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PPO DentalGuard Preferred ® Provider Directory Louisiana September, 2015 The Guardian Life Insurance Company of America, New York, NY 10004. Search Criteria: Parish: Jefferson Languages spoken: No Preference (English) Number of providers in directory: 383

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Page 1: DentalGuard Preferred - JFTHW · Office : Dr J Shedlarski 1808 Franklin Ave (504) 361-1011 Sutherland,Dannon †€ Office : Dannon W Sutherland DMD 307 Gretna Blvd ,#A (504) 361-5367

PPO

DentalGuard Preferred®

Provider DirectoryLouisiana

September, 2015

The Guardian Life Insurance Company of America, New York, NY 10004.

Search Criteria:Parish: JeffersonLanguages spoken: No Preference (English)Number of providers in directory: 383

Page 2: DentalGuard Preferred - JFTHW · Office : Dr J Shedlarski 1808 Franklin Ave (504) 361-1011 Sutherland,Dannon †€ Office : Dannon W Sutherland DMD 307 Gretna Blvd ,#A (504) 361-5367

NETWORK OVERVIEW

GO GREEN!To help reduce the consumption of paper,pleaseaccess dental dentist information from Guardian'sFind a Provider site, via linkson.www.guardianlife.com andwww.GuardianAnytime.com.The site is available24/7 and allows you to search for a dental provideror create a customized provider directory. You canalso find a general dentist or specialist through ourmobile app, Guardian Anytime® Mobile.

QUALITY OF CARE YOU CAN COUNT ONThe DentalGuard Preferred plan allows you andyour family to visit any general dentist or specialistyou choose. DentalGuard Preferred dentists arecontracted based on discounted fees andreimbursement is based on your plan design.DentalGuard Preferred is a large network thatprovides access to participating dentists with greatdiscounts so you can save more. You can also electto see a DentalGuard Plus or a non-participatingdentist using your out-of-network benefits andGuardian's reimbursement is based on a feeschedule or a reasonable and customary amount(also known as "UCR"), depending on your plan.

DENTALGUARD PREFERRED(In-Network Benefits)With the DentalGuard Preferred (PPO) plan, youcan see any dentist you'd like. However, you havemore opportunities to save money when you see aparticipating dentist in the DentalGuard Preferrednetwork.

Guardian's payment to the provider for coveredservices is sent directly to the DentalGuardPreferred dentist.You are responsible for:

• any deductibles • any co-payments • services that are not covered by Guardian • services denied due to the frequency or contractlimitations • cosmetic upgrades

NOTE: The dentist may bill at the time of service forany deductible, co-payment, and/or non-coveredservice(s).

DENTALGUARD PLUS(Out-Of-Network Benefits)DentalGuard Plus dentists are reimbursed based ona discounted fee schedule. Services performed by aDentalGuard Plus dentist are usually paid at thelower, out-of-network coinsurance rate.Guardian's payment to the provider for coveredservices is sent directly to the DentalGuard Plusprovider. You are responsible for: • any deductibles • any co-payments • services that are not covered by Guardian • services denied due to the frequency or contractlimitations • cosmetic upgrades

NOTE: The dentist may bill at the time of service forany deductible, co-payment, and/or non-coveredservice(s).

DENTISTS WHO ARE NOT PARTICIPATING IN THEDentalGuard Preferred NETWORKS(Out-Of-Network Benefits)Services performed by a dentist not contracted inthe DentalGuard Preferred or DentalGuard Plusnetworks dentist are usually paid at a lower, out-of-network coinsurance rate. If a dental specialist isneeded and one is not available in the DentalGuardPreferred or DentalGuard Plus networks, benefitsare usually paid at the out-of-network benefit rate,regardless of a referral from an participating dentist.

Go online! www.GuardianAnytime.comAccess your Guardian benefits information 24 hours a day, 7 days a week

Guardian Anytime is our secure website where you can check benefits and coverage information, checkthe status of a claim, find a provider, print forms, ID cards and more! Registered users can go onlineanytime, anywhere - its available 24 hours a day, 7 days a weekIf you haven't registered yet, it's easy! Go to www.GuardianAnytime.com. You'll be online in minutes!

Page 3: DentalGuard Preferred - JFTHW · Office : Dr J Shedlarski 1808 Franklin Ave (504) 361-1011 Sutherland,Dannon †€ Office : Dannon W Sutherland DMD 307 Gretna Blvd ,#A (504) 361-5367

ENDODONTICS

JEFFERSON

GRETNAAccardo,ChelseaOffice : EndodonticAssociates

250 Meadowcrest St,#200

(504) 391-2324

Bonson,ScottOffice : EndodonticAssociates

250 Meadowcrest St,#200

(504) 391-2324

Dickerson,ArthurOffice : EndodonticAssociates

250 Meadowcrest St,#200

(504) 391-2324

Flint,ThomasOffice : EndodonticAssociates

250 Meadowcrest St,#200

(504) 391-2324

HARVEYDyer,RegineOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

KENNERDyer,RegineOffice : Lakeside DentalCare

2400 Veterans Blvd,#210

(504) 833-3200

METAIRIEAlongi,DominickOffice : NorthlakeEndodontics

3621 Ridgelake Dr,#301

(504) 832-2433

Dyer,Regine † Office : Louisiana DentalCenter

3301 Veterans Blvd,#203

(504) 833-6825

Matherne,RyanOffice : Louisiana DentalCenters

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Vedros,LaurenOffice : NorthlakeEndodontics

