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RESPONSE - RFP - 7054 BENEFITS DENTAL (2)
GROUP DENTAL PROPOSAL FOR: City of /`F`�ort Collins ' ` �Ptrthas�g Effective Date: January 1, 2010 Proposal Prepared and Presented by: Barbara Kelty Senior Account Manager Delta Dental of Colorado 4582 South Ulster Street, Suite 800 Denver, Colorado 80237 Phone: 303-889-8642 Email: bkelty@,ddpco.com • • City of Fort Collins August 13, 2009 Questionnaire Response • 0 Denver Colorado COLORADO (CONT-D) MANIATIS, PETER, DDS David P Micklin DDS 2601 E 3rd Ave Denver, CO 80206 (303) 399-1650 MANKIN, JULIE, DDS Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303)937-7511 Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303)331-6511 MARDIS, DONALD, DDS Comfort Dental East Colfax 5200 E Colfax Ave Denver, CO 80220 (303)377-3876 MARLOWE, MARK, DDS Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303)331-6511 MARSCHNER, THOMAS, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303) 455-2273 MARTINEZ, LYDA, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303) 455-2273 MARTINEZ, MARIO, DDS Comfort Dental South Denver 3488 S Willow St Denver, CO 80231 (303)338-8181 MATA,DUANE,DDS 7150 E Hampden Ave Ste 104 Denver, CO 80224 (303)758-9511 MCAULIFFE, KEVIN, DDS 5150 E Yale Cir Ste 101 Denver, CO 80222 (303)758-3284 MCINTOSH-AULT, KAREEN, DDS 495 Uinta Way Ste 200 Denver, CO 80230 (303)366-4700 MCVEIGH, ADAM 325 S Teller Saint Ste 290 Denver, CO 80226 (303)935-3574 MICKLIN, DAVID, DDS 2601 E 3rd Ave Denver, CO 80206 (303)399-1650 MONCAYO, SANTIAGO, DDS Comfort Dental East Colfax 5200 E Colfax Ave Denver, CO 80220 (303)377-3876 Delta Dental PPO MONROE, KELLY, DDS Dayton Dental 2020 S Parker Rd Unit F Denver, CO 80231 (303) 752-2777 MONTANEZ, MARIO, DDS Adventure Dental of Denver 1407 W 84th Ave Ste 65-8 Denver, CO 80260 (719) 576-1850 MONTANO, MELISSA, DDS Adventure Dental of Denver 1407 W 84th Ave Ste B5-8 Denver, CO 80260 (719) 576-1850 MONTANO, RONALD, DDS Adventure Dental of Denver 1407 W 84th Ave Ste 65-8 Denver, CO 80260 (719) 576-1850 MULHERAN, THOMAS, DDS Bright Now Dental 1955 Arapahoe St Ste A Denver, CO 80202 (303) 296-0888 Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303) 321-1181 MUSANJE,LAWRENCE Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 NARANJA, ANTHONY Creekside Smiles 155 Cook St Ste 141 Denver, CO 80206 (303)329-0505 NASSIMBENE, BRADLEY, DDS 425 S Cherry St Ste 700 Denver, CO 80246 (303)322-8600 NGUYEN, LAN, DDS South Federal Dentistry 805 S Federal Blvd Denver, CO 80219 (303)935-2353 NGUYEN,QUYNH Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 NISHIMURA, ROGER, DDS 3300 E 1 st Ave Ste 300 Denver, CO 80206 (303) 399-0400 OBANA DELA PAZ, CARMELIZA, DDS Perfect Teeth Leetsdale PC 7150 Leetsdale Dr Unit 110A Denver, CO 80224 (303) 321-1700 PAINT, WILLIAM, DDS 1164 Speer Blvd Denver, CO 80204 (303) 246-0100 PARE, HENRI, DDS 1660 S Albion St Ste 611 Denver, CO 80222 (303)782-0633 PENK,STUART,DDS 2005 Franklin St Denver, CO 80205 (303)832-8586 PERRY,STEPHEN,DDS Colorado Dental Health Care Spec 1600 Stout St Ste 600 Denver, CO 80202 (303) 592-1133 Dazante Dental Group 2005 Franklin St Ste 590 Denver, CO 80205 (303)832-8655 Colorado Dental Health Care Spec 5031 S Ulster St Ste 100 Denver, CO 80237 (303)779-8587 PFALZGRAF, JOHN, DDS Cherry Hills Dntl Associates PC 4800 Happy Canyon Rd Ste 140 Denver, CO 80237 (303)757-8446 QUANDT, JOHN, DDS 155 Cook St Ste 201 Denver, CO 80206 (303)320-0734 RAY, JASON, DDS PC Hampden Family Dental 7090 E Hampden Ave Denver, CO 80224 (303)906-5138 REDFORD, DAVID, DDS University Dental Arts PC 910 16th St Ste 700 Denver, CO 80202 (303)534-7797 REIN, GARY, DDS 155 Cook St Ste 251 Denver, CO 80206 (303)321-4805 REVOIR, JEFFREY, DDS Artistic and Family Dental Center 3540 S Poplar St Ste 301 Denver, CO 80237 (303)758-2980 RICE, DONALD, DDS 7701 E 1st PI Ste B Denver, CO 80230 (303)399-4444 RINALDI, TODD, DDS 8751 E Hampden Ave Ste A6 Denver, CO 80231 (303)399-4350 ROBBINS, BRADEN, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303)455-2273 ROBERTS, DALE, DDS 1600 Stout St Ste 600 Denver, CO 80202 (303)592-1133 Denver Colorado RODGERS, JAMES, DDS 240 Saint Paul St Ste 206 Denver, CO 80206 (303)333-1844 ROTOLO,GARY,DDS Comfort Dental East Colfax 5200 E Colfax Ave Denver, CO 80220 (303)377-3876 ROTWEIN, PAMELA, DDS Pamela Rotwein DDS 155 Cook St Ste 221 Denver, CO 80206 (303)377-0699 ROWAN, MATTHEW, DDS Comfort Dental South Denver. 3488 S Willow St Denver, CO 80231 (303)338-8181 SADDLER, GARY, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303) 455-2273 SADLER, NORRIS, DDS DMD 3025 W 38th Ave Denver, CO, 80211 (303) 458-7051 SAKAMAKI, CARL, DDS 2480 W 26th Ave Ste 320B Denver, CO 80211 (303)477-4075 SANCHEZ, PORFORIO, DDS South Federal Dental Group PC 2345 S Federal Blvd Ste 165 Denver, CO 80219 (303)934-0232 SANDERSON, STUART, DDS 5220 W Evans Ave Denver, CO 80227 (303)989-1970 SANKARANARAYANAN, SRIVALLI Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303)937-7511 SANKARANARAYANAN, SRIVALLI, DDS Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 SCHNEIDER, DEBRA, DDS 695 S Colorado Blvd Ste 320 Denver, CO 80246 (303) 996-2963 SCHWAB, MICHAEL, DDS DMD Cherry Hills Dntl Associates PC 4800 Happy Canyon Rd Ste 140 Denver, CO 80237 (303)757-8446 SCHWARTZ, MARC, DDS 965 S Colorado Blvd Ste 101 Denver, CO 80246 (303)698-0476 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 17 Denver Delta Dental PPO Denver Colorado Colorado COLORADO (CONT-D) SCHWARTZENBERGER, DANIELLE 1540 S Holly St Unit 2 Denver, CO 80222 (303)757-5885 SCHWERDT,JANNE,DDS 240 Saint Paul St Ste 206 Denver, CO 80206 (303)333-1844 SEYMOUR, BRITTANY, DDS Lodo Dental PC 1435 Wazee St Ste 102 Denver, CO 80202 (303) 623-5636 SNIEGOWSKI, THOMAS, DDS 7475 Dakin St Ste 309 Denver, CO 80221 (303) 429-2727 SPEER, JENNIFER, DDS DMD Comfort Dental South Denver 3488 S Willow St Denver, CO 80231 (303)338-8181 STODDARD, DENNIS, DDS Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303) 937-7511 Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303)331-6511 SVOBODA, BRIAN, DDS Glendale Dental Group PC 4521 E Virginia Ave Denver, CO 80246 (303)388-5501 SWAIN, THOMAS, DDS 4th Avenue Family Dentistry LLC 390 University Blvd Denver, CO 80206 (303)333-0771 TAPPAN,MAJOR,DDS Dental Access Centers 3216 High St Denver, CO 80205 (303) 996-4811 TARGOS, NED, DDS Perfect Teeth Speer PC 700 E Speer Blvd Denver, CO 80203 (303) 733-1010 TERADA, JENNIFER, DDS 825 E 18th Ave Denver, CO 80218 (303)839-1356 THAI, MINH, DDS Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 THERIOT, ROY, DDS Affordable Dental Care 677 S Federal Blvd Denver, CO 80219 (303) 936-6188 TIAO, KATIE Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 TRAN,HUNG,DDS 1013 S Federal Blvd Denver, CO 80219 (303) 935-0496 TSUMURA, KURT, DDS Midtown Dental 1800 Vine St Denver, CO 80206 (303)377-2345 UNRATH, ROBERT, DDS DMD Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303) 455-2273 VAIRIN, CHRISTOPHER, DDS 325 S Teller Saint Ste 280 Denver, CO 80226 (303) 989-4444 VALUCK,PAUL,DDS 6825 E Tennessee Ave Ste 515 Denver, CO 80224 (303) 331-1650 VENUTO, NICK, DDS Perfect Teeth Central Denver 1633 Fillmore St Ste 200 Denver, CO 80206 (303) 377-4747 Perfect Teeth Green Valley Ranch 18607 Green Valley Ranch Blvd Unit 104 Denver, CO 80249 (303) 576-6884 VIGIL, GILBERT, DDS PC 3190 W 34th Ave Denver, CO 80211 (303) 458-3838 VILNER, LEON, DDS Accord Dental Prof LLC 2121 S Oneida St Ste 321 Denver, CO 80224 (303)796-8767 WACHUTA, TIMOTHY, DDS 2709 S Colorado Blvd Denver, CO 80222 (303)756-2770 WELCH, CHAD, DDS SE Denver Dental Associates PC 2660 S Monaco Pkwy Ste A Denver, CO 80222 (303)757-7175 WHERLEY, DANIEL, DDS 3865 Cherry Creek North Dr Ste 300 Denver, CO 80209 (303) 388-5599 WHITE, KELLY, DDS PC Auraria Dental Centre 1050 W Colfax Ave Ste G Denver, CO 80204 (303)573-5533 WILK, STEVEN, DDS PC Artistic and Family Dental Center 3540 S Poplar St Ste 301 Denver, CO 80237 (303) 758-2980 WILLIAMSON, CHADWICK, DDS Primary Dentistry For Children 5801 W 44th Ave Unit C Denver, CO 80212 (303) 433-1239 YAHNIAN, LAWRENCE, DDS Dental Health at 16th Street Mal 1600 Stout St Ste 600 Denver, CO 80202 (303)592-1133 YOUNG, MATTHEW Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 ORAL SURGEON BOTTENBLEY, CECIL, DDS MD DMD 1776 Lincoln St Ste 820 Denver, CO 80203 (303) 839-5639 HARPER,CLAYTON,DDS Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303) 321-1181 MCMUNN, WILLIAM, DDS MD Perfect Teeth Monaco and Evans PC 2223 S Monaco Pkwy Unit F Denver, CO 80222 (303) 639-3279 Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303) 988-3319 MCMUNN, WILLIAM, DDS MD DMD Colorado Dental Health Care Spec 5031 S Ulster St Ste 100 Denver, CO 80237 (303)779-8587 MITZ, RICHARD, DDS Colorado Oral Surgery Center 965 S Colorado Blvd Ste 205 Denver, CO 80246 (303)744-1369 SEDHOM, ASHRAF, DDS MD DMD Santa Fe Oral Surgery Center 2210 S Federal Blvd Unit 1 Denver, CO 80219 (303)936-5922 SIPARSKY, MARTIN, DDS DMD 155 Cook St Ste 241 Denver, CO 80206 (303) 321-3720 STEARNS, JEFFREY, DDS MD DMD PC 7475 Dakin St Ste 643 Denver, CO 80221 (303)429-4800 STEH, DENNIS, DDS Oral and Maxillofacial Surgery 7475 Dakin St Ste 643 Denver, CO 80221 (303)429-4800 WAGGONER, CLYDEE, DDS DMD Cherry Creek Oral Max Surg PC 3955 E Exposition Ave Ste 520 Denver, CO 80209 (303)777-1603 ORTHODONTIST BARDS, LIA, DDS Orthodontics In The Highlands 3538 W 44th Ave Denver, CO 80211 (303) 433-7500 BELLON, MICHAEL, DDS MS 7200 E Hampden Ave Ste 203 Denver, CO 80224 (303) 692-9610 BENSON,GARY,DDS 3200 Cherry Creek South Dr Ste 420 Denver, CO 80209 (303) 722-1202 FRANZ,KAREN,DDS Stapleton Orthodontics PC 2373 Central Park Blvd Unit 302 Denver, CO 80238 (303)316-7846 Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303) 321-1181 HORNER, CRAIG, DDS DC Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 IDICULLA, ANIL, DDS DMD Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303) 321-1181 IDICULLA, ANIL, DMD Metropolitan Orthodontics 1400 Glenarm PI Rm 200 Denver, CO 80202 (303)534-2626 LEVIN, JOANNA, DDS Levin Orthodontics 125 Rampart Way Ste 301 Denver, CO 80230 (303)366-9090 MILLER, BILLIE (BILL), DDS 2200 S Federal Blvd Denver, CO 80219 (303)935-0815 MOORE, THEODORE, DDS Perfect Teeth Monaco and Evans PC 2223 S Monaco Pkwy Unit F Denver, CO 80222 (303) 639-3279 is Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental memoer companies ana varocipacing Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. • July 2009 18 • • Denver Colorado COLORADO (CONT-D) NAZAROV, ANDREY, DDS DMD Allegro Orthodontics 9450 E Mississippi Ave Unit A Denver, CO 80247 (303)751-0031 OWENS, JUSTIN, DDS 965 S Colorado Blvd Ste 102 Denver, CO 80246 (303)744-1701 ROCKE, PAUL, DDS 1050 W Colfax Ave Ste G Denver, CO 80204 (303)573-5533 ROTH, JUSTIN, DDS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303) 988-3319 RUDMAN, ROBERT, DDS Advanced Orthodontic Care 155 Cook St Ste 451 Denver, CO 80206 (303)331-0222 SIERSMA, G (GEORGE), DDS 121 S Madison St Ste A Denver, CO 80209 (303)388-6489 SLOSS, ERIN, DDS Sloss Orthodontics PC 7150 E Hampden Ave Ste 202 Denver, CO 80224 (303) 757-3307 UNTERSEHER,RONALD Unterseher Orthodontics 1141 18th St Denver, CO 80202 (303)466-1955 WILKERSON, DAMON, DDS Clear Choice Orthodontics 2617 E 3rd Ave Denver, CO 80206 (303)225-0525 ZINKANN, KARLA 2345 S Federal Blvd Denver, CO 80219 (303)934-0232 ZINKANN, KARLA, DDS 2121 S Downing St Denver, CO 80210 (303) 733-8885 PEDODONTIST ELLIS, RANDALL Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 FLANDER, JAYME, DDS Perfect Teeth Monaco and Evans PC 2223 S Monaco Pkwy Unit F Denver, CO 80222 (303) 639-3279 Delta Dental PPO Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303) 988-3319 HAYUTIN, DAVID, DDS LLC Cherry Creek Pediatric Dntstry 5055 E Kentucky Ave Denver, CO 80246 (303) 757-8844 IBRAHIM, ALFAIYAZ, DDS Stapleton Childrens Dentistry 2373 Central Park Blvd Unit 305 Denver, CO 80238 (303)399-5437 NGUYEN, ANDREW, DDS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303) 988-3319 SIERK, JONATHAN, DDS Perfect Teeth Monaco and Evans PC 2223 S Monaco Pkwy Unit F Denver, CO 80222 (303)639-3279 Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 VEAN, ALLEN, DDS DMD 965 S Colorado Blvd Ste 105 Denver, CO 80246 (303) 722-2929 VUONG, JULIE, DDS A Wild Smile PC 2975 Roslyn St Unit 160 Denver, CO 80238 (720)945-1234 WITKOFF, JESSE, DDS A Wild Smile PC 2975 Roslyn St Unit 160 Denver, CO 80238 (720) 945-1234 PERIODONTIST BRIDGEWATER, MARTHA, DDS Capitol Hill Dental Grop 975 Lincoln St Unit 203 Denver, CO 80203 (303) 991-4455 BUCKSTEIN,'JAN, DDS PC 1660 S Albion St Ste 718 Denver, CO 80222 (303)757-7759 CHAPMAN, THOMAS, DDS 2660 S Monaco Pkwy Denver, CO 80222 (303)683-1144 DALE, ERIC, DDS 155 Cook St Ste 211 Denver, CO 80206 (303) 377-9102 GOMEZ, LUIS, DDS DMD Colorado Dental Health Care Spec 1600 Stout St Ste 600 Denver, CO 80202 (303)592-1133 Colorado Dental Health Care Spec 5031 S Ulster St Ste 100 Denver, CO 80237 (303)779-8587 KUHAR,KENNETH Stephen M Winber DDS 1660 S Albion St Ste 1008 Denver, CO 80222 (303)691-0267 LUBOW, RICHARD, DDS DMD Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303) 988-3319 LUBOW, RICHARD, DMD Bright Now Dental 1955 Arapahoe St Ste A Denver, CO 80202 (303)296-0888 NEUGEBOREN, NEIL, DDS Professional Periodontics Implan 10200 E Girard Ave Ste A209 Denver, CO 80231 (303) 695-0990 POMERANZ, ALAN, DDS DMD Professional Periodontics Implan 10200 E Girard Ave Ste A209 Denver, CO 80231 (303) 695-0990 REISSNER, MARC, DDS Professional Periodontics Implan 10200 E Girard Ave Ste A209 Denver, CO 80231 (303) 695-0990 RICHARDSON, HEATHER, DDS DMD Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 DILLON GENERAL DENTIST FRANCIS, LAUREN Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970) 468-5995 GOFF, SABRINA Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970) 468-5995 JUNGMAN,GREGORY Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970) 468-5995 VONDRA,ANTHONY Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970)468-5995 Englewood Colorado DIVIDE GENERAL DENTIST PEAK VISTA COMMUNITY HEA Peak Vista Community Health Cent 34 Hybrook Rd S Divide, CO 80814 (719) 687-4460 DOVE CREEK GENERAL DENTIST DOLORES COUNTY HEALTH AS CHC 495 W 4th St Dove Creek, CO 81324 (970)677-3644 DURANGO GENERAL DENTIST JAKUBANIS, TERRENCE, DDS 2277 W 2nd Ave Durango, CO 81301 (970) 247-8228 VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services 1800 E 3rd Ave Ste 109 Durango, CO 81301 (970)385-5930 WILSON, RICHARD, DDS 102 1/2 W 18th St Durango, CO 81301 (970)247-5565 ENGLEWOOD GENERAL DENTIST BAKER, JAMES, DDS 3601 S Clarkson St Ste 220 Englewood, CO 80113 (303)781-3106 BANCROFT, JOANNE, DDS River Point Dent Group and Ortho LLP 3960 River Point Pkwy Unit A Englewood, CO 80110 (303) 781-2340 BARES, SCOTT, DDS 125 Inverness Dr E Ste 310 Englewood, CO 80112 (303)768-8977 BROWN, JAMES, DDS Comfort Dental Englewood 2780 S Broadway Englewood, CO 80113 (303)783-0100 CALETTI, GARY, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303) 744-5000 COWEN, NEIL, DDS 3535 S Lafayette St Ste 108 Englewood, CO 80113 (303) 761-8688 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 19 Englewood Delta Dental PPO Fort Collins Colorado Colorado COLORADO (CONT-D) DORSEY, RONALD, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 HARTLE, SHEIL A, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 HAYES, PAUL, DDS 3601 S Clarkson St Ste 410 Englewood, CO 80113 (303)781-2811 HIRSCHMAN, WADE, DDS River Point Dent Group and Ortho LLP 3960 River Point Pkwy Unit A Englewood, CO 80110 (303) 781-2340 NASSIMBENE, RAYMOND, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 NESSEL, LARRY, DDS Comfort Dental Englewood 2780 S Broadway Englewood, CO 80113 (303)783-0100 NICOLETTE, JOHN, DDS 3510 S Marion St Englewood, CO 80113 (303) 789-3455 NORRIS, GARTH, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303) 744-5000 ONEILL, BRADFORD, DDS River Point Dent Group and Ortho LLP 3960 River Point Pkwy Unit A Englewood, CO 80110 (303)781-2340 RAETHER, GAIL, DDS River Point Dent Group and Ortho LLP 3960 River Point Pkwy Unit A Englewood, CO 80110 (303)781-2340 RAY, JASON, DDS PC Dentistry at Meridian Center 12624 Washington Ln Unit 102 Englewood, CO 80112 (303) 768-8137 REBBER, DAVID, DDS Comfort Dental Englewood 2780 S Broadway Englewood, CO 80113 (303) 783-0100 REDFEARN,RYAN,DDS Legacy Dental Group PC 3601 S Clarkson St Ste 200 Englewood, CO 80113 (303) 762-8046 REED, THOMAS, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 RODGERS, CHARLES, DDS River Point Dent Group and Ortho LLP 3960 River Point Pkwy Unit A Englewood, CO 80110 (303) 781-2340 SCHNEIDER, WALTER, DDS Avalon Dental 5039 S Federal Blvd Ste 8 Englewood, CO 80110 (303) 798-4377 SIEVERS, JOHN, DDS PC 7901 E Belleview Ave Ste 260 Englewood, CO 80111 (303) 771-7907 WEYMAN, PAUL, DDS 3601 S Clarkson St Ste 310 Englewood, CO 80113 (303)762-8048 WILLIS, LAWRENCE 3012 S Broadway Englewood, CO 80113 (303)789-1655 ZENON, JOSHUA, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 ORTHODONTIST DURAN, JACK, DDS MS Orthodontics Exclusively LLC 3601 S Clarkson St Ste 430 Englewood, CO 80113 (303) 789-9257 MCMANAMAN, RICHARD, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 JUSTUS, JOHN, DDS Vista Ridge Dental Care 3140 Village Vista Dr Unit 108 Erie, CO 80516 (303) 604-0034 LARSON, CRAIG, DDS Vista Ridge Dental Care 3140 Village Vista Dr Unit 108 Erie, CO 80516 (303)604-0034 STEVENS, STERLING, DDS 77 Erie Village Sq Unit 200 Erie, CO 80516 (303)828-5430 ORTHODONTIST CARAWAY, DAMEN Caraway Orthodontics PC 71 Leon A Wurl Pkwy Ste 103 Erie, CO 80516 (303)665-7333 ESTES PARK ORAL SURGEON PETERSON, GREGG, MD Facial Dimensions PC 1271 Range View Rd Estes Park, CO 80517 (308)384-1172 EVERGREEN GENERAL DENTIST DEAL, THOMAS, DDS 1202 Bergen Pkwy Ste 207 Evergreen, CO 80439 (303)674-6152 STELLA, HELEN, DDS DMD Westminster Comfort Dental 9462 Federal Blvd Federal Heights, CO 80260 (303) 427-2722 WINNICKI, JEFFREY, DDS Alan Wong DDS PC 1851 W 84th Ave Federal Heights, CO 80260 (303)429-6411 WONG, ALAN, DDS 1851 W 84th Ave Federal Heights, CO 80260 (303)429-6411 YEATS, DAVID, DDS DMD Westminster Comfort Dental 9462 Federal Blvd Federal Heights, CO 80260 (303)427-2722 ORAL SURGEON TRAMMELL, GERALD, DDS 9462 Federal Blvd Federal Heights, CO 80260 (303)865-7550 FIRESTONE GENERAL DENTIST HOWELL, BRUCE, DDS DMD Firestone Dental Care and Orthodon 6160 Firestone Blvd Unit 105 Firestone, CO 80504 (303)532-3371 SHEPHERD,RENEE,DDS Firestone Dental Care and Orthodon 6160 Firestone Blvd Unit 105 Firestone, CO 80504 (303)532-3371 ORTHODONTIST FLORENCE PAPIR, DORI, DDS DMD Evergreen Orthodontics LLC 30752 Southview Dr Ste 200 Evergreen, CO 80439 (303) 679-6111 WILLIAMS, BRYAN, DDS MD Williams Orthodontics PLLC 32156 Castle Ct Ste 207 Evergreen, CO 80439 (303) 670-5878 FEDERAL HEIGHTS GENERAL DENTIST MITCHELL, WILLIAM, DDS David L Smith DMD PC 100 S Pikes Peak Ave Florence, CO 81226 (719)784-3935 SMITH, DAVID, DDS 100 S Pikes Peak Ave Florence, CO 81226 (719)784-3935 PERIODONTIST GENERAL DENTIST FORT COLLINS JANKOWSKI, MARK, DDS 3601 S Clarkson St Ste 330 Englewood, CO 80113 (303) 762-0621 ERNE GENERAL DENTIST COPE, THOMAS, DDS Cope Family Dental at Erie Commo 71 Leon Wurl Pkwy Ste 101 Erie, CO 80516 (303) 828-0883 KELLOW, HIBA, DDS Westminster Comfort Dental 9462 Federal Blvd Federal Heights, CO 80260 (303) 427-2722 KESSLER, MARK, DDS Advanced Dental Center 1557 W 84th Ave Federal Heights, CO 80260 (303)426-0330 MCKINLEY, BROCK, DDS Westminster Comfort Dental 9462 Federal Blvd Federal Heights, CO 80260 (303) 427-2722 GENERAL DENTIST BARES, SCOTT, DDS Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970) 498-8706 BURNHAM, ARLIE, DDS Peak Family Dental 2021 Battlecreek Dr Unit C Fort Collins, CO 80528 (970)229-0099 is • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. is 2009 20 L 1 • Fort Collins Colorado COLORADO (CONT-D) CARLESIMO, PETER, DDS Perfect Teeth S Ft Collins PC 1355 Riverside Ave Ste D Fort Collins, CO 80524 (970) 493-0999 CLARK, BRUCE, DDS 2550 Stover St Unit E Fort Collins, CO 80525 (970) 498-8607 FEINBERG, JOEL, DDS Perfect Teeth S Ft Collins PC 1355 Riverside Ave Ste D Fort Collins, CO 80524 (970)493-0999 FISCHER, JAMES, DDS 1331 E Prospect Rd Unit B2E Fort Collins, CO 80525 (970)482-6333 FOSTER,CORY,DDS 373 W Drake Rd Ste 6 Fort Collins, CO 80526 (970)223-5258 GALYARDT, WESLEY, DDS Bighorn Family Dental LLC 2105 Bighorn Rd Ste 200 Fort Collins, CO 80525 (970)226-5400 GREEN, LEON, DDS Boardwalk Dental Care LLC 140 Boardwalk Dr Unit G Fort Collins, CO 80525 (970) 407-8080 GREEN, ZACHERY, DDS Boardwalk Dental Care LLC 140 Boardwalk Dr Unit G Fort Collins, CO 80525 (970)407-8080 GUIDO, JOSEPH Kidz Place 383 W Drake Rd Ste 103 Fort Collins, CO 80526 (970) 377-2500 HARRISON, PATRICK, DDS Bighorn Family Dental 2105 Bighorn Rd Ste 200 Fort Collins, CO 80525 (970)226-5400 HARVEY, THOMAS, DDS 1040 E Elizabeth St Ste 202 Fort Collins, CO 80524 (970) 224-4093 HASCHKE, DOUGLAS, DDS Comfort Dental Fort Collins 934 S Lemay Ave Fort Collins, CO 80524 (970) 498-8300 JOHNSON, LESLIE, DDS 1027 Robertson St Fort Collins, CO 80524 (970) 493-4313 KRAMER, JEFFREY, DDS 1424 E Horsetooth Rd Ste 4 Fort Collins, CO 80525 (970) 223-2886 Delta Dental PPO LINDMAN, MIKAL, DDS Comfort Dental Fort Collins 934 S Lemay Ave Fort Collins, CO 80524 (970) 498-8300 MANGLE, JAMES, DDS 1033 Robertson St Fort Collins, CO 80524 (970) 482-4242 MCDILL, MICHAEL, DDS Alpine Dental Health 718 S College Ave Fort Collins, CO 80524 (970)484-5297 MILNOR, LAURA, DDS Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 MODROWSKI, BRIAN, DDS Peak Family Dental 2021 Battlecreek Dr Unit C Fort Collins, CO 80528 (970)229-0099 MULHERAN, THOMAS, DDS Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 MURPHY, CIARAN, DDS Harbor Dental 2608 S Timberline Rd Unit 110 Fort Collins, CO 80525 (970) 377-2456 MURPHY, MICHAEL, DDS Murphy Dental 608 E Harmony Rd Ste 301 Fort Collins, CO 80525 (970)225-8081 SORENSEN, KATERINA, DDS Comfort Dental Fort Collins 934 S Lemay Ave Fort Collins, CO 80524 (970)498-8300 TABOR, CARL, DDS DMD Perfect Teeth S Ft Collins PC 1355 Riverside Ave Ste D Fort Collins, CO 80524 (970) 493-0999 TRIPAM, ALOIS, DDS Comfort Dental Fort Collins 934 S Lemay Ave Fort Collins, CO 80524 (970) 498-8300 WUERKER, RICHARD, DDS Boardwalk Dental Care LLC 140 Boardwalk Dr Unit G Fort Collins, CO 80525 (970)407-8080 . ORAL SURGEON COLM, STEPHEN, DDS DMD Perfect Teeth S Ft Collins PC 1355 Riverside Ave Ste D Fort Collins, CO 80524 (970) 493-0999 COLM,STEPHEN,DMD Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins,1CO 80524 (970)498-8706 MADLOCK, PAUL, DDS MD Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 PETERSON, GREGG, DDS MD Facial Dimensions PC 4014 S Lemay Ave Unit 32 Fort Collins, CO 80525 (970)225-8152 ORTHODONTIST IDICULLA, ANIL, DDS DMD Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 IVERSEN, WILLIAM, DDS MS 1103 S Shields St Fort Collins, CO 80521 (970)484-3214 LAMB, ROBERT, DDS Big Easy Orthodontics LLC 730 Whalers Way Ste 200 Fort Collins, CO 80525 (970)226-5505 MILNOR, LAURA, DDS MS Milnor Orthodontics 1103 S Shields St Fort Collins, CO 80521 (970)484-3214 PEDODONTIST HARGLEROAD, JENNIFER, DDS 2105 Bighorn Rd Ste 202 Fort Collins, CO 80525 (970)493-2254 OBERMANN, WILLIAM, DDS Tooth Zone LLC 1220 Oak Park Dr Fort Collins, CO 80525 (970) 223-8687 PAULY,ALBERT,DDS 1513 Riverside Ave Fort Collins, CO 80524 (970) 484-4255 RUSNAK,MARYKATE Tooth Zone LLC 1220 Oak Park Dr Fort Collins, CO 80525 (970)223-8687 PERIODONTIST GURINSKY, BRIAN, DDS Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970) 498-8706 JOHNSON, DAVID, DDS MS Periodontal Associates 1120 E Elizabeth St Ste G4 Fort Collins, CO 80524 (970)221-5050 Fountain Colorado LINDEBERG, RICHARD, DDS Periodontal Associates 1120 E Elizabeth St Ste G4 Fort Collins, CO 80524 (970) 221-5050 LUBOW, RICHARD, DDS DMD Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 MERRITT, JENNIFER, DDS Periodontal Associates 1120 E Elizabeth St Ste G4 Fort Collins, CO 80524 (970) 221-5050 ROSENZWEIG, TODD, DDS Alpine Dental Health 718 S College Ave Fort Collins, CO 80524 (970)484-5297 FORT MORGAN GENERAL DENTIST RINALDI, TODD 231 Prospect St Ste C Fort Morgan, CO 80701 (970)867-1055 WEBSTER, KELVIN, DDS 314 W Bijou Ave Fort Morgan, CO 80701 (970)867-2288 FOUNTAIN ENDODONTIST CORR,ROBERT Just For Grins 6436 S US Highway 85-87 Ste C Fountain, CO 80817 (719)392-5111 GENERAL DENTIST HAMIDI, MARIAM, DDS DMD 6908 Mesa Ridge Pkwy Fountain, CO 80817 (719)392-1506 HILL, DOXIADES, DDS New Beginnings Dental Center 320 S Santa Fe Ave Fountain, CO 80817 (719)392-1506 HILL, JONATHAN, DDS 6908 Mesa Ridge Pkwy Fountain, CO 80817 (719)392-1506 MEDIAVILLA, ERIC, DDS Just For Grins 6436 S US Highway 85-87 Ste C Fountain, CO 80817 (719) 392-5111 NEEL, JANET, DDS Just For Grins 6436 S US Highway 85-87 Ste C Fountain, CO 80817 (719)392-5111 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 21 Fountain Delta Dental PPO Greeley Colorado Colorado COLORADO (CONT-D) NOBLE, GLENN, DDS Fountain Dental Center PC 8085 Fountain Mesa Rd Ste A Fountain, CO 80817 (719)382-5500 PFISTER, CANDACE, DDS DMD Widefield Dental Group PC 6980 Mesa Ridge Pkwy Fountain, CO 80817 (719) 392-4231 RANTA, GEORGE, DDS PC Widefield Dental Group PC 6980 Mesa Ridge Pkwy Fountain, CO 80817 (719) 392-4231 RANTA, JEFFREY, DDS DMD Widefield Dental Group PC 6980 Mesa Ridge Pkwy Fountain, CO 80817 (719) 392-4231 REPOSA, RYAN, DDS DMD Wdefield Dental Group PC 6980 Mesa Ridge Pkwy Fountain, CO 80817 (719) 392-4231 FRANKTOWN GENERAL DENTIST WILLIAMS, MITCHELL Burning Tree Family Dentistry 7601 Burning Tree Dr Franktown, CO 80116 (303) 688-2515 FREDERICK GENERAL DENTIST SHULZE, RICHARD, DDS DMD Carbon Valley Dental Care 630 Main St Unit B Frederick, CO 80530 (303)833-5500 GEORGETOWN GENERAL DENTIST LOSACCO, THOMAS, DDS 801 6th St Georgetown, CO 80444 (303)569-3141 GLENWOOD SPRINGS GENERAL DENTIST BEAL, CHRISTOPHER, DDS James C Setterberg DDS PC 401 23rd St Ste 202 Glenwood Springs, CO 81601 (970)945-8753 PANTLEO,PAUL,DDS Glenwood Meadows Dental 40 Market St Unit A Glenwood Springs, CO 81601 (970)947-1717 SHEA, MICHAEL, DDS DMD Comfort Dental Glenwood Springs 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970)947-1273 SORENSEN, THOMAS, DDS Comfort Dental Glenwood Springs 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970) 947-1273 TALLEY, BRIAN, DMD Comfort Dental Glenwood Springs 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970) 947-1273 THORNAL, BENJAMIN, DDS Comfort Dental Glenwood Springs 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970) 947-1273 ORTHODONTIST BAHR, CARL, DDS Embraceable LLC 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970)947-1273 BAHR, CRAIG, DDS Embraceable LLC 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970) 947-1273 SAYDYK,THEODORE Embraceable LLC 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970)947-1273 STASI, MARK, DDS Embraceable LLC 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970) 947-1273 GOLDEN GENERAL DENTIST BEACOM, DAVID, DDS 1218 Arapahoe St Golden, CO 80401 (303)277-9600 BURCHFIELD, JOHN, DDS PC J R Burchfield DDS PC 2007 Jackson St Golden, CO 80401 (303)279-3992 CHERNOFF, KENNETH, DDS Timothy J Wachuta 2305Jackson St Golden, CO 80401 (303) 278-2800 COLLEDGE,HEATH,DDS Comfort Dental Golden 17531 S Golden Rd Golden, CO 80401 (303) 278-6953 GILL, NANCY, DDS 1218 Arapahoe St Golden, CO 80401 (303)279-5420 GOAD, RICHARD, DDS DMD 1317 Washington Ave Golden, CO 80401 (303)279-4224 MILLER, MICHAEL, DDS Golden View Dental PC 727 Simms St Ste E Golden, CO 80401 (303)232-3636 MORRISON, ERIC, DDS DMD Comfort Dental Golden 17531 S Golden Rd Golden, CO 80401 (303)278-6953 NOAH, JASON, DMD Comfort Dental Golden 17531 S Golden Rd Golden, CO 80401 (303) 278-6953 PORZIO-DILIZIA, PAULETTE, DDS DMD Comfort Dental Golden 17531 S Golden Rd Golden, CO 80401 (303) 278-6953 POWELL, DAVID, DDS MD Perfect Teeth Golden PC 17211 S Golden Rd Ste 100 Golden, CO 80401 (303)279-7444 UNGER WATERS, JENNIFER, DDS 1607 Washington Ave Golden, CO 80401 (303) 279-6621 WACHUTA, TIMOTHY, DDS 2305 Jackson St Golden, CO 80401 (303)278-2800 YOUNG, RICHARD, DDS 2007 Jackson St Golden, CO 80401 (303)279-5741 PEDODONTIST LOVELL, ERIN, DDS Golden Kids PC 600 12th St Golden, CO 80401 (303)216-1108 GRAND JUNCTION GENERAL DENTIST BLACK, TYSON, DDS DMD Comfort Dental Grand Junction 2650 North Ave Unit 101 Grand Junction, CO 81501 (970)255-1222 BRADLEY, JAMES, DDS Comfort Dental Grand Junction 2650 North Ave Unit 101 Grand Junction, CO 81501 (970) 255-1222 BRYNER,MATTHEW,DDS Skyline Dental 2795 Skyline Ct Grand Junction, CO 81506 (970)242-3545 CLIFTON, BRETT, DDS Grand Dental PC 1035 Grand Ave Grand Junction, CO 81501 (970)243-8580 HUNTER, GREGORY Monument Oral and Facial Surg PC 607 25 Rd Ste 100 Grand Junction, CO 81505 (970)424-5014 JACOBSON, DAVID, DDS 2525 N 8th St Ste 107 Grand Junction, CO 81501 (970)257-7474 KUNSTADTER,KARL,DDS Skyline Dental 2795 Skyline Ct Grand Junction, CO 81506 (970)242-3545 LATTEIER, PHILIP, DDS 790 Wellington Ave Ste 206 Grand Junction, CO 81501 (970) 243-9292 MARILLAC DENTAL CLINIC CHC 2333 N 6th St Grand Junction, CO 81501 (970) 255-1799 SORENSEN, THOMAS, DDS Comfort Dental Grand Junction 2650 North Ave Unit 101 Grand Junction, CO 81501 (970)255-1222 STODDARD, SCOTT, DDS Comfort Dental Grand Junction 2650 North Ave Unit 101 Grand Junction, CO 81501 (970)255-1222 VAN DUSEN, SCOTTY, DDS 1301 N 7th St Unit B Grand Junction, CO 81501 (970)255-7070 ORTHODONTIST BAHR, CRAIG Embraceable LLC 2650 North Ave Unit 101 Grand Junction, CO 81501 (970)241-7162 PEDODONTIST BULL, JOHN, DDS 2119N7thSt Grand Junction, CO 81501 (970) 243-2855 GREELEY ENDODONTIST FUNDERBURK, DAVID, DDS 3400 W 16th St Bldg 7 Greeley, CO 80634 (970)356-8650 is 0 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental memoer companies ana raniapaony Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. . July 2009 22 • U 1, J1 u Greeley Colorado COLORADO (CONT-D) LOWRY, SCOTT, DDS 4669 W 20th Street Rd Ste B Greeley, CO 80634 (970) 330-2161 GENERAL DENTIST ALTATARI, RABI, DDS Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 BRADLEY,KATHLEEN,DDS Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970) 395-1000 BRATULESCU, PATRICIA, DDS Perfect Teeth Greeley PC 902 14th St Greeley, CO 80631 (970)392-0152 BROWN, STEPHEN, DDS Adc Oral Health Care Providers 3400 W 16th St Ste S Greeley, CO 80634 (970)356-8118 CHOE, CHIYON, DDS Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 CONNOLLY, MARY Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970) 395-1000 DASILVA, RICARDO Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 DOWLATI, JINA, DDS Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 FEINBERG, JOEL, DDS Perfect Teeth Greeley PC 902 14th St Greeley, CO 80631 (970)392-0152 GILLESPIE, ANDRE Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 GOMEZ, JOSE, DDS J Angel Gomez Dental Center LLC 1122 9th St Ste 103 Greeley, CO 80631 (970) 353-2340 GOSSENAUER, MARTIN Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970) 395-1000 Delta Dental PPO HAMBLIN, ROBERT Colo Dhca Low Income Dental 1600 23rd Ave Ste 200 Greeley, CO 80634 (970) 353-4329 HARMON, KATHERINE, DDS Adventure Dental of Greeley 3485 W 10th St Ste C Greeley, CO 80634 (970) 353-4746 HATCH,RANDY,DDS Colo Dhca Low Income Dental 1600 23rd Ave Ste 200 Greeley, CO 80634 (970) 353-4329 JAMISON, NICHOLAS, DDS 4669 W 20th Street Rd Ste A Greeley, CO 80634 (970) 506-1122 JOHNSON, CHARLES, DDS Colo Dhca Low Income Dental 1600 23rd Ave Ste 200 Greeley, CO 80634 (970) 353-4329 JORGENSEN, AMY, DDS Adventure Dental of Greeley 3485 W 10th St Ste C Greeley, CO 80634 (970) 353-4746 KINKADE, JAMES, DDS Kinkade and Kinkade DDS PC 2525 W 16th St Ste A Greeley, CO 80634 (970)352-2344 KONDRATENKO, ANDREY, DDS Comfort Dental Greeley 3766 W 10th St Ste A Greeley, CO 80634 (970)304-1273 LOEWEN,REBECCA Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970) 395-1000 LOGELIN, MICHAEL Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970) 395-1000 MONTANEZ, MARIO, DDS Adventure Dental of Greeley 3485 W 10th St Ste C Greeley, CO 80634 (970) 353-4746 MONTANO, MELISSA, DDS Adventure Dental of Greeley 3485 W 10th St Ste C Greeley, CO 80634 (970) 353-4746 MONTANO, RONALD, DDS Adventure Dental of Greeley 3485 W 10th St Ste C Greeley, CO 80634 (970) 353-4746 MUSANJE,LAWRENCE Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970) 395-1000 NGUYEN,QUYNH Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970) 395-1000 PERRY,STEPHEN,DDS Dental Health of Greeley PLLC 1600 23rd Ave Ste 200 Greeley, CO 80634 (970) 353-4329 RINALDIS, PATRICK, DDS Comfort Dental Greeley 3766 W 10th St Ste A Greeley, CO 80634 (970)304-1273 STEVENS, COURTNEY, DDS Comfort Dental Greeley 3766 W 10th St Ste A Greeley, CO 80634 (970)304-1273 TIAO, KATIE Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 WALLACE, JOHN Perfect Teeth Greeley PC 902 14th St Greeley, CO 80631 (970)392-0152 YOUNG, MATTHEW Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 PEDODONTIST OBERMANN, WILLIAM Kidz Place 1122 9th St Ste 101 Greeley, CO 80631 (970)353-5203 . GREENWOOD VILLAGE Greenwood Vlg Colorado MILLER, STACEY, DDS 6950 E Belleview, Ave Ste 101 Greenwood Village, CO 80111 (303) 741-2717 SEGAL, BRIGITTE, DDS 6900 E Belleview Ave Ste 203 Greenwood Village, CO 80111 (303)770-6084 STEEGHS, BRIGITTE, DDS 8000 E Prentice Ave Ste A5 Greenwood Village, CO 80111 (303)756-0723 ZERVAS, STEVEN, DDS PC Village Dental Care 5670 Greenwood Plaza Blvd Ste 404 Greenwood Village, CO 80111 (303)220-7662 ORALSURGEON BERMAN, DAVID, DDS MD DMD Mountain View Oral and Max Surgery 8200 E Belleview, Ave Ste 515E Greenwood Village, CO 80111 (303)694-1700 BERMAN, MARK, DDS MD Mountain View Oral and Max Surgery 8200 E Belleview, Ave Ste 515E Greenwood Village, CO 80111 (303)694-1700 PEDODONTIST SAVAGE,BRYAN,DDS 5972 S Holly St Greenwood Village, CO 80111 (303)422-3746 PERIODONTIST KUHAR,KENNETH Mountain Top Periodontics and Impl 8000 E Prentice Ave Ste D7 Greenwood Village, CO 80111 (303)740-0080 GENERAL DENTIST GREENWOOD VLG BERRY, KARY, DDS 8000 E Prentice Ave Ste A4 Greenwood Village, CO 80111 (303)759-9487 BERRY, KEVIN, DDS 8000 E Prentice Ave Ste A4 Greenwood Village, CO 80111 (303)759-5652 BODONI, ELENA, DDS 8000 E Prentice Ave Ste B7 Greenwood Village, CO 80111 (303)781-2107 BODONI, EVA, DDS 8000 E Prentice Ave Ste B7 Greenwood Village, CO 80111 (303) 221-1588 KULJIS, LAWRENCE, DDS 8200 E Belleview Ave Ste 465 Greenwood Village, CO 80111 (303)771-7326 ENDODONTIST BALTZ, KATHLEEN, DDS Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Mg, CO 80111 (303)850-7474 JULTAK, JED, DDS Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303)850-7474 MALONEY, SCOTT, DDS DMD Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303)850-7474 MORRISON, ALISON, DMD Endodontics of Dtc 8200 E Belleview, Ave Ste 306 Greenwood Vlg, CO 80111 (303)850-7474 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 23 Greenwood Vlg Delta Dental PPO La Salle Colorado Colorado COLORADO (CONT-D) PANGBORN, CAMERON, DDS Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303)850-7474 SACHS, ELLEN, DDS Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303) 850-7474 SAFER, DONALD, DDS Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303) 850-7474 GENERAL DENTIST BOTTONE, PAUL, DDS PC 6950 E Belleview Ave Ste 101 Greenwood Vlg, CO 80111 (303)741-2717 BOUDREAUX, GARY, DDS 8480 E Orchard Rd Ste 4300 Greenwood Vlg, CO 80111 (303)771-1009 JACKSON, STEPHEN, DDS 8200 E Belleview Ave Ste 445 Greenwood Vlg, CO 80111 (303) 771-8090 PERIODONTIST TILLISS, STEVEN, DDS MS 8200 E Belleview Ave Ste 450E Greenwood Vlg, CO 80111 (303)779-6924 HAXTUN GENERAL DENTIST BLOHM, STEVEN, DDS Haxtun Dental Clinic 115 S Colorado Ave Haxtun, CO 80731 (970)774-7999 EDWARDS, WALTER, DMD Northeastern Family Dental Clinic 115 S Colorado Ave Haxtun, CO 80731 (970)774-7999 HIGHLANDS RANCH GENERAL DENTIST AHN,HENRY,DDS Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303)471-0841 DUNKLEBERGER, ELIZABETH, DDS 9557 S University Blvd Unit 101 Highlands Ranch, CO 80126 (303)470-8484 DYMERSKI, DANIEL, DDS Pettyjohn Family Dentistry PC 66 Springer Dr Ste 304 Highlands Ranch, CO 80129 (303)791-9141 KISSINGER, MARY, DDS Willow Creek Dental 6660 Timberline Rd Ste 220 Highlands Ranch, CO 80130 (303) 779-2797 LEE, MONIQUE, DDS DMD Rock Canyon Dental Care and Orthod 3996 Red Cedar Dr Highlands Ranch, CO 80126 (303) 470-9696 MACK, ERIC, DDS Precision Dentistry 9461 S University Blvd Highlands Ranch, CO 80126 (303) 470-1377 MCNEELY, WILLIAM, DDS Rock Canyon Dental Care and Orthod 3996 Red Cedar Dr Highlands Ranch, CO 80126 (303) 470-9696 PETTYJOHN, CATHERINE, DDS Pettyjohn Family Dentistry PC 66 Springer Dr Ste 304 Highlands Ranch, CO 80129 (303) 791-9141 SHORT, YOLANDA, DDS DMD Kids First Dental 4185 E Wildcat Reserve Pkwy Ste 300 Highlands Ranch, CO 80126 (303)427-6300 TWISS, TYLER, DDS DMD Twiss Dental PC 4185 E Wildcat Reserve Pkwy Ste 210 Highlands Ranch, CO 80126 (720) 344-4375 ORAL SURGEON COLM, STEPHEN, DDS DMD Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303) 471-0841 HARPER,CLAYTON,DDS Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303) 471-0841 MADLOCK, PAUL, DDS DMD Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303) 471-0841 ORTHODONTIST BEABER, WILLIAM, DDS DMD Beaber Family Orthodontics 9567 S University Blvd Unit CI -A Highlands Ranch, CO 80126 (303) 694-1711 BUMGARNER, ROGER, DDS 6660 Timberline Rd Ste 260 Highlands Ranch, CO 80130 (303) 688-9617 9358 Dorchester St Ste 106 Highlands Ranch, CO 80129 (303) 688-9617 HAMERSKY, PAUL, DDS Highlands Ranch Ortho Spec 4185 E Wildcat Reserve Pkwy Ste 300 Highlands Ranch, CO 80126 (720)344-2662 HOGGAN,BRENT 9385 S Colorado Blvd Unit 101 Highlands Ranch, CO 80126 (303) 730-2083 HOUSEWRIGHT, WADE, DDS Inspire Orthodontics of Colorado 200 W County Line Rd Ste 260 Highlands Ranch, CO 80129 (303)754-0040 IDICULLA, ANIL, DDS DMD Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303)471-0841 KARLIN, TYLER, DDS Karlin Orthodontics 9305 Dorchester St Ste 103 Highlands Ranch, CO 80129 (303) 470-9488 LINN, BRANDON, DDS Roger L Bumgarner DDS 6660 Timberline Rd Ste 260 Highlands Ranch, CO 80130 (303) 688-9617 Roger L Bumgarner DDS 9358 Dorchester St Ste 106 Highlands Ranch, CO 80129 (303) 688-9617 RICHTER, DAVID, DDS Inspire Orthodontics of Colorado 200 W County Line Rd Ste 260 Highlands Ranch, CO 80129 (303) 754-0040 PERIODONTIST CHAPMAN, THOMAS, DDS Highlands Ranch Perio and Implt 9090 Ridgeline Blvd Ste 225 Highlands Ranch, CO 80129 (303)683-1144 GURINSKY, BRIAN, DDS Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303)471-0841 LUBOW, RICHARD, DMD Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303)471-0841 IDAHO SPRINGS GENERAL DENTIST DRESCHER, DAVID Gore Range Dental PLLC 1625 Miner St Idaho Springs, CO 80452 (303) 567-4412 JOHNSTOWN GENERAL DENTIST TIPPETS, JEFFREY, DDS Tippets Dentistry at Johnstown 257 Johnstown Center Dr Unit 108 Johnstown, CO 80534 (970)587-8085 KREMMLING GENERAL DENTIST COLLINSWORTH, PHILLIP Kremmling Family Dental 107 6th St Kremmling, CO 80459 (970)724-3737 JUNGMAN,GREGORY Kremmling Family Dental 107 6th St Kremmling, CO 80459 (970)724-3737 ROBERTS, DALE, DDS Kremmling Family Dental 107 6th St Kremmling, CO 80459 (970)724-3737 LA JARA GENERAL DENTIST VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services 421 Walnut St La Jara, CO 81140 (719)274-8948 LA JUNTA ORAL SURGEON FACY,REBECCA,DDS Orris Associates Colorado PC 1100 Carson Ave La Junta, CO 81050 (719)599-0500 LA SALLE GENERAL DENTIST BENDER, WILLIAM, DDS 202 N 2nd St LaSalle, CO 80645 (970)284-7930 0 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0 24 • Lafayette Colorado COLORADO (CONT-D) LAFAYETTE GENERAL DENTIST Delta Dental PPO ANDRUS, PAUL, DDS 2009 Wadsworth Blvd Ste 102 Lakewood, CO 80214 (303)233-0212 BALL, MELVIN, DDS 10881 W Asbury Ave Ste 210 Lakewood, CO 80227 (303) 989-0452 BOLAK, KIMBERLY, DDS BARTON, COLIN, DDS Comfort Dental Lafayette Comfort Dental Lakewood 535 W South Boulder Rd Ste 200 6800 W Alameda Ave Lafayette, CO 80026 Lakewood, CO 80226 (303) 604-2804 (303) 727-9100 EURICH, STEVEN, DDS 1120 W South Boulder Rd Ste 202 Lafayette, CO 80026 (303)666-4653 FRIEDMAN, MITCHELL, DDS DMD Lafayette Dental Office 511 Crossing Dr Ste 200 Lafayette, CO 80026 (303)664-1001 GOHL, FREDRIC, DDS Comfort Dental Lafayette 535 W South Boulder Rd Ste 200 Lafayette, CO 80026 (303)604-2804 JEBRIL, HANAA, DDS Comfort Dental Lafayette 535 W South Boulder Rd Ste 200 Lafayette, CO 80026 (303)604-2804 TRAN, VIEN, DDS Comfort Dental Lafayette • 535 W South Boulder Rd Ste 200 Lafayette, CO 80026 (303)604-2804 • WHITE, JAIME 1255 Cimarron Dr Ste 101 Lafayette, CO 80026 (303)665-8024 WINNICKI, JEFFREY, DDS The Dental Shoppe 297 US Highway 287 Ste 104 Lafayette, CO 80026 (303)665-8321 ORTHODONTIST CRAIG, ROBERT, DDS 1120 W South Boulder Rd Ste 201 Lafayette, CO 80026 (303) 926-9224 LAKEWOOD ENDODONTIST READER, CHAD, DDS University Dntl Specialists LI 255 Union Blvd Ste 420 Lakewood, CO 80228 (303)914-9727 GENERAL DENTIST ANDREWS, BRANDIE, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303)431-1221 BERNARDY, JEFFREY, DDS Comfort Dental Bear Creek 3200 S Wadsworth Blvd Unit E Lakewood, CO 80227 (303) 716-8546 BROTHERTON,NOLAN,DDS DMD Perfect Teeth Green Mtn PC 13035 W Alameda Pkwy Lakewood, CO 80228 (303) 987-0544 BUTLER, BENJAMIN, DDS Comfort Dental Lakewood 6800 W Alameda Ave Lakewood, CO 80226 (303) 727-9100 CALDERON-KIDD, JOESOLYN, DMD Comfort Dental Bear Creek 3200 S Wadsworth Blvd Unit E Lakewood, CO 80227 (303) 716-8546 CALDWELL, MICHELLE, DDS 3110 S Wadsworth Blvd Ste 302 Lakewood, CO 80227 (303) 988-7800 CHAVEZ, DAVID, DDS 8015 W Alameda Ave Ste 140 Lakewood, CO 80226 (303) 984-0307 CROCKETT, OLEN, DDS 1345 Wadsworth Blvd Lakewood, CO 80214 (303)238-1209 DILLABAUGH, GARY, DDS DMD 9868 W Girton Dr Lakewood, CO 80227 (303)989-0577 EDLUND, DAVID, DDS Hampden Dental Care 7425 W Hampden Ave Lakewood, CO 80227 (303)988-7410 ESCALA,SAUL,DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303)431-1221 FERMELIA, CATHERINE, DDS Academy Park Dental Associates LLC 3405 S Yarrow St Unit B Lakewood, CO 80227 (303) 987-2121 FLOOD, PATRICK, DDS Comfort Dental Lakewood 6800 W Alameda Ave Lakewood, CO 80226 (303)727-9100 FRITZ, TIFFANY, DDS Bright Now Dental 7611 W Colfax Ave Unit D Lakewood, CO 80214 (303)202-0900 GLUCKSMAN, RICHARD, DDS Alpha Dental Care 7373 W Jefferson Ave Ste 203 Lakewood, CO 80235 (303)988-1530 GOLD, FRANK, DDS PC 1360 S Wadsworth Blvd Ste 200 Lakewood, CO 80232 (303)988-2738 GRACE, LEANA, DDS 10881 W Asbury Ave Ste 210 Lakewood, CO 80227 (303)989-0452 HANSEN,DANNY,DDS 3333 S Wadsworth Blvd Unit D305 Lakewood, CO 80227 (303) 985-1615 HARMON, FRANK, DDS 2290 Kipling St Lakewood, CO 80215 (303) 233-2906 HARVAN, KRISTINA All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303) 431-1221 HASSELBACK, CHRISTOPHER, DDS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4500 JOHNSON, BRUCE, DDS 9868 W Girton Dr Lakewood, CO 80227 (303)989-0577 JOHNSON, ROY, DDS DMD PC 6565 W Jewell Ave Ste 1A Lakewood, CO 80232 (303) 935-3465 JONES, KRISTIN, DDS MSW Perfect Teeth W Jewell PC 8064 W Jewell Ave Unit 100 Lakewood, CO 80232 (303)985-3624 KAWAKAMI, SAM, DDS 14062 Denver West Pkwy Ste 120 Lakewood, CO 80401 (303)279-5050 KERN, JAMES, DDS 10815 W Jewell Ave Ste L Lakewood, CO 80232 (303) 988-6860 KIDS IN NEED OF DENTISTR 13300 W 2nd PI Lakewood, CO 80228 (303)733-3710 Lakewood Colorado KLEIN, MARK, DDS Comfort Dental Lakewood 6800 W Alameda Ave Lakewood, CO 80226 (303)727-9100 KRANNAWITTER, JEFF, DDS Dr Sam S Kawakami DDS PC 14062 Denver West Pkwy Ste 120 Lakewood, CO 80401 (303)279-5050 LAI, PEARL 8064 W Jewell Ave Unit 100 Lakewood, CO 80232 (303)985-3624 LE HUAN CUA, RICHARD, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303) 431-1221 LOPEZ, AVERY, DDS Advanced Family Dental 2598 S Lewis Way Ste 3C Lakewood, CO 80227 (303)987-9109 LOVATO, ELOSIA Comfort Dental Bear Creek 3200 S Wadsworth Blvd Unit E Lakewood, CO 80227 (303) 716-8546 LUTSKIY, ALEKSANDR, DMD Perfect Teeth Green Mtn PC 13035 W Alameda Pkwy Lakewood, CO 80228 (303)987-0544 MADLANG,CESAR,DDS Perfect Teeth W Jewell PC 8064 W Jewell Ave Unit 100 Lakewood, CO 80232 (303)985-3624 MANSHADI, DAVOOD, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303)431-1221 MARCHBANKS, SARA, DDS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4500 MARSHALL, KEVIN, DDS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303)232-4500 MARTINEZ, EFREN, DDS DMD Martinez Dental 1200 S Wadsworth Blvd Ste 105 Lakewood, CO 80232 (303)733-7533 MCGLASHAN, WILLIAM, DDS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4500 MCNEELY, WILLIAM, DDS 1880 S Pierce St Ste 16B Lakewood, CO 80232 (303)922-1103 uena uemai memoer companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 25 Lakewood Delta Dental PPO Limon Colorado Colorado COLORADO (CONT-D) MILAUSNIC, MICHAEL, DDS 333 S Allison Pkwy Ste 202 Lakewood, CO 80226 (303)936-5644 NICHOLS, RICHARD, DDS 7625 W Hampden Ave Unit 15 Lakewood, CO 80227 (303)988-2150 OCHOA, MARGARITA, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303) 431-1221 ONTIVEROS, MICHAEL, DDS Rocky Mtn Dental Group 2475 Wadsworth Blvd Lakewood, CO 80214 (303)233-1335 PALUMBO, GLENN, DDS 2599 Wadsworth Blvd Ste 1 Lakewood, CO 80214 (303)458-7061 PARKER -SMART, JANIS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4500 PASWATERS, STEPHANIE, DDS 12093 W Alameda Pkwy Ste A Lakewood, CO 80228 (303)716-7321 PETKOVA, ANASTASIA, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303)431-1221 POLIDORI, BRIAN, DDS Colorado Premier Dental PLLC 6565 W Jewell Ave Ste 1A Lakewood, CO 80232 (303) 935-3465 PONTARELLI, WILLIAM, DDS Belmar Dental 15 Wadsworth Blvd Lakewood, CO 80226 (303)936-5998 PRAJAPATI, SNAHEL, DDS DMD Comfort Dental Bear Creek 3200 S Wadsworth Blvd Unit E Lakewood, CO 80227 (303)716-8546 PUCHERIL, ANEETA, DDS Pinnacle Dental 2500 Youngfield St Ste 2 Lakewood, CO 80215 (303)237-7004 REZAEI, SEYED, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303) 431-1221 ROBINSON, T Comfort Kids 9990 W 26th Ave Lakewood, CO 80215 (303) 202-0880 RODGERS, CHARLES, DDS Crestline Dental Group and Ortho 5392 S Wadsworth Blvd Ste 103 Lakewood, CO 80123 (303) 979-4277 SAMPATH, VIDHYALAKSHMI, DDS Crestline Dental Group and Ortho 5392 S Wadsworth Blvd Ste 103 Lakewood, CO 80123 (303) 979-4277 SCHROEDER, TIMOTHY, DDS 6565 W Jewell Ave Ste 3 Lakewood, CO 80232 (303) 937-6345 SEHY, CHRISTINA, DDS Belmar Smiles PC 325 S Teller St Ste 290 Lakewood, CO 80226 (303) 935-3574 SHERMAN, LEWIS, DDS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4500 SLAVSKY, AARON, DDS 1614 Carr St Lakewood, CO 80214 (303)233-1704 STEEN, DALE, DDS Comfort Dental Lakewood 6800 W Alameda Ave Lakewood, CO 80226 (303) 727-9100 SWANSON, DAVID, DDS Associated Dental Professionals 8015 W Alameda Ave Ste 170 Lakewood, CO 80226 (303) 232-2929 TALAVERA, SYLVIA, DDS 10090 W 26th Ave Lakewood, CO 80215 (303) 232-6205 THOMPSON, LARRY, DDS PC 1360 S Wadsworth Blvd Ste 300 Lakewood, CO 80232 (303)986-9505 WASINGER, JACK, DDS 10090 W 26th Ave Lakewood, CO 80215 (303) 232-6205 WEBB, MICHAEL Comfort Kids 9990 W 26th Ave Lakewood, CO 80215 (303) 202-0880 WHALEN, DANN, DDS Associated Dental Professionals 8015 W Alameda Ave Ste 170 Lakewood, CO 80226 (303)232-2929 WISE, RANDALL, DDS 7373 W Jefferson Ave Ste 305 Lakewood, CO 80235 (303)985-1263 ORAL SURGEON BOTTENBLEY, CECIL, DDS DM DMD 575 Union Blvd Ste 300 Lakewood, CO 80228 (303) 980-8833 HARPER,CLAYTON,DDS Bright Now Dental 7611 W Colfax Ave Unit D Lakewood, CO 80214 (303)202-0900 MADLOCK, PAUL, DDS DMD Bright Now Dental 7611 W Colfax Ave Unit D Lakewood, CO 80214 (303)202-0900 MOODY, MICHAEL, DDS Comfort Dental Oral Surgery 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4422 SNIDER, LARRY, DDS MD 2290 Kipling St Lakewood, CO 80215 (303)232-5637 TRAMMELL, GERALD, DDS 9990 W 26th Ave Lakewood, CO 80215 (303) 232-4422 ORTHODONTIST ALLEN, JACK, DDS MS 7373 W Jefferson Ave Ste 302 Lakewood, CO 80235 (303)988-9220 BAHR, CARL, DMD Comfort Dental Braces 9990 W 26th Ave Lakewood, CO 80215 (303) 202-0880 BAHR, CRAIG, DDS Comfort Dental Braces 9990 W 26th Ave Lakewood, CO 80215 (303)202-0880 BOBAK,VOYTEK,DMD 1840 S Wadsworth Blvd Lakewood, CO 80232 (303)988-0844 CALLENDER, DAVID, DDS 2460 Youngfield St Lakewood, CO 80215 (303)233-2929 DURYEA, MICHAEL, DDS 13131 W Alameda Pkwy Lakewood, CO 80228 (303) 987-0500 FRANZ,KAREN,DDS Bright Now Dental 7611 W Colfax Ave Unit D Lakewood, CO 80214 (303) 202-0900 KONEGNI, JOHN, DDS MS Lakewood Orthodontics LLC 255 Union Blvd Ste 430 Lakewood, CO 80228 (303)988-2780 MASON, JAMES, DDS Colorado Orthodontics PLLC 12018 W Jewell Ave Unit B Lakewood, CO 80228 (303)980-6411 NIEBERG-BASKIN, HILARY, DDS All About Kids Braces 2020 Wadsworth Blvd Ste 18A Lakewood, CO 80214 (303) 462-1462 ZINKANN, KARLA 14062 Denver West Pkwy Ste 120 Lakewood, CO 80401 (303)279-5050 LAMAR GENERAL DENTIST CHC HIGH PLAINS COMMUNITY HE High Plains Community Health Gen 200 Kendall Dr Ste 1 Lamar, CO 81052 (719)336-8445 LARKSPUR GENERAL DENTIST BEVIS, BRITTANY, DDS DMD Pineland Dental PC 8520 Spruce Mountain Rd Ste 11 Larkspur, CO 80118 (303) 681-8200 LIMON GENERAL DENTIST ACKALL, IBRAHEEM, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719) 775-2367 BUSSE, DAVID, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719) 775-2367 DAWSON, KEVIN, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719)775-2367 HIGUCHI, CHRISTOPHER, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719)775-2367 KEMPERS, GREGORY, DDS Plains Medical Center. 820 1st St PO Box 1120 Limon, CO 80828 (719)775-2367 is Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies anu rdwupauny Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0 26 City of Fort Collins • Section 2.0 Services to Be Provided In addition to the plan provisions set forth in the attachments, the City has specific requirements needed to support its day-to-day operations. 2.1 Specific Requirements Account Management The account executive and service representative(s) will deal directly with the City. This environment requires the account management team to: ➢ Be able to devote the time necessary to the account, including being available for frequent telephone and on -site consultations with the City. Firms who are not committed to account service will not receive serious consideration; ➢ Be extremely responsive; ➢ Be comprised of individuals with specialized knowledge of the proposing firm's: - Claims and Eligibility Systems - Provider Networks (where applicable) • - Systems Reporting Capabilities - Claims Adjudication Policies and Procedures - Administrative Services Contract Wording - Standard and Non -Standard Banking Arrangements - Relationships with Third Parties ➢ Be thoroughly familiar with virtually all of the proposing firm's functions that relate directly or indirectly to the account; ➢ Act on behalf of the City in "cutting through red tape". This facet of account management cannot be emphasized enough — the account management team must be able to effectively advance the interests of the City through the firm's corporate structure. Agreed. • 2 0 • Limon Colorado COLORADO (CONT-D) KRIEGER, GEORGE, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719) 775-2367 THURMAN, DAVID, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719)775-2367 LITTLETON ENDODONTIST PATEL,SANJAY Highlands Ranch Endodontics PC 537 W Highlds Rch Pkwy Ste 101 Littleton, CO 80129 (303)346-3963 GENERAL DENTIST ALEKSANYAN, MARGARITA, DDS Guaranteed Smiles 2001 E Easter Ave Ste 200 Littleton, CO 80122 (303) 703-4544 ALMEIDA, ADAM, DDS 8683 E Lincon Ave Ste 200 Littleton, CO 80124 (303)858-9000 BARTON, STEPHEN, DDS PC 5622 S Delaware St Littleton, CO 80120 (303)794-1707 BEVANS, DAVID, DDS 7889 S Lincoln Ct Ste 100 Littleton, CO 80122 (303)798-1454 BIRKEL, RICHARD, DDS Comfort Dental Littleton 209 W Littleton Blvd Littleton, CO 80120 (303) 734-2273 BLANCHARD, JASON, DDS Blanchard and Richardson Family De 8089 S Lincoln St Ste 102 Littleton, CO 80122 (303)794-9271 BOYD PAGE, DANA Page Dental Arts Professional LI 8204 S Kipling Pkwy Unit 160 Littleton, CO 80127 (303) 794-4542 BURGER, ANNA, DDS Highlands Dental 2201 W Wildcat Reserve Pkwy Unit C6 Littleton, CO 80129 (303) 220-1122 CARREON, LEJON, DDS 10268 W Centennial Rd Ste 100 Littleton, CO 80127 (303) 933-2066 Delta Dental PPO CASSON,ANNE,DDS Littleton Family Dntl Clinic 5401 S Prince St Ste 101 Littleton, CO 80120 (303) 797-3867 CHRISTIANSEN, RICHARD, Aspen Dental Center 5104 S Field St Ste A Littleton, CO 80123 (303) 935-3737 CREER, LORIN, DDS Greer Family Dentistry 6179 S Balsam Way Ste 220 Littleton, CO 80123 (303)932-2872 HARRIS, MARK, DDS 5590 S Windermere St Littleton, CO 80120 (303)794-3003 HASSELBACK, CHRISTOPHER, DDS DDS Comfort Dental -Highlands Ranch 129 W County Line Rd Littleton, CO 80129 (303)738-9499 HOANG- XUAN, KHIEM Comfort Dental -Highlands Ranch 129 W County Line Rd Littleton, CO 80129 (303)738-9499 DANNA, CHARLES, DDS HOANG,HANG,DDS Suncreek Dental Group Clement Park Dental Cares 7761 Shaffer Pkwy Ste 250 8500 W Bowles Ave Ste 305 Littleton, CO 80127 Littleton, CO 80123 (303)933-2522 (303)972-2988 DAUGHERTY, DAVID, DDS Aspen Dental Center 5104 S Field St Ste A Littleton, CO 80123 (303) 935-3737 DAWSON, KEVIN, DDS Advanced Dental Solutions PC 7261 S Broadway Ste 103 Littleton, CO 80122 (303) 798-1300 DUQUETTE, DOUGLAS, DDS Perfect Teeth Ken Caryl PC 7660 S Pierce St Littleton, CO 80128 (303)972-7227 FARLEY, LYNN, DDS 6930 S University Blvd Ste 204 Littleton, CO 80122 (303) 794-1415 FEREYDOUNI, AMIR, DDS DMD Kids and Family Dentistry 40 W Littleton Blvd Ste 205 Littleton, CO 80120 (303) 495-2801 FORD, JAMES, DDS Perfect Teeth Ken Caryl PC 7660 S Pierce St Littleton, CO 80128 (303)972-7227 FRANQUEMONT, MICHAEL, DDS 9083 W Peakview Or Littleton, CO 80123 (303)979-0654 GITLIN, LARRY, DDS 11757 W Ken Caryl Ave Unit J Littleton, CO 80127 (303)979-9488 GREENE, CRAIG, DDS PC 8441 W Bowles Ave Ste 220 Littleton, CO 80123 (303) 979-2544 GRYZICK, DAVID, DDS M William Meyer DDS PC 6691 W Ken Caryl Ave Littleton, CO 80128 (303) 979-4994 JOHNSON, CHARLES, DDS Littleton Family Dntl Clinic 5401 S Prince St Ste 101 Littleton, CO 80120 (303)797-3867 JOLSTAD, MARK, DDS Comfort Dental -Highlands Ranch 129 W County Line Rd Littleton, CO 80129 (303)738-9499 JONES, KRISTIN, DDS Perfect Teeth Bowmar PC 5151 S Federal Blvd Ste G2 Littleton, CO 80123 (303)795-1107 KEMPTON, CINDY, DDS 7261 S Broadway Ste 102 Littleton, CO 80122 (303)738-3888 KIM, DAVID, DDS Comfort Dental at Coal Mine 8420 W Coal Mine Ave Littleton, CO 80123 (303)904-2273 KLUMB, THOMAS, DDS Comfort Dental at Coal Mine 8420 W Coal Mine Ave Littleton, CO 80123 (303) 904-2273 LAI, PEARL, DDS Perfect Teeth Bowmar PC 5151 S Federal Blvd Ste G2 Littleton, CO 80123 (303)795-1107 LOPER, DARLYNE, DDS DMD 5728 S Gallup St Littleton, CO 80120 (303)794-3969 LOVE, WILLIAM, DDS Comfort Dental -Highlands Ranch 129 W County Line Rd Littleton, CO 80129 (303)738-9499 MALOY, SHAWN, DDS 5419 S Curtice St Littleton, CO 80120 (303) 798-4515 Littleton Colorado MARTIN, SARIRA, DDS Perfect Teeth Bowmar PC 5151 S Federal Blvd Ste G2 Littleton, CO 80123 (303)795-1107 Beautiful Smile 5622 S Delaware St Littleton, CO 80120 (303)794-1707 MEHLHOFF, CHRISTOPHER, DDS Swedish Healthpark Dental Arts 6169 S Balsam Way Ste 330 Littleton, CO 80123 (303)933-8230 MEYER, MARVIN, DDS PC 6691 W Ken Caryl Ave Littleton, CO 80128 (303)979-4994 NAJJAR, ELLIAS, DDS Belleview Dental Associates 10184 W Belleview Ave Ste 220 Littleton, CO 80127 (303) 932-1077 OLDERSHAW, WILLIAM, DDS Comfort Dental at Coal Mine 8420 W Coal Mine Ave Littleton, CO 80123 (303)904-2273 OLDROYD, TODD, DDS DMD 8340 Sangre De Cristo Rd Ste 102 Littleton, CO 80127 (303)795-6444 PAVEL, MARGARETA, DDS 8370 W Coal Mine Ave Ste 103 Littleton, CO 80123 (303)978-1522 POHL, RAYMOND, DDS 7800 S Elati St Ste 102 Littleton, CO 80120 (303)798-5465 PRESTON, JAMES, DDS 5950 S Platte Canyon Rd Littleton, CO 80123 (303)797-2286 RICHARDSON, BRIAN, DDS Blanchard and Richardson Family De 8089 S Lincoln St Ste 102 Littleton, CO 80122 (303)794-9271 SAIDE KARLIN, STEPHANIE, DDS 13402 W Coal Mine Ave Ste 270 Littleton, CO 80127 (303)933-2420 SPIEGEL, JEFFERY, DDS Comfort Dental Littleton 209 W Littleton Blvd Littleton, CO 80120 (303)734-2273 THOMPSON, SCOT, DDS 7735 W Long Dr Unit 9 Littleton, CO 80123 (303)933-8880 THRASH, FREDERIC, DDS Perfect Teeth Ken Caryl PC 7660 S Pierce St Littleton, CO 80128 (303)972-7227 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 27 Littleton Delta Dental PPO Longmont Colorado Colorado COLORADO (CONT-D) TOMASETTI, DAVID, DMD 7889 S Lincoln Ct Ste 100 Littleton, CO 80122 (303)798-2822 TRAN, TRAM, DDS 9860 W Belleview Ave Littleton, CO 80123 (303)933-9969 VETOWICH, MICHAEL, DDS Comfort Dental -Highlands Ranch 129 W County Line Rd Littleton, CO 80129 (303)738-9499 WEEKES, BRADLEY, DDS Comfort Dental at Coal Mine 8420 W Coal Mine Ave Littleton, CO 80123 (303)904-2273 ORAL SURGEON ESPOSITO, DANIEL, MD DMD 6179 S Balsam Way Ste 100 Littleton, CO 80123 (303)933-8282 LESSIG, JAMES, DDS Advanced Oral and Max Surgery 10146 W San Juan Way Unit 210 Littleton, CO 80127 (303)979-2940 MICHALIK, THOMAS, MD DMD Advanced Oral and Max Surgery 10146 W San Juan Way Unit 210 Littleton, CO 80127 (303)979-2940 MINER, JEREMY, DDS Daniel E Esposito MD DMD PC 6179 S Balsam Way Ste 100 Littleton, CO 80123 (303)933-8282 WEIDEMAN, EDWARD, MD DMD Advanced Oral and Max Surgery 10146 W San Juan Way Unit 210 Littleton, CO 80127 (303) 979-2940 ORTHODONTIST ALBERT, DAVID, DDS PC 7889 S Lincoln Ct Ste 102 Littleton, CO 80122 (303)798-0928 BELLON, MICHAEL, DDS MS 7325 S Pierce St Ste 204 Littleton, CO 80128 (303)933-6830 CALLENDER,GALEN,DDS 6169 S Balsam Way Ste 380 Littleton, CO 80123 (303)973-7771 DURYEA, MICHAEL, DDS 6701 W Ken Caryl Ave Littleton, CO 80128 (303) 933-0300 GARDNER, ROBERT, DDS Family Orthodontics 9878 W Belleview Ave Littleton, CO 80123 (303)978-1316 HOLT, GARY, DDS 7889 S Lincoln Ct Ste 102 Littleton, CO 80122 (303) 798-0928 HORNER, CRAIG, DDS DC 11757 W Ken Caryl Ave Unit K Littleton, CO 80127 (303) 972-9710 LEE, EUNICE, DMD South Park Orthodontics 8199 Southpark Ln Ste 150 Littleton, CO 80120 (303)739-8828 OHMART, SCOTT, DDS 10146 W San Juan Way Unit 230 Littleton, CO 80127 (303) 979-0211 PETERSON, SHON, DMD Si Peterson DMD MS PC 8340 Sangre De Cristo Rd Ste 201 Littleton, CO 80127 (303) 979-2727 RESNICK, JEFFREY, DDS 9200 W Cross Dr Ste 426 Littleton, CO 80123 (303) 972-2898 ROCKE, PAUL, DDS 200 W County Line Rd Ste 304 Littleton, CO 80129 (303)730-7002 STASI, MARK, DDS Comfort Smile Center 5055 S Kipling Pkwy Littleton, CO 80127 (303)933-8464 ZINKANN, KARLA, DDS MS 8 W Dry Creek Cir Ste 102 Littleton, CO 80120 (303) 798-8293 PERIODONTIST GLICK, PAUL, DDS 26 W Dry Creek Cir Ste 300 Littleton, CO 80120 (303) 795-5700 LONE TREE ENDODONTIST BECKER, HELENA, DDS DMD Parkridge Endodontics PC 10450 Park Meadows Dr Ste 102 Lone Tree, CO 80124 (303)397-7668 GALLEGO-CUBILLOS, SONIA Metropolitan Dental Care at Park 10461 Park Meadows Dr Bldg 4 Lone Tree, CO 80124 (303) 534-2626 RING, JAMIE, DDS DMD Parkridge Endodontics PC 10450 Park Meadows Dr Ste 102 Lone Tree, CO 80124 (303) 397-7668 WHITNEY, SCOTT, DDS Parkridge Endodontics PC 10450 Park Meadows Dr Ste 102 Lone Tree, CO 80124 (303)397-7668 GENERAL DENTIST AJDARI, JURAK, DDS PC 10450 Park Meadows Dr Ste 306 Lone Tree, CO 80124 (303) 471-4300 ALMEIDA, ADAM, DDS 8683 E Lincoln Ave Ste 200 Lone Tree, CO 80124 (303) 858-9000 AMBIDA, SANDRA, DDS DMD 9695 S Yosemite St Ste 225 Lone Tree, CO 80124 (303)790-8338 BROCKMAN, JOHN, DDS Brockman Family Dentistry 10450 Park Meadows Dr Ste 304 Lone Tree, CO 80124 (303) 799-4333 CORSON, GEORGE, DDS Perfect Teeth Highlands Ranch PC 9227 E Lincoln Ave Ste 100 Lone Tree, CO 80124 (303)925-0603 HANDELMAN, RICHARD, DDS Dentisty at The Crest 10047 Park Meadows Dr Unit B Lone Tree, CO 80124 (303)768-8848 LAWLER, MICHAEL, DDS Four Seasons Dental 9896 Rosemont Ave Ste 103 Lone Tree, CO 80124 (303)705-5700 NELSON, RUTH, DDS Perfect Teeth Highlands Ranch PC 9227 E Lincoln Ave Ste 100 Lone Tree, CO 80124 (303)925-0603 ORALSURGEON CATALANO, JOSEPH, DDS DMD Aurora Oral and Max Surgeons 10103 Ridgegate Pkwy Ste 214 Lone Tree, CO 80124 (303)768-8222 KEOGH, BARRY, DDS MD Aurora Oral and Max Surgeons 10103 Ridgegate Pkwy Ste 214 Lone Tree, CO 80124 (303) 768-8222 ORTHODONTIST DURKIN, FAZILA, DDS Durkin Orthodontics 7430 Park Meadows Dr Ste 200 Lone Tree, CO 80124 (303) 799-8882 HORNER, CRAIG, DDS DC Perfect Teeth Highlands Ranch PC 9227 E Lincoln Ave Ste 100 Lone Tree, CO 80124 (303)925-0603 IDICULLA, ANIL, DMD Park Meadows Orthodontics 10463 Park Meadows Dr Ste 206 Lone Tree, CO 80124 (303)534-2626 KARLIN, TYLER Perfect Teeth Highlands Ranch PC 9227 E Lincoln Ave Ste 100 Lone Tree, CO 80124 (303)925-0603 MOORE, THEODORE, DDS 9896 Rosemont Ave Ste 204 Lone Tree, CO 80124 (303)799-3994 PEDODONTIST NGUYEN, ANDREW, DDS Perfect Teeth Highlands Ranch PC 9227 E Lincoln Ave Ste 100 Lone Tree, CO 80124 (303) 925-0603 LONGMONT ENDODONTIST BREEDEN, RANDALL, DDS Perfect Teeth Pace PC 1631 Pace St Ste B3 Longmont, CO 80501 (303)684-6524 GENERAL DENTIST BILES, JILL, DDS Avanti Dental Care PC 900 S Main St Ste 201 Longmont, CO 80501 (303)776-9701 BROWN, STEPHEN, DDS 2051 Terry St Ste F Longmont, CO 80501 (303) 678-7232 DRAKE, THOMAS, DDS Smile Designers Fmly Dntry 1246 Main St Longmont, CO 80501 (303) 678-7800 HAMBLIN, ROBERT, DDS Dental Health of Longmont PLLC 1260 S Hover St Unit H Longmont, CO 80501 (303) 678-1125 HERZIG, LAURA, DDS Perfect Teeth Longmont PC 641 Ken Pratt Blvd Longmont, CO 80501 (303) 651-2700 HOOK, MARK, DDS Dental Health of Longmont PLLC 1260 S Hover St Unit H Longmont, CO 80501 (303)678-1125 JOHNSON, JOLLY, DDS Comfort Dental Longmont 1750 Mountain View Ave Longmont, CO 80501 (303) 678-7783 is Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ano ranicipaang Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0 28 • Longmont Delta Dental PPO Lyons Colorado Colorado COLORADO (CONT-D) KHEIR, AHMED, DDS DMD Bright Now Dental 15 Ken Pratt Blvd Ste 280 Longmont, CO 80501 (303) 678-1155 KOCHEVAR, CASEY, DDS Hover Dental Group 1446 Hover St Longmont, CO 80501 (303)684-9700 OBRIEN, ROBERT, DDS 1446 Hover St Longmont, CO 80501 (303) 684-9700 PERRY,STEPHEN,DDS Dental Health of Longmont PLLC 1260 S Hover St Unit H Longmont, CO 80501 (303)678-1125 PIERSON, DIANNE, DDS Longmont Family Dentistry LLC 1503 Mountain View Ave Longmont, CO 80501 (303)776-7804 PINKNER, JAY, DDS 1361 Francis St Ste 201 Longmont, CO 80501 (303)776-0117 RANUCCI, ANDREW, DDS DMD 515 Main St Unit B Longmont, CO 80501 (303) 684-9422 SAEKS, ADAM, DDS 376 2nd Ave Longmont, CO 80501 (303)652-3500 SAUZA, JUAN, DDS Avanti Dental Care PC 900 S Main St Ste 201 Longmont, CO 80501 (303)776-9701 SIDWELL, STEPHEN, DDS Comfort Dental Longmont 1750 Mountain View Ave Longmont, CO 80501 (303) 678-7783 SODER-BLACKMAN, KELLY, DDS Comfort Dental Longmont 1750 Mountain View Ave Longmont, CO 80501 (303) 678-7783 SOLTANI, AZADEH, DDS DMD Bright Now Dental 15 Ken Pratt Blvd Ste 280 Longmont, CO 80501 (303) 678-1155 - STUTZNEGGER,CONRAD,DDS Comfort Dental Longmont 1750 Mountain View Ave Longmont, CO 80501 (303)678-7783 WALGAST, JOHN, DDS DMD Perfect Teeth Longmont PC 641 Ken Pratt Blvd Longmont, CO 80501 (303) 651-2700 WALGAST,JOHN,DMD Perfect Teeth Pace PC 1631 Pace St Ste B3 Longmont, CO 80501 (303) 684-6524 WHITTERN, CATHY, DDS Dental Aspects PC 13876 Elmore Rd Longmont, CO 80504 (303) 678-7558 WOOD, BRADLEY, DDS Brad C Wood DDS LLC 916 S Main St Unit 303 Longmont, CO 80501 (303)485-9123 ORAL SURGEON COLM, STEPHEN, DMD Perfect Teeth Pace PC 1631 Pace St Ste B3 Longmont, CO 80501 (303)684-6524 Perfect Teeth Longmont PC 641 Ken Pratt Blvd Longmont, CO 80501 (303) 651-2700 MILLER, ABRAHAM, DDS Comfort Dental of Louisville 339 McCaslin Blvd Ste B Louisville, CO 80027 (303) 673-0500 SPENCER, STEPHEN, DMD Comfort Dental of Louisville 339 McCaslin Blvd Ste B Louisville, CO 80027 (303)673-0500 ORAL SURGEON REISMAN, ALAN, DDS 1075 E South Boulder Rd Ste 230 Louisville, CO 80027 (303)665-2377 ORTHODONTIST CARAWAY, DAMEN, DDS Caraway Orthodontics PC 1760 Centennial Dr Ste B Louisville, CO 80027 (303)665-7333 WEINBACH, JONATHAN, DDS Smile Zone Orthodontics 1075 E South Boulder Rd Ste 235 Louisville, CO 80027 (303)604-0300 LOVELAND ORTHODONTIST GENERAL DENTIST MCMANAMAN, RICHARD, DDS MS 1600 Hover St Ste D1 Longmont, CO 80501 (303)772-7722 OWEN, BRANDON, DDS Bright Now Dental 15 Ken Pratt Blvd Ste 280 Longmont, CO 80501 (303)678-1155 PERIODONTIST GURINSKY, BRIAN, DDS Bright Now Dental 15 Ken Pratt Blvd Ste 280 Longmont, CO 80501 (303)678-1155 KOHUT, DEJAN, DDS Perfect Teeth Pace PC 1631 Pace St Ste B3 Longmont, CO 80501 (303)684-6524 LOUISVILLE GENERAL DENTIST BASIT, SAADIA, DDS DMD 1371 E Hecla Dr Ste C-2 Louisville, CO 80027 (303) 604-2689 DUEY, DOUGLAS, DDS Comfort Dental of Louisville 339 McCaslin Blvd Ste B Louisville, CO 80027 (303) 673-0500 BOURNE, JEFFREY, DDS Comfort Dental North Loveland 274 W 64th St Loveland, CO 80538 (970) 667-0446 CARLESIMO, PETER, DDS Perfect Teeth Loveland PC 3400 W Eisenhower Blvd Loveland, CO 80537 (970)669-2853 HASCHKE, DOUGLAS, DDS Comfort Dental Thompson Valley 1405 10th St SW Loveland, CO 80537 (970)962-9995 HERZIG, LAURA Lincoln Place Dentistry PC 564 N Lincoln Ave Loveland, CO 80537 (970)776-9140 KALLIO, JENNIFER, DDS Comfort Dental Thompson Valley 1405 10th St SW Loveland, CO 80537 (970)962-9995 LINDMAN, MIKAL, DDS Comfort Dental North Loveland 274 W 64th St Loveland, CO 80538 (970)667-0446 MULHERAN, THOMAS, DDS Bright Now Dental 1440 W 29th St Ste 400 Loveland, CO 80538 (970)622-0922 SCHREIBER, WILLIAM, DDS PC 1323 Harlow Ln Ste 4 Loveland, CO 80537 (970)667-8782 SHULZE, RICHARD Milestone Dental Care 640 E Eisenhower Blvd Ste 100 Loveland, CO 80537 (303)833-5500 SMITH, BRADLEY, DDS Comfort Dental Thompson Valley 1405 10th St SW Loveland, CO 80537 (970)962-9995 TRAN, VIEN, DDS Comfort Dental Thompson Valley 1405 10th St SW Loveland, CO 80537 (970)962-9995 TRIPAM, ALOIS, DDS Comfort Dental Thompson Valley 1405 10th St SW Loveland, CO 80537 (970)962-9995 ORAL SURGEON COLM,STEPHEN,DDS Perfect Teeth Loveland PC 3400 W Eisenhower Blvd Loveland, CO 80537 (970)669-2853 ORTHODONTIST KARLIN, TYLER Perfect Teeth Loveland PC 3400 W Eisenhower Blvd Loveland, CO 80537 (970)669-2853 PEDODONTIST MONAK,EDMUND Perfect Teeth Loveland PC 3400 W Eisenhower Blvd Loveland, CO 80537 (970) 669-2853 PERIODONTIST HOLLING, GEORGE, DDS 1625 Foxtrail Dr Ste 100 Loveland, CO 80538 (970) 669-7300 LYONS GENERAL DENTIST JOHNSTONE, DENNIS, DDS DMD 304 Main St Lyons, CO 80540 (303)823-6006 SHULZE, RICHARD, DDS DMD The Lions Tooth 304 Main St Lyons, CO 80540 (303) 833-5500 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 29 Montrose Delta Dental PPO Parker Colorado Colorado COLORADO (CONT-D) MONTROSE GENERAL DENTIST COMMUNITY DENTAL CLINIC CHC 1901 S Townsend Ave Montrose, CO 81401 (970)252-8896 CORY,KENNETH,DMD 1425 Hawk Pkwy Ste 7 Montrose, CO 81401 (970) 249-4249 REARDON, DANIEL, DDS Black Canyon Dental 1544 Oxbow Dr Ste 230 Montrose, CO 81401 (970)240-8880 MONUMENT GENERAL DENTIST CARTER,STEVEN Comfort Dental Monument 556 Highway 105 Monument, CO 80132 (719)484-0043 CUTLER, RICHARD, DDS Jackson Creek Dental Care 15854 Jackson Creek Pkwy Monument, CO 80132 (719)302-2200 DRISKILL, VICTORIA Comfort Dental Monument 556 Highway 105 Monument, CO 80132 (719)484-0043 DWYER, DANIEL, DDS Jackson Creek Dental Care 15854 Jackson Creek Pkwy Monument, CO 80132 (719)302-2200 LAMOREAUX, JAROM, DDS Tri-Lakes Dental 1864 Woodmoor Dr Ste 101 Monument, CO 80132 (719)488-5981 PEPPLER, MICHAEL, DDS DMD M Scott Peppler DMD PC 1777 Lake Woodmoor Dr Monument, CO 80132 (303)501-0763 SMITH, JOSHUA Comfort Dental Monument 556 Highway 105 Monument, CO 80132 (719)484-0043 NORTHGLENN GENERAL DENTIST BEST, CORY, DDS 10780 Washington St Northglenn, CO 80233 (303) 452-6630 COSTA, BENJAMIN, DDS Jeremy J Zeigler DMD PC 11310 Huron St Ste 210 Northglenn, CO 80234 (303) 428-8560 (RICK, BRUCE, DDS Comfort Dental Group of Northgle 10780 Washington St Northglenn, CO 80233 (303)452-6630 JEFFERIES, ROBERT, DDS Comfort Dental Group of Northgle 10780 Washington St Northglenn, CO 80233 (303) 452-6630 MANGOLD, ANNE, DDS Alpha Dental Care 421 W 104th Ave Ste 201 Northglenn, CO 80234 (303) 427-6462 MARTIN, ROY, DDS Comfort Dental Group of Northgle 10780 Washington St Northglenn, CO 80233 (303)452-6630 MOSS, STEWART, DDS Alpha Dental Care 421 W 104th Ave Ste 201 Northglenn, CO 80234 (303)427-6462 SADDLER, AURORA, DDS Comfort Dental Group of Northgle 10780 Washington St Northglenn, CO 80233 (303) 452-6630 SADDLER,GARY,DDS Comfort Dental Group of Northgle 10780 Washington St Northglenn, CO 80233 (303) 452-6630 STEVENS, JESSICA, DDS Jepsen and Associates DDS 11411 Pearl St Northglenn, CO 80233 (303) 452-4556 TRAN, LUAN, DDS 11160 Huron St Ste 102 Northglenn, CO 80234 (303) 451-5111 ZEIGLER, JEREMY, DDS DMD 11310 Huron St Ste 210 Northglenn, CO 80234 (303) 428-8560 ORALSURGEON WELCH, SCOTT, DDS DMD Alpha Dental Care 421 W 104th Ave Ste 201 Northglenn, CO 80234 (303) 427-6462 ORTHODONTIST PETERSON, SHON, DMD Peterson Northglenn Orthodontics 11411 Pearl St Northglenn, CO 80233 (303) 452-4656 PERIODONTIST SCHEIDT, MICHAEL, DDS Colorado Gum Care Ltd 11178 Huron St Ste 101 Northglenn, CO 80234 (303) 457-9617 WHEELER, MARK, DDS DMD Colorado Gum Care Ltd 11178 Huron St Ste 101 Northglenn, CO 80234 (303)457-9617 NORWOOD GENERAL DENTIST CHC UNCOMPAHGRE MEDICAL CENT 1350 S Aspen Norwood, CO 81423 (970) 327-4233 PAGOSA SPRINGS GENERAL DENTIST DAVIS, PHILIP 101 N Pagosa Blvd Pagosa Springs, CO 81147 (970)264-9436 PARKER ENDODONTIST CHALIAN, GARO, DDS Endodontics of Colorado LLC 19700 E Parker Square Dr Ste 8 Parker, CO 80134 (303) 805-4141 HOLTZMANN, DAVID, DDS Endodontics of Colorado LLC 19700 E Parker Square Dr Ste 8 Parker, CO 80134 (303) 805-4141 STEIN, ARLENE, DDS DMD Endodontics of Colorado LLC 19700 E Parker Square Dr Ste 8 Parker, CO 80134 (303)805-4141 SYRPES, DEMETRIOS, DDS Endodontics of Colorado LLC 19700 E Parker Square Dr Ste 8 Parker, CO 80134 (303)805-4141 GENERAL DENTIST ALLEN, RODNEY, DDS 10219 S Park Glenn Way Ste 100 Parker, CO 80138 (720) 851-6784 BABIN, BRIAN, DDS Mountain Dental PC 11280 S Twenty Mile Rd Ste 119 Parker, CO 80134 (303) 841-9915 CHOI, SEONG-HEE, DMD Cornerstone Dental Care PLLC 17002 Main St Unit H Parker, CO 80134 (720)842-1900 CLEAR,SHERYL,DDS Lifetime Dental Care 10841 S Crossroads Dr Ste 108 Parker, CO 80134 (303)840-1097 CORTESE,KATHLEEN,DDS Parker Dental Center 11031 S Pikes Peak Dr Ste 103 Parker, CO 80138 (303) 841-4580 DIGIORGIO, ROBERT, DDS 17821 Cottonwood Dr Parker, CO 80134 (303) 699-6100 DYCHES, BENJAMIN, DDS Mountain Dental PC 11280 S Twenty Mile Rd Ste 119 Parker, CO 80134 (303)841-9915 FREIMUTH, RONALD, DDS Comfort Dental Stroh Ranch 12870 Stroh Ranch Way Unit 103 Parker, CO 80134 (303) 840-6543 HALE, MICHAEL, DDS 19751 E Main St Ste R16 Parker, CO 80138 (303)841-3322 HAMILTON, JEFFREY, DDS DMD Comfort Dental Stroh Ranch 12870 Stroh Ranch Way Unit 103 Parker, CO 80134 (303)840-6543 HENDERSON, SCOTT, DDS Comfort Dental Stroh Ranch 12870 Stroh Ranch Way Unit 103 Parker, CO 80134 (303)840-6543 HOLDERNESS,HAROLD,Dos Perfect Teeth Parker PC 11005 S Parker Rd Parker, CO 80134 (303) 805-3588 JOHNSON, TREVOR, DDS DMD Comfort Dental Stroh Ranch 12870 Stroh Ranch Way Unit 103 Parker, CO 80134 (303)840-6543 KEMPERS, GREGORY, DDS Capstone Dental PC 11355 S Parker Rd Unit 105 Parker, CO 80134 (303) 805-3655 KWON, MICHELLE, DMD Cornerstone Dental Care PLLC 17002 Main St Unit H Parker, CO 80134 (720)842-1900 LEPERA,RACHEL Trailview Dental Care 18721 Ponderosa Dr Ste C Parker, CO 80134 (303) 805-4655 THRASH, FREDERICK, DMD Parker Dental Center 11031 S Pikes Peak Dr Ste 103 Parker, CO 80138 (303) 841-4580 is Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ana ranicipanng Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0 30 • Parker Colorado COLORADO (CONT'D) ORTHODONTIST BUMGARNER, ROGER, DDS 18801 E Mainstreet Ste 150 Parker, CO 80134 (303)688-9617 ELTON, ROGER, DDS MS 10522 S Parker Rd Parker, CO 80134 (303)841-2100 HOGGAN, BRENT, DDS 10219 S Park Glenn Way Parker, CO 80138 (303)840-8505 HORNER, CRAIG, DDS DC Perfect Teeth Parker PC 11005 S Parker Rd Parker, CO 80134 (303) 805-3588 LINN, BRANDON, DDS Roger L Bumgarner DDS 18801 E Mainstreet Ste 150 Parker, CO 80134 (303)688-9617 NAZAROV, ANDREY, DDS DMD MS Allegro Orthodontics 11211 S Dransfeldt Rd Ste 122 Parker, CO 80134 (720)842-4544 NIELSON, KIRK, DDS 20 Mile Orthodontics LLP 11355 S Parker Rd Unit 109 Parker, CO 80134 (303)841-2262 WIGGINS, CASSY, DDS DMD MS Summit Orthodontics 17021 Lincoln Ave Unit A Parker, CO 80134 (303)805-7111 PEDODONTIST NGUYEN, ANDREW, DDS Perfect Teeth Parker PC 11005 S Parker Rd Parker, CO 80134 (303)805-3588 PEYTON GENERAL DENTIST HARVEY,JONATHAN,DMD Comfort Dental Falcon Hills 11605 Meridian Market Vw Ste 154 Peyton, CO 80831 (719) 495-8989 HOUSER, JAMIN, DDS Falcon Dental Care 7673 McLaughlin Rd Peyton, CO 80831 (719)494-1100 JOHNSON, JAY, DDS DMD Meridian Dental 7520 Bierstadt Hts Ste 125 Peyton, CO 80831 (719) 495-3131 Delta Dental PPO KENNY, KRAIG, DDS Meridian Dental 7520 Bierstadt Hts Ste 125 Peyton, CO 80831 (719)495-3131 MASSEY, BRITNY, DDS Meridian Dental 7520 Bierstadt Hts Ste 125 Peyton, CO 80831 (719) 495-3131 MURDOCK, CHAD, DDS DMD Comfort Dental Falcon Hills 11605 Meridian Market Vw Ste 154 Peyton, CO 80831 (719) 495-8989 OLSON, DWIGHT, DDS DMD Comfort Dental Falcon Hills 11605 Meridian Market Vw Ste 154 Peyton, CO 80831 (719) 495-8989 STAFFORD, JOEL, DDS DMD Comfort Dental Falcon Hills 11605 Meridian Market Vw Ste 154 Peyton, CO 80831 (719) 495-8989 WAITE, JOHN, DDS Falcon Dental Care 7673 McLaughlin Rd Peyton, CO 80831 (719)494-1100 ORTHODONTIST HOUSEWRIGHT, WADE 7685 McLaughlin Rd Ste 190 Peyton, CO 80831 (719) 495-1230 PUEBLO ENDODONTIST WESTPHAL, REGINALD, DDS Pueblo Endodontic Associates 2099 W US Highway 50 Ste 150A Pueblo, CO 81008 (719) 544-8900 GENERAL DENTIST ALMOND, BRADLEY,DMD Comfort Dental South Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719) 565-2274 AUTOBEE, THOMAS, DDS 108 E Pitkin Ave Pueblo, CO 81004 (719)543-8940 BATSON, EMILY, DDS Orchard Springs Dental 318 S Orchard Springs Dr Pueblo, CO 81007 (719) 647-1122 Pueblo Community College 900 W Orman Ave Pueblo, CO 81004 (719) 549-3378 . BERGLES, JAMES, DDS 1560 Bonforte Blvd Pueblo, CO 81001 (719) 544-5340 BERRY, ERIC, DDS 1800 Fortino Blvd Unit 1 Pueblo, CO 81008 (719) 545-1400 BIELECKI, PAWEL, DDS Young at Heart Dentistry 2603 Vinewood Ln Pueblo, CO 81005 (719)564-6464 BOREN, MICHAEL, DDS Smile Center 3559 Baltimore Ave Pueblo, CO 81008 (719)543-8109 BRADLEY,KATHLEEN,DDS Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 CARTER, STEVEN, DDS Comfort Dental South Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 Comfort Dental North Pueblo 2025 W US Highway 50 Ste A100 Pueblo, CO 81008 (719)542-2472 CHAMBERS, ALVIN, DDS DMD 1320 Fortino Blvd Ste D Pueblo, CO 81008 (719)545-5213 CHILDRESS, FRANK, DDS Down To Earth Dental 1407 W 29th St Pueblo, CO 81008 (719) 546-0404 CHOE, CHIYON, DDS Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 CONNOLLY, MARY Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 DASILVA, RICARDO Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 DAURIO, RONALD, DDS 4130 Redwood Ln Unit 130 Pueblo, CO 81005 (719)564-1102 DOWNEY, RALPH, DDS Comfort Dental South Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719) 565-2274 DOYLE, BRIDGET, DDS Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 Pueblo Colorado DRISCOLL, DENNIS, DDS Orchard Springs Dental 318 S Orchard Springs Dr Pueblo, CO 81007 (719)647-1122 DURAN, TOMAS, DDS 830 W Abriendo Ave Pueblo, CO 81004 (719)545-3838 FITZGERALD, JOSEFINA, DDS 3210 Wedgewood Dr Pueblo, CO 81005 (719)561-8115 GIANNETTO, STEVEN; DDS PC 4104 Outlook Blvd Ste 138D Pueblo, CO 81008 (719) 543-2271 GRAVES, GARY, DDS Dental Health Services PC 1345 S Pueblo Blvd Pueblo, CO 81005 (719)542-3595 HASSELBACK, CHRISTOPHER, DDS Comfort Dental South Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719) 565-2274 Comfort Dental North Pueblo 2025 W US Highway 50 Ste A100 Pueblo, CO 81008 (719)542-2472 HOLDEN, PHILIP, DDS Comfort Dental North Pueblo 2025 W US Highway 50 Ste A100 Pueblo, CO 81008 (719)542-2472 HOUSE, MARK, DDS DMD Orchard Springs Dental 318 S Orchard Springs Dr Pueblo, CO 81007 (719)647-1122 HURD, MARK, DDS 3901 Outlook Blvd Ste C Pueblo, CO 81008 (719)544-7020 JAGGER, WILLIAM, DDS 510 Colorado Ave Pueblo, CO 81004 (719)543-1132 JONES, NATALIE, DDS Comfort Dental North Pueblo 2025 W US Highway 50 Ste At 00 Pueblo, CO 81008 (719)542-2472 KANCHANLAL, VIKASH, DDS DMD 1315 S Pueblo Blvd Ste 110 Pueblo, CO 81005 (719)564-3900 KNOWLTON, ANTHONY, DDS 3939 Sandlewood Ln Pueblo, CO 81005 (719)564-5833 LOEWEN, REBECCA, DDS Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 31 Pueblo Delta Dental PPO San Luis Colorado Colorado COLORADO (CONT-D) LOGELIN, MICHAEL Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 MILLEA, JOHN, DDS Park West Dental PC 3470 Parker Blvd Pueblo, CO 81003 (719) 543-4022 MOBLEY, JAMES, DDS DMD Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 MOELLER, JEFFREY, DDS Comfort Dental South Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 MORESCHINI, RICHARD, DDS DMD 1000 W 6th St Pueblo, CO 81003 (719)542-7420 MORESCHINI, RONALD, DDS 1000 W 6th St Pueblo, CO 81003 (719)542-7420 NGUYEN,QUYNH Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 ORESKOVICH, TONY, DDS Oreskovich Dntl Clinic Prf LLC 1111 Pueblo Boulevard Way Ste 140 Pueblo, CO 81005 (719) 542-8182 ORTEGON, GINO, DDS DMD 401 W 12th St Pueblo, CO 81003 (719) 583-0555 PADULA, JULI ANN, DDS Park West Dental PC 3470 Parker Blvd Pueblo, CO 81003 (719) 543-4022 PECHEK,TY Cover Family Dental PC 2020 S Pueblo Blvd Pueblo, CO 81005 (719)566-0207 PECHEK, TYSON, DDS 1560 Bonforte Blvd Pueblo, CO 81001 (719)544-5340 PHILSON, GREGORY, DDS 830 W Abriendo Ave Pueblo, CO 81004 (719)545-6421 PUEBLO COMMUNITY HEALTH CHC Pueblo Community Health Center 2030 Lake Ave Pueblo, CO 81004 (719) 564-4823 RAGULSKY, RONALD, DDS 3939 Sandlewood Ln Pueblo, CO 81005 (719) 564-7737 READY, THOMAS, DDS Gentle Dental 643 S Pueblo Blvd Pueblo, CO 81005 (719) 561-8170 ROBERTS, TONY, DDS 1225 N Grand Ave Ste 104 Pueblo, CO 81003 (719)542-6014 ROBINSON, DAVID, DDS PC 1560 Bonforte Blvd Pueblo, CO 81001 (719)544-5340 RODRIGUEZ, MELANIE, DDS Young at Heart Dentistry 2603 Vinewood Ln Pueblo, CO 81005 (719)564-6464 ROSAMSETTY, PRATHIMA Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 SCHULTZ, R, DDS 430 Colorado Ave Pueblo, CO 81004 (719) 542-0036 . SLACK, DONICA Down To Earth Dental 1407 W 29th St Pueblo, CO 81008 (719)546-0404 SONNTAG, RUSSELL, Dos Ronald D Daurio DDS 4130 Redwood Ln Unit 130 Pueblo, CO 81005, (719)564-1102 STRICCA, DUILIO, DDS PC 753 W Abriendo Ave Pueblo, CO 81004 (719) 543-2604 TAKAKI, ALAN, DDS Takaki Dental Care Center 1630 Fortino Blvd Pueblo, CO 81008 (719) 545-2468 TAKAKI, DUANE, DDS Takaki Dental Care Center 1630 Fortino Blvd Pueblo, CO 81008 (719) 545-2468 TIAO, KATIE Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719) 545-5778 TREFIL, KARLEEN, DDS DMD Comfort Dental North Pueblo 2025 W US Highway 50 Ste Al00 Pueblo, CO 81008 (719)542-2472 VIDMAR, DENNIS, DDS 329 Colorado Ave Pueblo, CO 81004 (719)543-6878 VILLALON, ELMER, DDS MD DMD DP 1225 N Main St Ste 207 Pueblo, CO 81003 (719)542-7844 WARD, DANIEL, DDS Abacus Dental Care 1044 Eagleridge Blvd Pueblo, CO 81008 (719)738-2544 WOHLWEND, CHARLES, DDS 902 W 29th St Pueblo, CO 81008 (719)542-5300 WOHLWEND, JOSEPH, DDS Charles A Wohlwend DDS PC 902 W 29th St Pueblo, CO 81008 (719)542-5300 YOUNG, MATTHEW Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 ORALSURGEON DAY, GREGORY, DDS MD DMD 3902 Sandlewood Ln Pueblo, CO 81005 (719)561-2440 PAYNE, WAYNE, DDS DMD 1619 N Greenwood St Ste 102 Pueblo, CO 81003 (719) 542-4546 RECK, STEVEN, DDS PC 1201 Paseo Del Norte Pueblo, CO 81008 (719)296-1800 ZUFALL, JOSEPH, DDS 1930 E Orman Ave Pueblo, CO 81004 (719) 564-2842 ORTHODONTIST ARANGO, JOSE, DDS MS Front Range Ortho Specialists 24 Club Manor Dr Ste 203 Pueblo, CO 81008 (719)543-3475 BAHR, CARL, DMD Comfort Dental Braces Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 BAHR, CRAIG, DDS DMD Comfort Dental Braces Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 ORDAHL, JOHN, DDS Takaki Dental Care Center 1630 Fortino Blvd Pueblo, CO 81008 (719)545-2468 STRINGERT, HOWARD, DDS H G Stringert DDS MS PC 3955 Sandlewood Ln Pueblo, CO 81005 (719)564-3333 PEDODONTIST ELLIS, RANDALL, DDS Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 PUEBLO WEST GENERAL DENTIST BEARD, BYRON, DDS DMD 332 S Orchard Springs Dr Ste 110 Pueblo West, CO 81007 (719)547-3737 RIFLE GENERAL DENTIST DEMBITSKY, STEPHEN, DDS 160 E 26th St Ste 1 Rifle, CO 81650 (970) 625-2345 ROCKYFORD GENERAL DENTIST VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services 903 S 12th St Rocky Ford, CO 81067 (719)254-7623 SALIDA GENERAL DENTIST FILTER, JENNY, DDS 427 E 1 st St Salida, CO 81201 (719)539-6142 SAN LUIS GENERAL DENTIST VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services North Hwy 159 San Luis, CO 81152 (719) 672-3352 40 0 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ano ranicipaimg Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 is 32 Silverthorne • Colorado COLORADO (CONT-D) SILVERTHORNE GENERAL DENTIST • LOUSTALET, LORRAINE, DDS Comfort Dental Summit County 354 Blue River Pkwy Silverthorne, CO 80498 (970)262-2273 ROLLOW, JOHN, DDS Comfort Dental Summit County 354 Blue River Pkwy Silverthorne, CO 80498 (970)262-2273 STEAMBOAT SPRINGS ORAL SURGEON LUPORI, JOHN D, DDS DO MD Alpine Oral and Facial Surgery 940 Central Park Dr Ste 106 Steamboat Springs, CO 80487 (970)871-0900 ORTHODONTIST LAMB, ROBERT, DDS 940 Central Park Dr Ste 106 Steamboat Springs, CO 80487 (970)870-9200 STERLING GENERAL DENTIST JONES, RANDALL, DDS 1402 S 3rd Ave Sterling, CO 80751 (970)522-6280 PAISON, THOMAS, DDS 625 Holly Dr Sterling, CO 80751 (970)522-5454 STRASBURG GENERAL DENTIST BUSSE, DAVID, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303)622-9237 DAWSON, KEVIN, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303)622-9237 HIGUCHI, CHRISTOPHER, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303)622-9237 JEFFERS, JANIS 56620 E Colfax Ave Strasburg, CO 80136 (303) 622-6200 Delta Dental PPO KEMPERS, GREGORY, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303) 622-9237 KRIEGER, GEORGE, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303) 622-9237 THURMAN, DAVID, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303)622-9237 F149:W107.7 GENERAL DENTIST BAILEY, MICHAEL, DDS Superior Dental Group 1697 Coalton Rd Ste B Superior, CO 80027 (303) 494-9400 MOSS, JACK, DDS Marketplace Dental Group and Ort 306 Center Dr Superior, CO 80027 (303) 499-9555 ONEILL, BRADFORD, DDS Marketplace Dental Group and Ort 306 Center Dr Superior, CO 80027 (303)499-9555 RODGERS, CHARLES, DDS Marketplace Dental Group and 306 Center Dr Superior, CO 80027 (303)499-9555 PEDODONTIST BRADLEY,KATHLEEN,DDS Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 BRATULESCU, PATRICIA, DDS Perfect Teeth E 104th Ave PC 2200 E 104th Ave Ste 112 Thornton, CO 80233 (303)452-4142 BROMELL, SUSANC, DDS Comfort Dental Thornton 9203 Huron St Thornton, CO 80260 (303) 429-2273 BROTHERTON, JAMIE, DDS Hilltop Dental Care and Orthodonti 4243 E 136th Ave Unit 324 Thornton, CO 80602 (720) 274-1380 CADOTTE, ANA, DDS Comfort Dental Thornton 9203 Huron St Thornton, CO 80260 (303) 429-2273 CALL, RICHARD, DDS DMD MS The Dental Center at Thornton PI 3984 E 120th Ave Thornton, CO 80233 (303)457-1513 CHAWLA, NEHA, DDS DMD Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 Ort CHIEN, SHIH, DDS Dr Chien Dental Office 500 E 84th Ave Ste E3 Thornton, CO 80229 (303)288-0888 WALTER, PHILIP, DDS Marketplace Dental Group and Ort 306 Center Dr Superior, CO 80027 (303) 499-9555 THORNTON ENDODONTIST DAVIS, MATTHEW, DDS 12297 Pennsylvania St Unit 2 Thornton, CO 80241 (303) 920-4196 GENERAL DENTIST ADAMS,DAWNE Hilltop Dental Care and Orthodonti 4243 E 136th Ave Unit 324 Thornton, CO 80602 (720) 274-1380 BASSETT, MERRILL, DDS Perfect Teeth E 104th Ave PC 2200 E 104th Ave Ste 112 Thornton, CO 80233 (303) 452-4142 CHOE, CHIYON, DDS 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 CUIN-PARKER, JAZMIN, DDS Comfort Dental Thornton 9203 Huron St Thornton, CO 80260 (303) 429-2273 DASILVA, RICARDO Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 DERBY, ERICA, DDS Appletree Dental 12454 York St Thornton, CO 80241 (720)872-2892 DOWLATI, JINA, DDS Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 GILLESPIE, ANDRE Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 Thornton Colorado GIVAN, CARL, DDS 3901 E 112th Ave Unit G Thornton, CO 80233 (303)451-1674 GOSSENAUER, MARTIN Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 HOUSER, JAVAN, DDS Hilltop Dental Care and Orthodonti 4243 E 136th Ave Unit 324 Thornton, CO 80602 (720)274-1380 JOHNSON, PHILLIP, DDS Thornton Family Dentistry and Orth 2300 E 120th Ave Ste 104 Thornton, CO 80233 (303)254-8828 KELLY, BRIAN, DDS The Dental Center at Thornton PI 3984 E 120th Ave Thornton, CO 80233 (303) 457-1513 KRAINIK, GREGORY, DDS My Dentist 3955 E 120th Ave Ste B Thornton, CO 80233 (303) 460-9000 LESCH, HALEE, DDS Hilltop Dental Care and Orthodonti 4243 E 136th Ave Unit 324 Thornton, CO 80602 (720)274-1380 LOEWEN,REBECCA Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 LOGELIN, MICHAEL Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 MUSANJE,LAWRENCE Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 NAJJAR, TANIA Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 NGUYEN,QUYNH Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 OLIVIER, JONATHAN, DDS The Dental Center at Thornton PI 3984 E 120th Ave Thornton, CO 80233 (303)457-1513 PHI, HANH, DDS Thornton Family Dentistry and Orth 2300 E 120th Ave Ste 104 Thornton, CO 80233 (303)254-8828 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 33 Thornton Delta Dental PPO Westminster Colorado Colorado COLORADO (CONT-D) RANOV, BOYAN, DDS DMD Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 RASULOV, AZIZ, DDS Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 ROBINSON, T, DMD Comfort Kids 9652 Washington St Thornton, CO 80229 (303) 252-4050 SANKARANARAYANAN, SRIVALLI Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 SEABURY,CAROLYN,DDS Appletree Dental 12454 York St Thornton, CO 80241 (720)872-2892 SMITH, GERALD, DDS Comfort Dental Thornton 9203 Huron St Thornton, CO 80260 (303)429-2273 SMITH, MARK, DDS The Dental Center at Thornton PI 3984 E 120th Ave Thornton, CO 80233 (303)457-1513 THURMON, HADLEY, DDS Appletree Dental, 12454 York St Thornton, CO 80241 (720)872-2892 TIAO, KATIE Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 TIMLIN, SCOTT, DDS Perfect Teeth E 104th Ave PC 2200 E 104th Ave Ste 112 Thornton, CO 80233 (303)452-4142 TREMBATH, LORI, DDS 12774 Colorado Blvd Ste 171 Thornton, CO 80241 (303)457-3046 WEBB, MICHAEL Comfort Kids 9652 Washington St Thornton, CO 80229 (303) 252-4050 WEBER, JOHN, DDS Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 YOUNG, MATTHEW Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 ORALSURGEON BURNHAM, MICHAEL, DDS MD 2300 E 120th Ave Ste 118 Thornton, CO 80233 (303)451-6767 ORTHODONTIST BAHR, CARL, DDS DMD Comfort Dental Braces 9652 Washington St Thornton, CO 80229 (303) 252-4050 BAHR, CRAIG, DDS DMD Comfort Dental Braces 9652 Washington St Thornton, CO 80229 (303) 252-4050 LEE, EUNICE, DDS DMD Thornton Family Dentistry and Orth 2300 E 120th Ave Ste 104 Thornton, CO 80233 (303) 254-8828 MASON, JAMES, DDS 901 E 120th Ave Unit E Thornton, CO 80233 (303) 452-0077 . NELSON, BRYAN, DDS DMD MS Thornton Orthodontic Specialists 12720 Colorado Blvd Ste 4 Thornton, CO 80241 (303) 427-5000 STOLL, GREGORY, DDS MS Stoll Orthodontics PC 3861 E 120th Ave Thornton, CO 80233 (303)450-2211 WITZEL, DAVID, DDS Perfect Teeth E 104th Ave PC 2200 E 104th Ave Ste 112 Thornton, CO 80233 (303) 452-4142 PEDODONTIST ELLIS, RANDALL Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 f"; Id11O1_LP ORAL SURGEON RECK, STEVEN, DDS 403 E First St Trinidad, CO 81082 (719) 534-9600 VAIL PERIODONTIST POMERANZ,ALAN Professional Periodontics Implan 953 S Frontage Rd W Ste 104 Vail, CO 81657 (800)257-5763 REISSNER, MARC Professional Periodontics Implan 953 S Frontage Rd W Ste 104 Vail, CO 81657 (800) 257-5763 WALSENBURG GENERAL DENTIST WARD, DANIEL, DDS Abacus Dental 104 E 6th St Walsenburg, CO 81089 (719)738-2544 WARLICK, PHILIP, DDS Phil Warlick DDS 620 S Albert Ave Walsenburg, CO 81089 (719) 738-6446 WESTMINSTER ENDODONTIST DIETZ, JACQUELINE, DDS DMD Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303) 410-9800 RING, JAMIE, DDS DMD Foothills Endodontic Specialists 2861 W 120th Ave Ste 230 Westminster, CO 80234 (720)317-2660 RING, KARLA, DDS DMD Foothills Endodontic Specialists 2861 W 120th Ave Ste 230 Westminster, CO 80234 (720)317-2660 GENERAL DENTIST ACEVEDO,ALEXANDER,DDS Sedona Dental 905 W 124th Ave Ste 170 Westminster, CO 80234 (303) 452-3982 ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 BASSETT, MERRILL, DDS Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 BENNETT, SCOTT, DDS Bennett Dental Group PC 5130 W 80th Ave Ste 202 Westminster, CO 80030 (303)429-3549 BERTAGNOLLI, EDWARD, DDS 7280 Bradburn Blvd Westminster, CO 80030 (303)429-6222 BERTAGNOLLI,JOHN,DDS Edward J Bertagnolli DDS PC 7280 Bradburn Blvd Westminster, CO 80030 (303) 429-6222 BORG, TIMOTHY, DDS PC Northpark Dental Group 10359 Federal Blvd Ste 110 Westminster, CO 80260 (303) 466-2300 BROMELL,SUSAN Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303)650-4101 CADOTTE,ANA Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303) 650-4101 CHOI, JACK, DDS Sedona Dental 905 W 124th Ave Ste 170 Westminster, CO 80234 (303) 452-3982 CUBILLOS, CONSTANZA, DDS Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303)650-4101 DANZER, KIMBERLY, DDS DMD Danzer Dentistry 905 W 124th Ave Ste 120 Westminster, CO 80234 (303)255-3880 FERGUSON, IAN, DDS DMD Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303)650-4101 GIBBS, TAMARA, DDS 12030 Melody Dr Westminster, CO 80234 (303) 451-5599 GOHL, FREDERICH, DDS Comfort Dental N Sheridan 11187 Sheridan Blvd Unit 12 Westminster, CO 80020 (303)469-2333 GOHL, FREDRIC Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303) 650-4101 HENNEGAN, PAUL, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303) 410-9800 KAWASUGI, KAI, DDS Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ana ramapaimg Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 34 • • • • Westminster Colorado COLORADO (CONT-D) KNEALE,EVAN Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303) 650-4101 KNEALE, EVAN, DDS Comfort Dental N Sheridan 11187 Sheridan Blvd Unit 12 Westminster, CO 80020 . (303) 469-2333 KOROSCIEL, MALGORZATA, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303) 410-9800 KRAINIK, GREGORY, DDS My Dentist 2721 W 120th Ave Ste A200 Westminster, CO 80234 (303) 460-9000 LECAVALIER, ROSS, DDS 2761 W 120th Ave Ste 220 Westminster, CO 80234 (303)288-3718 LEWIS, JONATHAN, DDS Northpark Dental Group 10359 Federal Blvd Ste 110 Westminster, CO 80260 (303) 466-2300 LUTSKIY, ALEKSANDR, DDS DMD Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303)465-0922 MARSCHNER, THOMAS, Dos Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303)465-0922 MASTHAY, ROBERT, DDS DMD 4955 W 72nd Ave Unit L1 Westminster, CO 80030 (303) 429-1766 MCMURTREY, LONNIE, DDS Willow Run Dental 12910 Zuni St Ste 600 Westminster, CO 80234 (720)872-2750 MELLOR, CRAIG, DDS Walnut Creek Dental Group and Or 10442 Town Center Dr Ste 100 Westminster, CO 80021 (303) 410-4950 MOFFITT, BERT, DDS Northview Dental Office 5068 W 92nd Ave Westminster, CO 80031 (303) 426-0023 PAREJA, CLAUDEA, DDS Westminster Dental Associates 4070 W 72nd Ave Westminster, CO 80030 (303) 429-7072 Delta Dental PPO PARK,ALEXANDER,DDS Sedona Dental 905 W 124th Ave Ste 170 Westminster, CO 80234 (303) 452-3982 PETERSON,ANDREA,DDS Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 POLKE, KENNETH, DDS PC 905 W 124th Ave Ste 130 Westminster, CO 80234 (303) 920-4900 RODGERS, CHARLES, DDS Walnut Creek Dental Group and Or 10442 Town Center Dr Ste 100 Westminster, CO 80021 (303) 410-4950 SAMPATH, VIDHYALAKSHMI, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303) 410-9800 SANDERS, NELSON, DDS 7350 Lowell Blvd Westminster, CO 80030 (303) 428-6571 SCHAEFFER, TERI, DMD Tamara L Gibbs 12030 Melody Dr Westminster, CO 80234 (303) 451-5599 SMITH, GERALD Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303) 650-4101 STILES, MICHAEL, DDS 7350 Lowell Blvd Westminster, CO 80030 (303) 428-6571 THALKEN, JERRY, DDS 5130 W 80th Ave Bldg A200 Westminster, CO 80030 (303) 429-1426 TRAN, LOAN, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303) 410-9800 VAN WAGENEN, JASON, DDS 8300 Alcott St Ste 205 Westminster, CO 80031 (303) 426-4860 WEST-BENNETT, KIRSTEN, DDS Bennett Dental Group PC 5130 W 80th Ave Ste 202 Westminster, CO 80030 (303) 429-3549 WILLIS, ADAM, DDS Comfort Dental N Sheridan 11187 Sheridan Blvd Unit 12 Westminster, CO 80020 (303) 469-2333 WINTER, ERIC, DDS Bradbum Village Dentistry 11961 Bradburn Blvd Unit 200 Westminster, CO 80031 (303) 466-3222 Wheat Ridge Colorado OWEN, BRANDON, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)410-9800 YASONI, MARC STASI, MARK, DDS Comfort Dental 80th and Sheridan Embraceable PLLC 7990 Sheridan Blvd 8113 W 94th Ave Westminster, CO 80003 Westminster, CO 80021 (303)650-4101 (303)432-9773 YASONI, MARC, DDS Comfort Dental N Sheridan 11187 Sheridan Blvd Unit 12 Westminster, CO 80020 (303) 469-2333 ZEITLIN, DAVID, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)410-9800 ZELAZEK,PAUL,DDS 7350 Lowell Blvd Westminster, CO 80030 (303) 428-6571 ORAL SURGEON MADLOCK, PAUL, DDS DMD Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)410-9800 POLLACCIA, NINO, DDS Front Range Maxillofacial and Impl 2761 W 120th Ave Ste 110 Westminster, CO 80234 (303)410-1741 QUIST, RHETT, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)410-9800 ORTHODONTIST BAHR, CARL, DDS DMD Embraceable PLLC 8113 W 94th Ave Westminster, CO 80021 (303) 432-9773 BAHR, CRAIG, DDS DMD Embraceable PLLC 8113 W 94th Ave Westminster, CO 80021 (303)432-9773 BEABER, WILLIAM, DDS DMD Beaber Family Orthodontics 5140 W 120th Ave Ste 200 Westminster, CO 80020 (303)464-9300 GIBSON, COLIN, DDS MS 1st Impressions Orthodontics 1333 W 120th Ave Ste 303 Westminster, CO 80234 (303)452-2277 HOUSEWRIGHT, WADE, DDS Arbor Dental Group 9920 Wadsworth Pkwy Westminster, CO 80021 (303)425-1000 UNTERSEHER,RONALD,DDS MS Unterseher Orthodontics 10359 Federal Blvd Ste 200 Westminster, CO 80260 (303) 466-1955 WEDDLE, LARRY, DDS DMD Weddle Orthodontics 905 W 124th Ave Ste 180 Westminster, CO 80234 (303)255-3339 WEINBACH, JONATHAN, DDS Smile Zone Orthodontics 9910 Wadsworth Pkwy Unit 300 Westminster, CO 80021 (303) 430-4200 PERIODONTIST GURINSKY, BRIAN, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)410-9800 SAKKARIS, CHRISTOPHER, DDS Sedona' Periodontics 905 W 124th Ave Ste 150 Westminster, CO 80234 (303)450-3144 WHEAT RIDGE GENERAL DENTIST ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth W 38th Ave PC 7760 W 38th Ave Ste 200 Wheat Ridge, CO 80033 (303)424-1005 BERNBAUM, ALAN, DDS 6654 W 38th Ave Wheat Ridge, CO 80033 (303)424-1517 BRATULESCU, PATRICIA, DDS Perfect Teeth W 38th Ave PC 7760 W 38th Ave Ste 200 Wheat Ridge, CO 80033 (303)424-1005 BUCK, RONALD, DDS 4350 Wadsworth Blvd Ste 321 Wheat Ridge, CO 80033 (303) 420-5243 CASPERS, SUSAN, DDS 3785 Kipling St Wheat Ridge, CO 80033 (303)421-1472 DAHLER, BRYAN, DDS PC 3785 Kipling St Wheat Ridge, CO 80033 (303)421-8753 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 35 Wheat Ridge Delta Dental PPO Woodland Park Colorado Colorado COLORADO (CONT-D) DODSON, ANASTASIA, DDS Santa Fe Dental PC 7015 W 38th Ave Wheat Ridge, CO 80033 (303)940-9755 HEINY, CHRISTOPHER, DDS PC 7900 W 44th Ave Ste 106 Wheat Ridge, CO 80033 (303) 422-3813 LE, TINA, DDS Dental Care of Lakewood PC 7900 W 44th Ave Ste 105 Wheat Ridge, CO 80033 (303) 232-4928 LEE, JENNIFER, DDS Perfect Teeth W 38th Ave PC 7760 W 38th Ave Wheat Ridge, CO 80033 (303) 424- 1005 OMI, SHELDON, DDS DMD 7900 W 44th Ave Ste 101 Wheat Ridge, CO 80033 (303)422-7978 SCHERBER, JOSEPH, DDS 4045 Wadsworth Blvd Ste 103 Wheat Ridge, CO 80033 (303) 421-2702 SEKIYA, FLOYD, DDS 7900 W 44th Ave Ste 101 Wheat Ridge, CO 80033 (303) 422-7978 SULLIVAN, CORT, DDS 6785 W 38th Ave Wheat Ridge, CO 80033 (303) 425-6123 SWEET, RONALD, DDS 6055 W 46th Ave Ste B Wheat Ridge, CO 80033 (303) 420-3445 VAN WAGENEN,JASON Santa Fe Dental PC 7015 W 38th Ave Wheat Ridge, CO 80033 (303)940-9755 WINBER, RALPH, DDS 7825 W 38th Ave Bldg 1 Wheat Ridge, CO 80033 (303) 423-3592 ORALSURGEON MUSELLA, ANTHONY, DDS DP Wheat Ridge Oral Surgery 7760 W 38th Ave Ste 102 Wheat Ridge, CO 80033 (303) 421-4010 SCHAFER, NATALIE, DDS MD MS Wheat Ridge Oral Surgery 7760 W 38th Ave Ste 102 Wheat Ridge, CO 80033 (303) 421-4010 W/NDSOR GENERAL DENTIST BARRY, SHAWN, DDS Dental Arts of Windsor 1550 Main St Unit 142 Windsor, CO 80550 (970)686-6661 BRUHIN, MICHAEL, DDS 1226 W Ash St Unit A Windsor, CO 80550 (970)686-7858 NELSON,JONATHAN,DDS 1194 W Ash St Ste A Windsor, CO 80550 (970) 686-7775 RUFF, MICHAEL, DDS Highland Meadows Dental Health C 8201 Spinnaker Bay Dr Ste A Windsor, CO 80528 (970) 226-4098 WOODLAND PARK GENERAL DENTIST RYGG,PAUL Dental Associates at Eagles Nest 150 Morning Sun Dr Ste 20OW Woodland Park, CO 80863 (719)687-2000 THOMSON, PATRICK, DDS DMD 207 N West St Woodland Park, CO 80866 (719) 687-6225 ORAL SURGEON BORRIS, THOMAS, DDS 400 W Midland Ave Ste 110 Woodland Park, CO 80863 (719) 650-9269 0 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies anb raniciparmg Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0 C1:j 0 City of Fort Collins Enrollment/Eligibility The City will provide initial enrollments electronically or on paper. The initial enrollment and updates will be provided directly to the selected firm by the City. The selected firm will perform direct eligibility certification to providers and verify coverage as a part of the claims management and adjudication process. A quarterly reconciliation between payroll and eligibility will be required of the selected firm. Agreed. Fee Administration Selected firm will invoice the City. The City may calculate the fees/ premiums payable on a monthly basis and will submit these fees directly to the selected firm. Agreed. COBRA Administration Where applicable, COBRA Administration will be conducted by the chosen firm and eligibility • information will be provided by the City. Supportive services required by the selected firm will be as follows: • Accept information from the City on COBRA participants • Send COBRA notifications to plan participants at termination • Claims adjudication inquiries • COBRA member service inquiries related to benefits and claims Delta Dental offers two types of COBRA services: 1) Full Administration Services and 2) Billing Services Only. Employer costs for COBRA vary by the services elected. In addition, Delta Dental retains 2% of premiums collected for administration purposes. • 3 • A Abood, Joseph .................................................. 1 Acevedo, Alexander, DDS .............................. 34 Ackall, Ibraheem, DDS.................................... 26 Adams, Dawne................................................33 Adams, Dawne, DDS.................................... 2,7 Adams, John, DDS.......................................... 14 Ahn, Henry, DDS.............................................24 Ajdari, Jurak, DDS PC.....................................28 Albert, David, DDS PC .................................... 28 Aleksanyan, Margarita, DDS ...........................27 Alford, Annette, DMD...................................... 14 Alleman, Breckglyn, DDS..................................6 Alleman, Daniel, DDS....................................... 6 Allen, Jack, DDS MS ....................................... 26 Allen, Robert, DDS............................................2 Allen, Rodney, DDS........................................ 30 Almeida, Adam, DDS................................ 27.28 Almond, Bradley, DMD.................................... 31 Altatari, Rabi, DDS.......................................... 23 Aluru, Susmitha, DMD..................................... 10 Ambida, Sandra, DDS DMD ............................28 Ames, William, DDS.......................................... 8 Anderson, Brian, DDS..................................... 10 Anderson, Daniel, DDS..................................... 6 Anderson, Jackson, DDS................................ 10 Anderson, Robert, DDS.................................. 14 Andrews, Brandie, DDS .............................. 2,25 Andrus, Paul, DDS.......................................... 25 Andrus, Robert, DDS........................................ 2 Applegate, Shelby, DDS................................... 8 Arango, Jose, DDS MS ............................. 13,32 Archer, Raymond, DDS................................... 15 Ariola-Tirella, Noah, DDS........ 1, 7, 8, 15, 34, 35 Armstrong, Jack, DDS MD PC ........................ 15 Arnold, Julia, DDS........................................... 10 Arnold, Kara, DDS........................................... 15 Asbury, Robin, DDS.......................................... 8 Ash, Scott, DDS................................................ Astroth, Jeffrey, DDS........................................6 8 Atha, Jason, DDS..............................................6 Aufderhar, Christine, DDS ...........................2, 15 Auger, Cameron ................................................ 2 Austin, Dawn, DDS........................................... 8 Autobee, Thomas, DDS.................................. 31 Averbach, Robert, DDS................................... 14 Avery, Paul, DDS.............................................. 6 B • Babin, Brian, DDS..................................... 15,30 Baer, David ..................................................... 10 Baer, David, DDS............................................ 10 Bahr, Carl, DDS.............................................. 22 Bahr, Carl, DDS DMD ........................... 9, 34, 35 Bahr, Carl, DMD.................................. 13, 26, 32 Bahr, Craig ...................................................... 22 Bahr, Craig, DDS...................................... 22,26 Bahr, Craig, DDS DMD ................... 9, 32, 34, 35 Bahr, Craig, DMD............................................ 13 Bahr, Shayna, DDS DMD.................................. 1 Bailey, John, DDS....................................... 7, 13 Bailey, John, DDS MS ..................................... 13 Bailey, Michael, DDS...................................... 33 Baker, James, DDS......................................... 19 Ball, Melvin, DDS............................................ 25 Baltz, Kathleen, DDS................................ 14.23 Baltz, Kathleen, DDS MS ................................ 14 Bancroft, Joanne, DDS................................... 19 Bandrowsky, Timothy, DDS ........................ 8, 13 Bardsley, Norman, DDS....................................5 Barecki, Richard, DDS.................................... 15 Bares, Scott, DDS..................................... 19,20 Baros, Lia, DDS.............................................. 18 Baros, Raymond, DDS.................................... 10 Barreto, Nelly, DDS DMD................................ 10 Barry, Shawn, DDS......................................... 36 Bartlett, James, DDS.........................................2 Delta Dental PPO Barton, Colin, DDS.......................................... 25 Barton, Stephen, DDS PC ............................... 27 Bashi, Vahid, DDS.......................................... 10 Basit, Saadia, DDS DMD................................ 29 Bassett, Merrill, DDS.................................33, 34 Batliner, Donald, DDS..................................... 15 Batliner, Terrence..............................................2 Batliner, Terrence, DDS.................................... 2 Batson, Emily .................................................... 7 Batson, Emily, DDS......................................... 31 Baumgardner, Thomas, DDS DMD................. 10 Beaber, William, DDS....................................... 1 Beaber, William, DDS DMD ...................... 24,35 Beacom, David, DDS...................................... 22 Beal, Christopher, DDS................................... 22 Beard, Byron, DDS DMD................................ 32 Beasley, Michael, DDS................................... 10 Becker, Helena, DDS DMD..................... 1, 2, 28 Bellon, Michael, DDS MS .......................... 18,28 Bender, William, DDS..................................... 24 Bennett, Darren, DDS....................................... 2 Bennett, Gregory, DDS..................................... 1 Bennett, Scott, DDS........................................ 34 Benning, Brian, DDS....................................... 10 Benson, Gary, DDS......................................... 18 Bentley, Christopher, DDS................................ 8 Bergeson, Zackary, DDS DMD ......................... 2 Bergles, James, DDS...................................... 31 Berman, David, DDS MD DMD ....................... 23 Berman, Mark, DDS MD ................................. 23 Bernardy, Jeffrey, DDS................................... 25 Bembaum, Alan, DDS..................................... 35 Bemer, Jeannette, DDS.................................... 8 Berry, Eric, DDS.............................................. 31 Berry, Kary, DDS......................................... 8,23 Berry, Kevin, DDS........................................... 23 Bertagnolli, Edward, DDS ............................... 34 Bertagnolli, John, DDS.................................... 34 Bertsch, William, DDS..................................... 10 Berwick, James, DDS..................................... 13 Best, Cory, DDS.............................................. 30 Bethers, John, DDS.......................................... 7 Bevans, David, DDS....................................... 27 Bevans, Gregory, DDS.................................... 15- Bevis, Brittany, DDS DMD .......................... 8,26 Biel, Timothy, DDS............................................ 2 Bielecki, Pawel, DDS...................................... 31 Biles, Jill, DDS................................................. 28 Birkel, Richard, DDS....................................... 27 Black, Tyson, DDS DMD................................. 22 Blanchard, Jason, DDS................................... 27 Blasko, Jacqueline, DDS DMD ................... 8, 14 Blatter, Victor, DMD...................................... 2,8 Blohm, Steven, DDS....................................... 24 Bobak, Voytek, DMD................................. 14,26 Bodoni, Elena, DDS........................................ 23 Bodoni, Eva, DDS........................................... 23 Boeyink, Timothy, DDS..................................... 8 Bohman, Brian, DMD........................................ 7 Bolak, Kimberly, DDS...................................... 25 Bollenbaugh, Keith, DDS................................ 15 Bolton, William, DDS......................................... 8 Boratenski, Julia ................................................ 1 Boren, Michael, DDS....................................... 31 Borg, Timothy, DDS PC .................................. 34 Borris, Thomas, DDS................................ 13, 36 Bottenbley, Cecil, DDS DM DMD.................... 26 Bottenbley, Cecil, DDS MD DMD.................... 18 Bottoms, Brandi, DDS....................................... 7 Bottone, Paul, DDS PC ................................... 24 Boudreaux, Gary, DDS................................... 24 Bourne, Jeffrey, DDS...................................... 29 Bowden, ClydeA, DDS......................................2 Bowers, Soledad, DDS..................................... 8 Boyd Page, Dana ............................................ 27 Bradley, James, DDS...................................... 22 Bradley, Kathleen, DDS ...... 2, 10, 15, 23, 31, 33 Brantes, Liliane, DDS........................................ 8 Branwell, Donald, DDS................................... 15 Bratton, Dwight, DDS........................................ 8 Bratulescu, Patricia, DDS ................... 23, 33, 35 Braun, Chad, DDS.......................................... 15 Bravo, Luis ...................................................... 15 Bravo, Luis, DDS DMD..................................... 9 Bravo, Luis, DMD.............................................. 7 Bredbeck, Bruce, DDS...................................... 9 Breeden, Randall, DDS................................... 28 Brichacek, Michelle, DDS................................. 2 Bridgeman, Harold, DDS................................ 10 Bridgewater, Martha, DDS .............................. 19 Brimhall, Dallas, DDS....................................... 2 Brockman, John, DDS.................................... 28 Broeker, Curtis, DDS...................................... 10 Bromell, Susan ................................................ 34 Bromell, Susanc, DDS.................................... 33 Brones, Collin, DDS........................................ 10 Brooks, Howard ................................................ 2 Brotherton, Jamie, DDS.................................. 33 Brotherton, Nolan, DDS DMD ......................... 25 Brower, Kathleen, DDS................................... 10 Brown, Donald, DDS....................................... 15 Brown, James, DDS........................................ 19 Brown, Jennie, DDS.......................................... 2 Brown, Richard, DDS PC ................................ 15 Brown, Stephen, DDS ............................... 23,28 Bruggeman, Scott, DDS.................................... 7 Bruhin, Michael, DDS...................................... 36 Bryner, Matthew, DDS.................................... 22 Buck, Ronald, DDS......................................... 35 Buckstein, Jan, DDS PC ................................. 19 Bueltel, Allen ..................................................... 1 Buffer, Steven, DDS.......................................... 6 Buhrmann, Scott, DDS.................................... 10 Bujanda-Wagner, Sandra, DDS........................ 2 Bull, John, DDS............................................... 22 Bullen, Benjamin ............................................... 7 Bullen, Benjamin, DDS................................... 10 Bullock, Jeremy, DDS DMD............................ 10 Bumgarner, Roger, DDS....................... 8, 24, 31 Burchfield, John, DDS PC ............................... 22 Burger, Anna, DDS......................................... 27 Burgess, Brandy, DDS...................................... 5 Burgess, Brandy, DMD..................................... 7 Burkart, John, DDS........................................... 2 Burluc, Aurora, DDS..:................ .............. ... . 6,7 Burnham, Arlie, DDS....................................... 20 Burnham, Michael, DDS MD ........................... 34 Burns, Kendall, DDS MD DMD ......................... 7 Burrows, Claudia, DDS..................................... 7 Burtenshaw, John, DDS .............................. 2, 15 Busse, David, DDS................................... 26, 33 Butler, Benjamin, DDS.................................... 25 C Cadotte, Ana ................................................... 34 Cadotte, Ana, DDS......................................... 33 Calderon -Kidd, Joesolyn, DMD....................... 25 Calderwood, Cody, DDS................................. 10 Caldwell, Jay, DDS......................................... 10 Caldwell, Michelle, DDS.................................. 25 Caletti, Gary, DDS.......................................... 19 Call, Richard, DDS DMD MS .......................... 33 Callender, David, DDS.................................... 26 Callender, Galen, DDS................................... 28 Callender, Galen, DDS PC ............................... 1 Camerino, Angelo, DDS.................................. 10 Camerino, Carolyn, DDS................................ 10 Campbell, Monte, DDS................................... 10 Cannon, Christopher, DDS DMD ...................... 2 Cannon, Mark, DDS DMD................................. 6 Caraway, Damen............................................ 20 Caraway, Damen, DDS................................... 29 Carlesimo, Peter, DDS .............................. 21,29 Carlson, Kendal, DMD.................................... 15 Carlston, Matthew, DDS DMD .......................... 2 Carmody, Colleen, DDS .............................. 2,15 Carreon, Lejon, DDS....................................... 27 Carroll, Bernard, DDS..................................... 15 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 37 Delta Dental PPO Carroll, Tara, DDS.............................................7 Carter, Colleen, DDS...................................... 15 Carter, Steven ................................................. 30 Carter, Steven, DDS................................. 10,31 Case, William, DDS DMD................................. 9 Casement, Russell, DDS................................ 15 Gaspers, Susan, DDS..................................... 35 Cassidy, Mark, DDS DMD.................................9 Casson, Anne, DDS........................................ 27 Castillo, Steven, DDS...................................... 10 Catalano, Joseph, DDS.....................................5 Catalano, Joseph, DDS DMD ......................... 28 Catalano, Joseph, DDS MD .............................. 9 Chalian, Garo, DDS.................................... 2,30 Chambers, Alvin, DDS DMD ........................... 31 Chang, Michael, DDS DMD PC.........................2 Chapman, Thomas, DDS .......................... 19,24 Chavez, David, DDS....................................... 25 Chavez, Manuel, DDS..................................... 15 Chawla, Neha, DDS DMD ............................... 33 CHC Denver Health Westside D ..................... 15 Chc High Plains Community He ...................... 26 CHC Uncompahgre Medical Cent ................... 30 Chernoff, Kenneth, DDS ........................... 15,22 Chien, Shih, DDS............................................ 33 Childress, Frank, DDS.................................... 31 Chinni, Asha, DDS............................................ 9 Choe, Chiyon, DDS.............2, 10, 15, 23, 31, 33 Choi, Jack, DDS.............................................. 34 Choi, Seong-Hee, DMD.................................. 30 Cholfin, Stuart, DDS..........................................2 Christ, Kevin, DDS DMD................................... 9 Christiansen, Bart, DDS.................................... 9 Christiansen, Richard, DDS ...................... 10,27 Christophe, John, DDS................................... 15 Clair, Preet, DDS............................................. 15 Clark, Bruce, DDS........................................... 21 Clear, Sheryl, DDS...................................... 3.30 Clement, Charles, DDS................................... 15 Clifton, Brett, DDS...........................................22 Colledge, Heath, DDS.....................................22 Collinsworth, Phillip ......................................... 24 Collinsworth, Phillip, DMD................................. 6 Colm, Stephen, DDS....................................... 29 Colm, Stephen, DDS DMD............ 5, 6, 7, 21, 24 Colm, Stephen, DMD .......................... 13, 21, 29 Community Dental Clinic Chc......................... 30 Connolly, Mary .................................... 10, 23, 31 Connolly, Mary, DDS...................................3, 15 Connor, Donald, DDS DMD ............................ 15 Cope, Thomas, DDS....................................... 20 Corr, Robert .................................................... 21 Corr, Robert, DDS........................................... 10 Corson, George, DDS..................................... 28 Cortese, Kathleen, DDS.................................. 30 Cory, Kenneth, DMD....................................... 30 Costa, Benjamin, DDS.................................... 30 Cowen, Neil, DDS........................................... 19 Cox, Vallory, DDS............................................. 1 Craig, Robert, DDS......................................... 25 Craven, Dustin, DMD.................................. 7, 15 Creer, Lorin, DDS............................................27 Crichlow, Kenneth, DDS................................. 15 Crisler, Steven, DDS DMD .............................. 10 Crockett, Olen, DDS........................................25 Cubillos, Constanza, DDS ............................... 34 Cuin-Parker, Jazmin, DDS ............................. 33 Cullum, Arnold, DDS.................................. 10, 15 Cutler, Richard, DDS................................. 10, 30 rC D Addario, Matthew ......................................... 13 Dahler, Bryan, DDS PC...................................35 Dale, Eric, DDS............................................... 19 Daniel, Thomas, DDS....................................... 3 Danna, Charles, DDS......................................27 Danzer, Kimberly, DDS DMD.......................... 34 Dasilva, Ricardo ........................ 3, 10, 23, 31, 33 Daugherty, David, DDS................................... 27 Daurio, Ronald, DDS....................................... 31 Davies, Kristi, DDS.......................................... 10 Davis, Matthew, DDS...................................... 33 Davis, Philip .................................................... 30 Davis, William, DDS.......................................... 7 Dawson, Kevin, DDS........................... 26, 27, 33 Day, Gregory, DDS MD DMD ......................... 32 Deal, Thomas, DDS.................................. 15,20 Dean, Mark, DDS.............................................. 1 Degarmo, Aaron, DDS...................................... 6 Degeare, Danny, DDS.................................... 14 Dembitsky, Stephen, DDS .............................. 32 Denver Health Bannock De Chc ..................... 15 Denver Health Eastside D Chc ....................... 15 Derby, Erica, DDS........................................... 33 Dewitt, Michael, DDS MA ................................ 15 Dial, Dustin, DDS DMD................................... 10 Dietz, Jacqueline, DDS DMD ...................... 2,34 Digiorgio, Robert ............................................. 15 Digiorgio, Robert, DDS.................................... 30 Dilizia, Camillo, DDS DMD ............................... 3 Dillabaugh, Gary, DDS DMD........................... 25 Dinsmore, David, DDS.................................... 15 Dodson, Anastasia, DDS................................ 36 Doerhoff, Richard, DDS.................................... 3 Dolores County Health As Chc ....................... 19 Dorsey, Ronald, DDS......................................20 Dougherty, Carrie, DDS DMD......................... 15 Dowlati, Jina...................................................... 3 Dowlati, Jina, DDS.................................... 23,33 Downey, Ralph, DDS...................................... 31 Doyle, Bridget, DDS........................................ 31 Drake, Thomas, DDS...................................... 28 Draper, Scott, DDS......................................... 14 Drescher, David .............................................. 24 Driscoll, Dennis, DDS.................................. 7,31 Driskill, Victoria ................................................ 30 Drury, Robert, DDS......................................... 10 Duey, Douglas, DDS.......................................29 Dunbar, Andrew, DDS....................................... 8 Dunker, Inna, DDS.......................................... 15 Dunkleberger, Elizabeth, DDS ........................ 24 Dunn, David, DDS.............................................3 Duquette, Douglas, DDS........................... 15, 27 Duran, Jack, DDS............................................ 5 Duran, Jack, DDS MS ..................................... 20 Duran, Tomas, DDS........................................ 31 Durbin, Charles, DDS PC ................................ 10 Durkin, Fazila, DDS......................................... 28 Duryea, Michael, DDS ............................... 26,28 Dwyer, Daniel, DDS........................................ 30 Dyches, Benjamin, DDS.................................. 30 Dymerski, Daniel, DDS................................... 24 E Eames, Owen, DDS........................................ 14 Eckhardt, Bradley, DDS.................................... 2 Edlund, David, DDS.................................... 3,25 Edwards, Gerald, DDS DMD ............................. 3 Edwards, Walter, DMD.................................... 24 Egbert, Hans, DDS.......................................... 10 Egert, Terry, DDS............................................ 15 Ehtessabian, Jason, DDS................................. 7 Elliott, Brian, DDS....................................... 1115 Ellis, Dana, DDS PC ......................................... 1 Ellis, Randall ......................................... 5, 19,34 Ellis, Randall, DDS.................................... 13,32 Elton, Roger, DDS MS ................................ 9.31 Enea, Steven, DDS..........................................11 Erickson, Joshua, DDS................................... 13 Escala, Saul, DDS....................................... 3,25 Esposito, Daniel, MD DMD ............................. 28 Eurich, Steven, DDS....................................... 25 Evans, David ..................................................... 6 Evans, Douglas, DDS MS................................11 Evans, Raymond, DDS..................................... 3 Eveland, William, DMD................................... 10 Eyer, Robert ...................................................... 1 F Facy, Rebecca, DDS ............................ 8, 13,24 Fager, Frank, DDS.......................................... 14 Fahmy, Sharon, DDS........................................ 3 Fanning, Cyrus, DDS PC .................................. 3 Farley, Lynn, DDS........................................... 27 Farmer, Dale, DDS......................................... 15 Feinberg, Joel, DDS.................................. 21,23 Fereydouni, Amir, DDS DMD .......................... 27 Ferguson, Ian, DDS DMD ............................... 34 Fermelia, Catherine, DDS ............................... 25 Filter, Jenny, DDS........................................... 32 Fischer, James, DDS...................................... 21 Fitzgerald, Josefina, DDS ............................... 31 Fitzpatrick, Brian, DDS DMD........................... 14 Fitzpatrick, Brian, DMD..................................... 1 Flander, Jayme, DDS...................................... 19 Fleming, John, DDS DMD................................11 Flood, Patrick, DDS........................................ 25 Florez, Tania, DDS......................................... 15 Floyd, Carlton, DDS MD MS ............................. 5 Floyd, Carlton, DDS MS .................................... 9 Foley, Patrick, DDS PC ................................... 15 Ford, James, DDS...................................... 3,27 Ford, Michael, DDS........................................... 3 Foster, Cory, DDS........................................... 21 Foster, Karen, DDS.......................................... 5 Foy, Michael, DDS.......................................... 13 Francis, Lauren ........................................... 6.19 Franquemont, Michael, DDS....................... 9,27 Franz, Karen, DDS .............................. 13, 18,26 Frederick, Christopher, DDS DMD.................... 6 Freimuth, Ronald, DDS................................... 30 Frey, Ronnie, DDS.......................................... 15 Friedman, Mitchell, DDS................................... 1 Friedman, Mitchell, DDS DMD........................ 25 Friedman, Stephen, DDS................................ 15 Frisbie, Kent, DDS...........................................11 Frisch, Michael, DDS........................................ 3 Fritz, Tiffany, DDS....................................... 3,25 Fronczak, Richard, DDS................................... 6 Funderburk, David, DDS.................................22 Furuta, Nicole, DDS........................................ 15 h Gallagher, James, DDS DMD MS ..................... 2 Gallego-Cubillos, Sonia ............................ 14,28 Gallego-Cubillos, Sonia, DDS DMD.................. 8 Galyardt, Wesley, DDS................................... 21 Gardner, Robert, DDS.................................... 28 George, Mark...................................................11 Giannetto, Steven, DDS PC ............................ 31 Gibbs, Bryan, DDS.......................................... 15 Gibbs, Tamara, DDS....................................... 34 Gibson, Colin, DDS MS .................................. 35 Gill, Nancy, DDS............................................. 22 Gillespie, Andre ..................................... 3, 23, 33 Gilliam, Jeffrey, DDS DMD................................ 3 Ginther, Stefan, DDS........................................ 3 Gitlin, Larry, DDS............................................ 27 Givan, Carl, DDS............................................ 33 Glamm, Jayme, DDS........................................ 3 Glenn, Falona, DDS.......................................... 3 Glenn, Gerald, DDS.......................................... 3 Glick, Paul, DDS............................................. 28 Glick, Paul, DDS MS ......................................... 5 Glucksman, Richard, DDS .............................. 25 Glueckert, Mylene, DDS..................................11 Goad, Richard, DDS DMD .............................. 22 Goff, Sabrina ............................................... 6,19 Gohl, Frederich, DDS...................................... 34 Gohl, Fredric ................................................... 34 Gohl, Fredric, DDS.......................................... 25 Gold, David, DDS PC ........................................ 9 Gold, Frank, DDS PC ...................................... 25 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ana vanicipacing Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Is 38 C: • Delta Dental PPO Gomenyuk, Nina, DDS................................ 7, 15 Hoang, Hang, DDS......................................... 27 Jolstad, Mark, DDS................................... 16,27 Gomez, Jose, DDS......................................... 23 Hoang, Huyen, DDS .................................... 3,16 Jones, Jeanice, DDS...................................... 16 Gomez, Luis, DDS DMD ......................... 2, 6, 19 Hoch, Donald, DOS ......................................... 16 Jones, Kristin, DDS..................................... 9,27 Gorsky, Michael, DDS PC ............................... 11 Hoeft, Paul, DDS ............................................... 9 Jones, Kristin, DDS MSW ............................... 25 Gossenauer, Martin ............................... 3, 23, 33 Hoggan, Brent................................................. 24 Jones, Natalie, DDS ................................... 11, 31 Gottlieb, Stanleyj, DDS................................... 15 Hoggan, Brent, DDS....................................... 31 Jones, Randall, DDS ....................................... 33 Gould, Steven, DDS.................................. 11,16 Hohert, Chandra, DDS DIVID ........................... 16 Joo, Nelson, DIVID ............................................. 3 Grace, Leana, DDS.........................................25 Holden, Philip, DDS........................................ 31 Jorgensen, Amy, DDS .......................... 3, 16,23 Graf, Lindsey, DDS......................................... 16 Holderness, Harold, DDS ................................ 30 Jorgensen, Thomas, DDS ................................. 7 Grant, James, DDS......................................... 11 Holecek, Andrew, DDS..................................... 6 Jostes, James, DDS....................................... 14 Graves, Gary, DDS......................................... 31 Holling, George, DDS ...................................... 29 Jultak, Jed, DDS....................................... 14,23 Green, Leon, DDS........................................... 21 Holmes, Caron, DDS ......................................... 1 Jungman, Gregory .................................... 19,24 Green, Zachary, DDS......................................21 Holmes, James, DDS ........................................ 1 Justus, John, DDS...................................... 3,20 Greene, Craig, DDS PC .................................. 27 Holt, Gary, DDS.............................................. 28 Greene, Jerome, DDS....................................... 9 Holtzmann, David, DDS.................................. 30 K Gryzick, David, DDS................................... 3,27 Holtzmann, David, DDS DMD ........................... 2 Guerra, Catherine, DDS.................................. 11 Hong, Douglas, MD DIVID ......................... 13 Guido, Joseph ................................................. 21 Hook, Mark, DDS........................................ 6, 28 Kalhorn, Jim, DDS ......... ..................................11 Guido, Joseph, DDS....................................... 16 Horn, Gary, DDS...................................... ....11 Kallio, Jennifer, DDS ....................................... 29 Gurinsky, Brian, DDS .............. 14, 21, 24, 29, 35 Horner, Craig, DDS DC ....................... 18, 28, 31 Kanchanlal, Vikash, DDS DMD................... 8,31 House, Mark, DDS............................................ 7 Kang, Ruth, DDS............................................ 16 H House, Mark, DDS DMD................................. 31 Karami, Ardavan, DDS ...................................... 3 Houser, Jamin, DDS................................... 3,31 Karaskevicus, Jennifer, DDS .......................... 16 Haberstroh, Julie, DDS PC...............................3 Houser, Javan, DDS................................... Housewright, Wade 7.33 31 Karden, Steven, DDS ........................................ Karla, Mark, DDS DIVID ................................... 3 14 Hahn, Christopher, DDS MS PC ..................... 14 ...................................... Housewright, Wade, DDS ......................... 24, 35 Karlin, Tyler............................................... 28,29 Hahn, Laura, DDS........................................... 16 Howard, Brian, DDS 6 Karlin, Tyler, DDS........................................... 24 Hakala, Catherine, DDS.................................. 16 .......................................... Howell, Bruce, DDS DMD...............................20 Kawakami, Sam, DDS.................................... 25 Ha, Joseph, DDS...................................... 16 Hubbell, Makala, DDS................................... 16 Kawano, Richard, DDS ................................... 16 M Hale, Michael, DDS.........................................30 .. Hull, Donald 13 Kawasugi, Kai, DDS .................................. 16,34 Hall, Brandon, DDS......................................... 16 ..................................................... Hunter, Gregory .............................................. 22 Kellogg, Bradley, DDS...................................... 7 Hall, Dwayne, DDS......................................... 11 Hurd Mark, DDS 31 Kellow, Hiba, DDS.......................................... 20 Haman, Michelle, DDS.................................... 13 ............................................. Huser, Rebecca 16 Kelly, Brian, DDS............................................ 33 Hamblin, Robert .............................................. Hamblin, Robert, DDS................................. 23 6, 28 .............................................. Huskey, David, DDS....................................... Hymer, Barbara, DDS 16 2 Kempers, Gregory........................................... Kempers, Gregory, DDS ..................... 16 26, 30, 33 Hamersky, Paul, DDS..................................... 24 ....................................... Kempton, Cindy, DDS..................................... 27 Hamidi, Mariam, DDS DMD ...................... 11, 21 Kenny, Kraig, DDS.......................................... 31 Hamilton, Jeffrey, DDS DMD....................... 9, 30 Keogh, Barry, DDS MD ........................... 5, 9, 28 Hamilton, Warin, DDS DMD ............................ 16 Kern, James, DDS.......................................... 25 Hanchett, Jon, DDS DMD ............................... 16 Ibrahim, Alfaiyaz, DDS.................................... 19 Kessler, Mark, DDS........................................ 20 Handelman, Richard, DDS.................... 3, 11, 28 Idiculla, Anil, DDS DMD ........ 5, 8, 13, 18, 21, 24 Khalil, Tara, DDS.............................................11 Hannon, Keith, DDS........................................ 16 Idiculla, Anil, DIVID ................................. 5, 18, 28 Khatri, Avani, DDS .......................................... 16 Hanosh, Alison, DDS........................................ 8 Ignatieff, Nataliya............................................ 16 Kheir, Ahmed, DDS DMD ........................... 3,29 Hansen, Danny, DDS......................................25 Inner City Health Center Chc .......................... 16 Khmil, Larisa, DDS ........................................ 1,3 Hansen, Matthew, DDS................................... 11 Irick, Bruce, DDS ............................................. 30 Kids In Need Of Dentistr ................11, 14, 16, 25 Hargleroad, Jennifer, DDS .............................. 21 Isaacs, Christine, DDS...................................... 9 Kilroy, Thomas, DDS PC ................................ 16 Harmon, Frank, DDS.......................................25 Iversen, William, DDS MS ............................... 21 Kim, David, DDS ............................................. 27 Harmon, Katherine, DDS................................ 23 Kingsford, Daniel, DDS....................................11 Harper, Clayton, DDS ............... 6, 13, 18, 24, 26 J Kinkade, James, DDS ............................... 16,23 Harper, Clayton, DDS MD ............................. 5,6 Kirchner, Thomas, DDS .................................. 16 Harrell, Ricky.....................................................5 Harris, Mark, DDS...........................................27 Jackson, Darrell, DDS ....................................... 1 Kissinger, Mary, DDS ...................................... Klein Joel, DDS 24 11 Harrison, Ashleigh, DDS................................... 3 Jackson, Stephen, DDS.................................. 24 ............................................... Klein, Mark, DDS 25 Harrison, Patrick, DDS....................................21 Jacobson, David, DDS .................................... Jagger, William, DDS. 22 31 ............................................ Klein, Ulrich, DDS DIVID .................................... 5 Hartle, Sheila, DDS......................................... Harvan, Kristina...............................................25 20 ..................................... Jakubanis, Terrence, DDS .............................. 19 Klumb, Thomas, DDS..................................... Kneale, Evan 27 35 Harvan, Kristina, DDS....................................... 3 Jamison, Nicholas, DDS................................. 23 ................................................... Kneale, Evan, DDS 35 Harvey, Jonathan, DMD.................................. 31 Jankowski, Mark, DDS.................................... Jebnl, Hanaa, DDS 20 25 ......................................... Knowlton, Anthony, DDS................................ 31 Harvey, Thomas, DDS.................................... Haschke, Douglas, DDS ...........................21, 21 29 .. .................................. Jeffedes, Robert, DDS.................................. 30 Koch Mark, DDS.............................................. Koch, Richard, DDS 5 16 Hasselback, Christopher, DDS...... Hatch, Randy, DDS 11, 25, 27, 31 Jeffers, Janis ................ ....... Jeffers, Janis, DIVID ................................. ...�..�..�..�. � .... 33 3, 8, 16 ........................................ Kochevar, Casey, DDS................................... 29 .........................................23 Hawkins, Darrell, DDS.......................................3 Jenkins, Jesse, DDS ......................................... 1 KoditekEdward, DDS.....................................11 Kohlmeier, Randall, DDS 1 Hayes, Paul, DDS...........................................20 Jenson, Colleen, DDS DMD ............................. Jimenez, Rossynet, DDS 11 1 .................................. Kohut, Dejan, DDS ...................................... 2,29 Ha utin, David, DDS.................................. y . Hayutin, David, DDS LLC................................ . . . . . . 5 19 ............................ Joesaar, Harald, DDS....................................... . . . . . . 1 Kolz, Arlene, DDS............................................11 Komanduri, Krishna, DDS 3 Hedrick, David, DDS......................................... Heiny, Christopher, DDS PC...........................36 3 Johnson, Bruce, DDS........................ Johnson, Charles, DDS ............................. ..�..�..�... 25 23,27 ................................. Kondratenko, Andrey, DDS ............................. Konegni, John, DDS MS 23 26 Henderson, Scott, DDS................................... Hennegan, Paul, DDS ............................... 30 11.34 Johnson, Collis, DDS...................................... Johnson, David, DDS MS ............................... 16 21 ................................. Koo, David, DDS............................................. Korosciel, Malgorzata, DDS............................ 16 35 Herzig, Laura ................................................... 29 Johnson, Jay, DDS DMD................................ Johnson, Jolly, DDS 31 28 Kott, Jeremy, DDS............................................ 2 Herzig, Laura, DDS.................................61 Hickenlooper, Gary, DDS........................ 7, 28 ........ 11 ........................................ Johnson, Leslie, DDS......................................21 Krainik, Gregory, DDS .............................. Kramer, Jeffrey, DDS 33,35 21 Higuchi, Christopher, DDS .................. 14, 26, 33 Johnson, Lonnie, DDS PhD .............................. Johnson, Phillip, DDS 5 33 ...................................... Krannawitter, Jeff, DDS.................................. 25 Hill, Anna, DDS............................................... Hill, Doxiades, DDS.........................................21 11 ..................................... JoDDS DM Ro y, oy, D PC ......................... 25 Krannawitter, Jeffrey, DDS ............................... Krieger, George, DDS ............................... 1 27,33 Hill, Jonathan, DDS.........................................21 Johnson, Trevor, DDS DMD ........................... 30 Kruglet, Neil, DDS 3 Hirschman, Wade, DDS .............................. Hoag, David, DMD 3120 16 Johnson, Warren, DDS................................... Johnson, Warren, DDS MS ............................. 13 13 ............................................. Krum, Nelson, DDS ...................................... 6, 11 .......................................... Hoang- Xuan, Khiem....................................... 27 Johnston, Jeffery, DDS................................... 16 Kuhar, Kenneth ......................................... Kuljis, Lawrence, DDS 19,23 23 Johnstone, Dennis, DDS DMD ....................... 29 .................................... Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 39 Delta Dental PPO oou --,����_DDS --- mwonm��o�............... mwonMichelle, oMo..... ---------'uu Lutskiy, Aleksandr, DMID -----------uo ............................ 3,r Lyons, Juliannoon------------m ----------m ----------»» 25 M w Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ana t-arucipaung Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0 40 Delta Dental PPO -- Nguyen, Hoang, DDS MS ................................. 5 Peterson, Gregg, DDS MID .............................. 21 Riesselman, Phillip, DDS.................................. 4 Nguyen, Huy, DDS............................................4 Peterson, Gregg, MD ...................................... 20 Rinaldi, Todd ................................................... 21 Nguyen, Lan, DDS.......................................... 17 Peterson, Shon, DMD ............................... 28,30 Rinaldi, Todd, DDS......................................... 17 Nguyen, Quynh ...................4, 12, 17, 23, 32, 33 Petkova, Anastasia, DDS ............................ 4, 26 Rinaldis, Patrick, DDS ..................................... 23 Nichols, Richard, DDS................................ 6,26 Pettyjohn, Catherine, DDS .............................. 24 Ring, Jamie, DDS DMD ........................ 2, 28, 34 Nicolette, John, DDS.......................................20 Pfalzgraf, John, DDS ....................................... 17 Ring, Karla, DDS DMD ............................... 2,34 Nicolosi, Patricia, DDS PC................................9 Pfister, Candace, DDS DMID ........................... 22 Robbins, Braden, DDS .................................... 17 Nieberg-Baskin, Hilary, DDS .......................5, 26 Phi, Hanh, DDS ............................................... 33 Roberts, Dale, DDS.................................. 17,24 Nielsen, Kurt, DDS............................................9 Philson, Gregory, DDS .................................... 32 Roberts, Tony, DDS ........................................ 32 Nielson, Kirk, DDS...................................... 9,31 Pierson, Dianne, DDS........................:............ 29 Robinson, David, DDS PC .............................. 32 Nishimura, Roger, DDS................................... 17 Pinkner, Jay, DDS ........................................... 29 Robinson, T ................................................. 9,26 Noah, Jason, DMD.......................................... 22 Poczatek, Sharon, DDS.................................... 6 Robinson, T, DMD.......................................... 34 Noble, Glenn, DDS.......................................... 22 Podratz, Adam, DDS ....................................... 12 Rocke, Paul, DDS..................................... 19,28 Norris, Garth, DDS.......................................... 20 Pohl, Raymond, DDS...................................... 27 Rodgers, Charles, DDS1, 4, 7, 12, 20, 26, 33, 35 Norris, Gregory, DDS........................................ 6 Polidori, Brian, DDS........................................ 26 Rodgers, James, DDS .............................. 14,17 Novak, Scott, DDS DMD................................... 4 Polke, Kenneth, DDS PC ................................ 35 Rodriguez, Leopoldo, DDS ............................. 12 Pollaccia, Nino, DDS....................................... 35 Rodriguez, Melanie, DDS ............................... 32 O Pomeranz, Alan ............................................... 34 Rodriguez, Paul .............................................. 12 Pomeranz, Alan, DDS DMD............................ 19 Rodriguez, Paul, DDS ..................................... 12 Obana Dela Paz, Carmeliza, DDS 17 Pontarelli, William, DDS.................................. 26 Rohleder, Julia, DMD...................................... 12 Obermann, William .................. 23 Porter, Nicolas, DDS....................................... 14 Rollow, John, DDS .......................................... 33 .......................................... Obermann, William, DDS 21 Porzio-Dilizia, Paulette, DDS DMD ................. 22 Romig, Gregory, DDS....................................... 4 ................................ Obrien, Robert, DDS 29 Powell, David, DDS MD .................................. 22 Ronco, Ronald, DDS DMD ............................. 12 ....................................... Ochoa, Margarita, DDS 4,26 Prajapati, Snahel, DDS DMD .......................... 26 Rones, Jonathan, DDS..................................... 4 ............................... Oesterle, Larry, DDS Prentice, Ricarda, DDS..................................... 7 Rosamsetty, Prathima ..................................... 32 .........................................5 Ohmart, Scott, DDS 9,28 Preston, James, DDS ...................................... 27 Rosenzweig, Todd, DDS ................................. 21 .................................... Oldershaw, William, DDS 27 Probst, Scott, DDS........................................:. 12 Rossow, Eric, DDS......................................... 14 ................................ Oldroyd, Todd, DDS DMD 27 Probst, Travis, DDS........................................ 12 Roth, Justin, DDS..................................... 13, 19 ............................... Olivier, Jonathan, DDS 33 Pruett, Nicolas, DDS....................................... 12 Rotolo, Gary, DDS.......................................... 17 .................................... Olsen, Brian 14 Pucheril, Aneeta, DDS.................................... 26 Rotwein, Pamela, DDS................................... 17 .................................................... Olsen, Lonnie, DDS 12 Pueblo Community Health Chc ....................... 32 Rowan, Matthew, DDS ................................ 4,17 ........................................ Olson, Dwight, DDS DMD ......................... 12,31 Q Rowlette, Michael, DDS.................................... Royal, John, DDS 8 12 nd, D DDSID..................................9 Olson, Sheldon, Omi, Sheldon, DDS DMD 36 ........................................... Rudman, Robert, DDS .................................... 19 ............................. Oneill, Bradford, DDS................................20, . 33 Quandt, John, DDS......................................... 17 Ruff Michael, DDS......................................... Rush, Larry, DDS 36 12 Onstad, Michael, DDS.................................8, 13 Quist, Rhett, DDS .................................. 5, 13, 35 ............................................ Rush, Steven, DDS 4 Ontiveros, Michael, DDS.................................26 ........................................... Rusnak, Marykate ........................................... 21 Ordahl, John, DDS.......................................... Ordahl, John, DDS DMD 32 13 R Ruvins, Edward, DDS....................................... 4 ................................. Oreskovich, Tony, DDS................................... Ortegon, Gino, DDS DMD...............................32 32 Raethdr, Gail, DDS ......................................... 20 Rygg, Paul ...................................................... RY99, Paul, DDSS............................................. 36 12 • Owen, Brandon, DDS................................ 2935 Ragulsky, Ronald, DDS.................................. 32 S Owens, Justin, DDS.......................... ........... ..., 19 Rahimpour, Navid, DDS .................................. 12 Ozenbaugh, Brian, DDS..................................4 Ranov, Boyan, DDS DMD ........................... 4, 34 Ranta, George, DDS PC ................................. 