWA KS 66067-9502(785) 242-4307

KLINGLER, JASON R - DDS216 W 13TH ST OTTAWA KS 66067-3545(913) 469-9191

MARTIN, ADAM J - DDS216 W 13TH ST OTTAWA KS 66067-3545(913) 469-9191

NEILSON, MICHAEL G - DDS343 W 23RD ST OTTAWA KS 66067-9502(785) 242-4307

NGUYEN, UYEN H - DDS216 W 13TH ST OTTAWA KS 66067-3545(913) 469-9191

ODOM, KYLE W - DDS343 W 23RD ST OTTAWA KS 66067-9502(785) 242-4307

RASTGOFTAR, NADER - DDS107 S MAIN ST OTTAWA KS 66067-2327(913) 648-2266

SANCHEZ, DONALD J - DDS216 W 13TH ST OTTAWA KS 66067-3545(913) 469-9191

WALDRON, RANDY K - DDS1136 W 15TH ST OTTAWA KS 66067-3929(785) 242-1800

OVERBROOKSHAW, MICHAEL P - DDS306 MAPLE ST OVERBROOK KS 66524-0000(785) 665-7311

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Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

PAOLABRINCKMAN, DAYNA M - DDS1604 INDUSTRIAL PARK DR PAOLA KS 66071-9528(913) 648-2266

PARSONSAHMED, SAHER - DDS2100 COMMERCE DR PARSONS KS 67357-4951(620) 717-4450

ANDERSEN, DAVID C - DDS2100 COMMERCE DR PARSONS KS 67357-4951(620) 717-4450

BARTON, DRUE M - DDS2100 COMMERCE DR PARSONS KS 67357-4951(620) 717-4450

EBERSOLE, JUSTIN A - DDS1701 WASHINGTON AVE PARSONS KS 67357-0000(620) 421-0980

GENSWEIDER, AMY M - DDS2100 COMMERCE DR PARSONS KS 67357-4951(620) 717-4450

LEMUS, RICARDO - DDS2100 COMMERCE DR PARSONS KS 67357-4951(620) 717-4450

NEARING, SCOTT H - DDS2100 COMMERCE DR PARSONS KS 67357-4951(620) 717-4450

RAMOS, FREDDIE - DDS2100 COMMERCE DR PARSONS KS 67357-4951(620) 717-4450

SCHMIDT, ANNE M - DDS2100 COMMERCE DR PARSONS KS 67357-4951(620) 717-4450

STILES, MATTHEW S - DDS2100 COMMERCE DR PARSONS KS 67357-4951(620) 717-4450

VICK, LATASHA M - DDS2100 COMMERCE DR PARSONS KS 67357-4951(620) 717-4450

WEBSTER, GRANT M - DDS2100 COMMERCE DR PARSONS KS 67357-4951(620) 717-4450

WOMMACK, JOSEPH B - DDS1701 WASHINGTON AVE PARSONS KS 67357-0000(620) 421-0980

PEABODYCHEN, HESHUN S - DDS504 N POPLAR ST PEABODY KS 66866-1233(620) 983-2285

PHILLIPSBURGPATTON, CHRISTOPHER S - DDS730 4TH ST PHILLIPSBURG KS 67661-0000(785) 543-5123

PITTSBURGANDERSEN, DAVID C - DDS3011 N MICHIGAN ST PITTSBURG KS 66762-2546(620) 231-9873

ANDERSEN, DAVID C - DDS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

BARTON, DRUE M - DDS3011 N MICHIGAN ST PITTSBURG KS 66762-2546(620) 231-9873

BARTON, DRUE M - DDS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

BARTON, DRUE M - DDS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

BAYS, DALE R - DDS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

BRINCKMAN, DAYNA M - DDS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

PITTSBURG continues in the next page

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Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

BRINCKMAN, DAYNA M - DDS3011 N MICHIGAN ST PITTSBURG KS 66762-2546(620) 231-9873

BURNETT, BRADLEY R - MS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

CLOTHIER, MARVIN G - DDS611 N BROADWAY ST PITTSBURG KS 66762-0000(620) 231-4140

EATON, CIERRA D - DDS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

FASBINDER, JOHN - DDS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

FASBINDER, JOHN - DDS3011 N MICHIGAN ST PITTSBURG KS 66762-2546(620) 231-9873

GENSWEIDER, AMY M - DDS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

GENSWEIDER, AMY M - DDS3011 N MICHIGAN ST PITTSBURG KS 66762-2546(620) 231-9873

HERRON, ROBERT D - DDS2597 S BROADWAY PITTSBURG KS 66762-0000(620) 231-6400

LEMUS, RICARDO - DDS3011 N MICHIGAN ST PITTSBURG KS 66762-2546(620) 231-9873

LEMUS, RICARDO - DDS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

MINNIS, DANIEL N - DDS2002 S ROUSE PITTSBURG KS 66762-0000(620) 231-2871

MINNIS, DANIEL N - DDS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

NEARING, SCOTT H - DDS3011 N MICHIGAN ST PITTSBURG KS 66762-2546(620) 231-9873

NEARING, SCOTT H - DDS2002 S ROUSE PITTSBURG KS 66762-0000(620) 231-2871

NEARING, SCOTT H - DDS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

NOLTE, ROGER G - DDS2002 S ROUSE PITTSBURG KS 66762-0000(620) 231-2871

RAMOS, FREDDIE - DDS3011 N MICHIGAN ST PITTSBURG KS 66762-2546(620) 231-9873

RAMOS, FREDDIE - DDS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

SCHMIDT, ANNE M - DDS3011 N MICHIGAN ST PITTSBURG KS 66762-2546(620) 231-9873

SCHMIDT, ANNE M - DDS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

STILES, MATTHEW S - DDS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

STILES, MATTHEW S - DDS3011 N MICHIGAN ST PITTSBURG KS 66762-2546(620) 231-9873

THOMAS, SAMANTHA L - DDS2597 S BROADWAY PITTSBURG KS 66762-0000(620) 231-6400

VICK, LATASHA M - DDS2002 S ROUSE PITTSBURG KS 66762-0000(620) 231-2871

WEBSTER, GRANT M - DDS3011 N MICHIGAN ST PITTSBURG KS 66762-2546(620) 231-9873

PITTSBURG continues in the next page

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Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