3621 Ridgelake Dr,#301

(504) 832-2433

GENERAL DENTISTRY

JEFFERSON

GRETNAAdams,Michael † Office : Michael Adams

307 Gretna Blvd ,#A (504) 361-5367

Arrington,MarthaOffice : BluebonnetDental Care

400 Lapalco Blvd ,#B (504) 392-4384

Barnes,MiaOffice : Kool Smiles

6 Westside ShoppingCtr

(504) 264-5307

Belanger,KennethOffice : K J BelangerDDS and R P Bertu

406 Lafayette St (504) 366-3052

Bergeron,Ronald † Office : Ronald PBergeron DDS

1799 Stumpf Blvd,#3

(504) 367-6135

Bertucci,RonaldOffice : K J BelangerDDS and R P Bertu

406 Lafayette St (504) 366-3052

Burke,Trang † Office : Earl J Rome JrDDS Apdc

2039 Belle ChasseHwy

(225) 767-2731

Champagne,HughOffice : HughChampagne DDS

743 Terry Pkwy (504) 362-8282

Collins,LatedraOffice : Latedra Collins

91 Westbank Expy

Connell,BrianOffice : Connell DentalCare

137 Bellemeade Blvd (504) 392-0221

Do,Kim ChiOffice : Kool Smiles

6 Westside ShoppingCtr

(504) 264-5307

Euksuzian,SarahOffice : Connell DentalCare

137 Bellemeade Blvd (504) 392-0221

Ferrand,Warren † Office : Warren JFerrand DMD

761 Wright Ave (504) 362-5975

Graziano,RobertOffice : Robert Graziano

848 Terry Pkwy (504) 391-0114

Hoang,HungOffice : BluebonnetDental Care-gretna

400 Lapalco Blvd ,#B (504) 392-4384

Hoang,HungOffice : Geaux Smiles

406 Lafayette St (504) 366-3052

Joseph,NiobeOffice : ComprehensiveDental Center

200 Lapalco Blvd (504) 324-8042

Launey,Kurt † Office : Kurt C LauneyDDS

761 Wright Ave (504) 362-5975

Luke,DawnOffice : Kool Smiles

6 Westside ShoppingCtr

(504) 264-5307

Nelson,JamesOffice : BluebonnetDental Care-gretna

400 Lapalco Blvd ,#B (504) 392-4384

Price,Helen † Office : Helen J Price

521 Hamilton St (504) 368-9174

Shedlarski,JosephOffice : Dr J Shedlarski

1808 Franklin Ave (504) 361-1011

Sutherland,Dannon† Office : Dannon WSutherland DMD

307 Gretna Blvd ,#A (504) 361-5367

Tufton,Michael † Office : Peter M TuftonDDS

654 Terry Pkwy (504) 362-5270

Tufton,Peter † Office : Peter M TuftonDDS

654 Terry Pkwy (504) 362-5270

Vu,BoihoangOffice : Dr Natchez JMorice Jr

12 Westbank Expy,#200

(504) 362-1776

HARVEYAbella,CynthiaOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Alvarez,JasonOffice : Todays Dental

1708 Manhattan Blvd,#C

(504) 361-5333

Anzelmo,JosephOffice : Dental Care

4001 Lapalco Blvd (504) 340-2004

Barre,BartonOffice : Barre DentalCare

1545 Lapalco Blvd,#D-5

(504) 367-0355

Boudreaux,NolanOffice : Dental Care

4001 Lapalco Blvd (504) 340-2004

Breaux,JohnnieOffice : Johnnie Breaux

1708 Manhattan Blvd,#D

(504) 263-1514

Cheuk,JuliaOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Cobb,Caroline † Office : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Cossich,DimetryOffice : Todays Dental

1708 Manhattan Blvd,#C

(504) 361-5333

Deville,MarilynOffice : Todays Dental

1708 Manhattan Blvd (504) 361-5333

Deyoung,BrandiOffice : Todays Dental

1708 Manhattan Blvd (504) 361-5333

Dib,RafikOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Dickerson,Christopher † Office : Devereux andNguyen

2800 Manhattan Blvd,#D

(504) 368-7513

Digney,TaroOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Friedt,ThomasOffice : Todays Dental

1708 Manhattan Blvd,#C

(504) 361-5333

Gregson,JeffreyOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Gruezke,FredOffice : Family Dentistry

1705 Lapalco Blvd,#2

(504) 361-3697

Hafford,JoshuaOffice : Louisiana DentalCenter

2840 Manhattan Blvd (985) 893-2240

Ho,AliceOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Huynh,LeeOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Kollenborn,GrantOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Lacoste,JosephOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Le,HoangOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Le,HoangOffice : Hoang Le

3709 Westbank Expy,#1a

(504) 254-4900

Le,Joseph † Office : ManhattanDental Associates Ll

2840 Manhattan Blvd (504) 324-3353

Le,Oanh † Office : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Lewis,GriffithOffice : Todays Dental

1708 Manhattan Blvd,#C

(504) 361-5333

Linskey-Sanders,JeanetteOffice : Dimetry BCossich Cosmetic & F

1708 Manhattan Blvd (504) 361-5333

Mekari,Ammar † Office : Dimetry BCossich Cosmetic & F

1708 Manhattan Blvd,#C

(504) 361-5333

Menendez,Eduardo† Office : EduardoMenendez

2840 Manhattan Blvd (504) 324-3353

Moncada,LuisOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Moore,LindsayOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Nelson,JamesOffice : Todays Dental

1708 Manhattan Blvd,#C

(504) 361-5333

Nelson,JamesOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Nguyen,AngelaOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Nguyen,Phuong † Office : Devereux andNguyen

2800 Manhattan Blvd,#D

(504) 368-7513

Nhan,Ruby Thuy-Hu† Office : Devereux andNguyen

2800 Manhattan Blvd,#D

(504) 368-7513

Noles,Russell † Office : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Pizzaloto,Lloyd † Office : Lloyd Pizzaloto

2840 Manhattan Blvd (504) 324-3353

Primas,JennesiaOffice : ManhattanDental Associates Ll

2840 Manhattan Blvd (504) 324-3353

Rome,JenniferOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Santarufo,LaurenOffice : Todays Dental

1708 Manhattan Blvd (504) 361-5333

Schafer,Russell † Office : Dental Care

4001 Lapalco Blvd (504) 340-2004

PPO-DentalGuard Preferred

Louisiana Member Services 1-800-541-7846

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify the provider’s networkparticipation prior to obtaining treatment.