22 Sachs, Ellen, DDS.................................... 14,24 P Ranta, Jeffrey, DDS DMD ............................... 22 Saddler, Aurora, DDS..................................... 30 Ranucci, Andrew, DDS DMD .......................... 29 Saddler, Gary, DDS.................................. 17,30 Padula, Juli Ann, DDS..................................... 32 Rasulov, Aziz.................................................... Rasulov, Aziz, DDS......................................... 4 34 Sadler, Norris, DDS DMD ............................... Saeks, Adam, DDS 17 29 Paini, William, DDS......................................... 17 Ray, Jason, DDS PC................................. 17, 20 ......................................... Safer, Donald, DDS 14, 24 Paisley, Ian, DDS.....................:........................ Paison, Thomas, DDS 7 33 Read, Terry, DDS ............................................ Reader, Chad, DDS 12 25 .................................. Saide Karlin, Stephanie, DDS ..................... 7,27 ..................................... Palumbo, Glenn, DDS..................................... 26 ........................................ Ready, Thomas, DDS..................................... 32 Sakamaki, Carl, DDS...................................... Sakkaris, Christopher, DDS 17 35 Pangborn, Cameron, DDS ........................ 14,24 Reardon, Daniel, DDS ..................................... 30 ............................ Salvo, Joseph, DDS .................................... 8, 13 Pantleo, Paul, DDS.........................................22 Papir, Dori, DDS DMD Rebber, David, DDS ........................................ Rack, Diane, DDS PC 20 12 Sampath, Vidhyalakshmi, DDS ................. 26,35 .....................................20 Pare, Henri, DDS............................................ 17 ..................................... Rack, Steven ................................................... 12 Sanchez, Porforio, DDS .................................. Sanders, Nelson, DDS 17 35 Pareja, ClaudeA, DDS.................................... 35 Rack, Steven, DDS......................................... 34 .................................... Sanderson, Stuart, DDS 17 Parfitt, James, DDS DMD.................................. Park, Alexander, DDS..................................... 4 35 Reck, Steven, DDS PC ................................... Redfearn, Ryan, DDS 32 20 ................................. Sandoval, Elivinio, DDS.................................... 6 Park, Wonpyo, DDS........................................ 12 ..................................... Redford, David, DDS ....................................... 17 Sankaranarayanan, Srivalli ....................... Sankaranarayanan, Srivalli, DDS 17,34 4,17 Parker -Smart, Janis........................................26 Reed, Thomas, DDS ....................................... 20 ............... Saunders, Ryan, DDS 14 Parsons, Joseph, DDS...................................... 1 Reich, Gregory, DDS...................................... 14 ..................................... Sauza, Juan, DDS 29 Passon, J..........................................................4 Paswaters, Stephanie, DDS ............................26 Rein, Gary, DDS............................................. Reinicke, Mark, DDS PC ................................. 17 12 .......................................... Savage, Bryan, DDS ............................... Savage, Michael, DDS DM 2, 9, 23 5 Patel, Sanjay ................................................... 27 Reisman, Alan, DDS....................................... 29 ............................... Saydyk, Theodore 22 Patton, Noel, DDS DMD.................................. 12 Reissner, Marc ................................................ 34 ........................................... Saydyk, Theodore, DDS 5 Pauly, Albert, DDS.......................................... 21 Reissner, Marc, DDS...................................... 19 ................................... Scarffe, Charles, DDS 1 Pavel, Margareta, DDS................................... 27 Renehan, Bradley, DDS MD ........................... 13 ....................................... Schaeffer, Pasco, DDS 7 Payne, Randall(Randy), DDS ......................... 12 Reposa, Ryan, DDS DMID ............................... 22 ..................................... Schaeffer, Teri, D 35 Payne, Wayne, DDS DMD .............................. Peak Vista Community Hea ...................... 32 12, 19 Resnick, Jeffrey, DDS..................................... Resnick, Mark 28 4 ........................ ..........DS MD MSS ........................ Schafer, Natalie, D , D 36 Peak, Douglas, DDS....................................... 12 ................................................... Revoir, Jeffrey, DDS....................................... 17 Schaffer, Lisa...............................................,3 Scheidt, Michael, DDS 7 77, Pechek, Ty ...................................................... Pechek, Tyson, DDS....................................... 32 32 Reynolds, James, DDS..................................... Rezaei, Seyed, DDS 4 4,26 ................................ Schneider Joseph, DDS.................................. 366 Penk, Stuart, DDS........................................... 17 ................................... Rice, Donald, DDS.......................................... 17 Schneider, Debra, DDS.................................. Schneider, Walter, DDS................................... 17 Peppler, Michael, DDS DMD.......................9, 30 Richardson, Brian, DDS .................................. 27 SchLandis, DDS..... 9 9 Perry, Stephen, DDS............... 1, 4, 6, 17, 23, 29 Richardson, Heather, DDS DMD ................ 5.19 .............................. Schreiber William, DDS PCC 29 Peterson, Andrea, DDS ............................... 1,35 Richardson, Heather, DMID ............................. 14 ............................ Schroeder, David, DDS 13 Peterson, Bruce, DDS.......................................7 Richter, David, DDS ........................................ 24 ................................... • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 41 Delta Dental PPO Schroeder, Timothy, DDS ............................... .. 26 Stiles, Michael, DDS .................. Schultz, R, DDS.............................................. 32 Stoddard, Dennis, DDS .............. Schwab, Michael, DDS DMD .......................... 17 Stoddard, Scott, DDS ................. Schwartz, Marc, DDS...................................... 17 Stoll, Gregory, DDS MS ............. Schwa rtzenberger, Danielle ............................ 18 Stoor, Michael, DDS ................... Schwerdt, Janne, DDS.................................... 18' Stricca, Duilio, DDS PC .............. Scott Daniel DDS ....................4 Stringert, Howard, DDS .............. ...................... Seabury, Carolyn, DDS..................................34 Struhs, Theodore, DDS....... Sedhom, Ashraf, DDS MD DMD ................. 5, 18 Stutznegger, Conrad, DDS . Segal, Brigitte, DDS....................................... 23 Sullivan, Cort, DDS ............. Sehy, Christina, DDS...................................... 26 Suman, Jamie, DDS............ Seifert, Teniel, DDS DMD ............................... 14 Sumner, Jill ......................... Sekiya, Floyd, DDS......................................... 36 Suter, Scott, DDS MS ......... Seymour, Brittany, DDS.................................. 18 Svoboda, Brian, DDS .......... Shah, Purvi, DDS.............................................. 8 Swain, Thomas, DDS .......... Shaver, Theresa, DDS MS ................................ 5 Swanson, David, DDS......... Shaw, Sean, DMD.............................................2 Sweet, Ronald, DDS........... Shea, Michael, DDS DMD...............................22 Syrpes, Demetrios, DDS..... Shearer, Amy, DDS DMD.................................. 6 Sheldon, Lisa, DDS...........................................6 T Shellhart, W....................................................... 5 Shepherd, Renee, DDS.................................. 20 Sherman, Lewis, DDS.....................................26 Short, Howard, DDS DMD ............................... 12 Short, Yolanda, DDS DMD .............................. 24 Short, Yolanda, DMD....................................... . 9 Shultz, Brandon, DDS PC ................................. 9 Shulze, Richard ............................................... 29 Shulze, Richard, DDS DMD ...................... 22.29 Sibo, Jennifer, DDS........................................... 8 Sidwell, Stephen, DDS.................................... 29 Sierk, Jonathan, DDS................................ 14, 19 Siersma, G (George), DDS ............................. 19 Sievers, John, DDS PC ................................... 20 Sims, Alan, DDS............................................... 9 Siparsky, Martin, DDS DMD............................ 18 Skelton, Thomas, DDS.................................... 13 Skromme, Allan, DDS....................................... 6 Slack, Donica.................................................. 32 Slack, Thomas, DDS....................................... 12 Slaysky, Aaron, DDS....................................... 26 Sloss, Erin, DDS............................................. 19 Smith, Bradley, DDS....................................... 29 Smith, David, DDS.......................................... 20 Smith, Gerald .................................................. 35 Smith, Gerald, DDS.........................................34 Smith, Joshua ................................................. 30 Smith, Mark, DDS........................................... 34 Smith, Paul, DDS............................................ 12 Snider, Larry, DDS MD ................................... 26 Sniegowski, Thomas, DDS ............................. 18 Soder-Blackman, Kelly, DDS .......................... 29 Soltani, Azadeh, DDS DMD ............................ 29 Songer, Debra, DDS......................................... 7 Sonntag, Russell, DDS................................... 32 Sorensen, Katerina, DDS................................-91 Sorensen, Thomas, DDS................................ 22 Sosdian, Quynh-Dung, DDS ........................... 12 Sosdian, Stephen, DDS.................................. 12 Sousa, April, DDS............................................. 6 Spaeth, Oliver, DDS........................................ 12 Speer, Jennifer, DDS DMD ............................. 18 Spencer, Stephen, DMD................................. 29 Spicciati, Louis, DDS....................................... 12 Spiegel, Jeffery, DDS......................................27 Stafford, Joel, DDS DMD................................ 31 Stasi, Mark ........................................................ 5 Stasi, Mark, DDS................................. 22, 28, 35 Stearns, Jeffrey, DDS MD DMD PC ................ 18 Stearns, Jeffrey, MD DMD PC .......................... 9 Steeghs, Brigitte, DDS.................................... 23 Steen, Dale, DDS............................................ 26 Steh, Dennis, DDS...................................... 91 18 Stein, Arlene, DDS DMD................................. 30 Stein, Arlene, DMD........................................... 2 Stella, Helen, DDS DMD................................. 20 Sterling, Kevin, DDS....................................... 14 Stevens, Courtney, DDS................................. 23 Stevens, Jessica, DDS.................................... 30 20 Stevens, Sterling, DDS................................... .................... 35 ................4. 18 .................... 22 .................... 34 .................... 12 .................... 32 .................... 32 8 ............................ 29 ............................ 36 .............................. 7 .............................. 4 ............................ 13 ........................ 9.18 ............................ 18 ............................ 26 ............................ 36 ........................ 2, 30 Tabor, Carl, DDS DMD................................... 21 Takaki, Alan, DDS........................................... 32 Takaki, Duane, DDS....................................... 32 TaI sera, Sylvia, DDS..................................... 26 Talbot, Brett, DDS DMD.................................. 12 Talley, Brian, DMD..........................................22 Taloumis, Louis, DDS..................................... 13 Taloumis, Louis, DDS DMD ............................ 13 Taneja, Pula, DDS............................................ 4 Tannyhill, Richard, DDS MD ............................. 9 Tappan, Major, DDS....................................... 18 Targos, Ned, DDS........................................... 18 Tayde, Shital, DDS DMD.................................. 1 Taylor, Stephen, DDS....................................... 1 Terada, Jennifer, DDS.................................... 18 Terry, Bangorn, DMD...................................... 13 Thai, Minh, DDS.............................................. 18 Thalken, Jerry, DDS........................................ 35 Theriot, Roy, DDS....................................... 4.18 Thomas, Abraham, DDS DMD........................ 12 Thomason, Ethelyn, DDS DMD ........................ 6 Thomason, Ethelyn, DMD ............................. 1,6 Thomasson, Thomas, DDS...............................4 Thompson, Glenn, DDS DMD......................... 12 Thompson, Larry, DDS PC ............................. 26 Thompson, Scot, DDS.................................... 27 Thomson, Patrick, DDS DMD ......................... 36 Thongin, Ekapoj, DDS DMD ............................. 4 Thornal, Benjamin, DDS................................. 22 Thousand, John, DDS.......................................4 Thrash, Frederic, DDS.................................... 27 Thrash, Frederick, DMD..................................30 Thurman, David, DDS ............................... 27,33 Thurmon, Hadley, DDS................................... 34 Tiao, Katie ........................... 4, 12, 18, 23, 32, 34 Tidwell, Scott. DDS........................................... 1 Tilliss, Steven, DDS MS .................................. 24 Tillotson, Evan, DDS....................................... 12 Timlin, Scott, DDS...........................................34 Tippets, Jeffrey, DDS...................................... 24 Tomasetti, David, DMD...................................28 Tomlinson, Kathy, DDS..................................... 1 Topolnycky, Andrew, DDS................................ 4 Toriggino, Dominic, DDS...................................4 Torok, Andreea, DDS........................................ 7 Trammell, Gerald, DDS ............................. 20,26 Tran, Hung, DDS............................................. 18 Tran, Luan, DDS....................................... 30.35 Tran, Tram, DDS.............................................28 Tran, Vien, DDS........................................ 25,29 Travis, Stephen, DDS....................................... 6 Trefil, Karleen, DDS DMD ............................... 32 Trembath, Lori, DDS....................................... 34 Tripam, Alois, DDS.................................... 21, 29 Trujillo, Derie, DDS........................................... 1 Tsumura, Kurt, DDS........................................ 18 Tuchklaper, Scott, DDS................................. 6,7 Turnquist, Kerry, DDS....................................... 7 Twerskoi, Vladislav, DDS.................................. 4 Twiss, Tyler, DDS DMD.................................. 24 u Unger Waters, Jennifer, DDS ......................... 22 Unrath, Robert, DDS DMD .............................. 18 Unterseher, Ronald ......................................... 19 Unterseher, Ronald, DDS MS ......................... 35 V Vairin, Christopher, DDS................................. 18 Valley Wide Health Servi Chc... 1, 10, 19, 24, 32 Valuck, Paul, DDS.......................................... 18 Van Dusen, Scotty, DDS................................. 22 Van Orman, James, DDS................................. 8 Van Wagenen, Jason ...................................... 36 Van Wagenen, Jason, DDS ............................ 35 Vanicek, Peter, DDS......................................... 9 Varner, Jeffrey, DMD........................................ 4 Vean, Allen, DDS DMD................................... 19 Vedi, Anita, DDS............................................... 1 Venuto, Nick, DDS.......................................... 18 Verma, Deepali, DDS...................................... 12 Vetowich, Michael, DDS................................. 28 Vidmar, Dennis, DDS...................................... 32 Vigil, Gilbert, DDS PC ..................................... 18 Villalon, Elmer, DDS MD DMD DP .................. 32 Vilner, Leon, DDS............................. :............. 18 Vogl, Walt.......................................................... 8 Vondra, Anthony ............................................. 19 Vostatek, Sean ................................................ 12 Vuong, Julie, DDS....................................... 2,19 MA Wachuta, Timothy, DDS ........................... 18,22 Waggoner, ClydeE, DDS DMD ....................... 18 Wahl, Michael, DDS........................................ 12 Waite, John, DDS........................................... 31 Walgast, John, DDS DMD .............................. 29 Walgast, John, DMD....................................... 29 Walker, John, DDS DMD.................................. 6 Walker, Stefanie, DMD..................................... 5 Wallace, John ............................................. 1,23 Walter, Philip, DDS......................................... 33 Ward, Daniel, DDS.................................... 32,34 Ward, Larry, DDS.............................................. 1 Ward, Nicole, DDS DMD................................... 5 Warlick, Philip, DDS........................................ 34 Warner, Homer, DDS...................................... 14 Wasinger, Jack, DDS...................................... 26 Waters, Gregory, DDS...................................... 1 Webb, David, DDS.......................................... 12 Webb, Michael ...................................... 9, 26, 34 Weber, John, DDS.................................. 6, 7, 34 Webster, Kelvin, DDS..................................... 21 Weddle, Larry, DDS DMD ............................... 35 Weekes, Bradley, DDS................................... 28 Weenig, Val, DDS........................................... 12 Weideman, Edward, MD DMD.................... 9,28 Weinbach, Jonathan, DDS........................ 29,35 Weir, Frank, DDS..............................................9 Weisenfeld, Andrew, DDS PC .......................... 9 Welch, Chad, DDS.......................................... 18 Welch, Scott, DDS DMD................................. 30 Wennogle, Charles, DDS.................................. 9 West -Bennett, Kirsten, DDS ........................... 35 Westphal, Reginald, DDS ............................... 31 Wetmore, Bruce, DDS...................................... 7 Weyman, Paul, DDS....................................... 20 Whalen, Dann, DDS........................................ 26 Wheeler, Mark, DDS DMD.......................... 7,30 Wherley, Daniel, DDS..................................... 18 White, Jaime ................................................... 25 White, Jeffery, DDS.......................................... 5 White, Kelly, DDS PC ..................................... 18 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0 42 Delta Dental PPO Whitney, Hal ...................................................... 5 Whitney, Scott, DDS................................... 2,28 Whittern, Cathy, DDS......................................29 Wiedey, Richard, DDS.................................... 13 Wiggins, Cassy, DDS DMD MS ...................... 31 Wilk, Steven, DDS PC ..................................... 18 Wilkerson, Damon, DDS................................. 19 Williams, Bryan, DDS...................................... 14 Williams, Bryan, DDS MD ............................... 20 Williams, Mitchell ............................................. 22 Williams, Mitchell, DDS..................................... 8 Williams, Richard, DDS..................................... 1 Williamson, Chadwick, DDS............................ 18 Willis, Adam, DDS........................................... 35 Willis, Lawrence ........................................ 14,20 Wilson, Anne, DDS........................................... 5 Wilson, Cindy -Sue, DDS................................... 7 Wilson, Daniel, DDS.......................................... 5 Wilson, Kenneth, DDS MD ................................ 5 Wilson, Richard, DDS..................................... 19 Wilsted, Neal, DDS........................................... 9 Winber, Ralph, DDS........................................36 Winnicki, Jeffrey, DDS .............................. 20,25 Winter, Eric, DDS............................................ 35 Wise, Randall, DDS........................................ 26 Witkoff, Jesse, DDS.................................... 2,19 Witzel, David, DDS......................................6, 34 Wohlgemuth, Barry, DDS..................................5 Wohlwend, Charles, DDS ............................... 32 Wohlwend, Joseph, DDS................................ 32 Wong, Alan, DDS............................................ 20 Wong, Jeffrey, DDS MS .................................... 6 Wood, Bradley, DDS....................................... 29 Woods, Joseph, DDS DMD ............................. 13 Workman, John, DDS.......................................7 Workman, Ryan, DDS..................................... 14 Wortham, Roy, DDS..........................................7 Wuerker, Richard, DDS...................................21 y Yahnian, Lawrence, DDS................................ 18 Yasoni, Marc ................................................... 35 Yasoni, Marc, DDS..........................................35 Yeats, David, DDS DMD................................. 20 Young, Kathleen, DDS...................................... 9 Young, Matthew .................. 5, 13, 18, 23, 32, 34 Young, Richard, DDS......................................22 Youssef, Hesham, DDS.................................... 2 VA Zeigler, Jeremy, DDS DMD ............................. 30 Zeitlin, David, DDS.......................................... 35 Zelazek, Paul, DDS.........................................35 Zenon, Joshua, DDS.......................................20 Zervas, Steven, DDS PC ................................ 23 Zimmet, Neil, DDS............................................ 1 Zinkann, Karla ........................................... 19,26 Zinkann, Karla, DDS................................... 5,19 Zinkann, Karla, DDS MS ................................. 28 Zufall, Joseph, DDS........................................ 32 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 43 0 ENDODONTIST • Averbach, Robert, DDS................................... 14 Baltz, Kathleen, DDS................................ 14,23 Baltz, Kathleen, DDS MS ................................ 14 Becker, Helena, DDS DMD..................... 1, 2, 28 Breeden, Randall, DDS................................... 28 Chalian, Garo, DDS.................................... 2,30 Corr, Robert .................................................... 21 Corr, Robert, DDS........................................... 10 Davis, Matthew, DDS...................................... 33 Dietz, Jacqueline, DDS DMD ...................... 2,34 Eveland, William, DMD.................................... 10 Fager, Frank, DDS.......................................... 14 Funderburk, David, DDS................................. 22 Gallego-Cubillos, Sonia ............................. 14,28 Gallego-Cubillos, Sonia, DDS DMD.................. 8 Hahn, Christopher, DDS MS PC ..................... 14 Holtzmann, David, DDS.................................. 30 Holtzmann, David, DDS DMD ........................... 2 Jostes, James, DDS........................................ 14 Jultak, Jed, DDS....................................... 14,23 Kott, Jeremy, DDS............................................2 Lindsay, Michael ............................................... 8 Lowry, Scott, DDS................................. 8, 14,23 Maloney, Scott, DDS DMD........................ 14,23 McCarty, David, DDS DMD ............................. 10 McCarty, David, DMD...................................... 10 Morrison, Alison, DDS..................................... 14 Morrison, Alison, DMD.................................... 23 Pangborn, Cameron, DDS ........................ 14,24 Patel, Sanjay ................................................... 27 Reader, Chad, DDS........................................ 25 Ring, Jamie, DDS DMD.........................2, 28, 34 Ring, Karla, DDS DMD................................ 2,34 Sachs, Ellen, DDS..................................... 14,24 Safer, Donald, DDS................................... 14.24 Stein, Arlene, DDS DMD................................. 30 Stein, Arlene, DMD........................................... 2 Syrpes, Demetrios, DDS ............................. 2, 30 Westphal, Reginald, DDS ............................... 31 Whitney, Scott, DDS................................... 2, 28 Youssef, Hesham, DDS.................................... 2 GENERAL DENTIST Acevedo, Alexander, DDS .............................. 34 Ackall, Ibraheem, DDS....................................26 Adams, Dawne................................................33 Adams, Dawne, DDS.................................... 2,7 Adams, John, DDS.......................................... 14 Ahn, Henry, DDS.............................................24 Ajdari, Jurak, DDS PC.....................................28 Aleksanyan, Margarita, DDS ...........................27 Alford, Annette, DMD...................................... 14 Alleman, Breckglyn, DDS.................................. 6 Alleman, Daniel, DDS....................................... 6 Allen, Robert, DDS............................................2 Allen, Rodney, DDS........................................ 30 Almeida, Adam, DDS................................ 27,28 Almond, Bradley, DMD.................................... 31 Altatari, Rabi, DDS.......................................... 23 Aluru, Susmitha, DMD..................................... 10 Ambida, Sandra, DDS DMD ............................28 Ames, William, DDS.......................................... 8 Anderson, Brian, DDS..................................... 10 Anderson, Daniel, DDS..................................... 6 Anderson, Jackson, DDS................................ 10 Anderson, Robert, DDS.................................. 14 Andrews, Brandie, DDS .............................. 2,25 Andrus, Paul, DDS.......................................... 25 Andrus, Robert, DDS........................................ 2 Applegate, Shelby, DDS................................... 8 Archer, Raymond, DDS................................... 15 Ariola-Tirella, Noah, DDS........ 1, 7, 8, 15, 34, 35 Armstrong, Jack, DDS MD PC ........................ 15 Arnold, Julia, DDS........................................... 10 Arnold, Kara, DDS........................................... 15 Asbury, Robin, DDS.......................................... 8 Delta Dental PPO Ash, Scott, DDS................................................ 8 Atha, Jason, DDS.......................................... :... 6 Aufderhar, Christine, DDS........................... 2, 15 Auger, Cameron ................................................ 2 Austin, Dawn, DDS........................................... 8 Autobee, Thomas, DDS.................................. 31 Avery, Paul, DDS.............................................. 6 Babin, Brian, DDS..................................... 15, 30 Baer, David ..................................................... 10 Baer, David, DDS............................................ 10 Bahr, Shayna, DDS DMD.................................. 1 Bailey, Michael, DDS...................................... 33 Baker, James, DDS......................................... 19 Ball, Melvin, DDS............................................ 25 Bancroft, Joanne, DDS................................... 19 Barecki, Richard, DDS.................................... 15 Bares, Scott, DDS..................................... 19,20 Baros, Raymond, DDS.................................... 10 Barreto, Nally, DDS DMD................................ 10 Barry, Shawn, DDS......................................... 36 Bartlett, James, DDS......................................... 2 Barton, Colin, DDS.......................................... 25 Barton, Stephen, DDS PC ............................... 27 Bashi, Vahid, DDS.......................................... 10 Basit, Saadia, DDS DMD................................ 29 Bassett, Merrill, DDS................................. 33, 34 Batliner, Donald, DDS..................................... 15 Batliner, Terrence .............................................. 2 Batliner, Terrence, DDS.................................... 2 Batson, Emily .................................................... 7 Batson, Emily, DDS......................................... 31 Baumgardner, Thomas, DDS DMD................. 10 Beacom, David, DDS...................................... 22 Beal, Christopher, DDS................................... 22 Beard, Byron, DDS DMD........................:....... 32 Beasley, Michael, DDS................................... 10 Bender, William, DDS..................................... 24 Bennett, Darren, DDS....................................... 2 Bennett, Gregory, DDS..................................... 1 Bennett, Scott, DDS........................................ 34 Benning, Brian, DDS....................................... 10 Bentley, Christopher, DDS................................ 8 Bergeson, Zackary, DDS DMD ......................... 2 Bergles, James, DDS...................................... 31 Bernardy, Jeffrey, DDS................................... 25 Bernbaum, Alan, DDS..................................... 35 Berner, Jeannette, DDS.................................... 8 Berry, Eric, DDS..............................................31 Berry, Kary, DDS......................................... 8,23 Berry, Kevin, DDS........................................... 23 Bertagnolli, Edward, DDS ............................... 34 Bertagnolli, John, DDS.................................... 34 Bertsch, William, DDS..................................... 10 Best, Cory, DDS.............................................. 30 Bathers, John, DDS.......................................... 7 Bevans, David, DDS....................................... 27 Bevans, Gregory, DDS.................................... 15 Bevis, Brittany, DDS DMD .......................... 8,26 Biel, Timothy, DDS............................................ 2 Bielecki, Pawel, DDS...................................... 31 Biles, Jill, DDS................................................. 28 Birkel, Richard, DDS....................................... 27 Black, Tyson, DDS DMD................................. 22 Blanchard, Jason, DDS...................................27 Blasko, Jacqueline, DDS DMD ................... 8,14 Blatter, Victor, DMD...................................... 2,8 Blohm, Steven, DDS....................................... 24 Bodoni, Elena, DDS........................................ 23 Bodoni, Eva, DDS........................................... 23 Boeyink, Timothy, DDS..................................... 8 Bolak, Kimberly, DDS...................................... 25 Bollenbaugh, Keith, DDS................................ 15 Bolton, William, DDS.........................................8 Boratenski, Julia ................................................ 1 Boren, Michael, DDS....................................... 31 Borg, Timothy, DDS PC ................................:. 34 Bottoms, Brandi, DDS....................................... 7 Bottone, Paul, DDS PC ................................... 24 Boudreaux, Gary, DDS................................... 24 Bourne, Jeffrey, DDS...................................... 29 Bowden, ClydeA, DDS...................................... 2 Bowers, Soledad, DDS..................................... 8 Boyd Page, Dana ............................................ 27 Bradley, James, DDS...................................... 22 Bradley, Kathleen, DDS...... 2, 10, 15, 23, 31, 33 Brantes, Liliane, DDS........................................ 8 Branwell, Donald, DDS................................... 15 Bratton, Dwight, DDS........................................ 8 Bratulescu, Patricia, DDS ................... 23, 33, 35 Braun, Chad, DDS.......................................... 15 Bravo, Luis ...................................................... 15 Bravo, Luis, DDS DMD..................................... 9 Bravo, Luis, DMD.............................................. 7 Bredbeck, Bruce, DDS...................................... 9 Brichacek, Michelle, DDS................................. 2 Bridgeman, Harold, DDS................................ 10 Brimhall, Dallas, DDS....................................... 2 Brockman, John, DDS.................................... 28 Broeker, Curtis, DDS...................................... 10 Bromell, Susan ................................................ 34 Bromell, Susanc, DDS.................................... 33 Brones, Collin, DDS........................................ 10 Brooks, Howard ................................................ 2 Brotherton, Jamie, DDS.................................. 33 Brotherton, Nolan, DDS DMD ......................... 25 Brower, Kathleen, DDS................................... 10 Brown, Donald, DDS....................................... 15 Brown, James, DDS........................................ 19 Brown, Jennie, DDS.......................................... 2 Brown, Richard, DDS PC ................................ 15 Brown, Stephen, DDS ............................... 23,28 Bruggeman, Scott, DDS.................................... 7 Bruhin, Michael, DDS...................................... 36 Bryner, Matthew, DDS.................................... 22 Buck, Ronald, DDS......................................... 35 Bueltel, Allen ..................................................... 1 Buffer, Steven, DDS.......................................... 6 Buhrmann, Scott, DDS.................................... 10 Bujanda-Wagner, Sandra, DDS........................ 2 Bullen, Benjamin ............................................... 7 Bullen, Benjamin, DDS................................... 10 Bullock, Jeremy, DDS DMD............................ 10 Burchfield, John, DDS PC ............................... 22 Burger, Anna, DDS......................................... 27 Burkart, John, DDS........................................... 2 Burluc, Aurora, DDS..................................... 6,7 Burnham, Arlie, DDS....................................... 20 Burns, Kendall, DDS MD DMD ......................... 7 Burrows, Claudia, DDS..................................... 7 Burtenshaw, John, DDS .............................. 2,15 Busse, David, DDS................................... 26,33 Butler, Benjamin, DDS.................................... 25 Cadotte, Ana ................................................... 34 Cadotte, Ana, DDS........................ :................ 33 Calderon -Kidd, Joesolyn, DMD....................... 25 Calderwood, Cody, DDS................................. 10 Caldwell, Jay, DDS......................................... 10 Caldwell, Michelle, DDS.................................. 25 Caletti, Gary, DDS.......................................... 19 Call, Richard, DDS DMD MS .......................... 33 Camerino, Angelo, DDS.................................. 10 Camerino, Carolyn, DDS................................ 10 Campbell, Monte, DDS................................... 10 Cannon, Christopher, DDS DMD ...................... 2 Cannon, Mark, DDS DMD................................. 6 Carlesimo, Peter, DDS .............................. 21,29 Carlson, Kendal, DMD.................................... 15 Carlston, Matthew, DDS DMD .......................... 2 Carmody, Colleen, DDS .............................. 2, 15 Carreon, Lejon, DDS....................................... 27 Carroll, Bernard, DDS..................................... 15 Carroll, Tara, DDS............................................ 7 Carter, Colleen, DDS...................................... 15 Carter, Steven ................................................. 30 Carter, Steven, DDS................................. 10,31 Case, William, DDS DMD................................. 9 Casement, Russell, DDS................................ 15 Gaspers, Susan, DDS..................................... 35 Casson, Anne, DDS........................................ 27 Castillo, Steven, DDS..................................... 10 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 45 Delta Dental PPO Chambers, Alvin, DDS DMD ........................... 31 Downey, Ralph, DDS...................................... 31 Goad, Richard, DDS DMD .............................. 22 6, 19 Chang, Michael, DDS DMD PC ......................... Chavez, David, DDS....................................... 2 25 Doyle, Bridget, DDS........................................ Drake, Thomas, DDS...................................... 31 28 Goff, Sabrina ............................................... Gohl, Frederich, DDS ...................................... 34 Chavez, Manuel, DDS..................................... 15 Drescher, David .............................................. 24 Gohl, Fredric ................................................... 34 25 Chawla, Neha, DDS DMD ............................... CHC Denver Health Westside D ..................... 33 15 Driscoll, Dennis, DDS .................................. Driskill, Victoria ................................................ 7,31 30 Gohl, Fredric, DDS .......................................... Gold, Frank, DDS PC ...................................... 25 Chc High Plains Community He ...................... 26 Drury, Robert, DDS......................................... 10 Gomenyuk, Nina, DDS ................................ 7,15 CHC Uncompahgre Medical Cent ................... 30 Duey, Douglas, DDS ....................................... 29 Gomez, Jose, DDS......................................... 23 Chernoff, Kenneth, DDS ........................... Chien, Shih, DDS............................................ 15, 22 33 Dunker, Inna, DDS .......................................... Dunkleberger, Elizabeth, DDS ........................ 15 24 Gorsky, Michael, DDS PC ................................ Gossenauer, Martin .............................. 11 3, 23,33 Childress, Frank, DDS.................................... 31 Dunn, David, DDS ............................................. 3 Gottlieb, Stanleyj, DDS................................... 15 Chinni, Asha, DDS............................................ 9 Duquette, Douglas, DDS ........................... 15, 27 Gould, Steven, DDS ................................... 11, 16 25 Choe, Chiyon, DDS.............2, 10, 15, 23, 31, 33 Duran, Tomas, DDS ........................................ 31 Grace, Leana, DDS ......................................... 16 Choi, Jack, DDS..............................................34 Durbin, Charles, DDS PC ................................ 10 Graf, Lindsey, DDS......................................... Choi, Seong-Hee, DMD.................................. 30 Dwyer, Daniel, DDS........................................ 30 Grant, James, DDS .......................................... 11 31 Cholfin, Stuart, DDS.......................................... 2 Dyches, Benjamin, DDS .................................. 30 Graves, Gary, DDS......................................... 21 Christ, Kevin, DDS DMD................................... Christiansen, Bart, DDS.................................... 9 9 Dymerski, Daniel, DDS................................... Eames, Owen, DDS........................................ 24 14 Green, Leon, DDS.......................................... Green, Zachery, DDS..................................... 21 Christiansen, Richard, DDS ...................... 10,27 Eckhardt, Bradley, DDS.................................. 2 Greene, Craig, DDS PC .................................. 27 9 Christophe, John, DDS................................... 15 Edlund, David, DDS.................................... 3,25 Greene, Jerome, DDS...................................... 3,27 Clair, Preet, DDS............................................. Clark, Bruce, DDS...........................................21 15 Edwards, Gerald, DDS DMID ............................. Edwards, Walter, DIVID .................................... 3 24 Gryzick, David, DDS................................... Guerra, Catherine, DDS ................................... 11 Clear, Sheryl, DDS......................................3, Clement, Charles, DDS................................... 30 15 Egbert, Hans, DDS .......................................... Egert, Terry, DDS ............................................ 10 15 Guido, Joseph ................................................. Guido, Joseph, DDS....................................... 21 16 Clifton, Brett, DDS........................................... 22 Ehtessabian, Jason, DDS................................. 7 Haberstroh, Julie, DDS PC ............................... 3 Colledge, Heath, DDS.....................................22 Elliott, Brian, DDS....................................... 1,15 Hahn, Laura, DDS ........................................... 16 16 Collinsworth, Phillip.........................................24 Ellis, Dana, DDS PC ......................................... 1 Hakala, Catherine, DDS .................................. 16 Collinsworth, Phillip, DMD.................................6 Enea, Steven, DDS .......................................... 11 Hakala, Joseph, DDS ...................................... 30 Community Dental Clinic Chc.......................... 30 Escala, Saul, DDS ....................................... 3,25 Hale, Michael, DDS ......................................... 16 Connolly, Mary .................................... 10, 23, 31 Eurich, Steven, DDS....................................... 25 Hall, Brandon, DDS ......................................... Connolly, Mary, DDS................................... 3,15 Evans, David ..................................................... 6 Hall, Dwayne, DDS..........................................11 23 Connor, Donald, DDS DMD ............................ Cope, Thomas, DDS....................................... 15 20 Evans, Douglas, DDS MS................................11 Evans, Raymond, DDS..................................... 3 Hamblin, Robert .............................................. Hamblin, Robert, DDS................................ 6,28 Corson, George, DDS..................................... Cortese, Kathleen, DDS.................................. 28 30 Eyer, Robert ...................................................... Fahmy, Sharon, DDS........................................ 1 3 Hamidi, Mariam, DDS DMD ....................... Hamilton, Jeffrey, DDS DMD ...................... 11, 21 9.30 Cory, Kenneth, DMD....................................... 30 Fanning, Cyrus, DDS PC .................................. 3 Hamilton, Warin, DDS DMID ............................ 16 Costa, Benjamin, DDS.................................... Cowen, Neil, DDS........................................... 30 19 Farley, Lynn, DDS........................................... Farmer, Dale, DDS .......................................... 27 15 Hanchett, Jon, DDS DMD ............................... Handelman, Richard, DDS ..................... 16 3, 11, 28 Cox, Vallory, DDS............................................. 1 Feinberg, Joel, DDS .................................. 21,23 Hannon, Keith, DDS ........................................ 16 8 Craven, Dustin, DMD.................................. 7,15 Fereydouni, Amir, DDS DMD .......................... 27 Hanosh, Alison, DDS........................................ 25 Creer, Lorin, DDS............................................27 Ferguson, Ian, DDS DMD ............................... 34 Hansen, Danny, DDS ...................................... Crichlow, Kenneth, DDS................................. 15 Fermelia, Catherine, DDS .......:....................... 25 Hansen, Matthew, DDS...................................11 25 Crisler, Steven, DDS DMD .............................. Crockett, Olen, DDS........................................ 10 25 Filter, Jenny, DDS ........................................... Fischer, James, DDS...................................... 32 21 Harmon, Frank, DDS...................................... Harmon, Katherine, DDS................................ 23 Cubillos, Constanza, DDS ............................... 34 Fitzgerald, Josefina, DDS ............................... 31 Harris, Mark, DDS ........................................... 27 3 Cuin-Parker, Jazmin, DDS .............................. 33 Fleming, John, DDS DMD................................11 Harrison, Ashleigh, DDS................................... Cullum, Arnold, DDS................................. 10,15 Flood, Patrick, DDS ......................................... 25 Harrison, Patrick, DDS.................................... 21 20 Cutler, Richard, DDS................................. 10.30 Florez, Tania, DDS .......................................... 15 Hartle, Sheila, DDS ......................................... 25 Dahler, Bryan, DDS PC...................................35 Foley, Patrick, DDS PC ................................... 15 Harvan, Kristine .............................................. 3 Daniel, Thomas, DDS....................................... 3 Ford, James, DDS ....................................... 3,27 Harvan, Kristina, DDS ....................................... 31 Danna, Charles, DDS......................................27 Danzer, Kimberly, DDS DMD .......................... 34 Ford, Michael, DDS ........................................... Foster, Cory, DDS........................................... 3 21 Harvey, Jonathan, DIVID .................................. Harvey, Thomas, DDS.................................... 21 Dasilva, Ricardo ........................ 3, 10, 23, 31, 33 Daugherty, David, DDS...................................27 Francis, Lauren ........................................... Franquemont, Michael, DDS ....................... 6,19 9,27 Haschke, Douglas, DDS ........................... Hasselback, Christopher, DDS ......11. 21,29 25, 27, 31 Daurio, Ronald, DDS.......................................31 Frederick, Christopher, DDS DIVID .................... 6 Hatch, Randy, DDS ......................................... 23 3 Davies, Kristi, DDS.......................................... 10 Freimuth, Ronald, DDS................................... 30 Hawkins, Darrell, DDS...................................... 20 Davis, Philip .................................................... 30 Frey, Ronnie. DDS.......................................... 15 Hayes, Paul, DDS........................................... 3 Davis, William, DDS.......................................... Dawson, Kevin, DDS........................... 7 26, 27, 33 Friedman, Mitchell, DDS................................... Friedman, Mitchell, DDS DMD ........................ 1 25 Hedrick, David, DDS......................................... Heiny, Christopher, DDS PC ........................... 36 Deal, Thomas, DDS.................................. 15,20 Friedman, Stephen, DDS................................ 15 Henderson, Scott, DDS ................................... 30 Dean, Mark, DDS.............................................. 1 Frisbie, Kent, DDS...........................................11 Hennegan, Paul, DDS ................................ 11, 34 Degarmo, Aaron, DDS...................................... Dembitsky, Stephen, DDS..............................32 6 Frisch, Michael, DDS........................................ Fritz, Tiffany, DDS ....................................... 3 3,25 Herzig, Laura .................................................. Herzig, Laura, DDS ................................. 29 6, 7, 28 Denver Health Bannock De Chc ..................... Denver Health Eastside D Chc ....................... 15 15 Furuta, Nicole, DDS........................................ Galyardt, Wesley, DDS.................................. 15 21 Hickenlooper, Gary, DDS .................................11 Higuchi, Christopher, DDS .................. 14, 26, 33 Derby, Erica, DDS........................................... Dewitt, Michael, DDS MA ................................ 33 15 George, Mark...................................................11 Giannetto, Steven, DDS PC ............................ 31 Hill, Anna, DDS................................................11 Hill, Doxiades, DDS........................................ 21 Dial, Dustin, DDS DMD................................... Digiorgio, Robert ............................................. 10 15 Gibbs, Bryan, DDS .......................................... Gibbs, Tamara, DDS ....................................... 15 34 Hill, Jonathan, DDS ......................................... Hirschman, Wade, DDS.............................. 21 3,20............. Digiorgio, Robert, DDS.................................... 30 Gill, Nancy, DDS............................................. 22 Hoag, David, DMD.......................................... 16 27 Dilizia, Camillo, DDS DMD................................ Dillabaugh, Gary, DDS DMD........................... 3 25 Gillespie, Andre ..................................... Gilliam, Jeffrey, DDS DIVID ................................ 3, 23, 33 3 Hoang- Xuan, Khiem....................................... Hoang, Hang, DDS......................................... 27 Dinsmore, David, DDS.................................... 15 Ginther, Stefan, DDS........................................ 3 Hoang, Huyen, DDS................................... 3, 16 16 Dodson, Anastasia, DDS................................ 36 Gitlin, Larry, DDS............................................ 27 Hoch, Donald, DDS ......................................... 9 Doerhoff, Richard, DDS.................................. Dolores County Health As Chc ....................... 3 19 Givan, Carl, DDS ............................................. Glamm, Jayme, DDS........................................ 33 3 Hoeft, Paul, DDS ............................................... Hohert, Chandra, DDS DIVID ........................... 16 Dorsey, Ronald, DDS...................................... Dougherty, Carrie, DDS DMD ......................... 20 15 Glenn, Falona, DDS.......................................... Glenn, Gerald, DDS.......................................... 3 3 Holden, Philip, DDS........................................ Holderness, Harold, DDS ................................ 31 30 Dowlati, Jina 3 Glucksman, Richard, DDS .............................. 25 Holecek, Andrew, DDS..................................... 6 ...................................................... Dowlati, Jina, DDS.................................... 23,33 Glueckert, Mylene, DDS ................................... 11 Holmes, Caron, DDS........................................ 1 • 11, Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 40 46 • • C: Holmes, James, DDS........................................ 1 Hook, Mark, DDS........................................ 6,28 Horn, Gary, DDS............................................. 11 House, Mark, DDS............................................ 7 House, Mark, DDS DMD................................. 31 Houser, Jamin, DDS................................... 3,31 Houser, Javan, DDS................................... 7,33 Howard, Brian, DDS..........................................6 Howell, Bruce, DDS DMD ............................... 20 Hubbell, Makala, DDS..................................... 16 Hunter, Gregory .............................................. 22 Hurd, Mark, DDS.............................................31 Huser, Rebecca .............................................. 16 Huskey, David, DDS....................................... 16 Ignatieff, Nataliya............................................ 16 Inner City Health Center Chc .......................... 16 Irick, Bruce, DDS............................................. 30 Isaacs, Christine, DDS...................................... 9 Jackson, Darrell, DDS....................................... 1 Jackson, Stephen, DDS.................................. 24 Jacobson, David, DDS.................................... 22 Jagger, William, DDS...................................... 31 Jakubanis, Terrence, DDS .............................. 19 Jamison, Nicholas, DDS................................. 23 Jebril, Hanaa, DDS......................................... 25 Jefferies, Robert, DDS.................................... 30 Jeffers, Janis ................................................... 33 Jeffers, Janis, DMD................................. 3, 8, 16 Jenkins, Jesse, DDS......................................... 1 Jenson, Colleen, DDS DMD............................ 11 Jimenez, Rossynet, DDS.................................. 1 Joesaar, Harald, DDS....................................... 1 Johnson, Bruce, DDS......................................25 Johnson, Charles, DDS.............................23, 27 Johnson, Collis, DDS...................................... 16 Johnson, Jay, DDS DMD................................ 31 Johnson, Jolly, DDS........................................28 Johnson, Leslie, DDS......................................21 Johnson, Phillip, DDS..................................... 33 Johnson, Roy, DDS DMD PC .......................... 25 Johnson, Trevor, DDS DMD............................ 30 Johnston, Jeffery, DDS.................................... 16 Johnstone, Dennis, DDS DMD........................ 29 Jolstad, Mark, DDS................................... 16,27 Jones, Jeanice, DDS....................................... 16 Jones, Kristin, DDS..................................... 9,27 Jones, Kristin, DDS MSW ............................... 25 Jones, Natalie, DDS.................................. 11.31 Jones, Randall, DDS....................................... 33 Joo, Nelson, DMD............................................. 3 Jorgensen, Amy, DDS........................... 3, 16,23 Jorgensen, Thomas, DDS.................................7 Jungman, Gregory .................................... 19,24 Justus, John, DDS...................................... 3,20 Kalhorn, Jim, DDS........................................... 11 Kallio, Jennifer, DDS....................................... 29 Kanchanlal, Vikash, DDS DMD...................8, 31 Kang, Ruth, DDS............................................. 16 Karami, Ardavan, DDS...................................... 3 Karaskevicus, Jennifer, DDS .......................... 16 Karden, Steven, DDS........................................3 Karla, Mark, DDS DMD................................... 14 Kawakami, Sam, DDS.....................................25 Kawano, Richard, DDS................................... 16 Kawasugi, Kai, DDS.................................. 16,34 Kellogg, Bradley, DDS...................................... 7 Kellow, Hiba, DDS...........................................20 Kelly, Brian, DDS............................................ 33 Kempers, Gregory ........................................... 16 Kempers, Gregory, DDS ..................... 26, 30, 33 Kempton, Cindy, DDS..................................... 27 Kenny, Kraig, DDS.......................................... 31 Kern, James, DDS..........................................25 Kessler, Mark, DDS......................................... 20 Khalil, Tara, DDS............................................ 11 Khatri, Avani, DDS.......................................... 16 Kheir, Ahmed, DDS DMD............................ 3,29 Khmil, Larisa, DDS.........................................1, 3 Kids In Need Of Dentistr ............... 11, 14, 16, 25 Kilroy, Thomas, DDS PC ................................. 16 Delta Dental PPO Kim, David, DDS............................................. 27 Kingsford, Daniel, DDS....................................11 Kinkade, James, DDS ............................... 16,23 Kirchner, Thomas, DDS.................................. 16 Kissinger, Mary, DDS...................................... 24 Klein, Joel, DDS...............................................11 Klein, Mark, DDS............................................. 25 Klumb, Thomas, DDS..................................... 27 Kneale, Evan ................................................... 35 Kneale, Evan, DDS......................................... 35 Knowlton, Anthony, DDS................................. 31 Koch, Richard, DDS........................................ 16 Kochevar, Casey, DDS................................... 29 Koditek, Edward, DDS.....................................11 Kohlmeier, Randall, DDS.................................. 1 Kolz, Arlene, DDS............................................11 Komanduri, Krishna, DDS................................. 3 Kondratenko, Andrey, DDS ............................. 23 Koo, David, DDS............................................. 16 Korosciel, Malgorzata, DDS ............................ 35 Krainik, Gregory, DDS ............................... 33,35 Kramer, Jeffrey, DDS...................................... 21 Krannawitter, Jeff, DDS................................... 25 Krannawitter, Jeffrey, DDS................................ 1 Krieger, George, DDS ............................... 27,33 Kruglet, Neil, DDS.............................................3 Krum, Nelson, DDS......................................6, 11 Kuljis, Lawrence, DDS.................................... 23 Kunstadter, Karl, DDS..................................... 22 Kwon, Justin, DDS........................................ 3,7 Kwon, Michelle ................................................ 16 Kwon, Michelle, DMD...................................... 30 Lai, Pearl......................................................... 25 Lai, Pearl, DDS............................................... 27 Lamoreaux, Jarom, DDS................................. 30 Lampert, Jodi, DDS........................................... 9 Lander, Todd, DMD........................................... 3 Langley, Donald, DDS................................. 1, 16 Lanzisera, Paul, DDS DMD..............................11 Larson, Craig, DDS......................................... 20 Latteier, Philip, DDS........................................22 Lawler, Michael, DDS...................................... 28 Lawson, Mark, DDS.......................................... 3 Laycock, Stephen, DDS...................................11 Le Huan Cue, Richard, DDS ....................... 3,25 Le, Nickie....................................:................... 16 Le, Tina, DDS.................................................. 36 Lecavalier, Ross, DDS....................................35 Lee, Andy, DDS................................................ 3 Lee, Christina, DDS........................................ 16 Lee, Jennifer, DDS.......................................... 36 Lee, Kye, DDS.:.............................................. 16 Lee, Monique, DDS DMD................................ 24 Lee, Tommy, DDS............................................. 3 Le-Huan-Cua, Christopher, DDS ...................... 3 Lemke, Timothy, DDS....................................... 3 Leone, Edward, DDS...................................... 16 Lepera, Rachel ................................................ 30 Lesch, Halee, DDS.......................................... 33 Levasseur, Dennis, DDS..................................11 Lewis, Jonathan, DDS..................................... 35 Light, Todd, DDS............................................. 16 Lindman, Mikal, DDS................................ 21,29 Liontas, Christopher.........................................11 Liontas, Christopher, DDS...............................11 Lipe, Carl, DDS............................................... 16 Liu, James, DDS............................................... 3 Loewen, Rebecca ......................4, 11, 16, 23, 33 Loewen, Rebecca, DDS..................................31 Logan, Sara, DDS......................................... 8,9 Logelin, Michael ...................4, 11, 16, 23, 32, 33 Long, Kyle, DDS.............................................. 16 Longo, Norma, DDS DMD................................11 Look, Kim, DDS................................................11 Loper, Darlyne, DDS DMD .............................. 27 Lopez, Avery, DDS.......................................... 25 Lopez, Sergio .................................................. 16 Losacco, Thomas, DDS.................................. 22 Loustalet, Lorraine, DDS.................................33 Lovato, Elosia.................................................. 25 Lovato, Matthew, DDS ..................... Love, William, DDS .......................... Lovejoy, Christian, DMD .................. Lovejoy, Peter, DDS ........................ Loveland, Douglas, DDS.................. Lucero, Orlando, DDS PC ................ Lutskiy, Aleksandr, DDS DMD ......... Lutskiy, Aleksandr, DMD.................. Lyons, Juliann, DDS ........................ Mack, Eric, DDS ............................... Madlang, Cesar, DDS ...................... Maes, Leroy, DDS............................ Majors, Kelsey, DDS........................ Malivuk, Michael, DDS..................... Maloy, Shawn, DDS......................... Mangle, James, DDS ....................... Mangold, Anne, DDS ....................... Manh, Katie, DDS ............................ Maniatis, James, DDS ..................... Maniatis, Peter, DDS ....................... Mankin, Julie, DDS .......................... Manshadi, Davood, DDS ................. Mantanona, Clarisa, DDS ................ Marchbanks, Sara, DDS .................. Mardis, Donald, DDS ....................... Marillac Dental Clinic Chc ................ Marlowe, Mark, DDS........................ Marogil, Hani, DDS DMD ................. Marschner, Thomas, DDS ................ Marshall, Kevin, DDS ........................ Marshall, Kimberly, DDS................... Martin, Donovan, DDS ...................... Martin, Roy, DDS .............................. Martin, Sarira, DDS........................... Martinez, Efren, DDS DMD............... Martinez, Lyda, DDS......................... Martinez, Mario, DDS........................ Massey, Britny, DDS ......................... Masterson, Timothy, DDS................. Masthay, Robert, DDS DMD............. Meta, Duane, DDS............................ Meta, Lyndon, DDS........................... Materon, Juan, DDS ......................... Matthes, Jon, DDS............................ Maxwell, Traver, DDS DMD.............. Mayo, James, DDS ........................... Mazzola, Christopher ........................ McAuliffe, Kevin, DDS....................... McDill, Michael, DDS ........................ McDonald, Robert, DDS DMD .......... McGlashan, William, DDS................. McIntosh -Ault, Kareen, DDS............. McIntyre, Peter, DDS ........................ McKinley, Brock, DDS....................... McLarty, Forney, DDS ...................... McMurtrey, Lonnie, DDS................... McNeely, William, DDS..................... McVeigh, Adam ................................. Medaugh, Peter, DDS DMD.............. Mediavilla, Eric, DDS ........................ Mehlhoff, Christopher, DDS .............. Meister, Robert, DDS......................... Mellor, Craig, DDS ............................. Metropolitan Community P................. Meyer, Marvin, DDS PC ..................... Meyer, Sarah, DDS............................ Micklin, David, DDS ........................... Milausnic, Michael, DDS .................... Millea, John, DDS .............................. Miller, Abraham, DDS ........................ Miller, Andrew, DDS PC ..................... Miller, Eric .......................................... Miller, Jamison, DDS DMD ................ Miller, Michael, DDS .......................... Miller, Rodger, DDS ........................... Miller, Stacey, DDS............................ Millward, Michael, DDS...................... Milnor, Laura, DDS ............................ Milushev, Metodi, DDS DMD ............. Minnis, Robert, DDS .......................... ..............11 ............. 27 ..............11 ..............11 ............. 14 ..............11 ............. 35 ............. 25 ............. 16 ............. 24 ....... 16,25 ............. 16 ............... 1 ..............11 ......... 4,27 ............. 21 ............. 30 ............. 16 ............. 16 ............. 17 ......... 4,17 ......... 4,25 ..............11 ............. 25 ............. 17 ............. 22 ............. 17 ............... 7 ... 1, 17,35 ............. 25 ............... 4 .............. 6 ............. 30 ............. 27 ............ 25 ............ 17 ............ 17 .......11. 31 .............. 9 ............ 35 ........ 1, 17 .......... 1,7 .............. 1 .............11 .............. 4 .............. 1 .............11 ............ 17 ............ 21 .............. 4 ............ 25 ............ 17 .............11 ............ 20 .............11 ............ 35 ...... 24,25 ............ 17 .............. 1 ............ 21 ............ 27 .............. 6 ............ 35 .............. 4 ............ 27 .............. 9 ............ 17 ............ 26 ............ 32 ............ 29 ............11 ............. 4 ............11 ........... 22 ............. 4 ........... 23 ............. 9 ....... 4,21 ......... 4,9 ............. 9 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 47 City of Fort Collins • Customer Service The selected firm must have as its primary focus on efficient and effective processing of all inquiries. Satisfactory customer service will include prompt, courteous and accurate responses to the City and employee inquiries regarding claim submissions, applicable provider networks, plan design and provisions, etc. A toll free number should be available for eligibility certification and claim submission inquiries. Agreed. Financial Accounting On a monthly basis, the selected firm must provide an accounting reconciliation of any "central bank" accounts utilized. The selected firm must provide a quarterly written report detailing all administrative expenses charged outside the Administrative Services Agreement. The selected firm must present a report detailing and justifying proposed fees for the coming year by September 1st of the preceding year. Delta Dental does not use a "central bank." We provide a check listing of claim monies is administrative , Delta Dental does not charge additional fees outside of the monthly administrative fee. All services are included in this fee. • Delta Dental will provide proposed administrative fees for the coming year no later than September 1st Right to Audit The selected firm must agree to allow the City, or its representative, the right to audit all claims, applicable provider credentialing, financial data and other information relevant to the City's account. Agreed. Data and Management Information Reporting The selected firm must provide monthly paid claim summaries and detailed claim listings, preferably in Excel format or through a secure website. The firm must also provide its standard reporting package. Ad hoc reports will periodically be requested. Enrollment, claims and premium/fee information must be accurate and supplied in a timely manner upon request. Describe online claim reporting and look -up capabilities that will be available to the City. 0 Delta Dental PPO Mitchell, William, DDS.....................................20 Mobley, James, DDS DMD ............................. 32 Modrowski, Brian, DDS................................... 21 Moeller, Jeffrey, DDS...................................... 32 Moffitt, Bert, DDS............................................ 35 Moncayo, Santiago, DDS................................ 17 Monroe, Kelly, DDS......................................... 17 Montanez, Mario, DDS........................ 12, 17, 23 Montano, Melissa, DDS ...................... 12, 17, 23 Montano, Ronald, DDS ...................4, 12, 17,23 Moore, Dwayne, DDS.......................................4 Moreschini, Richard, DDS DMD...................... 32 Moreschini, Ronald, DDS................................ 32 Moroni, Michael, DDS....................................... 8 Morrison, Eric, DDS DMD ............................... 22 Morrissey, Donald, DDS DMD......................... 12 Moss, Jack, DDS......................................... 1,33 Moss, Stewart, DDS........................................30 Mulheran, Thomas, DDS............... 12, 17, 21. 29 Murdock, Chad, DDS DMD ............................. 31 Murphy, Ciaran, DDS...................................... 21 Murphy, Michael, DDS.................................... 21 Musanle, Lawrence ......................... 4, 17, 23, 33 Musolf, Melissa, DDS...................................... 12 Mutchler, Richard, DDS PC ............................. 12 Myers, Sere.......................................................9 Najjar, Ellias, DDS...........................................27 Najjar, Tania.................................................... 33 Najjar, Tania, DMD............................................4 Naranja, Anthony ............................................ 17 Nassimbene, Bradley, DDS ............................ 17 Nassimbene, Raymond, DDS ......................... 20 Neel, Janet, DDS...................................... 12.21 Nelson, Donald..................................................4 Nelson, Jonathan, DDS...................................36 Nelson, Ruth, DDS.......................................... 28 Nelson, Ruth, DDS DR ...................................... 9 Nessel, Larry, DDS......................................... 20 Nguyen, Huy, DDS............................................4 Nguyen, Lan, DDS.......................................... 17 Nguyen, Quynh ................... 4, 12, 17, 23, 32, 33 Nichols, Richard, DDS................................ 6, 26 Nicolette, John, DDS.......................................20 Nicolosi, Patricia, DDS PC ................................ 9 Nielsen, Kurt, DDS............................................ 9 Nishimura, Roger, DDS................................... 17 Noah, Jason, DMD..........................................22 Noble, Glenn, DDS..........................................22 Norris, Garth, DDS.......................................... 20 Novak, Scott, DDS DMD................................... 4 Obana Dela Paz, Carmeliza, DDS .................. 17 Obrien, Robert, DDS....................................... 29 Ochoa, Margarita, DDS ............................... 4,26 Oldershaw, William, DDS................................27 Oldroyd, Todd, DDS DMD...............................27 Olivier, Jonathan, DDS....................................33 Olsen, Brian .................................................... 14 Olsen, Lonnie, DDS........................................12 Olson, Dwight, DDS DMD ......................... 12,31 Olson, Richlund, DDS....................................... 9 Omi, Sheldon, DDS DMD................................ 36 Oneill, Bradford, DDS................................20, 33 Ontiveros, Michael, DDS.................................26 Oreskovich, Tony, DDS...................................32 Ortegon, Gino, DDS DMD ............................... 32 Ozenbaugh, Brian, DDS....................................4 Padula, Juli Ann, DDS..................................... 32 Paini, William, DDS......................................... 17 Paisley, Ian, DDS.............................................. 7 Paison, Thomas, DDS......................................33 Palumbo, Glenn, DDS.....................................26 Pantleo, Paul, DDS......................................... 22 Pare, Henri, DDS............................................ 17 Pareja, ClaudeA, DDS.................................... 35 Parfitt, James, DDS DMD.................................. 4 Park, Alexander, DDS..................................... 35 Park, Wonpyo, DDS........................................ 12 Parker -Smart, Janis ........................................ 26 Parsons, Joseph, DDS...................................... 1 Passon, J.......................................................... 4 Paswaters, Stephanie, DDS............................ 26 Patton, Noel, DDS DMD.................................. 12 Pavel, Margareta, DDS................................... 27 Payne, Randall(Randy), DDS ......................... 12 Peak Vista Community Hea ...................... 12.19 Peak, Douglas, DDS....................................... 12 Pechek, Ty ...................................................... 32 Pechek, Tyson, DDS....................................... 32 Penk, Stuart, DDS........................................... 17 Peppier, Michael, DDS DMD....................... 9,30 Perry, Stephen, DDS............... 1, 4, 6, 17, 23, 29 Peterson, Andrea, DDS ............................... 1,35 Peterson, Bruce, DDS....................................... 7 Petkova, Anastasia, DDS............................ 4,26 Pettyjohn, Catherine, DDS .............................. 24 Pfalzgraf, John, DDS....................................... 17 Pfister, Candace, DDS DMD........................... 22 Phi, Hanh, DDS............................................... 33 Philson, Gregory, DDS.................................... 32 Pierson, Dianne, DDS..................................... 29 Pinkner, Jay, DDS........................................... 29 Poczatek, Sharon, DDS.................................... 6 Podratz, Adam, DDS....................................... 12 Pohl, Raymond, DDS...................................... 27 Polidori, Brian, DDS........................................ 26 Polke, Kenneth, DDS PC ................................ 35 Pontarelli, William, DDS.................................. 26 Porter, Nicolas, DDS....................................... 14 Porzio-Dilizia, Paulette, DDS DMD ................. 22 Powell, David, DDS MD .................................. 22 Prajapati, Snahel, DDS DMD .......................... 26 Preston, James, DDS...................................... 27 Probst, Scott, DDS.......................................... 12 Probst, Travis, DDS........................................ 12 Pruett, Nicolas, DDS....................................... 12 Pucheril, Aneeta, DDS.................................... 26 Pueblo Community Health Chc....................... 32 Quandt, John, DDS......................................... 17 Raether, Gail, DDS......................................... 20 Ragulsky, Ronald, DDS.................................. 32 Rahimpour, Navid, DDS................................. 12 Ranov, Boyan, DDS DMD ...........................4, 34 Ranta, George, DDS PC ................................. 22 Ranta, Jeffrey, DDS DMD ............................... 22 Ranucci, Andrew, DDS DMD .......................... 29 Rasulov, Aziz.................................................... 4 Rasulov, Aziz, DDS........................................ 34 Ray, Jason, DDS PC ................................. 17,20 Read, Terry, DDS............................................ 12 Ready, Thomas, DDS..................................... 32 Reardon, Daniel, DDS..................................... 30 Rebber, David, DDS........................................ 20 Reck, Diane, DDS PC ..................................... 12 Rack, Steven ................................................... 12 Redfearn, Ryan, DDS..................................... 20 Redford, David, DDS....................................... 17 Reed, Thomas, DDS....................................... 20 Rein, Gary, DDS............................................. 17 Reinicke, Mark, DDS PC ................................. 12 Reposa, Ryan, DDS DMD ............................... 22 Resnick, Mark ................................................... 4 Revoir, Jeffrey, DDS....................................... 17 Reynolds, James, DDS..................................... 4 Rezaei, Seyed, DDS................................... 4,26 Rice, Donald, DDS.......................................... 17 Richardson, Brian, DDS.................................. 27 Riesselman, Phillip, DDS.................................. 4 Rinaldi, Todd ................................................... 21 Rinaldi, Todd, DDS......................................... 17 Rinaldis, Patrick, DDS..................................... 23 Robbins, Braden, DDS.................................... 17 Roberts, Dale, DDS................................... 17,24 Roberts, Tony, DDS........................................ 32 Robinson, David, DDS PC .............................. 32 Robinson, T................................................. 9,26 Robinson, T, DMD........................................... 34 Rodgers, Charles, DDS 1, 4, 7, 12, 20, 26, 33, 35 Rodgers, James, DDS .............................. 14, 17 Rodriguez, Leopoldo, DDS ............................. 12 Rodriguez, Melanie, DDS................................ 32 Rodriguez, Paul .................................. Rodriguez, Paul, DDS......................... Rohleder, Julia, DMD.......................... Rollow, John, DDS .............................. Romig, Gregory, DDS ......................... Ronco, Ronald, DDS DMD ................. Rones, Jonathan, DDS ....................... Rosamsetty, Prathima ......................... Rossow, Eric, DDS ............................. Rotolo, Gary, DDS .............................. Rotwein, Pamela, DDS ....................... Rowan, Matthew, DDS........................ Rowlette, Michael, DDS ...................... Royal, John, DDS ............................... Ruff, Michael, DDS ............................. Rush, Larry, DDS................................ Rush, Steven, DDS ............................ Ruvins, Edward, DDS ........................ Rygg, Paul ......................................... Rygg, Paul, DDS................................ Saddler, Aurora, DDS ........................ Saddler, Gary, DDS ........................... Sadler, Norris, DDS DMD .................. Saeks, Adam, DDS ............................ Saide Karlin, Stephanie, DDS............ Sakamaki, Carl, DDS ......................... Sampath, Vidhyalakshmi, DDS.......... Sanchez, Porforio, DDS..................... Sanders, Nelson, DDS....................... Sanderson, Stuart, DDS .................... Sankaranarayanan, Srivalli ................ Sankaranarayanan, Srivalli, DDS ...... Saunders, Ryan, DDS........................ Sauza, Juan, DDS ............................. Scarffe, Charles, DDS........................ Scarpella, Pasco, DDS ...................... Schaeffer, Teri, DMD ......................... Schaffer, Lisa ..................................... Scherber, Joseph, DDS ..................... Schneider, Debra, DDS ..................... Schneider, Walter, DDS..................... Scholes, Landis, DDS ........................ Schreiber, William, DDS PC ............... Schroeder, Timothy, DDS ................. Schultz, R, DDS................................ Schwab, Michael, DDS DMD ............ Schwartz, Marc, DDS........................ Schwa rtzenberger, Danielle .............. Schwerdt, Janne, DDS...................... Scott, Daniel, DDS ............................ Seabury, Carolyn, DDS..................... Segal, Brigitte, DDS .......................... Sehy, Christina, DDS ........................ Seifert, Teniel, DDS DMD ................. Sekiya, Floyd, DDS ........................... Seymour, Brittany, DDS .................... Shea, Michael, DDS DMD ................ Shearer, Amy, DDS DMD ................. Sheldon, Lisa, DDS........................... Shepherd, Renee, DDS .................... Sherman, Lewis, DDS....................... Short, Howard, DDS DMD ................ Short, Yolanda, DDS DMD ............... Short, Yolanda, DMD ........................ Shulze, Richard ................................. Shulze, Richard, DDS DMD .............. Sibo, Jennifer, DDS ......................:... Sidwell, Stephen, DDS...................... Sievers, John, DDS PC .................... Sims, Alan, DDS .............................. Skromme, Allan, DDS ...................... Slack, Donica................................... Slack, Thomas, DDS........................ Slaysky, Aaron, DDS ....................... Smith, Bradley, DDS ........................ Smith, David, DDS ........................... Smith, Gerald ................................... Smith, Gerald, DDS ......................... Smith, Joshua .................................. Smith, Mark, DDS ............................ .......... 12 .......... 12 .......... 12 .......... 33 ........... 4 .......... 12 ............ 4 .......... 32 .......... 14 .......... 17 ........... 17 4,17 ............ 8 ........... 12 ........... 36 ........... 12 ............. 4 ............. 4 ........... 36 ........... 12 ........... 30 ..... 17, 30 ........... 17 ........... 29 ....... 7,27 ........... 17 ..... 26,35 ........... 17 ........... 35 ........... 17 ..... 17,34 ....... 4,17 ........... 14 ........... 29 ............. 1 ............. 7 ............ 35 ............. 7 ........... 36 ............ 17 ............ 20 .............. 9 ............ 29 ............ 26 ............ 32 ............ 17 ............ 17 ............ 18 ............ 18 .............. 4 ............ 34 ............ 23 ............ 26 ............ 14 ............ 36 ............ 18 ............ 22 .............. 6 .............. 6 ............ 20 ............ 26 ............ 12 ............ 24 .............. 9 ............. 29 ....... 22,29 ............... 8 ............. 29 ............. 20 ............... 9 ............... 6 ............. 32 ............. 12 ............. 26 ............. 29 ............. 20 ............. 35 ............. 34 ............. 30 ............. 34 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. . July 2009 48 • E • Smith, Paul, DDS............................................ 12 Sniegowski, Thomas, DDS ............................. 18 Soder-Blackman, Kelly, DDS .......................... 29 Soltani, Azadeh, DDS DMD ............................ 29 Songer, Debra, DDS......................................... 7 Sonntag, Russell, DDS................................... 32 Sorensen, Katerina, DDS................................21 Sorensen, Thomas, DDS................................ 22 Sosdian, Quynh-Dung, DDS ........................... 12 Sosdian, Stephen, DDS.................................. 12 Sousa, April, DDS............................................. 6 Spaeth, Oliver, DDS........................................ 12 Speer, Jennifer, DDS DMD ............................. 18 Spencer, Stephen, DMD................................. 29 Spicciati, Louis, DDS....................................... 12 Spiegel, Jeffery, DDS......................................27 Stafford, Joel, DDS DMD................................ 31 Steeghs, Brigitte, DDS.................................... 23 Steen, Dale, DDS............................................ 26 Stella, Helen, DDS DMD................................. 20 Sterling, Kevin, DDS....................................... 14 Stevens, Courtney, DDS................................. 23 Stevens, Jessica, DDS.................................... 30 Stevens, Sterling, DDS...................................20 Stiles, Michael, DDS....................................... 35 Stoddard, Dennis, DDS ............................... 4,18 Stoddard, Scott, DDS......................................22 Stoor, Michael, DDS........................................ 12 Stricca, Duilio, DDS PC...................................32 Stutznegger, Conrad, DDS ............................. 29 Sullivan, Cort, DDS......................................... 36 Suman, Jamie, DDS.......................................... 7 Sumner, Jill ....................................................... 4 Svoboda, Brian, DDS.................................. 9, 18 Swain, Thomas, DDS...................................... 18 Swanson, David, DDS.....................................26 Sweet, Ronald, DDS....................................... 36 Tabor, Carl, DDS DMD.................................... 21 Takaki, Alan, DDS........................................... 32 Takaki, Duane, DDS....................................... 32 Talavera, Sylvia, DDS..................................... 26 Talbot, Brett, DDS DMD.................................. 12 Talley, Brian, DMD.......................................... 22 Taneja, Puja, DDS............................................ 4 Tappan, Major, DDS....................................... 18 Targos, Ned, DDS........................................... 18 Tayde, Shital, DDS DMD.................................. 1 Taylor, Stephen, DDS....................................... 1 Terada, Jennifer, DDS.................................... 18 Thai, Minh, DDS.............................................. 18 Thalken, Jerry, DDS........................................35 Theriot, Roy, DDS....................................... 4, 18 Thomas, Abraham, DDS DMD ........................ 12 Thomason, Ethelyn, DDS DMD......................... 6 Thomason, Ethelyn, DMD ............................. 1,6 Thomasson, Thomas, DDS ............................... 4 Thompson, Glenn, DDS DMD......................... 12 Thompson, Larry, DDS PC ............................. 26 Thompson, Scot, DDS.................................... 27 Thomson, Patrick, DDS DMD.......................... 36 Thongin, Ekapoj, DDS DMD .............................4 Thornal, Benjamin, DDS.................................22 Thousand, John, DDS.......................................4 Thrash, Frederic, DDS.................................... 27 Thrash, Frederick, DMD..................................30 Thurman, David, DDS ............................... 27,33 Thurmon, Hadley, DDS................................... 34 Tiao, Katie ........................... 4, 12, 18, 23, 32, 34 Tidwell, Scott, DDS........................................... 1 Tillotson, Evan, DDS....................................... 12 Timlin, Scott, DDS........................................... 34 Tippets, Jeffrey, DDS...................................... 24 Tomasetti, David, DMD................................... 28 Tomlinson, Kathy, DDS.....................................1 Topolnycky, Andrew, DDS................................ 4 Toriggino, Dominic, DDS...................................4 Torok, Andreea, DDS........................................7 Tran, Hung, DDS............................................. 18 Tran, Luan, DDS.................................:..... 30,35 Tran, Tram, DDS.............................................28 Delta Dental PPO Tran, Vien, DDS........................................ 25,29 Travis, Stephen, DDS....................................... 6 Trefil, Karleen, DDS DMD ............................... 32 Trembath, Lori, DDS....................................... 34 Tripam, Alois, DDS.................................... 21,29 Trujillo, Derie, DDS........................................... 1 Tsumura, Kurt, DDS........................................ 18 Tuchklaper, Scott, DDS................................. 6,7 Turnquist, Kerry, DDS....................................... 7 Twerskoi, Vladislav, DDS..................................4 Twiss, Tyler, DDS DMD.................................. 24 Unger Waters, Jennifer, DDS.......................... 22 Unrath, Robert, DDS DMD .............................. 18 Vairin, Christopher, DDS................................. 18 Valley Wide Health Servi Chc... 1, 10, 19, 24, 32 Valuck, Paul, DDS........................................... 18 Van Dusen, Scotty, DDS................................. 22 Van Orman, James, DDS.................................. 8 Van Wagenen, Jason ...................................... 36 Van Wagenen, Jason, DDS ............................ 35 Vanicek, Peter, DDS......................................... 9 Varner, Jeffrey, DMD........................................ 4 Vedi, Anita, DDS............................................... 1 Venuto, Nick, DDS.......................................... 18 Verma, Deepali, DDS...................................... 12 Vetowich, Michael, DDS.................... :............. 28 Vidmar, Dennis, DDS...................................... 32 Vigil, Gilbert, DDS PC ..................................... 18 Villalon, Elmer, DDS MD DMD DP .................. 32 Vilner, Leon, DDS........................................... 18 Vogl, Walt.......................................................... 8 Vondra, Anthony ............................................. 19 Vostatek, Sean ................................................ 12 Wachuta, Timothy, DDS............................ 18, 22 Wahl, Michael, DDS........................................ 12 Waite, John, DDS............................................ 31 Walgast, John, DDS DMD ............................... 29 Walgast, John, DMD....................................... 29 Walker, Stefanie, DMD. ***"** .......................... MD.................................... . *5 Wallace, John .............................................. 1, 23 Ward, Daniel, DDS.................................... 32,34 Ward, Larry, DDS.............................................. 1 Ward, Nicole, DDS DMD................................... 5 Warlick, Philip, DDS........................................ 34 Warner, Homer, DDS...................................... 14 Wasinger, Jack, DDS...................................... 26 Waters, Gregory, DDS...................................... 1 .. Webb, David, DDS........................................ 12 Webb, Michael ...................................... 9, 26, 34 Weber, John, DDS.................................. 6,7134 Webster, Kelvin, DDS..................................... 21 Weekes, Bradley, DDS................................... 28 Weenig, Val, DDS........................................... 12 Weir, Frank, DDS..............................................9 Welch, Chad, DDS..............................'............ 18 West -Bennett, Kirsten, DDS............................ 35 Weyman, Paul, DDS....................................... 20 Whalen, Dann, DDS........................................ 26 Wherley, Daniel, DDS..................................... 18 White, Jaime ................................................... 25 White, Kelly, DDS PC ...................................... 18 Whitney, Hal ...................................................... 5 Whittern, Cathy, DDS...................................... 29 Wiedey, Richard, DDS.................................... 13 Wilk, Steven, DDS PC ..................................... 18 Williams, Mitchell ............................................. 22 Williams, Mitchell, DDS.....................................8 Williams, Richard, DDS..:.................................. 1 Williamson, Chadwick, DDS............................ 18 Willis, Adam, DDS........................................... 35 Willis, Lawrence ........................................ 14, 20 Wilson, Cindy -Sue, DDS................................... 7 Wilson, Daniel, DDS.......................................... 5 Wilson, Kenneth, DDS MD............................... . 5 Wilson, Richard, DDS..................................... 19 Wilsted, Neal, DDS........................................... 9 Winber, Ralph, DDS........................................ 36 Winnicki, Jeffrey, DDS .............................. 20,25 Winter, Eric, DDS............................................ 35 Wise, Randall, DDS........................................ 26 Wohlgemuth, Barry, DDS.................................. 5 Wohlwend, Charles, DDS ............................... 32 Wohlwend, Joseph, DDS................................ 32 Wong, Alan, DDS............................................ 20 Wood, Bradley, DDS.......................................29 Woods, Joseph, DDS DMD ............................ 13 Workman, John, DDS....................................... 7 Workman, Ryan, DDS..................................... 14 Wortham, Roy, DDS......................................... 7 Wuerker, Richard, DDS.................................. 21 Yahnian, Lawrence, DDS................................ 18 Yasoni, Marc ................................................... 35 Yasoni, Marc, DDS......................................... 35 Yeats, David, DDS DMD................................. 20 Young, Kathleen, DDS...................................... 9 Young, Matthew .................. 5, 13, 18, 23, 32, 34 Young, Richard, DDS...................................... 22 Zeigler, Jeremy, DDS DMD ............................. 30 Zeitlin, David, DDS.......................................... 35 Zelazek, Paul, DDS......................................... 35 Zenon, Joshua, DDS....................................... 20 Zervas, Steven, DDS PC ................................ 23 Zimmet, Neil, DDS............................................ 1 ORAL SURGEON Abood, Joseph .................................................. 1 Bandrowsky, Timothy, DDS ........................ 8, 13 Berman, David, DDS MD DMD....................... 23 Berman, Mark, DDS MD ................................. 23 Berwick, James, DDS..................................... 13 Borris, Thomas, DDS................................ 13,36 Bottenbley, Cecil, DDS DM DMD.................... 26 Bottenbley, Cecil, DDS MD DMD.................... 18 Burnham, Michael, DDS MD ........................... 34 Catalano, Joseph, DDS.................................... 5 Catalano, Joseph, DDS DMD ......................... 28 Catalano, Joseph, DDS MD .............................. 9 Colm, Stephen, DDS....................................... 29 Colm, Stephen, DDS DMD ........... 5, 6, 7, 21, 24 Colm, Stephen, DMD.......................... 13, 21, 29 D Addario, Matthew ........................................ 13 Day, Gregory, DDS MD DMD ......................... 32 Esposito, Daniel, MD DMD ............................. 28 Facy, Rebecca, DDS ............................ 8, 13, 24 Floyd, Carlton, DDS MD MS ............................. 5 Floyd, Carlton, DDS MS .................................... 9 Harper, Clayton, DDS ............... 6, 13, 18, 24, 26 Harper, Clayton, DDS MD ............................. 5,6 Hong, Douglas, MD DMD ............................... 13 Hull, Donald .................................................... 13 Keogh, Barry, DDS MD ........................... 5, 9, 28 Lessig, James, DDS................................... 9,28 Lupori, John D, DDS DO MD .......................... 33 Madlock, Paul, DDS DMD......... 5, 13, 24, 26, 35 Madlock, Paul, DDS MD ................................. 21 Madlock, Paul, DDS MD DMD .......................... 6 McMunn, William, DDS MD ......................... 7, 18 McMunn, William, DDS MD DMD ................... 18 Michalik, Thomas, DDS MD DMD..................... 9 Michalik, Thomas, MD DMD ........................... 28 Miner, Jeremy, DDS........................................ 28 Mitz, Richard, DDS......................................... 18 Moody, Michael, DDS..................................... 26 Musella, Anthony, DDS DP ............................. 36 Nassimbene, Leo, DDS .............................. 8,13 Nassimbene, Leo, DDS MD DMD................... 13 Newman, Richard, DDS.................................... 1 Onstad, Michael, DDS................................ 8, 13 Payne, Wayne, DDS DMD .............................. 32 Peterson, Gregg, DDS MD ............................. 21 Peterson, Gregg, MD ...................................... 20 Pollaccia, Nino, DDS....................................... 35 Quist, Rhett, DDS................................. 5, 13, 35 Reck, Steven, DDS......................................... 34 Reck, Steven, DDS PC ................................... 32 Reisman, Alan, DDS....................................... 29 Renehan, Bradley, DDS MD ........................... 13 Salvo, Joseph, DDS.................................... 8, 13 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 49 Delta Dental PPO ORTHODONTIST pEDmmwTIST Bull, John, ooa ...............................................uu Randall --------5, 19,3* Ellis, Randall, 000 .................................... 13,32 snnksunJusmua.000-----------m PsRuOoomnar PROSTHODONTIST Astroth, Jeffrey, non------------'e Draper, Scott,00n......................................... 14 Leeovun.00a--------------.o 0 Ll Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and varticipating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta DentasImembers may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely re ponsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0 50 State Introduction Document 0 Please insert appropriate state introduction pages here. [-I • Delta Dental PPO Directory 0 0 • Welcome! Since 1958, Delta Dental has been providing high quality, comprehensive dental benefits in the state of Colorado and nationwide. As a non-profit organization, our mission is: To improve the oral health of the communities we serve. The people of Delta Dental work to provide high quality customer service to our members. And the relationship with our dentists is key to achieving our mission. This dentist directory is a valuable tool for helping you find a dentist or dental specialist in your area. The information provided in this directory is not an endorsement of a particular dentist or dental specialist suitable to your needs. Although we try to ensure that our dentist directories are as accurate as possible, the information in the directory is subject to change at anytime. We encourage you to check our website at www.deltadentalco.com for the most current information about participating dentists near you. • Dentist Network This dentist directory is for Delta Dental PPOsM Pre-treatment Estimate If you expect to have dental services that exceed $400, we recommend your dentist submit the treatment plan to Delta Dental for review before any work is actually done. A pre-treatment estimate allows both you and your dentist to know exactly what is covered and what your plan will pay. There is no additional charge for having a pretreatment estimate. Customer Service Information Emergency Services If you have an emergency situation, please contact your dentist as soon as possible to schedule a visit. Delta Dental of Colorado Customer Relations Call us: (303) 741-9305 (Metro -Denver area) (800) 610-0201 (Toll -Free statewide) Customer service representatives are available from 8:00 a.m.. — 6:00 p.m.,. Monday —Friday. For the hearing impaired: TDD — (800) 659-2656 For Spanish speaking assistance: Para asistencia en espanol llame al (800) 610-0201. Delta Dental of Colorado also uses language interpreters to assist our non-English speaking members. E-mail us: Customer_ Service@ddpco.com A Customer Service representative will respond to your e-mail within 24 business hours, is through Friday. Visit us online: www.deltadentalco.com 0 Alamosa • Colorado COLORADO ALAMOSA GENERAL DENTIST JACKSON, DARRELL, DDS Cottonwood Dental Center 2405 Mullins Ave Alamosa, CO 81101 (719)589-5272 VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services 128 Market St Alamosa, CO 81101 (719) 589-9691 WILLIAMS, RICHARD, DDS 315 Edison Ave Alamosa, CO 81101 (719)589-3686 PERIODONTIST FITZPATRICK, BRIAN, DMD 3211 Main St Ste A Alamosa, CO 81101 (866) 575-9023 ARVADA ENDODONTIST • PECKER, D ,DDS DM Perfect Teethth 88th 88th and Wadsworth 8749 Wadsworth Blvd Arvada, CO 80003 (303)421-9444 • GENERAL DENTIST ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth 64th and Ward PC 12650 W 64th Ave Unit J Arvada, CO 80004 (303) 423-9000 BAHR, SHAYNA, DDS DMD Comfort Dental of N Arvada 839b W 80th Ave Arvada, CO 80005 (303) 425-6419 BENNETT, GREGORY, DDS 7745 Wadsworth Blvd Ste F Arvada, CO 80003 (303)421-7611 BORATENSKI, JULIA Arvada Modern Dentistry and Orth 14807 W 64th Ave Ste C Arvada, CO 80007 (303) 456-4095 BUELTEL,ALLEN Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 COX,VALLORY,DDS 6425 Wadsworth Blvd Ste 201 Arvada, CO 80003 (303)940-0125 Delta Dental PPO DEAN, MARK, DDS Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 ELLIOTT, BRIAN, DDS Dental Health of Westminster PII 7970 Sheridan Blvd 3 FI Arvada, CO 80003 (303) 427-0730 ELLIS, DANA, DDS PC 10229 W 58th Ave Arvada, CO 80002 (303) 422-2502 EYER,ROBERT 5730 Ward Rd Ste 203 Arvada, CO 80002 (303) 423-0930 FRIEDMAN, MITCHELL, DDS Arvada Dental Office PC 8795 Ralston Rd Ste 210 Arvada, CO 80002 (303) 422-8942 HOLMES, CARON, DDS James R Holmes DDS PC 6355 Ward Rd Unit 410 Arvada, CO 80004 (303) 420-7100 HOLMES, JAMES, DDS 6355 Ward Rd Unit 410 Arvada, CO 80004 (303)420-7100 JENKINS, JESSE, DDS Five Parks Dental 13739 W 85th Dr Arvada, CO 80005 (303) 456-4745 JIMENEZ, ROSSYNET, DDS Mountain Dental PC 9800 W 59th PI Arvada, CO 80004 (303) 422-0907 JOESAAR,HARALD,DDS Bella Dental 7913 Allison Way Ste 203 Arvada, CO 80005 (303) 420-1114 KHMIL, LARISA, DDS New Impressions Dental 9122 W 88th Ave Arvada, CO 80005 (303)422-0836 KOHLMEIER, RANDALL, DDS 8723 Wadsworth Blvd Ste D Arvada, CO 80003 (303) 422-0476 KRANNAWITTER, JEFFREY, DDS 8721 Wadsworth Blvd Ste B Arvada, CO 80003 (303) 420-2061 LANGLEY, DONALD, DDS Dental Health of Westminster PII 7970 Sheridan Blvd 3 FI Arvada, CO 80003 (303) 427-0730 MAJORS, KELSEY, DDS Arvada Modem Dentistry and Orth 14807 W 64th Ave Ste C Arvada, CO 80007 (303)456-4095 MARSCHNER, THOMAS, DDS Perfect Teeth 64th and Ward PC 12650 W 64th Ave Unit J Arvada, CO 80004 (303) 423-9000 MATA, DUANE, DDS Mata Dental Associates PC 5310 Ward Rd Ste 101 Arvada, CO 80002 (303)421-6165 MATA, LYNDON, DDS Mata Dental Associates PC 5310 Ward Rd Ste 101 Arvada, CO 80002 (303) 421-6165 MATERON, JUAN, DDS Comfort Dental of N Arvada 8390 W 80th Ave Arvada, CO 80005 (303) 425-6419 MAYO, JAMES, DDS Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 MEDAUGH, PETER, DDS DMD 7768 Vance Dr Ste A Arvada, CO 80003 (303) 423-0860 MOSS, JACK, DDS Colo Dhca Low Income Dental 7970 Sheridan Blvd Ste 300 Arvada, CO 80003 (303) 427-0730 PARSONS, JOSEPH, DDS Perfect Teeth 88th and Wadsworth 8749 Wadsworth Blvd Arvada, CO 80003 (303)424-5463 PERRY, STEPHEN, DDS Colorado Dental Health Care Spec 7970 Sheridan Blvd 3 FI Arvada, CO 80003 (303)427-0730 PETERSON,ANDREA,DDS Perfect Teeth 64th and Ward PC 12650 W 64th Ave Unit J Arvada, CO 80004 (303) 423-9000 RODGERS, CHARLES, DDS Arvada Modern Dentistry and Orth 14807 W 64th Ave Ste C Arvada, CO 80007 (303) 456-4095 SCARFFE, CHARLES, DDS 7903 Allison Way Ste 103 Arvada, CO 80005 (303) 423-4492 TAYDE, SHITAL, DDS DMD Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 Arvada Colorado TAYLOR,STEPHEN,DDS Mountain Dental PC 9800 W 59th PI Arvada, CO 80004 (303) 422-0907 THOMASON,ETHELYN,DMD Perfect Teeth Sheridan and 64th PC 5169 W 64th Ave Arvada, CO 80003 (303) 426-4050 TIDWELL, SCOTT, DDS Comfort Dental of N Arvada 8390 W 80th Ave Arvada, CO 80005 (303)425-6419 TOMLINSON, KATHY, DDS Comfort Dental of N Arvada 8390 W 80th Ave Arvada, CO 80005 (303) 425-6419 TRUJILLO, DERIE, DDS 9056 W 88th Ave Arvada, CO 80005 (303) 423-5989 VEDI, ANITA, DDS New Impressions Dental 9122 W 88th Ave Arvada, CO 80005 (303)422-0836, WALLACE, JOHN Perfect Teeth Sheridan and 64th PC 5169 W 64th Ave Arvada, CO 80003 (303) 426-4050 WARD, LARRY, DDS 11005 Ralston Rd Ste 201 Arvada, CO 80004 (303) 423-4198 WATERS, GREGORY, DDS 8850 W 58th Ave Ste 104 Arvada, CO 80002 (303) 420-3233 ZIMMET, NEIL, DDS Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 ORAL SURGEON ABOOD,JOSEPH Evergreen Oral and Maxillofacial 14416 W 57th PI Arvada, CO 80002 (303)432-2384 NEWMAN, RICHARD, DDS Specialists and Oral Surgery PC 7913 Allison Way Ste 101 Arvada, CO 80005 (303) 422-2990 ORTHODONTIST BEABER, WILLIAM, DDS Beaber Family Orthodontics 5310 Ward Rd Ste 101 Arvada, CO 80002 (303)464-3900 CALLENDER, GALEN, DDS PC 7207 Grandview Ave Arvada, CO 80002 (303)421-1984 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Arvada Delta Dental PPO Aurora Colorado Colorado COLORADO (CONT-D) GALLAGHER, JAMES, DDS DMD MS 11890 Ralston Rd Arvada, CO 80004 (303) 422-3419 7913 Allison Way Ste 201 Arvada, CO 80005 (303)424-4048 MASON, JAMES, DDS 6390 Gardenia St Unit 200 Arvada, CO 80004 (303) 421-2616 MESSINGHAM, JASON, DDS Messingham Orthodontics 7523 W 80th Ave Arvada, CO 80003 (303)456-5339 MOORE, THEODORE, DDS Perfect Teeth 88th and Wadsworth 8749 Wadsworth Blvd Arvada, CO 80003 (303) 421-9444 NELSON, BRYAN, DDS DMD MS Standley Lake Orthodontics 8723 Wadsworth Blvd_ Ste B Arvada, CO 80003 (303) 422-6752 PEDODONTIST HYMER,BARBARA,DDS Perfect Teeth 88th and Wadsworth 8749 Wadsworth Blvd Arvada, CO 80003 (303)424-5463 SAVAGE,BRYAN,DDS West Metro Dentistry For Childre 5730 Ward Rd Ste 202 Arvada, CO 80002 (303)422-3746 VUONG, JULIE, DDS Jesse R Witkoff DDS PC 7578 Sheridan Blvd Arvada, CO 80003 (303) 427-9779 WITKOFF, JESSE, DDS 7578 Sheridan Blvd Arvada, CO 80003 (303)427-9779 PERIODONTIST GOMEZ, LUIS, DDS DMD Colorado Dental Health Care Spec 7970 Sheridan Blvd 3 FI Arvada, CO 80003 (303) 427-0730 KOHUT, DEJAN, DDS - Perfect Teeth 88th and Wadsworth 8749 Wadsworth Blvd Arvada, CO 80003 (303) 424-5463 SHAW, SEAN, DMD Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 AULT GENERAL DENTIST ECKHARDT, BRADLEY, DDS Ault Family Dentistry 120 2nd St Ault, CO 80610 (970) 834-2058 AURORA ENDODONTIST BECKER, HELENA, DDS DMD Southlands Endodontics 6240 S Main St Ste 285 Aurora, CO 80016 (303)699-7668 CHALIAN, GARO, DDS Endodontics of Colorado LLC 11200 E Mississippi Ave Aurora, CO 80012 (303)696-1919 DIETZ, JACQUELINE, DDS DMD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303)400-9898 HOLTZMANN, DAVID, DDS DMD Endodontics of Colorado LLC 11200 E Mississippi Ave Aurora, CO 80012 (303) 696-1919 KOTT, JEREMY, DDS Perfect Teeth E Cornell PC 12200 E Cornell Ave Unit E Aurora, CO 80014 (303)337-0304 RING, JAMIE, DDS DMD Southlands Endodontics 6240 S Main St Ste 285 Aurora, CO 80016 (303) 699-7668 RING, KARLA, DDS DMD Southlands Endodontics 6240 S Main St Ste 285 Aurora, CO 80016 (303) 699-7668 STEIN, ARLENE, DMD Endodontics of Colorado LLC 11200 E Mississippi Ave Aurora, CO 80012 (303) 696-1919 SYRPES, DEMETRIOS, DDS Endodontics of Colorado LLC 11200 E Mississippi Ave Aurora, CO 80012 (303) 696-1919 WHITNEY, SCOTT, DDS Southlands Endodontics 6240 S Main St Ste 285 Aurora, CO 80016 (303) 699-7668 YOUSSEF, HESHAM, DDS All Endodontics PC 13741 E Rice PI Ste 200 Aurora, CO 80015 (303) 617-6323 GENERAL DENTIST ADAMS, DAWNE, DDS Windsor Dental Care 1155 S Havana St Ste 43 Aurora, CO 80012 (720)213-0004 ALLEN, ROBERT, DDS Tower Dental Partners LLC 18680 E Iliff Ave Unit A Aurora, CO 80013 (303)751-5010 ANDREWS, BRANDIE, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 ANDRUS, ROBERT, DDS 15106 E Hampden Ave Aurora, CO 80014 (303)766-4141 AUFDERHAR, CHRISTINE, DDS Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303)400-9898 AUGER, CAMERON 18801 E Hampden Ave Ste 178 Aurora, CO 80013 (303) 680-3308 BARTLETT, JAMES, DDS 12331 E Cornell Ave Ste 20 Aurora, CO 80014 (303)745-7777 BATLINER, TERRENCE Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 BATLINER, TERRENCE, DDS Uchsc School of Dentistry 13065 E 17th Ave Aurora, CO 80045 (303)724-6931 BENNETT, DARREN, DDS Perfect Teeth Buckley and Quincy P 4321 S Buckley Rd Aurora, CO 80015 (303)690-1812 BERGESON,ZACKARY,DDS DMD Comfort Dental of Aurora 1050 S Peoria St Aurora, CO 80012 (303)367-2273 BIEL, TIMOTHY, DDS Associates In Family Dentistry 15425 E Iliff Ave Aurora, CO 80013 (303)755-5768 BLATTER, VICTOR, DMD Rocky Mountain Dental Partners P 730 Potomac St Ste 308 Aurora, CO 80011 (303)364-4322 BOWDEN, CLYDEA, DDS 14591 E Alameda Ave Aurora, CO 80012 (303)343-7072 BRADLEY,KATHLEEN,DDS Childrens Medicaid Drill Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 BRICHACEK, MICHELLE, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 BRIMHALL, DALLAS, DDS Rocky Mountain Dental Partners P 730 Potomac St Ste 308 Aurora, CO 80011 (303)364-4322 BROOKS, HOWARD Cu Dental Faculty Practice 1635 Ursula St 5th A Aurora, CO 80045 (720)848-0687 BROWN, JENNIE, DDS 1344 S Chambers Rd Ste 104 Aurora, CO 80017 (303)755-6700 BUJANDA-WAGNER, SANDRA, DDS 6240 S Main St Ste 215 Aurora, CO 80016 (303) 627-5755 BURKART, JOHN, DDS 13731 E Rice PI Ste 100 Aurora, CO 80015 (303)696-7333 BURTENSHAW,JOHN,DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303) 751-6511 CANNON, CHRISTOPHER, DDS DMD Tower Dental Partners LLC 18680 E Iliff Ave Unit A Aurora, CO 80013 (303) 751-5010 CARLSTON,MATTHEW,DDS DMD Comfort Dental East Aurora 2131 S Chambers Rd Aurora, CO 80014 (303)750-2273 CARMODY, COLLEEN, DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303) 751-6511 CHANG, MICHAEL, DDS DMD PC 1344 S Chambers Rd Ste 102 Aurora, CO 80017 (303)338-2004 CHOE, CHIYON, DDS Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 CHOLFIN, STUART, DDS 15270 E 6th Ave Unit 3 Aurora, CO 80011 (303)340-3994 is • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. • July 2009 C] • Aurora Colorado COLORADO (CONT-D) CLEAR,SHERYL,DDS Clear Dental Associates PC 11275 E Mississippi Ave Ste 2E2 Aurora, CO 80012 (303)364-5217 CONNOLLY, MARY, DDS Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 DANIEL, THOMAS, DDS 1101 Havana St Aurora, CO 80010 (303)366-3577 DASILVA, RICARDO Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 6240 S Main St Ste 260 Aurora, CO 80016 (303)928-7575 DILIZIA, CAMILLO, DDS DMD Comfort Dental Quincy and Buckley 16981 E Quincy Ave Ste D1 Aurora, CO 80015 (303)617-8400 DOERHOFF, RICHARD, DDS Comfort Dental East Aurora 2131 S Chambers Rd Aurora, CO 80014 (303)750-2273 DOWLATI, JINA Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 DUNN, DAVID, DDS 2530 S Parker Rd Ste 202 Aurora, CO 80014 (303) 750-2290 EDLUND, DAVID, DDS Aaronwood Dental Care 10700 E Bethany Dr Ste 210 Aurora, CO 80014 (303)988-7410 EDWARDS, GERALD, DDS DMD Comfort Dental of Aurora 1050 S Peoria St Aurora, CO 80012 (303)367-2273 ESCALA,SAUL,DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 Delta Dental PPO FANNING, CYRUS, DDS PC 12101 E 2nd Ave Ste 105 Aurora, CO 80011 (303) 364-6659 FORD, JAMES, DDS Perfect Teeth E Iliff Ave PC 16723 E Iliff Ave Aurora, CO 80013 (303)337-0464 Perfect Teeth Buckley and Quincy P 4321 S Buckley Rd Aurora, CO 80015 (303)690-1812 FORD, MICHAEL, DDS 7450 S Gartrell Rd Ste A Aurora, CO 80016 (303) 840-9557 FRISCH, MICHAEL, DDS Windsor Dental Care 1155 S Havana St Ste 43 Aurora, CO 80012 (720) 213-0004 FRITZ, TIFFANY, DDS 22651 E Aurora Pkwy Unit A5 Aurora, CO 80016 (303) 617-0303 GILLESPIE, ANDRE Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303) 343-3133 GILLIAM, JEFFREY, DDS DMD Comfort Dental of Aurora 1050 S Peoria St Aurora, CO 80012 (303) 367-2273 GINTHER, STEFAN, DDS 6240 S Main St Ste 200 Aurora, CO 80016 (303) 693-2288 GLAMM, JAYME, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 GLENN, FALONA, DDS 1732 S Chambers Rd Aurora, CO 80017 (303)751-6916 GLENN,GERALD,DDS Falona Glenn DDS PC 1732 S Chambers Rd Aurora, CO 80017 (303) 751-6916 GOSSENAUER, MARTIN Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 HANDELMAN, RICHARD, DDS Blue Mesa Dental Aurora 1700 S Chambers Rd Aurora, CO 80017 (303)337-0789 HARRISON, ASHLEIGH, DDS Comerstar Dental Group and Orth 6730 S Cornerstar Way Ste A Aurora, CO 80016 (303) 400-4500 HARVAN, KRISTINA, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 HAWKINS, DARRELL, DDS 11275 E Mississippi Ave Ste 1 W5 Aurora, CO 80012 (303) 341-4663 HEDRICK, DAVID, DDS 12357 E Cornell Ave Ste 10 Aurora, CO 80014 (303)337-5800 HIRSCHMAN, WADE; DDS Comerstar Dental Group and Orth 6730 S Comerstar Way Ste A Aurora, CO 80016 (303)400-4500 HOANG, HUYEN, DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303)751-6511 HOUSER, JAMIN, DDS Village Park Dental PC 11085 E Mississippi Ave Aurora, CO 80012 (303)364-6455 JEFFERS, JANIS, DMD 6830 S Liverpool St Ste A Aurora, CO 80016 (303) 400-3483 JOO, NELSON, DMD 2222 S Fraser St Unit 3 Aurora, CO 80014 (303) 671-0305 JORGENSEN, AMY, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 JUSTUS, JOHN, DDS Perfect Teeth Mississippi PC 11175 E Mississippi Ave Ste 110 Aurora, CO 80012 (303)343-9313 Cherokee Trail Dental Care 24112 E Orchard Rd Bldg LF09 Aurora, CO 80016 (303) 457-5288 EVANS, RAYMOND, DDS GRYZICK, DAVID, DDS KARAMI, ARDAVAN, DDS Heather Park Dental Care Family First Dental PC Perfect Teeth E Iliff Ave PC 2993 S Peoria St Ste 250 6040 S Gun Club Rd Unit G3 16723 E IliffAve Aurora, CO 80014 Aurora, CO 80016 Aurora, CO 80013 (303)337-9300 (303)693-9600 (303)337-0464 FAHMY,SHARON,DDS 13741 E Rice PI Ste 100 Aurora, CO 80015 (303)617-5212 HABERSTROH, JULIE, DDS PC 12101 E 2nd Ave Ste 206 Aurora, CO 80011 (303) 343-2161 KARDEN, STEVEN, DDS 11275 E Mississippi Ave Ste 1 E3 Aurora, CO 80012 (303)366-2115 Aurora Colorado Perfect Teeth E Cornell PC 12200 E Cornell Ave Unit E Aurora, CO 80014 (303)337-0304 KHEIR, AHMED, DDS DMD Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303)400-3669 KHMIL, LARISA, DDS Eagle Bend Dental 22651 E Aurora Pkwy Unit A5 Aurora, CO 80016 (303)617-0303 KOMANDURI, KRISHNA, DDS Hanu Dental Care 12343 E Cornell Ave Unit 17 Aurora, CO 80014 (303)340-0087 KRUGLET, NEIL, DDS Associates In Family Dentistry 15425 E IliffAve Aurora, CO 80013 (303)755-5768 KWON, JUSTIN, DDS Green Dental 10700 E Bethany Dr Ste 210 Aurora, CO 80014 (303)745-8828 LANDER,TODD,DMD 11275 E Mississippi Ave Ste 2W1 Aurora, CO 80012 (303)364-7631 LAWSON, MARK, DDS Village Park Dental PC 11085 E Mississippi Ave Aurora, CO 80012 (303)364-6455 LE HUAN CUA, RICHARD, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303)341-5437 LEE, ANDY, DDS Aesthetic Dentistry of Aurora 2900 S Peoria St Ste A Aurora, CO 80014 (303)368-3636 LEE, TOMMY, DDS Aurora Family Dental 14221 E 4th Ave Aurora, CO 80011 (303)344-1227 LE-HUAN-CUA, CHRISTOPHER, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303)341-5437 LEMKE, TIMOTHY, DDS Chambers RD Dental Associates PC 13701 E Mississippi Ave Ste 310 Aurora, CO 80012 (303) 366-1592 LIU, JAMES, DDS Comfort Dental Quincy and Buckley 16981 E Quincy Ave Ste D1 Aurora, CO 80015 (303) 617-8400 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 City of Fort Collins • DDCO's online reporting tool is a dynamic, self -serve reporting system that allows you to access reports 24 hours a day, seven days a week. Charts and reports load quickly and you can perform your own analysis. The following are examples of reports available: • How treatments are distributed by network • What networks members are using • How treatment cost is, distributed by network • Who is getting which treatments • How much your group has saved with Delta Dental • How your group savings are distributed by network • Demographics and financials: totals by subgroup and/or by month • How member type breakdown has change over the years • How rate -code distribution has changed over the years All of these are available at no additional cost. Please see enclosure for a sample reporting package. "No Loss/No Gain" for Covered Employees It is critical that there will be no loss of coverage for any employees. Therefore it is required that • the proposal waives any "actively at work", "dependent confinement", or any other rules that would prevent 100% continuity of coverage for any employees or dependents that are currently covered under the plans. Agreed. • 5 Aurora ' Delta Dental PPO Aurora Colorado Colorado COLORADO (CONT-D) LOEWEN,REBECCA Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 LOGELIN, MICHAEL Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303) 343-3133 MALOY, SHAWN, DDS Clinica Dental Latina LLC 11175 E Mississippi Ave Ste 100 Aurora, CO 80012 (303)364-9831 MANKIN, JULIE, DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303) 751-6511 MANSHADI, DAVOOD, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303)341-5437 MARSHALL, KIMBERLY, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 MAXWELL, TRAVER, DDS DMD Comfort Dental Quincy and Buckley 16981 E Quincy Ave Ste D1 Aurora, CO 80015 (303)617-8400 MCDONALD, ROBERT, DDS DMD Tower Dental Partners LLC 18680 E Iliff Ave Unit A Aurora, CO 80013 (303)751-5010 METROPOLITAN COMMUNITY P McPn North Aurora Dental 3292 Peoria St Aurora, CO 80010 (303) 360-6276 MILLER, ERIC Sands House Gpr Program 13065 E Wave Mail Stop F840 PO Box 6508 Aurora, CO 80045 (303)724-6941 Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 MILLER, RODGER, DDS Associates In Family Dentistry 15425 E lliff Ave Aurora, CO 80013 (303)755-5768 MILNOR, LAURA, DDS Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303)400-3669 MILUSHEV, METODI, DDS DMD Dental Health at Center Pointe P 14591 E Alameda Ave Aurora, CO 80012 (303) 360-0991 MONTANO, RONALD, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 MOORE, DWAYNE, DDS Blue Mesa Dental Aurora 1700 S Chambers Rd Aurora, CO 80017 (303)337-0789 MUSANJE, LAWRENCE Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303) 343-3133 NAJJAR, TANIA, DMD Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303) 343-3133 NELSON, DONALD Eagle Bend Dental 22651 E Aurora Pkwy Unit A5 Aurora, CO 80016 (303) 617-0303 NGUYEN, HUY, DDS Gateway Dental PC 1076 S Sable Blvd Aurora, CO 80012 (303)369-5517 NGUYEN,QUYNH Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 NOVAK, SCOTT, DDS DMD Cherokee Trail Dental Care 24112 E Orchard Rd Bldg LF09 Aurora, CO 80016 (303)457-5288 OCHOA, MARGARITA, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303)341-5437 OZENBAUGH, BRIAN, DDS Cornerstar Dental Group and Orth 6730 S Cornerstar Way Ste A Aurora, CO 80016 (303) 400-4500 PARFITT, JAMES, DDS DMD Comfort Dental East Aurora 2131 S Chambers Rd Aurora, CO 80014 (303) 750-2273 PASSON,J Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720) 848-0687 PERRY,STEPHEN,DDS Dental Health at Center Pointe P 14591 E Alameda Ave Aurora, CO 80012 (303) 360-0991 PETKOVA, ANASTASIA, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303)341-5437 RANOV, BOYAN, DDS DMD Smoky Hill Family Dentistry 16629 E Smoky Hill Rd Aurora, CO 80015 (303) 699-8788 RASULOV, AZIZ Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 RESNICK, MARK Blue Mesa Dental Aurora 1700 S Chambers Rd Aurora, CO 80017 (303)337-0789 REYNOLDS, JAMES, DDS 11275 E Mississippi Ave Ste 2S3 Aurora, CO 80012 (303)364-6455 REZAEI, SEYED, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303)341-5437 RIESSELMAN, PHILLIP, DDS Windsor Dental Care 1155 S Havana St Ste 43 Aurora, CO 80012 (720)213-0004 Heather Park Dental Care 2993 S Peoria St Ste 250 Aurora, CO 80014 (303)337-9300 RODGERS, CHARLES, DDS Comerstar Dental Group and Orth 6730 S Cornerstar Way Ste A Aurora, CO 80016 (303) 400-4500 ROMIG, GREGORY, DDS Clinica Dental Latina LLC 11175 E Mississippi Ave Ste 100 Aurora, CO 80012 (303)364-9831 RONES, JONATHAN, DDS 13701 E Mississippi Ave Ste 360 Aurora, CO 80012 (303) 341-6961 ROWAN, MATTHEW, DDS Comfort Dental of Aurora 1050 S Peoria St Aurora, CO 80012 (303)367-2273 RUSH,STEVEN,DDS Wohlgemuth and Rush DDS PLLC 1450 S Havana St Ste 200 Aurora, CO 80012 (303) 755-8388 RUVINS, EDWARD, DDS Qualdent LLC 6240 S Main St Ste 260 Aurora, CO 80016 (303)928-7575 SANKARANARAYANAN, SRIVALLI, DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303) 751-6511 SCOTT, DANIEL, DDS Perfect Teeth Mississippi PC 11175 E Mississippi Ave Ste 110 Aurora, CO 80012 (303)343-9313 STODDARD, DENNIS, DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303) 751-6511 SUMNER, JILL 2993 S Peoria St Ste 210 Aurora, CO 80014 (303)696-6979 TANEJA, PUJA, DDS Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 THERIOT, ROY, DDS 941 S Havana St Ste 200 Aurora, CO 80012 (303)341-5313 THOMASSON, THOMAS, DDS Southlands Dental Associates 6240 S Main St Ste 220 Aurora, CO 80016 (303) 400-4865 THONGIN, EKAPOJ, DDS DMD Tower Dental Partners LLC 18680 E Iliff Ave Unit A Aurora, CO 80013 (303) 751-5010 THOUSAND, JOHN, DDS Comfort Dental Quincy and Buckley 16981 E Quincy Ave Ste D1 Aurora, CO 80015 (303)617-8400 TIAO, KATIE Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 TOPOLNYCKY, ANDREW, DDS 16629 E Smoky Hill Rd Aurora, CO 80015 (303)699-8788 TORIGGINO, DOMINIC, DDS Associates In Family Dentistry 15425 E Iliff Ave Aurora, CO 80013 (303)755-5768 TWERSKOI, VLADISLAV, DDS 1400 Chambers Rd Ste 1 Aurora, CO 80011 (303)364-7491 VARNER,JEFFREY,DMD Comfort Dental East Aurora 2131 S Chambers Rd Aurora, CO 80014 (303)750-2273 C] Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 • • Aurora Colorado COLORADO (CONT-D) WALKER, STEFANIE, DMD Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 WARD, NICOLE, DDS DMD Comfort Dental Quincy and Buckley 16981 E Quincy Ave Ste D1 Aurora, CO 80015 (303) 617-8400 WHITNEY, HAL Millennium Dental PC 11085 E Mississippi Ave Aurora, CO 80012 (303)343-2700 WILSON, DANIEL, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 WILSON, KENNETH, DDS MD 13764 E Quincy Ave Aurora, CO 80015 (303) 690-0877 WOHLGEMUTH, BARRY, DDS Wohlgemuth and Rush DDS PLLC 1450 S Havana St Ste 200 Aurora, CO 80012 (303)755-8388 YOUNG, MATTHEW Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 ORAL SURGEON CATALANO,JOSEPH,DDS Aurora Oral and Max Surgeons PC 14991 E Hampden Ave Ste 260 Aurora, CO 80014 (303)699-1964 COLM, STEPHEN, DDS DMD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303) 400-3669 FLOYD, CARLTON, DDS MD MS 1344 S Chambers Rd Ste 201 Aurora, CO 80017 (303)368-7402 HARPER, CLAYTON, DDS MD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 KEOGH, BARRY, DDS MD Aurora Oral and Max Surgeons PC 14991 E Hampden Ave Ste 260 Aurora, CO 80014 (303)699-1964 Delta Dental PPO MADLOCK, PAUL, DDS DMD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303) 400-3669 QUIST, RHETT, DDS Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303)400-3669 SAVAGE, MICHAEL, DDS DM Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 SEDHOM, ASHRAF, DDS MD DMD Center For Oral and Max Surgery 11246 E Mississippi Ave Aurora, CO 80012 (303) 344-0810 WHITE, JEFFERY, DDS 13701 E Mississippi Ave Ste 300 Aurora, CO 80012 (303)344-2705 ORTHODONTIST BURGESS, BRANDY, DDS Cornerstar Dental Group and Orth 6730 S Cornerstar Way Ste A Aurora, CO 80016 (303) 400-4500 DURAN, JACK, DDS Orthodontics Exclusively LLC 13701 E Mississippi Ave Ste 360 Aurora, CO 80012 (303) 789-9257 HARRELL, RICKY Cu Sch of Dentistry Department of Orth 13065 E 17th Ave Aurora; CO 80045 (303) 724-1124 IDICULLA, ANIL, DDS DMD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303)400-3669 IDICULLA, ANIL, DMD Dental Associates of Aurora 11275 E Mississippi Ave Ste 2N Aurora, CO 80012 (303) 341-4878 LINN, BRANDON, DDS Perfect Teeth Buckley and Quincy P 4321 S Buckley Rd Aurora, CO 80015 (303)690-1812 LORENZ, ROY, DDS MD 14991 E Hampden Ave Ste 320 Aurora, CO 80014 (303) 690-2333 MASON, JAMES, DDS 2993 S Peoria St Ste 260 Aurora, CO 80014 (303)751-5700 MILLER, BILLIE Dental Management Group LLC 11246 E Mississippi Ave Aurora, CO 80012 (303) 337-3337 MILLER, GALEN, DDS Cu Sch of Dentistry Department of Orth 13065 E 17th Ave Aurora, CO 80045 (303)724-1124 MINICK, GERALD, DDS MS 6020 S Gun Club Rd Unit E1 Aurora, CO 80016 (303)627-6212 NGUYEN, HOANG, DDS MS Care Smiles Orthodontics 1344 S Chambers Rd Ste 101 Aurora, CO 80017 (303)337-2999 NIEBERG-BASKIN, HILARY, DDS All About Kids Braces 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 OESTERLE, LARRY, DDS Cu Sch of Dentistry Department of Orth 13065 E 17th Ave Aurora, CO 80045 (303)724-1124 SAYDYK, THEODORE, DDS Comfort Smile Center 15403 E Hampden Ave Aurora, CO 80013 (303)680-3295 SHAVER, THERESA, DDS MS 14001 E Iliff Ave Ste 201 Aurora, CO 80014 (303)751-1313 SHELLHART, W Cu Sch of Dentistry Department of Orth 13065 E 17th Ave Aurora, CO 80045 (303)724-1124 STASI, MARK Comfort Smile Center 15403 E Hampden Ave Aurora, CO 80013 (303) 680-3295 ZINKANN, KARLA, DDS 1700 S Chambers Rd Aurora, CO 80017 (303)337-0789 PEDODONTIST ELLIS, RANDALL Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303) 343-3133 Aurora Colorado FOSTER,KAREN,DDS Saddle Rock Pediatric Dentistry 22986 E Smoky Hill Rd Aurora, CO 80016 (303) 690-1690 HAYUTIN, DAVID, DDS Aurora Pediatric Dentistry Prof 5657 S Himalaya St Ste 200 Aurora, CO 80015 (720)886-0808 KLEIN, ULRICH, DDS DMD Childrens Hospital Pediatric Dntry 13123 E 16th Ave Ste B240 Aurora, CO 80045 (720) 777-6788 KOCH, MARK, DDS Childrens Hospital Pediatric Dntry 13123 E 16th Ave Ste B240 Aurora, CO 80045 (720) 777-6788 NGUYEN, ANDREW, DDS Ticket To Smiles 2900 S Peoria St Ste B Aurora, CO 80014 (303)750-7750 WILSON, ANNE, DDS Childrens Hospital Pediatric Dntry 13123 E 16th Ave Ste B240 Aurora, CO 80045 (720)777-6788 PERIODONTIST BARDSLEY, NORMAN, DDS Perfect Teeth E Cornell PC 12200 E Cornell Ave Unit E Aurora, CO 80014 (303)337-0304 GLICK, PAUL, DDS MS Periodontal Associates 2900 S Peoria St Ste D Aurora, CO 80014 (303) 755-4500 JOHNSON, LONNIE, DDS PHD Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 LUBOW, RICHARD, DDS DMD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303)400-9898 Mountain View Implants and Perio 6240 S Main St Ste 215 Aurora, CO 80016 (303)928-7589 LUBOW, RICHARD, DMD Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303)400-3669 RICHARDSON, HEATHER, DDS DMD Perfect Teeth E Cornell PC 12200 E Cornell Ave Unit E Aurora, CO 80014 (303) 337-0304 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Aurora Delta Dental PPO Brighton Colorado Colorado COLORADO (CONT-D) SANDOVAL, ELIVINIO, DDS 12090 E Alameda Ave Aurora, CO 80012 (303)360-8365 PROSTHODONTIST ASTROTH, JEFFREY, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 LEE, SEUNG, DDS Dental Associates of Aurora 11275 E Mississippi Ave Ste 2N Aurora, CO 80012 (303) 341-4878 BAILEY GENERAL DENTIST NICHOLS, RICHARD, DDS 460 County Road 43 Ste 3 Bailey, CO 80421 (303)838-0311 BENNETT GENERAL DENTIST AVERY,PAUL,DDS 280 E Colfax Ave Bennett, CO 80102 (303)644-3386 BOULDER GENERAL DENTIST ALLEMAN, BRECKGLYN, DDS Alleman Family Dental PC 2760 29th St Ste 2A Boulder, CO 80301 (303) 499-7133 ALLEMAN, DANIEL, DDS Alleman Family Dental PC 2760 29th St Ste 2A Boulder, CO 80301 (303) 499-7133 ATHA, JASON, DDS 350 Broadway St Ste 10 Boulder, CO 80305 (303)494-8200 BUFFER, STEVEN, DDS 385 Broadway St Boulder, CO 80305 (303)442-4846 BURLUC, AURORA, DDS Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303)443-5133 CANNON, MARK, DDS DMD Comfort Dental Boulder 3400 Arapahoe Ave Boulder, CO 80303 (303) 444-2129 DEGARMO, AARON, DDS Bright Now Dental 1840 Folsom St Ste 105 Boulder, CO 80302 (303)417-9401 EVANS, DAVID 1455 Yarmouth Ave Ste 116 Boulder, CO 80304 (303) 442-0990 FREDERICK, CHRISTOPHER, DDS DMD Alpine Dentistry 350 Broadway St Ste 10 Boulder, CO 80305 (303) 494-8200 HAMBLIN, ROBERT, DDS Dental Health of Boulder PLLC 2525 28th St Unit 140 Boulder, CO 80301 (303) 443-0070 HERZIG, LAURA, DDS Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303) 443-5133 HOLECEK, ANDREW, DDS Dental Health of Boulder PLLC 2525 28th St Unit 140 Boulder, CO 80301 (303)443-0070 HOOK, MARK, DDS Dental Health of Boulder PLLC 2525 28th St Unit 140 Boulder, CO 80301 (303) 443-0070 HOWARD, BRIAN, DDS 2300 Canyon Blvd Boulder, CO 80302 (303) 444-5025 KRUM, NELSON, DDS Bright Now Dental 1840 Folsom St Ste 105 Boulder, CO 80302 (303) 417-9401 MARTIN, DONOVAN, DDS Studio One Dental 1610 Canyon Blvd Boulder, CO 80302 (303)245-0403 PERRY,STEPHEN,DDS Colo Dhca Low Income Dental 2525 28th St Unit 140 Boulder, CO 80301 (303) 443-0070 POCZATEK, SHARON, DDS Todays Choice Dental 2800 Valmont Rd Boulder, CO 80301 (303) 444-3232 SHEARER, AMY, DDS DMD Aesthetic and Maxillofacial Associates 1610 Canyon Blvd Boulder, CO 80302 (303) 938-0130 SHELDON, LISA, DDS Comfort Dental Boulder 3400 Arapahoe Ave Boulder, CO 80303 (303) 444-2129 SKROMME, ALLAN, DDS Dental Health of Boulder PLLC 2525 28th St Unit 140 Boulder, CO 80301 (303) 443-0070 Rosewood Dental 6700 Lookout Rd Boulder, CO 80301 (303)530-0300 SOUSA, APRIL, DDS Comfort Dental Boulder 3400 Arapahoe Ave Boulder, CO 80303 (303)444-2129 THOMASON, ETHELYN, DDS DMD Perfect Teeth Boulder PC 4155 Darley Ave Ste F Boulder, CO 80305 (303)499-9700 THOMASON, ETHELYN, DMD Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303) 443-5133 TRAVIS, STEPHEN, DDS Alpine Dentistry 350 Broadway St Ste 10 Boulder, CO 80305 (303)494-8200 TUCHKLAPER,SCOTT,DDS Bright Now Dental 1840 Folsom St Ste 105 Boulder, CO 80302 (303)417-9401 WEBER, JOHN, DDS Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303)443-5133 ORAL SURGEON COLM, STEPHEN, DDS DMD Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303)443-5133 HARPER,CLAYTON,DDS Bright Now Dental 1840 Folsom St Ste 105 Boulder, CO 80302 (303) 417-9401 HARPER, CLAYTON, DDS MD Aesthetic and Maxillofacial Associ 1610 Canyon Blvd Boulder, CO 80302 (303) 938-0130 MADLOCK, PAUL, DDS MD DMD Aesthetic and Maxillofacial Associ 1610 Canyon Blvd Boulder, CO 80302 (303)938-0130 ORTHODONTIST FRONCZAK, RICHARD, DDS 2300 Canyon Blvd Boulder, CO 80302 (303)447-0393 NORRIS, GREGORY, DDS 2669 Spruce St Boulder, CO 80302 (303)442-8657 WALKER, JOHN, DDS DMD 350 Broadway St Ste 120 Boulder, CO 80305 (303) 494-3535 WITZEL, DAVID, DDS Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303) 443-5133 WONG, JEFFREY, DDS MS 3400 Penrose PI Ste 203 Boulder, CO 80301 (303)444-6680 PEDODONTIST MONAK, EDMUND, DDS Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303)443-5133 PERIODONTIST GOMEZ, LUIS, DDS DMD Colorado Dental Health Care Spec 2525 28th St Unit 140 Boulder, CO 80301 (303) 443-0070 LUBOW, RICHARD, DDS DMD Bright Now Dental 1840 Folsom St Ste 105 Boulder, CO 80302 (303)417-9401 BRECKENRIDGE GENERAL DENTIST COLLINSWORTH, PHILLIP, DMD Breckenridge Family Dental 400 N Park Ave Ste 12A Breckenridge, CO 80424 (970)453-4585 FRANCIS, LAUREN Breckenridge Family Dental 400 N Park Ave Ste 12A Breckenridge, CO 80424 (970)453-4585 GOFF, SABRINA Breckenridge Family Dental 400 N Park Ave Ste 12A Breckenridge, CO 80424 (970) 453-4585 MEISTER, ROBERT, DDS Breckenridge Family Dental 400 N Park Ave Ste 12A Breckenridge, CO 80424 (970) 453-4585 BRIGHTON GENERAL DENTIST ANDERSON, DANIEL, DDS Comfort Dental of Brighton 315 E Bromley Ln Brighton, CO 80601 (303)659-1125 • is Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. uelta uental memoer companies anu raiuuNau11y Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. . July 2009 Brighton Colorado • COLORADO (CONT-D) ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth Brighton PC 530 E Bromley Ln Unit 100 Brighton, CO 80601 (303)637-9047 BETHERS, JOHN, DDS Comfort Dental of Brighton 315 E Bromley Ln Brighton, CO 80601 (303)659-1125 BRUGGEMAN, SCOTT, DDS Prairie Center Dental Care 2223 Prairie Center Pkwy Unit C Brighton, CO 80601 (303)654-3430 BURLUC, AURORA, DDS Perfect Teeth Brighton PC 530 E Bromley Ln Unit 100 Brighton, CO 80601 (303) 637-9047 CRAVEN, DUSTIN, DMD Comfort Dental of Brighton 315 E Bromley Ln Brighton, CO 80601 (303) 659-1125 GOMENYUK, NINA, DDS Perfect Teeth Brighton PC 530 E Bromley Ln Ste 100 Brighton, CO 80601 (303)637-9047 • KELLOGG, BRADLEY, DDS Bromley Park Dental 4700 E Bromley Ln Ste 201 Brighton, CO 80601 (303)659-0667 PAISLEY, IAN, DDS Bromley Park Dental 4700 E Bromley Ln Ste 201 Brighton, CO 80601 (303)659-0667 PETERSON,BRUCE,DDS 1790 E Bridge St Brighton, CO 80601 (303)659-1064 SCARPELLA, PASCO, DDS Platte River Family Dental PC 965 Platte River Blvd Unit E Brighton, CO 80601 (303) 659-8200 WEBER, JOHN, DDS Perfect Teeth Brighton PC 530 E Bromley Ln Unit 100 Brighton, CO 80601 (303)637-9047 BROOMFIELD GENERAL DENTIST ADAMS, DAWNE, DDS Broomfield Dental Group 1140 US Highway 287 Unit 200 Broomfield, CO 80020 (303) 438-9899 Delta Dental PPO BOTTOMS, BRANDI, DDS Chateaux Family and Cosmetic Denti 13606 Xavier Ln Ste F Broomfield, CO 80023 (303) 465-4500 BURNS, KENDALL, DDS MD DMD Broadlands Family Dentistry LLC 3800 W 144th Ave Ste A400 Broomfield, CO 80023 (303) 460-8700 BURROWS, CLAUDIA, DDS 413 Summit Blvd Unit 204 Broomfield, CO 80021 (303)440-3300 CARROLL, TARA, DDS Larkridge Family Dentistry 16683 Washington St Broomfield, CO 80023 (303)962-6400 DAVIS, WILLIAM, DDS 2 Garden Ctr Ste 201 Broomfield, CO 80020 (303) 460-7830 HERZIG, LAURA, DDS Chateaux Family and Cosmetic Denti 13606 Xavier Ln Ste F Broomfield, CO 80023 (303) 465-4500 HOUSER, JAVAN, DDS Broomfield Dental Group 1140 US Highway 287 Unit 200 Broomfield, CO 80020 (303) 438-9899 KWON, JUSTIN, DDS Green Dental 80 Garden Ctr Ste 224 Broomfield, CO 80020 (303) 469-5301 MAROGIL, HANI, DDS DMD 340 E 1 st Ave Ste 202 Broomfield, CO 80020 (303) 466-4646 MATA, LYNDON, DDS Mate Dental Associates PC 6363 W 120th Ave Ste 230 Broomfield, CO 80020 (303) 635-0100 RODGERS, CHARLES, DDS Orchard Dental Group and Orthodo 14422 Orchard Parkway Ste 200 Broomfield, CO 80023 (303)452-0811 SAIDE KARLIN, STEPHANIE, DDS Chateaux Family and Cosmetic Denti 13606 Xavier Ln Ste F Broomfield, CO 80023 (303) 465-4500 SCHAFFER, LISA Mountain Dental PC 300 Nickel St Ste 11 Broomfield, CO 80020 (303)635-1816 SONGER, DEBRA, DDS Mountain Dental PC 300 Nickel St Ste 11 Broomfield, CO 80020 (303)635-1816 SUMAN, JAMIE, DDS Chateaux Family and Cosmetic Denti 13606 Xavier Ln Ste F Broomfield, CO 80023 (303) 465-4500 TOROK, ANDREEA, DDS Claudia Burrows DDS PC 413 Summit Blvd Unit 204 Broomfield, CO 80021 (303) 440-3300 TUCHKLAPER, SCOTT, DDS Orchard Dental Group and Orthodo 14422 Orchard Parkway Ste 200 Broomfield, CO 80023 (303)452-0811 TURNQUIST, KERRY, DDS Broadlands Family Dentistry LLC 3800 W 144th Ave Ste A400 Broomfield, CO 80023 (303) 460-8700 WILSON, CINDY-SUE, DDS 80 Garden Ctr Ste D Broomfield, CO 80020 (303) 635-2640 WORKMAN, JOHN, DDS 13605 Xavier Ln Ste C Broomfield, CO 80023 (303) 469-2016 WORTHAM, ROY, DDS Mountain Dental PC 300 Nickel St Ste 11 Broomfield, CO 80020 (303)635-1816 ORAL SURGEON COLM, STEPHEN, DDS DMD Perfect Teeth W 120th Ave PC 6650 W 120th Ave Ste A6 Broomfield, CO 80020 (303) 469-1970 MCMUNN, WILLIAM, DDS MD Perfect Teeth W 120th Ave PC 6650 W 120th Ave Ste A6 Broomfield, CO 80020 (303)469-1970 WETMORE, BRUCE, DDS 13605 Xavier Ln Broomfield, CO 80023 (303) 465-2308 ORTHODONTIST BOHMAN, BRIAN, DMD Bohman Orthodontics PC 13605 Xavier Ln Ste D Broomfield, CO 80023 (720)887-8357 BURGESS, BRANDY, DMD Orchard Dental Group and Orthodo 14422 Orchard Parkway Ste 200 Broomfield, CO 80023 (303)452-0811 PRENTICE, RICARDA, DDS Prentice Orthodontics 3800 W 144th Ave Ste At 000 Broomfield, CO 80023 (303) 468-7722 Canon City Colorado PERIODONTIST SCHEIDT, MICHAEL, DDS Colorado Gum Care Ltd 899 US Highway 287 Ste 100 Broomfield, CO 80020 (303) 469-6375 WHEELER, MARK, DDS DMD Colorado Gum Care Ltd 899 US Highway 287 Ste 100 Broomfield, CO 80020 (303) 469-6375 BRUSH GENERAL DENTIST BRAVO, LUIS, DMD 412 Edison St Brush, CO 80723 (970)842-0220 JORGENSEN, THOMAS, DDS Condar 412 Edison St Brush, CO 80723 (970)842-0220 BURLINGTON GENERAL DENTIST EHTESSABIAN, JASON, DDS Burlington Family Dentistry 340 14th St Burlington, CO 80807 (719)346-8266 CALHAN GENERAL DENTIST BULLEN, BENJAMIN Eastern Plains Dental 550 5th St Calhan, CO 80808 (719)355-3895 ORTHODONTIST BAILEY, JOHN, DDS Calhan Dental and Orthodontics 550 5th St Calhan, CO 80808 (719)598-2800 CANON CITY GENERAL DENTIST BATSON, EMILY Orchard Springs Dental 410 Macon Ave Canon City, CO 81212 (719)276-0117 DRISCOLL, DENNIS, DDS Orchard Springs Dental 410 Macon Ave Canon City, CO 81212 (719)276-0117 HOUSE, MARK, DDS Orchard Springs Dental 410 Macon Ave Canon City, CO 81212 (719)276-0117 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Canon City Delta Dental PPO Centennial Colorado Colorado COLORADO (CONT-D) ORALSURGEON BANDROWSKY, TIMOTHY, DDS Associates In Maxillofac and Oral Surg 111 N 10th St Canon City, CO 81212 (719) 599-0500 FACY,REBECCA,DDS Associates In Maxillofac and Oral Surg 111 N 10th St Canon City, CO 81212 (719) 599-0500 NASSIMBENE, LEO, DDS Associates In Maxillofac and Oral Surg 111 N 10th St Canon City, CO 81212 (719)599-0500 ONSTAD, MICHAEL, DDS Associates In Maxillofac and Oral Surg 111 N 10th St Canon City, CO 81212 (719)599-0500 SALVO,JOSEPH,DDS Associates In Maxillofac and Oral Surg 111 N 10th St Canon City, CO 81212 (719)599-0500 CASTLE ROCK GENERAL DENTIST ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth Castle Rock PC 390 S Wilcox St Ste D Castle Rock, CO 80104 (303)660-6000 BENTLEY, CHRISTOPHER, DDS Bright Now Dental 1001 S Perry St Ste 105A Castle Rock, CO 80104 (303) 688-0252 BOLTON, WILLIAM, DDS Perfect Teeth Castle Rock PC 390 S Wilcox St Ste D Castle Rock, CO 80104 (303)660-6000 BRATTON, DWIGHT, DDS Castle Rock Dental Group. PC 1001 S Perry St Ste 104A Castle Rock, CO 80104 (303) 663-6030 HANOSH, ALISON, DDS Meadows Family Dentistry 3740 Dacoro Ln Ste 115 Castle Rock, CO 80109 (303)660-5576 JEFFERS, JANIS, DMD Bright Now Dental 1001 S Perry St Ste 105A Castle Rock, CO 80104 (303) 688-0252 KANCHANLAL, VIKASH, DDS DMD Shadow Rock Dentistry 734 Wilcox St Castle Rock, CO 80104 (719)337-7935 LOGAN, SARA, DDS 323 Metzler Dr Ste 102 Castle Rock, CO 80108 (303) 688-9476 MORONI, MICHAEL, DDS Mirage Dental Associates 755 S Perry St Ste 200 Castle Rock, CO 80104 (720)733-3440 ROWLETTE, MICHAEL, DDS Castle Rock Dental Group PC 1001 S Perry St Ste 104A Castle Rock, CO 80104 (303) 663-6030 SIBO, JENNIFER, DDS Peak View Dental 4344 Woodlands Blvd Ste 140 Castle Rock, CO 80104 (303) 660-9333 VAN ORMAN, JAMES, DDS Milestone Dental 718 Maleta Ln Ste 101 Castle Rock, CO 80108 (303)660-8540 VOGL, WALT 2 Oakwood Park Plz Ste 206 Castle Rock, CO 80104 (303) 663-9600 WILLIAMS, MITCHELL, DDS Perfect Teeth Castle Rock PC 390 S Wilcox St Ste D Castle Rock, CO 80104 (303)660-6000 ORTHODONTIST BUMGARNER, ROGER, DDS 4344 Woodlands Blvd Ste 260 Castle Rock, CO 80104 (303) 688-9617 DUNBAR,ANDREW,DDS Castle Pines Orthodontics 363 Village Square Ln Castle Rock, CO 80108 (303)688-3837 Castle Rock Orthodontics 718 Maleta Ln Ste 201 Castle Rock, CO 80108 (303) 427-6300 IDICULLA, ANIL, DDS DMD Bright Now Dental 1001 S Perry St Ste 105A Castle Rock, CO 80104 (303) 688-0252 LINDSEY, GREGG, DDS Lindsey and Simpson Orthodontics 62 Founders Pkwy Ste C Castle Rock, CO 80104 (720)733-8388 LINN, BRANDON, DDS MS Roger L Bumgarner DDS 4344 Woodlands Blvd Ste 260 Castle Rock, CO 80104 (303) 688-9617 MESSINGHAM, JASON, DDS Castle Rock Orthodontics 718 Maleta Ln Ste 201 Castle Rock, CO 80108 (303) 427-6300 STRUHS, THEODORE, DDS Prairie Hawk Orthodontics PC 3750 Dacoro Ln Ste 145 Castle Rock, CO 80109 (720)733-0353 ORAL SURGEON PEDODONTIST BANDROWSKY, TIMOTHY, DDS SHAH, PURVI, DDS Oms Associates -Colorado PC Pediatric Denticare PC 755 S Perry St Ste 300 Castle Rock, CO 80104 3750 Dacoro Ln Ste 120A (303) 660-5651 Castle Rock, CO 80109 (303) 663-3388 FACY,REBECCA,DDS Oms Associates -Colorado PC 755 S Perry St Ste 300 Castle Rock, CO 80104 (303) 660-5651 NASSIMBENE, LEO, DDS Oms Associates -Colorado PC 755 S Perry St Ste 300 Castle Rock, CO 80104 (303)660-5651 ONSTAD, MICHAEL, DDS Oms Associates -Colorado PC 755 S Perry St Ste 300 Castle Rock, CO 80104 (303) 660-5651 SALVO,JOSEPH,DDS Oms Associates -Colorado PC 755 S Perry St Ste 300 Castle Rock, CO 80104 (303)660-5651 PERIODONTIST LUBOW, RICHARD, DMD Bright Now Dental 1001 S Perry St Ste 105A Castle Rock, CO 80104 (303) 688-0252 CENTENNIAL ENDODONTIST GALLEGO-CUBILLOS, SONIA, DDS DMD Perfect Teeth S Holly St PC 8211 S Holly St Centennial, CO 80122 (303)290-6006 LINDSAY, MICHAEL Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303) 689-2273 LOWRY, SCOTT, DDS Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303)689-2273 GENERAL DENTIST AMES, WILLIAM, DDS 6726 S Revere Pkwy Ste A140 Centennial, CO 80112 (303) 662-1180 APPLEGATE,SHELBY,DDS Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303) 689-2273 ASBURY, ROBIN, DDS Metro Smiles PC 9025 E Mineral Cir Ste 102 Centennial, CO 80112 (303)768-8443 ASH, SCOTT, DDS Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303)689-2273 AUSTIN, DAWN, DDS 14000 E Arapahoe Rd Ste 200 Centennial, CO 80112 (303)632-3638 BERNER, JEANNETTE, DDS Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303) 689-2273 BERRY, KARY, DDS Park Meadows Dental Care 8100 S Quebec St Ste A Centennial, CO 80112 (720) 489-9800 BEVIS, BRITTANY, DDS DMD 1st Choice Dental 6979 S Holly Cir Ste 230 Centennial, CO 80112 (303) 221-2250 BLASKO, JACQUELINE, DDS DMD Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303) 689-2273 BLATTER, VICTOR, DMD Rocky Mountain Dental Partners P 7940 S University Blvd Ste 200 Centennial, CO 80122 (720) 482-0793 BOEYINK, TIMOTHY, DDS 7900 S University Blvd Ste 210 Centennial, CO 80122 (720) 489-7333 BOWERS, SOLEDAD, DDS University Park Dental 7920 S University Blvd Ste 210 Centennial, CO 80122 (720)348-1772 BRANTES, LILIANE, DDS 6979 S Holly Cir Ste 225 Centennial, CO 80112 (303) 779-1305 is • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ana t-anicipating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. • July 2009 • 0 • Centennial Colorado COLORADO (CONT-D) BRAVO, LUIS, DDS DMD 6650 S Vine St Ste 120 Centennial, CO 80121 (303)805-9256 BREDBECK,BRUCE,DDS Perfect Teeth Arapahoe PC 7600 E Arapahoe Rd Ste 311 Centennial, CO 80112 (303) 773-2273 CASE, WILLIAM, DDS DMD 7180 E Orchard Rd Ste 302 Centennial, CO 80111 (720) 488-6600 CHINNI, ASHA, DDS Comfort Dental Parker Road 15250 E Orchard Rd Centennial, CO 80016 (303) 680-9990 CHRIST, KEVIN, DDS DMD 9025 E Mineral Cir Ste 200 Centennial, CO 80112 (303)792-9100 CHRISTIANSEN, BART, DDS 9025 E Mineral Cir Ste 250 Centennial, CO 80112 (303)790-9323 FRANQUEMONT, MICHAEL, DDS South Suburban Dental 6650 S Vine St Ste 260 Centennial, CO 80121 (303)795-0066 GREENE, JEROME, DDS Young Family and Cosmetic Dentistr 7400 E Arapahoe Rd Ste 200 Centennial, CO 80112 (303)759-9535 HAMILTON, JEFFREY, DDS DMD Comfort Dental Parker Road 15250 E Orchard Rd Centennial, CO 80016 (303) 680-9990 HOEFT, PAUL, DDS 6690 S Broadway Centennial, CO 80121 (303)794-6339 ISAACS, CHRISTINE, DDS Hawaii DDS PC 8170 S University Blvd Ste 240 Centennial, CO 80122 (303)770-1106 JONES, KRISTIN, DDS Perfect Teeth Arapahoe PC 7600 E Arapahoe Rd Ste 311 Centennial, CO 80112 (303)773-2273 LAMPERT, JODI, DDS 8120 S Holly St Ste 116 Centennial, CO 80122 (303)779-8848 LOGAN,SARA,DDS Perfect Teeth S Holly St PC 8211 S Holly St Centennial, CO 80122 (303) 290-6006 Delta Dental PPO MASTERSON, TIMOTHY, DDS 8120 S Holly St Ste 208 Centennial, CO 80122 (303)770-2254 MEYER,SARAH,DDS 6650 S Vine St Ste 240 Centennial, CO 80121 (303) 794-2456 MILLWARD, MICHAEL, DDS Comfort Dental Parker Road 15250 E Orchard Rd Centennial, CO 80016 (303) 680-9990 MILUSHEV, METODI, DDS DMD Orchard Dental PC 7180 E Orchard Rd Ste 304 Centennial, CO 80111 (303) 741-9949 MINNIS, ROBERT, DDS 6950 S Holly Cir Ste 202 Centennial, CO 80112 (303)770-2252 MYERS,SERE 14100 E Arapahoe Rd Ste 310 Centennial, CO 80112 (303) 699-5804 NELSON, RUTH, DDS DR Perfect Teeth S Holly St PC 8211 S Holly St Centennial, CO 80122 (303) 290-6006 SVOBODA, BRIAN, DDS Perfect Teeth Arapahoe PC 7600 E Arapahoe Rd Ste 311 Centennial, CO 80112 (303) 773-2273 VANICEK, PETER, DDS 6979 S Holly Cir Ste 225 Centennial, CO 80112 (303)779-1305 WEBB, MICHAEL Comfort Kids 4121 E County Line Rd Centennial, CO 80122 (303)220-0550 WEIR, FRANK, DDS Perfect Teeth Smoky Hill PC 20269 E Smoky Hill Rd Unit H Centennial, CO 80015 (303)617-5730 WILSTED, NEAL, DDS 7920 S University Blvd Ste 200 Centennial, CO 80122 (720) 489-0797 YOUNG, KATHLEEN, DDS Young Family and Cosmetic Dentistr 7400 E Arapahoe Rd Ste 200 Centennial, CO 80112 (303)759-9535 . ORAL SURGEON NICOLOSI, PATRICIA, DDS PC CATALANO, JOSEPH, DDS MD 5161E Arapahoe Rd Ste DDS Aurora Oral and Max Surgeons Centennial, 80 d 14100 E Arapahoe Rd Ste 160 (720) Centennial, COO Centennial, CO 80112 (303)400-4380 NIELSEN, KURT, DDS Holly Dental Associates LLC 8010 S Holly St Ste 100 Centennial, CO 80122 (303)694-6400 OLSON, RICHLUND, DDS 6930 S University Blvd Ste 204 Centennial, CO 80122 (303) 741-4600 PEPPLER, MICHAEL, DDS DMD 1st Choice Dental 6979 S Holly Cir Ste 230 Centennial, CO 80112 (303) 221-2250 ROBINSON, T Comfort Kids 4121 E County Line Rd Centennial, CO 80122 (303) 220-0550 SCHOLES, LANDIS, DDS Holly Dental Associates LLC 8010 S Holly St Ste 100 Centennial, CO 80122 (303)694-6400 SHORT, YOLANDA, DMD Centennial Childrens Dental PC 14100 E Arapahoe Rd Ste 211 Centennial, CO 80112 (303)627-8300 SIMS, ALAN, DDS 7180 E Orchard Rd Ste 309 Centennial, CO 80111 (303) 290-8833 FLOYD, CARLTON, DDS MS 20971 E Smoky Hill Rd Ste 201 Centennial, CO 80015 (720)870-1451 KEOGH, BARRY, DDS MD Aurora Oral and Max Surgeons 14100 E Arapahoe Rd Ste 160 Centennial, CO 80112 (303) 400-4380 LESSIG, JAMES, DDS Advanced Oral and Max Surgery 9094 E Mineral Cir Ste 260 Centennial, CO 80112 (303)768-8570 MICHALIK, THOMAS, DDS MD DMD Advanced Oral and Max Surgery 9094 E Mineral Cir Ste 260 Centennial, CO 80112 (303)768-8570 SHULTZ, BRANDON, DDS PC 15250 E Orchard Rd Centennial, CO 80016 (303) 690-5037 STEARNS, JEFFREY, MD DMD PC 7180 E Orchard Rd Ste 300 Centennial, CO 80111 (303)740-9772 STEH, DENNIS, DDS Oral and Maxillofacial Surgery 7180 E Orchard Rd Ste 300 Centennial, CO 80111 (303)740-9772 Centennial Colorado TANNYHILL, RICHARD, DDS MD R John Tannyhill III MD PC 14000 E Arapahoe Rd Ste 320 Centennial, CO 80112 (303) 493-1933 WEIDEMAN, EDWARD, MD DMD Advanced Oral and Max Surgery 9094 E Mineral Cir Ste 260 Centennial, CO 80112 (303)768-8570 WENNOGLE, CHARLES, DDS 6650 S Vine St Ste 250 Centennial, CO 80121 (303) 649-1919 ORTHODONTIST BAHR, CARL, DDS DMD Comfort Dental Braces South 4121 E County Line Rd Centennial, CO 80122 (303) 220-0550 BAHR, CRAIG, DDS DMD Comfort Dental Braces South 4121 E County Line Rd Centennial, CO 80122 (303) 220-0550 CASSIDY, MARK, DDS DMD 6979 S Holly Cir Ste 280 Centennial, CO 80112 (303)779-1977 ELTON, ROGER, DDS MS 5657 S Himalaya St Ste 110 Centennial, CO 80015 (303)364-6433 GOLD, DAVID, DDS PC 9025 E Mineral Cir Ste 100 Centennial, CO 80112 (303)792-0345 LINDSEY, GREGG, DDS 7200 E Dry Creek Rd Ste A105 Centennial, CO 80112 (303)770-1453 NIELSON, KIRK, DDS Advanced Orthodontics 16756 E Smoky Hill Rd Centennial, CO 80015 (303) 690-2200 OHMART, SCOTT, DDS 7960 S University Blvd Ste 100 Centennial, CO 80122 (303)713-1950 SAVAGE,BRYAN,DDS 15454 E Orchard Rd Centennial, CO 80016 (303) 422-3746 WEISENFELD, ANDREW, DDS PC Centennial Childrens Dental PC 14100 E Arapahoe Rd Ste 211 Centennial, CO 80112 (303)627-8300 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Center Delta Dental PPO Colorado Springs Colorado Colorado COLORADO (CONT-D) CENTER GENERAL DENTIST VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services 220 S Worth St Center, CO 81125 (719)784-3594 COLORADO SPGS GENERAL DENTIST CAMPBELL, MONTE, DDS Dr Monte Campbell and Associates 7730 N Union Blvd Ste 101 Colorado Spgs, CO 80920 (719)597-1630 COLORADO SPRINGS ENDODONTIST CORR, ROBERT, DDS Professionals In Dentistry LLC 513 Kiva Rd Colorado Springs, CO 80911 (719) 392-5300 Apex Endodontics 8580 Scarborough Dr Ste 200 Colorado Springs, CO 80920 .