WEBSTER, GRANT M - DDS924 N BROADWAY ST PITTSBURG KS 66762-3910(620) 231-6788

PRATTSHINKLE, HARLAN K - DDS610 E 2ND ST PRATT KS 67124-2912(620) 672-5536

ROSSVILLEURBAN, BRETT S - DDS428 MAIN ST ROSSVILLE KS 66533-0000(785) 584-6101

RUSSELLJONES, MICHAEL R - DDS300 N MAIN ST RUSSELL KS 67665-2731( ) -

WERTH, JODIE R - DDS300 N MAIN ST RUSSELL KS 67665-2731(785) 483-2411

SABETHAKIRWAN, RANDALL J - DDS819 MAIN ST SABETHA KS 66534-0000(785) 284-3368

ROSS, ALLAN C - DDS502 S WASHINGTON ST SABETHA KS 66534-2625(785) 284-3010

SAINT FRANCISPOLING, TIM - DDS200 W WASHINGTON SAINT FRANCIS KS 67756-0867(785) 332-3103

SALINAABBICK, CHARLES A - DDS651 E PRESCOTT RD SALINA KS 67401-7408(785) 826-9017

AHLERS, JILL H - DDS888 WEST CHESTER DR SALINA KS 67401-0000(785) 823-9106

GANSON, BRIANNA M - DDS651 E PRESCOTT RD SALINA KS 67401-7408(785) 825-7251

GEORGE, DAVID L - DDS888 WESTCHESTER DR SALINA KS 67401-7420(785) 823-9106

GEORGE, DAVID L - DDS888 WEST CHESTER DR SALINA KS 67401-0000(785) 823-9106

HARR, GABE K - DDS1941 S OHIO ST SALINA KS 67401-0000(785) 825-9125

KHAN, FARHAN N - DDS651 E PRESCOTT RD SALINA KS 67401-7408(785) 825-7251

LUNDGRIN, JERRY R - DDS909 E WAYNE AVE SALINA KS 67401-0000(785) 825-5473

LUNDGRIN, MICHAEL S - DDS909 E WAYNE AVE SALINA KS 67401-0000(785) 825-5473

MEMON, FARAZ - DDS651 E PRESCOTT RD SALINA KS 67401-7408(785) 825-7251

NUNES, MICHELLE N - DDS651 E PRESCOTT RD SALINA KS 67401-7408(785) 826-9017

SCHAULIS, WILLIAM B - DDS840 PRESCOTT RD SALINA KS 67401-7411(785) 827-6814

SCOTT CITYPURMA, CHARLES J - DDS324 N MAIN SCOTT CITY KS 67871-0000(620) 872-2389

SEDANSHAWHAN, COLIN M - DDS120 W OSAGE ST SEDAN KS 67361-0000(620) 725-3122

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Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

SELDENGROVE, JANE M - DDS112 N KANSAS SELDEN KS 67757-0000(785) 386-4380

MARWAHA, ADITYA - DDS112 N KANSAS SELDEN KS 67757-0000(785) 386-4380

SENECALUEGER, ASHLEY L - DDS430 MAIN ST SENECA KS 66538-0000(785) 336-6149

LUEGER, ASHLEY L - DDS430 MAIN ST SENECA KS 66538-0000(785) 336-6149

SHOWMAN, JASON E - DDS430 MAIN ST SENECA KS 66538-0000(785) 336-6149

SHOWMAN, JASON E - DDS430 MAIN ST SENECA KS 66538-0000(785) 336-6149

STEINLAGE, KATIE M - DDS430 MAIN ST SENECA KS 66538-0000(785) 336-6149

SILVER LAKEBIGGS, LINDSAY M - DDS400 CIRCLE DR SILVER LAKE KS 66539-9522(785) 582-0185

SPRING HILLECHOLS, KURTIS E - DDS22450 S HARRISON ST SPRING HILL KS 66083-8882(913) 592-4149

STERLINGHINSHAW, DOUGLAS E - DDS239 N BROADWAY AVE STERLING KS 67579-0000(620) 278-2150

STOCKTONPETICOLAS, CYNTHIA M - DDS624 S 1ST ST STOCKTON KS 67669-0000(785) 425-6269

SYRACUSELEWIS, WILLIAM J - DDS405 N MAIN SYRACUSE KS 67878-0000(620) 384-5252

TONGANOXIEJAEGER, DAVID H - DDS766 NORTHSTAR CT TONGANOXIE KS 66086-0000(913) 417-7333

KHODAKHAST, BEHESHTEH - DDS766 NORTHSTAR CT TONGANOXIE KS 66086-0000(913) 417-7333

TILLERY, BRUCE L - DDS766 NORTHSTAR CT TONGANOXIE KS 66086-0000(913) 417-7333

TOPEKAAMIN, SHABNAM - DDS2037 SE 29TH ST TOPEKA KS 66605-2457(785) 267-9500

ARMSTRONG, JEFFERY W - DDS2201 SW WESTPORT DR TOPEKA KS 66614-1914(785) 273-4300

ARRIETTA, MARYHEN - DDS400 SW 29TH ST TOPEKA KS 66611-1164(785) 783-5981

BAUMGARDNER, LORIE M - DDS1125 SW GAGE BLVD TOPEKA KS 66604-0000(785) 272-0333

BECKLER, ANTHONY T - DDS2400 SW 29TH ST TOPEKA KS 66611-1738(785) 267-6886

BELL, BRENDAN E - DDS2201 SW WESTPORT DR TOPEKA KS 66614-0000(785) 273-4300

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Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