† Dentist is not directly contracted with Guardian. Dentist participates in the Guardian network through an arrangement with another network ("Partner Network"). Such Dentistsare consequentially not credentialed by Guardian and are subject to the credentialing requirements of the Partner Network, which may be different than the Guardian standards. 1

Page 4: DentalGuard Preferred - JFTHW · Office : Dr J Shedlarski 1808 Franklin Ave (504) 361-1011 Sutherland,Dannon †€ Office : Dannon W Sutherland DMD 307 Gretna Blvd ,#A (504) 361-5367

Smith,Rachelle † Office : Todays Dental

1708 Manhattan Blvd,#C

(504) 361-5333

Strain,GregoryOffice : Gregory S StrainFamily Den

2209 Lapalco Blvd,#B

(504) 368-9545

Ust,Bonnie † Office : ManhattanDental Associates Ll

2840 Manhattan Blvd (504) 324-3353

Zadeh,Mohammad † Office : MohammadZadeh

2840 Manhattan Blvd (504) 324-3353

JEFFERSONJouandot,CharlesOffice : Jefferson DentalCare

3809 Jefferson Hwy (504) 833-2211

Martin,GerardOffice : Gerard J Martin

4027 Jefferson Hwy (504) 833-2594

KENNERAdragna,Michael † Office : Country ClubDental Spa

4134 Florida Ave,#101

(504) 469-6333

Blum,RebeccaOffice : Nola DentalStudio

3645 Williams Blvd,#103

(504) 443-5882

Bourg,Darrell † Office : Country ClubDental Spa

4134 Florida Ave,#101

(504) 469-6333

Brown,Kimberly † Office : Just Kids Dental

2526 Williams Blvd (504) 904-0144

Chen,HuiyingOffice : Lakeside DentalCare

2400 VeteransMemorial Blvd ,#210

(504) 833-3200

Coffman,BenOffice : Ben Coffman

4228 Williams Blvd,#208

(504) 469-3763

Crouch,JamesOffice : James Crouch

231 W EsplanadeAve ,#A

(504) 468-9859

Cummings,StevenOffice : Lakeside DentalCare

2400 VeteransMemorial Blvd ,#210

(504) 833-3200

Dassey,Lani † Office : Just Kids Dental

2526 Williams Blvd (504) 904-0144

Davis,Danielle † Office : Just Kids Dental

2526 Williams Blvd (504) 904-0144

Deville,Marilyn † Office : Country ClubDental Spa

4134 Florida Ave,#101

(504) 469-6333

Ellender,KirkOffice : Kirk Ellender

2110 I-10 Service Rd,#201

(504) 443-3337

Freudenthal,Stephanie † Office : Just Kids Dental

2526 Williams Blvd (504) 904-0144

Friedt,ThomasOffice : Lakeside DentalCare

2400 VeteransMemorial Blvd ,#210

(504) 833-3200

Hoppe,CaryOffice : Country ClubDental Spa

3701 Williams Blvd,#253

(504) 469-1551

Iverstine,CaseyOffice : Nola DentalStudio

3645 Williams Blvd,#103

(504) 443-5882

Johnson-Gray,Tamma † Office : Just Kids Dental

2526 Williams Blvd (504) 904-0144

Kahn,Philip † Office : Philip J KahnDDS

1301 W EsplanadeAve

(504) 467-6453

Landesman,IanOffice : Lakeside DentalCare

2400 Veterans Blvd,#210

(504) 833-3200

Liles Iii,AOffice : EsplanadeDental

1401 W EsplanadeAve ,#816

(504) 467-4555

Linskey-Sanders,Jeanette † Office : Cheng You DDSApdc

2400 Veterans Blvd,#210

(504) 833-3200

Maturin,Erin † Office : Erin Maturin

2526 WilliamsBlvd,Just Kids Dental

(504) 904-0144

Mcinnis,Jacob † Office : Country ClubDental Spa

4134 Florida Ave,#101

(504) 469-6333

Newell,Adele † Office : IntergratedHealthcare Allianc

2526 WilliamsBlvd,Just Kids Dental

(504) 904-0144

Parekh,Shefali † Office : Cheng You DDSApdc

2400 VeteransMemorial Blvd ,#210

(504) 833-3200

Quartano,Adam † Office : Country ClubDental Spa

4134 Florida Ave,#101

(504) 469-6333

Russo,NicoleOffice : James A CrouchDDS

231 W EsplanadeAve ,#A

(504) 468-9859

Russo,WynnOffice : Wynn Russo

2301 Williams Blvd,#D

(504) 467-2333

Shannon,Robin † Office : Country ClubDental Spa

4134 Florida Ave,#101

(504) 469-6333

Sommers,Anne † Office : Just Kids Dental

2526 Williams Blvd (504) 904-0144

Taylor,Hope † Office : Cheng You DDSApdc

2400 VeteransMemorial Blvd ,#210

(504) 833-3200

Tingstrom,JessicaOffice : Nola DentalStudio

3645 Williams Blvd,#103

(504) 443-5882

Troendle,ElizabethOffice : Elizabeth MTroendle

3229 Florida Ave (504) 468-3466

Vu,LienOffice : Lakeside Dental

2400 VeteransMemorial Blvd ,#21

(504) 833-3200

Warner,Shanna † Office : Just Kids Dental

2526 Williams Blvd (504) 904-0144

Williams,CraigOffice : Craig A WilliamsDDS

913 Williams Blvd (504) 469-7576

Yeadon,William † Office : William Yeadon

3645 Williams Blvd,#103

(504) 443-5882

You,ChengOffice : Lakeside DentalCare

2400 VeteransMemorial Blvd ,#210

(504) 833-3200

LAFITTEArdalan,CyrousOffice : Jefferson ChcCenter

5140 Church St (504) 689-3300

Blanche,Mabel † Office : JeffersonCommunity Health Car

5140 Church St (504) 689-3373

Breaux,JohnnieOffice : Rfk LafitteMedical Clinic

5140 Church St (504) 689-3300

Clanton,NajaOffice : Naja Clanton

5140 Church St (504) 689-3300

Nguyen,KimOffice : Jefferson ChcCenter

5140 Church St (504) 689-3300