(719) 282-6600 EVELAND, WILLIAM, DMD Peak Endodontics PC 2435 Research Pkwy Ste 250 Colorado Springs, CO 80920 (719) 487-9075 MCCARTY, DAVID, DDS DMD Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719)260-6093 MCCARTY, DAVID, DMD Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 GENERAL DENTIST ALURU, SUSMITHA, DMD Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 ANDERSON, BRIAN, DDS Comfort Dntl Citadel Crossing 509 N Academy Blvd Colorado Springs, CO 80909 (719)591-7599 ANDERSON, JACKSON, DDS 6459 Omaha Blvd Colorado Springs, CO 80915 (719) 597-9057 ARNOLD, JULIA, DDS Interquest Dental Group 1310 United Hts Ste 220 Colorado Springs, CO 80921 (719)266-5150 BAER, DAVID Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719) 576-3276 BAER, DAVID, DDS Stafford Dental Group 559 E Pikes Peak Ave Ste 208 Colorado Springs, CO 80903 (719) 636-3311 BARDS, RAYMOND, DDS Professionals In Dentistry LLC 513 Kiva Rd Colorado Springs, CO 80911 (719) 392-5300 BARRETO, NELLY, DDS DMD Perfect Teeth Powers PC 5929 Constitution Ave Colorado Springs, CO 80915 (719) 638-1986 BASHI, VAHID, DDS Best Care Dental PC 6425 Wall St Colorado Springs, CO 80918 (719) 528-8292 BAUMGARDNER, THOMAS, DDS DMD Briargate Dental Center 7750 N Union Blvd Ste 101 Colorado Springs, CO 80920 (719) 598-1293 BEASLEY, MICHAEL, DDS Southern Cross Dental 1855 S Nevada Ave Colorado Springs, CO 80905 (719) 471-1717 BENNING, BRIAN, DDS Vanness and Lanzisera PC 5925 Lehman Dr Colorado Springs, CO 80918 (719) 598-6966 BERTSCH, WILLIAM, DDS Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 BRADLEY,KATHLEEN,DDS Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 BRIDGEMAN, HAROLD, DDS Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719)597-9737 BROEKER, CURTIS, DDS Jade Dental Professionals 6020 Erin Park Dr Ste B Colorado Springs, CO 80918 (719) 266-9393 BRONES, COLLIN, DDS Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719)597-9737 BROWER, KATHLEEN, DDS Jade Dental Professionals 6020 Erin Park Dr Ste B Colorado Springs, CO 80918 (719)266-9393 Jade Dental Professionals 703 N Tejon St Ste A Colorado Springs, CO 80903 (719) 633-0770 BUHRMANN, SCOTT, DDS 655 Southpointe Ct Ste 101 Colorado Springs, CO 80906 (719)576-1355 BULLEN, BENJAMIN, DDS Gleneagle Dental 15455 Gleneagle Dr Ste 110 Colorado Springs, CO 80921 (719) 488-2222 BULLOCK, JEREMY, DDS DMD Comfort Dental Austin Bluffs 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719)591-1811 CALDERWOOD, CODY, DDS Center For Family and Cosmetic DEN 1714 N Circle Dr Colorado Springs, CO 80909 (719) 632-6001 CALDWELL, JAY, DDS 1711 N Murray Blvd Ste A Colorado Springs, CO 80915 (719)574-3240 CAMERINO, ANGELO, DDS North Summit Dental Care 1720 Jet Stream Dr Ste 110 Colorado Springs, CO 80921 (719)481-8373 Centennial Dental Care 5731 Silverstone Ter Ste 200 Colorado Springs, CO 80919 (719) 632-7778 CAMERINO, CAROLYN, DDS Centennial Dental Care 5731 Silverstone Ter Ste 200 Colorado Springs, CO 80919 (719) 632-7778 CARTER, STEVEN, DDS Comfort Dental of North Academy 1634 York Rd Colorado Springs, CO 80918 (719) 522-0800 Comfort Dental Austin Bluffs 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719)591-1811 Comfort Drill Citadel Crossing 509 N Academy Blvd Colorado Springs, CO 80909 (719) 591-7599 CASTILLO, STEVEN, DDS Castillo Dental Associates PC 1910 Vindicator Dr Ste 103 Colorado Springs, CO 80919 (719)268-9030 Deer Creek Dental 425 W Rockrimmon Blvd Ste 201 Colorado Springs, CO 80919 (719)593-1053 CHOE, CHIYON, DDS Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 CHRISTIANSEN, RICHARD, DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 633-8455 CONNOLLY, MARY Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 CRISLER, STEVEN, DDS DMD Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719)597-9737 CULLUM, ARNOLD, DDS Lowell District Dental 251 E Fountain Blvd Unit 100 Colorado Springs, CO 80903 (719) 591-2004 CUTLER, RICHARD, DDS 6165 Lehman Dr Ste 100 Colorado Springs, CO 80918 (719)536-0599 DASILVA, RICARDO Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 DAVIES, KRISTI, DDS Norma M Longo DMD PC 15435 Gleneagle Dr Ste 200 Colorado Springs, CO 80921 (719) 481-6788 DIAL, DUSTIN, DDS DMD Comfort Dental North Powers 6076 Stetson Hills Blvd Colorado Springs, CO 80923 (719) 637-2079 DRURY, ROBERT, DDS Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719)260-6093 DURBIN, CHARLES, DDS PC 413 Security Blvd Ste A Colorado Springs, CO 80911 (719)392-3389 EGBERT, HANS, DDS Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 Cordera Family Dentistry 9235 N Union Blvd Ste 170 Colorado Springs, CO 80920 (719)494-2865 • is Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. • July 2009 10 • • 0 Colorado Springs Colorado COLORADO (CONT-D) ENEA,STEVEN,DDS 1975 Dominion Way Ste 100 Colorado Springs, CO 80918 (719)388-8700 EVANS, DOUGLAS, DDS MS 7560 Rangewood Dr Ste 310 Colorado Springs, CO 80920 (719)388-1818 FLEMING, JOHN, DDS DMD Perfect Teeth Cheyenne Meadows P 827 Cheyenne Meadows Rd Colorado Springs, CO 80906 (719) 579-8799 FRISBIE, KENT, DDS Frisbie Family Dentistry 8540 Scarborough Dr Ste 350 Colorado Springs, CO 80920 (719)282-6636 GEORGE, MARK Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 GLUECKERT, MYLENE, DDS Audubon Dental PC 2960 N Circle Dr Ste 105 Colorado Springs, CO 80909 (719) 597-6300 GORSKY, MICHAEL, DDS PC 2965 Broadmoor Valley Rd Colorado Springs, CO 80906 (719)632-7636 GOULD, STEVEN, Dos Academy Kids Dental Center 2436 S Academy Blvd Colorado Springs, CO 80916 (719)391-2336 GRANT, JAMES, DDS Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 GUERRA, CATHERINE, DDS Perfect Teeth Uinta Gardens PC 1768 W Uintah St Colorado Springs, CO 80904 (719) 632-8006 HALL, DWAYNE, DDS 5944 Stetson Hills Blvd Ste 100 Colorado Springs, CO 80923 (719)638-2260 HAMIDI, MARIAM, DDS DMD 5780 N Carefree Cir Colorado Springs, CO 80917 (719)597-9737 HANDELMAN, RICHARD, DDS Blue Mesa Citadel Dental PC 825 Citadel Dr E Ste 200 Colorado Springs, CO 80909 (719)380-7100 Delta Dental PPO HANSEN,MATTHEW,DDS High Point Dental 3030 N Circle Dr Ste 211 Colorado Springs, CO 80909 (719) 471-8111 HASSELBACK, CHRISTOPHER, DDS Comfort Dental of North Academy 1634 York Rd Colorado Springs, CO 80918 (719) 522-0800 HENNEGAN, PAUL, Dos Bright Now Dental 3208 N Academy Blvd Ste 140 Colorado Springs, CO 80917 (719) 596-7000 HICKENLOOPER, GARY, DDS Rangewood Dental 3755 Briargate Blvd Ste 200 Colorado Springs, CO 80920 (719) 632-2952 HILL, ANNA, DDS 6685 Delmonico Dr Ste A Colorado Springs, CO 80919 (719)535-8049 HORN, GARY, DDS 320 E Fontanero St Ste 302 Colorado Springs, CO 80907 (719) 634-4805 JENSON, COLLEEN, DDS DMD Jade Dental Professionals 703 N Tejon St Ste A Colorado Springs, CO 80903 (719)633-0770 JONES, NATALIE, DDS Comfort Dental of North Academy 1634 York Rd Colorado Springs, CO 80918 (719) 522-0800 KALHORN, JIM, DDS Leopoldo Rodriguez DDS LLC 1304 N Academy Blvd Ste 104 Colorado Springs, CO 80909 (719) 596-3939 KHALIL, TARA, DDS Perfect Teeth Woodman Valley PC 6914 N Academy Blvd Ste 1 B Colorado Springs, CO 80918 (719)266-9868 KIDS IN NEED OF DENTISTR 825 E Pikes Peak Ave Ste 1 Colorado Springs, CO 80903 (303)733-3710 KINGSFORD, DANIEL, DDS Comfort Dental Austin Bluffs 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719)591-1811 KLEIN, JOEL, DDS 3123 W Colorado Ave Colorado Springs, CO 80904 (719) 475-1715 KODITEK, EDWARD, DDS Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719) 576-3276 KOLZ, ARLENE, DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719)635-2807 Perfect Teeth Uinta Gardens PC 1768 W Uintah St Colorado Springs, CO 80904 (719)632-8006 Perfect Teeth Cheyenne Meadows P 827 Cheyenne Meadows Rd Colorado Springs, CO 80906 (719)579-8799 KRUM, NELSON, DDS Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719)574-7288 Prominent Point Dental Group and O 9625 Prominent Pt Ste 100 Colorado Springs, CO 80924 (719) 495-5748 LANZISERA, PAUL, DDS DMD Vanness and Lanzisera PC 5925 Lehman Dr Colorado Springs, CO 80918 (719) 598-6966 LAYCOCK, STEPHEN, DDS Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 LEVASSEUR, DENNIS, DDS 6375 Lehman Dr Ste 200 Colorado Springs, CO 80918 (719)593-9182 LIONTAS, CHRISTOPHER Jade Dental Professionals 6020 Erin Park Dr Ste B Colorado Springs, CO 80918 (719)266-9393 Jade Dental Professionals 703 N Tejon St Ste A Colorado Springs, CO 80903 (719)633-0770 LIONTAS, CHRISTOPHER, DDS Stafford Dental Group 559 E Pikes Peak Ave Ste 208 Colorado Springs, CO 80903 (719)636-3311 LOEWEN,REBECCA Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 LOGELIN, MICHAEL Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 LONGO, NORMA, DDS DMID 15435 Gleneagle Dr Ste 200 Colorado Springs, CO 80921 (719) 481-6788 LOOK, KIM, DDS 1885 S Academy Blvd Colorado Springs, CO 80916 (719) 392-3448 Colorado Springs Colorado LOVATO,MATTHEW,DDS 761 Garden Of The Gods Rd Colorado Springs, CO 80907 (719)598-0117 LOVEJOY, CHRISTIAN, DMD Comfort Dental North Powers 6076 Stetson Hills Blvd Colorado Springs, CO 80923 (719)637-2079 LOVEJOY, PETER, DDS Comfort Dental of North Academy 1634 York Rd Colorado Springs, CO 80918 (719)522-0800 LUCERO, ORLANDO, DDS PC 1855 Austin Bluffs Pkwy Ste A Colorado Springs, CO 80918 (719)599-5980 MALIVUK, MICHAEL, DDS Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719)597-9737 MANTANONA, CLARISA, DDS Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 MASSEY, BRITNY, DDS Cheyenne Mountain Childrens Dent 6514 S Academy Blvd Colorado Springs, CO 80906 (719)442-1960 Ann Hill Dental Services PC 6685 Delmonico Dr Ste A Colorado Springs, CO 80919 (719) 535-8049 MATTHES, JON, DDS Southern Cross Dental 1855 S Nevada Ave Colorado Springs, CO 80905 (719)471-1717 MAZZOLA, CHRISTOPHER Nicolas Roger Pruett 830 Tenderfoot Hill Rd Ste 210 Colorado Springs, CO 80906 (719)576-5566 MCINTYRE, PETER, DDS 5925 Lehman Dr Ste 3 Colorado Springs, CO 80918 (719) 475-2511 MCLARTY, FORNEY, DDS 4020 Palmer Park Blvd Colorado Springs, CO 80909 (719)596-4013 MILLER, ANDREW, DDS PC Center For Family and Cosmetic DEN 1714 N Circle Dr Colorado Springs, CO 80909 (719) 632-6001 MILLER, JAMISON, DDS DMD Comfort Dental North Powers 6076 Stetson Hills Blvd Colorado Springs, CO 80923 (719) 637-2079 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Colorado Springs Delta Dental PPO Colorado Springs Colorado Colorado COLORADO (CONT-D) MONTANEZ, MARIO, DDS Academy Kids Dental Center 2436 S Academy Blvd Colorado Springs, CO 80916 (719) 391-2336 MONTANO, MELISSA, DDS Academy Kids Dental Center 2436 S Academy Blvd Colorado Springs, CO 80916 (719)391-2336 MONTANO, RONALD, DDS Academy Kids Dental Center 2436 S Academy Blvd Colorado Springs, CO 80916 (719) 391-2336 MORRISSEY, DONALD, DDS DMD Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719)597-9737 MULHERAN, THOMAS, DDS Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719)574-7288 MUSOLF, MELISSA, DDS Musolf Dental Center 6140 Tutt Blvd Ste 150 Colorado Springs, CO 80923 (719)622-9200 MUTCHLER, RICHARD, DDS PC 202 E Cheyenne Mountain Blvd Ste E Colorado Springs, CO 80906 (719) 576-6551 NEEL, JANET, DDS Professionals In Dentistry LLC 513 Kiva Rd Colorado Springs, CO 80911 (719)392-5300 NGUYEN,QUYNH Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 OLSEN, LONNIE, DDS 3612 Galley Rd Ste D Colorado Springs, CO 80909 (719) 596-7716 OLSON, DWIGHT, DDS DMD Comfort Dental North Powers 6076 Stetson Hills Blvd Colorado Springs, CO 80923 (719) 637-2079 PARK, WONPYO, DDS 6165 Lehman Or Ste 100 Colorado Springs, CO 80918 (719)536-0599 PATTON, NOEL, DDS DMD Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 PAYNE, RANDALL(RANDY), DDS Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 Perfect Teeth Powers PC 5929 Constitution Ave Colorado Springs, CO 80915 (719) 638-1986 Perfect Teeth Woodman Valley PC 6914 N Academy Blvd Ste 1 B Colorado Springs, CO 80918 (719) 266-9868 PEAK VISTA COMMUNITY HEA Peak Vista Community Health Cent 2828 International Cir Colorado Springs, CO 80910 (719) 475-0783 PEAK, DOUGLAS,DDS All Smiles Family Dentistry 3715 Bloomington St Ste 160 Colorado Springs, CO 80922 (719) 599-0665 PODRATZ, ADAM, DDS West One Family Dental 1104 W Colorado Ave Colorado Springs, CO 80904 (719)633-8766 PROBST, SCOTT, DDS Comfort Dntl Citadel Crossing 509 N Academy Blvd Colorado Springs, CO 80909 (719) 591-7599 PROBST, TRAVIS, DDS Comfort Dntl Citadel Crossing 509 N Academy Blvd Colorado Springs, CO 80909 (719) 591-7599 PRUETT, NICOLAS, DDS 830 Tenderfoot Hill Rd Ste 210 Colorado Springs, CO 80906 (719) 576-5566 RAHIMPOUR, NAVID, DDS Southern Cross Dental 1855 S Nevada Ave Colorado Springs, CO 80905 (719) 471-1717 READ,TERRY,DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719)635-2807 Perfect Teeth Garden Gods PC 4329 Centennial Blvd Colorado Springs, CO 80907 (719) 592-1600 Perfect Teeth Woodman Valley PC 6914 N Academy Blvd Ste 1 B Colorado Springs, CO 80918 (719) 266-9868 RECK, DIANE, DDS PC 7560 Rangewood Dr Ste 220 Colorado Springs, CO 80920 (719) 266-4848 RECK,STEVEN 7310 Rangewood Dr Ste 100 Colorado Springs, CO 80918 (719) 534-9600 REINICKE, MARK, DDS PC 1539 S 8th St Ste 101 Colorado Springs, CO 80905 (719) 634-5864 RODGERS, CHARLES, DDS Prominent Point Dental Group and O 9625 Prominent Pt Ste 100 Colorado Springs, CO 80924 (719)495-5748 SOSDIAN, STEPHEN, DDS Uptown Dental Associates 523 N Nevada Ave Colorado Springs, CO 80903 (719) 635-5815 SPAETH, OLIVER, DDS Broadmoor Valley Dental Care PC 2965 Broadmoor Valley Rd Colorado Springs, CO 80906 (719)632-7636 RODRIGUEZ, LEOPOLDO, DDS SPICCIATI, LOUIS, DDS 1304 N Academy Blvd Ste 104 3233 W Carefree Cir Colorado Springs, CO 80909 Colorado Springs, CO 80917 (719)596-3939 (719)597-2400 Erindale Dental LLC 6020 Erin Park Dr Ste B Colorado Springs, CO 80918 (719)266-9393 RODRIGUEZ, PAUL Jade Dental Professionals 6020 Erin Park Dr Ste B Colorado Springs, CO 80918 (719)266-9393 RODRIGUEZ, PAUL, DDS Jade Dental Professionals 703 N Tejon St Ste D Colorado Springs, CO 80903 (719) 633-5501 ROHLEDER, JULIA, DMD 105 N Tejon St Colorado Springs, CO 80903 (719)260-0216 RONCO, RONALD, DDS DMD Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719) 576-3276 ROYAL, JOHN, DDS Alliance Family Dentistry PC 6140 Tutt Blvd Ste 140 Colorado Springs, CO 80923 (719)955-4023 RUSH, LARRY, DDS 2620 Tenderfoot Hill St Ste 210 Colorado Springs, CO 80906 (719) 597-7979 RYGG, PAUL, DDS Jade Dental Professionals 703 N Tejon St Ste A Colorado Springs, CO 80903 (719) 633-0770 SHORT, HOWARD, DDS DMD 5739 Constitution Ave Colorado Springs, CO 80915 (719)574-7631 SLACK, THOMAS, Dos 2504 E Pikes Peak Ave Ste 201 Colorado Springs, CO 80909 (719)392-8596 SMITH, PAUL, DDS Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719)597-9737 SOSDIAN, QUYNH-DUNG, DDS Uptown Dental Associates 523 N Nevada Ave Colorado Springs, CO 80903 (719) 635-5815 STOOR, MICHAEL, DDS Comfort Dntl Citadel Crossing 509 N Academy Blvd Colorado Springs, CO 80909 (719)591-7599 TALBOT, BRETT, DDS DMD Comfort Dental Austin Bluffs 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719)591-1811 THOMAS, ABRAHAM, DDS DMD 5426 N Academy Blvd Ste 202 Colorado Springs, CO 80918 (719)266-5420 THOMPSON, GLENN, DDS DMD 1711 N Murray Blvd Colorado Springs, CO 80915 (719)574-8877 TIAO, KATIE Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 TILLOTSON, EVAN, DDS Crossroads Family Dentistry 1711 N Murray Blvd Colorado Springs, CO 80915 (719)596-3481 VERMA, DEEPALI, DDS Verma Cosmetic and Family Dentistr 511 Security Blvd Colorado Springs, CO 80911 (719)393-1600 VOSTATEK,SEAN Simply Kids Dental 1910 Vindicator Dr Ste 103 Colorado Springs, CO 80919 (719)598-5437 WAHL, MICHAEL, DDS West One Family Dental 1104 W Colorado Ave Colorado Springs, CO 80904 (719)633-8766 WEBB, DAVID, DDS 1911 Lelaray St Ste 1 Colorado Springs, CO 80909 (719)633-7774 WEENIG, VAL, DDS 5010 El Camino Dr Ste B Colorado Springs, CO 80918 (719)599-7453 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. • July 2009 IPA • • Colorado Springs Colorado COLORADO (CONT-D) WIEDEY, RICHARD, DDS 1819 N Circle Dr Ste 6 Colorado Springs, CO 80909 (719)520-5884 WOODS, JOSEPH, DDS DMD Blue Mesa Citadel Dental PC 825 Citadel Dr E Ste 200 Colorado Springs, CO 80909 (719)380-7100 YOUNG, MATTHEW Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 ORAL SURGEON BANDROWSKY, TIMOTHY, DDS Orris Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719)599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719)599-0500 BERWICK, JAMES, DDS Affiliates In Oral and Max Surgery 3100 N Academy Blvd Ste 213 Colorado Springs, CO 80917 (719) 597-4060 BORRIS, THOMAS, DDS 6140 Tutt Blvd Ste 140 Colorado Springs, CO 80923 (719)650-9269 COLM,STEPHEN,DMD Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719)574-7288 D ADDARIO, MATTHEW Orris Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719)599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719)599-0500 FACY,REBECCA,DDS Oms Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719) 599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719)599-0500 HARPER,CLAYTON,DDS Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719) 574-7288 Delta Dental PPO HONG, DOUGLAS, MD DMD Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719)635-2807 Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 HULL, DONALD Orris Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719) 599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719) 599-0500 MADLOCK, PAUL, DDS DMD Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719) 574-7288 NASSIMBENE, LEO, DDS Orris Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719) 599-0500 NASSIMBENE, LEO, DDS MD DMD Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719)599-0500 ONSTAD, MICHAEL, DDS Orris Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719)599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719) 599-0500 QUIST, RHETT, DDS Affiliates In Oral and Max Surgery 3100 N Academy Blvd Ste 213 Colorado Springs, CO 80917 (719)597-4060 Advanced Oral and Maxillofacial Su 6160 Tutt Blvd Ste 250 Colorado Springs, CO 80923 (719) 359-8652 Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719) 574-7288 RENEHAN, BRADLEY, DDS MD Colorado Surgical Clinic PC 640 Southpointe Ct Ste 150 Colorado Springs, CO 80906 (719) 540-6350 SALVO, JOSEPH, DDS Orris Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719) 599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719)599-0500 ORTHODONTIST ARANGO, JOSE, DDS MS Front Range Ortho Specialists 4731 Opus Rd Ste A Colorado Springs, CO 80906 (719)579-9773 BAHR,CARL,DMD Comfort Dental Braces 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719)622-1225 BAHR, CRAIG, DMD Comfort Dental Braces 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719)622-1225 BAILEY, JOHN, DDS Bailey Orthodontics 15455 Gleneagle Dr Ste 110 Colorado Springs, CO 80921 (719)598-2800 BAILEY, JOHN, DDS MS Bailey Orthodontics 6685 Delmonico Dr Ste B Colorado Springs, CO 80919 (719)598-2800 FOY, MICHAEL, DDS 7560 Rangewood Dr Ste 100 Colorado Springs, CO 80920 (719) 597-6800 FRANZ, KAREN, DDS Bright Now Dental 3208 N Academy Blvd Ste 140 Colorado Springs, CO 80917 (719)596-7000 IDICULLA, ANIL, DDS DMD Bright Now Dental 3208 N Academy Blvd Ste 140 Colorado Springs, CO 80917 (719)596-7000 Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719)574-7288 JOHNSON, WARREN, DDS Johnson Orthodontics PC 13784 Gleneagle Dr Colorado Springs, CO 80921 (719)572-5150 JOHNSON, WARREN, DDS MS Johnson Orthodontics PC 2190 Academy Cir Colorado Springs, CO 80909 (719)596-3081 MESSINGHAM, JASON, DDS Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 MESSINGHAM, JASON, DDS MS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 Colorado Springs Colorado MORRISON, MICHAEL, DDS 703 N Tejon St Ste E Colorado Springs, CO 80903 (719)635-9610 ORDAHL, JOHN, DDS DMD 1711 N Murray Blvd Colorado Springs, CO 80915 (719)596-3098 ROTH, JUSTIN, DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 Perfect Teeth Powers PC 5929 Constitution Ave Colorado Springs, CO 80915 (719)638-1986 SCHROEDER, DAVID, DDS Apple Orthodontix 1694 E Cheyenne Mountain Blvd Colorado Springs, CO 80906 (719) 538-4671 SKELTON, THOMAS, DDS 8540 Scarborough Dr Ste 250 Colorado Springs, CO 80920 (719)487-9303 SUTER, SCOTT, DDS MS 3100 N Academy Blvd Ste 200 Colorado Springs, CO 80917 (719)550-0222 TALOUMIS, LOUIS, DDS Apple Orthodontix 1694 E Cheyenne Mountain Blvd Colorado Springs, CO 80906 (719) 538-4671 TALOUMIS, LOUIS, DDS DMD All Smiles Orthodontix 3715 Bloomington St Ste 160 Colorado Springs, CO 80922 (719)599-0665 TERRY, BANGORN,DMD Smiles For Colorado Orthodontics 1539 S 8th St Ste 200 Colorado Springs, CO 80905 (719)227-7645 PEDODONTIST ELLIS, RANDALL, DDS Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 ERICKSON, JOSHUA, DDS Erickson Pediatric Dentistry and O 8580 Scarborough Dr Ste 220 Colorado Springs, CO 80920 (719)282-6666 HAMAN, MICHELLE, DDS 6725 Rangewood Dr Colorado Springs, CO 80918 (719)596-6920 MANI, ARCHANA, DDS DMD Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719)635-2807 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 13 City of Fort Collins • QUESTIONNAIRE Group Dental- Administrative Services Only 1. Do you agree to provide without limitation services to all employees/dependents enrolled as of December 31, 2009? Agreed. 2. Will you agree to replicate each of the current plan's provisions? If not, please list the specific provisions you will not replicate, along with the reason you elect not to replicate the provision(s). If you do not identify those specific provisions you cannot replicate and you are selected as the City's dental services provider, you may be required to make the necessary adjustments in order to achieve replication. Otherwise, your selection may become void. Agreed. 3. What is your monthly administrative fee, expressed in terms of dollars per month per employee? Delta Dental offers a two-year administrative fee of $4.17. 4. For each geographic area in which you have a network applicable to employee population, provide the following information: • • Geo-Access, using 2 dental providers in 10 miles; provide a map if available • Most recent participating provider directory and summary of the number of participating providers in each of the applicable areas (dentists, specialists, etc.) Also provide the website where provider information can be found. Please see enclosed geo-access report and provider directories. The most up to date provider information is on our website www.deltadentalco.com. 5. For each network, describe the specific measures used by your organization to monitor participating provider access. Provide the most recent corresponding statistics available for: • Dentist to member ratios • Average waiting period for an appointment Delta Dental does not track dentist to member -ratios or average waiting period for 4� appointments. We strive to provide a panel that matches or exceeds our competitors. Delta Dental's panel provides enrollees with an expanded selection of general practitioners and specialists. 6. What percentage of your providers has limited their practice to current patients? None. • IN Colorado Springs Delta Dental PPO Denver Colorado Colorado COLORADO (CONT-D) Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 MONAK,EDMUND Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 SIERK, JONATHAN, DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 PERIODONTIST DEGEARE, DANNY, DDS 1819 N Circle Dr Ste 5 Colorado Springs, CO 80909 (719)473-9277 FITZPATRICK, BRIAN, DDS DMD 320 E Fontanero St Ste 307 Colorado Springs, CO 80907 (719) 475-9023 GURINSKY, BRIAN, DDS Bright Now Dental 3208 N Academy Blvd Ste 140 Colorado Springs, CO 80917 (719) 596-7000 MODARRESSI, MARMAR, DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 REICH, GREGORY, DDS 1975 Research Pkwy Ste 305 Colorado Springs, CO 80920 (719)339-2562 RICHARDSON, HEATHER, DMD Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 PROSTHODONTIST DRAPER, SCOTT, DDS Pikes Peak Prosthodontics 1155 Kelly Johnson Blvd Ste 210 Colorado Springs, CO 80920 (719)532-1007 COMMERCE CITY GENERAL DENTIST EAMES, OWEN, DDS Comfort Dental of Commerce City 7201 Monaco St Commerce City, CO 80022 (303) 287-2755 KARLA, MARK, DDS DMD Commerce City Family Dental PLLC 4972 E 62nd Ave Unit B1 Commerce City, CO 80022 (303) 288-4969 KIDS IN NEED OF DENTISTR 4210 E 72nd Ave Commerce City, CO 80022 (303) 733-3710 LOVELAND, DOUGLAS, DDS Reunion Dental Care 18240 E 104th Ave Unit 201 Commerce City, CO 80022 (303)928-7838 PORTER, NICOLAS, DDS Comfort Dental of Commerce City 7201 Monaco St Commerce City, CO 80022 (303) 287-2755 RODGERS, JAMES, DDS 7230 Locust St Commerce City, CO 80022 (303) 289-2831 ROSSOW, ERIC, DDS Reunion Dental Care 18240 E 104th Ave Unit 201 Commerce City, CO 80022 (303) 928-7838 SAUNDERS, RYAN, DDS North Range Family Dentistry 15550 E 103rd PI Unit 110 Commerce City, CO 80022 (303) 443-2900 WARNER, HOMER, DDS Comfort Dental of Commerce City 7201 Monaco St Commerce City, CO 80022 (303)287-2755 WILLIS, LAWRENCE 6537 E 72nd PI Commerce City, CO 80022 (303) 288-6877 CONIFER GENERAL DENTIST BLASKO, JACQUELINE, DDS DMD Comfort Dental Conifer 25597 Conifer Rd Unit 100 Conifer, CO 80433 (303)838-2811 HIGUCHI, CHRISTOPHER, DDS 26267 Conifer Rd Ste 101 Conifer, CO 80433 (303)816-9411 SEIFERT, TENIEL, DDS DMD Comfort Dental Conifer 25597 Conifer Rd Unit 100 Conifer, CO 80433 (303) 838-2811 WORKMAN, RYAN, DDS Comfort Dental Conifer 25597 Conifer Rd Unit 100 Conifer, CO 80433 (303)838-2811 ORTHODONTIST BOBAK, VOYTEK, DMD 26697 Pleasant Park Rd Ste B Conifer, CO 80433 (303)816-5239 WILLIAMS, BRYAN, DDS Williams Orthodontics PLLC 26267 Conifer Rd Ste 101 Conifer, CO 80433 (303)670-5878 CORTEZ GENERAL DENTIST OLSEN, BRIAN Cortez Dental Care 101 S Maple St Ste B Cortez, CO 81321 (970) 565-1800 CRIPPLE CREEK GENERAL DENTIST STERLING, KEVIN, DDS 1101 Teller County Rd 1 Cripple Creek, CO 80813 (719)689-3565 DENVER ENDODONTIST AVERBACH, ROBERT, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303) 321-7930 BALTZ, KATHLEEN, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303) 321-7930 BALTZ, KATHLEEN, DDS MS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 FAGER, FRANK, DDS 3545 S Tamarac Dr Ste 220 Denver, CO 80237 (303) 770-8141 GALLEGO-CUBILLOS, SONIA Metropolitan Dental Care PC 1400 Glenarm PI Rm 200 Denver, CO 80202 (303)534-2626 SE Denver Dental Associates PC 2660 S Monaco Pkwy Ste A Denver, CO 80222 (303) 757-7175 HAHN, CHRISTOPHER, DDS MS PC 3545 S Tamarac Dr Ste 220 Denver, CO 80237 (303) 770-8141 JOSTES,JAMES,DDS Comfort Dental Cherry Creek 201 University Blvd Ste 101 Denver, CO 80206 (303) 321-2233 JULTAK, JED, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303) 321-7930 LOWRY, SCOTT, DDS Comfort Dental Cherry Creek 201 University Blvd Ste 101 Denver, CO 80206 (303) 321-2233 MALONEY, SCOTT, DDS DMD Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303)321-7930 MORRISON, ALISON, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303)321-7930 PANGBORN, CAMERON, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303)321-7930 SACHS, ELLEN, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303) 321-7930 SAFER, DONALD, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303) 321-7930 GENERAL DENTIST ADAMS, JOHN, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303)455-2273 ALFORD, ANNETTE, DMD University Dental Arts PC 910 16th St Ste 700 Denver, CO 80202 (303) 534-7797 ANDERSON, ROBERT, DDS 155 Cook St Ste 251 Denver, CO 80206 (303) 321-1323 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. • July 2009 14 • • 0 Denver Colorado COLORADO (CONT-D) ARCHER, RAYMOND, DDS Sloans Lake Dental 4441 W 29th Ave Denver, CO 80212 (303)477-7776 ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 ARMSTRONG, JACK, DDS MD PC 1040 S Gaylord St Ste 103 Denver, CO 80209 (303) 777-6202 ARNOLD, KARA, DDS Highland Smiles PC 3480 W 32nd Ave Denver, CO 80211 (303) 623-0407 AUFDERHAR, CHRISTINE, DDS Per T Reiakvam 3540 S Poplar St Ste 300 Denver, CO 80237 (303) 759-3969 BABIN, BRIAN, DDS 6825 E Hampden Ave Ste 103 Denver, CO 80224 (303) 355-1645 BARECKI, RICHARD, DDS Bonnie Brae Cosmetic Dentistry 763 S University Blvd Denver, CO 80209 (303)777-7523 BATLINER, DONALD, DDS 4th Avenue Family Dentistry LLC 390 University Blvd Denver, CO 80206 (303)333-0771 BEVANS, GREGORY, DDS 6740 E Hampden Ave Ste 300A Denver, CO 80224 (303)758-5747 BOLLENBAUGH, KEITH, DDS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 BRADLEY,KATHLEEN,DDS Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 BRANWELL, DONALD, DDS 3865 Cherry Creek North Dr Ste 312 Denver, CO 80209 (303) 321-2566 BRAUN,CHAD,DDS 4th Avenue Family Dentistry LLC 390 University Blvd Denver, CO 80206 (303)333-0771 Delta Dental PPO BRAVO, LUIS David C Hoag DMD PC 850 E Harvard Ave Ste 375 Denver, CO 80210 (303)733-0138 BROWN, DONALD, DDS Perfect Teeth Monaco and Evans PC 2223 S Monaco Pkwy Unit F Denver, CO 80222 (303) 639-3279 BROWN, RICHARD, DDS PC 8585 Huron St Denver, CO 80260 (303) 428-4314 BURTENSHAW,JOHN,DDS Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303) 937-7511 Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 CARLSON, KENDAL, DMD 3955 E Exposition Ave Ste 212 Denver, CO 80209 (303) 355-2373 CARMODY, COLLEEN, DDS Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303) 937-7511 Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 CARROLL, BERNARD, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303) 455-2273 CARTER,COLLEEN,DDS 3955 E Exposition Ave Ste 218 Denver, CO 80209 (303)765-2824 CASEMENT, RUSSELL, DDS 1355 S Colorado Blvd Ste C320 Denver, CO 80222 (303) 758-0866 CHAVEZ, MANUEL, DDS 4200 W Conejos PI Ste 324 Denver, CO 80204 (303) 685-4644 CHC DENVER HEALTH WESTSIDE D Denver Health Westside Dental 1100 Federal Blvd Denver, CO 80204 (303) 436-4345 CHERNOFF, KENNETH, DDS Timothy J Wachuta 2709 S Colorado Blvd Denver, CO 80222 (303) 756-2770 CHOE, CHIYON, DDS Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 CHRISTOPHE, JOHN, DDS Creekside Dental Care 3773 Cherry Creek North Dr Ste Denver, CO 80209 (303)355-8670 Denver Colorado DOUGHERTY, CARRIE, DDS DMD Stapleton Dental PLLC 120 3055 Roslyn St Unit 260 Denver, CO 80238 (303)399-1488 CLAIR, PREET, DDS Quebec Square Family Dentistry L 7505 E 35th Ave Ste 304 Denver, CO 80238 (303)322-2081 CLEMENT, CHARLES, DDS 4380 S Syracuse St Ste 502 Denver, CO 80237 (303)694-0585 CONNOLLY, MARY, DDS Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 CONNOR, DONALD, DDS DMD Alpha Dental Care 1 6411 E Colfax Ave Denver, CO 80220 (303)388-2558 CRAVEN, DUSTIN, DMD Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 CRICHLOW, KENNETH, DDS 6795 E Tennessee Ave Ste 350 Denver, CO 80224 (303)322-9501 CULLUM, ARNOLD, DDS Blake Street Dental 1732 Blake St Denver, CO 80202 (303)814-2200 DEAL, THOMAS, DDS 965 S Colorado Blvd Ste 201 Denver, CO 80246 (303) 722-8825 DENVER HEALTH BANNOCK DE CHC Denver Health and Hospital Autho 301 W 6th Ave Denver, CO 80204 (303)602-8237 DENVER HEALTH EASTSIDE D CHC Denver Health Eastside Dental 501 28th St Ste MC3600 Denver, CO 80205 (303) 436-4740 DEWITT, MICHAEL, DDS MA Dewitt Dental Associates PC 3300 E 1 st Ave Ste 615 Denver, CO 80206 (303)321-5656 DIGIORGIO, ROBERT Capital Hill Dental Group 975 Lincoln St Ste 2C Denver, CO 80203 (303) 991-4455 DINSMORE, DAVID, DDS Comfort Dental Cherry Creek 201 University Blvd Ste 101 Denver, CO 80206 (303) 321-2233 DUNKER, INNA, DDS Accord Dental Prof LLC 2121 S Oneida St Ste 321 Denver, CO 80224 (303)796-8767 DUQUETTE, DOUGLAS, DDS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 EGERT, TERRY, DDS 3955 E Exposition Ave Ste 312 Denver, CO 80209 (303)744-3636 ELLIOTT, BRIAN, DDS Dazante Dental Group 2005 Franklin St Ste 590 Denver, CO 80205 (303) 430-7399 FARMER, DALE, DDS South Federal Dental Group PC 2345 S Federal Blvd Ste 165 Denver, CO 80219 (303)934-0232 FLOREZ, TANIA, DDS 155 Cook St Ste 251 Denver, CO 80206 (303)321-1323 Cherry Creek Family Dentistry PC 201 University Blvd Ste 210 Denver, CO 80206 (303)321-1323 FOLEY, PATRICK, DDS PC 1516 Locust St Denver, CO 80220 (303)377-5646 FREY, RONNIE, DDS 7060 E Hampden Ave Ste 101 Denver, CO 80224 (303)758-2066 FRIEDMAN, STEPHEN, DDS 3300 E 1 st Ave Ste 580 Denver, CO 80206 (303)321-0055 FURUTA, NICOLE, DDS Lodo Dental PC 1435 Wazee St Ste 102 Denver, CO 80202 (303)623-5636 GIBBS, BRYAN, DDS Cherry Hills Dntl Associates PC 4800 Happy Canyon Rd Ste 140 Denver, CO 80237 (303) 757-8446 GOMENYUK, NINA, DDS Perfect Teeth Leetsdale PC 7150 Leetsdale Dr Unit 110A Denver, CO 80224 (303)321-1700 GOTTLIEB, STANLEYJ, DDS 3838 W 38th Ave Denver, CO 80211 (303)433-1515 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 15 Denver Delta Dental PPO Denver Colorado Colorado COLORADO (CONT-D) GOULD, STEVEN, DDS Adventure Dental of Denver 1407 W 84th Ave Ste 135-8 Denver, CO 80260 (719)576-1850 GRAF, LINDSEY, DDS Bright Now Dental 1955 Arapahoe St Ste A Denver, CO 80202 (303) 296-0888 GUIDO, JOSEPH, DDS Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 HAHN,LAURA,DDS Adventure Dental of Denver 1407 W 84th Ave Ste 135-8 Denver, CO 80260 (719)576-1850 HAKALA, CATHERINE, DDS Hakala and Hakala PC 4200 E 8th Ave Ste 200 Denver, CO 80220 (303)321-8967 HAKALA, JOSEPH, DDS Hakala and Hakala PC 4200 E 8th Ave Ste 200 Denver, CO 80220 (303)321-8967 HALL, BRANDON, DDS Perfect Teeth Green Valley Ranch 18607 Green Valley Ranch Blvd Unit 104 Denver, CO 80249 (303)576-6884 HAMILTON, WARIN, DDS DMD Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 HANCHETT, JON, DDS DMD Comfort Dental South Denver 3488 S Willow St Denver, CO 80231 (303) 338-8181 HANNON, KEITH, DDS Cherry Creek Family Dentistry PC 201 University Blvd Ste 210 Denver, CO 80206 (303)321-1323 HOAG, DAVID, DMD 850 E Harvard Ave Ste 375 Denver, CO 80210 (303)733-0138 HOANG, HUYEN, DDS Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303)937-7511 Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 HOCH, DONALD, DDS 425 S Cherry St Ste 700 Denver, CO 80246 (303) 7774421 HOHERT, CHANDRA, DDS DMD Terry W Egert DDS PC 3955 E Exposition Ave Ste 312 Denver, CO 80209 (303)744-3636 HUBBELL, MAKALA, DDS Lowry Family Dentistry LLC 8158 E 5th Ave Ste 150 Denver, CO 80230 (303) 366-3000 HUSER,REBECCA Tamarac Dental Care 3525 S Tamarac Dr Ste 170 Denver, CO 80237 (303) 773-1211 HUSKEY, DAVID, DDS 2480 S Downing St Ste 200 Denver, CO 80210 (303) 722-0204 IGNATIEFF, NATALIYA Comfort Dental East Colfax 5200 E Colfax Ave Denver, CO 80220 (303)377-3876 INNER CITY HEALTH CENTER CHC 3800 York St Denver, CO 80205 (303)296-1767 New Hope Dental Services 4200 W Conejos PI Ste 1-1-5 Denver, CO 80204 (720)956-0310 JEFFERS, JANIS, DMD Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303) 321-1181 JOHNSON, COLLIS, DDS 1756 Vine St Denver, CO 80206 (303)322-1177 JOHNSTON, JEFFERY, DDS Ascent Dental Group 3600 E Alameda Ave Ste 220 Denver, CO 80209 (303) 975-6987 JOLSTAD, MARK, DDS Comfort Dental Cherry Creek 201 University Blvd Ste 101 Denver, CO 80206 (303)321-2233 JONES, JEANICE, DDS SE Denver Dental Associates PC 2660 S Monaco Pkwy Ste A Denver, CO 80222 (303) 757-7175 JORGENSEN, AMY, DDS Adventure Dental of Denver 1407 W 84th Ave Ste 135-8 Denver, CO 80260 (719) 576-1850 KANG,RUTH,DDS 496 S Dayton St Denver, CO 80247 (303)360-5660 KARASKEVICUS, JENNIFER, DDS Glendale Dental Group PC 4521 E Virginia Ave Denver, CO 80246 (303)388-5501 KAWANO, RICHARD, DDS 1751 Williams St Denver, CO 80218 (303)388-5645 KAWASUGI, KAI, DDS Heather L Stamm DDS PC 2005 Franklin St Bldg 1 Denver, CO 80205 (303) 839-5109 KEMPERS,GREGORY Creekside Smiles 155 Cook St Ste 141 Denver, CO 80206 (303)329-0505 KHATRI, AVANT, DDS Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 KIDS IN NEED OF DENTISTR 1350 Clarkson St Denver, CO 80218 (303) 733-3710 2465 S Downing St Ste 207 Denver, CO 80210 (303) 733-3710 KILROY, THOMAS, DDS PC 5400 W Jewell Ave Ste 2B Denver, CO 80232 (303)985-7450 KINKADE, JAMES, DDS Cherry Hills Dntl Associates PC 4800 Happy Canyon Rd Ste 140 Denver, CO 80237 (303)757-8446 KIRCHNER, THOMAS, DDS 820 Clermont St Ste 110 Denver, CO 80220 (303)399-7106 KOCH, RICHARD, DDS 10101 E Hampden Ave Ste 100 Denver, CO 80231 (303)671-0101 KOO, DAVID, DDS Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303)321-1181 KWON, MICHELLE Americas Children Dentl Clinic 1470 Jersey St Denver, CO 80220 (303)377-1280 LANGLEY, DONALD, DDS Dental Health at Dtc PLLC 5031 S Ulster St Ste 100 Denver, CO 80237 (303)779-8587 LE, NICKIE 820 Clermont St Ste 310 Denver, CO 80220 (303) 377-9278 LEE, CHRISTINA, DDS Dental Health at Dtc PLLC 5031 S Ulster St Ste 100 Denver, CO 80237 (303)779-8587 LEE, KYE, DDS 7159 E Hampden Ave Denver, CO 80224 (303) 337-5385 LEONE, EDWARD, DDS 10345 Quivas St Denver, CO 80260 (303)452-5557 LIGHT, TODD, DDS Comfort Dental Cherry Creek 201 University Blvd Ste 101 Denver, CO 80206 (303) 321-2233 LIPE, CARL, DDS 6825 E Hampden Ave Ste 200 Denver, CO 80224 (303)744-0600 LOEWEN,REBECCA Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 LOGELIN, MICHAEL Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 LONG, KYLE, DDS 3955 E Exposition Ave Ste 110 Denver, CO 80209 (303)722-1690 LOPEZ, SERGIO Americas Children Dentl Clinic 1470 Jersey St Denver, CO 80220 (303)377-1280 LYONS, JULIANN, DDS 6825 E Hampden Ave Ste 201 Denver, CO 80224 (303)756-6862 MADLANG, CESAR, DDS 4380 S Syracuse St Ste 502 Denver, CO 80237 (303) 779-0622 MAES, LEROY, DDS Primary Dentistry For Children 5801 W 44th Ave Unit C Denver, CO 80212 (303) 433-1239 MANH, KATIE, DDS 1701 S Federal Blvd Ste B Denver, CO 80219 (303)935-5279 MANIATIS, JAMES, DDS David P Micklin DDS 2601 E 3rd Ave Denver, CO 80206 (303)399-1650 • 0 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ano ranicipaang Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. • July 2009 III 0 Denver Colorado COLORADO (CONT-D) MANIATIS, PETER, DDS David P Micklin DDS 2601 E 3rd Ave Denver, CO 80206 (303) 399-1650 MANKIN, JULIE, DDS Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303)937-7511 Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303)331-6511 MARDIS, DONALD, DDS Comfort Dental East Colfax 5200 E Colfax Ave Denver, CO 80220 (303)377-3876 MARLOWE, MARK, DDS Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303)331-6511 MARSCHNER, THOMAS, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303) 455-2273 MARTINEZ, LYDA, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303)455-2273 MARTINEZ, MARIO, DDS Comfort Dental South Denver 3488 S Willow St Denver, CO 80231 (303) 338-8181 MATA,DUANE,DDS 7150 E Hampden Ave Ste 104 Denver, CO 80224 (303)758-9511 MCAULIFFE, KEVIN, DDS 5150 E Yale Cir Ste 101 Denver, CO 80222 (303)758-3284 MCINTOSH-AULT, KAREEN, DDS 495 Uinta Way Ste 200 Denver, CO 80230 (303)366-4700 MCVEIGH, ADAM 325 S Teller Saint Ste 290 Denver, CO 80226 (303)935-3574 MICKLIN, DAVID, DDS 2601 E 3rd Ave Denver, CO 80206 (303) 399-1650 MONCAYO, SANTIAGO, DDS Comfort Dental East Colfax 5200 E Colfax Ave Denver, CO 80220 (303)377-3876 Delta Dental PPO MONROE, KELLY, DDS Dayton Dental 2020 S Parker Rd Unit F Denver, CO 80231 (303)752-2777 MONTANEZ, MARIO, DDS Adventure Dental of Denver 1407 W 84th Ave Ste 135-8 Denver, CO 80260 (719) 576-1850 MONTANO, MELISSA, DDS Adventure Dental of Denver 1407 W 84th Ave Ste 135-8 Denver, CO 80260 (719) 576-1850 MONTANO, RONALD, DDS Adventure Dental of Denver 1407 W 84th Ave Ste 135-8 Denver, CO 80260 (719)576-1850 MULHERAN, THOMAS, DDS Bright Now Dental 1955 Arapahoe St Ste A Denver, CO 80202 (303)296-0888 Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303) 321-1181 MUSANJE, LAWRENCE Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 NARANJA, ANTHONY Creekside Smiles 155 Cook St Ste 141 Denver, CO 80206 (303)329-0505 NASSIMBENE, BRADLEY, DDS 425 S Cherry St Ste 700 Denver, CO 80246 (303) 322-8600 NGUYEN, LAN, DDS South Federal Dentistry 805 S Federal Blvd Denver, CO 80219 (303)935-2353 NGUYEN,QUYNH Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 NISHIMURA, ROGER, DDS 3300 E 1 st Ave Ste 300 Denver, CO 80206 (303) 399-0400 OBANA DELA PAZ, CARMELIZA, DDS Perfect Teeth Leetsdale PC 7150 Leetsdale Dr Unit 110A Denver, CO 80224 (303) 321-1700 PAINI, WILLIAM, DDS 1164 Speer Blvd Denver, CO 80204 (303) 246-0100 PARE, HENRI, DDS 1660 S Albion St Ste 611 Denver, CO 80222 (303)782-0633 PENK,STUART,DDS 2005 Franklin St Denver, CO 80205 (303)832-8586 PERRY,STEPHEN,DDS Colorado Dental Health Care Spec 1600 Stout St Ste 600 Denver, CO 80202 (303) 592-1133 Dazante Dental Group 2005 Franklin St Ste 590 Denver, CO 80205 (303)832-8655 . Colorado Dental Health Care Spec 5031 S Ulster St Ste 100 Denver, CO 80237 (303)779-8587 PFALZGRAF, JOHN, DDS Cherry Hills Dntl Associates PC 4800 Happy Canyon Rd Ste 140 Denver, CO 80237 (303)757-8446 QUANDT, JOHN, DDS 155 Cook St Ste 201 Denver, CO 80206 (303)320-0734 RAY, JASON, DDS PC Hampden Family Dental 7090 E Hampden Ave Denver, CO 80224 (303)906-5138 REDFORD, DAVID, DDS University Dental Arts PC 910 16th St Ste 700 Denver, CO 80202 (303)534-7797 REIN, GARY, DDS 155 Cook St Ste 251 Denver, CO 80206 (303) 321-4805 REVOIR, JEFFREY, DDS Artistic and Family Dental Center 3540 S Poplar St Ste 301 Denver, CO 80237 (303) 758-2980 RICE, DONALD, DDS 7701 E 1st PI Ste B Denver, CO 80230 (303) 399-4444 RINALDI, TODD, DDS 8751 E Hampden Ave Ste A6 Denver, CO 80231 (303) 399-4350 ROBBINS, BRADEN, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303)455-2273 ROBERTS, DALE, DDS 1600 Stout St Ste 600 Denver, CO 80202 (303) 592-1133 Denver Colorado RODGERS, JAMES, DDS 240 Saint Paul St Ste 206 Denver, CO 80206 (303)333-1844 ROTOLO,GARY,DDS Comfort Dental East Colfax 5200 E Colfax Ave Denver, CO 80220 (303)377-3876 ROTWEIN, PAMELA, DDS Pamela Rotwein DDS 155 Cook St Ste 221 Denver, CO 80206 (303) 377-0699 ROWAN, MATTHEW, DDS Comfort Dental South Denver 3488 S Willow St Denver, CO 80231 (303)338-8181 SADDLER,GARY,DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303) 455-2273 SADLER, NORRIS, DDS DMD 3025 W 38th Ave Denver, CO 80211 (303) 458-7051 SAKAMAKI, CARL, DDS 2480 W 26th Ave Ste 320E Denver, CO 80211 (303)477-4075 SANCHEZ, PORFORIO, DDS South Federal Dental Group PC 2345 S Federal Blvd Ste 165 Denver, CO 80219 (303)934-0232 SANDERSON, STUART, DDS 5220 W Evans Ave Denver, CO 80227 (303)989-1970 SANKARANARAYANAN, SRIVALLI Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303) 937-7511 SANKARANARAYANAN, SRIVALLI, DDS Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 SCHNEIDER, DEBRA, DDS 695 S Colorado Blvd Ste 320 Denver, CO 80246 (303)996-2963 SCHWAB, MICHAEL, DDS DMD Cherry Hills Dntl Associates PC 4800 Happy Canyon Rd Ste 140 Denver, CO 80237 (303)757-8446 SCHWARTZ, MARC, DDS 965 S Colorado Blvd Ste 101 Denver, CO 80246 (303)698-0476 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 17 Denver Delta Dental PPO Denver Colorado Colorado COLORADO (CONT-D) SCHWARTZENBERGER, DANIELLE 1540 S Holly St Unit 2 Denver, CO 80222 (303) 757-5885 SCHWERDT,JANNE,DDS 240 Saint Paul St Ste 206 Denver, CO 80206 (303)333-1844 SEYMOUR, BRITTANY, DDS Lodo'Dental PC 1435 Wazee St Ste 102 Denver, CO 80202 (303)623-5636 SNIEGOWSKI, THOMAS, DDS 7475 Dakin St Ste 309 Denver, CO 80221 (303)429-2727 SPEER, JENNIFER, DDS DMD Comfort Dental South Denver 3488 S Willow St Denver, CO 80231 (303)338-8181 STODDARD, DENNIS, DDS Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303)937-7511 Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 SVOBODA, BRIAN, DDS Glendale Dental Group PC 4521 E Virginia Ave Denver, CO 80246 (303)388-5501 SWAIN, THOMAS, DDS 4th Avenue Family Dentistry LLC 390 University Blvd Denver, CO 80206 (303) 333-0771 TAPPAN,MAJOR,DDS Dental Access Centers 3216 High St Denver, CO 80205 (303) 996-4811 TARGOS, NED, DDS Perfect Teeth Speer PC 700 E Speer Blvd Denver, CO 80203 (303)733-1010 TERADA, JENNIFER, DDS 825 E 18th Ave Denver, CO 80218 (303)839-1356 THAI, MINH, DDS Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 THERIOT, ROY, DDS Affordable Dental Care 677 S Federal Blvd Denver, CO 80219 (303)936-6188 TIAO, KATIE Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 TRAN,HUNG,DDS 1013 S Federal Blvd Denver, CO 80219 (303)935-0496 TSUMURA, KURT, DDS Midtown Dental 1800 Vine St Denver, CO 80206 (303) 377-2345 UNRATH, ROBERT, DDS DMD Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303) 455-2273 VAIRIN, CHRISTOPHER, DDS 325 S Teller Saint Ste 280 Denver, CO 80226 (303)989-4444 VALUCK,PAUL,DDS 6825 E Tennessee Ave Ste 515 Denver, CO 80224 (303) 331-1650 VENUTO, NICK, DDS Perfect Teeth Central Denver 1633 Fillmore St Ste 200 Denver, CO 80206 (303) 377-4747 Perfect Teeth Green Valley Ranch 18607 Green Valley Ranch Blvd Unit 104 Denver, CO 80249 (303)576-6884 VIGIL, GILBERT, DDS PC 3190 W 34th Ave Denver, CO 80211 (303) 458-3838 VILNER, LEON, DDS Accord Dental Prof LLC 2121 S Oneida St Ste 321 Denver, CO 80224 (303) 796-8767 WACHUTA, TIMOTHY, DDS 2709 S Colorado Blvd Denver, CO 80222 (303)756-2770 WELCH, CHAD, DDS SE Denver Dental Associates PC 2660 S Monaco Pkwy Ste A Denver, CO 80222 (303)757-7175 WHERLEY, DANIEL, DDS 3865 Cherry Creek North Dr Ste 300 Denver, CO 80209 (303)388-5599 WHITE, KELLY, DDS PC Auraria Dental Centre 1050 W Colfax Ave Ste G Denver, CO 80204 (303)573-5533 WILK, STEVEN, DDS PC Artistic and Family Dental Center 3540 S Poplar St Ste 301 Denver, CO 80237 (303)758-2980 WILLIAMSON, CHADWICK, DDS Primary Dentistry For Children 5801 W 44th Ave Unit C Denver, CO 80212 (303) 433-1239 YAHNIAN, LAWRENCE, DDS Dental Health at 16th Street Mal 1600 Stout St Ste 600 Denver, CO 80202 (303)592-1133 YOUNG, MATTHEW Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 ORALSURGEON BOTTENBLEY, CECIL, DDS MD DMD 1776 Lincoln St Ste 820 Denver, CO 80203 (303)839-5639 HARPER,CLAYTON,DDS Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303) 321-1181 MCMUNN, WILLIAM, DDS MD Perfect Teeth Monaco and Evans PC 2223 S Monaco Pkwy Unit F Denver, CO 80222 (303) 639-3279 Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303) 988-3319 MCMUNN, WILLIAM, DDS MD DMD Colorado Dental Health Care Spec 5031 S Ulster St Ste 100 Denver, CO 80237 (303)779-8587 MITZ, RICHARD, DDS Colorado Oral Surgery Center 965 S Colorado Blvd Ste 205 Denver, CO 80246 (303)744-1369 SEDHOM, ASHRAF, DDS MD DMD Santa Fe Oral Surgery Center 2210 S Federal Blvd Unit 1 Denver, CO 80219 (303)936-5922 SIPARSKY, MARTIN, DDS DMD 155 Cook St Ste 241 Denver, CO 80206 (303)321-3720 STEARNS, JEFFREY, DDS MD DMD PC 7475 Dakin St Ste 643 Denver, CO 80221 (303) 429-4800 STEH, DENNIS, DDS Oral and Maxillofacial Surgery 7475 Dakin St Ste 643 Denver, CO 80221 (303) 429-4800 WAGGONER, CLYDEE, DDS DMD Cherry Creek Oral Max Surg PC 3955 E Exposition Ave Ste 520 Denver, CO 80209 (303)777-1603 ORTHODONTIST BARDS, LIA, DDS Orthodontics In The Highlands 3538 W 44th Ave Denver, CO 80211 (303)433-7500 BELLON, MICHAEL, DDS MS 7200 E Hampden Ave Ste 203 Denver, CO 80224 (303) 692-9610 BENSON, GARY, DDS 3200 Cherry Creek South Dr Ste 420 Denver, CO 80209 (303)722-1202 FRANZ,KAREN,DDS Stapleton Orthodontics PC 2373 Central Park Blvd Unit 302 Denver, CO 80238 (303)316-7846 Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303)321-1181 HORNER, CRAIG, DDS DC Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 IDICULLA, ANIL, DDS DMD Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303) 321-1181 IDICULLA, ANIL, DMD Metropolitan Orthodontics 1400 Glenarm PI Rm 200 Denver, CO 80202 (303) 534-2626 LEVIN, JOANNA, DDS Levin Orthodontics 125 Rampart Way Ste 301 Denver, CO 80230 (303) 366-9090 MILLER, BILLIE (BILL), DDS 2200 S Federal Blvd Denver, CO 80219 (303)935-0815 MOORE, THEODORE, DDS Perfect Teeth Monaco and Evans PC 2223 S Monaco Pkwy Unit F Denver, CO 80222 (303)639-3279 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. uena uentai memuei w-paivao a - Dentists ,ra•„,y Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 18 s �J • • Denver Colorado COLORADO (CONT-D) NAZAROV, ANDREY, DDS DMD Allegro Orthodontics 9450 E Mississippi Ave Unit A Denver, CO 80247 (303)751-0031 OWENS, JUSTIN, DDS 965 S Colorado Blvd Ste 102 Denver, CO 80246 (303)744-1701 ROCKE, PAUL, DDS 1050 W Colfax Ave Ste G Denver, CO 80204 (303)573-5533 ROTH, JUSTIN, DDS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 RUDMAN, ROBERT, DDS Advanced Orthodontic Care 155 Cook St Ste 451 Denver, CO 80206 (303) 331-0222 SIERSMA, G (GEORGE), DDS 121 S Madison St Ste A Denver, CO 80209 (303)388-6489 SLOSS, ERIN, DDS Sloss Orthodontics PC 7150 E Hampden Ave Ste 202 Denver, CO 80224 (303)757-3307 UNTERSEHER,RONALD Unterseher Orthodontics 1141 18th St Denver, CO 80202 (303)466-1955 WILKERSON, DAMON, DDS Clear Choice Orthodontics 2617 E 3rd Ave Denver, CO 80206 (303) 225-0525 ZINKANN, KARLA 2345 S Federal Blvd Denver, CO 80219 (303)934-0232 ZINKANN, KARLA, DDS 2121 S Downing St Denver, CO 80210 (303)733-8885 PEDODONT/ST ELLIS, RANDALL Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 FLANDER, JAYME, DDS Perfect Teeth Monaco and Evans PC 2223 S Monaco Pkwy Unit F Denver, CO 80222 (303) 639-3279 Delta Dental PPO Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303) 988-3319 HAYUTIN, DAVID, DDS LLC Cherry Creek Pediatric Dntstry 5055 E Kentucky Ave Denver, CO 80246 (303) 757-8844 IBRAHIM, ALFAIYAZ, DDS Stapleton Childrens Dentistry 2373 Central Park Blvd Unit 305 Denver, CO 80238 (303)399-5437 NGUYEN, ANDREW, DDS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 SIERK, JONATHAN, DDS Perfect Teeth Monaco and Evans PC 2223 S Monaco Pkwy Unit F Denver, CO 80222 (303) 639-3279 Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303) 988-3319 VEAN, ALLEN, DDS DMD 965 S Colorado Blvd Ste 105 Denver, CO 80246 (303) 722-2929 VUONG, JULIE, DDS A Wild Smile PC 2975 Roslyn St Unit 160 Denver, CO 80238 (720)945-1234 WITKOFF, JESSE, DDS A Wild Smile PC 2975 Roslyn St Unit 160 Denver, CO 80238 (720) 945-1234 PERIODONTIST BRIDGEWATER, MARTHA, Capitol Hill Dental Grop 975 Lincoln St Unit 203 Denver, CO 80203 (303) 991-4455 BUCKSTEIN, JAN, DDS PC 1660 S Albion St Ste 718 Denver, CO 80222 (303) 757-7759 CHAPMAN, THOMAS, DDS 2660 S Monaco Pkwy Denver, CO 80222 (303) 683-1144 Colorado Dental Health Care Spec 5031 S Ulster St Ste 100 Denver, CO 80237 (303)779-8587 KUHAR,KENNETH Stephen M Winber DDS 1660 S Albion St Ste 1008 Denver, CO 80222 (303) 691-0267 LUBOW, RICHARD, DDS DMD Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 LUBOW, RICHARD, DMD Bright Now Dental 1955 Arapahoe St Ste A Denver, CO 80202 (303)296-0888 NEUGEBOREN, NEIL, DDS Professional Periodontics Implan 10200 E Girard Ave Ste A209 Denver, CO 80231 (303)695-0990 POMERANZ, ALAN, DDS DMD Professional Periodontics Implan 10200 E Girard Ave Ste A209 Denver, CO 80231 (303) 695-0990 REISSNER, MARC, DDS Professional Periodontics Implan 10200 E Girard Ave Ste A209 Denver, CO 80231 (303)695-0990 RICHARDSON, HEATHER, DDS DMD Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 DILLON GENERAL DENTIST DDS FRANCIS, LAUREN Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970) 468-5995 DALE, ERIC, DDS 155 Cook St Ste 211 Denver, CO 80206 (303)377-9102 GOMEZ, LUIS, DDS DMD Colorado Dental Health Care Spec 1600 Stout St Ste 600 Denver, CO 80202 (303) 592-1133 GOFF, SABRINA Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 Box 5868 Dillon, CO 80435 (970)468-5995 JUNGMAN,GREGORY Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 Box 5868 Dillon, CO 80435 (970) 468-5995 PO Englewood Colorado DIVIDE GENERAL DENTIST PEAK VISTA COMMUNITY HEA Peak Vista Community Health Cent 34 Hybrook Rd S Divide, CO 80814 (719) 687-4460 DOVE CREEK GENERAL DENTIST DOLORES COUNTY HEALTH AS CHC 495 W 4th St Dove Creek, CO 81324 (970)677-3644 DURANGO GENERAL DENTIST JAKUBANIS, TERRENCE, DDS 2277 W 2nd Ave Durango, CO 81301 (970)247-8228 VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services 1800 E 3rd Ave Ste 109 Durango, CO 81301 (970)385-5930 WILSON, RICHARD, DDS 102 1/2 W 18th St Durango, CO 81301 (970) 247-5565 ENGLEWOOD GENERAL DENTIST BAKER, JAMES, DDS 3601 S Clarkson St Ste 220 Englewood, CO 80113 (303)781-3106 BANCROFT, JOANNE, DDS River Point Dent Group and Ortho LLP 3960 River Point Pkwy Unit A Englewood, CO 80110 (303) 781-2340 BARES, SCOTT, DDS 125 Inverness Dr E Ste 310 Englewood, CO 80112 (303)768-8977 BROWN, JAMES, DDS Comfort Dental Englewood 2780 S Broadway Englewood, CO 80113 PO (303) 783-0100 VONDRA, ANTHONY Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970) 468-5995 CALETTI, GARY, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 COWEN, NEIL, DDS 3535 S Lafayette St Ste 108 Englewood, CO 80113 (303)761-8688 uena uentai member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 19 Englewood Delta Dental PPO Fort Collins Colorado Colorado COLORADO (CONT'D) DORSEY, RONALD, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 HARTLE, SHEILA, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 HAYES, PAUL, DDS 3601 S Clarkson St Ste 410 Englewood, CO 80113 (303) 781-2811 HIRSCHMAN, WADE, DDS River Point Dent Group and Ortho LLP 3960 River Point Pkwy Unit A Englewood, CO 80110 (303)781-2340 NASSIMBENE, RAYMOND, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 NESSEL, LARRY, DDS Comfort Dental Englewood 2780 S Broadway Englewood, CO 80113 (303)783-0100 NICOLETTE, JOHN, DDS 3510 S Marion St Englewood, CO 80113 (303)789-3455 NORRIS, GARTH, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 ONEILL, BRADFORD, DDS River Point Dent Group and Ortho LLP 3960 River Point Pkwy Unit A Englewood, CO 80110 (303)781-2340 RAETHER, GAIL, DDS River Point Dent Group and Ortho LLP 3960 River Point Pkwy Unit A Englewood, CO 80110 (303) 781-2340 RAY, JASON, DDS PC Dentistry at Meridian Center 12624 Washington Ln Unit 102 Englewood, CO 80112 (303)768-8137 REBBER, DAVID, DDS Comfort Dental Englewood 2780 S Broadway Englewood, CO 80113 (303) 783-0100 REDFEARN,RYAN,DDS Legacy Dental Group PC 3601 S Clarkson St Ste 200 Englewood, CO 80113 (303) 762-8046 REED, THOMAS, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 RODGERS, CHARLES, DDS River Point Dent Group and Ortho LLP 3960 River Point Pkwy Unit A Englewood, CO 80110 (303) 781-2340 SCHNEIDER, WALTER, DDS Avalon Dental 5039 S Federal Blvd Ste 8 Englewood, CO 80110 (303) 798-4377 SIEVERS, JOHN, DDS PC 7901 E Belleview Ave Ste 260 Englewood, CO 80111 (303) 771-7907 WEYMAN, PAUL, DDS 3601 S Clarkson St Ste 310 Englewood, CO 80113 (303) 762-8048 WILLIS, LAWRENCE 3012 S Broadway Englewood, CO 80113 (303)789-1655 ZENON,JOSHUA,DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 ORTHODONTIST DURAN, JACK, DDS MS Orthodontics Exclusively LLC 3601 S Clarkson St Ste 430 Englewood, CO 80113 (303) 789-9257 MCMANAMAN, RICHARD, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303) 744-5000 PERIODONTIST JANKOWSKI, MARK, DDS 3601 S Clarkson St Ste 330 Englewood, CO 80113 (303)762-0621 ERIE GENERAL DENTIST COPE, THOMAS, DDS Cope Family Dental at Erie Commo 71 Leon Wud Pkwy Ste 101 Erie, CO 80516 (303) 828-0883 JUSTUS, JOHN, DDS Vista Ridge Dental Care 3140 Village Vista Dr Unit 108 Erie, CO 80516 (303)604-0034 LARSON, CRAIG, DDS Vista Ridge Dental Care 3140 Village Vista Dr Unit 108 Erie, CO 80516 (303)604-0034 STEVENS, STERLING, DDS 77 Erie Village Sq Unit 200 Erie, CO 80516 (303)828-5430 ORTHODONTIST CARAWAY, DAMEN Caraway Orthodontics PC 71 Leon A Wurl Pkwy Ste 103 Erie, CO 80516 (303) 665-7333 ESTES PARK ORALSURGEON PETERSON, GREGG, MD Facial Dimensions PC 1271 Range View Rd Estes Park, CO 80517 (308)384-1172 EVERGREEN GENERAL DENTIST DEAL, THOMAS, DDS 1202 Bergen Pkwy Ste 207 Evergreen, CO 80439 (303) 674-6152 ORTHODONTIST PAPIR, DORI, DDS DMD Evergreen Orthodontics LLC 30752 Southview Dr Ste 200 Evergreen, CO 80439 (303) 679-6111 WILLIAMS, BRYAN, DDS MD Williams Orthodontics PLLC 32156 Castle Ct Ste 207 Evergreen, CO 80439 (303)670-5878 FEDERAL HEIGHTS GENERAL DENTIST KELLOW, HIBA, DDS Westminster Comfort Dental 9462 Federal Blvd Federal Heights, CO 80260 (303)427-2722 KESSLER,MARK,DDS Advanced Dental Center 1557 W 84th Ave Federal Heights, CO 80260 (303)426-0330 MCKINLEY, BROCK, DDS Westminster Comfort Dental 9462 Federal Blvd Federal Heights, CO 80260 (303) 427-2722 STELLA, HELEN, DDS DMD Westminster Comfort Dental 9462 Federal Blvd Federal Heights, CO 80260 (303)427-2722 WINNICKI, JEFFREY, DDS Alan Wong DDS PC 1851 W 84th Ave Federal Heights, CO 80260 (303)429-6411 WONG, ALAN, DDS 1851 W 84th Ave Federal Heights, CO 80260 (303) 429-6411 YEATS, DAVID, DDS DMD Westminster Comfort Dental 9462 Federal Blvd Federal Heights, CO 80260 (303) 427-2722 ORAL SURGEON TRAMMELL, GERALD, DDS 9462 Federal Blvd Federal Heights, CO 80260 (303)865-7550 FIRESTONE GENERAL DENTIST HOWELL, BRUCE, DDS DMD Firestone Dental Care and Orthodon 6160 Firestone Blvd Unit 105 Firestone, CO 80504 (303)532-3371 SHEPHERD,RENEE,DDS Firestone Dental Care and Orthodon 6160 Firestone Blvd Unit 105 Firestone, CO 80504 (303)532-3371 FLORENCE GENERAL DENTIST MITCHELL, WILLIAM, DDS David L Smith DMD PC 100 S Pikes Peak Ave Florence, CO 81226 (719)784-3935 SMITH, DAVID, DDS 100 S Pikes Peak Ave Florence, CO 81226 (719)784-3935 FORT COLLINS GENERAL DENTIST BARES, SCOTT, DDS Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 BURNHAM, ARLIE, DDS Peak Family Dental 2021 Battlecreek Dr Unit C Fort Collins, CO 80528 (970)229-0099 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. ueiia uemai rnemuc, w Na �� I'll I Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 20 Fort Collins Delta Dental PPO Fountain • Colorado Colorado COLORADO (CONT-D) CARLESIMO, PETER, DDS Perfect Teeth S Ft Collins PC 1355 Riverside Ave Ste D Fort Collins, CO 80524 (970)493-0999 CLARK, BRUCE, DDS 2550 Stover St Unit E Fort Collins, CO 80525 (970) 498-8607 FEINBERG, JOEL, DDS Perfect Teeth S Ft Collins PC 1355 Riverside Ave Ste D Fort Collins, CO 80524 (970) 493-0999 FISCHER, JAMES, DDS 1331 E Prospect Rd Unit 132E Fort Collins, CO 80525 (970) 482-6333 FOSTER, CORY, DDS 373 W Drake Rd Ste 6 Fort Collins, CO 80526 (970) 223-5258 GALYARDT, WESLEY, DDS Bighorn Family Dental LLC 2105 Bighorn Rd Ste 200 Fort Collins, CO 80525 (970)226-5400 GREEN, LEON, DDS Boardwalk Dental Care LLC 140 Boardwalk Dr Unit G Fort Collins, CO 80525 (970) 407-8080 GREEN, ZACHERY, DDS Boardwalk Dental Care LLC 140 Boardwalk Dr Unit G Fort Collins, CO 80525 (970) 407-8080 GUIDO, JOSEPH Kidz Place 383 W Drake Rd Ste 103 Fort Collins, CO 80526 (970) 377-2500 HARRISON, PATRICK, DDS Bighorn Family Dental 2105 Bighorn Rd Ste 200 Fort Collins, CO 80525 (970)226-5400 HARVEY, THOMAS, DDS 1040 E Elizabeth St Ste 202 Fort Collins, CO 80524 (970) 224-4093 HASCHKE, DOUGLAS, DDS Comfort Dental Fort Collins 934 S Lemay Ave Fort Collins, CO 80524 (970) 498-8300 JOHNSON, LESLIE, DDS 1027 Robertson St Fort Collins, CO 80524 (970) 493-4313 KRAMER, JEFFREY, DDS 1424 E Horsetooth Rd Ste 4 Fort Collins, CO 80525 (970) 223-2886 LINDMAN, MIKAL, DDS Comfort Dental Fort Collins 934 S Lemay Ave Fort Collins, CO 80524 (970) 498-8300 MANGLE, JAMES, DDS 1033 Robertson St Fort Collins, CO 80524 (970) 482-4242 MCDILL, MICHAEL, DDS Alpine Dental Health 718 S College Ave Fort Collins, CO 80524 (970) 484-5297 MILNOR, LAURA, DDS Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970) 498-8706 MODROWSKI, BRIAN, DDS Peak Family Dental 2021 Battlecreek Dr Unit C Fort Collins, CO 80528 (970) 229-0099 MULHERAN, THOMAS, DDS Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970) 498-8706 MURPHY, CIARAN, DDS Harbor Dental 2608 S Timberline Rd Unit 110 Fort Collins, CO 80525 (970) 377-2456 MURPHY, MICHAEL, DDS Murphy Dental 608 E Harmony Rd Ste 301, Fort Collins, CO 80525 (970) 225-8081 SORENSEN, KATERINA, DDS Comfort Dental Fort Collins 934 S Lemay Ave Fort Collins, CO 80524 (970) 498-8300 TABOR, CARL, DDS DMD Perfect Teeth S Ft Collins PC 1355 Riverside Ave Ste D Fort Collins, CO 80524 (970) 493-0999 TRIPAM, ALOIS, DDS Comfort Dental Fort Collins 934 S Lemay Ave Fort Collins, CO 80524 (970) 498-8300 WUERKER, RICHARD, DDS Boardwalk Dental Care LLC 140 Boardwalk Dr Unit G Fort Collins, CO 80525 (970)407-8080 ORAL SURGEON COLM, STEPHEN, DDS DMD Perfect Teeth S Ft Collins PC 1355 Riverside Ave Ste D Fort Collins, CO 80524 (970) 493-0999 COLM,STEPHEN,DMD Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 MADLOCK, PAUL, DDS MD Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 PETERSON, GREGG, DDS MD Facial Dimensions PC 4014 S Lemay Ave Unit 32 Fort Collins, CO 80525 (970)225-8152 ORTHODONTIST IDICULLA, ANIL, DDS DMD Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 IVERSEN, WILLIAM, DDS MS 1103 S Shields St Fort Collins, CO 80521 (970)484-3214 LAMB, ROBERT, DDS Big Easy Orthodontics LLC 730 Whalers Way Ste 200 Fort Collins, CO 80525 (970)226-5505 MILNOR, LAURA, DDS MS Milnor Orthodontics 1103 S Shields St Fort Collins, CO 80521 (970)484-3214 PEDODONTIST HARGLEROAD, JENNIFER, DDS 2105 Bighorn Rd Ste 202 Fort Collins, CO 80525 (970) 493-2254 OBERMANN, WILLIAM, DDS Tooth Zone LLC 1220 Oak Park Dr Fort Collins, CO 80525 (970) 223-8687 PAULY,ALBERT,DDS 1513 Riverside Ave Fort Collins, CO 80524 (970) 484-4255 RUSNAK,MARYKATE Tooth Zone LLC 1220 Oak Park Dr Fort Collins, CO 80525 (970) 223-8687 PERIODONTIST GURINSKY, BRIAN, DDS Bright Now Dental . 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 JOHNSON, DAVID, DDS MS Periodontal Associates 1120 E Elizabeth St Ste G4 Fort Collins, CO 80524 (970) 221-5050 LINDEBERG, RICHARD, DDS Periodontal Associates 1120 E Elizabeth St Ste G4 Fort Collins, CO 80524 (970) 221-5050 LUBOW, RICHARD, DDS DMD Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 MERRITT, JENNIFER, DDS Periodontal Associates 1120 E Elizabeth St Ste G4 Fort Collins, CO 80524 (970)221-5050 ROSENZWEIG, TODD, DDS Alpine Dental Health 718 S College Ave Fort Collins, CO 80524 (970)484-5297 FORTMORGAN GENERAL DENTIST RINALDI, TODD 231 Prospect St Ste C Fort Morgan, CO 80701 (970)867-1055 WEBSTER, KELVIN, DDS 314 W Bijou Ave Fort Morgan, CO 80701 (970)867-2288 FOUNTAIN ENDODONTIST CORR,ROBERT Just For Grins 6436 S US Highway 85-87 Ste C Fountain, CO 80817 (719)392-5111 GENERAL DENTIST HAMIDI, MARIAM, DDS DMD 6908 Mesa Ridge Pkwy Fountain, CO 80817 (719) 392-1506 HILL, DOXIADES, DDS New Beginnings Dental Center 320 S Santa Fe Ave Fountain, CO 80817 (719)392-1506 HILL, JONATHAN, DDS 6908 Mesa Ridge Pkwy Fountain, CO 80817 (719)392-1506 MEDIAVILLA, ERIC, DDS Just For Grins 6436 S US Highway 85-87 Ste C Fountain, CO 80817 (719)392-5111 NEEL, JANET, DDS Just For Grins 6436 S US Highway 85-87 Ste C Fountain, CO 80817 (719)392-5111 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 21 Fountain Delta Dental PPO Greeley Colorado Colorado COLORADO (CONT-D) NOBLE, GLENN, DDS Fountain Dental Center PC 8085 Fountain Mesa Rd Ste A Fountain, CO 80817 (719)382-5500 PFISTER, CANDACE, DDS DMD Widefield Dental Group PC 6980 Mesa Ridge Pkwy Fountain, CO 80817 (719) 392-4231 RANTA, GEORGE, DDS PC Widefield Dental Group PC 6980 Mesa Ridge Pkwy Fountain, CO 80817 (719) 392-4231 RANTA, JEFFREY, DDS DMD Widefield Dental Group PC 6980 Mesa Ridge Pkwy Fountain, CO 80817 (719) 392-4231 REPOSA, RYAN, DDS DMD Widefield Dental Group PC 6980 Mesa Ridge Pkwy Fountain, CO 80817 (719) 392-4231 FRANKTOWN GENERAL DENTIST WILLIAMS, MITCHELL Burning Tree Family Dentistry 7601 Burning Tree Dr Franktown, CO 80116 (303) 688-2515 FREDERICK GENERAL DENTIST SHULZE, RICHARD, DDS DMD Carbon Valley Dental Care 630 Main St Unit B Frederick, CO 80530 (303)833-5500 GEORGETOWN GENERAL DENTIST LOSACCO, THOMAS, DDS 801 6th St Georgetown, CO 80444 (303) 569-3141 GLENWOOD SPRINGS GENERAL DENTIST BEAL, CHRISTOPHER, DDS James C Setterberg DDS PC 401 23rd St Ste 202 Glenwood Springs, CO 81601 (970)945-8753 PANTLEO,PAUL,DDS Glenwood Meadows Dental 40 Market St Unit A Glenwood Springs, CO 81601 (970)947-1717 SHEA, MICHAEL, DDS DMD Comfort Dental Glenwood Springs 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970) 947-1273 SORENSEN, THOMAS, DDS Comfort Dental Glenwood Springs 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970)947-1273 TALLEY, BRIAN, DMD Comfort Dental Glenwood Springs 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970)947-1273 THORNAL, BENJAMIN, DDS Comfort Dental Glenwood Springs 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970) 947-1273 ORTHODONTIST BAHR, CARL, DDS Embraceable LLC 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970)947-1273 BAHR, CRAIG, DDS Embraceable LLC 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970)947-1273 SAYDYK,THEODORE Embraceable LLC 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970)947-1273 STASI, MARK, DDS Embraceable LLC 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970) 947-1273 GOLDEN GENERAL DENTIST BEACOM, DAVID, DDS 1218 Arapahoe St Golden, CO 80401 (303) 277-9600 BURCHFIELD, JOHN, DDS PC J R Burchfield DDS PC 2007 Jackson St Golden, CO 80401 (303) 279-3992 CHERNOFF,KENNETH,DDS ' Timothy J Wachuta 2305 Jackson St Golden, CO 80401 (303)278-2800 COLLEDGE,HEATH,DDS Comfort Dental Golden 17531 S Golden Rd Golden, CO 80401 (303) 278-6953 GILL, NANCY, DDS 1218 Arapahoe St Golden, CO 80401 (303)279-5420 GOAD, RICHARD, DDS DMD 1317 Washington Ave Golden, CO 80401 (303) 279-4224 MILLER, MICHAEL, DDS Golden View Dental PC 727 Simms St Ste E Golden, CO 80401 (303)232-3636 MORRISON, ERIC, DDS DMD Comfort Dental Golden 17531 S Golden Rd Golden, CO 80401 (303) 278-6953 NOAH, JASON, DMD Comfort Dental Golden 17531 S Golden Rd Golden, CO 80401 (303)278-6953 PORZIO-DILIZIA, PAULETTE, DDS DMD Comfort Dental Golden 17531 S Golden Rd Golden, CO 80401 (303) 278-6953 POWELL, DAVID, DDS MD Perfect Teeth Golden PC 17211 S Golden Rd Ste 100 Golden, CO 80401 (303)279-7444 UNGER WATERS, JENNIFER, DDS 1607 Washington Ave Golden, CO 80401 (303) 279-6621 WACHUTA, TIMOTHY, DDS 2305 Jackson St Golden, CO 80401 (303) 278-2800 YOUNG, RICHARD, DDS 2007 Jackson St Golden, CO 80401 (303)279-5741 PEDODONTIST LOVELL, ERIN, DDS Golden Kids PC 600 12th St Golden, CO 80401 (303)216-1108 GRAND JUNCTION GENERAL DENTIST BLACK, TYSON, DDS DMD Comfort Dental Grand Junction 2650 North Ave Unit 101 Grand Junction, CO 81501 (970)255-1222 BRADLEY, JAMES, DDS Comfort Dental Grand Junction 2650 North Ave Unit 101 Grand Junction, CO 81501 (970) 255-1222 BRYNER,MATTHEW,DDS Skyline Dental 2795 Skyline Ct Grand Junction, CO 81506 (970)242-3545 CLIFTON, BRETT, DDS Grand Dental PC 1035 Grand Ave Grand Junction, CO 81501 (970)243-8580 HUNTER, GREGORY Monument Oral and Facial Surg PC 607 25 Rd Ste 100 Grand Junction, CO 81505 (970)424-5014 JACOBSON, DAVID, DDS 2525 N 8th St Ste 107 Grand Junction, CO 81501 (970)257-7474 KUNSTADTER,KARL,DDS Skyline Dental 2795 Skyline Ct Grand Junction, CO 81506 (970)242-3545 LATTEIER, PHILIP, DDS 790 Wellington Ave Ste 206 Grand Junction, CO 81501 (970)243-9292 MARILLAC DENTAL CLINIC CHC 2333 N 6th St Grand Junction, CO 81501 (970) 255-1799 SORENSEN, THOMAS, DDS Comfort Dental Grand Junction 2650 North Ave Unit 101 Grand Junction, CO 81501 (970)255-1222 STODDARD, SCOTT, DDS Comfort Dental Grand Junction 2650 North Ave Unit 101 Grand Junction, CO 81501 (970)255-1222 VAN DUSEN, SCOTTY, DDS 1301 N 7th St Unit B Grand Junction, CO 81501 (970)255-7070 ORTHODONTIST BAHR, CRAIG Embraceable LLC 2650 North Ave Unit 101 Grand Junction, CO 81501 (970) 241-7162 PEDODONTIST BULL, JOHN, DDS 2119 N 7th St Grand Junction, CO 81501 (970)243-2855 GREELEY ENDODONTIST FUNDERBURK, DAVID, DDS 3400 W 16th St Bldg 7 Greeley, CO 80634 (970)356-8650 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. ueua uentai member companies anu ray—IP-111y Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 22 C1 Greeley Colorado COLORADO (CONT-D) LOWRY, SCOTT, DDS 4669 W 20th Street Rd Ste B Greeley, CO 80634 (970)330-2161 GENERAL DENTIST ALTATARI, RABI, DDS Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 BRADLEY,KATHLEEN,DDS Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 BRATULESCU, PATRICIA, DDS Perfect Teeth Greeley PC 902 14th St Greeley, CO 80631 (970)392-0152 BROWN, STEPHEN, DDS Adc Oral Health Care Providers 3400 W 16th St Ste S Greeley, CO 80634 (970)356-8118 CHOE, CHIYON, DDS Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 CONNOLLY, MARY Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970) 395-1000 DASILVA, RICARDO Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 DOWLATI, JINA, DDS Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 FEINBERG, JOEL, DDS Perfect Teeth Greeley PC 902 14th St Greeley, CO 80631 (970)392-0152 GILLESPIE, ANDRE Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 GOMEZ, JOSE, DDS J Angel Gomez Dental Center LLC 1122 9th St Ste 103 Greeley, CO 80631 (970)353-2340 GOSSENAUER, MARTIN Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970) 395-1000 Delta Dental PPO HAMBLIN, ROBERT Colo Dhca Low Income Dental 1600 23rd Ave Ste 200 Greeley, CO 80634 (970) 353-4329 HARMON, KATHERINE, DDS Adventure Dental of Greeley 3485 W 10th St Ste C Greeley, CO 80634 (970) 353-4746 HATCH,RANDY,DDS Colo Dhca Low Income Dental 1600 23rd Ave Ste 200 Greeley, CO 80634 (970) 353-4329 JAMISON, NICHOLAS, DDS 4669 W 20th Street Rd Ste A Greeley, CO 80634 (970)506-1122 JOHNSON, CHARLES, DDS Colo Dhca Low Income Dental 1600 23rd Ave Ste 200 Greeley, CO 80634 (970) 353-4329 JORGENSEN, AMY, DDS Adventure Dental of Greeley 3485 W 10th St Ste C Greeley, CO 80634 (970) 353-4746 KINKADE, JAMES, DDS Kinkade and Kinkade DDS PC 2525 W 16th St Ste A Greeley, CO 80634 (970)352-2344 KONDRATENKO, ANDREY, DDS Comfort Dental Greeley 3766 W 10th St Ste A Greeley, CO 80634 (970) 304-1273 LOEWEN,REBECCA Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 LOGELIN, MICHAEL Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970) 395-1000 MONTANEZ, MARIO, DDS Adventure Dental of Greeley 3485 W 10th St Ste C Greeley, CO 80634 (970) 353-4746 MONTANO, MELISSA, DDS Adventure Dental of Greeley 3485 W 10th St Ste C Greeley, CO 80634 (970) 353-4746 MONTANO, RONALD, DDS Adventure Dental of Greeley 3485 W 10th St Ste C Greeley, CO 80634 (970) 353-4746 MUSANJE,LAWRENCE Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970) 395-1000 NGUYEN,QUYNH Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 PERRY,STEPHEN,DDS Dental Health of Greeley PLLC 1600 23rd Ave Ste 200 Greeley, CO 80634 (970) 353-4329 RINALDIS, PATRICK, DDS Comfort Dental Greeley 3766 W 10th St Ste A Greeley, CO 80634 (970)304-1273 STEVENS, COURTNEY, DDS Comfort Dental Greeley 3766 W 10th St Ste A Greeley, CO 80634 (970)304-1273 TIAO, KATIE Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 WALLACE, JOHN Perfect Teeth Greeley PC 902 14th St Greeley, CO 80631 (970)392-0152 YOUNG, MATTHEW Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 PEDODONTIST OBERMANN, WILLIAM Kidz Place 1122 9th St Ste 101 Greeley, CO 80631 (970)353-5203 GREENWOOD VILLAGE GENERAL DENTIST BERRY, KARY, DDS 8000 E Prentice Ave Ste A4 Greenwood Village, CO 80111 (303)759-9487 BERRY, KEVIN, DDS 8000 E Prentice Ave Ste A4 Greenwood Village, CO 80111 (303)759-5652 BODONI, ELENA, DDS 8000 E Prentice Ave Ste B7 Greenwood Village, CO 80111 (303) 781-2107 BODONI, EVA, DDS 8000 E Prentice Ave Ste B7 Greenwood Village, CO 80111 (303) 221-1588 KULJIS, LAWRENCE, DDS 8200 E Belleview Ave Ste 465 Greenwood Village, CO 80111 (303)771-7326 Greenwood Vlg Colorado MILLER, STACEY, DDS 6950 E Belleview Ave Ste 101 Greenwood Village, CO 80111 (303)741-2717 SEGAL, BRIGITTE, DDS 6900 E Belleview Ave Ste 203 Greenwood Village, CO 80111 (303)770-6084 STEEGHS, BRIGITTE, DDS 8000 E Prentice Ave Ste A5 Greenwood Village, CO 80111 (303) 756-0723 ZERVAS, STEVEN, DDS PC Village Dental Care 5670 Greenwood Plaza Blvd Ste 404 Greenwood Village, CO 80111 (303)220-7662 ORAL SURGEON BERMAN, DAVID, DDS MD DMD Mountain View Oral and Max Surgery 8200 E Belleview Ave Ste 515E Greenwood Village, CO 80111 (303)694-1700 BERMAN, MARK, DDS MD Mountain View Oral and Max Surgery 8200 E Belleview Ave Ste 515E Greenwood Village, CO 80111 (303)694-1700 PEDODONTIST SAVAGE,BRYAN,DDS 5972 S Holly St Greenwood Village, CO 80111 (303)422-3746 PERIODONTIST KUHAR,KENNETH Mountain Top Periodontics and Impl 8000 E Prentice Ave Ste D7 Greenwood Village, CO 80111 (303)740-0080 GREENWOOD VLG ENDODONTIST BALTZ,KATHLEEN,DDS Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303)850-7474 JULTAK, JED, DDS Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303)850-7474 MALONEY, SCOTT, DDS DMD Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303)850-7474 MORRISON, ALISON, DMD Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303)850-7474 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists, A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 23 City of Fort Collins 7. What is your firm's financial rating (e.g., Best & Co., S&P)? A.M. Best Rating has rated Delta Dental with a B+ (Very Good). We focus only on dental benefits, so we are able to provide expertise when it comes to cost -savings and dental benefits administration. Our A.M. Best Rating is lower than expected, because it reflects our single line business strategy and our non-profit status. Delta Dental has been, and continues to be, a strong and viable organization with a healthy financial portfolio. Delta Dental will provide audited financial statements upon request. 8. Please describe your credentialing procedures. Delta Dental adheres to the Department of Regulatory Agencies (DORA) requirements to credential a dentist. Prior to being accepted as a provider by Delta Dental, dentists must furnish: o License verification o Date of application received o Practice scope coincident with panel needs o Satisfactory billing pattern history o Satisfactory utilization review o UCR fee level and filed fees • o Need for panel members o Geographic location Delta Dental conducts reviews on an annual and ongoing basis to ensure compliance with credentialing requirements. 9. What type of reimbursement/payment method(s) is used to reimburse participating providers? Please provide a breakdown by method of review. Delta Dental uses proprietary fee schedules for our Premier and PPO networks. These reimbursement levels are developed directly from our participating dentist's filed fees. Fees are collected for each procedure by geographic regions throughout the United States. Fee schedules are reviewed annually to ensure they keep up with current costs and changes in dental treatment patterns. 10. In addition to routine reimbursement and any withholding provisions, can your providers increase the total reimbursement received from your plan, e.g., by provider incentive programs? If so, please explain. No. Delta Dental does offer provider incentive programs. • 7 Greenwood Vlg Delta Dental PPO La Salle Colorado Colorado COLORADO (CONT-D) PANGBORN, CAMERON, DDS Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303) 850-7474 SACHS, ELLEN, DDS Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303)850-7474 SAFER,DONALD,DDS Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Mg, CO 80111 (303)850-7474 GENERAL DENTIST BOTTONE, PAUL, DDS PC 6950 E Belleview Ave Ste 101 Greenwood Vlg, CO 80111 (303)741-2717 BOUDREAUX, GARY, DDS 8480 E Orchard Rd Ste 4300 Greenwood Vlg, CO 80111 (303) 771-1009 JACKSON, STEPHEN, DDS 8200 E Belleview Ave Ste 445 Greenwood Vlg, CO 80111 (303)771-8090 PERIODONTIST TILLISS, STEVEN, DDS MS 8200 E Belleview Ave Ste 450E Greenwood Vlg, CO 80111 (303) 779-6924 Ul0-I 9u GENERAL DENTIST BLOHM, STEVEN, DDS Haxtun Dental Clinic 115 S Colorado Ave Haxtun, CO 80731 (970)774-7999 EDWARDS, WALTER, DMD Northeastern Family Dental Clinic 115 S Colorado Ave Haxtun, CO 80731 (970)774-7999 HIGHLANDS RANCH GENERAL DENTIST AHN,HENRY,DDS Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303) 471-0841 DUNKLEBERGER, ELIZABETH, DDS 9557 S University Blvd Unit 101 Highlands Ranch, CO 80126 (303)470-8484 DYMERSKI, DANIEL, DDS Pettyjohn Family Dentistry PC 66 Springer Dr Ste 304 Highlands Ranch, CO 80129 (303) 791-9141 KISSINGER, MARY, DDS Willow Creek Dental 6660 Timberline Rd Ste 220 Highlands Ranch, CO 80130 (303) 779-2797 LEE, MONIQUE, DDS DMD Rock Canyon Dental Care and Orthod 3996 Red Cedar Dr Highlands Ranch, CO 80126 (303) 470-9696 MACK, ERIC, DDS Precision Dentistry 9461 S University Blvd Highlands Ranch, CO 80126 (303)470-1377 MCNEELY, WILLIAM, DDS Rock Canyon Dental Care and Orthod 3996 Red Cedar Dr Highlands Ranch, CO 80126 (303)470-9696 PETTYJOHN, CATHERINE, DDS Pettyjohn Family Dentistry PC 66 Springer Dr Ste 304 Highlands Ranch, CO 80129 (303)791-9141 SHORT, YOLANDA, DDS DMD Kids First Dental 4185 E Wildcat Reserve Pkwy Ste 300 Highlands Ranch, CO 80126 (303)427-6300 TWISS, TYLER, DDS DMD Twiss Dental PC 4185 E Wildcat Reserve Pkwy Ste 210 Highlands Ranch, CO 80126 (720) 344-4375 ORALSURGEON COLM, STEPHEN, DDS DMD Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303) 471-0841 HARPER,CLAYTON,DDS Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303) 471-0841 MADLOCK, PAUL, DDS DMD Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303)471-0841 ORTHODONTIST BEABER, WILLIAM, DDS DMD Beaber Family Orthodontics 9567 S University Blvd Unit Cl-A Highlands Ranch, CO 80126 (303)694-1711 BUMGARNER, ROGER, DDS 6660 Timberline Rd Ste 260 Highlands Ranch, CO 80130 (303) 688-9617 9358 Dorchester St Ste 106 Highlands Ranch, CO 80129 (303) 688-9617 HAMERSKY, PAUL, DDS Highlands Ranch Ortho Spec 4185 E Wildcat Reserve Pkwy Ste 300 Highlands Ranch, CO 80126 (720)344-2662 HOGGAN,BRENT 9385 S Colorado Blvd Unit 101 Highlands Ranch, CO 80126 (303)730-2083 HOUSEWRIGHT, WADE, DDS Inspire Orthodontics of Colorado 200 W County Line Rd Ste 260 Highlands Ranch, CO 80129 (303)754-0040 IDICULLA, ANIL, DDS DMD Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303) 471-0841 KARLIN, TYLER, DDS Karlin Orthodontics 9305 Dorchester St Ste 103 Highlands Ranch, CO 80129 (303) 470-9488 LINN, BRANDON, DDS Roger L Bumgarner DDS 6660 Timberline Rd Ste 260 Highlands Ranch, CO 80130 (303)688-9617 Roger L Bumgarner DDS 9358 Dorchester St Ste 106 Highlands Ranch, CO 80129 (303) 688-9617 RICHTER, DAVID, DDS Inspire Orthodontics of Colorado 200 W County Line Rd Ste 260 Highlands Ranch, CO 80129 (303)754-0040 PERIODONTIST CHAPMAN, THOMAS, DDS Highlands Ranch Perio and Implt 9090 Ridgeline Blvd Ste 225 Highlands Ranch, CO 80129 (303) 683-1144 GURINSKY, BRIAN, DDS Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303)471-0841 LUBOW, RICHARD, DMD Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303)471-0841 IDAHO SPRINGS GENERAL DENTIST DRESCHER, DAVID Gore Range Dental PLLC 1625 Miner St Idaho Springs, CO 80452 (303) 567-4412 JOHNSTOWN GENERAL DENTIST TIPPETS, JEFFREY, DDS Tippets Dentistry at Johnstown 257 Johnstown Center Dr Unit 108 Johnstown, CO 80534 (970) 587-8085 KREMMLING GENERAL DENTIST COLLINSWORTH, PHILLIP Kremmling Family Dental 107 6th St Kremmling, CO 80459 (970)724-3737 JUNGMAN,GREGORY Kremmling Family Dental 107 6th St Kremmling, CO 80459 (970)724-3737 ROBERTS, DALE, DDS Kremmling Family Dental 107 6th St Kremmling, CO 80459 (970)724-3737 LA JARA GENERAL DENTIST VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services 421 Walnut St La Jara, CO 81140 (719)274-8948 LA JUNTA ORALSURGEON FACY,REBECCA,DDS Oms Associates Colorado PC 1100 Carson Ave La Junta, CO 81050 (719)599-0500 LA SALLE GENERAL DENTIST BENDER, WILLIAM, DDS 202 N 2nd St LaSalle, CO 80645 (970)284-7930 •i Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 24 • • • Lafayette Colorado COLORADO (CONT-D) LAFAYETTE GENERAL DENTIST BOLAK, KIMBERLY, DDS Comfort Dental Lafayette 535 W South Boulder Rd Ste 200 Lafayette, CO 80026 (303)604-2804 EURICH, STEVEN, DDS 1120 W South Boulder Rd Ste 202 Lafayette, CO 80026 (303) 666-4653 FRIEDMAN, MITCHELL, DDS DMD Lafayette Dental Office 511 Crossing Dr Ste 200 Lafayette, CO 80026 (303)664-1001 GOHL, FREDRIC, DDS Comfort Dental Lafayette 535 W South Boulder Rd Ste 200 Lafayette, CO 80026 (303)604-2804 JEBRIL, HANAA, DDS Comfort Dental Lafayette 535 W South Boulder Rd Ste 200 Lafayette, CO 80026 (303)604-2804 TRAN, VIEN, DDS Comfort Dental Lafayette 535 W South Boulder Rd Ste 200 Lafayette, CO 80026 (303)604-2804 WHITE, JAIME 1255 Cimarron Dr Ste 101 Lafayette, CO 80026 (303)665-8024 WINNICKI, JEFFREY, DDS The Dental Shoppe 297 US Highway 287 Ste 104 Lafayette, CO 80026 (303)665-8321 ORTHODONTIST CRAIG, ROBERT, DDS 1120 W South Boulder Rd Ste 201 Lafayette, CO 80026 (303)926-9224 LAKEWOOD ENDODONTIST READER,CHAD,DDS University Dntl Specialists LI 255 Union Blvd Ste 420 Lakewood, CO 80228 (303)914-9727 GENERAL DENTIST ANDREWS, BRANDIE, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303) 431-1221 Delta Dental PPO ANDRUS, PAUL, DDS 2009 Wadsworth Blvd Ste 102 Lakewood, CO 80214 (303) 233-0212 BALL, MELVIN, DDS 10881 W Asbury Ave Ste 210 Lakewood, CO 80227 (303) 989-0452 BARTON, COLIN, DDS Comfort Dental Lakewood 6800 W Alameda Ave Lakewood, CO 80226 (303) 727-9100 BERNARDY, JEFFREY, DDS Comfort Dental Bear Creek 3200 S Wadsworth Blvd Unit E Lakewood, CO 80227 (303) 716-8546 BROTHERTON,NOLAN,DDS DMD Perfect Teeth Green Mtn PC 13035 W Alameda Pkwy Lakewood, CO 80228 (303) 987-0544 BUTLER, BENJAMIN, DDS Comfort Dental Lakewood 6800 W Alameda Ave Lakewood, CO 80226 (303)727-9100 CALDERON-KIDD, JOESOLYN, DMD Comfort Dental Bear Creek 3200 S Wadsworth Blvd Unit E Lakewood, CO 80227 (303)716-8546 CALDWELL, MICHELLE, DDS 3110 S Wadsworth Blvd Ste 302 Lakewood, CO 80227 (303) 988-7800 CHAVEZ, DAVID, DDS 8015 W Alameda Ave Ste 140 Lakewood, CO 80226 (303) 984-0307 CROCKETT, OLEN, DDS 1345 Wadsworth Blvd Lakewood, CO 80214 (303) 238-1209 DILLABAUGH, GARY, DDS DMD 9868 W Girton Dr Lakewood, CO 80227 (303)989-0577 EDLUND, DAVID, DDS Hampden Dental Care 7425 W Hampden Ave Lakewood, CO 80227 (303)988-7410 ESCALA,SAUL,DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303) 431-1221 FERMELIA, CATHERINE, DDS Academy Park Dental Associates LLC 3405 S Yarrow St Unit B Lakewood, CO 80227 (303)987-2121 FLOOD, PATRICK, DDS Comfort Dental Lakewood 6800 W Alameda Ave Lakewood, CO 80226 (303)727-9100 FRITZ, TIFFANY, DDS Bright Now Dental 7611 W Colfax Ave Unit D Lakewood, CO 80214 (303)202-0900 GLUCKSMAN, RICHARD, DDS Alpha Dental Care 7373 W Jefferson Ave Ste 203 Lakewood, CO 80235 (303) 988-1530 GOLD, FRANK, DDS PC 1360 S Wadsworth Blvd Ste 200 Lakewood, CO 80232 (303)988-2738 GRACE, LEANA, DDS 10881 W Asbury Ave Ste 210 Lakewood, CO 80227 (303)989-0452 HANSEN,DANNY,DDS 3333 S Wadsworth Blvd Unit D305 Lakewood, CO 80227 (303) 985-1615 HARMON, FRANK, DDS 2290 Kipling St Lakewood, CO 80215 (303)233-2906 HARVAN, KRISTINA All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303) 431-1221 HASSELBACK, CHRISTOPHER, DDS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4500 JOHNSON, BRUCE, DDS 9868 W Girton Dr Lakewood, CO 80227 (303)989-0577 JOHNSON, ROY, DDS DMD PC 6565 W Jewell Ave Ste to Lakewood, CO 80232 (303)935-3465 JONES, KRISTIN, DDS MSW Perfect Teeth W Jewell PC 8064 W Jewell Ave Unit 100 Lakewood, CO 80232 (303)985-3624 KAWAKAMI, SAM, DDS 14062 Denver West Pkwy Ste 120 Lakewood, CO 80401 (303)279-5050 KERN, JAMES, DDS 10815 W Jewell Ave Ste L Lakewood, CO 80232 (303) 988-6860 KIDS IN NEED OF DENTISTR 13300 W 2nd PI Lakewood, CO 80228 (303)733-3710 Lakewood Colorado KLEIN, MARK, DDS Comfort Dental Lakewood 6800 W Alameda Ave Lakewood, CO 80226 (303) 727-9100 KRANNAWITTER, JEFF, DDS Dr Sam S Kawakami DDS PC 14062 Denver West Pkwy Ste 120 Lakewood, CO 80401 (303)279-5050 LAI, PEARL 8064 W Jewell Ave Unit 100 Lakewood, CO 80232 (303)985-3624 LE HUAN CUA, RICHARD, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303)431-1221 LOPEZ,AVERY,DDS Advanced Family Dental 2598 S Lewis Way Ste 3C Lakewood, CO 80227 (303)987-9109 LOVATO, ELOSIA Comfort Dental Bear Creek 3200 S Wadsworth Blvd Unit E Lakewood, CO 80227 (303)716-8546 LUTSKIY, ALEKSANDR, DMD Perfect Teeth Green Mtn PC 13035 W Alameda Pkwy Lakewood, CO 80228 (303)987-0544 MADLANG,CESAR,DDS Perfect Teeth W Jewell PC 8064 W Jewell Ave Unit 100 Lakewood, CO 80232 (303)985-3624 MANSHADI, DAVOOD, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303)431-1221 MARCHBANKS, SARA, DDS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303)232-4500 MARSHALL, KEVIN, DDS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303)232-4500 MARTINEZ, EFREN, DDS DMD Martinez Dental 1200 S Wadsworth Blvd Ste 105 Lakewood, CO 80232 (303)733-7533 MCGLASHAN, WILLIAM, DDS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4500 MCNEELY, WILLIAM, DDS 1880 S Pierce St Ste 16B Lakewood, CO 80232 (303)922-1103 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Q1 Lakewood Delta Dental PPO Limon Colorado Colorado COLORADO (CONT-D) MILAUSNIC, MICHAEL, DDS 333 S Allison Pkwy Ste 202 Lakewood, CO 80226 (303)936-5644 NICHOLS, RICHARD, DDS 7625 W Hampden Ave Unit 15 Lakewood, CO 80227 (303) 988-2150 OCHOA, MARGARITA, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303) 431-1221 ONTIVEROS, MICHAEL, DDS Rocky Mtn Dental Group 2475 Wadsworth Blvd Lakewood, CO 80214 (303) 233-1335 PALUMBO, GLENN, DDS 2599 Wadsworth Blvd Ste 1 Lakewood, CO 80214 (303)458-7061 PARKER -SMART, JANIS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4500 PASWATERS, STEPHANIE, DDS 12093 W Alameda Pkwy Ste A Lakewood, CO 80228 (303)716-7321 PETKOVA, ANASTASIA, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303) 431-1221 POLIDORI, BRIAN, DDS Colorado Premier Dental PLLC 6565 W Jewell Ave Ste 1A Lakewood, CO 80232 (303)935-3465 PONTARELLI, WILLIAM, DDS Belmar Dental 15 Wadsworth Blvd Lakewood, CO 80226 (303)936-5998 PRAJAPATI, SNAHEL, DDS DMD Comfort Dental Bear Creek 3200 S Wadsworth Blvd Unit E Lakewood, CO 80227 (303)716-8546 PUCHERIL, ANEETA, DDS Pinnacle Dental 2500 Youngfield St Ste 2 Lakewood, CO 80215 (303)237-7004 REZAEI, SEYED, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303)431-1221 ROBINSON, T Comfort Kids 9990 W 26th Ave Lakewood, CO 80215 (303) 202-0880 RODGERS, CHARLES, DDS Crestline Dental Group and Ortho 5392 S Wadsworth Blvd Ste 103 Lakewood, CO 80123 (303) 979-4277 SAMPATH, VIDHYALAKSHMI, DDS Crestline Dental Group and Ortho 5392 S Wadsworth Blvd Ste 103 Lakewood, CO 80123 (303) 979-4277 SCHROEDER, TIMOTHY, DDS 6565 W Jewell Ave Ste 3 Lakewood, CO 80232 (303) 937-6345 SEHY, CHRISTINA, DDS Belmar Smiles PC 325 S Teller St Ste 290 Lakewood, CO 80226 (303) 935-3574 SHERMAN, LEWIS, DDS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4500 SLAVSKY, AARON, DDS 1614 Carr St Lakewood, CO 80214 (303) 233-1704 STEEN, DALE, DDS Comfort Dental Lakewood 6800 W Alameda Ave Lakewood, CO 80226 (303)727-9100 SWANSON, DAVID, DDS Associated Dental Professionals 8015 W Alameda Ave Ste 170 Lakewood, CO 80226 (303) 232-2929 TALAVERA, SYLVIA, DDS 10090 W 26th Ave Lakewood, CO 80215 (303)232-6205 THOMPSON, LARRY, DDS PC 1360 S Wadsworth Blvd Ste 300 Lakewood, CO 80232 (303) 986-9505 WASINGER, JACK, DDS 10090 W 26th Ave Lakewood, CO 80215 (303) 232-6205 WEBB, MICHAEL Comfort Kids _ 9990 W 26th Ave Lakewood, CO 80215 (303) 202-0880 WHALEN, DANN, DDS Associated Dental Professionals 8015 W Alameda Ave Ste 170 Lakewood, CO 80226 (303) 232-2929 WISE, RANDALL, DDS 7373 W Jefferson Ave Ste 305 Lakewood, CO 80235 (303)985-1263 ORALSURGEON BOTTENBLEY, CECIL, DDS DM DMD 575 Union Blvd Ste 300 Lakewood, CO 80228 (303) 980-8833 HARPER,CLAYTON,DDS Bright Now Dental 7611 W Colfax Ave Unit D Lakewood, CO 80214 (303) 202-0900 MADLOCK, PAUL, DDS DMD Bright Now Dental 7611 W Colfax Ave Unit D Lakewood, CO 80214 (303) 202-0900 MOODY, MICHAEL, DDS Comfort Dental Oral Surgery 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303)232-4422 SNIDER, LARRY, DDS MD 2290 Kipling St Lakewood, CO 80215 (303)232-5637 TRAMMELL, GERALD, DDS 9990 W 26th Ave Lakewood, CO 80215 (303) 232-4422 ORTHODONTIST ALLEN, JACK, DDS MS 7373 W Jefferson Ave Ste 302 Lakewood, CO 80235 (303) 988-9220 BAHR,CARL,DMD Comfort Dental Braces 9990 W 26th Ave Lakewood, CO 80215 (303)202-0880 BAHR, CRAIG, DDS Comfort Dental Braces 9990 W 26th Ave Lakewood, CO 80215 (303) 202-0880 BOBAK,VOYTEK,DMD 1840 S Wadsworth Blvd Lakewood, CO 80232 (303) 988-0844 CALLENDER, DAVID, DDS 2460 Youngfield St Lakewood, CO 80215 (303)233-2929 DURYEA, MICHAEL, DDS 13131 W Alameda Pkwy Lakewood, CO 80228 (303) 987-0500 FRANZ,KAREN,DDS Bright Now Dental 7611 W Colfax Ave Unit D Lakewood, CO 80214 (303)202-0900 KONEGNI, JOHN, DDS MS Lakewood Orthodontics LLC 255 Union Blvd Ste 430 Lakewood, CO 80228 (303)988-2780 MASON, JAMES, DDS Colorado Orthodontics PLLC 12018 W Jewell Ave Unit B Lakewood, CO 80228 (303) 980-6411 NIEBERG-BASKIN, HILARY, DDS All About Kids Braces 2020 Wadsworth Blvd Ste 18A Lakewood, CO 80214 (303) 462-1462 ZINKANN, KARLA 14062 Denver West Pkwy Ste 120 Lakewood, CO 80401 (303) 279-5050 LAMAR GENERAL DENTIST CHC HIGH PLAINS COMMUNITY HE High Plains Community Health Cen 200 Kendall Dr Ste 1 Lamar, CO 81052 (719)336-8445 LARKSPUR GENERAL DENTIST BEVIS, BRITTANY, DDS DMD Pineland Dental PC 8520 Spruce Mountain Rd Ste 11 Larkspur, CO 80118 (303)681-8200 LIMON GENERAL DENTIST ACKALL, IBRAHEEM, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719)775-2367 BUSSE, DAVID, DDS Plains Medical Center 820 1 st St PO Box 1120 Limon, CO 80828 (719)775-2367 DAWSON, KEVIN, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719)775-2367 HIGUCHI, CHRISTOPHER, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719) 775-2367 . KEMPERS, GREGORY, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719)775-2367 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ana vamcipaung Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 P41 s • Limon Colorado COLORADO (CONT-D) KRIEGER, GEORGE, DDS Plains Medical Center 820 1 st St PO Box 1120 Limon, CO 80828 (719)775-2367 THURMAN, DAVID, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719)775-2367 LITTLETON ENDODONTIST PATEL,SANJAY Highlands Ranch Endodontics PC 537 W Highlds Rch Pkwy Ste 101 Littleton, CO 80129 (303)346-3963 GENERAL DENTIST ALEKSANYAN, MARGARITA, DDS Guaranteed Smiles 2001 E Easter Ave Ste 200 Littleton, CO 80122 (303) 703-4544 ALMEIDA, ADAM, DDS 8683 E Lincon Ave Ste 200 Littleton, CO 80124 (303)858-9000 BARTON, STEPHEN, DDS PC 5622 S Delaware St Littleton, CO 80120 (303)794-1707 BEVANS, DAVID, DDS 7889 S Lincoln Ct Ste 100 Littleton, CO 80122 (303)798-1454 BIRKEL, RICHARD, DDS Comfort Dental Littleton 209 W Littleton Blvd Littleton, CO 80120 (303)734-2273 BLANCHARD, JASON, DDS Blanchard and Richardson Family De 8089 S Lincoln St Ste 102 Littleton, CO 80122 (303)794-9271 BOYD PAGE, DANA Page Dental Arts Professional LI 8204 S Kipling Pkwy Unit 160 Littleton, CO 80127 (303) 794-4542 BURGER, ANNA, DDS Highlands Dental 2201 W Wildcat Reserve Pkwy Unit C6 Littleton, CO 80129 (303)220-1122 CARREON, LEJON, DDS 10268 W Centennial Rd Ste 100 Littleton, CO 80127 (303) 933-2066 Delta Dental PPO CASSON, ANNE, DDS Littleton Family Dntl Clinic 5401 S Prince St Ste 101 Littleton, CO 80120 (303) 797-3867 CHRISTIANSEN, RICHARD, DDS Aspen Dental Center 5104 S Field St Ste A Littleton, CO 80123 (303) 935-3737 CREER, LORIN, DDS Creer.Family Dentistry 6179 S Balsam Way Ste 220 Littleton, CO 80123 (303) 932-2872 DANNA, CHARLES, DDS Suncreek Dental Group 7761 Shaffer Pkwy Ste 250 Littleton, CO 80127 (303) 933-2522 DAUGHERTY, DAVID, DDS Aspen Dental Center 5104 S Field St Ste A Littleton, CO 80123 (303)935-3737 DAWSON, KEVIN, DDS Advanced Dental Solutions PC 7261 S Broadway Ste 103 Littleton, CO 80122 (303) 798-1300 DUQUETTE, DOUGLAS, DDS Perfect Teeth Ken Caryl PC 7660 S Pierce St Littleton, CO 80128 (303) 972-7227 FARLEY, LYNN, DDS 6930 S University Blvd Ste 204 Littleton, CO 80122 (303)794-1415 FEREYDOUNI, AMIR, DDS DMD Kids and Family Dentistry 40 W Littleton Blvd Ste 205 Littleton, CO 80120 (303) 495-2801 FORD, JAMES, DDS Perfect Teeth Ken Caryl PC 7660 S Pierce St Littleton, CO 80128 (303) 972-7227 FRANQUEMONT, MICHAEL, DDS 9083 W Peakview Or Littleton, CO 80123 (303)979-0654 GITLIN, LARRY, DDS 11757 W Ken Caryl Ave Unit J Littleton, CO 80127 (303) 979-9488 GREENE, CRAIG, DDS PC 8441 W Bowles Ave Ste 220 Littleton, CO 80123 (303)979-2544 GRYZICK, DAVID, DDS M William Meyer DDS PC 6691 W Ken Caryl Ave Littleton, CO 80128 (303) 979-4994 HARRIS, MARK, DDS 5590 S Windermere St Littleton, CO 80120 (303)794-3003 HASSELBACK, CHRISTOPHER, DDS Comfort Dental -Highlands Ranch 129 W County Line Rd Littleton, CO 80129 (303)738-9499 HOANG- XUAN, KHIEM Comfort Dental -Highlands Ranch 129 W County Line Rd Littleton, CO 80129 (303) 738-9499 HOANG,HANG,DDS Clement Park Dental Cares 8500 W Bowles Ave Ste 305 Littleton, CO 80123 (303)972-2988 JOHNSON, CHARLES, DDS Littleton Family Dntl Clinic 5401 S Prince St Ste 101 Littleton, CO 80120 (303)797-3867 JOLSTAD, MARK, DDS Comfort Dental -Highlands Ranch 129 W County Line Rd Littleton, CO 80129 (303)738-9499 JONES, KRISTIN, DDS Perfect Teeth Bowmar PC 5151 S Federal Blvd Ste G2 Littleton, CO 80123 (303)795-1107 KEMPTON, CINDY, DDS 7261 S Broadway Ste 102 Littleton, CO 80122 (303)738-3888 KIM, DAVID, DDS Comfort Dental at Coal Mine 8420 W Coal Mine Ave Littleton, CO 80123 (303)904-2273 KLUMB, THOMAS, DDS Comfort Dental at Coal Mine 8420 W Coal Mine Ave Littleton, CO 80123 (303)904-2273 LAI, PEARL, DDS Perfect Teeth Bowmar PC 5151 S Federal Blvd Ste G2 Littleton, CO 80123 (303)795-1107 LOPER, DARLYNE, DDS DMD 5728 S Gallup St Littleton, CO 80120 (303)794-3969 LOVE, WILLIAM, DDS Comfort Dental -Highlands Ranch 129 W County Line Rd Littleton, CO 80129 (303)738-9499 MALOY, SHAWN, DDS 5419 S Curtice St Littleton, CO 80120 (303) 798-4515 Littleton Colorado MARTIN, SARIRA, DDS Perfect Teeth Bowmar PC 5151 S Federal Blvd Ste G2 Littleton, CO 80123 (303)795-1107 Beautiful Smile 5622 S Delaware St Littleton, CO 80120 (303) 794-1707 MEHLHOFF, CHRISTOPHER, DDS Swedish Healthpark Dental Arts 6169 S Balsam Way Ste 330 Littleton, CO 80123 (303)933-8230 MEYER, MARVIN, DDS PC 6691 W Ken Caryl Ave Littleton, CO 80128 (303) 979-4994 NAJJAR, ELLIAS, DDS Belleview Dental Associates 101 84,W Belleview Ave Ste 220 Littleton, CO 80127 (303)932-1077 OLDERSHAW, WILLIAM, DDS Comfort Dental at Coal Mine 8420 W Coal Mine Ave Littleton, CO 80123 (303)904-2273 OLDROYD, TODD, DDS DMD 8340 Sangre De Cristo Rd Ste 102 Littleton, CO 80127 (303) 795-6444 PAVEL, MARGARETA, DDS 8370 W Coal Mine Ave Ste 103 Littleton, CO 80123 (303)978-1522 POHL, RAYMOND, DDS 7800 S Elati St Ste 102 Littleton, CO 80120 (303)798-5465 PRESTON, JAMES, DDS 5950 S Platte Canyon Rd Littleton, CO 80123 (303)797-2286 RICHARDSON, BRIAN, DDS Blanchard and Richardson Family De 8089 S Lincoln St Ste 102 Littleton, CO 80122 (303)794-9271 SAIDE KARLIN, STEPHANIE, DDS 13402 W Coal Mine Ave Ste 270 Littleton, CO 80127 (303)933-2420 SPIEGEL, JEFFERY, DDS Comfort Dental Littleton 209 W Littleton Blvd Littleton, CO 80120 (303)734-2273 THOMPSON, SCOT, DDS 7735 W Long Dr Unit 9 Littleton, CO 80123 (303)933-8880 THRASH, FREDERIC, DDS Perfect Teeth Ken Caryl PC 7660 S Pierce St Littleton, CO 80128 (303)972-7227 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 27 Littleton Delta Dental PPO Longmont Colorado Colorado COLORADO (CONT-D) TOMASETTI, DAVID, DMD 7889 S Lincoln Ct Ste 100 Littleton, CO 80122 (303) 798-2822 TRAN, TRAM, DDS 9860 W Belleview Ave Littleton, CO 80123 (303)933-9969 VETOWICH, MICHAEL, DDS Comfort Dental -Highlands Ranch 129 W County Line Rd Littleton, CO 80129 (303)738-9499 WEEKES, BRADLEY, DDS Comfort Dental at Coal Mine 8420 W Coal Mine Ave Littleton, CO 80123 (303) 904-2273 ORAL SURGEON ESPOSITO, DANIEL, MD DMD 6179 S Balsam Way Ste 100 Littleton, CO 80123 (303)933-8282 LESSIG, JAMES, DDS Advanced Oral and Max Surgery 10146 W San Juan Way Unit 210 Littleton, CO 80127 (303)979-2940 MICHALIK, THOMAS, MD DMD Advanced Oral and Max Surgery 10146 W San Juan Way Unit 210 Littleton, CO 80127 (303)979-2940 MINER, JEREMY, DDS Daniel E Esposito MD DMD PC 6179 S Balsam Way Ste 100 Littleton, CO 80123 (303)933-8282 WEIDEMAN, EDWARD, MD DMD Advanced Oral and Max Surgery 10146 W San Juan Way Unit 210 Littleton, CO 80127 (303)979-2940 ORTHODONTIST ALBERT, DAVID, DDS PC 7889 S Lincoln Ct Ste 102 Littleton, CO 80122 (303)798-0928 BELLON, MICHAEL, DDS MS 7325 S Pierce St Ste 204 Littleton, CO 80128 (303) 933-6830 CALLENDER,GALEN,DDS 6169 S Balsam Way Ste 380 Littleton, CO 80123 (303)973-7771 DURYEA, MICHAEL, DDS 6701 W Ken Caryl Ave Littleton, CO 80128 (303)933-0300 GARDNER, ROBERT, DDS Family Orthodontics 9878 W Belleview Ave Littleton, CO 80123 (303)978-1316 HOLT, GARY, DDS 7889 S Lincoln Ct Ste 102 Littleton, CO 80122 (303) 798-0928 HORNER, CRAIG, DDS DC 11757 W Ken Caryl Ave Unit K Littleton, CO 80127 (303) 972-9710 LEE, EUNICE, DMD South Park Orthodontics 8199 Southpark Ln Ste 150 Littleton, CO 80120 (303) 739-8828 OHMART, SCOTT, DDS 10146 W San Juan Way Unit 230 Littleton, CO 80127 (303) 979-0211 PETERSON, SHON, DMD Sj Peterson DMD MS PC 8340 Sangre De Cristo Rd Ste 201 Littleton, CO 80127 (303) 979-2727 RESNICK, JEFFREY, DDS 9200 W Cross Dr Ste 426 Littleton, CO 80123 (303) 972-2898 ROCKE, PAUL, DDS 200 W County Line Rd Ste 304 Littleton, CO 80129 (303) 730-7002 STASI, MARK, DDS Comfort Smile Center 5055 S Kipling Pkwy Littleton, CO 80127 (303)933-8464 ZINKANN, KARLA, DDS MS 8 W Dry Creek Cir Ste 102 Littleton, CO 80120 (303)798-8293 PERIODONTIST GLICK, PAUL, DDS 26 W Dry Creek Cir Ste 300 Littleton, CO 80120 (303) 795-5700 LONE TREE ENDODONTIST BECKER, HELENA, DDS DMD Parkridge Endodontics PC 10450 Park Meadows Dr Ste 102 Lone Tree, CO 80124 (303) 397-7668 GALLEGO-CUBILLOS, SONIA Metropolitan Dental Care at Park 10461 Park Meadows Dr Bldg 4 Lone Tree, CO 80124 (303)534-2626 RING, JAMIE, DDS DMD Parkridge Endodontics PC 10450 Park Meadows Dr Ste 102 Lone Tree, CO 80124 (303)397-7668 WHITNEY, SCOTT, DDS Parkridge Endodontics PC 10450 Park Meadows Dr Ste 102 Lone Tree, CO 80124 (303)397-7668 GENERAL DENTIST AJDARI, JURAK, DDS PC 10450 Park Meadows Dr Ste 306 Lone Tree, CO 80124 (303) 471-4300 ALMEIDA, ADAM, DDS 8683 E Lincoln Ave Ste 200 Lone Tree, CO 80124 (303)858-9000 AMBIDA, SANDRA, DDS DMD 9695 S Yosemite St Ste 225 Lone Tree, CO 80124 (303)790-8338 BROCKMAN, JOHN, DDS Brockman Family Dentistry 10450 Park Meadows Dr Ste 304 Lone Tree, CO 80124 (303) 799-4333 CORSON, GEORGE, DDS Perfect Teeth Highlands Ranch PC 9227 E Lincoln Ave Ste 100 Lone Tree, CO 80124 (303)925-0603 HANDELMAN, RICHARD, DDS Dentisty at The Crest 10047 Park Meadows Dr Unit B Lone Tree, CO 80124 (303)768-8848 LAWLER, MICHAEL, DDS Four Seasons Dental 9896 Rosemont Ave Ste 103 Lone Tree, CO 80124 (303) 705-5700 NELSON,RUTH,DDS Perfect Teeth Highlands Ranch PC 9227 E Lincoln Ave Ste 100 Lone Tree, CO 80124 (303)925-0603 ORAL SURGEON CATALANO, JOSEPH, DDS DMD Aurora Oral and Max Surgeons 10103 Ridgegate Pkwy Ste 214 Lone Tree, CO 80124 (303)768-8222 KEOGH, BARRY, DDS MD Aurora Oral and Max Surgeons 10103 Ridgegate Pkwy Ste 214 Lone Tree, CO 80124 (303)768-8222 ORTHODONTIST DURKIN, FAZILA, DDS Durkin Orthodontics 7430 Park Meadows Dr Ste 200 Lone Tree, CO 80124 (303)799-8882 HORNER, CRAIG, DDS DC Perfect Teeth Highlands Ranch PC 9227 E Lincoln Ave Ste 100 Lone Tree, CO 80124 (303)925-0603 IDICULLA, ANIL, DMD Park Meadows Orthodontics 10463 Park Meadows Dr Ste 206 Lone Tree, CO 80124 (303)534-2626 KARLIN, TYLER Perfect Teeth Highlands Ranch PC 9227 E Lincoln Ave Ste 100 Lone Tree, CO 80124 (303)925-0603 MOORE, THEODORE, DDS 9896 Rosemont Ave Ste 204 Lone Tree, CO 80124 (303)799-3994 PEDODONTIST NGUYEN, ANDREW, DDS Perfect Teeth Highlands Ranch PC 9227 E Lincoln Ave Ste 100 Lone Tree, CO 80124 (303)925-0603 LONGMONT ENDODONTIST BREEDEN, RANDALL, DDS Perfect Teeth Pace PC 1631 Pace St Ste B3 Longmont, CO 80501 (303)684-6524 GENERAL DENTIST BILES, JILL, DDS Avanti Dental Care PC 900 S Main St Ste 201 Longmont, CO 80501 (303)776-9701 BROWN, STEPHEN, DDS 2051 Terry St Ste F Longmont, CO 80501 (303) 678-7232 DRAKE, THOMAS, DDS Smile Designers Fmly Dntry 1246 Main St Longmont, CO 80501 (303)678-7800 HAMBLIN, ROBERT, DDS Dental Health of Longmont PLLC 1260 S Hover St Unit H Longmont, CO 80501 (303) 678-1125 HERZIG, LAURA, DDS Perfect Teeth Longmont PC 641 Ken Pratt Blvd Longmont, CO 80501 (303)651-2700 HOOK, MARK, DDS Dental Health of Longmont PLLC 1260 S Hover St Unit H Longmont, CO 80501 (303)678-1125 JOHNSON, JOLLY, DDS Comfort Dental Longmont 1750 Mountain View Ave Longmont, CO 80501 (303) 678-7783 11 E Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 28 0 • 1] Longmont Colorado COLORADO (CONT-D) KHEIR, AHMED, DDS DMD Bright Now Dental 15 Ken Pratt Blvd Ste 280 Longmont, CO 80501 (303) 678-1155 KOCHEVAR, CASEY, DDS Hover Dental Group 1446 Hover St Longmont, CO 80501 (303)684-9700 OBRIEN, ROBERT, DDS 1446 Hover St Longmont, CO 80501 (303)684-9700 PERRY, STEPHEN, DDS Dental Health of Longmont PLLC 1260 S Hover St Unit H Longmont, CO 80501 (303)678-1125 PIERSON, DIANNE, DDS Longmont Family Dentistry LLC 1503 Mountain View Ave Longmont, CO 80501 (303)776-7804 PINKNER, JAY, DDS 1361 Francis St Ste 201 Longmont, CO 80501 (303)776-0117 RANUCCI, ANDREW, DDS DMD 515 Main St Unit B Longmont, CO 80501 (303) 684-9422 SAEKS, ADAM, DDS 376 2nd Ave Longmont, CO 80501 (303)652-3500 SAUZA, JUAN, DDS Avanti Dental Care PC 900 S Main St Ste 201 Longmont, CO 80501 (303)776-9701 SIDWELL, STEPHEN, DDS Comfort Dental Longmont 1750 Mountain View Ave Longmont, CO 80501 (303)678-7783 SODER-BLACKMAN, KELLY, DDS Comfort Dental Longmont 1750 Mountain View Ave Longmont, CO 80501 (303)678-7783 SOLTANI, AZADEH, DDS DMD Bright Now Dental 15 Ken Pratt Blvd Ste 280 Longmont, CO 80501 (303) 678-1155 STUTZNEGGER, CONRAD, DDS Comfort Dental Longmont 1750 Mountain View Ave Longmont, CO 80501 (303) 678-7783 Delta Dental PPO WALGAST, JOHN, DDS DMD Perfect Teeth Longmont PC 641 Ken Pratt Blvd Longmont, CO 80501 (303) 651-2700 WALGAST, JOHN, DMD Perfect Teeth Pace PC 1631 Pace St Ste B3 Longmont, CO 80501 (303) 684-6524 WHITTERN, CATHY, DDS Dental Aspects PC 13876 Elmore Rd Longmont, CO 80504 (303) 678-7558 WOOD, BRADLEY, DDS Brad C Wood DDS LLC 916 S Main St Unit 303 Longmont, CO 80501 (303)485-9123 ORAL SURGEON COLM, STEPHEN, DMD Perfect Teeth Pace PC 1631 Pace St Ste B3 Longmont, CO 80501 (303) 684-6524 Perfect Teeth Longmont PC 641 Ken Pratt Blvd Longmont, CO 80501 (303) 651-2700 ORTHODONTIST MCMANAMAN, RICHARD, DDS MS 1600 Hover St Ste D1 Longmont, CO 80501 (303)772-7722 OWEN, BRANDON, DDS Bright Now Dental 15 Ken Pratt Blvd Ste 280 Longmont, CO 80501 (303) 678-1155 PERIODONTIST GURINSKY, BRIAN, DDS Bright Now Dental 15 Ken Pratt Blvd Ste 280 Longmont, CO 80501 (303) 678-1155 KOHUT, DEJAN, DDS Perfect Teeth Pace PC 1631 Pace St Ste B3 Longmont, CO 80501 (303) 684-6524 LOUISVILLE GENERAL DENTIST BASIT, SAADIA, DDS DMD 1371 E Hecla Dr Ste C-2 Louisville, CO 80027 (303)604-2689 DUEY, DOUGLAS, DDS Comfort Dental of Louisville 339 McCaslin Blvd Ste B Louisville, CO 80027 (303) 673-0500 MILLER, ABRAHAM, DDS Comfort Dental of Louisville 339 McCaslin Blvd Ste B Louisville, CO 80027 (303) 673-0500 SPENCER, STEPHEN, DMD Comfort Dental of Louisville 339 McCaslin Blvd Ste B Louisville, CO 80027 (303)673-0500 ORAL SURGEON REISMAN, ALAN, DDS 1075 E South Boulder Rd Ste 230 Louisville, CO 80027 (303) 665-2377 ORTHODONTIST CARAWAY, DAMEN, DDS Caraway Orthodontics PC 1760 Centennial Dr Ste B Louisville, CO 80027 (303)665-7333 WEINBACH, JONATHAN, DDS Smile Zone Orthodontics 1075 E South Boulder Rd Ste 235 Louisville, CO 80027 (303)604-0300 LOVELAND GENERAL DENTIST BOURNE, JEFFREY, DDS Comfort Dental North Loveland 274 W 64th St Loveland, CO 80538 (970)667-0446 CARLESIMO, PETER, DDS Perfect Teeth Loveland PC 3400 W Eisenhower Blvd Loveland, CO 80537 (970) 669-2853 HASCHKE, DOUGLAS, DDS Comfort Dental Thompson Valley 1405 10th St SW Loveland, CO 80537 (970)962-9995 HERZIG, LAURA Lincoln Place Dentistry PC 564 N Lincoln Ave Loveland, CO 80537 (970)776-9140 KALLIO, JENNIFER, DDS Comfort Dental Thompson Valley 1405 10th St SW Loveland, CO 80537 (970)962-9995 LINDMAN, MIKAL, DDS Comfort Dental North Loveland 274 W 64th St Loveland, CO 80538 (970) 667-0446 MULHERAN, THOMAS, Dos Bright Now Dental 1440 W 29th St Ste 400 Loveland, CO 80538 (970)622-0922 Lyons Colorado SCHREIBER, WILLIAM, DDS PC 1323 Harlow Ln Ste 4 Loveland, CO 80537 (970) 667-8782 SHULZE, RICHARD Milestone Dental Care 640 E Eisenhower Blvd Ste 100 Loveland, CO 80537 (303)833-5500 SMITH, BRADLEY, DDS Comfort Dental Thompson Valley 1405 10th St SW Loveland, CO 80537 (970)962-9995 TRAN, VIEN, DDS Comfort Dental Thompson Valley 1405 10th St SW Loveland, CO 80537 (970)962-9995 TRIPAM, ALOIS, DDS Comfort Dental Thompson Valley 1405 10th St SW Loveland, CO 80537 (970)962-9995 ORAL SURGEON COLM,STEPHEN,DDS Perfect Teeth Loveland PC 3400 W Eisenhower Blvd Loveland, CO 80537 (970) 669-2853 ORTHODONTIST KARLIN, TYLER Perfect Teeth Loveland PC 3400 W Eisenhower Blvd Loveland, CO 80537 (970)669-2853 PEDODONTIST MONAK,EDMUND Perfect Teeth Loveland PC 3400 W Eisenhower Blvd Loveland, CO 80537 (970)669-2853 PERIODONTIST HOLLING, GEORGE, DDS 1625 Foxtrail Dr Ste 100 Loveland, CO 80538 (970)669-7300 LYONS GENERAL DENTIST JOHNSTONE, DENNIS, DDS DMD 304 Main St Lyons, CO 80540 (303) 823-6006 SHULZE, RICHARD, DDS DMD The Lions Tooth 304 Main St Lyons, CO 80540 (303)833-5500 �,w �_ �� wnipanros ana, wim umitea exception, Narticipating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 29 Montrose Delta Dental PPO Parker Colorado Colorado COLORADO (CONT-D) MONTROSE GENERAL DENTIST COMMUNITY DENTAL CLINIC CHC 1901 S Townsend Ave Montrose, CO 81401 (970)252-8896 CORY,KENNETH,DMD 1425 Hawk Pkwy Ste 7 Montrose, CO 81401 (970)249-4249 REARDON, DANIEL, DDS Black Canyon Dental 1544 Oxbow Dr Ste 230 Montrose, CO 81401 (970)240-8880 MONUMENT GENERAL DENTIST CARTER,STEVEN Comfort Dental Monument 556 Highway 105 Monument, CO 80132 (719) 484-0043 CUTLER, RICHARD, DDS Jackson Creek Dental Care 15854 Jackson Creek Pkwy Monument, CO 80132 (719)302-2200 DRISKILL, VICTORIA Comfort Dental Monument 556 Highway 105 Monument, CO 80132 (719) 484-0043 DWYER, DANIEL, DDS Jackson Creek Dental Care 15854 Jackson Creek Pkwy Monument, CO 80132 (719)302-2200 LAMOREAUX, JAROM, DDS Tri-Lakes Dental 1864 Woodmoor Dr Ste 101 Monument, CO 80132 (719) 488-5981 PEPPLER, MICHAEL, DDS DMD M Scott Peppier DMD PC 1777 Lake Woodmoor Dr Monument, CO 80132 (303)501-0763 SMITH, JOSHUA Comfort Dental Monument 556 Highway 105 Monument, CO 80132 (719)484-0043 NORTHGLENN GENERAL DENTIST BEST, CORY, DDS 10780 Washington St Northglenn, CO 80233 (303) 452-6630 COSTA, BENJAMIN, DDS Jeremy J Zeigler DMD PC 11310 Huron St Ste 210 Northglenn, CO 80234 (303) 428-8560 (RICK, BRUCE, DDS Comfort Dental Group of Northgle 10780 Washington St Northglenn, CO 80233 (303) 452-6630 JEFFERIES, ROBERT, DDS Comfort Dental Group of Northgle 10780 Washington St Northglenn, CO 80233 (303)452-6630 MANGOLD, ANNE, DDS Alpha Dental Care 421 W 104th Ave Ste 201 Northglenn, CO 80234 (303)427-6462 MARTIN, ROY, DDS Comfort Dental Group of Northgle 10780 Washington St Northglenn, CO 80233 (303)452-6630 MOSS, STEWART, DDS Alpha Dental Care 421 W 104th Ave Ste 201 Northglenn, CO 80234 (303) 427-6462 SADDLER, AURORA, DDS Comfort Dental Group of Northgle 10780 Washington St Northglenn, CO 80233 (303) 452-6630 SADDLER,GARY,DDS Comfort Dental Group of Northgle 10780 Washington St Northglenn, CO 80233 (303) 452-6630 STEVENS, JESSICA, DDS Jepsen and Associates DDS 11411 Pearl St Northglenn, CO 80233 (303) 452-4556 TRAN, LUAN, DDS 11160 Huron St Ste 102 Northglenn, CO 80234 (303) 451-5111 ZEIGLER, JEREMY, DDS DMD 11310 Huron St Ste 210 Northglenn, CO 80234 (303) 428-8560 ORAL SURGEON WELCH, SCOTT, DDS DMD Alpha Dental Care 421 W 104th Ave Ste 201 Northglenn, CO 80234 (303)427-6462 ORTHODONTIST PETERSON, SHON, DMD Peterson Northglenn Orthodontics 11411 Pearl St Northglenn, CO 80233 (303)452-4656 PERIODONTIST SCHEIDT, MICHAEL, DDS Colorado Gum Care Ltd 11178 Huron St Ste 101 Northglenn, CO 80234 (303) 457-9617 WHEELER, MARK, DDS DMD Colorado Gum Care Ltd 11178 Huron St Ste 101 Northglenn, CO 80234 (303)457-9617 NOR WOOD GENERAL DENTIST CHC UNCOMPAHGRE MEDICAL CENT 1350 S Aspen Norwood, CO 81423 (970)327-4233 PAGOSA SPRINGS GENERAL DENTIST DAVIS, PHILIP 101 N Pagosa Blvd Pagosa Springs, CO 81147 (970)264-9436 PARKER ENDODONTIST CHALIAN, GARD, DDS Endodontics of Colorado LLC 19700 E Parker Square Dr Ste 8 Parker, CO 80134 (303)805-4141 HOLTZMANN, DAVID, DDS Endodontics of Colorado LLC 19700 E Parker Square Dr Ste 8 Parker, CO 80134 (303)805-4141 STEIN, ARLENE, DDS DMD Endodontics of Colorado LLC 19700 E Parker Square Dr Ste 8 Parker, CO 80134 (303) 805-4141 SYRPES, DEMETRIOS, DDS Endodontics of Colorado LLC 19700 E Parker Square Dr Ste 8 Parker, CO 80134 (303) 805-4141 GENERAL DENTIST ALLEN, RODNEY, DDS 10219 S Park Glenn Way Ste 100 Parker, CO 80138 (720) 851-6784 BABIN, BRIAN, DDS Mountain Dental PC 11280 S Twenty Mile Rd Ste 119 Parker, CO 80134 (303)841-9915 CHOI, SEONG-HEE, DMD Cornerstone Dental Care PLLC 17002 Main St Unit H Parker, CO 80134 (720)842-1900 CLEAR,SHERYL,DDS Lifetime Dental Care 10841 S Crossroads Dr Ste 108 Parker, CO 80134 (303)840-1097 CORTESE,KATHLEEN,DDS Parker Dental Center 11031 S Pikes Peak Dr Ste 103 Parker, CO 80138 (303)841-4580 DIGIORGIO, ROBERT, DDS 17821 Cottonwood Dr Parker, CO 80134 (303) 699-6100 DYCHES, BENJAMIN, DDS Mountain Dental PC 11280 S Twenty Mile Rd Ste 119 Parker, CO 80134 (303) 841-9915 FREIMUTH, RONALD, DDS Comfort Dental Stroh Ranch 12870 Stroh Ranch Way Unit 103 Parker, CO 80134 (303)840-6543 HALE, MICHAEL, DDS 19751 E Main St Ste R16 Parker, CO 80138 (303)841-3322 HAMILTON, JEFFREY, DDS DMD Comfort Dental Stroh Ranch 12870 Stroh Ranch Way Unit 103 Parker, CO 80134 (303)840-6543 HENDERSON, SCOTT, DDS Comfort Dental Stroh Ranch 12870 Stroh Ranch Way Unit 103 Parker, CO 80134 (303) 840-6543 HOLDERNESS, HAROLD, DDS Perfect Teeth Parker PC 11005 S Parker Rd Parker, CO 80134 (303)805-3588 JOHNSON, TREVOR, DDS DMD Comfort Dental Stroh Ranch 12870 Stroh Ranch Way Unit 103 Parker, CO 80134 (303) 840-6543 KEMPERS, GREGORY, DDS Capstone Dental PC 11355 S Parker Rd Unit 105 Parker, CO 80134 (303)805-3655 KWON, MICHELLE, DMD Cornerstone Dental Care PLLC 17002 Main St Unit H Parker, CO 80134 (720) 842-1900 LEPERA,RACHEL Trailview Dental Care 18721 Ponderosa Dr Ste C Parker, CO 80134 (303) 805-4655 THRASH, FREDERICK, DMD Parker Dental Center 11031 S Pikes Peak Dr Ste 103 Parker, CO 80138 (303) 841-4580 • • Delta Dental member companies and, with limited exception, Participating Dentists are inaepenaenr conuaciois. U.". �� _ �� r , ^ �• •- • -• - Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 30 • 9 • Parker Colorado COLORADO (CONT-D) ORTHODONTIST BUMGARNER, ROGER, DDS 18801 E Mainstreet Ste 150 Parker, CO 80134 (303) 688-9617 ELTON, ROGER, DDS MS 10522 S Parker Rd Parker, CO 80134 (303)841-2100 HOGGAN, BRENT, DDS 10219 S Park Glenn Way Parker, CO 80138 (303) 840-8505 HORNER, CRAIG, DDS DC Perfect Teeth Parker PC 11005 S Parker Rd Parker, CO 80134 (303) 805-3588 LINN, BRANDON, DDS Roger L Bumgarner DDS 18801 E Mainstreet Ste 150 Parker, CO 80134 (303) 688-9617 NAZAROV, ANDREY, DDS DMD MS Allegro Orthodontics 11211 S Dransfeldt Rd Ste 122 Parker, CO 80134 (720)842-4544 NIELSON, KIRK, DDS 20 Mile Orthodontics LLP 11355 S Parker Rd Unit 109 Parker, CO 80134 (303)841-2262 WIGGINS, CASSY, DDS DMD MS Summit Orthodontics 17021 Lincoln Ave Unit A Parker, CO 80134 (303)805-7111 PEDODONTIST NGUYEN, ANDREW, DDS Perfect Teeth Parker PC 11005 S Parker Rd Parker, CO 80134 (303)805-3588 PEYTON GENERAL DENTIST HARVEY, JONATHAN, DMD Comfort Dental Falcon Hills 11605 Meridian Market Vw Ste 154 Peyton, CO 80831 (719) 495-8989 HOUSER, JAMIN, DDS Falcon Dental Care 7673 McLaughlin Rd Peyton, CO 80831 (719)494-1100 JOHNSON, JAY, DDS DMD Meridian Dental 7520 Bierstadt Hts Ste 125 Peyton, CO 80831 (719)495-3131 Delta Dental PPO KENNY, KRAIG, DDS Meridian Dental 7520 Bierstadt Hts Ste 125 Peyton, CO 80831 (719) 495-3131 MASSEY, BRITNY, DDS Meridian Dental 7520 Bierstadt Hts Ste 125 Peyton, CO 80831 (719)495-3131 MURDOCK, CHAD, DDS DMD Comfort Dental Falcon Hills 11605 Meridian Market Vw Ste Peyton, CO 80831 (719)495-8989 BERRY, ERIC, DDS 1800 Fortino Blvd Unit 1 Pueblo, CO 81008 (719) 545-1400 BIELECKI, PAWEL, DDS Young at Heart Dentistry 2603 Vinewood Ln Pueblo, CO 81005 (719)564-6464 BOREN, MICHAEL, DDS Smile Center 3559 Baltimore Ave 154 Pueblo, CO 81008 (719) 543-8109 OLSON, DWIGHT, DDS DMD Comfort Dental Falcon Hills 11605 Meridian Market Vw Ste 154 Peyton, CO 80831 (719) 495-8989 STAFFORD, JOEL, DDS DMD Comfort Dental Falcon Hills 11605 Meridian Market Vw Ste 154 Peyton, CO 80831 (719) 495-8989 WAITE, JOHN, DDS Falcon Dental Care 7673 McLaughlin Rd Peyton, CO 80831 (719) 494-1100 ORTHODONTIST HOUSEWRIGHT, WADE 7685 McLaughlin Rd Ste 190 Peyton, CO 80831 (719)495-1230 PUEBLO ENDODONTIST WESTPHAL, REGINALD, DDS Pueblo Endodontic Associates 2099 W US Highway 50 Ste 150A Pueblo, CO 81008 (719) 544-8900 GENERAL DENTIST ALMOND, BRADLEY,DMD Comfort Dental South Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 AUTOBEE, THOMAS, DDS 108 E Pitkin Ave Pueblo, CO 81004 (719)543-8940 BATSON, EMILY, DDS Orchard Springs Dental 318 S Orchard Springs Dr Pueblo, CO 81007 (719)647-1122 Pueblo Community College 900 W Orman Ave Pueblo, CO 81004 (719) 549-3378 BERGLES, JAMES, DDS 1560 Bonforte Blvd Pueblo, CO 81001 (719)544-5340 BRADLEY,KATHLEEN,DDS Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 CARTER, STEVEN, DDS Comfort Dental South Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 Comfort Dental North Pueblo 2025 W US Highway 50 Ste A100 Pueblo, CO 81008 (719)542-2472 CHAMBERS, ALVIN, DDS DMD 1320 Fortino Blvd Ste D Pueblo, CO 81008 (719)545-5213 CHILDRESS, FRANK, DDS Down To Earth Dental 1407 W 29th St Pueblo, CO 81008 (719)546-0404 CHIDE, CHIYON, DDS Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719) 545-5778 CONNOLLY, MARY Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 DASILVA, RICARDO Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 DAURIO, RONALD, DDS 4130 Redwood Ln Unit 130 Pueblo, CO 81005 (719)564-1102 DOWNEY, RALPH, DDS Comfort Dental South Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 DOYLE, BRIDGET, DDS Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 Pueblo Colorado DRISCOLL, DENNIS, DDS Orchard Springs Dental 318 S Orchard Springs Dr Pueblo, CO 81007 (719)647-1122 DURAN, TOMAS, DDS 830 W Abriendo Ave Pueblo, CO 81004 (719)545-3838 FITZGERALD, JOSEFINA, DDS 3210 Wedgewood Dr Pueblo, CO 81005 (719)561-8115 GIANNETTO, STEVEN, DDS PC 4104 Outlook Blvd Ste 138D Pueblo, CO 81008 (719)543-2271 GRAVES, GARY, DDS Dental Health Services PC 1345 S Pueblo Blvd Pueblo, CO 81005 (719)542-3595 HASSELBACK, CHRISTOPHER, DDS Comfort Dental South Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719) 565-2274 Comfort Dental North Pueblo 2025 W US Highway 50 Ste At 00 Pueblo, CO 81008 (719)542-2472 HOLDEN, PHILIP, DDS Comfort Dental North Pueblo 2025 W US Highway 50 Ste At00 Pueblo, CO 81008 (719)542-2472 HOUSE, MARK, DDS DMD Orchard Springs Dental 318 S Orchard Springs Dr Pueblo, CO 81007 (719)647-1122 HURD,MARK,DDS 3901 Outlook Blvd Ste C Pueblo, CO 81008 (719)544-7020 JAGGER, WILLIAM, DDS 510 Colorado Ave Pueblo, CO 81004 (719) 543-1132 JONES, NATALIE, DDS Comfort Dental North Pueblo 2025 W US Highway 50 Ste A100 Pueblo, CO 81008 (719)542-2472 KANCHANLAL, VIKASH, DDS DMD 1315 S Pueblo Blvd Ste 110 Pueblo, CO 81005 (719)564-3900 KNOWLTON, ANTHONY, DDS 3939 Sandlewood Ln Pueblo, CO 81005 (719)564-5833 LOEWEN, REBECCA, DDS Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 uena uentai memoer companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 31 Pueblo Delta Dental PPO San Luis Colorado Colorado COLORADO (CONT-D) LOGELIN, MICHAEL Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 MILLEA, JOHN, DDS Park West Dental PC 3470 Parker Blvd Pueblo, CO 81003 (719) 543-4022 MOBLEY, JAMES, DDS DMD Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719) 545-5778 MOELLER, JEFFREY, DDS Comfort Dental South Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 MORESCHINI, RICHARD, DDS DMD 1000 W 6th St Pueblo, CO 81003 (719)542-7420 MORESCHINI, RONALD, DDS 1000 W 6th St Pueblo, CO 81003 (719) 542-7420 NGUYEN,QUYNH Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 ORESKOVICH, TONY, DDS Oreskovich Dntl Clinic Prf LLC 1111 Pueblo Boulevard Way Ste 140 Pueblo, CO 81005 (719)542-8182 ORTEGON, GINO, DDS DMD 401 W 12th St Pueblo, CO 81003 (719)583-0555 PADULA, JULI ANN, DDS Park West Dental PC 3470 Parker Blvd Pueblo, CO 81003 (719) 543-4022 PECHEK,TY Cover Family Dental PC 2020 S Pueblo Blvd Pueblo, CO 81005 (719)566-0207 PECHEK, TYSON, DDS 1560 Bonforte Blvd Pueblo, CO 81001 (719)544-5340 PHILSON, GREGORY, DDS 830 W Abriendo Ave Pueblo, CO 81004 (719) 545-6421 PUEBLO COMMUNITY HEALTH CHC Pueblo Community Health Center 2030 Lake Ave Pueblo, CO 81004 (719) 564-4823 RAGULSKY, RONALD, DDS 3939 Sandlewood Ln Pueblo, CO 81005 (719)564-7737 READY, THOMAS, DDS Gentle Dental 643 S Pueblo Blvd Pueblo, CO 81005 (719) 561-8170 ROBERTS, TONY, DDS 1225 N Grand Ave Ste 104 Pueblo, CO 81003 (719)542-6014 ROBINSON, DAVID, DDS PC 1560 Bonforte Blvd Pueblo, CO 81001 (719)544-5340 RODRIGUEZ, MELANIE, DDS Young at Heart Dentistry 2603 Vinewood Ln Pueblo, CO 81005 (719)564-6464 ROSAMSETTY, PRATHIMA Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 SCHULTZ, R, DDS 430 Colorado Ave Pueblo, CO 81004 (719)542-0036 SLACK, DONICA Down To Earth Dental 1407 W 29th St Pueblo, CO 81008 (719)546-0404 SONNTAG, RUSSELL, DDS Ronald D Daurio DDS 4130 Redwood Ln Unit 130 Pueblo, CO 81005 (719)564-1102 STRICCA, DUILIO, DDS PC 753 W Abriendo Ave Pueblo, CO 81004 (719)543-2604 TAKAKI, ALAN, DDS Takaki Dental Care Center 1630 Fortino Blvd Pueblo, CO 81008 (719)545-2468 TAKAKI, DUANE, DDS Takaki Dental Care Center 1630 Fortino Blvd Pueblo, CO 81008 (719) 545-2468 TIAO, KATIE Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 TREFIL, KARLEEN, DDS DMD Comfort Dental North Pueblo 2025 W US Highway 50 Ste Al00 Pueblo, CO 81008 (719) 542-2472 VIDMAR, DENNIS, DDS 329 Colorado Ave Pueblo, CO 81004 (719) 543-6878 VILLALON, ELMER, DDS MD DMD DP 1225 N Main St Ste 207 Pueblo, CO 81003 (719)542-7844 WARD, DANIEL, DDS Abacus Dental Care 1044 Eagleridge Blvd Pueblo, CO 81008 (719) 738-2544 WOHLWEND, CHARLES, DDS 902 W 29th St Pueblo, CO 81008 (719)542-5300 WOHLWEND, JOSEPH, DDS Charles A Wohlwend DDS PC 902 W 29th St Pueblo, CO 81008 (719)542-5300 YOUNG, MATTHEW Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 ORALSURGEON DAY, GREGORY, DDS MD DMD 3902 Sandlewood Ln Pueblo, CO 81005 (719)561-2440 PAYNE, WAYNE, DDS DMD 1619 N Greenwood St Ste 102 Pueblo, CO 81003 (719) 542-4546 RECK, STEVEN, DDS PC 1201 Paseo Del Norte Pueblo, CO 81008 (719) 296-1800 ZUFALL, JOSEPH, DDS 1930 E Orman Ave Pueblo, CO 81004 (719)564-2842 ORTHODONTIST ARANGO, JOSE, DDS MS Front Range Ortho Specialists 24 Club Manor Dr Ste 203 Pueblo, CO 81008 (719) 543-3475 BAHR, CARL, DMD Comfort Dental Braces Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 BAHR, CRAIG, DDS DMD Comfort Dental Braces Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 ORDAHL, JOHN, DDS Takaki Dental Care Center 1630 Fortino Blvd Pueblo, CO 81008 (719) 545-2468 STRINGERT, HOWARD, DDS H G Stringert DDS MS PC 3955 Sandlewood Ln Pueblo, CO 81005 (719)564-3333 PEDODONTIST ELLIS, RANDALL, DDS Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719) 545-5778 PUEBLO WEST GENERAL DENTIST BEARD, BYRON, DDS DMD 332 S Orchard Springs Dr Ste 110 Pueblo West, CO 81007 (719)547-3737 RIFLE GENERAL DENTIST DEMBITSKY, STEPHEN, DDS 160 E 26th St Ste 1 Rifle, CO 81650 (970) 625-2345 ROCKYFORD GENERAL DENTIST VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services 903 S 12th St Rocky Ford, CO 81067 (719)254-7623 SALIDA GENERAL DENTIST FILTER, JENNY, DDS 427 E 1 st St Salida, CO 81201 (719) 539-6142 SAN LUIS GENERAL DENTIST VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services North Hwy 159 San Luis, CO 81152 (719) 672-3352 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. ueita uentar member cumpariioo aiiu ra--N--m Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 32 a • • E �J Silverthorne Colorado COLORADO (CONT-D) SILVERTHORNE GENERAL DENTIST LOUSTALET, LORRAINE, DDS Comfort Dental Summit County 354 Blue River Pkwy Silverthorne, CO 80498 (970)262-2273 ROLLOW, JOHN, DDS Comfort Dental Summit County 354 Blue River Pkwy Silverthorne, CO 80498 (970)262-2273 STEAMBOAT SPRINGS ORAL SURGEON LUPORI, JOHN D, DDS DO MD Alpine Oral and Facial Surgery 940 Central Park Dr Ste 106 Steamboat Springs, CO 80487 (970)871-0900 ORTHODONTIST LAMB, ROBERT, DDS 940 Central Park Dr Ste 106 Steamboat Springs, CO 80487 (970)870-9200 STERLING GENERAL DENTIST JONES, RANDALL, DDS 1402 S 3rd Ave Sterling, CO 80751 (970)522-6280 PAISON, THOMAS, DDS 625 Holly Dr Sterling, CO 80751 (970)522-5454 STRASBURG GENERAL DENTIST BUSSE, DAVID, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303) 622-9237 DAWSON, KEVIN, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303)622-9237 HIGUCHI, CHRISTOPHER, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303)622-9237 JEFFERS, JANIS 56620 E Colfax Ave Strasburg, CO 80136 (303)622-6200 Delta Dental PPO KEMPERS, GREGORY, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303) 622-9237 KRIEGER, GEORGE, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303) 622-9237 THURMAN, DAVID, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303) 622-9237 SUPERIOR GENERAL DENTIST BAILEY, MICHAEL, DDS Superior Dental Group 1697 Coalton Rd Ste B Superior, CO 80027 (303) 494-9400 MOSS, JACK, DDS Marketplace Dental Group and Ort 306 Center Dr Superior, CO 80027 (303) 499-9555 ONEILL, BRADFORD, DDS Marketplace Dental Group and Ort 306 Center Dr Superior, CO 80027 (303) 499-9555 RODGERS, CHARLES, DDS Marketplace Dental Group and Ort 306 Center Dr Superior, CO 80027 (303) 499-9555 PEDODONTIST WALTER, PHILIP, DDS Marketplace Dental Group and Ort 306 Center Or Superior, CO 80027 (303) 499-9555 THORNTON ENDODONTIST DAVIS, MATTHEW, DDS 12297 Pennsylvania St Unit 2 Thornton, CO 80241 (303) 920-4196 GENERAL DENTIST ADAMS,DAWNE Hilltop Dental Care and Orthodonti 4243 E 136th Ave Unit 324 Thornton, CO 80602 (720) 274-1380 BASSETT, MERRILL, DDS Perfect Teeth E 104th Ave PC 2200 E 104th Ave Ste 112 Thornton, CO 80233 (303)452-4142 BRADLEY,KATHLEEN,DDS Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 BRATULESCU, PATRICIA, DDS Perfect Teeth E 104th Ave PC 2200 E 104th Ave Ste 112 Thornton, CO 80233 (303) 452-4142 BROMELL, SUSANC, DDS Comfort Dental Thornton 9203 Huron St Thornton, CO 80260 (303) 429-2273 BROTHERTON, JAMIE, DDS Hilltop Dental Care and Orthodonti 4243 E 136th Ave Unit 324 Thornton, CO 80602 (720)274-1380 CADOTTE, ANA, DDS Comfort Dental Thornton 9203 Huron St Thornton, CO 80260 (303) 429-2273 CALL, RICHARD, DDS DMD MS The Dental Center at Thornton PI 3984 E 120th Ave Thornton, CO 80233 (303) 457-1513 CHAWLA, NEHA, DDS DMD Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 CHIEN, SHIH, DDS Dr Chien Dental Office 500 E 84th Ave Ste E3 Thornton, CO 80229 (303)288-0888 CHOE, CHIYON, DDS 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 CUIN-PARKER, JAZMIN, DDS Comfort Dental Thornton 9203 Huron St Thornton, CO 80260 (303) 429-2273 DASILVA, RICARDO Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 DERBY, ERICA, DDS Appletree Dental 12454 York St Thornton, CO 80241 (720)872-2892 DOWLATI, JINA, DDS Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 GILLESPIE, ANDRE Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 Thornton Colorado GIVAN, CARL, DDS 3901 E 112th Ave Unit G Thornton, CO 80233 (303)451-1674 GOSSENAUER, MARTIN Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 HOUSER, JAVAN, DDS Hilltop Dental Care and Orthodonti 4243 E 136th Ave Unit 324 Thornton, CO 80602 (720)274-1380 JOHNSON, PHILLIP, DDS Thornton Family Dentistry and Orth 2300 E 120th Ave Ste 104 Thornton, CO 80233 (303)254-8828 KELLY, BRIAN, DDS The Dental Center at Thornton PI 3984 E 120th Ave Thornton, CO 80233 (303) 457-1513 KRAINIK, GREGORY, DDS My Dentist 3955 E 120th Ave Ste B Thornton, CO 80233 (303) 460-9000 LESCH, HALEE, DDS Hilltop Dental Care and Orthodonti 4243 E 136th Ave Unit 324 Thornton, CO 80602 (720)274-1380 LOEWEN,REBECCA Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 LOGELIN, MICHAEL Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 MUSANJE, LAWRENCE Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 NAJJAR, TANIA Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 NGUYEN,QUYNH Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 OLIVIER, JONATHAN, DDS The Dental Center at Thornton PI 3984 E 120th Ave Thornton, CO 80233 (303)457-1513 PHI, HANH, DDS Thornton Family Dentistry and Orth 2300 E 120th Ave Ste 104 Thornton, CO 80233 (303)254-8828 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 33 City of Fort Collins 11. If provider discounts are used, state the basis of the agreement. Are discounts based on provider charges or actual cost of service? Providers contractually agree to Delta Dental's reimbursement schedules. These schedules contain the discounts providers are allowed to charge. Discounts are based on the average submitted charge. 12. Is there a formal committee that sets quality assurance policy and review the outcome on a regular basis? Yes. 13. Do you capture all utilization data? Yes. 14. What claims experience and utilization reports are available? If there is additional cost, please specify. Reports available are broken into the following categories: utilization of services and networks, treatment savings, demographics and financials. There is no additional cost for these reports. • 15. Describe patient satisfaction surveys that you perform. Each year Delta Dental contracts with an external healthcare research company to survey our subscriber population to determine an overall level of satisfaction. The research company randomly selects subscribers to be surveyed each month until they achieve a sufficient sample size. There are five global satisfaction questions and one open ended question: "What could Delta Dental do to improve your satisfaction with us?" Any changes or trends will be identified with the monthly feedback received from the external research company. In addition to keeping tabs on the overall satisfaction of Delta Dental subscribers, we use this information to assist us in developing new products or processes. 16. Do you have an agreement that prohibits providers from billing or collecting from patients more than the designated coinsurance or co -payment in the plan design? Yes. 17. Please describe your method for calculating renewal rates. Delta Dental's renewal process analyzes administrative fees collected with respect to claims paid, and the amount of the claim paid, for the same time period. We analyze the group's data for the most recent 12 months, including enrollment and claims per enrolled employee. Adjustments, if necessary, will be made to the group's administrative fee to reflect the results of this analysis. .7 Thornton Delta Dental PPO Westminster Colorado Colorado COLORADO (CONT-D) RANOV, BOYAN, DDS DMD Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 RASULOV, AZIZ, DDS Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 ROBINSON, T, DMD Comfort Kids 9652 Washington St Thornton, CO 80229 (303) 252-4050 SANKARANARAYANAN, SRIVALLI Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 SEABURY,CAROLYN,DDS Appletree Dental 12454 York St Thornton, CO 80241 (720)872-2892 SMITH, GERALD, DDS Comfort Dental Thornton 9203 Huron St Thornton, CO 80260 (303)429-2273 SMITH, MARK, DDS The Dental Center at Thornton PI 3984 E 120th Ave Thornton, CO 80233 (303) 457-1513 THURMON, HADLEY, DDS Appletree Dental 12454 York St Thornton, CO 80241 (720)872-2892 TIAO, KATIE Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 TIMLIN, SCOTT, DDS Perfect Teeth E 104th Ave PC 2200 E 104th Ave Ste 112 Thornton, CO 80233 (303) 452-4142 TREMBATH, LORI, DDS 12774 Colorado Blvd Ste 171 Thornton, CO 80241 (303)457-3046 WEBB, MICHAEL Comfort Kids 9652 Washington St Thornton, CO 80229 (303) 252-4050 WEBER, JOHN, DDS Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 YOUNG, MATTHEW Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 ORALSURGEON BURNHAM, MICHAEL, DDS MD 2300 E 120th Ave Ste 118 Thornton, CO 80233 (303) 451-6767 ORTHODONTIST BAHR, CARL, DDS DMD Comfort Dental Braces 9652 Washington St Thornton, CO 80229 (303) 252-4050 BAHR, CRAIG, DDS DMD Comfort Dental Braces 9652 Washington St Thornton, CO 80229 (303) 252-4050 LEE, EUNICE, DDS DMD Thornton Family Dentistry and Orth 2300 E 120th Ave Ste 104 Thornton, CO 80233 (303) 254-8828 MASON, JAMES, DDS 901 E 120th Ave Unit E Thornton, CO 80233 (303) 452-0077 NELSON, BRYAN, DDS DMD MS Thornton Orthodontic Specialists 12720 Colorado Blvd Ste 4 Thornton, CO 80241 (303)427-5000 STOLL, GREGORY, DDS MS Stoll Orthodontics PC 3861 E 120th Ave Thornton, CO 80233 (303)450-2211 WITZEL, DAVID, DDS Perfect Teeth E 104th Ave PC 2200 E 104th Ave Ste 112 Thornton, CO 80233 (303) 452-4142 PEDODONTIST ELLIS, RANDALL Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 TRINIDAD ORAL SURGEON RECK, STEVEN, DDS 403 E First St Trinidad, CO 81082 (719) 534-9600 VAIL PERIODONTIST POMERANZ,ALAN Professional Periodontics Implan 953 S Frontage Rd W Ste 104 Vail, CO 81657 (800) 257-5763 REISSNER, MARC Professional Periodontics Implan 953 S Frontage Rd W Ste 104 Vail, CO 81657 (800)257-5763 WALSENBURG GENERAL DENTIST WARD, DANIEL, DDS Abacus Dental 104 E 6th St Walsenburg, CO 81089 (719)738-2544 WARLICK, PHILIP, DDS Phil Warlick DDS 620 S Albert Ave Walsenburg, CO 81089 (719) 738-6446 WESTMINSTER ENDODONTIST DIETZ, JACQUELINE, DDS DMD Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)410-9800 RING, JAMIE, DDS DMD Foothills Endodontic Specialists 2861 W 120th Ave Ste 230 Westminster, CO 80234 (720)317-2660 RING, KARLA, DDS DMD Foothills Endodontic Specialists 2861 W 120th Ave Ste 230 Westminster, CO 80234 (720)317-2660 GENERAL DENTIST ACEVEDO,ALEXANDER,DDS Sedona Dental 905 W 124th Ave Ste 170 Westminster, CO 80234 (303)452-3982 ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 BASSETT, MERRILL, DDS Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 BENNETT, SCOTT, DDS Bennett Dental Group PC 5130 W 80th Ave Ste 202 Westminster, CO 80030 (303)429-3549 BERTAGNOLLI, EDWARD, DDS 7280 Bradburn Blvd Westminster, CO 80030 (303)429-6222 BERTAGNOLLI,JOHN,DDS Edward J Bertagnolli DDS PC 7280 Bradburn Blvd Westminster, CO 80030 (303)429-6222 BORG, TIMOTHY, DDS PC Northpark Dental Group 10359 Federal Blvd Ste 110 Westminster, CO 80260 (303)466-2300 BROMELL, SUSAN Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303)650-4101 CADOTTE,ANA Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303) 650-4101 CHOI, JACK, DDS Sedona Dental 905 W 124th Ave Ste 170 Westminster, CO 80234 (303) 452-3982 CUBILLOS, CONSTANZA, DDS Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303) 650-4101 DANZER, KIMBERLY, DDS DMD Danzer Dentistry 905 W 124th Ave Ste 120 Westminster, CO 80234 (303)255-3880 FERGUSON, IAN, DDS DMD Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303) 650-4101 GIBBS, TAMARA, DDS 12030 Melody Dr Westminster, CO 80234 (303) 451-5599 GOHL, FREDERICH, DDS Comfort Dental N Sheridan 11187 Sheridan Blvd Unit 12 Westminster, CO 80020 (303) 469-2333 GOHL, FREDRIC Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303) 650-4101 HENNEGAN, PAUL, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)410-9800 KAWASUGI, KAI, DDS Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Dena uentai memoer companies aim raiuUPawiy Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 34 is • • 0 �.i Westminster Colorado COLORADO (CONT-D) KNEALE,EVAN Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303) 650-4101 KNEALE, EVAN, DDS Comfort Dental N Sheridan 11187 Sheridan Blvd Unit 12 Westminster, CO 80020 (303) 469-2333 KOROSCIEL, MALGORZATA, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)410-9800 KRAINIK, GREGORY, DDS My Dentist 2721 W 120th Ave Ste A200 Westminster, CO 80234 (303) 460-9000 LECAVALIER, ROSS, DDS 2761 W 120th Ave Ste 220 Westminster, CO 80234 (303)288-3718 LEWIS, JONATHAN, DDS Northpark Dental Group 10359 Federal Blvd Ste 110 Westminster, CO 80260 (303) 466-2300 LUTSKIY, ALEKSANDR, DDS DMD Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 MARSCHNER,THOMAS,Dos Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 MASTHAY, ROBERT, DDS DMD 4955 W 72nd Ave Unit L1 Westminster, CO 80030 (303)429-1766 MCMURTREY, LONNIE, DDS Willow Run Dental 12910 Zuni St Ste 600 Westminster, CO 80234 (720) 872-2750 MELLOR, CRAIG, DDS Walnut Creek Dental Group and Or 10442 Town Center Dr Ste 100 Westminster, CO 80021 (303) 410-4950 MOFFITT, BERT, DDS Northview Dental Office 5068 W 92nd Ave Westminster, CO 80031 (303) 426-0023 PAREJA, CLAUDEA, DDS Westminster Dental Associates 4070 W 72nd Ave Westminster, CO 80030 (303) 429-7072 Delta Dental PPO PARK,ALEXANDER,DDS Sedona Dental 905 W 124th Ave Ste 170 Westminster, CO 80234 (303)452-3982 PETERSON,ANDREA,DDS Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 POLKE, KENNETH, DDS PC 905 W 124th Ave Ste 130 Westminster, CO 80234 (303) 920-4900 RODGERS, CHARLES, DDS Walnut Creek Dental Group and Or 10442 Town Center Dr Ste 100 Westminster, CO 80021 (303) 410-4950 SAMPATH, VIDHYALAKSHMI, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)410-9800 SANDERS, NELSON, DDS 7350 Lowell Blvd Westminster, CO 80030 (303) 428-6571 SCHAEFFER, TERI, DMD Tamara L Gibbs 12030 Melody Dr Westminster, CO 80234 (303) 451-5599 SMITH, GERALD Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303) 650-4101 STILES, MICHAEL, DDS 7350 Lowell Blvd Westminster, CO 80030 (303) 428-6571 THALKEN,JERRY,DDS 5130 W 80th Ave Bldg A200 Westminster, CO 80030 (303)429-1426 TRAN, LUAN, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303) 410-9800 VAN WAGENEN, JASON, DDS 8300 Alcott St Ste 205 Westminster, CO 80031 (303)426-4860 WEST-BENNETT, KIRSTEN, DDS Bennett Dental Group PC 5130 W 80th Ave Ste 202 Westminster, CO 80030 (303)429-3549 WILLIS, ADAM, DDS Comfort Dental N Sheridan 11187 Sheridan Blvd Unit 12 Westminster, CO 80020 (303) 469-2333 WINTER, ERIC, DDS Bradburn Village Dentistry 11961 Bradburn Blvd Unit 200 Westminster, CO 80031 (303)466-3222 Wheat Ridge Colorado OWEN, BRANDON, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303) 410-9800 YASONI, MARC STASI, MARK, DDS Comfort Dental 80th and Sheridan Embraceable PLLC 7990 Sheridan Blvd 8113 W 94th Ave Westminster, CO 80003 Westminster, CO 80021 (303) 650-4101 (303) 432-9773 YASONI, MARC, DDS Comfort Dental N Sheridan 11187 Sheridan Blvd Unit 12 Westminster, CO 80020 (303) 469-2333 ZEITLIN, DAVID, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)410-9800 ZELAZEK,PAUL,DDS 7350 Lowell Blvd Westminster, CO 80030 (303) 428-6571 ORAL SURGEON MADLOCK, PAUL, DDS DMD Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)410-9800 POLLACCIA, NINO, DDS Front Range Maxillofacial and Impl 2761 W 120th Ave Ste 110 Westminster, CO 80234 (303)410-1741 QUIST, RHETT, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303) 410-9800 ORTHODONTIST BAHR, CARL, DDS DMD Embraceable PLLC 8113 W 94th Ave Westminster, CO 80021 (303)432-9773 BAHR, CRAIG, DDS DMD Embraceable PLLC 8113 W 94th Ave Westminster, CO 80021 (303) 432-9773 BEABER, WILLIAM, DDS DMD Beaber Family Orthodontics 5140 W 120th Ave Ste 200 Westminster, CO 80020 (303)464-9300 GIBSON, COLIN, DDS MS 1st Impressions Orthodontics 1333 W 120th Ave Ste 303 Westminster, CO 80234 (303) 452-2277 HOUSEWRIGHT, WADE, DDS Arbor Dental Group 9920 Wadsworth Pkwy Westminster, CO 80021 (303) 425-1000 UNTERSEHER,RONALD,DDS MS Unterseher Orthodontics 10359 Federal Blvd Ste 200 Westminster, CO 80260 (303) 466-1955 WEDDLE, LARRY, DDS DMD Weddle Orthodontics 905 W 124th Ave Ste 180 Westminster, CO 80234 (303)255-3339 WEINBACH, JONATHAN, DDS Smile Zone Orthodontics 9910 Wadsworth Pkwy Unit 300 Westminster, CO 80021 (303) 430-4200 PERIODONTIST GURINSKY, BRIAN, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303) 410-9800 SAKKARIS, CHRISTOPHER, DDS Sedona Periodontics 905 W 124th Ave Ste 150 Westminster, CO 80234 (303)450-3144 WHEAT RIDGE GENERAL DENTIST ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth W 38th Ave PC 7760 W 38th Ave Ste 200 Wheat Ridge, CO 80033 (303)424-1005 BERNBAUM, ALAN, DDS 6654 W 38th Ave Wheat Ridge, CO 80033 (303)424-1517 BRATULESCU, PATRICIA, DDS Perfect Teeth W 38th Ave PC 7760 W 38th Ave Ste 200 Wheat Ridge, CO 80033 (303)424-1005 BUCK, RONALD, Dos 4350 Wadsworth Blvd Ste 321 Wheat Ridge, CO 80033 (303)420-5243 CASPERS,SUSAN,DDS 3785 Kipling St Wheat Ridge, CO 80033 (303)421-1472 DAHLER, BRYAN, DDS PC 3785 Kipling St Wheat Ridge, CO 80033 (303)421-8753 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 35 Wheat Ridge Delta Dental PPO Woodland Park Colorado Colorado WINDSOR COLORADO (CON I U) DODSON, ANASTASIA, DDS Santa Fe Dental PC 7015 W 38th Ave Wheat Ridge, CO 80033 (303)940-9755 HEINY, CHRISTOPHER, DDS PC 7900 W 44th Ave Ste 106 Wheat Ridge, CO 80033 (303) 422-3813 LE, TINA, DDS Dental Care of Lakewood PC 7900 W 44th Ave Ste 105 Wheat Ridge, CO 80033 (303) 232-4928 LEE, JENNIFER, DDS Perfect Teeth W 38th Ave PC 7760 W 38th Ave Wheat Ridge, CO 80033 (303)424-1005 OMI, SHELDON, DDS DMD 7900 W 44th Ave Ste 101 Wheat Ridge, CO 80033 (303) 422-7978 SCHERBER, JOSEPH, DDS 4045 Wadsworth Blvd Ste 103 Wheat Ridge, CO 80033 (303) 421-2702 SEKIYA, FLOYD, DDS 7900 W 44th Ave Ste 101 Wheat Ridge, CO 80033 (303) 422-7978 SULLIVAN, CORT, DDS 6785 W 38th Ave Wheat Ridge, CO 80033 (303) 425-6123 SWEET, RONALD, DDS 6055 W 46th Ave Ste B Wheat Ridge, CO 80033 (303) 420-3445 VAN WAGENEN,JASON Santa Fe Dental PC 7015 W 38th Ave Wheat Ridge, CO 80033 (303) 940-9755 WINBER, RALPH, DDS 7825 W 38th Ave Bldg 1 Wheat Ridge, CO 80033 (303) 423-3592 ORAL SURGEON MUSELLA, ANTHONY, DDS DP Wheat Ridge Oral Surgery 7760 W 38th Ave Ste 102 Wheat Ridge, CO 80033 (303) 4214010 SCHAFER, NATALIE, DDS MD MS Wheat Ridge Oral Surgery 7760 W 38th Ave Ste 102 Wheat Ridge, CO 80033 (303) 421-4010 GENERAL DENTIST BARRY, SHAWN, DDS Dental Arts of Windsor 1550 Main St Unit 142 Windsor, CO 80550 (970)686-6661 BRUHIN, MICHAEL, DDS 1226 W Ash St Unit A Windsor, CO 80550 (970)686-7858 NELSON,JONATHAN,DDS 1194 W Ash St Ste A Windsor, CO 80550 (970)686-7775 RUFF, MICHAEL, DDS Highland Meadows Dental Health C 8201 Spinnaker Bay Dr Ste A Windsor, CO 80528 (970) 2264098 WOODLAND PARK GENERAL DENTIST RYGG,PAUL Dental Associates at Eagles Nest 150 Morning Sun Dr Ste 20OW Woodland Park, CO 80863 (719)687-2000 THOMSON, PATRICK, DDS DMD 207 N West St Woodland Park, CO 80866 (719)687-6225 ORALSURGEON BORRIS, THOMAS, DDS 400 W Midland Ave Ste 110 Woodland Park, CO 80863 (719)650-9269 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0 36 0 A- • Abood, Joseph .................................................. 1 Acevedo, Alexander, DDS .............................. 34 Ackall, Ibraheem, DDS....................................26 Adams, Dawne................................................ 33 Adams, Dawne, DDS.................................... 2,7 Adams, John, DDS.......................................... 14 Ahn, Henry, DDS.............................................24 Ajdari, Jurak, DDS PC.....................................28 Albert, David, DDS PC .................................... 28 Aleksanyan, Margarita, DDS ...........................27 Alford, Annette, DMD...................................... 14 Alleman, Breckglyn, DDS.................................. 6 Alleman, Daniel, DDS....................................... 6 Allen, Jack, DDS MS ....................................... 26 Allen, Robert, DDS............................................ 2 Allen, Rodney, DDS........................................ 30 Almeida, Adam, DDS................................ 27,28 Almond, Bradley, DMD....................................31 Altatari, Rabi, DDS.......................................... 23 Aluru, Susmitha, DMD..................................... 10 Ambida, Sandra, DDS DMD............................ 28 Ames, William, DDS..........................................8 Anderson, Brian, DDS..................................... 10 Anderson, Daniel, DDS..................................... 6 Anderson, Jackson, DDS................................ 10 Anderson, Robert, DDS.................................. 14 Andrews, Brandie, DDS .............................. 2125 Andrus, Paul, DDS.......................................... 25 Andrus, Robert, DDS........................................ 2 Applegate, Shelby, DDS................................... 8 Arango, Jose, DDS MS ............................. 13, 32 Archer, Raymond, DDS................................... 15 Ariola-Tirella, Noah, DDS........ 1, 7, 8, 15, 34,35 Armstrong, Jack, DDS MD PC ........................ 15 Arnold, Julia, DDS........................................... 10 Arnold, Kara, DDS........................................... 15 Asbury, Robin, DDS.......................................... 8 Ash, Scott, DDS................................................ 8 Astroth, Jeffrey, DDS........................................ 6 Atha, Jason, DDS..............................................6 Aufderhar, Christine, DDS ...........................2, 15 Auger, Cameron ................................... :............ 2 Austin, Dawn, DDS........................................... 8 Autobee, Thomas, DDS.................................. 31 Averbach, Robert, DDS................................... 14 Avery, Paul, DDS.............................................. 6 8 Babin, Brian, DDS..................................... 15, 30 Baer, David ..................................................... 10 Baer, David, DDS............................................ 10 Bahr, Carl, DDS.............................................. 22 Bahr, Carl, DDS DMD ........................... 9, 34, 35 Bahr, Carl, DMD.................................. 13, 26, 32 Bahr, Craig ...................................................... 22 Bahr, Craig, DDS...................................... 22,26 Bahr, Craig, DDS DMD ................... 9, 32, 34, 35 Bahr, Craig, DMD............................................ 13 Bahr, Shayna, DDS DMD.................................. 1 Bailey, John, DDS....................................... 7, 13 Bailey, John, DDS MS ..................................... 13 Bailey, Michael, DDS...................................... 33 Baker, James, DDS......................................... 19 Ball, Melvin, DDS............................................ 25 Baltz, Kathleen, DDS................................ 14,23 Baltz, Kathleen, DDS MS ................................ 14 Bancroft, Joanne, DDS................................... 19 Bandrowsky, Timothy, DDS ........................ 8, 13 Bardsley, Norman, DDS....................................5 Barecki, Richard, DDS.................................... 15 Bares, Scott, DDS..................................... 19,20 Baros, Lia, DDS.............................................. 18 Baros, Raymond, DDS.................................... 10 Barreto, Nelly, DDS DMD..........:..................... 10 Barry, Shawn, DDS......................................... 36 Bartlett, James, DDS.........................................2 Delta Dental PPO Barton, Colin, DDS.......................................... 25 Barton, Stephen, DDS PC ............................... 27 Bashi, Vahid, DDS.......................................... 10 Basit, Saadia, DDS DMD................................ 29 Bassett, Merrill, DDS.................................33, 34 Batliner, Donald, DDS..................................... 15 Batliner, Terrence .............................................. 2 Batliner, Terrence, DDS.................................... 2 Batson, Emily .................................................... 7 Batson, Emily, DDS......................................... 31 Baumgardner, Thomas, DDS DMD................. 10 Beaber, William, DDS....................................... 1 Beaber, William, DDS DMD ...................... 24,35 Beacom, David, DDS...................................... 22 Beal, Christopher, DDS................................... 22 Beard, Byron, DDS DMD................................ 32 Beasley, Michael, DDS................................... 10 Becker, Helena, DDS DMD..................... 1, 2, 28 Bellon, Michael, DDS MS ..... :.................... 18,28 Bender, William, DDS..................................... 24 Bennett, Darren, DDS....................................... 2 Bennett, Gregory, DDS..................................... 1 Bennett, Scott, DDS........................................ 34 Benning, Brian, DDS....................................... 10 Benson, Gary, DDS......................................... 18 Bentley, Christopher, DDS................................ 8 Bergeson, Zackary, DDS DMD ......................... 2 Bergles, James, DDS...................................... 31 Berman, David, DDS MD DMD ....................... 23 Berman, Mark, DDS MD ................................. 23 Bemardy, Jeffrey, DDS................................... 25 Bernbaum, Alan, DDS..................................... 35 Berner, Jeannette, DDS.................................... 8 Berry, Eric, DDS.............................................. 31 Berry, Kary, DDS......................................... 8,23 Berry, Kevin, DDS........................................... 23 Bertagnolli, Edward, DDS ............................... 34 Bertagnolli, John, DDS.................................... 34 Bertsch, William, DDS..................................... 10 Berwick, James, DDS..................................... 13 Best, Cory, DDS..............................................30 Bethers, John, DDS...................................... :... 7 Bevans, David, DDS....................................... 27 Bevans, Gregory, DDS.................................... 15 Bevis, Brittany, DDS DMD .......................... 8,26 Biel, Timothy, DDS............................................2 Bielecki, Pawel, DDS...................................... 31 Biles, Jill, DDS................................................. 28 Birkel, Richard, DDS....................................... 27 Black, Tyson, DDS DMD................................. 22 Blanchard, Jason, DDS...................................27 Blasko, Jacqueline, DDS DMD ................... 8,14 Blatter, Victor, DMD...................................... 2,8 Blohm, Steven, DDS....................................... 24 Bobak, Voytek, DMD................................. 14,26 Bodoni, Elena, DDS........................................ 23 Bodoni, Eva, DDS........................................... 23 Boeyink, Timothy, DDS..................................... 8 Bohman, Brian, DMD........................................ 7 Bolak, Kimberly, DDS...................................... 25 Bollenbaugh, Keith, DDS................................ 15 Bolton, William, DDS.........................................8 Boratenski, Julia ................................................ 1 Boren, Michael, DDS....................................... 31 Borg, Timothy, DDS PC .................................. 34 Borris, Thomas, DDS................................ 13, 36 Bottenbley, Cecil, DDS DM DMD.................... 26 Bottenbley, Cecil, DDS MD DMD.................... 18 Bottoms, Brandi, DDS....................................... 7 Bottone, Paul, DDS PC ................................... 24 Boudreaux, Gary, DDS................................... 24 Bourne, Jeffrey, DDS...................................... 29 Bowden, ClydeA, DDS...................................... 2 Bowers, Soledad, DDS..................................... 8 Boyd Page, Dana ............................................ 27 Bradley, James, DDS...................................... 22 Bradley, Kathleen, DDS ...... 2, 10, 15, 23, 31, 33 Brantes, Liliane, DDS........................................ 8 Branwell, Donald, DDS.................................:. 15 Bratton, Dwight, DDS........................................ 8 Bratulescu, Patricia, DDS ................... 23, 33, 35 Braun, Chad, DDS.......................................... 15 Bravo, Luis ...................................................... 15 Bravo, Luis, DDS DMD..................................... 9 Bravo, Luis, DMD.............................................. 7 Bredbeck, Bruce, DDS...................................... 9 Breeden, Randall, DDS................................... 28 Brichacek, Michelle, DDS................................. 2 Bridgeman, Harold, DDS................................ 10 Bridgewater, Martha, DDS .............................. 19 Brimhall, Dallas, DDS....................................... 2 Brockman, John, DDS.................................... 28 Broeker, Curtis, DDS...................................... 10 Bromell, Susan ................................................ 