BHARUCHA, JULIE X - DDS400 SW 29TH ST TOPEKA KS 66611-1164(785) 783-5981

BIGGS, LINDSAY M - DDS2951 SW WANAMAKER DR TOPEKA KS 66614-5341(785) 273-0801

BOE, IRWIN M - DDS1107 SW GAGE BLVD TOPEKA KS 66604-0000(785) 271-7477

BOGANATHAM, SIREESHA - DDS3164 SE 6TH AVE TOPEKA KS 66607-0000(785) 233-2800

BOGANATHAM, SIREESHA - DDS1017 GAGE BLVD TOPEKA KS 66604-1991(785) 272-3864

BOOTHE, ANDREA M - DDS1400 SW HUNTOON ST TOPEKA KS 66604-1231(785) 861-8800

BOOTHE, ANDREA M - DDS2025 SE CALIFORNIA TOPEKA KS 66607-1443(785) 861-8800

BROWN, SHEILA M - DDS400 SW 29TH ST TOPEKA KS 66611-1164(785) 783-5981

BROWN-GHOSTON, VERMELLE L - DDS6021 SW 29TH ST TOPEKA KS 66614-6201(785) 783-8550

BROYLES, IRENE A - DDS1401 SW 37TH ST TOPEKA KS 66611-2624(785) 783-7550

CARACIONI, STEFANIA A - DDS2949 SW WANAMAKER DR TOPEKA KS 66614-0000(785) 246-6300

CARACIONI, STEFANIA A - DDS3164 SE 6TH AVE TOPEKA KS 66607-0000(785) 233-2800

CARACIONI, STEFANIA A - DDS1730 SW WANAMAKER RD TOPEKA KS 66606-0000(785) 338-4048

CARACIONI, STEFANIA A - DDS2215 SW WESTPORT DR TOPEKA KS 66614-1926(785) 228-0100

CARACIONI, STEFANIA A - DDS5100 SW 28TH ST TOPEKA KS 66614-2355(785) 271-1002

CASSIDY, KEVIN M - DDS600 GOVERNOR VIEW TOPEKA KS 66606-0000(785) 233-0582

CHRISTLINE, CODY L - DDS2201 SW WESTPORT DR TOPEKA KS 66614-0000(785) 273-4300

COHEN, GREGORY C - DDS6231 SW 29TH ST TOPEKA KS 66614-4499(785) 273-2350

COOPER, MITCH - DDS1813 FAIRLAWN TOPEKA KS 66604-0000(785) 272-9443

CORRELL, HOLDEN L - DDS1107 SW GAGE BLVD TOPEKA KS 66604-0000(785) 271-7477

CRITTENDEN, ROBERT M - DDS2445 SW WANAMAKER RD TOPEKA KS 66614-5470(785) 273-9717

DIGHTON, MARY C - DDS2037 SE 29TH ST TOPEKA KS 66605-2457(785) 267-9500

DIGHTON, STEVEN C - DDS2037 SE 29TH ST TOPEKA KS 66605-2457(785) 267-9500

DO, THO H - DDS1107 SW GAGE BLVD TOPEKA KS 66604-0000(785) 271-7477

DUFNER, BRIAN K - DDS5830 SW HUNTOON ST TOPEKA KS 66604-2374(785) 232-1985

DULIN, KEVIN J - DDS2300 SW 29TH TOPEKA KS 66611-0000(785) 266-0330

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Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

DUNIVEN, DAVID W - DDS400 SW 29TH ST TOPEKA KS 66611-1164(785) 783-5981

DURBIN, DEREK C - DDS5310 SW 37TH ST TOPEKA KS 66614-0000(785) 267-5010

ELKIN, PAUL M - DDS2037 SE 29TH ST TOPEKA KS 66605-2457(785) 267-9500

EXON, ROBERT A - DDS1919 SW 10TH AVE TOPEKA KS 66604-1425(785) 232-7707

FAIRBANKS, JAMES I - DDS1615 SW 8TH AVE TOPEKA KS 66606-0000(785) 861-8800

FAIRBANKS, JAMES I - DDS1400 SW HUNTOON ST TOPEKA KS 66604-1231(785) 861-8800

FARRELL, BRENDAN T - DDS2201 SW WESTPORT DR TOPEKA KS 66614-1914(785) 273-4300

FORREST, RUSSELL A - DDS2300 SW 29TH ST TOPEKA KS 66611-0000(785) 266-0330

FOX, JARED S - DDS2300 SW 29TH ST TOPEKA KS 66611-1739(785) 267-6120

FULLMER, MATTHEW S - DDS2201 SW WESTPORT DR TOPEKA KS 66614-0000(785) 228-1280

GILLHAM, DAVID R - DDS1230 SW HARVEY ST STE B TOPEKA KS 66604-4070(785) 266-4412

GILSDORF, BRET B - DDS1017 SW GAGE BLVD TOPEKA KS 66604-0000(785) 272-3864

GLENDENING, KURT L - DDS2215 SW WESTPORT DR TOPEKA KS 66614-1926(785) 228-0100

GLENDENING, KURT L - DDS5100 SW 28TH ST TOPEKA KS 66614-0000(785) 271-1002

GOODELL, KURT B - DDS1730 SW WANAMAKER RD TOPEKA KS 66604-3813(785) 338-4048

GORDY, DON C - DDS3345 SW FAIRLAWN RD TOPEKA KS 66614-0000(785) 267-3855

HALL, MARK K - DDS5225 SW 7TH ST TOPEKA KS 66606-0000(785) 273-1544

HALL, SUSAN G - DDS1730 SW WANAMAKER RD TOPEKA KS 66604-3813(785) 338-4048

HAMILTON, SCOTT D - DDS2235 SW WESTPORT DR TOPEKA KS 66614-0000(785) 272-3722

HARGREAVES, LARRY C - DDS1401 SW 37TH ST TOPEKA KS 66611-2624(785) 783-7774

HARVEY, JOSEPH M - DDS2201 SW WESTPORT DR TOPEKA KS 66614-1914(785) 273-4300

HARVEY, PHILLIP J - DDS2201 SW WESTPORT DR TOPEKA KS 66614-1914(785) 273-4300

HATHAWAY, KELLEY A - DDS5310 SW 37TH ST TOPEKA KS 66614-0000(785) 267-5010

HEATH, PAUL W - DDS2714 N TOPEKA BLVD TOPEKA KS 66617-0000(785) 234-5410

HEATH, MEAGAN R - DDS5310 SW 37TH ST TOPEKA KS 66614-0000(785) 267-5010

HEINBACH, MARVIN - DDS2215 SW WESTPORT DR TOPEKA KS 66614-0000(785) 228-0100

TOPEKA continues in the next page

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Page 23: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