Ponder,ElizabethOffice : Rfk LafitteMedical

5140 Church St (504) 689-3300

Rayford,KimberlyOffice : Rfk LafitteMedical Clinic

5140 Church St (504) 762-8900

Trotter,VeronicaOffice : Rfk LafitteMedical Clinic

5140 Church St (504) 762-8900

Yenuganti,JeevanOffice : JeevanYenuganti

5140 Church St (504) 689-3300

MARREROAdragna,Mickey † Office : Mickey Adragna

2521 Ames Blvd ,#C (504) 340-9696

Andreotta,Lacey † Office : Lacey Andreotta

7301 Westbank Expy (504) 347-1014

Ardalan,CyrousOffice : Jefferson CommHealth Care Ctr

1855 Ames Blvd ,#B (504) 371-8958

Banquer,JenniferOffice : Jennifer Banquer

7301 Westbank Expy (504) 347-1014

Baudean,Aubrey † Office : Aubrey Baudean

7301 Westbank Expy (504) 347-1014

Bent,KimOffice : Signature SmilesDental

931 Westwood Dr ,#I (504) 340-9207

Bhattarai,SunitiOffice : Healthy Smiles

4940 Lapalco Blvd,#A

(504) 340-9334

Blanche,Mabel † Office : JeffersonCommunity Health Car

1855 Ames Blvd (504) 328-0899

Boudreaux,MichaelOffice : Healthy Smiles

4940 Lapalco Blvd,#A

(504) 340-9334

Bourg,Darrell † Office : Darrell Bourg

2521 Ames Blvd ,#C (504) 340-9696

Breaux,JohnnieOffice : Jefferson ChcCtr

1855 Ames Blvd ,#B (504) 371-8958

Burkhalter,BreahOffice : Healthy Smiles

4940 Lapalco Blvd,#A

(504) 340-9334

Carlisle,WilliamOffice : William Carlisle

2665 Barataria Blvd (504) 348-4232

Clanton,NajaOffice : Naja Clanton

1855 Ames Blvd (504) 371-8958

Deville,Marilyn † Office : Darrell P BourgJr DDS Apdc

2521 Ames Blvd ,#C (504) 340-9696

Do,DiemOffice : Diem Do

5220 Lapalco Blvd (504) 340-9400

Gennaro,JohnOffice : John B GennaroDDS

828 Avenue G St (504) 341-5200

Jackson-Williams,PhyllisOffice : Jefferson CommHealth Care Ctr

1855 Ames Blvd ,#B (504) 347-8377

Jayakrishnan,NinaOffice : Healthy Smiles

4940 Lapalco Blvd,#A

(504) 340-9334

Jordan,KayOffice : Kay Jordan

677 Barataria Blvd (504) 341-3535

Katz,ErinOffice : Signature SmilesDental

931 Westwood Dr ,#I (504) 340-9207

Lacour,Emily † Office : Darrell P BourgJr DDS Apdc

2521 Ames Blvd ,#C (504) 340-9696

Landry,CarrollOffice : Lapalco FamilyDental

5421 Lapalco Blvd,#H

(504) 348-0080

Maurer,Lenore † Office : Lenore Maurer

7301 Westbank Expy (504) 347-1014

Mcinnis,Jacob † Office : Jacob Mcinnis

2521 Ames Blvd ,#C (504) 340-9696

Morice,CharlesOffice : Charles RMorice DDS

7535 Westbank Expy (504) 347-1352

Nguyen,JonathanOffice : Healthy Smiles

4940 Lapalco Blvd,#A

(504) 340-9334

Nguyen,KimOffice : Jefferson CommHealth Care Ctr

1855 Ames Blvd ,#B (504) 347-8377

Nweze,UchennaOffice : Healthy Smiles

4940 Lapalco Blvd,#A

(504) 340-9334

Ponder,ElizabethOffice : Jefferson CommHealth Care Ctr

1855 Ames Blvd ,#B (504) 371-8958

Puckett,WandaOffice : Healthy Smiles

4940 Lapalco Blvd,#A

(504) 340-9334

Quartano,Adam † Office : Darrell P BourgJr DDS Apdc

2521 Ames Blvd ,#C (504) 340-9696

PPO-DentalGuard Preferred

Louisiana Member Services 1-800-541-7846

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify the provider’s networkparticipation prior to obtaining treatment.

† Dentist is not directly contracted with Guardian. Dentist participates in the Guardian network through an arrangement with another network ("Partner Network"). Such Dentistsare consequentially not credentialed by Guardian and are subject to the credentialing requirements of the Partner Network, which may be different than the Guardian standards. 2

Page 5: DentalGuard Preferred - JFTHW · Office : Dr J Shedlarski 1808 Franklin Ave (504) 361-1011 Sutherland,Dannon †€ Office : Dannon W Sutherland DMD 307 Gretna Blvd ,#A (504) 361-5367

Ragas,PaulOffice : Paul H RagasDDS

2100 Barataria Blvd (504) 340-5263

Rayford,KimberlyOffice : Jchcc Marrero

1855 Ames Blvd ,#B (504) 762-8900

Roberts,AnitraOffice : Healthy Smiles

4940 Lapalco Blvd,#A

(504) 340-9334

Schwarz,JorgeOffice : Healthy Smiles

4940 Lapalco Blvd,#A

(504) 340-9334

Taylor,ThomasOffice : Thomas A TaylorDDS

5132 Lapalco Blvd,#1

(504) 347-7470

Tran,Rosemary † Office : Healthy Smiles

4940 Lapalco Blvd,#A

(504) 340-9334

Trotter,VeronicaOffice : Jchcc Marrero

1855 Ames Blvd ,#B (504) 473-8377

Wightman,Mark † Office : Darrell P BourgJr DDS Apdc

2521 Ames Blvd ,#C (504) 340-9696

Yenuganti,JeevanOffice : Healthy Smiles

4940 Lapalco Blvd,#A

(504) 340-9334

Yenuganti,JeevanOffice : JeevanYenuganti

1855 Ames Blvd ,#B (504) 371-8958

METAIRIEAbella,Cynthia † Office : Cynthia Abella

3301 Veterans Blvd,#203

(504) 833-6825

Alvarez,JasonOffice : Oak FamilyDental

1001 N CausewayBlvd

(504) 834-6410

Amos,LakicaOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Ardalan,CyrousOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 833-6825