34 Bromell, Susanc, DDS.................................... 33 Brones, Collin, DDS........................................ 10 Brooks, Howard ................................................ 2 Brotherton, Jamie, DDS.................................. 33 Brotherton, Nolan, DDS DMD ......................... 25 Brower, Kathleen, DDS................................... 10 Brown, Donald, DDS....................................... 15 Brown, James, DDS........................................ 19 Brown, Jennie, DDS.......................................... 2 Brown, Richard, DDS PC ................................ 15 Brown, Stephen, DDS ............................... 23,28 Bruggeman, Scott, DDS.................................... 7 Bruhin, Michael, DDS...................................... 36 Bryner, Matthew, DDS.................................... 22 Buck, Ronald, DDS......................................... 35 Buckstein, Jan, DDS PC ................................. 19 Bueltel, Allen ..................................................... 1 Buffer, Steven, DDS.......................................... 6 Buhrmann, Scott, DDS.................................... 10 Bujanda-Wagner, Sandra, DDS ........................ 2 Bull, John, DDS............................................... 22 Bullen, Benjamin ............................................... 7 Bullen, Benjamin, DDS................................... 10 Bullock, Jeremy, DDS DMD............................ 10 Bumgarner, Roger, DDS....................... 8, 24, 31 Burchfield, John, DDS PC ............................... 22 Burger, Anna, DDS......................................... 27 Burgess, Brandy, DDS...................................... 5 Burgess, Brandy, DMD..................................... 7 Burkart, John, DDS........................................... 2 Burluc, Aurora, DDS..................................... 6,7 Burnham, Arlie, DDS....................................... 20 Burnham, Michael, DDS MD ........................... 34 Burns, Kendall, DDS MD DMD ......................... 7 Burrows, Claudia, DDS..................................... 7 Burtenshaw, John, DDS .............................. 2,15 Busse, David, DDS................................... 26, 33 Butler, Benjamin, DDS.................................... 25 A Cadotte, Ana ................................................... 34 Cadotte, Ana, DDS......................................... 33 Calderon -Kidd, Joesolyn, DMD....................... 25 Calderwood, Cody, DDS................................. 10 Caldwell, Jay, DDS......................................... 10 Caldwell, Michelle, DDS.................................. 25 Caletti, Gary, DDS.......................................... 19 Call, Richard, DDS DMD MS .......................... 33 Callender, David, DDS....................................26 Callender, Galen, DDS................................... 28 Callender, Galen, DDS PC ............................... 1 Camerino, Angelo, DDS.................................. 10 Camerino, Carolyn, DDS................................ 10 Campbell, Monte, DDS................................... 10 Cannon, Christopher, DDS DMD...................... 2 Cannon, Mark, DDS DMD................................. 6 Caraway, Darren ............................................ 20 Caraway, Damen, DDS................................... 29 Carlesimo, Peter, DDS .............................. 21,29 Carlson, Kendal, DMD.................................... 15 Carlston, Matthew, DDS DMD .......................... 2 Carmody, Colleen, DDS .............................. 2,15 Carreon, Lejon, DDS....................................... 27 Carroll,Bernard, DDS..................................... 15 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 37 Delta Dental PPO Carroll, Tara, DDS.............................................7 Carter, Colleen, DDS...................................... 15 Carter, Steven ................................................. 30 Carter, Steven, DDS................................. 10,31 Case, William, DDS DMD.................................. 9 Casement, Russell, DDS................................ 15 Caspers, Susan, DDS..................................... 35 Cassidy, Mark, DDS DMD.................................9 Casson, Anne, DDS........................................ 27 Castillo, Steven, DDS...................................... 10 Catalano, Joseph, DDS.....................................5 Catalano, Joseph, DDS DMD ......................... 28 Catalano, Joseph, DDS MD .............................. 9 Chalian, Garo, DDS.................................... 2,30 Chambers, Alvin, DDS DMD ........................... 31 Chang, Michael, DDS DMD PC.........................2 Chapman, Thomas, DDS .......................... 19,24 Chavez, David, DDS....................................... 25 Chavez, Manuel, DDS..................................... 15 Chawla, Neha, DDS DMD ............................... 33 CHC Denver Health Westside D ..................... 15 Chc High Plains Community He ...................... 26 CHC Uncompahgre Medical Cent ................... 30 Chernoff, Kenneth, DDS ........................... 15. 22 Chien, Shih, DDS............................................ 33 Childress, Frank, DDS.................................... 31 Chinni, Asha, DDS............................................ 9 Choe, Chiyon, DDS.............2, 10, 15, 23, 31, 33 Choi, Jack, DDS..............................................34 Choi, Seong-Hee, DMD.................................. 30 Cholfin, Stuart, DDS.......................................... 2 Christ, Kevin, DDS DMD................................... 9 Christiansen, Bart, DDS.................................... 9 Christiansen, Richard, DDS ...................... 10,27 Christophe, John, DDS...................................15 Clair, Preet, DDS............................................. 15 Clark, Bruce, DDS...........................................21 Clear, Sheryl, DDS...................................... 3,30 Clement, Charles, DDS................................... 15 Clifton, Brett, DDS........................................... 22 Colledge, Heath, DDS.....................................22 Collinsworth, Phillip ......................................... 24 Collinsworth, Phillip, DMD.................................6 Colm, Stephen, DDS.......................................29 Colm, Stephen, DDS DMD............ 5, 6, 7, 21, 24 Colm, Stephen, DMD .......................... 13, 21, 29 Community Dental Clinic Chc.......................... 30 Connolly, Mary .................................... 10, 23. 31 Connolly, Mary, DDS...................................3. 15 Connor, Donald, DDS DMD ............................ 15 Cope, Thomas, DDS....................................... 20 Corr, Robert .................................................... 21 Corr, Robert, DDS........................................... 10 Corson, George, DDS..................................... 28 Cortese, Kathleen, DDS.................................. 30 Cory, Kenneth, DMD....................................... 30 Costa, Benjamin, DDS.................................... 30 Cowen, Neil, DDS........................................... 19 Cox, Vallory, DDS............................................. 1 Craig, Robert, DDS......................................... 25 Craven, Dustin, DMD.................................. 71 15 Creer, Lorin, DDS............................................27 Crichlow, Kenneth, DDS................................. 15 Crisler, Steven, DDS DMD .............................. 10 Crockett, Olen, DDS........................................25 Cubillos, Constanza, DDS ............................... 34 Cuin-Parker, Jazmin, DDS .............................. 33 Cullum, Arnold, DDS................................. 10, 15 Cutler, Richard, DDS................................. 10, 30 Q D Addario, Matthew ......................................... 13 Dahler, Bryan, DDS PC...................................35 Dale, Eric, DDS............................................... 19 Daniel, Thomas, DDS....................................... 3 Danna, Charles, DDS......................................27 Danzer, Kimberly, DDS DMD .......................... 34 Dasilva, Ricardo ........................ 3, 10, 23, 31, 33 Daugherty, David, DDS...................................27 Daurio, Ronald, DDS....................................... 31 Davies, Kristi, DDS.......................................... 10 Davis, Matthew, DDS...................................... 33 Davis, Philip .................................................... 30 Davis, William, DDS.......................................... 7 Dawson, Kevin, DDS........................... 26, 27, 33 Day, Gregory, DDS MD DMD ......................... 32 Deal, Thomas, DDS.................................. 15,20 Dean, Mark, DDS.............................................. 1 Degarmo, Aaron, DDS...................................... 6 Degeare, Danny, DDS.................................... 14 Dembitsky, Stephen, DDS .............................. 32 Denver Health Bannock De Chc ..................... 15 Denver Health Eastside D Chc ....................... 15 Derby, Erica, DDS........................................... 33 Dewitt, Michael, DDS MA ................................ 15 Dial, Dustin, DDS DMD................................... 10 Dietz, Jacqueline, DDS DMD ...................... 2134 Digiorgio, Robert ............................................. 15 Digiorgio, Robert, DDS.................................... 30 Dilizia, Camillo, DDS DMD................................ 3 Dillabaugh, Gary, DDS DMD........................... 25 Dinsmore, David, DDS.................................... 15 Dodson, Anastasia, DDS................................ 36 Doerhoff, Richard, DDS.................................... 3 Dolores County Health As Chc ....................... 19 Dorsey, Ronald, DDS......................................20 Dougherty, Carrie, DDS DMD......................... 15 Dowlati, Jina...................................................... 3 Dowlati, Jina, DDS.................................... 23, 33 Downey, Ralph, DDS...................................... 31 Doyle, Bridget, DDS........................................ 31 Drake, Thomas, DDS...................................... 28 Draper, Scott, DDS......................................... 14 Drescher, David .............................................. 24 Driscoll, Dennis, DDS.................................. 7,31 Driskill, Victoria ................................................ 30 Drury, Robert, DDS......................................... 10 Duey, Douglas, DDS.......................................29 Dunbar, Andrew, DDS...................................... . 8 Dunker, Inna, DDS.......................................... 15 Dunkleberger, Elizabeth, DDS ........................ 24 Dunn, David, DDS............................................. 3 Duquette, Douglas, DDS........................... 15, 27 Duran, Jack, DDS............................................ 5 Duran, Jack, DDS MS ..................................... 20 Duran, Tomas, DDS........................................ 31 Durbin, Charles, DDS PC ................................ 10 Durkin, Fazila, DDS......................................... 28 Duryea, Michael, DDS ............................... 26,28 Dwyer, Daniel, DDS........................................ 30 Dyches, Benjamin, DDS.................................. 30 Dymerski, Daniel, DDS................................... 24 E Eames, Owen, DDS........................................ 14 Eckhardt, Bradley, DDS.................................... 2 Edlund, David, DDS.................................... 3,25 Edwards, Gerald, DDS DMD ............................. 3 Edwards, Walter, DMD.................................... 24 Egbert, Hans, DDS.......................................... 10 Egert, Terry, DDS............................................ 15 Ehtessabian, Jason, DDS................................. 7 Elliott, Brian, DDS....................................... 1, 15 Ellis, Dana, DDS PC ......................................... 1 Ellis, Randall ......................................... 5.19 34 Ellis, Randall, DDS.................................... 13, 32 Elton, Roger, DDS MS ................................ 9,31 Enea, Steven, DDS..........................................11 Erickson, Joshua, DDS................................... 13 Escala, Saul, DDS....................................... 3125 Esposito, Daniel, MD DMD ............................. 28 Eurich, Steven, DDS....................................... 25 Evans, David ..................................................... 6 Evans, Douglas, DDS MS................................11 Evans, Raymond, DDS..................................... 3 Eveland, William, DMD................................... 10 Eyer, Robert ................. r Facy, Rebecca, DDS ............................ 8, 13,24 Fager, Frank, DDS.......................................... 14. Fahmy, Sharon, DDS........................................ 3 Fanning, Cyrus, DDS PC .................................. 3 Farley, Lynn, DDS........................................... 27 Farmer, Dale, DDS......................................... 15 Feinberg, Joel, DDS.................................. 21,23 Fereydouni, Amir, DDS DMD .......................... 27 Ferguson, Ian, DDS DMD ............................... 34 Fermelia, Catherine, DDS ............................... 25 Filter, Jenny, DDS........................................... 32 Fischer, James, DDS...................................... 21 Fitzgerald, Josefina, DDS ............................... 31 Fitzpatrick, Brian, DDS DMD........................... 14 Fitzpatrick, Brian, DMD..................................... 1 Flander, Jayme, DDS...................................... 19 Fleming, John, DDS DMD................................11 Flood, Patrick, DDS........................................ 25 Florez, Tania, DDS......................................... 15 Floyd, Carlton, DDS MD MS ............................. 5 Floyd, Carlton, DDS MS .................................... 9 Foley, Patrick, DDS PC ................................... 15 Ford, James, DDS...................................... 3,27 Ford, Michael, DDS........................................... 3 Foster, Cory, DDS........................................... 21 Foster, Karen, DDS........................................... 5 Foy, Michael, DDS.......................................... 13 Francis, Lauren ........................................... 6, 19 Franquemont, Michael, DDS....................... 9,27 Franz, Karen, DDS .............................. 13, 18, 26 Frederick, Christopher, DDS DMD.................... 6 Freimuth, Ronald, DDS................................... 30 Frey, Ronnie, DDS.......................................... 15 Friedman, Mitchell, DDS................................... 1 Friedman, Mitchell, DDS DMD........................ 25 Friedman, Stephen, DDS................................ 15 Frisbie, Kent, DDS...........................................11 Frisch, Michael, DDS........................................ 3 Fritz, Tiffany, DDS....................................... 3,25 Fronczak, Richard, DDS................................... 6 Funderburk, David, DDS.................................22 Furuta, Nicole, DDS........................................ 15 r Gallagher, James, DDS DMD MS ..................... 2 Gallego-Cubillos, Sonia ............................ 14,28 Gallego-Cubillos, Sonia, DDS DMD.................. 8 Galyardt, Wesley, DDS................................... 21 Gardner, Robert, DDS.................................... 28 George, Mark...................................................11 Giannetto, Steven, DDS PC ............................ 31 Gibbs, Bryan, DDS.......................................... 15 Gibbs, Tamara, DDS....................................... 34 Gibson, Colin, DDS MS .................................. 35 Gill, Nancy, DDS............................................. 22 Gillespie, Andre ..................................... 3, 23,33 Gilliam, Jeffrey, DDS DMD................................ 3 Ginther, Stefan, DDS........................................ 3 Gitlin, Larry, DDS............................................ 27 Givan, Carl, DDS............................................ 33 Glamm, Jayme, DDS........................................ 3 Glenn, Falona, DDS.......................................... 3 Glenn, Gerald, DDS.......................................... 3 Glick, Paul, DDS............................................. 28 Glick, Paul, DDS MS ......................................... 5 Glucksman, Richard, DDS .............................. 25 Glueckert, Mylene, DDS..................................11 Goad, Richard, DDS DMD .............................. 22 Goff, Sabrina ............................................... 6,19 Gohl, Frederich, DDS...................................... 34 Gohl, Fredric ................................................... 34 Gohl, Fredric, DDS.......................................... 25 Gold, David, DDS PC ........................................ 9 Gold, Frank, DDS PC ...................................... 25 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 38 • • • 0 Delta Dental PPO Gomenyuk, Nina, DDS................................ 7,15 Hoang, Hang, DDS......................................... 27 Jolstad, Mark, DDS................................... 16,27 Gomez, Jose, DDS......................................... 23 Hoang, Huyen, DDS .................................... 3, 16 Jones, Jeanice, DDS...................................... 16 Gomez, Luis, DDS DMD .........................2, 6, 19 Hoch, Donald, DDS ......................................... 16 Jones, Kristin, DDS ..................................... 9,27 Gorsky, Michael, DDS PC ............................... 11 Hoeft, Paul, DDS ............................................... 9 Jones, Kristin, DDS MSW ............................... 25 Gossenauer, Martin ............................... 3, 23, 33 Hoggan, Brent................................................. 24 Jones, Natalie, DDS ................................... 11, 31 Gottlieb, Stanleyj, DDS................................... 15 Hoggan, Brent, DDS....................................... 31 Jones, Randall, DDS ....................................... 33 Gould, Steven, DDS.................................. 11, 16 Hohert, Chandra, DDS DIVID ........................... 16 Joo, Nelson, DIVID ............................................. 3 Grace, Leana, DDS.........................................25 Holden, Philip, DDS........................................ 31 Jorgensen, Amy, DDS .......................... 3, 16,23 Graf, Lindsey, DDS......................................... 16 Holderness, Harold, DDS ................................ 30 Jorgensen, Thomas, DDS................................. 7 Grant, James, DDS......................................... 11 Holecek, Andrew, DDS..................................... 6 Jostes, James, DDS....................................... 14 Graves, Gary, DDS......................................... 31 Holling, George, DDS ...................................... 29 Jultak, Jed, DDS....................................... 14,23 Green, Leon, DDS........................................... 21 Holmes, Caron, DDS ......................................... 1 Jungman, Gregory .................................... 19,24 Green, Zachary, DDS......................................21 Holmes, James, DDS ........................................ 1 Justus, John, DDS...................................... 3,20 Greene, Craig, DDS PC .................................. 27 Holt, Gary, DDS.............................................. 28 Greene, Jerome, DDS.......................................9 Holtzmann, David, DDS .................................. 30 K Gryzick, David, DDS................................... 3,27 Holtzmann, David, DDS DMD ........................... 2 Guerra, Catherine, DDS.................................. 11 Hong, Douglas, MD DIVID ......................... 13 Kalhorn, Jim, DDS Guido, Joseph ................................................. Guido, Joseph, DDS....................................... 21 16 Hook, Mark, DDS........................................ Horn, Gary, DDS .............................................. 6, 28 11 ...........................................11 Kallio, Jennifer, DDS ....................................... 29 Gurinsky, Brian, DDS .............. 14, 21, 24, 29, 35 Horner, Craig, DDS DC ....................... 18, 28, 31 Kanchanlal, Vikash, DDS DIVID ................... 8,31 House, Mark, DDS............................................ 7 Kang, Ruth, DDS............................................ 16 H House, Mark, DDS DMD................................. 31 Karami, Ardavan, DDS ...................................... 3 Houser, Jamin, DDS................................... 3,31 Karaskevicus, Jennifer, DDS .......................... 16 Haberstroh, Julie, DDS PC...............................3 Houser, Javan, DDS................................... Housewright, Wade .................................... 7,33 31 Karden, Steven, DDS ........................................ Karla, Mark, DDS DIVID ................................... 3 14 Hahn, Christopher, DDS MS PC ..................... 14 Housewright, Wade, DDS ......................... 24, 35 Karlin, Tyler............................................... 28,29 Hahn, Laura, DDS........................................... 16 Howard, Brian, DDS .......................................... 6 Karlin, Tyler, DDS........................................... 24 Hakala, Catherine, DDS.................................. 16 Howell, Bruce, DDS DMD ............................... 20 Kawakami, Sam, DDS.................................... 25 Hakala, Joseph, DDS...................................... 16 Hubbell, Makala, DDS. 16 Kawano, Richard, DDS................................... 16 Hale, Michael, DDS......................................... 30 Hull Donald..................................................... 13 Kawasugi, Kai, DDS .................................. 16,34 Hall, Brandon, DDS......................................... 16 Hunter, Gregory .............................................. 22 Kellogg, Bradley, DDS...................................... 7 Hall, Dwayne, DDS......................................... 11 Hurd, Mark, DDS ............................................. 31 Kellow, Hiba, DDS.......................................... 20 Haman, Michelle, DDS.................................... 13 Huser, Rebecca .............................................. 16 Kell Brian, DDS............................................ Y, 33 Hamblin, Robert .............................................. 23 Huskey, David, DDS....................................... 16 Kempers, Gregory........................................... 16 Hamblin, Robert, DDS................................. 6, 28 Hymer, Barbara, DDS....................................... 2 Kempers, Gregory, DDS ..................... 26, 30, 33 Hamersky, Paul, DDS..................................... 24 Kempton, Cindy, DDS ..................................... 27 Hamidi, Mariam, DDS DMD ...................... 11, 21 Kenny, Kraig, DDS .......................................... 31 Hamilton, Jeffrey, DDS DMD.......................9:30 Keogh, Barry, DDS MID ........................... 5, 9, 28 Hamilton, Warin, DDS DMD............................ 16 Kern, James, DDS.......................................... 25 Hanchett, Jon, DDS DMD ............................... 16 Ibrahim, Alfaiyaz, DDS .................................... 19 Kessler, Mark, DDS........................................ 20 Handelman, Richard, DDS.................... 3, 11, 28 Idiculla, Anil, DDS DMD ........ 5, 8, 13, 18, 21, 24 Khalil, Tara, DDS.............................................11 Hannon, Keith, DDS........................................ 16 Idiculla, Anil, DIVID ................................. 5, 18.28 Khatri, Avani, DDS.......................................... 16 Hanosh, Alison, DDS........................................ 8 Ignatieff, Nataliya............................................ 16 Kheir, Ahmed, DDS DMD ........................... 3,29 Hansen, Danny, DDS......................................25 Inner City Health Center Che .......................... 16 Khmil, Larisa, DDS ........................................ 1,3 Hansen, Matthew, DDS................................... 11 Irick, Bruce, DDS ............................................. 30 Kids In Need Of Dentistr ................11, 14, 16, 25 Hargleroad, Jennifer, DDS .............................. 21 Isaacs, Christine, DDS...................................... 9 Kilroy, Thomas, DDS PC ................................ 16 Harmon, Frank, DDS.......................................25 Iversen, William, DDS MS ............................... 21 Kim, David, DDS .............................. ............... 27 Harmon, Katherine, DDS................................ 23 Kingsford, Daniel, DDS....................................11 Harper, Clayton, DDS ...............6, 13, 18, 24, 26 J Kinkade, James, DDS............................... 16,23 Harper, Clayton, DDS MD .............................5, 6 Kirchner, Thomas, DDS .................................. 16 Harrell, Ricky.....................................................5 Harris, Mark, DDS...........................................27 Jackson, Darrell, DDS ....................................... 1 Kissinger, Mary, DDS ...................................... Klein, Joel, DDS 24 11 Harrison, Ashleigh, DDS................................... 3 Jackson, Stephen, DDS.................................. 24 ............................................... Klein, Mark, DDS............................................ 25 Harrison, Patrick, DDS.................................... 21 Jacobson, David, DDS.................................... Jagger, William, DDS 22 31 Klein, Ulrich, DDS DMD.................................... 5 Hartle, Sheila, DDS......................................... Harvan, Kristina...............................................25 20 ...................................... Jakubanis, Terrence, DDS .............................. 19 Klumb, Thomas, DDS..................................... Kneale, Evan ................................................... 27 35 Harvan, Kristina, DDS....................................... 3 Jamison, Nicholas, DDS................................. Jankowski, Mark, DDS 23 20 Kneale, Evan, DDS......................................... 35 Harvey, Jonathan, DMD.................................. 31 .................................... Jebril, Hanaa, DDS 25 Knowlton, Anthony, DDS................................ 31 Harvey, Thomas. DDS.................................... Haschke, Douglas, DDS ...........................21, 21 29 .................... Jefferies, Robert, DDS.................................... ................ 30 Koch, Mark, DDS.............................................. Koch, Richard, DDS 5 16 Hasselback, Christopher, DDS...... 11, 25127, 31 Jeffers, Janis ................................................... Jeffers, Janis, DIVID 33 3, 8, 16 ........................................ Kochevar, Casey, DDS................................... 29 Hatch, Randy, DDS.........................................23 Hawkins, Darrell, DDS.......................................3 ................................. Jenkins, Jesse, DDS ......................................... 1 Koditek, Edward, DDS.....................................11 Kohlmeier, Randall, DDS 1 Hayes, Paul, DDS........................................... 20 Jenson, Colleen, DDS DMD ............................. Jimenez, Rossynet, DDS 11 1 .................................. Kohut, Dejan, DDS ...................................... 2,29 Hayutin, David, DDS......................................... Hayutin, David, DDS LLC................................ 5 19 .................................. Joesaar, Harald, DDS....................................... 1 Kolz, Arlene, DDS............................................11 Komanduri, Krishna, DDS 3 Hedrick, David, DDS......................................... 3 Johnson, Bruce, DDS ...................................... Johnson, Charles, DDS............................. 25 23, 27 ................................. Kondratenko, Andrey, DDS............................. 23 Heiny, Christopher, DDS PC ........................... Henderson, Scott, DDS...................................30 36 Johnson, Collis, DDS...................................... 16 Konegni, John, DDS MS ................................. Koo, David, DDS 26 16 Hennegan, Paul, DDS ............................... 11,34 Johnson, David, DDS MS ............................... Johnson, Jay, DDS DMD 21 31 ............................................. Korosciel, Malgorzata, DDS ............................ 35 Herzig, Laura ................................................... Herzig, Laura, DDS................................. 29 617,28 ................................ Johnson, Jolly, DDS........................................ 28 Kott, Jeremy, DDS............................................ Krainik, Gregory, DDS 2 33,35 Hickenlooper, Gary, DDS........................ .... 11 Johnson, Leslie, DDS ...................................... Johnson, Lonnie, DDS PhD 21 5 .............................. Kramer, Jeffrey, DDS .................................. 21 Higuchi, Christopher, DDS.................. 14, 26, 33 , ........................... Johnson, Phillip, DDS ••• 33 Krannawitter, Jeff, DDS.................................. S 25 Hill, Anna, DDS............................................... Hill, Doxiades, DDS.........................................21 11 ..................�..�............. Johnson, Roy, DDS DMD PC ......................... 25 Krannawitter, Jeffrey, DDS ............................... Krieger, George, DDS............................... 1 27,33 Hill, Jonathan, DDS.........................................21 Johnson, Trevor, DDS DMD ........................... 30 Kruglet, Neil, DDS 3 Hirschman, Wade, DDS .............................. 3, 20 Johnson, Warren, DDS................................... Johnson, Warren, DDS MS 13 13 ............................................. Krum, Nelson, DDS ...................................... 6, 11 Hoag, David, DM D....................................... Hoang- Xuan, Khiem....................................... ... 16 27 ............................. Johnston, Jeffery, DDS................................... 16 Kuhar, Kenneth ......................................... Kuljis, Lawrence, DDS 19,23 23 Johnstone, Dennis, DDS DMD ........................ 29 .................................... Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 39 Delta Dental PPO oou-----------'uc Lutskiy, Aleksandr, oMo-----------uo -------------3,r Lyons, Juliann, ooa........................................ 10 vwonMicmmle--------------'m mvonMichelle, omo...................................... »» /m 25 m Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental membercompanies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided toany patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. 40 0 0 • Nguyen, Hoang, DDS MS ................................. 5 Nguyen, Huy, DDS............................................4 Nguyen, Lan, DDS.......................................... 17 Nguyen, Quynh ................... 4, 12, 17, 23, 32, 33 Nichols, Richard, DDS................................6, 26 Nicolette, John, DDS....................................... 20 Nicolosi, Patricia, DDS PC ................................ 9 Nieberg-Baskin, Hilary, DDS .......................5, 26 Nielsen, Kurt, DDS............................................ 9 Nielson, Kirk, DDS...................................... 9,31 Nishimura, Roger, DDS................................... 17 Noah, Jason, DMD.......................................... 22 Noble, Glenn, DDS..........................................22 Norris, Garth, DDS.......................................... 20 Norris, Gregory, DDS........................................ 6 Novak, Scott, DDS DMD................................... 4 n Obana Dela Paz, Carmeliza, DDS .................. 17 Obermann, William .......................................... 23 Obermann, William, DDS................................ 21 Obrien, Robert, DDS....................................... 29 Ochoa, Margarita, DDS............................... 4,26 Oesterle, Larry, DDS.........................................5 Ohmart, Scott, DDS.................................... 9.28 Oldershaw, William, DDS................................ 27 Oldroyd, Todd, DDS DMD ............................... 27 Olivier, Jonathan, DDS.................................... 33 Olsen, Brian .................................................... 14 Olsen, Lonnie, DDS........................................ 12 Olson, Dwight, DDS DMD......................... 12, 31 Olson, Richlund, DDS....................................... 9 Omi, Sheldon, DDS DMD................................ 36 Oneill, Bradford, DDS............................... . 20,33 Onstad, Michael, DDS.................................8, 13 Ontiveros, Michael, DDS................................. 26 Ordahl, John, DDS.......................................... 32 Ordahl, John, DDS DMD................................. 13 Oreskovich, Tony, DDS...................................32 Ortegon, Gino, DDS DMD...............................32 Owen, Brandon, DDS................................29, 35 Owens, Justin, DDS........................................ 19 Ozenbaugh, Brian, DDS....................................4 P L] Padula, Juli Ann, DDS..................................... 32 Paini, William, DDS......................................... 17 Paisley, Ian, DDS.............................................. 7 Paison, Thomas, DDS..................................... 33 Palumbo, Glenn, DDS.....................................26 Pangborn, Cameron, DDS ........................ 14.24 Pantleo, Paul, DDS......................................... 22 Papir, Dori, DDS DMD..................................... 20 Pare, Henri, DDS............................................ 17 Pareja, ClaudeA, DDS.................................... 35 Parfitt, James, DDS DMD..................................4 Park, Alexander, DDS..................................... 35 Park, Wonpyo, DDS........................................ 12 Parker -Smart, Janis ........................................ 26 Parsons, Joseph, DDS...................................... 1 Passon, J.......................................................... 4 Paswaters, Stephanie, DDS ............................26 Patel, Sanjay ................................................... 27 Patton, Noel, DDS DMD.................................. 12 Pauly, Albert, DDS.......................................... 21 Pavel, Margareta, DDS................................... 27 Payne, Randall(Randy), DDS ......................... 12 Payne, Wayne, DDS DMD .............................. 32 Peak Vista Community Hea ...................... 12, 19 Peak, Douglas, DDS....................................... 12 Pechek, Ty ...................................................... 32 Pechek, Tyson, DDS....................................... 32 Penk, Stuart, DDS........................................... 17 Peppler, Michael, DDS DMD....................... 9, 30 Perry, Stephen, DDS............... 1, 4, 6, 17, 23, 29 Peterson, Andrea, DDS ............................... 1, 35 Peterson, Bruce, DDS.......................................7 Delta Dental PPO Peterson, Gregg, DDS MD .............................. 21 Peterson, Gregg, MD ...................................... 20 Peterson, Shon, DMD ............................... 28,30 Petkova, Anastasia, DDS ............................ 4,26 Pettyjohn, Catherine, DDS .............................. 24 Pfalzgraf, John, DDS....................................... 17 Pfister, Candace, DDS DMD........................... 22 Phi, Hanh, DDS............................................... 33 Philson, Gregory, DDS.................................... 32 Pierson, Dianne, DDS..................................... 29 Pinkner, Jay, DDS...........................................29 Poczatek, Sharon, DDS.................................... 6 Podratz, Adam, DDS....................................... 12 Pohl, Raymond, DDS...................................... 27 Polidori, Brian, DDS........................................ 26 Polke, Kenneth, DDS PC ................................ 35 Pollaccia, Nino, DDS....................................... 35 Pomeranz, Alan ............................................... 34 Pomeranz, Alan, DDS DMD............................ 19 Pontarelli, William, DDS.................................. 26 Porter, Nicolas, DDS....................................... 14 Porzio-Dilizia, Paulette, DDS DMD ................. 22 Powell, David, DDS MD .................................. 22 Prajapati, Snahel, DDS DMD.......................... 26 Prentice, Ricarda, DDS..................................... 7 Preston, James, DDS...................................... 27 Probst, Scott, DDS.......................................... 12 Probst, Travis, DDS........................................ 12 Pruett, Nicolas, DDS....................................... 12 Pucheril, Aneeta, DDS.................................... 26 Pueblo Community Health Chc....................... 32 G Quandt, John, DDS......................................... 17 Quist, Rhett, DDS.................................. 5, 13,35 R Raether, Gail, DDS......................................... 20 Ragulsky, Ronald, DDS.................................. 32 Rahimpour, Navid, DDS.................................. 12 Ranov, Boyan, DDS DMD ...........................4, 34 Ranta, George, DDS PC ................................. 22 Ranta, Jeffrey, DDS DMD ............................... 22 Ranucci, Andrew, DDS DMD .......................... 29 Rasulov, Aziz.................................................... 4 Rasulov, Aziz, DDS......................................... 34 Ray, Jason, DDS PC ................................. 17,20 Read, Terry, DDS............................................ 12 Reader, Chad, DDS........................................ 25 Ready, Thomas, DDS.. ** .............................. * ..32 Reardon, Daniel, DDS..................................... 30 Rebber, David, DDS........................................ 20 Reck, Diane, DDS PC.. **"*"* ........ ** ... * ............. 12 Reck, Steven ................................................... 12 Reck, Steven, DDS......................................... 34 ... Reck, Steven, DDS PC ................................ 32 Redfearn, Ryan, DDS..................................... 20.. Redford, David, DDS..................................... 17 Reed, Thomas, DDS....................................... 20 Reich, Gregory, DDS...................................... 14 Rein, Gary, DDS............................................. 17 Reinicke, Mark, DDS PC ................................. 12 Reisman, Alan, DDS....................................... 29 Reissner, Marc ................................................ 34 Reissner, Marc, DDS...................................... 19 Renehan, Bradley, DDS MD ........................... 13 Reposa, Ryan, DDS DMD ............................... 22 Resnick, Jeffrey, DDS..................................... 28 Resnick, Mark ................................................... 4 Revoir, Jeffrey, DDS....................................... 17 Reynolds, James, DDS.................................... .4 Rezaei, Seyed, DDS................................... 4, 26 Rice, Donald, DDS.......................................... 17 Richardson, Brian, DDS.................................. 27 Richardson, Heather, DDS DMD ................ 5, 19 Richardson, Heather, DMD ............................. 14 Richter, David, DDS........................................ 24 Riesselman, Phillip, DDS.................................. 4 Rinaldi, Todd ................................................... 21 Rinaldi, Todd, DDS......................................... 17 Rinaldis, Patrick, DDS..................................... 23 Ring, Jamie, DDS DMD ........................ 2, 28, 34 Ring, Karla, DDS DMD ............................... 2,34 Robbins, Braden, DDS.................................... 17 Roberts, Dale, DDS.................................. 17,24 Roberts, Tony, DDS........................................ 32 Robinson, David, DDS PC .............................. 32 Robinson, T................................................. 9,26 Robinson, T, DMD.......................................... 34 Rocke, Paul, DDS..................................... 19,28 Rodgers, Charles, DDS 1, 4, 7, 12, 20, 26, 33, 35 Rodgers, James, DDS .............................. 14,17 Rodriguez, Leopoldo, DDS ............................. 12 Rodriguez, Melanie, DDS ............................... 32 Rodriguez, Paul .............................................. 12 Rodriguez, Paul, DDS..................................... 12 Rohleder, Julia, DMD...................................... 12 Rollow, John, DDS.......................................... 33 Romig, Gregory, DDS....................................... 4 Ronco, Ronald, DDS DMD ............................. 12 Rones, Jonathan, DDS..................................... 4 Rosamsetty, Prathima..................................... 32 Rosenzweig, Todd, DDS................................. 21 Rossow, Eric, DDS......................................... 14 Roth, Justin, DDS..................................... 13,19 Rotolo, Gary, DDS.......................................... 17 Rotwein, Pamela, DDS................................... 17 Rowan, Matthew, DDS................................ 4, 17 Rowlette, Michael, DDS.................................... 8 Royal, John, DDS........................................... 12 Rudman, Robert, DDS.................................... 19 Ruff, Michael, DDS......................................... 36 Rush, Larry, DDS............................................ 12 Rush, Steven, DDS........................................... 4 Rusnak, Marykate........................................... 21 Ruvins, Edward, DDS....................................... 4 Rygg, Paul ...................................................... 36 Rygg, Paul, DDS............................................. 12 S Sachs, Ellen, DDS.................................... 14,24 Saddler, Aurora, DDS..................................... 30 Saddler, Gary, DDS.................................. 17,30 Sadler, Norris, DDS DMD ............................... 17 Saeks, Adam, DDS......................................... 29 Safer, Donald, DDS.................................. 14,24 Saide Karlin, Stephanie, DDS..................... 7, 27 Sakamaki, Carl, DDS...................................... 17 Sakkaris, Christopher, DDS ............................ 35 Salvo, Joseph, DDS.................................... 8,13 Sampath, Vidhyalakshmi, DDS ................. 26.35 Sanchez, Porforio, DDS.................................. 17 Sanders, Nelson, DDS.................................... 35 Sanderson, Stuart, DDS................................. 17 Sandoval, Elivinio, DDS.................................... 6 Sankaranarayanan, Srivalli ....................... 17,34 Sankaranarayanan, Srivalli, DDS ............... 4, 17 Saunders, Ryan, DDS..................................... 14 Sauza, Juan, DDS.......................................... 29 Savage, Bryan, DDS ............................... 2, 9, 23 Savage, Michael, DDS DM ............................... 5 Saydyk, Theodore ........................................... 22 Saydyk, Theodore, DDS................................... 5 Scarffe, Charles, DDS....................................... 1 Scarpella, Pasco, DDS..................................... 7 Schaeffer, Teri, DMD...................................... 35 N Schafer, atalie, DDS MD MS ........................ 36 Schaffer, Lisa .................................................... 7 Scheidt, Michael, DDS................................ 7, 30 Scherber, Joseph, DDS.................................. 36 Schneider, Debra, DDS.................................. 17 Schneider, Walter, DDS..................................20 Scholes, Landis, DDS....................................... 9 Schreiber, William, DDS PC ............................ 29 Schroeder, David, DDS................................... 13 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 41 Delta Dental PPO Schroeder, Timothy, DDS ............................... Schultz, R, DDS.............................................. 26 32 Stiles, Michael, DDS....................................... Stoddard, Dennis, DDS............................... 35 4, 18 Twerskoi, Vladislav, DDS .................................. Twiss, Tyler, DDS DMD.................................. 4 24 Schwab, Michael, DDS DMD .......................... 17 Stoddard, Scott, DDS ...................................... 22 Schwartz, Marc, DDS...................................... 17 Stoll, Gregory, DDS MS .................................. 34 U • Schwartzenberger, Danielle ............................ 18 Stoor, Michael, DDS ........................................ 12 Schwerdt, Janne, DDS.................................... Scott, Daniel, DDS............................................4 18 Stricca, Duilio, DDS PC ................................... Stringert, Howard, DDS ................................... 32 32 Unger Waters, Jennifer, DDS ......................... Unrath, Robert, DDS DMD .............................. 22 18 Seabury, Carolyn, DDS.................................. Sedhom, Ashraf, DDS MD DMD ................. 34 5, 18 Struhs, Theodore, DDS ..................................... Stutznegger, Conrad, DDS ............................. 8 29 Unterseher, Ronald ......................................... Unterseher, Ronald, DDS MS ......................... 19 35 Segal, Brigitte, DDS........................................ 23 Sullivan, Cort, DDS......................................... 36 7 Sehy, Christina, DDS...................................... 26 Suman, Jamie, DDS .......................................... V Seifert, Teniel, DDS DMD ............................... Sekiya, Floyd, DDS......................................... 14 36 Sumner, Jill ...................................................... Suter, Scott, DDS MS ..................................... 4 13 Seymour, Brittany, DDS.................................. 18 Svoboda, Brian, DDS.................................. 9, 18 Vairin, Christopher, DDS ................................. 18 Shah, Purvi, DDS.............................................. 8 Swain, Thomas, DDS ...................................... 18 Valley Wide Health Servi Chc ... 1, 10, 19, 24, 32 Shaver, Theresa, DDS MS ................................ 5 Swanson, David, DDS ..................................... 26 Valuck, Paul, DDS.......................................... 18 Shaw, Sean, DMD............................................ 2 Sweet, Ronald, DDS....................................... 36 Van Dusen, Scotty, DDS ................................. 22 Shea, Michael, DDS DMD...............................22 Syrpes, Demetrios, DDS ............................. 2, 30 Van Orman, James, DDS................................. 8 Shearer, Amy, DDS DMD..................................6 Sheldon, Lisa, DDS...........................................6 T Van Wagenen, Jason ...................................... Van Wagenen, Jason, DDS ............................ 36 35 Shellhart, W....................................................... 5 Vanicek, Peter, DDS......................................... 9 Shepherd, Renee, DDS.................................. Sherman, Lewis, DDS 20 Tabor, Carl, DDS DMD................................... 21 32 Varner, Jeffrey, DMD........................................ Vean Allen, DDS DMD ................................... 4 19 .....................................26 Short, Howard, DDS DMD ............................... 12 24 Takaki, Alan, DDS........................................... Takaki, Duane, DDS....................................... 32 Vedi,�Anita, DDS............................................... Venuto, Nick, DDS 1 18 Short, Yolanda, DDS DMD .............................. Short, Yolanda, DMD........................................ 9 Talavera, Sylvia, DDS..................................... Talbot, Brett, DDS DMD 26 12 .......................................... Verma, Deepali, DDS ...................................... 12 28 Shultz, Brandon, DDS PC ................................. Shulze, Richard 9 .................................. Talley, Brian, DMD.......................................... 22 Vetowich, Michael, DDS ..........................� Vidmar, Dennis, DDS ...................................... ...... 32 ...............................................29 Shulze, Richard, DDS DMD ...................... Sibo, Jennifer, DDS 22, 29 8 Taloumis, Lows, DDS..................................... Taloumis, Louis, DDS DMD ............................ 13 13 Vigil, Gilbert, DDS PC .................................... Villalon, Elmer, DDS MD DMD DP .................. 18 32 ........................................... Sidwell, Stephen, DDS.................................... 29 14, 19 Taneta, Puja, DDS............................................ Tannyhill, Richard, DDS MD ............................. 4 9 Vilner, Leon, DDS........................................... Vogl, Watt.......................................................... 18 8 Sierk, Jonathan, DDS................................ Siersma, G (George), DDS ............................. 19 Tappan, Major, DDS....................................... Targos, Ned, DDS........................................... 18 18 y............................................. Vondra, Anthony9 12 Sievers, John, DDS PC...................................20 Sims, Alan, DDS 9 Tayde, Shital, DDS DMD.................................. 1 1 Vostatek, Sean................................................ Vuong, Julie, DDS ....................................... 2,19 ............................................... Siparsky, Martin, DDS DMD............................ 18 Taylor, Stephen, DDS....................................... Terada, Jennifer, DDS.................................... 18 Skelton, Thomas, DDS.................................... 13 6 Terry, Bangorn, DMD...................................... 13 W Skromme, Allan, DDS....................................... 32 Thai, Minh, DDS .............................................. 18 Slack, Donica.................................................. Slack, Thomas, DDS....................................... 12 Thalken, Jerry, DDS ........................................ Theriot, Roy, DDS....................................... 35 4,18 Wachuta, Timothy, DDS ........................... Waggoner, ClydeE, DDS DMD ....................... 18, 22 18 Slaysky, Aaron, DDS....................................... Sloss, Erin, DDS 26 19 Thomas, Abraham, DDS DMD ........................ 12 6 Wahl, Michael, DOS ........................................ 12 31 ............................................. Smith, Bradley, DDS....................................... 29 Thomason, Ethelyn, DDS DMD ........................ Thomason, Ethelyn, DMD ............................. 1, 6 Waite, John, DDS........................................... Walgast, John, DDS DMD .............................. 29 Smith, David, DDS.......................................... 20 35 Thomasson, Thomas, DDS ............................... 4 Walgast, John, DMD....................................... 29 Smith, Gerald .................................................. Smith, Gerald, DDS......................................... 34 Thompson, Glenn, DDS DMD ......................... Thompson, Larry, DDS PC ............................. 12 26 Walker, John, DDS DMD.................................. Walker, Stefanie, DMD................................1, 5 5 Smith, Joshua ................................................. Smith, Mark, DDS........................................... 30 34 Thompson, Scot, DDS.................................... Thomson, Patrick, DDS DMD ......................... 27 36 Wallace, John ............................................. Walter, Philip, DDS......................................... 1, 23 33 Smith, Paul, DDS............................................ Snider, Larry, DDS MD...................................26 12 Thongin, Ekapoj, DDS DMD ........................... Thornal, Benjamin, DDS................................. 4 22 Ward, Daniel, DDS .................................... Ward, Larry, DDS .............................................. 32,34 1 Sniegowski, Thomas, DDS ............................. Soder-Blackman, Kelly, DDS ..........................29 18 Thousand, John, DDS ....................................... Thrash, Frederic, DDS.................................... 4 27 Ward, Nicole, DDS DMD ................................... Warlick, Philip, DDS ........................................ 5 34 Soltani, Azadeh, DDS DMD ............................29 Songer, Debra, DDS Thrash, Frederick, DMD .................................. 30 27, 33 Warner, Homer, DDS ...................................... 14 26 .........................................7 ussell, DDS...................................32 Sonntag, R usll Thurman, David, DDS ............................... Thurmon, Hadley, DDS................................... 34 Wasinger, Jack, DDS ...................................... Waters, Gregory, DDS...................................... 1 Sorensen, a DDS................................ Sorensen, Thomas, DDS................................22 21 Tiao, Katie ........................... 4, 12, 18, Tidwell, Scott, DDS.......................................... 23, 32, 34 1 Webb, David, DDS .......................................... Webb, Michael ...................................... 12 9, 26, 34 Sosdian, Quynh-Dung, DDS ........................... 12 12 TIIIISS, Steven, DDS MS ................................. 24 Weber, John, DDS.................................. 6, 7, 34 Sosdian, Stephen, DDS.................................. Sousa, April, DDS............................................. 6 Tillotson, Evan, DDS ....................................... Timlin, Scott, DDS........................................... 12 34 Webster, Kelvin, DDS..................................... Weddle, Larry, DDS DMD ............................... 21 35 Spaeth, Oliver, DDS........................................ Speer, Jennifer, DDS DMD ............................. 12 18 Tippets, Jeffrey, DDS...................................... Tomasetti, David, DMD................................... 24 28 Weekes, Bradley, DDS................................... Weenig, Val, DDS........................................... 28 12 e, Stephen, DMD �� .......... Spencer 29 12 Tomlinson, Kathy, DDS ..................................... 1 Weideman, Edward, MD DMD .................... 9,28 pcia, Louis, DDS....................................... Spiegel, Jeffery, DDS 27 Topolnycky, Andrew, DDS................................4 4 Weinbach, Jonathan, DDS ........................ 29, 35 9 ...................................... Stafford, Joel, DDS DMD................................ 31 Toriggino, Dominic, DDS ................................... Torok, Andreea, DDS........................................ 7 Weir, Frank, DDS .............................................. Weisenfeld, Andrew, DDS PC .......................... 9 Stasi, Mark ........................................................ Stasi, Mark, DDS................................. 5 22, 28, 35 Trammell, Gerald, DDS ............................. Tran, Hung, DDS ............................................. 20, 26 18 Welch, Chad, DDS .......................................... Welch, Scott, DDS DMD ................................. 18 30 Stearns, Jeffrey, DDS MD DMD PC ................ 18 9 Tran, Luan, DDS....................................... 30,35 Wennogle, Charles, DDS.................................. 9 Steams, Jeffrey, MD DMD PC .......................... Ste Steams, Brigitte, DDS ................................23 Tran, Tram, DDS ............................................. Tran Vien, DDS........................................25, 28 29 West -Bennett, Kirsten, DDS ........................... Westphal, Reginald, DDS ............................... 35 31 Steen, Dale, DDS........................................... Steh, Dennis, DDS *...................................... 26 9, 18 . Travis, Stephen, DDS...................................... Trefil, Karleen, DDS DMD ............................... 6 32 Wetmore, Bruce, DDS...................................... Weyman, Paul, DDS....................................... 7 20 Stein, Arlene, DDS DMD .............................. 30 2 Trembath, Lori, DDS....................................... 34 Whalen, Dann, DDS ........................................ 26 Stein, Arlene, DMD........................................... Stella, Helen, DDS DMD................................. 20 Tripam, Alois, DDS .................................... Trujillo, Derie, DDS........................................... 21,29 1 Wheeler, Mark, DDS DMD .......................... Wherley, Daniel, DDS..................................... 7,30 18 Sterling, Kevin, DDS ....................................... Stevens, Courtney, DDS................................. 14 23 Tsumura, Kurt, DDS........................................ Tuchklaper, Scott, DDS ................................. 18 6,7 White, Jaime ................................................... White, Jeffery, DDS.......................................... 25 5 Stevens, Jessica, DDS.................................... 30 Turnquist, Kerry, DDS....................................... 7 White, Kelly, DDS PC ..................................... 18 Stevens, Sterling, DDS................................... 20 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 42 Delta Dental PPO isWhitney, Hal ...................................................... 5 Whitney, Scott, DDS................................... 2,28 Whittern, Cathy, DDS......................................29 Wiedey, Richard, DDS.................................... 13 Wiggins, Cassy, DDS DMD MS ...................... 31 Wilk, Steven, DDS PC ..................................... 18 Wilkerson, Damon, DDS................................. 19 Williams, Bryan, DDS...................................... 14 Williams, Bryan, DDS MD ............................... 20 Williams, Mitchell.............................................22 Williams, Mitchell, DDS..................................... 8 Williams, Richard, DDS..................................... 1 Williamson, Chadwick, DDS............................ 18 Willis, Adam, DDS........................................... 35 Willis, Lawrence ........................................ 14,20 Wilson, Anne, DDS........................................... 5 Wilson, Cindy -Sue, DDS................................... 7 Wilson, Daniel, DDS..........................................5 Wilson, Kenneth, DDS MD................................5 Wilson, Richard, DDS..................................... 19 Wilsted, Neal, DDS........................................... 9 Winber, Ralph, DDS........................................ 36 Winnicki, Jeffrey, DDS .............................. 20,25 Winter, Eric, DDS............................................ 35 Wise, Randall, DDS........................................ 26 Witkoff, Jesse, DDS.................................... 2, 19 Witzel, David, DDS......................................6, 34 Wohlgemuth, Barry, DDS..................................5 Wohlwend, Charles, DDS ............................... 32 Wohlwend, Joseph, DDS................................ 32 Wong, Alan, DDS............................................ 20 Wong, Jeffrey, DDS MS .................................... 6 Wood, Bradley, DDS....................................... 29 Woods, Joseph, DDS DMD ............................. 13 Workman, John, DDS....................................... 7 Workman, Ryan, DDS..................................... 14 Wortham, Roy, DDS..........................................7 Wuerker, Richard, DDS...................................21 y aYahnian, Lawrence, DDS 18 ................................ Yasoni, Marc ................................................... 35 Yasoni, Marc, DDS..........................................35 Yeats, David, DDS DMD................................. 20 Young, Kathleen, DDS...................................... 9 Young, Matthew .................. 5, 13, 18, 23, 32, 34 Young, Richard, DDS......................................22 Youssef, Hesham, DDS.................................... 2 PA Zeigler, Jeremy, DDS DMD .............................30 Zeitlin, David, DDS.......................................... 35 Zelazek, Paul, DDS.........................................35 Zenon, Joshua, DDS....................................... 20 Zervas, Steven, DDS PC ................................ 23 Zimmet, Neil, DDS............................................ 1 Zinkann, Karla ........................................... 19,26 Zinkann, Karla, DDS................................... 5, 19 Zinkann, Karla, DDS MS ................................. 28 Zufall, Joseph, DDS........................................ 32 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 43 City of Fort Collins 18. Do you provide a toll -free number for employees to call with questions on claims, plan provisions or requests for dentist referrals? Yes. 19. Do you provide a care line that employees can call with questions about proper levels of care? M 20. Will you provide a dedicated representative for the City's Human Resources Department with telephone and email contact information? Yes. 21. Will you perform pre-treatment estimates? If yes, what is your average turnaround time? Yes, Delta Dental's average turn around time is within five to seven business days once completed information is received from provider. 22. Will you provide COBRA services? Yes. • 23. Can your firm certify compliance with HIPAA health information security and privacy regulations per attached Exhibit A? Yes. 24. The City may discontinue offering the Basic Plan effective January 1, 2010. Would you cover all participants under the Comprehensive Plan? Yes. 0 9 0 • • Delta Dental PPO • ENDODONTIST Ash, Scott, DDS................................................8 Bowden, ClydeA, DDS ...................................... 2 Atha, Jason, DDS.......................................... 6 Bowers, Soledad, DDS..................................... 8 Averbach, Robert, DDS 14 Aufderhar, Christine, DDS...........................2"" 5 Boyd Page, Dana ............................................ 27 ................................... Baltr, Kathleen, DDS................................ Baltz, Kathleen, DDS MS 14,23 14 Auger, Cameron ................................................ Austin, Dawn, DDS........................................... 2 8 Bradley, James, DDS............................... Bradley, Kathleen, DDS ...... 2, 10, .. 22 15, 23, 31, 33 ................................ Becker, Helena, DDS DMD..................... Breeden, Randall, DDS................................... 1, 2, 28 28 Autobee, Thomas, DDS.................................. Avery, Paul, DDS.............................................. 31 6 Brantes, Liliane, DDS ........................................ Branwell, Donald, DDS................................... 8 15 Chalian, Garo, DDS....................................2, 30 Babin, Brian, DDS ..................................... 15,30 Bratton, Dwight, DDS ........................................ 8 Corr, Robert .................................................... 21 Baer, David ..................................................... 10 Bratulescu, Patricia, DDS ................... 23, 33, 35 Corr, Robert, DDS 10 Baer, David, DDS ............................................ 10 Braun, Chad, DDS.......................................... 15 ........................................... Davis, Matthew, DDS...................................... 33 Bahr, Shayna, DDS DMD .................................. 1 Bravo, Luis ...................................................... 15 Davis Jacqueline, DDS DMD ...................... Dietz, a 2, 34 . Bailey, Michael, DDS...................................... Baker, James, DDS 33 19 Bravo, Luis, DDS DMD..................................... Bravo, Luis, DMD 9 7 William, DMD................................. Fager, Frank, m, ..D.................................... 10 14 ......................................... Ball, Melvin, DDS ............................................ 25 .............................................. Bredbeck, Bruce, DDS ...................................... 9 Funderburk, Funderbran David, DDS Bancroft, Joanne, DDS................................... 19 Brichacek, Michelle, DDS................................. 2 .................................22 llos, Sonia ............................. 14, 28 Barecki, Richard, DDS.................................... 15 Bridgeman, Harold, DDS................................ 10 Gallego-Cubillos, Sonia, DDS DMD D 8 Bares, Scott, DDS ..................................... 19,20 Brimhall, Dallas, DDS....................................... 2 ............... Hahn, Christopher, DDS MS PC Christopher, 14 Baros, Raymond, DDS .................................... 10 Brockman, John, DDS.................................... 28 Hahn, . ................ David, DDS 30 Barreto, Nally, DDS DMD ................................ 10 Broeker, Curtis, DDS...................................... 10 .................................. Holtzmann, David, DDS DMD ........................... Jostes, James, DDS 2 14 Barry, Shawn, DDS......................................... Bartlett, James, DDS ......................................... 36 2 Bromell, Susan ................................................ Bromell, Susanc, DDS.................................... 34 33 ........................................ Jultak, Jed, DDS....................................... 14,23 Barton, Colin, DDS .......................................... 25 Brones, Collin, DDS........................................ 10 Kott, Jeremy, DDS............................................2 Barton, Stephen, DDS PC............................... 27 Brooks, Howard ................................................ 2 Lindsay, Michael ............................................... 8 Bashi, Vahid, DDS.......................................... 10 Brotherton, Jamie, DDS.................................. 33 Lowry, Scott, DDS................................. 8, 14,23 Basit, Saadia, DDS DMD................................ 29 Brotherton, Nolan, DDS DMD ......................... 25 Maloney, Scott, DDS DMD........................ 14, 23 Bassett, Merrill, DDS ................................. 33. 34 Brower, Kathleen, DDS ................................... 10 McCarty, David, DDS DMD........................14, 10 Batliner, Donald, DDS ..................................... 15 Brown, Donald, DDS ....................................... 15 McCarty, David, DMD...................................... 10 Batliner, Terrence .............................................. 2 Brown, James, DDS ........................................ 19 Morrison, Alison, DDS 14 Batliner, Terrence, DDS .................................... 2 Brown, Jennie, DDS .......................................... 2 ..................................... Morrison, Alison, DDS.................................... 23 Batson, Emily .................................................... 7 Brown, Richard, DDS PC ................................ 15 Pangbo Cameron, DDS ........................ 14, 24 Batson, Emily, DDS ......................................... 31 Brown, Stephen, DDS ............................... 23,28 Patel, Sanjay .........•,••........ -- 1 Y •• 27 Baumgardner, Thomas, DDS DMD ................. 10 Bruggeman, Scott, DDS .................................... 7 Reader, Reader, Chad, DDS........................................ 25 Beacom, David, DDS......................................22 Bruhin, Michael, DDS ...................................... 36 Ring, Jamie, DDS DMD......................... Ring, Karla, DDS DMD................................ 2, 2, 34 2 2, 34 Beal, Christopher, DDS ................................... Beard, Byron, DDS DMD................................ 22 32 Bryner, Matthew, DDS.................................... Buck, Ronald, DDS......................................... 22 35 Sachs, Ellen, DDS..................................... 14, 24 Beasley, Michael, DDS................................... 10 Bueltel, Allen ..................................................... 1 Safer, Donald, DDS................................... 14, 24 Bender, William, DDS..................................... 24 Buffer, Steven, DDS.......................................... 6 Stein, Arlene, DDS DMD 30 Bennett, Darren, DDS....................................... 2 Buhrmann, Scott, DDS .................................... 10 ................................. Stein, Arlene, DMD........................................... 2 Bennett, Gregory, DDS..................................... 1 Bujanda-Wagner, Sandra, DDS ........................ 2 Syrpes, Demetrios, DDS ............................. 2, 30 Bennett, Scott, DDS........................................ 34 Bullen, Benjamin ............................................... 7 Westphal, Reginald, DDS...............................31 Benning, Brian, DDS....................................... 10 Bullen, Benjamin, DDS................................... 10 Whitney, Scott, DDS................................... 2,28 Bentley, Christopher, DDS ................................ 8 Bullock, Jerem DDS DMD ............................ Y, 10 Youssef, Hesham, DDS 2 Bergeson, Zackary, DDS DMD ......................... 2 Burchfield, John, DDS PC............................... 22 .................................... Bergles, James, DDS...................................... 31 Burger, Anna, DDS......................................... 27 GENERAL DENTIST Bernardy, Jeffrey, DDS................................... Bernbaum, Alan, DDS..................................... 25 35 Burkart, John, DDS........................................... Burluc, Aurora, DDS..................................... 2 6,7 Berner, Jeannette, DDS.................................... 8 Burnham, Arlie, DDS ....................................... 20 Acevedo, Alexander, DDS .............................. 34 Berry, Eric, DDS .............................................. 31 Burns, Kendall, DDS MD DMD ......................... 7 Ackall, Ibraheem, DDS.................................... 26 Berry, Kary, DDS ......................................... 8,23 Burrows, Claudia, DDS..................................... 7 Adams, Dawne................................................33 Berry, Kevin, DDS ........................................... 23 Burtenshaw, John, DDS.............................. 2,15 Adams, Dawne, DDS.................................... 2,7 Bertagnolli, Edward, DDS ............................... 34 Busse, David, DDS................................... 26,33 Adams, John, DDS.......................................... 14 Bertagnolli, John, DDS .................................... 34 Butler, Benjamin, DDS.................................... 25 Ahn, Henry, DDS............................................. 24 Bertsch, William, DDS ..................................... 10 Cadotte, Ana ................................................... 34 Ajdari, Jurak, DDS PC ..................................... 28 Best, Cory, DDS .............................................. 30 Cadotte, Ana, DDS......................................... 33 Aleksanyan, Margarita, DDS ...........................27 Bathers, John, DDS.......................................... 7 Calderon -Kidd, Joesolyn, DMD ....................... 25 Alford, Annette, DMD...................................... 14 Bevans, David, DDS....................................... 27 Calderwood, Cody, DDS ................................. 10 Alleman, Breckglyn, DDS.................................. 6 Bevans, Gregory, DDS .................................... 15 Caldwell, Jay, DDS......................................... 10 Alleman, Daniel, DDS....................................... 6 Bevis, Brittany, DDS DMD .......................... 8.26 Caldwell, Michelle, DDS .................................. 25 Allen, Robert, DDS............................................2 Biel, Timothy, DDS ............................................ 2 Caletti, Gary, DDS.......................................... 19 Allen, Rodney, DDS........................................ 30 Bielecki, Pawel, DDS...................................... 31 Call, Richard, DDS DMD MS .......................... 33 Almeida, Adam, DDS................................ 27,28 Biles, Jill, DDS ................................................. 28 Camerino, Angelo, DDS .................................. 10 Almond, Bradley, DMD.................................... 31 Birkel, Richard, DDS....................................... 27 Camerino, Carolyn, DDS................................ 10 Altatari, Rabi, DDS.......................................... 23 Black, Tyson, DDS DMD................................. 22 Campbell, Monte, DDS................................... 10 Aluru, Susmitha, DMD..................................... 10 Blanchard, Jason, DDS ................................... 27 Cannon, Christopher, DDS DMD ...................... 2 Ambida, Sandra, DDS DMD ............................28 Blasko, Jacqueline, DDS DMD ................... 8,14 Cannon, Mark, DDS DMD ................................. 6 Ames, William, DDS..........................................8 Blatter, Victor, DMD...................................... 2,8 Carlesimo, Peter, DDS.............................. 21,29 Anderson, Brian, DDS..................................... 10 Blohm, Steven, DDS....................................... 24 Carlson, Kendal, DMD.................................... 15 Anderson, Daniel, DDS..................................... 6 Bodoni, Elena, DDS........................................ 23 Carlston, Matthew, DDS DMD .......................... 2 Anderson, Jackson, DDS................................ 10 Bodoni, Eva, DDS........................................... 23 Carmody, Colleen, DDS.............................. 2,15 Anderson, Robert, DDS.................................. 14 Boeyink, Timothy, DDS ..................................... 8 Carreon, Lejon, DDS ....................................... 27 Andrews, Brandie, DDS .............................. 2,25 Bolak, Kimberly, DDS ...................................... 25 Carroll, Bernard, DDS..................................... 15 Andrus, Paul, DDS.......................................... 25 Bollenbaugh, Keith, DDS................................ 15 Carroll, Tara, DDS............................................ 7 Andrus, Robert, DDS........................................ 2 Bolton, William, DDS ......................................... 8 Carter, Colleen, DDS...................................... 15 Applegate, Shelby, DDS...................................8 Boratenski, Julia ................................................ 1 Carter, Steven................................................. 30 Archer, Raymond, DDS................................... 15 Boren, Michael, DDS ....................................... 31 Carter, Steven, DDS................................. 10,31 Ariola-Tirella, Noah, DDS........ 1, 7, 8, 15, 34, 35 Borg, Timothy, DDS PC .................................. 34 Case, William, DDS DMD................................. 9 Armstrong, Jack, DDS MD PC ........................ 15 Bottoms, Brandi, DDS....................................... 7 Casement, Russell, DDS................................ 15 Arnold, Julia, DDS........................................... 10 Bottone, Paul, DDS PC ................................... 24 Caspers, Susan, DDS..................................... 35 Arnold, Kara, DDS........................................... 15 Boudreaux, Gary, DDS................................... 24 Casson, Anne, DDS........................................ 27 Asbury, Robin, DDS.......................................... 8 Bourne, Jeffrey, DDS...................................... 29 Castillo, Steven, DDS..................................... 10 10 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting . with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 45 Delta Dental PPO Chambers, Alvin, DDS DMD ........................... 31 Chang, Michael, DDS DMD PC ......................... 2 Chavez, David, DDS....................................... 25 Chavez, Manuel, DDS..................................... 15 Chawla, Neha, DDS DMD...............................33 CHC Denver Health Westside D .................:.. 15 Chc High Plains Community He ...................... 26 CHC Uncompahgre Medical Cent ................... 30 Chernoff, Kenneth, DDS ........................... 15,22 Chien, Shih, DDS............................................ 33 Childress, Frank, DDS.................................... 31 Chinni, Asha, DDS............................................ 9 Choe, Chiyon, DDS.............2, 10, 15, 23, 31, 33 Choi, Jack, DDS.............................................. 34 Choi, Seong-Hee, DMD.................................. 30 Cholfin, Stuart, DDS..........................................2 Christ, Kevin, DDS DMD................................... 9 Christiansen, Bart, DDS.................................... 9 Christiansen, Richard, DDS ...................... 10,27 Christophe, John, DDS................................... 15 Clair, Preet, DDS............................................. 15 Clark, Bruce, DDS........................................... 21 Clear, Sheryl, DDS......................................3, 30 Clement, Charles, DDS................................... 15 Clifton, Brett, DDS...........................................22 Colledge, Heath, DDS.....................................22 Collinsworth, Phillip ......................................... 24 Collinsworth, Phillip, DMD.................................6 Community Dental Clinic Chc.......................... 30 Connolly, Mary .................................... 10, 23, 31 Connolly, Mary, DDS...................................3, 15 Connor, Donald, DDS DMD ............................ 15 Cope, Thomas, DDS....................................... 20 Corson, George, DDS..................................... 28 Cortese, Kathleen, DDS.................................. 30 Cory, Kenneth, DMD....................................... 30 Costa, Benjamin, DDS.................................... 30 Cowen, Neil, DDS........................................... 19 Cox, Vallory, DDS............................................. 1 Craven, Dustin, DMD.................................. 7.15 Creer, Lorin, DDS............................................27 Crichlow, Kenneth, DDS................................. 15 Crisler, Steven, DDS DMD .............................. 10 Crockett, Olen, DDS........................................25 Cubillos, Constanza, DDS ............................... 34 Cuin-Parker, Jazmin, DDS .............................. 33 Cullum, Arnold, DDS................................. 10,15 Cutler, Richard, DDS................................. 10,30 Dahler, Bryan, DDS PC...................................35 Daniel, Thomas, DDS....................................... 3 Danna, Charles, DDS...................................... 27 Danzer, Kimberly, DDS DMD..........................34 Dasilva, Ricardo ........................ 3, 10, 23, 31, 33 Daugherty, David, DDS...................................27 Daurio, Ronald, DDS....................................... 31 Davies, Kristi, DDS.......................................... 10 Davis, Philip .................................................... 30 Davis, William, DDS.......................................... 7 Dawson, Kevin, DDS ...........................26, 27, 33 Deal, Thomas, DDS.................................. 15,20 Dean, Mark, DDS.............................................. 1 Degarmo, Aaron, DDS..................................... 6 Dembitsky, Stephen, DDS .............................. 32 Denver Health Bannock De Chc ..................... 15 Denver Health Eastside D Chc ....................... 15 Derby, Erica, DDS...........................................33 Dewitt, Michael, DDS MA ................................ 15 Dial, Dustin, DDS DMD................................... 10 Digiorgio, Robert ............................................. 15 Digiorgio, Robert, DDS.................................... 30 Dilizia, Camillo, DDS DMD................................3 Dillabaugh, Gary, DDS DMD ...........................25 Dinsmore, David, DDS.................................... 15 Dodson, Anastasia, DDS................................ 36 Doerhoff, Richard, DDS.................................... 3 Dolores County Health As Chc ....................... 19 Dorsey, Ronald, DDS......................................20 Dougherty, Carrie, DDS DMD ......................... 15 Dowlati, Jina......................................................3 Dowlati, Jina, DDS.................................... 23, 33 Downey, Ralph, DDS...................................... 31 Doyle, Bridget, DDS........................................ 31 Drake, Thomas, DDS...................................... 28 Drescher, David .............................................. 24 Driscoll, Dennis, DDS.................................. 7,31 Driskill, Victoria ................................................ 30 Drury, Robert, DDS......................................... 10 Duey, Douglas, DDS....................................... 29 Dunker, Inna, DDS.......................................... 15 Dunkleberger, Elizabeth, DDS ........................ 24 Dunn, David, DDS.............................................3 Duquette, Douglas, DDS........................... 15,27 Duran, Tomas, DDS........................................ 31 Durbin, Charles, DDS PC ................................ 10 Dwyer, Daniel, DDS........................................ 30 Dyches, Benjamin, DDS.................................. 30 Dymerski, Daniel, DDS................................... 24 Eames, Owen, DDS........................................ 14 Eckhardt, Bradley, DDS.................................... 2 Edlund, David, DDS.................................... 3,25 Edwards, Gerald, DDS DMD ............................. 3 Edwards, Walter, DMD.................................:.. 24 Egbert, Hans, DDS.......................................... 10 Egert, Terry, DDS............................................ 15 Ehtessabian, Jason, DDS................................. 7 Elliott, Brian, DDS....................................... 1.15 Ellis, Dana, DDS PC ......................................... 1 Enea, Steven, DDS..........................................11 Escala, Saul, DDS....................................... 3,25 Eurich, Steven, DDS....................................... 25 Evans, David ..................................................... 6 Evans, Douglas, DDS MS................................11 Evans, Raymond, DDS..................................... 3 Eyer, Robert ...................................................... 1 Fahmy, Sharon, DDS........................................ 3 Fanning, Cyrus, DDS PC .................................. 3 Farley, Lynn, DDS...........................................27 Farmer, Dale, DDS.......................................... 15 Feinberg, Joel, DDS.................................. 21,23 Fereydouni, Amir, DDS DMD .......................... 27 Ferguson, Ian, DDS DMD ............................... 34 Fermelia, Catherine, DDS ............................... 25 Filter, Jenny, DDS........................................... 32 Fischer, James, DDS...................................... 21 Fitzgerald, Josefina, DDS ............................... 31 Fleming, John, DDS DMD................................11 Flood, Patrick, DDS......................................... 25 Florez, Tania, DDS.......................................... 15 Foley, Patrick, DDS PC ................................... 15 Ford, James, DDS....................................... 3,27 Ford, Michael, DDS........................................... 3 Foster, Cory, DDS........................................... 21 Francis, Lauren ........................................... 6,19 Franquemont, Michael, DDS....................... 9,27 Frederick, Christopher, DDS DMD.................... 6 Freimuth, Ronald, DDS................................... 30 Frey, Ronnie, DDS.......................................... 15 Friedman, Mitchell, DDS................................... 1 Friedman, Mitchell, DDS DMD ........................ 25 Friedman, Stephen, DDS................................ 15 Frisbie, Kent, DDS...........................................11 Frisch, Michael, DDS........................................ 3 Fritz, Tiffany, DDS....................................... 3,25 Furuta, Nicole, DDS........................................ 15 Galyardt, Wesley, DDS................................... 21 George, Mark...................................................11 Giannetto, Steven, DDS PC ............................ 31 Gibbs, Bryan, DDS.......................................... 15 Gibbs, Tamara, DDS....................................... 34 Gill, Nancy, DDS............................................. 22 Gillespie, Andre ..................................... 3, 23,33 Gilliam, Jeffrey, DDS DMD................................ 3 Ginther, Stefan, DDS........................................ 3 Gitlin, Larry, DDS............................................ 27 Given, Carl, DDS............................................. 33 Glamm, Jayme, DDS........................................ 3 Glenn, Falona, DDS.......................................... 3 Glenn, Gerald, DDS.......................................... 3 Glucksman, Richard, DDS .............................. 25 Glueckert, Mylene, DDS...................................11 Goad, Richard, DDS DMD ............ Goff, Sabrina ................................. Gohl, Frederich, DDS.................... Gohl, Fredric ................................. Gohl, Fredric, DDS........................ Gold, Frank, DDS PC .................... Gomenyuk, Nina, DDS.................. Gomez, Jose, DDS ....................... Gorsky, Michael, DDS PC ............. Gossenauer, Martin ...................... Gottlieb, Stanleyj, DDS ................. Gould, Steven, DDS...................... Grace, Leana, DDS....................... Graf, Lindsey, DDS ....................... Grant, James, DDS....................... Graves, Gary, DDS ....................... Green, Leon, DDS ........................ Green, Zachery, DDS ................... Greene, Craig, DDS PC ................ Greene, Jerome, DDS .................. Gryzick, David, DDS ..................... Guerra, Catherine, DDS................ Guido, Joseph .............................. Guido, Joseph, DDS .................... Haberstroh, Julie, DDS PC .......... Hahn, Laura, DDS........................ Hakala, Catherine, DDS............... Hakala, Joseph, DDS................... Hale, Michael, DDS...................... Hall, Brandon, DDS...................... Hall, Dwayne, DDS ...................... Hamblin, Robert ........................... Hamblin, Robert, DDS ................. Hamidi, Mariam, DDS DMD ......... Hamilton, Jeffrey, DDS DMD ....... Hamilton, Warin, DDS DMD......... Hanchett, Jon, DDS DMD ............ Handelman, Richard, DDS........... Hannon, Keith, DDS..................... Hanosh, Alison, DDS ................... Hansen, Danny, DDS................... Hansen, Matthew, DDS ............... Harmon, Frank, DDS ................... Harmon, Katherine, DDS ............. Harris, Mark, DDS........................ Harrison, Ashleigh, DDS .............. Harrison, Patrick, DDS ................. Hartle, Sheila, DDS..................... Harvan, Kristina .......................... Harvan, Kristina, DDS ................. Harvey, Jonathan, DMD.............. Harvey, Thomas, DDS ................ Haschke, Douglas, DDS ............. Hasselback, Christopher, DDS ... Hatch, Randy, DDS..................... Hawkins, Darrell, DDS ................ Hayes, Paul, DDS ....................... Hedrick, David, DDS ................... Heiny, Christopher, DDS PC....... Henderson, Scott, DDS............... Hennegan, Paul, DDS................. Herzig, Laura .............................. Herzig, Laura, DDS..................... Hickenlooper, Gary, DDS............ Higuchi, Christopher, DDS.......... Hill, Anna, DDS ........................... Hill, Doxiades, DDS .................... Hill, Jonathan, DDS..................... Hirschman, Wade, DDS .............. Hoag, David, DMD ...................... Hoang-Xuan, Khiem................... Hoang, Hang, DDS ..................... Hoang, Huyen, DDS .................. Hoch, Donald, DDS.................... Hoeft, Paul, DDS........................ Hohert, Chandra, DDS DMD...... Holden, Philip, DDS ................... Holderness, Harold, DDS........... Holecek, Andrew, DDS .............. Holmes, Caron, DDS ................. ............... 22 ........... 6,19 ............... 34 ............... 34 ................ 25 ................ 25 ............ 7,15 ................ 23 .................11 ...... 3, 23, 33 ................ 15 ...........11, 16 ................ 25 ................ 16 .................11 ................ 31 ................ 21 ................ 21 ................ 27 .................. 9 ............ 3,27 .................11 ................ 21 ................ 16 .................. 3 ................ 16 .... I........... 16 ................ 16 ................. 30 ................. 16 .................11 ................. 23 ............. 6,28 ............11, 21 ............. 9, 30 ................. 16 ................. 16 ........3, 11, 28 ................. 16 ................... 8 ................. 25 ..................11 ................. 25 ................. 23 ................. 27 ................... 3 ................. 21 ................. 20 ................. 25 ................... 3 ................. 31 ................. 21 ........... 21,29 11, 25, 27, 31 .................. 23 .................... 3 .................. 20 .................... 3 .................. 36 .................. 30 .............11, 34 .................. 29 .......... 6, 7, 28 ..................11 ...... 14, 26, 33 ...................11 .................. 21 .................. 21 .............. 3,20 .................. 16 .................. 27 .................. 27 .............. 3,16 .................. 16 .................... 9 .................. 16 .................. 31 .................. 30 .................... 6 ..................... 1 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ano F articipa[ing Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 46 • Delta Dental PPO Holmes, James, DDS........................................ 1 Kim, David, DDS............................................. 27 Lovato, Matthew, DDS.....................................11 Hook, Mark, DDS........................................ 6,28 Kingsford, Daniel, DDS....................................11 Love, William, DDS......................................... 27 Horn, Gary, DDS............................................. 11 Kinkade, James, DDS ............................... 16,23 Lovejoy, Christian, DMD..................................11 House, Mark, DDS............................................ 7 Kirchner, Thomas, DDS.................................. 16 Lovejoy, Peter, DDS........................................11 House, Mark, DDS DMD................................. 31 Kissinger, Mary, DDS ...................................... 24 Loveland, Douglas, DDS ................................. 14 Houser, Jamin, DDS...................................3, 31 Klein, Joel, DDS ............................................... 11 Lucero, Orlando, DDS PC ................................ 11 Houser, Javan, DDS................................... 7,33 Klein, Mark, DDS ............................................. 25 Lutskiy, Aleksandr, DDS DMD ........................ 35 Howard, Brian, DDS..........................................6 Klumb, Thomas, DDS..................................... 27 Lutskiy, Aleksandr, DMID ................................. 25 Howell, Bruce, DDS DMD ............................... 20 Kneale, Evan ................................................... 35 Lyons, Juliann, DDS....................................... 16 Hubbell, Makala, DDS..................................... 16 Kneale, Evan, DDS......................................... 35 Mack, Eric, DDS .............................................. 24 Hunter, Gregory .............................................. 22 Knowlton, Anthony, DDS................................. 31 Madlang, Cesar, DDS ............................... 16,25 Hurd, Mark, DDS............................................. 31 Koch, Richard, DDS........................................ 16 Maes, Leroy, DDS ........................................... 16 Huser, Rebecca .............................................. 16 Kochevar, Casey, DDS ................................... 29 Majors, Kelsey, DDS ......................................... 1 Huskey, David, DDS....................................... 16 Koditek, Edward, DDS.....................................11 Malivuk, Michael, DDS ..................................... 11 Ignatieff, Nataliya............................................ 16 Kohlmeier, Randall, DDS.................................. 1 Maloy, Shawn, DIDS .................................... 4,27 Inner City Health Center Chc .......................... 16 Kolz, Arlene, DDS............................................11 Mangle, James, DDS...................................... 21 Irick, Bruce, DDS............................................. 30 Komanduri, Krishna, DDS ................................. 3 Mangold, Anne, DDS...................................... 30 Isaacs, Christine, DDS...................................... 9 Kondratenko, Andrey, DDS ............................. 23 Manh, Katie, DDS........................................... 16 Jackson, Darrell, DDS....................................... 1 Koo, David, DDS ............................................. 16 Maniatis, James, DDS.................................... 16 Jackson, Stephen, DDS.................................. 24 Korosciel, Malgorzata, DDS ............................ 35 Maniatis, Peter, DDS...................................... 17 Jacobson, David, DDS.................................... 22 Krainik, Gregory, DDS............................... 33,35 Mankin, Julie, DDS..................................... 4, 17 Jagger, William, DDS...................................... 31 Kramer, Jeffrey, DDS...................................... 21 Manshadi, Davood, DDS ............................ 4,25 Jakubanis, Terrence, DDS .............................. 19 Krannawitter, Jeff, DDS ................................... 25 Mantanona, Clarisa, DDS................................11 Jamison, Nicholas, DDS................................. 23 Krannawitter, Jeffrey, DDS ................................ 1 Marchbanks, Sara, DDS................................. 25 Jebril, Hanaa, DDS......................................... 25 Krieger, George, DDS ............................... 27,33 Mardis, Donald, DDS...................................... 17 Jefferies, Robert, DDS.................................... 30 Kruglet, Neil, DDS............................................. 3 Marillac Dental Clinic Chc ............................... 22 Jeffers, Janis...................................................33 Krum, Nelson, DDS ...................................... 6, 11 Marlowe, Mark, DDS ....................................... 17 Jeffers, Janis, DMD................................. 3, 8, 16 Kuljis, Lawrence, DDS.................................... 23 Marogil, Hani, DDS DMD.................................. 7 Jenkins, Jesse, DDS......................................... 1 Kunstadter, Karl, DDS ..................................... 22 Marschner, Thomas, DDS .................... 1, 17,35 Jenson, Colleen, DDS DMD............................ 11 Kwon, Justin, DDS ........................................ 3,7 Marshall, Kevin, DDS ...................................... 25 Jimenez, Rossynet, DDS.................................. 1 Kwon, Michelle ................................................ 16 Marshall, Kimberly, DDS................................... 4 Joesaar, Harald, DDS....................................... 1 Kwon, Michelle, DMID ...................................... 30 Martin, Donovan, DDS...................................... 6 Johnson, Bruce, DDS...................................... 25 Lai, Pearl......................................................... 25 Martin, Roy, DDS............................................ 30 Johnson, Charles, DDS.............................23, 27 Lai, Pearl, DDS............................................... 27 Martin, Sarira, DDS ......................................... 27 Johnson, Collis, DDS...................................... 16 Lamoreaux, Jarom, DDS................................. 30 Martinez, Efren, DDS DMID ............................. 25 Johnson, Jay, DDS DMD................................31 Lampert, Jodi, DDS ........................................... 9 Martinez, Lyda, DDS ....................................... 17 Johnson, Jolly, DDS........................................28 Lander, Todd, DMID ........................................... 3 Martinez, Mario, DDS ...................................... 17 Johnson, Leslie, DDS......................................21 Langley, Donald, DDS ................................. 1, 16 Massey, Britny, DDS .................................. 11, 31 Johnson, Phillip, DDS.....................................33 Lanzisera, Paul, DDS DMD.............................. 11 Masterson, Timothy, DDS ................................. 9 Johnson, Roy, DDS DMD PC..........................25 Larson, Craig, DDS ......................................... 20 Masthay, Robert, DDS DMID ........................... 35 Johnson, Trevor, DDS DMD ............................30 Latteier, Philip, DDS ........................................ 22 Meta, Duane, DDS ...................................... 1,17 Johnston, Jeffery, DDS................................... 16 Lawler, Michael, DDS ....................................... 28 Meta, Lyndon, DDS ....................................... 1,7 Johnstone, Dennis, DDS DMD........................ 29 Lawson, Mark, DDS.......................................... 3 Materon, Juan, DDS......................................... 1 Jolstad, Mark, DDS................................... 16,27 Laycock, Stephen, DDS...................................11 Matthes, Jon, DDS...........................................11 Jones, Jeanice, DDS....................................... 16 Le Huan Cua, Richard, DDS ....................... 3,25 Maxwell, Traver, DDS DMD .............................. 4 Jones, Kristin, DDS..................................... 9,27 Le, Nickie........................................................ 16 Mayo, James, DDS........................................... 1 Jones, Kristin, DDS MSW ............................... 25 Le, Tina, DDS .................................................. 36 Mazzola, Christopher ....................................... 11 Jones, Natalie, DDS.................................. 11, 31 Lecavalier, Ross, DDS .................................... 35 McAuliffe, Kevin, DDS ..................................... 17 Jones, Randall, DDS....................................... 33 Lee, Andy, DDS................................................ 3 McDill, Michael, DDS...................................... 21 Joo, Nelson, DMD............................................. 3 Lee, Christina, DDS........................................ 16 McDonald, Robert, DDS DMD .......................... 4 Jorgensen, Amy, DDS ...........................3, 16,23 Lee, Jennifer, DDS .......................................... 36 McGlashan, William, DDS............................... 25 Jorgensen, Thomas, DDS.................................7 Lee, Kye, DDS................................................ 16 McIntosh -Ault, Kareen, DDS ........................... 17 Jungman, Gregory .................................... 19,24 Lee, Monique, DDS DMID ................................ 24 McIntyre, Peter, DDS.......................................11 Justus, John, DDS...................................... 3,20 Lee, Tommy, DDS ............................................. 3 McKinley, Brock, DDS..................................... 20 Kalhorn, Jim, DDS........................................... 11 Le-Huan-Cua, Christopher, DDS ...................... 3 McLarty, Forney, DDS.....................................11 Kallio, Jennifer, DDS....................................... 29 Lemke, Timothy, DDS....................................... 3 McMurtrey, Lonnie, DDS ................................. 35 Kanchanlal, Vikash, DDS DMD...................8, 31 Leone, Edward, DDS...................................... 16 McNeely, William, DDS ............... 24,25 Kang, Ruth, DDS............................................. 16 Lepera, Rachel................................................ 30 I............. McVeigh, Adam ............................................... 17 Karami, Ardavan, DDS......................................3 Lesch, Halee, DDS .......................................... 33 Medaugh, Peter, DDS DMID .............................. 1 Karaskevicus, Jennifer, DDS .......................... 16 Levasseur, Dennis, DDS .................................. 11 Mediavilla, Eric, DDS...................................... 21 Karden, Steven, DDS........................................3 Lewis, Jonathan, DDS ..................................... 35 Mehlhoff, Christopher, DDS ............................ 27 Karla, Mark, DDS DMD................................... 14 Light, Todd, DDS ............................................. 16 Meister, Robert, DDS ........................................ 6 Kawakami, Sam, DDS..................................... 25 Lindman, Mikal, DDS................................ 21,29 Mellor, Craig, DDS.......................................... 35 Kawano, Richard, DDS................................... 16 Liontas, Christopher ........ ................................. 11 Metropolitan Community P ................................ 4 Kawasugi, Kai, DDS.................................. 16,34 Liontas, Christopher, DDS...............................11 Meyer, Marvin, DDS PC .................................. 27 Kellogg, Bradley, DDS...................................... 7 Lipe, Carl, DDS............................................... 16 Meyer, Sarah, DDS ........................................... 9 Kellow, Hiba, DDS........................................... 20 Liu, James, DDS............................................... 3 Micklin, David, DDS........................................ 17 Kelly, Brian, DDS............................................ 33 Loewen, Rebecca ......................4, 11, 16, 23, 33 Milausnic, Michael, DDS................................. 26 Kempers, Gregory ........................................... 16 Loewen, Rebecca, DDS .................................. 31 Millea, John, DDS........................................... 32 Kempers, Gregory, DDS ..................... 26, 30, 33 Logan, Sara, DDS......................................... 8,9 Miller, Abraham, DDS..................................... 29 Kempton, Cindy, DDS..................................... 27 Logelin, Michael ...................4, 11, 16, 23, 32, 33 Miller, Andrew, DDS PC ................................... 11 Kenny, Kraig, DDS.......................................... 31 Long, Kyle, DDS ............................................... 16 Miller, Eric ......................................................... 4 Kern, James, DDS.......................................... 25 Longo, Norma, DDS DMD................................ 11 Miller, Jamison, DDS DMD..............................11 Kessler, Mark, DDS......................................... 20 Look, Kim, DDS ................................................ 11 Miller, Michael, DDS....................................... 22 Khalil, Tara, DDS............................................ 11 Loper, Darlyne, DDS DMID .............................. 27 Miller, Rodger, DDS.......................................... 4 Khatri, Avani, DDS.......................................... 16 Lopez, Avery, DDS .......................................... 25 Miller, Stacey, DDS......................................... 23 Kheir, Ahmed, DDS DMD ............................3, 29 Lopez, Sergio .................................................. 16 Millward, Michael, DDS ..................................... 9 Khmil, Larisa, DDS........................................ 1,3 Losacco, Thomas, DDS.................................. 22 Milnor, Laura, DDS..................................... 4,21 Kids In Need Of Dentistr ............... 11, 14, 16, 25 Loustalet, Lorraine, DDS ................................. 33 Milushev, Metodi, DDS DMD ........................ 4,9 Kilroy, Thomas, DDS PC ................................. 16 Lovato, Elosia .................................................. 25 Minnis, Robert, DDS......................................... 9 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 47 Delta Dental PPO Mitchell, William, DDS.....................................20 Mobley, James, DDS DMD ............................. 32 Modrowski, Brian, DDS................................... 21 Moeller, Jeffrey, DDS...................................... 32 Moffitt, Bert, DDS............................................ 35 Moncayo, Santiago, DDS................................ 17 Monroe, Kelly, DDS......................................... 17 Montanez, Mario, DDS ........................ 12, 17,23 Montano, Melissa, DDS ...................... 12, 17, 23 Montano, Ronald, DDS ................... 4, 12, 17, 23 Moore, Dwayne, DDS....................................... 4 Moreschini, Richard, DDS DMD...................... 32 Moreschini, Ronald, DDS................................ 32 Moroni, Michael, DDS....................................... 8 Morrison, Eric, DDS DMD ............................... 22 Morrissey, Donald, DDS DMD......................... 12 Moss, Jack, DDS......................................... 1.33 Moss, Stewart, DDS........................................ 30 Mulheran, Thomas, DDS............... 12, 17, 21, 29 Murdock, Chad, DDS DMD ............................. 31 Murphy, Ciaran, DDS...................................... 21 Murphy, Michael, DDS.................................... 21 Musanje, Lawrence ......................... 4, 17, 23, 33 Musolf, Melissa, DDS...................................... 12 Mutchler, Richard, DDS PC ............................. 12 Myers, Sere ....................................................... 9 Najjar, Ellias, DDS...........................................27 Najjar, Tania.................................................... 33 Najjar, Tania, DMD............................................4 Naranja, Anthony ............................................ 17 Nassimbene, Bradley, DDS ............................ 17 Nassimbene, Raymond, DDS ......................... 20 Neel, Janet, DDS...................................... 12,21 Nelson, Donald..................................................4 Nelson, Jonathan, DDS...................................36 Nelson, Ruth, DDS.......................................... 28 Nelson, Ruth, DDS DR......................................9 Nessel, Larry, DDS......................................... 20 Nguyen, Huy, DDS............................................4 Nguyen, Lan, DDS.......................................... 17 Nguyen, Quynh ................... 4, 12, 17, 23, 32, 33 Nichols, Richard, DDS................................6, 26 Nicolette, John, DDS....................................... 20 Nicolosi, Patricia, DDS PC ................................ 9 Nielsen, Kurt, DDS............................................ 9 Nishimura, Roger, DDS................................... 17 Noah, Jason, DMD..........................................22 Noble, Glenn, DDS..........................................22 Norris, Garth, DDS.......................................... 20 Novak, Scott, DDS DMD................................... Obana Dela Paz, Carmeliza, DDS 4 .................. 17 Obrien, Robert, DDS....................................... 29 Ochoa, Margarita, DDS............................... 4, 26 Oldershaw, William, DDS................................ 27 Oldroyd, Todd, DDS DMD ............................... 27 Olivier, Jonathan, DDS.................................... 33 Olsen, Brian .................................................... 14 Olsen, Lonnie, DDS........................................ 12 Olson, Dwight, DDS DMD ......................... 12,31 Olson, Richlund; DDS....................................... 9 Omi, Sheldon, DDS DMD................................36 Oneill, Bradford, DDS................................20, 33 Ontiveros, Michael, DDS.................................26 Oreskovich, Tony, DDS................................... 32 Ortegon, Gino, DDS DMD ............................... 32 Ozenbaugh, Brian, DDS....................................4 Padula, Juli Ann, DDS..................................... 32 Paini, William, DDS......................................... 17 Paisley, Ian, DDS.............................................. 7 Paison, Thomas, DDS..................................... 33 Palumbo, Glenn, DDS.....................................26 Pantleo, Paul, DDS......................................... 22 Pare, Henri, DDS............................................ 17 Pareja, ClaudeA, DDS.................................... 35 Parfitt, James, DDS DMD..................................4 Park, Alexander, DDS..................................... 35 Park, Wonpyo, DDS........................................ 12 Parker -Smart, Janis ........................................ 26 Parsons, Joseph, DDS...................................... 1 Passon, J.......................................................... 4 Paswaters, Stephanie, DDS............................ 26 Patton, Noel, DDS DMD.................................. 12 Pavel, Margareta, DDS................................... 27 Payne, Randall(Randy), DDS ........................ 12 Peak Vista Community Hea ...................... 12,19 Peak, Douglas, DDS....................................... 12 Pechek, Ty ...................................................... 32 Pechek, Tyson, DDS....................................... 32 Penk, Stuart, DDS........................................... 17 Peppler, Michael, DDS DMD....................... 9,30 Perry, Stephen, DDS............... 1, 4, 6, 17, 23, 29 Peterson, Andrea, DDS ............................... 1,35 Peterson, Bruce, DDS....................................... 7 Petkova, Anastasia, DDS ............................4, 26 Pettyjohn, Catherine, DDS .............................. 24 Pfalzgraf, John, DDS....................................... 17 Pfister, Candace, DDS DMD........................... 22 Phi, Hanh, DDS............................................... 33 Philson, Gregory, DDS.................................... 32 Pierson, Dianne, DDS..................................... 29 Pinkner, Jay, DDS........................................... 29 Poczatek, Sharon, DDS.................................... 6 Podratz, Adam, DDS....................................... 12 Pohl, Raymond, DDS...................................... 27 Polidori, Brian, DDS........................................ 26 Polke, Kenneth, DDS PC ................................ 35 Pontarelli, William, DDS.................................. 26 Porter, Nicolas, DDS....................................... 14 Porzio-Dilizia, Paulette, DDS DMD ................. 22 Powell, David, DDS MD .................................. 22 Prajapati, Snahel, DDS DMD.......................... 26 Preston, James, DDS...................................... 27 Probst, Scott, DDS.......................................... 12 Probst, Travis, DDS........................................ 12 Pruett, Nicolas, DDS....................................... 12 Pucheril, Aneeta, DDS.................................... 26 Pueblo Community Health Chc....................... 32 Quandt, John, DDS......................................... 17 Raether, Gail, DDS......................................... 20 Ragulsky, Ronald, DDS.................................. 32 Rahimpour, Navid, DDS................................. 12 Ranov, Boyan, DDS DMD ...........................4, 34 Ranta, George, DDS PC ................................. 22 Ranta, Jeffrey, DDS DMD ............................... 22 Ranucci, Andrew, DDS DMD .......................... 29 Rasulov, Aziz.................................................... 4 Rasulov, Aziz, DDS......................................... 34 Ray, Jason, DDS PC ................................. 17, 20 Read, Terry, DDS............................................ 12 Ready, Thomas, DDS..................................... 32 Reardon, Daniel, DDS..................................... 30 Rebber, David, DDS........................................ 20 Reck, Diane, DDS PC ..................................... 12 Reck, Steven ................................................... 12 Redfearn, Ryan, DDS..................................... 20 Redford, David, DDS....................................... 17 Reed, Thomas. DDS....................................... 20 Rein, Gary, DDS............................................. 17 Reinicke, Mark, DDS PC ................................. 12 Reposa, Ryan, DDS DMD ............................... 22 Resnick, Mark ................................................... 4 Revoir, Jeffrey, DDS....................................... 17 Reynolds, James, DDS..................................... 4 Rezaei, Seyed, DDS................................... 4, 26 Rice, Donald, DDS.......................................... 17 Richardson, Brian, DDS.................................. 27 Riesselman, Phillip, DDS.................................. 4 Rinaldi, Todd ................................................... 21 Rinaldi, Todd, DDS......................................... 17 Rinaldis, Patrick, DDS..................................... 23 Robbins, Braden, DDS.................................... 17 Roberts, Dale, DDS................................... 17, 24 Roberts, Tony, DDS........................................ 32 Robinson, David, DDS PC .............................. 32 Robinson, T.................................................9, 26 Robinson, T, DMD........................................... 34 Rodgers, Charles, DDS 1, 4, 7, 12, 20, 26, 33, 35 Rodgers, James, DDS .............................. 14, 17 Rodriguez, Leopoldo, DDS ............................. 12 Rodriguez, Melanie, DDS................................ 32 Rodriguez, Paul ........................... Rodriguez, Paul, DDS.................. Rohleder, Julia, DMD................... Rollow, John, DDS....................... Romig, Gregory, DDS .................. Ronco, Ronald, DDS DMD .......... Rones, Jonathan, DDS ................ Rosamsetty, Prathima.................. Rossow, Eric, DDS ...................... Rotolo, Gary, DDS ....................... Rotwein, Pamela, DDS ................ Rowan, Matthew, DDS................. Rowlette, Michael, DDS ............... Royal, John, DDS ........................ Ruff, Michael, DDS ...................... Rush, Larry, DDS......................... Rush, Steven, DDS...................... Ruvins, Edward, DDS .................. Rygg, Paul ................................... Rygg, Paul, DDS......................... Saddler, Aurora, DDS ................. Saddler, Gary, DDS .................... Sadler, Norris, DDS DMD ........... Saeks, Adam, DDS ..................... Saide Karlin, Stephanie, DDS..... Sakamaki, Carl, DDS .................. Sampath, Vidhyalakshmi, DDS ... Sanchez, Porforio, DDS.............. Sanders, Nelson, DDS................ Sanderson, Stuart, DDS ............. Sankaranarayanan, Srivalli ......... Sankaranarayanan, Srivalli, DDS Saunders, Ryan, DDS................. Sauza, Juan, DDS ...................... Scarffe, Charles, DDS................. Scarpella, Pasco, DDS ............... Schaeffer, Teri, DMD .................. Schaffer, Lisa .............................. Scherber, Joseph, DDS .............. Schneider, Debra, DDS .............. Schneider, Walter, DDS.............. Scholes, Landis, DDS ................. Schreiber, William, DDS PC........ Schroeder, Timothy, DDS ........... Schultz, R, DDS ......................... Schwab, Michael, DDS DMD ..... Schwartz, Marc, DDS................. Schwartzenberger, Danielle ....... Schwerdt, Janne, DDS............... Scott, Daniel, DDS ..................... Seabury, Carolyn, DDS.............. Segal, Brigitte, DDS ................... Sehy, Christina, DDS ................. Seifert, Teniel, DDS DMD .......... Sekiya, Floyd, DDS.................... Seymour, Brittany, DDS............. Shea, Michael, DDS DMD ......... Shearer, Amy, DDS DMD .......... Sheldon, Lisa, DDS.................... Shepherd, Renee, DDS ............. Sherman, Lewis, DDS................ Short, Howard, DDS DMD ......... Short, Yolanda, DDS DMD ........ Short, Yolanda, DMD ................. Shulze, Richard .......................... Shulze, Richard, DDS DMD....... Sibo, Jennifer, DDS ................... Sidwell, Stephen, DDS............... Sievers, John, DDS PC .............. Sims, Alan, DDS ........................ Skromme, Allan, DDS ................ Slack, Donica ............................ Slack, Thomas, DDS................. Slaysky, Aaron, DDS ................ Smith, Bradley, DDS ................. Smith, David, DDS .................... Smith, Gerald ............................ Smith, Gerald, DDS .................. Smith, Joshua ................................................. Smith, Mark, DDS........................................... 34 .................. 12 ................. 12 .................. 12 .................. 33 ................... 4 .................. 12 .................... 4 .................. 32 .................. 14 .................. 17 .................. 17 .............. 4,17 .................... 8 .................. 12 .................. 36 .................. 12 .................... 4 .................... 4 .................. 36 .................. 12 .................. 30 ............ 17,30 .................. 17 .................. 29 .............. 7,27 .................. 17 ............ 26,35 .................. 17 ................... 35 ................... 17 ............. 17,34 ............... 4,17 ................... 14 ................... 29 ..................... 1 ..................... 7 ................... 35 ..................... 7 ................... 36 ................... 17 ................... 20 9 ................... 29 ................... 26 ................... 32 ................... 17 ................... 17 ................... 18 ................... 18 ..................... 4 ................... 34 ................... 23 ................... 26 ................... 14 ................... 36 ................... 18 .................... 22 ...................... 6 ...................... 6 .................... 20 .................... 26 .................... 12 .................... 24 ...................... 9 .................... 29 .............. 22,29 ...................... 8 .................... 29 .................... 20 ...................... 9 ...................... 6 .................... 32 .................... 12 .................... 26 .................... 29 .................... 20 .................... 35 ..................... 34 30 • a Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. • July 2009 48 C7 • • Smith, Paul, DDS............................................ 12 Sniegowski, Thomas, DDS ............................. 18 Soder-Blackman, Kelly, DDS .......................... 29 Soltani, Azadeh, DDS DMD ............................ 29 Songer, Debra, DDS......................................... 7 Sonntag, Russell, DDS................................... 32 Sorensen, Katerina, DDS................................ 21 Sorensen, Thomas, DDS................................ 22 Sosdian, Quynh-Dung, DDS ........................... 12 Sosdian, Stephen, DDS.................................. 12 Sousa, April, DDS............................................. 6 Spaeth, Oliver, DDS........................................ 12 Speer, Jennifer, DDS DMD ............................. 18 Spencer, Stephen, DMD................................. 29 Spicciati, Louis, DDS....................................... 12 Spiegel, Jeffery, DDS......................................27 Stafford, Joel, DDS DMD................................ 31 Steeghs, Brigitte, DDS.................................... 23 Steen, Dale, DDS............................................26 Stella, Helen, DDS DMD................................. 20 Sterling, Kevin, DDS....................................... 14 Stevens, Courtney, DDS................................. 23 Stevens, Jessica, DDS.................................... 30 Stevens, Sterling, DDS................................... 20 Stiles, Michael, DDS....................................... 35 Stoddard, Dennis, DDS...............................4, 18 Stoddard, Scott, DDS......................................22 Stoor, Michael, DDS........................................ 12 Stricca, Duilio, DDS PC...................................32 Stutznegger, Conrad, DDS ............................. 29 Sullivan, Cort, DDS......................................... 36 Suman, Jamie, DDS.......................................... 7 Sumner, Jill ....................................................... 4 Svoboda, Brian, DDS.................................. 9, 18 Swain, Thomas, DDS...................................... 18 Swanson, David, DDS.....................................26 Sweet, Ronald, DDS....................................... 36 Tabor, Carl, DDS DMD....................................21 Takaki, Alan, DDS........................................... 32 Takaki, Duane, DDS....................................... 32 Talavera, Sylvia, DDS..................................... 26 Talbot, Brett, DDS DMD.................................. 12 Talley, Brian, DMD.......................................... 22 Taneja, Puja, DDS............................................ 4 Tappan, Major, DDS....................................... 18 Targos, Ned, DDS........................................... 18 Tayde, Shital, DDS DMD.................................. 1 Taylor, Stephen, DDS....................................... 1 Terada, Jennifer, DDS.................................... 18 Thai, Minh, DDS.............................................. 18 Thalken, Jerry, DDS........................................35 Theriot, Roy, DDS............................... :....... 4,18 Thomas, Abraham, DDS DMD........................ 12 Thomason, Ethelyn, DDS DMD......................... 6 Thomason, Ethelyn, DMD ............................. 1,6 Thomasson, Thomas, DDS...............................4 Thompson, Glenn, DDS DMD......................... 12 Thompson, tarry, DDS PC .............................26 Thompson, Scot, DDS.................................... 27 Thomson, Patrick, DDS DMD.......................... 36 Thongin, Ekapoj, DDS DMD .............................4 Thornal, Benjamin, DDS................................. 22 Thousand, John, DDS.......................................4 Thrash, Frederic, DDS.................................... 27 Thrash, Frederick, DMD.................................. 30 Thurman, David, DDS ............................... 27,33 Thurmon, Hadley, DDS................................... 34 Tiao, Katie ........................... 4, 12, 18, 23, 32, 34 Tidwell, Scott, DDS........................................... 1 Tillotson, Evan, DDS....................................... 12 Timlin, Scott, DDS...........................................34 Tippets, Jeffrey, DDS...................................... 24 Tomasetti, David, DMD................................... 28 Tomlinson, Kathy, DDS..................................... 1 Topolnycky, Andrew, DDS................................ 4 Toriggino, Dominic, DDS...................................4 Torok, Andreea, DDS........................................7 Tran, Hung, DDS............................................. 18 Tran, Luan, DDS....................................... 30, 35 Tran, Tram, DDS.............................................28 Delta Dental PPO Tran, Vien, DDS........................................ 25,29 Travis, Stephen, DDS....................................... 6 Trefil, Karleen, DDS DMD ............................... 32 Trembath, Lori, DDS....................................... 34 Tripam, Alois, DDS.................................... 21,29 Trujillo, Derie, DDS........................................... 1 Tsumura, Kurt, DDS................................. :...... 18 Tuchklaper, Scott, DDS................................. 6,7 Turnquist, Kerry, DDS....................................... 7 Twerskoi, Vladislav, DDS..................................4 Twiss, Tyler, DDS DMD.................................. 24 Unger Waters, Jennifer, DDS.......................... 22 Unrath, Robert, DDS DMD .............................. 18 Vairin, Christopher, DDS................................. 18 Valley Wide Health Servi Chc ... 1, 10, 19, 24, 32 Valuck, Paul, DDS........................................... 18 Van Dusen, Scotty, DDS................................. 22 Van Orman, James, DDS.................................. 8 Van Wagenen, Jason ...................................... 36 Van Wagenen, Jason, DDS ............................ 35 Vanicek, Peter, DDS......................................... 9 Varner, Jeffrey, DMD........................................ 4 Vedi, Anita, DDS............................................... 1 Venuto, Nick, DDS.......................................... 18 Verma, Deepali, DDS...................................... 12 Vetowich, Michael, DDS.................................. 28 Vidmar, Dennis, DDS...................................... 32 Vigil, Gilbert, DDS PC ..................................... 18 Villalon, Elmer, DDS MD DMD DP .................. 32 Vilner, Leon, DDS........................................... 18 Vogl, Walt.......................................................... 8 Vondra, Anthony ............................................. 19 Vostatek, Sean ................................................ 12 Wachuta, Timothy, DDS............................ 16, 22 Wahl, Michael, DDS........................................ 12 Waite, John, DDS............................................ 31 Walgast, John, DDS DMD ............................... 29 Walgast, John, DMD....................................... 29 Walker, Stefanie, DMD...................................... 5 Wallace, John .............................................. 1, 23 Ward, Daniel, DDS....................................32, 34 Ward, Lary, DDS.............................................. 1 Ward, Nicole, DDS DMD................................... 5 Warlick, Philip, DDS........................................ 34 Warner, Homer, DDS...................................... 14 Wasinger, Jack, DDS...................................... 26 Waters, Gregory, DDS...................................... 1 Webb, David, DDS.......................................... 12 Webb, Michael ...................................... 9, 26, 34 Weber, John, DDS.................................. 6, 7, 34 Webster, Kelvin, DDS..................................... 21 Weekes, Bradley, DDS................................... 28 Weenig, Val, DDS........................................... 12 Weir, Frank, DDS.............................................. 9 Welch, Chad, DDS.......................................... 18 West -Bennett, Kirsten, DDS............................ 35 Weyman, Paul, DDS....................................... 20 Whalen, Dann, DDS........................................26 Wherley, Daniel, DDS..................................... 18 White, Jaime ................................................... 25 White, Kelly, DDS PC ...................................... 18 Whitney, Hal ...................................................... 5 Whittern, Cathy, DDS...................................... 29 Wiedey, Richard, DDS.................................... 13 Wilk, Steven, DDS PC ..................................... 18 Williams, Mitchell ............................................. 22 Williams, Mitchell, DDS..................................... 8 Williams, Richard, DDS..................................... 1 Williamson, Chadwick, DDS............................ 18 Willis, Adam, DDS........................................... 35 Willis, Lawrence ........................................ 14,20 Wilson, Cindy -Sue, DDS................................... 7 Wilson, Daniel, DDS.......................................... 5 Wilson, Kenneth, DDS MD ................................ 5 Wilson, Richard, DDS..................................... 19 Wilsted, Neal, DDS........................................... 9 Winber, Ralph, DDS........................................36 Winnicki, Jeffrey, DDS .............................. 20, 25 Winter, Eric, DDS............................................ 35 Wise, Randall, DDS........................................ 26 Wohlgemuth, Barry, DDS.................................. 5 Wohlwend, Charles, DDS ............................... 32 Wohlwend, Joseph, DDS................................ 32 Wong, Alan, DDS............................................ 20 Wood, Bradley, DDS....................................... 29 Woods, Joseph, DDS DMD ............................ 13 Workman, John, DDS....................................... 7 Workman, Ryan, DDS..................................... 14 Wortham, Roy, DDS......................................... 7 Wuerker, Richard, DDS.................................. 21 Yahnian, Lawrence, DDS................................ 18 Yasoni, Marc ................................................... 35 Yasoni, Marc, DDS......................................... 35 Yeats, David, DDS DMD................................. 20 Young, Kathleen, DDS...................................... 9 ,Young, Matthew .................. 5, 13, 18, 23, 32, 34 Young, Richard, DDS...................................... 22 Zeigler, Jeremy, DDS DMD ............................. 30 Zeitlin, David, DDS.......................................... 35 Zelazek, Paul, DDS......................................... 35 Zenon, Joshua, DDS....................................... 20 Zervas, Steven, DDS PC ................................ 23 Zimmet, Neil, DDS............................................ 1 ORALSURGEON Abood, Joseph .................................................. 1 Bandrowsky, Timothy, DDS ........................ 8,13 Berman, David, DDS MD DMD....................... 23 Berman, Mark, DDS MD ................................. 23 Berwick, James, DDS..................................... 13 Borris, Thomas, DDS................................ 13,36 Bottenbley, Cecil, DDS DM DMD.................... 26 Bottenbley, Cecil, DDS MD DMD.................... 18 Burnham, Michael, DDS MD ........................... 34 Catalano, Joseph, DDS.................................... 5 Catalano, Joseph, DDS DMD ......................... 28 Catalano, Joseph, DDS MD .............................. 9 Colm, Stephen, DDS....................................... 29 Colm, Stephen, DDS DMD ........... 5, 6, 7, 21, 24 Colm, Stephen, DMD .......................... 13, 21, 29 D Addario, Matthew ........................................ 13 Day, Gregory, DDS MD DMD ......................... 32 Esposito, Daniel, MD DMD ............................. 28 Facy, Rebecca, DDS ............................ 8, 13, 24 Floyd, Carlton, DDS MD MS ............................. 5 Floyd, Carlton, DDS MS .................................... 9 Harper, Clayton, DDS ............... 6, 13, 18, 24, 26 Harper, Clayton, DDS MD ............................. 5,6 Hong, Douglas, MD DMD ............................... 13 Hull, Donald .................................................... 13 Keogh, Barry, DDS MD ........................... 5, 9, 28 Lessig, James, DDS................................... 9,28 Lupori, John D, DDS DO MD .......................... 33 Madlock, Paul, DDS DMD......... 5, 13, 24, 26, 35 Madlock, Paul, DDS MD ................................. 21 Madlock, Paul, DDS MD DMD .......................... 6 McMunn, William, DDS MD ......................... 7, 18 McMunn, William, DDS MD DMD ................... 18 Michalik, Thomas, DDS MD DMD..................... 9 Michalik, Thomas, MD DMD ........................... 28 Miner, Jeremy, DDS........................................ 28 Mitz, Richard, DDS......................................... 18 Moody, Michael, DDS..................................... 26 Musella, Anthony, DDS DP ............................. 36 Nassimbene, Leo, DDS .............................. 8,13 Nassimbene, Leo, DDS MD DMD................... 13 Newman, Richard, DDS.................................... 1 Onstad, Michael, DDS................................ 8,13 Payne, Wayne, DDS DMD .............................. 32 Peterson, Gregg, DDS MD ............................. 21 Peterson, Gregg, MD ...................................... 20 Pollaccia, Nino, DDS....................................... 35 Quist, Rhett, DDS................................. 5, 13, 35 Rack, Steven, DDS......................................... 34 Reck, Steven, DDS PC ................................... 32 Reisman, Alan, DDS....................................... 29 Renehan, Bradley, DDS MD ........................... 13 Salvo, Joseph, DDS.................................... 8,13 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 49 Delta Dental PPO ORTHODONTIST Lamb, Robert, Dm e1, 33 PEDmocNmST aun.Jcmnoon---------------'ue Ellis, Randall ......................................... 5, 1e.3* Ellis, Randall, oos.................................... 13,ne Erickson, Joshua, ooa................................... 1» 000 1* PERIODONTIST PROSTHODONTIST Astroth, Jeffrey, oou-------------.« Draper, Scott,000------------'w Leeoeun.000---------------o Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental membercompanies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided toany patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 50 0 State Introduction Document Please insert appropriate state introduction pages here. • 0 • Delta Dental Premier Directory 0 0 • Welcome! Since 1958, Delta Dental has been providing high quality, comprehensive dental benefits in the state of Colorado and nationwide. As a non-profit organization, our mission is: To improve the oral health of the communities we serve. The people of Delta Dental work to provide high quality customer service to our members. And the relationship with our dentists is key to achieving our mission. This dentist directory is a valuable tool for helping you find a dentist or dental specialist in your area. The information provided in this directory is not an endorsement of a particular dentist or dental specialist suitable to your needs. Although we try to ensure that our dentist directories are as accurate as possible, the information in the directory is subject to change at anytime. We encourage you to check our website at www.deltadentalco.corn for the most current information about participating dentists near you. • Dentist Network This dentist directory is for Delta Dental Premier®. Pre-treatment Estimate If you expect to have dental services that exceed $400, we recommend your dentist submit the treatment plan to Delta Dental for review before any work is actually done. A pre-treatment estimate allows both you and your dentist to know exactly what is covered and what your plan will pay. There is no additional charge for having a pretreatment estimate. • 0 0 0 0 0 0 E > E > ol', T 0 aci CD ac) aci d aa)) aci m n E x O m m R x O m p o _T 0 N O N O fa O N O fa O c m c�c 0 m �a am N c�m c•m c�m c� c.� c•m C E�'c c E o c m N o.E m N f m N s m _N m N N N m m �' 0 a) m �' 0 A e y o'cn o f o E o E o o _ E o o E o E o 50 oUo �o 000_ ml In '=O E 64 O a m o a N m a N m a N m o a N m a N m N U N 6H O 64 U 6-) O 6H w o M U.) 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E a) O CL cm p O a) 0 a) >( O 3 U > E U>> y> d a 3 vi T m a m E C U E C❑ p E C C y :a .0 '� ... C N a) .m. C w« N 0 7 C 0 m y m , 0 a y a m O) m 75 m O) m w C y y y a c a) V 0 c c ca w m 0 ca Y 'V Q O m .p « m — a n m C C. O 7 0 U O a) Q m} a .2 O .0 d m Q C n ? C N' 0 U y a) 0 C 7 M N ,N d m C a y C a) N C a) N c a) N y M E v a) d y n a) Q < a m O d 0 c m .m. lL E 7 m y w a) U •p) _ m W fa n J m O U) C m ) C p C C Z 0 a) C r0 U) C d m a) c no a7 E m'D E c C o a m O n a � E 0rm.._ rnd 0 m E 0-0� p m m o -- E c C OE CD f U o�O m n1 CD O o U E O C p O oT.co 'C V) h; wE rC 0 m aa)) E aa) tam E0 aE adi af°m On f0 0mc m a c m U n— 7 y n'C m U n n d Q) m in w cn m to Z y � 3 U m U) U) a) o Vie C C ry ,O C O 'y C .0 O C„ •tl' �� ,h V��,• t ,G). paQ"� N 7.:� a ,.. N, 7: -m a) .� '7* `,QR��� 0 „AV`�, iU�:; .. m ra a a v 0 E v v w �;, c °-0 Co e°�) m o �H 0o0 �a yo 3 y a m, e vai 9a a).0 Ea y C ` « `'- O ; `.' a m a . '' a a ; d wa o a�. = C �mua A\ m a •. m a a�,. 0'L fO L V coCC-I- O` m 0, 0""m o� eo 0o `.