HEINBACH, MARVIN - DDS5100 SW 28TH ST TOPEKA KS 66614-0000(785) 271-1002

HENDRICKSON, GENAVIEVE L - DDS2235 SW WESTPORT DR TOPEKA KS 66614-0000(785) 272-3722

HOUCK, CHERYL A - DDS2400 SW 29TH ST TOPEKA KS 66611-1738(785) 267-6886

HUTCHISON, JOHN B - DDS2400 SW 29TH ST TOPEKA KS 66611-0000(785) 266-3801

IDEUS, NATHAN A - DDS1835 NW TOPEKA BLVD TOPEKA KS 66608-1892(785) 235-6219

JOHNSON, FRANK N - DDS1244 SW OAKLEY TOPEKA KS 66604-0000(785) 357-7706

JOHNSON, ERIC C - DDS1271 SW WOODHULL ST TOPEKA KS 66604-1849(785) 286-7541

JOHNSON, GREGORY K - DDS1271 SW WOODHULL ST TOPEKA KS 66604-1849(785) 286-7541

JOWETT, TED A - DDS1017 SW GAGE BLVD TOPEKA KS 66604-0000(785) 272-3864

KAPOOR, BHAVNA - DDS400 SW 29TH ST TOPEKA KS 66611-1164(785) 783-5981

KEPLER, JESSICA M - DDS2037 SE 29TH ST TOPEKA KS 66605-2457(785) 267-9500

KHAN, FARHAN N - DDS1730 SW WANAMAKER RD TOPEKA KS 66604-3813(785) 338-4048

LARKIN, JEFFREY G - DDS2215 SW WESTPORT DR TOPEKA KS 66614-0000(785) 228-0100

LEIKER, AMY M - DDS5310 SW 37TH ST TOPEKA KS 66614-0000(785) 267-5010

MACKENZIE, KENE - DDS3164 SE 6TH AVE TOPEKA KS 66607-0000(785) 233-2800

MAI, SU PING - DDS2037 SE 29TH ST TOPEKA KS 66605-2457(785) 267-9500

MEISSNER, ROBERT L - DDS3164 SE 6TH AVE TOPEKA KS 66607-0000(785) 233-2800

MICHAEL, DEREK R - DDS2037 SE 29TH ST TOPEKA KS 66605-2457(785) 267-9500

MICHEL, MICHAEL E - DDS2951 WANAMAKER DR TOPEKA KS 66614-0000(785) 273-0801

MISNER, REBECCA S - DDS400 SW 26TH ST TOPEKA KS 66611-1164(785) 783-5981

NAEGER, HANNAH - DDS5100 SW 28TH ST TOPEKA KS 66614-0000(785) 271-1002

NAEGER, HANNAH - DDS2215 SW WESTPORT DR TOPEKA KS 66614-0000(785) 228-0100

NEILSON, MICHAEL G - DDS2201 SW WESTPORT DR TOPEKA KS 66614-0000(785) 273-4300

NELLOR, LESLEY R - DDS2037 SE 29TH ST TOPEKA KS 66605-2457(785) 267-9500

NGUYEN, VUONG - DDS400 SW 29TH ST TOPEKA KS 66611-1164(785) 783-5981

ODOM, KYLE W - DDS2201 SW WESTPORT DR TOPEKA KS 66614-1914(785) 273-4300

TOPEKA continues in the next page

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Page 24: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

OGUNNOWO, ANNETTE M - DDS1230 SW HARVEY ST TOPEKA KS 66604-0000(785) 266-4412

PETERMAN, JENNIFER M - DDS400 SW 29TH ST TOPEKA KS 66611-1164(785) 783-5981

PRATT, JAMES G - DDS5605 SW BARRINGTON CT S TOPEKA KS 66614-0000(785) 272-1313

PUTNAM, MICHAEL C - DDS1910 SE 29TH ST TOPEKA KS 66605-0000(785) 266-2929

RACK, MICHAEL P - DDS309 SW TOPEKA BLVD TOPEKA KS 66603-0000(785) 235-8779

RANDA, LACEY L - DDS1400 SW HUNTOON ST TOPEKA KS 66604-1231(785) 861-8800

REED, DAVID K - DDS2400 SW 29TH ST TOPEKA KS 66611-1738(785) 226-7688

REID, COLLIN VC - DDS400 SW 29TH ST TOPEKA KS 66611-1164(785) 783-5981

REZIN, BRITTANY A - DDS2037 SE 29TH ST TOPEKA KS 66605-2457(785) 267-9500

SHERCHAN, MEGHA - DDS400 SW 29TH ST TOPEKA KS 66611-1164(785) 783-5981

SMILEY, RYAN N - DDS400 SW 29TH ST TOPEKA KS 66611-1164(785) 783-5981

STRINGER, JOHN J - DDS2445 SW WANAMAKER RD TOPEKA KS 66614-5470(785) 273-1020

SWIFT, JULIE C - DDS3100 SW HUNTOON ST TOPEKA KS 66606-6154(785) 233-1756

TAYLOR, AUDREY M - DDS5100 SW 28TH ST TOPEKA KS 66614-0000(785) 273-8088

UNDERWOOD, MARK L - DDS3033 SW VILLA WEST DR TOPEKA KS 66614-0000(785) 273-2499

WARYA, NAVKIRAN K - DDS2037 SE 29TH ST TOPEKA KS 66605-2457(785) 267-9500

WEBBER, REES E - DDS1919 W 10TH TOPEKA KS 66604-0000(785) 232-7707

WEBER, MICHAEL E - DDS2930 SW WANAMAKER DR TOPEKA KS 66614-4116(785) 273-2922

WEBER, JASON A - DDS2930 SW WANAMAKER DR TOPEKA KS 66614-0000(785) 273-2922

WEBER, JORDAN L - DDS1401 SW 37TH ST TOPEKA KS 66611-2624(785) 783-7550

WILSON, DONALD C - DDS2235 SW WESTPORT DR TOPEKA KS 66614-0000(785) 272-3722

WOOD, BRENT C - DDS2949 SW WANAMAKER DR TOPEKA KS 66614-0000(785) 272-6161

YANG, SANGKI - DDS1730 SW WANAMAKER RD TOPEKA KS 66604-0000(785) 338-4048

ZIEGLER, ANDREW P - DDS2445 SW WANAMAKER RD TOPEKA KS 66614-5470(785) 272-2233

ULYSSESBURNS, FRANK R - DDS113 S MAIN ST ULYSSES KS 67880-0000(620) 271-7400

ULYSSES continues in the next page

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Page 25: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