Babin,RandallOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Babin,StephanieOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Babin,StephenOffice : Stephen Babin

4508 ClearviewPkwy ,#1a

(504) 454-7008

Batt,HarryOffice : Harry Batt

3939 Houma Blvd,#11

(504) 887-3311

Belou,RobertOffice : Robert Belou

4428 Conlin St (504) 888-9408

Billings,Terry † Office : Terry J BillingsDDS Apdc

3101 7th St (504) 832-2222

Brahney,BridgetOffice : Bridget ABrahney DDS

3508 VeteransMemorial Blvd

(504) 888-6860

Brown,Kimberly † Office : Just Kids Dental

4420 Conlin St (504) 883-5558

Cardona,YaliceOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Carter,ErinOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 833-6825

Chen,HuiyingOffice : Lloyd G VanGeffen DDS

5037 VeteransMemorial Blvd ,#

(504) 887-2428

Chowdhary,MohammadOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Collado,Myrna † Office : Myrna L Collado-torres Apdc

3330 Kingman St ,#6 (504) 888-2092

Collins,Kevin † Office : Kevin J CollinsDDS

6619 Airline Dr ,#B (504) 733-0484

Collins,LatedraOffice : Latedra Collins

2222 ClearviewPkwy ,#1

(504) 302-4215

Comeaux,GeorgeOffice : Jene C PonderDDS

2620 Metairie Rd (504) 834-2180

Constantine,PatrickOffice : P J ConstantineDDS A Professi

3000 Kingman St,#212

(504) 557-8810

Cordova,DaisyOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Cowley,StanOffice : Stan P CowleySr

3237 Metairie Rd (504) 831-4895

Cowley,StanOffice : Stan P CowleyJr

3237 Metairie Rd (504) 831-4895

Cummings,StevenOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Dassey,Lani † Office : Just Kids Dental

4420 Conlin St (504) 883-5558

Davenport,DavidOffice : David Davenport

730 VeteransMemorial Blvd ,#B

(584) 708-5095

Davis,Danielle † Office : IntergratedHealthcare Allianc

4420 Conlin St ,#204 (504) 883-5558

Devereux Jr,Jack † Office : Devereux andNguyen

3330 Kingman St ,#1 (504) 207-0314

Dib,RafikOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Dinh,DungOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Do,Kim ChiOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Donnelly,WilliamOffice : Dr Robert J Gaf

1431 VeteransMemorial Blvd

(504) 835-0340

Elnajjar,SaharOffice : Perfect DentalCare

3531 Ridgelake Dr (504) 831-3390

Ereth Barone,ShellyOffice : Shelly ErethBarone

110 VeteransMemorial Blvd,#105a

(504) 832-1164

Fabre,KeithOffice : Keith Fabre

3133 Edenborn Ave,#3

(504) 455-5864

Faust,JacquelineOffice : Jacqueline RFaust DDS

3008 20th St ,#H (504) 834-1993

Figueroa,JoseOffice : Jose Figueroa

1000 VeteransMemorial Blvd ,#302

(504) 831-7339

Franck,JohnOffice : John Franck

4432 Conlin St ,#1b (504) 888-1304

Franklin,AshleeOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Freudenthal,Stephanie † Office : Just Kids Dental

4420 Conlin St (504) 883-5558

Fugetta,TerryOffice : Terry Fugetta

4508 ClearviewPkwy ,#1a

(504) 454-7008

Gaffney,Robert † Office : Robert J GaffneDDS Apdc

1431 VeteransMemorial Blvd

(504) 835-0340

Gallagher,MichaelOffice : Michael WGallagher DDS

4440 Chastant St ,#A (504) 887-0181

Gallagher,RichardOffice : Richard TGallagher DDS Apdc

4440 Chastant St ,#A (504) 887-0181

Ganucheau,Byron † Office : Edmond JGanucheau Jr DDSApdc

2825 Houma Blvd (504) 887-3121

Ganucheau,Edmond† Office : GanucheauDental Group

2825 Houma Blvd (504) 887-3121

Ganucheau,Paul † Office : Edmond JGanucheau Jr DDSApdc

2825 Houma Blvd (504) 887-3121

Glaviano,GaryOffice : Gary A GlavianoDDS

4400 Trenton St ,#J (504) 885-9599

Gold,JonathanOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Hall,Billy † Office : Just Kids Dental

4420 Conlin St (504) 883-5558

Hamdan,SamirOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Harhad,LyndaOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Hernandez,GabrielOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 833-6825

Ho,Alice † Office : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Holloway,MckenzieOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Hunn,NicoleOffice : Gregory StrainFam Dentistry

3108 W EsplanadeAve

(504) 838-8118

Huynh,LeeOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Igoe,PeterOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Jackson-Williams,PhyllisOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Johnson-Gray,Tamma † Office : Just Kids Dental

4420 Conlin St (504) 883-5558

Kearns,ThomasOffice : Thomas SKearns DDS

3801 Houma Blvd,#101

(504) 454-1893

Khan,KhaliqOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Kollenborn,GrantOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Lacoste,JosephOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Le,Jo † Office : Lakeside DentalAssoc

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Le,Oanh † Office : Louisiana DentalCenter

3301 Veterans Blvd,#203

(504) 833-6825

Lebon,BrianOffice : Brian Lebon

4432 Chastant St (504) 455-5316

Lonergan,PatrickOffice : Patrick MLonergan DDS

3330 Kingman St ,#5 (504) 887-1700

Martin,ChaseOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Martin,ChaseOffice : South RnageDental

730 VeteransMemorial Blvd ,#B

(584) 708-5095

Maturin,Erin † Office : Erin Maturin

4420 Conlin St,JustKids Dental

(504) 883-5558

Maurer,Lenore † Office : Just Kids Dental

4420 Conlin St (504) 883-5558

Mccombs,Michael † Office : MichaelMccombs

3237 Metairie Rd (504) 831-8233

Mccoy,ThomasOffice : Thomas Mccoy

4432 Conlin St ,#1b (504) 889-1209

Mckey,Briggs † Office : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Mekari,AmmarOffice : Mekari LaserDentistry

3939 Houma Blvd,#219

(504) 888-1414

Melton,KirkOffice : Kirk Melton

4224 Houma Blvd,#320

(504) 456-5103

PPO-DentalGuard Preferred

Louisiana Member Services 1-800-541-7846

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify the provider’s networkparticipation prior to obtaining treatment.