< ro E;',�p�� —_o tEo. ema' N E c c 0 0 c w E E Q Customer Service Information Emergency Services If you have an emergency situation, please contact your dentist as soon as possible to schedule a visit. Delta Dental of Colorado Customer Relations Call us: (303) 741-9305 (Metro -Denver area) (800) 610-0201 (Toll -Free statewide) Customer service representatives are available from 8:00 a.m.. — 6:00 p.m., Monday —Friday. For the hearing impaired: TDD — (800) 659-2656 For Spanish speaking assistance: Para asistencia en espanol llame al (800) 610-0201. Delta Dental of Colorado also uses language interpreters to assist our non-English speaking members. E-mail us: Customer_ Service@ddpco.com A Customer Service representative will respond to your e-mail within 24 business hours, • Monday through Friday. Visit us online: www.deltadentalco.com L� • • Akron Colorado ARVADA COLORADO AKRON GENERAL DENTIST WRIGHT, PEGGY, DDS Akron Dental Clinic 482 Adams Ave Akron, CO 80720 (970) 345-2677 ALAMOSA GENERAL DENTIST ANTIEL, ROBERT, DDS 906 Main St Alamosa, CO 81101 (719) 589-2257 JACKSON, DARRELL, DDS Cottonwood Dental Center 2405 Mullins Ave Alamosa, CO 81101 (719)589-5272 MEJIA, EVA, DDS 100 Edison Ave Ste B Alamosa, CO .81101 (719) 589-4653 SCHIFFER, STEPHEN, DDS 100 Edison Ave Alamosa, CO 81101 (719) 589-4946 VALLEY WIDE HEALTH SERVI CHIC Valley Wide Health Services 128 Market St Alamosa, CO 81101 (719)589-9691 VANDEWALLE, DENISE, DDS 815 West Ave Alamosa, CO 81101 (719) 589-4771 WARRINGTON, TOM, DDS 100 1/2 Edison Ave Alamosa, CO 81101 (719) 589-4953 WELCH, CHRISTOPHER, DDS Welch Dental LLC 206 Crestone Ave Alamosa, CO 81101 (719)589-6629 WILLIAMS, RICHARD, DDS 315 Edison Ave Alamosa, CO 81101 (719)589-3686 ORTHODONTIST AVANT, DANIEL, DDS 3211 Main St Ste A Alamosa, CO 81101 (719)589-5804 PERIODONTIST FITZPATRICK, BRIAN, DMD 3211 Main St Ste A Alamosa, CO 81101 (866)575-9023 Delta Dental Premier ENDODONTIST BECKER, HELENA, DDS DMD Perfect Teeth 88th and Wadsworth 8749 Wadsworth Blvd Arvada, CO 80003 (303)421-9444 STRATTON,RYAN Clear Creek Endodontics 7375 W 52nd Ave Ste 330 Arvada, CO 80002 (303)432-3636 GENERAL DENTIST ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth 64th and Ward PC 12650 W 64th Ave Unit J Arvada, CO 80004 (303) 423-9000 BAHR, SHAYNA, DDS DMD Comfort Dental of N Arvada 8390 W 80th Ave Arvada, CO 80005 (303) 425-6419 BENNETT, DAVID, DDS Foothills Dental SPA 16205 W 64th Ave Arvada, CO 80007 (303) 940-1910 BENNETT, GREGORY, DDS 7745 Wadsworth Blvd Ste F Arvada, CO 80003 (303) 421-7611 BENNETT, STUART, DDS 16205 W 64th Ave Ste 200 Arvada, CO 80007 . (303) 422-9172 BORATENSKI, JULIA Arvada Modern Dentistry and Orth 14807 W 64th Ave Ste C Arvada, CO 80007 (303) 456-4095 BUELTEL,ALLEN Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 CAHOON, KEVIN, DDS Mountain Dental PC 9800 W 59th PI Arvada, CO 80004 (303) 422-0907 CATHERS, JUSTIN Pediatric Dental Group of Arvada 7975 Allison Way Arvada, CO 80005 (303) 421-5437 COFFEE, PAULA New Era Dental PC 5656 Ward Way Ste C Arvada, CO 80002 (303) 425-9278 COX, VALLORY, DDS 6425 Wadsworth Blvd Ste 201 Arvada, CO 80003 (303)940-0125 DE LONG, GARY 8725 Wadsworth Blvd Ste B Arvada, CO 80003 (303)420-2004 DEAN,MARK,DDS Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303)421-7000 DYKES, YUKI, DDS Gregory D Bennett DDS PC 7745 Wadsworth Blvd Ste F Arvada, CO 80003 (303) 421-7611 ELLIOTT, BRIAN, DDS Dental Health of Westminster PII 7970 Sheridan Blvd 3 FI Arvada, CO 80003 (303) 427-0730 ELLIS, DANA, DDS PC 10229 W 58th Ave Arvada, CO 80002 (303) 422-2502 EYER,ROBERT 5730 Ward Rd Ste 203 Arvada, CO 80002 (303) 423-0930 FLOWER, BRETT, DDS PC 7850 Vance Dr Ste 245 Arvada, CO 80003 (303) 422-3303 FRIEDMAN, MITCHELL, DDS Arvada Dental Office PC 8795 Ralston Rd Ste 210 Arvada, CO 80002 (303) 422-8942 GREEN, WILLIAM, DDS 6425 Wadsworth Blvd Ste 102 Arvada, CO 80003 (303)422-7610 HOLMES, CARON, DDS James R Holmes DDS PC 6355 Ward Rd Unit 410 ' Arvada, CO 80004 (303)420-7100 HOLMES, JAMES, DDS 6355 Ward Rd Unit 410 Arvada, CO 80004 (303) 420-7100 JABOUR, DORIENNE, DDS 8410 Wadsworth Blvd Unit G Arvada, CO 80003 (303) 463-8570 JENKINS, JESSE, DDS Five Parks Dental 13739 W 85th Dr Arvada, CO 80005 (303)456-4745 JIMENEZ, ROSSYNET, DDS Mountain Dental PC 9800 W 59th PI Arvada, CO 80004 (303) 422-0907 JOESAAR,HARALD,DDS Bella Dental 7913 Allison Way Ste 203 Arvada, CO 80005 (303) 420-1114 Arvada Colorado KHMIL, LARISA, DDS New Impressions Dental 9122 W 88th Ave Arvada, CO 80005 (303)422-0836 KISH, MICHAEL, DMD 9950 W 80th Ave Ste 12 Arvada, CO 80005 (303) 424-6226 KOHLMEIER, RANDALL, DDS 8723 Wadsworth Blvd Ste D Arvada, CO 80003 (303)422-0476 KRANNAWITTER, JEFFREY, DDS 8721 Wadsworth Blvd Ste B Arvada, CO 80003 (303)420-2061 LANGLEY, DONALD, DDS Dental Health of Westminster PII 7970 Sheridan Blvd 3 FI Arvada, CO 80003 (303) 427-0730 LODL, JEFFREY, DDS 5730 Ward Rd Ste 204 Arvada, CO 80002 (303) 424-0767 MAJORS, KELSEY, DDS Arvada Modern Dentistry and Orth 14807 W 64th Ave Ste C Arvada, CO 80007 (303) 456-4095 MARSCHNER, THOMAS, DDS Perfect Teeth 64th and Ward PC 12650 W 64th Ave Unit J Arvada, CO 80004 (303) 423-9000 MATA,DUANE,DDS Mata Dental Associates PC 5310 Ward Rd Ste 101 Arvada, CO 80002 (303) 421-6165 MATA, LYNDON, DDS Mate Dental Associates PC 5310 Ward Rd Ste 101 Arvada, CO 80002 (303) 421-6165 MATERON, JUAN, DDS Comfort Dental of N Arvada 8390 W 80th Ave Arvada, CO 80005 (303) 425-6419 MAYO, JAMES, DDS Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 MEDAUGH, PETER, DDS DMD 7768 Vance Dr Ste A Arvada, CO 80003 (303)423-0860 MOREHEAD, JONATHAN, DDS 8721 Wadsworth Blvd Ste A Arvada, CO 80003 (303) 425-7686 MOSER, JEFFREY, DDS Caring Family Dentistry 7578 Sheridan Blvd Arvada, CO 80003 (303)657-9006 uena uentai memoer companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Arvada Delta Dental Premier Arvada Colorado Colorado COLORADO (CONT-D) MOSS, JACK, DDS Colo Dhca Low Income Dental 7970 Sheridan Blvd Ste 300 Arvada, CO 80003 (303) 427-0730 NAKAMURA, ANN, DDS 6475 Wadsworth Blvd Ste 217 Arvada, CO 80003 (303) 425-4253 NAKAMURA, MICHAEL, DDS 6475 Wadsworth Blvd Ste 217 Arvada, CO 80003 (303) 425-4253 NEWCOMB,JOHNATHAN,DMD Clear Creek Endodontics 7375 W 52nd Ave Ste 330 Arvada, CO 80002 (303) 432-3636 NIEMI, THOMAS, DDS New Era Dental PC 5656 Ward Way Ste C Arvada, CO 80002 (303) 425-9278 OBERRY, SHAWN, DDS Smiles By Design 11890 W 64th Ave Arvada, CO 80004 (303)422-0094 OLSON,ROBERT 6355 Ward Rd Unit 201 Arvada, CO 80004 (303)420-3310 PARSONS, JOSEPH, DDS Perfect Teeth 88th and Wadsworth 8749 Wadsworth Blvd Arvada, CO 80003 (303)424-5463 PERRY,STEPHEN,DDS Colorado Dental Health Care Spec 7970 Sheridan Blvd 3 FI Arvada, CO 80003 (303)427-0730 PETERSON,ANDREA,DDS Perfect Teeth 64th and Ward PC 12650 W 64th Ave Unit J Arvada, CO 80004 (303)423-9000 PETERSON, TYR, DDS PC 7913 Allison Way Ste 202 Arvada, CO 80005 (303) 424-6483 POWERS, ROBERT, DDS Complete Denture Care 8660 Ralston Rd Arvada, CO 80002 (303) 425-4775 RIEGEL, MARK, DDS DMD 8795 Ralston Rd Ste 104 Arvada, CO 80002 (303)424-2222 RODGERS, CHARLES, DDS Arvada Modern Dentistry and Orth 14807 W 64th Ave Ste C Arvada, CO 80007 (303) 456-4095 SCARFFE,CHARLES,DDS 7903 Allison Way Ste 103 Arvada, CO 80005 (303) 423-4492 SIMON, JONATHAN, DDS DMD Arvada West Dental 14715 W 64th Ave Unit F Arvada, CO 80004 (303) 940-7166 SIMON, RANDALL, DDS Advanced Dental Arts 8770 Wadsworth Blvd Unit H Arvada, CO 80003 (303) 422-2020 TAYDE, SHITAL, DDS DMD Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 TAYLOR,STEPHEN,DDS Mountain Dental PC 9800 W 59th PI Arvada, CO 80004 (303) 422-0907 THOMASON, ETHELYN, DMD Perfect Teeth Sheridan and 64th PC 5169 W 64th Ave Arvada, CO 80003 (303) 426-4050 TIDWELL, SCOTT, DDS Comfort Dental of N Arvada 8390 W 80th Ave Arvada, CO 80005 (303) 425-6419 TOMLINSON, KATHY, DDS Comfort Dental of N Arvada 8390 W 80th Ave Arvada, CO 80005 (303) 425-6419 TRUJILLO, DERIE, DDS 9056 W 88th Ave Arvada, CO 80005 (303)423-5989 UREMOVICH, MARK, DDS Smiles By Design 11890 W 64th Ave Arvada, CO 80004 (303) 422-0094 UREMOVICH, MILAN, DDS Smiles By Design 11890 W 64th Ave Arvada, CO 80004 (303) 422-0094 VEDI, ANITA, DDS New Impressions Dental 9122 W 88th Ave Arvada, CO 80005 (303) 422-0836 WALLACE, JOHN Perfect Teeth Sheridan and 64th PC 5169 W 64th Ave Arvada, CO 80003 (303) 426-4050 WALSH, PAMELA, DDS 5610 Ward Rd Ste 120 Arvada, CO 80002 (303) 420-4001 WARD, LARRY, DDS 11005 Ralston Rd Ste 201 Arvada, CO 80004 (303) 423-4198 WATERS, GREGORY, DDS 8850 W 58th Ave Ste 104 Arvada, CO 80002 (303)420-3233 WINTER, STUART Walter H Winter Jr DDS PC 8605 Ralston Rd Arvada, CO 80002 (303) 424-4567 WINTER, WALTER 8605 Ralston Rd Arvada, CO 80002 (303)424-4567 WURSTEN,JEFFREY 12191 Ralston Rd Ste 202 Arvada, CO 80004 (303)337-0047 ZIMMET, NEIL, DDS Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 ORAL SURGEON ABOOD,JOSEPH Evergreen Oral and Maxillofacial 14416 W 57th PI Arvada, CO 80002 (303)432-2384 INGALLS, GREGORY, DDS Arvada Oral Surg Associates 8025 Club Crest Dr Arvada, CO 80005 (303) 431-0033 LESNICK, JULIE, DDS Arvada Oral Surg Associates 8025 Club Crest Dr Arvada, CO 80005 (303) 431-0033 NEWMAN, RICHARD, DDS Specialists and Oral Surgery PC 7913 Allison Way Ste 101 Arvada, CO 80005 (303)422-2990 ODAY, RICHARD, DDS Arvada Oral Surg Associates 8025 Club Crest Dr Arvada, CO 80005 (303) 431-0033 ORTHODONTIST BEABER, WILLIAM, DDS Beaber Family Orthodontics 5310 Ward Rd Ste 101 Arvada, CO 80002 (303) 464-3900 CALLENDER, GALEN, DDS PC 7207 Grandview Ave Arvada, CO 80002 (303) 421-1984 COLLETTI,LAURENCE Pediatric Dental Group of Arvada 7975 Allison Way Arvada, CO 80005 (303) 421-5437 CRAWFORD,STANLEY 16205 W 64th Ave Ste 101 Arvada, CO 80007 (303)940-8880 GALLAGHER, JAMES, DDS DMD MS 11890 Ralston Rd Arvada, CO 80004 -(303) 422-3419 7913 Allison Way Ste 201 Arvada, CO 80005 (303)424-4048 MASON, JAMES, DDS 6390 Gardenia St Unit 200 Arvada, CO 80004 (303)421-2616 MESSINGHAM, JASON, DDS Messingham Orthodontics 7523 W 80th Ave Arvada, CO 80003 (303)456-5339 MOORE, THEODORE, DDS Perfect Teeth 88th and Wadsworth 8749 Wadsworth Blvd Arvada, CO 80003 (303) 421-9444 NELSON, BRYAN, DDS DMD MS Standley Lake Orthodontics 8723 Wadsworth Blvd Ste B Arvada, CO 80003 (303) 422-6752 PEDODONTIST HYMER,BARBARA,DDS Perfect Teeth 88th and Wadsworth 8749 Wadsworth Blvd Arvada, CO 80003 (303)424-5463 SAVAGE,BRYAN,DDS West Metro Dentistry For Childre 5730 Ward Rd Ste 202 Arvada, CO 80002 (303)422-3746 SHAH, PURVI Pediatric Dental Group of Arvada 7975 Allison Way Arvada, CO 80005 (303) 421-5437 STRANGE, DAVID Pediatric Dental Group of Arvada 7975 Allison Way Arvada, CO 80005 (303) 421-5437 STRANGE,MALCOLM Pediatric Dental Group of Arvada 7975 Allison Way Arvada, CO 80005 (303) 421-5437 VUONG, JULIE, DDS Jesse R Wiitkoff DDS PC 7578 Sheridan Blvd Arvada, CO 80003 (303) 427-9779 WITKOFF, JESSE, DDS 7578 Sheridan Blvd Arvada, CO 80003 (303)427-9779 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. uena uemai member wmpmu a,r. rm-.F.L-v Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta 101Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 • Arvada Colorado COLORADO (CONT-D) PERIODONTIST DENNY, ROBERT, DDS 12191 Ralston Rd Ste 202 Arvada, CO 80004 (303) 425-6022 GOMEZ, LUIS, DDS DMD Colorado Dental Health Care Spec 7970 Sheridan Blvd 3 FI Arvada, CO 80003 (303) 427-0730 KOHUT, DEJAN, DDS Perfect Teeth 88th and Wadsworth 8749 Wadsworth Blvd Arvada, CO 80003 (303)424-5463 SHAW, SEAN, DMD Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 SPILLMAN, KENT, DDS Belcaro Periodontics 7502 W 80th Ave Ste 100 Arvada, CO 80003 (303)424-7757 ASPEN GENERAL DENTIST Delta Dental Premier HOLTZMANN, DAVID, DDS DMD Endodontics of Colorado LLC 11200 E Mississippi Ave Aurora, CO 80012 (303)696-1919 KOTT, JEREMY, DDS Perfect Teeth E Cornell PC 12200 E Cornell Ave Unit E Aurora, CO 80014 (303) 337-0304 RING, JAMIE, DDS DMD Southlands Endodontics 6240 S Main St Ste 285 Aurora, CO 80016 (303) 699-7668 RING, KARLA, DDS DMD Southlands Endodontics 6240 S Main St Ste 285 Aurora, CO 80016 (303) 699-7668 SALEHRABI, ROBERT, DDS 2900 S Peoria St Ste D Aurora, CO 80014 (303) 745-9200 STEIN, ARLENE, DMD Endodontics of Colorado LLC 11200 E Mississippi Ave Aurora, CO 80012 (303) 696-1919 SYRPES, DEMETRIOS, DDS Endodontics of Colorado LLC 11200 E Mississippi Ave Aurora, CO 80012 (303) 696-1919 ALTER, SCOTT, DDS WHITNEY, SCOTT, DDS 126 W Main St • Southlands Endodontics Aspen, CO 81611 6240 S Main St Ste 285 (970) 925-1178 Aurora, CO 80016 (303) 699-7668 AULT GENERAL DENTIST ECKHARDT, BRADLEY, DDS Ault Family Dentistry 120 2nd St Ault, CO 80610 (970)834-2058 AURORA ENDODONTIST BECKER, HELENA, DDS DMD Southlands Endodontics 6240 S Main St Ste 285 Aurora, CO 80016 (303)699-7668 CHALIAN, GARO, DDS Endodontics of Colorado LLC 11200 E Mississippi Ave Aurora, CO 80012 (303)696-1919 DIETZ, JACQUELINE, DDS DMD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303)400-9898 YOUSSEF, HESHAM, DDS All Endodontics PC 13741 E Rice PI Ste 200 Aurora, CO 80015 (303) 617-6323 GENERAL DENTIST ADAMS, DAWNE, DDS Windsor Dental Care 1155 S Havana St Ste 43 Aurora, CO 80012 (720)213-0004 ALLEN, ROBERT, DDS Tower Dental Partners LLC 18680 E Iliff Ave Unit A Aurora, CO 80013 (303) 751-5010 ANDO,SUSAN,DDS 14991 E Hampden Ave Ste 390 Aurora, CO 80014 (303) 690-6662 ANDREWS, BRANDIE, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 ANDRUS, ROBERT, DDS 15106 E Hampden Ave Aurora, CO 80014 (303) 766-4141 AUFDERHAR, CHRISTINE, DDS Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 AUGER, CAMERON 18801 E Hampden Ave Ste 178 Aurora, CO 80013 (303) 680-3308 AUGUSTINE, LISA, DDS Aspenwood Dental Associates PC 2900 S Peoria St Ste C Aurora, CO 80014 (303) 751-3321 BARTLETT, JAMES, DDS 12331 E Cornell Ave Ste 20 Aurora, CO 80014 (303)745-7777 BATLINER, TERRENCE Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 BATLINER, TERRENCE, DDS Uchsc School of Dentistry 13065 E 17th Ave Aurora, CO 80045 (303)724-6931 BENNETT, DARREN, DDS Perfect Teeth Buckley and Quincy P 4321 S Buckley Rd Aurora, CO 80015 (303)690-1812 BERGESON, ZACKARY, DDS DMD Comfort Dental of Aurora 1050 S Peoria St Aurora, CO 80012 (303) 367-2273 BERRY, THOMAS, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 BIEL, TIMOTHY, DDS Associates In Family Dentistry 15425 E IliffAve Aurora, CO 80013 (303)755-5768 BLATTER, VICTOR, DMD Rocky Mountain Dental Partners P 730 Potomac St Ste 308 Aurora, CO 80011 (303) 364-4322 BLUMENSCHEIN, GARY Jennifer S Zipfel DDS 1344 S Chambers Rd Ste 203 Aurora, CO 80017 (303) 283-8009 BOWDEN, CLYDEA, DDS 14591 E Alameda Ave Aurora, CO 80012 (303)343-7072 BRADLEY,KATHLEEN,DDS Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 Aurora Colorado BRICHACEK, MICHELLE, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 BRIMHALL, DALLAS, DDS Rocky Mountain Dental Partners P 730 Potomac St Ste 308 Aurora, CO 80011 (303)364-4322 BROOKS, HOWARD Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 BROWN, JENNIE, DDS 1344 S Chambers Rd Ste 104 Aurora, CO 80017 (303) 755-6700 BUJANDA-WAGNER, SANDRA, DDS 6240 S Main St Ste 215 Aurora, CO 80016 (303)627-5755 BURKART, JOHN, DDS 13731 E Rice PI Ste 100 Aurora, CO 80015 (303)696-7333 BURTENSHAW,JOHN,DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303)751-6511 CANNON, CHRISTOPHER, DDS DMD Tower Dental Partners LLC 18680 E Iliff Ave Unit A Aurora, CO 80013 (303) 751-5010 CARLSTON, MATTHEW, DDS DMD Comfort Dental East Aurora 2131 S Chambers Rd Aurora, CO 80014 (303) 750-2273 CARMODY, COLLEEN, DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303)751-6511 CHANG, MICHAEL, DDS DMD PC 1344 S Chambers Rd Ste 102 Aurora, CO 80017 (303)338-2004 CHAWLA, PRATHIMA, DDS Wahl Dental Group PC 14001 E Iliff Ave Ste 303 Aurora, CO 80014 (303)337-7994 CHOE, CHIYON, DDS Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 CHOLFIN, STUART, DDS 15270 E 6th Ave Unit 3 Aurora, CO 80011 (303)340-3994 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Aurora Delta Dental Premier Aurora Colorado Colorado COLOF ADO (CONT-D) CHRISTIANSEN, HAROLD, DDS 2530 S Parker Rd Ste 201 Aurora, CO 80014 (303)750-2460 CLEAR,SHERYL,DDS Clear Dental Associates PC 11275 E Mississippi Ave Ste 2E2 Aurora, CO 80012 (303)364-5217 COLLINS, CLAIRE, DDS DMD Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 CONNOLLY, MARY, DDS Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 CRAIG, JAMES, DDS Summerbrook Dental Group 14991 E Hampden Ave Ste 370 Aurora, CO 80014 (303)693-1215 CUSHING, BRYCE Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303) 343-3133 DAMICO, NICK Horiuchi and Damico DDS PC 3131 S Vaughn Way Ste 422 Aurora, CO 80014 (303) 745-1400 DANIEL, THOMAS, DDS 1101 Havana St Aurora, CO 80010 (303)366-3577 DASILVA, RICARDO Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303) 343-3133 6240 S Main St Ste 260 Aurora, CO 80016 (303) 928-7575 DEEG,DEBORAH,DDS 14991 E Hampden Ave Ste 390 Aurora, CO 80014 (303) 690-6662 DEEG, MILES 14991 E Hampden Ave Ste 390 Aurora, CO 80014 (303)690-6662 DILIZIA, CAMILLO, DDS DMD Comfort Dental Quincy and Buckley 16981 E Quincy Ave Ste D1 Aurora, CO 80015 (303)617-8400 DOERHOFF, RICHARD, DDS Comfort Dental East Aurora 2131 S Chambers Rd Aurora, CO 80014 (303) 750-2273 DOUGHERTY, MICHAEL, DDS 1550 S Potomac St Ste 220 Aurora, CO 80012 (303) 369-1069 DOWLATI, JINA Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 DUFF, JOYCE, DDS Smile Hi Family Dentistry 3005 S Peoria St Ste B Aurora, CO 80014 (303) 368-1409 DUNN, DAVID, DDS 2530 S Parker Rd Ste 202 Aurora, CO 80014 (303) 750-2290 DYKES, YUKI, DDS 4237 S Buckley Rd Aurora, CO 80013 (303)690-0800 EDLUND, DAVID, DDS Aaronwood Dental Care 10700 E Bethany Dr Ste 210 Aurora, CO 80014 (303) 988-7410 EDWARDS, GERALD, DDS DMD Comfort Dental of Aurora 1050 S Peoria St Aurora, CO 80012 (303) 367-2273 ENGEL, NEAL, DDS 1710 S Buckley Rd Unit 8A Aurora, CO 80017 (303)696-6763 ESCALA,SAUL,DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303)341-5437 EVANS, RAYMOND, DDS Heather Park Dental Care 2993 S Peoria St Ste 250 Aurora, CO 80014 (303)337-9300 FAHMY, SHARON, DDS 13741 E Rice PI Ste 100 Aurora, CO 80015 (303) 617-5212 FANNING, CYRUS, DDS PC 12101 E 2nd Ave Ste 105 Aurora, CO 80011 (303)364-6659 FARBOD, FARHAD, DDS DMD 14991 E Hampden Ave Ste 270 Aurora, CO 80014 (303) 699-9880 FORD, JAMES, DDS Perfect Teeth E IIiff Ave PC, 16723 E Iliff Ave Aurora, CO 80013 (303)337-0464 Perfect Teeth Buckley and Quincy P 4321 S Buckley Rd Aurora, CO 80015 (303) 690-1812 FORD, MICHAEL, DDS 7450 S Gartrell Rd Ste A Aurora, -CO 80016 (303)840-9557 FRISCH, MICHAEL, DDS Windsor Dental Care 1155 S Havana St Ste 43 Aurora, CO 80012 (720)213-0004 FRITZ, TIFFANY, DDS 22651 E Aurora Pkwy Unit A5 Aurora, CO 80016 (303)617-0303 GARBISO, GILBERT Colorado Implant Institute 11246 E Mississippi Ave Aurora, CO 80012 (720)748-3100 GATSEOS, GEORGE, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720) 848-0687 GILLESPIE, ANDRE Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303) 343-3133 GILLIAM, JEFFREY, DDS DMD Comfort Dental of Aurora 1050 S Peoria St Aurora, CO 80012 (303) 367-2273 GINTHER, STEFAN, DDS 6240 S Main St Ste 200 Aurora, CO 80016 (303) 693-2288 GLAMM, JAYME, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 GLENN,FALONA,DDS 1732 S Chambers Rd Aurora, CO 80017 (303) 751-6916 GLENN,GERALD,DDS Falona Glenn DDS PC 1732 S Chambers Rd Aurora, CO 80017 (303) 751-6916 GOSSENAUER, MARTIN Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303) 343-3133 GRYZICK, DAVID, DDS Family First Dental PC 6040 S Gun Club Rd Unit G3 Aurora, CO 80016 (303) 693-9600 HABERSTROH, JULIE, DDS PC 12101 E 2nd Ave Ste 206 Aurora, CO 80011 (303)343-2161 HALL, ANDREW Colorado Implant Institute 11246 E Mississippi Ave Aurora, CO 80012 (720)748-3100 HAMMON, KENNETH, DDS DMD 730 Potomac St Ste 308 Aurora, CO 80011 (303)364-4322 HANDELMAN, RICHARD, DDS Blue Mesa Dental Aurora 1700 S Chambers Rd Aurora, CO 80017 (303) 337-0789 HARRISON, ASHLEIGH, DDS Cornerstar Dental Group and Orth 6730 S Cornerstar Way Ste A Aurora, CO 80016 (303) 400-4500 HARVAN,J Uchsc School of Dentistry 13065 E 17th Ave Aurora, CO 80045 (303) 724-6931 HARVAN, JOHN, DMD Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 HARVAN, KRISTINA, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 HAWKINS, DARRELL, DDS 11275 E Mississippi Ave Ste 1 W5 Aurora, CO 80012 (303) 341-4663 HEDRICK, DAVID, DDS 12357 E Cornell Ave Ste 10 Aurora, CO 80014 (303)337-5800 HIRSCHMAN, WADE, DDS Cornerstar Dental Group and Orth 6730 S Cornerstar Way Ste A Aurora, CO 80016 (303) 400-4500 HOANG, HUYEN, DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303) 751-6511 HOM, PHILLIP, DDS 800 Peoria St Aurora, CO 80011 (303)364-0965 HORIUCHI, PAUL, DDS Horiuchi and Damico DDS PC 3131 S Vaughn Way Ste 422 Aurora, CO 80014 (303)745-1400 HOUSER, JAMIN, DDS Village Park Dental PC 11085 E Mississippi Ave Aurora, CO 80012 (303)364-6455 r� • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Lien uenrai member cumpdm— -- Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 • • Aurora Colorado COLORADO (CONT-D) JEFFERS, JANIS, DMD 6830 S Liverpool St Ste A Aurora, CO 80016 (303) 400-3483 JOO, NELSON, DMD 2222 S Fraser St Unit 3 Aurora, CO 80014 (303) 671-0305 JORGENSEN, AMY, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303)341-5437 JUSTUS, JOHN, DDS Perfect Teeth Mississippi PC 11175 E Mississippi Ave Ste Aurora, CO 80012 (303)343-9313 Delta Dental Premier KRUGLET, NEIL, DDS Associates In Family Dentistry 15425 E Iliff Ave Aurora, CO 80013 (303) 755-5768 KWON, JUSTIN, DDS Green Dental 10700 E Bethany Dr Ste 210 Aurora, CO 80014 (303) 745-8828 LOEWEN,REBECCA Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 LOGELIN, MICHAEL Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 LANDER, TODD, DMD LOOZE, RICHARD, DDS 11275 E Mississippi Ave Ste 2W1 22970 E Smoky Hill Rd Aurora, CO 80012 Aurora, CO 80016 (303)364-7631 (720)886-0606 LANGENFELD, BRIAN, DDS 6240 S Main St Ste 295 Aurora, CO 80016 (303) 627-5460 LARSON, ROBERT, DDS 110 15101 E Iliff Ave Ste 280 Aurora, CO 80014 (303) 696-1899 KALRA, GUNJAN, DDS LAWSON, MARK, DDS Axiom Dental Group PC Village Park Dental PC 12510 E Iliff Ave Ste 305 11085 E Mississippi Ave Aurora, CO 80014 Aurora, CO 80012 (303)695-0102 (303)364-6455 KARAMI, ARDAVAN, DDS LE HUAN CUA, RICHARD, DDS Perfect Teeth E Iliff Ave PC Kids Choice Dental 16723 E IliffAve 15159 E Colfax Ave Unit B Aurora, CO 80013 Aurora, CO .80011 (303)337-0464 (303)341-5437 KARDEN, STEVEN, DDS 11275 E Mississippi Ave Ste 1 E3 Aurora, CO 80012 (303)366-2115 Perfect Teeth E Cornell PC 12200 E Cornell Ave Unit E Aurora, CO 80014 (303)337-0304 KATTAURA, ROOPINDAR Wahl Dental Group PC 14001 E Iliff Ave Ste 303 Aurora, CO 80014 (303)337-7994 KHEIR, AHMED, DDS DMD Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303)400-3669 KHMIL, LARISA, DDS Eagle Bend Dental 22651 E Aurora Pkwy Unit A5 Aurora, CO 80016 (303) 617-0303 KINDER, BRUCE, DDS 11275 E Mississippi Ave Ste 1 S4 Aurora, CO 80012 (303)361-6668 KNELLER, TIMOTHY, DDS 12101 E Iliff Ave Ste U Aurora, CO 80014 (303)696-9364 KOMANDURI, KRISHNA, DDS Hanu Dental Care 12343 E Cornell Ave Unit 17 Aurora, CO 80014 (303)340-0087 LEE, ANDY, DDS Aesthetic Dentistry of Aurora 2900 S Peoria St Ste A Aurora, CO 80014 (303) 368-3636 LEE, BRUCE Plains Performance Dentistry 6830 S Liverpool St Ste A Aurora, CO 80016 (303) 400-9700 LEE, TOMMY, DDS Aurora Family Dental 14221 E 4th Ave Aurora, CO 80011 (303) 344-1227 LE-HUAN-CUA, CHRISTOPHER, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 LEMKE, TIMOTHY, DDS Chambers RD Dental Associates PC 13701 E Mississippi Ave Ste 310 Aurora, CO 80012 (303) 366-1592 LIU, JAMES, DDS Comfort Dental Quincy and Buckley 16981 E Quincy Ave Ste D1 Aurora, CO 80015 (303) 617-8400 LOE, KIMBAL, DDS Sanders and Loe DDS PC 3100 S Parker Rd Ste 103 Aurora, CO 80014 (303) 337-2794 MALOY, SHAWN, DDS Clinica Dental Latina LLC 11175 E Mississippi Ave Ste 100 Aurora, CO 80012 (303)364-9831 MANIKIN, JULIE, DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303) 751-6511 MANSHADI, DAVOOD, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 MARSHALL, KIMBERLY, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 MAXWELL, TRAVER, DDS DMD Comfort Dental Quincy and Buckley 16981 E Quincy Ave Ste D1 Aurora, CO 80015 (303)617-8400 MCDONALD, ROBERT, DDS DMD Tower Dental Partners LLC 18680 E IliffAve Unit A Aurora, CO 80013 (303) 751-5010 METROPOLITAN COMMUNITY P McPn North Aurora Dental 3292 Peoria St Aurora, CO 80010 (303)360-6276 MILLER, ERIC Sands House Gpr Program 13065 E 17ave Mail Stop F840 PO Box 6508 Aurora, CO 80045 (303)724-6941 Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 MILLER, RODGER, DDS Associates In Family Dentistry 15425 E IliffAve Aurora, CO 80013 (303)755-5768 MILNOR, LAURA, DDS Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303)400-3669 Aurora Colorado MILUSHEV, METODI, DDS DMD Dental Health at Center Pointe P 14591 E Alameda Ave Aurora, CO 80012 (303)360-0991 MINGLE, MICHAEL, DDS 5492 S Parker Rd Aurora, CO 80015 (303)690-4000 MIYAMOTO, PAUL, DDS 2530 S Parker Rd Ste 201 Aurora, CO 80014 (303) 750-2460 MONTANO, RONALD, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 MOORE, DWAYNE, DDS Blue Mesa Dental Aurora 1700 S Chambers Rd Aurora, CO 80017 (303)337-0789 MURRAY, RHETT, DDS 2530 S Parker Rd Ste 200 Aurora, CO 80014 (303)337-1338 MUSANJE, LAWRENCE Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 NAJJAR, TANIA, DMD Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 NELSON, DONALD Eagle Bend Dental 22651 E Aurora Pkwy Unit A5 Aurora, CO 80016 (303) 617-0303 NGUYEN,HUY,DDS Gateway Dental PC 1076 S Sable Blvd. Aurora, CO 80012 (303)369-5517 NGUYEN,QUYNH Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 NOVAK, SCOTT, DDS DMD Cherokee Trail Dental Care 24112 E Orchard Rd Bldg LF09 Aurora, CO 80016 (303)457-5288 OCHOA, MARGARITA, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 OZENBAUGH, BRIAN, DDS Cornerstar Dental Group and Orth 6730 S Cornerstar Way Ste A Aurora, CO 80016 (303) 400-4500 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Aurora Delta Dental Premier Aurora Colorado Colorado COLORADO (CONT-D) PARFITT, JAMES, DDS DMD Comfort Dental East Aurora 2131 S Chambers Rd Aurora, CO 80014 (303)750-2273 PASSON,J Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 PERRY,STEPHEN,DDS Dental Health at Center Pointe P 14591 E Alameda Ave Aurora, CO 80012 (303)360-0991 PETKOVA, ANASTASIA, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 POTTER, BRAD, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 PYO, HAN, DDS DMD 12393 E Cornell Ave Aurora, CO 80014 (303)755-1168 QUIGLEY, JOHN Wahl Dental Group PC 14001 E Iliff Ave Ste 303 Aurora, CO 80014 (303)337-7994 RANKIN, JENNIFER AND, DDS 5492 S Parker Rd Aurora, CO 80015 (303) 690-4000 RANOV, BOYAN, DDS DMD Smoky Hill Family Dentistry 16629 E Smoky Hill Rd Aurora, CO 80015 (303) 699-8788 RASULOV, AZIZ Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 RAUSA, JANA, DDS Chambers Court Dentistry 2161 S Chambers Rd Aurora, CO 80014 (303)369-7735 RESNICK, MARK Blue Mesa Dental Aurora 1700 S Chambers Rd Aurora, CO 80017 (303)337-0789 REYNOLDS, JAMES, DDS 11275 E Mississippi Ave Ste 2S3 Aurora, CO 80012 (303)364-6455 REZAEI, SEYED, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303)341-5437 RIESSELMAN, PHILLIP, DDS Windsor Dental Care 1155 S Havana St Ste 43 Aurora, CO 80012 (720) 213-0004 Heather Park Dental Care 2993 S Peoria St Ste 250 Aurora, CO 80014 (303)337-9300 RODGERS, CHARLES, DDS Cornerstar Dental Group and Orth 6730 S Cornerstar Way Ste A Aurora, CO 80016 (303) 400-4500 ROMIG, GREGORY, DDS Clinical Dental Latina LLC 11175 E Mississippi Ave Ste 100 Aurora, CO 80012 (303)364-9831 RONES, JONATHAN, DDS 13701 E Mississippi Ave Ste 360 Aurora, CO 80012 (303)341-6961 ROWAN, MATTHEW, DDS Comfort Dental of Aurora 1050 S Peoria St Aurora, CO 80012 (303) 367-2273 ROWE, MERRIL, DDS 3574 S Tower Rd Aurora, CO 80013 (303)617-9100 RUSH, STEVEN, DDS Wohlgemuth and Rush DDS PLLC 1450 S Havana St Ste 200 Aurora, CO 80012 (303) 755-8388 RUVINS, EDWARD, DDS Qualdent LLC 6240 S Main St Ste 260 Aurora, CO 80016 (303) 928-7575 SALIMAN, RONALD, DDS 941 S Havana St Ste 201 Aurora, CO 80012 (303) 341-2473 SANDERS, RANDALL, DDS Sanders and Loe DDS PC 3100 S Parker Rd Ste 103 Aurora, CO 80014 (303) 337-2794 SANKARANARAYANAN, SRIVALLI, DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303) 751-6511 SCHULER, DARRELL, DDS 400 S Potomac Way Aurora, CO 80012 (303) 363-7777 SCOTT, DANIEL, DDS Perfect Teeth Mississippi PC 11175 E Mississippi Ave Ste 110 Aurora, CO 80012 (303) 343-9313 SELLERS,R Summerbrook Dental Group 14991 E Hampden Ave Ste 370 Aurora, CO 80014 (303) 693-1215 SHAYEVSKY, MICHAEL, DDS 11275 E Mississippi Ave Ste 2W6 Aurora, CO 80012 (303)751-7282 STODDARD, DENNIS, DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303) 751-6511 SUMNER, JILL 2993 S Peoria St Ste 210 Aurora, CO 80014 (303) 696-6979 TANEJA, PUJA, DDS Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 THERIOT, ROY, DDS 941 S Havana St Ste 200 Aurora, CO 80012 (303)341-5313 THOMASSON, THOMAS, DDS Southlands Dental Associates 6240 S Main St Ste 220 Aurora, CO 80016 (303) 400-4865 THONGIN, EKAPOJ, DDS DMD Tower Dental Partners LLC 18680 E Iliff Ave Unit A Aurora, CO 80013 (303)751-5010 THOUSAND, JOHN, DDS Comfort Dental Quincy and Buckley 16981 E Quincy Ave Ste D1 Aurora, CO 80015 (303) 617-8400 TIAO, KATIE Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303) 343-3133 TOPOLNYCKY,ANDREW,DDS 16629 E Smoky Hill Rd Aurora, CO 80015 (303) 699-8788 TORIGGINO, DOMINIC, DDS Associates In Family Dentistry 15425 E IliffAve Aurora, CO 80013 (303)755-5768 TWERSKOI, VLADISLAV, DDS 1400 Chambers Rd Ste 1 Aurora, CO 80011 (303)364-7491 VARNER, JEFFREY, DMD Comfort Dental East Aurora 2131 S Chambers Rd Aurora, CO 80014 (303)750-2273 WAHL, DALE, DDS Wahl Dental Group PC 14001 E Iliff Ave Ste 303 Aurora, CO 80014 (303)337-7994 WALKER, STEFANIE, DMD Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720) 848-0687 WALLACE, RICHARD, DDS 14991 E Hampden Ave Ste 300 Aurora, CO 80014 (303) 690-7778 WARD, NICOLE, DDS DMD Comfort Dental Quincy and Buckley 16981 E Quincy Ave Ste D1 Aurora, CO 80015 (303)617-8400 WHITNEY, HAL Millennium Dental PC 11085 E Mississippi Ave Aurora, CO 80012 (303)343-2700 WILSON, DANIEL, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720) 848-0687 WILSON, KENNETH, DDS MD 13764 E Quincy Ave Aurora, CO 80015 (303) 690-0877 WOHLGEMUTH, BARRY, DDS Wohlgemuth and Rush DDS PLLC 1450 S Havana St Ste 200 Aurora, CO 80012 (303) 755-8388 YARDS, RONALD, DDS Aspenwood Dental Associates PC 2900 S Peoria St Ste C Aurora, CO 80014 (303) 751-3321 YEROS, JAMES, DDS 2530 S Parker Rd Ste 224 Aurora, CO 80014 (303)750-4250 YI, WOON, DDS Access Dental 1344 S Chambers Rd Ste 202 Aurora, CO 80017 (303)873-7180 YOUNG, MATTHEW Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303) 343-3133 ZEPPELIN, DANIEL, DDS Aspenwood Dental Associates PC 2900 S Peoria St Ste C Aurora, CO 80014 (303) 751-3321 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta uentai memoer companies anu ranicipauny Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. • July 2009 • Aurora Colorado COLORADO (CONT-D) ZIPFEL, JENNIFER, DDS 1344 S Chambers Rd Ste 203 Aurora, CO 80017 (303)283-8009 ORALSURGEON CATALANO,JOSEPH,DDS Aurora Oral and Max Surgeons PC 14991 E Hampden Ave Ste 260 Aurora, CO 80014 (303)699-1964 COLM, STEPHEN, DDS DMD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303) 400-3669 FLOYD, CARLTON, DDS MD MS 1344 S Chambers Rd Ste 201 Aurora, CO 80017 (303)368-7402 HARPER, CLAYTON, DDS MD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 KEOGH, BARRY, DDS MD Aurora Oral and Max Surgeons PC 14991 E Hampden Ave Ste 260 Aurora, CO 80014 (303)699-1964 MADLOCK, PAUL, DDS DMD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303)400-9898 Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303) 400-3669 PEEDE, LOUIE, DMD L F Peede Jr DMD PC 2900 S Peoria St Ste D Aurora, CO 80014 (303)755-3353 QUIST, RHETT, DDS Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303)400-3669 SAVAGE, MICHAEL, DDS DM Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 Delta Dental Premier SEDHOM, ASHRAF, DDS MD DMD Center For Oral and Max Surgery 11246 E Mississippi Ave Aurora, CO 80012 (303)344-0810 WHITE, JEFFERY, DDS 13701 E Mississippi Ave Ste 300 Aurora, CO 80012 (303)344-2705 ORTHODONTIST BURGESS, BRANDY, DDS Cornerstar Dental Group and Orth 6730 S Cornerstar Way Ste A Aurora, CO 80016 (303) 400-4500 DURAN, JACK, DDS Orthodontics Exclusively LLC 13701 E Mississippi Ave Ste 360 Aurora, CO 80012 (303)789-9257 HARRELL, RICKY Cu Sch of Dentistry Department of Orth 13065 E 17th Ave Aurora, CO 80045 (303)724-1124 IDICULLA, ANIL, DDS DMD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303) 400-3669 IDICULLA, ANIL, DMD Dental Associates of Aurora 11275 E Mississippi Ave Ste 2N Aurora, CO 80012 (303) 341-4878 KOHRS, KEITH, DDS Kohrs Orthodontics 2900 S Peoria St Ste B Aurora, CO 80014 (303)750-3660 LAUSON, SAMUEL, DDS Aurora Orthodontics and Tmj 24301 E Orchard Rd Aurora, CO 80016 (303) 690-0100 LINN, BRANDON, DDS Perfect Teeth Buckley and Quincy P 4321 S Buckley Rd Aurora, CO 80015 (303) 690-1812 LORENZ, ROY, DDS MD 14991 E Hampden Ave Ste 320 Aurora, CO 80014 (303) 690-2333 MASON, JAMES, DDS 2993 S Peoria St Ste 260 Aurora, CO 80014 (303) 751-5700 MILLER, BILLIE Dental Management Group LLC 11246 E Mississippi Ave Aurora, CO 80012 (303) 337-3337 MILLER, GALEN, DDS Cu Sch of Dentistry Department of Orth 13065 E 17th Ave Aurora, CO 80045 (303)724-1124 MINICK, GERALD, DDS MS 6020 S Gun Club Rd Unit E1 Aurora, CO 80016 (303)627-6212 MUNHOLLAND, THOMAS, DDS 18860 E Hampden Ave Aurora, CO 80013 (303) 680-4200 NGUYEN, HOANG, DDS MS Care Smiles Orthodontics 1344 S Chambers Rd Ste 101 Aurora, CO 80017 (303)337-2999 NIEBERG-BASKIN, HILARY, DDS All About Kids Braces 15159 E Colfax Ave Unit B Aurora, CO 80011 (303)341-5437 OESTERLE, LARRY, DDS Cu Sch of Dentistry Department of Orth 13065 E 17th Ave Aurora, CO 80045 (303)724-1124 REED, CHARLES, DDS MS 20971 E Smoky Hill Rd Ste 200 Aurora, CO 80015 (303)617-3333 SAYDYK, THEODORE, DDS Comfort Smile Center 15403 E Hampden Ave Aurora, CO 80013 (303)680-3295 SHAVER, THERESA, DDS MS 14001 E Iliff Ave Ste 201 Aurora, CO 80014 (303) 751-1313 SHELLHART, W Cu Sch of Dentistry Department of Orth 13065 E 17th Ave Aurora, CO 80045 (303)724-1124 STASI, MARK Comfort Smile Center 15403 E Hampden Ave Aurora, CO 80013 (303) 680-3295 ZINKANN, KARLA, DDS 1700 S Chambers Rd Aurora, CO 80017 (303) 337-0789 PERODONTIST CARLSON MARKS, LISA Childrens Dntry of Aurora 730 Potomac St Ste 306 Aurora, CO 80011 (303)537-0234 CHRISTENSEN, EDWARD 13123 E 16th Ave Aurora, CO 80045 (303)702-9501 Aurora Colorado ELLIS, RANDALL Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 FOSTER,KAREN,DDS Saddle Rock Pediatric Dentistry 22986 E Smoky Hill Rd Aurora, CO 80016 (303) 690-1690 HARRIS, MEREDITH, DDS MD Childrens Dntry of Aurora 730 Potomac St Ste 306 Aurora, CO 80011 (303)537-0234 HAYUTIN, DAVID, DDS Aurora Pediatric Dentistry Prof 5657 S Himalaya St Ste 200 Aurora, CO 80015 (720)886-0808 KLEIN, ULRICH, DDS DMD Childrens Hospital Pediatric Dntry 13123 E 16th Ave Ste B240 Aurora, CO 80045 (720)777-6788 KOCH, MARK, DDS Childrens Hospital Pediatric Dntry 13123 E 16th Ave Ste B240 Aurora, CO 80045 (720)777-6788 LEWIS, LUCINDA, DDS AN PC 390 S Potomac Way Ste A Aurora, CO 80012 (303) 367-1502 MURZYN-DANTZER, LINDA, DDS DMD Childrens Hospital Pediatric Dntry 13123 E 16th Ave Ste B240 Aurora, CO 80045 (720) 777-6788 NGUYEN, ANDREW, DDS Ticket To Smiles 2900 S Peoria St Ste B Aurora, CO 80014 (303)750-7750 TAKESONO YU, JENNIFER, DDS Childrens Dntry of Aurora 730 Potomac St Ste 306 Aurora, CO 80011 (303)537-0234 WILSON, ANNE, DDS Childrens Hospital Pediatric Dntry 13123 E 16th Ave Ste B240 Aurora, CO 80045 (720)777-6788 PERIODONTIST BARDSLEY, NORMAN, DDS Perfect Teeth E Cornell PC 12200 E Cornell Ave Unit E Aurora, CO 80014 (303)337-0304 DENNY, ROBERT, DDS DMD 14001 E Iliff Ave Ste 104 Aurora, CO 80014 (303)337-0047 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Aurora Delta Dental Premier Boulder Colorado Colorado COLORADO (CONT-D) GLICK, PAUL, DDS MS Periodontal Associates 2900 S Peoria St Ste D Aurora, CO 80014 (303) 755-4500 HELLER,DOUGLAS Dental Associates of Aurora 11275 E Mississippi Ave Ste 2N Aurora, CO 80012 (303) 341-4878 HELLER, DOUGLAS, DDS MD DMD Periodontal Associates 2900 S Peoria St Ste D Aurora, CO 80014 (303) 755-4500 JOHNSON, LONNIE, DDS PHD Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 LUBOW, RICHARD, DDS DMD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 Mountain View Implants and Perio 6240 S Main St Ste 215 Aurora, CO 80016 (303) 928-7589 LUBOW, RICHARD, DMD Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303) 400-3669 MCCLAIN, PAMELA, DDS Drs Schallhorn and McClain PC 11200 E Mississippi Ave Aurora, CO 80012 (303)696-7885 RICHARDSON, HEATHER, DD DMD Perfect Teeth E Cornell PC 12200 E Cornell Ave Unit E Aurora, CO 80014 (303)337-0304 SANDOVAL, ELIVINIO, DDS 12090 E Alameda Ave Aurora, CO 80012 (303)360-8365 SCHALLHORN, ROBERT, DDS Drs Schallhorn and McClain PC 11200 E Mississippi Ave Aurora, CO 80012 (303) 696-7885 PROSTHODONTIST ASTROTH, JEFFREY, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 CLEAR, KEITH, DDS MS Clear Dental Associates PC 11275 E Mississippi Ave Ste 2E2 Aurora, CO 80012 (303)364-5217 LEE, SEUNG, DDS Dental Associates of Aurora 11275 E Mississippi Ave Ste 2N Aurora, CO 80012 (303) 341-4878 BAILEY GENERAL DENTIST NICHOLS, RICHARD, DDS 460 County Road 43 Ste 3 Bailey, CO 80421 (303) 838-0311 BAYFIELD GENERAL DENTIST GROSKOPF, NICKLAS Dental Associates of The Southwe 1405 Kremer Dr PO Box 470 Bayfield, CO 81122 (970)884-0287 HEINICKE, COURTNEY, DDS Dental Associates of The Southwe 1405 Kremer Dr PO Box 470 Bayfield, CO 81122 (970) 884-0287 KNIGHT, PRESTON, DDS 30 W Mill St Bayfield, CO 81122 (970)884-9306 NICHOLSON, STEPHEN, DDS 30 W Mill St Bayfield, CO 81122 (970)884-9306 BENNETT g GENERAL DENTIST AVERY, PAUL, DDS 280 E Colfax Ave Bennett, CO 80102 (303) 644-3386 BERTHOUD GENERAL DENTIST BECKWITH, CARMEN, DDS Berthoud Family Dentistry 408 10th St Berthoud, CO 80513 (970) 532-4477 DESCHENE, JAMES, DDS 430 Bimson Ave Berthoud, CO 80513 (970) 5324209 BOULDER ENDODONTIST DOUGLAS, GREGORY, DDS Boulder Endodontics 3100 Arapahoe Ave Ste 300 Boulder, CO 80303 (303) 449-6621 PARSONS, JOSEPH, DDS Boulder Endodontics 3100 Arapahoe Ave Ste 300 Boulder, CO 80303 (303) 449-6621 SKULSKI, CARL, DDS 350 Broadway St Ste 201 Boulder, CO 80305 (720)304-2600 GENERAL DENTIST ADLER, MICHAEL, DDS 1810 30th St Ste A Boulder, CO 80301 (303) 449-1119 ALBER, MARC, DDS 2919 Valmont Rd Ste 106 Boulder, CO 80301 (303)449-3132 ALLEMAN,BRECKGLYN,DDS Alleman Family Dental PC 2760 29th St Ste 2A Boulder, CO 80301 (303) 499-7133 ALLEMAN, DANIEL, DDS Alleman Family Dental PC 2760 29th St Ste 2A Boulder, CO 80301 (303) 499-7133 ATHA, JASON, DDS 350 Broadway St Ste 10 Boulder, CO 80305 (303)494-8200 BARNES,MARK,DDS Barnes Dentistry PC 6700 Lookout Rd Ste 1 Boulder, CO 80301 (303)530-7525 BENTZ, MICHAEL, DDS 3000 Pearl St Ste 110 Boulder, CO 80301 (303) 449-8783 BIRNBAUM, ANNE, DDS 1000 Alpine Ave Ste 270 Boulder, CO 80304 (303)444-4166 BISHOP, JOHN, DDS Bishop and Takemoto Dentistry 4840 Riverbend Rd Ste 200 Boulder, CO 80301 (303) 440-4777 BOGAN, THOMAS, DDS 2919 Valmont Rd Ste 105 Boulder, CO 80301 (303) 447-1122 BRACHVOGEL, WILLIAM, DDS 1840 Folsom St Ste 301 Boulder, CO 80302 (303) 443-1146 BROWN, JULIE, DDS North Boulder Dental Group 2601 Broadway St Boulder, CO 80304 (303)447-1042 BUFFER,STEVEN,DDS 385 Broadway St Boulder, CO 80305 (303)442-4846 BURLUC,AURORA,DDS Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303)443-5133 CANNON, MARK, DDS DMD Comfort Dental Boulder 3400 Arapahoe Ave Boulder, CO 80303 (303) 444-2129 CHAMBERLIN, CHRISTOPHER, DDS 1840 Folsom St Ste 303 Boulder, CO 80302 (303)544-9636 CHC DENTAL AID 4155 Dadey Ave Boulder, CO 80305 (303) 499-7072 COLBERT, ELBERT, DDS 4800 Baseline Rd Ste D202 Boulder, CO 80303 (303)499-0367 DAVIS, WALTER, DDS 1610 Canyon Blvd Boulder, CO 80302 (303)442-5000 DE, EMMANUEL PAZ, LA 3775 Iris Ave Ste 3A Boulder, CO 80301 (303) 442-4235 DEGARMO, AARON, DDS Bright Now Dental 1840 Folsom St Ste 105 Boulder, CO 80302 (303) 417-9401 DONAGHY, FREDERICK, DDS 3093 Broadway St Boulder, CO 80304 (303) 443-1703 EVANS, DAVID 1455 Yarmouth Ave Ste 116 Boulder, CO 80304 (303) 442-0990 FISCUS, ANDREW, DDS 3400 Penrose PI Ste 202 Boulder, CO 80301 (303)442-5748 FREDERICK, CHRISTOPHER, DDS DMD Alpine Dentistry 350 Broadway St Ste 10 Boulder, CO 80305 (303)494-8200 FRIDRICH, SCOTT, DDS 1120 Alpine Ave Ste C Boulder, CO 80304 (303)443-4416 is Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental memoer companies ana rarnciPauriy Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 • Boulder Colorado COLORADO (CONT-D) GROVES, FORREST, DDS 3000 Center Green Dr Ste 240 Boulder, CO 80301 (303) 442-4895 HALEK, MILENA, DDS Broadway Smiles 2430 Broadway St Ste 101 Boulder, CO 80304 (303)786-8899 HAMBLIN, ROBERT, DDS Dental Health of Boulder PLLC 2525 28th St Unit 140 Boulder, CO 80301 (303)443-0070 HARWOOD, PHILLIP, DDS Arapahoe Dental Clinic 2525 Arapahoe Ave Ste 61 Boulder, CO 80302 (303) 442-1600 HERZIG, LAURA, DDS Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303)443-5133 HOLDEN, ROBERT, DDS Andrew L Fiscus DDS PC 3400 Penrose PI Ste 202 Boulder, CO 80301 (303) 442-5748 HOLECEK, ANDREW, DDS . Dental Health of Boulder PLLC 2525 28th St Unit 140 Boulder, CO 80301 (303)443-0070 • HOOK, MARK, DDS Dental Health of Boulder PLLC 2525 28th St Unit 140 Boulder, CO 80301 (303)443-0070 HOWARD, BRIAN, DDS 2300 Canyon Blvd Boulder, CO 80302 (303)444-5025 HULSE, GARY, DDS 1844 Pearl St Boulder, CO 80302 (303) 442-4555 IKEDA, JANA, DDS 805 S Broadway St Ste 210 Boulder, CO 80305 (303) 499-0558 JAFFEE, MARK, DDS Mark Jaffee DDS PC 2897 Valmont Rd Ste 200 Boulder, CO 80301 (303) 449-8299 KRUM, NELSON, DDS Bright Now Dental 1840 Folsom St Ste 105 Boulder, CO 80302 (303) 417-9401 KUPKA, CAROLYN, DDS DMD 3100 Arapahoe Ave Ste 303 Boulder, CO 80303 (303)444-2884 Delta Dental Premier MARTIN, DONOVAN, DDS Studio One Dental 1610 Canyon Blvd Boulder, CO 80302 (303) 245-0403 MICKENS, KENNETH, DDS 3400 Penrose PI Ste 101 Boulder, CO 80301 (303) 442-8700 MOHELICKI, ANIA, DDS 1400 28th St Ste 4 Boulder, CO 80303 (303) 443-0998 MURPHY, F, DDS North Boulder Dental Group 2601 Broadway St Boulder, CO 80304 (303) 447-1042 MYERS, RICHARD, DDS 2500 30th St Ste 204 Boulder, CO 80301 (303) 443-1131 PERRY,STEPHEN,DDS Colo Dhca Low Income Dental 2525 28th St Unit 140 Boulder, CO 80301 (303) 443-0070 POCZATEK, SHARON, DDS Todays Choice Dental 2800 Valmont Rd Boulder, CO 80301 (303)444-3232 POSNICK, RICHARD, DDS Sunrise Dental Care 1656 30th St Boulder, CO 80301 (303) 444-4922 POULSEN,KENNETH,DDS 3400 Penrose PI Ste 105 Boulder, CO 80301 (303)449-3131 RATHBURN,TARA,DDS Broadway Smiles 2430 Broadway St Ste 101 Boulder, CO 80304 (303) 786-8899 ROBERTS, MARTIN, DDS 1900 Folsom St Ste 111 Boulder, CO 80302 (303) 442-4810 ROPER, RAYMOND, DDS Alpha Dental Care Ix PC 1900 Folsom St Ste 202 Boulder, CO 80302 (303) 447-2281 SAGGIO, MARK, DDS 3400 Table Mesa Dr Ste 102 Boulder, CO 80305 (303) 494-2213 SCHAFFER, JOEL, DDS 2880 Folsom St Ste 202 Boulder, CO 80304 (303) 449-1792 SESSA, KEVIN, DDS 4410 Arapahoe Ave Ste 230 Boulder, CO 80303 (303) 449-8165 SEWELL, ANDREW 3000 Center Green Dr Ste 215 Boulder, CO 80301 (303)442-6142 SHEARER, AMY, DDS DMD Aesthetic and Maxillofacial Associates 1610 Canyon Blvd Boulder, CO 80302 (303) 938-0130 SHELDON, LISA, DDS Comfort Dental Boulder 3400 Arapahoe Ave Boulder, CO 80303 (303)444-2129 SICA, PAUL North Boulder Dental Group 2601 Broadway St Boulder, CO 80304 (303) 447-1042 SIMERAL, ROBERT 2500 30th St Ste 204 Boulder, CO 80301 (303) 440-5533 SIMPSON, THOMAS, DDS 3093 Broadway St Boulder, CO 80304 (303) 442-4437 SKROMME, ALLAN, DDS Dental Health of Boulder PLLC 2525 28th St Unit 140 Boulder, CO 80301 (303)443-0070 Rosewood Dental 6700 Lookout Rd Boulder, CO 80301 (303)530-0300 SOUSA, APRIL, DDS . Comfort Dental Boulder 3400 Arapahoe Ave Boulder, CO 80303 (303)444-2129 SUMMERS, CORBETT, DDS 777 29th St Ste 300 Boulder, CO 80303 (303)442-6141 TAKEMOTO, SUSAN, DDS Bishop and Takemoto Dentistry 4840 Riverbend Rd Ste 200 Boulder, CO 80301 (303) 440-4777 THOMASON, ETHELYN, DDS DMD Perfect Teeth Boulder PC 4155 Darley Ave Ste F Boulder, CO 80305 (303)499-9700 THOMASON, ETHELYN, DMD Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303)443-5133 TRAVIS, STEPHEN, DDS Alpine Dentistry 350 Broadway St Ste 10 Boulder, CO 80305 (303)494-8200 Boulder Colorado TUCHKLAPER, SCOTT, DDS Bright Now Dental 1840 Folsom St Ste 105 Boulder, CO 80302 (303)417-9401 WASSERMAN, ALAN, DDS 2503 Walnut St Ste 200 Boulder, CO 80302 (303)443-9565 WEBER, JOHN, DDS Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303) 443-5133 WEISSMAN, JOHN, DDS 3400 Table Mesa Dr Ste 102 Boulder, CO 80305 (303) 494-0101 WELDON, DAVID North Boulder Dental Group 2601 Broadway St Boulder, CO 80304 (303) 447-1042 WESTOVER,BROCK 1440 28th St Ste 3 Boulder, CO 80303 (303)443-2441 WILKMAN, STEPHEN, DDS 1840 Folsom St Ste 100 Boulder, CO 80302 (303)444-1813 WINQUIST, HEIDI, DDS 3400 Penrose PI Ste 201 Boulder, CO 80301 (303) 440-7538 ORAL SURGEON COLM, STEPHEN, DDS DMD Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303) 443-5133 FOLEY, DANIEL, DDS PC 1440 28th St Ste 2 Boulder, CO 80303 (303) 444-2255 HARPER,CLAYTON,DDS Bright Now Dental 1840 Folsom St Ste 105 Boulder, CO 80302 (303)417-9401 HARPER, CLAYTON, DDS MD Aesthetic and Maxillofacial Associ 1610 Canyon Blvd Boulder, CO 80302 (303)938-0130 MADLOCK, PAUL, DDS MD DMD Aesthetic and Maxillofacial Associ 1610 Canyon Blvd Boulder, CO 80302 (303)938-0130 SIBLEY, LONNIE, DDS PC Boulder Valley Oral and Max Surger 1840 Folsom St Ste 304 Boulder, CO 80302 (303)449-9840 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 • Table of Contents 1. Section I: Executive Summary 2. Section II: Proposal Compliance Letter (Signed by an authorized officer of your organization signifying firm's proposal is in complete adherence with the RFP specifications, except as specifically noted in the appropriate sections) 3. Section II: Business Associate Agreement (signed by an authorized officer of your organization 4. Section IV: Checklist of Items included with Proposal . 5. Section V: Plan Design Configuration 6. Section VI: Questionnaire Response 7. Section VII: Performance Guarantees 8. Section Vill: Financial Exhibits 9. Section IX: Items Included with Proposal (As indicated on the Checklist included in Section III. These items should be indexed in the order listed on the checklist, with a copy of the index included in this section) 10. Section X: Additional Materials 0 • Delta Dental of Colorado City of Fort Collins IRenewalINolBenefit{Changes 0 1857 1858 1857 1868 PRODUCT NAME Current Current Current Current PPO Plan PPO Plan Basic IPPOIPlan JPPGIPlan1Ba6Ic Delta Dental PPO, Delta Delta Dental PPO, Delta 1Delta7DentallPPODelta°" DeltaiDental{P,P,O !Delta Dental Premier(R)or Non- Dental Premier@ or Non DenfaliPremielCor,Non " )Den'talPremier®Cor�Non, Participating Participating IPadicipa'ting Participating Networks General Maximum $2,000 $1,000 Deductible Waived: T1 T1 I Individual $25 $50 �e _ Famil Y $50 $100 COVERED SERVICES Type 1 -Diagnostic and Preventive Services l Oral exams and cleanings a l Fluoride treatments X-rays Sealants 100% / 80% 80% / 60% ' f Type 2 - Basic Services Endodontic services Oral surge 80% / 80% 60% / 60% AL 4 •Fillings Periodontic services 80% / 60% 60% / 50% j Type 3 - Major Services Relines and repairs I j Special restorative (inlays, onlays, and crowns) y Prosthodontics (bridges and dentures) I 60% / 50% 50% / 50% i Type 4 - Orthodontia a 19 NA Age Limit Orthodontic services 50% Not a benefit Orthodontic lifetime benefit maximum $1,500 NA @ Renewal'Funding Rates; Renewal FundingaRates'j 4-Tier Rates and Enrollment 1857 1858 Current Funding Rates Current Funding Rates Effective 1/01/2010 Effective 1/01/2010 Employee 417 49 $27.41 $13.24 $30.16 $10;64 j EE + Spouse 354 29 $52.37 $22.98 $58.08 ; $17.58 EE + Child(ren) 137 15 $59.86 $25.90 $66.46 i $19.67 EE + Family 397 45 $96.31 $40.12 $107.23 $29.81 Total 1305 138 Admin Fee: $4.17 *Admin Fee: $4.17 Total Monthly Premium $76,404.84 $3,509.08 $84,812i37,, $2,667!68 4-Tier Grand Totals $79,913.92 9.4Z%4, , ,.. *Administrative Fee (Admin Fee) is guaranteed for two years through December 31, 2011. THIS SER VES AS YOUR AMENDMENT. YOU WILL NOT RECEIVE ANYADDITIONAL DOCUMENTATION TO SIGN As an authorized representative, I accept this confirmation of coverage and rating. Please circle the plan of benefits chosen along with the approved rating. By signing below, I acknowledge agreement with the rates and benefits described herein and that subsequent contract(s) shall conform to this document unless otherwise agreed to in writing. • Signature: 8/6/2009 Boulder Delta Dental Premier Broomfield Colorado Colorado COLORADO (CONT'D) ORTHODONTIST FRONCZAK, RICHARD, DDS 2300 Canyon Blvd Boulder, CO 80302 (303)447-0393 LANG, BRENT, DDS Boulder Orthodontics 1900 Folsom St Ste 211 Boulder, CO 80302 (303)449-3250 NORRIS, GREGORY, DDS 2669 Spruce St Boulder, CO 80302 (303) 442-8657 WALKER, JOHN, DDS DMD 350 Broadway St Ste 120 Boulder, CO 80305 (303) 494-3535 WITZEL, DAVID, DDS Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303)443-5133 WONG, JEFFREY, DDS MS 3400 Penrose PI Ste 203 Boulder, CO 80301 (303) 444-6680 PEDODONTIST JONES, MICHAEL, DDS Associates In Pediatric Dentisty 3400 Penrose PI Ste 107 Boulder, CO 80301 (303)443-8250 MONAK, EDMUND, DDS Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303)443-5133 PERIODONTIST CHUNG,DYEUS,DDS Boulder Implants and Periodontic 1840 Folsom St Ste 302 Boulder, CO 80302 (303)938-8300 GOMEZ, LUIS, DDS DMD Colorado Dental Health Care Spec 2525 28th St Unit 140 Boulder, CO 80301 (303) 443-0070 LUBOW, RICHARD, DDS DMD Bright Now Dental 1840 Folsom St Ste 105 Boulder, CO 80302 (303)417-9401 BRECKENRIDGE GENERAL DENTIST COLLINSWORTH, PHILLIP, DMD Breckenridge Family Dental 400 N Park Ave Ste 12A Breckenridge, CO 80424 (970) 453-4585 FRANCIS, LAUREN Breckenridge Family Dental 400 N Park Ave Ste 12A Breckenridge, CO 80424 (970) 453-4585 GOFF, SABRINA Breckenridge Family Dental 400 N Park Ave Ste 12A Breckenridge, CO 80424 (970) 453-4585 JUNGMAN,GREGORY Breckenridge Family Dental 400 N Park Ave Ste 12A Breckenridge, CO 80424 (970) 453-4585 MEISTER, ROBERT, DDS Breckenridge Family Dental 400 N Park Ave Ste 12A Breckenridge, CO 80424 (970) 453-4585 NARY, TIMOTHY, DDS 235 S Ridge Rd Breckenridge, CO 80424 (970) 453-4244 SLACK, NEILL, DDS Ridge Street Dental 213 S Ridge Rd Breckenridge, CO 80424 (970)453-1996 BRIGHTON GENERAL DENTIST ANDERSON, DANIEL, DDS Comfort Dental of Brighton 315 E Bromley Ln Brighton, CO 80601 (303) 659-1125 ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth Brighton PC 530 E Bromley Ln Unit 100 Brighton, CO 80601 (303) 637-9047 BAUMAN, JON, DDS Riverdale Dental Centre 15 S 8th Ave Brighton, CO 80601 (303)659-1920 BETHERS, JOHN, DDS Comfort Dental of Brighton 315 E Bromley Ln Brighton, CO 80601 (303) 659-1125 BRUGGEMAN, SCOTT, DDS Prairie Center Dental Care 2223 Prairie Center Pkwy Unit C Brighton, CO 80601 (303) 654-3430 BURLUC, AURORA, DDS Perfect Teeth Brighton PC 530 E Bromley Ln Unit 100 Brighton, CO 80601 (303) 637-9047 CHC PLAN DE SALUD Brighton Salud Dental Clinic 1860 E Egbert St Brighton, CO 80601 (303) 655-4955 COPE, GEORGE, DDS 2700 E Bridge St Ste 101 Brighton, CO 80601 (303) 659-5185 CRAVEN, DUSTIN, DMD Comfort Dental of Brighton 315 E Bromley Ln Brighton, CO 80601 (303) 659-1125 EHRHARDT, MARK, DDS 27 S 18th Ave Brighton, CO 80601 (303)659-1825 GOMENYUK, NINA, DDS Perfect Teeth Brighton PC 530 E Bromley Ln Ste 100 Brighton, CO 80601 (303)637-9047 KELLOGG, BRADLEY, DDS Bromley Park Dental 4700 E Bromley Ln Ste 201 Brighton, CO 80601 (303)659-0667 LUHRS, F 481 S 8th Ave Brighton, CO 80601 (303) 659-1851 PACKER,RACHEL 2700 E Bridge St Ste 201 Brighton, CO 80601 (303) 659-7700 PAISLEY, IAN, DDS Bromley Park Dental 4700 E Bromley Ln Ste 201 Brighton, CO 80601 (303) 659-0667 PETERSON,BRUCE,DDS 1790 E Bridge St Brighton, CO 80601 (303)659-1064 SCARPELLA, PASCO, DDS Platte River Family Dental PC 965 Platte River Blvd Unit E Brighton, CO 80601 (303) 659-8200 SPENCER, JACLYNN, DDS 30 S 20th Ave Unit D Brighton, CO 80601 (303)659-3062 WEBER, JOHN,DDS Perfect Teeth Brighton PC 530 E Bromley Ln Unit 100 Brighton, CO 80601 (303)637-9047 ORTHODONTIST CRAIG, ROBERT Rachel Packer DDS PC 2700 E Bridge St Ste 201 Brighton, CO 80601 (303)659-7700 JOHNSON, REX, DDS 481 S 8th Ave Brighton, CO 80601 (303) 659-2142 PEDODONTIST WATTS CARPENTER, ERIN Rachel Packer DDS PC 2700 E Bridge St Ste 201 Brighton, CO 80601 (303)659-7700 BROOMFIELD GENERAL DENTIST ADAMS, DAWNE, DDS Broomfield Dental Group 1140 US Highway 287 Unit 200 Broomfield, CO 80020 (303)438-9899 AYERS, WILLIAM Thomas R Maier DDS PC 8 Garden Ctr Broomfield, CO 80020 (303) 466-1451 BOTTOMS, BRANDI, DDS Chateaux Family and Cosmetic Denti 13606 Xavier Ln Ste F Broomfield, CO 80023 (303) 465-4500 BOWLING, FRANKLIN, DMD Broomfield Piz Fmly Dentistry 5015 W 120th Ave Broomfield, CO 80020 (303)466-2935 BOWLING, NINA Broomfield Piz Fmly Dentistry 5015 W 120th Ave Broomfield, CO 80020 (303) 466-2935 BURNS, KENDALL, DDS MD DMD Broadlands Family Dentistry LLC 3800 W 144th Ave Ste A400 Broomfield, CO 80023 (303) 460-8700 BURROWS, CLAUDIA, DDS 413 Summit Blvd Unit 204 Broomfield, CO 80021 (303)440-3300 CARROLL, TARA, DDS Larkridge Family Dentistry 16683 Washington St Broomfield, CO 80023 (303) 962-6400 DAVIS, WILLIAM, DDS 2 Garden Ctr Ste 201 Broomfield, CO 80020 (303) 460-7830 FLEISCHMANN, DAVID, DDS 1010 Depot Hill Rd Ste 201 Broomfield, CO 80020 (303) 465-2341 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. uena uemar rnernuci u-11Narriva a.. ,tea,,, Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 10 • Broomfield Colorado Delta Dental Premier Canon City Colorado SAIDE KARLIN, STEPHANIE, DDS ORTHODONTIST BUENA VISTA (CONT-D) ChaCOLORADO Denteaux Family and Cosmetic ti BIETY, CHRISTOPHER, DDS 13606 Xavier Ln Ste F 925 Main St Ste D GENERAL DENTIST Broomfield, CO 80023 Broomfield, CO 80020 G LEROta DDS (303) 465-4500 (303) 469-4191 JARVIS, DDS Broomfield Broomfield Dental Care PC 715 Cedar 715 Cedar St PO Box 790 St 13606 Xavier Ln Ste B SCHAFER, JACQUELINE, DDS BOHMAN, BRIAN, DMD Buena Vista, CO 81211 Broomfield, CO 80023 80 Garden Ctr Ste 33 Bohman Orthodontics PC (719) 395-2402 (303) 466-7306 Broomfield, CO .80020 13605 Xavier Ln Ste D (303) 469-3344 Broomfield, CO 80023 MUELLER, RYAN, DMD HERZIG, LAURA, DDS (720) 887-8357 Buena Vista Dental Care Chateaux Family and Cosmetic SCHAFFER, LISA 24 Oak Ave Denti Mountain Dental PC BURGESS, BRANDY, DMD Buena Vista, CO 81211 13606 Xavier Ln Ste F 300 Nickel St Ste 11 Orchard Dental Group and Orthodo (719) 395-2240 Broomfield, CO 80023 Broomfield, CO 80020 14422 Orchard Parkway Ste 200 (303) 465-4500 (303) 635-1816 Broomfield, CO 80023 BURLINGTON (303) 452-0811 HOUSER, JAVAN, DDS SONGER, DEBRA, DDS Broomfield Dental Group Mountain Dental PC DANKEY,JOSEPH,DDS GENERAL DENTIST 1140 US Highway 287 Unit 200 300 Nickel St Ste 11 10 Garden Ctr Broomfield, CO 80020 Broomfield, CO 80020 Broomfield, CO 80020 EHTESSABIAN, JASON, DDS (303) 438-9899 (303) 635-1816 (303) 469-7874 Burlington Family Dentistry JARVIS, BYFORD, DDS SUMAN, JAMIE, DDS PRENTICE, RICARDA, DDS 340 14th St BurliBurli Burlington, CO 80807 6363 W 120th Ave Ste 205 Chateaux Family and Cosmetic Prentice Orthodontics 346-82 66 Broomfield, CO 80020 Denti 3800 W 144th Ave Ste At 000 (303) 466-4660 13606 Xavier Ln Ste F Broomfield, CO 80023 CALHAN KWON, JUSTIN, DDS Broomfield, CO 80023 (303) 465 4500 (303) 468-7722 Green Dental 80 Garden Ctr Ste 224 TOROK, ANDREEA, DDS PERIODONTIST GENERAL DENTIST Broomfield, CO 80020 Claudia Burrows DDS PC SCHEIDT, MICHAEL, DDS BULLEN, BENJAMIN (303) 469-5301 413 Summit Blvd Unit 204 Colorado Gum Care Ltd Eastern Plains Dental LUN LUNDY, BROOKE Broomfield, CO 80021 (303) 440-3300 899 US Highway 287 Ste 100 Broomfield, CO 80020 550 5th St Calhan, CO 80808 1010 Depot Hill Rd Ste 201 Broomfield, CO 80020 TUCHKLAPER, SCOTT, DDS (303) 469-6375 (719) 355-3895 (303) 465-2341 Orchard Dental Group and Orthodo WHEELER, MARK, DDS DMD ORTHODONTIST MACKIE, WILLIAM 14422 Orchard Parkway Ste 200 Broomfield, 80023 Colorado Gum Care Ltd 899 US Highway 287 Ste 100 BAILEY, JOHN, DDS • 925 Main St Ste B Broomfield, CO 80020 (303) 452-0811 11 Broomfield, 80020 (303) 469-6375 Calhan Dental and Orthodontics (303) 466-2221 550 5th St MAIER, THOMASR, DDS B oadla dls Family LLC 3800 W 144th Ave Ste A400 PROSTHODONTIST Calhan, CO 80808 (719) 598-2800 8 Garden Ctr Broomfield, CO 80020 Broomfield, CO 80023 (303) 460-8700 OLSON, LEE, DDS 925 Main St Ste C CANON CITY (303) 466-1451 WILSOBroomfield, DDS CO 80020 MAROGIL, HANI, DDS DMD 80 Gard , Ctr SteSUE, Garden Ctr Ste D (303) 469-3600 GENERAL DENTIST 340 E 1 st Ave Ste 202 Broomfield, CO 80020 Br Broomfield, 40 80020 (303) 635-2640 BRUSH BATSON, EMILY (303) 466-4646 Orchard Springs Dental MATA, LYNDON, DDS WORKMAN, JOHN, DDS 13605 Xavier Ln Ste C GENERAL DENTIST 410 Macon Ave Canon City, CO 81212 Mata Dental Associates PC 6363 W Dental Ave Ste 230 Broomfield, CO 80023 BRAVO, LUIS, DMD (719) 276-0117 Broomfield, CO 80020 (303) 469-2016 412 Edison St St DRISCOLL, DENNIS, DDS (303) 635-0100 WORTHAM, ROY, DDS Brush, CO rus, Orchard Springs Dental NOVAK, SAMUEL, DDS Mountain Dental PC 300 Nickel St Ste 11 (970) 842-0220 JORGENSEN, THOMAS, DDS 410 Macon Ave Canon City, CO 81212 Broomfield Dental Care PC 13606 Xavier Ln Ste B Broomfield, CO 80020 Condar (719) 276-0117 Broomfield, CO 80023 (303) 635-1816 412 Edison St GIAMMO, LYNN, DDS (303) 466-7306 ORAL SURGEON Brush, CO 80723 (970) 842-0220 608 Yale PI Canon City, CO 81212 PEEBLES-TURNER, MARY 899 US Highway 287 Ste 600 COLM, STEPHEN, DDS DMD KINGSLEY, MONTY, DDS (719) 275-7227 Broomfield, CO 80020 Perfect Teeth W 120th Ave PC 6650 W 120th Ave Ste A6 242 Cambridge St Ste 2 g Brush, CO 894 HALL, DDS (303) 460-9366 Broomfield, CO 80020 (970) 842-2494 Spring Orchard Springs Dental 410 Macon Ave POLLARD, GEOte 1 88 Lamar Saint Ste 08 (303 ) 469-1970 SCHONBERGER, CHARLES, DDS Canon City, CO 81212 Broomfield, 80020 MCMUNN, WILLIAM, DDS MD 302 Cameron St (719) 276-0117 (303) 466-7309 Perfect Teeth W 120th Ave PC 6650 W 120th Ave Ste A6 Brush, CO 80723 (970) 842-2858 HOUSE, MARK, DDS RODGERS, CHARLES, DDS Broomfield, CO 80020 Orchard Springs Dental Macon Ave Orchard Dental Group and Orthodo 303 469-1970 ( ) Ca Canon City, CO 81212 14422 Orchard Parkway Ste 200 Broomfield, CO 80023 WETMORE, BRUCE, DDS (719) 276-0117 (303) 452-0811 13605 Xavier Ln Broomfield, CO 80023 (303) 465-2308 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Canon City Delta Dental Premier Castle Rock Colorado Colorado COLORADO (CONT'D) KEARNEY, JOHN, DDS 610 Yale PI Canon City, CO 81212 (719) 275-4474 MOLL, TERRY, DDS 1201 N 15th St Canon City, CO 81212 (719) 275-8950 RICH, TERRY Lynn M Giammo DDS 608 Yale PI Canon City, CO 81212 (719)275-7227 SANDOVAL, DEAN, DDS 1215 N 15th St Canon City, CO 81212 (719)275-5933 SCHLUTER, CRAIG, DDS 210 N 19th St Canon City, CO 81212 (719)275-2454 SMITH, JARED 618 Main St Canon City, CO 81212 (719) 275-0661 ORALSURGEON BANDROWSKY, TIMOTHY, DDS Associates In Maxillofac and Oral Surg 111 N 10th St Canon City, CO 81212 (719)599-0500 FACY,REBECCA,DDS Associates In Maxillofac and Oral Surg 111 N 10th St Canon City, CO 81212 (719)599-0500 NASSIMBENE, LEO, DDS Associates In Maxillofac and Oral Surg 111 N 10th St Canon City, CO 81212 (719)599-0500 ONSTAD, MICHAEL, DDS Associates In Maxillofac and Oral Surg 111 N 10th St Canon City, CO 81212 (719) 599-0500 SALVO, JOSEPH, Dos Associates In Maxillofac and Oral Surg 111 N 10th St Canon City, CO 81212 (719) 599-0500 CARBONDALE GENERAL DENTIST COOK, MARK, DDS PHD Todays Family Dental 60 S 8th St Unit 201 Carbondale, CO 81623 (970) 963-3013 COVELLO, EUGENE, DDS 289 Main St Carbondale, CO 81623 (970) 963-3010 DOHERTY, MICHAEL, DDS Crystal Valley Dental Associates PC 580 Main St Ste 200 Carbondale, CO 81623 (970) 963-4882 WELLS, RICHARD 289 Main St Carbondale, CO 81623 (970)963-3010 CASTLE ROCK ENDODONTIST BURQUEST, JAMES, DDS Endodontic Associates 4344 Woodlands Blvd Ste 220 Castle Rock, CO 80104 (303) 328-3979 CARNES, PERRI, DDS DMD Endodontic Associates 4344 Woodlands Blvd Ste 220 Castle Rock, CO 80104 (303) 328-3979 DEAL, BROCK, Dos Endodontic Associates 4344 Woodlands Blvd Ste 220 Castle Rock, CO 80104 (303) 328-3979 HUBBLE, TIMOTHY, DDS DMD Endodontic Associates 4344 Woodlands Blvd Ste 220 Castle Rock, CO 80104 (303) 328-3979 LEE, DARIN, DDS Endodontic Associates 4344 Woodlands Blvd Ste 220 Castle Rock, CO 80104 (303) 328-3979 GENERAL DENTIST ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth Castle Rock PC 390 S Wilcox St Ste D Castle Rock, CO 80104 (303) 660-6000 BENNETT, ERNEST, DDS 1189 S Perry St Ste 200 Castle Rock, CO 80104 (303) 688-3008 BENTLEY, CHRISTOPHER, DDS Bright Now Dental 1001 S Perry St Ste 105A Castle Rock, CO 80104 (303) 688-0252 BOLTON, WILLIAM, DDS Perfect Teeth Castle Rock PC 390 S Wilcox St Ste D Castle Rock, CO 80104 (303) 660-6000 BRATTON, DWIGHT, DDS Castle Rock Dental Group PC 1001 S Perry St Ste 104A Castle Rock, CO 80104 (303) 663-6030 BRODY, LEE, DDS DMD PC Aesthetic Dental Designs at Plum 1025 S Perry St Ste 105D Castle Rock, CO 80104 (303)688-2229 DAVIS, RUSTY, DDS Castle Valley Dental PC 610 5th St Castle Rock, CO 80104 (303) 663-4366 DESIMONE, D, DDS Clock Tower Family Dental PC 718 Maleta Ln Ste 102 Castle Rock, CO 80108 (303)814-9899 GERBHOLZ, ALAN, Dos Glow Comprehensive Dentisty 850 W Happy Canyon Rd Castle Rock, CO 80108 (303) 688-5705 GOODRICH, JACK Glow Comprehensive Dentisty 850 W Happy Canyon Rd Castle Rock, CO 80108 (303) 688-5705 HANOSH, ALISON, DDS Meadows Family Dentistry 3740 Dacoro Ln Ste 115 Castle Rock, CO 80109 (303)660-5576 HASENAUER,COREY Glow Comprehensive Dentisty 850 W Happy Canyon Rd Castle Rock, CO 80108 (303) 688-5705 HEIDBREDER, JAN Oakwood Dental 3 Oakwood Professional Ctr Castle Rock, CO 80104 (303)688-3860 HOUSER, JAMIN, DDS Castle Valley Dental PC 610 5th St Castle Rock, CO 80104 (303) 663-4366 JEFFERS, JANIS, DMD Bright Now Dental 1001 S Perry St Ste 105A Castle Rock, CO 80104 (303) 688-0252 JONES, BRANDT, DDS Oakwood Dental PC 3 Oakwood Park Piz Castle Rock, CO 80104 (303)688-3860 KANCHANLAL, VIKASH, DDS DMD Shadow Rock Dentistry 734 Wilcox St Castle Rock, CO 80104 (719)337-7935 LOGAN, SARA, DDS 323 Metzler Dr Ste 102 Castle Rock, CO 80108 (303)688-9476 MORONI, MICHAEL, DDS Mirage Dental Associates 755 S Perry St Ste 200 Castle Rock, CO 80104 (720)733-3440 PARASCAND, MICHAEL, DDS 4344 Woodlands Blvd Ste 200 Castle Rock, CO 80104 (303) 688-9519 ROLFSON,MATTHEW,DDS Castle Pines Dental Care 361 Village Square Ln Ste 100 Castle Rock, CO 80108 (303) 660-0782 ROWLETTE, MICHAEL, DDS Castle Rock Dental Group PC 1001 S Perry St Ste 104A Castle Rock, CO 80104 (303) 663-6030 SCHEICH, JEFFREY, DDS Castle Pines Family Dentistry 562 E Castle Pines Pkwy Ste C8 Castle Rock, CO 80108 (720)733-7799 SCHEICH, STEPHANIE, DDS Castle Pines Family Dentistry 562 E Castle Pines Pkwy Ste C8 Castle Rock, CO 80108 (720)733-7799 SIBO, JENNIFER, DDS Peak View Dental 4344 Woodlands Blvd Ste 140 Castle Rock, CO 80104 (303) 660-9333 VAN ORMAN, JAMES, DDS Milestone Dental 718 Maleta Ln Ste 101 Castle Rock, CO 80108 (303)660-8540 VOGL, WALT 2 Oakwood Park Piz Ste 206 Castle Rock, CO 80104 (303)663-9600 WILLIAMS, MITCHELL, DDS Perfect Teeth Castle Rock PC 390 S Wilcox St Ste D Castle Rock, CO 80104 (303) 660-6000 WILSON, PATRICK Drs Norwood Fox and Wilson 7298 Lagae Rd Castle Rock, CO 80108 (303) 225-4715 ORALSURGEON BANDROWSKY, TIMOTHY, DDS Oms Associates -Colorado PC 755 S Perry St Ste 300 Castle Rock, CO 80104 (303) 660-5651 FACY,REBECCA,DDS Oms Associates -Colorado PC 755 S Perry St Ste 300 Castle Rock, CO 80104 (303) 660-5651 NASSIMBENE, LEO, DDS Oms Associates -Colorado PC 755 S Perry St Ste 300 Castle Rock, CO 80104 (303) 660-5651 ONSTAD, MICHAEL, DDS Oms Associates -Colorado PC 755 S Perry St Ste 300 Castle Rock, CO 80104 (303) 660-5651 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. ueita uentai memoer compdmcs dna --poul iv Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 IF, Castle Rock Colorado COLORADO (CONT-D) SALVO,JOSEPH,DDS Oms Associates -Colorado PC 755 S Perry St Ste 300 Castle Rock, CO 80104 (303)660-5651 ORTHODONTIST BUMGARNER, ROGER, Dos 4344 Woodlands Blvd Ste 260 Castle Rock, CO 80104 (303) 688-9617 DUNBAR,ANDREW,DDS Castle Pines Orthodontics 363 Village Square Ln Castle Rock, CO 80108 (303) 688-3837 Castle Rock Orthodontics 718 Maleta Ln Ste 201 Castle Rock, CO 80108 (303) 427-6300 GARZA, JENNIFER, DDS 815 S Perry St Ste 200 Castle Rock, CO 80104 (720)733-1222 IDICULLA, ANIL, DDS DMD Bright Now Dental 1001 S Perry St Ste 105A Castle Rock, CO 80104 (303) 688-0252 LINDSEY, GREGG, DDS . Lindsey and Simpson Orthodontics 62 Founders Pkwy Ste C Castle Rock, CO 80104 (720)733-8388 u LINN, BRANDON, DDS MS Roger L Bumgarner DDS 4344 Woodlands Blvd Ste 260 Castle Rock, CO 80104 (303)688-9617 MESSINGHAM, JASON, DDS Castle Rock Orthodontics 718 Maleta Ln Ste 201 Castle Rock, CO 80108 (303) 427-6300 STRUHS, THEODORE, DDS Prairie Hawk Orthodontics PC 3750 Dacoro Ln Ste 145 Castle Rock, CO 80109 (720)733-0353 PEDODONTIST BORAZ,ROBERT Boraz Pediatric Dentistry 4344 Woodlands Blvd Ste 260 Castle Rock, CO 80104 (303) 688-6171 FOX, LISA Drs Norwood Fox and Wilson 7298 Lagae Rd Castle Rock, CO 80108 (303) 225-4715 NORWOOD, JAMES Drs Norwood Fox and Wilson 7298 Lagae Rd Castle Rock, CO 80108 (303) 225-4715 Delta Dental Premier SHAH, PURVI, DDS Pediatric Denticare PC 3750 Dacoro Ln Ste 120A Castle Rock, CO 80109 (303) 663-3388 PERIODONTIST LUBOW, RICHARD, DMD Bright Now Dental 1001 S Perry St Ste 105A Castle Rock, CO 80104 (303) 688-0252 CEDAREDGE GENERAL DENTIST BHASKER,DEBORAH,DDS 145 SE Greenwood Ave Cedaredge, CO 81413 (970)856-3313 MCADAMS, LEE Cedaredge Dental Clinic 130 S Grand Mesa Dr Cedaredge, CO 81413 (970)856-6168 CENTENNIAL ENDODONTIST BURQUEST, JAMES, DDS Endodontic Associates 8120 S Holly St Ste 214 Centennial, CO 80122 (303) 796-7676 CALHOUN, GORDON, DDS 6979 S Holly Cir Ste 260 Centennial, CO 80112 (303)721-7214 CARNES, PERRI, DDS Endodontic Associates 8120 S Holly St Ste 214 Centennial, CO 80122 (303) 796-7676 DEAL, BROCK, Dos Endodontic Associates 8120 S Holly St Ste 214 Centennial, CO 80122 (303) 796-7676 GALLEGO-CUBILLOS, SONIA, DDS DMD Perfect Teeth S Holly St PC 8211 S Holly St Centennial, CO 80122 (303)290-6006 HUBBLE, TIMOTHY, DDS DMD Endodontic Associates 8120 S Holly St Ste 214 Centennial, CO 80122 (303)796-7676 LEE, DARIN, DDS Endodontic Associates 8120 S Holly St Ste 214 Centennial, CO 80122 (303)796-7676 LINDSAY, MICHAEL Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303) 689-2273 LOWRY, SCOTT, DDS Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303)689-2273 GENERAL DENTIST AMES, WILLIAM, DDS 6726 S Revere Pkwy Ste A140 Centennial, CO 80112 (303) 662-1180 AMUNDSON, PETER, Dos 7960 S University Blvd Ste 200 Centennial, CO 80122 (303)773-9400 ANDERSON, ROGER, DDS MD DPM 14000 E Arapahoe Rd Ste 200 Centennial, CO 80112 (303) 632-3638 ANDOW, KENNETH, DDS 9025 E Mineral Cir Ste 101 Centennial, CO 80112 (303)799-1525 APPLEGATE,SHELBY,DDS Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303)689-2273 ASBURY, ROBIN, DDS Metro Smiles PC 9025 E Mineral Cir Ste 102 Centennial, CO 80112 (303)768-8443 ASH, SCOTT, DDS Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303) 689-2273 AUSTIN, DAWN, DDS 14000 E Arapahoe Rd Ste 200 Centennial, CO 80112 (303)632-3638 BERMEL, THOMAS, DDS 9025 E Mineral Cir Ste 101 Centennial, CO 80112 (303)799-8557 BERNER, JEANNETTE, DDS Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303) 689-2273 BERRY,KARY,DDS Park Meadows Dental Care 8100 S Quebec St Ste A Centennial, CO 80112 (720) 489-9800 BEVIS, BRITTANY, DDS DMD 1st Choice Dental 6979 S Holly Cir Ste 230 Centennial, CO 80112 (303) 221-2250 BLASKO, JACQUELINE, DDS DMD Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303) 689-2273 Centennial Colorado BLATTER, VICTOR, DMD Rocky Mountain Dental Partners P 7940 S University Blvd Ste 200 Centennial, CO 80122 (720)482-0793 BOEYINK, TIMOTHY, DDS 7900 S University Blvd Ste 210 Centennial, CO 80122 (720)489-7333 BOWERS, SOLEDAD, DDS University Park Dental 7920 S University Blvd Ste 210 Centennial, CO 80122 (720)348-1772 BRANTES, LILIANE, DDS 6979 S Holly Cir Ste 225 Centennial, CO 80112 (303)779-1305 BRAVO, LUIS, DDS DMD 6650 S Vine St Ste 120 Centennial, CO 80121 (303) 805-9256 BREDBECK,BRUCE,DDS Perfect Teeth Arapahoe PC 7600 E Arapahoe Rd Ste 311 Centennial, CO 80112 (303)773-2273 BUSTAMANTE, AMY, Dos Dry Creek Family Dentistry 7960 S University Blvd Ste 201 Centennial, CO 80122 (303)770-1100 BUTTERMAN, DANIEL, DDS Butterman Dental PC 3949 E Arapahoe Rd Ste 100 Centennial, CO 80122 (303)221-3044 CASE, WILLIAM, DDS DMD 7180 E Orchard Rd Ste 302 Centennial, CO 80111 (720)488-6600 CHINNI, ASHA, DDS Comfort Dental Parker Road_ 15250 E Orchard Rd Centennial, CO 80016 (303)680-9990 CHRIST, KEVIN, DDS DMD 9025 E Mineral Cir Ste 200 Centennial, CO 80112 (303)792-9100 CHRISTIANSEN, BART, DDS 9025 E Mineral Cir Ste 250 Centennial, CO 80112 (303)790-9323 CRAWFORD, JERRY, DDS 7400 E Arapahoe Rd Ste 300 Centennial, CO 80112 (303)796-7400 DISSE-PFEIFER, SCARLET Pfeifer Pfeifer Prof LLC 6979 S Holly Cir Ste 150 Centennial, CO 80112 (303)850-7614 ETO, ROBERT, DDS Dry Creek Family Dentistry 7960 S University Blvd Ste 201 Centennial, CO 80122 (303)770-1100 Ueita Uentai member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 13 Centennial Delta Dental Premier Centennial Colorado Colorado COLORADO (CONT-D) FRANQUEMONT, MICHAEL, DDS South Suburban Dental 6650 S Vine St Ste 260 Centennial, CO 80121 (303)795-0066 GILMORE, SHAUNA, DDS 6881 S Holly Cir Ste 206 Centennial, CO 80112 (720) 493-9242 GREEN, RICHARD, DDS 8010 S Holly St Ste 250 Centennial, CO 80122 (303) 770-3333 GREENE, JEROME, DDS Young Family and Cosmetic Dentistr 7400 E Arapahoe Rd Ste 200 Centennial, CO 80112 (303)759-9535 HAMILTON, JEFFREY, DDS DMD Comfort Dental Parker Road 15250 E Orchard Rd Centennial, CO 80016 (303)680-9990 HOEFT, PAUL, DDS 6690 S Broadway Centennial, CO 80121 (303) 794-6339 HOPFENSPERGER,STEPHEN, DDS 7200 E Dry Creek Rd Ste A102 Centennial, CO 80112 (303)771-5076 IPSON, JEROLYN, DDS 5616 S Gibraltar Way Unit E Centennial, CO 80015 . (303)627-4884 ISAACS, CHRISTINE, DDS Hawaii DDS PC 8170 S University Blvd Ste 240 Centennial, CO 80122 (303)770-1106 JONES, KRISTIN, DDS Perfect Teeth Arapahoe PC 7600 E Arapahoe Rd Ste 311 Centennial, CO 80112 (303)773-2273 KAMPFE, TOM, DDS 7900 S University Blvd Ste 200 Centennial, CO 80122 (720) 488-4800 LAMPERT, JODI, DDS 8120 S Holly St Ste 116 Centennial, CO 80122 (303)779-8848 LEE, BRUCE, DDS Plains Performance Dentistry 20971 E Smoky Hill Rd Ste 202 Centennial, CO 80015 (303)400-9700 LIND, STAGE, DDS DMD Heritage Dental PC 8290 S Holly St Ste A Centennial, CO 80122 (303)770-9901 LINDSAY, SCOTT, DDS DMD Heritage Dental PC 8290 S Holly St Ste A Centennial, CO 80122 (303)770-9901 LOGAN, SARA, DDS Perfect Teeth S Holly St PC 8211 S Holly St Centennial, CO 80122 (303)290-6006 MASTERSON, TIMOTHY, DDS 8120 S Holly St Ste 208 Centennial, CO 80122 (303) 770-2254 MEYER,SARAH,DDS 6650 S Vine St Ste 240 Centennial, CO 80121 (303) 794-2456 MILLWARD, MICHAEL, DDS Comfort Dental Parker Road 15250 E Orchard Rd Centennial, CO 80016 (303) 680-9990 MILUSHEV, METODI, DDS DMD Orchard Dental PC 7180 E Orchard Rd Ste 304 Centennial, CO 80111 (303) 741-9949 MINNIS, ROBERT, DDS 6950 S Holly Cir Ste 202 Centennial, CO 80112 (303)770-2252 MULLINS, ROB, DDS Smoky Hill Dental PC 18525 E Smoky Hill Rd Ste D Centennial, CO 80015 (303)617-9090 MYERS,SERE 14100 E Arapahoe Rd Ste 310 Centennial, CO 80112 (303)699-5804 NELSON, RUTH, DDS DR Perfect Teeth S Holly St PC 8211 S Holly St Centennial, CO 80122 (303) 290-6006 NICKELL, PHILLIP, DDS 6834 S Yosemite St Centennial, CO 80112 (303) 771-7266 NICOLOSI, PATRICIA, DDS PC 5161 E Arapahoe Rd Ste 310 Centennial, CO 80122 (720)488-1388 NIELSEN, KURT, DDS Holly Dental Associates LLC 8010 S Holly St Ste 100 Centennial, CO 80122 (303) 694-6400 NORRIE, DANIEL, DDS DMD Smoky Hill Dental PC 18525 E Smoky Hill Rd Ste D Centennial, CO 80015 (303) 617-9090 NOYES, MICHAEL, DDS 6650 S Vine St Ste 220 Centennial, CO 80121 (303) 797-0832 OLSON, RICHLUND, DDS 6930 S University Blvd Ste 204 Centennial, CO 80122 (303) 741-4600 ONEILL, KEVIN 6990 S Holly Cir Centennial, CO 80112 (303)224-9400 PEPPLER, MICHAEL, DDS DMD 1st Choice Dental 6979 S Holly Cir Ste 230 Centennial, CO 80112 (303) 221-2250 PFEIFER, WILLIAM, DDS LLC Pfeifer Pfeifer Prof LLC 6979 S Holly Cir Ste 150 Centennial, CO 80112 (303)850-7614 PRENDERGAST, PATRICK, DDS 6979 S Holly Cir Ste 185 Centennial, CO 80112 (303)771-0225 RIPPE, CHRISTIAN, DDS 7180 E Orchard Rd Ste 301 Centennial, CO 80111 (303)779-9876 ROBINSON, T Comfort Kids 4121 E County Line Rd Centennial, CO 80122 (303) 220-0550 RODRICK, DAVID, DDS 6979 S Holly Cir Ste 235 Centennial, CO 80112 (303)793-0793 SCHINDLER, JOY, DDS 2305 E Arapahoe Rd Ste 250 Centennial, CO 80122 (303)798-2305 SCHOLES, LANDIS, DDS Holly Dental Associates LLC 8010 S Holly St Ste 100 Centennial, CO 80122 (303) 694-6400 SCHOPE, ANDREW, DDS Kevin K Oneill DDS PC 6990 S Holly Cir Centennial, CO 80112 (303) 224-9400 SHORT, YOLANDA, DMD Centennial Childrens Dental PC 14100 E Arapahoe Rd Ste 211 Centennial, CO 80112 (303)627-8300 SIMS, ALAN, DDS 7180 E Orchard Rd Ste 309 Centennial, CO 80111 (303) 290-8833 SMIALEK, BARRY, DDS 6650 S Vine St Ste L20 Centennial, CO 80121 (303)794-1204 SMITH, HENRY, DDS PC Saddle Rock Dental 5657 S Himalaya St Ste 270 Centennial, CO 80015 (303) 690-5658 SVOBODA, BRIAN, DDS Perfect Teeth Arapahoe PC 7600 E Arapahoe Rd Ste 311 Centennial, CO 80112 (303)773-2273 TEDFORD,TERRY,DDS 7562 S University Blvd Ste J Centennial, CO 80122 (303)770-8278 VANICEK, PETER, DDS 6979 S Holly Cir Ste 225 Centennial, CO 80112 (303)779-1305 VIEREGGER, CATHERINE 7960 S University Blvd Ste 200 Centennial, CO 80122 (303) 770-1116 WAGENAAR, PAUL, DDS 7400 E Arapahoe Rd Ste 203 Centennial, CO 80112 (303)770-5040 WEBB, MICHAEL Comfort Kids 4121 E County Line Rd Centennial, CO 80122 (303)220-0550 WEIR, FRANK, DDS Perfect Teeth Smoky Hill PC 20269 E Smoky Hill Rd Unit H Centennial, CO 80015 (303)617-5730 WILSTED, NEAL, DDS 7920 S University Blvd Ste 200 Centennial, CO 80122 (720) 489-0797 WOLFSON, GARY, DDS 14000 E Arapahoe Rd Ste C310 Centennial, CO 80112 (303) 632-3622 YORK, KIMBERLY, DDS 14000 E Arapahoe Rd Ste 200 Centennial, CO 80112 (303)632-3638 YOUNG, KATHLEEN, DDS Young Family and Cosmetic Dentistr 7400 E Arapahoe Rd Ste 200 Centennial, CO 80112 (303) 759-9535 ORALSURGEON CATALANO, JOSEPH, DDS MD Aurora Oral and Max Surgeons 14100 E Arapahoe Rd Ste 160 Centennial, CO 80112 (303) 400-4380 FLOYD, CARLTON, DDS MS 20971 E Smoky Hill Rd Ste 201 Centennial, CO 80015 (720)870-1451 KEOGH, BARRY, DDS MD Aurora Oral and Max Surgeons 14100 E Arapahoe Rd Ste 160 Centennial, CO 80112 (303) 400-4380 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. uena uentai member c0tt1Pa111cs aiiu Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0 14 C] 1, u • Centennial Colorado COLORADO (CONT'D) LESSIG, JAMES, DDS Advanced Oral and Max Surgery 9094 E Mineral Cir Ste 260 Centennial, CO 80112 (303)768-8570 MICHALIK, THOMAS, DDS MD DMD Advanced Oral and Max Surgery 9094 E Mineral Cir Ste 260 Centennial, CO 80112 (303)768-8570 SHULTZ, BRANDON, DDS PC 15250 E Orchard Rd Centennial, CO 80016 (303)690-5037 STEARNS, JEFFREY, MD DMD PC 7180 E Orchard Rd Ste 300 Centennial, CO 80111 (303)740-9772 STEH, DENNIS, DDS Oral and Maxillofacial Surgery 7180 E Orchard Rd Ste 300 Centennial, CO 80111 (303)740-9772 TANNYHILL, RICHARD, DDS MD R John Tannyhill III MD PC 14000 E Arapahoe Rd Ste 320 Centennial, CO 80112 (303) 493-1933 WEIDEMAN, EDWARD, MD DMD Advanced Oral and Max Surgery . 9094 E Mineral Cir Ste 260 Centennial, CO 80112 (303)768-8570 WENNOGLE, CHARLES, DDS 6650 S Vine St Ste 250 Centennial, CO 80121 (303) 649-1919 YAMAMOTO, STEVEN, DDS 6152 S Mobile St Centennial, CO 80016 (303) 788-6364 ORTHODONTIST BAHR, CARL, DDS DMD Comfort Dental Braces South 4121 E County Line Rd Centennial, CO 80122 (303)220-0550 BAHR, CRAIG, DDS DMD Comfort Dental Braces South 4121 E County Line Rd Centennial, CO 80122 (303) 220-0550 CARPENTER, CHRISTOPHER, DDS MD Carpenter Orthodontics PC 9094 E Mineral Cir Ste 220 Centennial, CO 80112 (303)799-7733 CASSIDY, MARK, DDS DMD 6979 S Holly Cir Ste 280 Centennial, CO 80112 (303)779-1977 Delta Dental Premier ELTON, ROGER, DDS MS 5657 S Himalaya St Ste 110 Centennial, CO 80015 (303) 364-6433 GOLD, DAVID, DDS PC 9025 E Mineral Cir Ste 100 Centennial, CO 80112 (303)792-0345 HASKINS, JEFFREY, DDS 15454 E Orchard Rd Centennial, CO 80016 (303) 699-1703 LINDSEY, GREGG, DDS 7200 E Dry Creek Rd Ste Al05 Centennial, CO 80112 (303) 770-1453 MICHAEL, DEBORAH, DDS MS 20981 E Smoky Hill Rd Ste F Centennial, CO 80015 (720) 876-2000 PERIODONTIST FOWLER, JEFFREY, DDS 8120 S Holly St Ste 204 Centennial, CO 80122 (303)771-6969 CENTER GENERAL DENTIST VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services 220 S Worth St Center, CO 81125 (719)784-3594 CHEYENNE WELLS GENERAL DENTIST Colorado Springs Colorado ISHLEY, DAVID, DDS MS Endo Specialists of Colo PC 5745 Erindale Dr Ste 200 Colorado Springs, CO 80918 (719)599-7665 JOHNSON, SCOTT, DDS DMD Endo Specialists of Colo PC 5745 Erindale Dr Ste 200 Colorado Springs, CO 80918 (719)599-7665 KENNEDY, WADE, DDS DMD Endo Specialists of Colo PC 5745 Erindale Dr Ste 200 Colorado Springs, CO 80918 (719)599-7665 MAYHEW, JACK, DDS DMD Advanced Endodontics LLC 2620 Tenderfoot Hill St Colorado Springs, CO 80906 (719) 540-5540 NIELSON, KIRK, DDS JOHNSTON, RONALD MCCARTY, DAVID, DDS DMD Advanced Orthodontics Johnston and Johnston Family Denti Perfect Teeth Union Academy PC 16756 E Smoky Hill Rd 560 N 6th St W 5050 N Academy Blvd Centennial, CO 80015 Cheyenne Wells, CO 80810 Colorado Springs, CO 80918 (303)690-2200 (970)493-5120 (719)260-6093 OHMART, SCOTT, DDS 7960 S University Blvd Ste 100 Centennial, CO 80122 (303)713-1950 QUINN, BARRY, DDS Comfort Dental Braces South 4121 E County Line Rd Centennial, CO 80122 (303) 220-0550 QUINN, TANIA Comfort Dental Braces South 4121 E County Line Rd Centennial, CO 80122 (303) 220-0550 PEDODONTIST RUBENSTRUNK,JOHN,DDS Southmoor Pediatric Dental PC 9094 E Mineral Cir Ste 240 Centennial, CO 80112 (303) 799-1872 SAVAGE,BRYAN,DDS 15454 E Orchard Rd Centennial, CO 80016 (303) 422-3746 SMITH, BRADLEY, DDS Southmoor Pediatric Dental PC 9094 E Mineral Cir Ste 240 Centennial, CO 80112 (303)799-1872 SMITH, SCOTT, DDS Southmoor Pediatric Dental PC 9094 E Mineral Cir Ste 240 Centennial, CO 80112 (303) 799-1872 WEISENFELD, ANDREW, DDS PC Centennial Childrens Dental PC 14100 E Arapahoe Rd Ste 211 Centennial, CO 80112 (303) 627-8300 YOON,PAUL Lamar Dental Associates 560 N 6th St W Ste 578 Cheyenne Wells, CO 80810 (719)767-5669 COLORADO SPGS GENERAL DENTIST CAMPBELL, MONTE, DDS Dr Monte Campbell and Associates 7730 N Union Blvd Ste 101 Colorado Spgs, CO 80920 (719) 597-1630 NELSON, JAMES 721 N Cascade Ave Colorado Spgs, CO 80903 (719)632-5756 COLORADO SPRINGS ENDODONTIST CORR, ROBERT, DDS Professionals In Dentistry LLC 513 Kiva Rd Colorado Springs, CO 80911 (71 9) 392-5300 Apex Endodontics 8580 Scarborough Dr Ste 200 Colorado Springs, CO 80920 (719) 282-6600 EVELAND, WILLIAM, DMD Peak Endodontics PC 2435 Research Pkwy Ste 250 Colorado Springs, CO 80920 (719) 487-9075 GRIFFIN, ROBERT 3775 E La Salle St Colorado Springs, CO 80909 (719)597-0556 MCCARTY, DAVID, DMD Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 MEYERS, JOHN, DDS Endo Specialists of Colo PC 5745 Erindale Dr Ste 200 Colorado Springs, CO 80918 (719)599-7665 MINNICH, SCOTT, DDS Endo Specialists of Colo PC 5745 Erindale Dr Ste 200 Colorado Springs, CO 80918 (719)599-7665 ROTH, WILLIAM, DDS Front Range Endodontics 2116 Hollow Brook Dr Colorado Springs, CO 80918 (719)597-0038 SODEN, RYAN, DDS DMD MS Endo Specialists of Colo PC 5745 Erindale Dr Ste 200 Colorado Springs, CO 80918 (719)599-7665 TRANSTRUM, MICHAEL, DDS Front Range Endodontics 2116 Hollow Brook Dr Colorado Springs, CO 80918 (719)597-0038 WOLCOTT, JAMES, DDS Endo Specialists of Colo PC 5745 Erindale Dr Ste 200 Colorado Springs, CO 80918 (719)599-7665 WOLCOTT, SUSAN, DDS Endo Specialists of Colo PC 5745 Erindale Dr Ste 200 Colorado Springs, CO 80918 (719)599-7665 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 15 Colorado Springs Delta Dental Premier Colorado Springs Colorado Colorado COLORADO (CONT-D) GENERAL DENTIST ADAMS, LARRY, DDS Associates In Dental Care 6110 Barnes Rd Colorado Springs, CO 80922 (719)630-3366 ALBERS,MARK,DDS 2155 Hollow Brook Dr Ste 20 Colorado Springs, CO 80918 (719)634-8458 ALLAN, NEAL, DDS 5125 Centennial Blvd Ste 100 Colorado Springs, CO 80919 (719)531-6711 ALURU, SUSMITHA, DMD Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 ANDERSON, BRIAN, DDS Comfort Dntl Citadel Crossing 509 N Academy Blvd Colorado Springs, CO 80909 (719)591-7599 ANDERSON, ERICK, DMD Anderson Family Dental 3505 Austin Bluffs Pkwy Ste 302 Colorado Springs, CO 80918 (719)598-0946 ANDERSON, JACKSON, DDS 6459 Omaha Blvd Colorado Springs, CO 80915 (719)597-9057 ANDERSON, RICHARD, DDS Anderson Family Dental 3505 Austin Bluffs Pkwy Ste 302 Colorado Springs, CO 80918 (719) 598-0946 ARCHIBALD, SAMUEL, DDS Associates In Dental Care 6110 Barnes Rd Colorado Springs, CO 80922 (719)630-3366 ARMSTRONG, RAYMOND, DDS 2575 Montebello Dr W Ste 102 Colorado Springs, CO 80918 (719) 598-0906 ARNOLD, JULIA, DDS Interquest Dental Group 1310 United Hts Ste 220 Colorado Springs, CO 80921 (719)266-5150 BAER, DAVID Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 BAER, DAVID, DDS Stafford Dental Group 559 E Pikes Peak Ave Ste 208 Colorado Springs, CO 80903 (719)636-3311 BARNES,BRUCE,DDS Barnes Dental Care 1424 N Hancock Ave Ste 2W Colorado Springs, CO 80903 (719) 636-1246 BARDS, RAYMOND, DDS Professionals In Dentistry LLC 513 Kiva Rd Colorado Springs, CO 80911 (719)392-5300 BARRETO, NELLY, DDS DMD Perfect Teeth Powers PC 5929 Constitution Ave Colorado Springs, CO 80915 (719)638-1986 BASHI, VAHID, DDS Best Care Dental PC 6425 Wall St Colorado Springs, CO 80918 (719)528-8292 BAUMGARDNER, THOMAS, DDS DMD Briargate Dental Center 7750 N Union Blvd Ste 101 Colorado Springs, CO 80920 (719) 598-1293 BAYNE, JONATHAN, DDS Colorado Laser Dentistry PC 3468 Briargate Blvd Colorado Springs, CO 80920 (719) 528-6222 BEASLEY, MICHAEL, DDS Southern Cross Dental 1855 S Nevada Ave Colorado Springs, CO 80905 (719) 471-1717 BEENE, JOHN, DDS 7560 Rangewood Or Ste 300 Colorado Springs, CO 80920 (719) 272-9009 BEHR,NOLAN,DDS 5770 Flintridge Dr Ste 200 Colorado Springs, CO 80918 (719)591-2050 BELFIGLIO, E, DMD Mark D Mollner DDS PC 685 Citadel Dr E Ste 313 Colorado Springs, CO 80909 (719) 574-2424 BENNING, BRIAN, DDS Vanness and Lanzisera PC 5925 Lehman Dr Colorado Springs, CO 80918 (719) 598-6966 BERTSCH, WILLIAM, DDS Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 BIRD, PHILIP, DDS Bird -Wittenberg Dental Partner 7222 Commerce Center Dr Ste 247 Colorado Springs, CO 80919 (719) 593-0403 BLACKLEY, DAVID, DDS 6430 Brook Park Dr Ste 100 Colorado Springs, CO 80918 (719) 268-9777 BRADLEY,KATHLEEN,DDS Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 BRIDGEMAN, HAROLD, DDS Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719) 597-9737 BROEKER, CURTIS, DDS Jade Dental Professionals 6020 Erin Park Dr Ste B Colorado Springs, CO 80918 (719)266-9393 BRONES, COLLIN, DDS Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719) 597-9737 BROWER, KATHLEEN, DDS Jade Dental Professionals 6020 Erin Park Dr Ste B Colorado Springs, CO 80918 (719) 266-9393 Jade Dental Professionals 703 N Tejon St Ste A Colorado Springs, CO 80903 (719)633-0770 BROWN, MICHAEL, DDS 6820 Oak Valley Ln Colorado Springs, CO 80919 (719)596-0212 BUHRMANN, SCOTT, DDS 655 Southpointe Ct Ste 101 Colorado Springs, CO 80906 (719)576-1355 BULLEN, BENJAMIN, DDS Gleneagle Dental 15455 Gleneagle Or Ste 110 Colorado Springs, CO 80921 (719) 488-2222 BULLOCK, JEREMY, DDS DMD Comfort Dental Austin Bluffs 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719)591-1811 BURTON,MATTHEW,DDS 8890 N Union Blvd Ste 210 Colorado Springs, CO 80920 (719)593-9025 CALDERWOOD, CODY, DDS Center For Family and Cosmetic DEN 1714 N Circle Dr Colorado Springs, CO 80909 (719) 632-6001 CALDWELL, JAY, DDS 1711 N Murray Blvd Ste A Colorado Springs, CO 80915 (719)574-3240 CALENDINE, STEPHEN, DDS James C Calvin DDS and Associates 1512 N Union Blvd Ste 101 Colorado Springs, CO 80909 (719)633-2266 CALENDINE, STEPHENS, DDS Associates In Dental Care 6110 Barnes Rd Colorado Springs, CO 80922 (719)630-3366 CALVIN, JAMES, DDS 1512 N Union Blvd Ste 101 Colorado Springs, CO 80909 (719) 633-2266 Associates In Dental Care 6110 Barnes Rd Colorado Springs, CO 80922 (719)630-3366 CAMERINO, ANGELO, DDS North Summit Dental Care 1720 Jet Stream Dr Ste 110 Colorado Springs, CO 80921 (719) 481-8373 Centennial Dental Care 5731 Silverstone Ter Ste 200 Colorado Springs, CO 80919 (719)632-7778 CAMERINO, CAROLYN, DDS Centennial Dental Care 5731 Silverstone Ter Ste 200 Colorado Springs, CO 80919 (719) 632-7778 CARLSON, STEVEN, DDS MD Ley and Carlson DDS PC 2575 Montebello Dr W Ste 203 Colorado Springs, CO 80918 (719)598-8886 CARTER,STEVEN,DDS Comfort Dental of North Academy 1634 York Rd Colorado Springs, CO 80918 (719)522-0800 Comfort Dental Austin Bluffs 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719)591-1811 Comfort Dntl Citadel Crossing 509 N Academy Blvd Colorado Springs, CO 80909 (719)591-7599 CASTILLO, STEVEN, DDS Castillo Dental Associates PC 1910 Vindicator Dr Ste 103 Colorado Springs, CO 80919 (719)268-9030 Deer Creek Dental 425 W Rockrimmon Blvd Ste 201 Colorado Springs, CO 80919 (719)593-1053 CEA, RICHARD, DDS Springs Dental Care PC 4660 Medical View Colorado Springs, CO 80922 (719)637-1772 CHARITY, RONALD Exceptional Cosmetic Dentistry 1675 Briargate Blvd Ste A Colorado Springs, CO 80920 (719)574-1705 CHOE, CHIYON, DDS Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 U Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. ueita uentai member compdnMs anu—t—F-111y Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 16 • • 0 Colorado Springs Colorado COLORADO (CONT-D) CHRISTIANSEN, EDWIN, DDS 1685 Briargate Blvd Ste C Colorado Springs, CO 80920 (719)528-7016 CHRISTIANSEN, RICHARD, DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719)633-8455 CIMINO, MICHAEL, DDS 721 N Cascade Ave Colorado Springs, CO 80903 (719)633-3366 COCKRELL, RONALD, DDS New Image Dental 8770 N Union Blvd Colorado Springs, CO 80920 (719)597-8484 COLVIN, DOUGLAS, DDS 7770 N Union Blvd Ste C Colorado Springs, CO 80920 (719) 599-0110 CONNOLLY, MARY Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 COUCHMAN, DONALD, DDS 5145 Centennial Blvd Ste 100 Colorado Springs, CO 80919 (719)593-0263 CRISLER, STEVEN, DDS DMD Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719)597-9737 CULLUM, ARNOLD, DDS Lowell District Dental 251 E Fountain Blvd Unit 100 Colorado Springs, CO 80903 (719)591-2004 CUSHING, BRYCE Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 CUTLER, RICHARD, DDS 6165 Lehman Dr Ste 100 Colorado Springs, CO 80918 (719) 536-0599 DASILVA, RICARDO Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 DAVIES, KRISTI, DDS Norma M Longo DMD PC 15435 Gleneagle Dr Ste 200 Colorado Springs, CO 80921 (719) 481-6788 DERTIEN, DONALD, DDS 7970 N Academy Blvd Colorado Springs, CO 80920 (719)598-5411 Delta Dental Premier DIAL, DUSTIN, DDS DMD Comfort Dental North Powers 6076 Stetson Hills Blvd Colorado Springs, CO 80923 (719)637-2079 DOBBIN, MONICA, DDS 730 Cheyenne Blvd Ste 200 Colorado Springs, CO 80905 (719)473-5122 DOBBIN, RICHARD, DDS Monica L Dobbin DDS PLLC 730 Cheyenne Blvd Ste 200 Colorado Springs, CO 80905 (719) 473-5122 DODSWORTH, PAUL, DDS 12225 Voyager Pkwy Colorado Springs, CO 80921 (719) 488-2292 DOOLITTLE, CHARLES, DDS DMD PC 1705 N Weber St Colorado Springs, CO 80907 (719) 471-1900 DRURY, ROBERT, DDS Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 DURBIN, CHARLES, DDS PC 413 Security Blvd Ste A Colorado Springs, CO 80911 (719)392-3389 EGBERT, HANS, DDS Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 Cordera Family Dentistry 9235 N Union Blvd Ste 170 Colorado Springs, CO 80920 (719) 494-2865 ENEA,STEVEN,DDS 1975 Dominion Way Ste 100 Colorado Springs, CO 80918 (719) 388-8700 ERLANDER, ERIC, DDS . Hollowbrook Family Dentistry 2160 Hollow Brook Dr Colorado Springs, CO 80918 (719) 63370049 EVANS, DOUGLAS, DDS MS 7560 Rangewood Or Ste 310 Colorado Springs, CO 80920 (719)388-1818 FIELD, GARY, DDS 9475 Briar Village Pt Ste.310 Colorado Springs, CO 80920 (719)598-0872 FITZWATER, KEVIN, DDS 5010 El Camino Dr Colorado Springs, CO 80918 (719)599-5185 FLEMING, JOHN, DDS DMD Perfect Teeth Cheyenne Meadows P 827 Cheyenne Meadows Rd Colorado Springs, CO 80906 (719)579-8799 FOGARTY, TODD, DDS Wayne J Selting DDS 2918 Austin Bluffs Pkwy Colorado Springs, CO 80918 (719)593-1177 FRISBIE, KENT, DDS Frisbie Family Dentistry 8540 Scarborough Dr Ste 350 Colorado Springs, CO 80920 (719)282-6636 FROST, RYAN, DDS 1516 N Academy Blvd Ste 202 Colorado Springs, CO 80909 (719)596-9220 GABLE, JAMES, DDS DMD 3210 E Woodmen Rd Ste 200 Colorado Springs, CO 80920 (719) 598-4080 GASPER,KENNETH Aesthetic Dentistry By Design 8610 Explorer Dr Unit 315 Colorado Springs, CO 80920 (719)599-0700 GENTILE, JOSEPH, DDS 3100 N Academy Blvd Ste 107 Colorado Springs, CO 80917 (719) 597-4660 GEOGHAN, RANDOLPH, DDS 5725 Erindale Dr Ste 110 Colorado Springs, CO 80918 (719)528-1711 GEORGE,MARK Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 GEORGESCU,RUXANDRA,DDS Twin Dental PC 7560 Rangewood Dr Ste 300 Colorado Springs, CO 80920 (719)272-9009 GILBERT, MICHAEL, DDS Aspen Dental Associates PC 559 E Pikes Peak Ave Ste 203 Colorado Springs, CO 80903 (719)473-9222 GLUECKERT, MYLENE, DDS Audubon Dental PC 2960 N Circle Dr Ste 105 Colorado Springs, CO 80909 (719) 597-6300 GOLDSMITH, ANDREW, DDS Esthetic Family Dentistry LLC 595 Chapel Hills Dr Ste 105 Colorado Springs, CO 80920 (719)528-5577 GOLOMB, SHELDON, DDS Dental Arts Center PC 5426 N Academy Blvd Ste 201 Colorado Springs, CO 80918 (719)528-6441 GORSKY, MICHAEL, DDS PC 2965 Broadmoor Valley Rd Colorado Springs, CO 80906 (719)632-7636 Colorado Springs Colorado GOULD, STEVEN, DDS Academy Kids Dental Center 2436 S Academy Blvd Colorado Springs, CO 80916 (719)391-2336 GRANT, JAMES, DDS Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 GREER, WILLIAM, DDS 320 E Fontanero St Ste 302 Colorado Springs, CO 80907 (719)634-4803 GUERRA, CATHERINE, DDS Perfect Teeth Uinta Gardens PC 1768 W Uintah St Colorado Springs, CO 80904 (719)632-8006 GUERRA, FREDERICK, DDS 3208 N Academy Blvd Ste 100 Colorado Springs, CO 80917 (719)596-1230 HALL, ANDREW, DDS 13453 Voyager Pkwy Colorado Springs, CO 80921 (719) 481-8250 HALL, DWAYNE, DDS 5944 Stetson Hills Blvd Ste 100 Colorado Springs, CO 80923 (719) 638-2260 HAMIDI, MARIAM, DDS DMD 5780 N Carefree Cir Colorado Springs, CO 80917 (719) 597-9737' HANDELMAN, RICHARD, DDS Blue Mesa Citadel Dental PC 825 Citadel Dr E Ste 200 Colorado Springs, CO 80909 (719)380-7100 HANSEN, JASON, DDS Hansen Dental Health Care PC 5731 Silverstone Ter Ste 270 Colorado Springs, CO 80919 (719)598-0851 HANSEN,MATTHEW,DDS High Point Dental 3030 N Circle Dr Ste 211 Colorado Springs, CO 80909 (719) 471-8111 HARRIS, MICHAEL, DDS Premier Dental Care PC 685 Citadel Dr E Ste 302 Colorado Springs, CO 80909 (719) 596-1011 HARRISON, JEFFREY, DDS Colorado Laser Dentistry PC 3468 Briargate Blvd Colorado Springs, CO 80920 (719) 528-6222 HASSELBACK, CHRISTOPHER, DDS Comfort Dental of North Academy 1634 York Rd Colorado Springs, CO 80918 (719)522-0800 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 17 Colorado Springs Delta Dental Premier Colorado Springs Colorado Colorado COLORADO (CONT-D) HENNEGAN, PAUL, DDS Bright Now Dental 3208 N Academy Blvd Ste 140 Colorado Springs, CO 80917 (719)596-7000 HICKENLOOPER, GARY, DDS Rangewood Dental 3755 Briargate Blvd Ste 200 Colorado Springs, CO 80920 (719) 632-2952 HILL, ANNA, DDS 6685 Delmonico Dr Ste A Colorado Springs, CO 80919 (719)535-8049 HOLDERBAUM, WILLIAM, DDS 1870 Dublin Blvd Ste D Colorado Springs, CO 80918 (719)528-8282 HOLSTEEN, DANIEL, DDS DP Mountain Shadows Family Dentistr 1045 Garden Of The Gods Rd Ste N Colorado Springs, CO 80907 (719)598-3502 HORN, GARY, DDS 320 E Fontanero St Ste 302 Colorado Springs, CO 80907 (719) 634-4805 HUMPHREYS, ROGER, DDS Premier Dental Care PC 685 Citadel Dr E Ste 302 Colorado Springs, CO 80909 (719)596-1011 JENNINGS, THOMAS, DDS 2430 Research Pkwy Ste 200 Colorado Springs, CO 80920 (719).590-7100 JENSON, COLLEEN, DDS DMD Jade Dental Professionals 703 N Tejon St Ste A Colorado Springs, CO 80903 (719) 633-0770 JOHNSON,BRANON,DDS Partnership For Excellence PLLC 665 Southpointe Ct Ste 150 Colorado Springs, CO 80906 (719)527-9098 JOHNSON, DAVID, DDS Partnership For Excellence PLLC 665 Southpointe Ct Ste 150 Colorado Springs, CO 80906 (719)527-9098 JONES, NATALIE, DDS Comfort Dental of North Academy 1634 York Rd Colorado Springs, CO 80918 (719)522-0800 JORDETH, WILLIAM, DDS Classic Dental LLC 1710 Briargate Blvd Ste 847 Colorado Springs, CO 80920 (719)531-0636 KALHORN, JIM, DDS Leopoldo Rodriguez DDS LLC 1304 N Academy Blvd Ste 104 Colorado Springs, CO 80909 (719) 596-3939 KEARNEY, JAMES, DDS Austin Bluffs Dental 2918 Austin Bluffs Pkwy Ste 100 Colorado Springs, CO 80918 (719)593-8488 KELLER, BRIAN, DDS 6760 Corporate Dr Ste 270 Colorado Springs, CO 80919 (719) 528-8822 KELLER, TRACIE, DDS Brian J Keller DDS LLP and Tracie 6760 Corporate Dr Ste 270 Colorado Springs, CO 80919 (719) 528-8822 KHALIL, TARA, DDS Perfect Teeth Woodman Valley PC 6914 N Academy Blvd Ste 1 B Colorado Springs, CO 80918 (719)266-9868 KIDS IN NEED OF DENTISTR 825 E Pikes Peak Ave Ste 1 Colorado Springs, CO 80903 (303) 733-3710 KIMMELMAN, SETH, DDS 219 W Colorado Ave Ste 206 Colorado Springs, CO 80903 (719) 447-1199 KINGSFORD, DANIEL, DDS Comfort Dental Austin Bluffs 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719) 591-1811 KLEIN, JOEL, DDS 3123 W Colorado Ave Colorado Springs, CO 80904 (719)475-1715 KODITEK, EDWARD, DDS Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 KOFF, ROBERT, DDS DMD 7608 N Union Blvd Ste A Colorado Springs, CO 80920 (719) 593-9388 KOLLAR, MARK, DDS Associates In Dental Care 6110 Barnes Rd Colorado Springs, CO 80922 (719) 630-3366 KOLZ, ARLENE, DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 Perfect Teeth Uinta Gardens PC 1768 W Uintah St Colorado Springs, CO 80904 (719)632-8006 Perfect Teeth Cheyenne Meadows P 827 Cheyenne Meadows Rd Colorado Springs, CO 80906 (719) 579-8799 KRUM,NELSON,DDS Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719)574-7288 Prominent Point Dental Group and O 9625 Prominent Pt Ste 100 Colorado Springs, CO 80924 (719) 495-5748 LAMB, DANIEL, DMD 2120 Academy Cir Ste C Colorado Springs, CO 80909 (719)596-0212 LAMOREAUX,JAROM Dentistry In The Forst 11590 Black Forest Rd Ste 40 Colorado Springs, CO 80908 (719) 488-5981 LANZISERA, PAUL, DDS DMD Vanness and Lanzisera PC 5925 Lehman Dr Colorado Springs, CO 80918 (719)598-6966 LAWRENCE, BRYCE, DDS Jagger F Lawrence DDS PC 3225 W Carefree Cir Colorado Springs, CO 80917 (719)597-5737 LAWRENCE, JAGGER, DDS 3225 W Carefree Cir Colorado Springs, CO 80917 (719)597-5737 LAYCOCK, STEPHEN, DDS Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 LEVASSEUR, DENNIS, DDS 6375 Lehman Dr Ste 200 Colorado Springs, CO 80918 (719) 593-9182 LEY, JOHN, DDS Ley and Carlson DDS PC 2575 Montebello Dr W Ste 203 Colorado Springs, CO 80918 (719)598-8886 LIONTAS, CHRISTOPHER Jade Dental Professionals 6020 Erin Park Dr Ste B Colorado Springs, CO 80918 (719)266-9393 Jade Dental Professionals 703 N Tejon St Ste A Colorado Springs, CO 80903 (719)633-0770 LIONTAS, CHRISTOPHER, DDS Stafford Dental Group 559 E Pikes Peak Ave Ste 208 Colorado Springs, CO 80903 (719) 636-3311 LODES, GENE, DDS Premier Dental Care PC 685 Citadel Dr E Ste 302 Colorado Springs, CO 80909 (719)596-1011 LOEWEN,REBECCA Small Smiles • 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 LOGELIN, MICHAEL Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 LONGO, NORMA, DDS DMD 15435 Gleneagle Dr Ste 200 Colorado Springs, CO 80921 (719) 481-6788 LOOK, KIM, DDS 1885 S Academy Blvd Colorado Springs, CO 80916 (719)392-3448 LOVATO,MATTHEW,DDS 761 Garden Of The Gods Rd Colorado Springs, CO 80907 (719)598-0117 LOVATO, MICHAEL, DDS 1235 Lake Plaza Dr Ste 251 Colorado Springs, CO 80906 (719)576-8840 LOVEJOY, CHRISTIAN, DMD Comfort Dental North Powers 6076 Stetson Hills Blvd Colorado Springs, CO 80923 (719)637-2079 LOVEJOY,PETER,DDS Comfort Dental of North Academy 1634 York Rd Colorado Springs, CO 80918 (719)522-0800 LUCERO, ORLANDO, DDS PC 1855 Austin Bluffs Pkwy Ste A Colorado Springs, CO 80918 (719)599-5980 LYDIATT, JOHN, DDS Meyer and Lydiatt Family Dentistry 6665 Delmonico Dr Ste C Colorado Springs, CO 80919 (719)599-5700 MALIVUK, MICHAEL, DDS Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719)597-9737 MANTANONA, CLARISA, DDS Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 MARSHALL, CAROL, DDS Great Western Dental Escape 6025 Erin Park Dr Ste B Colorado Springs, CO 80918 (719) 531-7111 MARTINEZ, DANIEL, DDS 1733 Main St Colorado Springs, CO 80911 (719) 390-4946 MASSEY, BRITNY, DDS Cheyenne Mountain Childrens Dent 6514 S Academy Blvd Colorado Springs, CO 80906 (719)442-1960 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ana t-arucipaung Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Is 18 • • Colorado Springs Colorado COLORADO (CONT-D) Ann Hill Dental Services PC 6685 Delmonico Dr Ste A Colorado Springs, CO 80919 (719)535-8049 MASTIN, JESSIE, DDS Bear Creek Dental Center 1430 S 21 st St Colorado Springs, CO 80904 (719)633-2828 MATTHES, JON, DDS Southern Cross Dental 1855 S Nevada Ave Colorado Springs, CO 80905 (719) 471-1717 MATTHEWS, W, DMD 7608 N Union Blvd Ste A Colorado Springs, CO 80920 (719)598-0907 MAZZOLA,CHRISTOPHER Nicolas Roger Pruett 830 Tenderfoot Hill Rd Ste 210 Colorado Springs, CO 80906 (719)576-5566 MCCULLOCH, EDWARD, DDS 3585 Van Teylingen Dr Ste F Colorado Springs, CO 80917 (719) 597-7111 MCINTYRE, PETER, DDS 5925 Lehman Dr Ste 3 Colorado Springs, CO 80918 (719) 475-2511 MCLARTY, FORNEY, DDS 4020 Palmer Park Blvd Colorado Springs, CO 80909 (719)596-4013 MCNAMARA, THOMAS, DDS 7970 N Academy Blvd Colorado Springs, CO 80920 (719) 598-5411 MCWILLIAMS, KELLI, DDS 1870 Dublin Blvd Ste D Colorado Springs, CO 80918 (719)528-8282 MEYER, ROBERT, DDS DMD Monica L Dobbin DDS PLLC 730 Cheyenne Blvd Ste 200 Colorado Springs, CO 80905 (719)473-5122 MEYER, ROGER, DDS Meyer and Lydiatt Family Dentistry 6665 Delmonico Dr Ste C Colorado Springs, CO 80919 (719)599-5700 MILLER, ANDREW, DDS PC Center For Family and Cosmetic DEN 1714 N Circle Dr Colorado Springs, CO 80909 (719)632-6001 MILLER, DEREK, DDS Briargate Pediatric Dentistry 3466 Briargate Blvd Colorado Springs, CO 80920 (719)260-1600 Delta Dental Premier MILLER, JAMISON, DDS DMD Comfort Dental North Powers 6076 Stetson Hills Blvd Colorado Springs, CO 80923 (719) 637-2079 MJOS, DAVID, DDS DMD Classic Dental LLC 1710 Briargate Blvd Ste 847 Colorado Springs, CO 80920 (719) 531-0636 MOCK, GREGORY, DDS Aspen Dental Associates PC 559 E Pikes Peak Ave Ste 203 Colorado Springs, CO 80903 (719) 473-9222 MOLLNER, MARK, DDS 685 Citadel Dr E Ste 313 Colorado Springs, CO 80909 (719)574-2424 MONTANEZ, MARIO, DDS Academy Kids Dental Center 2436 S Academy Blvd Colorado Springs, CO 80916 (719) 391-2336 MONTANO, MELISSA, DDS Academy Kids Dental Center 2436 S Academy Blvd Colorado Springs, CO 80916 (719) 391-2336 MONTANO, RONALD, DDS Academy Kids Dental Center 2436 S Academy Blvd Colorado Springs, CO 80916 (719) 391-2336 MOORE, GREGORY, DDS 559 E Pikes Peak Ave Ste 319 Colorado Springs, CO 80903 (719) 633-4028 MORRISSEY, DONALD, DDS DMD Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719) 597-9737 MULHERAN,THOMAS,Dos Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719)574-7288 MUSOLF, MELISSA, DDS Musolf Dental Center 6140 Tutt Blvd Ste 150 Colorado Springs, CO 80923 (719) 622-9200 MUSSONE, CHRISTOPHER, DDS 1685 Briargate Blvd Colorado Springs, CO 80920 (719)590-7277 MUTCHLER, RICHARD, DDS PC 202 E Cheyenne Mountain Blvd Ste E Colorado Springs, CO 80906 (719)576-6551 NEEL, JANET, DDS Professionals In Dentistry LLC 513 Kiva Rd Colorado Springs, CO 80911 (719)392-5300 NELSON, DONALD, DDS 3505 Austin Bluffs Pkwy Ste 215 Colorado Springs, CO 80918 (719)593-1116 NGUYEN, PHONG, DDS Pikes Peak Dental Team 5430 Powers Center Pt Ste 110 Colorado Springs, CO 80920 (719)590-1616 NGUYEN,QUYNH Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 OLSEN, LONNIE, DDS 3612 Galley Rd Ste D Colorado Springs, CO 80909 (719)596-7716 OLSON, DWIGHT, DDS DMD Comfort Dental North Powers 6076 Stetson Hills Blvd Colorado Springs, CO 80923 (719) 637-2079 ONEAL, KELLY, DDS 415 W Rockrimmon Blvd Ste 200 Colorado Springs, CO 80919 (719) 599-5340 PALMER,RONALD,DDS 2575 Montebello Dr W Ste 202 Colorado Springs, CO 80918 (719)593-0045 PARK, WONPYO, DDS 6165 Lehman Or Ste 100 Colorado Springs, CO 80918 (719)536-0599 PARKIN, RALPH, DDS DMD 1803 B St Colorado Springs, CO 80906 (719)576-1730 PARLET, CRAIG, DDS 1675 Briargate Blvd Ste B Colorado Springs, CO 80920 (719)528-6200 PATTON, NOEL, DDS DMD Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 PAYNE, RANDALL(RANDY), DDS Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719)260-6093 Perfect Teeth Powers PC 5929 Constitution Ave Colorado Springs, CO 80915 (719)638-1986 Perfect Teeth Woodman Valley PC 6914 N Academy Blvd Ste 1 B Colorado Springs, CO 80918 (719)266-9868 PEAK VISTA COMMUNITY HEA Peak Vista Community Health Cent 2828 International Cir Colorado Springs, CO 80910 (719) 475-0783 Colorado Springs Colorado PEAK, DOUGLAS, Dos All Smiles Family Dentistry 3715 Bloomington St Ste 160 Colorado Springs, CO 80922 (719)599-0665 PERRETT, WILLIAM Douglas G Reid DDS PC 232 E Cache La Poudre St Colorado Springs, CO 80903 (719)473-7441 PLAMONDON, THOMAS, DDS DD Classic Dental LLC 1710 Briargate Blvd Ste 847 Colorado Springs, CO 80920 (719)531-0636 PLATT, JEFFERY, DDS Lasting Impression Dntl Care LLC 2465 Research Pkwy Ste 100 Colorado Springs, CO 80920 (719)528-6100 PODRATZ, ADAM, DDS West One Family Dental 1104 W Colorado Ave Colorado Springs, CO 80904 (719)633-8766 POLLARY,KENNETH,DDS 3204 N Academy Blvd Ste 210 Colorado Springs, CO 80917 (719)591-0750 Sandra L Swing DDS 6531 N Academy Blvd Colorado Springs, CO 80918 (719) 635-0558 PROBST, SCOTT, DDS Comfort Dntl Citadel Crossing 509 N Academy Blvd Colorado Springs, CO 80909 (719)591-7599 PROBST, TRAVIS, DDS Comfort Dntl Citadel Crossing 509 N Academy Blvd Colorado Springs, CO 80909 (719)591-7599 PRUETT, NICOLAS, DDS 830 Tenderfoot Hill Rd Ste 210 Colorado Springs, CO 80906 (719)576-5566 PURINSH, MARY, DDS Westside Family Dntry 2501 W Colorado Ave Ste 211 Colorado Springs, CO 80904 (719) 633-0999 RAHIMPOUR, NAVID, DDS Southern Cross Dental 1855 S Nevada Ave Colorado Springs, CO 80905 (719)471-1717 RAYL, JEFFREY, DDS MD 5731 Silverstone Ter Ste 220 Colorado Springs, CO 80919 (719) 599-3999 READ,TERRY,DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 Perfect Teeth Garden Gods PC 4329 Centennial Blvd Colorado Springs, CO 80907 (719) 592-1600 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 19 • Delta Dental Difference Savings Report n U 0 Colorado Springs Delta Dental Premier Colorado Springs Colorado Colorado COLORADO (CONT-D) Perfect Teeth Woodman Valley PC 6914 N Academy Blvd Ste 1 B Colorado Springs, CO 80918 (719)266-9868 RECK, DIANE, DDS PC 7560 Rangewood Or Ste 220 Colorado Springs, CO 80920 (719)266-4848 RECK,STEVEN 7310 Rangewood Or Ste 100 Colorado Springs, CO 80918 (719)534-9600 REID, DOUGLAS, DDS PC 232 E Cache La Poudre St Colorado Springs, CO 80903 (719) 473-7441 REINICKE, MARK, DDS PC 1539 S 8th St Ste 101 Colorado Springs, CO 80905 (719)634-5864 RICH, TERRY, DDS 218 E Willamette Ave Colorado Springs, CO 80903 (719) 633-3711 RICHARDSON, STEVEN, DDS 5865 Lehman Or Ste 200 Colorado Springs, CO 80918 (719)598-8118 RICHARDSON, TOM 1235 Lake Plaza Or Ste 124 Colorado Springs, CO 80906 (719)576-1566 RIKLI, THOMAS, DDS PC Peak Vista Family Dentistry PC 5478 Tomah Or Colorado Springs, CO 80918 (719)598-6680 ROBBINS, ROY, DMD All -Care Family Dentistry 214 E Cheyenne Mountain Blvd Colorado Springs, CO 80906 (719) 579-8323 ROBISON-KNOX, MARY, DDS Robison Associates PC 3235 Templeton Gap Rd Colorado Springs, CO 80907 (719)630-7727 RODGERS, CHARLES, DDS Prominent Point Dental Group and O 9625 Prominent Pt Ste 100 Colorado Springs, CO 80924 (719)495-5748 RODRIGUEZ, LEOPOLDO, DDS 1304 N Academy Blvd Ste 104 Colorado Springs, CO 80909 (719)596-3939 Erindale Dental LLC 6020 Erin Park Or Ste B Colorado Springs, CO 80918 (719)266-9393 RODRIGUEZ, PAUL Jade Dental Professionals 6020 Erin Park Dr Ste B Colorado Springs, CO 80918 (719)266-9393 RODRIGUEZ, PAUL, DDS Jade Dental Professionals 703 N Tejon St Ste D Colorado Springs, CO 80903 (719) 633-5501 ROGERS, STERLING, DDS M N Morgan DDS and S L Rogers DDS 3208 N Academy Blvd Ste 110 Colorado Springs, CO 80917 (719) 597-3700 ROGERS, WILLIAM, DDS Research Parkway Dental 2465 Research Pkwy Colorado Springs, CO 80920 (719) 528-6450 ROHLEDER, JULIA, DMD 105 N Tejon St Colorado Springs, CO 80903 (719) 260-0216 RONCO, RONALD, DDS DMD Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 ROTA, JOSEPH, DMD Woodmen Creek Dental PC 1750 Telstar Or Ste 200 Colorado Springs, CO 80920 (719)598-1224 ROUBAL, DEBBIE, DDS PC 1819 N Circle Or Ste 1 Colorado Springs, CO 80909 (719)636-1933 ROYAL, JOHN, DDS Alliance Family Dentistry PC 6140 Tuft Blvd Ste 140 Colorado Springs, CO 80923 (719) 955-4023 RUSH, LARRY, DDS 2620 Tenderfoot Hill St Ste 210 Colorado Springs, CO 80906 (719) 597-7979 RYAN, TIMOTHY, DDS 3505 Austin Bluffs Pkwy Ste 225 Colorado Springs, CO 80918 (719)510-8982 RYGG, PAUL, DDS Jade Dental Professionals 703 N Tejon St Ste A Colorado Springs, CO 80903 (719) 633-0770 SCHOPE, BETTY, DDS 3464 Briargate Blvd Colorado Springs, CO 80920 (719)260-8089 SEILER, STEPHEN, DDS 1580 E Cheyenne Mountain Blvd Ste C Colorado Springs, CO 80906 (719)576-4247 SELTING, WAYNE, DDS 2918 Austin Bluffs Pkwy Colorado Springs, CO 80918 (719)593-1177 SHIELDS, MICHAEL, DDS 703 N Cascade Ave Colorado Springs, CO 80903 (719)634-3204 SHIPLEY, SAMANTHA, DDS James G McCartney DDS 202 E Cheyenne Mountain Blvd Ste A Colorado Springs, CO 80906 (719)576-3661 SHORT, HOWARD, DDS DMD 5739 Constitution Ave Colorado Springs, CO 80915 (719)574-7631 SLACK, THOMAS, DDS 2504 E Pikes Peak Ave Ste 201 Colorado Springs, CO 80909 (719)392-8596 SLETTEN, CHRISTINA, DDS Rockrimmon Dental Clinic PC 6685 Delmonico Or Ste C Colorado Springs, CO 80919 (719) 599-9700 SMITH, J, DDS Woodmen Creek Dental PC 1750 Telstar Or Ste 200 Colorado Springs, CO 80920 (719)598-1224 SMITH, LEE Hollowbrook Family Dentistry 2160 Hollow Brook Or Colorado Springs, CO 80918 (719)633-0049 SMITH, PAUL, DDS Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719)597-9737 SOLICH, GREGORY, DDS 5426 N Academy Blvd Ste 105 Colorado Springs, CO 80918 (719)548-9393 SOMMER, CRAIG, DDS 111 S Tejon St Ste 310 Colorado Springs, CO 80903 (719) 632-3591 SOSDIAN, QUYNH-DUNG, DDS Uptown Dental Associates 523 N Nevada Ave Colorado Springs, CO 80903 (719)635-5815 SOSDIAN, STEPHEN, DDS Uptown Dental Associates 523 N Nevada Ave Colorado Springs, CO 80903 (719)635-5815 SPAETH, OLIVER, DDS Broadmoor Valley Dental Care PC 2965 Broadmoor Valley Rd Colorado Springs, CO 80906 (719)632-7636 SPERLE, ANDREW, DDS Park Dental Associates PC 4020 Palmer Park Blvd Ste 103A Colorado Springs, CO 80909 (719)597-6100 SPICCIATI, LOUIS, DDS 3233 W Carefree Cir Colorado Springs, CO 80917 (719)597-2400 STACEY, TIMOTHY, DDS 6165 Lehman Or Ste 104 Colorado Springs, CO 80918 (719)599-0949 STOOR, MICHAEL, DDS Comfort Dntl Citadel Crossing 509 N Academy Blvd Colorado Springs, CO 80909 (719)591-7599 SWING, SANDRA, DDS 6531 N Academy Blvd Colorado Springs, CO 80918 (719) 635-0558 TABBERSON,BRUCE,DDS 685 Citadel Or E Ste 200E Colorado Springs, CO 80909 (719)574-2121 TAFOLLA, JEROME, DDS Peak Vista Family Dentistry PC 5478 Tomah Or Colorado Springs, CO 80918 (719) 598-6680 TALBOT, BRETT, DDS DMD Comfort Dental Austin Bluffs 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719) 591-1811 TAO,CLARA,DDS 7770 N Union Blvd Ste C Colorado Springs, CO 80920 (719)599-0110 THOMAS, ABRAHAM, DDS DMD 5426 N Academy Blvd Ste 202 Colorado Springs, CO 80918 (719)266-5420 THOMPSON, BILL, DDS Pine Creek Dental 9475 Briar Village Pt Ste 115 Colorado Springs, CO 80920 (719)268-9400 THOMPSON, GLENN, DDS DMD 1711 N Murray Blvd Colorado Springs, CO 80915 (719)574-8877 THURMAN, LON, DDS PC 6035 Erin Park Or Ste 102 Colorado Springs, CO 80918 (719)532-0707 TIAO, KATIE Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 TILLOTSON, EVAN, DDS Crossroads Family Dentistry 1711 N Murray Blvd Colorado Springs, CO 80915 (719)596-3481 u Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. uena uentai member comPanioa G11U Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0 20 C� J • • Colorado Springs Colorado COLORADO (CONT-D) TRITSCH, THOMAS, DDS 685 Citadel Dr E Ste 313 Colorado Springs, CO 80909 (719)574-2424 UTKE, CALVIN, DDS Flintridge Dental Center 5770 Flintridge Dr Ste 210 Colorado Springs, CO 80918 (719)593-8701 VANNESS, MARC, DMD Vanness and Lanzisera PC 5925 Lehman Dr Colorado Springs, CO 80918 (719) 598-6966 VERMA, DEEPALI, DDS Verma Cosmetic and Family Dentistr 511 Security Blvd Colorado Springs, CO 80911 (719)393-1600 VESSEL SINN, ALICE 685 Citadel Dr E Ste 313 Colorado Springs, CO 80909 (719)574-2424 VESSEL,ALLEN,DDS Alice L Vessel DMD PLLC 685 Citadel Dr E Ste 313 Colorado Springs, CO 80909 (719)574-2424 VOSTATEK,SEAN Simply Kids Dental 1910 Vindicator Dr Ste 103 Colorado Springs, CO 80919 (719)598-5437 WAGLE, F F Willam Wagle II DDS 218 E Willamette Ave Colorado Springs, CO 80903 (719) 633-3711 WAHL, MICHAEL, DDS West One Family Dental 1104 W Colorado Ave Colorado Springs, CO 80904 (719)633-8766 WEBB, DAVID, DDS 1911 Lelaray St Ste 1 Colorado Springs, CO 80909 (719)633-7774 WEENIG, VAL, DDS 5010 El Camino Dr Ste B Colorado Springs, CO 80918 (719)599-7453 WHITE, WINSTON 1705 N Weber St Colorado Springs, CO 80907 (719)471-1900 WIEDEY, RICHARD, DDS 1819 N Circle Dr Ste 6 Colorado Springs, CO 80909 (719)520-5884 WILLIAMS TRUJILLO, AMY, DDS Amy M Williams DDS 5426 N Academy Blvd Ste 201 Colorado Springs, CO 80918 (719)528-6441 Delta Dental Premier 5725 Erindale Dr Ste 100 Colorado Springs, CO 80918 (719) 630-3554 WILSON, JOSEPH, DDS Joe Wilson DDS PC 4185 Centennial Blvd Colorado Springs, CO 80907 (719) 590-8895 WILSON, ROBERT, DDS 6634 Delmonico Dr Colorado Springs, CO 80919 (719) 593-1313 WINKLER, ROBERT, DDS Esthetic Family Dentistry LLC 595 Chapel Hills Dr Ste 105 Colorado Springs, CO 80920 (719) 528-5577 WITTENBERG, EDD, DDS EDD Bird -Wittenberg Dental Partner 7222 Commerce Center Dr Ste 247 Colorado Springs, CO 80919 (719)593-0403 WOODS, JOSEPH, DDS DMD Blue Mesa Citadel Dental PC 825 Citadel Dr E Ste 200 Colorado Springs, CO 80909 (719) 380-7100 WOYDA, CHARLES, DDS 6455 N Union Blvd Ste 101 Colorado Springs, CO 80918 (719) 590-8820 WRIGHT, MARK, DDS 930 N Cedar St Colorado Springs, CO 80903 (719)635-1622 YOST, MORGAN, DDS James C Calvin DDS and Associates 1512 N Union Blvd Ste 101 Colorado Springs, CO 80909 (719) 633-2266 Associates In Dental Care 6110 Barnes Rd Colorado Springs, CO 80922 (719)630-3366 YOUNG, MATTHEW Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 ORAL SURGEON BANDROWSKY, TIMOTHY, DDS Oms Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719)599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719) 599-0500 BERWICK, JAMES, DDS Affiliates In Oral and Max Surgery 3100 N Academy Blvd Ste 213 Colorado Springs, CO 80917 (719) 597-4060 BORRIS, THOMAS, DDS 6140 Tuft Blvd Ste 140 Colorado Springs, CO 80923 (719)650-9269 COLM,STEPHEN,DMD Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719)574-7288 CRICHTON, DAVID, DDS Oral Surgery Associates Colorado Spri 5745 Erindale Dr Ste 100 Colorado Springs, CO 80918 (719) 473-2650 D ADDARIO, MATTHEW Oms Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719)599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719)599-0500 DOMBROWSKI, JEFFREY, DDS MD Oral and Facial Surgery Center PC 3475 Briargate Blvd Ste 102 Colorado Springs, CO 80920 (719) 264-6070 FACY,REBECCA,DDS Oms Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719)599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719) 599-0500 HARPER,CLAYTON,DDS Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719)574-7288 HILDEBRANDT, JOHN, DDS Oral Surgery Associates Colorado Spri 5745 Erindale Dr Ste 100 Colorado Springs, CO 80918 (719) 473-2650 HONG, DOUGLAS, MD DMD Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719)635-2807 Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 HULL, DONALD Oms Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719)599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719)599-0500 Colorado Springs Colorado MADLOCK, PAUL, DDS DMD Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719)574-7288 NASSIMBENE, LEO, DDS Oms Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719)599-0500 NASSIMBENE, LEO, DDS MD DMD Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719)599-0500 ONSTAD, MICHAEL, DDS Oms Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719)599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719)599-0500 QUIST, RHETT, DDS Affiliates In Oral and Max Surgery 3100 N Academy Blvd Ste 213 Colorado Springs, CO 80917 (719)597-4060 Advanced Oral and Maxillofacial Su 6160 Tuft Blvd Ste 250 Colorado Springs, CO 80923 (719) 359-8652 Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719)574-7288 RENEHAN, BRADLEY, DDS MD Colorado Surgical Clinic PC 640 Southpointe Ct Ste 150 Colorado Springs, CO 80906 (719)540-6350 SALVO,JOSEPH,DDS Oms Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719)599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719)599-0500 THOMAN, RONALD, DDS Oral and Maxillofacial Surgery Spe 7730 N Union Blvd Ste 103 Colorado Springs, CO 80920 (719)590-1500 VETTER, JAMES, DDS Excellence In Oral and Maxillofaci 1755 Telstar Dr Ste 210 Colorado Springs, CO 80920 (719)592-9222 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 21 Colorado Springs Delta Dental Premier Colorado Springs Colorado Colorado COLORADO (CONT-D) ORTHODONTIST ANDREWS, STEPHEN, DDS DMD MS 1750 Telstar Dr Ste 100 Colorado Springs, CO 80920 (719)596-3138 ARANGO, JOSE, DDS MS Front Range Ortho Specialists 4731 Opus Rd Ste A Colorado Springs, CO 80906 (719)579-9773 ATHA, ERIC, DDS 15 Widefield Blvd Colorado Springs, CO 80911 (719)390-7926 AVANT, DANIEL, DDS 685 Citadel Dr E Ste 312 Colorado Springs, CO 80909 (719)596-1363 BAHR,CARL,DMD Comfort Dental Braces 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719)622-1225 BAHR, CRAIG, DMD Comfort Dental Braces 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719)622-1225 BAILEY, JOHN, DDS Bailey Orthodontics 15455'Gleneagle Dr Ste 110 Colorado Springs, CO 80921 (719)598-2800 BAILEY, JOHN, DDS MS Bailey Orthodontics 6685 Delmonico Dr Ste B Colorado Springs, CO 80919 (719) 598-2800 BATTERSON, KIMBERLY, DDS MS Eric J Atha DDS PC 15 Widefield Blvd Colorado Springs, CO 80911 (719) 390-7926 BENNING, ALLEN, DDS Benning Orthodontics PC 415 W Rocknmmon Blvd Ste 100 Colorado Springs, CO 80919 (719) 598-7700 BENTELE, MARK 12225 Voyager Pkwy Ste 6 Colorado Springs, CO 80921 (719)268-7138 BENTELE, MARK, DDS MS 2575 Montebello Dr W Colorado Springs, CO 80918 (719)268-7138 CIBOROWSKI, PHILIP, DDS 3466 Briargate Blvd Colorado Springs, CO 80920 (719)548-9270 FORD, RUSSELL, DMD MS Pine Top Orthodontics PC 9475 Briar Village Pt Ste 315 Colorado Springs, CO 80920 (719) 481-9199 FOY, MICHAEL, DDS 7560 Rangewood Dr Ste 100 Colorado Springs, CO 80920 (719)597-6800 FRANZ,KAREN,DDS Bright Now Dental 3208 N Academy Blvd Ste 140 Colorado Springs, CO 80917 (719) 596-7000 GAWORSKI, MATTHEW, DDS Advanced Center For Orthodontics 6140 Tutt Blvd Ste 250 Colorado Springs, CO 80923 (719)596-2477 GEORGE, MARK, DDS MS 7770 N Union Blvd Ste B Colorado Springs, CO 80920 (719)594-9797 IDICULLA, ANIL, DDS DMD Bright Now Dental 3208 N Academy Blvd Ste 140 Colorado Springs, CO 80917 (719) 596-7000 Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719) 574-7288 JOHNSON, WARREN, DDS Johnson Orthodontics PC 13784 Gleneagle Dr Colorado Springs, CO 80921 (719)572-5150 JOHNSON, WARREN, DDS MS Johnson Orthodontics PC 2190 Academy Cir Colorado Springs, CO 80909 (719)596-3081 KILLEBREW, JAMES, DDS LLC MS 703 N Tejon St Ste E Colorado Springs, CO 80903 (719) 635-9610 MESSINGHAM, JASON, DDS Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 MESSINGHAM, JASON, DDS MS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 MORRISON, MICHAEL, DDS 703 N Tejon St Ste E Colorado Springs, CO 80903 (719)635-9610 NELSON, LESLIE, DDS DMD 5731 Silverstone Ter Ste 280 Colorado Springs, CO 80919 (719) 278-5005 ORDAHL, JOHN, DDS DMD 1711 N Murray Blvd Colorado Springs, CO 80915 (719)596-3098 POREMBA, EDGAR, DDS 2997 Broadmoor Valley Rd Colorado Springs, CO 80906 (719)576-0149 QUINN, BARRY Comfort Dental Braces 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719)622-1225 QUINN, TANIA Comfort Dental Braces 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719) 622-1225 ROTH, JUSTIN, DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 Perfect Teeth Powers PC 5929 Constitution Ave Colorado Springs, CO 80915 (719)638-1986 SCHROEDER, DAVID, DDS Apple Orthodontix 1694 E Cheyenne Mountain Blvd Colorado Springs, CO 80906 (719) 538-4671 SHANER, WILLIAM, DDS PC 2575 Montebello Dr W Ste 101 Colorado Springs, CO 80918 (719)599-5107 SKELTON, THOMAS, DDS 8540 Scarborough Dr Ste 250 Colorado Springs, CO 80920 (719)487-9303 SUTER, SCOTT, DDS MS 3100 N Academy Blvd Ste 200 Colorado Springs, CO 80917 (719)550-0222 TALOUMIS, LOUIS, DDS Apple Orthodontix 1694 E Cheyenne Mountain Blvd Colorado Springs, CO 80906 (719) 538-4671 TALOUMIS, LOUIS, DDS DMD All Smiles Orthodontix 3715 Bloomington St Ste 160 Colorado Springs, CO 80922 (719) 599-0665 TERRY, BANGORN,DMD Smiles For Colorado Orthodontics 1539 S 8th St Ste 200 Colorado Springs, CO 80905 (719)227-7645 YOUNGQUIST, HENRY, DDS MS 6010 Erin Park Dr Colorado Springs, CO 80918 (719)593-7942 ZIUCHKOVSKI, JAMES, DDS MS 6010 Erin Park Dr Ste 2 Colorado Springs, CO 80918 (719)593-7942 PEDODONTIST CALLAHAN, CLINTON, DDS 6475 Wall St Ste 150 Colorado Springs, CO 80918 (719) 265-9600 ELLIS, RANDALL, DDS Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 ERICKSON, JOSHUA, DDS Erickson Pediatric Dentistry and O 8580 Scarborough Dr Ste 220 Colorado Springs, CO 80920 (719) 282-6666 GEORGE, THEODORE, DDS Childrens Smile Center 7770 N Union Blvd Ste A Colorado Springs, CO 80920 (719) 598-0012 HAMAN, MICHELLE, DDS 6725 Rangewood Dr Colorado Springs, CO 80918 (719) 596-6920 KAHL, JEFFREY, DDS Colorado Springs Pedi Dntry PC 9480 Briar Village Pt Ste 301 Colorado Springs, CO 80920 (719)522-0123 KIRKHAM, DEREK, DDS Colorado Springs Pedi Dntry PC 9480 Briar Village Pt Ste 301 Colorado Springs, CO 80920 (719)522-0123 MANI, ARCHANA, DDS DMD Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719)260-6093 MONAK,EDMUND Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 SIERK, JONATHAN, DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 SOUZA,EDWARD,DMD Briargate Pediatric Dentistry 3466 Briargate Blvd Colorado Springs, CO 80920 (719)260-1600 PERIODONTIST ALLEN, WILLIAM, DDS Aspen Periodontics PC 5426 N Academy Blvd Ste 100 Colorado Springs, CO 80918 (719)548-1711 DEGEARE,DANNY,DDS 1819 N Circle Dr Ste 5 Colorado Springs, CO 80909 (719) 473-9277 FITZPATRICK, BRIAN, DDS DMD 320 E Fontanero St Ste 307 Colorado Springs, CO 80907 (719) 475-9023 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental membercompanies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 22 n • Colorado Springs Colorado COLORADO (CONT-D) GURINSKY, BRIAN, DDS Bright Now Dental 3208 N Academy Blvd Ste 140 Colorado Springs, CO 80917 (719)596-7000 MODARRESSI, MARMAR, DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 REICH, GREGORY, DDS 1975 Research Pkwy Ste 305 Colorado Springs, CO 80920 (719) 339-2562 RICHARDSON, HEATHER, DMD Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (71 9) 635-2807 Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, C0.80918 (719) 260-6093 PROSTHODONTIST ALLEN, MARK, DDS 9480 Briar Village Pt Ste 300 Colorado Springs, CO 80920 (719) 534-9445 DRAPER, SCOTT, DDS Pikes Peak Prosthodontics 1155 Kelly Johnson Blvd Ste 210 Colorado Springs, CO 80920 (719)532-1007 MCCARTNEY, JAMES, DDS 202 E Cheyenne Mountain Blvd Ste A Colorado Springs, CO 80906 (719)576-3661 COMMERCE CITY GENERAL DENTIST CHC PLAN DE SALUD 6075 E Parkway Or Ste 160 Commerce City, CO 80022 (303) 286-6755 EAMES, OWEN, DDS Comfort Dental of Commerce City 7201 Monaco St Commerce City, CO 80022 (303)287-2755 KARLA, MARK, DDS DMD Commerce City Family Dental PLLC 4972 E 62nd Ave Unit B1 Commerce City, CO 80022 (303) 288-4969 KIDS IN NEED OF DENTISTR 4210 E 72nd Ave Commerce City, CO 80022 (303)733-3710 Delta Dental Premier LOVELAND, DOUGLAS, Dos Reunion Dental Care 18240 E 104th Ave Unit 201 Commerce City, CO 80022 (303) 928-7838 PORTER, NICOLAS, DDS Comfort Dental of Commerce City 7201 Monaco St Commerce City, CO 80022 (303) 287-2755 RODGERS, JAMES, DDS 7230 Locust St Commerce City, CO 80022 (303) 289-2831 ROSSOW, ERIC, DDS Reunion Dental Care 18240 E 104th Ave Unit 201 Commerce City, CO 80022 (303)928-7838 SAUNDERS, RYAN, DDS North Range Family Dentistry 15550 E 103rd PI Unit 110 Commerce City, CO 80022 (303) 443-2900 WARNER, HOMER, DDS Comfort Dental of Commerce City 7201 Monaco St Commerce City, CO 80022 (303) 287-2755 WILLIS, LAWRENCE 6537 E 72nd PI Commerce City, CO 80022 (303) 288-6877 CONIFER GENERAL DENTIST BLASKO, JACQUELINE, DDS DMD Comfort Dental Conifer 25597 Conifer Rd Unit 100 Conifer, CO 80433 (303) 838-2811 HIGUCHI, CHRISTOPHER, DDS 26267 Conifer Rd Ste 101 Conifer, CO 80433 (303) 816-9411 LINN, STEPHEN, DDS 11873 Springs Rd Ste 7 Conifer, CO 80433 (303)674-0648 SEIFERT, TENIEL, DDS DMD Comfort Dental Conifer 25597 Conifer Rd Unit 100 Conifer, CO 80433 (303) 838-2811 WORKMAN, RYAN, DDS Comfort Dental Conifer 25597 Conifer Rd Unit 100 Conifer, CO 80433 (303) 838-2811 ORTHODONTIST BOBAK, VOYTEK, DMD 26697 Pleasant Park Rd Ste B Conifer, CO 80433 (303) 816-5239 WILLIAMS, BRYAN, DDS Williams Orthodontics PLLC 26267 Conifer Rd Ste 101 Conifer, CO 80433 (303) 670-5878 CORTEZ GENERAL DENTIST CARLSON,KENNETH,DDS San Juan Dental Clinic 115 N Beech St Cortez, CO 81321 (970)565-4448 MONTEZUMA COUNTY PUBLIC CHC Montezuma County Smile Makers 106 W North St Cortez, CO 81321 (970) 565-3056 OLSEN, BRIAN Cortez Dental Care 101 S Maple St Ste B Cortez, CO 81321 (970)565-1800 PATANA, CURTIS, DDS 115 N Beech St Cortez, CO 81321 (970)565-7275 REDWOOD, WILLIAM, DDS 18 S Beech St Cortez, CO 81321 (970) 565-4702 RIPPLINGER, DAVID, DDS 43 W Montezuma Ave Cortez, CO 81321 (970)565-9569 SMITH, JASON, DDS 115 N Beech St Cortez, CO 81321 (970)565-4449 STAPLES, JARED, DDS DMD Cortez Smiles 217 W Main St Cortez, CO 81321 (970) 565-5457 VESTAL, JOHN 302 W Montezuma Ave Cortez, CO 81321 (970)565-3612 WESTERMAN, RICHARD, DDS 18 S Beech St Cortez, CO 81321 (970) 565-4702 ORAL SURGEON BARR, RONALD, DDS MD DD 22 W North St Cortez, CO 81321 (970) 565-2424 ORTHODONTIST SCHAFER, ALAN, DDS DMD 101 S Maple St Cortez, CO 81321 (970)565-3531 Delta Colorado CRAG GENERAL DENTIST FENTON, NEAL, DDS 580 Pershing St Ste 100 Craig, CO 81625 (970)824-9785 MCCREIGHT, WENDY, DDS McCreight Progressive Dentistry 470 Washington St Craig, CO 81625 (970)824-5513 NORTHWESTCOLORADO DENTA CHC Northwest Colorado Dental Care 485 Yampa Ave Craig, CO 81625 (970)824-1178 ORTHODONTIST WEIMER, ALLAN, DDS 444 W 6th St Craig, CO 81625 (970)824-9408 CRESTED BUTTE GENERAL DENTIST FAKTOR, MICHAEL, DDS DMD Elk Avenue Dental Center 412 Elk Ave Crested Butte, CO 81224 (970)349-5880 HARVEY, SHAWN, DDS 511 Red Lady St Crested Butte, CO 81224 (970)349-5731 MARKLE, THOMAS, DMD Elk Avenue Family Dentistry 412 Elk Ave Crested Butte, CO 81224 (970)349-5880 WESTOVER,BROCK,DDS Elk Avenue Family Dentistry 412 Elk Ave Crested Butte, CO 81224 (970)349-5880 CRIPPLE CREEK GENERAL DENTIST STERLING, KEVIN, DDS 1101 Teller County Rd 1 Cripple Creek, CO 80813 (719)689-3565 DELTA GENERAL DENTIST YOST, MORGAN, DDS Yost Family Dentistry 263 Main St Unit 2 Delta, CO 81416 (970)874-8227 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 23 Denver Delta Dental Premier Denver Colorado Colorado COLORADO (CONT-D) DENVER ENDODONTIST AVERBACH, ROBERT, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303) 321-7930 BALTZ, KATHLEEN, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303)321-7930 BALTZ, KATHLEEN, DDS MS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 FAGER, FRANK, DDS 3545 S Tamarac Dr Ste 220 Denver, CO 80237 (303)770-8141 GALLEGO-CUBILLOS, SONIA Metropolitan Dental Care PC 1400 Glenarm PI Rm 200 Denver, CO 80202 (303)534-2626 SE Denver Dental Associates PC 2660 S Monaco Pkwy Ste A Denver, CO 80222 (303)757-7175 HAHN, CHRISTOPHER, DDS MS PC 3545 S Tamarac Dr Ste 220 Denver, CO 80237 (303)770-8141 HANSKE, DAVID, DDS MS 300 S Jackson St Ste 135 Denver, CO 80209 (303)377-3548 JAHDE, ERIC, DDS 1660 S Albion St Ste 705 Denver, CO 80222 (303)757-5008 JOSTES, JAMES, DDS Comfort Dental Cherry Creek 201 University Blvd Ste 101 Denver, CO 80206 (303) 321-2233 JULTAK, JED, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303) 321-7930 LEVINE, MARK, DMD 10200 E Girard Ave Ste A205 Denver, CO 80231 (303) 695-4838 LOWRY, SCOTT, DDS Comfort Dental Cherry Creek 201 University Blvd Ste 101 Denver, CO 80206 (303) 321-2233 MALONEY, SCOTT, DDS DMD Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303)321-7930 MORRISON, ALISON, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303) 321-7930 PANGBORN, CAMERON, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303)321-7930 SACHS, ELLEN, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303) 321-7930 SAFER,DONALD,DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303) 321-7930 SHELLEY, PETER, DDS MS Elm Endodontics 8585 Huron St Ste 2 Denver, CO 80260 (303)427-2769 GENERAL DENTIST ACHERKAN,MAYYA,DDS Allegro Dental Center 9450 E Mississippi Ave Unit A Denver, CO 80247 (303) 755-4000 . ADAMS, JOHN, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303) 455-2273 ALFORD, ANNETTE, DMD University Dental Arts PC 910 16th St Ste 700 Denver, CO 80202 (303) 534-7797 ANDERSON, ROBERT, DDS 155 Cook St Ste 251 Denver, CO 80206 (303)321-1323 ARCHER, RAYMOND, DDS Sloans Lake Dental 4441 W 29th Ave Denver, CO 80212 (303) 477-7776 ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 ARMSTRONG, JACK, DDS MD PC BOXWELL, COURT, DDS 1040 S Gaylord St Ste 103 55 Madison St Ste 320 Denver, CO 80209 Denver, CO 80206 (303) 777-6202 (303) 355-3080 ARNOLD, KARA, DDS Highland Smiles PC 3480 W 32nd Ave Denver, CO 80211 (303) 623-0407 AUFDERHAR, CHRISTINE, DDS Per T Reiakvam 3540 S Poplar St Ste 300 Denver, CO 80237 (303)759-3969 BABIN, BRIAN, DDS 6825 E Hampden Ave Ste 103 Denver, CO 80224 (303)355-1645 BAER, CHRISTOPHER, DMD Colorado Center Aesthetic Dntry 999 18th St Ste 235 Denver, CO 80202 (303)298-1414 BARECKI, RICHARD, DDS Bonnie Brae Cosmetic Dentistry 763 S University Blvd Denver, CO 80209 (303)777-7523 BATLINER, DONALD, DDS 4th Avenue Family Dentistry LLC 390 University Blvd Denver, CO 80206 (303)333-0771 BAUMAN, JON, DDS 271 S Downing St Denver, CO 80209 (303)778-7707 BEVANS, GREGORY, DDS 6740 E Hampden Ave Ste 300A Denver, CO 80224 (303)758-5747 BISSELL, WILLIAM, DDS 1660 S Albion St Ste 607 Denver, CO 80222 (303)757-6139 BLOOM, GENE, DDS MD Cody Dental Group PC 4301 E Amherst Ave Ste 100 Denver, CO 80222 (303) 758-5858 BOLLENBAUGH, KEITH, DDS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303) 988-3319 BONBRIGHT, THOMAS, DDS 7201 E 8th Ave Denver, CO 80220 (303)333-5148 BOONE,MALCOLM Mile High Dental Centers 1727 Gilpin St Denver, CO 80218 (303)388-1661 Mile High Dental Centers 2560 Sheridan Blvd Ste 1 Denver, CO 80214 (303) 477-7700 BRADLEY,KATHLEEN,DDS Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 BRANWELL, DONALD, DDS 3865 Cherry Creek North Dr Ste 312 Denver, CO 80209 (303)321-2566 BRAUN, CHAD, DDS 4th Avenue Family Dentistry LLC 390 University Blvd Denver, CO 80206 (303) 333-0771 BRAVO, LUIS David C Hoag DMD PC 850 E Harvard Ave Ste 375 Denver, CO 80210 (303) 733-0138 BREWICK, TERRY, DDS Governors Park Dental Group 700 E 9th Ave Unit 102 Denver, CO 80203 (303) 832-7789 BROWN, DONALD, DDS Perfect Teeth Monaco and Evans PC 2223 S Monaco Pkwy Unit F Denver, CO 80222 (303)639-3279 BROWN, RICHARD, DDS PC 8585 Huron St Denver, CO 80260 (303) 428-4314 BROWN, RONALD, DDS 6000 E Evans Ave Bldg 2 Denver, CO 80222 (303) 753-9916 BUNCH, ROBERT, DDS MD Cody Dental Group PC 4301 E Amherst Ave Ste 100 Denver, CO 80222 (303) 758-5858 BURTENSHAW,JOHN,DDS Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303) 937-7511 Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303)331-6511 CABLE, RYAN 1727 Gilpin St Denver, CO 80218 (303) 388-1661 Cable Dental 2560 Sheridan Blvd Ste 1 Denver, CO 80214 (303) 477-7700 CAHN, ELLIS, DDS 4101 E Wesley Ave Ste 8 Denver, CO 80222 (303)759-8684 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental mercer companies anu r-dumpauny Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 24 • • Denver Colorado COLORADO (CONT-D) CARDOSO, LUIZ, DDS Capitol Hill Dental Grop 975 Lincoln St Unit 203 Denver, CO 80203 (303) 991-4455 CARLSON,KENDAL,DMD 3955 E Exposition Ave Ste 212 Denver, CO 80209 (303)355-2373 CARMODY, COLLEEN, DDS Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303)937-7511 Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 CARROLL, BERNARD, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303) 455-2273 CARTER,COLLEEN,DDS 3955 E Exposition Ave Ste 218 Denver, CO 80209 (303) 765-2824 CASEMENT, RUSSELL, DDS 1355 S Colorado Blvd Ste C320 Denver, CO 80222 (303)758-0866 CHAVEZ, MANUEL, DDS 4200 W Conejos PI Ste 324 Denver, CO 80204 (303) 685-4644 CHC DENVER HEALTH WESTSIDE D Denver Health Westside Dental 1100 Federal Blvd Denver, CO :80204 (303)436-4345 CHEN, WILLIAM S 3865 Cherry Creek North Or Ste 240 Denver, CO 80209 (303) 355-4840 CHERNOFF, KENNETH, DDS Timothy J Wachuta 2709 S Colorado Blvd Denver, CO 80222 (303)756-2770 CHOE, CHIYON, DDS Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 CHRISTOPHE, JOHN, DDS Creekside Dental Care 3773 Cherry Creek North Dr Ste 120 Denver, CO 80209 (303)355-8670 CINER, SHELDON, DDS PC Rocky Mountain Dental Partners P 695 S Colorado Blvd Ste 300 Denver, CO 80246 (303)722-3900 Delta Dental Premier CLAIR, PREET, DDS Quebec Square Family Dentistry L 7505 E 35th Ave Ste 304 Denver, CO 80238 (303) 322-2081 CLEMENT, CHARLES, DDS 4380 S Syracuse St Ste 502 Denver, CO 80237 (303) 694-0585 COLLETT, MILES, DDS 7550 W Yale Ave Ste A201 Denver, CO 80227 (303) 969-0636 COLLINS, LAWRENCE Associates Denver Dental Group PC 2121 S Downing St Denver, CO 80210 (303)722-7482 CONNOLLY, MARY, DDS Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 CONNOR, DONALD, DDS DMD Alpha Dental Care 1 6411 E Colfax Ave Denver, CO 80220 (303) 388-2558 CONNORS, CHARLES, DDS 2210 S Federal Blvd Unit 2 Denver, CO 80219 (303)935-3618 COOMBS, ALAN, DDS Alpha Dental Care II 1660 S Albion St Ste 715 Denver, CO 80222 (303) 758-4287 CRAIGER, JOHN, DDS 7090 E Hampden Ave Denver, CO 80224 (303) 758-5252 CRAVEN, DUSTIN, DMD Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 CRICHLOW, KENNETH, DDS 6795 E Tennessee Ave Ste 350 Denver, CO 80224 (303)322-9501 CROGHAN, THOMAS, DDS Park Hill Dental Arts 4624 E 23rd Ave Denver, CO 80207 (303) 377-8662 CULLUM, ARNOLD, DDS Blake Street Dental 1732 Blake St Denver, CO 80202 (303) 814-2200 CUSHING, BRYCE Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 DASILVA, RICARDO Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 DAYN, ILYA Allegro Dental Center 9450 E Mississippi Ave Unit A Denver, CO 80247 (303) 755-4000 DEAL, THOMAS, DDS 965 S Colorado Blvd Ste 201 Denver, CO 80246 (303)722-8825 DENVER HEALTH BANNOCK DE CHC Denver Health and Hospital Autho 301 W 6th Ave Denver, CO 80204 (303) 602-8237 DENVER HEALTH EASTSIDE D CHC Denver Health Eastside Dental 501 28th St Ste MC3600 Denver, CO 80205 (303)436-4740 DEWITT, MICHAEL, DDS MA Dewitt Dental Associates PC 3300 E 1 st Ave Ste 615 Denver, CO 80206 (303)321-5656 DIGIORGIO, ROBERT Capital Hill Dental Group 975 Lincoln St Ste 2C Denver, CO 80203 (303)991-4455 DINSMORE, DAVID, DDS Comfort Dental Cherry Creek 201 University Blvd Ste 101 Denver, CO 80206 (303) 321-2233 DOI, BRADLEY, DDS Midtown Dental 1800 Vine St Denver, CO 80206 (303)377-2345 DOIDA, STANLEY, DDS Midtown Dental 1800 Vine St Denver, CO 80206 (303)377-2345 DOUGHERTY, CARRIE, DDS DMD Stapleton Dental PLLC 3055 Roslyn St Unit 260 Denver, CO 80238 (303)399-1488 DRUCKMAN, ROGER, DDS 90 Madison St Ste 506 Denver, CO 80206 (303)691-2860 DUNKER, INNA, DDS Accord Dental Prof LLC 2121 S Oneida St Ste 321 Denver, CO 80224 (303)796-8767 DUQUETTE, DOUGLAS, DDS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 Denver Colorado EGERT, TERRY, DDS 3955 E Exposition Ave Ste 312 Denver, CO 80209 (303)744-3636 ELLIOTT, BRIAN, DDS Dazante Dental Group 2005 Franklin St Ste 590 Denver, CO 80205 (303) 430-7399 FARMER, DALE, DDS South Federal Dental Group PC 2345 S Federal Blvd Ste 165 Denver, CO 80219 (303)934-0232 FEELEY, JOHN 1727 Gilpin St Denver, CO 80218 (303)388-1661 FERRELL, BONNIE, DDS 125 Rampart Way Ste 240 Denver, CO 80230 (303)341-2500 FLOREZ, TANIA, DDS 155 Cook St Ste 251 Denver, CO 80206 (303)321-1323 Cherry Creek Family Dentistry PC 201 University Blvd Ste 210 Denver, CO 80206 (303)321-1323 FOLEY, PATRICK, DDS PC 1516 Locust St Denver, CO 80220 (303)377-5646 FRANK, MARK, DDS 3955 E Exposition Ave Ste 412 Denver, CO 80209 (303)722-2686 FREY, RONNIE, DDS 7060 E Hampden Ave Ste 101 Denver, CO 80224 (303) 758-2066 FRIEDMAN, STEPHEN, DDS 3300 E 1 st Ave Ste 580 Denver, CO 80206 (303)321-0055 FULLER, DOROTHY, DDS 7060 E Hampden Ave Ste 201 Denver, CO 80224 (303) 758-4900 FURUTA, NICOLE, DDS Lodo Dental PC 1435 Wazee St Ste 102 Denver, CO 80202 (303)623-5636 GABLER, LAWRENCE, DDS 4101 E Wesley Ave Ste 9 Denver, CO 80222 (303)758-3935 GARTLAND, CHRISTOPHER, DDS Gartland Dentistry PC 1315 Krameria St Denver, CO 80220 (303)322-3272 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 25 Denver Delta Dental Premier Denver Colorado Colorado COLORADO (CONT-D) GIBBS, BRYAN, DDS Cherry Hills Dntl Associates PC 4800 Happy Canyon Rd Ste 140 Denver, CO 80237 (303)757-8446 GILLESPIE, WAYNE, DDS 1905 Lawrence St Ste D Denver, CO 80202 (303) 296-4080 GITTINGS, ANNE, DDS Susan H Kurtz DDS PC 300 S Jackson St Ste 510 Denver, CO 80209 (303)388-5222 GLENN, DEWAYNE, DDS Glenn Family Dentistry LLC 3600 S Beeler St Ste 120 Denver, CO 80237 (303) 779-2592 GLENN, MEGAN, DDS Glenn Family Dentistry LLC 3600 S Beeler St Ste 120 Denver, CO 80237 (303) 779-2592 GOLINVAUX, MICHAEL, DDS Metropolitan Dental Care PC 1400 Glenarm PI Rm 200 Denver, CO 80202 (303)534-2626 GOMENYUK, NINA, DDS Perfect Teeth Leetsdale PC 7150 Leetsdale Dr Unit 110A Denver, CO 80224 (303)321-1700 GOTTLIEB, STANLEYJ, DDS 3838 W 38th Ave Denver, CO 80211 (303) 433-1515 GOULD, STEVEN, DDS Adventure Dental of Denver 1407 W 84th Ave Ste 65-8 Denver, CO 80260 (719) 576-1850 GRAF, LINDSEY, DDS Bright Now Dental 1955 Arapahoe St Ste A Denver, CO 80202 (303)296-0888 GREENSTEIN, PERT, DDS DMD Belcaro Dental Group PC 965 S Colorado Blvd Ste 104 Denver, CO 80246 (303) 733-7399 GROSSMAN, GREGORY, DDS 910 16th St Ste 711 Denver, CO 80202 (303)825-5527 GUIDO, JOSEPH, DDS Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 GURMAN, ALAN, DDS 8585 Huron St Denver, CO 80260 (303)428-6367 HAHN,LAURA,DDS Adventure Dental of Denver 1407 W 84th Ave Ste 135-8 Denver, CO 80260 (719)576-1850 HAKALA, CATHERINE, DDS Hakala and Hakala PC 4200 E 8th Ave Ste 200 Denver, CO 80220 (303) 321-8967 HAKALA, JOSEPH, DDS Hakala and Hakala PC 4200 E 8th Ave Ste 200 Denver, CO 80220 (303) 321-8967 HALL, BRANDON, DDS Perfect Teeth Green Valley Ranch 18607 Green Valley Ranch Blvd Unit 104 Denver, CO 80249 (303) 576-6884 HAMIDI, ERIC, DDS Southeast Dental Arts LLC 4380 S Syracuse St Ste 504 Denver, CO 80237 (303) 741-1011 HAMILTON, WARIN, DDS DMD Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 HANCHETT, JON, DDS DMD Comfort Dental South Denver 3488 S Willow St Denver, CO 80231 (303)338-8181 HANNON, KEITH, DDS Cherry Creek Family Dentistry PC 201 University Blvd Ste 210 Denver, CO 80206 (303) 321-1323 HARRIS, HEATHER, DDS 3955 E Exposition Ave Ste 402 Denver, CO 80209 (303) 393-0039 HARTMAN, DAVID, DDS 5050 Cherry Creek South Dr Denver, CO 80246 (303) 758-5811 HATZIDAKIS, MELISSA Governors Park Dental Group 700 E 9th Ave Unit 102 Denver, CO 80203 (303) 832-7789 HOAG, DAVID, DMD 850 E Harvard Ave Ste 375 Denver, CO 80210 (303)733-0138 HOANG, HUYEN, DDS Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303) 937-7511 Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 HOCH, DONALD, DDS 425 S Cherry St Ste 700 Denver, CO 80246 (303) 777-4421 HOHERT, CHANDRA, DDS DMD Terry W Egert DDS PC 3955 E Exposition Ave Ste 312 Denver, CO 80209 (303)744-3636 HUBBELL, MAKALA, DDS Lowry Family Dentistry LLC 8158 E 5th Ave Ste 150 Denver, CO 80230 (303)366-3000 HUDSON, DALE, DDS 3525 S Tamarac Dr Ste 320 Denver, CO 80237 (303) 773-2695 HUSER,REBECCA Tamarac Dental Care 3525 S Tamarac Dr Ste 170 Denver, CO 80237 (303) 773-1211 HUSKEY, DAVID, DDS 2480 S Downing St Ste 200 Denver, CO 80210 (303)722-0204 HUTCHINSON, LARRY, DDS 5021 Happy Canyon Rd Denver, CO 80237 (303)757-1525 IGNATIEFF, NATALIYA Comfort Dental East Colfax 5200 E Colfax Ave Denver, CO 80220 (303)377-3876 INNER CITY HEALTH CENTER CHC 3800 York St Denver, CO 80205 (303)296-1767 New Hope Dental Services 4200 W Conejos PI Ste LL5 Denver, CO 80204 (720)956-0310 ITO, RICHARD, DDS 1905 Lawrence St Ste A Denver, CO 80202 (303)296-1825 JEFFERS, JANIS, DMD Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303)321-1181 JOHNSON, COLLIS, DDS 1756 Vine St Denver, CO 80206 (303)322-1177 JOHNSTON, JEFFERY, DDS Ascent Dental Group 3600 E Alameda Ave Ste 220 Denver, CO 80209 (303) 975-6987 JOLSTAD, MARK, DDS Comfort Dental Cherry Creek 201 University Blvd Ste 101 Denver, CO 80206 (303)321-2233 JONES, JEANICE, DDS SE Denver Dental Associates PC 2660 S Monaco Pkwy Ste A Denver, CO 80222 (303)757-7175 JORGENSEN, AMY, DDS Adventure Dental of Denver 1407 W 84th Ave Ste B5-8 Denver, CO 80260 (719)576-1850 KAES, JEFFREY, DDS 7200 E Hampden Ave Ste 303 Denver, CO 80224 (303) 504-4000 KANG, RUTH, DDS 496 S Dayton St Denver, CO 80247 (303)360-5660 KARASKEVICUS, JENNIFER, DDS Glendale Dental Group PC 4521 E Virginia Ave Denver, CO 80246 (303) 388-5501 KAWANO, RICHARD, DDS 1751 Williams St Denver, CO 80218 (303)388-5645 KAWASUGI, KAI, DDS Heather L Stamm DDS PC 2005 Franklin St Bldg 1 Denver, CO 80205 (303)839-5109 KEMPERS,GREGORY Creekside Smiles 155 Cook St Ste 141 Denver, CO 80206 (303) 329-0505 KHATRI, AVANI, DDS Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 KIDS IN NEED OF DENTISTR 1350 Clarkson St Denver, CO 80218 (303)733-3710 2465 S Downing St Ste 207 Denver, CO 80210 (303) 733-3710 KILROY, THOMAS, DDS PC 5400 W Jewell Ave Ste 2B Denver, CO 80232 (303) 985-7450 KINKADE, JAMES, DDS Cherry Hills Dntl Associates PC 4800 Happy Canyon Rd Ste 140 Denver, CO 80237 (303)757-8446 KIRCHNER, THOMAS, DDS 820 Clermont St Ste 110 Denver, CO 80220 (303)399-7106 is E Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental memoer companies anu ra1u61New1y Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 26 • • • Denver Colorado COLORADO (CONT-D) KLEKAMP, DAVID, DDS 6000 E Evans Ave Ste 1-130 Denver, CO 80222 (303) 759-2807 KOCH, RICHARD, DDS 10101 E Hampden Ave Ste 100 Denver, CO 80231 (303) 671-0101 KOO, DAVID, DDS Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303)321-1181 KREIDER, BETH, DDS 700 Broadway Ste 1133 Denver, CO 80203 (303) 863-1177 KURTZ, SUSAN, DDS 300 S Jackson St Ste 510 Denver, CO 80209 (303)388-5222 KWON, MICHELLE Americas Children Dentl Clinic 1470 Jersey St Denver, CO 80220 (303)377-1280 LAGE,GREGG,DDS 7475 Dakin St Ste 335 Denver, CO 80221 (303) 427-4552 LANGLEY, DONALD, DDS Dental Health at Dtc PLLC 5031 S Ulster St Ste 100 Denver, CO 80237 (303)779-8587 LAW, STEVEN, DDS Metropolitan Dental Care PC 1400 Glenarm PI Rm 200 Denver, CO 80202 (303)534-2626 LE, NICKIE 820 Clermont St Ste 310 Denver, CO 80220 (303)377-9278 LEE, CHRISTINA, DDS Dental Health at Dtc PLLC 5031 S Ulster St Ste 100 Denver, CO 80237 (303)779-8587 LEE, KYE, DDS 7159 E Hampden Ave Denver, CO 80224 (303) 337-5385 LEGG, PAUL, DDS DMD 1560 Broadway Ste 1060 Denver, CO 80202 (303)832-9090 LEONE, EDWARD, DDS 10345 Quivas St Denver, CO 80260 (303)452-5557 Delta Dental Premier LEVIN, ALAN, DDS Levin Family Dental 6825 E Tennessee Ave Ste 621 Denver, CO 80224 (303) 333-2221 LEVIN, BRETT, DDS DMD Levin Family Dental 6825 E Tennessee Ave Ste 621 Denver, CO 80224 (303) 333-2221 LIGHT, TODD, DDS Comfort Dental Cherry Creek 201 University Blvd Ste 101 Denver, CO 80206 (303) 321-2233 LINK, MICHAEL, DDS Highland Dental Care 3838 W 38th Ave Denver, CO 80211 (303)455-3838 LINKOW, RONALD, DDS 6825 E Tennessee Ave Ste 641 Denver, CO 80224 (303) 388-3651 LIPE, CARL, DDS 6825 E Hampden Ave Ste 200 Denver, CO 80224 (303)744-0600 LODL,JEFFREY Governors Park Dental Group 700 E 9th Ave Unit 102 Denver, CO 80203 (303) 832-7789 LOEWEN,REBECCA Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 LOGELIN, MICHAEL Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 LONG, KYLE, DDS 3955 E Exposition Ave Ste 110 Denver, CO 80209 (303) 722-1690 LOPEZ, SERGIO Americas Children Dentl Clinic 1470 Jersey St Denver, CO 80220 (303) 377-1280 LOWERY, TERESA, DDS 425 S Cherry St Ste 210 Denver, CO 80246 (303) 753-0922 LUNDERS SCOTT, JENNIFER M H Raabe DDS PC 155 Cook St Ste 351 Denver, CO 80206 (303) 320-0160 LYONS, JULIANN, DDS 6825 E Hampden Ave Ste 201 Denver, CO 80224 (303)756-6862 MADDEN, WILLIAM, DDS 4101 E Wesley Ave Ste 4 Denver, CO 80222 (303) 758-3230 MADLANG,CESAR,DDS 4380 S Syracuse St Ste 502 Denver, CO 80237 (303)779-0622 MAES, LEROY, DDS Primary Dentistry For Children 5801 W 44th Ave Unit C Denver, CO 80212 (303)433-1239 MAKOWSKI, JAMES, DDS 1220 S Parker Rd Ste 104 Denver, CO 80231 (303) 751-5558 MANH, KATIE, DDS 1701 S Federal Blvd Ste B Denver, CO 80219 (303)935-5279 MANIATIS, JAMES, DDS David P Micklin DDS 2601 E 3rd Ave Denver, CO 80206 (303) 399-1650 MANIATIS, PETER, DDS David P Micklin DDS 2601 E 3rd Ave Denver, CO 80206 (303)399-1650 MANIKIN, JULIE, DDS Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303)937-7511 Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303)331-6511 MANOS, ERIK, DDS Accent Dental PC 155 Cook St Ste 110 Denver, CO 80206 (303)592-7472 MARDIS, DONALD, DDS Comfort Dental East Colfax 5200 E Colfax Ave Denver, CO 80220 (303)377-3876 MARLOWE, MARK, DDS Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303)331-6511 MARSCHNER, THOMAS, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303)455-2273 MARTINEZ, LYDA, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303)455-2273 MARTINEZ, MARIO, DDS Comfort Dental South Denver 3488 S Willow St Denver, CO 80231 (303) 338-8181 Denver Colorado MATA,DUANE,DDS 7150 E Hampden Ave Ste 104 Denver, CO 80224 (303) 758-9511 MCAULIFFE, KEVIN, DDS 5150 E Yale Cir Ste 101 Denver, CO 80222 (303)758-3284 MCINTOSH-AULT, KAREEN, DDS 495 Uinta Way Ste 200 Denver, CO 80230 (303)366-4700 MCVEIGH, ADAM 325 S Teller Saint Ste 290 Denver, CO 80226 (303)935-3574 MICKLIN, DAVID, DDS 2601 E 3rd Ave Denver, CO 80206 (303)399-1650 MONCAYO, SANTIAGO, DDS Comfort Dental East Colfax 5200 E Colfax Ave Denver, CO 80220 (303)377-3876 MONROE, KELLY, DDS Dayton Dental 2020 S Parker Rd Unit F Denver, CO 80231 (303)752-2777 MONTANEZ, MARIO, DDS Adventure Dental of Denver 1407 W 84th Ave Ste B5-8 Denver, CO 80260 (719)576-1850 MONTANO, MELISSA, DDS Adventure Dental of Denver 1407 W 84th Ave Ste 65-8 Denver, CO 80260 (719)576-1850 MONTANO, RONALD, DDS Adventure Dental of Denver 1407 W 84th Ave Ste 65-8 Denver, CO 80260 (719)576-1850 MOSES, JAMES, DDS Cody Dental Group PC 4301 E Amherst Ave Ste 100 Denver, CO 80222 (303) 758-5858 MULHERAN, THOMAS, DDS Bright Now Dental 1955 Arapahoe St Ste A Denver, CO 80202 (303)296-0888 Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303)321-1181 MURDOCH, RICHARD, DDS 1315 Krameria St Denver, CO 80220 (303)355-6340 MURRAY, STEPHEN, DDS 425 S Cherry St Ste 700 Denver, CO 80246 (303)322-8600 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 27 Denver Delta Dental Premier Denver Colorado Colorado COLORADO (CONT-D) MUSANJE,LAWRENCE Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 NARANJA, ANTHONY Creekside Smiles 155 Cook St Ste 141 Denver, CO 80206 (303) 329-0505 NASSIMBENE, BRADLEY, DDS 425 S Cherry St Ste 700 Denver, CO 80246 (303)322-8600 NASSIMBENE, ROBERT, DDS Robert D Nassimbene DDS PC 425 S Cherry St Ste 700 Denver, CO 80246 (303)322-8600 NELSON, WILLIAM, DDS 4101 E Wesley Ave Ste 8 Denver, CO 80222 (303)757-5473 NEWMAN, STEVEN, DDS 360 S Monroe St Ste 340 Denver, CO 80209 (303)388-2886 NGUYEN, LAN, DDS South Federal Dentistry 805 S Federal Blvd Denver, CO 80219 (303) 935-2353 NGUYEN,QUYNH Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 NISHIMURA, ROGER, DDS 3300 E 1 st Ave Ste 300 Denver, CO 80206 (303)399-0400 NORDSTROM, WALTER, DDS 2100 S Lincoln St Denver, CO 80210 (303)733-1900 OBANA DELA PAZ, CARMELIZA, DDS Perfect Teeth Leetsdale PC 7150 Leetsdale Dr Unit 110A Denver, CO 80224 (303)321-1700 OUELLETTE, THOMAS, DDS 1905 Lawrence St Ste C Denver, CO 80202 (303)296-1402 PAINI, WILLIAM, DDS 1164 Speer Blvd Denver, CO 80204 (303) 246-0100 PARE, HENRI, DDS 1660 S Albion St Ste 611 Denver, CO 80222 (303) 782-0633 PARKINSON, CYNTHIA, DDS 55 Madison St Ste 320 Denver, CO 80206 (303)355-3080 PATRILLA, STANLEY, DDS 910 16th St Ste 621 Denver, CO 80202 (303) 623-7463 PATTERSON,KENDRA,DDS DMD 850 E Harvard Ave Ste 445 Denver, CO 80210 (303) 722-9504 PENK,STUART,DDS 2005 Franklin St Denver, CO 80205 (303)832-8586 PERRY,STEPHEN,DDS Colorado Dental Health Care Spec 1600 Stout St Ste 600 Denver, CO 80202 (303) 592-1133 Dazante Dental Group 2005 Franklin St Ste 590 Denver, CO 80205 (303)832-8655 Colorado Dental Health Care Spec 5031 S Ulster St Ste 100 Denver, CO 80237 (303) 779-8587 PFALZGRAF, JOHN, DDS Cherry Hills Dntl Associates PC 4800 Happy Canyon Rd Ste 140 Denver, CO 80237 (303)757-8446 PIZER, SCOTT, DDS 2250 S Oneida St Ste 300 Denver, CO 80224 (303) 753-1868 PYNE, THOMAS, DDS 12075 E 45th Ave Ste 333 Denver, CO 80239 (303) 371-9131 QUANDT, JOHN, DDS 155 Cook St Ste 201 Denver, CO 80206 (303)320-0734 QUIGLEY, JOHN 1164 Elati St Denver, CO 80204 (303)246-0100 RAABE, JOHN, DDS M H Raabe DDS PC 155 Cook St Ste 351 Denver, CO 80206 (303) 320-0160 RADZ,GARY,DDS Colorado Center Aesthetic Dntry 999 18th St Ste 235 Denver, CO 80202 (303) 298-1414 RANDOLPH, DAVID, DDS 3955 E Exposition Ave Ste 505 Denver, CO 80209 (303) 777-9090 RAY, JASON, DDS PC Hampden Family Dental 7090 E Hampden Ave Denver, CO 80224 (303)906-5138 REDFORD, DAVID, DDS University Dental Arts PC 910 16th St Ste 700 Denver, CO 80202 (303) 534-7797 REIAKVAM, PER, DDS 3540 S Poplar St Ste 300 Denver, CO 80237 (303)759-3969 REIN, GARY, DDS 155 Cook St Ste 251 Denver, CO 80206 (303) 321-4805 REVOIR, JEFFREY, DDS Artistic and Family Dental Center 3540 S Poplar St Ste 301 Denver, CO 80237 (303)758-2980 RICE, DONALD, DDS 7701 E 1st PI Ste B Denver, CO 80230 (303) 399-4444 RINALDI, TODD, DDS 8751 E Hampden Ave Ste A6 Denver, CO 80231 (303) 399-4350 ROACH, MAUREEN, DDS DMD Metropolitan Dental Care PC 1400 Glenarm PI Rm 200 Denver, CO 80202 (303)'534-2626 ROBBINS, BRADEN, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303)455-2273 ROBBINS, KRISTIN, DDS DR 2373 Central Park Blvd Unit 304 Denver, CO 80238 (303)388-2400 ROBERTS, DALE, DDS 1600 Stout St Ste 600 Denver, CO 80202 (303)592-1133 ROBERTSON, STEPHEN, DDS 3401 S Oneida Way Denver, CO 80224 (303)756-2914 RODGERS, JAMES, DDS 240 Saint Paul St Ste 206 Denver, CO 80206 (303)333-1844 ROTOLO, GARY, DDS Comfort Dental East Colfax 5200 E Colfax Ave Denver, CO 80220 (303)377-3876 ROTWEIN, PAMELA, DDS Pamela Rotwein DDS 155 Cook St Ste 221 Denver, CO 80206 (303)377-0699 ROWAN, MATTHEW, DDS Comfort Dental South Denver 3488 S Willow St Denver, CO 80231 (303)338-8181 RUNNINGS, STEVEN, DDS PC Mountain View Dental Associates PC 4590 Lowell Blvd Denver, CO 80211 (303) 455-8962 RUSSELL, SHARON, DDS 3300 E 1 st Ave Ste 580 Denver, CO 80206 (303)320-1640 SADDLER,GARY,DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303) 455-2273 SADLER, NORRIS, DDS DMD 3025 W 38th Ave Denver, CO 80211 (303) 458-7051 SAKAMAKI, CARL, DDS 2480 W 26th Ave Ste 320B Denver, CO 80211 (303)477-4075 SANCHEZ, PORFORIO, DDS South Federal Dental Group PC 2345 S Federal Blvd Ste 165 Denver, CO 80219 (303)934-0232 SANDERSON, STUART, DDS 5220 W Evans Ave Denver, CO 80227 (303)989-1970 SANKARANARAYANAN, SRIVALLI Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303)937-7511 SANKARANARAYANAN, SRIVALLI, DDS Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 SCHNEIDER, DEBRA, DDS 695 S Colorado Blvd Ste 320 Denver, CO 80246 (303)996-2963 SCHWAB, MICHAEL, DDS DMD Cherry Hills Dntl Associates PC 4800 Happy Canyon Rd Ste 140 Denver, CO 80237 (303)757-8446 SCHWARTZ, MARC, DDS 965 S Colorado Blvd Ste 101 Denver, CO 80246 (303)698-0476 SCHWARTZ, TIMOTHY, DDS 2030 S Federal Blvd Denver, CO 80219 (303)936-8204 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. ueita uentai memoer companies anu -t-p nHa Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 28 C • • Denver Colorado COLORADO (CONT-D) SCHWARTZENBERGER, DANIELLE 1540 S Holly St Unit 2 Denver, CO 80222 (303) 757-5885 SCHWERDT,JANNE,DDS 240 Saint Paul St Ste 206 Denver, CO 80206 (303) 333-1844 SEILER, CONNY, DDS 100 Acoma St Denver, CO 80223 (303) 778-6703 SENNETT, MICHAEL, DDS Southeast Dental Arts LLC 4380 S Syracuse St Ste 504 Denver, CO 80237 (303)741-1011 SEYMOUR, BRITTANY, DDS Lodo Dental PC 1435 Wazee St Ste 102 Denver, CO 80202 (303)623-5636 SMEDLEY, JOHN, DDS 5055 E Kentucky Ave Denver, CO 80246 (303)758-4367 SNIEGOWSKI, THOMAS, DDS 7475 Dakin St Ste 309 Denver, CO 80221 (303) 429-2727 SOHN, BUHMHAN, DDS C S Family Dental 6825 E Hampden Ave Ste 101 Denver, CO 80224 (303)756-3289 SPANJER, WILLIAM, DDS 720 S Colorado Blvd Ste 444 Denver, CO 80246 (303) 759-0731 SPEER, JENNIFER, DDS DMD Comfort Dental South Denver 3488 S Willow St Denver, CO 80231 (303) 338-8181 SPENCER, DANIEL, DDS Aspen Leaf Dental PC 1501 S Gaylord St Denver, CO 80210 (303) 722-1115 SPERLING, MORTON, DDS 155 Cook St Ste 421. Denver, CO 80206 (303)399-7166 STAMBAUGH, JAMES, DDS 965 S Colorado Blvd Ste 202 Denver, CO 80246 (303)744-1281 STAMM, HEATHER, DDS 2005 Franklin St Bldg 1 Denver, CO 80205 (303)839-5109 Delta Dental Premier STODDARD, DENNIS, DDS Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303) 937-7511 Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 SVOBODA, BRIAN, DDS Glendale Dental Group PC 4521 E Virginia Ave Denver, CO 80246 (303) 388-5501 SWAIN, THOMAS, DDS 4th Avenue Family Dentistry LLC 390 University Blvd Denver, CO 80206 (303) 333-0771 SWANSON CULBERTSON, PEGGY,DDS 162 Adams St Ste 200B Denver, CO 80206 (303)292-3366 TAPPAN, MAJOR, DDS Dental Access Centers 3216 High St Denver, CO 80205 (303) 996-4811 TARGOS, NED, DDS Perfect Teeth Speer PC 700 E Speer Blvd Denver, CO 80203 (303) 733-1010 TAYLOR, RONALD, DDS MS 1201 S Parker Rd Ste 100 Denver, CO 80231 (303) 337-7771 TERADA, JENNIFER, DDS 825 E 18th Ave Denver, CO 80218 (303)839-1356 THAI, MINH, DDS Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 THERIOT, ROY, DDS Affordable Dental Care 677 S Federal Blvd Denver, CO 80219 (303) 936-6188 THURMAN, DAVID, DDS Dental Elements PLLC 1781 15th St Denver, CO 80202 (303) 309-4093 TIAO, KATIE Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 TOPELSON, IAN, DDS Cherry Creek Dental Arts 155 Cook St Ste 421 Denver, CO 80206 (303)399-7166 TRAN,HUNG,DDS 1013 S Federal Blvd Denver, CO 80219 (303)935-0496 TSUMURA, KURT, DDS Midtown Dental 1800 Vine St Denver, CO 80206 (303)377-2345 UNRATH, ROBERT, DDS DMD Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303)455-2273 UY, MARY JOYCE, DDS 3525 S Tamarac Dr Ste 170 Denver, CO 80237 (303)773-1211 VAIRIN, CHRISTOPHER, DDS 325 S Teller Saint Ste 280 Denver, CO 80226 (303) 989-4444 VALUCK,PAUL,DDS 6825 E Tennessee Ave Ste 515 Denver, CO 80224 (303)331-1650 VANZYTVELD, ERIC, DDS 1905 Lawrence St Ste B Denver, CO 80202 (303)296-3851 VARSHAVSKAYA, MARINA Teresa M Lowery DDS PC 425 S Cherry St Ste 210 Denver, CO 80246 (303)753-0922 VENUTO, NICK, DDS Perfect Teeth Central Denver 1633 Fillmore St Ste 200 Denver, CO 80206 (303)377-4747 Perfect Teeth Green Valley Ranch 18607 Green Valley Ranch Blvd Unit 104 Denver, CO 80249 (303)576-6884 VIGIL, GILBERT, DDS PC 3190 W 34th Ave Denver, CO 80211 (303) 458-3838 VILNER, LEON, DDS Accord Dental Prof LLC 2121 S Oneida St Ste 321 Denver, CO 80224 (303)796-8767 WACHUTA, TIMOTHY, DDS 2709 S Colorado Blvd Denver, CO 80222 (303)756-2770 WATSON, BRIAN, DDS 2780 S Wadsworth Blvd Denver, CO 80227 (303)989-0416 WEIMAR, WILLIAM, DDS 100 Acoma St Denver, CO 80223 (303) 778-6703 Denver Colorado WELCH, CHAD, DDS SE Denver Dental Associates PC 2660 S Monaco Pkwy Ste A Denver, CO 80222 (303)757-7175 WERNER, SARAH, DDS 5055 E Kentucky Ave Denver, CO 80246 (303)377-7744 WHERLEY, DANIEL, DDS 3865 Cherry Creek North Dr Ste 300 Denver, CO 80209 (303) 388-5599 WHITE, DAWN, DDS Metropolitan Dental Care PC 1400 Glenarm PI Rm 200 Denver, CO 80202 (303)534-2626 WHITE, KELLY, DDS PC Auraria Dental Centre 1050 W Colfax Ave Ste G Denver, CO 80204 (303)573-5533 WILK, STEVEN, DDS PC Artistic and Family Dental Center 3540 S Poplar St Ste 301 Denver, CO 80237 (303)758-2980 WILLIAMSON, CHADWICK, DDS Primary Dentistry For Children 5801 W 44th Ave Unit C Denver, CO 80212 (303) 433-1239 WOLFF, TRACY, DDS 4380 S Syracuse St Ste 504 Denver, CO 80237 (303)773-8666 WORLEY, RICK Highline Dental Care 1250 S Parker Rd Ste 102 Denver, CO 80231 (303)755-6341 WYTE,JOSHUA 6000 E Evans Bulding 2 Ste 231 Denver, CO 80222 (303)753-9916 YAHNIAN, LAWRENCE, DDS Dental Health at 16th Street Mal 1600 Stout St Ste 600 Denver, CO 80202 (303)592-1133 YOUNG, MATTHEW Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 ZELENKA,RODNEY 4545 E 9th Ave Ste 130 Denver, CO 80220 (303)377-4823 ORAL SURGEON BOTTENBLEY, CECIL, DDS MD DMD 1776 Lincoln St Ste 820 Denver, CO 80203 (303)839-5639 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 29 City of lot Collins 0 Dental Network Protection Comparison Aetna vs. Delta Dental PPO Plan ■ PPO 0 Premier 0 NonPar 100io -- — — — -- 90/ � -- — -- — —_ r 80%—Y _ 70/ 6'-� 51% 0% &RN # 4> Y k 50%MIN 40% h 30% 10i_ ------ ------------------- of------- --- - -- Aetna —-----__--�_.