MAPLE, THEODORE J - DDS307 N MAIN ST ULYSSES KS 67880-0000(620) 356-1221

POTTS, RICHARD R - DDS113 S MAIN ST ULYSSES KS 67880-0000(620) 271-7400

VALLEY FALLSJAEGER, DAVID H - DDS800 WALNUT ST VALLEY FALLS KS 66088-0000(785) 945-6248

KHODAKHAST, BEHESHTEH - DDS800 WALNUT ST VALLEY FALLS KS 66088-0000(785) 945-6248

TILLERY, BRUCE L - DDS800 WALNUT ST VALLEY FALLS KS 66088-0000(785) 945-6248

WASHINGTONGIBBS, MEYLER D - DDS300 C ST WASHINGTON KS 66968-0000(785) 325-2248

WELLINGTONHOULIK, JOSEPH P - DDS119 E LINCOLN AVE WELLINGTON KS 67152-0000(620) 326-7983

PHIPPS, GRANT E - DDS119 E LINCOLN AVE WELLINGTON KS 67152-0000(620) 326-7983

WELLSVILLENEWMAN, JOHN DARRELL - DDS616 MAIN ST WELLSVILLE KS 66092-9201(785) 883-2117

WICHITAAMIN, SHABNAM - DDS650 N CARRIAGE PKWY WICHITA KS 67208-4512(316) 686-2721

AMIRANI, SAM - DDS1431 S BLUFFVIEW DR WICHITA KS 67218-0000(316) 686-7155

ANDERSON, KENNETH R - DDS132 N WEST ST WICHITA KS 67203-0000(316) 943-3273

ANDERSON, TREY K - DDS2143 N COLLECTIVE LN WICHITA KS 67206-0000(316) 681-3228

ANDERSON, LANCE E - DDS9415 E HARRY WICHITA KS 67207-0000(316) 687-2104

ANDREWS, CONNIE M - DDS1122 N TOPEKA ST WICHITA KS 67214-0000(316) 866-2000

BARAKEH, OMAR - DDS3722 N ARKANSAS AVE WICHITA KS 67204-0000(316) 832-0186

BARKER, KRISTYN L - DDS1035 N EMPORIA ST WICHITA KS 67214-0000(316) 263-6343

BEARD, AVERY B - DDS13121 E 21ST ST N WICHITA KS 67230-0000(316) 630-9500

BEARD, AVERY B - DDS2203 SWEETBRIAR ST WICHITA KS 67204-5518(316) 838-1300

BEARD, AVERY B - DDS5805 E CENTRAL AVE WICHITA KS 67208-4204(316) 684-8261

BELEN, ERNESTO S - DDS9314 E CENTRAL WICHITA KS 67206-0000(316) 686-6565

BELL, NICHOLAS P - DDS10240 W 29TH ST WICHITA KS 67205-7913(316) 252-3075

BETTE, HEIDI C - DDS651 COUNTRY ACRES WICHITA KS 67212-0000(316) 722-7085

BHARGAVA, NEIL - DDS1230 N BROADMOOR ST WICHITA KS 67206-3800(316) 630-0002

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Page 26: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

BHARGAVA, SHANNON - DDS1230 N BROADMOOR ST WICHITA KS 67206-3800(316) 630-0002

BLACK, HARRISON M - DDS3305 E DOUGLAS AVE WICHITA KS 67218-1037(316) 223-4455

BOOTHE, ANDREA M - DDS3417 S MERIDIAN AVE WICHITA KS 67217-2151(316) 866-2000

BOOTHE, ANDREA M - DDS1122 N TOPEKA ST WICHITA KS 67214-0000(316) 866-2000

BOYNTON, KREG W - DDS1901 N WEBB RD WICHITA KS 67206-0000(316) 685-8881

BROWN, DAVID J - DDS2143 N COLLECTIVE LN WICHITA KS 67206-0000(316) 681-3228

BROWN, DAVID J - DDS356 N ROCK RD WICHITA KS 67206-0000(316) 681-3228

BROWN, SHEILA M - DDS1901 W 21ST ST WICHITA KS 67203-2106(316) 832-2838

BROWN, SHEILA M - DDS9300 E 29TH ST WICHITA KS 67226-3007(316) 832-2838

BROWN, SHEILA M - DDS980 S OLIVER ST WICHITA KS 67218-3216(316) 221-3008

BURTON, DANIEL A - DDS219 S HILLSIDE ST WICHITA KS 67211-0000(316) 684-5511

BURTON, DANIEL A - DDS219 S HILLSIDE ST WICHITA KS 67211-2128(316) 684-5511

CARPENTER, BRENT T - DDS444 N RIDGE RD WICHITA KS 67212-0000(316) 942-5358

CARPENTER, MARCY L - DDS650 N CARRIAGE PKWY WICHITA KS 67208-4512(316) 686-2721

CHAMBERS, WILLIAM D - DDS401 N WOODLAWN ST WICHITA KS 67208-0000(316) 686-6601

CHANG, MARY ANN C - DDS9314 E CENTRAL WICHITA KS 67206-0000(316) 686-6565

CHASTAIN, EMILY M - DDS3213 N RIDGE RD WICHITA KS 67205-1205(316) 773-3311

CHEN, HESHUN S - DDS2610 S SENECA ST WICHITA KS 67217-2860(316) 262-1911

CLARK, RICHARD G - DDS444 N RIDGE RD WICHITA KS 67212-0000(316) 942-5358

CLARK, RACHEL H - DDS1131 S CLIFTON AVE WICHITA KS 67218-2955(316) 866-2000

CLARK, RACHEL H - DDS1122 N TOPEKA ST WICHITA KS 67214-0000(316) 866-2000

CLARK, RACHEL H - DDS3417 S MERIDIAN AVE WICHITA KS 67217-2151(316) 866-2000

DAVIS, JOSHUA W - DDS7570 W 21ST ST N WICHITA KS 67205-1772(316) 721-2024

DESHAZER, ERIC J - DDS3417 S MERIDIAN AVE WICHITA KS 67217-2151(316) 866-2000

DESHAZER, ERIC J - DDS1122 N TOPEKA ST WICHITA KS 67214-0000(316) 866-2000

DESHAZER, ERIC J - DDS1131 S CLIFTON AVE WICHITA KS 67218-2955(316) 866-2000

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Page 27: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