† Dentist is not directly contracted with Guardian. Dentist participates in the Guardian network through an arrangement with another network ("Partner Network"). Such Dentistsare consequentially not credentialed by Guardian and are subject to the credentialing requirements of the Partner Network, which may be different than the Guardian standards. 3

Page 6: DentalGuard Preferred - JFTHW · Office : Dr J Shedlarski 1808 Franklin Ave (504) 361-1011 Sutherland,Dannon †€ Office : Dannon W Sutherland DMD 307 Gretna Blvd ,#A (504) 361-5367

Menendez,Eduardo† Office : EduardoMenendez

3301 Veterans Blvd,#203

(504) 833-6825

Moore,LindsayOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Moran,MichaelOffice : Michael J MoranDDS

5037 VeteransMemorial Blvd ,#1b

(504) 456-2667

Morgan,WOffice : W Morgan

3100 Kingman St,#100

(504) 780-7006

Murphy,Thomas † Office : Metairie DentalCentre

1304 ClearviewPkwy

(504) 455-4660

Najolia,RaymondOffice : Raymond FNajolia DDS

3939 Houma Blvd,#226

(504) 887-7281

Nass,JaredOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Nelson,JamesOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Newell,Adele † Office : Adele Newell

4420 Conlin St,JustKids Dental

(504) 883-5558

Nguyen,AngelaOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Nguyen,QuynhOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Nguyen,ThaiOffice : Oak FamilyDental

1001 N CausewayBlvd

(504) 834-6410

Nhan,Ruby Thuy-Hu† Office : Devereux andNguyen

3330 Kingman St ,#1 (504) 207-0314

Noles,RussellOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Patterson,MargaretOffice : Oak FamilyDental

1001 N CausewayBlvd

(504) 834-6410

Patterson,TroyOffice : Troy L PattersonDDS

1001 N CausewayBlvd

(504) 834-6410

Picou,JOffice : Picou FamilyDentistry

3414 Hessmer Ave,#201

(504) 454-0067

Picou,StephanieOffice : Picou FamilyDentistry

3414 Hessmer Ave,#201

(504) 454-0067

Pizzaloto,Lloyd † Office : Lloyd Pizzaloto

3301 Veterans Blvd,#203

(504) 833-6825

Poissenot,Paul † Office : Troy L PattersonDDS

1001 N CausewayBlvd

(504) 834-6410

Ponder,JeneOffice : George TComeaux Jr DDS

2620 Metairie Rd (504) 834-2180

Primas,JennesiaOffice : Lakeside DentalAssociates

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Prokopets,EugeniaOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Quartano,Adam † Office : Metarie DentalCenter

1304 ClearviewPkwy

(504) 455-4660

Raphael,ClaireOffice : David C RaphaelDDS

4432 Conlin St ,#1a (504) 888-9204

Raphael,DOffice : D Raphael

4432 Conlin St ,#1a (504) 888-9204

Rocke,Paul † Office : Front RangeOrthodontic

3850 N CausewayBlvd ,#800

(303) 730-7002

Roy,SusanOffice : Susan D Roy

2721 Athania Pkwy (504) 834-3714

Russo,Dennis † Office : Dennis A RussoDDS

5037 VeteransMemorial Blvd ,#3a

(504) 455-6828

Russo,Dennis † Office : Dennis Russo

4801 Cleary Ave (504) 481-4938

Schafer,RussellOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Simone,JosephOffice : Joseph Simone

4420 Conlin St ,#204 (504) 456-0984

Sommers,Anne † Office : Just Kids Dental

4420 Conlin St (504) 883-5558

Steeg,CjOffice : Clarence JSteeg Jr DDS

4440 Chastant St ,#A (504) 888-7607

Strain,GregoryOffice : Gregory S StrainFamily Den

3108 W EsplanadeAve

(504) 838-8118

Summers,Patricia † Office : Patricia GSummers DDS

5928 W Metairie Ave,#2

(504) 734-9009

Swan,TimothyOffice : Timothy Swan

2626 N Arnoult Rd,#110

(504) 324-4952

Tom,Melissa † Office : Metairie DentalCentre

1304 ClearviewPkwy

(504) 455-4660

Tran,RosemaryOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Trentacoste,AnthonyOffice : CausewayDental Care

900 N CausewayBlvd

(504) 835-8741

Trotter,Veronica † Office : Veronica Trotter

3301 VeteransMemorial Blvd ,#203

Ursick,WilliamOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Van Geffen,LloydOffice : Lloyd G VanGeffen DDS

5037 VeteransMemorial Blvd ,#

(504) 887-2428

Walker,Ryan † Office : Lakeside DentalAssoc

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Warner,Shanna † Office : Just Kids Dental

4420 Conlin St (504) 883-5558

Wells,GeorgeOffice : G Patrick WellsJr DDS

3521 N Arnoult Rd,#B

(504) 888-1833

Wu,JustinOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Yuratich,DonaldOffice : Donald Yuratich