------- -------------------- Delta Dental Denver Delta Dental Premier Denver Colorado Colorado COLORADO (CONT-D) CARVER, DOUGLAS, DDS Rocky Mtn Oral and Max Surg PC 6850 E Hampden Ave Ste 202 Denver, CO 80224 (303) 758-6850 COSBY, MICHAEL D, DDS MD Cosby and Patterson PC 180 Adams St Ste 100 Denver, CO 80206 (303)321-0333 HARPER,CLAYTON,DDS Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303)321-1181 JENSEN, OLE, DDS 4301 E Amherst Ave Denver, CO 80222 (303)758-5858 MCLAIN, RICHARD, DDS Rocky Mtn Oral and Max Surg PC 6850 E Hampden Ave Ste 202 Denver, CO 80224 (303)758-6850 MCMUNN, WILLIAM, DDS MD Perfect Teeth Monaco and Evans PC 2223 S Monaco Pkwy Unit F Denver, CO 80222 (303)639-3279 Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 MCMUNN, WILLIAM, DDS MD DMD Colorado Dental Health Care Spec 5031 S Ulster St Ste 100 Denver, CO 80237 (303)779-8587 MITZ, RICHARD, DDS Colorado Oral Surgery Center 965 S Colorado Blvd Ste 205 Denver, CO 80246 (303)744-1369 MOGYOROS, ROBERT, DDS DMD Cosby and Patterson PC 180 Adams St Ste 100 Denver, CO 80206 (303)321-0333 NELSON, RICHARD, DDS Rocky Mtn Oral and Max Surg PC 6850 E Hampden Ave Ste 202 Denver, CO 80224 (303) 758-6850 NELSON, STEVEN, DDS MS Rocky Mtn Oral and Max Surg PC 6850 E Hampden Ave Ste 202 Denver, CO 80224 (303) 758-6850 PATTERSON, KEVIN D, DDS MD Cosby and Patterson PC 180 Adams St Ste 100 Denver, CO 80206 (303)321-0333 ROLLERT, MICHAEL, DDS Rocky Mtn Oral and Max Surg PC 6850 E Hampden Ave Ste 202 Denver, CO 80224 (303) 758-6850 SEDHOM, ASHRAF, DDS MD DMD Santa Fe Oral Surgery Center 2210 S Federal Blvd Unit 1 Denver, CO 80219 (303) 936-5922 SIPARSKY, MARTIN, DDS DMD 155 Cook St Ste 241 Denver, CO 80206 (303) 321-3720 STEARNS, JEFFREY, DDS MD DMD PC 7475 Dakin St Ste 643 Denver, CO 80221 (303) 429-4800 STEH, DENNIS, DDS Oral and Maxillofacial Surgery 7475 Dakin St Ste 643 Denver, CO 80221 (303) 429-4800 TOMASETTI, BOYD, DDS MD DMD Rocky Mtn Oral and Max Surg PC 6850 E Hampden Ave Ste 202 Denver, CO 80224 (303)758-6850 WAGGONER, CLYDEE, DDS DMD Cherry Creek Oral Max Surg PC 3955 E Exposition Ave Ste 520 Denver, CO 80209 (303) 777-1603 ORTHODONTIST BARDS, LIA, DDS Orthodontics In The Highlands 3538 W 44th Ave Denver, CO 80211 (303) 433-7500 BELLON, MICHAEL, DDS MS 7200 E Hampden Ave Ste 203 Denver, CO 80224 (303)692-9610 BENSON,GARY,DDS 3200 Cherry Creek South Dr Ste 420 Denver, CO 80209 (303) 722-1202 EBERLE, NICOLE, DDS MS 240 Saint Paul St Ste 201 Denver, CO 80206 (303) 320-0307 FRANZ,KAREN,DDS Stapleton Orthodontics PC 2373 Central Park Blvd Unit 302 Denver, CO 80238 (303) 316-7846 Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303) 321-1-181 HORNER, CRAIG, DDS DC Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303) 988-3319 IDICULLA, ANIL, DDS DMD Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303)321-1181 IDICULLA, ANIL, DMD Metropolitan Orthodontics 1400 Glenarm PI Rm 200 Denver, CO 80202 (303)534-2626 KESSLER, GINA, DDS Town Center Orthodontics LLC 7479 E 29th PI Denver, CO 80238 (303)321-4445 LEVIN, JOANNA, DDS Levin Orthodontics 125 Rampart Way Ste 301 Denver, CO 80230 (303) 366-9090 MICHAEL, DEBORAH, DDS MS 5055 E Kentucky Ave Denver, CO 80246 (303)757-0867 MILLER, BILLIE (BILL), DDS 2200 S Federal Blvd Denver, CO 80219 (303) 935-0815 MOORE, THEODORE, DDS Perfect Teeth Monaco and Evans PC 2223 S Monaco Pkwy Unit F Denver, CO 80222 (303) 639-3279 NAZAROV, ANDREY, DDS DMD Allegro Orthodontics 9450 E Mississippi Ave Unit A Denver, CO 80247 (303) 751-0031 OWENS, JUSTIN, DDS 965 S Colorado Blvd Ste 102 Denver, CO 80246 (303)744-1701 PERLOV,FRANK,DDS 240 Saint Paul St Ste 201 Denver, CO 80206 (303)320-0307 REED, CHARLES, DDS Cody Dental Group PC 4301 E Amherst Ave Ste 100 Denver, CO 80222 (303) 758-5858 ROCKE, PAUL, DDS 1050 W Colfax Ave Ste G Denver, CO 80204 (303)573-5533 ROTH, JUSTIN, DDS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303) 988-3319 RUDMAN, ROBERT, DDS Advanced Orthodontic Care 155 Cook St Ste 451 Denver, CO 80206 (303) 331-0222 SIERSMA, G (GEORGE), DDS 121 S Madison St Ste A Denver, CO 80209 (303)388-6489 SLOSS, ERIN, DDS Sloss Orthodontics PC 7150 E Hampden Ave Ste 202 Denver, CO 80224 (303)757-3307 STRAFFON,DEREK,DDS Southmoor Orthodontics 6850 E Hampden Ave Ste 203 Denver, CO 80224 (303)758-3414 UNTERSEHER,RONALD Unterseher Orthodontics 1141 18th St Denver, CO 80202 (303) 466-1955 WILKERSON, DAMON, DDS Clear Choice Orthodontics 2617 E 3rd Ave Denver, CO 80206 (303) 225-0525 ZINKANN, KARLA 2345 S Federal Blvd Denver, CO 80219 (303)934-0232 ZINKANN, KARLA, DDS 2121 S Downing St Denver, CO 80210 (303) 733-8885 PEDODONTIST ADAMS, TIMOTHY, DDS DPM 695 S Colorado Blvd Ste 250 Denver, CO 80246 (303) 733-7731 CARLSON MARKS, LISA Pediatrics Dntl Associates Co PLLC 155 Cook St Ste 401 Denver, CO 80206 (303)377-1148 ELLIS, RANDALL Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 FLANDER, JAYME, DDS Perfect Teeth Monaco and Evans PC 2223 S Monaco Pkwy Unit F Denver, CO 80222 (303) 639-3279 Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 HARRIS, MEREDITH Pediatrics Dntl Associates Co PLLC 155 Cook St Ste 401 Denver, CO 80206 . (303)377-1148 HAYUTIN, DAVID, DDS LLC Cherry Creek Pediatric Dntstry 5055 E Kentucky Ave Denver, CO 80246 (303)757-8844 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental memoer companies anu reruapauny Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0 30 • • Denver Colorado COLORADO (CONT-D) IBRAHIM, ALFAIYAZ, DDS Stapleton Childrens Dentistry 2373 Central Park Blvd Unit 305 Denver, CO 80238 (303)399-5437 NGUYEN, ANDREW, DDS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 RUBENSTRUNK, JOHN, DDS Southmoor Pediatric Dentistry 6850 E Hampden Ave Ste 100 Denver, CO 80224 (303) 758-6057 SIERK, JONATHAN, DDS Perfect Teeth Monaco and Evans PC 2223 S Monaco Pkwy Unit F Denver, CO 80222 (303) 639-3279 Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303) 988-3319 SIMONS, NANCY, DDS MD Cody Dental Group PC 4301 E Amherst Ave Ste 100 Denver, CO 80222 (303)758-5858. SMITH, BRADLEY, DDS Southmoor Pediatric Dentistry 6850 E Hampden Ave Ste 100 Denver, CO 80224 (303) 758-6057 SMITH, SCOTT, DDS Southmoor Pediatric Dentistry 6850 E Hampden Ave Ste 100 Denver, CO 80224 (303) 758-6057 STRANGE, DAVID Childrens Dental Specialists 1963 S Federal Blvd Denver, CO 80219 (303) 935-1705 STRANGE, MALCOLM Childrens Dental Specialists 1963 S Federal Blvd Denver, CO 80219 (303)935-1705 VEAN, ALLEN, DDS DMD 965 S Colorado Blvd Ste 105 Denver, CO 80246 (303) 722-2929 VUONG, JULIE, DDS A Wild Smile PC 2975 Roslyn St Unit 160 Denver, CO 80238 (720)945-1234 WITKOFF, JESSE, DDS A Wild Smile PC 2975 Roslyn St Unit 160 Denver, CO 80238 (720)945-1234 Delta Dental Premier PERIODONTIST BRIDGEWATER, MARTHA, DDS Capitol Hill Dental Grop 975 Lincoln St Unit 203 Denver, CO 80203 (303) 991-4455 BUCKSTEIN, JAN, DDS PC 1660 S Albion St Ste 718 Denver, CO 80222 (303)757-7759 CHAPMAN, THOMAS, DDS 2660 S Monaco Pkwy Denver, CO 80222 (303)683-1144 DALE, ERIC, DDS 155 Cook St Ste 211 Denver, CO 80206 (303)377-9102 GOMEZ, LUIS, DDS DMD Colorado Dental Health Care Spec 1600 Stout St Ste 600 Denver, CO 80202 (303)592-1133 Colorado Dental Health Care Spec 5031 S Ulster St Ste 100 Denver, CO 80237 (303) 779-8587 GURINSKY, BRIAN, DDS 1141 18th St Denver, CO 80202 (303)296-8527 KANTOR, MICHAEL, DDS DMD Metropolitan -Dental Care PC 1400 Glenarm PI Rm 200 Denver, CO 80202 (303) 534-2626 KUHAR,KENNETH Stephen M Winber DDS 1660 S Albion St Ste 1008 Denver, CO 80222 (303) 691-0267 LUBOW, RICHARD, DDS DMD Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 LUBOW, RICHARD, DMD Bright Now Dental 1955 Arapahoe St Ste A Denver, CO 80202 (303) 296-0888 LUCAS, MARK 1400 Glenarm PI Rm 200 Denver, CO 80202 (303)534-2626 MILLER, GAYLEN, DDS MS Poulos and Somers PC 700 Broadway Ste 1135 Denver, CO 80203 (303) 832-4867 NEUGEBOREN, NEIL, DDS Professional Periodontics Implan 10200 E Girard Ave Ste A209 Denver, CO 80231 (303) 695-0990 POMERANZ, ALAN, DDS DMD Professional Periodontics Implan 10200 E Girard Ave Ste A209 Denver, CO 80231 (303) 695-0990 POULOS, MICHAEL, DDS Poulos and Somers PC 700 Broadway Ste 1135 Denver, CO 80203 (303)832-4867 REISSNER, MARC, DDS Professional Periodontics Implan 10200 E Girard Ave Ste A209 Denver, CO 80231 (303) 695-0990 RICHARDSON, HEATHER, DDS DMD Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 SOMERS, ANN, DDS Poulos and Somers PC 700 Broadway Ste 1135 Denver, CO 80203 (303)832-4867 PROSTHODONTIST GALLEGOS, LOUISA, DDS 90 Madison St Ste 208 Denver, CO 80206 (303)316-4034 HAUSCHILDT, THEODORE, DDS 1721 E 19th Ave Ste 270 Denver, CO 80218 (303)861-4311 TAVEL, ARNOLD, DDS DMD 155 Cook St Ste 231 Denver, CO 80206 (303) 320-6272 DILLON GENERAL DENTIST CASTLINE, JILL, DDS 119 Main St Dillon, CO 80435 (970)468-2471 COLLINSWORTH, PHILLIP Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970) 468-5995 FRANCIS, LAUREN Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970) 468-5995 GOFF, SABRINA Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970) 468-5995 Dillon Colorado JUNGMAN,GREGORY Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 ' (970) 468-5995 MILLER, MURRAY, DDS DMD 119 Main St Dillon, CO 80435 (970)468-2471 MORGAN, VERNON, DDS 119 Main St Dillon, CO 80435 (970) 468-5297 PETERSON, JERRY, DDS PC J D Peterson DDS PC 119 Main St Dillon, CO 80435 (970) 468-2471 ROBERTS, DALE Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970) 468-5995 VONDRA,ANTHONY Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970)468-5995 ORAL SURGEON CARVER,DOUGLAS Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970) 468-5995 MCLAIN, RICHARD Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970)468-5995 NELSON,STEVEN Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970) 468-5995 ROLLERT, MICHAEL Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970)468-5995 TOMASETTI, BOYD Dillon Family Dental 124 Dillon Plaza Bldg Ste 301 PO Box 5868 Dillon, CO 80435 (970) 468-5995 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 a Divide Colorado Delta Dental Premier Englewood Colorado KLINGENER, ELYSE, DDS DMD ORAL SURGEON EDWARDS COLORADO (CONT'D) 3235 Main Ave Ste Durango, CO 81301 JOHNSON, MICHAEL, DDS MD • (970) 259-3112 Four Corners Oral and Max Surg GENERAL DENTIST LACEY, WILLIAM, DDS 72 Suttle St Ste E Durango, CO 81303 MAGUIRE, RICHARD, DDS DIVIDE San Juan Smiles Family Dentistry (970) 385-5432 Image Dental 56 Edwards Village Blvd Unit 202 GENERAL DENTIST 2323 W 2nd Ave Ste A Durango, CO 81301 ORTHODONTIST Edwards, CO 81632 (970)926-5437 PEAK VISTA COMMUNITY HEA (970)375-7671 FLETCHER, MICHAEL, DDS Peak Vista Community Health Cent LUNN, GEORGE, DDS 3057 Main Ave PEDODONTIST 34 Hybrook Rd S Divide, CO 80814 Durango Family Dentistry 1165 S Camino Del Rio Ste 300 Durango, CO 81301 (970) 247-5874 COLLEGE, COURTNEY (719) 687-4460 Durango, CO 81303 (970) 382-8111 JOHNSON, VAUGHN, DDS MD MS D Malcolm Strange DDS 57 Edwards Access Rd DOVE CREEK MANN, JON, DDS 801 Unit 1 Duranlgo, COd 1301 Edwards, (303)67 8888 1632 2877 Main Ave Durango, CO 81301 (970) 247-3330 STRANGE, DAVID GENERAL DENTIST (970) 259-1646 PEDODONTIST D Malcolm Strange DDS DOLORES COUNTY HEALTH AS MICKELSON, J, DDS HOLMES, DOUDDS 57 Edwards Access Rd Edwards, 81632 CHC 495 W 4th St 2530 Colorado Ave Unit 1A Animas Pediatricc DentGroup PC (303) 467-8888 Dove Creek, CO 81324 Durango, CO 81301 (970) 247-0174 575 Rivergate Ste 98 Durango, CO 81301 STRANGE, MALCOLM (970) 677-3644 MINER, MASON, DDS (970) 259-0600 57 Edwards Access Rd Edwards, CO 81632 DURANGO 72 Suttle St Unit H SUAZO, LAWRENCE, DDS (303) 467-8888 Durango, CO 81303 Animas Pediatric Dental Group PC GENERAL DENTIST (970) 247-2677 575 Rivergate Ste 98 ELIZABETH CALDWELL, RONALD, DDS NELSON, JEFF, DDS 125 County Road 250 Durango, CO 81301 (970) 259-0600 GENERAL DENTIST 2301 W 2nd Ave Ste A Durango, CO 81301 Durango, CO 81301 (970) 247-0682 PERIODONTIST HILL, DANIEL, DDS (970) 247-4743 EICH, JAMES, DDS OWEN, ST DDS Dental Associates of The Southwe BLUE, MARK Four Corners Periodontics PC Elizabeth Family Dental 210 Elizabeth St Ste E 3235 Main Ave Ste A 801 Florida Rd Unit 2 3057 Main Ave Ste 2 Durango, CO 81301 Elizabeth, CO 80107 (303) 646-6336 Durango, CO 81301 (970) 259-3112 Durango, CO 81301 (970) 259-0113 (970) 385-6800 KRIEGER, GEORGE, DDS FISHER, WILLIAM, DDS MD OWENS, RONALD, DDS EAGLE 187 E Kiowa Ave Box 699 Elizabeth, 801100 7 2323 W 2nd Ave Ste E Animas Dental Associates (303) 646-4678 Durango, CO 81301 (970) 375-9006 1304 Main Ave Durango, CO 81301 GENERAL DENTIST SHIBILSKI, KELLY, DDS GROSKOPF, NICKLAS, DDS (970) 247-0331 KASSMEL, SUMMER, DDS Timberline Family Dentistry PC 796 E Kiowa Ave Ste H12 Dental Associates of The Southwe PETTUS, JOHN, DDS Castle Peak Dental Prof LLC Elizabeth, 80107 801 Florida Rd Unit 2 800 S Camino Del Rio 56 Market Dr Ste 5 (303) 646-3940 Durango, CO 81301 Durango, CO 81301 Eagle, CO 81631 (970) 259-0113 (970) 259-2264 (970) 328-1116 UNKEL, STEPHEN, DDS HARSHA, BRUCE, DDS SAN JUAN BASIN HEALTH DE EA Timberline Family Dentistry PC . 796 E Kiowa Ave Ste H12 1911 Main Ave Ste 116 CHC Elizabeth, CO 80107 Durango, CO 81301 Southwest Smile Makers (303) 646-3940 (970) 247-3303 281 Sawyer Dr GENERAL DENTIST HAYNES, KENT, DDS Durango, CO 81303 (970) 247-5702 KENNEDY, JAMES, DDS MD ENGLEWOOD 143 County Road 250 S Cherry Ave Unit 2A Durango, CO 81301 STRIETZEL, DALE, DDS Eaton, CO 80615 Eat Eat ENDODONTIST (970) 247-9549 Sunrise Dentistry (970) 454-3341 HEINICKE, COURTNEY, DDS Dental Associates of The Southwe 1911 Main Ave Ste 116 Durango, CO 81301 KURTH, JENNIIFER PASCOE, GARY, DDS 3601 S Clarkson St Ste 230 801 Florida Rd Unit 2 (970) 247-3303 228 7th St Eaton, CO 80615 Englewood, CO 80113 Durango, CO 81301 UGAI, MARK, DDS (970) 454-2326 (303) 789-2354 (970) 259-0113 835 E 2nd Ave Ste 270 Durango, CO 81301 TURNER, CELIA, DDS GENERAL DENTIST HENING, JOHN, DDS 2323 W 2nd Ave Ste B (970) 247-4848 228 St EatCO615 Eaton, BAKER, JAMES, DDS Durango, CO 81301 VALLEY WIDE HEALTH SERVI , (970) 454-2326 3601 S Clarkson St Ste 220 Englewood, CO 80113 (970) 247-0074 CHC Valley Wide Health Services (303) 781-3106 JAKUBANIS, TERRENCE, DDS 2277 W 2nd Ave 1800 E 3rd Ave Ste 109 BANCROFT, JOANNE, DDS Durango, CO 81301 Durango, CO 81301 (970) 385-5930 River Point Dent Group and Ortho (970) 247-8228 WILSON, RICHARD, DDS LLP 3960 River Point Pkwy Unit A JOHNSON, CARL, DDS J OH 102 1/2 W 18th St Englewood, CO 80110 Main AveA Durango, CO 81301 ( ) 781-2340 Durango,1304 81301 (970)247-5565 (970)247-0331 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 32 0 E • Englewood Colorado COLORADO (CONT-D) BARES, SCOTT, DDS 125 Inverness Dr E Ste 310 Englewood, CO 80112 (303)768-8977 BROWN, JAMES, DDS Comfort Dental Englewood 2780 S Broadway Englewood, CO 80113 (303)783-0100 BUIST, JOHN, DDS 125 Inverness Dr E Ste 360 Englewood, CO 80112 (720)875-1130 CALETTI, GARY, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 COWEN, NEIL, DDS 3535 S Lafayette St Ste 108 Englewood, CO 80113 (303)761-8688 DIORIO, MICHAEL, DDS 3555 S Clarkson St Ste 200 Englewood, CO 80113 (303) 762-9575 DORSEY,RONALD,.DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 - GATES, PAMELA, DDS 3501 S Corona St Englewood, CO 80113 (303) 781-6911 HANSON, KEITH, DDS 3501 S Corona St Ste 5 Englewood, CO 80113 (303)761-3692 HARTLE, SHEILA, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 HASENAUER,COREY Senior Dental Services of Colora PO Box 3199 Englewood, CO 80155 (303)471-0346 HAYES, PAUL, DDS 3601 S Clarkson St Ste 410 Englewood, CO 80113 (303) 781-2811 HEIKEN, JASON, DDS PC 10111 Inverness Main St Unit E Englewood, CO 80112 (303)781-3603 Delta Dental Premier HIRSCHMAN, WADE, DDS River Point Dent Group and Ortho LLP 3960 River Point Pkwy Unit A Englewood, CO 80110 (303) 781-2340 JAQUES, RONALD, DDS 5031 S Federal Blvd Ste 4 Englewood, CO 80110 (303) 795-3517 KENDIG, ROBERT, DDS Inverness Family Dentistry 125 Inverness Dr E Ste 230 Englewood, CO 80112 (303)792-9904 MILLER, BRYAN, DMD Meridian Dental Care 9570 S Kingston Ct Ste 230 Englewood, CO 80112 (303) 779-1661 MULVANY, DAMIEN, DDS DMD Acacia Dental Group 3627 S Pennsylvania St Englewood, CO 80113 (303) 781-0624 NASSIMBENE, RAYMOND, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303) 744-5000 NESSEL, LARRY, DDS Comfort Dental Englewood 2780 S Broadway Englewood, CO 80113 (303)783-0100 NICOLETTE, JOHN, DDS- 3510 S Marion St Englewood, CO 80113 (303) 789-3455 NORRIS, GARTH, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 NOVELEN, MARK, DDS Acacia Dental Group 3627 S Pennsylvania St Englewood, CO 80113 (303)781-0624 ONEILL, BRADFORD, DDS River Point Dent Group and Ortho LLP 3960 River Point Pkwy Unit A' Englewood, CO 80110 (303) 781-2340. PASTERNAK,MARK,DDS Inverness Family Dentistry 125 Inverness Dr E Ste 230 Englewood, CO 80112 (303) 792-9904 RAETHER, GAIL, DDS River Point Dent Group and Ortho LLP 3960 River Point Pkwy Unit A Englewood, CO 80110 (303) 781-2340 RAY, JASON, DDS PC Dentistry at Meridian Center 12624 Washington Ln Unit 102 Englewood, CO 80112 (303)768-8137 REBBER, DAVID, DDS Comfort Dental Englewood 2780 S Broadway Englewood, CO 80113 (303)783-0100 REDFEARN,RYAN,DDS Legacy Dental Group PC 3601 S Clarkson St Ste 200 Englewood, CO 80113 (303)762-8046 REED, THOMAS, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 RODGERS, CHARLES, DDS River Point Dent Group and Ortho LLP 3960 River Point Pkwy Unit A Englewood, CO 80110 (303) 781-2340 SCHNEIDER, WALTER, DDS Avalon Dental 5039 S Federal Blvd Ste 8 Englewood, CO 80110 (303)798-4377 SIEVERS, JOHN, DDS PC 7901 E Belleview Ave Ste 260 Englewood, CO 80111 (303)771-7907 SPENCE,PETER,DDS 3601 S Clarkson St Ste 315 Englewood, CO 80113 (303)762-8046 TILLISS, LARRY, DDS 125 Inverness Dr E Ste 350 Englewood, CO 80112 (303)723-0446 WEST, WALTER, DDS 3597 S Pearl St Ste 101 Englewood, CO 80113 (303) 781-6722 WEYMAN, PAUL, DDS 3601 S Clarkson St Ste 310 Englewood, CO 80113 (303)762-8048 WILLIS, LAWRENCE 3012 S Broadway Englewood, CO 80113 (303)789-1655 ZENON,JOSHUA,DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 ZIMMER, DONALD, DDS 601 E Hampden Ave Ste 300 Englewood, CO 80113 (303)788-6462 Erie Colorado ORAL SURGEON ARAGON, STEVEN, DDS DMD 125 Inverness Dr E Ste 100 Englewood, CO 80112 (303)773-8228 SEXTON, JAMES, DDS MS Sexton and Aragon PC 125 Inverness Dr E Ste 100 Englewood, CO 80112 (303)773-8228 STONE, THOMAS, DDS MD Colorado Surgical Arts PC 3701 S Clarkson St Ste 300 Englewood, CO 80113 (303)806-8600 ORTHODONTIST DURAN, JACK, DDS MS Orthodontics Exclusively LLC 3601 S Clarkson St Ste 430 Englewood, CO 80113 (303)789-9257 MCMANAMAN, RICHARD, DDS City Center Dental Group Englewood 800 Englewood Pkwy Unit A201 Englewood, CO 80110 (303)744-5000 PEDODONTIST DONALDSON, TANDI, DDS Kemie D Houston DDS MS PC 125 Inverness Dr E Ste 300 Englewood, CO 80112 (303)779-5306 HOUSTON, KEMIE, DDS 125 Inverness Dr E Ste 300 Englewood, CO 80112 (303)779-5306 PERIODONTIST JANKOWSKI, MARK, DDS 3601 S Clarkson St Ste 330 Englewood, CO 80113 (303)762-0621 ERNE GENERAL DENTIST COPE, THOMAS, DDS Cope Family Dental at Erie Commo 71 Leon Wurl Pkwy Ste 101 Erie, CO 80516 (303)828-0883 JUSTUS, JOHN, DDS Vista Ridge Dental Care 3140 Village Vista Dr Unit 108 Erie, CO 80516 (303)604-0034 LARSON, CRAIG, DDS Vista Ridge Dental Care 3140 Village Vista Dr Unit 108 Erie, CO 80516 (303)604-0034 STEVENS, STERLING, DDS 77 Erie Village Sq Unit 200 Erie, CO 80516 (303)828-5430 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 33 Erie Delta Dental Premier Fort Collins Colorado Colorado COLORADO (CONT-D) ORTHODONTIST CARAWAY, DAMEN Caraway Orthodontics PC 71 Leon A Wurl Pkwy Ste 103 Erie, CO 80516 (303) 665-7333 ESTES PARK GENERAL DENTIST ALEXANDER,ROBERT,Dos 131 Stanley Ave Ste 201 Estes Park, CO 80517 (970)586-5657 CHC PLAN DE SALUD Plan De Salud Del Valle 1950 Redtail Hawk Dr Estes Park, CO 80517 (970)586-3850 OJA,EUGENE 1861 Marys Lake Rd Estes Park, CO 80517 (970)586-8180 PIKE, WILLIAM, DDS Aspen Dental Center 600 S Saint Vrain Ave Unit 3A Estes Park, CO 80517 (970)586-9434 RALIK, DANIEL, DDS Estes Park Dental 600 S Saint Vrain Ave Unit 6 Estes Park, CO 80517 (970) 586-9330 ORALSURGEON PETERSON, GREGG, MD Facial Dimensions PC 1271 Range View Rd Estes Park, CO 80517 (308)384-1172 EVERGREEN GENERAL DENTIST BUNCHMAN, MATTHEW, DDS DMD Premier Dental of Evergreen 32156 Castle Ct Ste 108 Evergreen, CO 80439 (303)567-2597 DEAL, THOMAS, DDS 1202 Bergen Pkwy Ste 207 Evergreen, CO 80439 (303)674-6152 FOX, TROY, DDS Evergreen Family Dentistry PC 3720 Evergreen Pkwy Evergreen, CO 80439 (303)674-3591 KEELER,BEVERLY,DDS Evergreen Dental Group 31226 Lewis Ridge Rd Evergreen, CO 80439 (303)674-5566 LARSON, MICHAEL, DDS 30940 Stagecoach Blvd Ste E250 Evergreen, CO 80439 (303) 674-6777 LEVOS,KENNETH,DDS 28000 Meadow Dr Unit 107 Evergreen, CO 80439 (303) 674-5725 POND, THOMAS, DDS 29723 Troutdale Scenic Dr Evergreen, CO 80439 (303) 670-1539 POWELL, CHARLES, DDS 28577 Buffalo Park Rd Evergreen, CO 80439 (303) 674-7741 SHARP,DONALD,DDS Evergreen Dental Group 31226 Lewis Ridge Rd Evergreen, CO 80439 (303)674-5566 SPROUT, JEFFREY, DDS Evergreen Dental Group 31226 Lewis Ridge Rd Evergreen, CO 80439 (303) 674-5566 WHEELER, RICHARD, DDS 3092 Evergreen Pkwy Ste 100 Evergreen, CO 80439 (303)674-6264 ORAL SURGEON JENSEN, OLE, DDS MS 28000 Meadow Dr Unit 150 Evergreen, CO 80439 (303)674-3452 ORTHODONTIST PAPIR, DORI, DDS DMD Evergreen Orthodontics LLC 30752 Southview Dr Ste 200 Evergreen, CO 80439 (303) 679-6111 REGAN, PAUL, DMD D Malcolm Strange DDS 30960 Stagecoach Blvd Ste W100 Evergreen, CO 80439 (303) 674-1122 SHELLHART, W D Malcolm Strange DDS 30960 Stagecoach Blvd Ste W100 Evergreen, CO 80439 (303) 670-7070 WILLIAMS, BRYAN, DDS MD Williams Orthodontics PLLC 32156 Castle Ct Ste 207 Evergreen, CO 80439 (303) 670-5878 PEDODONTIST COLLEGE, COURTNEY, DDS D Malcolm Strange DDS 30960 Stagecoach Blvd Ste W100 Evergreen, CO 80439 (303)670-7070 STRANGE, DAVID D Malcolm Strange DDS 30960 Stagecoach Blvd Ste W100 Evergreen, CO 80439 (303)670-7070 STRANGE, MALCOLM, DDS 30960 Stagecoach Blvd Ste W100 Evergreen, CO 80439 (303)670-7070 FAIRPLAY GENERAL DENTIST GORDON, CHARLES, DDS Blue Sky Fairplay Dental PC 500 Front St Fairplay, CO 80440 (719)836-2664 LANGEREIS, ARTHUR, DDS Blue Sky Fairplay Dental PC 500 Front St Fairplay, CO 80440 (719)836-2664 LITTMAN, EDWARD, DDS DMD 500 Front St Fairplay, CO 80440 (719)836-2664 FIRESTONE GENERAL DENTIST HOWELL, BRUCE, DDS DMD Firestone Dental Care and Orthodon 6160 Firestone Blvd Unit 105 Firestone, CO 80504 (303)532-3371 SHEPHERD,RENEE,DDS Firestone Dental Care and Orthodon 6160 Firestone Blvd Unit 105 Firestone, CO 80504 (303)532-3371 WILSON, PAIGE, DDS Aesthetic Dental Center of Fires 11078 Cimmarron St Unit H Firestone, CO 80504 (303) 485-6595 ORTHODONTIST LANG,BRENT 704 1st St FEDERAL HEIGHTS Firestone, CO 80520 (303)833-0310 GENERAL DENTIST KELLOW, RIBA, DDS Westminster Comfort Dental 9462 Federal Blvd Federal Heights, CO 80260 (303)427-2722 KESSLER, MARK, DDS Advanced Dental Center 1557 W 84th Ave Federal Heights, CO 80260 (303) 426-0330 MCKINLEY, BROCK, DDS Westminster Comfort Dental 9462 Federal Blvd Federal Heights, CO 80260 (303) 427-2722 STELLA, HELEN, DDS DMD Westminster Comfort Dental 9462 Federal Blvd Federal Heights, CO 80260 (303) 427-2722 WINNICKI, JEFFREY, DDS Alan Wong DDS PC 1851 W 84th Ave Federal Heights, CO 80260 (303) 429-6411 WONG, ALAN, DDS 1851 W 84th Ave Federal Heights, CO 80260 (303) 429-6411 YEATS, DAVID, DDS DMD Westminster Comfort Dental 9462 Federal Blvd Federal Heights, CO 80260 (303) 427-2722 ORAL SURGEON TRAMMELL, GERALD, DDS 9462 Federal Blvd Federal Heights, CO 80260 (303)865-7550 FLORENCE GENERAL DENTIST MITCHELL, WILLIAM, DDS David L Smith DMD PC 100 S Pikes Peak Ave Florence, CO 81226 (719)784-3935 SMITH, DAVID, DDS 100 S Pikes Peak Ave Florence, CO 81226 (719)784-3935 FORT COLLINS ENDODONTIST AMELANG SEVERIN, AMBER Endodontic Specialists of The Ro 1331 E Prospect Rd Unit B1 Fort Collins, CO 80525 (970)482-4916 BERGO, SHANE, DDS Northern Colorado Endodontics PC 3744 S Timberline Rd Ste 101 Fort Collins, CO 80525 (970)229-1404 GIRARDI, ANTHONY, DDS AN Endodontic Specialists of The Ro 1331 E Prospect Rd Unit B1 Fort Collins, CO 80525 (970)482-4916 JONES, DAVID, DDS Endodontic Specialists of The Ro 1331 E Prospect Rd Unit 131 Fort Collins, CO 80525 (970) 482-4916 JONES, KELLY, DDS MS Endodontic Specialists of The Ro 1331 E Prospect Rd Unit B1 Fort Collins, CO 80525 (970) 482-4916 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ana ramcipacmg Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. • July 2009 34 U • • Fort Collins Colorado COLORADO (CONT-D) KOCHEVAR, MARK, DDS DMD 1513 Riverside Ave Fort Collins, CO 80524 (970)221-5090 LEVALLEY, BRADLEY, DDS MS Northern Colorado Endodontics PC 3744 S Timberline Rd Ste 101 Fort Collins, CO 80525 (970)229-1404 MAINES, JASON, DDS Endodontic Specialists of The Ro 1331 E Prospect Rd Unit B1 Fort Collins, CO 80525 (970) 482-4916 GENERAL DENTIST ABRAMES, ARICA, DDS Gordon W Wells DDS 702 W Drake Rd Bldg G Fort Collins, CO 80526 (970) 493-9299 ALLEN, KENNETH, DDS PC 1337 Riverside Ave Ste 1 Fort Collins, CO 80524 (970)221-1658 ALLEN, THOMAS, DDS All Family Dentistry 373 W Drake Rd Ste 10 Fort Collins, CO 80526 (970)223-0424 ANDERSON,JONATHAN John D Siegmund DDS PC 730 Whalers Way Bldg 3 Fort Collins, CO 80525 (970)226-2920 ANDERSON, TIMOTHY, DDS 523 Remington St Fort Collins, CO 80524 (970)482-6841 BAKER, RONALD, DDS PC Andrew R Mortensen DMD PC 1040 E Elizabeth St Ste 201 Fort Collins, CO 80524 (970)484-7310 BARES, SCOTT, DDS Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 BASNAR, CARY, DDS PC 702 W Drake Rd Bldg F Fort Collins, CO 80526 (970) 419-4711 BREWER, THOMAS, DDS 1023 Robertson St Fort Collins, CO 80524 (970)484-6880 BROWNING, SARAH, DDS Kidz Place 383 W Drake Rd Ste 103 Fort Collins, CO 80526 (970)377-2500 Delta Dental Premier BURNHAM, ARLIE, DDS Peak Family Dental 2021 Battlecreek Dr Unit C Fort Collins, CO 80528 (970) 229-0099 CAMERON, STEPHEN, DDS 310 E Prospect Rd Fort Collins, CO 80525 (970)482-5141 CARLESIMO, PETER, DDS Perfect Teeth S Ft Collins PC 1355 Riverside Ave Ste D Fort Collins, CO 80524 (970) 493-0999 CHC PLAN DE SALUD Plan De Salud Del Valle 1635 Blue Spruce Dr Fort Collins, CO 80524 (970)494-4040 CLARK, BRUCE, DDS 2550 Stover St Unit E Fort Collins, CO 80525 (970)498-8607 CLARK, WARREN, DDS 1302 S Shields St Ste Al Fort Collins, CO 80521 (970) 221-3933 COX, BRIAN, DDS 1343 E Prospect Rd Unit D2 Fort Collins, CO 80525 (970) 484-3959 CREAL, STEPHEN, DDS 2001 S Shields St Bldg C Fort Collins, CO 80526 (303)482-2442 DILLEY, STEVEN, DDS 730 Whalers Way Ste 300 Fort Collins, CO 80525 (970) 226-2920 EVANS, GARY, DDS 760 Whalers Way Bldg A Fort Collins, CO 80525 (970)221-1926 FEINBERG, JOEL, DDS Perfect Teeth S Ft Collins PC 1355 Riverside Ave Ste D Fort Collins, CO 80524 (970)493-0999 FISCHER, JAMES, DDS 1331 E Prospect Rd Unit 132E Fort Collins, CO 80525 (970) 482-6333 FOSTER, CORY, DDS 373 W Drake Rd Ste 6 Fort Collins, CO 80526 (970) 223-5258 GALYARDT, WESLEY, DDS Bighorn Family Dental LLC 2105 Bighorn Rd Ste 200 Fort Collins, CO 80525 (970) 226-5400 GERAETS,GALEN,DDS 1001 Centre Ave Fort Collins, CO 80526 (970)407-1001 GREEN, LEON, DDS Boardwalk Dental Care LLC 140 Boardwalk Dr Unit G Fort Collins, CO 80525 (970)407-8080 GREEN,ZACHERY,DDS Boardwalk Dental Care LLC 140 Boardwalk Dr Unit G Fort Collins, CO 80525 (970)407-8080 GUIDO, JOSEPH Kidz Place 383 W Drake Rd Ste 103 Fort Collins, CO 80526 (970) 377-2500 HARRISON, PATRICK, DDS Bighorn Family Dental 2105 Bighorn Rd Ste 200 Fort Collins, CO 80525 (970)226-5400 HARRISON, ROBERT, DDS 383 W Drake Rd Ste 101 Fort Collins, CO 80526 (970)223-5393 HARVEY, THOMAS, DDS 1040 E Elizabeth St Ste 202 Fort Collins, CO 80524 (970) 224-4093 HASCHKE, DOUGLAS, DDS Comfort Dental Fort Collins 934 S Lemay Ave Fort Collins, CO 80524 (970) 498-8300 HEALTH DISTRICT OF NORTH CHC Health District Northern Larimer 120 Bristlecone Dr Fort Collins, CO 80524 (970)416-5331 HOLMES, DANIEL, DDS Holmes Family Dental PC 1136 E Stuart St Ste 4105 Fort Collins, CO 80525 (970) 221-2499 JACOBS, NAOMI, DDS 1927 Wilmington Dr Unit 202 Fort Collins, CO 80528 (970)484-4850 JOHNSON, LESLIE, DDS 1027 Robertson St Fort Collins, CO 80524 (970)493-4313 JOHNSTON,RONALD,DDS Johnston and Johnston Family Denti 2001 S Shields St Bldg E Fort Collins, CO 80526 (970)493-5120 JOHNSTON, SAMANTHA Hartshorn Health Service 600 South Dr Fort Collins, CO 80523 (970)491-1748 JOHNSTON, SAMANTHA, DDS Johnston and Johnston Family Denti 2001 S Shields St Bldg E Fort Collins, CO 80526 (970)493-5120 Fort Collins Colorado KAINES, JOEL, DDS Schaefer and Kaines Family Dent LLC 2001 S Shields St Bldg C Fort Collins, CO 80526 (970)482-8883 KNECHT, ALEXANDER, DDS Nathan Knecht DDS 373 W Drake Rd Ste 2 Fort Collins, CO 80526 (970)223-1166 KNECHT, NATHANIEL, DDS 373 W Drake Rd Ste 2 Fort Collins, CO 80526 (970)223-1166 KOEHLER,STEVEN 4745 Boardwalk Dr D 102 Fort Collins, CO 80525 (970) 223-6101 KOLLAR, MARK, DDS Mark Kollar DDS 1000 Centre Ave Fort Collins, CO 80526 (970)282-0156 KRAMER, JEFFREY, DDS 1424 E Horsetooth Rd Ste 4 Fort Collins, CO 80525 (970)223-2886 KRAMER, STEVEN, DDS 1424 E Horsetooth Rd Ste 4 Fort Collins, CO 80525 (970)223-2886 LINDMAN, MIKAL, DDS Comfort Dental Fort Collins 934 S Lemay Ave Fort Collins, CO 80524 (970)498-8300 MANGLE, JAMES, DDS 1033 Robertson St Fort Collins, CO 80524 (970)482-4242 MCDILL, MICHAEL, DDS Alpine Dental Health 718 S College Ave Fort Collins, CO 80524 (970)484-5297 MILNOR, LAURA, DDS Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 MISSIRLIAN, HARUTUN, DDS MD Del Mar Dental Care PC 3950 John F Kennedy Pkwy Ste 8 Fort Collins, CO 80525 (970)267-0993 MODROWSKI, BRIAN, DDS Peak Family Dental 2021 Battlecreek Dr Unit C Fort Collins, CO 80528 (970)229-0099 MORTENSEN,ANDEW 1040 E Elizabeth St Ste 201 Fort Collins, CO 80524 (970)484-7310 uena uentai memoer companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 35 Fort Collins Delta Dental Premier Fort Collins Colorado Colorado COLORADO (CONT-D) MUCCI, MICHAEL, DDS Associates In Family Dentistry LLC 333 W Drake Rd Ste 120 Fort Collins, CO 80526 (970) 223-6100 MULHERAN, THOMAS, DDS Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 MURPHY, CIARAN, DDS Harbor Dental 2608 S Timberline Rd Unit 110 Fort Collins, CO 80525 (970)377-2456 MURPHY, MICHAEL, DDS Murphy Dental 608 E Harmony Rd Ste 301 Fort Collins, CO 80525 (970)225-8081 NORTHEN, ROGER, DDS Galen P Geraets DDS PC 1001 Centre Ave Fort Collins, CO 80526 (970) 407-1001 OWENS, TIMOTHY, DDS Harmony Dental Care 1514 E Harmony Rd Unit 4 Fort Collins, CO 80525 (970)377-2557 PETTINE, ERIC, DDS Associates In Family Dentistry LLC 333 W Drake Rd Ste 120 Fort Collins, CO 80526 (970) 223-6100 PIXLEY, THOMAS, DDS Drake Crossing Family Dentist 2170 W Drake Rd Unit B1 Fort Collins, CO 80526 (970) 221-5115 POSEY, RUSSELL, DDS 1001 Centre Ave Ste B Fort Collins, CO 80526 (970)224-5599 RAAB, RICHARD, DDS 1136 E Stuart St Ste 3140 Fort Collins, CO 80525 (970)482-1520 RAY, VERONICA, DDS 1136 E Stuart St Bldg 3 Fort Collins, CO 80525 (970)206-0045 ROBISON, EDMUND, DDS 1008 Driftwood Dr Ste A Fort Collins, CO 80525 (970)226-5433 SANDERS, CARY, DDS PC C W Sanders DDS PC 2000 Vermont Dr Fort Collins, CO 80525 (970) 482-1477 SCHAEFER, STEPHEN, DDS Schaefer and Kaines Family Dent LLC 2001 S Shields St Bldg C Fort Collins, CO 80526 (970)482-8883 SCHOLZ, COLLEEN 222 Pine St Fort Collins, CO 80524 (970) 221-4549 SIEGMUND, JOHN, DDS PC 730 Whalers Way Bldg 3 Fort Collins, CO 80525 (970)226-2920 SORENSEN, KATERINA, DDS Comfort Dental Fort Collins 934 S Lemay Ave Fort Collins, CO 80524 (970) 498-8300 STRATTON, AMY, DDS Russ Posey DDS MPH PC 1001 Centre Ave Ste B Fort Collins, CO 80526 (970)224-5599 SULLIVAN, RAYMOND, DDS 2601 S Lemay Ave Unit 32 Fort Collins, CO 80525 (970) 223-8555 SWANBOM, JON, DDS 1103 S Shields St Fort Collins, CO 80521 (970) 484-3280 TABOR, CARL, DDS DMD Perfect Teeth S Ft Collins PC 1355 Riverside Ave Ste D Fort Collins, CO 80524 (970)493-0999 TRIPAM, ALOIS, DDS Comfort Dental Fort Collins 934 S Lemay Ave Fort Collins, CO 80524 (970)498-8300 TUCKER, STEVEN, DDS 1103 Oak Park Dr Ste 105 Fort Collins, CO 80525 (970) 223-2882 WELLS, GORDON, DDS 702 W Drake Rd Bldg G Fort Collins, CO 80526 (970)493-9299 WUERKER, RICHARD, DDS Boardwalk Dental Care LLC 140 Boardwalk Dr Unit G Fort Collins, CO 80525 (970)407-8080 YOUNGQUIST, ADAM, DDS 1103 S Shields St Fort Collins, CO 80521 (970) 484-3213 ZANDER-HOLMES, NICOLE Holmes Family Dental PC 1136 E Stuart St Ste 4105 Fort Collins, CO 80525 (970) 221-2499 ZIMMER, COLLEEN, DDS Zimmer Family Dentistry 1343 E Prospect Rd Ste 1 Fort Collins, CO 80525 (970) 221-4500 ZIMMER, RICHARD, DDS Zimmer Family Dentistry 1343 E Prospect Rd Ste 1 Fort Collins, CO 80525 (970) 221-4500 ORAL SURGEON COLM, STEPHEN, DDS DMD Perfect Teeth S Ft Collins PC 1355 Riverside Ave Ste D Fort Collins, CO 80524 (970) 493-0999 COLM, STEPHEN, DMD Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970) 498-8706 HANAWALT, RONALD, DDS PC 1029 Robertson St Fort Collins, CO 80524 (970) 493-4434 JENSEN, OLE, DDS DID DP 2001 S Shields St Bldg J Fort Collins, CO 80526 (970)498-0196 MADLOCK, PAUL, DDS MD Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 ORR, MARK, DDS MD Fort Collins Oral and Max Surgery 2014 Caribou Dr Ste 100 Fort Collins, CO 80525 (970)225-9555 PETERSON, GREGG, DDS MD Facial Dimensions PC 4014 S Lemay Ave Unit 32 Fort Collins, CO 80525 (970) 225-8152 THURGOOD, DAVID, DDS Spring Creek Oral and Maxillofacia 2001 S Shields St Ste J3 Fort Collins, CO 80526 (970)498-0196 ORTHODONTIST BRENKERT, DENNIS, DDS Brenkert Craniofacial Profession 2001 S Shields St Bldg A Fort Collins, CO 80526 (970)484-4102 CRANE,MARK,DDS 4144 S Timberline Rd Fort Collins, CO 80525 (970)226-6443 EBERT, DONNA, DDS 1028 Centre Ave Ste D Fort Collins, CO 80526 (970)490-6065 GOINGS, BRADLEY, DDS Goings Orthodontics 4733 S Timberline Rd Ste 101 Fort Collins, CO 80528 (970)377-1888 IDICULLA, ANIL, DDS DMD Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 IVERSEN, WILLIAM, DDS MS 1103 S Shields St Fort Collins, CO 80521 (970)484-3214 LAMB, ROBERT, DDS Big Easy Orthodontics LLC 730 Whalers Way Ste 200 Fort Collins, CO 80525 (970)226-5505 MILNOR, LAURA, DDS MS Milnor Orthodontics 1103 S Shields St Fort Collins, CO 80521 (970)484-3214 OWEN, BRANDON, DDS MS Owen Orthodontics LLC 2001 S Shields St Bldg A Fort Collins, CO 80526 (970)484-4102 PEDODONTIST BROWNING, MICHAEL, DDS Kidz Place 383 W Drake Rd Ste 103 Fort Collins, CO 80526 (970)377-2500 EVANS, GREGORY, DDS 3221 Eastbrook Dr Ste A Fort Collins, CO 80525 (970)407-1020 HARGLEROAD, JENNIFER, DDS 2105 Bighorn Rd Ste 202 Fort Collins, CO 80525 (970)493-2254 KRAMER, MARK, DDS 1424 E Horsetooth Rd Ste 4 Fort Collins, CO 80525 (970)223-2868 OBERMANN, WILLIAM, DDS Tooth Zone LLC 1220 Oak Park Dr Fort Collins, CO 80525 (970)223-8687 PAULY,ALBERT,DDS 1513 Riverside Ave Fort Collins, CO 80524 (970) 484-4255 RUSNAK,MARYKATE Tooth Zone LLC 1220 Oak Park Or Fort Collins, CO 80525 (970)223-8687 PERIODONTIST BRAUN, JAMES, DDS Lloyd G Thomas Jr DDS MS 1136 E Stuart St Bldg 4 Fort Collins, CO 80525 (970) 221-2444 GURINSKY, BRIAN, DDS Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 JOHNSON, DAVID, DDS MS Periodontal Associates 112o E Elizabeth St Ste G4 Fort Collins, CO 80524 (970) 221-5050 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. ueita uentai memuei cumpaivaa a U Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 is 36 • Fort Collins Colorado COLORADO (CONT-D) LINDEBERG, RICHARD, DDS Periodontal Associates 1120 E Elizabeth St Ste G4 Fort Collins, CO 80524 (970)221-5050 LUBOW, RICHARD, DDS DMD Bright Now Dental 1217 E Elizabeth St Ste 5 Fort Collins, CO 80524 (970)498-8706 MERRITT, JENNIFER, DDS Periodontal Associates 1120 E Elizabeth St Ste G4 Fort Collins, CO 80524 (970)221-5050 ROSENZWEIG, TODD, DDS Alpine Dental Health 718 S College Ave Fort Collins, CO 80524 (970)484-5297 THOMAS, LLOYD, DDS 1136 E Stuart St Bldg 4 Fort Collins, CO 80525 (970)221-2444 FORTLUPTON GENERAL DENTIST BERNDT, SHAWNA, DDS Fort Lupton Dental Group 229 Denver Ave Fort Lupton, CO 80621 (303) 857-4377 CHC PLAN DE SALUD 1115 2nd St Fort Lupton, CO 80621 (303)892-6401 Plan De Salud Del Valle 203 S Rollie Ave Fort Lupton, CO 80621 (303)286-4560 HOLLOMAN, IRENE, DDS Fort Lupton Dental Group 229 Denver Ave Fort Lupton, CO 80621 (303) 857-4377 MOORE,STEVEN 230 N Park Ave Fort Lupton, CO 80621 (303)857-2258 SINKULE, STEVEN, DDS Sinkule Family Dentistry 303 Park Ave Fort Lupton, CO 80621 (303) 857-2718 FORTMORGAN GENERAL DENTIST CHC PLAN DE SALUD Plan De Salud Del Valle 909 E Railroad Ave Fort Morgan, CO 80701 (970)867-0300 Delta Dental Premier LEHRER, LAWRENCE, DDS 107 W 9th Ave Fort Morgan, CO 80701 (970) 867-2502 MARRON, BRUCE, DDS 321 E Platte Ave Fort Morgan, CO 80701 (970) 867-9700 RINALDI, TODD 231 Prospect St Ste C Fort Morgan, CO 80701 (970)867-1055 SCHOEMAKER, JEANE, Dos 105 W 9th Ave Fort Morgan, CO 80701 (970)867-7245 SCHOEMAKER, NEIL, DDS 105 W 9th Ave Fort Morgan, CO 80701 (970)867-7245 THEISEN, JOHN, DDS 521 E Railroad Ave Fort Morgan, CO 80701 (970)867-2256 TIBBETTS, RICHARD, DDS 931 Lincoln St Fort Morgan, CO 80701 (970)867-7224 WEBSTER, KELVIN, DDS 314 W Bijou Ave Fort Morgan, CO 80701 (970) 867-2288 ORTHODONTIST WILHELM, ROBERT, DDS 109 W 9th Ave Fort Morgan, CO 80701 (970)867-9464 FOUNTAIN ENDODONTIST CORR,ROBERT Just For Grins 6436 S US Highway 85-87 Ste C Fountain, CO 80817 (719) 392-5111 GENERAL DENTIST ELMORE, SPENCER, DDS Johnson and Associates DDS PC 200 Plaza Blvd Fountain, CO 80817 (719) 392-4201 HAMIDI, MARIAM, DDS DMD 6908 Mesa Ridge Pkwy Fountain, CO 80817 (719) 392-1506 HILL, DOXIADES, DDS New Beginnings Dental Center 320 S Santa Fe Ave Fountain, CO 80817 (719) 392-1506 HILL, JONATHAN, DDS 6908 Mesa Ridge Pkwy Fountain, CO 80817 (719)392-1506 JOHNSON, JEFF, DDS Johnson and Associates DDS PC 200 Plaza Blvd Fountain, CO 80817 (719) 392-4201 MEDIAVILLA, ERIC, DDS Just For Grins 6436 S US Highway 85-87 Ste C Fountain, CO 80817 (719)392-5111 NEEL, JANET, Dos Just For Grins 6436 S US Highway 85-87 Ste C Fountain, CO 80817 (719)392-5111 NOBLE, GLENN, DDS Fountain Dental Center PC 8085 Fountain Mesa Rd Ste A Fountain, CO 80817 (719)382-5500 PFISTER, CANDACE, DDS DMD Widefield Dental Group PC 6980 Mesa Ridge Pkwy Fountain, CO 80817 (719)392-4231 RANTA, GEORGE, DDS PC Widefield Dental Group PC 6980 Mesa Ridge Pkwy Fountain, CO 80817 (719) 392-4231 RANTA, JEFFREY, DDS DMD Widefield Dental Group PC 6980 Mesa Ridge Pkwy Fountain, CO 80817 (719)392-4231 REPOSA, RYAN, DDS DMD Widefield Dental Group PC 6980 Mesa Ridge Pkwy Fountain, CO 80817 (719) 392-4231 FRANKTOWN GENERAL DENTIST LACOUTURE,CARY Burning Tree Family Dentistry 7601 Burning Tree Dr Franktown, CO 80116 (303) 688-2515 WILLIAMS, MITCHELL Burning Tree Family Dentistry 7601 Burning Tree Dr Franktown, CO 80116 (303) 688-2515 FREDERICK GENERAL DENTIST CHC PLAN DE SALUD 5995 Iris Pkwy PO Box 189 Frederick, CO 80530 (303)833-2050 RINGDAHL, MARK, DDS 320 5th St Frederick, CO 80530 (303) 833-3230 Fruita Colorado SHULZE, RICHARD, DDS DMD Carbon Valley Dental Care 630 Main St Unit B Frederick, CO 80530 (303)833-5500 FRISCO GENERAL DENTIST GOURLEY, JEFFERSON, DDS Ten Mile Dental 965 Ten Mile Dr Ste A5 Frisco, CO 80443 (970) 668-1010 ORTHODONTIST SHELLHART, W D Malcolm Strange DDS 360 Peak One Dr Ste 380 PO Box 4623 Frisco, CO 80443 (970)668-8668 PEDODONTIST COLLEGE,COURTNEY D Malcolm Strange DDS 360 Peak One Dr Ste 380 PO Box 4623 Frisco, CO 80443 (970)668-8668 STRANGE, DAVID D Malcolm Strange DDS 360 Peak One Dr Ste 380 PO Box 4623 Frisco, CO 80443 (970)668-8668 STRANGE,MALCOLM 360 Peak One Dr Ste 380 PO Box 4623 Frisco, CO 80443 (970)668-8668 FRUITA GENERAL DENTIST ANDREOLETTI, GARY 576 Kokopelli Blvd Unit B Fruita, CO 81521 (970) 245-9570 LYBROOK, CAROL, DDS Lybrook Dental Center 551 Kokopelli Blvd UnitA Fruita, CO 81521 (970)858-9511 LYBROOK, SCOTT, DMD Lybrook Dental Center 551 Kokopelli Blvd Unit A Fruita, CO 81521 (970)858-9511 STEGELMEIER, KREHL, DDS Fruita Canyon Dental 140 N Mesa St Unit A Fruita, CO 81521 (970)858-8484 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 37 Georgetown Delta Dental Premier Grand Junction Colorado Colorado COLORADO (CONT-D) GEORGETOWN GENERAL DENTIST LOSACCO, THOMAS, DDS 801 6th St Georgetown, CO 80444 (303)569-3141 GLENDALE GENERAL DENTIST TOPELSON, IAN, DDS Topelson Dentistry 400 S Colorado Blvd Ste 720 Glendale, CO 80246 (303)296-8525 GLENWOOD SPRINGS GENERAL DENTIST BEAL, CHRISTOPHER, DDS James C Sefterberg DDS PC 401 23rd St Ste 202 Glenwood Springs, CO 81601 (970)945-8753 HEIM, JAY, DDS Heim and Johnson DDS PC 2425 Grand Ave Ste 109 Glenwood Springs, CO 81601 (970) 945-9119 JOHNSON, COREY, DDS Heim and Johnson DDS PC 2425 Grand Ave Ste 109 Glenwood Springs, CO 81601 (970)945-9119 MURRAY, JOHN, DDS 1512 Grand Ave Ste 202 Glenwood Springs, CO 81601 (970)945-5112 MURRAY, ROBERT, DDS 1512 Grand Ave Ste 202 Glenwood Springs, CO 81601 (970)945-5112 PANTLEO,PAUL,DDS Glenwood Meadows Dental 40 Market St Unit A Glenwood Springs, CO 81601 (970)947-1717 SETTERBERG, JAMES, DDS PC 401 23rd St Ste 202 Glenwood Springs, CO 81601 (970)945-8753 SHEA, MICHAEL, DDS DMD Comfort Dental Glenwood Springs 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970)947-1273 SORENSEN, THOMAS, DDS Comfort Dental Glenwood Springs 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970)947-1273 TALLEY, BRIAN, DMD Comfort Dental Glenwood Springs 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970) 947-1273 THORNAL, BENJAMIN, DDS Comfort Dental Glenwood Springs 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970) 947-1273 ORALSURGEON HALTOM, GEORGE, DDS Glen Wood Oral Surgery PC 406 Hyland Park Dr Ste B Glenwood Springs, CO 81601 (970)945-9644 JOHNSON, MICHAEL Comfort Dental Glenwood Springs 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970)947-1273 ORTHODONTIST BAHR, CARL, DDS Embraceable LLC 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970) 947-1273 BAHR, CRAIG, DDS Embraceable LLC 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970)947-1273 JOHNSON, CASEY, DDS All Kids Dental Pediatrics and O 2624 Grand Ave Ste 200 Glenwood Springs, CO 81601 (970)928-9500 SAYDYK,THEODORE Embraceable LLC 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970)947-1273 STASI, MARK, DDS Embraceable LLC 1512 Grand Ave Ste 102 Glenwood Springs, CO 81601 (970)947-1273 PEDODONTIST BURT, MATTHEW, DDS All Kids Dental Pediatrics and O 2624 Grand Ave Ste 200 Glenwood Springs, CO 81601 (970) 928-9500 HENRY, ROBERT, DDS MS All Kids Dental Pediatrics and O 2624 Grand Ave Ste 200 Glenwood Springs, CO 81601 (970) 928-9500 GOLDEN GENERAL DENTIST BEACOM, DAVID, DDS 1218 Arapahoe St Golden, CO 80401 (303) 277-9600 BURCHFIELD, JOHN, DDS PC J R Burchfield DDS PC 2007 Jackson St Golden, CO 80401 (303)279-3992 CHERNOFF, KENNETH, DDS Timothy J Wachuta 2305 Jackson St Golden, CO 80401 (303) 278-2800 COLLEDGE,HEATH,DDS Comfort Dental Golden 17531 S Golden Rd Golden, CO 80401 (303) 278-6953 GILL, NANCY, DDS 1218 Arapahoe St Golden, CO 80401 (303)279-5420 GOAD, RICHARD, DDS DMD 1317 Washington Ave Golden, CO 80401 (303) 279-4224 LONG, HOWARD 11127 Circle Dr Golden, CO 80403 (303)642-3650 MILLER, CHARLES, MD 2801 Youngfield St Ste 211 Golden, CO 80401 (303)233-1354 MILLER, MICHAEL, DDS Golden View Dental PC 727 Simms St Ste E Golden, CO 80401 (303)232-3636 MORRISON, ERIC, DDS DMD Comfort Dental Golden 17531 S Golden Rd Golden, CO 80401 (303) 278-6953 NOAH, JASON, DMD Comfort Dental Golden 17531 S Golden Rd Golden, CO 80401 (303) 278-6953 PORZIO-DILIZIA, PAULETTE, DDS DMD Comfort Dental Golden 17531 S Golden Rd Golden, CO 80401 (303) 278-6953 POWELL, DAVID, DDS MD Perfect Teeth Golden PC 17211 S Golden Rd Ste 100 Golden, CO 80401 (303) 279-7444 SPROUT, CHRISTOPHER, DDS Genesee Dental Group 25918 Genesee Trail Rd Ste 210 Golden, CO 80401 (303)526-9155 STRACHAN,BOZENA Contemporary Family Dentistry 24928 Genesee Trail Rd Ste 150 Golden, CO 80401 (303)526-1956 UNGER WATERS, JENNIFER, DDS 1607 Washington Ave Golden, CO 80401 (303) 279-6621 WACHUTA, TIMOTHY, DDS 2305 Jackson St Golden, CO 80401 (303) 278-2800 YOUNG, RICHARD, DDS 2007 Jackson St Golden, CO 80401 (303)279-5741 ORTHODONTIST COURTAD, CHARLES, DDS 623 14th St Golden, CO 80401 (303)279-3355 LOVELL, CHRISTOPHER, DDS Golden Kids PC 600 12th St Golden, CO 80401 (303)216-1108 PEDODONTIST LOVELL, ERIN, DDS Golden Kids PC 600 12th St Golden, CO 80401 (303)216-1108 GRAND JUNCTION ENDODONTIST BARNHURST, ERIC, DDS Colorado West Endodontics Prof L 1190 Bookcliff Ave Unit 204 Grand Junction, CO 81501 (970)242-9088 CHAVEZ, ROBERT, DDS Colorado West Endodontics Prof L 1190 Bookcliff Ave Unit 204 Grand Junction, CO 81501 (970)242-9088 FANTE, STEPHEN, DDS 2530 N 8th St Ste 106 Grand Junction, CO 81501 (970)243-7392 NORTHUP, PAUL, DDS Colorado West Endodontics Prof L 1190 Bookcliff Ave Unit 204 Grand Junction, CO 81501 (970)242-9088 GENERAL DENTIST ANDREOLETTI, GARY, DDS Laurie A Stein DDS 790 Wellington Ave Ste 101 Grand Junction, CO 81501 (970)241-1171 AUST, DONALD, DDS 790 Wellington Ave Ste 206 Grand Junction, CO 81501 (970)243-9292 is Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. ueita uentai member companies anu rni u�iyuu iy Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0 38 Grand Junction Delta Dental Premier Grand Junction • Colorado Colorado • C] COLORADO (CONT-D) BARNEY, JASON, DDS Western Slope Dental Center 514 28 Rd Grand Junction, CO 81501 (970)241-3483 BENAK,SUSAN,DDS 403 Kennedy Ave Ste 3 Grand Junction, CO 81501 (970) 243-3299 BERGUIN, BRANDON, DDS Western Slope Dental Center 514 28 Rd Grand Junction, CO 81501 (970)241-3483 BIRCH, AARON, DDS John P Poovey DMD PC 132 Walnut Ave Ste E Grand Junction, CO 81501 (970)243-2025 BLACK, TYSON, DDS DMD Comfort Dental Grand Junction 2650 North Ave Unit 101 Grand Junction, CO 81501 (970)255-1222 BLEHM, DARREL, DDS 1212 Bookcliff Ave Ste 4 Grand Junction, CO 81501 (970)245-0785 BRADLEY, JAMES, DDS Comfort Dental Grand Junction 2650 North Ave Unit 101 Grand Junction, CO 81501 (970) 255-1222 BRYNER,MATTHEW,DDS Skyline Dental 2795 Skyline Ct Grand Junction, CO 81506 (970)242-3545 CARRUTH, CAROLINE, DMD Smiles 4 Kids II Lllp 459 North Ave Grand Junction, CO 81501 (970)241-1610 CLIFTON, BRETT, DDS Grand Dental PC 1035 Grand Ave Grand Junction, CO 81501 (970)243-8580 CORBETT, BYRON, DDS 132 Walnut Ave Grand Junction, CO 81501 (970)242-0288 CORBETT, JAMES, DDS 1120 Wellington Ave Ste 102 Grand Junction, CO 81501 (970)245-1631 DAVIS, RYAN 700 Belford Ave Ste 101 Grand Junction, CO 81501 (970)241-8200 DROSKIN, CRAIG, DDS 900 North Ave Grand Junction, CO 81501 (970)242-2433 FEGHALI, CARL, DDS 1120 Wellington Ave Ste 203 Grand Junction, CO 81501 (970)245-9546 FLETCHER, BRIAN, DDS 1212 Bookcliff Ave Ste 2 Grand Junction, CO 81501 (970)241-5557 FULLER, GILBERT, DDS 3198 Elm Ave Grand Junction, CO 81504 (970)434-0707 GADEKEN, MICHAEL, DDS 2733 Crossroads Blvd Grand Junction, CO 81506 (970)245-4483 GAGLIONE, LEE, DDS 510 Patterson Rd Grand Junction, CO 81506 (970) 242-6753 GALL, ANDREW, DDS 132 Walnut Ave Grand Junction, CO 81501 (970)245-1758 GILMORE, RICHARD 510 Patterson Rd Grand Junction, CO 81506 (970) 242-6753 GOGGANS, JAMES, DDS DMD 2773 B 1/2 Rd Ste A Grand Junction, CO 81503 (970)257-1103 HADDOW, KIT, DDS 1910 N 12th St Ste C Grand Junction, CO 81501 (970) 245-2990 HARMEN, ROBERT, DDS The Denture Depot and Dental Dep 1119 N 1 st St Ste D Grand Junction, CO 81501 (970)245-5040 HUDSON, MATTHEW Byron C Corbett DDS PC 1306 E Sherwood Dr Grand Junction, CO 81501 (970)243-8230 Byron Corbett -Wilford Moses 132 Walnut Ave Grand Junction, CO 81501 (970) 242-0288 3198 Elm Ave Grand Junction, CO 81504 (970) 434-0707 HUNTER, GREGORY Monument Oral and Facial Surg PC 607 25 Rd Ste 100 Grand Junction, CO 81505 (970)424-5014 HURD, RICHARD, DDS 2352 N 7th St Ste D Grand Junction, CO 81501 (970) 243-5393 HUTCHINS, NADINE, DDS 2352 N 7th St Ste 4 Grand Junction, CO 81501 (970) 242-7373 JACOBSON, DAVID, DDS 2525 N 8th St Ste 107 Grand Junction; CO 81501 (970)257-7474 JOHNSON, GLENN, DDS Appleton Dental LLC 2478 F Rd Ste 24 Grand Junction, CO 81505 (970)242-9207 JOHNSON, STEPHEN, DDS 2249 Broadway Grand Junction, CO 81507 (970)241-0110 JOHNSTON, DOUGLAS, DDS Western Slope Dental Center 514 28 Rd Grand Junction, CO 81501 (970) 241-3483 KUNSTADTER,KARL,DDS Skyline Dental 2795 Skyline Ct Grand Junction, CO 81506 (970)242-3545 LARSEN, DAVID, DDS 102 Lorey Dr Grand Junction, CO 81505 (970)242-2717 LATTEIER, PHILIP, DDS 790 Wellington Ave Ste 206 Grand Junction, CO 81501 (970)243-9292 LOWE, DEREK 2525 N 8th St Ste 102 Grand Junction, CO 81501 (970)242-4812 MADISON, MARK, DDS 2525 N 8th St Ste 109 Grand Junction, CO 81501 (970)256-9500 MARILLAC DENTAL CLINIC CHC 2333 N 6th St Grand Junction, CO 81501 (970) 255-1799 MARTIN, MIKE 744 Horizon Ct Ste 240 Grand Junction, CO 81506 (970) 245-3633 MAURER, AMBER, DDS Appleton Dental LLC 2478 F Rd Ste 24 Grand Junction, CO 81505 (970)242-9207 MAURER, CASPER, DDS Appleton Dental LLC 2478 F Rd Ste 24 Grand Junction, CO 81505 (970)242-9207 MOORE, JAMES, DDS 1301 N 7th St Unit A Grand Junction, CO 81501 (970)242-9404 MORAN, THOMAS, DDS DMD 1306 E Sherwood Dr Grand Junction, CO 81501 (970)243-8230 NARANJA, ANTHONY, DDS Fine and Naranja and Associates 2532 F Rd Ste 1 Grand Junction, CO 81505 (970) 241-4800 NELSON, BRAD, DDS 2525 N 8th St Ste 101 Grand Junction, CO 81501 (970) 255-8024 POOVEY, JOHN, DDS DMD 132 Walnut Ave Ste E Grand Junction, CO 81501 (970) 243-2025 RICKS, BRUCE, DDS 918 N 7th St Ste 1 Grand Junction, CO 81501 (970)245-1988 RYAN, MICHAEL, DDS 1101 Patterson Rd Grand Junction, CO 81506 (970)242-1581 SCHLEICHER, DAVID Smiles 4 Kids II Lllp 459 North Ave Grand Junction, CO 81501 (970)241-1610 SORENSEN, THOMAS, DDS Comfort Dental Grand Junction 2650 North Ave Unit 101 Grand Junction, CO 81501 (970)255-1222 STEIN, LAURIE, DDS 790 Wellington Ave Ste 101 Grand Junction, CO 81501 (970)241-1171 STODDARD, SCOTT, DDS Comfort Dental Grand Junction 2650 North Ave Unit 101 Grand Junction, CO 81501 (970)255-1222 SULLIVAN, DANIEL 1120 Wellington Ave Ste 102 Grand Junction, CO 81501 (970)245-4324 TARR, JAMES, DDS 2531 W Pinyon Ave Grand Junction, CO 81505 (970)242-5367 TAYLOR, RONALD, DDS 132 Walnut Ave Ste 4 Grand Junction, CO 81501 (970)242-6852 TOTH, ERIC, DDS DMD 1120 Wellington Ave Ste 203 Grand Junction, CO 81501 (970)245-9546 VAN DUSEN, SCOTTY, DDS 1301 N 7th St Unit B Grand Junction, CO 81501 (970)255-7070 WESTMORELAND,TANYA Grand Valley Family Dental 132 Walnut Ave Ste 6 Grand Junction, CO 81501 (970)242-5151 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 39 THE DELTA DENTAL DIFFERENCE Illustration of Data Analysis - Based on Claims: City of Fort Collins Twelve Months Claims ending 6/30/2009 PPO Plan Design Gross Submitted Charges Less Ineligible Claims Net Eligible Claims PPO Network Savings Premier Network Savings Total Network Savings Nonparticipating Dentist limit savings Grand Total Savings Patient Payments Claims Paid by Group Delta Dental Difference Plan Savings AETNA Delta Dental Claim $ % of Eligible Claim $ % of Eligible $1,752,955 100.6% $1,752,955 100.6% - 10 250 -0.6% - 10 250 1.3% $1,742,705 100.0% $1,742,705 100.0% -$125,195 -7.2% -$123,410 -7.1% $0 0.0% -$74,193 2.8% -$125,195 -7.2% -$197,603 -11.3% $35,736 2.1 % $27,097 1.6% $160,931 9.2% $224,700 12.9% $683,309 39.2% $650,178 37.3% $934,201 53.6% - $894,924 51.4% $39,277 4% Average Enrolled employees 1,421 1,421 Grand Junction Delta Dental Premier Greeley Colorado Colorado COLORADO (CONT-D) WILSON, BENJAMIN, DDS Smiles 4 Kids II Lllp 459 North Ave Grand Junction, CO 81501 (970)241-1610 WIXOM, ALAN, DDS 2490 F Rd Unit 2 Grand Junction, CO 81505 (970)242-9202 WOOD, JOHN, DDS 102 Lorey Dr Grand Junction, CO 81505 (970) 242-4945 ORAL SURGEON KELLY, STEPHEN, DDS DMD Colorado West Oral and Max Surg 2530 N 8th St Ste 103 Grand Junction, CO 81501 (970)245-2222 NOCK, DAVID, DDS 425 Patterson Rd Ste 501 Grand Junction, CO 81506 (970)242-4433 PERINO, KENNETH, DDS Grand Junction Oral Surgery Associates 2532 F Rd Ste 10 Grand Junction, CO 81505 (970)241-2820 VINCENT, RONALD, DDS MD 306 Glenwood Ave Grand Junction, CO 81501 (970)242-6623 ORTHODONTIST BAHR, CRAIG Embraceable LLC 2650 North Ave Unit 101 Grand Junction, CO 81501 (970)241-7162 HYMAS, THEO, DDS Mesa Orthodontic Specialists 1190 Bookcliff Ave Unit 202 Grand Junction, CO 81501 (970)245-8810 PEDODONTIST BULL, JOHN, DDS 2119N7thSt Grand Junction, CO 81501 (970) 243-2855 DEAN, GLEN, DDS MD Oral Health Partners Professiona 2525 N 8th St Ste 105 Grand Junction, CO 81501 (970)241-1313 NOFFSINGER, DAVID, DDS 1120 Wellington Ave Ste 102 Grand Junction, CO 81501 . (970)243-2682 GREELEY ENDODONTIST FUNDERBURK, DAVID, DDS 3400 W 16th St Bldg 7 Greeley, CO 80634 (970)356-8650 LOWRY, SCOTT, DDS 4669 W 20th Street Rd Ste B Greeley, CO 80634 (970) 330-2161 GENERAL DENTIST ALTATARI, RABI, DDS Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 BAGLEY, STEVEN, DMD 913 27th Ave Greeley, CO 80634 (970)353-5664 BENKE, ROBERT, DDS 1640 25th Ave Ste B Greeley, CO 80634 (970)356-2120 BENNER, SIDNEY, DDS Benner and Sharp Family Dentistr 3400 W 16th St Ste 8E Greeley, CO 80634 (970)351-0400 BLAND, ANDREW, DDS 3400 W 16th St Bldg 8E Greeley, CO 80634 (970) 356-5277 BOBIER, GENE Gb Dental Associates PC 1910 56th Ave Greeley, CO 80634 (970) 339-9770 BOYES, RICHARD 1813 61 st Ave Ste 210 Greeley, CO 80634 (970) 352-4242 BRADLEY,KATHLEEN,DDS Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 BRATULESCU, PATRICIA, DDS Perfect Teeth Greeley PC 902 14th St Greeley, CO 80631 (970)392-0152 BROWN, STEPHEN, DDS Adc Oral Health Care Providers 3400 W 16th St Ste S Greeley, CO 80634 (970) 356-8118 BROWNING, SARAH Kidz Place 1122 9th St Ste 101 Greeley, CO 80631 (970) 353-5203 CASSEDAY,BRYAN,DDS Bryan Casseday DDS PC 1815 61 st Ave Ste 103 Greeley, CO 80634 (970) 351-6200 CHOE, CHIYON, DDS Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 CONNOLLY, MARY Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970) 395-1000 CUSHING, BRYCE Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 DASILVA, RICARDO Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970) 395-1000 DOWLATI, JINA, DDS Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970) 395-1000 FEINBERG, JOEL, DDS Perfect Teeth Greeley PC 902 14th St Greeley, CO 80631 (970) 392-0152 FORNEY, WILLIAM, DDS 3400 W 16th St Bldg 1 Greeley, CO 80634 (970)351-0500 FREIMUTH, MICHAEL Pro Smile 1640 25th Ave Ste C Greeley, CO 80634 (970)352-5448 GILLESPIE, ANDRE Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 GOMEZ, JOSE, DDS J Angel Gomez Dental Center LLC 1122 9th St Ste 103 Greeley, CO 80631 (970)353-2340 GOSSENAUER, MARTIN Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 HAMBLIN, ROBERT Colo Dhca Low Income Dental 1600 23rd Ave Ste 200 Greeley, CO 80634 (970)353-4329 HARMON, KATHERINE, DDS Adventure Dental of Greeley 3485 W 10th St Ste C Greeley, CO 80634 (970)353-4746 HATCH,RANDY,DDS Colo Dhca Low Income Dental 1600 23rd Ave Ste 200 . Greeley, CO 80634 (970) 353-4329 HEIKES, LLOYD, DDS DMD 3400 W 16th St Bldg 1 N Greeley, CO 80634 (970)356-3743 JAMISON, NICHOLAS, DDS 4669 W 20th Street Rd Ste A Greeley, CO 80634 (970)506-1122 JOHNSON, CHARLES, DDS Colo Dhca Low Income Dental 1600 23rd Ave Ste 200 Greeley, CO 80634 (970)353-4329 JONES, MICHAEL, DDS Kidz Place 1122 9th St Ste 101 Greeley, CO 80631 (970)353-5203 JORGENSEN, AMY, DDS Adventure Dental of Greeley 3485 W 10th St Ste C Greeley, CO 80634 (970)353-4746 KINKADE, DONALD, DDS Kinkade and Kinkade DDS PC 2525 W 16th St Ste A Greeley, CO 80634 (970)352-2344 KINKADE, JAMES, DDS Kinkade and Kinkade DDS PC 2525 W 16th St Ste A Greeley, CO 80634 (970)352-2344 KIRK, RODERIC, DDS 3400 W 16th St Bldg 8E Greeley, CO 80634 (970) 351-6500 KONDRATENKO, ANDREY, DDS Comfort Dental Greeley 3766 W 10th St Ste A Greeley, CO 80634 (970)304-1273 KRON, ROBERT, DMD 3535 W 12th St Ste B Greeley, CO 80634 (970) 351-6095 LIGON, RICHARD, DDS 1825 56th Ave Ste B Greeley, CO 80634 (970)353-6249 LOEWEN,REBECCA Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 LOGELIN, MICHAEL Small Smiles of Greeley PC 2400 W 16th St Greeley, CO 80634 (970)395-1000 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. ueita uemai member compaivaa a U rOl L-F-Hu Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 40 • Greeley Colorado Delta Dental Premier Greenwood Village Colorado SHARP, JULIE, DDS ORTHODONTIST GREENWOOD VILLAGE COLORADO (CONT-D) 3400 W 16th St Ste gE ily Dentistr EARTH, GARY, DDS Greeley, CO 80634 1640 25th Ave Ste A GENERAL DENTIST MARK, KAMI, DDS (970) 351-0400 Greeley, CO 80634 (970) 353-4249 ALFORD, ANNETTE, DMD Marr Family Dentistry PC SMITH, MARK, DDS Thomas A Forti DDS PC 3705 W 12th St 1819 61 st Ave Ste 102E EDGREN, BRADFORD, DDS MS 5959 S University Blvd Greeley, CO 80634 Greeley, CO 80634 Orthodontic Associates of Greeley Greenwood Village, CO 80121 (970)356-2605 (970)356-7474 PC (303)795-7674 3400 W 16th St Bldg 4V MARR, KEVIN, DDS STEVENS, COURTNEY, DDS Greeley, CO 80634 BERRY, KARY, DDS Marr Family Dentistry PC Comfort Dental Greeley (970) 356-5900 8000 E Prentice Ave Ste A4 3705 W 12th St 3766 W 10th St Ste A Greenwood Village, CO 80111 Greeley, CO 80634 Greeley, CO 80634 EDGREN, BURDETT, DDS MS (303) 759-9487 (970) 356-2605 (970) 304-1273 Orthodontic Associates of Greeley PC BERRY, KEVIN, DDS MCGUFFEY, CORTE, DDS SYDNEY, GILBERT, DDS 3400 W 16th St Bldg 4V 8000 E Prentice Ave Ste A4 McGuffey Bear Tooth Dental PC 3705 W 12th St Greeley, CO 80634 Greenwood Village, CO 80111 2922 67th Ave Ste 102 Greeley, CO 80634 (970) 356-5900 (303) 759-5652 Greeley, CO 80634 (970) 330-9900 (970) 356-3717 GOINGS, BRADLEY, DDS BODONI, ELENA, DDS THOMPSON, JOSEPH, DDS Centerra Orthodontics PC 8000 E Prentice Ave Ste B7 MONFORT COMMUNITY HEALTH 3400 W 16th St Ste 8E 1825 56th Ave Ste A Greenwood Village, CO 801I t CHC Greeley, CO 80634 Greeley, CO 80634 (303) 781-2107 Sunrise Family Dental Clinic (970) 351-6500 (970) 330-5363 BODONI, EVA, DDS 1006 A St Greeley, CO 80631 THORNE, DONALD, DDS DMD KLOBERDANZ, GARY, DDS 8000 E Prentice Ave Ste B7 (970) 352-0048 3705 W 12th St GreeleyOrthodontic Center Greenwood Village, CO 80111 Greeley, CO 80634 2021 Cl Clubhouse Dr Ste 110 (303) 221-1588 MONTANEZ, MARIO, DDS Adventure Dental Greeley (970) 351-7505 Greeley, CO 80634 (970) 330-2500 EVANS, KEVIN, DDS PC 3485 ey 10St Stea C TIAO, KATIE 6900 E Belleview Ave Ste 203 Greeley, CO 80634 Small Smiles of GreeleyPC MURRAY, SHAWN, DDS Greenwood Village, CO 80111 g (970) 353-4746 2400 W 16th St Centerra Orthodontics PC (303) 796-8668 MONTANO, MELISSA, DDS Greeley, CO 80634 (970) 395-1000 1825 56th Ave Ste A Greeley, CO 80634 FORTI, THOMAS, DDS Adventure Dental of Greeley 3485 W 10th St Ste C UYEMURA, DOUGLAS, DDS (970) 330-5363 5959 S University Blvd Greenwood Village, CO 80121 Greeley, CO 80634 1648 17th Ave RICHTER, DAVID, DDS (303) 795-7674 (970) 353-4746 Greeley, CO 80631 (970) 353-8217 Richter Orthodontics 1813 61 st Ave Ste 100 FRIEDL, MICHELE, DDS DDS MOenture RONof Greeley Adventure Dental Greeley UYEMURA, MARK, DMD Greeley, CO 80634 (970) 392-1733 Thomas A Ford DDS PC 5959 S University Blvd 3485 W 10th St Ste C a 1648 17th Ave Greenwood Village, CO 80121 Greeley, CO 80634 Greeley, CO 80631 (970) 352-7600 PEDODONTIST (303) 795-7674 (970) 353-4746 MUSANJE, LAWRENCE WALLACE, JOHN BROWNING, MICHAEL GOLDFOGEL, MICHAEL, DDS 8200 E Belleview Ave Ste E Small Smiles of Greeley PC Perfect Teeth GreeleyPC 112 Place 1 9y, St Ste Greenwood Village, CO 80111 g 2400 W 16th St Greeley, CO 80634 902 14th St Greeley, CO 80631 Greeley, CO 80631 Greeley, 631 303 770-0801 ( ) (970) 395-1000 (970) 392-0152 970 353-5203 HEIN, NICHOLAS, DDS Hein Dental Professional LLC NGUYEN, QUYNH WATERMAN, RICHARD, DDS DOLL, MISCHELLE, DDS 1819 61 st Ave Ste 101 8200 E Belleview Ave Ste 435 Small Smiles of Greeley PC 5240 W 9th Street Dr Ste 100 Greeley, CO 80634 y Greenwood Village, CO 80111 g ' 2400 W 16th St Greeley, CO 80634 (970) 353-5262 (970) 506-1339 (303) 779-9472 . Greeley, CO 80634 970 395-1000 ( ) YOUNG, MATTHEW OBERMANN, WILLIAM HEIN, THOMAS, DDS Hein Dental Professional LLC PERRY, STEPHEN, DDS Dental Health of GreeleyPLLC Small Smiles of GreeleyPC 2400 W 16th St Kidz Place 1122 9th St St101 e 8200 E Belleview Ave Ste 435 Greenwood Village, CO 80111 1600 23rd Ave Ste 200 Greeley, CO 80634 Greeley, CO 80631 (970) 353-5203 (303) 779-9472 Greeley, CO 80634 (970) 353-4329 (970) 395-1000 STRANGE, DAVID KULJIS, LAWRENCE, DDS J DDS ORAL SURGEON D Malcolm Strange DDS 8200 E Belleview, Ave Ste 465 Greenwood Village, CO 80111 g ' St BldgLD, 3400 W 1, 3400 W 16th St Bldg 8E BLEY, JUSTIN, DDS DMD 2003 46th Ave Greeley, CO 80634 (303) 771-7326 Greeley, CO 80634 (970) 351-6506 1707 61 st Ave Ste 102 Greeley, CO 80634 (970) 330-4600 MILLER, STACEY, DDS RINALDIS, PATRICK, DDS (970) 506-0350 STRANGE, MALCOLM 46th Ave 6950 E Belleview Ave Ste 101 Greenwood Village, CO 80111 Comfort Dental GreeleyNICHOLAS, KENTON, DDS MD Greeley, CO 80634 Greeley, (303) 741-2717 3766 W 10th St Ste A Greeley, CO 80634 Greeley Medical Clinic PC 1900 16th St (970) 330-4600 , STEVEN, DDS (970) 304-1273 Greeley, CO 80631 (970) 350-2458 PERIODONTIST 8200 8200 E Belleview Ave Ste E410 E B Greenwood Village, CO 80111 SHADDOCK, JAMES, DDS ECKLES, TERRY, DDS MS (303) 770-0214 Marr Family Dentistry PC 3705 W 12th St 3400 W 16th St Bldg 5X SEGAL, BRIGITTE, DDS Greeley, CO 80634 Greeley, CO 80634 (970) 351-6166 6900 E Belleview Ave Ste 203 Greenwood Village, CO 80111 (970) 356-2605 (303)770-6084 •. Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 41 Greenwood Village Delta Dental Premier Highlands Ranch Colorado Colorado COLORADO (CONT-D) STEEGHS, BRIGITTE, DDS 8000 E Prentice Ave Ste A5 Greenwood Village, CO 80111 (303)756-0723 WEINSTEIN, STEVEN, DDS 5425 Landmark PI Ste 307 Greenwood Village, CO 80111 (303) 773-8012 WOOD-HARMAN, BECKIE Thomas A Forti DDS PC 5959 S University Blvd Greenwood Village, CO 80121 (303) 795-7674 YANCEY, MARIANNE, DDS 8200 E Belleview Ave Ste 425 Greenwood Village, CO 80111 (303)290-0962 ZERVAS, STEVEN, DDS PC Village Dental Care 5670 Greenwood Plaza Blvd Ste 404 Greenwood Village, CO 80111 (303)220-7662 ORALSURGEON BERMAN, DAVID, DDS MD DMD Mountain View Oral and Max Surgery 8200 E Belleview Ave Ste 515E Greenwood Village, CO 80111 (303)694-1700 BERMAN, MARK, DDS MD Mountain View Oral and Max Surgery 8200 E Belleview Ave Ste 515E Greenwood Village, CO 80111 (303)694-1700 JENSEN, OLE, DDS DD 8200 E Belleview Ave Ste 520 Greenwood Village, CO 80111 (303)388-0303 ORTHODONTIST IRITANI, MARK, DDS 8200 E Belleview Ave Ste 420E Greenwood Village, CO 80111 (303)773-6969 PEDODONTIST SAVAGE,BRYAN,DDS 5972 S Holly St Greenwood Village, CO 80111 (303)422-3746 WATANA, PATRA, DDS DMD 8200 E Belleview Ave Ste 420 Greenwood Village, CO 80111 (303)740-7088 PERIODONTIST KUHAR,KENNETH Mountain Top Periodontics and Impl 8000 E Prentice Ave Ste D7 Greenwood Village, CO 80111 (303)740-0080 WEAVER, ADAM, DDS MS Mountain Top Periodontics and Impl 8000 E Prentice Ave Ste D7 Greenwood Village, CO 80111 (303) 740-0080 GREENWOOD VLG ENDODONTIST BALTZ, KATHLEEN, DDS Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303)850-7474 JULTAK, JED, DDS Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303)850-7474 MALONEY, SCOTT, DDS DMD Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303)850-7474 MORRISON, ALISON, DMD Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303)850-7474 PANGBORN, CAMERON, DDS Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Mg, CO 80111 (303)850-7474 SACHS, ELLEN, DDS Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303)850-7474 SAFER, DONALD, DDS Endodontics of Dtc 8200 E Belleview Ave Ste 306 Greenwood Vlg, CO 80111 (303)850-7474 GENERAL DENTIST BELEGRATIS, TASOS, DDS Greenwood Dental Associates 7000 E Belleview Ave Ste 205 Greenwood Vlg, CO 80111 (303) 773-0960 BOTTONE, PAUL, DDS PC 6950 E Belleview Ave Ste 101 Greenwood Vlg, CO 80111 (303) 741-2717 BOUDREAUX, GARY, DDS 8480 E Orchard Rd Ste 4300 Greenwood Vlg, CO 80111 (303)771-1009 BRODIE, MARK, DDS Greenwood Dental Associates 7000 E Belleview Ave Ste 205 Greenwood Vlg, CO 80111 (303)773-0960 D HONDT, ERIC Greenwood Dental Associates 7000 E Belleview Ave Ste 205 Greenwood Vig, CO 80111 (303) 773-0960 DOST, JAMES, DDS 7730 E Belleview Ave Ste A103 Greenwood Mg, CO 80111 (303)322-2724 JACKSON, STEPHEN, DDS 8200 E Belleview Ave Ste 445 Greenwood Vlg, CO 80111 (303) 771-8090 LAUDERT, SUZANNE, DDS 8200 E Belleview Ave Ste 460 Greenwood Mg, CO 80111 (303)694-0587 NAIMAN, IVAN, DDS 8200 E Belleview Ave Ste E455 Greenwood Mg, CO 80111 (303)770-2900 ORTHODONTIST HASKINS, JEFFREY, DDS 5972 S Holly St Greenwood Mg, CO 80111 (303) 850-9253 THEROUX, KEVIN, DDS Orthodontics at Dtc 8200 E Belleview Ave Ste 415 Greenwood Mg, CO 80111 (303)779-0565 PERIODONTIST REICH, GREGORY, DDS 8200 E Belleview Ave Ste 450 Greenwood Mg, CO 80111 (303) 779-6924 TILLISS, STEVEN, DDS MS 8200 E Belleview Ave Ste 450E Greenwood Mg, CO 80111 (303)779-6924 GYPSUM GENERAL DENTIST ADAIR, GREGORY 35 Lindbergh Dr Ste 107 Gypsum, CO 81637 (970)328-6848 OAKSON,J 620 Red Table Dr Ste D PO Box 1219 Gypsum, CO 81637 (970)524-1105 HAXTUN GENERAL DENTIST BLOHM, STEVEN, Dos Haxtun Dental Clinic 115 S Colorado Ave Haxtun, CO 80731 (970) 774-7999 EDWARDS, WALTER, DMD Northeastern Family Dental Clinic 115 S Colorado Ave Haxtun, CO 80731 (970)774-7999 HAYDEN GENERAL DENTIST HAERR, DIANA, DDS Bear River Dental Associates 150 W Jackson PO Box 609 Hayden, CO 81639 (970)276-3123 HAERR,NATHAN,DDS Bear River Dental Associates 150 W Jackson PO Box 609 Hayden, CO 81639 (970) 276-3123 HIGHLANDS RANCH GENERAL DENTIST AHN,HENRY,DDS Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303) 471-0841 BAILEY, BRENT, DDS 66 Springer Dr Ste 204 Highlands Ranch, CO 80129 (303) 791-0472 BEILBY, GEORGE, DDS 9249 S Broadway Unit 100 Highlands Ranch, CO 80129 (303) 683-3332 COUNTRYMAN, JOEY, Dos Joe Countryman DDS PC 206 W County Line Rd Ste 360 Highlands Ranch, CO 80129 (303)791-8530 DELAPP, HELEN, Dos Cottonwood Dental Group PC 6660 Timberline Rd Ste 130 Highlands Ranch, CO 80130 (303)694-9740 DELAPP,JAMES Cottonwood Dental Group PC 6660 Timberline Rd Ste 130 Highlands Ranch, CO 80130 (303)694-9740 DUNKLEBERGER, ELIZABETH, DDS 9557 S University Blvd Unit 101 Highlands Ranch, CO 80126 (303)470-8484 DYMERSKI, DANIEL, DDS Pettyjohn Family Dentistry PC 66 Springer Dr Ste 304 Highlands Ranch, CO 80129 (303)791-9141 HEKKERT, ERIK, DDS White Peaks Dental Care PC 9137 Ridgeline Blvd Ste 150 Highlands Ranch, CO 80129 (303) 991-4320 KISSINGER, MARY, DDS Willow Creek Dental 6660 Timberline Rd Ste 220 Highlands Ranch, CO 80130 (303) 779-2797 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 42 • • • Highlands Ranch Colorado COLORADO (CONT-D) LEE, MONIQUE, DDS DMD Rock Canyon Dental Care and Orthod 3996 Red Cedar Dr Highlands Ranch, CO 80126 (303) 470-9696 MACK, ERIC, DDS Precision Dentistry 9461 S University Blvd Highlands Ranch, CO 80126 (303)470-1377 MARTINICH, ROBERT, DDS Highlands General and Cosmetic DEN 9358 Dorchester St Ste 103 Highlands Ranch, CO 80129 (303) 791-0160 MCNEELY, WILLIAM, DDS Rock Canyon Dental Care and Orthod 3996 Red Cedar Dr Highlands Ranch, CO 80126 (303) 470-9696 MORRIS, ROSANA, DDS 66 Springer Dr Ste 207 Highlands Ranch, CO 80129 (303)471-5500 PETERS,KENNETH,DDS 200 W County Line Rd Ste 270 Highlands Ranch, CO 80129 (303)791-2570 PETTYJOHN, CATHERINE, DDS Pettyjohn Family Dentistry PC 66 Springer Dr Ste 304 Highlands Ranch, CO 80129 (303)791-9141 REDFEARN,TRENT,DDS 9567 S University Blvd Unit C1 Highlands Ranch, CO 80126 (303) 683-2300 RYSNER, ERIC, DDS Rysner Eric T DDS PC 541 W Highlands Ranch Pkwy Ste 101 Highlands Ranch, CO 80129 (303) 346-1118 SCAVUZZO, FRANK, DDS 7120 E County Line Rd Ste 203 Highlands Ranch, CO 80126 (303)741-2727 SHORT, YOLANDA, DDS DMD Kids First Dental 4185 E Wildcat Reserve Pkwy Ste 300 Highlands Ranch, CO 80126 (303) 427-6300 THEOBALD, CHARLES, DDS 200 W County Line Rd Ste 210 Highlands Ranch, CO 80129 (303)791-0413 TWISS, TYLER, DDS DMD Twiss Dental PC 4185 E Wildcat Reserve Pkwy Ste 210 Highlands Ranch, CO 80126 (720) 344-4375 Delta Dental Premier VARLEY, MICHAEL, DDS Distinctive Dntry Highlds Rnch 8925 Ridgeline Blvd Ste 110 Highlands Ranch, CO 80129 (303)470-0500 WILSON, PATRICK, DMD Drs Norwood Fox and Wilson 9358 Dorchester St Ste 106 Highlands Ranch, CO 80129 (303) 791-4400 ZABEL, LYNELLE, DDS Highlands Ranch Dental Care 9385 S Colorado Blvd Unit 102 Highlands Ranch, CO 80126 (303) 470-0017 ORAL SURGEON BORRIS, THOMAS, DDS W J Garehime PC 6660 Timberline Rd Ste 200 Highlands Ranch, CO 80130 (303) 741-4441 COLM, STEPHEN, DDS DMD Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303)471-0841 CURRY, JAMES, DDS H R Center-Aesth and Maxill Surg 200 W County Line Rd Ste 230 Highlands Ranch, CO 80129 (303)791-0422 GAREHIME, WILLIAM, DDS 6660 Timberline Rd Ste 200 Highlands Ranch, CO 80130 (303) 741-4441 HARPER,CLAYTON,DDS Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303) 471-0841 LATTA, JAMES, DDS H R Center-Aesth and Maxill Surg 200 W County Line Rd Ste 230 Highlands Ranch, CO 80129 (303) 791-0422 MADLOCK, PAUL, DDS DMD Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303) 471-0841 ORTHODONTIST BEABER, WILLIAM, DDS DMD Beaber Family Orthodontics 9567 S University Blvd Unit Cl-A Highlands Ranch, CO 80126 (303)694-1711 BUMGARNER, ROGER, DDS 6660 Timberline Rd Ste 260 Highlands Ranch, CO 80130 (303) 688-9617 9358 Dorchester St Ste 106 Highlands Ranch, CO 80129 (303) 688-9617 HAMERSKY,PAUL,Dos Highlands Ranch Ortho Spec 4185 E Wildcat Reserve Pkwy Ste 300 Highlands Ranch, CO 80126 (720)344-2662 HOGGAN,BRENT 9385 S Colorado Blvd Unit 101 Highlands Ranch, CO 80126 (303) 730-2083 HOUSEWRIGHT, WADE, DDS Inspire Orthodontics of Colorado 200 W County Line Rd Ste 260 Highlands Ranch, CO 80129 (303) 754-0040 IDICULLA, ANIL, DDS DMD Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303)471-0841 KARLIN, TYLER, DDS Karlin Orthodontics 9305 Dorchester St Ste 103 Highlands Ranch, CO 80129 (303)470-9488 LINN, BRANDON, DDS Roger L Bumgarner DDS 6660 Timberline Rd Ste 260 Highlands Ranch, CO 80130 (303)688-9617 Roger L Bumgarner DDS 9358 Dorchester St Ste 106 Highlands Ranch, CO 80129 (303)688-9617 REDD, THOMAS, DDS MS 9385 S Colorado Blvd Unit 101 Highlands Ranch, CO 80126 (303)791-6646 RICHTER, DAVID, DDS Inspire Orthodontics of Colorado 200 W County Line Rd Ste 260 Highlands Ranch, CO 80129 (303) 754-0040 PEDODONTIST FOX, LISA Drs Norwood Fox and Wilson 9358 Dorchester St Ste 106 Highlands Ranch, CO 80129 (303) 791-4400 NORWOOD, JAMES, DDS Drs Norwood Fox and Wilson 9358 Dorchester St Ste 106 Highlands Ranch, CO 80129 (303) 791-4400 SIERK, JONATHAN, DDS 6660 Timberline Rd Ste 240 Highlands Ranch, CO 80130 (303)865-4066 STIMMEL, LISA, DDS Kids DDS 9330 S University Blvd Ste 210 Highlands Ranch, CO 80126 (303)771-8300 Johnstown Colorado PERIODONTIST CHAPMAN, THOMAS, DDS Highlands Ranch Perio and Implt 9090 Ridgeline Blvd Ste 225 Highlands Ranch, CO 80129 (303)683-1144 GURINSKY, BRIAN, DDS Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303)471-0841 LUBOW, RICHARD, DMD Bright Now Dental 3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch, CO 80126 (303) 471-0841 HOTCHKISS GENERAL DENTIST DRBOHLAV, MATTHEW North Fork Family Dentistry PC 164 E Bridge St Hotchkiss, CO 81419 (970)872-2299 IDAHO SPRINGS GENERAL DENTIST DOUVAS, GEORGE, Dos Clear Creek Dental 102 Spruce Ln Idaho Springs, CO 80452 (303)567-0840 DRESCHER, DAVID Gore Range Dental PLLC 1625 Miner St Idaho Springs, CO 80452 (303) 567-4412 IGNACIO GENERAL DENTIST HEALTH CLINIC IHS IGNACIO 123 Weeminuche Ignacio, CO 81137 (970)563-4581 JOHNSTOWN GENERAL DENTIST MARTIN, STEVEN, DDS 5 N Parish Ave Johnstown, CO 80534 (970)587-4423 TIPPETS, JEFFREY, DDS Tippets Dentistry at Johnstown 257 Johnstown Center Dr Unit 108 Johnstown, CO 80534 (970)587-8085 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 43 Johnstown Colorado COLORADO (CONT-D) ORTHODONTIST MURRAY, SHAWN, DDS Murray Orthodontics 257 Johnstown Center Dr Unit 201 Johnstown, CO 80534 (970)587-5228 KREMMLING GENERAL DENTIST COLLINSWORTH, PHILLIP Kremmling Family Dental 107 6th St Kremmling, CO 80459 (970)724-3737 JUNGMAN,GREGORY Kremmling Family Dental 107 6th St Kremmling, CO 80459 (970)724-3737 ROBERTS, DALE, DDS Kremmling Family Dental 107 6th St Kremmling, CO 80459 (970)724-3737 LA JARA GENERAL DENTIST VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services 421 Walnut St La Jara, CO 81140 (719)274-8948 LA JUNTA GENERAL DENTIST LACY, ROSALINDA, DDS 13 E 4th St La Junta, CO 81050 (719)384-9442 ORAL SURGEON FACY,REBECCA,DDS Oms Associates Colorado PC 1100 Carson Ave La Junta, CO 81050 (719)599-0500 LA SALLE GENERAL DENTIST BENDER, WILLIAM, DDS 202 N 2nd St LaSalle, CO 80645 (970) 284-7930 Delta Dental Premier LAFAYETTE ENDODONTIST WOOD, MARK, DDS MS 1200 W South Boulder Rd Ste 103 Lafayette, CO 80026 (303)604-9663 GENERAL DENTIST BELFORD, MARK, DDS DMD 204 E Baseline Rd Lafayette, CO 80026 (303) 665-4000 BOLAK, KIMBERLY, DDS Comfort Dental Lafayette 535 W South Boulder Rd Ste 200 Lafayette, CO 80026 (303)604-2804 GATHERS, JUSTIN Pediatric Dental Specialties 300 Exempla Cir Ste 460 Lafayette, CO 80026 (720)890-9494 EURICH, STEVEN, DDS 1120 W South Boulder Rd Ste 202 Lafayette, CO 80026 (303) 666-4653 FRIEDMAN, MITCHELL, DDS DMD Lafayette Dental Office 511 Crossing Dr Ste 200 Lafayette, CO 80026 (303)664-1001 GOHL, FREDRIC, DDS Comfort Dental Lafayette 535 W South Boulder Rd Ste 200 Lafayette, CO 80026 (303)604-2804 GUYTON, SALLY, DDS Indian Peaks Dental PC 1319 W Baseline Rd Ste 200 Lafayette, CO 80026 (303) 664-5775 JEBRIL, HANAA, DDS Comfort Dental Lafayette 535 W South Boulder Rd Ste 200 Lafayette, CO 80026 (303)604-2804 KEENE, GREGORY, DDS DMD 1140 W South Boulder Rd Ste 201 Lafayette, CO 80026 (303) 665-5586 NEWSOME, LINDA, DDS 489 US Highway 287 Ste 200 Lafayette, CO 80026 (303)664-9355 SELLERS,GARY,DDS 2695 Northpark Dr Ste 104 Lafayette, CO 80026 (303) 666-5902 STUART, CHARLES, DMD 1373 Forest Park Cir Ste 103 Lafayette, CO 80026 (303)666-7773 TRAN, VIEN, DDS Comfort Dental Lafayette 535 W South Boulder Rd Ste 200 Lafayette, CO 80026 (303)604-2804 WEST, GORDON, DDS 1140 W South Boulder Rd Ste 201 Lafayette, CO 80026 (303) 665-5578 WHITE, JAIME 1255 Cimarron Dr Ste 101 Lafayette, CO 80026 (303) 665-8024 WINNICKI, JEFFREY, DDS The Dental Shoppe 297 US Highway 287 Ste 104 Lafayette, CO 80026 (303) 665-8321 ORALSURGEON RAPOSO, VICTOR, DDS DMD Alpine Valley Oral Surgery 1120 W South Boulder Rd Ste 103 Lafayette, CO 80026 (303) 604-9393 ORTHODONTIST CHUBB,THOMAS Pediatric Dental Specialties 300 Exempla Cir Ste 460 Lafayette, CO 80026 (720)890-9494 CRAIG, ROBERT, DDS 1120 W South Boulder Rd Ste 201 Lafayette, CO 80026 (303)926-9224 PEDODONTIST CHRISTENSEN, EDWARD, DDS Foothills Pediatric Dentistry 1120 W South Boulder Rd Ste 204 Lafayette, CO 80026 (303)604-9500 RAMIREZ, DAVID, DDS Foothills Pediatric Dentistry 1120 W South Boulder Rd Ste 204 Lafayette, CO 80026 (303)604-9500 STRANGE, DAVID, DDS Pediatric Dental Specialties 300 Exempla Cir Ste 460 Lafayette, CO 80026 (720)890-9494 STRANGE, MALCOLM Pediatric Dental Specialties 300 Exempla Cir Ste 460 Lafayette, CO 80026 (720)890-9494 LAKE CITY GENERAL DENTIST LAKE CITY DENTAL CLINIC CHC Lake City Area Medical Center 304 W Third St PO Box 277 Lake City, CO 81235 (970) 944-0331 Lakewood Colorado LAKEWOOD • ENDODONTIST GRAVES, LOWELL, DDS Westwood Dental Group PC 3190 S Wadsworth Blvd Ste 300 Lakewood, CO 80227 (303) 988-6110 HORSLEY, SCOTT, DDS MS 2290 Kipling St Lakewood, CO 80215 (303)232-1327 KARDELIS, TONY, DDS 7373 W Jefferson Ave Ste 404 Lakewood, CO 80235 (303)986-2765 MILLER, JAMES, DMD Scott H Horsley DDS MS PC 2290 Kipling St Lakewood, CO 80215 (303) 232-1327 READER,CHAD,DDS University Dntl Specialists LI 255 Union Blvd Ste 420 Lakewood, CO 80228 (303)914-9727 TEITELBAUM, ROBERT, DDS 6565 W Jewell Ave Ste 2 Lakewood, CO 80232 (303)458-0444 GENERAL DENTIST ANDREWS, BRANDIE, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303) 431-1221 ANDRUS, PAUL, DDS 2009 Wadsworth Blvd Ste 102 Lakewood, CO 80214 (303)233-0212 ANUNDSEN,M 2323 S Wadsworth Blvd Ste 1778 Lakewood, CO 80227 (303)980-4800 ARENDT, PAUL, DMD 7373 W Jefferson Ave Ste 304 Lakewood, CO 80235 (303) 986-0090 BALDWIN, BRUCE, DDS Fox Point Dental LLC 13701 W Jewell Ave Ste 101 Lakewood, CO 80228 (303) 989-3192 BALL, MELVIN, DDS 10881 W Asbury Ave Ste 210 Lakewood, CO 80227 (303)989-0452 BARTON, CLLIN, DDS Comfort Dental Lakewood 6800 W Alameda Ave Lakewood, CO 80226 (303) 727-9100 BAUER,GERALD,DDS 3333 S Wadsworth Blvd Ste 309 Lakewood, CO 80227 (303)988-6767 f Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 44 • • Lakewood Colorado COLORADO (CONT-D) BAUMGART, STEVEN, DDS Baumgart and Unser DDS LLC 7575 W 20th Ave Lakewood, CO 80214 (303)238-2800 BAUSCH, WAYNE, DDS 8015 W Alameda Ave Ste 250 Lakewood, CO 80226 (303)232-1830 BERNARDY, JEFFREY, DDS Comfort Dental Bear Creek 3200 S Wadsworth Blvd Unit E Lakewood, CO 80227 (303)716-8546 BROTHERTON,NOLAN,DDS DMD Perfect Teeth Green Mtn PC 13035 W Alameda Pkwy Lakewood, CO 80228 (303)987-0544 BUTLER, BENJAMIN, DDS Comfort Dental Lakewood 6800 W Alameda Ave Lakewood, CO 80226 (303)727-9100 CALDERON-KIDD, JOESOLYN, DMD Comfort Dental Bear Creek 3200 S Wadsworth Blvd Unit E Lakewood, CO 80227 (303) 716-8546 CALDWELL, MICHELLE, DDS 3110 S Wadsworth Blvd Ste 302 Lakewood, CO 80227 (303) 988-7800 CALLAHAN, RICHARD, DDS 12790 W Alameda Pkwy Ste B Lakewood, CO 80228 (303) 984-2630 CHAVEZ, DAVID, DDS 8015 W Alameda Ave Ste 140 Lakewood, CO 80226 (303)984-0307 COLLINS, DAVID, DDS 1555 S Wadsworth Blvd Ste 1 Lakewood, CO 80232 (303) 986-9522 CROCKETT, OLEN, DDS 1345 Wadsworth Blvd Lakewood, CO 80214 (303)238-1209 DECINO, PATRICIA, DDS 950 Wadsworth Blvd Ste 207 Lakewood, CO 80214 (303)237-3640 DIAL, RICHARD, DDS 363 S Harlan St Ste 110 Lakewood, CO 80226 (303) 935-6559 DILLABAUGH, GARY, DDS DMD 9868 W Girton Dr Lakewood, CO 80227 (303) 989-0577 Delta Dental Premier DUVALL, DANIEL, DDS 3333 S Wadsworth Blvd Ste 316 Lakewood, CO 80227 (303)986-0043 EDLUND, DAVID, DDS Hampden Dental Care 7425 W Hampden Ave Lakewood, CO 80227 (303) 988-7410 ELSON, CHRISTOPHER C D Elson DDS Prof LLC 7373 W Jefferson Ave Ste 403 Lakewood, CO 80235 (303)972-2700 ENGLER, FRANCES, DDS 10090 W 26th Ave Unit 200 Lakewood, CO 80215 (303) 237-9547 ESCALA, SAUL, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303)431-1221 FERMELIA, CATHERINE, DDS Academy Park Dental Associates LLC 3405 S Yarrow St Unit B Lakewood, CO 80227 (303) 987-2121 FLOOD, PATRICK, DDS Comfort Dental Lakewood 6800 W Alameda Ave Lakewood, CO 80226 (303) 727-9100 FRITZ, TIFFANY, DDS Bright Now Dental 7611 W Colfax Ave Unit D Lakewood, CO 80214 (303) 202-0900 FULTON,LAUREL,DDS 1659 Wadsworth Blvd Lakewood, CO 80214 (303) 233-1323 FURGASON, BRIAN, DDS 10881 W Asbury Ave Ste 100 Lakewood, CO 80227 (303) 988-6938 GAN, KIM, DDS 12600 W Colfax Ave Ste B160 Lakewood, CO 80215 (303)238-6880 GLUCKSMAN, RICHARD, DDS Alpha Dental Care 7373 W Jefferson Ave Ste 203 Lakewood, CO 80235 (303) 988-1530 GOLD, FRANK, DDS PC 1360 S Wadsworth Blvd Ste 200 Lakewood, CO 80232 (303) 988-2738 GRABIAK, GUY, DDS DMD 3190 S Wadsworth Blvd Ste 300 Lakewood, CO 80227 (303) 988-6110 GRACE, LEANA, DDS 10881 W Asbury Ave Ste 210 Lakewood, CO 80227 (303) 989-0452 GRANGER, MARK, DDS Mark Granger DDS 2525 S Wadsworth Blvd Ste 23 Lakewood, CO 80227 (303) 985-0909 GREENHALGH, SCOTT, DDS 3190 S Wadsworth Blvd Ste 300 Lakewood, CO 80227 (303)988-6110 HALL, RANDALL, DO Union Square Dental Associates 255 Union Blvd Ste 495 Lakewood, CO 80228 (303)989-1423 HANSEN,DANNY,DDS 3333 S Wadsworth Blvd Unit D305 Lakewood, CO 80227 (303) 985-1615 HARMON, FRANK, DDS 2290 Kipling St Lakewood, CO 80215 (303)233-2906 HARVAN, KRISTINA All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303)431-1221 HARVEY, FRED, DDS Frances Mayer Engler DDS 10090 W 26th Ave Unit 200 Lakewood, CO 80215 (303)237-9547 HASSELBACK, CHRISTOPHER, DDS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303)232-4500 HERREMANS, TAMARA, DDS 7586 W Jewell Ave Ste 303 Lakewood, CO 80232 (303)984-1400 HUMBARGAR, DAVID, DDS 3190 S Wadsworth Blvd Ste 300 Lakewood, CO 80227 (303)988-6110 HURST, JEFFERY, DDS 2315 Kipling St Lakewood, CO 80215 (303)238-5812 JOHNSEN, CURTIS, DDS 2349 Wadsworth Blvd Lakewood, CO 80214 (303)232-5555 JOHNSON, BRUCE, DDS 9868 W Girton Dr Lakewood, CO 80227 (303)989-0577 JOHNSON, ROY, DDS DMD PC 6565 W Jewell Ave Ste 1A Lakewood, CO 80232 (303)935-3465 JONES, KRISTIN, DDS MSW Perfect Teeth W Jewell PC 8064 W Jewell Ave Unit 100 Lakewood, CO 80232 (303)985-3624 Lakewood Colorado KAWAKAMI, SAM, DDS 14062 Denver West Pkwy Ste 120 Lakewood, CO 80401 (303)279-5050 KERN, JAMES, DDS 10815 W Jewell Ave Ste L Lakewood, CO 80232 (303) 988-6860 KIDS IN NEED OF DENTISTR 13300 W 2nd PI Lakewood, CO 80228 (303)733-3710 KLEIN, MARK, DDS Comfort Dental Lakewood 6800 W Alameda Ave Lakewood, CO 80226 (303)727-9100 KLOEHN, RICHARD, DDS 2290 Kipling St Lakewood, CO 80215 (303) 232-3298 KRANNAWITTER, JEFF, DDS Dr Sam S Kawakami DDS PC 14062 Denver West Pkwy Ste 120 Lakewood, CO 80401 (303)279-5050 LAI, PEARL 8064 W Jewell Ave Unit 100 Lakewood, CO 80232 (303)985-3624 LAUDER,KENNETH,DDS 3333 S Wadsworth Blvd Unit D325 Lakewood, CO 80227 (303)989-8551 LE HUAN CUA, RICHARD, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303) 431-1221 LEPERA, RACHEL, DDS Erich E Zimmermann DDS PC 205 S Garrison St Lakewood, CO 80226 (303)232-2873 LIMPEDE, BOGDAN, DDS 1815 S Welch Cir Ste 5 Lakewood, CO 80228 (303)922-6083 LONG, LANCE, DDS Lakewood Family Dentistry PC 7700 W 14th Ave Lakewood, CO 80214 (303) 237-4831 LOPEZ,AVERY,DDS Advanced Family Dental 2598 S Lewis Way Ste 3C Lakewood, CO 80227 (303)987-9109 LOVATO, ELOSIA Comfort Dental Bear Creek 3200 S Wadsworth Blvd Unit E Lakewood, CO 80227 (303) 716-8546 LUTSKIY, ALEKSANDR, DMD Perfect Teeth Green Mtn PC 13035 W Alameda Pkwy Lakewood, CO 80228 (303)987-0544 Uelta Uental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 45 Lakewood Delta Dental Premier Lakewood Colorado Colorado COLORADO (CONT-D) MADLANG, CESAR, DDS Perfect Teeth W Jewell PC 8064 W Jewell Ave Unit 100 Lakewood, CO 80232 (303)985-3624 MANSHADI, DAVOOD, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303)431-1221 MANSKE, JENNIFER, DDS 14062 Denver West Pkwy Bldg 52 Lakewood, CO 80401 (303)277-9024 MARCHBANKS, SARA, DDS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4500 MARSHALL, KEVIN, DDS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4500 MARTINEZ, EFREN, DDS DMD Martinez Dental 1200 S Wadsworth Blvd Ste 105 Lakewood, CO 80232 (303)733-7533 MATSUI, THOMAS, DDS 1526 Cole Blvd Bldg 3 Lakewood, CO 80401 (303)234-0505 MCARTHUR,BRUCE,DDS 6565 W Jewell Ave Ste 9 Lakewood, CO 80232 (303)935-9448 MCGINTY, EILEEN, DDS MD 3333 S Wadsworth Blvd Ste B303 Lakewood, CO 80227 (303) 988-4949 MCGLASHAN, WILLIAM, DDS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4500 MCNEELY, WILLIAM, DDS 1880 S Pierce St Ste 16B Lakewood, CO 80232 (303)922-1103 MILAUSNIC, MICHAEL, DDS 333 S Allison Pkwy Ste 202 Lakewood, CO 80226 (303)936-5644 MURPHY, ROBERT, DDS Patricia L Decino DDS PC 950 Wadsworth Blvd Ste 207 Lakewood, CO 80214 (303)237-3640 NICHOLS, RICHARD, DDS 7625 W Hampden Ave Unit 15 Lakewood, CO 80227 (303) 988-2150 NYVOLD, THOMAS, DDS 3190 S Wadsworth Blvd Ste 300 Lakewood, CO 80227 (303)988-6110 OBEIRNE, JACQUELINE 608 Garrison St Ste Q Lakewood, CO 80215 (303) 9854415 OCHOA, MARGARITA, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303) 431-1221 ODOWD, CYNTHIA 255 Union Blvd Ste 490 Lakewood, CO 80228 (303) 989-5237 OFFERDAHL, JOHN, DDS DMD Advanced Family Dental 2598 S Lewis Way Ste 3C Lakewood, CO 80227 (303) 987-9109 ONTIVEROS, MICHAEL, DDS Rocky Mtn Dental Group 2475 Wadsworth Blvd Lakewood, CO 80214 (303)233-1335 PALUMBO, GLENN, DDS 2599 Wadsworth Blvd Ste 1 Lakewood, CO 80214 (303) 458-7061 PARKER -SMART, JANIS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4500 PASWATERS, STEPHANIE, DDS 12093 W Alameda Pkwy Ste A Lakewood, CO 80228 (303) 716-7321 PETKOVA, ANASTASIA, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303) 431-1221 PHILLIPS, JAMES, DDS 3333 S Wadsworth Blvd Unit D325 Lakewood, CO 80227 (303) 989-8551 PLOUS, MICHAEL Pious and Adler Family Dentistry 860 Tabor St Ste 100 Lakewood, CO 80401 (303)234-1112 POLIDORI, BRIAN, DDS Colorado Premier Dental PLLC 6565 W Jewell Ave Ste 1A Lakewood, CO 80232 (303)935-3465 PONTARELLI, WILLIAM, DDS Belmar Dental 15 Wadsworth Blvd Lakewood, CO 80226 (303) 936-5998 POTT, THOMAS, DDS 12600 W Colfax Ave Ste B160 Lakewood, CO 80215 (303) 237-0307 PRAJAPATI, SNAHEL, DDS DMD Comfort Dental Bear Creek 3200 S Wadsworth Blvd Unit E Lakewood, CO 80227 (303) 716-8546 PUCHERIL, ANEETA, DDS Pinnacle Dental 2500 Youngfield St Ste 2 Lakewood, CO 80215 (303)237-7004 QUI, PETER, DDS Asbury Dental Center LLC 10881 W Asbury Ave Ste 200 Lakewood, CO 80227 (303)914-1182 REZAEI, SEYED, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303) 431-1221 RICHARDS, DREW Drew Richards DDS 84 Garrison St Ste A Lakewood, CO 80226 (303)233-1112 RICHARDS, DREW, DDS Drew Richards DDS 7800 W Jewell Ave Unit D Lakewood, CO 80232 (303) 988-2920 ROBINSON, HAROLD, DDS All About Kids Dental Lakewood P 2020 Wadsworth Blvd Ste 9 Lakewood, CO 80214 (303) 431-1221 ROBINSON, T Comfort Kids 9990 W 26th Ave Lakewood, CO 80215 (303)202-0880 RODGERS, CHARLES, DDS Crestline Dental Group and Ortho 5392 S Wadsworth Blvd Ste 103 Lakewood, CO 80123 (303) 979-4277 ROLD,TRENT,DDS Lakewood Family Dentistry PC 7700 W 14th Ave Lakewood, CO 80214 (303) 237-4831 SAMPATH, VIDHYALAKSHMI, DDS Crestline Dental Group and Ortho 5392 S Wadsworth Blvd Ste 103 Lakewood, CO 80123 (303) 979-4277 SCHROEDER, TIMOTHY, DDS 6565 W Jewell Ave Ste 3 Lakewood, CO 80232 (303)937-6345 SEHY, CHRISTINA, DDS Belmar Smiles PC 325 S Teller St Ste 290 Lakewood, CO 80226 (303)935-3574 SHERMAN, LEWIS, DDS Comfort Dental Wheat Ridge 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4500 SLAVSKY, AARON, DDS 1614 Carr St Lakewood, CO 80214 (303)233-1704 SMITH, RICHARD, DDS MD Golden Hill Family Dentistry 11290 W Alameda Ave Ste A100 Lakewood, CO 80226 (303)237-1553 SPEIRS, AARON, DDS 11290 W Alameda Ave Lakewood, CO 80226 (303)985-9850 STEEN, DALE, DDS Comfort Dental Lakewood 6800 W Alameda Ave Lakewood, CO 80226 (303)727-9100 STEWART, HUGH, DDS South Lakewood Dental PC 2525 S Wadsworth Blvd Ste 11 Lakewood, CO 80227 (303)988-4338 SWANSON, DAVID, DDS Associated Dental Professionals 8015 W Alameda Ave Ste 170 Lakewood, CO 80226 (303) 232-2929 TALAVERA, SYLVIA, DDS 10090 W 26th Ave Lakewood, CO 80215 (303) 232-6205 THOMPSON, LARRY, DDS PC 1360 S Wadsworth Blvd Ste 300 Lakewood, CO 80232 (303)986-9505 UCHIDA, BRUCE, DDS 12600 W Colfax Ave Ste B100 Lakewood, CO 80215 (303)234-1349 UNSER, MICHAEL, DDS Baumgart and Unser DDS LLC 7575 W 20th Ave Lakewood, CO 80214 (303)238-2800 VANEK, BENEDICT, DDS Green Mountain Dental Group PC 13440 W Alameda Pkwy Lakewood, CO 80228 (303) 988-0711 VANEK, MELVIN Green Mountain Dental Group PC 13440 W Alameda Pkwy Lakewood, CO 80228 (303) 988-0711 VANEK,STEVEN,DDS Green Mountain Dental Group PC 13440 W Alameda Pkwy Lakewood, CO 80228 (303) 988-0711 WADSWORTH, KENNETH, DDS Aaron M Speirs DDS PC 11290 W Alameda Ave Lakewood, CO 80226 (303) 985-9850 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Ueita uentai memoer compameb anu rdl-11 cui1y Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 46 r7 L • • Lakewood Colorado COLORADO (CONT-D) WALDEN, ROBERT, DDS Richard R Callahan DDS 12790 W Alameda Pkwy Ste B Lakewood, CO 80228 (303)984-2630 WASINGER, JACK, DDS 10090 W 26th Ave Lakewood, CO 80215 (303) 232-6205 WEBB, MICHAEL Comfort Kids 9990 W 26th Ave Lakewood, CO 80215 (303) 202-0880 WHALEN, DANN, DDS Associated Dental Professionals 8015 W Alameda Ave Ste 170 Lakewood, CO 80226 (303) 232-2929 WISE, RANDALL, DDS 7373 W Jefferson Ave Ste 305 Lakewood, CO 80235 (303)985-1263 ZIMMERMANN, ERICH, DDS 205 S Garrison St Lakewood, CO 80226 (303)232-2873 ORAL SURGEON BOTTENBLEY, CECIL, DDS DM DMD 575 Union Blvd Ste 300 Lakewood, CO 80228 (303) 980-8833 DECINO, DONALD, DDS 3405 S Yarrow St Unit A Lakewood, CO 80227 (303)996-8500 HARPER,CLAYTON,DDS Bright Now Dental 7611 W Colfax Ave Unit D Lakewood, CO 80214 (303)202-0900 INGALLS, GREGORY, DDS South Lakewood Oral Surg Associates 6565 W Jewell Ave Ste 8 Lakewood, CO 80232 (303)727-8595 LESNICK, JULIE, DDS South Lakewood Oral Surg Associates 6565 W Jewell Ave Ste 8 Lakewood, CO 80232 (303) 727-8595 MADLOCK, PAUL, DDS DMD Bright Now Dental 7611 W Colfax Ave Unit D Lakewood, CO 80214 (303)202-0900 MOODY, MICHAEL, DDS Comfort Dental Oral Surgery 9990 W 26th Ave Ste 100 Lakewood, CO 80215 (303) 232-4422 Delta Dental Premier ODAY, RICHARD, DDS South Lakewood Oral Surg Associates 6565 W Jewell Ave Ste 8 Lakewood, CO 80232 (303) 727-8595 SNIDER, LARRY, DDS MD 2290 Kipling St Lakewood, CO 80215 (303) 232-5637 TRAMMELL, GERALD, DDS 9990 W 26th Ave Lakewood, CO 80215 (303) 232-4422 ORTHODONTIST ALLEN, JACK, DDS MS 7373 W Jefferson Ave Ste 302 Lakewood, CO 80235 (303)988-9220 BAHR,CARL,DMD Comfort Dental Braces 9990 W 26th Ave Lakewood, CO 80215 (303)202-0880 BAHR, CRAIG, DDS Comfort Dental Braces 9990 W 26th Ave Lakewood, CO 80215 (303)202-0880 BOBAK, VOYTEK, DMD 1840 S Wadsworth Blvd Lakewood, CO 80232 (303) 988-0844 CALLENDER, DAVID, DDS 2460 Youngfield St Lakewood, CO 80215 (303)233-2929 CARTER, STEPHEN, DDS MS Carter Orthodontics PC 3333 S Wadsworth Blvd Unit D310 Lakewood, CO 80227 (303)988-3101 CRAIG, ROBERT Pediatric Dental Group of Colora 2323 S Wadsworth Blvd Ste 104 Lakewood, CO 80227 (303)984-9700 DURYEA, MICHAEL, DDS 13131 W Alameda Pkwy Lakewood, CO 80228 (303) 987-0500 FRANZ,KAREN,DDS Bright Now Dental 7611 W Colfax Ave Unit D Lakewood, CO 80214 (303) 202-0900 KONEGNI, JOHN, DDS MS Lakewood Orthodontics LLC 255 Union Blvd Ste 430 Lakewood, CO 80228 (303) 988-2780 MASON, JAMES, DDS Colorado Orthodontics PLLC 12018 W Jewell Ave Unit B Lakewood, CO 80228 (303) 980-6411 NIEBERG-BASKIN, HILARY, DDS All About Kids Braces 2020 Wadsworth Blvd Ste 18A Lakewood, CO 80214 (303) 462-1462 ZINKANN, KARLA 14062 Denver West Pkwy Ste 120 Lakewood, CO 80401 (303)279-5050 PEDODONTIST SHAH, PURVI Pediatric Dental Group of Colora 2323 S Wadsworth Blvd Ste 104 Lakewood, CO 80227 (303)984-9700 STRANGE, MALCOLM Pediatric Dental Group of Colora 2323 S Wadsworth Blvd Ste 104 Lakewood, CO 80227 (303)984-9700 PERIODONTIST BROWN, CHERIE, DDS MS Front Range Periodontics PC 7373 W Jefferson Ave Ste 404 Lakewood, CO 80235 (303)986-2212 GURINSKY, BRIAN Westwood Dental Group PC 3190 S Wadsworth Blvd Ste 300 Lakewood, CO 80227 (303)988-6110 VANDERVEN, FRANC, DDS DMD 3333 S Wadsworth Blvd Unit D211 Lakewood, CO 80227 (303)969-9150 WILL, JOSEPH, DDS MS 2290 Kipling St Lakewood, CO 80215 (303) 232-3443 WILLIAMS, DEE, DMD 2599 Wadsworth Blvd Lakewood, CO 80214 (303)233-0475 LAMAR GENERAL DENTIST BRANES,GERALD,DDS 109 Lee Ave Ste 5 Lamar, CO 81052 (719)336-7323 CHC HIGH PLAINS COMMUNITY HE High Plains Community Health Can 200 Kendall Dr Ste 1 Lamar, CO 81052 (719)336-8445 YOON, PAUL, DDS Lamar Dental Associates 110 S 5th St Lamar, CO 81052 (719)336-9023 Limon Colorado LARKSPUR GENERAL DENTIST BEVIS, BRITTANY, DDS DMD Pineland Dental PC 8520 Spruce Mountain Rd Ste 11 Larkspur, CO 80118 (303) 681-8200 LEADVILLE GENERAL DENTIST SLACK, NEILL, DDS 907 Poplar St Leadville, CO 80461 (719)486-3801 LIMON GENERAL DENTIST ACKALL, IBRAHEEM, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719)775-2367 BUSSE, DAVID, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719)775-2367 DAWSON, KEVIN, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719)775-2367 HIGUCHI, CHRISTOPHER, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719)775-2367 HINES, JOHN, DDS 170 E Ave Limon, CO 80828 (719)775-8758 JOHNSON,BRANON John F Hines Jr DDS 170 E Ave Limon, CO 80828 (719)775-8758 KEMPERS, GREGORY, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719)775-2367 KRIEGER, GEORGE, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719)775-2367 THURMAN, DAVID, DDS Plains Medical Center 820 1st St PO Box 1120 Limon, CO 80828 (719)775-2367 ueiia uemai member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 47 Littleton Delta Dental Premier Littleton Colorado Colorado COLORADO (CONT-D) LITTLETON ENDODONTIST BURQUEST,JAMES Endodontic Associates 7889S S Lincoln Ct Ste 205 Littleton, CO 80122 (303) 798-6611 CARNES, PERRI Endodontic Associates 7889S S Lincoln Ct Ste 205 Littleton, CO 80122 (303) 798-6611 DEAL, BROCK Endodontic Associates 7889S S Lincoln Ct Ste 205 Littleton, CO 80122 (303) 798-6611 DEGERNESS, RANDOLPH, DDS Andante Endodontic Specialists P 8340 Sangre De Cristo Rd Ste 104 Littleton, CO 80127 (303) 948-4884 HUBBLE, TIMOTHY Endodontic Associates 7889S S Lincoln Ct Ste 205 Littleton, CO 80122 (303) 798-6611 LEE, DARIN Endodontic Associates 7889S S Lincoln Ct Ste 205 Littleton, CO 80122 (303)798-6611 MACARAEG,OMAR,DDS Colo Endodontic Specialist 2 W Dry Creek Cir Ste 170 Littleton, CO 80120 (303) 795-9699 PATEL,SANJAY Highlands Ranch Endodontics PC 537 W Highlds Rch Pkwy Ste 101 Littleton, CO 80129 (303)346-3963 SODEN,RYAN,DDS Colo Endodontic Specialist 2 W Dry Creek Cir Ste 170 Littleton, CO 80120 (303)795-9699 GENERAL DENTIST ALEKSANYAN, MARGARITA, DDS Guaranteed Smiles 2001 E Easter Ave Ste 200 Littleton, CO 80122 (303) 703-4544 ALMEIDA, ADAM, DDS 8683 E Lincon Ave Ste 200 Littleton, CO 80124 (303) 858-9000 BAER, DAVID Summit Family Dentistry 12999 W Bowles Dr Littleton, CO 80127 (303)989-9010 BARKER, STEPHEN, DDS Southbridge Family Dentistry 7889 S Lincoln Ct Ste 202 Littleton, CO 80122 (303) 798-4967 BARTON, STEPHEN, DDS PC 5622 S Delaware St Littleton, CO 80120 (303) 794-1707 BECKER, AMY, DDS Highline Family Dentistry PC 2 W Dry Creek Cir Ste 125 Littleton, CO 80120 (303) 794-6800 BEVANS, DAVID, DDS 7889 S Lincoln Ct Ste 100 Littleton, CO 80122 (303)798-1454 BIRKEL, RICHARD, DDS Comfort Dental Littleton 209 W Littleton Blvd Littleton, CO 80120 (303)734-2273 BLANCHARD, JASON, DDS Blanchard and Richardson Family De 8089 S Lincoln St Ste 102 Littleton, CO 80122 (303) 794-9271 BOYD PAGE, DANA Page Dental Arts Professional LI 8204 S Kipling Pkwy Unit 160 Littleton, CO 80127 (303) 794-4542 BURGER,ANNA,DDS Highlands Dental 2201 W Wildcat Reserve Pkwy Unit C6 Littleton, CO 80129 (303) 220-1122 BURKHART, SCOTT, DDS 7761 Shaffer Pkwy Ste 230 Littleton, CO 80127 (303) 973-3185 BURNS, WILLIAM, DDS DO 5125 S Kipling Pkwy Ste 315 Littleton, CO 80127 (303)979-2546 CARLILE, CHARLES, DDS DMD 6901 S Pierce St Ste 335 Littleton, CO 80128 (303) 973-1900 CARLSON,VANCE,DDS Carlson Family Dentistry 7325 S Pierce St Ste 200 Littleton, CO 80128 (303)932-6018 CARREON, LEJON, DDS 10268 W Centennial Rd Ste Littleton, CO 80127 (303) 933-2066 CASSON,ANNE,DDS Littleton Family Dntl Clinic 5401 S Prince St Ste 101 Littleton, CO 80120 (303)797-3867 CAULFIELD, JON, DDS FRONING, THOMAS, DDS 8340 Sangre De Cristo Rd Ste 206 9102 W Ken Caryl Ave Ste 200 Littleton, CO 80127 Littleton, CO 80128 (303) 972-2224 (303) 978-9572 CAVANAUGH, MARK, DDS DMD Highline Family Dentistry PC 2 W Dry Creek Cir Ste 125 Littleton, CO 80120 (303)794-6800 CHRISTIANSEN, RICHARD, DDS Aspen Dental Center 5104 S Field St Ste A Littleton, CO 80123 (303) 935-3737 CREER, LORIN, DDS Creer Family Dentistry 6179 S Balsam Way Ste 220 Littleton, CO 80123 (303)932-2872 DANNA, CHARLES, DDS Suncreek Dental Group 7761 Shaffer Pkwy Ste 250 Littleton, CO 80127 (303) 933-2522 DAUGHERTY, DAVID, DDS Aspen Dental Center 5104 S Field St Ste A Littleton, CO 80123 (303) 935-3737 DAWSON, KEVIN, DDS Advanced Dental Solutions PC 7261 S Broadway Ste 103 Littleton, CO 80122 (303) 798-1300 DELOIAN, ROBERT Dry Creek Dental PC 26 W Dry Creek Cir Ste 430 Littleton, CO 80120 (303)794-6959 DUQUETTE, DOUGLAS, DDS Perfect Teeth Ken Caryl PC 7660 S Pierce St Littleton, CO 80128 (303)972-7227 DURBON, LEZLI, DDS Jim Porter DDS PC 26 W Dry Creek Cir Ste 760 Littleton, CO 80120 (303)224-0400 FARLEY, LYNN, DDS 6930 S University Blvd Ste 204 Littleton, CO 80122 (303) 794-1415 FEREYDOUNI, AMIR, DDS DMD Kids and Family Dentistry 40 W Littleton Blvd Ste 205 Littleton, CO 80120 (303) 495-2801 100 FORD, JAMES, DDS Perfect Teeth Ken Caryl PC 7660 S Pierce St Littleton, CO 80128 (303)972-7227 FRANQUEMONT, MICHAEL, DDS 9083 W Peakview Dr Littleton, CO 80123 (303)979-0654 GECK, DAVID, DDS 10288 W Chatfield Ave Ste 103 Littleton, CO 80127 (303) 973-9663 GITLIN, LARRY, DDS 11757 W Ken Caryl Ave Unit J Littleton, CO 80127 (303)979-9488 GLASS, WALTER, DDS 7325 S Pierce St Ste 201 Littleton, CO 80128 (303) 979-4981 GORAL, ALAN, DDS Ken Caryl Dental Center 10789 Bradford Rd Littleton, CO 80127 (303) 933-2273 GREENE, CRAIG, DDS PC 8441 W Bowles Ave Ste 220 Littleton, CO 80123 (303)979-2544 GROUT, JEFFREY, DDS Grout Family Dentistry 8 W Dry Creek Cir Ste 101 Littleton, CO 80120 (303)730-1222 GROUT, RONALD, DDS Grout Family Dentistry 8 W Dry Creek Cir Ste 101 Littleton, CO 80120 (303)730-1222 GRYZICK, DAVID, DDS M William Meyer DDS PC 6691 W Ken Caryl Ave Littleton, CO 80128 (303) 979-4994 HARRIS, MARK, DDS 5590 S Windermere St Littleton, CO 80120 (303)794-3003 HARVEY, RICHARD, DDS Summit Family Dentistry 12999 W Bowles Dr Littleton, CO 80127 (303)989-9010 HASSELBACK, CHRISTOPHER, DDS Comfort Dental -Highlands Ranch 129 W County Line Rd Littleton, CO 80129 (303)738-9499 HENDRY, ROBERT, DDS 9200 W Cross Dr Ste 407 Littleton, CO 80123 (303)933-4117 HILL, ELIZABETH, DDS 10354 W Chatfield Ave Ste 100 Littleton, CO 80127 (303)973-1112 HOANG- XUAN, KHIEM Comfort Dental -Highlands Ranch 129 W County Line Rd Littleton, CO 80129 (303) 738-9499 i • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. ueita uentai mumuoi 11val l- a- , a,.,..,r Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 48 L_J • • Littleton Colorado COLORADO (CONT-D) HOANG,HANG,DDS Clement Park Dental Cares 8500 W Bowles Ave Ste 305 Littleton, CO 80123 (303)972-2988 HOBBS, DONALD, DDS M William Meyer DDS PC 6691 W Ken Caryl Ave Littleton, CO 80128 (303) 979-4994 HUBBLE, GREGORY, DDS 9200 W Cross Dr Ste 315 Littleton, CO 80123 (303)979-1600 JOHNSON, BRUCE, DDS MD DMD 8 W Dry Creek Cir Ste 200 Littleton, CO 80120 (303) 797-9099 JOHNSON, CHARLES, DDS Littleton Family Dntl Clinic 5401 S Prince St Ste 101 Littleton, CO 80120 (303)797-3867 JOHNSON, SCOTT, DDS 7325 S Pierce St Ste 104 Littleton, CO 80128 (303)979-0229 JOLSTAD, MARK, DDS Comfort Dental -Highlands Ranch 129 W County Line Rd Littleton, CO 80129 (303) 738-9499 JONES, KRISTIN, DDS Perfect Teeth Bowmar PC 5151 S Federal Blvd Ste G2 Littleton, CO80123 (303)795-1107 KEMPTON, CINDY, DDS 7261 S Broadway Ste 102 Littleton, CO 80122 (303)738-3888 KIM, DAVID, DDS Comfort Dental at Coal Mine 8420 W Coal Mine Ave Littleton, CO 80123 (303)904-2273. KISSINGER, SCOTT, DDS Southbridge Family Dentistry 7889 S Lincoln Ct Ste 202 Littleton, CO 80122 (303) 798-4967 KLUMB, THOMAS, DDS Comfort Dental at Coal Mine 8420 W Coal Mine Ave Littleton, CO 80123 (303)904-2273 LAI, PEARL, DDS Perfect Teeth Bowmar PC 5151 S Federal Blvd Ste G2 Littleton, CO 80123 (303) 795-1107 LIBERMAN, ADAM, DDS DMD 7720 S Broadway Ste 430 Littleton, CO 80122 (303)795-1443 Delta Dental Premier LOPER, DARLYNE, DDS DMD 5728 S Gallup St Littleton, CO 80120 (303)794-3969 LOVE, WILLIAM, DDS Comfort Dental -Highlands Ranch 129 W County Line Rd Littleton, CO 80129 (303)738-9499 MADDEN, ROBERT, DDS Southwest Family Dentistry 9200 W Cross Dr Ste 300 Littleton, CO 80123 (303) 973-5859 MALOY, SHAWN, DDS 5419 S Curtice St Littleton, CO 80120 (303) 798-4515 MARTIN, SARIRA, DDS Perfect Teeth Bowmar PC 5151 S Federal Blvd Ste G2 Littleton, CO 80123 (303) 795-1107 Beautiful Smile 5622 S Delaware St Littleton, CO 80120 (303)794-1707 MARTINICH, ROBERT, DDS Your Roxborough Dentist 8361 N Rampart Range Rd Ste 200 Littleton, CO 80125 (303)979-9209 MEHLHOFF, CHRISTOPHER, DDS Swedish Healthpark Dental Arts 6169 S Balsam Way Ste 330 Littleton, CO 80123 (303) 933-8230 MEYER, MARVIN, DDS PC 6691 W Ken Caryl Ave Littleton, CO 80128 (303) 979-4994 MICHAELS, POLLY, DDS DMD Rocky View Dental Care 1 W Dry Creek Cir Littleton, CO 80120 (303) 797-6129 MORELAND, JODIE, DDS 5590 S Windermere St Littleton, CO 80120 (303) 798-4571 MURCKO, LAURA, DDS Southbridge Family Dentistry 7889 S Lincoln Ct Ste 202 Littleton, CO 80122 (303) 798-4967 NAJJAR, ELLIAS, DDS Belleview Dental Associates 10184 W Belleview Ave Ste 220 Littleton, CO 80127 (303) 932-1077 OLDERSHAW, WILLIAM, DDS Comfort Dental at Coal Mine 8420 W Coal Mine Ave Littleton, CO 80123 (303) 904-2273 OLDROYD, TODD, DDS DMD 8340 Sangre De Cristo Rd Ste 102 Littleton, CO 80127 (303)795-6444 PAVEL, MARGARETA, DDS 8370 W Coal Mine Ave Ste 103 Littleton, CO 80123 (303)978-1522 POHL, RAYMOND, DDS 7800 S Elati St Ste 102 Littleton, CO 80120 (303)798-5465 PORTER, JAMES, DDS Jim Porter DDS PC 26 W Dry Creek Cir Ste 760 Littleton, CO 80120 (303)224-0400 PRESTON, JAMES, DDS 5950 S Platte Canyon Rd Littleton, CO 80123 (303)797-2286 RICHARDSON, BRIAN, DDS Blanchard and Richardson Family De 8089 S Lincoln St Ste 102 Littleton, CO 80122 (303)794-9271 ROEPE, STEVEN, DDS 8246 W Bowles Ave Unit S Littleton, CO 80123 (303)932-0200 SAIDE KARLIN, STEPHANIE, DDS 13402 W Coal Mine Ave Ste 270 Littleton, CO 80127 (303)933-2420 SECORA,GREG,DDS 6736 W Coal Mine Ave Littleton, CO 80123 (303) 973-9000 SECRIST, BRIAN, DDS Summit Family Dentistry 12999 W Bowles Dr Littleton, CO 80127 (303)989-9010 SONG JOHNSON, MARIA, DDS Rocky View Dental Care 1 W Dry Creek Cir Littleton, CO 80120 (303)797-6129 SPIEGEL, JEFFERY, DDS Comfort Dental Littleton 209 W Littleton Blvd Littleton, CO 80120 (303)734-2273 THOMPSON, SCOT, DDS 7735 W Long Dr Unit 9 Littleton, CO 80123 (303)933-8880 THRASH, FREDERIC, DDS Perfect Teeth Ken Caryl PC 7660 S Pierce St Littleton, CO 80128 (303)972-7227 . TOMASETTI, DAVID, DMD 7889 S Lincoln Ct Ste 100 Littleton, CO 80122 (303)798-2822 Littleton Colorado TRAN, TRAM, DDS 9860 W Belleview Ave Littleton, CO 80123 (303) 933-9969 UCHIDA, THOMAS, DDS 5035 S Kipling Pkwy Ste B2 Littleton, CO 80127 (303)933-3111 VETOWICH, MICHAEL, DDS Comfort Dental -Highlands Ranch 129 W County Line Rd Littleton, CO 80129 (303)738-9499 VOLP,JOHN 8 W Dry Creek Cir Ste 204 Littleton, CO 80120 (303)730-0720 WEEKES, BRADLEY, DDS Comfort Dental at Coal Mine 8420 W Coal Mine Ave Littleton, CO 80123 (303)904-2273 WIMPEE, PHILIP, DDS 6885 S Marshall St Littleton, CO 80128 (303)979-2900 WOSTREL, TERRY, DDS Rocky View Dental Care 1 W Dry Creek Cir Littleton, CO 80120 (303) 797-6129 ORAL SURGEON CARROLL, JOHN, DDS 26 W Dry Creek Cir Ste 740 Littleton, CO 80120 (303)224-0500 CARVER, DOUGLAS, DDS Rocky Mtn Oral and Max Surg PC 7889 S Lincoln Ct Ste 201A Littleton, CO 80122 (303)798-4553 ESPOSITO, DANIEL, MD DMD 6179 S Balsam Way Ste 100 Littleton, CO 80123 (303)933-8282 GLASGOW, MARK, DDS Rocky Mtn Oral and Max Surg PC 7889 S Lincoln Ct Ste 201A Littleton, CO 80122 (303)798-4553 IVERSON, BRUCE, DDS 9200 W Cross Dr Ste 603 Littleton, CO 80123 (303)932-7458 LESSIG, JAMES, DDS Advanced Oral and Max Surgery 10146 W San Juan Way Unit 210 Littleton, CO 80127 (303)979-2940 MCLAIN, RICHARD, DDS Rocky Mtn Oral and Max Surg PC 7889 S Lincoln Ct Ste 201A Littleton, CO 80122 (303) 798-4553 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 49 0 City of Ot Collins 0 Annual Dental Network Savings Comparison Aetna vs. Delta Dental PPO Plan i] PPO El Premier II� 200000- — -- / $74,193 180000 - j /,-- --- - - -- - --_ _ ..... 160000 140000 z z 120000� 100000 80000 $125-195 z P $123,410 s. f 40000�, 20000 Z 0 Aetna Delta Dental Littleton Delta Dental Premier Lone Tree Colorado Colorado COLORADO (CONT-D) MICHALIK, THOMAS, MD DMD Advanced Oral and Max Surgery 10146 W San Juan Way Unit 210 Littleton, CO 80127 (303)979-2940 MINER, JEREMY, DDS Daniel E Esposito MD DMD PC 6179 S Balsam Way Ste 100 Littleton, CO 80123 (303)933-8282 NELSON, RICHARD, DDS Rocky Mtn Oral and Max Surg PC 7889 S Lincoln Ct Ste 201A Littleton, CO 80122 (303) 798-4553 NELSON, STEVEN, DDS MS Rocky Mtn Oral and Max Surg PC 7889 S Lincoln Ct Ste 201A Littleton, CO 80122 (303) 7984553 ROLLERT, MICHAEL, DDS Rocky Mtn Oral and Max Surg PC 7889 S Lincoln Ct Ste 201A Littleton, CO 80122 (303) 798-4553 TOMASETTI, BOYD, DDS MD DMD Rocky Mtn Oral and Max Surg PC 7889 S Lincoln Ct Ste 201A Littleton, CO 80122 (303) 798-4553 WEIDEMAN, EDWARD, MD DMD Advanced Oral and Max Surgery 10146 W San Juan Way Unit 210 Littleton, CO 80127 (303)979-2940 ORTHODONTIST ALBERT, DAVID, DDS PC 7889 S Lincoln Ct Ste 102 Littleton, CO 80122 (303)798-0928 BELLON, MICHAEL, DDS MS 7325 S Pierce St Ste 204 Littleton, CO 80128 (303) 933-6830 BREWKA, ROBERT, DDS MS Littleton Orthodontics 14 W Dry Creek Cir Littleton, CO 80120 (303)795-2591 CALLENDER,GALEN,DDS 6169 S Balsam Way Ste 380 Littleton, CO 80123 (303)973-7771 DURYEA, MICHAEL, DDS 6701 W Ken Caryl Ave Littleton, CO 80128 (303) 933-0300 GARDNER, ROBERT, DDS Family Orthodontics 9878 W Belleview Ave Littleton, CO 80123 (303)978-1316 HAVENER, DARRELL, DDS Highlands Rnch Orthodontics PC 1420 W Canal Ct Ste 200 Littleton, CO 80120 (303) 791-2021 HOLT, GARY, DDS 7889 S Lincoln Ct Ste 102 Littleton, CO 80122 (303) 798-0928 HORNER, CRAIG, DDS DC 11757 W Ken Caryl Ave Unit K Littleton, CO 80127 (303) 972-9710 LEE, EUNICE, DMD South Park Orthodontics 8199 Southpark Ln Ste 150 Littleton, CO 80120 (303) 739-8828 MOYER,BARBARA,DDS Pediatric Dentistry PC 10184 W Belleview Ave Ste 110 Littleton, CO 80127 (303) 973-4424 OHMART, SCOTT, DDS 10146 W San Juan Way Unit 230 Littleton, CO 80127 (303) 979-0211 PETERSON,SHON,DMD Sj Peterson DMD MS PC 8340 Sangre De Cristo Rd Ste 201 Littleton, CO 80127 (303) 979-2727 RESNICK, JEFFREY, DDS 9200 W Cross Dr Ste 426 Littleton, CO 80123 (303) 972-2898 ROCKE, PAUL, DDS 200 W County Line Rd Ste 304 Littleton, CO 80129 (303) 730-7002 STASI, MARK, DDS Comfort Smile Center 5055 S Kipling Pkwy Littleton, CO 80127 (303)933-8464 URBANIAK, JAMES, DDS 6931 S Pierce St Ste 101 Littleton, CO 80128 (303)978-1104 ZINKANN, KARLA, DDS MS 8 W Dry Creek Cir Ste 102 Littleton, CO 80120 (303) 798-8293 PEDODONTIST COLLEGE, COURTNEY, DDS Kids To College Pediatric Dentis 10146 W San Juan Way Unit 220 Littleton, CO 80127 (303) 979-9500 HURD,AUTUMN,DDS Dentistry For Children 7889 S Lincoln Ct Ste 203 Littleton, CO 80122 (303) 798-4400 LANDGREN, JOHN, DDS James A Urbaniak DDS MS PC 6931 S Pierce St Ste 101 Littleton, CO 80128 (303)978-1104 MOYER, IRA, DDS Pediatric Dentistry PC 10184 W Belleview Ave Ste 110 Littleton, CO 80127 (303)973-4424 PANKRATZ, ROBERT, DDS James A Urbaniak DDS MS PC 6931 S Pierce St Ste 101 Littleton, CO 80128 (303)978-1104 PERIODONTIST BOYESEN, JANIE Southbridge Family Dentistry 7889 S Lincoln Ct Ste 202 Littleton, CO 80122 (303) 798-4967 BOYESEN, JANIE, DDS Mark K Shimoda DDS PC 7761 Shaffer Pkwy Ste 240 Littleton, CO 80127 (303) 979-1705 GLICK, PAUL, DDS 26 W Dry Creek Cir Ste 300 Littleton, CO 80120 (303)795-5700 LONE TREE ENDODONTIST BECKER, HELENA, DDS DMD Parkridge Endodontics PC 10450 Park Meadows Dr Ste 102 Lone Tree, CO 80124 (303)397-7668 GALLEGO-CUBILLOS, SONIA Metropolitan Dental Care at Park 10461 Park Meadows Dr Bldg 4 Lone Tree, CO 80124 (303)534-2626 RING, JAMIE, DDS DMD Parkridge Endodontics PC 10450 Park Meadows Dr Ste 102 Lone Tree, CO 80124 (303)397-7668 WHITNEY, SCOTT, DDS Parkridge Endodontics PC 10450 Park Meadows Dr Ste 102 Lone Tree, CO 80124 (303) 397-7668 GENERAL DENTIST ACHERKAN,MAYYA Allegro Dental Center 10455 Park Meadows Dr Ste 101 Lone Tree, CO 80124 (303) 768-8711 AHERN, JOHN, DDS Ridgegate Dental 10450 Park Meadows Dr Ste 301 Lone Tree, CO 80124 (303)797-6453 AJDARI, JURAK, DDS PC 10450 Park Meadows Dr Ste 306 Lone Tree, CO 80124 (303) 471-4300 ALMEIDA, ADAM, DDS 8683 E Lincoln Ave Ste 200 Lone Tree, CO 80124 (303) 858-9000 ALMEIDA, DONALD, DDS Almeida Dental Aesthetic Center 8683 E Lincoln Ave Ste 200 Lone Tree, CO 80124 (303)858-9000 AMBIDA, SANDRA, DDS DMD 9695 S Yosemite St Ste 225 Lone Tree, CO 80124 (303) 790-8338 BROCKMAN, JOHN, DDS Brockman Family Dentistry 10450 Park Meadows Dr Ste 304 Lone Tree, CO 80124 (303) 799-4333 CORSON, GEORGE, DDS Perfect Teeth Highlands Ranch PC 9227 E Lincoln Ave Ste 100 Lone Tree, CO 80124 (303) 925-0603 DAYN, ILYA Allegro Dental Center 10455 Park Meadows Dr Ste 101 Lone Tree, CO 80124 (303) 768-8711 GOLINVAUX, MICHAEL, DDS Metropolitan Dental Care at Park 10461 Park Meadows Dr Bldg 4 Lone Tree, CO 80124 (303)534-2626 HANDELMAN, RICHARD, DDS Dentisty at The Crest 10047 Park Meadows Dr Unit B Lone Tree, CO 80124 (303)768-8848 LAW, STEVEN, DDS Metropolitan Dental Care at Park 10461 Park Meadows Or Bldg 4 Lone Tree, CO 80124 (303)534-2626 L.AWLER, MICHAEL, DDS Four Seasons Dental 9896 Rosemont Ave Ste 103 Lone Tree, CO 80124 (303)705-5700 LEE, CURTIS, DDS DMD Metropolitan Dental Care at Park 10461 Park Meadows Dr Bldg 4 Lone Tree, CO 80124 (303)534-2626 LEINS, LEO, DDS 9695 S Yosemite St Ste 327 Lone Tree, CO 80124 (303) 671-0761 NELSON, RUTH, DDS Perfect Teeth Highlands Ranch PC 9227 E Lincoln Ave Ste 100 Lone Tree, CO 80124 (303)925-0603 • is Delta Dental member companies and, with limited exception, Participating Dentists are maepencenr comraccors. vans uciiwi Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 50 • • • Lone Tree Colorado COLORADO (CONT-D) OLEARY, JOSEPH Meadows Dental Group PLLC 7430 Park Meadows Dr Ste 100 Lone Tree, CO 80124 (303)790-2323 OSBORN,ANGELA 9105 Kimmer Dr Lone Tree, CO 80124 (303)799-9993 PEPPLER, MICHAEL, DMD Meadows Dental Group PLLC 7430 Park Meadows Dr Ste 100 Lone Tree, CO 80124 (303) 790-2323 ROACH, MAUREEN, DDS Metropolitan Dental Care at Park 10461 Park Meadows Dr Bldg 4 Lone Tree, CO 80124 (303) 534-2626 WHITE, DAWN, DDS Metropolitan Dental Care at Park 10461 Park Meadows Dr Bldg 4 Lone Tree, CO 80124 (303)534-2626 ORAL SURGEON CATALANO, JOSEPH, DDS DMD Aurora Oral and Max Surgeons 10103 Ridgegate Pkwy Ste 214 Lone Tree, CO 80124 (303)768-8222 COSBY, MICHAEL, DDS MD Cosby and Patterson PC 10461 Park Meadows Dr Bldg 4 Lone Tree, CO 80124 (303)321-0333 KEOGH, BARRY, DDS MD Aurora Oral and Max Surgeons 10103 Ridgegate Pkwy Ste 214 Lone Tree, CO 80124 (303) 768-8222 MOGYOROS, ROBERT, DDS DMD Cosby and Patterson PC 10461 Park Meadows Dr Bldg 4 Lone Tree, CO 80124 (303)321-0333 PATTERSON, KEVIN, DDS MD Cosby and Patterson PC 10461 Park Meadows Dr Bldg 4 Lone Tree, CO 80124 (303)321-0333 ROBINSON, RANDOLPH, DDS MD Park Meadows Cosmetic Surgery PC 7430 Park Meadows Dr Ste 300 Lone Tree, CO 80124 (303)706-1100 ORTHODONTIST DURKIN, FAZILA, DDS Durkin Orthodontics 7430 Park Meadows Dr Ste 200 Lone Tree, CO 80124 (303)799-8882 Delta Dental Premier HORNER, CRAIG, DDS DC Perfect Teeth Highlands Ranch PC 9227 E Lincoln Ave Ste 100 Lone Tree, CO 80124 (303) 925-0603 IDICULLA, ANIL, DMD Park Meadows Orthodontics 10463 Park Meadows Dr Ste 206 Lone Tree, CO 80124 (303) 534-2626 KARLIN, TYLER Perfect Teeth Highlands Ranch PC 9227 E Lincoln Ave Ste 100 Lone Tree, CO 80124 (303)925-0603 MOORE, THEODORE, DDS 9896 Rosemont Ave Ste 204 Lone Tree, CO 80124 (303)799-3994 THEROUX, KEVIN, DDS Theroux Orthodontics 10450 Park Meadows Dr Ste 300 Lone Tree, CO 80124 (303) 779-0565 PEDODONTIST GRANT, NANCY, DDS All Kids Pediatric Dntry 10450 Park Meadows Dr Ste 308 Lone Tree, CO 80124 (303) 793-0899 NGUYEN, ANDREW, DDS Perfect Teeth Highlands Ranch PC 9227 E Lincoln Ave Ste 100 Lone Tree, CO 80124 (303) 925-0603 PERIODONTIST HUBER, MICHAEL, DDS 8683 E Lincoln Ave Ste 210 Lone Tree, CO 80124 (303) 799-3949 KANTOR, MICHAEL Metropolitan Dental Care at Park 10461 Park Meadows Dr Bldg 4 Lone Tree, CO 80124 (303)534-2626 LUCAS,MARK,DDS 10461 Park Meadows Dr Bldg 4 Lone Tree, CO 80124 (303) 534-2626 LONGMONT ENDODONTIST AMELANG SEVERIN, AMBER Endodontic Specialists of The Ro 1055 17th Ave Ste 105 Longmont, CO 80501 (303) 651-0202 BARTON, DANIEL, DDS DMD 630 15th Ave Ste 301 Longmont, CO 80501 (720)494-9363 BREEDEN, RANDALL, DDS Perfect Teeth Pace PC 1631 Pace St Ste B3 Longmont, CO 80501 (303)684-6524 GIRARDI, ANTHONY, DDS Endodontic Specialists of The Ro 1055 17th Ave Ste 105 Longmont, CO 80501 (303)651-0202 JONES, DAVID, DDS Endodontic Specialists of The Ro 1055 17th Ave Ste 105 Longmont, CO 80501 (303)651-0202 JONES, KELLY, DDS Endodontic Specialists of The Ro 1055 17th Ave Ste 105 Longmont, CO 80501 (303)651-0202 MAINES, JASON, DDS Endodontic Specialists of The Ro 1055 17th Ave Ste 105 Longmont, CO 80501 (303) 651-0202 GENERAL DENTIST ABBEY, PAUL, DDS 1507 Mountain View Ave Longmont, CO 80501 (303)678-0997 AHERN, ROBERT, DDS Longmont Dental Associates II 1055 17th Ave Ste 202 Longmont, CO 80501 (303)776-3018 BECVAR,FRANK,DDS Aaa Health Centered Dentistry 2130 Mountain View Ave Unit D Longmont, CO 80501 (303)776-6021 BILES, JILL, DDS Avanti Dental Care PC 900 S Main St Ste 201 Longmont, CO 80501 (303)776-9701 BINGHAM, RYAN, DDS Bruce L Sessions DDS PC 541 Main St Longmont, CO 80501 (303) 776-3030 BROWN, STEPHEN, DDS 2051 Terry St Ste F Longmont, CO 80501 (303)678-7232 BUCK, JAMES, DDS 1055 17th Ave Ste 104 Longmont, CO 80501 (303)776-1335 CASTLE, WAYNE, DDS 1361 Francis St Ste 202 Longmont, CO 80501 (303)772-8020 CHC DENTAL AID 1715 Princess Dr Longmont, CO 80501 (303)682-2619 CHC PLAN DE SALUD Plan De Salud Del Valle 220 E Rogers Rd Longmont, CO 80501 (303)772-1906 Longmont Colorado COATS, BRIAN, DDS 1305 Sumner St , Longmont, CO 80501 (303)776-4090 COATS, FREDERICK, DDS 1501 Mountain View Ave Longmont, CO 80501 (303)776-3150 DRAKE, THOMAS, DDS Smile Designers Fmly Dntry 1246 Main St Longmont, CO 80501 (303) 678-7800 DUNN, JACK, DDS 739 Emery St Longmont, CO 80501 (303)772-2354 HAMBLIN, ROBERT, DDS Dental Health of Longmont PLLC 1260 S Hover St Unit H Longmont, CO 80501 (303)678-1125 HEDRICK, ADRIENNE 2929 17th Ave Longmont, CO 80503 (303)772-6333 HERRING, DEE, DDS 2929 17th Ave Unit C Longmont, CO 80503 (303)772-7622 HERZIG, LAURA, DDS Perfect Teeth Longmont PC 641 Ken Pratt Blvd Longmont, CO 80501 (303) 651-2700 HOERNER, TERRY, DDS 2211 Mountain View Ave Longmont, CO 80501 (303)776-2214 HOOK, MARK, DDS Dental Health of Longmont PLLC 1260 S Hover St Unit H Longmont, CO 80501 (303)678-1125 JENSEN,DOUGLAS 1332 Linden St Ste 2 Longmont, CO 80501 (303)772-2392 JOHNSON, JOLLY, DDS Comfort Dental Longmont 1750 Mountain View Ave Longmont, CO 80501 (303)678-7783 KAMMER, THOMAS, DDS 640 Terry St Longmont, CO 80501 (303)776-0633 KELLIHER, JOSEPH, DDS 2929 17th Ave Longmont, CO 80503 (303)772-6333 KELLOGG, MICHAEL, DDS 1616 Mountain View Ave Longmont, CO 80501 (303)772-3313 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 51 Longmont Delta Dental Premier Louisville Colorado Colorado COLORADO (CONT-D) KELSON,DUANE,DDS Dental Horizons PC 600 S Airport Rd Bldg A200 Longmont, CO 80503 (303)776-3320 KHEIR, AHMED, DDS DMD Bright Now Dental 15 Ken Pratt Blvd Ste 280 Longmont, CO 80501 (303) 678-1155 KNECHTEL, KURT, DDS 1322 Vivian St Longmont, CO 80501 (303) 776-4229 KOCHEVAR, CASEY, DDS Hover Dental Group 1446 Hover St Longmont, CO 80501 (303)684-9700 KRAFT, BRIAN, DDS Twin Peaks Dental and Orthodonti 1325 Dry Creek Dr Ste 206 Longmont, CO 80503 (303)774-8300 LADD, STANLEY, DDS 2211 Mountain View Ave Longmont, CO 80501 (303)772-5882 MAURER, JAMES, DDS 2350 17th Ave Ste 204 Longmont, CO 80503 (303) 772-7000 MCCARTY, ROBERT, DDS Dental Horizons PC 600 S Airport Rd Bldg A200 Longmont, CO 80503 (303) 776-3320 MERTZ, GUY, DDS Mertz Family Dentistry 1950 Terry St Longmont, CO 80501 (303) 678-1111 MERTZ, PETER, DDS Mertz Family Dentistry 1950 Terry St Longmont, CO 80501 (303) 678-1111 OBRIEN, ROBERT, DDS 1446 Hover St Longmont, CO 80501 (303) 684-9700 PARK, MICHAEL, DDS MD Bruce L Sessions DDS PC 541 Main St Longmont, CO 80501 (303)776-3030 PERRY,STEPHEN,DDS Dental Health of Longmont PLLC 1260 S Hover St Unit H Longmont, CO 80501 (303) 678-1125 PIERSON, DIANNE, DDS Longmont Family Dentistry LLC 1503 Mountain View Ave Longmont, CO 80501 (303) 776-7804 PINKNER, JAY, DDS 1361 Francis St Ste 201 Longmont, CO 80501 (303)776-0117 RANUCCI, ANDREW, DDS DMD 515 Main St Unit B Longmont, CO 80501 (303)684-9422 ROBY, TODD, DDS 1055 17th Ave Ste 203 Longmont, CO 80501 (303)776-2020 ROGGE, CLIFF, DDS Artistic Smiles 920 S Hover St Longmont, CO 80501 (303) 485-8888 SAEKS, ADAM, DDS 376 2nd Ave Longmont, CO 80501 (303) 652-3500 SAUZA, JUAN, DDS Avanti Dental Care PC 900 S Main St Ste 201 Longmont, CO 80501 (303)776-9701 SCHEIDIES, JENNIFER, DDS 921 9th Ave Longmont, CO 80501 (303) 651-2035 SESSIONS, BRUCE, DDS SC 541 Main St Longmont, CO 80501 (303)776-3030 SIDWELL, STEPHEN, DDS Comfort Dental Longmont 1750 Mountain View Ave Longmont, CO 80501 (303)678-7783 SODER-BLACKMAN, KELLY, DDS Comfort Dental Longmont 1750 Mountain View Ave Longmont, CO 80501 (303) 678-7783 SOLTANI, AZADEH, DDS DMD Bright Now Dental 15 Ken Pratt Blvd Ste 280 Longmont, CO 80501 (303)678-1155 STRAUSS, THOMAS, DDS 1055 17th Ave Ste 201 Longmont, CO 80501 (303)772-0317 STUTZNEGGER, CONRAD, DDS Comfort Dental Longmont 1750 Mountain View Ave Longmont, CO 80501 (303) 678-7783 VISGER, SEAN, DDS Aspen Dental Group LLC 1720 Duchess Dr Longmont, CO 80501 (303)772-6960 WALGAST, JOHN, DDS DMD Perfect Teeth Longmont PC 641 Ken Pratt Blvd Longmont, CO 80501 (303) 651-2700 WALGAST, JOHN, DMD Perfect Teeth Pace PC 1631 Pace St Ste B3 Longmont, CO 80501 (303)684-6524 WHITTERN, CATHY, DDS Dental Aspects PC 13876 Elmore Rd Longmont, CO 80504 (303) 678-7558 WOOD, BRADLEY, DDS Brad C Wood DDS LLC 916 S Main St Unit 303 Longmont, CO 80501 (303)485-9123 ORALSURGEON COLM, STEPHEN, DMD Perfect Teeth Pace PC 1631 Pace St Ste B3 Longmont, CO 80501 (303)684-6524 Perfect Teeth Longmont PC 641 Ken Pratt Blvd Longmont, CO 80501 (303)651-2700 ORTHODONTIST BECKWITH, FRANK, DDS Mountain View Orthodontics 1800 Mountain View Ave Longmont, CO 80501 (303) 651-1315 LESLIE-MARTIN, LAUREL, MS Martin Family Orthodontics 1361 Francis St Ste 104 Longmont, CO 80501 (303) 772-5055 MARTIN, LAWRENCE, DDS Martin Family Orthodontics 1361 Francis St Ste 104 Longmont, CO 80501 (303)772-5055 MCMANAMAN, RICHARD, MS 1600 Hover St Ste D1 Longmont, CO 80501 (303)772-7722 OWEN, BRANDON, DDS Bright Now Dental 15 Ken Pratt Blvd Ste 280 Longmont, CO 80501 (303) 678-1155 PERODONTIST CHRISTENSEN, EDWARD Foothills Pediatric Dentistry PC 916 S Main St Ste 302 Longmont, CO 80501 (303)702-9501 RAMIREZ, DAVID Foothills Pediatric Dentistry PC 916 S Main St Ste 302 Longmont, CO 80501 (303) 702-9501 PERIODONTIST GURINSKY, BRIAN, DDS Bright Now Dental 15 Ken Pratt Blvd Ste 280 Longmont, CO 80501 (303) 678-1155 KOHUT, DEJAN, DDS Perfect Teeth Pace PC 1631 Pace St Ste B3 Longmont, CO 80501 (303)684-6524 LOUISVILLE ENDODONTIST FRUTCHEY, BRIAN, DMD Flatirons Endodontics LLC 850 W South Boulder Rd Unit 201 Louisville, CO 80027 (303)665-6120 HOELSCHER, ANITA Flatirons Endodontics LLC 850 W South Boulder Rd Unit 201 Louisville, CO 80027 (303) 665-6120 DDS GENERAL DENTIST DDS RUDMAN,ROBERT Foothills Pediatric Dentistry PC 916 S Main St Ste 302 Longmont, CO 80501 (303)702-9501 VENRICK, MELISSA, DDS DMD 1055 17th Ave Ste 103 Longmont, CO 80501 (303) 651-7771 BASIT, SAADIA, DDS DMD 1371 E Hecla Dr Ste C-2 Louisville, CO 80027 (303) 604-2689 BELENSKI, ALAN, DDS 225 W South Boulder Rd Ste 200 Louisville, CO 80027 (303) 666-5080 BENZLEY,LAYNE Young Dentistry For Children LLC 1056 S 88th St Louisville, CO 80027 (303) 604-0710 CARTER, BRIAN, DDS Louisville Dental Associates 1760 Centennial Dr Louisville, CO 80027 (303) 665-7505 CHC DENTAL AID 877 E South Boulder Rd Louisville, CO 80027 (303) 665-8228 COSAERT, CORRINN, DDS Michael A Israelson DDS and Associ 275 Century Cir Ste 200 Louisville, CO 80027 (303) 666-4499 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. uena uemai memuci w 11pai ll— a„a a,., ,r •„,y Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 52 r1 U • • Louisville Colorado COLORADO (CONT-D) DUEY, DOUGLAS, DDS Comfort Dental of Louisville 339 McCaslin Blvd Ste B Louisville, CO 80027 (303) 673-0500 FRANZ, ALLEN, DDS 400 S McCaslin Blvd Ste 207 Louisville, CO 80027 (303)666-4900 GREANY, THOMAS, DDS Michael A Israelson DDS and Associ 275 Century Cir Ste 200 Louisville, CO 80027 (303) 666-4499 HATCH,ROYCE,DDS Louisville Dental Associates 1760 Centennial Dr Louisville, CO 80027 (303) 665-7505 ISRAELSON, MICHAEL, DDS 275 Century Cir Ste 200 Louisville, CO 80027 (303) 666-4499 LORENZ, ROBERT, DDS Louisville Dental Associates 1760 Centennial Dr Louisville, CO 80027 (303) 665-7505 MCCARTY, CHERYL, DDS 333 W South Boulder Rd Ste 3 Louisville, CO 80027 (303) 666-7267 MILLER, ABRAHAM, DDS Comfort Dental of Louisville 339 McCaslin Blvd Ste B Louisville, CO 80027 (303) 673-0500 SPENCER, STEPHEN,DMD Comfort Dental of Louisville 339 McCaslin Blvd Ste B Louisville, CO 80027 (303) 673-0500 STEINBACH, REBECCA, DDS Louisville Dental Associates 1760 Centennial Dr Louisville, CO 80027 (303) 665-7505 TERS, MARTIN, DDS 400 S McCaslin Blvd Ste 107 Louisville, CO 80027 (303) 666-0600 WERTZ, DAVID, DDS 801 Main St Ste 220 Louisville, CO 80027 (303) 926-8225 ORAL SURGEON REISMAN, ALAN, DDS 1075 E South Boulder Rd Ste 230 Louisville, CO 80027 (303) 665-2377 Delta Dental Premier ORTHODONTIST CARAWAY, DAMEN, DDS Caraway Orthodontics PC 1760 Centennial Dr Ste B Louisville, CO 80027 (303) 665-7333 COLLETTI, LAURENCE, DDS Align Orthodontics PC 1056 S 88th St Louisville, CO 80027 (303) 666-0800 HIBL, DAVID, DDS MS 1760 Centennial Dr Ste B Louisville, CO 80027 (303) 665-7333 MELCHER, THOMAS, DDS 315 W South Boulder Rd Ste 111 Louisville, CO 80027 (303) 666-9717 WEINBACH, JONATHAN, DDS Smile Zone Orthodontics 1075 E South Boulder Rd Ste 235 Louisville, CO 80027 (303) 604-0300 PEDODONTIST DECKER, JILL, DDS Young Dentistry For Children LLC 1056 S 88th St Louisville, CO 80027 (303) 604-0710 HOWE, KEATON, DDS Young Dentistry For Children LLC 1056 S 88th St Louisville, CO 80027 (303)604-0710 KRETSCH, KIMBERLY, DDS Young Dentistry For Children LLC 1056 S 88th St Louisville, CO 80027 (303) 604-0710 YOUNG, JEFFREY, DDS Young Dentistry For Children LLC 1056 S 88th St Louisville, CO 80027 (303) 604-0710 LOVELAND ENDODONTIST AMELANG SEVERIN, AMBER Endodontic Specialists of The Ro 2996 Ginnala Dr Ste 101 Loveland, CO 80538 (970) 461-1994 GIRARD[, ANTHONY, DDS Endodontic Specialists of The Ro 2996 Ginnala Or Ste 101 Loveland, CO 80538 (970)461-1994 JONES, DAVID, DDS Endodontic Specialists of The Ro 2996 Ginnala Dr Ste 101 Loveland, CO 80538 (970)461-1994 JONES, KELLY, DDS Endodontic Specialists of The Ro 2996 Ginnala Dr Ste 101 Loveland, CO 80538 (970)461-1994 MAINES, JASON, DDS Endodontic Specialists of The Ro 2996 Ginnala Dr Ste 101 Loveland, CO 80538 (970)461-1994 GENERAL DENTIST ANDERSEN, DENNIS, DDS DMD PC 1907 Boise Ave Ste 4 Loveland, CO 80538 (970)667-5424 BALLARD,STEPHEN,DDS 2998 Ginnala Dr Ste 101 Loveland, CO 80538 (970)669-1236 BIGUS, PAUL, DDS Rocky Mountain Smiles PC 935 N Lincoln Ave Loveland, CO 80537 (970)667-1292 BOURNE, JEFFREY, DDS Comfort Dental North Loveland 274 W 64th St Loveland, CO 80538 (970) 667-0446 BRUNER, LAWRENCE, DDS 2502 Abarr Dr Loveland, CO 80538 (970)669-1444 CARLESIMO, PETER, DDS Perfect Teeth Loveland PC 3400 W Eisenhower Blvd Loveland, CO 80537 (970)669-2853 CHC LOVELAND COMMUNITY HEALT Loveland Community Health Center 450 Cleveland Ave Loveland, CO 80537 (970) 461-8942 DILDINE, JOHN, DDS 2664 Abarr Dr Loveland, CO 80538 (970)667-2248 FEICHTINGER, DALE, DDS 2998 Ginnala Dr Ste 101 Loveland, CO 80538 (970)669-1236 FERRARA, NICOLE, DDS Implant and General Dentistry of N 2975 Ginnala Dr Ste 100 Loveland, CO 80538 (970)663-1000 FRANCKUM,JAMES,Dos 2903 Aspen Dr Unit G Loveland, CO 80538 (970)667-6040 GODING, NORMAN, DDS 1966 W 15th St Ste 1 Loveland, CO 80538 (970)669-5700 Loveland Colorado HARRISON, RICHARD, DDS 2008 Blue Mesa Ct Loveland, CO 80538 (970)669-3880 HASCHKE, DOUGLAS, DDS Comfort Dental Thompson Valley 1405 10th St SW Loveland, CO 80537 (970)962-9995 HERZIG, LAURA Lincoln Place Dentistry PC 564 N Lincoln Ave Loveland, CO 80537 (970)776-9140 HOOD, STEVEN, DDS DMD 3013 Taft Ave Ste 1 Loveland, CO 80538 (970)669-8662 KALLIO, JENNIFER, DDS Comfort Dental Thompson Valley 1405 10th St SW Loveland, CO 80537 (970)962-9995 KRAUSE,RHONDA,DDS Loveland Family Dentistry 1242 Cleveland Ave Loveland, CO 80537 (970)667-6101 LACY, EDWARD 2550 Abarr Dr Loveland, CO 80538 (970) 667-2372 LINDMAN, MIKAL, DDS Comfort Dental North Loveland 274 W 64th St Loveland, CO 80538 (970)667-0446 MCARTOR, SHIVAUN, DDS McKee Family Dentistry 2998 Ginnala Dr Ste 101 Loveland, CO 80538 (970)669-1236 MCARTOR, STEVEN, DDS 2998 Ginnala Dr Ste 101 Loveland, CO 80538 (970)669-1236 MIODUSKI, THEODORE Implant and General Dentistry of N 2975 Ginnala Dr Ste 100 Loveland, CO 80538 (970)663-1000 MULHERAN, THOMAS, DDS Bright Now Dental 1440 W 29th St Ste 400 Loveland, CO 80538 (970)622-0922 NORDSTROM, DAVID, DDS 1907 Boise Ave Ste 5 Loveland, CO 80538 (970)667-1236 OLIGMUELLER, JAMES, DDS Loveland Dental Associates 2114 N Lincoln Ave Ste 201 Loveland, CO 80538 (970)669-0306 PITT, DAVID, DDS 1524 W Eisenhower Blvd Ste E Loveland, CO 80537 (970) 669-3967 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 53 Loveland Delta Dental Premier Monument Colorado Colorado COLOF ADO (CONT-D) SATHRE, RICHARD, DDS 2004 W 15th St Loveland, CO 80538 (970)663-3542 SCHREIBER, WILLIAM, DDS PC 1323 Harlow Ln Ste 4 Loveland, CO 80537 (970) 667-8782 SHULZE, RICHARD Milestone Dental Care 640 E Eisenhower Blvd Ste 100 Loveland, CO 80537 (303)833-5500 SMITH, BRADLEY, DDS Comfort Dental Thompson Valley 1405 10th St SW Loveland, CO 80537 (970)962-9995 STACEY, ROBERT, DDS 1930 Blue Mesa Ct Loveland, CO 80538 (970)667-2040 TRAN, VIEN, DDS Comfort Dental Thompson Valley 1405 10th St SW Loveland, CO 80537 (970) 962-9995 TRIPAM, ALOIS, DDS Comfort Dental Thompson Valley 1405 10th St SW Loveland, CO 80537 (970)962-9995 WRIGHT, DAVID, DDS 2004 W 15th St Ste 3 Loveland, CO 80538 (970) 663-2133 ORAL SURGEON COLM,STEPHEN,DDS Perfect Teeth Loveland PC 3400 W Eisenhower Blvd Loveland, CO 80537 (970) 669-2853 OWEN, ZACHARY, DDS Summit Oral and Maxillofacial Su 2998 Ginnala Dr Ste 102 Loveland, CO 80538 (970) 669-4802 WILLIAMS, DALLAS, DDS MD 1952 Blue Mesa Ct Loveland, CO 80538 (970) 635-0400 ZULIAN, MICHAEL, DDS 2800 Madison Square Dr Ste 2 Loveland, CO 80538 (970) 669-6850 ORTHODONTIST CRANE,MARK,DDS 1931 Boise Ave Ste 2 Loveland, CO 80538 (970)226-6443 GOINGS, BRADLEY, DDS Centerra Orthodontics PC 2555 E 13th St Ste 125 Loveland, CO 80537 (970) 667-4245 KARLIN, TYLER Perfect Teeth Loveland PC 3400 W Eisenhower Blvd Loveland, CO 80537 (970) 669-2853 MURRAY, SHAWN, DDS Centerra Orthodontics PC 2555 E 13th St Ste 125 Loveland, CO 80537 (970)667-4245 PEDODONTIST DERLOSHON, TOBIAS, DDS Pedodontics of Loveland 2700 Madison Square Dr Loveland, CO 80538 (970)669-1122 GERKEN, LOUIS, DDS 2800 Madison Square Dr Ste 1 Loveland, CO 80538 (970) 669-7711 MONAK,EDMUND Perfect Teeth Loveland PC 3400 W Eisenhower Blvd Loveland, CO 80537 (970) 669-2853 PERIODONTIST HOLLING, GEORGE, DDS 1625 Foxtrail Dr Ste 100 Loveland, CO 80538 (970)669-7300 LYONS GENERAL DENTIST JOHNSTONE, DENNIS, DDS DMD 304 Main St Lyons, CO 80540 (303) 823-6006 SHULZE, RICHARD, DDS DMD The Lions Tooth 304 Main St Lyons, CO 80540 (303) 833-5500 MANCOS GENERAL DENTIST STRIETZEL, DALE, DDS Mancos Family Dentistry 111 Railroad Ave Ste 2 Mancos, CO 81328 (970)533-7204 MONTE VISTA GENERAL DENTIST COMBES, CRAIG, DDS 10 Rupert St Monte Vista, CO 81144 (719) 852-2589 SANTI, RICHARD, DDS PC 10 Rupert St Monte Vista, CO 81144 (719)852-2552 ORTHODONTIST MILLS, MARK, DDS 10 Rupert St Monte Vista, CO 81144 (719)596-3081 MONTROSE ENDODONTIST BARNHURST, ERIC Colorado West Endodontics Prof L 1544 Oxbow Dr Ste 250 Montrose, CO 81401 (970)240-8954 CHAVEZ,ROBERT Colorado West Endodontics Prof L 1544 Oxbow Dr Ste 250 Montrose, CO 81401 (970)240-8954 NORTHUP,PAUL Colorado West Endodontics Prof L 1544 Oxbow Dr Ste 250 Montrose, CO 81401 (970)240-8954 GENERAL DENTIST BOISEN, DOROTHY, DDS Montrose Oral and Maxillofacial Su 600 S Park Ave Montrose, CO 81401 (970) 240-4485 COMMUNITY DENTAL CLINIC CHC 1901 S Townsend Ave Montrose, CO 81401 (970)252-8896 CORY,KENNETH,DMD 1425 Hawk Pkwy Ste 7 Montrose, CO 81401 (970) 249-4249 DRAKULICH, DANIEL, DDS 747 S 5th St Montrose, CO 81401 (970) 249-9811 GARCIA, NORALMA, DDS PC Nory Garcia DDS PC 1425 Hawk Pkwy Ste 7 Montrose, CO 81401 (970) 249-4249 HANSEN, DOUGLAS, DDS 629 E Star Ct Montrose, CO 81401 (970)249-3330 KNOTT, KENNETH, DDS Smiles 4 Kids Lllp 1601 Oxbow Dr Unit 360-A Montrose, CO 81401 (970)249-8595 MARTINSON, SHARLENE, DDS 816S1stSt Montrose, CO 81401 (970)249-2533 PRENTICE, BRIAN, DDS 1425 Hawk Pkwy Ste 7 Montrose, CO 81401 (970)249-4249 REARDON, DANIEL, DDS Black Canyon Dental 1544 Oxbow Or Ste 230 Montrose, CO 81401 (970)240-8880 STAPLES, JARED, DDS DMD Smiles 4 Kids Ulp 1601 Oxbow Or Ste 360A Montrose, CO 81401 (970)249-8595 STRONG,BRAD,DDS Montrose Dental 1100 E Main St Ste D Montrose, CO 81401 (970)240-0505 Smiles 4 Kids Lllp 1601 Oxbow Dr Ste 360A Montrose, CO 81401 (970)249-8595 STUCKY, JOE, DDS 154 Colorado Ave Ste 201 Montrose, CO 81401 (970)249-1898 WILSON, BENJAMIN, DDS Smiles 4 Kids Lllp 1601 Oxbow Dr Ste 360A Montrose, CO 81401 (970)249-8595 Douglas L Hansen DDS 629 E Star Ct Montrose, CO 81401 (970) 249-3330 ORAL SURGEON CAYO, CRAIG, DDS DD Montrose Oral and Maxillofacial Su 600 S Park Ave Montrose, CO 81401 (970) 240-4485 ORTHODONTIST DELIO, ANTHONY, DDS 200 S Uncompahgre Ave Montrose, CO 81401 (970)249-8828 PERODONTIST TIPPETS, DERREN, DMD Treasured Teeth PC 100 Tessitore Ct Unit C Montrose, CO 81401 (970)240-8694 MONUMENT GENERAL DENTIST BELLAMY, MARCUS, DDS DMD Monument Dental 236 Washington St Monument, CO 80132 (719)488-2721 CARDON, PAUL, DDS A J Gerathy Jr DMD LLC 325 2nd St Monument, CO 80132 (719) 481-4949 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. ueita uemat memuer sump—i— aiiu ra—•.,�a•,,,y Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 54 • Monument Colorado COLORADO (CONT-D) CARTER, STEVEN Comfort Dental Monument 556 Highway 105 Monument, CO 80132 (719)484-0043 CUTLER, RICHARD, DDS Jackson Creek Dental Care 15854 Jackson Creek Pkwy Monument, CO 80132 (719)302-2200 DRISKILL, VICTORIA Comfort Dental Monument 556 Highway 105 Monument, CO 80132 (719)484-0043 DWYER, DANIEL, DDS Jackson Creek Dental Care 15854 Jackson Creek Pkwy Monument, CO 80132 (719)302-2200 GERATHY, ALBERT, DDS DMD 325 2nd St Monument, CO 80132 (719)481-4949 JONES, DAVID, DDS 18925 Base Camp Rd Monument, CO 80132 (719) 488-2375 LAMOREAUX, JAROM, DDS Tri-Lakes Dental 1864 Woodmoor Dr Ste 101 Monument, CO 80132 (719)488-5981 PEPPLER, MICHAEL, DDS DMD M Scott Peppler DMD PC 1777 Lake Woodmoor Dr Monument, CO 80132 (303) 501-0763 SCHWAB, TOMMY 18925 Base Camp Rd Monument, CO 80132 (719)487-8702 SMITH, JOSHUA Comfort Dental Monument 556 Highway 105 Monument, CO 80132 (719) 484-0043 WALSH, STEPHEN, DDS 1840 Woodmoor Dr Ste 106 Monument, CO 80132 (719) 481-2120 ORTHODONTIST HAMULA, DAVID 1860 Woodmoor Dr Ste 200 Monument, CO 80132 (719)488-3737 TIMMINS, GERARD, DDS MS 325 2nd St Monument, CO 80132 (719) 260-1514 Delta Dental Premier PERODONTIST FARRAR, NORMAN, DDS Stephen R Walsh DDS PC 1840 Woodmoor Dr Ste 106 Monument, CO 80132 (719) 481-2120 IMOUR7..'71-relL GENERAL DENTIST LAHR,KENNETH,DDS West Ranch Dental Center 19423 N Turkey Creek Rd Ste F Morrison, CO 80465 (303) 697-4038 NORTHGLENN GENERAL DENTIST BEST, CORY, DDS 10780 Washington St Northglenn, CO 80233 (303)452-6630 COSTA, BENJAMIN, DDS Jeremy J Zeigler DMD PC 11310 Huron St Ste 210 Northglenn, CO 80234 (303) 428-8560 IRICK, BRUCE, DDS Comfort Dental Group of Northgle 10780 Washington St Northglenn, CO 80233 (303) 452-6630 JEFFERIES, ROBERT, DDS Comfort Dental Group of Northgle 10780 Washington St Northglenn, CO 80233 (303) 452-6630 JEPSEN,NEAL,DDS Jepsen and Associates DDS 11411 Pearl St Northglenn, CO 80233 (303)452-4556 MANGOLD, ANNE, DDS Alpha Dental Care 421 W 104th Ave Ste 201 Northglenn, CO 80234 (303) 427-6462 MARTIN, ROY, DDS Comfort Dental Group of Northgle 10780 Washington St Northglenn, CO 80233 (303) 452-6630 MARX, CHARLES, DDS 11152 Huron St Ste 104 Northglenn, CO 80234 (303) 452-1563 MOSS, STEWART, DDS Alpha Dental Care 421 W 104th Ave Ste 201 Northglenn, CO 80234 (303) 427-6462 MURPHY, KATHLEEN, DDS CSW Jepsen and Associates DDS 11411 Pearl St Northglenn, CO 80233 (303) 452-4556 RIEKER, BRYAN, DDS 11150 Huron St Ste 211 Northglenn, CO 80234 (303)452-9200 SADDLER, AURORA, DDS Comfort Dental Group of Northgle 10780 Washington St Northglenn, CO 80233 (303)452-6630 SADDLER,GARY,DDS Comfort Dental Group of Northgle 10780 Washington St Northglenn, CO 80233 (303)452-6630 STEVENS, JESSICA, DDS Jepsen and Associates DDS 11411 Pearl St Northglenn, CO 80233 (303) 452-4556 TRAN,LUAN,DDS 11160 Huron St Ste 102 Northglenn, CO 80234 (303)451-5111 WEARNER, BRIAN, DDS Wearner Family Dentistry 10465 Melody Dr Ste 207 Northglenn, CO 80234 (303) 452-8813 ZEIGLER, JEREMY, DDS DMD 11310 Huron St Ste 210 Northglenn, CO 80234 (303) 428-8560 ORAL SURGEON WELCH, SCOTT, DDS DMD Alpha Dental Care 421 W 104th Ave Ste 201 Northglenn, CO 80234 (303) 427-6462 ORTHODONTIST PETERSON,SHON,DMD Peterson Northglenn Orthodontics 11411 Pearl St Northglenn, CO 80233 (303) 452-4656 PERIODONTIST SCHEIDT, MICHAEL, DDS Colorado Gum Care Ltd 11178 Huron St Ste 101 Northglenn, CO 80234 (303) 457-9617 WHEELER, MARK, DDS DMD Colorado Gum Care Ltd 11178 Huron St Ste 101 Northglenn, CO 80234 (303) 457-9617 NORWOOD GENERAL DENTIST CHC UNCOMPAHGRE MEDICAL CENT 1350 S Aspen Norwood, CO 81423 (970) 327-4233 Parachute Colorado QUIGLEY, JOHN Telluride Dental 1140 Lincoln St Norwood, CO 81423 (970)327-4381 PAGOSA SPRINGS GENERAL DENTIST CAMPBELL, KING 228 Village Dr Pagosa Springs, CO 81147 (970)731-2126 DAVIS, PHILIP 101 N Pagosa Blvd Pagosa Springs, CO 81147 (970)264-9436 RUTHERFORD,JORDAN,DDS J Glenn Rutherford DDS PC 51 David Dr Pagosa Springs, CO 81147 (970)264-2366 THOMPSON, HAROLD, DDS DMD PC 228 Village Dr Pagosa Springs, CO 81147 (970) 731-2126 THORNELL, WILLIAM, DDS DMD Pagosa Dental PC 189 Talisman Dr Ste E Pagosa Springs, CO 81147 (970) 731-6600 PALISADE GENERAL DENTIST DAY, BRIAN, DDS Palisade Dental Clinic 125 W 3rd St Palisade, CO 81526 (970)464-5123 PAONIA GENERAL DENTIST HANEL, BRAD, DDS DID 402 2nd St Paonia, CO 81428 (970) 527-4853 RIDGWAY, ALAN, DDS 223 Minnesota Ave Paonia, CO 81428 (970)527-3757 PARACHUTE GENERAL DENTIST NARANJA, ANTHONY Battlement Creek Dental 73 Sipprelle Dr Ste M Parachute, CO 81635 (970)285-9004 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 55 Parker Delta Dental Premier Parker Colorado Colorado COLORADO (CONT-D) PARKER ENDODONTIST CHALIAN, GARD, DDS Endodontics of Colorado LLC 19700 E Parker Square Dr Ste 8 Parker, CO 80134 (303) 805-4141 HOLTZMANN, DAVID, DDS Endodontics of Colorado LLC 19700 E Parker Square Dr Ste 8 Parker, CO 80134 (303) 805-4141 STEIN, ARLENE, DDS DMD Endodontics of Colorado LLC 19700 E Parker Square Dr Ste 8 Parker, CO 80134 (303) 805-4141 SYRPES, DEMETRIOS, DDS Endodontics of Colorado LLC 19700 E Parker Square Dr Ste 8 Parker, CO 80134 (303) 805-4141 GENERAL DENTIST ALBIN-DAVIS, TERESA, DDS 10371 S Park Glenn Way Ste 175 Parker, CO 80138 (720)851-1676 ALLEN, RODNEY, DDS 10219 S Park Glenn Way Ste 100 Parker, CO 80138 (720)851-6784 BABIN, BRIAN, DDS Mountain Dental PC 11280 S Twenty Mile Rd Ste 119 Parker, CO 80134 (303)841-9915 BRIMHALL, DALLAS Maple Grove Dental PLLC 17021 Lincoln Ave Unit B Parker, CO 80134 (720)841-7069 BURGNER, DENNIS, DDS 10470 S Progress Way Unit 100 Parker, CO 80134 (720)870-9500 CAHOON, KEVIN, DDS Mountain Dental PC 11280 S Twenty Mile Rd Ste 119 Parker, CO 80134 (303)841-9915 CHOI, SEONG-HEE, DMD Cornerstone Dental Care PLLC 17002 Main St Unit H Parker, CO 80134 (720) 842-1900 CLEAR,SHERYL,DDS Lifetime Dental Care 10841 S Crossroads Dr Ste 108 Parker, CO 80134 (303) 840-1097 CORTESE,KATHLEEN,DDS Parker Dental Center 11031 S Pikes Peak Dr Ste 103 Parker, CO 80138 (303) 841-4580 DAISS-EHRHARD, PAMELA, DDS 17821 Cottonwood Dr Parker, CO 80134 (303) 693-5297 DIGIORGIO, ROBERT, DDS 17821 Cottonwood Dr Parker, CO 80134 (303) 699-6100 DIXEY, KENNETH, DDS Dixey and Utberg Family Dentistry 10521 S Parker Rd Ste E Parker, CO 80134 (303) 841-5313 DYCHES, BENJAMIN, DDS Mountain Dental PC 11280 S Twenty Mile Rd Ste 119 Parker, CO 80134 (303) 841-9915 EVANSON,ANGELA 18801 E Main St Ste 130 Parker, CO 80134 (303) 805-9999 FOUTZ, NICOLE, DDS Martin and Harman Family Dentistry 19700 E Parker Square Dr Parker, CO 80134 (303)841-2144 FREIMUTH, RONALD, DDS Comfort Dental Stroh Ranch 12870 Stroh Ranch Way Unit 103 Parker, CO 80134 (303) 840-6543 GEVING, ANNA, DDS Parker Family Dental 10219 S Park Glenn Way Ste 200 Parker, CO 80138 (303)840-2920 GILLESPIE, TERRI, DDS Little Parker Dental Center 10345 S Park Glenn Way Ste 200 Parker, CO 80138 (303)841-7045 GREENE, KEIRA, DDS Martin and Harman Family Dentistry 19700 E Parker Square Dr Parker, CO 80134 (303) 841-2144 HALE, MICHAEL, DDS 19751 E Main St Ste R16 Parker, CO 80138 (303)841-3322 HAMILTON, JEFFREY, DDS DMD Comfort Dental Stroh Ranch 12870 Stroh Ranch Way Unit 103 Parker, CO 80134 (303)840-6543 , HARMAN, GREG, DDS Martin and Harman Family Dentistry 19700 E Parker Square Dr Parker, CO 80134 (303) 841-2144 HENDERSON, SCOTT, DDS Comfort Dental Stroh Ranch 12870 Stroh Ranch Way Unit 103 Parker, CO 80134 (303)840-6543 HOLDERNESS,HAROLD,DDS Perfect Teeth Parker PC 11005 S Parker Rd Parker, CO 80134 (303)805-3588 JOHNSON, TREVOR, DDS DMD Comfort Dental Stroh Ranch 12870 Stroh Ranch Way Unit 103 Parker, CO 80134 (303) 840-6543 KEMPERS, GREGORY, DDS Capstone Dental PC 11355 S Parker Rd Unit 105 Parker, CO 80134 (303) 805-3655 KILLINGSWORTH, YVETTE, DDS 19700 E Parker Square Dr Ste 1 Parker, CO 80134 (303)841-2070 KWON, MICHELLE, DMD Cornerstone Dental Care PLLC 17002 Main St Unit H Parker, CO 80134 (720) 842-1900 LACOUTURE, CARY, DDS Creekside Dental Prof LLC 13097 S Parker Rd Unit A Parker, CO 80134 (303) 841-0549 LEPERA,RACHEL Trailview Dental Care 18721 Ponderosa Dr Ste C Parker, CO 80134 (303) 805-4655 MARTIN, TIMOTHY, DDS Martin and Harman Family Dentistry 19700 E Parker Square Dr Parker, CO 80134 (303)841-2144 NACK,STEVEN,DDS Soft Touch Dental 11027 S Pikes Peak Dr Ste 105 Parker, CO 80138 (303)805-0099 NEAL, CHERI, DDS PC 16830 Northgate Dr Unit 110 Parker, CO 80134 (303) 766-1915 ONEILL, LARRY, DMD 11031 S Pikes Peak Dr Ste 102 Parker, CO 80138 (303)841-7466 PETERSEN, MICHAEL, DDS Parker Family Dental 10219 S Park Glenn Way Ste 200 Parker, CO 80138 (303)840-2920 PETERSEN, RICHARD, DDS Stonegate Dental 17021 Lincoln Ave Unit B Parker, CO 80134 (720) 851-7069 TATARKO,OLGA,DDS 10371 S Park Glenn Way Ste 250 Parker, CO 80138 (303) 840-1900 THEROUX, CHRISTINE 18695 E Stage Run Rd Parker, CO 80134 (303) 841-8600 THRASH, FREDERICK, DMD Parker Dental Center 11031 S Pikes Peak Dr Ste 103 Parker, CO 80138 (303) 841-4580 UTBERG, ROBERT, DMD Dixey and Utberg Family Dentistry 10521 S Parker Rd Ste E Parker, CO 80134 (303)841-5313 WOOD-HARMAN, BECKIE Martin and Harman Family Dentistry 19700 E Parker Square Dr Parker, CO 80134 (303) 841-2144 ORALSURGEON CARVER, DOUGLAS, DDS Rocky Mtn Oral and Max Surg PC 19700 E Parker Square Dr Parker, CO 80134 (303) 840-2300 GLASGOW, MARK, DDS Rocky Mtn Oral and Max Surg PC 19700 E Parker Square Dr Parker, CO 80134 (303)840-2300 HUNTER, ROBERT, DDS MD DMD 10219 S Park Glenn Way Ste 201 Parker, CO 80138 (303)840-7400 MCLAIN, RICHARD, DDS Rocky Mtn Oral and Max Surg PC 19700 E Parker Square Dr Parker, CO 80134 (303)840-2300 NELSON, RICHARD, DDS Rocky Mtn Oral and Max Surg PC 19700 E Parker Square Dr Parker, CO 80134 (303) 840-2300 NELSON, STEVEN, DDS MS Rocky Mtn Oral and Max Surg PC 19700 E Parker Square Dr Parker, CO 80134 (303) 840-2300 ROLLERT, MICHAEL, DDS Rocky Mtn Oral and Max Surg PC 19700 E Parker Square Dr .Parker, CO 80134 (303)840-2300 TOMASETTI, BOYD, DDS MD DMD Rocky Mtn Oral and Max Surg PC 19700 E Parker Square Dr Parker, CO 80134 (303)840-2300 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ana ramcipauny Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 56 0 • • Parker Colorado COLORADO (CONT-D) ORTHODONTIST BUMGARNER, ROGER, DDS 18801 E Mainstreet Ste 150 Parker, CO 80134 (303)688-9617 COLLINS, JEFFREY, DDS Parker Orthodontics 19700 E Parker Square Dr Ste C Parker, CO 80134 (303)841-5500 ELTON, ROGER, DDS MS 10522 S Parker Rd Parker, CO 80134 (303) 841-2100 HOGGAN, BRENT, DDS 10219 S Park Glenn Way Parker, CO 80138 (303)840-8505 HORNER, CRAIG, DDS DC Perfect Teeth Parker PC 11005 S Parker Rd Parker, CO 80134 (303)805-3588 LINN, BRANDON, DDS Roger L Bumgarner DDS 18801 E Mainstreet Ste 150 Parker, CO 80134 (303)688-9617 NAZAROV, ANDREY, DDS DMD MS Allegro Orthodontics 11211 S Dransfeldt Rd Ste 122 Parker, CO 80134 (720)842-4544 NIELSON, KIRK, DDS 20 Mile Orthodontics LLP 11355 S Parker Rd Unit 109 Parker, CO 80134 (303)841-2262 WIGGINS, CASSY, DDS DMD MS Summit Orthodontics 17021 Lincoln Ave Unit A Parker, CO 80134 (303)805-7111 WA01016I01i`ifikiA BORAZ, ROBERT, DDS Boraz Pediatric Dentistry 18801 E Main St Ste 150 Parker, CO 80134 (303)841-7900 KUTTER-KAELIN, KATHRYN 19700 E Parker Square Dr Ste 2 Parker, CO 80134 (303)805-8266 NGUYEN, ANDREW, DDS Perfect Teeth Parker PC 11005 S Parker Rd Parker, CO 80134 (303)805-3588 NIELSEN, BETH, DDS Sweetpea Childrens Dentistry 16830 Northgate Dr Ste 100 Parker, CO 80134 (303)841-9009 Delta Dental Premier PERIODONTIST BUTLER, MARYANNE, DDS Mountainview Perio and Dental Impl 10371 S Park Glenn Way Ste 240 Parker, CO 80138 (720) 851-6050 WEAVER, ADAM, DDS Mountainview Perio and Dental Impl 10371 S Park Glenn Way Ste 240 Parker, CO 80138 (720)851-6050 PENROSE GENERAL DENTIST VANACKER, ALEXANDER, DDS Penrose Family Dental Clinic 712 S Broadway Penrose, CO 81240 (719)372-3041 PEYTON GENERAL DENTIST HARVEY, JONATHAN, DMD Comfort Dental Falcon Hills 11605 Meridian Market Vw Ste 154 Peyton, CO 80831 (719) 495-8989 HOUSER, JAMIN, DDS Falcon Dental Care 7673 McLaughlin Rd Peyton, CO 80831 (719)494-1100 JOHNSON, JAY, DDS DMD Meridian Dental 7520 Bierstadt Hts Ste 125 Peyton, CO 80831 (719)495-3131 KENNY, KRAIG, DDS Meridian Dental 7520 Bierstadt Hts Ste 125 Peyton, CO 80831 (719)495-3131 MASSEY, BRITNY, DDS Meridian Dental 7520 Bierstadt Hts Ste 125 Peyton, CO 80831 (719)495-3131 MURDOCK, CHAD, DDS DMD Comfort Dental Falcon Hills 11605 Meridian Market Vw Ste 154 Peyton, CO 80831 (719) 495-8989 OLSON, DWIGHT, DDS DMD Comfort Dental Falcon Hills 11605 Meridian Market Vw Ste 154 Peyton, CO 80831 (719) 495-8989 STAFFORD, JOEL, DDS DMD Comfort Dental Falcon Hills 11605 Meridian Market Vw Ste 154 Peyton, CO 80831 (719) 495-8989 WAITE, JOHN, DDS Falcon Dental Care 7673 McLaughlin Rd Peyton, CO 80831 (719) 494-1100 ORTHODONTIST HOUSEWRIGHT, WADE 7685 McLaughlin Rd Ste 190 Peyton, CO 80831 (719) 495-1230 PUEBLO ENDODONTIST JOHNSON, SCOTT, DMD Endo Specialists of Colo PC 1641 Horseshoe Dr Pueblo, CO 81001 (719)542-8855 SODEN,RYAN Endo Specialists of Colo PC 1641 Horseshoe Dr Pueblo, CO 81001 (719)542-8855 WESTPHAL, REGINALD, DDS Pueblo Endodontic Associates 2099 W US Highway 50 Ste 150A Pueblo, CO 81008 (719)544-8900 WOLCOTT, JAMES Endo Specialists of Colo PC 1641 Horseshoe Dr Pueblo, CO 81001 (719)542-8855 WOLCOTT, SUSAN, DDS Endo Specialists of Colo PC 1641 Horseshoe Dr Pueblo, CO 81001 (719)542-8855 GENERAL DENTIST ALMOND, BRADLEY, DMD Comfort Dental South Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 AUTOBEE, THOMAS, DDS 108 E Pitkin Ave Pueblo, CO 81004 (719)543-8940 BATSON, EMILY, DDS Orchard Springs Dental 318 S Orchard Springs Dr Pueblo, CO 81007 (719) 647-1122 Pueblo Community College 900 W Orman Ave Pueblo, CO 81004 (719)549-3378 BECK,GEORGE,DDS 1700 N Salem Ave Pueblo, CO 81001 (719) 545-9936 BECK, JIM, DDS 1700 N Salem Ave Ste B Pueblo, CO 81001 (719)543-9797 BERGLES, JAMES, DDS 1560 Bonforte Blvd Pueblo, CO 81001 (719)544-5340 Pueblo Colorado BERRY, ERIC, DDS 1800 Fortino Blvd Unit 1 Pueblo, CO 81008 (719) 545-1400 BIELECKI, PAWEL, DDS Young at Heart Dentistry 2603 Vinewood Ln Pueblo, CO 81005 (719)564-6464 BOREN, MICHAEL, DDS Smile Center 3559 Baltimore Ave Pueblo, CO 81008 (719) 543-8109 BRADLEY,KATHLEEN,DDS Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 CARTER,STEVEN,DDS Comfort Dental South Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 Comfort Dental North Pueblo 2025 W US Highway 50 Ste A100 Pueblo, CO 81008 (719)542-2472 CHAMBERS, ALVIN, DDS DMD 1320 Fortino Blvd Ste D Pueblo, CO 81008 (719)545-5213 CHILDRESS, FRANK, DDS Down To Earth Dental 1407 W 29th St Pueblo, CO 81008 (719) 546-0404 CHILDRESS, KENNETH, DDS Eagle Ridge Dental 1407 W 29th St Pueblo, CO 81008 (719) 543-3100 CHOE, CHIYON, DDS Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 CONCIALDI, RON, DDS 2037 Jerry Murphy Rd Ste 202 Pueblo, CO 81001 (719)545-3070 CONNOLLY, MARY Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 CORLEY, WILLIAM, DDS 540 E Abriendo Ave Ste D Pueblo, CO 81004 (719) 545-8422 CUSHING, BRYCE Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 57 Pueblo Delta Dental Premier Pueblo Colorado Colorado COLORADO (CONT-D) DASILVA, RICARDO Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 DAURIO, RONALD, DDS 4130 Redwood Ln Unit 130 Pueblo, CO 81005 (719)564-1102 DAVIS, ROBERT, DDS DMD 902 W 29th St Pueblo, CO 81008 (719)542-5300 DOWNEY, RALPH, DDS Comfort Dental South Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 DOYLE, BRIDGET, DDS Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 DRISCOLL, DENNIS, DDS Orchard Springs Dental 318 S Orchard Springs'Dr Pueblo, CO 81007 (719)647-1122 DURAN, TOMAS, DDS 830 W Abriendo Ave Pueblo, CO 81004 (719) 545-3838 FITZGERALD, JOSEFINA, DDS 3210 Wedgewood Dr Pueblo, CO 81005 (719)561-8115 GARBISO, GILBERT, DDS Garbiso Dental Center PC 3210 Wedgewood Dr Ste A Pueblo, CO 81005 (719)561-2237 GIANNETTO, STEVEN, DDS PC 4104 Outlook Blvd Ste 138D Pueblo, CO 81008 (719)543-2271 GRAVES, GARY, DDS Dental Health Services PC 1345 S Pueblo Blvd Pueblo, CO 81005 (719)542-3595 HALL, ANDREW Garbiso Dental Center PC 3210 Wedgewood Dr Ste A Pueblo, CO 81005 (719)561-2237 HALL, KIMRA, DDS DMD Orchard Springs Dental 318 S Orchard Springs Dr Pueblo, CO 81007 (719)647-1122 HASSELBACK, CHRISTOPHER, DDS Comfort Dental South Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719) 565-2274 Comfort Dental North Pueblo 2025 W US Highway 50 Ste A100 Pueblo, CO 81008 (719)542-2472 HOLDEN, PHILIP, DDS Comfort Dental North Pueblo 2025 W US Highway 50 Ste A100 Pueblo, CO 81008 (719) 542-2472 HOUSE, MARK, DDS DMD Orchard Springs Dental 318 S Orchard Springs Dr Pueblo, CO 81007 (719) 647-1122 HURD, MARK, DDS 3901 Outlook Blvd Ste C Pueblo, CO 81008 (719)544-7020 JAGGER, WILLIAM, DDS 510 Colorado Ave Pueblo, CO 81004 (719) 543-1132 JOHNSON, JAMIE, DDS 1001 S Pueblo Blvd Pueblo, CO 81005 (719)564-0990 JONES, NATALIE, DDS Comfort Dental North Pueblo 2025 W US Highway 50 Ste A100 Pueblo, CO 81008 (719) 542-2472 KANCHANLAL, VIKASH, DDS DMD 1315 S Pueblo Blvd Ste 110 Pueblo, CO 81005 (719)564-3900 KNOWLTON, ANTHONY, DDS 3939 Sandlewood Ln Pueblo, CO 81005 (719)564-5833 KOFFORD, MICHAEL Cover Family Dental PC 2020 S Pueblo Blvd Pueblo, CO 81005 (719)566-0207 KOTTENSTETTE, JENNIFER, DDS J Swanson and J Johnson DDS 1001 S Pueblo Blvd Pueblo, CO 81005 (719)564-0990 LOEWEN, REBECCA, DDS Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 LOGELIN, MICHAEL Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 MILLEA, JOHN, DDS Park West Dental PC 3470 Parker Blvd Pueblo, CO 81003 (719)543-4022 MOBLEY, JAMES, DDS DMD Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719) 545-5778 MOELLER, JEFFREY, DDS Comfort Dental South Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 MORESCHINI, RICHARD, DDS DMD 1000 W 6th St Pueblo, CO 81003 (719)542-7420 MORESCHINI, RONALD, DDS 1000 W 6th St Pueblo, CO 81003 (719)542-7420 NGUYEN,QUYNH Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 ORESKOVICH, TONY, DDS Oreskovich Dntl Clinic Prf LLC 1111 Pueblo Boulevard Way Ste 140 Pueblo, CO 81005 (719)542-8182 ORTEGON, GINO, DDS DMD 401 W 12th St Pueblo, CO 81003 (719)583-0555 PADULA, JULI ANN, DDS Park West Dental PC 3470 Parker Blvd Pueblo, CO 81003 (719) 543-4022 PECHEK,TY Cover Family Dental PC 2020 S Pueblo Blvd Pueblo, CO 81005 (719)566-0207 PECHEK, TYSON, DDS 1560 Bonforte Blvd Pueblo, CO 81001 (719)544-5340 PHILSON, GREGORY, DDS 830 W Abriendo Ave Pueblo, CO 81004 (719)545-6421 PUEBLO COMMUNITY HEALTH CHC Pueblo Community Health Center 2030 Lake Ave Pueblo, CO 81004 (719)564-4823 RAGULSKY, RONALD, DDS 3939 Sandlewood Ln Pueblo, CO 81005 (719)564-7737 READY, THOMAS, DDS Gentle Dental 643 S Pueblo Blvd Pueblo, CO 81005 (719) 561-8170 ROBERTS, TONY, DDS 1225 N Grand Ave Ste 104 Pueblo, CO 81003 (719)542-6014 ROBINSON, DAVID, DDS PC 1560 Bonforte Blvd Pueblo, CO 81001 (719)544-5340 RODRIGUEZ, MELANIE, DDS Young at Heart Dentistry 2603 Vinewood Ln Pueblo, CO 81005 (719)564-6464 ROSAMSETTY, PRATHIMA Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 SAUNDERS, ROBERT, DDS DMD 2047 Columbia Ln Ste A Pueblo, CO 81005 (719) 544-6787 SCHULTZ, R, DDS 430 Colorado Ave Pueblo, CO 81004 (719)542-0036 SCHULZ, KYLE, DDS DP 3911 Outlook Blvd Pueblo, CO 81008 (719) 544-6788 SLACK, DONICA Down To Earth Dental 1407 W 29th St Pueblo, CO 81008 (719)546-0404 SONNTAG, RUSSELL, DDS Ronald D Daurio DDS 4130 Redwood Ln Unit 130 Pueblo, CO 81005 (719)564-1102 STRICCA, DUILIO, DDS PC 753 W Abriendo Ave Pueblo, CO 81004 (719)543-2604 SWANSON, JAMES, DDS J Swanson and J Johnson DDS 1001 S Pueblo Blvd Pueblo, CO 81005 (719)564-0990 TAKAKI, ALAN, DDS Takaki Dental Care Center 1630 Fortino Blvd Pueblo, CO 81008 (719)545-2468 TAKAKI, DUANE, DDS Takaki Dental Care Center 1630 Fortino Blvd Pueblo, CO 81008 (719)545-2468 TIAO, KATIE Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. • July 2009 58 • Pueblo Colorado COLORADO (CONT-D) TREFIL, KARLEEN, DDS DMD Comfort Dental North Pueblo 2025 W US Highway 50 Ste A100 Pueblo, CO 81008 (719)542-2472 VIDMAR, DENNIS, DDS 329 Colorado Ave Pueblo, CO 81004 (719)543-6878 VILLALON, ELMER, DDS MD DMD DP 1225 N Main St Ste 207 Pueblo, CO 81003 (719)542-7844 WARD, DANIEL, DDS Abacus Dental Care 1044 Eagleridge Blvd Pueblo, CO 81008 (719)738-2544 WOHLWEND, CHARLES, DDS 902 W 29th St Pueblo, CO 81008 (719) 542-5300 WOHLWEND, JOSEPH, DDS Charles A Wohlwend DDS PC 902 W 29th St Pueblo, CO 81008 (719)542-5300 YOUNG, DANIEL, DDS Cover Family Dental PC 2020 S Pueblo Blvd Pueblo, CO 81005 (719)566-0207 YOUNG, MATTHEW Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719)545-5778 ORAL SURGEON DAY, GREGORY, DDS MD DMD 3902 Sandlewood Ln Pueblo, CO 81005 (719)561-2440 PAYNE, WAYNE, DDS DMD 1619 N Greenwood St Ste 102 Pueblo, CO 81003 (719) 542-4546 RECK, STEVEN, DDS PC 1201 Paseo Del Norte Pueblo, CO 81008 (719) 296-1800 ZUFALL, JOSEPH, DDS 1930 E Orman Ave Pueblo, CO 81004 (719)564-2842 ORTHODONTIST ARANGO, JOSE, DDS MS Front Range Ortho Specialists 24 Club Manor Dr Ste 203 Pueblo, CO 81008 (719)543-3475 Delta Dental Premier BAHR, CARL, DMD Comfort Dental Braces Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 BAHR, CRAIG, DDS DMD Comfort Dental Braces Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 COLB, MICHAEL, DDS PC Craig Hunter DDS MS PLLC 3901 Outlook Blvd Pueblo, CO 81008 (719) 404-3000 GELLER,JEFFREY 501 Quincy St Pueblo, CO 81004 (719)545-7600 HUNTER, ROBERT, Dos MS Craig Hunter DDS MS PLLC 3901 Outlook Blvd Pueblo, CO 81008 (719) 404-3000 ORDAHL, JOHN, DDS Takaki Dental Care Center 1630 Fortino Blvd Pueblo, CO 81008 (719) 545-2468 QUINN, BARRY Comfort Dental Braces Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 QUINN, TANIA Comfort Dental Braces Pueblo 1221 S Pueblo Blvd Pueblo, CO 81005 (719)565-2274 SCOTT, NILE, DDS 1641 Horseshoe Dr Pueblo, CO 81001 (719) 545-2722 STRINGERT, HOWARD, DDS H G Stringent DDS MS PC 3955 Sandlewood Ln Pueblo, CO 81005 (719) 564-3333 PEDODONTIST ELLIS, RANDALL, DDS Derose Childrens Dental Clinic 1022 Liberty Ln Pueblo, CO 81001 (719) 545-5778 PURCELL, MICHAEL, DDS 1640 Fortino Blvd Pueblo, CO 81008 (719)543-7123 Young at Heart Dentistry 2603 Vinewood Ln Pueblo, CO 81005 (719) 564-6464 PUEBLO WEST SALIDA Steamboat Springs Colorado GENERAL DENTIST GENERAL DENTIST BEARD, BYRON, DDS DMD FILTER, JENNY, DDS 332 S Orchard Springs Dr Ste 110 427 E 1 st St Pueblo West, CO 81007 Salida, CO 81201 (719)547-3737 (719)539-6142 RIDGWAY SITES, BRENT, DDS Salida Family Dentistry PC 7600 W US Highway 50 GENERAL DENTIST Salida, CO 81201 (719)539-2587 THOMAS, MICHAEL, DMD Ridgway Family Dentistry 156 Liddell Dr Ridgway, CO 81432 (970)626-3774 RIFLE GENERAL DENTIST CAPPELLI, CLIFFORD, DDS DMD Rifle Dental Care 527 West Ave Rifle, CO 81650 (970) 625-1696 DAVIS, JACK, DDS 543 West Ave Rifle, CO 81650 (970) 625-1391 DEMBITSKY, STEPHEN, DDS 160 E 26th St Ste 1 Rifle, CO 81650 (970) 625-2345 ORTHODONTIST JOHNSON,CASEY All Kids Dental Pediatrics and O 900 Airport Rd Ste 5 Rifle, CO 81650 (970) 625-9500 PEDODONTIST BURT, MATTHEW All Kids Dental Pediatrics and O 900 Airport Rd Ste 5 Rifle, CO 81650 (970)625-9500 HENRY,ROBERT All Kids Dental Pediatrics and O 900 Airport Rd Ste 5 Rifle, CO 81650 (970)625-9500 ROCKYFORD GENERAL DENTIST VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services 903 S 12th St Rocky Ford, CO 81067 (719)254-7623 WILKEN, KEITH, DDS Salida Family Dentistry PC 7600 W US Highway 50 Salida, CO 81201 (719)539-2587 SAN LUIS GENERAL DENTIST VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services North Hwy 159 San Luis, CO 81152 (719)672-3352 SILVERTHORNE GENERAL DENTIST HILL, TODD, DDS 222 Summit PI Silverthorne, CO 80498 (970)468-8866 LOUSTALET, LORRAINE, DDS Comfort Dental Summit County 354 Blue River Pkwy Silverthorne, CO 80498 (970)262-2273 ROLLOW, JOHN, DDS Comfort Dental Summit County 354 Blue River Pkwy Silverthorne, CO 80498 (970)262-2273 SOUTH FORK GENERAL DENTIST DODGION, EARL 130 Ponderosa Dr South Fork, CO 81154 (719)873-5846 STEAMBOAT SPRINGS GENERAL DENTIST ANDREWS, PAUL, DDS DMD 505 Anglers Dr Ste 204 Steamboat Springs, CO 80487 (970)879-1815 BANKS, DAVID, DDS Alpine Family Dentistry 116 8th St Steamboat Springs, CO 80487 (970)879-5439 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 59 0 City of Ot Collins 0 The Delta Dental Difference Aetna vs. Delta Dental Savings PPO Plan 40000 ' 39000 38000 --------.