DETMER, MARGARET A - DDS8404 W 13TH ST N WICHITA KS 67212-2978(316) 721-8100

DETMER, CARA L - DDS1122 N TOPEKA ST WICHITA KS 67214-0000(316) 866-2000

DETMER, CARA L - DDS1131 S CLIFTON AVE WICHITA KS 67218-2955(316) 866-2000

DETMER, CARA L - DDS3417 S MERIDIAN AVE WICHITA KS 67217-2151(316) 866-2000

DETMER, CARA L - DDS8404 W 13TH ST N WICHITA KS 67212-0000(316) 721-8100

DEVLIN, JULIE A - DDS1901 W 21ST ST N WICHITA KS 67203-6530(316) 832-2838

DIGHTON, MARY C - DDS650 N CARRIAGE PKWY WICHITA KS 67208-4512(316) 686-2721

DIGHTON, STEVEN C - DDS650 N CARRIAGE PKWY WICHITA KS 67208-4512(316) 686-2721

DILLEHAY, JAMES K - DDS10311 E STONEGATE LN WICHITA KS 67206-2053(316) 683-6518

DILLEHAY, JAMES K - DDS10311 E STONEGATE LN WICHITA KS 67206-2053(316) 683-6518

DOAN, XUYEN H - DDS825 S HILLSIDE ST WICHITA KS 67211-3005(316) 681-1530

DOLD, STEVEN J - DDS7570 W 21ST ST N WICHITA KS 67205-1772(316) 721-2024

DOLD, STEVEN J - DDS2146 N COLLECTIVE LN WICHITA KS 67206-3574(316) 202-8588

DUGAN, STEPHEN P - DDS7405 W CENTRAL AVE WICHITA KS 67212-3514(316) 773-2244

EDWARDS, JASON C - DDS1443 N ROCK RD WICHITA KS 67206-0000(316) 295-2830

ELKIN, PAUL M - DDS650 N CARRIAGE PKWY WICHITA KS 67208-4512(316) 686-2721

ELLEDGE, DEAN A - DDS2838 N OLIVER AVE WICHITA KS 67220-0000(316) 978-8350

FAIRBANKS, JAMES I - DDS1122 N TOPEKA ST WICHITA KS 67214-0000(316) 866-2000

FAIRBANKS, JAMES I - DDS3417 S MERIDIAN WICHITA KS 67217-0000(316) 866-2000

FAIRBANKS, JAMES I - DDS3417 S MERIDIAN AVE WICHITA KS 67217-2151(316) 866-2000

FETZIK, STEPHEN P - DDS2548 N MAIZE COURT WICHITA KS 67205-0000(316) 440-4432

FOLEY, THOMAS J - DDS3213 N RIDGE RD WICHITA KS 67205-1205(316) 773-3311

GOULD, STEVEN A - DDS1901 W 21ST ST WICHITA KS 67203-2106(316) 832-2838

GRAFF, ANDREW T - DDS3722 N ARKANSAS AVE WICHITA KS 67204-0000(316) 832-0186

GUERRERO, DAVID M - DDS404 S EDGEMOOR ST WICHITA KS 67218-1632(316) 558-3993

GUERRERO, DAVID M - DDS404 S EDGEMOOR ST WICHITA KS 67218-1632(316) 558-3993

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Page 28: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

HALE, HAL E - DDS1223 N ROCK RD BLDG F 100WICHITA KS 67206-0000(316) 687-0100

HANSEN, LEVI - DDS881 N TYLER WICHITA KS 67212-0000(316) 722-6717

HARTLINE, COLTON J - DDS10240 W 29TH ST WICHITA KS 67205-7913(316) 252-3075

HERTZLER, WILLIAM O - DDS7717 E 29TH ST N WICHITA KS 67226-0000(316) 636-5565

HESARAKI, AREZO - DDS650 N CARRIAGE PKWY WICHITA KS 67208-4512(316) 686-2721

HILL, MICHAEL D - DDS1999 N AMIDON WICHITA KS 67203-0000(316) 838-7081

HOULIK, JOSEPH P - DDS1901 N WEBB RD WICHITA KS 67206-0000(316) 685-8881

HOULIK, JOSEPH P - DDS2759 N TYLER RD WICHITA KS 67205-0000(316) 721-4334

HOUSE, MELISSA J - DDS1615 E 61ST N WICHITA KS 67219-0000(316) 260-6868

HUENERGARDT, MARK A - DDS1301 N WEST ST WICHITA KS 67203-0000(316) 942-2468

HUMLICEK, ASHLEY M - DDS231 N WEST ST WICHITA KS 67203-1204(316) 945-8367

HUYNH, HIEP T - DDS7570 W 21ST ST N WICHITA KS 67205-1772(316) 721-2024

IFILL, LATOYA J - DDS650 N CARRIAGE PKWY WICHITA KS 67208-4512(316) 686-2721

JACKSON, MATTHEW - DDS9319 E HARRY ST WICHITA KS 67207-7507(316) 683-7081

JANKOWSKI, TIMOTHY E - DDS1131 S CLIFTON AVE WICHITA KS 67218-2955(316) 866-2000

JIMENEZ, ARTHUR S - DDS5331 E 21ST ST WICHITA KS 67208-0000(316) 681-2688

JOHNSON, ANDREW D - DDS2203 SWEETBRIAR ST WICHITA KS 67204-5518(316) 838-1300

JOHNSON, ANDREW D - DDS13121 E 21ST ST N WICHITA KS 67230-0000(316) 630-9500

JOHNSON, ANDREW D - DDS5805 E CENTRAL AVE WICHITA KS 67208-4204(316) 684-8261

KEPLER, JESSICA M - DDS650 N CARRIAGE PKWY WICHITA KS 67208-4512(316) 686-2721

KERN, ALLISON M - DDS1443 N ROCK RD WICHITA KS 67206-0000(316) 295-2830

KHANANI, MADIHA A - DDS1443 N ROCK RD WICHITA KS 67206-1245(316) 295-2830

KIEU, PHILLIP D - DDS5315 E 21ST N WICHITA KS 67208-0000(316) 768-6408

KIEU, DANIEL D - DDS4100 E CENTRAL AVE WICHITA KS 67208-0353(316) 612-0270

KIEU, PHILLIP D - DDS4100 E CENTRAL AVE WICHITA KS 67208-3820(316) 612-0270

KILBANE, GREGORY J - DDS220 N HILLSIDE ST WICHITA KS 67214-4903(316) 440-6400

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Page 29: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