2708 David Dr (504) 888-8110

Zadeh,MohammadOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

NEW ORLEANSBergeron,Shannon † Office : Shannon RBergeron

8384 Jefferson Hwy,#4

(504) 738-9900

Blanche,Mabel † Office : JeffersonCommunity Health Car

11312 Jefferson Hwy (504) 328-0899

Clanton,NajaOffice : Jefferson ChcCtrs

11312 Jefferson Hwy (504) 463-5999

Gerstner,DannyOffice : Danny JGerstner

5622 Jefferson Hwy (504) 733-7218

Trotter,VeronicaOffice : Jchcc RiverRidge

11312 Jefferson Hwy (504) 463-5999

RIVER RIDGEArdalan,CyrousOffice : Jefferson CommHealth Care Ctr

11312 Jefferson Hwy (504) 463-3002

Breaux,JohnnieOffice : Jefferson ChcCenters

11312 Jefferson Hwy (504) 463-5999

Burns,JamesOffice : River RidgeDental

9523 Jefferson Hwy (504) 738-7246

Jackson-Williams,PhyllisOffice : Jefferson CommHealth Comm Ctr

11312 Jefferson Hwy (504) 463-5999

Nguyen,KimOffice : Jefferson CommHealth Care Ctr

11312 Jefferson Hwy (504) 463-5999

Ponder,ElizabethOffice : Jefferson CommHealth Care Ctr

11312 Jefferson Hwy (504) 463-3002

Rayford,KimberlyOffice : Jchcc RiverRidge

11312 Jefferson Hwy (504) 463-5999

Yenuganti,JeevanOffice : JeevanYenuganti

11372 Jefferson Hwy (504) 463-5999

WESTWEGOArdalan,CyrousOffice : Jefferson ChcCenters

3932 US-90 (504) 436-2223

Blanche,Mabel † Office : JeffersonCommunity Health Car

3932 US-90 (504) 436-2223

Breaux,JohnnieOffice : Jefferson ChcCtr

3932 US-90 (504) 436-2223

Clanton,NajaOffice : Naja Clanton

3932 US-90 (504) 436-2223

Nguyen,KimOffice : Jefferson ChcCenters

3932 US-90 (504) 436-2223

Ponder,Elizabeth † Office : Jefferson ChcCenter

3932 US-90 (504) 436-2223

Rayford,KimberlyOffice : Jefferson ChcCenter

3932 US-90 (504) 436-2223

Rayford,KimberlyOffice : Jchcc Avondale

4028 US-90 ,# (504) 437-8500

Trotter,VeronicaOffice : Jefferson ChcCenter

3932 US-90 (504) 436-2223

Trotter,VeronicaOffice : Jchcc Avondale

4028 US-90 ,# (504) 437-8500

Yenuganti,JeevanOffice : JeevanYenuganti

3932 US-90 (504) 436-2223

ORAL SURGERY

JEFFERSON

HARVEYDickerson,Christopher † Office : Devereux andNguyen

2800 Manhattan Blvd,#D

(504) 368-7513

Dongieux,JeffreyOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

KENNERDongieux,JeffreyOffice : Jeffrey Dongieux

1900 W EsplanadeAve ,#101

(504) 468-8300

Kreller,Skelly † Office : Skelly Kreller

1401 W EsplanadeAve ,#816

(504) 467-4555

MARREROHarris,DanielOffice : AnthonyIndovina DDS

5132 Lapalco Blvd,#1

(504) 347-7470

PPO-DentalGuard Preferred

Louisiana Member Services 1-800-541-7846

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify the provider’s networkparticipation prior to obtaining treatment.

† Dentist is not directly contracted with Guardian. Dentist participates in the Guardian network through an arrangement with another network ("Partner Network"). Such Dentistsare consequentially not credentialed by Guardian and are subject to the credentialing requirements of the Partner Network, which may be different than the Guardian standards. 4

Page 7: DentalGuard Preferred - JFTHW · Office : Dr J Shedlarski 1808 Franklin Ave (504) 361-1011 Sutherland,Dannon †€ Office : Dannon W Sutherland DMD 307 Gretna Blvd ,#A (504) 361-5367

Indovina,AnthonyOffice : AnthonyIndovina Apdc

5132 Lapalco Blvd,#2

(504) 340-2401

METAIRIEAdams,ThomasOffice : Oral Surgery

4224 Houma Blvd,#224

(504) 454-4224

Harris,DanielOffice : Oral &Maxillofacial Surgical

4224 Houma Blvd,#670

(504) 456-5033

Indovina,AnthonyOffice : Gregory S StrainFamily Den

3108 W EsplanadeAve

(504) 838-8118

Jackson,WalterOffice : Walter CJackson DDS

4051 VeteransMemorial Blvd ,#200

(504) 455-7161

Lane,RobertOffice : Southern OralSurgery

4224 Houma Blvd,#230

(504) 454-4515

Mathurin,WilliamOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Silvia,CharlesOffice : Charles Silvia

4224 Houma Blvd,#230

(504) 454-4515

ORTHODONTICS

JEFFERSON

GRETNAAsercion,JosephOffice : Joseph Asercion

2112 Belle ChasseHwy ,#12

(504) 392-3000

Jones,JoshuaOffice : Joshua J JonesDDS

305 Gretna Blvd ,#A (504) 368-8152

HARVEYAsercion,JosephOffice : Todays Dental

1708 Manhattan Blvd,#C

(504) 361-5333

Devereux,Jack † Office : Devereux andNguyen

2800 Manhattan Blvd,#D

(504) 368-7513

Miyai,Aaron † Office : Devereux andNguyen

2800 Manhattan Blvd,#D

(504) 368-7513

Nguyen,Phuong † Office : Devereux andNguyen

2800 Manhattan Blvd,#D

(504) 368-7513

Nhan,Ruby Thuy-Hu† Office : Devereux andNguyen

2800 Manhattan Blvd,#D

(504) 368-7513

Poyadou,TimothyOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

Watzke,Robert † Office : Robert Watzke

1929 Jutland Dr (504) 341-0970

Zadeh,Mohammad † Office : MohammadZadeh

2840 Manhattan Blvd (504) 324-3353

KENNERDevereux,Jack † Office : Devereux andNguyen

1401 W EsplanadeAve ,#816

(504) 467-4555

Miyai,Aaron † Office : Devereux andNguyen

1401 W EsplanadeAve ,#816

(504) 467-4555

Scaffidi,DavidOffice : David V ScaffidiDDS

527 W EsplanadeAve ,#101

(504) 468-6200

METAIRIECharbonnet,ClaytonOffice : Dr Linda CaoPed Dentistry

5036 Yale St ,#301 (504) 456-7874

Charbonnet,Clayton† Office : ClaytonCharbonnet

3501 Severn Ave,#3d

(504) 455-7874

Devereux Jr,Jack † Office : Devereux andNguyen

3330 Kingman St ,#1 (504) 207-0314

Dongieux,GeneOffice : Gene DongieuxDDS Ms

3501 Severn Ave,#3d

(504) 835-2273

Duvernay,Brian † Office : Devereux andNguyen

3330 Kingman St ,#1 (504) 207-0314

Iennusa,JohnOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Jones,JoshuaOffice : Joshua J JonesDDS