-.. 37000 36000--- ..... --------- ..... 35000 34000 / -- --- ---- -..--- j---..... _.... ------ ----- 33000 $33,131 32000 - 31000 - / 30000 - Group Savings Patient Savings Steamboat Springs Delta Dental Premier Thornton Colorado Colorado COLORADO (CONT-D) BLACKHURST, RUSSELL, DDS Rabbit Ears Dental Office 440 S Lincoln Ave Ste B10 Steamboat Springs, CO 80487 (970)879-5630 EIVINS, SCOTT, DDS Dental Center of Steamboat Spgs 940 Central Park Or Ste 210 Steamboat Springs, CO 80487 (970) 871-4611 FRESQUES, GARY, DDS PC 940 Central Park Or Ste 107 Steamboat Springs, CO 80487 (970)879-3565 FUJITA, DANA, DDS Rabbit Ears Dental Office 440 S Lincoln Ave Ste B10 Steamboat Springs, CO 80487 (970)879-5630 GANZ, NEIL, DDS DP Rabbit Ears Dental Office 440 S Lincoln Ave Ste B10 Steamboat Springs, CO 80487 (970)879-5630 LODWICK, SUNSHINE, DDS 100 Park Ave Ste 106 Steamboat Springs, CO 80487 (970)879-7572 MCCREIGHT, WENDY, DDS McCreight Progressive Dentistry 940 Central Park Or Ste 206 Steamboat Springs, CO 80487 (970) 879-4703 PIASKOWY, JEFFREY Avantgarde Dental PC 1169 Hilltop Pkwy Unit 203 Steamboat Springs, CO 80487 (970)871-0033 SCHROCK, THEODORE, DDS DMD 505 Anglers Or Ste 201 Steamboat Springs, CO 80487 (970) 879-0817 TOWNSEND, TIM, DDS 501 Anglers Or Ste 102 Steamboat Springs, CO 80487 (970)879-2290 ORAL SURGEON LUPORI, JOHN D, DDS DO MD Alpine Oral and Facial Surgery 940 Central Park Or Ste 106 Steamboat Springs, CO 80487 (970) 871-0900 ORTHODONTIST LAMB, ROBERT, DDS 940 Central Park Or Ste 106 Steamboat Springs, CO 80487 (970)870-9200 WEIMER, ALLAN, DDS MS 100 Park Ave Ste 104 Steamboat Springs, CO 80487 (970) 879-4290 PNDODONTIST THURMAN, DAVID, DDS Plains Medical Center PACKER, RACHEL 55981 E Colfax Ave Sunshine O Lodwick DDS PC Strasburg, CO 80136 100 Park Ave Ste 106 (303) 622-9237 Steamboat Springs, CO 80487 (970) 879-7572 SUPERIOR STERLING GENERAL DENTIST GENERAL DENTIST CHC PLAN DE SALUD 1410 S 7th Ave Sterling, CO 80751 (970)526-2589 JANDA, MATTHEW, DDS 801 Iris Or Sterling, CO 80751 (970) 522-4050 JONES, RANDALL, DDS 1402 S 3rd Ave Sterling, CO 80751 (970)522-6280 PAISON, THOMAS, DDS 625 Holly Or Sterling, CO 80751 (970)522-5454 SCRIVEN, CLARK, DDS PC 629 Holly Or Sterling, CO 80751 (970) 522-8518 STRASBURG BAILEY, MICHAEL, DDS Superior Dental Group 1697 Coalton Rd Ste B Superior, CO 80027 (303)494-9400 KRAFT, BRIAN, DDS Flatirons Family Dental and Orthod 1613 Coalton Rd Superior, CO 80027 (720)304-3267 MOSS, JACK, DDS Marketplace Dental Group and Ort 306 Center Or Superior, CO 80027 (303) 499-9555 ONEILL, BRADFORD, DDS Marketplace Dental Group and Ort 306 Center Or Superior, CO 80027 (303) 499-9555 RODGERS, CHARLES, DDS Marketplace Dental Group and Ort 306 Center Or Superior, CO 80027 (303) 499-9555 GENERAL DENTIST PEDODONTIST BUSSE, DAVID, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303) 622-9237 DAWSON, KEVIN, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303) 622-9237 HIGUCHI, CHRISTOPHER, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303) 622-9237 JEFFERS, JANIS 56620 E Colfax Ave Strasburg, CO 80136 (303)622-6200 KEMPERS, GREGORY, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303) 622-9237 KRIEGER, GEORGE, DDS Plains Medical Center 55981 E Colfax Ave Strasburg, CO 80136 (303) 622-9237 LEE, BRUCE Plains Performance Dentistry 56620 E Colfax Ave Strasburg, CO 80136 (303)622-6200 WALTER, PHILIP, DDS Marketplace Dental Group and Ort 306 Center Or Superior, CO 80027 (303) 499-9555 TELLURIDE GENERAL DENTIST QUIGLEY, JOHN, DDS Telluride Dental 126 W Colorado Ave Ste 203 Telluride, CO 81435 (970) 728-4336 THORNTON ENDODONTIST DAVIS, MATTHEW, DDS 12297 Pennsylvania St Unit 2 Thornton, CO 80241 (303) 920-4196 GENERAL DENTIST ADAMS,DAWNE Hilltop Dental Care and Orthodonti 4243 E 136th Ave Unit 324 Thornton, CO 80602 (720)274-1380 BASSETT, MERRILL, DDS Perfect Teeth E 104th Ave PC 2200 E 104th Ave Ste 112 Thornton, CO 80233 (303) 452-4142 BOONE,MALCOLM,DDS Mile High Dental Centers 10295 Washington St Thornton, CO 80229 (303) 451-1111 BRADLEY,KATHLEEN,DDS Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 BRATULESCU, PATRICIA, DDS Perfect Teeth E 104th Ave PC 2200 E 104th Ave Ste 112 Thornton, CO 80233 (303) 452-4142 BROMELL, SUSANC, DDS Comfort Dental Thornton 9203 Huron St Thornton, CO 80260 (303) 429-2273 BROTHERTON, JAMIE, DDS Hilltop Dental Care and Orthodonti 4243 E 136th Ave Unit 324 Thornton, CO 80602 (720)274-1380 CABLE, RYAN 10295 Washington St Thornton, CO 80229 (303) 477-7700 CADOTTE, ANA, DDS Comfort Dental Thornton 9203 Huron St Thornton, CO 80260 (303) 429-2273 CALL, RICHARD, DDS DMD MS The Dental Center at Thornton PI 3984 E 120th Ave Thornton, CO 80233 (303) 457-1513 CHAWLA, NEHA, DDS DMD Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 CHC CLINICA CAMPESINA FAMILY Clinica Campesina Family Health 8990 Washington St Thornton, CO 80229 (720) 207-0170 CHIEN, SHIH, DDS Or Chien Dental Office 500 E 84th Ave Ste E3 Thornton, CO 80229 (303) 288-0888 CHOE, CHIYON, DDS 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 CUIN-PARKER, JAZMIN, DDS Comfort Dental Thornton 9203 Huron St Thornton, CO 80260 (303) 429-2273 0 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ana ramapaung Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 60 • • Thornton Colorado COLORADO (CONT-D) CUSHING, BRYCE Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 DASILVA, RICARDO Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 DERBY, ERICA, DDS Appletree Dental 12454 York St Thornton, CO 80241 (720)872-2892 DOWLATI, JINA, DDS Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 DUNN, CHRISTOPHER, DDS North Washington Dental Gp PC 10001 Washington St Thornton, CO 80229 (303)452-2053 FEELEY,JOHN 10295 Washington St Thornton, CO 80229 (303) 451-1111 GILLESPIE, ANDRE Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 GIVAN, CARL, DDS 3901 E 112th Ave Unit G Thornton, CO 80233 (303) 451-1674 GOSSENAUER, MARTIN Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A, Thornton, CO 80229 (303) 280-8878 HOFFMAN, GEFFORY, DDS North Washington Dental Gp PC 10001 Washington St Thornton, CO 80229 (303) 452-2053 HOUSER, JAVAN, DDS Hilltop Dental Care and Orthodonti 4243 E 136th Ave Unit 324 Thornton, CO 80602 (720)274-1380 HUMPHREY, STEPHEN, DDS North Washington Dental Gp PC 10001 Washington St Thornton, CO 80229 (303)452-2053 JAMES, SUE, DDS 9351 Grant St Ste 340 Thornton, CO 80229 (303) 254-4484 Delta Dental Premier JOHNSON, PHILLIP, DDS Thornton Family Dentistry and Orth 2300 E 120th Ave Ste 104 Thornton, CO 80233 (303) 254-8828 KELLY, BRIAN, DDS The Dental Center at Thornton PI 3984 E 120th Ave Thornton, CO 80233 (303) 457-1513 KRAINIK, GREGORY, DDS My Dentist 3955 E 120th Ave Ste B Thornton, CO 80233 (303)460-9000 LESCH, HALEE, DDS Hilltop Dental Care and Orthodonti 4243 E 136th Ave Unit 324 Thornton, CO 80602 (720)274-1380 LOEWEN,REBECCA Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 LOGELIN, MICHAEL Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 MCCLURE, PATRICK, DDS 9669 Huron St Ste 101 Thornton, CO 80260 (303) 428-1155 MUSANJE,LAWRENCE Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 NAJJAR, TANIA Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 NGUYEN,QUYNH Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 OLIVIER, JONATHAN, DDS The Dental Center at Thornton PI 3984 E 120th Ave Thornton, CO 80233 (303)457-1513 PHI, HANH, DDS Thornton Family Dentistry and Orth 2300 E 120th Ave Ste 104 Thornton, CO 80233 (303) 254-8828 PUCHALSKI, JOHN, DDS North Washington Dental Gp PC 10001 Washington St Thornton, CO 80229 (303) 452-2053 RANOV, BOYAN, DDS DMD Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 RASULOV, AZIZ, DDS Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 ROBINSON, T, DMD Comfort Kids 9652 Washington St Thornton, CO 80229 (303)252-4050 SANKARANARAYANAN, SRIVALLI Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 SEABURY, CAROLYN, DDS Appletree Dental 12454 York St Thornton, CO 80241 (720)872-2892 SMITH, GERALD, DDS Comfort Dental Thornton 9203 Huron St Thornton, CO 80260 (303) 429-2273 SMITH, LANCE, DDS 12297 Pennsylvania St Unit 1 Thornton, CO 80241 (303)920-4199 SMITH, MARK, DDS The Dental Center at Thornton PI 3984 E 120th Ave Thornton, CO 80233 (303)457-1513 THURMON, HADLEY, DDS Appletree Dental 12454 York St Thornton, CO 80241 (720) 872-2892 TIAO, KATIE Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 TIMLIN, SCOTT, DDS Perfect Teeth E 104th Ave PC 2200 E 104th Ave Ste 112 Thornton, CO 80233 (303)452-4142 TREMBATH, LORI, DDS 12774 Colorado Blvd Ste 171 Thornton, CO 80241 (303) 457-3046 WEBB, MICHAEL Comfort Kids 9652 Washington St Thornton, CO 80229 (303)252-4050 WEBER, JOHN, DDS Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303) 280-8878 WOESSNER, RUDOLPH, DDS Lance E Smith DDS 12297 Pennsylvania St Unit 1 Thornton, CO 80241 (303) 920-4199 Towaoc Colorado YOUNG, MATTHEW Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 ORAL SURGEON BURNHAM, MICHAEL, DDS MD 2300 E 120th Ave Ste 118 Thornton, CO 80233 (303)451-6767 ORTHODONTIST BAHR, CARL, DDS DMD Comfort Dental Braces 9652 Washington St Thornton, CO 80229 (303) 252-4050 BAHR, CRAIG, DDS DMD Comfort Dental Braces 9652 Washington St Thornton, CO 80229 (303) 252-4050 LEE, EUNICE, DDS DMD Thornton Family Dentistry and Orth 2300 E 120th Ave Ste 104 Thornton, CO 80233 (303)254-8828 MASON, JAMES, DDS 901 E 120th Ave Unit E Thornton, CO 80233 (303)452-0077 NELSON, BRYAN, DDS DMD MS Thornton Orthodontic Specialists 12720 Colorado Blvd Ste 4 Thornton, CO 80241 (303) 427-5000 STOLL, GREGORY, DDS MS Stoll Orthodontics PC 3861 E 120th Ave Thornton, CO 80233 (303)450-2211 WITZEL, DAVID, DDS Perfect Teeth E 104th Ave PC 2200 E 104th Ave Ste 112 Thornton, CO 80233 (303)452-4142 PEDODONTIST ELLIS, RANDALL Childrens Dntl Clinic Thornton 550 Thornton Pkwy Unit 240A Thornton, CO 80229 (303)280-8878 TOWAOC GENERAL DENTIST LITE HEALTH CENTER IHS LITE MOUNTAIN Rustling Willow Rd Complex D Towaoc, CO 81334 (970) 565-4441 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 61 Trinidad Delta Dental Premier Westminster Colorado Colorado WARLICK, PHILIP, DDS COLORADO (CONT-D) 620 S Albert Ave Walsenburg, CO 81089 (719) 738-6446 TRINIDAD WALSH GENERAL DENTIST ANDREATTA, PAUL, DDS PC 1723 E Main St Trinidad, CO 81082 (719) 846-4028 BERRY, DANIEL, DDS 403 E First St Trinidad, CO 81082 (719) 846-2259 ELSBERRY,GARY,DDS 134 W Main St Ste 34 Trinidad, CO 81082 (719)846-3371 WELCH, CHRISTOPHER, DDS Welch Dental LLC 209 E Main St Trinidad, CO 81082 (719)846-0870 WILSON-POLK, AMY New Image Advanced Dental 417 University St Ste 1 Trinidad, CO 81082 (719)846-7387 ORAL SURGEON RECK, STEVEN, DDS 403 E First St Trinidad, CO 81082 (719)534-9600 VAIL GENERAL DENTIST CORCORAN, PAUL, DDS 953 S Frontage Rd W Ste 104 Vail, CO 81657 (970) 476-3991 PERIODONTIST POMERANZ,ALAN Professional Periodontics Implan 953 S Frontage Rd W Ste 104 Vail, CO 81657 (800)257-5763 REISSNER, MARC Professional Periodontics Implan 953 S Frontage Rd W Ste 104 Vail, CO 81657 (800)257-5763 WALSENBURG GENERAL DENTIST WARD, DANIEL, DDS Abacus Dental 104 E 6th St Walsenburg, CO 81089 (719)738-2544 GENERAL DENTIST MORROW, CAROL, DDS Walsh Dental Clinic 137 N Kansas St Walsh, CO 81090 (719) 324-5251 MORROW, ROBERT, DDS DMD Walsh Dental Clinic 137 N Kansas St Walsh, CO 81090 (719)324-5251 WELLINGTON GENERAL DENTIST MURRAY, AARON, DDS Wellington Family Dentistry 7901 6th St Wellington, CO 80549 (970)568-0030 REARDON, WILLIAM, DDS Wellington Family Dentistry 7901 6th St Wellington, CO 80549 (970) 568-0030 WESTMINSTER ENDODONTIST DIETZ, JACQUELINE, DDS DMD Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303) 410-9800 FRUTCHEY, BRIAN Flatirons Endodontics LLC 905 W 124th Ave Ste 160 Westminster, CO 80234 (303) 214-4100 GRAVES, LOWELL Arbor Dental Group 9920 Wadsworth Pkwy Westminster, CO 80021 (303) 425-1000 HOELSCHER, ANITA Flatirons Endodontics LLC 905 W 124th Ave Ste 160 Westminster, CO 80234 (303)214-4100 KLEIER, DONALD, DMD Childrens Dentistry A Partnersh 5150 W 80th Ave Westminster, CO 80030 (303) 427-1951 MCMURTREY, LAMONT, DDS MS 9111 Benton St Unit 100 Westminster, CO 80031 (303)422-6464 RING, JAMIE, DDS DMD Foothills Endodontic Specialists 2861 W 120th Ave Ste 230 Westminster, CO 80234 (720)317-2660 RING, KARLA, DDS DMD Foothills Endodontic Specialists 2861 W 120th Ave Ste 230 Westminster, CO 80234 (720)317-2660 GENERAL DENTIST ACEVEDO,ALEXANDER,DDS Sedona Dental 905 W 124th Ave Ste 170 Westminster, CO 80234 (303) 452-3982 ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 BASSETT, MERRILL, DDS Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 BENNETT, SCOTT, DDS Bennett Dental Group PC 5130 W 80th Ave Ste 202 Westminster, CO 80030 (303)429-3549 BERTAGNOLLI, EDWARD, DDS 7280 Bradburn Blvd Westminster, CO 80030 (303) 429-6222 BERTAGNOLLI,JOHN,DDS Edward J Bertagnolli DDS PC 7280 Bradburn Blvd Westminster, CO 80030 (303) 429-6222 BORG, TIMOTHY, DDS PC Northpark Dental Group 10359 Federal Blvd Ste 110 Westminster, CO 80260 (303) 466-2300 BROMELL, SUSAN Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303)650-4101 CADOTTE,ANA Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303) 650-4101 CARPENTER, JAMES, DDS James M Carpenter DDS PC 8774 Yates Dr Ste 340 Westminster, CO 80031 (303)427-4120 CHIOVITTI, NICHOLAS, DDS Mountain Range Dentistry PC 1005 W 120th Ave Ste 800 Westminster, CO 80234 (303)452-2221 CHOI, JACK, DDS Sedona Dental 905 W 124th Ave Ste 170 Westminster, CO 80234 (303)452-3982 CUBILLOS, CONSTANZA, DDS Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303)650-4101 DANZER, KIMBERLY, DDS DMD Danzer Dentistry 905 W 124th Ave Ste 120 Westminster, CO 80234 (303)255-3880 DEMARAY, ROBERT, DDS 7901 Zenobia St Westminster, CO 80030 (303) 429-4177 DEMARCO, RICHARD, DDS 2701 W 84th Ave Ste 205 Westminster, CO 80031 (303) 428-7555 FEELEY, JOHN, DMD Arbor Dental Group 9920 Wadsworth Pkwy Westminster, CO 80021 (303) 425-1000 FERGUSON, IAN, DDS DMD Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303) 650-4101 GIBBS, TAMARA, DDS 12030 Melody Dr Westminster, CO 80234 (303) 451-5599 GOHL, FREDERICH, DDS Comfort Dental N Sheridan 11187 Sheridan Blvd Unit 12 Westminster, CO 80020 (303) 469-2333 GOHL, FREDRIC Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303)650-4101 HEIL, BRIAN, DDS Heil Dental Arts 7919 Zenobia St Westminster, CO 80030 (303) 429-3115 HENNEGAN, PAUL, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303) 410-9800 HUTCHISON, BRIAN, DDS Standley Shores Dental Group 10071 Wadsworth Pkwy Ste 100 Westminster, CO 80021 (303) 420-9720 JERANKO, STANLEY, DDS 10071 Wadsworth Pkwy Ste 100 Westminster, CO 80021 (303)420-9720 • E Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ano ranicipacmg Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 62 • • • Westminster Colorado COLORADO (CONT-D) JOLLY, ANKUR, DDS Mountain Range Dentistry PC 1005 W 120th Ave Ste 800 Westminster, CO 80234 (303)452-2221 KAWASUGI, KAI, DDS Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 KINARD, MARK, DDS Arbor Dental Group 9920 Wadsworth Pkwy Westminster, CO 80021 (303) 425-1000 KNEALE,EVAN Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303) 650-4101 KNEALE, EVAN, DDS Comfort Dental N Sheridan 11187 Sheridan Blvd Unit 12 Westminster, CO 80020 (303) 469-2333 KOROSCIEL, MALGORZATA, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303) 410-9800 KRAINIK, GREGORY, DDS My Dentist 2721 W 120th Ave Ste A200 Westminster, CO 80234 (303) 460-9000 LECAVALIER, ROSS, DDS 2761 W 120th Ave Ste 220 Westminster, CO 80234 (303) 288-3718 LEWIS, JONATHAN, DDS Northpark Dental Group 10359 Federal Blvd Ste 110 Westminster, CO 80260 (303) 466-2300 LUDDEN, WILLIAM Arbor Dental Group 9920 Wadsworth Pkwy Westminster, CO 80021 (303) 425-1000 LUTSKIY, ALEKSANDR, DDS DMD Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 MARSCHNER, THOMAS, DDS Perfect Teeth N Sheridan PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 MASTHAY, ROBERT, DDS DMD 4955 W 72nd Ave Unit L1 Westminster, CO 80030 (303) 429-1766 Delta Dental Premier MCMURTREY, LONNIE, DDS Willow Run Dental 12910 Zuni St Ste 600 Westminster, CO 80234 (720)872-2750 MELLOR, CRAIG, DDS Walnut Creek Dental Group and Or 10442 Town Center Dr Ste 100 Westminster, CO 80021 (303) 410-4950 MIZOUE, PAUL, DDS Mountain Range Dentistry PC 1005 W 120th Ave Ste 800 Westminster, CO 80234 (303) 452-2221 MOFFITT, BERT, DDS Northview Dental Office 5068 W 92nd Ave Westminster, CO 80031 (303) 426-0023 PAREJA, CLAUDEA, DDS Westminster Dental Associates 4070 W 72nd Ave Westminster, CO 80030 (303) 429-7072 PARISH, DURAL, DDS 10835 Dover St Ste 1200 Westminster, CO 80021 (303) 425-6565 PARK,ALEXANDER,DDS Sedona Dental 905 W 124th Ave Ste 170 Westminster, CO 80234 (303)452-3982 PETERSON,ANDREA,DDS Perfect Teeth N Sheridan.PC 11550 Sheridan Blvd Ste 101 Westminster, CO 80020 (303) 465-0922 PETRACEK, JUSTIN, DDS Standley Shores Dental Group 10071 Wadsworth Pkwy Ste 100 Westminster, CO 80021 (303) 420-9720 POLKE, KENNETH, DDS PC 905 W 124th Ave Ste 130 Westminster, CO 80234 (303) 920-4900 RODGERS, CHARLES, DDS Walnut Creek Dental Group and Or 10442 Town Center Dr Ste 100 Westminster, CO 80021 (303) 410-4950 SADAR, LORETTA, DDS Lori M Sadar DDS PC 8601 Turnpike Dr Unit 103 Westminster, CO 80031 (303) 920-9424 SAMPATH, VIDHYALAKSHMI, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)'410-9800 SANDERS, NELSON, DDS 7350 Lowell Blvd Westminster, CO 80030 (303) 428-6571 SCHAEFFER, TERI, DMD Tamara L Gibbs 12030 Melody Dr Westminster, CO 80234 (303)451-5599 SKELTON, MARTHA, DDS The Family Dentist 4850 W 80th Ave Westminster, CO 80030 (303) 427-8690 SMITH, ALEXANDER The Family Dentist 4850 W 80th Ave Westminster, CO 80030 (303) 427-8690 SMITH, GERALD Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303) 650-4101 STANG, JEFFREY, DDS Standley Shores Dental Group 10071 Wadsworth Pkwy Ste 100 Westminster, CO 80021 (303)420-9720 STILES, MICHAEL, DDS 7350 Lowell Blvd Westminster, CO 80030 (303) 428-6571 THALKEN, JERRY, DDS 5130 W 80th Ave Bldg A200 Westminster, CO 80030 (303) 429-1426 TRAN,LUAN,DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)410-9800 VAN WAGENEN, JASON, DDS 8300 Alcott St Ste 205 Westminster, CO 80031 (303) 426-4860 WEST-BENNETT, KIRSTEN, DDS Bennett Dental Group PC 5130 W 80th Ave Ste 202 Westminster, CO 80030 (303) 429-3549 WILLARD, CHRISTOPHER, DDS 12000 Pecos St Ste 260 Westminster, CO 80234 (303)457-2266 WILLIS, ADAM, DDS Comfort Dental N Sheridan 11187 Sheridan Blvd Unit 12 Westminster, CO 80020 (303) 469-2333 WINTER, ERIC, DDS Bradburn Village Dentistry 11961 Bradburn Blvd Unit 200 Westminster, CO 80031 (303) 466-3222 YASONI, MARC Comfort Dental 80th and Sheridan 7990 Sheridan Blvd Westminster, CO 80003 (303) 650-4101 Westminster Colorado YASONI, MARC, DDS Comfort Dental N Sheridan 11187 Sheridan Blvd Unit 12 Westminster, CO 80020 (303) 469-2333 ZEITLIN, DAVID, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303) 410-9800 ZELAZEK,PAUL,DDS 7350 Lowell Blvd Westminster, CO 80030 (303) 428-6571 ORAL SURGEON MADLOCK, PAUL, DDS DMD Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)410-9800 POLLACCIA, NINO, DDS Front Range Maxillofacial and Impl 2761 W 120th Ave Ste 110 Westminster, CO 80234 (303)410-1741 QUIST, RHETT, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)410-9800 ORTHODONTIST BAHR, CARL, DDS DMD Embraceable PLLC 8113 W 94th Ave Westminster, CO 80021 (303)432-9773 BAHR, CRAIG, DDS DMD Embraceable PLLC 8113 W 94th Ave Westminster, CO 80021 (303)432-9773 BEABER, WILLIAM, DDS DMD Beaber Family Orthodontics 5140 W 120th Ave Ste 200 Westminster, CO 80020 (303)464-9300 CHUBB, THOMAS, DDS 5150 W 80th Ave Westminster, CO 80030 (303)428-3613 GIBSON, COLIN, DDS MS 1st Impressions Orthodontics 1333 W 120th Ave Ste 303 Westminster, CO 80234 (303)452-2277 HOUSEWRIGHT, WADE, DDS Arbor Dental Group 9920 Wadsworth Pkwy Westminster, CO 80021 (303) 425-1000 OWEN, BRANDON, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303)410-9800 Uelta Uental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 63 Westminster Delta Dental Premier Wheat Ridge Colorado Colorado COLORADO (CONT-D) STASI, MARK, DDS Embraceable PLLC 8113 W 94th Ave Westminster, CO 80021 (303)432-9773 UNTERSEHER,RONALD,DDS MS Unterseher Orthodontics 10359 Federal Blvd Ste 200 Westminster, CO 80260 (303)466-1955 WEDDLE, LARRY, DDS DMD Weddle Orthodontics 905 W 124th Ave Ste 180 Westminster, CO 80234 (303) 255-3339 WEINBACH, JONATHAN, DDS Smile Zone Orthodontics 9910 Wadsworth Pkwy Unit 300 Westminster, CO 80021 (303) 430-4200 PEDODONTIST BARR, ELIZABETH, DMD Childrens Dentistry A Partnersh 5150 W 80th Ave Westminster, CO 80030 (303)427-1951 BARR,NELLE Childrens Dentistry A Partnersh 5150 W 80th Ave Westminster, CO 80030 (303) 427-1951 BENZLEY, L'AYNE Young Dentistry For Children LLC 905 W 124th Ave Ste 190 Westminster, CO 80234 (303)280-9036 DECKER, JILL, DDS Young Dentistry For Children LLC 905 W 124th Ave Ste 190 Westminster, CO 80234 (303)280-9036 HOWE, KEATON Young Dentistry For Children LLC 905 W 124th Ave Ste 190 Westminster, CO 80234 (303)280-9036 KRETSCH, KIMBERLY Young Dentistry For Children LLC 905 W 124th Ave Ste 190 Westminster, CO 80234 (303)280-9036 WHALEN, SEAN, DDS Childrens Dentistry A Partnersh 5150 W 80th Ave Westminster, CO 80030 (303) 427-1951 YOUNG, JEFFREY, DDS Young Dentistry For Children LLC 905 W 124th Ave Ste 190 Westminster, CO 80234 (303)280-9036 PERIODONTIST GURINSKY, BRIAN, DDS Bright Now 3003 W 104th Ave Unit 300 Westminster, CO 80031 (303) 410-9800 PARKER, ROBERT, DDS Arbor Dental Group 9920 Wadsworth Pkwy Westminster, CO 80021 (303) 425-1000 SAKKARIS, CHRISTOPHER, DDS Sedona Periodontics 905 W 124th Ave Ste 150 Westminster, CO 80234 (303)450-3144 WHEAT RIDGE GENERAL DENTIST ANEMA, MARK, DDS 7900 W 44th Ave Ste 102 Wheat Ridge, CO 80033 (303) 433-7391 ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth W 38th Ave PC 7760 W 38th Ave Ste 200 Wheat Ridge, CO 80033 (303)424-1005 BERNBAUM, ALAN, DDS 6654 W 38th Ave Wheat Ridge, CO 80033 (303) 424-1517 BRATULESCU, PATRICIA, DDS Perfect Teeth W 38th Ave PC 7760 W 38th Ave Ste 200 Wheat Ridge, CO 80033 (303)424-1005 BUCK, RONALD, DDS 4350 Wadsworth Blvd Ste 321 Wheat Ridge, CO 80033 (303)420-5243 CASPERS,SUSAN,DDS 3785 Kipling St Wheat Ridge, CO 80033 (303) 421-1472 CHRISTIANSEN, DANIEL, DDS Dental Care of Lakewood PC 7900 W 44th Ave Ste 105 Wheat Ridge, CO 80033 (303) 232-4928 COX, DON, DDS 6494 W 44th Ave Wheat Ridge, CO 80033 (303) 423-2555 DAHLER, BRYAN, DDS PC 3785 Kipling St Wheat Ridge, CO 80033 (303) 421-8753 DEROSE, LOUIS, DDS 3805 Marshall St Ste 300 Wheat Ridge, CO 80033 (303)420-8478 DODSON, ANASTASIA, DDS Santa Fe Dental PC 7015 W 38th Ave Wheat Ridge, CO 80033 (303) 940-9755 DUMKE, PAUL, DDS 7863 W 38th Ave Wheat Ridge, CO 80033 (303)424-3993 EBNER, NORMAN, DDS 6605 W 38th Ave Wheat Ridge, CO 80033 (303)424-6421 FREIMUTH, MICHAEL, DDS Wheat Ridge Dental Group PLLC 10135 W 38th Ave Wheat Ridge, CO 80033 (303) 431-5830 SWEET, RONALD, DDS 6055 W 46th Ave Ste B Wheat Ridge, CO 80033 (303)420-3445 VAN WAGENEN,JASON Santa Fe Dental PC 7015 W 38th Ave Wheat Ridge, CO 80033 (303)940-9755 WINBER, RALPH, DDS 7825 W 38th Ave Bldg 1 Wheat Ridge, CO 80033 (303) 423-3592 HEINY, CHRISTOPHER, DDS PC WYATT, JOHN, DDS PC 7900 W 44th Ave Ste 106 4960 Ward Rd Wheat Ridge, CO 80033 Wheat Ridge, CO 80033 (303) 422-3813 (303) 421-0600 HENDRICKSON, BRIAN, DDS 8850 W 38th Ave Ste D Wheat Ridge, CO 80033 (303) 425-5100 LE, TINA, DDS Dental Care of Lakewood PC 7900 W 44th Ave Ste 105 Wheat Ridge, CO 80033 (303) 232-4928 LEE, JENNIFER, DDS Perfect Teeth W 38th Ave PC 7760 W 38th Ave Wheat Ridge, CO 80033 (303)424-1005 LUCE, WILLIAM, DDS Front Range Dental Group 7900 W 44th Ave Ste 104 Wheat Ridge, CO 80033 (303) 425-4111 MAHONEY, RONALD, DDS 6055 W 46th Ave Wheat Ridge, CO 80033 (303)422-2333 OMI, SHELDON, DDS DMD 7900 W 44th Ave Ste 101 Wheat Ridge, CO 80033 (303) 422-7978 SCHERBER, JOSEPH, DDS 4045 Wadsworth Blvd Ste 103 Wheat Ridge, CO 80033 (303) 421-2702 SEKIYA, FLOYD, DDS 7900 W 44th Ave Ste 101 Wheat Ridge, CO 80033 (303) 422-7978 SHERLOCK, EDWARD, DDS 8850 W 38th Ave Ste C Wheat Ridge, CO 80033 (303) 420-1010 SULLIVAN, CORT, DDS 6785 W 38th Ave Wheat Ridge, CO 80033 (303)425-6123 SULLIVAN, MARGOT, DDS Margot Sullivan DDS PC 3655 Lutheran Pkwy Ste 402 Wheat Ridge, CO 80033 (303) 421-4820 SWEENEY, PATRICK, DDS 4350 Wadsworth Blvd Ste 410 Wheat Ridge, CO 80033 (303)424-9470 ZELIE, STEPHEN, DDS Applewood Center For Winning Smi 12495 W 32nd Ave Wheat Ridge, CO 80033 (303) 237-2707 ORAL SURGEON MUSELLA, ANTHONY, DDS DP Wheat Ridge Oral Surgery 7760 W 38th Ave Ste 102 Wheat Ridge, CO 80033 (303) 421-4010 SCHAFER, NATALIE, DDS MD MS Wheat Ridge Oral Surgery 7760 W 38th Ave Ste 102 Wheat Ridge, CO 80033 (303) 421-4010 ORTHODONTIST CHAPMAN, KEVIN, DDS DMD MS Orthodontic Specialists PC 8852 W 38th Ave Wheat Ridge, CO 80033 (303) 421-9814 REGAN,PAUL D Malcolm Strange DDS 8550 W 38th Ave Ste 306 Wheat Ridge, CO 80033 (303) 467-8888 SHELLHART, W, DDS D Malcolm Strange DDS 8550 W 38th Ave Ste 306 Wheat Ridge, CO 80033 (303) 467-8888 PEDODONTIST COLLEGE, COURTNEY, DDS D Malcolm Strange DDS 8550 W 38th Ave Ste 306 Wheat Ridge, CO 80033 (303) 467-8888 STRANGE, DAVID, DDS D Malcolm Strange DDS 8550 W 38th Ave Ste 306 Wheat Ridge, CO 80033 (303) 467-8888 STRANGE, MALCOLM 8550 W 38th Ave Ste 306 Wheat Ridge, CO 80033 (303) 467-8888 Is Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ana varuciparing Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 64 • 0 Windsor Colorado COLORADO (CONT-D) WINDSOR GENERAL DENTIST BARRY, SHAWN, Dos Dental Arts of Windsor 1550 Main St Unit 142 Windsor, CO 80550 (970)686-6661 BRUHIN, MICHAEL, DDS 1226 W Ash St Unit A Windsor, CO 80550 (970) 686-7858 MILOS-VALSTAD, PAMELA, DDS DMD Judson D Valstad DMD 519 Main St Windsor, CO 80550 (970)686-7121 NELSON,JONATHAN,DDS 1194 W Ash St Ste A Windsor, CO 80550 (970)686-7775 REARDON, WILLIAM, DDS Windsor Front Range Dentistry 1160 W Ash St Windsor, CO 80550 (970) 686-1186 RUFF, MICHAEL, DDS Highland Meadows Dental Health C 8201 Spinnaker Bay Dr Ste A Windsor, CO 80528 (970) 226-4098 VALSTAD, JUDSON, DDS DMD 519 Main St Windsor, CO 80550 (970)686-7121' WEAKLAND, PATRICK, DDS 214 5th St Windsor, CO 80550 (970)686-5544 WINTER PARK GENERAL DENTIST BAER, CHRISTOPHER Baer Dental Designs PC Pine Tree Plaza Hwy 40 Ste 206 Winter Park, CO 80482 (970)726-8290 PERIODONTIST GURINSKY, BRIAN 21 Kings Crossing Rd Ste 206 PO Box 3244 Winter Park, CO 80482 (970)726-8290 Delta Dental Premier WOODLAND PARK WRAY GENERAL DENTIST BALTHAZOR,TERRY,DDS 491 Forest Edge Rd Woodland Park, CO 80863 (719) 687-6366 ELLIOTT, ROBERT, DDS 101 Sundial Dr Ste A Woodland Park, CO 80863 (719) 686-1800 HELLAND, ERIC, DDS Dental Associates at Eagles Nest 150 Morning Sun Dr Ste 20OW Woodland Park, CO 80863 (719) 687-2000 KAUFMANN, STEPHENIE Timberland Dental Care 791 W Kelly Rd Woodland Park, CO 80863 (719) 687-9219 MORRILL, BRENT, DDS Rampart Family Dental Center 451 Rampart Range Rd Woodland Park, CO 80863 (719) 687-3131 NEEL, JANET, DDS Dental Associates at Eagles Nest 150 Morning Sun Dr Ste 20OW Woodland Park, CO 80863 (719). 687-2000 RYGG,PAUL Dental Associates at Eagles Nest 150 Morning Sun Dr Ste 20OW Woodland Park, CO 80863 (719) 687-2000 THOMSON, PATRICK, DDS DMD 207 N West St Woodland Park, CO 80866 (719) 687-6225 YARDUMIAN, ROBERT, DDS DMD Timberland Dental Care 791 W Kelly Rd Woodland Park, CO 80863 (719)687-9011 ORAL SURGEON BORRIS, THOMAS, DDS 400 W Midland Ave Ste 110 Woodland Park, CO 80863 (719) 650-9269 ORTHODONTIST SCHAEFER, DAVID, DMD Mountain Vista Family Orthodonti 400 W Midland Ave Ste 110 Woodland Park, CO 80863 . (719)687-6129 PROSTHODONTIST DRAPER, SCOTT, DDS Dental Associates at Eagles Nest 150 Morning Sun Dr Ste 20OW Woodland Park, CO 80863 (719) 687-2000 GENERAL DENTIST NEUMANN, DANIEL, DDS 416 Main St Wray, CO 80758 (970)332-4817 ORTHODONTIST MILLS, MARK, DDS 416 Main St Wray, CO 80758 (719)596-3081 YUMA GENERAL DENTIST JOHNSON,BROCK,DDS Yuma Family Dental 900 S Ash St Yuma, CO 80759 (970)848-5777 JOHNSON, ERIN, DDS Yuma Family Dental 900 S Ash St Yuma, CO 80759 (970)848-5777 SCHAFFNER,NATHAN,DDS Yuma Family Dental 900 S Ash St Yuma, CO 80759 (970)848-5777 ORTHODONTIST MILLS, MARK, DDS 900 S Ash St Yuma, CO 80759 (719)596-3081 Yuma Colorado Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 65 n • A Abbey, Paul, DDS........................................... 51 Abood, Joseph .................................................. 2 Abrames, Arica, DDS...................................... 35 Acevedo, Alexander, DDS .............................. 62 Acherkan, Mayya............................................ 50 Acherkan, Mayya, DDS...................................24 Ackall, Ibraheem, DDS....................................47 Adair, Gregory ................................................. 42 Adams, Dawne................................................60 Adams, Dawne, DDS.................................. 3, 10 Adams, John, DDS..........................................24 Adams, Larry, DDS......................................... 16 Adams, Timothy, DDS DPM ............................30 Adler, Michael, DDS..........................................8 Ahern, John, DDS........................................... 50 Ahern, Robert, DDS........................................ 51 Ahn, Henry, DDS.............................................42 Ajdari, Jurak, DDS PC.....................................50 Alber, Marc, DDS.............................................. 8 Albers, Mark, DDS.......................................... 16 Albert, David, DDS PC .................................... 50 Albin -Davis, Teresa, DDS ............................... 56 Aleksanyan, Margarita, DDS ...........................48 Alexander, Robert, DDS.................................. 34 Alford, Annette, DMD................................ 24,41 Allan, Neal, DDS............................................. 16 Alleman, Breckglyn, DDS..................................8 Alleman, Daniel, DDS....................................... 8 Allen, Jack, DDS MS.......................................47 Allen, Kenneth, DDS PC ................................. 35 Allen, Mark, DDS.............................................23 Allen, Robert, DDS............................................ 3 Allen, Rodney, DDS........................................ 56 Allen, Thomas, DDS........................................35 Allen, William, DDS......................................... 22 Almeida, Adam, DDS................................ 48,50 Almeida, Donald, DDS.................................... 50 Almond, Bradley, DMD....................................57 Altatari, Rabi, DDS.......................................... 40 Alter, Scott, DDS............................................... 3 Aluru, Susmitha, DMD..................................... 16 Ambida, Sandra, DDS DMD............................ 50 Amelang Severin, Amber .................... 34, 51. 53 Ames, William, DDS........................................ 13 Amundson, Peter, DDS................................... 13 Andersen, Dennis, DDS DMD PC ................... 53 Anderson, Brian, DDS..................................... 16 Anderson, Daniel, DDS................................... 10 Anderson, Erick, DMD..................................... 16 Anderson, Jackson, DDS................................ 16 Anderson, Jonathan ........................................ 35 Anderson, Richard, DDS................................. 16 Anderson, Robert, DDS.................................. 24 Anderson, Roger, DDS MD DPM .................... 13 Anderson, Timothy, DDS................................ 35 Ando, Susan, DDS............................................ 3 Andow, Kenneth, DDS.................................... 13 Andreatta, Paul, DDS PC ................................ 62 Andreoletti, Gary ............................................. 37 Andreoletti, Gary, DDS.................................... 38 Andrews, Brandie, DDS .............................. 3,44 Andrews, Paul, DDS DMD .............................. 59 Andrews, Stephen, DDS DMD MS..................22 Andrus, Paul, DDS.......................................... 44 Andrus, Robert, DDS........................................ 3 Anema, Mark, DDS......................................... 64 Antiel, Robert, DDS........................................... 1 Anundsen, M................................................... 44 Applegate, Shelby, DDS................................. 13 Aragon, Steven, DDS DMD ............................. 33 Arango, Jose, DDS MS ............................. 22,59 Archer, Raymond, DDS...................................24 Archibald, Samuel, DDS................................. 16 Arendt, Paul, DMD.......................................... 44 Ariola-Tirella, Noah, DDS.... 1, 10, 12, 24, 62, 64 Armstrong, Jack, DDS MD PC ........................ 24 Armstrong, Raymond, DDS ............................. 16 Delta Dental Premier Arnold, Julia, DDS........................................... 16 Arnold, Kara, DDS........................................... 24 Asbury, Robin, DDS........................................ 13 Ash, Scott, DDS.............................................. 13 Astroth, Jeffrey, DDS........................................ 8 Atha, Eric, DDS............................................... 22 Atha, Jason, DDS.......... ..........................:......... 8 Aufderhar, Christine, D........................... DS 3, 24 Auger, Cameron ................................................ 3 Augustine, Lisa, DDS........................................ 3 Aust, Donald, DDS........................................... 38 Austin, Dawn, DDS......................................... 13 Autobee, Thomas, DDS.................................. 57 Avant, Daniel, DDS..................................... 1,22 Averbach, Robert, DDS................................... 24 Avery, Paul, DDS.............................................. 8 Ayers, William ................................................. 10 8 Babin, Brian, DDS..................................... 24,56 Baer, Christopher............................................65 Baer, Christopher, DMD..................................24 Baer, David ............................................... 16. 48 Baer, David, DDS............................................ 16 Bagley, Steven, DMD......................................40 Bahr, Carl, DDS.............................................. 38 Bahr, Carl, DDS DMD ......................... 15, 61, 63 Bahr, Carl, DMD..................................22, 47, 59 Bahr, Craig ...................................................... 40 Bahr, Craig, DDS...................................... 38,47 Bahr, Craig, DDS DMD ................. 15, 59, 61, 63 Bahr, Craig, DMD............................................ 22 Bahr, Shayna, DDS DMD.................................. 1 Bailey, Brent, DDS.......................................... 42 Bailey, John, DDS......................................11. 22 Bailey, John, DDS MS ..................................... 22 Bailey, Michael, DDS...................................... 60 Baker, James, DDS......................................... 32 Baker, Ronald, DDS,PC..................................35 Baldwin, Bruce, DDS.......................................44 Ball, Melvin, DDS............................................ 44 Ballard, Stephen, DDS.................................... 53 Balthazor, Terry, DDS..................................... 65 Baltz, Kathleen, DDS................................ 24,42 Baltz, Kathleen, DDS MS ................................ 24 Bancroft, Joanne, DDS................................... 32 Bandrowsky, Timothy, DDS ...................... 12,21 Banks, David, DDS......................................... 59 Bardsley, Norman, DDS.................................... 7 Barecki, Richard, DDS.................................... 24 Bares, Scott, DDS..................................... 33, 35 Barker, Stephen, DDS..................................... 48 Barnes, Bruce, DDS........................................ 16 Barnes, Mark, DDS........................................... 8 Barney, Jason, DDS........................................ 39 Barnhurst, Eric ................................................ 54 Barnhurst, Eric, DDS....................................... 38 Baros, Lia, DDS.............................................. 30 Baros, Raymond, DDS.................................... 16 Barr, Elizabeth, DM D................................... ... 64 Barr, Nelle....................................................... 64 Barr, Ronald, DDS MD DID .............................. 23 Barreto, Nally, DDS DMD................................ 16 Barry, Shawn, DDS......................................... 65 Barth, Gary, DDS............................................ 41 Bartlett, James, DDS......................................... 3 Barton, Colin, DDS..........................................44 Barton, Daniel, DDS DMD ............................... 51 Barton, Stephen, DDS PC ............................... 48 Bashi, Vahid, DDS.......................................... 16 Basit, Saadia, DDS DMD................................ 52 Basnar, Cary, DDS PC .................................... 35 Bassett, Merrill, DDS.................................60. 62 Batliner, Donald, DDS..................................... 24 Batliner, Terrence .............................................. 3 Batliner, Terrence, DDS.................................... 3 Batson, Emily...................................................11 Batson, Emily, DDS.......................................:. 57 Batterson, Kimberly, DDS MS ......................... 22 Bauer, Gerald, DDS........................................ 44 Bauman, Jon, DDS................................... 10,24 Baumgardner, Thomas, DDS DMD................. 16 Baumgart, Steven, DDS.................................. 45 Bausch, Wayne, DDS..................................... 45 Bayne, Jonathan, DDS................................... 16 Beaber, William, DDS....................................... 2 Beaber, William, DDS DMD ...................... 43,63 Beacom, David, DDS...................................... 38 Beal, Christopher, DDS................................... 38 Beard, Byron, DDS DMD................................ 59 Beasley, Michael, DDS................................... 16 Beck, George, DDS........................................ 57 Beck, Jim, DDS............................................... 57 Becker, Amy, DDS.......................................... 48 Becker, Helena, DDS DMD..................... 1, 3, 50 Beckwith, Carmen, DDS................................... 8 Beckwith, Frank, DDS..................................... 52 Becvar, Frank, DDS........................................ 51 Beene, John, DDS.......................................... 16 Behr, Nolan, DDS........................................... 16 Beilby, George, DDS.......................................42 Belegratis, Tasos, DDS................................... 42 Belenski, Alan, DDS........................................ 52 Belfiglio, E, DMD............................................. 16 Belford, Mark, DDS DMD................................ 44 Bellamy, Marcus, DDS DMD........................... 54 Bellon, Michael, DDS MS .......................... 30,50 Benak, Susan, DDS........................................ 39 Bender, William, DDS..................................... 44 Benke, Robert, DDS....................................... 40 Benner, Sidney, DDS...................................... 40 Bennett, Darren, DDS....................................... 3 Bennett, David, DDS......................................... 1 Bennett, Ernest, DDS...................................... 12 Bennett, Gregory, DDS..................................... 1 Bennett, Scott, DDS........................................ 62 Bennett, Stuart, DDS........................................ 1 Benning, Allen, DDS....................................... 22 Benning, Brian, DDS....................................... 16 Benson, Gary, DDS..................... :.................. 30 Bentele, Mark .................................................. 22 Bentele, Mark, DDS MS .................................. 22 Bentley, Christopher, DDS .............................. 12 Bentz, Michael, DDS......................................... 8 Benzley, Layne ......................................... 52,64 Bergeson, Zackary, DDS DMD ......................... 3 Bergles, James, DDS...................................... 57 Bergo, Shane, DDS........................................ 34 Berguin, Brandon, DDS.................................. 39 Berman, David, DDS MD DMD....................... 42 Berman, Mark, DDS MD ................................. 42 Bermel, Thomas, DDS.................................... 13 Bernardy, Jeffrey, DDS................................... 45 Bernbaum, Alan, DDS..................................... 64 Berndt, Shawna, DDS..................................... 37 Berner, Jeannette, DDS.................................. 13 Berry, Daniel, DDS.......................................... 62 Berry, Eric, DDS.............................................. 57 Berry, Kary, DDS...................................... 13,41 Berry, Kevin, DDS........................................... 41 Berry, Thomas, DDS......................................... 3 Bertagnolli, Edward, DDS ............................... 62 Bertagnolli, John, DDS.................................... 62 Bertsch, William, DDS..................................... 16 Berwick, James, DDS..................................... 21 Best, Cory, DDS.............................................. 55 Bathers, John, DDS........................................ 10 Bevans, David, DDS....................................... 48 Bevans, Gregory, DDS................................... 24 Bevis, Brittany, DDS DMD ........................ 13,47 Bhasker, Deborah, DDS................................. 13 Biel, Timothy, DDS............................................ 3 Bielecki, Pawel, DDS...................................... 57 Biety, Christopher, DDS...................................11 Bigus, Paul, DDS............................................ 53 Biles, Jill, DDS................................................ 51 Bingham, Ryan, DDS...................................... 51 Birch, Aaron, DDS........................................... 39 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 67 Delta Dental Premier Bird, Philip, DDS............................................. 16 Birkel, Richard, DDS....................................... 48 Birnbaum, Anne, DDS....................................... 8 Bishop, John, DDS............................................8 Bissell, William, DDS.......................................24 Black, Tyson, DDS DMD................................. 39 Blackhurst, Russell, DDS................................ 60 Blackley, David, DDS...................................... 16 Blanchard, Jason, DDS...................................48 Bland, Andrew, DDS....................................... 40 Blasko, Jacqueline, DDS DMD.................. 13,23 Blatter, Victor, DMD.................................... 3, 13 Blehm, Darrel, DDS.........................................39 Bley, Justin, DDS DMD................................... 41 Bohm, Steven, DDS....................................... 42 Bloom, Gene, DDS MD ................................... 24 Blue, Mark.......................................................32 Blumenschein, Gary ..........................................3 Bobak, Voytek, DMD................................. 23,47 Bobier, Gene ................................................... 40 Bodoni, Elena, DDS........................................ 41 Bodoni, Eva, DDS........................................... 41 Boeyink, Timothy, DDS................................... 13 Bogan, Thomas, DDS....................................... 8 Bohman, Brian, DMD...................................... 11 Boisen, Dorothy, DDS..................................... 54 Bolak, Kimberly, DDS......................................44 Bollenbaugh, Keith, DDS................................ 24 Bolton, William, DDS....................................... 12 Bonbright, Thomas, DDS................................ 24 Boone, Malcolm..............................................24 Boone, Malcolm, DDS..................................... 60 Boratenski, Julia ................................................ 1 Boraz, Robert .................................................. 13 Boraz, Robert, DDS........................................ 57 Boren, Michael, DDS....................................... 57 Borg, Timothy, DDS PC .................................. 62 Borris, Thomas, DDS .......................... 21, 43, 65 Bottenbley, Cecil, DDS DM DMD .................... 47 Bottenbley, Cecil, DDS MD DMD ....................29 Bottoms, Brandi, DDS..................................... 10 Bottone, Paul, DDS PC ................................... 42 Boudreaux, Gary, DDS...................................42 Bourne, Jeffrey, DDS...................................... 53 Bowden, ClydeA, DDS...................................... 3 Bowers, Soledad, DDS................................... 13 Bowling, Franklin, DMD................................... 10 Bowling, Nina .................................................. 10 Boxwell, Court, DDS....................................... 24 Boyd Page, Dana ............................................ 48 Boyes, Richard ................................................ 40 Boyesen, Janie................................................50 Boyesen, Janie, DDS...................................... 50 Brachvogel, William, DDS................................. 8 Bradley, James, DDS......................................39 Bradley, Kathleen, DDS ...... 3, 16, 24, 40, 57. 60 Branes, Gerald, DDS......................................47 Brantes, Liliane, DDS...................................... 13 Branwell, Donald, DDS...................................24 Bratton, Dwight, DDS...................................... 12 Bratulescu, Patricia, DDS.................... 40, 60, 64 Braun, Chad, DDS.......................................... 24 Braun, James, DDS........................................ 36 Bravo, Luis ...................................................... 24 Bravo, Luis, DDS DMD................................... 13 Bravo, Luis, DMD............................................ 11 Bredbeck, Bruce, DDS.................................... 13 Breeden, Randall, DDS...................................51 Brenkert, Dennis, DDS....................................36 Brewer, Thomas, DDS.................................... 35 Brewick, Terry, DDS........................................24 Brewka, Robert, DDS MS ............................... 50 Brichacek, Michelle, DDS.................................. 3 Bridgeman, Harold, DDS................................. 16 Bridgewater, Martha, DDS .............................. 31 Brimhall, Dallas ............................................... 56 Brimhall, Dallas, DDS........................................3 Brockman, John, DDS..................................... 50 Brodie, Mark, DDS.......................................... 42 Brody, Lee, DDS DMD PC .............................. 12 Broeker, Curtis, DDS....................................... 16 Bromell, Susan ................................................ 62 Bromell, Susanc, DDS.................................... 60 Brones, Collin, DDS........................................ 16 Brooks, Howard ................................................. 3 Brotherton, Jamie, DDS.................................. 60 Brotherton, Nolan, DDS DMD ......................... 45 Brower, Kathleen, DDS................................... 16 Brown, Cherie, DDS MS ................................. 47 Brown, Donald, DDS.......................................24 Brown, James, DDS........................................ 33 Brown, Jennie, DDS..........................................3 Brown, Julie, DDS............................................ 8 Brown, Michael, DDS...................................... 16 Brown, Richard, DDS PC ................................ 24 Brown, Ronald, DDS....................................... 24 Brown, Stephen, DDS ............................... 40, 51 Browning, Michael ........................................... 41 Browning, Michael, DDS................................. 36 Browning, Sarah .............................................. 40 Browning, Sarah, DDS.................................... 35 Bruggeman, Scott, DDS.................................. 10 Bruhin, Michael, DDS...................................... 65 Bruner, Lawrence, DDS.................................. 53 Bryner, Matthew, DDS.................................... 39 Buck, James, DDS.......................................... 51 Buck, Ronald, DDS......................................... 64 Buckstein, Jan, DDS PC ................................. 31 Bueltel, Allen ..................................................... 1 Buffer, Steven, DDS.......................................... 8 Buhrmann, Scott, DDS.................................... 16 Buist, John, DDS............................................. 33 Bujanda-Wagner, Sandra, DDS........................ 3 Bull, John, DDS............................................... 40 Bullen, Benjamin..............................................11 Bullen, Benjamin, DDS.................................... 16 Bullock, Jeremy, DDS DMD ............................ 16 Bumgarner, Roger, DDS ..................... 13, 43, 57 Bunch, Robert, DDS MD ................................. 24 Bunchman, Matthew, DDS DMD..................... 34 Burchfield, John, DDS PC ............................... 38 Burger, Anna, DDS......................................... 48 Burgess, Brandy, DDS...................................... 7 Burgess, Brandy, DMD....................................11 Burgner, Dennis, DDS..................................... 56 Burkart, John, DDS........................................... 3 Burkhart, Scott, DDS.......................................48 Burluc, Aurora, DDS.................................... 8,10 Burnham, Arlie, DDS....................................... 35 Burnham, Michael, DDS MD...........................61 Burns, Kendall, DDS MD DMD ....................... 10 Bums, William, DDS DO ................................. 48 Burquest, James ............................................. 48 Burquest, James, DDS .............................. 12,13 Burrows, Claudia, DDS................................... 10 Burt, Matthew .................................................. 59 Burt, Matthew, DDS....................................... 38 Burtenshaw, John, DDS .............................. 3, 24 Burton, Matthew, DDS.................................... 16 Busse, David, DDS................................... 47, 60 Bustamante, Amy, DDS.................................. 13 Butler, Benjamin, DDS.................................... 45 Butler, Maryanne, DDS................................... 57 Butterman, Daniel, DDS.................................. 13 C Cable, Ryan .............................................. 24.60 Cadotte, Ana ................................................... 62 Cadotte, Ana, DDS.......................................... 60 Cahn, Ellis, DDS............................................. 24 Cahoon, Kevin, DDS................................... 1, 56 Calderon -Kidd, Joesolyn, DMD.......................45 Calderwood, Cody, DDS................................. 16 Caldwell, Jay, DDS......................................... 16 Caldwell, Michelle, DDS..................................45 Caldwell, Ronald, DDS.................................... 32 Calendine, Stephen, DDS ............................... 16 Calendine, Stephens, DDS ............................. 16 Caletti, Gary, DDS.......................................... 33 Calhoun, Gordon, DDS................................... 13 Call, Richard, DDS DMD MS .......................... 60 Callahan, Clinton, DDS................................... 22 Callahan, Richard, DDS..................................45 Callender, David, DDS.................................... 47 Callender, Galen, DDS................................... 50 Callender, Galen, DDS PC ............................... 2 Calvin, James, DDS........................................ 16 Camerino, Angelo, DDS.................................. 16 Camerino, Carolyn, DDS................................ 16 Cameron, Stephen, DDS................................ 35 Campbell, King ................................................ 55 Campbell, Monte, DDS................................... 15 Cannon, Christopher, DDS DMD ...................... 3 Cannon, Mark, DDS DMD................................. 8 Cappelli, Clifford, DDS DMD ........................... 59 Caraway, Damen............................................ 34 Caraway, Damen, DDS................................... 53 Cardon, Paul, DDS......................................... 54 Cardoso, Luiz, DDS........................................ 25 Carlesimo, Peter, DDS .............................. 35,53 Carlile, Charles, DDS DMD ............................. 48 Carlson Marks, Lisa .................................... 7,30 Carlson, Kendal, DMD.................................... 25 Carlson, Kenneth, DDS................................... 23 Carlson, Steven, DDS MD .............................. 16 Carlson, Vance, DDS...................................... 48 Carlston, Matthew, DDS DMD .......................... 3 Carmody, Colleen, DDS .............................. 3,25 Carnes, Perri ................................................... 48 Carnes, Perri, DDS......................................... 13 Carnes, Perri, DDS DMD................................ 12 Carpenter, Christopher, DDS MD ................... 15 Carpenter, James, DDS.................................. 62 Carreon, Lejon, DDS....................................... 48 Carroll, Bernard, DDS..................................... 25 Carroll, John, DDS.......................................... 49 Carroll, Tara, DDS.......................................... 10 Carruth, Caroline, DMD.................................. 39 Carter, Brian, DDS.......................................... 52 Carter, Colleen, DDS...................................... 25 Carter, Stephen, DDS MS ............................... 47 Carter, Steven ................................................. 55 Carter, Steven, DDS................................. 16,57 Carver, Douglas .............................................. 31 Carver, Douglas, DDS ........................ 30, 49, 56 Case, William, DDS DMD ............................... 13 Casement, Russell, DDS................................ 25 Caspers, Susan, DDS..................................... 64 Casseday, Bryan, DDS................................... 40 Cassidy, Mark, DDS DMD ............................... 15 Casson, Anne, DDS........................................ 48 Castillo, Steven, DDS..................................... 16 Castle, Wayne, DDS....................................... 51 Castline, Jill, DDS........................................... 31 Catalano, Joseph, DDS.................................... 7 Catalano, Joseph, DDS DMD ......................... 51 Catalano, Joseph, DDS MD ............................ 14 Gathers, Justin ............................................ 1,44 Caulfield, Jon, DDS......................................... 48 Cavanaugh, Mark, DDS DMD......................... 48 Cayo, Craig, DDS DID ..................................... 54 Cea, Richard, DDS......................................... 16 Chalian, Garo, DDS.................................... 3,56 Chamberlin, Christopher, DDS.......................... 8 Chambers, Alvin, DDS DMD ........................... 57 Chang, Michael, DDS DMD PC ........................ 3 Chapman, Kevin, DDS DMD MS .................... 64 Chapman, Thomas, DDS.......................... 31,43 Charity, Ronald ............................................... 16 Chavez, David, DDS....................................... 45 Chavez, Manuel, DDS.................................... 25 Chavez, Robert ............................................... 54 Chavez, Robert, DDS..................................... 38 Chawla, Neha, DDS DMD ............................... 60 Chawla, Prathima, DDS.................................... 3 CHC Clinica Campesina Family ...................... 60 Chc Dental Aid ...................................... 8, 51, 52 CHC Denver Health Westside D ..................... 25 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0 68 C] • • Chc High Plains Community He ...................... 47 Chc Loveland Community Healt...................... 53 Chc Plan De Salud ...... 10, 23, 34, 35, 37, 51, 60 CHC Uncompahgre Medical Cent ................... 55 Chen, William S...............................................25 Chernoff, Kenneth, DDS ........................... 25,38 Chien, Shih, DDS............................................ 60 Childress, Frank, DDS.................................... 57 Childress, Kenneth, DDS................................ 57 Chinni, Asha, DDS.......................................... 13 Chiovitti, Nicholas, DDS.................................. 62 Choe, Chiyon, DDS............. 3, 16, 25, 40, 57, 60 Choi, Jack, DDS.............................................. 62 Choi, Seong-Hee, DMD.................................. 56 Cholfin, Stuart, DDS..........................................3 Christ, Kevin, DDS DMD................................. 13 Christensen, Edward ................................... 7.52 Christensen, Edward, DDS ............................. 44 Christiansen, Bart, DDS.................................. 13 Christiansen, Daniel, DDS .............................. 64 Christiansen, Edwin, DDS ............................... 17 Christiansen, Harold, DDS................................ 4 Christiansen, Richard, DDS ...................... 17,48 Christophe, John, DDS...................................25 Chubb, Thomas...............................................44 Chubb, Thomas, DDS..................................... 63 Chung, Dyeus, DDS........................................ 10 Ciborowski, Philip, DDS.................................. 22 Cimino, Michael, DDS..................................... 17 Ciner, Sheldon, DDS PC.................................25 Clair, Preet, DDS.............................................25 Clark, Bruce, DDS........................................... 35 Clark, Warren, DDS........................................ 35 Clear, Keith, DDS MS ....................................... 8 Clear, Sheryl, DDS...................................... 4,56 Clement, Charles, DDS................................... 25 Clifton, Brett, DDS...........................................39 Coats, Brian, DDS........................................... 51 Coats, Frederick, DDS.................................... 51 Cockrell, Ronald, DDS.................................... 17 Coffee, Paula .................................................... 1 Colb, Michael, DDS PC ................................... 59 Colbert, Elbert, DDS..........................................8 Colledge, Heath, DDS.....................................38 College, Courtney ..................................... 32.37 College, Courtney, DDS...................... 34, 50, 64 Collett, Miles, DDS.......................................... 25 Colletti, Laurence .............................................. 2 Colletti, Laurence, DDS...................................53 Collins, Claire, DDS DMD................................. 4 Collins, David, DDS.........................................45 Collins, Jeffrey, DDS....................................... 57 Collins, Lawrence............................................25 Collinsworth, Phillip ................................... 31,44 Collinsworth, Phillip, DMD ............................... 10 Colm, Stephen, DDS.......................................54 Colm, Stephen, DDS DMD.......... 7, 9, 11. 36, 43 Colm, Stephen, DMD .......................... 21, 36, 52 Colvin, Douglas, DDS..................................... 17 Combes, Craig, DDS....................................... 54 Community Dental Clinic Chc.......................... 54 Concialdi, Ron, DDS....................................... 57 Connolly, Mary .................................... 17. 40, 57 Connolly, Mary, DDS................................... 41 25 Connor, Donald, DDS DMD ............................ 25 Connors, Charles, DDS...................................25 Cook, Mark, DDS PhD .................................... 12 Coombs, Alan, DDS........................................ 25 Cope, George, DDS........................................ 10 Cope, Thomas, DDS....................................... 33 Corbett, Byron, DDS....................................... 39 Corbett, James, DDS...................................... 39 Corcoran, Paul, DDS.......................................62 Corley, William, DDS....................................... 57 Corr, Robert .................................................... 37 Corr, Robert, DDS........................................... 15 Corson, George, DDS..................................... 50 Cortese, Kathleen, DDS.................................. 56 Cory, Kenneth, DMD....................................... 54 Cosaert, Corrinn, DDS.................................... 52 Delta Dental Premier Cosby, Michael D, DDS MD ............................ 30 Cosby, Michael, DDS MD ............................... 51 Costa, Benjamin, DDS.................................... 55 Couchman, Donald, DDS................................ 17 Countryman, Joey, DDS................................. 42 Courtad, Charles, DDS................................... 38 Covello, Eugene, DDS.................................... 12 Cowen, Neil, DDS........................................... 33 Cox, Brian, DDS..............................................35 Cox, Don, DDS................................................64 Cox, Vallory, DDS............................................. 1 Craig, James, DDS........................................... 4 Craig, Robert ............................................. 10,47 Craig, Robert, DDS......................................... 44 Craiger, John, DDS......................................... 25 Crane, Mark, DDS..................................... 36,54 Craven, Dustin, DMD................................ 10.25 Crawford, Jerry, DDS...................................... 13 Crawford, Stanley .............................................. 2 Creal, Stephen, DDS....................................... 35 Creer, Lorin, DDS............................................48 Crichlow, Kenneth, DDS................................. 25 Crichton, David, DDS...................................... 21 Crisler, Steven, DDS DMD .............................. 17 Crockett, Olen, DDS........................................ 45 Croghan, Thomas, DDS.................................. 25 Cubillos, Constanza, DDS ............................... 62 Cuin-Parker, Jazmin, DDS .............................. 60 Cullum, Arnold, DDS................................. 17,25 Curry, James, DDS......................................... 43 Cushing, Bryce .................... 4, 17, 25, 40, 57, 61 Cutler, Richard, DDS................................. 17,55 D Addario, Matthew ......................................... 21 DHondt, Eric ................................................... 42 Dahler, Bryan, DDS PC ................................... 64 Daiss-Ehrhard, Pamela, DDS ......................... 56 Dale, Eric, DDS............................................... 31 Damico, Nick.....................................................4 Daniel, Thomas, DDS....................................... 4 Dankey, Joseph, DDS......................................11 Danna, Charles, DDS...................................... 48 Danzer, Kimberly, DDS DMD.......................... 62 Dasilva, Ricardo .................. 4, 17, 25, 40, 58, 61 Daugherty, David, DDS...................................48 Daurio, Ronald, DDS.....................................:. 58 Davies, Kristi, DDS.......................................... 17 Davis, Jack, DDS............................................ 59 Davis, Matthew, DDS...................................... 60 Davis, Philip .................................................... 55 Davis, Robert, DDS DMD................................ 58 Davis, Rusty, DDS.......................................... 12 Davis, Ryan ..................................................... 39 Davis, Walter, DDS........................................... 8 Davis, William, DDS........................................ 10 Dawson, Kevin, DDS........................... 47, 48, 60 Day, Brian, DDS.............................................. 55 Day, Gregory, DDS MD DMD ......................... 59 Dayn, Ilya .................................................. 25,50 DeLong, Gary ................................................... 1 De, Emmanuel Paz, LA ..................................... 8 Deal, Brock ...................................................... 48 Deal, Brock, DDS...................................... 12, 13 Deal, Thomas, DDS.................................. 25,34 Dean, Glen, DDS MD ...................................... 40 Dean, Mark, DDS.............................................. 1 Decino, Donald, DDS...................................... 47 Decino, Patricia, DDS..................................... 45 Decker, Jill, DDS....................................... 53, 64 Deeg, Deborah, DDS........................................ 4 Deeg, Miles ....................................................... 4 Degarmo, Aaron, DDS...................................... 8 Degeare, Danny, DDS.................................... 22 Degerness, Randolph, DDS ............................48 Delapp, Helen, DDS........................................42 Delapp, James ................................................ 42 Delio, Anthony, DDS....................................... 54 Deloian, Robert ............................................... 48 Demaray, Robert, DDS................................... 62 Demarco, Richard, DDS................................. 62 Dembitsky, Stephen, DDS .............................. 59 Denny, Robert, DDS......................................... 3 Denny, Robert, DDS DMD................................ 7 Denver Health Bannock De Chc ..................... 25 Denver Health Eastside D Chc ....................... 25 Derby, Erica, DDS................ :.......................... 61 Derloshon, Tobias, DDS................................. 54 Derose, Louis, DDS............................ :........... 64 Dertien, Donald, DDS..................................... 17 Deschene, James, DDS.................................... 8 Desimone, D, DDS.......................................... 12 Dewitt, Michael, DDS MA ................................ 25 Dial, Dustin, DDS DMD................................... 17 Dial, Richard, DDS.......................................... 45 Dietz, Jacqueline, DDS DMD...................... 3,62 Digiorgio, Robert ............................................. 25 Digiorgio, Robert, DDS................................... 56 Dildine, John, DDS.......................................... 53 Dilizia, Camillo, DDS DMD................................ 4 Dillabaugh, Gary, DDS DMD........................... 45 Dilley, Steven, DDS........................................ 35 Dinsmore, David, DDS....................................25 Diorio, Michael, DDS....................................... 33 Disse-Pfeifer, Scarlet ...................................... 13 Dixey, Kenneth, DDS...................................... 56 Dobbin, Monica, DDS..................................... 17 Dobbin, Richard, DDS..................................... 17 Dodgion, Earl .................................................. 59 Dodson, Anastasia, DDS................................ 64 Dodsworth, Paul, DDS.................................... 17 Doerhoff, Richard, DDS.................................... 4 Doherty, Michael, DDS................................... 12 Doi, Bradley, DDS........................................... 25 Doida, Stanley, DDS....................................... 25 Doll, Mischelle, DDS....................................... 41 Dolores County Health As Chc ....................... 32 Dombrowski, Jeffrey, DDS MD ....................... 21 Donaghy, Frederick, DDS................................. 8 Donaldson, Tandi, DDS.................................. 33 Doolittle, Charles, DDS DMD PC .................... 17 Dorsey, Ronald, DDS...................................... 33 Dost, James, DDS.......................................... 42 Dougherty, Carrie, DDS DMD ......................... 25 Dougherty, Michael, DDS................................. 4 Douglas, Gregory, DDS.................................... 8 Douvas, George, DDS.................................... 43 Dowlati, ... Jina................................................... 4 Dowlati, Jina, DDS.................................... 40,61 Downey, Ralph, DDS...................................... 58 Doyle, Bridget, DDS........................................ 58 Drake, Thomas, DDS...................................... 51 Drakulich, Daniel, DDS................................... 54 Draper, Scott, DDS................................... 23,65 Drbohlav, Matthew .......................................... 43 Drescher, David .............................................. 43 Driscoll, Dennis, DDS................................11, 58 Driskill, Victoria ............................................... 55 Droskin, Craig, DDS........................................ 39 Druckman, Roger, DDS.................................. 25 Drury, Robert, DDS......................................... 17 Duey, Douglas, DDS....................................... 53 Duff, Joyce, DDS.............................................. 4 Dumee, Paul, DDS..........................................64 Dunbar, Andrew, DDS.................................... 13 Dunker, Inna, DDS..........................................25 Dunkleberger, Elizabeth, DDS ........................ 42 Dunn, Christopher, DDS................................. 61 Dunn, David, DDS.............................................4 Dunn, Jack, DDS..... :...................................... 51 Duquette, Douglas, DDS........................... 25,48 Duran, Jack, DDS............................................. 7 Duran, Jack, DDS MS ..................................... 33 Duran, Tomas, DDS........................................ 58 Durbin, Charles, DDS PC ............................... 17 Durbon, Lezli, DDS......................................... 48 Durkin, Fazila, DDS........................................ 51 Duryea, Michael, DDS .............................. 47,50 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 69 Delta Dental Premier Duvall, Daniel, DDS........................................ 45 Dwyer, Daniel, DDS........................................ 55 Dyches, Benjamin, DDS.................................. 56 Dykes, Yuki, DDS.......................................... 1,4 Dymerski, Daniel, DDS....................................42 Eames, Owen, DDS........................................ 23 Eberle, Nicole, DDS MS .................................. 30 Ebert, Donna, DDS......................................... 36 Ebner, Norman, DDS...................................... 64 Eckhardt, Bradley, DDS.................................... 3 Eckles, Terry, DDS MS ................................... 41 Edgren, Bradford, DDS MS .............................41 Edgren, Burdett, DDS MS ............................... 41 Edlund, David, DDS.................................... 4.45 Edwards, Gerald, DDS DMD .............................4 Edwards, Walter, DMD....................................42 Egbert, Hans, DDS..........................................17 Egert, Terry, DDS............................................ 25 Ehrhardt, Mark, DDS....................................... 10 Ehtessabian, Jason, DDS ............................... 11 Eich, James, DDS........................................... 32 Eivins, Scott, DDS...........................................60 Elliott, Brian, DDS....................................... 1,25 Elliott, Robert, DDS......................................... 65 Ellis, Dana, DDS PC ......................................... 1 Ellis, Randall ......................................... 7, 30, 61 Ellis, Randall, DDS....................................22, 59 Elmore, Spencer, DDS....................................37 Elsberry, Gary, DDS........................................ 62 Elson, Christopher ........................................... 45 Elton, Roger, DDS MS .............................. 15,57 Enea, Steven, DDS......................................... 17 Engel, Neal, DDS.............................................. 4 Engler, Frances, DDS..................................... 45 Erickson, Joshua, DDS................................... 22 Erlander, Eric, DDS......................................... 17 Escala, Saul, DDS.................:.....................4, 45 Esposito, Daniel, MD DMD..............................49 Eto, Robert, DDS............................................ 13 Eurich, Steven, DDS....................................... 44 Evans, David ..................................................... 8 Evans, Douglas, DDS MS ............................... 17 Evans, Gary, DDS...........................................35 Evans, Gregory, DDS...................................... 36 Evans, Kevin, DDS PC....................................41 Evans, Raymond, DDS..................................... 4 Evanson, Angela ............................................. 56 Eveland, William, DMD.................................... 15 Eyer, Robert .................................... :................. 1 F Facy, Rebecca, DDS........................... 12, 21, 44 Fager, Frank, DDS.......................................... 24 Fahmy, Sharon, DDS........................................ 4 Faktor, Michael, DDS DMD ............................. 23 Fanning, Cyrus, DDS PC ................................. 4 Fante, Stephen, DDS...................................... 38 Farbod, Farhad, DDS DMD...............................4 Farley, Lynn, DDS........................................... 48 Farmer, Dale, DDS..........................................25 Farrar, Norman, DDS...................................... 55 Feeley, John .............................................. 25,61 Feeley, John, DMD.........................................62 Feghali, Carl, DDS.......................................... 39 Feichtinger, Dale, DDS................................... 53 Feinberg, Joel, DDS.................................. 35,40 Fenton, Neal, DDS.......................................... 23 Fereydouni, Amir, DDS DMD .......................... 48 Ferguson, Ian, DDS DMD ............................... 62 Fermelia, Catherine, DDS ............................... 45 Ferrara, Nicole, DDS.......................................53 Ferrell, Bonnie, DDS....................................... 25 Field, Gary, DDS.............................................17 Filter, Jenny, DDS........................................... 59 Fischer, James, DDS...................................... 35 Fiscus, Andrew, DDS........................................ 8 Fisher, William, DDS MD ................................ 32 Fitzgerald, Josefina, DDS ............................... 58 Fitzpatrick, Brian, DDS DMD........................... 22 Fitzpatrick, Brian, DMD..................................... 1 Fitzwater, Kevin, DDS..................................... 17 Flander, Jayme, DDS......................................30 Fleischmann, David, DDS ............................... 10 Fleming, John, DDS DMD ............................... 17 Fletcher, Brian, DDS....................................... 39 Fletcher, Michael, DDS................................... 32 Flood, Patrick, DDS.........................................45 Florez, Tania, DDS.......................................... 25 Flower, Brett, DDS PC ...................................... 1 Floyd, Carlton, DDS MD MS ............................. 7 Floyd, Carlton, DDS MS .................................. 14 Fogarty, Todd, DDS........................................ 17 Foley, Daniel, DDS PC ..................................... 9 Foley, Patrick, DDS PC ................................... 25 Ford, James, DDS....................................... 4.48 Ford, Michael, DDS...........................................4 Ford, Russell, DMD MS .................................. 22 Forney, William, DDS......................................40 Forti, Thomas, DDS........................................41 Foster, Cory, DDS........................................... 35 Foster, Karen, DDS........................................... 7 Foutz, Nicole, DDS.......................................... 56 Fowler, Jeffrey, DDS....................................... 15 Fox, Lisa .................................................... 13,43 Fox, Troy, DDS............................................... 34 Foy, Michael, DDS......................................... 22 Francis, Lauren ......................................... 10.31 Franckum, James, DDS.................................. 53 Frank, Mark, DDS........................................... 25 Franquemont, Michael, DDS..................... 14,48 Franz, Allen, DDS........................................... 53 Franz, Karen, DDS .............................. 22, 30, 47 Frederick, Christopher, DDS DMD....................8 Freimuth, Michael ............................................ 40 Freimuth, Michael, DDS.................................. 64 Freimuth, Ronald, DDS................................... 56 Fresques, Gary, DDS PC ................................ 60 Frey, Ronnie, DDS.......................................... 25 Fridrich, Scott, DDS.......................................... 8 Friedl, Michele, DDS....................................... 41 Friedman, Mitchell, DDS................................... 1 Friedman, Mitchell, DDS DMD ........................ 44 Friedman, Stephen, DDS................................ 25 Frisbie, Kent, DDS.......................................... 17 Frisch, Michael, DDS........................................ 4 Fritz, Tiffany, DDS....................................... 4,45 Fronczak, Richard, DDS................................. 10 Froning, Thomas, DDS................................... 48 Frost, Ryan, DDS............................................ 17 Frutchey, Brian ................................................ 62 Frutchey, Brian, DMD...................................... 52 Fujita, Dana, DDS........................................... 60 Fuller, Dorothy, DDS....................................... 25 Fuller, Gilbert, DDS......................................... 39 Fulton, Laurel, DDS.........................................45 Funderburk, David, DDS................................. 40 Furgason, Brian, DDS..................................... 45 Furuta, Nicole, DDS........................................ 25 G Gable, James, DDS DMD ............................... 17 Gabler, Lawrence, DDS.................................. 25 Gadeken, Michael, DDS.................................. 39 Gaglione, Lee, DDS........................................ 39 Gall, Andrew, DDS.......................................... 39 Gallagher, James, DDS DMD MS.....................2 Gallego-Cubillos, Sonia ............................. 24,50 Gallego-Cubillos, Sonia, DDS DMD................ 13 Gallegos, Louisa, DDS.................................... 31 Galyardt, Wesley, DDS................................... 35 Gan, Kim, DDS................................................45 Ganz, Neil, DDS DP ........................................ 60 Garbiso, Gilbert .................................................4 Garbiso, Gilbert, DDS .................... Garcia, Noralma, DDS PC ............. Gardner, Robert, DDS ................... Garehime, William, DDS ................ Gartland, Christopher, DDS ........... Garza, Jennifer, DDS..................... Gasper, Kenneth ............................ Gates, Pamela, DDS...................... Gatseos, George, DDS .................. Gaworski, Matthew, DDS.............. Geck, David, DDS......................... Geller, Jeffrey ................................ Gentile, Joseph, DDS ................... Geoghan, Randolph, DDS ............ George, Mark ................................ George, Mark, DDS MS ................ George, Theodore, DDS ............... Georgescu, Ruxandra, DDS ......... Geraets, Galen, DDS .................... Gerathy, Albert, DDS DMD ........... Gerbholz, Alan, DDS..................... Gerken, Louis, DDS ...................... Gerry, Leroy, DDS ........................ Geving, Anna, DDS....................... Giammo, Lynn, DDS ..................... Giannetto, Steven, DDS PC .......... Gibbs, Bryan, DDS........................ Gibbs, Tamara, DDS..................... Gibson, Colin, DDS MS ................ Gilbert, Michael, DDS ................... Gill, Nancy, DDS ........................... Gillespie, Andre ............................. Gillespie, Terri, DDS ..................... Gillespie, Wayne, DDS ................. Gilliam, Jeffrey, DDS DMD............ Gilmore, Richard ........................... Gilmore, Shauna, DDS ................. Ginther, Stefan, DDS .................... Girardi, Anthony, DDS .................. Girardi, Anthony, DDS AN ........... Gitlin, Larry, DDS ......................... Gittings, Anne, DDS ..................... Givan, Carl, DDS ......................... Glamm, Jayme, DDS ................... Glasgow, Mark, DDS ................... Glass, Walter, DDS...................... Glenn, Dewayne, DDS ................. Glenn, Falona, DDS..................... Glenn, Gerald, DDS ..................... Glenn, Megan, DDS..................... Glick, Paul, DDS .......................... Glick, Paul, DDS MS .................... Glucksman, Richard, DDS ........... Glueckert, Mylene, DDS .............. Goad, Richard, DDS DMD ........... Goding, Norman, DDS ................. Goff, Sabrina ................................ Goggans, James, DDS DMD ....... Gohl, Frederich, DDS................... Gohl, Fredric ................................ Gohl, Fredric, DDS....................... Goings, Bradley, DDS.................. Gold, David, DDS PC ................... Gold, Frank, DDS PC ................... Goldfogel, Michael, DDS.............. Goldsmith, Andrew, DDS ............. Golinvaux, Michael, DDS ............. Golomb, Sheldon, DDS................ Gomenyuk, Nina, DDS................ Gomez, Jose, DDS ..................... Gomez, Luis, DDS DMD ............. Goodrich, Jack ............................ Goral, Alan, DDS ........................ Gordon, Charles, DDS ................ Gorsky, Michael, DDS PC........... Gossenauer, Martin .................... Gottlieb, Stanleyj, DDS ............... Gould, Steven, DDS.................... Gourley, Jefferson, DDS ............. Grabiak, Guy, DDS DMD ............ .............. 58 ............... 54 .............. 50 .............. 43 ............... 25 ............... 13 ............... 17 ............... 33 ................. 4 ............... 22 ............... 48 ............... 59 ............... 17 ............... 17 ............... 17 ............... 22 ............... 22 ............... 17 ............... 35 .............. 55 ............... 12 ............... 54 ................11 ............... 56 ................11 ............... 58 ............... 26 ............... 62 ............... 63 ............... 17 ................ 38 ..... 4, 40, 61 ................ 56 ................ 26 ................. 4 ................ 39 ................ 14 .................. 4 .......... 51,53 ................ 34 ................ 48 ................ 26 ................ 61 .................. 4 .......... 49.56 ................ 48 ................ 26 .................. 4 ................. 4 ................ 26 ................ 50 .................. 8 ................ 45 ................ 17 ................ 38 ................ 53 .......... 10,31 ................ 39 ................ 62 ................ 62 ............... 44 36, 41, 54 ................. 15 ................. 45 ................. 41 ................. 17 ........... 26,50 ................. 17 ........... 10,26 ................. 40 ....... 3, 10, 31 ................. 12 ................. 48 ................. 34 ................. 17 ....... 4, 40, 61 ................. 26 ........... 17,26 ................. 37 ................. 45 0 �i Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 70 i City of Fit Collins i • • • Grace, Leana, DDS......................................... 45 Graf, Lindsey, DDS......................................... 26 Granger, Mark, DDS.......................................45 Grant, James, DDS......................................... 17 Grant, Nancy, DDS......................................... 51 Graves, Gary, DDS......................................... 58 Graves, Lowell ................................................ 62 Graves, Lowell, DDS....................................... 44 Greany, Thomas, DDS.................................... 53 Green, Leon, DDS...........................................35 Green, Richard, DDS...................................... 14 Green, William, DDS......................................... 1 Green, Zachary, DDS...................................... 35 Greene, Craig, DDS PC .................................. 48 Greene, Jerome, DDS..................................... 14 Greene, Kera, DDS........................................ 56 Greenhalgh, Scott, DDS..................................45 Greenstein, Pan, DDS DMD............................ 26 Greer, William, DDS........................................ 17 Griffin, Robert .................................................. 15 Groskopf, Nicklas.............................................. 8 Groskopf, Nicklas, DDS.................................. 32 Grossman, Gregory, DDS ............................... 26 Grout, Jeffrey, DDS.........................................48 Grout, Ronald, DDS........................................ 48 Groves, Forrest, DDS........................................ 9 Gryzick, David, DDS...................................4, 48 Guerra, Catherine, DDS.................................. 17 Guerra, Frederick, DDS.................................. 17 Guido, Joseph ................................................. 35 Guido, Joseph, DDS....................................... 26 Gurinsky, Brian..........................................47, 65 Gurinsky, Brian, DDS ........ 23, 31, 36, 43, 52, 64 Gurman, Alan, DDS........................................ 26 Guyton, Sally, DDS......................................... 44 H Haberstroh, Julie, DDS PC ............................... 4 Haddow, Kit, DDS........................................... 39 Haerr, Diana, DDS..........................................42 Haerr, Nathan, DDS........................................ 42 Hahn, Christopher, DDS MS PC ..................... 24 Hahn, Laura, DDS...........................................26 Hakala, Catherine, DDS..................................26 Hakala, Joseph, DDS......................................26 Hale, Michael, DDS......................................... 56 Halek, Milena, DDS...........................................9 Hall, Andrew................................................4. 58 Hall, Andrew, DDS.......................................... 17 Hall, Brandon, DDS.........................................26 Hall, Dwayne, DDS......................................... 17 Hall, Kimra, DDS............................................. 11 Hall, Kimra, DDS DMD.................................... 58 Hall, Randall, DO............................................45 Haltom, George, DDS..................................... 38 Haman, Michelle, DDS.................................... 22 Hamblin, Robert .............................................. 40 Hamblin, Robert, DDS.................................9. 51 Hamersky, Paul, DDS..................................... 43 Hamidi, Eric, DDS........................................... 26 Hamidi, Mariam, DDS DMD ...................... 17.37 Hamilton, Jeffrey, DDS DMD..................... 14.56 Hamilton, Warin, DDS DMD ............................26 Hammon, Kenneth, DDS DMD..........................4 Hamula, David.................................................55 Hanawalt, Ronald, DDS PC ............................ 36 Hanchett, Jon, DDS DMD ............................... 26 Handelman, Richard, DDS....................4, 17,50 Hanel, Brad, DDS DID ..................................... 55 Hannon, Keith, DDS........................................ 26 Hanosh, Alison, DDS...................................... 12 Hansen, Danny, DDS......................................45 Hansen, Douglas, DDS................................... 54 Hansen, Jason, DDS....................................... 17 Hansen, Matthew, DDS................................... 17 Hansford, Jarvis, DDS..................................... 11 Hanske, David, DDS MS.................................24 Hanson, Keith, DDS........................................ 33 Delta Dental Premier Hargleroad, Jennifer, DDS .............................. 36 Harman, Greg, DDS........................................ 56 Harman, Robert, DDS..................................... 39 Harmon, Frank, DDS.......................................45 Harmon, Katherine, DDS................................ 40 Harper, Clayton, DDS ............... 9, 21, 30, 43, 47 Harper, Clayton, DDS MD ............................. 7,9 Harrell, Ricky.....................................................7 Harris, Heather, DDS...................................... 26 Harris, Mark, DDS........................................... 48 Harris, Meredith ............................................... 30 Harris, Meredith, DDS MD ................................ 7 Harris, Michael, DDS....................................... 17 Harrison, Ashleigh, DDS................................... 4 Harrison, Jeffrey, DDS.................................... 17 Harrison, Patrick, DDS.................................... 35 Harrison, Richard, DDS................................... 53 Harrison, Robert, DDS.................................... 35 Harsha, Bruce, DDS........................................ 32 Hartle, Sheila, DDS......................................... 33 Hartman, David, DDS...................................... 26 Harvan, J...........................................................4 Harvan, John, DMD...........................................4 Harvan, Kristina...............................................45 Harvan, Kristina, DDS....................................... 4 Harvey, Fred, DDS..........................................45 Harvey, Jonathan, DMD.................................. 57 Harvey, Richard, DDS.....................................48 Harvey, Shawn, DDS...................................... 23 Harvey, Thomas, DDS.................................... 35 Harwood, Phillip, DDS....................................... 9 Haschke, Douglas, DDS ........................... 35,53 Hasenauer, Corey ..................................... 12,33 Haskins, Jeffrey, DDS ............................... 15,42 Hasselback, Christopher, DDS ..... 17, 45, 48, 58 Hatch, Randy, DDS.........................................40 Hatch, Royce; DDS........................................ 53 Hatzidakis, Melissa ......................................... 26 Hauschildt, Theodore, DDS ............................ 31 Havener, Darrell, DDS.................................... 50 Hawkins, Darrell, DDS...................................... 4 Hayes, Paul, DDS........................................... 33 Haynes, Kent, DDS......................................... 32 Hayutin, David, DDS......................................... 7 Hayutin, David, DDS LLC................................ 30 Health Clinic Ihs Ignacio .................................. 43 Health District of North Chc ............................. 35 Hedrick, Adrienne ............................................ 51 Hedrick, David, DDS......................................... 4 Heidbreder, Jan ............................................... 12 Heiken, Jason, DDS PC .................................. 33 Heikes, Lloyd, DDS DMD................................40 Heil, Brian, DDS.............................................. 62 Heim, Jay, DDS............................................... 38 Hein, Nicholas, DDS....................................... 41 HeinThomas, DDS........................................ 41 Heinicke, Courtney, DDS ............................ 8,32 Heiny, Christopher, DDS PC ........................... 64 Hekkert, Erik, DDS.......................................... 42 Helland, Eric, DDS.......................................... 65 Heller, Douglas .................................................. 8 Heller, Douglas, DDS MD DMD ........................ 8 Henderson, Scott, DDS................................... 56 Hendrickson, Brian, DDS................................ 64 Hendry, Robert, DDS...................................... 48 Herring, John, DDS......................................... 32 Hennegan, Paul, DDS ............................... 18.62 Henry, Robert .................................................. 59 Henry, Robert, DDS MS .................................. 38 Herremans, Tamara, DDS .............................. 45 Herring, Dee, DDS.......................................... 51 Herzig, Laura ................................................... 53 Herzig, Laura, DDS................................9, 11,51 Hibl, David, DDS MS ....................................... 53 Hickenlooper, Gary, DDS................................ 18 Higuchi, Christopher, DDS .................. 23, 47, 60 Hildebrandt, John, DDS.................................. 21 Hill, Anna, DDS............................................... 18 Hill, Daniel, DDS............................................. 32 Hill, Doxiades, DDS......................................... 37 Hill, Elizabeth, DDS.........................................48 Hill, Jonathan, DDS......................................... 37 Hill, Todd, DDS............................................... 59 Hines, John, DDS........................................... 47 Hirschman, Wade, DDS .............................. 4,33 Hoag, David, DMD.......................................... 26 Hoang-Xuan, Khiem.......................................48 Hoang, Hang, DDS......................................... 49 Hoang, Huyen, DDS................................... 4,26 Hobbs, Donald, DDS....................................... 49 Hoch, Donald, DDS......................................... 26 Hoeft, Paul, DDS............................................. 14 Hoelscher, Anita ........................................ 52,62 Hoerner, Terry, DDS....................................... 51 Hoffman, Geffory, DDS................................... 61 Hoggan, Brent.................................................43 Hoggan, Brent, DDS....................................... 57 Hohert, Chandra, DDS DMD........................... 26 Holden, Philip, DDS........................................ 58 Holden, Robert, DDS........................................ 9 Holderbaum, William, DDS ............................. 18 Holderness, Harold, DDS................................ 56 Holecek, Andrew, DDS..................................... 9 Holling, George, DDS..................................... 54 Holloman, Irene, DDS..................................... 37 Holmes, Caron, DDS........................................ 1 Holmes, Daniel, DDS...................................... 35 Holmes, Douglas, DDS................................... 32 Holmes, James, DDS........................................ 1 Holsteen, Daniel, DDS DP .............................. 18 Holt, Gary, DDS.............................................. 50 Holtzmann, David, DDS.................................. 56 Holtzmann, David, DDS DMD.:......................... 3 Horn, Phillip, DDS............................................. 4 Hong, Douglas, MD DMD ............................... 21 Hood, Steven, DDS DMD ............................... 53 Hook, Mark, DDS........................................ 9,51 Hopfensperger, Stephen, DDS ....................... 14 Horiuchi, Paul, DDS.......................................... 4 Horn, Gary, DDS............................................. 18 Horner, Craig, DDS DC ................. 30, 50, 51, 57 Horsley, Scott, DDS MS .................................. 44 House, Mark, DDS...........................................11 House, Mark, DDS DMD................................. 58 Houser, Jamin, DDS ............................. 4, 12,57 Houser, Javan, DDS..................................11. 61 Housewright, Wade ......................................... 57 Housewright, Wade, DDS ......................... 43,63 Houston, Kemie, DDS..................................... 33 Howard, Brian, DDS.......................................... 9 Howe, Keaton ................................................. 64 Howe, Keaton, DDS........................................ 53 Howell, Bruce, DDS DMD ............................... 34 Hubbell, Makala, DDS..................................... 26 Hubble, Gregory, DDS.................................... 49 Hubble, Timothy .............................................. 48 Hubble, Timothy, DDS DMD ..................... 12, 13 Huber, Michael, DDS...................................... 51 Hudson, Dale, DDS......................................... 26 Hudson, Matthew ............................................ 39 Hull, Donald .................................................... 21 Hulse, Gary, DDS............................................. 9 Humbargar, David, DDS................................. 45 Humphrey, Stephen, DDS .............................. 61 Humphreys, Roger, DDS................................ 18 Hunter, Gregory .............................................. 39 Hunter, Robert, DDS MD DMD ....................... 56 Hunter, Robert, DDS MS ................................ 59 Hurd, Autumn, DDS........................................ 50 Hurd, Mark, DDS............................................. 58 Hurd, Richard, DDS........................................ 39 Hurst, Jeffery, DDS......................................... 45 Huser, Rebecca .............................................. 26 Huskey, David, DDS....................................... 26 Hutchins, Nadine, DDS................................... 39 Hutchinson, Larry, DDS.................................. 26 Hutchison, Brian, DDS.................................... 62 Hymas, Theo, DDS......................................... 40 Hymer, Barbara, DDS....................................... 2 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 71 Delta Dental Premier Ibrahim, Alfaiyaz, DDS ................ Idiculla, Anil, DDS DMD ...... 7, 1 J 3 Idiculla, Anil, DMD....................... Ignatieff, Nataliya ........................ Ikeda, Jana, DDS ........................ Ingalls, Gregory, DDS ................. Inner City Health Center Chc ...... Ipson, Jerolyn, DDS .................... hick, Bruce, DDS......................... Iritani, Mark, DDS........................ Isaacs, Christine, DDS ................ Ishley, David, DDS MS ................ Israelson, Michael, DDS.............. Ito, Richard, DDS ........................ Iversen, William, DDS MS........... Iverson, Bruce, DDS ................... J Johnson, Scott, DDS.......................................49 Johnson, Scott, DDS DMD .............................. 15 Johnson, Scott, DMD...................................... 57 ................... 31 Johnson, Stephen, DDS .................................. 39 , 22, 30, 36, 43 Johnson, Trevor, DDS DMD ........................... 56 .......... 7, 30, 51 Johnson, Vaughn, DDS MD MS ...................... 32 .................... 26 Johnson, Warren, DDS................................... 22 .....................9 Johnson, Warren, DDS MS ............................. 22 ................2.47 Johnston, Douglas, DDS ................................. 39 .................... 26 Johnston, Jeffery, DDS................................... 26 .................... 14 Johnston, Ronald ............................................ 15 ................... 55 Johnston, Ronald, DDS ................................... 35 .................... 42 Johnston, Samantha ....................................... 35 .................... 14 Johnston, Samantha, DDS.............................. 35 .................... 15 Johnstone, Dennis, DDS DMID ........................ 54 .................... 53 Jolly Ankur, DDS............................................ 63 .................... 26 Jolstad, Mark, DDS................................... 26,49 .................... 36 Jones, Brandt, DDS................................. ....................49 Jones, David, DDS ........................ 34,51,53,55 Jones, Jeanice, DDS....................................... 26 Jones, Kelly, DDS..............................:...... 51,53 Jones Kelly DDS MS.....................................34 Jabour, Dorienne, DDS ...................... Jackson, Darrell, DDS........................ Jackson, Stephen, DDS ..................... Jacobs, Naomi, DDS .......................... Jacobson, David, DDS ....................... Jaffee, Mark, DDS ............................. Jagger, William, DDS ........................ Jande, Eric, DDS ............................... Jakubanis, Terrence, DDS ................ James, Sue, DDS .............................. Jamison, Nicholas, DDS ................... Janda, Matthew, DDS ....................... Jankowski, Mark, DDS ....................... Jaques, Ronald, DDS........................ Jarvis, Byford, DDS........................... Jebril, Hanaa, DDS ........................... Jefferies, Robert, DDS ...................... Jeffers, Janis ..................................... Jeffers, Janis, DMD........................... Jenkins, Jesse, DDS ......................... Jennings, Thomas, DDS ................... Jensen, Douglas ............................... Jensen, Ole, DDS ............................. Jensen, Ole, DDS DO ....................... Jensen, Ole, DDS DO DP ................. Jensen, Ole, DDS MS ....................... Jenson, Colleen, DDS DMD.............. Jepsen, Neal, DDS............................ Jeranko, Stanley, DDS...................... Jimenez, Rossynet, DDS .................. Joesaar, Harald, DDS ....................... Johnsen, Curtis, DDS........................ Johnson, Branon ............................... Johnson, Branon, DDS ..................... Johnson, Brock, DDS....................... Johnson, Bruce, DDS....................... Johnson, Bruce, DDS MD DMD....... Johnson, Carl, DDS ......................... Johnson, Casey ............................... Johnson, Casey, DDS ...................... Johnson, Charles, DDS.................... Johnson, Collis, DDS ....................... Johnson, Corey, DDS ...................... Johnson, David, DDS....................... Johnson, David, DDS MS ................ Johnson, Erin, DDS.......................... Johnson, Glenn, DDS ...................... Johnson, Jamie, DDS ...................... Johnson, Jay, DDS DMD ................. Johnson, Jeff, DDS .......................... Johnson, Jolly, DDS ......................... Johnson, Leslie, DDS....................... Johnson, Lonnie, DDS PhD ............. Johnson, Michael ............................. Johnson, Michael, DDS MD ............. Johnson, Phillip, DDS ...................... Johnson, Rex, DDS.......................... Johnson, Roy, DDS DMD PC........... ............... 1 Jones, Kristin, DDS................................... 14.49 ............... 1 Jones, Kristin, DDS MSW ............................... 45 .............42 Jones, Michael, DDS ................................. 10,40 .............35 Jones, Natalie, DDS .................................. 18.58 ............. 39 Jones, Randall, DDS ....................................... 60 ...............9 Joo, Nelson, DMD ............................................. 5 ............. 58 Jordeth, William, DDS..................................... 18 ............. 24 Jorgensen, Amy, DDS ........................... 5, 26, 40 ............. 32 Jorgensen, Thomas, DDS ................................ 11 .............61 Jostes, James, DDS ........................................ 24 .............. 40 Jultak, Jed, DDS....................................... 24,42 ..............60 Jungman, Gregory .............................. 10, 31, 44 ............ 33 Justus, John, DDS...................................... 5,33 .............. 33 .............. 11 .............. 44 .............. 55 .............. 60 .... 5, 12.26 ................ 1 .............. 18 .............. 51 .............. 30 .............. 42 .............. 36 .............. 34 .............. 18 .............. 55 .............. 62 ................ 1 ............... 1 .............. 45 .............. 47 .............. 18 .............. 65 .............. 45 .............. 49 .............. 32 .............. 59 ............... 38 ......... 40,49 ............... 26 ............... 38 ............... 18 ............... 36 ............... 65 ............... 39 ............... 58 ............... 57 ............... 37 ............... 51 ............... 35 ................. 8 ............... 38 ............... 32 ............... 61 ............... 10 ............... 45 K Kaes, Jeffrey, DDS.......................................... 26 Kahl, Jeffrey, DDS........................................... 22 Kaines, Joel, DDS........................................... 35 Kalhorn, Jim, DDS........................................... 18 Kallio, Jennifer, DDS....................................... 53 Kalra, Gunjan, DDS........................................... 5 Kammer, Thomas, DDS.................................. 51 Kampfe, Tom, DDS......................................... 14 Kanchanlal, Vikash, DDS DMD................. 12.58 Kang, Ruth, DDS............................................. 26 Kantor, Michael ............................................... 51 Kantor, Michael, DDS DMD ............................ 31 Karami, Ardavan, DDS...................................... 5 Karaskevicus, Jennifer, DDS .......................... 26 Kardelis, Tony, DDS........................................ 44 Karden, Steven, DDS........................................ 5 Karla, Mark, DDS DMD...................................23 Karlin, Tyler ............................................... 51,54 Karlin, Tyler, DDS........................................... 43 Kassmel, Summer, DDS................................. 32 Kattaura, Roopindar.......................................... 5 Kaufmann, Stephenie...................................... 65 Kawakami, Sam, DDS..................................... 45 Kawano, Richard, DDS................................... 26 Kawasugi, Kai, DDS.................................. 26,63 Kearney, James, DDS..................................... 18 Kearney, John, DDS....................................... 12 Keeler, Beverly, DDS...................................... 34 Keene, Gregory, DDS DMD ............................44 Keller, Brian, DDS........................................... 18 Keller, Tracie, DDS......................................... 18 Kelliher, Joseph, DDS..................................... 51 Kellogg, Bradley, DDS.................................... 10 Kellogg, Michael, DDS.................................... 51 Kellow, Hiba, DDS........................................... 34 Kelly, Brian, DDS............................................ 61 Kelly, Stephen, DDS DMD .............................. 40 Kelson, Duane, DDS....................................... 52 Kempers, Gregory ........................................... 26 Kempers, Gregory, DDS ..................... 47, 56. 60 Kempton, Cindy, DDS..................................... 49 Kendig, Robert, DDS.................................. . �.. 33 Kennedy, James, DDS MD ............................. 32 Kennedy, Wade, DDS DMD............................ 15 Kenny, Kraig, DDS......................................... 57 Keogh, Barry, DDS MD ......................... 7, 14. 51 Kern, James, DDS.......................................... 45 Kessler, Gina, DDS......................................... 30 Kessler, Mark, DDS........................................ 34 Khalil, Tara, DDS............................................ 18 Khatri, Avani, DDS.......................................... 26 Kheir, Ahmed, DDS DMD ........................... 5,52 Khmil, Larisa, DDS........................................ 1,5 Kids In Need Of Dentistr ............... 18, 23, 26, 45 Killebrew, James, DDS LLC MS ..................... 22 Killingsworth, Yvette, DDS .............................. 56 Kilroy, Thomas, DDS PC ................................ 26 Kim, David, DDS............................................. 49 Kimmelman, Seth, DDS.................................. 18 Kinard, Mark, DDS.......................................... 63 Kinder, Bruce, DDS........................................... 5 Kingsford, Daniel, DDS................................... 18 Kingsley, Monty, DDS......................................11 Kinkade, Donald, DDS.................................... 40 Kinkade, James, DDS ............................... 26,40 Kirchner, Thomas, DDS.................................. 26 Kirk, Roderic, DDS.......................................... 40 Kirkham, Derek, DDS...................................... 22 Kish, Michael, DMD.......................................... 1 Kissinger, Mary, DDS...................................... 42 Kissinger, Scott, DDS..................................... 49 Kleier, Donald, DMD....................................... 62 Klein, Joel, DDS.............................................. 18 Klein, Mark, DDS............................................ 45 Klein, Ulrich, DDS DMD.................................... 7 Klekamp, David, DDS..................................... 27 Klingener, Elyse, DDS DMD ........................... 32 Kloberdanz, Gary, DDS.................................. 41 Kloehn, Richard, DDS..................................... 45 Klumb, Thomas, DDS..................................... 49 Kneale, Evan ................................................... 63 Kneale, Evan, DDS......................................... 63 Knecht, Alexander, DDS................................. 35 Knecht, Nathaniel, DDS.................................. 35 Knechtel, Kurt, DDS........................................ 52 Kneller, Timothy, DDS...................................... 5 Knight, Preston, DDS....................................... 8 Knott, Kenneth, DDS....................................... 54 Knowlton, Anthony, DDS................................ 58 Koch, Mark, DDS.............................................. 7 Koch, Richard, DDS........................................27 Kochevar, Casey, DDS................................... 52 Kochevar, Mark, DDS DMD ............................ 35 Koditek, Edward, DDS.................................... 18 Koehler, Steven .............................................. 35 Koff, Robert, DDS DMD.................................. 18 Kofford, Michael .............................................. 58 Kohlmeier, Randall, DDS.................................. 1 Kohrs, Keith, DDS............................................. 7 Kohut, Dejan, DDS...................................... 3,52 Kollar, Mark, DDS..................................... 18,35 Kolz, Arlene, DDS........................................... 18 Komanduri, Krishna, DDS................................. 5 Kondratenko, Andrey, DDS ............................. 40 Konegni, John, DDS MS ................................. 47 Koo, David, DDS.............................................27 Korosciel, Malgorzata, DDS............................ 63 Kott, Jeremy, DDS............................................ 3 Kottenstette, Jennifer, DDS ............................ 58 Kraft, Brian, DDS...................................... 52,60 Krainik, Gregory, DDS .............................. 61,63 KramerJeffrey, DDS...................................... 35 Kramer,, Mark, DDS......................................... 36 Kramer, Steven, DDS..................................... 35 Krannawitter, Jeff, DDS.................................. 45 Krannawitter, Jeffrey, DDS ............................... 1 Krause, Rhonda, DDS.................................... 53 Kreider, Beth, DDS......................................... 27 Kretsch, Kimberly ............................................ 64 Kretsch, Kimberly, DDS.................................. 53 Krieger, George, DDS......................... 32, 47, 60 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Farticipating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta is member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 72 Jabour, Dorienne, DDS ...................... Jackson, Darrell, DDS........................ Jackson, Stephen, DDS ..................... Jacobs, Naomi, DDS .......................... Jacobson, David, DDS ....................... Jaffee, Mark, DDS ............................. Jagger, William, DDS ........................ Jande, Eric, DDS ............................... Jakubanis, Terrence, DDS ................ James, Sue, DDS .............................. Jamison, Nicholas, DDS ................... Janda, Matthew, DDS ....................... Jankowski, Mark, DDS ....................... Jaques, Ronald, DDS........................ Jarvis, Byford, DDS........................... Jebril, Hanaa, DDS ........................... Jefferies, Robert, DDS ...................... Jeffers, Janis ..................................... Jeffers, Janis, DMD........................... Jenkins, Jesse, DDS ......................... Jennings, Thomas, DDS ................... Jensen, Douglas ............................... Jensen, Ole, DDS ............................. Jensen, Ole, DDS DO ....................... Jensen, Ole, DDS DO DP ................. Jensen, Ole, DDS MS ....................... Jenson, Colleen, DDS DMD.............. Jepsen, Neal, DDS............................ Jeranko, Stanley, DDS...................... Jimenez, Rossynet, DDS .................. Joesaar, Harald, DDS ....................... Johnsen, Curtis, DDS........................ Johnson, Branon ............................... Johnson, Branon, DDS ..................... Johnson, Brock, DDS....................... Johnson, Bruce, DDS....................... Johnson, Bruce, DDS MD DMD....... Johnson, Carl, DDS ......................... Johnson, Casey ............................... Johnson, Casey, DDS ...................... Johnson, Charles, DDS.................... Johnson, Collis, DDS ....................... Johnson, Corey, DDS ...................... Johnson, David, DDS....................... Johnson, David, DDS MS ................ Johnson, Erin, DDS.......................... Johnson, Glenn, DDS ...................... Johnson, Jamie, DDS ...................... Johnson, Jay, DDS DMD ................. Johnson, Jeff, DDS .......................... Johnson, Jolly, DDS ......................... Johnson, Leslie, DDS....................... Johnson, Lonnie, DDS PhD ............. Johnson, Michael ............................. Johnson, Michael, DDS MD ............. Johnson, Phillip, DDS ...................... Johnson, Rex, DDS.......................... Johnson, Roy, DDS DMD PC........... ............... 1 Jones, Kristin, DDS................................... 14.49 ............... 1 Jones, Kristin, DDS MSW ............................... 45 .............42 Jones, Michael, DDS ................................. 10,40 .............35 Jones, Natalie, DDS .................................. 18.58 ............. 39 Jones, Randall, DDS ....................................... 60 ...............9 Joo, Nelson, DMD ............................................. 5 ............. 58 Jordeth, William, DDS..................................... 18 ............. 24 Jorgensen, Amy, DDS ........................... 5, 26, 40 ............. 32 Jorgensen, Thomas, DDS ................................ 11 .............61 Jostes, James, DDS ........................................ 24 .............. 40 Jultak, Jed, DDS....................................... 24,42 ..............60 Jungman, Gregory .............................. 10, 31, 44 ............ 33 Justus, John, DDS...................................... 5,33 .............. 33 .............. 11 .............. 44 .............. 55 .............. 60 .... 5, 12.26 ................ 1 .............. 18 .............. 51 .............. 30 .............. 42 .............. 36 .............. 34 .............. 18 .............. 55 .............. 62 ................ 1 ............... 1 .............. 45 .............. 47 .............. 18 .............. 65 .............. 45 .............. 49 .............. 32 .............. 59 ............... 38 ......... 40,49 ............... 26 ............... 38 ............... 18 ............... 36 ............... 65 ............... 39 ............... 58 ............... 57 ............... 37 ............... 51 ............... 35 ................. 8 ............... 38 ............... 32 ............... 61 ............... 10 ............... 45 K Kaes, Jeffrey, DDS.......................................... 26 Kahl, Jeffrey, DDS........................................... 22 Kaines, Joel, DDS........................................... 35 Kalhorn, Jim, DDS........................................... 18 Kallio, Jennifer, DDS....................................... 53 Kalra, Gunjan, DDS........................................... 5 Kammer, Thomas, DDS.................................. 51 Kampfe, Tom, DDS......................................... 14 Kanchanlal, Vikash, DDS DMD................. 12.58 Kang, Ruth, DDS............................................. 26 Kantor, Michael ............................................... 51 Kantor, Michael, DDS DMD ............................ 31 Karami, Ardavan, DDS...................................... 5 Karaskevicus, Jennifer, DDS .......................... 26 Kardelis, Tony, DDS........................................ 44 Karden, Steven, DDS........................................ 5 Karla, Mark, DDS DMD...................................23 Karlin, Tyler ............................................... 51,54 Karlin, Tyler, DDS........................................... 43 Kassmel, Summer, DDS................................. 32 Kattaura, Roopindar.......................................... 5 Kaufmann, Stephenie...................................... 65 Kawakami, Sam, DDS..................................... 45 Kawano, Richard, DDS................................... 26 Kawasugi, Kai, DDS.................................. 26,63 Kearney, James, DDS..................................... 18 Kearney, John, DDS....................................... 12 Keeler, Beverly, DDS...................................... 34 Keene, Gregory, DDS DMD ............................44 Keller, Brian, DDS........................................... 18 Keller, Tracie, DDS......................................... 18 Kelliher, Joseph, DDS..................................... 51 Kellogg, Bradley, DDS.................................... 10 Kellogg, Michael, DDS.................................... 51 Kellow, Hiba, DDS........................................... 34 Kelly, Brian, DDS............................................ 61 Kelly, Stephen, DDS DMD .............................. 40 Kelson, Duane, DDS....................................... 52 Kempers, Gregory ........................................... 26 Kempers, Gregory, DDS ..................... 47, 56. 60 Kempton, Cindy, DDS..................................... 49 Kendig, Robert, DDS.................................. . �.. 33 Kennedy, James, DDS MD ............................. 32 Kennedy, Wade, DDS DMD............................ 15 Kenny, Kraig, DDS......................................... 57 Keogh, Barry, DDS MD ......................... 7, 14. 51 Kern, James, DDS.......................................... 45 Kessler, Gina, DDS......................................... 30 Kessler, Mark, DDS........................................ 34 Khalil, Tara, DDS............................................ 18 Khatri, Avani, DDS.......................................... 26 Kheir, Ahmed, DDS DMD ........................... 5,52 Khmil, Larisa, DDS........................................ 1,5 Kids In Need Of Dentistr ............... 18, 23, 26, 45 Killebrew, James, DDS LLC MS ..................... 22 Killingsworth, Yvette, DDS .............................. 56 Kilroy, Thomas, DDS PC ................................ 26 Kim, David, DDS............................................. 49 Kimmelman, Seth, DDS.................................. 18 Kinard, Mark, DDS.......................................... 63 Kinder, Bruce, DDS........................................... 5 Kingsford, Daniel, DDS................................... 18 Kingsley, Monty, DDS......................................11 Kinkade, Donald, DDS.................................... 40 Kinkade, James, DDS ............................... 26,40 Kirchner, Thomas, DDS.................................. 26 Kirk, Roderic, DDS.......................................... 40 Kirkham, Derek, DDS...................................... 22 Kish, Michael, DMD.......................................... 1 Kissinger, Mary, DDS...................................... 42 Kissinger, Scott, DDS..................................... 49 Kleier, Donald, DMD....................................... 62 Klein, Joel, DDS.............................................. 18 Klein, Mark, DDS............................................ 45 Klein, Ulrich, DDS DMD.................................... 7 Klekamp, David, DDS..................................... 27 Klingener, Elyse, DDS DMD ........................... 32 Kloberdanz, Gary, DDS.................................. 41 Kloehn, Richard, DDS..................................... 45 Klumb, Thomas, DDS..................................... 49 Kneale, Evan ................................................... 63 Kneale, Evan, DDS......................................... 63 Knecht, Alexander, DDS................................. 35 Knecht, Nathaniel, DDS.................................. 35 Knechtel, Kurt, DDS........................................ 52 Kneller, Timothy, DDS...................................... 5 Knight, Preston, DDS....................................... 8 Knott, Kenneth, DDS....................................... 54 Knowlton, Anthony, DDS................................ 58 Koch, Mark, DDS.............................................. 7 Koch, Richard, DDS........................................27 Kochevar, Casey, DDS................................... 52 Kochevar, Mark, DDS DMD ............................ 35 Koditek, Edward, DDS.................................... 18 Koehler, Steven .............................................. 35 Koff, Robert, DDS DMD.................................. 18 Kofford, Michael .............................................. 58 Kohlmeier, Randall, DDS.................................. 1 Kohrs, Keith, DDS............................................. 7 Kohut, Dejan, DDS...................................... 3,52 Kollar, Mark, DDS..................................... 18,35 Kolz, Arlene, DDS........................................... 18 Komanduri, Krishna, DDS................................. 5 Kondratenko, Andrey, DDS ............................. 40 Konegni, John, DDS MS ................................. 47 Koo, David, DDS.............................................27 Korosciel, Malgorzata, DDS............................ 63 Kott, Jeremy, DDS............................................ 3 Kottenstette, Jennifer, DDS ............................ 58 Kraft, Brian, DDS...................................... 52,60 Krainik, Gregory, DDS .............................. 61,63 KramerJeffrey, DDS...................................... 35 Kramer,, Mark, DDS......................................... 36 Kramer, Steven, DDS..................................... 35 Krannawitter, Jeff, DDS.................................. 45 Krannawitter, Jeffrey, DDS ............................... 1 Krause, Rhonda, DDS.................................... 53 Kreider, Beth, DDS......................................... 27 Kretsch, Kimberly ............................................ 64 Kretsch, Kimberly, DDS.................................. 53 Krieger, George, DDS......................... 32, 47, 60 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Farticipating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta is member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 72 .............. 33 .............. 11 .............. 44 .............. 55 .............. 60 .... 5, 12.26 ................ 1 .............. 18 .............. 51 .............. 30 .............. 42 .............. 36 .............. 34 .............. 18 .............. 55 .............. 62 ................ 1 ............... 1 .............. 45 .............. 47 .............. 18 .............. 65 .............. 45 .............. 49 .............. 32 .............. 59 ............... 38 ......... 40,49 ............... 26 ............... 38 ............... 18 ............... 36 ............... 65 ............... 39 ............... 58 ............... 57 ............... 37 ............... 51 ............... 35 ................. 8 ............... 38 ............... 32 ............... 61 ............... 10 ............... 45 K Kaes, Jeffrey, DDS.......................................... 26 Kahl, Jeffrey, DDS........................................... 22 Kaines, Joel, DDS........................................... 35 Kalhorn, Jim, DDS........................................... 18 Kallio, Jennifer, DDS....................................... 53 Kalra, Gunjan, DDS........................................... 5 Kammer, Thomas, DDS.................................. 51 Kampfe, Tom, DDS......................................... 14 Kanchanlal, Vikash, DDS DMD................. 12.58 Kang, Ruth, DDS............................................. 26 Kantor, Michael ............................................... 51 Kantor, Michael, DDS DMD ............................ 31 Karami, Ardavan, DDS...................................... 5 Karaskevicus, Jennifer, DDS .......................... 26 Kardelis, Tony, DDS........................................ 44 Karden, Steven, DDS........................................ 5 Karla, Mark, DDS DMD...................................23 Karlin, Tyler ............................................... 51,54 Karlin, Tyler, DDS........................................... 43 Kassmel, Summer, DDS................................. 32 Kattaura, Roopindar.......................................... 5 Kaufmann, Stephenie...................................... 65 Kawakami, Sam, DDS..................................... 45 Kawano, Richard, DDS................................... 26 Kawasugi, Kai, DDS.................................. 26,63 Kearney, James, DDS..................................... 18 Kearney, John, DDS....................................... 12 Keeler, Beverly, DDS...................................... 34 Keene, Gregory, DDS DMD ............................44 Keller, Brian, DDS........................................... 18 Keller, Tracie, DDS......................................... 18 Kelliher, Joseph, DDS..................................... 51 Kellogg, Bradley, DDS.................................... 10 Kellogg, Michael, DDS.................................... 51 Kellow, Hiba, DDS........................................... 34 Kelly, Brian, DDS............................................ 61 Kelly, Stephen, DDS DMD .............................. 40 Kelson, Duane, DDS....................................... 52 Kempers, Gregory ........................................... 26 Kempers, Gregory, DDS ..................... 47, 56. 60 Kempton, Cindy, DDS..................................... 49 Kendig, Robert, DDS.................................. . �.. 33 Kennedy, James, DDS MD ............................. 32 Kennedy, Wade, DDS DMD............................ 15 Kenny, Kraig, DDS......................................... 57 Keogh, Barry, DDS MD ......................... 7, 14. 51 Kern, James, DDS.......................................... 45 Kessler, Gina, DDS......................................... 30 Kessler, Mark, DDS........................................ 34 Khalil, Tara, DDS............................................ 18 Khatri, Avani, DDS.......................................... 26 Kheir, Ahmed, DDS DMD ........................... 5,52 Khmil, Larisa, DDS........................................ 1,5 Kids In Need Of Dentistr ............... 18, 23, 26, 45 Killebrew, James, DDS LLC MS ..................... 22 Killingsworth, Yvette, DDS .............................. 56 Kilroy, Thomas, DDS PC ................................ 26 Kim, David, DDS............................................. 49 Kimmelman, Seth, DDS.................................. 18 Kinard, Mark, DDS.......................................... 63 Kinder, Bruce, DDS........................................... 5 Kingsford, Daniel, DDS................................... 18 Kingsley, Monty, DDS......................................11 Kinkade, Donald, DDS.................................... 40 Kinkade, James, DDS ............................... 26,40 Kirchner, Thomas, DDS.................................. 26 Kirk, Roderic, DDS.......................................... 40 Kirkham, Derek, DDS...................................... 22 Kish, Michael, DMD.......................................... 1 Kissinger, Mary, DDS...................................... 42 Kissinger, Scott, DDS..................................... 49 Kleier, Donald, DMD....................................... 62 Klein, Joel, DDS.............................................. 18 Klein, Mark, DDS............................................ 45 Klein, Ulrich, DDS DMD.................................... 7 Klekamp, David, DDS..................................... 27 Klingener, Elyse, DDS DMD ........................... 32 Kloberdanz, Gary, DDS.................................. 41 Kloehn, Richard, DDS..................................... 45 Klumb, Thomas, DDS..................................... 49 Kneale, Evan ................................................... 63 Kneale, Evan, DDS......................................... 63 Knecht, Alexander, DDS................................. 35 Knecht, Nathaniel, DDS.................................. 35 Knechtel, Kurt, DDS........................................ 52 Kneller, Timothy, DDS...................................... 5 Knight, Preston, DDS....................................... 8 Knott, Kenneth, DDS....................................... 54 Knowlton, Anthony, DDS................................ 58 Koch, Mark, DDS.............................................. 7 Koch, Richard, DDS........................................27 Kochevar, Casey, DDS................................... 52 Kochevar, Mark, DDS DMD ............................ 35 Koditek, Edward, DDS.................................... 18 Koehler, Steven .............................................. 35 Koff, Robert, DDS DMD.................................. 18 Kofford, Michael .............................................. 58 Kohlmeier, Randall, DDS.................................. 1 Kohrs, Keith, DDS............................................. 7 Kohut, Dejan, DDS...................................... 3,52 Kollar, Mark, DDS..................................... 18,35 Kolz, Arlene, DDS........................................... 18 Komanduri, Krishna, DDS................................. 5 Kondratenko, Andrey, DDS ............................. 40 Konegni, John, DDS MS ................................. 47 Koo, David, DDS.............................................27 Korosciel, Malgorzata, DDS............................ 63 Kott, Jeremy, DDS............................................ 3 Kottenstette, Jennifer, DDS ............................ 58 Kraft, Brian, DDS...................................... 52,60 Krainik, Gregory, DDS .............................. 61,63 KramerJeffrey, DDS...................................... 35 Kramer,, Mark, DDS......................................... 36 Kramer, Steven, DDS..................................... 35 Krannawitter, Jeff, DDS.................................. 45 Krannawitter, Jeffrey, DDS ............................... 1 Krause, Rhonda, DDS.................................... 53 Kreider, Beth, DDS......................................... 27 Kretsch, Kimberly ............................................ 64 Kretsch, Kimberly, DDS.................................. 53 Krieger, George, DDS......................... 32, 47, 60 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Farticipating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta is member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 72 Kendig, Robert, DDS.................................. . �.. 33 Kennedy, James, DDS MD ............................. 32 Kennedy, Wade, DDS DMD............................ 15 Kenny, Kraig, DDS......................................... 57 Keogh, Barry, DDS MD ......................... 7, 14. 51 Kern, James, DDS.......................................... 45 Kessler, Gina, DDS......................................... 30 Kessler, Mark, DDS........................................ 34 Khalil, Tara, DDS............................................ 18 Khatri, Avani, DDS.......................................... 26 Kheir, Ahmed, DDS DMD ........................... 5,52 Khmil, Larisa, DDS........................................ 1,5 Kids In Need Of Dentistr ............... 18, 23, 26, 45 Killebrew, James, DDS LLC MS ..................... 22 Killingsworth, Yvette, DDS .............................. 56 Kilroy, Thomas, DDS PC ................................ 26 Kim, David, DDS............................................. 49 Kimmelman, Seth, DDS.................................. 18 Kinard, Mark, DDS.......................................... 63 Kinder, Bruce, DDS........................................... 5 Kingsford, Daniel, DDS................................... 18 Kingsley, Monty, DDS......................................11 Kinkade, Donald, DDS.................................... 40 Kinkade, James, DDS ............................... 26,40 Kirchner, Thomas, DDS.................................. 26 Kirk, Roderic, DDS.......................................... 40 Kirkham, Derek, DDS...................................... 22 Kish, Michael, DMD.......................................... 1 Kissinger, Mary, DDS...................................... 42 Kissinger, Scott, DDS..................................... 49 Kleier, Donald, DMD....................................... 62 Klein, Joel, DDS.............................................. 18 Klein, Mark, DDS............................................ 45 Klein, Ulrich, DDS DMD.................................... 7 Klekamp, David, DDS..................................... 27 Klingener, Elyse, DDS DMD ........................... 32 Kloberdanz, Gary, DDS.................................. 41 Kloehn, Richard, DDS..................................... 45 Klumb, Thomas, DDS..................................... 49 Kneale, Evan ................................................... 63 Kneale, Evan, DDS......................................... 63 Knecht, Alexander, DDS................................. 35 Knecht, Nathaniel, DDS.................................. 35 Knechtel, Kurt, DDS........................................ 52 Kneller, Timothy, DDS...................................... 5 Knight, Preston, DDS....................................... 8 Knott, Kenneth, DDS....................................... 54 Knowlton, Anthony, DDS................................ 58 Koch, Mark, DDS.............................................. 7 Koch, Richard, DDS........................................27 Kochevar, Casey, DDS................................... 52 Kochevar, Mark, DDS DMD ............................ 35 Koditek, Edward, DDS.................................... 18 Koehler, Steven .............................................. 35 Koff, Robert, DDS DMD.................................. 18 Kofford, Michael .............................................. 58 Kohlmeier, Randall, DDS.................................. 1 Kohrs, Keith, DDS............................................. 7 Kohut, Dejan, DDS...................................... 3,52 Kollar, Mark, DDS..................................... 18,35 Kolz, Arlene, DDS........................................... 18 Komanduri, Krishna, DDS................................. 5 Kondratenko, Andrey, DDS ............................. 40 Konegni, John, DDS MS ................................. 47 Koo, David, DDS.............................................27 Korosciel, Malgorzata, DDS............................ 63 Kott, Jeremy, DDS............................................ 3 Kottenstette, Jennifer, DDS ............................ 58 Kraft, Brian, DDS...................................... 52,60 Krainik, Gregory, DDS .............................. 61,63 KramerJeffrey, DDS...................................... 35 Kramer,, Mark, DDS......................................... 36 Kramer, Steven, DDS..................................... 35 Krannawitter, Jeff, DDS.................................. 45 Krannawitter, Jeffrey, DDS ............................... 1 Krause, Rhonda, DDS.................................... 53 Kreider, Beth, DDS......................................... 27 Kretsch, Kimberly ............................................ 64 Kretsch, Kimberly, DDS.................................. 53 Krieger, George, DDS......................... 32, 47, 60 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Farticipating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta is member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 72 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Farticipating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta is member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 72 Delta Dental Premier Kron, Robert, DMD..........................................40 Lepera, Rachel................................................ 56 Lunn, George, DDS........................................ 32 Kruglet, Neil, DDS............................................. 5 Lepera, Rachel, DDS...................................... 45 Lupori, John D, DDS DO MD .......................... 60 Krum, Nelson, DDS..................................... 9, 18 Lesch, Halee, DDS .......................................... 61 Lutskiy, Aleksandr, DDS DMD ........................ 63 Kuhar, Kenneth ......................................... 31,42 Leslie -Martin, Laurel, DDS MS ........................ 52 Lutskiy, Aleksandr, DMD ................................. 45 Kuljis, Lawrence, DDS.................................... 41 Lesnick, Julie, DDS..................................... 2,47 Lybrook, Carol, DDS....................................... 37 Kunstadter, Karl, DDS.....................................39 Lessig, James, DDS .................................. 15.49 Lybrook, Scott, DIVID ....................................... 37 Kupka, Carolyn, DDS DMD ............................... 9 Levalley, Bradley, DDS MS ............................. 35 Lydiatt, John, DDS.......................................... 18 Kurth, Jenniifer................................................32 Levasseur, Dennis, DDS ................................. 18 Lyons, Juliann, DDS....................................... 27 Kurtz, Susan, DDS.......................................... 27 Levin, Alan, DDS............................................. 27 Kutter-Kaelin, Kathryn ..................................... 57 Levin, Brett, DDS DMD................................... 27 M Kwon, Justin, DDS...................................... 5,11 Levin, Joanna, DDS........................................ 30 Kwon, Michelle ................................................ Kwon, Michelle, DMD...................................... 27 56 Levine, Mark, DMD......................................... Levos, Kenneth, DDS ...................................... 24 34 Macarae Omar, DDS .. g,................................. 48 Lewis, Jonathan, DDS..................................... 63 Mack, Eric, DDS .............................................. 43 L Lewis, Lucinda, DDS AN PC ............................. 7 Mackie, William................................................11 Ley, John, DDS............................................... 18 Madden, Robert, DDS ..................................... 49 Lacey, William, DDS....................................... 32 Liberman, Adam, DDS DMD ........................... Light, Todd, DDS 49 27 Madden, William, DDS.................................... Madison, Mark, DDS ....................................... 27 39 Lacouture, Cary ............................................... Lacouture, Cary, DDS..................................... 37 56 ............................................. Ligon, Richard, DDS....................................... Limpede, Bogdan, DDS.................................. 40 45 Madlang, Cesar, DDS ............................... Madlock, Paul, DDS DMD......... 27,46 7, 21, 43, 47, 63 Lacy, Edward .................................................. Lacy, Rosalinda, DDS..................................... 53 44 Lind Stace, DDS DMD................................... Lindeberg, Richard, DDS 14 37 Madlock, Paul, DDS MD ................................. Madlock, Paul, DDS MD DMD .......................... 36 9 Ladd, Stanley, DDS......................................... Lage, Gregg, DDS........................................... 52 27 ................................ Lindman, Mikal, DDS................................ 35, 53 Maes, Leroy, DDS ........................................... Maguire, Richard, DDS 27 32 Lahr, Kenneth, DDS........................................ 55 Lindsay, Michael ............................................. Lindsay, Scott, DDS DMD 13 14 ................................... Mahoney, Ronald, DDS.................................. 64 Lai, Pearl......................................................... Lai, Pearl, DDS...............................................49 45 ............................... Lindsey, Gregg, DDS................................ Link Michael, DDS 13, 15 27 Maier, Thomasr, DDS......................................11 Maines, Jason, DDS ........................... 35, 51, 53 Lake City Dental Clinic Chc ............................. 44 .......................................... Linkow, Ronald, DDS 27 Majors, Kelsey, DDS......................................... 1 Lamb, Daniel, DMD......................................... Lamb, Robert, DDS...................................36, 18 60 ...................................... Linn Brandon, DDS .............................. Linn Brandon, DDS MS 7, 43, 57 13 Makowski, James, DDS.................................. Malivuk, Michael, DDS .................................... 27 18 Lamoreaux, Jarom.......................................... Lamoreaux, Jarom, DDS................................. 18 55 .................................. Linn Stephen, DDS........................................ 23 Maloney, Scott, DDS DMD ....................... Maloy, Shawn, DDS 24,42 5,49 Lampert, Jodi, DDS......................................... 14 Liontas, Christopher ........................................ Liontas, Christopher, DDS 18 18 .................................... Mangle, James, DDS ...................................... 35 Lander, Todd, DMD........................................... 5 .............................. Lipe Carl, DDS 27 Mangold, Anne, DDS...................................... 55 Landgren, John, DDS...................................... Lang, Brent ...................................................... 50 34 ............................................... Littman, Edward, DDS DMD ........................... 34 Manh, Katie, DDS........................................... Mani, Archana, DDS DMD 27 22 Lang, Brent, DDS............................................ 10 Liu James, DDS............................................... Lodes, Gene, DDS 5 18 .............................. Maniatis, James, DDS .................................... 