KILBANE, GREGORY J - DDS2860 S SENECA ST WICHITA KS 67217-2865(316) 522-4759

KNEE, EMILY C - DDS1615 E 61ST N WICHITA KS 67219-1965(316) 260-6868

LAHEY, THOMAS F - DDS106 N GLENDALE ST WICHITA KS 67208-0000(316) 682-7710

LAWLOR, DAVID B - DDS219 S HILLSIDE ST WICHITA KS 67211-2128(316) 684-5511

LE, ANGIE NGA - DDS5310 E 21ST ST WICHITA KS 67208-0000(316) 636-5151

LEATHERMAN, LOWEN A - DDS3837 N WOODLAWN WICHITA KS 67220-0000(316) 685-5121

LEATHERMAN, AARON L - DDS3837 N WOODLAWN WICHITA KS 67220-0000(316) 685-5121

LEE, BENJAMIN G - DDS387 N WOODLAWN BLVD WICHITA KS 67208-0000(316) 685-2309

LOEHR, JOAN C - DDS220 N HILLSIDE ST WICHITA KS 67214-4903(316) 440-6400

LUKENS, ADAM F - DDS2814 E CENTRAL AVE WICHITA KS 67214-4707(316) 682-7522

MACY, MELISSA - DDS2860 S SENECA ST WICHITA KS 67217-2865(316) 522-4719

MAI, SU PING - DDS650 N CARRIAGE PKWY WICHITA KS 67208-4512(316) 686-2721

MANUEL, JOHN L - DDS786 N RIDGE RD WICHITA KS 67212-0000(316) 943-2266

MASON, TED O - DDS201 S TOWNE E MALL DR WICHITA KS 67207-1068(316) 685-5321

MASON, TED O - DDS201 S TOWNE EAST MALL DR WICHITA KS 67207-0000(316) 685-5321

MAY, SABINA R - DDS444 N RIDGE RD WICHITA KS 67212-0000(316) 942-5358

MCCLAY, LAURIE S - DDS8833 W MAPLE WICHITA KS 67277-0000(316) 722-7331

MENDOZA, DAVID F - DDS1131 S CLIFTON AVE WICHITA KS 67218-2955(316) 866-2000

MENDOZA, DAVID F - DDS1122 N TOPEKA ST WICHITA KS 67214-0000(316) 866-2000

MENDOZA, DAVID F - DDS3417 S MERIDIAN AVE WICHITA KS 67217-2151(316) 866-2000

METTMAN, ANDREW J - DDS401 N WOODLAWN ST WICHITA KS 67208-0000(316) 686-6001

MICHAEL, DEREK R - DDS650 N CARRIAGE PKWY WICHITA KS 67208-4512(316) 686-2721

MILLIGAN, TED R - DDS8123 E HARRY WICHITA KS 67207-0000(316) 686-3397

MISNER, REBECCA S - DDS1901 W 21ST ST WICHITA KS 67203-2106(316) 832-2838

MISNER, REBECCA S - DDS9300 E 29TH ST WICHITA KS 67226-3007(316) 832-2838

MISNER, REBECCA S - DDS980 S OLIVER ST WICHITA KS 67218-3216(316) 221-3008

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Page 30: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

MOHAMMADI, SASHA A - DDS1431 S BLUFFVIEW DR WICHITA KS 67218-0000(316) 686-7155

MOORE, STEPHEN P - DDS2143 N COLLECTIVE LN WICHITA KS 67206-0000(316) 681-3228

MOORE, STEPHEN P - DDS356 N ROCK RD WICHITA KS 67206-0000(316) 681-3228

NELLOR, LESLEY R - DDS650 N CARRIAGE PKWY WICHITA KS 67208-4512(316) 686-2721

NEUMAN, ANDREW J - DDS232 N SENECA ST WICHITA KS 67203-6023(316) 262-5273

NGUYEN, KIMBERLY G - DDS7520 E HARRY ST WICHITA KS 67207-0000(316) 612-7777

NGUYEN, YEN K - DDS404 S EDGEMOOR ST WICHITA KS 67218-1632(316) 558-3993

NGUYEN, VUONG - DDS1901 W 21ST ST WICHITA KS 67203-2106(316) 832-2838

NGUYEN, VUONG - DDS650 N CARRIAGE PKWY WICHITA KS 67208-4512(316) 686-2721

NGUYEN, VUONG - DDS980 S OLIVER ST WICHITA KS 67218-3216(316) 221-3008

NGUYEN, YEN K - DDS404 S EDGEMOOR ST WICHITA KS 67218-1632(316) 558-3993

OMIDO, GILBERT R - DDS7207 E 21ST ST N WICHITA KS 67207-0000(316) 683-0440

ORTH, BRAD T - DDS3455 W 13TH ST WICHITA KS 67203-0000(316) 943-0247

PAULY, LINDSAY D - DDS1615 E 61ST N WICHITA KS 67219-0000(316) 260-6868

PETERMAN, JENNIFER M - DDS1901 W 21ST ST WICHITA KS 67203-2106(316) 832-2838

PROVENZANO, JOHN R - DDS1515 S CLIFTON AVE WICHITA KS 67218-0000(316) 681-3757

RAISDANA, BEHNAZ - DDS13605 W MAPLE ST WICHITA KS 67235-8759(316) 201-6323

RANDA, LACEY L - DDS1122 N TOPEKA ST WICHITA KS 67214-0000(316) 866-2000

RANDA, LACEY L - DDS3417 S MERIDIAN AVE WICHITA KS 67217-2151(316) 866-2000

REID, COLLIN VC - DDS1901 W 21ST ST WICHITA KS 67203-2106(316) 832-2838

REID, COLLIN VC - DDS980 S OLIVER ST WICHITA KS 67218-3216(316) 221-3008

RENO, MICHAEL C - DDS2135 N RIDGE RD WICHITA KS 67212-1406(316) 722-6060

RENSNER, WARREN R - DDS415 S 119TH ST W WICHITA KS 67235-1816(316) 941-5997

REUSSER, TERRA L - DDS2203 SWEETBRIAR ST WICHITA KS 67204-5518(316) 838-1300

REUSSER, TY M - DDS2203 SWEETBRIAR ST WICHITA KS 67204-5518(316) 838-1300

REUSSER, TERRA L - DDS13121 E 21ST ST N WICHITA KS 67230-0000(316) 630-9500

WICHITA continues in the next page

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Page 31: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