2727 Houma Blvd,#B

(504) 454-0864

Khullar,ReenaOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Miyai,Aaron † Office : Devereux andNguyen

3330 Kingman St ,#1 (504) 207-0314

Nhan,Ruby Thuy-Hu† Office : Devereux andNguyen

3330 Kingman St ,#1 (504) 207-0314

Olivier,Brian † Office : OlivierOrthodontics

4408 Trenton St ,#C (504) 218-7300

Suter,Scott † Office : Front RangeOrthodontic Spec

3850 N CausewayBlvd ,#800

(719) 550-0222

Zadeh,MohammadOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

NEW ORLEANSEvans,RhondaOffice : EvansOrthodontics

5700 Citrus Blvd ,#C (504) 301-3413

PEDIATRIC DENTISTRY

JEFFERSON

HARVEYCao,LindaOffice : Smile BrightPedo Dental Care

2800 Manhattan Blvd,#D

(504) 368-7513

KENNERNewell,Adele † Office : IntergratedHealthcare Allianc

2526 WilliamsBlvd,Just Kids Dental

(504) 904-0144

METAIRIEBurns,NathanOffice : Nathan A BurnsDMD Apdc

5036 Yale St ,#302 (504) 455-2213

Cao,LindaOffice : Smile BrightPedo Dental Care

3330 Kingman St ,#1 (504) 207-0314

Curran,RonaldOffice : Nathan A BurnsDMD Apdc

5036 Yale St ,#302 (504) 455-2213

Garrett,LaceyOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

Hemphill,ChrishelleOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Jones,BrigetteOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Maturin,ErinOffice : Kool Smiles

2222 ClearviewPkwy ,#1

(504) 302-4215

Parker,JasonOffice : Pediatric DentistApoc

2201 VeteransMemorial Blvd ,#411

(504) 831-2120

PERIODONTICS

JEFFERSON

HARVEYMoncada,LuisOffice : Louisiana DentalCenter

2840 Manhattan Blvd (504) 324-3353

KENNERDuboue,JaclynOffice : Laketown Dental

4134 Florida Ave,#101

(504) 218-4444

Islam,MahrufaOffice : Cheng You DDSApdc

2400 Veterans Blvd,#210

(504) 833-3200

O'brien,WilliamOffice : Lakeside DentalCare

2400 VeteransMemorial Blvd ,#210

(504) 833-3200

METAIRIEHaik,PhilipOffice : Philip Haik

4324 VeteransMemorial Blvd ,#203

(504) 888-2483

Snitzer,JeffreyOffice : Louisiana DentalCenter

3301 VeteransMemorial Blvd ,#203

(504) 887-6453

PROSTHODONTICS

JEFFERSON

METAIRIEDonaire,Paola † Office : Metarie DentalCenter

1304 ClearviewPkwy

(504) 454-4660

RIVER RIDGECole,Kellene † Office : Kellene Cole

9541 Jefferson Hwy (504) 738-1567

PPO-DentalGuard Preferred

Louisiana Member Services 1-800-541-7846

* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify the provider’s networkparticipation prior to obtaining treatment.

† Dentist is not directly contracted with Guardian. Dentist participates in the Guardian network through an arrangement with another network ("Partner Network"). Such Dentistsare consequentially not credentialed by Guardian and are subject to the credentialing requirements of the Partner Network, which may be different than the Guardian standards. 5

Page 8: DentalGuard Preferred - JFTHW · Office : Dr J Shedlarski 1808 Franklin Ave (504) 361-1011 Sutherland,Dannon †€ Office : Dannon W Sutherland DMD 307 Gretna Blvd ,#A (504) 361-5367

DentalGuard Preferred Dentist Nomination FormI would like to nominate my dentist for inclusion in the DentalGuard Preferred ProviderNetwork.I understand that DentalGuard Preferred/Guardian retains final authority forapproving membership in the network. I also understand that DentalGuard Preferred/Guardian may use my name when contacting my dentist and inform them of my desire forthem to join the network. You can also nominate online at www.GuardianLife.com.

NOTE: This form does not serve as an enrollment form for dental coverage or toregister with the dental office as a patient.

DATE:_____________ Group Plan #:_____________________

MEMBER INFO:

Employer: _____________________________________________________________

Patient: _______________________________________________________________

Address: ______________________________________________________________

City/State/Zip: __________________________________________________________

Phone: ___________________________ Fax:_________________________________

E-mail: ________________________________________________________________

DENTIST INFO:

Name: ________________________________________________________________

Address: ______________________________________________________________

City/State/Zip: __________________________________________________________

Phone: ________________________________________________________________

Specialty: ______________________________________________________________

E-mail: ________________________________________________________________

Please submit completed form to: GuardianDentalGuard PreferredAttn: Network ManagementP.O. Box 2465Spokane, WA 99210-9817

Fax: 509-468-6550

Online at www.GuardianLife.com

Page 9: DentalGuard Preferred - JFTHW · Office : Dr J Shedlarski 1808 Franklin Ave (504) 361-1011 Sutherland,Dannon †€ Office : Dannon W Sutherland DMD 307 Gretna Blvd ,#A (504) 361-5367
Page 10: DentalGuard Preferred - JFTHW · Office : Dr J Shedlarski 1808 Franklin Ave (504) 361-1011 Sutherland,Dannon †€ Office : Dannon W Sutherland DMD 307 Gretna Blvd ,#A (504) 361-5367

www.GuardianLife.com