REUSSER, TY M - DDS13121 E 21ST ST N WICHITA KS 67230-0000(316) 630-9500

REUSSER, TY M - DDS5805 E CENTRAL AVE WICHITA KS 67208-4204(316) 684-8261

REUSSER, TERRA L - DDS5805 E CENTRAL AVE WICHITA KS 67208-4204(316) 684-8261

REYNOLDS, WENDY D - DDS410 E 61ST ST N WICHITA KS 67219-0000(316) 744-3004

REZIN, BRITTANY A - DDS650 N CARRIAGE PKWY WICHITA KS 67208-4512(316) 686-2721

ROBERTS, JOHN M - DDS7224 W NORTHWIND WICHITA KS 67205-0000(316) 722-4686

ROBERTSON, MATTHEW E - DDS12611 E 21ST ST N WICHITA KS 67206-0000(316) 742-1506

ROBERTSON, MATTHEW E - DDS10240 W 29TH ST WICHITA KS 67205-7913(316) 252-3075

ROHR, SCOTT E - DDS7570 W 21ST ST N WICHITA KS 67205-1772(316) 721-2024

RUPP, JASMIN L - DDS232 N SENECA ST WICHITA KS 67203-6023(316) 262-5273

SANTUCCI, VINCENT M - DDS1700 N WATERFRONT PRKWY WICHITA KS 67206-0000(316) 636-1980

SCHMIDT, DEBRA K - DDS201 S TOWNE E MALL DR WICHITA KS 67207-1068(316) 685-5321

SCHMIDT, DEBRA K - DDS201 S TOWNE EAST MALL DR WICHITA KS 67207-0000(316) 685-5321

SCHNEIDER, MARK E - DDS9360 E CENTRAL AVE WICHITA KS 67206-0000(316) 687-0777

SHAHZADA, MEHVASH S - DDS1122 N TOPEKA ST WICHITA KS 67214-0000(316) 866-2000

SHAHZADA, MEHVASH S - DDS1131 S CLIFTON AVE WICHITA KS 67218-2955(316) 866-2000

SHAHZADA, MEHVASH S - DDS3417 S MERIDIAN AVE WICHITA KS 67217-2151(316) 866-2000

SHETH, PRATIK - DDS1122 N TOPEKA ST WICHITA KS 67214-0000(316) 866-2000

SHETH, PRATIK - DDS1131 S CLIFTON AVE WICHITA KS 67218-2955(316) 866-2000

SHETH, PRATIK - DDS3417 S MERIDIAN AVE WICHITA KS 67217-2151(316) 866-2000

SICKLES, GARY - DDS171 S MAIZE RD WICHITA KS 67209-3107(316) 721-2010

SMILEY, RYAN N - DDS1901 W 21ST ST WICHITA KS 67203-2106(316) 832-2838

SMILEY, RYAN N - DDS980 S OLIVER ST WICHITA KS 67218-3216(316) 221-3008

SMITH, JEFFREY S - DDS444 N RIDGE RD WICHITA KS 67212-0000(316) 942-5358

SOBBA WORRELL, MICHELLE L - DDS9319 E HARRY ST WICHITA KS 67207-7507(316) 683-7081

SOBBA WORRELL, MICHELLE L - DDS9319 E HARRY ST WICHITA KS 67207-0000(316) 685-0293

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Page 32: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

SULLIVAN, STUART R - DDS6135 E HARRY WICHITA KS 67218-0000(316) 684-1771

SWEET, ROBERT L - DDS401 N WOODLAWN ST WICHITA KS 67208-0000(316) 686-6601

TANAKA, TRAVIS K - DDS2860 S SENECA ST WICHITA KS 67217-2865(316) 522-4759

TODOROV, NED P - DDS9390 E CENTRAL AVE WICHITA KS 67206-0000(316) 686-3140

TORRES, JOHN M - DDS651 COUNTRY ACRES WICHITA KS 67212-0000(316) 729-9292

TROIANI, LENDON K - DDS415 S 119TH ST W WICHITA KS 67235-1816(316) 941-5997

TSAO, DANIEL H - DDS310 N HILLSIDE WICHITA KS 67214-0000(316) 687-6477

TWIETMEYER, STEVEN F - DDS3920 W 31ST ST S WICHITA KS 67217-0000(316) 942-3113

TWIETMEYER, CHARLES D - DDS3920 W 31ST ST S WICHITA KS 67217-0000(316) 942-3113

UNRUH, ARTHUR B - DDS3455 W 13TH ST N WICHITA KS 67203-4593(316) 945-0543

VALENTINE, AMBER M A - DDS1230 N BROADMOOR ST WICHITA KS 67206-3800(316) 630-0002

WAKIM, JOSEPH A - DDS1122 N TOPEKA ST WICHITA KS 67214-0000(316) 866-2000

WAKIM, JOSEPH A - DDS1131 S CLIFTON AVE WICHITA KS 67218-2955(316) 866-2000

WARYA, NAVKIRAN K - DDS650 N CARRIAGE PKWY WICHITA KS 67208-4512(316) 686-2721

WAWRZEWSKI, ELIZABETH V - DDS3455 W 13TH ST N WICHITA KS 67203-0000(316) 943-2341

WHITE, MAXWELL E - DDS2860 S SENECA ST WICHITA KS 67217-2865(316) 522-4759

WHITE, KELSEY M - DDS2143 N COLLECTIVE LN WICHITA KS 67206-0000(316) 260-6566

WILLIAMS, MICHAEL N - DDS10333 E 21ST ST N WICHITA KS 67206-0000(316) 684-1470

WOODRUFF, JON M - DDS2043 N FOUNDERS ST WICHITA KS 67206-0000(316) 684-7531

YAMAZAKI, YASUFUMI - DDS1901 W 21ST ST N WICHITA KS 67203-2106(316) 832-2838

YIP, WILSON C - DDS10240 W 29TH ST WICHITA KS 67205-7913(316) 252-3075

ZIVNUSKA, PHILIP S - DDS2424 N WOODLAWN S-119 WICHITA KS 67220-0000(316) 683-0411

WINFIELDASAY, MARCUS W - DDS107 COLLEGE ST WINFIELD KS 67156-0000(620) 221-9580

BULLEIGH, ADAM L - DDS107 COLLEGE ST WINFIELD KS 67156-0000(620) 221-9580

POLTERA, RONALD L - DDS107 COLLEGE ST WINFIELD KS 67156-0000(320) 221-9580

WINFIELD continues in the next page

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Page 33: Dental Grid (PPO) Provider Directory Effective 01/01/2018dental grid (ppo) provider directory effective 01/01/2018. abilene cooper, lawrence m - dds 1111 brady st abilene ks 67410-0000

Blue Cross and Blue Shield Licensees have made reasonable efforts to ensure that the list of providers displayed is up to date and accurate. Please call the provider before making an appointment to verify that the provider continues to be part of the network. Members should refer to their benefit contract or contact their Plan's Customer Service department to determine if the provider type is covered. Members should also ask Customer Service if the treatment requested from a network provider is covered. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator Web site or receiving care from a provider listed in this Web site.

RICE, ANDREA D - DDS810 MAIN ST WINFIELD KS 67156-0000(621) 221-7737

WATKINS, ANTHONY J - DDS2107 E 12TH AVE WINFIELD KS 67156-0000(620) 229-9779

06/12/2020