27 Langereis, Brian, DDS.................................... 5 .......................................... Lodl Jeffrey..................................................... 27 Maniatis, Peter, DDS...................................... 27 Langereis, Arthur, DDS................................1. Langley, Donald, DDS................................. 34 1, 27 Lodl� Jeffrey, DDS............................................. 1 Mankin, Julie, DDS..................................... Mann, Jon, DDS 5,27 32 Lanzisera, Paul, DDS DMD ............................. 18 Lodwick, Sunshine, DDS ................................. Loe, DDS........................................... 60 5 .............................................. Manos, Erik, DDS........................................... 27 Larsen, David; DDS........................................ Larson, Craig, DDS......................................... 39 33 en, Re, Loewen, Rebecca ..................... . 5, 18, 27, 40, 61 Manshadi, Davood, DDS ............................ Manske, Jennifer, DDS 5,46 46 Larson, Michael, DDS.....................................34 Loewen, Rebecca, DDS............................... Logan, Sara, DDS ..................................... 58 lli 14 ................................... Mantanona, Clarisa, DDS ............................... 18 Larson, Robert, DDS......................................... Latta, James, DDS.......................................... 5 43 Logelin, Michael .................. 5, 18, 27, 40, 58' 61 Marchbanks, Sara, DDS................................. Mardis, Donald, DDS 46 27 Latteier, Philip, DDS........................................ 39 Long Howard .................................................. Long Kyle, DDS .............................................. 38 27 ...................................... Marillac Dental Clinic Chc ............................... 39 Lauder, Kenneth, DDS....................................45 Laudert, Suzanne, DDS..................................42 Long Lance, DDS ........................................... 45 Markle, Thomas, DMD.................................... Marlowe, Mark, DDS 23 27 Lawson, Samuel, DDS................................... 7 Longo, Norma, DDS DMD............................... Look Kim, DDS 18 18 ....................................... Marogil, Hani, DDS DMD.................................11 Law, Steven, DDS.................................27.50 Lawler, Michael; DDS..................................... . 50 ............................................... Looze, Richard, DDS........................................5 Marr, Kami, DDS............................................. Marr, Kevin, DDS 41 41 Lawrence, Bryce, DDS.................................... 18 18 Loper, Darlyne, DDS DMD:.............................49 Lopez, Avery, DDS ......................................... ............................................ Marron, Bruce, DDS ........................................ 37 Lawrence, Jagger, DDS.................................. 18 Lopez, Sergio .45 27 Marschner, Thomas, DDS .................... 1, 27, 63 Lawson, Mark, DDS.......................................... Laycock, Stephen, DDS.................................. 5 18 .................................................. Lorenz, Robert, DDS....................................... 53 Marshall, Carol, DDS...................................... Marshall, Kevin, DDS 18 46 Le Huan Cua, Richard, DDS ....................... 5,45 Lorenz, Roy, DDS MD .................................... Losacco, Thomas, DDS 7 38 ...................................... Marshall, Kimberly, DDS................................... 5 Le, Tina, ..S..................................................64 Le, Tina. DDS..................................................64 .................................. Loustalet, Lorraine, DDS ................................. Lovato, Elosia 59 45 Martin, Donovan, DDS...................................... Martin. Lawrence, DDS ................................... 9 52 Ross, DDS.................................... Lee, Andy, Lee, Andy. DDS................................................ 63 5 ............. .......... Lovato, Matthew, DDS.................................... .................. 18 Martin, Mike .................................................... Martin, Roy, DDS 39 55 Lee, Bruce ................................................... 5,60 Lovato, Michael, DDS..................................... Love, William, DDS 18 49 ............................................ Martin, Sarira, DDS......................................... 49 Lee, Bruce, DDS............................................. Lee, Christina, DDS........................................ 14 27 ......................................... Lovejoy, Christian, DMD................................. 18 Martin, Steven, DDS....................................... Martin, Timothy, DDS 43 56 Lee, Curtis, DDS DMD.................................... 50 Lovejoy, Peter, DDS ........................................ Loveland, Douglas, DDS 18 23 ...................................... Martinez, Daniel, DDS.................................... 18 Lee, Darin................................................... Lee, Darin, DDS........................................ 12, 13 13 ................................. Lovell, Christopher, DDS ................................. Lovell, Erin, DDS 38 38 Martinez, Efren, DDS DIVID ............................. Martinez, Lyda, DDS ....................................... 46 27 Lee, Eunice, DDS DMD.................................. 61 ............................................. Lowe Derek.................................................... 39 Martinez, Mario, DDS...............,...................... 27 Lee, Eunice, DMD........................................... Lee, Jennifer, DDS..........................................64 50 Lowery, Teresa, DDS ................................... Lowry, Scott, DDS 27 13, 24, 40 Martinich, Robert, DDS ............................. Martinson, Sharlene, DDS .............................. 43,49 54 Lee, Kye, DDS................................................ Lee, Monique, DDS DMD................................43 27 ............................... Lubow, Richard, DDS DMD ............ Lubow, Richard, DMD 8, 10, 31, 37 8, 13, 31, 43 Marx, Charles, DDS........................................ Mason, James, DDS ......................... 55 2, 7, 47, 61 Lee, Seung, DDS.............................................. Lee, Tommy, DDS.............................................5 8 ..................... Lucas, Mark....................................................' Lucas, Mark, DDS........................................... 31 51 Massey, Britny, DDS ........................... Masterson, Timothy, DOS ............................... 18, 19, 57 14 Legg, Paul, DDS DMD.................................... 27 Luce, William, DDS 64 Masthay, Robert, DDS DIVID ........................... 63 Lehrer, Lawrence, DDS..........:........................ Le-Huan-Cua, Christopher, DDS.......................5 37 ......................................... Lucero, Orlando, DDS PC ............................... Ludden, William............................................... 18 63 Masin, Jessie, DDS ........................................ Mata, Duane, DDS ...................................... 19 1,27 Leins, Leo, DDS..............................................50 Luhrs, F........................................................... 10 Mata, Lyndon, DDS ...................................... 1, 11 Lemke, Timothy, DDS....................................... Leone, Edward, DDS 5 27 Lunders Scott, Jennifer ................................... 27 Materon, Juan, DDS......................................... Matsui, Thomas, DDS 1 ...................................... Lundy, Brooke..................................................11 ..................................... 46 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 73 Delta Dental Premier Matthes, Jon, DDS.......................................... 19 Matthews, W, DMD......................................... 19 Maurer, Amber, DDS....................................... 39 Maurer, Casper, DDS...................................... 39 Maurer, James, DDS....................................... 52 Maxwell, Traver, DDS DMD .............................. 5 Mayhew, Jack, DDS DMD ............................... 15 Mayo, James, DDS........................................... 1 Mazzola, Christopher ...................................... 19 McAdams, Lee ................................................ 13 McArthur, Bruce, DDS.....................................46 McArtor, Shivaun, DDS................................... 53 McArtor, Steven, DDS..................................... 53 McAuliffe, Kevin, DDS.....................................27 McCartney, James, DDS.................................23 McCarty, Cheryl, DDS.....................................53 McCarty, David, DDS DMD ............................. 15 McCarty, David, DMD...................................... 15 McCarty, Robert, DDS.................................... 52 McClain, Pamela, DDS..................................... 8 McClure, Patrick, DDS.................................... 61 McCreight, Wendy, DDS ........................... 23,60 McCulloch, Edward, DDS................................ 19 McDill, Michael, DDS....................................... 35 McDonald, Robert, DDS DMD........................... 5 McGinty, Eileen, DDS MD ............................... 46 McGlashan, William, DDS ............................... 46 McGuffey, Corte, DDS....................................41 McIntosh -Ault, Kareen, DDS ........................... 27 McIntyre, Peter, DDS...................................... 19 McKinley, Brock, DDS.....................................34 McLain, Richard .............................................. 31 McLain, Richard, DDS......................... 30, 49, 56 McLarty, Forney, DDS..................................... 19 McManaman, Richard, DDS............................ 33 McManaman, Richard, DDS MS ..................... 52 McMunn, William, DDS MD ....................... 11, 30 McMunn, William, DDS MD DMD.................... 30 McMurtrey, Lamont, DDS MS ......................... 62 McMurtrey, Lonnie, DDS................................. 63 McNamara, Thomas, DDS .............................. 19 McNeely, William, DDS ............................. 43,46 McVeigh, Adam ................................................ 27 McWilliams, Kelli, DDS.................................... 19 Medaugh, Peter, DDS DMD .............................. 1 Mediavilla, Eric, DDS...................................... 37 Mehlhoff, Christopher, DDS ............................49 Meister, Robert, DDS...................................... 10 Mejia, Eva, DDS................................................1 Melcher, Thomas, DDS...................................53 Mellor, Craig, DDS.......................................... 63 Merritt, Jennifer, DDS...................................... 37 Mertz, Guy, DDS............................................. 52 Mertz, Peter, DDS........................................... 52 Messingham, Jason, DDS..................... 2, 13,22 Messingham, Jason, DDS MS ........................ 22 Metropolitan Community P................................ 5 Meyer, Marvin, DDS PC .................................. 49 Meyer, Robert, DDS DMD ............................... 19 Meyer, Roger, DDS......................................... 19 Meyer, Sarah, DDS......................................... 14 Meyers, John, DDS......................................... 15 Michael, Deborah, DDS MS ...................... 15,30 Michaels, Polly, DDS DMD..............................49 Michalik, Thomas, DDS MD DMD ................... 15 Michalik, Thomas, MD DMD............................ 50 Mickelson, J, DDS...........................................32 Mickens, Kenneth, DDS.................................... 9 Micklin, David, DDS........................................ 27 Milausnic, Michael, DDS................................. 46 Millea, John, DDS........................................... 58 Miller, Abraham, DDS..................................... 53 Miller, Andrew, DDS PC..................................19 Miller, Billie........................................................ 7 Miller, Billie (Bill), DDS.................................... 30 Miller, Bryan, DMD.......................................... 33 Miller, Charles, MD..........................................38 Miller, Derek, DDS.......................................... 19 Miller, Eric ......................................................... 5 Miller, Galen, DDS............................................ 7 Miller, Gaylen, DDS MS .................................. 31 Miller, James, DMD.........................................44 Miller, Jamison, DDS DMD ............................. 19 Miller, Michael, DDS........................................ 38 Miller, Murray, DDS DMD................................ 31 Miller, Rodger, DDS.......................................... 5 Miller, Stacey, DDS......................................... 41 Mills, Mark, DDS....................................... 54,65 Millward, Michael, DDS................................... 14 Milnor, Laura, DDS...................................... 5.35 Milnor, Laura, DDS MS ................................... 36 Milos-Valstad, Pamela, DDS DMD.................. 65 Milushev, Metodi, DDS DMD ...................... 5.14 Miner, Jeremy, DDS........................................ 50 Miner, Mason, DDS.........................................32 Mingle, Michael, DDS........................................ 5 Minick, Gerald, DDS MS ................................... 7 Minnich, Scott, DDS........................................ 15 Minnis, Robert, DDS....................................... 14 Mioduski, Theodore ......................................... 53 Missirlian, Harutun, DDS MD .......................... 35 Mitchell, William, DDS.....................................34 Mitz, Richard, DDS.......................................... 30 Miyamoto, Paul, DDS........................................ 5 Mizoue, Paul, DDS..........................................63 Mjos, David, DDS DMD................................... 19 Mobley, James, DDS DMD ............................. 58 Mock, Gregory, DDS....................................... 19 Modarressi, Marmar, DDS .............................. 23 Modrowski, Brian, DDS................................... 35 Moeller, Jeffrey, DDS...................................... 58 Moffitt, Bert, DDS............................................ 63 Mogyoros, Robert, DDS DMD................... 30,51 Mohelicki, Ania, DDS........................................ 9 Moll, Terry, DDS.............................................. 12 Mollner, Mark, DDS......................................... 19 Monak, Edmund ........................................ 22,54 Monak, Edmund, DDS.................................... 10 Moncayo, Santiago, DDS................................ 27 Monfort Community Health Chc ...................... 41 Monroe, Kelly, DDS......................................... 27 Montanez, Mario, DDS........................ 19, 27, 41 Montano, Melissa, DDS ...................... 19, 27. 41 Montano, Ronald, DDS ................... 5, 19, 27, 41 Montezuma County Public CHC ..................... 23 Moody, Michael, DDS..................................... 47 Moore, Dwayne, DDS....................................... 5 Moore, Gregory, DDS..................................... 19 Moore, James, DDS........................................ 39 Moore, Steven.................................................37 Moore, Theodore, DDS ......................... 2, 30, 51 Moran, Thomas, DDS DMD ............................ 39 Morehead, Jonathan, DDS................................ 1 Moreland, Jodie, DDS..................................... 49 Moreschini, Richard, DDS DMD...................... 58 Moreschini, Ronald, DDS................................ 58 Morgan, Vernon, DDS..................................... 31 Moroni, Michael, DDS..................................... 12 Morrill, Brent, DDS.......................................... 65 Morris, Rosana, DDS...................................... 43 Morrison, Alison, DDS..................................... 24 Morrison, Alison, DMD.................................... 42 Morrison, Eric, DDS DMD ............................... 38 Morrison, Michael, DDS.................................. 22 Morrissey, Donald, DDS DMD ........................ 19 Morrow, Carol, DDS........................................ 62 Morrow, Robert, DDS DMD ............................. 62 Mortensen, Andew.......................................... 35 Moser, Jeffrey, DDS.......................................... 1 Moses, James, DDS....................................... 27 Moss, Jack, DDS......................................... 2.60 Moss, Stewart, DDS........................................ 55 Moyer, Barbara, DDS...................................... 50 Moyer, Ira, DDS.............................................. 50 Mucci, Michael, DDS................................. ...... 36 Mueller, Ryan, DMD.....'....................................11 Mulheran, Thomas, DDS............... 19, 27, 36, 53 Mullins, Rob, DDS........................................... 14 Mulvany, Damien, DDS DMD.......................... 33 Munholland, Thomas, DDS ............................... 7 Murcko; Laura, DDS....................................... 49 Murdoch, Richard, DDS.................................. 27 Murdock, Chad, DDS DMD ............................. 57 Murphy, Ciaran, DDS...................................... 36 Murphy, F, DDS................................................ 9 Murphy, Kathleen, DDS CSW......................... 55 Murphy, Michael, DDS.................................... 36 Murphy, Robert, DDS...................................... 46 Murray, Aaron, DDS........................................ 62 Murray, John, DDS......................................... 38 Murray, Rhett, DDS........................................... 5 Murray, Robert, DDS...................................... 38 Murray, Shawn, DDS .......................... 41, 44, 54 Murray, Stephen, DDS.................................... 27 Murzyn-Dantzer, Linda, DDS DMD................... 7 Musante, Lawrence ......................... 5, 28, 41, 61 Musella, Anthony, DDS DP ............................. 64 Musolf, Melissa, DDS...................................... 19 Mussone, Christopher, DDS ........................... 19 Mutchler, Richard, DDS PC ........................... : 19 Myers, Richard, DDS........................................ 9 Myers, Sere ..................................................... 14 N Nack, Steven, DDS......................................... 56 Naiman, Ivan, DDS......................................... 42 Najjar, Ellias, DDS.......................................... 49 Najjar, Tania.................................................... 61 Najjar, Tania, DMD........................................... 5 Nakamura, Ann, DDS....................................... 2 Nakamura, Michael, DDS................................. 2 Naranja, Anthony ...................................... 28.55 Naranja, Anthony, DDS................................... 39 Nary, Timothy, DDS........................................ 10 Nassimbene, Bradley, DDS ............................ 28 Nassimbene, Leo, DDS ............................ 12.21 Nassimbene, Leo, DDS MD DMD................... 21 Nassimbene, Raymond, DDS ......................... 33 Nassimbene, Robert, DDS .............................. 28 Nazarov, Andrey, DDS DMD........................... 30 Nazarov, Andrey, DDS DMD MS .................... 57 Neal, Cheri, DDS PC ...................................... 56 Neel, Janet, DDS................................ 19, 37, 65 Nelson, Brad, DDS.......................................... 39 Nelson, Bryan, DDS DMD MS .................... 2,61 Nelson, Donald ................................................. 5 Nelson, Donald, DDS...................................... 19 Nelson, James ................................................ 15 Nelson, Jeff, DDS........................................... 32 Nelson, Jonathan, DDS.................................. 65 Nelson, Leslie, DDS DMD ............................... 22 Nelson, Richard, DDS ......................... 30, 50, 56 Nelson, Ruth, DDS.......................................... 50 Nelson, Ruth, DDS DR ................................... 14 Nelson, Steven ................................................ 31 Nelson, Steven, DDS MS .................... 30, 50, 56 Nelson, William, DDS...................................... 28 Nessel, Larry, DDS......................................... 33 Neugeboren, Neil, DDS.................................. 31 Neumann, Daniel, DDS................................... 65 Newcomb, Johnathan, DMD ............................. 2 Newman, Richard, DDS.................................... 2 Newman, Steven, DDS................................... 28 Newsome, Linda, DDS.................................... 44 Nguyen, Andrew, DDS.................... 7, 31, 51, 57 Nguyen, Hoang, DDS MS ................................. 7 Nguyen, Huy, DDS............................................ 5 Nguyen, Lan, DDS.......................................... 28 Nguyen, Phong, DDS...................................... 19 Nguyen, Quynh ................... 5, 19, 28, 41, 58, 61 Nicholas, Kenton, DDS MD ............................. 41 Nichols, Richard, DDS................................ 8,46 Nicholson, Stephen, DDS................................. 8 Nickell, Phillip, DDS........................................ 14 Nicolette, John, DDS....................................... 33 Nicolosi, Patricia, DDS PC .............................. 14 Nieberg-Baskin, Hilary, DDS....................... 7,47 Nielsen, Beth, DDS......................................... 57 0 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 is 74 Delta Dental Premier Nielsen, Kurt, DDS.......................................... 14 . Paini, William, DDS......................................... 28 Platt, Jeffery, DDS.......................................... 19 Nielson, Kirk, DDS.................................... 15.57 Paisley, Ian, DDS............................................ 10 Plous, Michael................................................. 46 Niemi, Thomas, DDS........................................ 2 Paison, Thomas, DDS ..................................... 60 Poczatek, Sharon, DDS.................................... 9 Nishimura, Roger, DDS...................................28 Palmer, Ronald, DDS ...................................... 19 Podratz, Adam, DDS ....................................... 19 Noah, Jason, DMD..........................................38 Palumbo, Glenn, DDS ..................................... 46 Pohl, Raymond, DDS ...................................... 49 Noble, Glenn, DDS.......................................... 37 Pangborn, Cameron, DDS ........................ 24,42 Polidori, Brian, DDS........................................ 46 Nock, David, DDS........................................... 40 Pankratz, Robert, DDS .................................... 50 Polke, Kenneth, DDS PC ................................ 63 Noffsinger, David, DDS...................................40 Pantleo, Paul, DDS......................................... 38 Pollaccia, Nino, DDS ....................................... 63 Nordstrom, David, DDS...................................53 Papir, Dori, DDS DMD........................ :........... 34 Pollard, George ................................................ 11 Nordstrom, Walter, DDS.................................. 28 Parascand, Michael, DDS ............................... 12 Pollary, Kenneth, DDS.................................... 19 Norrie, Daniel, DDS DMD................................ 14 Pare, Henri, DDS............................................ 28 Pomeranz, Alan .............................................. 62 Norris, Garth, DDS.......................................... 33 Pareja, ClaudeA, DDS.................................... 63 Pomeranz, Alan, DDS DMID ............................ 31 Norris, Gregory, DDS...................................... 10 Parfitt, James, DDS DMD................................. 6 Pond, Thomas, DDS....................................... 34 Northen, Roger, DDS......................................36 Parish, Dural, DDS .......................................... 63 Pontarelli, William, DDS .................................. 46 Northup, Paul .................................................. 54 Park, Alexander, DDS..................................... 63 Poovey, John, DDS DMD ............................... 39 Northup, Paul, DDS......................................... 38 Park, Michael, DDS MD .................................. 52 Poremba, Edgar, DDS.................................... 22 Northwest Colorado Denta Chc ...................... 23 Park, Wonpyo, DDS........................................ 19 Porter, James, DDS........................................ 49 Norwood, James ............................................. 13 Parker, Robert, DDS....................................... 64 Porter, Nicolas, DDS....................................... 23 Norwood, James, DDS.................................... 43 Parker -Smart, Janis ........................................ 46 Porzio-Dilizia, Paulette, DDS DMD ................. 38 Novak, Samuel, DDS...................................... 11 Parkin, Ralph, DDS DMID ................................ 19 Posey, Russell, DDS ....................................... 36 Novak, Scott, DDS DMD................................... 5 Parkinson, Cynthia, DDS................................ 28 Posnick, Richard, DDS..................................... 9 Novelen, Mark, DDS....................................... 33 Parlet, Craig, DDS .............. 19 Pott, Thomas, DDS......................................... 46 Noyes, Michael, DDS...................................... 14 Parsons, Joseph, DDS .................................. 2,8 Potter, Brad, DDS............................................. 6 Nyvold, Thomas, DDS.....................................46 Pascoe, Gary, DDS ......................................... 32 Poulos, Michael, DDS ..................................... 31 Passon, J.......................................................... 6 Poulsen, Kenneth, DDS.................................... 9 O Pasternak, Mark, DDS.................................... 33 Powell, Charles, DDS..................................... 34 Paswaters, Stephanie, DDS............................ 46 Powell, David, DDS MD .................................. 38 Oakson, J 42 Patana, Curtis, DDS........................................ 23 Powell, Jerald, DDS........................................ 41 ........................................................ Obana Dela Paz, Carmeliza, DDS .................. 28 Patel Sanjay t l y ... ............... Patrilla, Stanley, DDS...................................... ...... 28 28 Powers, Robert, DDS .........D............................ Prajapati, Snahel, DDS DMD 2 46 Obeirne, Jacqueline ........................................ Obermann, William 46 Patterson, Kendra, DDS DMD ........................ 28 .......................... Prendergast, Patrick, DDS .............................. 14 ..........................................41 Obermann, William, DDS................................36 Patterson, Kevin D, DDS MID .......................... Patterson, Kevin, DDS MID .............................. 30 51 Prentice, Brian, DDS ....................................... Prentice, Ricarda, DDS 54 11 Oberry, Shawn, DDS......................................... Obrien, Robert, DDS 2 52 Patton, Noel; DDS DMID .................................. 19 .................................... Preston, James, DDS..................................... 49 ....................................... Ochoa, Margarita, DDS ............................... 5,46 Pauly, Albert, DDS.......................................... Pavel, Margareta, DDS................................... 36 49 Probst, Scott, DDS .......................................... Probst, Travis, DDS 19 19 Oday, Richard, DDS.................................... Odowd, Cynthia 2.47 46 Payne, Randall(Randy), DDS ......................... 19 ........................................ Pruett, Nicolas, DDS....................................... 19 ............................................... Oesterle, Larry, DDS 7 Payne, Wayne, DDS DMD .............................. 59 Puchalski, John, DDS..................................... 61 ......................................... Offerdahl, John, DDS DMD ............................. 46 Peak Vista Community Hea ...................... Peak, Douglas, DDS....................................... 19.32 19 Pucheril, Aneeta, DDS.................................... Pueblo Community Health Chc 46 58 Ohmart, Scott, DDS................................... Oja, Eugene 15,50 34 Pechek, T y ...................................................... 58 ....................... Purcell, Michael, 59 .................................................... Oldershaw, William, DDS................................49 chek, Peebles Tyson, DDS ....................................... Peebles -Turner, Mary ....................................... 58 S....................................... Pyne, , Mary, DDS........................................ Pyne, Thomas, DDS 19 28 Oldroyd, Todd, DDS DMD...............................49 Oleary, Joseph :..................................... 51 Peede, Louie, DMD........................................... 7 ....................................... Pyo, Han, DDS DMD........................................ 6 .......... Oligmueller, James, DDS................................ 53 PenkStuart, DDS ........................................... Peppier, Michael, DDS DMD..................... 28 14,55 Q Olivier, Jonathan, DDS....................................61 Olsen, Brian Peppler, Michael, DMD................................... 51 ....................................................23 Olsen, Lonnie, DDS........................................ 19 Perino, Kenneth, DDS ..................................... Perlov, Frank, DDS 40 30 Quandt, John, DDS......................................... 28 Olson, Dwight, DDS DMD......................... 19,57 ......................................... Parrett, William 19 Qui, Peter, DDS..............................................46 Olson, Lee, DDS............................................. Olson, Richlund, DDS..................................... 11 14 ................................................ Perry Stephen, DDS ............... 2, 6, 9, 28, 41, 52 Quigley, John ........................................ Quigley, John, DDS 6, 28, 55 60 Olson, Robert ....................................................2 Peters, Kenneth, DDS ..................................... Petersen, Michael, DDS 43 56 ........................................ Quinn, Barry .............................................. 22,59 Omi, Sheldon, DDS DMD................................ Oneal, Kelly, DDS........................................... 64 19 .................................. Petersen, Richard, DDS ............................... 56 Quinn, Barry, DDS.......................................... Quinn, Tania 15 15, 22, 59 Oneill, Bradford, DDS................................ 33,60 Peterson, Andrea, DDS.............. Peterson, Bruce, DDS 2, 63 10 ....................................... Quist, Rhett, DDS................................. 7, 21, 63 Oneill, Kevin .................................................... Oneill, Larry, DMD...........................................56 14 ..................................... Peterson, Gregg, DDS MID .............................. 36 R Onstad, Michael, DDS ............................... 12, 21 Peterson, Gregg, MD ...................................... Peterson, Jerry, DDS PC ................................ 34 31 Ontiveros, Michael, DDS................................. Ordahl, John, DDS 46 59 Peterson, Shon, DMD ............................... 50, 55 Raab, Richard, DDS ...... ................................. 36 .......................................... Ordahl, John, DDS DMD................................. Oreskovich, Tony, DDS 22 58 Peterson, Tyr, DDS PC ..................................... Petkova, Anastasia, DDS ............................ 2 6, 46 Raabe, John, DDS.......................................... Radz, Ga DDS............................................ ry, 28 28 ................................... Orr, Mark, DDS MD ......................................... 36 Pettin ek, Justin, DDS..................................... Pettus, Eric, DDS........................................... 63 36 Raether, Gail, DDS......................................... Rahimpo, Ronald, DDS 33 58 Ortegon, Gino, DDS DMD ............................... Osborn, Angela ............................................... 58 51 Pettus, John, DDS.................................... 32 .................................. Rahim our, Navid, DDS .................................. p 19 Ouellette, Thomas, DDS................................: 28 Pettyjohn,af, Catherine, DDS .............................. Pfeiferaf, John, DDS ...LC...............................28 43 Ramirez, David ............................................... ...................................... Ramirez, David, DDS...................................... 52 44 Owen, Brandon, DDS................................52, Owen, Brandon, DDS MS 63 Pfeifer, William, DDS LLC 14 Randolph, David, DDS .................................... 28 ...............................36 Owen, Steven, DDS........................................ 32 D........................... Pfister, Candace, DDS DMD........................... Phi, Hanh, DDS............................................... 37 61 Rankin, Jennifer And, DDS ............................... 6 Owen, Zachary, DDS...................................... Owens, Justin, DDS 54 30 Phillips, James, DDS....................................... 46 Ranov, Boyan, DDS DMID ........................... Ranta, George, DDS PC ................................. 6,61 37 ......................................7, Owens, Ronald, DDS...................................... 32 Philson, Gregory, DDS .................................... Piaskowy, Jeffrey 58 60 Ranta, Jeffrey, DDS DMID ............................... 37 Owens, Timothy, DDS..................................... Ozenbaugh, Brian, DDS 36 ............................................ Pierson, Dianne, DDS..................................... 52 Ranucci, Andrew, DDS DMD .......................... Ra oso, Victor, DDS DMID .............................. p 52 44 ....................................5 Pike, William, DDS ......................... ,................ 34 Rasulov, Aziz.................................................... 6 F Pinkner, Jay, DDS........................................... 52 Rasulov, Aziz, DDS ......................................... 61 Pitt, David, DDS.............................................. 53 Rathburn, Tara, DDS........................................ 9 Pixley, Thomas, DDS...................................... 36 Rauk, Daniel, DDS .......................................... 34 Packer, Rachel .......................................... 10, 60 Pizer, Scott, DDS............................................ 28 Rausa, Jana, DDS............................................ 6 Padula, Juli Ann, DDS..................................... 58 Plamondon, Thomas, DDS DID ....................... 19 Ray, Jason, DDS PC ................................ 28,33 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 75 Delta Dental Premier Ray, Veronica, DDS........................................ 36 Rayl, Jeffrey, DDS MD .................................... 19 Read, Terry, DDS...................................... 19,20 Reader, Chad, DDS........................................ 44 Ready, Thomas, DDS..................................... 58 Reardon, Daniel, DDS..................................... 54 Reardon, William, DDS ............................. 62,65 Rebber, David, DDS........................................ 33 Reck, Diane, DDS PC ..................................... 20 Reck, Steven ................................................... 20 Reck, Steven, DDS......................................... 62 Reck, Steven, DDS PC ................................... 59 Redd, Thomas, DDS MS ................................. 43 Redfearn, Ryan, DDS..................................... 33 Redfeam, Trent, DDS..................................... 43 Redford, David, DDS.......................................28 Redwood, William, DDS..................................23 Reed, Charles, DDS........................................30 Reed, Charles, DDS MS ................................... 7 Reed, Thomas, DDS....................................... 33 Regan, Paul....................................................64 Regan, Paul, DMD.......................................... 34 Reiakvam, Per, DDS....................................... 28 Reich, Gregory, DDS................................ 23.42 Reid, Douglas, DDS PC .................................. 20 Rein, Gary, DDS............................................. 28 Reinicke, Mark, DDS PC ................................. 20 Reisman, Alan, DDS....................................... 53 Reissner, Marc ................................................ 62 Reissner, Marc, DDS...................................... 31 Renehan, Bradley, DDS MD ........................... 21 Repose, Ryan, DDS DMD...............................37 Resnick, Jeffrey, DDS..................................... 50 Resnick, Mark ................................................... 6 Revoir, Jeffrey, DDS....................................... 28 Reynolds, James, DDS..................................... 6 Rezaei, Seyed, DDS................................... 6.46 Rice, Donald, DDS.......................................... 28 Rich, Terry ....................................................... 12 Rich, Terry, DDS............................................. 20 Richards, Drew................................................46 Richards, Drew, DDS...................................... 46 Richardson, Brian, DDS.................................. 49 Richardson, Heather, DDS DMD.................8, 31 Richardson, Heather, DMD ............................. 23 Richardson, Steven, DDS ............................... 20 Richardson, Tom ............................................. 20 Richter, David, DDS.................................. 41.43 Ricks, Bruce, DDS.......................................... 39 Ridgway, Alan, DDS........................................ 55 Riegel, Mark, DDS DMD................................... 2 Rieker, Bryan, DDS.........................................55 Riesselman, Phillip, DDS.................................. 6 Rikli, Thomas, DDS PC ................................... 20 Rinaldi, Todd ................................................... 37 Rinaldi, Todd, DDS.........................................28 Rinaldis, Patrick, DDS.....................................41 Ring, Jamie, DDS DMD......................... 3150, 62 Ring, Karla, DDS DMD................................ 3,62 Ringdahl, Mark, DDS...................................... 37 Rippe, Christian, DDS..................................... 14 Ripplinger, David, DDS................................... 23 Roach, Maureen, DDS.................................... 51 Roach, Maureen, DDS DMD ...........................28 Robbins, Braden, DDS....................................28 Robbins, Kristin, DDS DR ............................... 28 Robbins, Roy, DMD........................................ 20 Roberts, Dale .................................................. 31 Roberts, Dale, DDS................................... 28,44 Roberts, Martin, DDS........................................ 9 Roberts, Tony, DDS........................................ 58 Robertson, Stephen, DDS...............................28 Robinson, David, DDS PC .............................. 58 Robinson, Harold, DDS...................................46 Robinson, Randolph, DDS MD ....................... 51 Robinson, T............................................... 14, 46 Robinson, T, DMD...........................................61 Robison, Edmund, DDS.................................. 36 Robison -Knox, Mary, DDS .............................. 20 Roby, Todd, DDS............................................ 52 Rocke, Paul, DDS..................................... 30, 50 Rodgers, Charles, DDS ... 2, 6, 11, 20, 33, 46, 60, 63 Rodgers, James, DDS .............................. 23,28 Rodrick, David, DDS....................................... 14 Rodriguez, Leopoldo, DDS ............................. 20 Rodriguez, Melanie, DDS................................ 58 Rodriguez, Paul ............................................... 20 Rodriguez, Paul, DDS..................................... 20 Roepe, Steven, DDS.......................................49 Rogers, Sterling, DDS..................................... 20 Rogers, William, DDS..................................... 20 Rogge, Cliff, DDS............................................ 52 Rohleder, Julia, DMD...................................... 20 Rold, Trent, DDS.............................................46 Rolfson, Matthew, DDS................................... 12 Rollert, Michael ............................................... 31 Rollert, Michael, DDS.......................... 30, 50. 56 Rollow, John, DDS.......................................... 59 Romig, Gregory, DDS....................................... 6 Ronco, Ronald, DDS DMD .............................. 20 Rones, Jonathan, DDS..................................... 6 Roper, Raymond, DDS..................................... 9 Rosamsetty, Prathima.....................................58 Rosenzweig, Todd, DDS.................................37 Rossow, Eric, DDS.......................................... 23 Rota, Joseph, DMD......................................... 20 Roth, Justin, DDS...................................... 22, 30 Roth, William, DDS......................................... 15 Rotolo, Gary, DDS.......................................... 28 Rotwein, Pamela, DDS................................... 28 Roubal, Debbie, DDS PC ................................ 20 Rowan, Matthew, DDS................................6, 28 Rowe, Merril, DDS............................................ 6 Rowlette, Michael, DDS.................................. 12 Royal, John, DDS............................................ 20 Rubenstrunk, John, DDS .......................... 15, 31 Rudman, Robert .............................................. 52 Rudman, Robert, DDS.................................... 30 Ruff, Michael, DDS.......................................... 65 Runnings, Steven, DDS PC ............................ 28 Rush, Larry, DDS............................................ 20 Rush, Steven, DDS........................................... 6 Rusnak, Marykate........................................... 36 Russell, Sharon, DDS..................................... 28 Rutherford, Jordan, DDS................................. 55 Ruvins, Edward, DDS....................................... 6 Ryan, Michael, DDS........................................ 39 Ryan, Timothy, DDS....................................... 20 Rygg, Paul ....................................................... 65 Rygg, Paul, DDS............................................. 20 Rysner, Eric, DDS........................................... 43 Sachs, Ellen, DDS..................................... 24,42 Sadar, Loretta, DDS........................................63 Saddler, Aurora, DDS..................................... 55 Saddler, Gary, DDS.................................. 28,55 Sadler, Norris, DDS DMD ............................... 28 Saeks, Adam, DDS......................................... 52 Safer, Donald, DDS................................... 24,42 Saggio, Mark, DDS........................................... 9 Saide Karlin, Stephanie, DDS ....................11, 49 Sakamaki, Carl, DDS...................................... 28 Sakkaris, Christopher, DDS ..:......................... 64 Salehrabi, Robert, DDS..................................... 3 Saliman, Ronald, DDS...................................... 6 Salvo, Joseph, DDS ............................ 12, 13,21 Sampath, Vidhyalakshmi, DDS ................. 46,63 San Juan Basin Health De Chc....................... 32 Sanchez, Porforio, DDS.................................. 28 Sanders, Cary, DDS PC .................................. 36 Sanders, Nelson, DDS.................................... 63 Sanders, Randall, DDS..................................... 6 Sanderson, Stuart, DDS.................................. 28 Sandoval, Dean, DDS..................................... 12 Sandoval, Elivinio, DDS.................................... 8 Sankaranarayanan, Srivalli ....................... 28,61 Sankaranarayanan, Srivalli, DDS ............... 6,28 Santi, Richard, DDS PC .................................. 54 Sathre, Richard, DDS..................................... 54 Saunders, Robert, DDS DMD ......................... 58 Saunders, Ryan, DDS..................................... 23 Sauza, Juan, DDS.......................................... 52 Savage, Bryan, DDS .............................2, 15.42 Savage, Michael, DDS DM ............................... 7 Saydyk, Theodore ........................................... 38 Saydyk, Theodore, DDS................................... 7 Scarffe, Charles, DDS....................................... 2 Scarpella, Pasco, DDS................................... 10 Scavuzzo, Frank, DDS.................................... 43 Schaefer, David, DMD.................................... 65 Schaefer, Stephen, DDS................................. 36 Schaeffer, Teri, DMD...................................... 63 Schafer, Alan, DDS DMD................................ 23 Schafer, Jacqueline, DDS................................11 Schafer, Natalie, DDS MD MS ........................ 64 Schaffer, Joel, DDS.......................................... 9 Schaffer, Lisa...................................................11 Schaffner, Nathan, DDS................................. 65 Schallhorn, Robert, DDS................................... 8 Scheich, Jeffrey, DDS..................................... 12 Scheich, Stephanie, DDS ............................... 12 Scheidies, Jennifer, DDS................................ 52 Scheidt, Michael, DDS...............................11, 55 Scherber, Joseph, DDS.................................. 64 Schiffer, Stephen, DDS..................................... 1 Schindler, Joy, DDS........................................ 14 Schleicher, David ............................................ 39 Schluter, Craig, DDS....................................... 12 Schneider, Debra, DDS.................................. 28 Schneider, Walter, DDS.................................. 33 Schoemaker, Jeane, DDS .............................. 37 Schoemaker, Neil, DDS.................................. 37 Scholes, Landis, DDS..................................... 14 Scholz, Colleen ............................................... 36 Schonberger, Charles, DDS ............................11 Schope, Andrew, DDS.................................... 14 Schope, Betty, DDS........................................ 20 Schreiber, William, DDS PC ............................ 54 Schrock, Theodore, DDS DMD....................... 60 Schroeder, David, DDS................................... 22 Schroeder, Timothy, DDS ............................... 46 Schuler, Darrell, DDS........................................ 6 Schultz, R, DDS.............................................. 58 Schulz, Kyle, DDS DP ..................................... 58 Schwab, Michael, DDS DMD .......................... 28 Schwab, Tommy ............................................. 55 Schwan, Steven, DDS.................................... 41 Schwartz, Marc, DDS...................................... 28 Schwartz, Timothy, DDS................................. 28 Schwa rtzenberger, Danielle ............................29 Schwerdt, Janne, DDS.................................... 29 Scott, Daniel, DDS............................................ 6 Scott, Nile, DDS.........:.................................... 59 Scriven, Clark, DDS PC ......................... 60 Seabury, Carolyn, DDS.'*"""' ......................... 61 Secora, Greg, DDS......................................... 49 SecristBrian, DDS......................................... 49 SedGn, Ashraf, DDS MD DMD................. 7,30 Segal, Brigitte, DDS........................................ 41 Sehy, Christina, DDS...................................... 46 Seifert, Teniel, DDS DMD ............................... 23 Seiler, Conny, DDS......................................... 29 Seiler, Stephen, DDS...................................... 20 Sekiya, Floyd, DDS.........................................64 Sellers, Gary, DDS.......................................... 44 Sellers, R.......................................................... 6 Salting, Wayne, DDS...................................... 20 Sennett, Michael, DDS.................................... 29 Sessa, Kevin, DDS........................................... 9 Sessions, Bruce, DDS SC .............................. 52 Setterberg, James, DDS PC ........................... 38 Sewell, Andrew ................................................. 9 Sexton, James, DDS MS ................................ 33 Seymour, Brittany, DDS.................................. 29 Shaddock, James, DDS.................................. 41 Shah, Purvi................................................. 2,47 r U Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. • July 2009 76 Delta Dental Premier Shah, Purvi, DDS............................................ 13 Sommer, Craig, DDS...................................... 20 Summers, Corbett, DDS................................... 9 Shaner, William, DDS PC................................22 Song Johnson, Maria, DDS............................. 49 Sumner, Jill ....................................................... 6 Sharp, Donald, DDS........................................ 34 Songer, Debra, DDS........................................11 Suter, Scott, DDS MS ..................................... 22 Sharp, Julie, DDS............................................41 Sonntag, Russell, DDS................................... 58 Svoboda, Brian, DDS ................................ 14,29 Shaver, Theresa, DDS MS................................7 Sorensen, Katerina, DDS ................................ 36 Swain, Thomas, DDS ...................................... 29 Shaw, Sean, DMD.............................................3 Sorensen, Thomas, DDS .......................... 38,39 Swanbom, Jon, DDS ....................................... 36 Shayevsky, Michael, DDS................................. 6 Sosdian, Quynh-Dung, DDS ........................... 20 Swanson Culbertson, Peggy, DDS ................. 29 Shea, Michael, DDS DMD ............................... 38 Sosdian, Stephen, DDS.................................. 20 Swanson, David, DDS.................................... 46 Shearer, Amy, DDS DMD.................................. 9 Sousa, April, DDS............................................. 9 Swanson, James, DDS................................... 58 Sheldon, Lisa, DDS...........................................9 Souza, Edward, DMD...................................... 22 Sweeney, Patrick, DDS ................................... 64 Shelley, Peter, DDS MS .................................. 24 Spaeth, Oliver, DDS ........................................ 20 Sweet, Ronald, DDS....................................... 64 Shellhart, W........................................... 7, 34, 37 Spanjer, William, DDS ..................................... 29 Swing, Sandra, DDS....................................... 20 Shellhart, W, DDS........................................... 64 Speer, Jennifer, DDS DMD ............................. 29 Sydney, Gilbert, DDS...................................... 41 Shepherd, Renee, DDS..................................34 Speirs, Aaron, DDS ......................................... 46 Syrpes, Demetrios, DDS............................. 3,56 Sherlock, Edward, DDS..................................64 Spence, Peter, DDS ........................................ 33 Sherman, Lewis, DDS..................................... 46 Spencer, Daniel, DDS..................................... 29 T Shibilski, Kelly, DDS........................................32 Spencer, Jaclynn, DDS ................................... 10 Shields, Michael, DDS....................................20 Shipley, Samantha, DDS................................ 20 Spencer, Stephen, DMD................................. Sperle, Andrew, DDS...................................... 53 20 Tabberson, Bruce, DDS .................................. 20 Short, Howard, DDS DMD ............................... 20 Sperling, Morton, DDS.................................... 29 Tabor, Carl, DDS DMD................................... r, Tafo Jerome, DDS 36 20 Short, Yolanda, DDS DMD..............................43 w Spicciati, Los, DDS ....................................... 20 ...................................... Takaki, Alan, DDS 58 Short, Yolanda, DMD...................................... Shultz, Brandon, DDS PC ............................... 14 15 Spiegel, Jeffery, DDS ...................................... Spillman, Kent, DDS......................................... 49 3 ........................................... Takaki, Duane, DDS....................................... 58 Shulze, Richard ............................................... 54 Sprout, Christopher, DDS ............................... 38 Takemoto, Susan, DDS.................................... Takesono Yu, Jennifer, DDS 9 7 SRichard, DDS DMD ...................... 3754 Sprout, Jeffrey, DDS....................................... 34 ............................ Talavera, Sylvia, DDS 46 Sibleyibley,, Lonnie, DDS PC .................................. Sibo, Jennifer, DDS......................................... . 9 12 Stacey, Robert, DDS ....................................... Stacey, Timothy, DDS ..................................... 54 20 ..................................... Talbot, Brett, DDS DIVID .................................. 20 Sica, Paul.......................................................... 9 Stafford, Joel, DDS DMD................................ 57 Talley, Brian, DIVID .......................................... Taloumis, Louis, DDS 38 22 Sidwell, Stephen, DDS.................................... Siegmund, John, DDS PC ............................... 52 36 Stambaugh, James, DDS ................................ Stamm, Heather, DDS.................................... 29 29 ..................................... Taloumis, Louis, DDS DMD ............................ 22 Sierk, Jonathan, DDS.......................... 22,31, 43 Stang, Jeffrey, DDS........................................ 63 Taneja, Puja, DDS............................................ Tannyhill, Richard, DDS MD 6 15 Siersma, G (George), DDS ............................. 30 Staples, Jared, DDS DMD ........................ 23, 54 ........................... Tao, Clara, DDS 20 Sievers, John, DDS PC ................................... Simeral, Robert ................................................. 33 9 Stasi, Mark ........................................................ Stasi, Mark, DDS ................................. 7 38, 50, 64 .............................................. Tappan, Major, DDS....................................... 29 Simon, Jonathan, DDS DMD ............................ 2 Stearns, Jeffrey, DDS MD DMD PC................ 30 Targos, Ned, DDS ........................................... Tarr, James, DDS 29 39 Simon, Randall, DDS........................................ 2 Stearns, Jeffrey, MD DMD PC ........................ 15 ........................................... Tatarko, Olga, DDS 56 Simons, Nancy, DDS MD ................................ Simpson, Thomas, DDS.................................... 31 9 Steeghs, Brigitte, DDS.................................... Steen, Dale, DDS ............................................ 42 46 ......................................... Tavel, Arnold, DDS DMD................................ 31 Sims, Alan, DDS............................................. 14 Stegelmeier, Krehl, DDS................................. 37 Tayde, Shital, DDS DMD.................................. Taylor, Ronald, DDS 2 39 Sinkule, Steven, DDS...................................... Siparsky, Martin, DDS DMD............................ 37 30 Steh, Dennis, DDS.................................... Stein, Arlene, DDS DIVID ................................. 15, 30 56 ....................................... Taylor, Ronald, DDS MS ................................. 29 Sites, Brent, DDS............................................ 59 Stein, Arlene, DMD........................................... 3 Taylor, Stephen, DDS....................................... Tedford, Terry, DDS 2 14 Skelton, Martha, DDS..................................... Skelton, Thomas, DDS.................................... 63 22 Stein, Laurie, DDS.......................................... Steinbach, Rebecca, DDS .............................. 39 53 ........................................ Teitelbaum, Robert, DDS ................................ 44 Skromme, Allan, DDS....................................... 9 Stella, Helen, DDS DMD................................. 34 Terada, Jennifer, DDS.................................... Terry, Bangorn, DIVID 29 22 Skulski, Carl, DDS............................................. 8 Sterling, Kevin, DDS.......................................23 ...................................... Ters, Martin, DDS 53 Slack, Donica.................................................. 58 Stevens, Courtney, DDS ................................. 41 ........................................... Thai, Minh, DDS 29 Slack, Neill, DDS....................................... Slack, Thomas, DDS....................................... 10.47 20 Stevens, Jessica, DDS .................................... Stevens, Sterling, DDS................................... 55 33 .............................................. Thalken, Jerry, DDS ........................................ 63 Slaysky, Aaron, DDS.......................................46 Stewart, Hugh, DDS ........................................ 46 Theisen, John, DDS ........................................ Theobald, Charles, DDS 37 43 Sletten, Christina, DDS................................... Sloss, Erin, DDS.............................................30 20 Stiles, Michael, DDS....................................... Stimmel, Lisa, DDS ...................................... 63 ...43 ................................. Theriot, Roy, DDS ....................................... 6,29 Smedley, John, DDS.......................................29 Stoddard, Dennis, DDS ............................... 6 , 29 Theroux, Christine ........................................... Theroux, Kevin, DDS 56 42,51 Smialek, Barry, DDS....................................... Smith, Alexander ............................................. 14 63 Stoddard, Scott, DDS ...................................... Stoll, Gregory, DDS MS .................................. 39 61 ................................ Thoman, Ronald, DDS .................................... 21 Smith, Bradley, DDS ........................... 15, 31, 54 Stone, Thomas, DDS MID ................................ 33 Thomas, Abraham, DDS DMID ........................ Thomas, Lloyd, DDS 20 37 Smith, David, DDS..........................................34 Smith, Gerald..................................................63 Stoor, Michael, DDS ........................................ Strachan, Bozena ............................................ 20 38 ....................................... Thomas, Michael, DMD.................................. 59 Smith, Gerald, DDS......................................... Smith, Henry, DDS PC....................................14 61 Straffon, Derek, DDS...................................... 30 Strange, David .................... 2, 31, 32, 34, 37, 41 Thomason, Ethelyn, DDS DMD ........................ Thomason, Ethelyn, DMD ............................. 9 2,9 Smith, J, DDS.................................................. 20 Strange, David, DDS ................................. 44, 64 Thomasson, Thomas, DDS............................... Thompson, Bill, DDS 6 20 Smith, Jared .................................................... Smith, Jason, DDS..........................................23 12 Strange, Malcolm .... 2, 31, 32, 37, 41, Strange, Malcolm, DDS ................................... 44, 47, 64 34 ....................................... Thompson, Glenn, DDS DIVID ......................... 20 Smith, Joshua ................................................. 55 Stratton, Amy, DDS ......................................... 36 Thompson, Harold, DDS DMD PC .................. 55 Smith, Lance, DDS..........................................61 Stratton, Ryan ................................................... 1 Thompson, Joseph, DDS ................................ 41 Smith, Lee ....................................................... 20 Strauss, Thomas, DDS................................... 52 Thompson, Larry, DDS PC ............................. 46 Smith, Mark, DDS..................................... 41, 61 Stricca, Duilio, DDS PC....:.............................. 58 Thompson, Scot, DDS.................................... Thomson, Patrick, DDS DMD 49 65 Smith, Paul, DDS............................................ Smith, Richard, DDS MD ................................. 20 46 Strietzel, Dale, DDS.................................. Stringert, Howard, DDS ................................... 32, 54 59 ......................... Thongin, Ekapoj, DDS DMD ............................. 6 Smith, Scott, DDS..................................... 15,31 Strong, Brad, DDS.......................................... 54 Thornal, Benjamin, DDS................................. 38 Snider, Larry, DDS MD...................................47 Struhs, Theodore, DDS ................................... 13 Thorne, Donald, DDS DMD ............................ Thornell, William, DDS DIVID 41 55 Sniegowski, Thomas, DDS .............................29 Soden, Ryan...................................................57 Stuart, Charles, DMD...................................... Stucky, Joe, DDS ............................................ 44 54 ........................... Thousand, John, DDS ....................................... 6 Soden, Ryan, DDS.......................................... 48 Stutznegger, Conrad, DDS ............................. 52 Thrash, Frederic, DDS.................................... 49 Soden, Ryan, DDS DMD MS ..........................15 Suazo, Lawrence, DDS ................................... 32 Thrash, Frederick, DIVID .................................. Thurgood, David, DDS 56 36 Snder-Blackman, Kelly, DDS .......................... Sohn, Buhmhan, DDS.....................................29 52 Sullivan, Cort, DDS................I......................... Sullivan, Daniel ............................................... 64 39 .................................... Thurman, David, DDS ......................... 29, 47, 60 Solich, Gregory, DDS......................................20 Sullivan, Margot, DDS ..................................... 64 Thurman, Lon, DDS PC .................................. Thurmon, Hadley, DDS............................ 20 61 Soltani, Azadeh, DDS DMD ............................ Somers, Ann, DDS..........................................31 52 Sullivan, Raymond, DDS ................................. Suman, Jamie, DDS ......................................... 36 11 .. Tiao, Katie........................... 6, 20, 29, 41, 58, 61 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 77 Delta Dental Premier Tibbetts, Richard, DDS...................................37 Tidwell, Scott, DDS........................................... 2 Varley, Michael, DDS ...................................... Varner, Jeffrey, DMD........................................ 43 6 Welch, Chad, DDS .......................................... Welch, Christopher, DDS ............................ 29 1,62 Tilliss, Larry, DDS........................................... 33 Varshayskaya, Marina ..................................... 29 Welch, Scott, DDS DMD................................. 55 Tilliss, Steven, DDS MS .................................. Tillotson, Evan, DDS....................................... 42 20 Vean, Allen, DDS DMD... .,............................... Vedi, Anita, DDS............................................... 31 2 Weldon, David ................................................... Wells, Gordon, DDS ........................................ 9 36 Timlin, Scott, DDS........................................... 61 Venrick, Melissa, DDS DMD ........................... 52 Wells, Richard ................................................. 12 15 Timmins, Gerard, DDS MS .............................. 55 Venuto, Nick, DDS.......................................... 29 Wennogle, Charles, DDS ................................ 29 Tippets, Darren, DMD..................................... Tippets, Jeffrey, DDS...................................... 54 43 Verma, Deepali, DDS...................................... Vessel Sinn, Alice ........................................... 21 21 Werner, Sarah, DDS....................................... Wertz, David, DDS.......................................... 53 Tomasetti, Boyd .............................................. 31 Vessel, Allen, DDS.......................................... 21 West, Gordon, DDS........................................ 44 Tomasetti, Boyd, DDS MD DMD......... Tomasetti, David, DMD................................... 30, 50, 56 49 Vestal, John....................................................23 Vetowich, Michael, DDS .................................. 49 West, Walter, DDS .......................................... West -Bennett, Kirsten, DDS ........................... 33 63 Tomlinson, Kathy, DDS.....................................2 Vetter, James, DDS........................................ 21 Westerman, Richard, DDS.............................. 23 Topelson, Ian, DDS...................................29, 38 Vidmar, Dennis, DDS ...................................... 59 Westmoreland, Tanya ..................................... 39 9 Topolnycky, Andrew, DDS................................ Toriggino, Dominic, DDS................................... 6 6 Vieregger, Catherine ....................................... Vigil, Gilbert, DDS PC ..................................... 14 29 Westover, Brock ................................................ Westover, Brock, DDS.................................... 23 Torok, Andreea, DDS...................................... 11 Villalon, Elmer, DDS MD DMD DP .................. 59 Westphal, Reginald, DDS ............................... 57 Toth, Eric, DDS DMD...................................... Townsend, Tim, DDS...................................... 39 60 Vilner, Leon, DDS........................................... Vincent, Ronald, DDS MID ............................... 29 40 Wetmore, Bruce, DDS.....................................11 Weyman, Paul, DDS....................................... 33 Trammell, Gerald, DDS.............................34, 47 Visger, Sean, DDS .......................................... 52 Whalen, Dann, DDS ........................................ 47 64 Tran, Hung, DDS.............................................29 Tran, Luan, DDS....................................... 55,63 Vogl, Walt........................................................ Volp, John.......................................................49 12 Whalen, Sean, DDS ........................................ Wheeler, Mark, DDS DMD......................... 11, 55 Tran, Tram, DDS.............................................49 Vondra, Anthony ............................................. 31 Wheeler, Richard, DDS ................................... 34 Tran, Vien, DDS........................................ 44,54 Vostatek, Sean ................................................ 21 Wherley, Daniel, DDS..................................... 29 Transtrum, Michael, DDS................................ 15 Vuong, Julie, DDS....................................... 2,31 White, Dawn, DDS.................................... 29,51 Travis, Stephen, DDS....................................... Trefil, Karleen, DDS DMD ............................... 9 59 W White, Jaime ................................................... White, Jeffery, DDS.......................................... 44 7 Trembath, Lori, DDS....................................... 61 White, Kelly, DDS PC ..................................... 29 21 Tripam, Alois, DDS....................................36, Tritsch, Thomas, DDS 54 21 Wachuta, Timothy, DDS ............................ 29, 38 White, Winston..........................................:..... Whitney, Hal...................................................... 6 ..................................... Trujillo, Derie, DDS........................................... 2 Wadsworth, Kenneth, DDS ............................. Wagenaar, Paul, DDS ..................................... 46 14 Whitney, Scott, DDS................................... Whittern, Cathy, DDS 3.50 52 Tsumura, Kurt, DDS........................................29 Tuchklaper, Scott, DDS ............................... 9, 11 Waggoner, ClydeE, DDS DMD ....................... 30 21 ...................................... Wiedey, Richard, DDS.................................... 21 Tucker, Steven, DDS...................................... 36 32 Wagle, F .......................................................... Wahl, Dale, DDS............................................... 6 Wiggins, Cassy, DDS DMD MS ...................... Wilhelm, Robert, DDS 57 37 Turner, Celia, DDS.......................................... Turnquist, Kerry, DDS..................................... t Kerry,Vladis 11 Wahl Michael, DDS ........................................ Waite, John, DDS 21 57 ..................................... Wilk Steven, DDS PC .................................... 29 59 Tumqui DDS.................................11 Twiss, Tyler, DDS DMD 43 ............................................ Walden, Robert, DDS ...................................... 47 Wilken, Keith, DDS......................................... Wilkerson, Damon, DDS................................. 30 .................................. Walgast, John, DDS DMD ............................... 52 Wilkman, Stephen, DDS................................... 9 U Walgast, John, DMD....................................... 52 Will, Joseph, DDS MS ..................................... 47 Walker, John, DDS DMD................................ 10 Willard, Christopher, DDS............................... 63 Walker, Stefanie, DMD...................................... 6 Williams Trujillo, Amy, DDS ............................ 21 Uchida, Bruce, DDS........................................46 Wallace, John.............................................. 2.41 Williams, Bryan, DDS ...................................... 23 Uchida, Thomas, DDS.................................... 49 Wallace, Richard, DDS..................................... 6 Williams, Bryan, DDS MD ............................... 34 Ugai, Mark, DDS............................................. 32 Walsh, Pamela, DDS........................................ 2 55 Williams, Dallas, DDS MID ............................... 54 Unger Waters, Jennifer, DDS.......................... 38 Walsh, Stephen, DDS..................................... Williams, Dee, DMD........................................ 47 Unkel, Stephen, DDS...................................... 32 Walter, Philip, DDS......................................... 60 Williams, Mitchell ............................................ 37 Unrath, Robert, DDS DMD .............................. 29 Ward, Daniel, DDS.................................... 59,62 Williams, Mitchell, DDS................................... 12 Unser, Michael, DDS.......................................46 Ward, Larry, DDS .............................................. 2 6 Williams, Richard, DDS ..................................... 1 Unterseher, Ronald.........................................30 Ward, Nicole, DDS DMID ................................... Williamson, Chadwick, DDS ............................ 29 Unterseher, Ronald, DDS MS ......................... 64 Warlick, Philip, DDS........................................ 62 Willis, Adam, DDS ........................................... 63 Urbaniak, James, DDS.................................... 50 Warner, Homer, DDS...................................... 23 Willis, Lawrence ........................................ 23,33 Uremovich, Mark, DDS...................................... 2 Warrington, Tom, DDS ...................................... 1 Wilson, Anne, DDS........................................... 7 Uremovich, Milan, DDS.....................................2 Wasinger, Jack, DDS ...................................... 47 Wilson, Benjamin, DDS............................. 40,54 Utberg, Robert, DMD...................................... 56 Wasserman, Alan, DDS.................................... 9 Wilson, Cindy -Sue, DDS .................................. 11 Ute Health Center Ihs Ute Mountain ............... 61 Watana, Patra, DDS DMD .............................. 42 Wilson, Daniel, DDS......................................... 6 Utke, Calvin, DDS........................................... 21 Waterman, Richard, DDS ................................ 41 Wilson, Joseph, DDS...................................... 21 Uy, Mary Joyce, DDS...................................... Uyemura, Douglas, DDS.................................41 29 Waters, Gregory, DDS...................................... Watson, Brian, DDS ........................................ 2 29 Wilson, Kenneth, DDS MID ................................ Wilson, Paige, DDS........................................ 6 34 Uyemura, Mark, DMD...................................... 41 Watts Carpenter, Erin ...................................... 10 Wilson, Patrick ................................................ 12 Weakland, Patrick, DDS.................................. 65 Wilson, Patrick, DMD...................................... 43 V Wearner, Brian, DDS...................................... 55 Wilson, Richard, DDS..................................... 32 Weaver, Adam, DDS....................................... 57 Wilson, Robert, DDS ....................................... 21 Vairin, Christopher, DDS................................. 29 Weaver, Adam, DDS MS ................................ Webb, David, DDS........................................ 42 21 Wilson -Polk, Amy............................................ Wimpelsted Neal, DDS ......................................... 62 14 Valley Wide Health Servi Chc ... Valstad, Judson, DDS DMD ............................ 1, 15, 32, 44, 59 65 Webb, Michael .................................... Weber, John, DDS................................ 14, 47, 61 9, 10, 61 , Wimpee, Philip, DDS DDS ........................................ Winkle,ber Ralph, DDS........................................ 49 64 Valuck, Paul, DDS...........................................29 Van Dusan, Scotty, .............. Y ... ...•••••• .... 39 Webster, Kelvin, DDS..................................... Weddle, Larry, DDS DMD...............................64 37 Winkler, Robert, DDS ...................................... Winnicki, Jeffrey, DDS .............................. 21 34,44 Van Orman, James, DDS................................ Van Wagenen, Jason......................................64 12 Weekes, Bradley, DDS................................... Weenig, Val, DDS ........................................... 49 21 Winquist, Heidi, DDS........................................ Winter, Eric, DDS 9 63 Van Wagenen, Jason, DDS ............................63 Vanacker, Alexander, DDS ............................. 57 Weideman, Edward, MD DMID .................. Weimar, William, DDS 15,50 29 ............................................ Winter, Stuart .................................................... 2 2 Vanderven, Franc, DDS DMD ......................... 47 ..................................... Weimer, Allan, DDS........................................ 23 Winter, Walter ................................................... Wise, Randall, DDS.....................................2, 47 Vandewalle, Denise, DDS................................. Vanek, Benedict, DDS....................................46 1 Weimer, Allan, DDS MS ................................. Weinbach, Jonathan, DDS ........................ 60 53, 64 Witkoff, Jesse, DDS.................................... Wittenberg, Edd, DDS EdD ............................. 2, 31 21 Vanek, Melvin..................................................46 Vanek, Steven, DDS....................................... 46 Weinstein, Steven, DDS.................................. Weir, Frank, DDS............................................ 42 14 Wetzel, David, DDS................................... Wixom, Alan, DDS ....... ............................... 10, 61 40 Vanicek, Peter, DDS....................................... Vanness, Marc, DMD..................................:... 14 21 Weisenfeld, Andrew, DDS PC ......................... Weissman, John, DDS...................................... 15 9 Woessner, Rudolph, DDS ............................... S Wohlgemuth, Barry, DDS .................................. 61 6 Vanzytveld, Eric, DDS.....................................29 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 10 78 • Delta Dental Premier Wohlwend, Charles, DDS ............................... 59 Wohlwend, Joseph, DDS................................ 59 Wolcott, James ................................................ 57 Wolcott, James, DDS...................................... 15 Wolcott, Susan, DDS.............................F.. 15, 57 Wolff, Tracy, DDS...........................................29 Wolfson, Gary, DDS........................................ 14 Wong, Alan, DDS............................................ 34 Wong, Jeffrey, DDS MS .................................. 10 Wood, Bradley, DDS....................................... 52 Wood, John, DDS...........................................40 Wood, Mark, DDS MS ..................................... 44 Wood -Harman, Beckie .............................. 42,56 Woods, Joseph, DDS DMD ............................. 21 Workman, John, DDS..................................... 11 Workman, Ryan, DDS.....................................23 Worley, Rick .................................................... 29 Wortham, Roy, DDS........................................ 11 Wostrel, Terry, DDS........................................49 Woyda, Charles, DDS..................................... 21 Wright, David, DDS......................................... 54 Wright, Mark, DDS.......................................... 21 Wright, Peggy, DDS.......................................... 1 Wuerker, Richard, DDS...................................36 Wursten, Jeffrey ................................................ 2 Wyatt, John, DDS PC......................................64 Wyte, Joshua..................................................29 y Yahnian, Lawrence, DDS................................ 29 Yamamoto, Steven, DDS................................15 Yancey, Marianne, DDS..................................42 Yardumian, Robert, DDS DMD ....................... 65 Yaros, Ronald, DDS..........................................6 Yasoni, Marc ................................................... 63 Yasoni, Marc, DDS..........................................63 Yeats, David, DDS DMD................................. 34 Yeros, James, DDS...........................................6 Yi, Woon, DDS.................................................. 6 Yoon, Paul ....................................................... 15 Yoon, Paul, DDS............................................. 47 York, Kimberly, DDS....................................... 14 Yost, Morgan, DDS................................... 21,23 Young, Daniel, DDS........................................ 59 Young, Jeffrey, DDS................................. 53.64 Young, Kathleen, DDS.................................... 14 Young, Matthew .................. 6, 21, 29, 41, 59, 61 Young, Richard, DDS......................................38 Youngquist, Adam, DDS................................. 36 Youngquist, Henry, DDS MS ........................... 22 Youssef, Hesham, DDS.................................... 3 FA Zabel, Lynelle, DDS........................................ 43 Zander -Holmes, Nicole ................................... 36 Zeigler, Jeremy, DDS DMD ............................. 55 Zeitlin, David, DDS.......................................... 63 Zelazek, Paul, DDS.........................................63 Zelenka, Rodney ............................................. 29 Zelie, Stephen, DDS....................................... 64 Zenon, Joshua, DDS....................................... 33 Zeppelin, Daniel, DDS.......................................6 Zervas, Steven, DDS PC ................................ 42 Zimmer, Colleen, DDS.................................... 36 Zimmer, Donald, DDS..................................... 33 Zimmer, Richard, DDS.................................... 36 Zimmermann, Erich, DDS ... :........................... 47 Zimmet, Neil, DDS............................................ 2 Zinkann, Karla ........................................... 30,47 Zinkann, Karla, DDS................................... 7.30 Zinkann, Karla, DDS MS ................................. 50 Zipfel, Jennifer, DDS......................................... 7 Ziuchkovski, James, DDS MS ......................... 22 Zufall, Joseph, DDS........................................ 59 Zulian, Michael, DDS...................................... 54 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 79 • s ENDODONTIST Amelang Severin, Amber ..... Averbach, Robert, DDS........ Baltz, Kathleen, DDS ........... Baltz, Kathleen, DDS MS ..... Barnhurst,.Eric ..................... Barnhurst, Eric, DDS ............ Barton, Daniel, DDS DMD.... Becker, Helena, DDS DMD.. Bergo, Shane, DDS.............. Breeden, Randall, DDS ........ Burquest, James .................. Burquest, James, DDS......... Calhoun, Gordon, DDS ........ Carnes, Perri ......................... Carnes, Perri, DDS .....:......... Carnes, Perri, DDS DMD ...... Chalian, Garo, DDS .............. Chavez, Robert ..................... Chavez, Robert, DDS............ Corr, Robert .......................... Corr, Robert, DDS ................. Davis, Matthew, DDS ............ Deal, Brock ............................ Deal, Brock, DDS .................. Degerness, Randolph, DDS.. Dietz, Jacqueline, DDS DMD Douglas, Gregory, DDS ........ Eveland, William, DMD.......... Fager, Frank, DDS ................ Fante, Stephen, DDS ............ Frutchey, Brian ...................... Frutchey, Brian, DMD............ Funderburk, David, DDS ....... Gallego-Cubillos, Sonia......... Gallego-Cubillos, Sonia, DDS Girardi, Anthony, DDS........... Girardi, Anthony, DDS AN..... Graves, Lowell ...:.................. Graves, Lowell, DDS............. Griffin, Robert ................... .. Hahn, Christopher, DDS MS Hanske, David, DDS MS....... Hoelscher, Anita .................... Holtzmann, David, DDS ........ Holtzmann, David, DDS DMD Horsley, Scott, DDS MS........ Hubble, Timothy .................... Hubble, Timothy, DDS DMD.. Ishley, David, DDS MS........... Jande, Eric, DDS.................... Johnson, Scott, DDS DMD..... Johnson, Scott, DMD ............. Jones, David, DDS.................. Jones, Kelly, DDS .................. Jones, Kelly, DDS MS............ Jostes, James, DDS............... Jultak, Jed, DDS .................... Kardelis, Tony, DDS............... Kennedy, Wade, DDS DMD... Kleier, Donald, DMD .............. Kochevar, Mark, DDS DMD ... Kott, Jeremy, DDS ................. Lee, Darin ............................... Lee, Darin, DDS..; .................. Levalley, Bradley, DDS MS.... Levine, Mark, DMD ................ Lindsay, Michael .................... Lowry, Scott, DDS.................. Macaraeg, Omar, DDS......:.... Maines, Jason, DDS .............. Maloney, Scott, DDS DMD..... Mayhew, Jack, DDS DMD...... McCarty, David, DDS DMD.... McCarty, David, DMD............. McMurtrey, Lamont, DDS MS Meyers, John, DDS ................ Miller, James, DMD................ Minnich, Scott, DDS ............... Delta Dental Premier PC Morrison, Alison, DDS..................................... 24 Anderson, Richard, DDS ................................. 16 Morrison, Alison, DMD.................................... 42 Anderson, Robert, DDS.................................. 24 ............... 34, 51, 53 Northup, Paul .................................................. 54 Anderson, Roger, DDS MD DPM .................... 13 ...........................24 Northup, Paul, DDS ......................................... 38 Anderson, Timothy, DDS................................ 35 ..................... 24,42 Pangborn, Cameron, DDS ........................ 24,42 Ando, Susan, DDS............................................ 3 ........................... 24 Parsons, Joseph, DDS ...................................... 8 Andow, Kenneth, DDS................... :................ 13 ...........................54 Pascoe, Gary, DDS ......................................... 32 Andreatta, Paul, DDS PC ................................ 62 ...........................38 Patel, Sanjay ................................................... 48 Andreoletti, Gary ........................... 51 Reader, Chad, DDS........................................ 44 Andreoletti, Gary, DDS................................... 38 ................... 1, 3, 50 Ring, Jamie, DDS DMD ........................ 3, 50, 62 Andrews, Brandie, DDS .............................. 3,44 .......................... 34 Ring, Karla, DDS DMD ................................ 3,62 Andrews, Paul, DDS DMD .............................. 59 ..........................51 Roth, William, DDS......................................... 15 Andrus, Paul, DDS .......................................... 44 .......................... 48 Sachs, Ellen, DDS ..................................... 24.42 Andrus, Robert, DDS........................................ 3 .................... 12, 13 Safer, Donald, DDS ................................... 24,42 Anema, Mark, DDS......................................... 64 .......................... 13 Salehrabi, Robert, DDS ..................................... 3 Antiel, Robert, DDS ........................................... 1 ..........................48 Shelley, Peter, DDS MS .................................. 24 Anundsen, M...................................................44 .......................... 13 Skulski, Carl, DDS ............................................. 8 Applegate, Shelby, DDS................................. 13 .......................... 12 Soden, Ryan ................................................... 57 Archer, Raymond, DDS.................................. 24 ...................... 3,56 Soden, Ryan, DDS .......................................... 48 Archibald, Samuel, DDS................................. 16 .......................... 54 Soden, Ryan, DDS DMD MS .......................... 15 Arendt, Paul, DMD.......................................... 44 .......................... 38 Stein, Arlene, DDS DMD ................................. 56 Ariola-Tirella, Noah, DDS.... 1, 10, 12, 24, 62, 64 .......................... 37 Stein, Arlene, DMD........................................... 3 Armstrong, Jack, DDS MD PC ........................ 24 .......................... 15 Stratton, Ryan ................................................... 1 Armstrong, Raymond, DDS ............................ 16 ..........................60 Syrpes, Demetrios, DDS ............................. 3.56 Arnold, Julia, DDS ........................................... 16 .......................... 48 Teitelbaum, Robert, DDS................................ 44 Arnold, Kara, DDS.......................................... 24 .................... 12,13 Transtrum, Michael, DDS ................................ 15 Asbury, Robin, DDS ........................................ 13 .......................... 48 Westphal, Reginald, DDS ............................... 57 Ash, Scott, DDS.............................................. 13 ...................... 3,62 Whitney, Scott, DDS................................... 3,50 Atha, Jason, DDS............................................. 8 ............................ 8 Wolcott, James................................................ 57 Aufderhar, Christine, DDS .......................... 3,24 .......................... 15 Wolcott, James, DDS...................................... 15 Auger, Cameron ................................................ 3 .......................... 24 Wolcott, Susan, DDS................................ 15.57 Augustine, Lisa, DDS........................................ 3 .......................... 38 Wood, Mark, DDS MS ...................................... 44 Aust, Donald, DDS.........................................' 38 .......................... 62 Youssef, Hesham, DDS.................................... 3 Austin, Dawn, DDS......................................... 13 .......................: 52 Autobee, Thomas, DDS.................................. 57 ......................... 40 GENERAL DENTIST Avery, Paul, DDS.............................................. 8 .................... 24,50 Ayers, William ................................................. 10 DMD................ 13 Abbey, Paul, DDS ........................................... 51 Babin, Brian, DDS ..................................... 24,56 ....................51, 53 Abrames, Arica, DDS ...................................... 35 Baer, Christopher............................................ 65 .......................... 34 Acevedo, Alexander, DDS .............................. 62 Baer, Christopher, DMD .................................. 24 .......................... 62 Acherkan, Mayya............................................ 50 Baer, David ............................................... 16,48 ..........................44 Acherkan, Mayya, DDS ................................... 24 Baer, David, DDS ............................................ 16 .......................... 15 Ackall, Ibraheem, DDS .................................... 47 Bagley, Steven, DMD ...................................... 40 ..................... 24 Adair, Gregory................................................. 42 Bahr, Shayna, DDS DMD................................. 1 .........................24 Adams, Dawne................................................60 Bailey, Brent, DDS .......................................... 42 ................... 52,62 Adams, Dawne, DDS.................................. 3,10 Bailey, Michael, DDS...................................... 60 ......................... 56 Adams, John, DDS .......................................... 24 Baker, James, DDS........................................ 32 ........................... 3 Adams, Larry, DDS......................................... 16 Baker, Ronald, DDS PC .................................. 35 .........................44 Adler, Michael, DDS .......................................... 8 Baldwin, Bruce, DDS......................................44 ......................... 48 Ahern, John, DDS........................................... 50 Ball, Melvin, DDS............................................ 44 ................... 12,13 Ahern, Robert, DDS........................................ 51 Ballard, Stephen, DDS.................................... 53 ......................... 15 Ahn, Henry, DDS ............................................. 42 Balthazor, Terry, DDS..................................... 65 ......................... 24 Ajdari, Jurak, DDS PC ..................................... 50 Bancroft, Joanne, DDS................................... 32 ......................... 15 Alber, Marc, DDS.............................................. 8 Banks, David, DDS......................................... 59 ......................... 57 Albers, Mark, DDS.......................................... 16 Barecki, Richard, DDS.................................... 24 ............. 34, 51, 53 Albin -Davis, Teresa, DDS ............................... 56 Bares, Scott, DDS..................................... 33.35 ................... 51,53 Aleksanyan, Margarita, DDS ........................... 48 Barker, Stephen, DDS.................................... 48 ......................... 34 Alexander, Robert, DDS .................................. 34 Barnes, Bruce, DDS ........................................ 16 ......................... 24 Alford, Annette, DMD................................ 24,41 Barnes, Mark, DDS........................................... 8 ................... 24,42 Allan, Neal, DDS............................................. 16 Barney, Jason, DDS....................................... 39 .........................44 Alleman, Breckglyn, DDS .................................. 8 Baros, Raymond, DDS .................................... 16 ......................... 15 Alleman, Daniel, DDS....................................... 8 Barreto, Nelly, DDS DMD ................................ 16 ......................... 62 Allen, Kenneth, DDS PC ................................. 35 Barry, Shawn, DDS ......................................... 65 .........................35 Allen, Robert, DDS ............................................ 3 Bartlett, James, DDS........................................ 3 ........................... 3 Allen, Rodney, DDS........................................ 56 Barton, Colin, DDS .......................................... 44 ..........,........... . .48 Allen, Thomas, DDS........................................ 35 Barton, Stephen, DDS PC .............................. 48 ................... 12,13 Almeida, Adam, DDS................................ 48,50 Bashi, Vahid, DDS.......................................... 16 ......................... 35 Almeida, Donald, DDS.................................... 50 Basit, Saadia, DDS DMD................................ 52 .........................24 Almond, Bradley, DMD .................................... 57 Basnar, Cary, DDS PC ............................ ....... 35 ......................... 13 Altatari, Rabi, DDS.......................................... 40 Bassett, Merrill, DDS................................. 60, 62 ............. 13, 24, 40 Alter, Scott, DDS ............................................... 3 Batliner, Donald, DDS..................................... 24 ................ . .......48 Aluru, Susmitha, DMD..................................... 16 Batliner, Terrence ............................................. 3 ............. 35, 51, 53 Ambida, Sandra, DDS DMD ............................ 50 Batliner, Terrence, DDS.................................... 3 ...................24, 42 Ames, William, DDS ........................................ 13 Batson, Emily .................................................11 ......................... 15 Amundson, Peter, DDS ................................... 13 Batson, Emily, DDS......................................... 57 ........................ 15 Andersen, Dennis, DDS DMD PC ................... 53 Bauer, Gerald, DDS........................................ 44 ........... :............. 15 Anderson, Brian, DDS..................................... 16 Bauman, Jon, DDS................................... 10,24 ......................... 62 Anderson, Daniel, DDS................................... 10 Baumgardner, Thomas, DDS DMD................. 16 ........................ 15 Anderson, Erick, DMD ..................................... 16 Baumgart, Steven, DDS .................................. 45 ........................ 44 Anderson, Jackson, DDS................................ 16 Bausch, Wayne, DDS..................................... 45 ........................ 15 Anderson, Jonathan ........................................ 35 Bayne, Jonathan, DDS................................... 16 to Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 81 THE DELTA DENTAL DIFFERENCE Illustration of Data Analysis - Based on Claims: City of Fort Collins Twelve Months Claims ending 6/30/2009 PPO Plan Design Gross Submitted Charges Less Ineligible Claims Net Eligible Claims PPO Network Savings Premier Network Savings Total Network Savings Nonparticipating Dentist limit savings Grand Total Savings Patient Payments Claims Paid by Group Delta Dental Difference Plan Savings CIGNA Delta Dental Claim $ % of Eligible Claim $ % of Eligible $1,752,955 100.6% $1,752,955 100.6% - 10 250 -0.6% - 10 250 1.3% $1,742,705 100.0% $1,742,705 100.0% -$124,476 -7.1 % -$123,410 -7.1 % $0 0.0% -$74,193 2.8% -$124,476 -7.1% -$197,603 -11.3% $30,315 1.7% $27,097 1.6% $154,791 8.9% $224,700 12.9% $680,246 39.0% $650,178 37.3% $937,983 53.8% $894,924 51.4% $43,059' 5% Average Enrolled employees 1,421 1,421 Delta Dental Premier Beacom, David, DDS ......................... Beal, Christopher, DDS...................... Beard, Byron, DDS DMD ................... Beasley, Michael, DDS ...................... Beck, George, DDS............................ Beck, Jim, DDS.................................. Becker, Amy, DDS ............................. Beckwith, Carmen, DDS .................... Becvar, Frank, DDS ........................... Beene, John, DDS ............................. Behr, Nolan, DDS ............................... Beilby, George, DDS.......................... Belegratis, Tasos, DDS...................... Belenski, Alan, DDS........................... Belfiglio, E, DMD................................ Belford, Mark, DDS DMD ................... Bellamy, Marcus, DDS DMD.............. Benak, Susan, DDS ........................... Bender, William, DDS ........................ Benke, Robert, DDS........................... Benner, Sidney, DDS ......................... Bennett, Darren, DDS ........................ Bennett, David, DDS .......................... Bennett, Ernest, DDS........................ Bennett, Gregory, DDS ..................... Bennett, Scott, DDS .......................... Bennett, Stuart, DDS......................... Benning, Brian, DDS ......................... Bentley, Christopher, DDS ................ Bentz, Michael, DDS ......................... Benzley, Layne .................................. Bergeson, Zackary, DDS DMD ......... Bergles, James, DDS........................ Berguin, Brandon, DDS..................... Bermel, Thomas, DDS ...................... Bernardy, Jeffrey, DDS ..................... Bernbaum, Alan, DDS ....................... Bemdt, Shawna, DDS ....................... Berner, Jeannette, DDS .................... Berry, Daniel, DDS ............................ Berry, Eric, DDS................................ Berry, Kary, DDS ............................... Berry, Kevin, DDS ............................. Berry, Thomas, DDS ......................... Bertagnolli, Edward, DDS ................. Bertagnolli, John, DDS...................... Bertsch, William, DDS....................... Best, Cory, DDS................................ Bethers, John, DDS ......................... Bevans, David, DDS ........................ Bevans, Gregory, DDS..................... Bevis, Brittany, DDS DMD................ Bhasker, Deborah, DDS................... Biel, Timothy, DDS........................... Bielecki, Pawel, DDS ....................... Bigus, Paul, DDS ............................. Biles, Jill, DDS.................................. Bingham, Ryan, DDS ....................... Birch, Aaron, DDS............................ Bird, Philip, DDS .............................. Birkel, Richard, DDS ........................ Birnbaum, Anne, DDS ...................... Bishop, John, DDS........................... Bissell, William, DDS........................ Black, Tyson, DDS DMD.................. Blackhurst, Russell, DDS ................. Blackley, David, DDS ....................... Blanchard, Jason, DDS .................... Bland, Andrew, DDS ........................ Blasko, Jacqueline, DDS DMD......... Blatter, Victor, DMD ......................... Blehm, Darrel, DDS.......................... Blohm, Steven, DDS ........................ Bloom, Gene, DDS MD .................... Blumenschein, Gary ......................... Bobier, Gene .................................... Bodoni, Elena, DDS ........................ Bodoni, Eva, DDS ........................... Boeyink, Timothy, DDS ................... Bogan, Thomas, DDS ..................... .......... 38 Boisen, Dorothy, DDS..................................... 54 ..........38 Boak, Kimberly, DDS......................................44 .......... 59 Bollenbaugh, Keith, DDS................................ 24 .......... 16 Bolton, William, DDS....................................... 12 .......... 57 Bonbright, Thomas, DDS................................ 24 .......... 57 Boone, Malcolm .............................................. 24 ..........48 Boone, Malcolm, DDS.....................................60 ............8 Boratenski, Julia ................................................ 1 .......... 51 Boren, Michael, DDS....................................... 57 .......... 16 Borg, Timothy, DDS PC .................................. 62 .......... 16 Bottoms, Brandi, DDS..................................... 10 .......... 42 Bottone, Paul, DDS PC ................................... 42 .......... 42 Boudreaux, Gary, DDS................................... 42 .......... 52 Bourne, Jeffrey, DDS...................................... 53 .......... 16 Bowden, ClydeA, DDS...................................... 3 ........... 44 Bowers, Soledad, DDS................................... 13 ...........54 Bowling, Franklin, DMD................................... 10 ........... 39 Bowling, Nina .................................................. 10 ........... 44 Boxwell, Court, DDS....................................... 24 ........... 40 Boyd Page, Dana ............................................ 48 ........... 40 Boyes, Richard ................................................ 40 ............. 3 Brachvogel, William, DDS................................. 8 ............ 1 Bradley, James, DDS...................................... 39 ........... 12 Bradley, Kathleen, DDS ...... 3, 16, 24, 40, 57, 60 ............. 1 Branes, Gerald, DDS...................................... 47 ...........62 Brantes, Liliane, DDS...................................... 13 ............. 1 Branwell, Donald, DDS................................... 24 ........... 16 Bratton, Dwight, DDS...................................... 12 ........... 12 Bratulescu, Patricia, DDS.................... 40, 60. 64 ............. 8 Braun, Chad, DDS.......................................... 24 ........... 52 Bravo, Luis ...................................................... 24 ............. 3 Bravo, Luis, DDS DMD................................... 13 ........... 57 Bravo, Luis, DMD.............................................11 ........... 39 Bredbeck, Bruce, DDS.................................... 13 ........... 13 Brewer, Thomas, DDS.................................... 35 ...........45 Brewick, Terry, DDS........................................ 24 ...........64 Brichacek, Michelle, DDS.................................. 3 ........... 37 Bridgeman, Harold, DDS................................. 16 ........... 13 Brimhall, Dallas ............................................... 56 ...........62 Brimhall, Dallas, DDS........................................ 3 ........... 57 Brockman, John, DDS..................................... 50 ..... 13,41 Brodie, Mark, DDS.......................................... 42 ............ 41 Brody, Lee, DDS DMD PC .............................. 12 .............. 3 Broeker, Curtis, DDS ....................................... 16 ............62 Bromell, Susan................................................62 ............ 62 Bromell, Susanc, DDS.................................... 60 ............ 16 Brones, Collin, DDS........................................ 16 ............55 Brooks, Howard ................................................. 3 ............ 10 Brotherton, Jamie, DDS.................................. 60 ............ 48 Brotherton, Nolan, DDS DMD ......................... 45 ............ 24 Brower, Kathleen, DDS................................... 16 ...... 13,47 Brown, Donald, DDS....................................... 24 ............ 13 Brown, James, DDS........................................ 33 ..............3 Brown, Jennie, DDS .......................................... 3 ............ 57 Brown, Julie, DDS............................................. 8 ............ 53 Brown, Michael, DDS...................................... 16 ............ 51 Brown, Richard, DDS PC ................................ 24 ............ 51 Brown, Ronald, DDS....................................... 24 ............ 39 Brown, Stephen, DDS ............................... 40,51 ............ 16 Browning, Sarah .............................................. 40 ............48 Browning, Sarah, DDS.................................... 35 .............. 8 Bruggeman, Scott, DDS.................................. 10 ..............8 Bruhin, Michael, DDS ...................................... 65 ............ 24 Bruner, Lawrence, DDS.................................. 53 ............ 39 Bryner, Matthew, DDS.................................... 39 ............ 60 Buck, James, DDS.......................................... 51 ............ 16 Buck, Ronald, DDS......................................... 64 ............ 48 Bueltel, Allen ..................................................... 1 .............40 Buffer, Steven, DDS .......................................... 8 ...... 13,23 Buhrmann, Scott, DDS.................................... 16 .........3, 13 Buist, John, DDS............................................. 33 ............ 39 Bujanda-Wagner, Sandra, DDS ........................ 3 ............. 42 Bullen, Benjamin..............................................11 .............24 Bullen, Benjamin, DDS .................................... 16 ............... 3 Bullock, Jeremy, DDS DMD ............................ 16 ............. 40 Bunch, Robert, DDS MD ................................. 24 ............. 41 Bunchman, Matthew, DDS DMD ..................... 34 .............41 Burchfield, John, DDS PC ............................... 38 .............13 Burger, Anna, DDS......................................... 48 ...............8 Burgner, Dennis, DDS ..................................... 56 Burkart, John, DDS........................................... 3 Burkhart, Scott, DDS....................................... 48 Burluc, Aurora, DDS................................... 8, 10 Burnham, Arlie, DDS....................................... 35 Bums, Kendall, DDS MD DMD ....................... 10 Bums, William, DDS DO ................................. 48 Burrows, Claudia, DDS................................... 10 Burtenshaw, John, DDS .............................. 3,24 Burton, Matthew, DDS.................................... 16 Busse, David, DDS................................... 47,60 Bustamante, Amy, DDS.................................. 13 Butler, Benjamin, DDS.................................... 45 Butterman, Daniel, DDS.................................. 13 Cable, Ryan .............................................. 24,60 Cadotte, Ana ................................................... 62 Cadotte, Ana, DDS......................................... 60 Cahn, Ellis, DDS............................................. 24 Cahoon, Kevin, DDS................................... 1,56 Calderon -Kidd, Joesolyn, DMD....................... 45 Calderwood, Cody, DDS................................. 16 Caldwell, Jay, DDS......................................... 16 Caldwell, Michelle, DDS.................................. 45 Caldwell, Ronald, DDS................................... 32 Calendine, Stephen, DDS ............................... 16 Calendine, Stephens, DDS ............................. 16 Caletti, Gary, DDS.......................................... 33 Call, Richard, DDS DMD MS .......................... 60 Callahan, Richard, DDS..................................45 Calvin, James, DDS........................................ 16 Camerino, Angelo, DDS.................................. 16 Camerino, Carolyn, DDS................................ 16 Cameron, Stephen, DDS................................ 35 Campbell, King ................................................ 55 Campbell, Monte, DDS................................... 15 Cannon, Christopher, DDS DMD ...................... 3 Cannon, Mark, DDS DMD................................. 8 Cappelli, Clifford, DDS DMD ........................... 59 Cardon, Paul, DDS......................................... 54 Cardoso, Luiz, DDS........................................ 25 Carlesimo, Peter, DDS .............................. 35,53 Carlile, Charles, DDS DMD ............................. 48 Carlson, Kendal, DMD.................................... 25 Carlson, Kenneth, DDS................................... 23 Carlson, Steven, DDS MD .............................. 16 Carlson, Vance, DDS...................................... 48 Carlston, Matthew, DDS DMD .......................... 3 Carmody, Colleen, DDS .............................. 3,25 Carpenter, James, DDS.................................. 62 Carreon, Lejon, DDS....................................... 48 Carroll, Bernard, DDS..................................... 25 Carroll, Tara, DDS.......................................... 10 Carruth, Caroline, DMD.................................. 39 Carter, Brian, DDS.......................................... 52 Carter, Colleen, DDS...................................... 25 Carter, Steven ................................................. 55 Carter, Steven, DDS................................. 16, 57 Case, William, DDS DMD ............................... 13 Casement, Russell, DDS................................ 25 Caspers, Susan, DDS..................................... 64 Casseday, Bryan, DDS................................... 40 Casson, Anne, DDS........................................ 48 Castillo, Steven, DDS..................................... 16 Castle, Wayne, DDS....................................... 51 Castline, Jill, DDS........................................... 31 Gathers, Justin ............................................ 1,44 Caulfield, Jon, DDS......................................... 48 Cavanaugh, Mark, DDS DMD.........................48 Cea, Richard, DDS......................................... 16 Chamberlin, Christopher, DDS.......................... 8 Chambers, Alvin, DDS DMD........................... 57 Chang, Michael, DDS DMD PC ........................ 3 Charity, Ronald ............................................... 16 Chavez, David, DDS....................................... 45 Chavez, Manuel, DDS.................................... 25 Chawla, Neha, DDS DMD ............................... 60 Chawla, Prathima, DDS.................................... 3 CHC Clinica Campesina Family ...................... 60 Chc Dental Aid ...................................... 8, 51, 52 CHC Denver Health Westside D ..................... 25 Chc High Plains Community He ...................... 47 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 1* 82 • • • Chc Loveland Community Healt...................... 53 Chc Plan De Salud...... 10, 23, 34, 35, 37, 51, 60 CHC Uncompahgre Medical Cent ................... 55 Chen, William S............................................... 25 Chernoff, Kenneth, DDS ...........................25. 38 Chien, Shih, DDS............................................ 60 Childress, Frank, DDS.................................... 57 Childress, Kenneth, DDS................................ 57 Chinni, Asha, DDS.......................................... 13 Chiovitti, Nicholas, DDS.................................. 62 Choe, Chiyon, DDS............. 3, 16, 25, 40, 57, 60 Choi, Jack, DDS....................................... :...... 62 Choi, Seong-Hee, DMD.................................. 56 Cholfin, Stuart, DDS.......................................... 3 Christ, Kevin, DDS DMD................................. 13 Christiansen, Bart, DDS.................................. 13 Christiansen, Daniel, DDS .............................. 64 Christiansen, Edwin, DDS ............................... 17 Christiansen, Harold, DDS................................ 4 Christiansen, Richard, DDS ...................... 17,48 Christophe, John, DDS................................... 25 Cimino, Michael, DDS..................................... 17 Ciner, Sheldon, DDS PC.................................25 Clair, Preet, DDS::...........................................25 Clark, Bruce, DDS...............................!...........35 Clark, Warren, DDS........................................ 35 Clear, Sheryl, DDS...................................... 4,56 Clement, Charles, DDS...................................25 Clifton, Brett, DDS...........................................39 Coats, Brian, DDS........................................... 51 Coats, Frederick, DDS.................................... 51 Cockrell, Ronald, DDS.................................... 17 Coffee, Paula .................................................... 1 Colbert, Elbert, DDS..........................................8 Colledge, Heath, DDS.....................................38 Collett, Miles, DDS.......................................... 25 Collins, Claire, DDS DMD................................. 4 Collins, David, DDS.........................................45 Collins, Lawrence............................................25 Collinsworth, Phillip ................................... 31.44 Collinsworth, Phillip, DMD ............................... 10 Colvin, Douglas, DDS..................................... 17 Combes, Craig, DDS....................................... 54 Community Dental Clinic Chc.......................... 54 Concialdi, Ron, DDS....................................... 57 Connolly, Mary .................................... 17, 40, 57 Connolly, Mary, DDS................................... 4, 25 Connor, Donald, DDS DMD ............................25 Connors, Charles, DDS...................................25 Cook, Mark, DDS PhD .................................... 12 Coombs, Alan, DDS........................................ 25 Cope, George, DDS........................................ 10 Cope, Thomas, DDS....................................... 33 Corbett, Byron, DDS....................................... 39 Corbett, James, DDS...................................... 39 Corcoran, Paul, DDS.......................................62 Corley, William, DDS.......................................57 Corson, George, DDS..................................... 50 Cortese, Kathleen, DDS.................................. 56 Cory, Kenneth, DMD....................................... 54 Cosaert, Corrinn, DDS.................................... 52 Costa, Benjamin, DDS.................................... 55 Couchman, Donald, DDS................................ 17 Countryman, Joey, DDS................................. 42 Covello, Eugene, DDS.................................... 12 Cowen, Neil, DDS........................................... 33 Cox, Brian. DDS..............................................35 Cox, Don, DDS................................................64 Cox, Vallory, DDS............................................. 1 Craig, James, DDS........................................... 4 Craiger, John, DDS......................................... 25 Craven, Dustin, DMD................................ 10.25 Crawford, Jerry, DDS...................................... 13 Creal, Stephen, DDS.......................................35 Creer, Lorin, DDS............................................48 Crichlow, Kenneth, DDS................................. 25 Crisler, Steven, DDS DMD .............................. 17 Crockett, Olen, DDS........................................45 Croghan, Thomas, DDS.................................. 25 Cubillos, Constanza, DDS...............................62 Delta Dental Premier Cuin-Parker, Jazmin, DDS .............................. 60 Cullum, Arnold, DDS................................. 17.25 Cushing, Bryce....................4, 17, 25, 40, 57, 61 Cutler, Richard, DDS................................. 17,55 D Hondt, Eric ................................................... 42 Dahler, Bryan, DDS PC ................................... 64 Daiss-Ehrhard, Pamela, DDS ......................... 56 Damico, Nick.....................................................4 Daniel, Thomas, DDS....................................... 4 Danna, Charles, DDS...................................... 48 Danzer, Kimberly, DDS DMD..........................62 Dasilva, Ricardo .................. 4, 17, 25, 40, 58, 61 Daugherty, David, DDS...................................48 Daurio, Ronald, DDS....................................... 58 Davies, Kristi, DDS.......................................... 17 Davis, Jack, DDS............................................ 59 Davis, Philip .................................................... 55 Davis, Robert, DDS DMD................................ 58 Davis, Rusty, DDS.......................................... 12 Davis, Ryan ..................................................... 39 Davis, Walter, DDS........................................... 8 Davis, William, DDS........................................ 10 Dawson, Kevin, DDS........................... 47, 48, 60 Day, Brian, DDS.............................................. 55 Dayn, Ilya .................................................. 25,50 DeLong, Gary ................................................... 1 De, Emmanuel Paz, LA ..................................... 8 Deal, Thomas, DDS.................................. 25,34 Dean, Mark, DDS.............................................. 1 Decino, Patricia, DDS..................................... 45 Deeg, Deborah, DDS........................................ 4 Deeg, Miles ....................................................... 4 Degarmo, Aaron, DDS...................................... 8 Delapp, Helen, DDS........................................42 Delapp, James ................................................ 42 Deloian, Robert ............................................... 48 Demaray, Robert, DDS................................... 62 Demarco, Richard, DDS..................................62 Dembitsky, Stephen, DDS .............................. 59 Denver Health Bannock De Chc ..................... 25 Denver Health Eastside D Chc ....................... 25 Derby, Erica, DDS........................................... 61 Derose, Louis, DDS........................................ 64 Dertien, Donald, DDS...................................... 17 Deschene, James, DDS.................................... 8 Desimone, D, DDS.......................................... 12 Dewitt, Michael, DDS MA ................................ 25 Dial, Dustin, DDS DMD................................... 17 Dial, Richard, DDS.......................................... 45 Digiorgio, Robert ............................................. 25 Digiorgio, Robert, DDS.................................... 56 Dildine, John, DDS.......................................... 53 Dilizia, Camillo, DDS DMD................................4 Dillabaugh, Gary, DDS DMD........................... 45 Dilley, Steven, DDS...................... :.................. 35 Dinsmore, David, DDS.................................... 25 Diorio, Michael, DDS....................................... 33 Disse-Pfeifer, Scarlet ...................................... 13 Dixey, Kenneth, DDS...................................... 56 Dobbin, Monica, DDS...................................... 17 Dobbin, Richard, DDS..................................... 17 Dodgion, Earl .................................................. 59 Dodson, Anastasia, DDS................................ 64 Dodsworth, Paul, DDS.................................... 17 Doerhoff, Richard, DDS.................................... 4 Doherty, Michael, DDS.................................... 12 Doi, Bradley, DDS........................................... 25 Doida, Stanley, DDS....................................... 25 Dolores County Health As Chc ....................... 32 Donaghy, Frederick, DDS................................. 8 Doolittle, Charles, DDS DMD PC .................... 17 Dorsey, Ronald, DDS...................................... 33 Dost, James, DDS........................................... 42 Dougherty, Carrie, DDS DMD......................... 25 Dougherty, Michael, DDS.................................. 4 Douvas, George, DDS.................................... 43 Dowlati, Jina......................................................4 Dowlati, Jina, DDS.................................... 40,61 Downey, Ralph, DDS...................................... 58 Doyle, Bridget, DDS........................................ 58 Drake, Thomas, DDS...................................... 51 Drakulich, Daniel, DDS................................... 54 Drbohlav, Matthew .......................................... 43 Drescher, David .............................................. 43 Driscoll, Dennis, DDS................................11, 58 Driskill, Victoria ............................................... 55 Droskin, Craig, DDS........................................ 39 Druckman, Roger, DDS.................................. 25 Drury, Robert, DDS......................................... 17 Duey, Douglas, DDS....................................... 53 Duff, Joyce, DDS.............................................. 4 Dumke, Paul, DDS..........................................64 Dunker, Inna, DDS.......................................... 25 Dunkleberger, Elizabeth, DDS ........................ 42 Dunn, Christopher, DDS................................. 61 Dunn, David, DDS............................................. 4 Dunn, Jack, DDS............................................ 51 Duquette, Douglas, DDS........................... 25,48 Duran, Tomas, DDS........................................ 58 Durbin, Charles, DDS PC ............................... 17 Durbon, Lezli, DDS......................................... 48 Duvall, Daniel, DDS........................................ 45 Dwyer, Daniel, DDS........................................ 55 Dyches, Benjamin, DDS................................. 56 Dykes, Yuki, DDS......................................... 1,4 Dymerski, Daniel, DDS................................... 42 Eames, Owen, DDS........................................ 23 Ebner, Norman, DDS...................................... 64 Eckhardt, Bradley, DDS.................................... 3 Edlund, David, DDS.................................... 4,45 Edwards, Gerald, DDS DMD ............................. 4 Edwards, Walter, DMD................................... 42 Egbert, Hans, DDS......................................... 17 Egert, Terry, DDS........................................... 25 Ehrhardt, Mark, DDS....................................... 10 Ehtessabian, Jason, DDS................................11 Eich, James, DDS........................................... 32 Eivins, Scott, DDS........................................... 60 Elliott, Brian, DDS....................................... 1,25 Elliott, Robert, DDS.........................................65 Ellis, Dana, DDS PC ......................................... 1 Elmore, Spencer, DDS.................................... 37 Elsberry, Gary, DDS....................................... 62 Elson, Christopher .......................................... 45 Enea, Steven, DDS......................................... 17 Engel, Neal, DDS..............................................4 Engler, Frances, DDS..................................... 45 Erlander, Eric, DDS......................................... 17 Escala, Saul, DDS...................................... 4,45 Eto, Robert, DDS............................................ 13 Eurich, Steven, DDS....................................... 44 Evans, David ..................................................... 8 Evans, Douglas, DDS MS ............................... 17 Evans, Gary, DDS........................................... 35 Evans, Kevin, DDS PC ................................... 41 Evans, Raymond, DDS..................................... 4 Evanson, Angela ............................................. 56 Eyer, Robert ...................................................... 1 Fahmy, Sharon, DDS........................................ 4 Faktor, Michael, DDS DMD ............................. 23 Fanning, Cyrus, DDS PC .................................. 4 Farbod, Farhad, DDS DMD .............................. 4 Farley, Lynn, DDS........................................... 48 Farmer, Dale, DDS......................................... 25 Feeley, John ............................................. 25,61 Feeley, John, DMD......................................... 62 Feghali, Carl, DDS.......................................... 39 Feichtinger, Dale, DDS................................... 53 Feinberg, Joel, DDS.................................. 35.40 Fenton, Neal, DDS.......................................... 23 Fereydouni, Amir, DDS DMD .......................... 48 Ferguson, Ian, DDS DMD ............................... 62 Fermelia, Catherine, DDS ............................... 45 Ferrara, Nicole, DDS....................................... 53 Ferrell, Bonnie, DDS....................................... 25 Field, Gary, DDS............................................. 17 Filter, Jenny, DDS........................................... 59 Fischer, James, DDS...................................... 35 Fiscus, Andrew, DDS........................................ 8 Fisher, William, DDS MD ................................ 32 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 83 Delta Dental Premier Fitzgerald, Josefina, DDS ............................... 58 Fitzwater, Kevin, DDS..................................... 17 Fleischmann, David, DDS ............................... 10 Fleming, John, DDS DMD ............................... 17 Fletcher, Brian, DDS....................................... 39 Flood, Patrick, DDS.........................................45 Florez, Tania, DDS..........................................25 Flower, Brett, DDS PC ...................................... 1 Fogarty, Todd, DDS........................................ 17 Foley, Patrick, DDS PC ................................... 25 Ford, James, DDS.......................................4, 48 Ford, Michael, DDS...........................................4 Forney, William, DDS......................................40 Forti, Thomas, DDS........................................ 41 Foster, Cory, DDS...........................................35 Foutz, Nicole, DDS..........................................56 Fox, Troy, DDS............................................... 34 Francis, Lauren ......................................... 10,31 Franckum, James, DDS.................................. 53 Frank, Mark, DDS...........................................25 Franquemont, Michael, DDS..................... 14,48 Franz, Allen, DDS........................................... 53 Frederick, Christopher, DDS DMD....................8 Freimuth, Michael............................................40 Freimuth, Michael, DDS.................................. 64 Freimuth, Ronald, DDS................................... 56 Fresques, Gary, DDS PC ................................ 60 Frey, Ronnie, DDS.......................................... 25 Fridrich, Scott, DDS.......................................... 8 Friedl, Michele, DDS....................................... 41 Friedman, Mitchell, DDS................................... 1 Friedman, Mitchell, DDS DMD ........................ 44 Friedman, Stephen, DDS................................ 25 Frisbie, Kent, DDS.......................................... 17 Frisch, Michael, DDS........................................ 4 Fritz, Tiffany, DDS.......................................4, 45 Froning, Thomas, DDS................................... 48 Frost, Ryan, DDS............................................ 17 Fujita, Dana, DDS........................................... 60 Fuller, Dorothy, DDS....................................... 25 Fuller, Gilbert, DDS......................................... 39 Fulton, Laurel, DDS.........................................45 Furgason, Brian, DDS..................................... 45 Furuta, Nicole, DDS........................................ 25 Gable, James, DDS DMD ............................... 17 Gabler, Lawrence, DDS.................................. 25 Gadeken, Michael, DDS..................................39 Gaglione, Lee, DDS........................................ 39 Gall, Andrew, DDS.......................................... 39 Galyardt, Wesley, DDS................................... 35 Gan, Kim, DDS................................................45 Ganz, Neil, DDS DP ........................................ 60 Garbiso, Gilbert ................................................. 4 Garbiso, Gilbert, DDS..................................... 58 Garcia, Noralma, DDS PC ............................... 54 Gartland, Christopher, DDS ............................ 25 Gasper, Kenneth ............................................. 17 Gates, Pamela, DDS.......................................33 Gatseos, George, DDS..................................... 4 Geck, David, DDS........................................... 48 Gentile, Joseph, DDS...................................... 17 Geoghan, Randolph, DDS .............................. 17 George, Mark .................................................. 17 Georgescu, Ruxandra, DDS ........................... 17 Geraets, Galen, DDS...................................... 35 Gerathy, Albert, DDS DMD ............................. 55 Gerbholz, Alan, DDS....................................... 12 Gerry, Leroy, DDS........................................... 11 Geving, Anna, DDS.........................................56 Giammo, Lynn, DDS....................................... 11 Giannetto, Steven, DDS PC ............................58 Gibbs, Bryan, DDS..........................................26 Gibbs, Tamara, DDS.......................................62 Gilbert, Michael, DDS...................................... 17 Gill, Nancy, DDS............................................. 38 Gillespie, Andre ..................................... 4, 40, 61 Gillespie, Terri, DDS....................................... 56 Gillespie, Wayne, DDS.................................... 26 Gilliam, Jeffrey, DDS DMD................................4 Gilmore, Richard ............................................. 39 Gilmore, Shauna, DDS.................................... 14 Ginther, Stefan, DDS........................................ 4 Gitlin, Larry, DDS............................................ 48 Gittings, Anne, DDS........................................ 26 Givan, Carl, DDS............................................. 61 Glamm, Jayme, DDS........................................ 4 Glass, Walter, DDS......................................... 48 Glenn, Dewayne, DDS.................................... 26 Glenn, Falona, DDS.......................................... 4. Glenn, Gerald, DDS.......................................... 4 Glenn, Megan, DDS........................................ 26 Glucksman, Richard, DDS .............................. 45 Glueckert, Mylene, DDS.................................. 17 Goad, Richard, DDS DMD .............................. 38 Goding, Norman, DDS.................................... 53 Goff, Sabrina ............................................. 10,31 Goggans, James, DDS DMD .......................... 39 Gohl, Frederich, DDS...................................... 62 Gohl, Fredric ................................................... 62 Gohl, Fredric, DDS..........................................44 Gold, Frank, DDS PC......................................45 Goldfogel, Michael, DDS.................................41 Goldsmith, Andrew, DDS................................ 17 Golinvaux, Michael, DDS .......................... 26,50 Golomb, Sheldon, DDS................................... 17 Gomenyuk, Nina, DDS .............................. 10,26 Gomez, Jose, DDS.......................:................. 40 Goodrich, Jack ................................................ 12 Goral, Alan, DDS............................................. 48 Gordon, Charles, DDS.................................... 34 Gorsky, Michael, DDS PC ............................... 17 Gossenauer, Martin ............................... 4, 40, 61 Gottlieb, Stanleyj, DDS................................... 26 Gould, Steven, DDS.................................. 17.26 Gourley, Jefferson, DDS................................. 37 Grabiak, Guy, DDS DMD................................ 45 Grace, Leana, DDS.........................................45 Graf, Lindsey, DDS......................................... 26 Granger, Mark, DDS....................................... 45 Grant, James, DDS......................................... 17 Graves, Gary, DDS......................................... 58 Greany, Thomas, DDS.................................... 53 Green, Leon, DDS.......................................... 35 Green, Richard, DDS...................................... 14 Green, William, DDS......................................... 1 Green, Zachery, DDS...................................... 35 Greene, Craig, DDS PC .................................. 48 Greene, Jerome, DDS..................................... 14 Greene, Keira, DDS........................................ 56 Greenhalgh, Scott, DDS.................................. 45 Greenstein, Pen, DDS DMD ........................... 26 Greer, William, DDS........................................ 17 Groskopf, Nicklas.............................................. 8 Groskopf, Nickles, DDS.................................. 32 Grossman, Gregory, DDS ............................... 26 Grout, Jeffrey, DDS.........................................48 Grout, Ronald, DDS........................................ 48 Groves, Forrest, DDS........................................ 9 Gryzick, David, DDS...................................4, 48 Guerra, Catherine, DDS.................................. 17 Guerra, Frederick, DDS.................................. 17 Guido, Joseph ................................................. 35 Guido, Joseph, DDS....................................... 26 Gurman, Alan, DDS........................................ 26 Guyton, Sally, DDS......................................... 44 Haberstroh, Julie, DDS PC ............................... 4 Haddow, Kit, DDS........................................... 39 Haerr, Diana, DDS.......................................... 42 Haerr, Nathan, DDS........................................ 42 Hahn, Laura, DDS........................................... 26 Hakala, Catherine, DDS.................................. 26 Hakala, Joseph, DDS...................................... 26 Hale, Michael, DDS......................................... 56 Halek, Milena, DDS........................................... 9 Hall, Andrew ................................................ 4.58 Hall, Andrew, DDS.......................................... 17 Hall, Brandon, DDS......................................... 26 Hall, Dwayne, DDS......................................... 17 Hall, Kimra, DDS..............................................11 Hall, Kimra, DDS DMD.................................... 58 Hall, Randall, DO ............................................ 45 Hamblin, Robert .............................................. 40 Hamblin, Robert, DDS................................ 9.51 Hamidi, Eric, DDS........................................... 26 Hamidi, Mariam, DDS DMD ...................... 17, 37 Hamilton, Jeffrey, DDS DMD .................... 14,56 Hamilton, Warin, DDS DMD............................ 26 Hammon, Kenneth, DDS DMD ......................... 4 Hanchett, Jon, DDS DMD ............................... 26 Handelman, Richard, DDS.................... 4, 17, 50 Hanel, Brad, DDS DD..................................... 55 Hannon, Keith, DDS........................................ 26 Hanosh, Alison, DDS...................................... 12 Hansen, Danny, DDS...................................... 45 Hansen, Douglas, DDS................................... 54 Hansen, Jason, DDS...................................... 17 Hansen, Matthew, DDS.................................. 17 Hansford, Jarvis, DDS.....................................11 Hanson, Keith, DDS........................................ 33 Harman, Greg, DDS........................................ 56 Harman, Robert, DDS..................................... 39 Harmon, Frank, DDS...................................... 45 Harmon, Katherine, DDS................................ 40 Harris, Heather, DDS...................................... 26 Harris, Mark, DDS...........................................48 Harris, Michael, DDS...................................... 17 Harrison, Ashleigh, DDS................................... 4 Harrison, Jeffrey, DDS.................................... 17 Harrison, Patrick, DDS.................................... 35 Harrison, Richard, DDS.................................. 53 Harrison, Robert, DDS.................................... 35 Harsha, Bruce, DDS....................................... 32 Hartle, Sheila, DDS......................................... 33 Hartman, David, DDS..................................... 26 Harvan, J........................................................... 4 Harvan, John, DMD.......................................... 4 Harvan, Kristina.............................................. 45 Harvan, Kristina, DDS.......................................4 Harvey, Fred, DDS.......................................... 45 Harvey, Jonathan, DMD.................................. 57 Harvey, Richard, DDS.....................................48 Harvey, Shawn, DDS...................................... 23 Harvey, Thomas, DDS.................................... 35 Harwood, Phillip, DDS...................................... 9 Haschke, Douglas, DDS ........................... 35,53 Hasenauer, Corey ..................................... 12,33 Hasselback, Christopher, DDS ..... 17, 45, 48, 58 Hatch, Randy, DDS......................................... 40 Hatch, Royce, DDS......................................... 53 Hatzidakis, Melissa ......................................... 26 Hawkins, Darrell, DDS...................................... 4 Hayes, Paul, DDS........................................... 33 Haynes, Kent, DDS......................................... 32 Health Clinic Ihs Ignacio ................................. 43 Health District of North Chc ............................ 35 Hedrick, Adrienne ........................................... 51 Hedrick, David, DDS......................................... 4 Heidbreder, Jan .............................................. 12 Heiken, Jason, DDS PC .................................. 33 Heikes, Lloyd, DDS DMD................................ 40 Heil, Brian, DDS..............................................62 Heim, Jay, DDS.............................................. 38 Hein, Nicholas, DDS....................................... 41 Hein, Thomas, DDS........................................ 41 Heinicke, Courtney, DDS ............................ 8,32 Heiny, Christopher, DDS PC ........................... 64 Hekkert, Erik, DDS.......................................... 42 Helland, Eric, DDS.......................................... 65 Henderson, Scott, DDS................................... 56 Hendrickson, Brian, DDS................................ 64 Hendry, Robert, DDS...................................... 48 Hening, John, DDS......................................... 32 Hennegan, Paul, DDS ............................... 18,62 Herremans, Tamara, DDS .............................. 45 Herring, Dee, DDS.......................................... 51 Herzig, Laura .................................................. 53 Herzig, Laura, DDS................................9, 11, 51 Hickenlooper, Gary, DDS................................ 18 Higuchi, Christopher, DDS.................. 23, 47, 60 Hill, Anna, DDS............................................... 18 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 84 Delta Dental Premier Hill, Daniel, DDS.............................................32 Jeffers, Janis, DIVID ............................... 5, 12.26 Kelliher, Joseph, DDS ..................................... 51 Hill, Doxiades, DDS......................................... 37 Jenkins, Jesse, DDS....... :........................ .........1 Kellogg, Bradley, DDS.................................... 10 Hill, Elizabeth, DDS......................................... 48 Jennings, Thomas, DDS................................. 18 Kellogg, Michael, DDS.................................... 51 Hill, Jonathan, DDS......................................... 37 Jensen, Douglas ............................................. 51 Kellow, Hiba, DDS.......................................... 34 Hill, Todd, DDS............................................... 59 Jenson, Colleen, DDS DIVID ............................ 18 Kelly, Brian, DDS............................................ 61 Hines, John, DDS............................................47 Jepsen, Neal, DDS .......................................... 55 Kelson, Duane, DDS ....................................... 52 Hirschman, Wade, DDS..............................4, 33 Jeranko, Stanley, DDS .................................... 62 Kempers, Gregory........................................... 26 Hoag, David, DMD.......................................... 26 Jimenez, Rossynet, DDS.................................. 1 Kempers, Gregory, DDS ..................... 47, 56, 60 Hoang- Xuan, Khiem....................................... 48 Joesaar, Harald, DDS....................................... 1 Kempton, Cindy, DDS..................................... 49 Hoang, Hang, DDS.........................................49 Johnsen, Curtis, DDS ...................................... 45 Kendig, Robert, DDS...................................... 33 Hoang, Huyen, DDS.................................... 4.26 Johnson, Branon............................................. 47 Kennedy, James, DDS MD ............................. 32 Hobbs, Donald, DDS.......................................49 Johnson, Branon, DDS................................... 18 Kenny, Kraig, DDS .......................................... 57 Hoch, Donald, DDS.........................................26 Johnson, Brock, DDS ...................................... 65 Kern, James, DDS.......................................... 45 Hoeft, Paul, DDS............................................. 14 Johnson, Bruce, DDS ... ................................... 45 Kessler, Mark, DDS........................................ 34 Hoerner, Terry, DDS....................................... 51 Johnson, Bruce, DDS MD DMD...................... 49 Khalil, Tara, DDS............................................ 18 Hoffman, Geffory, DDS................................... 61 Johnson, Carl, DDS........................................ 32 Khatri, Avani, DDS.......................................... 26 Hohert, Chandra, DDS DMD ........................... 26 Johnson, Charles, DDS............................. 40,49 Kheir, Ahmed, DDS DMD ........................... 5,52 Holden, Philip, DDS........................................ 58 Johnson, Collis, DDS...................................... 26 Khmil, Larisa, DDS ........................................ 1,5 Holden, Robert, DDS........................................ 9 Johnson, Corey, DDS..................................... 38 Kids In Need Of Dentistr ............... 18, 23, 26, 45 Holderbaum, William, DDS .............................. 18 Johnson, David, DDS ...................................... 18 Killingsworth, Yvette, DDS .............................. 56 Holderness, Harold, DDS................................ 56 Johnson, Erin, DDS ......................................... 65 Kilroy, Thomas, DDS PC ................................ 26 Holecek, Andrew, DDS..................................... 9 Johnson, Glenn, DDS..................................... 39 Kim, David, DDS............................................. 49 Holloman, Irene, DDS..................................... 37 Johnson, Jamie, DDS..................................... 58 Kimmelman, Seth, DDS.................................. 18 Holmes, Caron, DDS......................................... 1 Johnson, Jay, DDS DMD................................ 57 Kinard, Mark, DDS.......................................... 63 Holmes, Daniel, DDS...................................... 35 Johnson, Jeff, DDS......................................... 37 Kinder, Bruce, DDS ........................................... 5 Holmes, James, DDS........................................ 1 Johnson, Jolly, DDS ........................................ 51 Kingsford, Daniel, DDS ................................... 18 Holsteen, Daniel, DDS DP .............................. 18 Johnson, Leslie, DDS ...................................... 35 Kingsley, Monty, DDS......................................11 Horn, Phillip, DDS............................................. 4 Johnson, Phillip, DDS..................................... 61 Kinkade, Donald, DDS.................................... 40 Hood, Steven, DDS DMD................................ 53 Johnson, Roy, DDS DMD PC ......................... 45 Kinkade, James, DDS ............................... 26,40 Hook, Mark, DDS........................................ 9, 51 Johnson, Scott, DDS ....................................... 49 Kirchner, Thomas, IDDS .................................. 26 Hopfensperger, Stephen, DDS ................. :..... 14 Johnson, Stephen, DDS .................................. 39 Kirk, Roderic, DDS .......................................... 40 Horiuchi, Paul, DDS.......................................... 4 Johnson, Trevor, DDS DMD ........................... 56 Kish, Michael, DMD.......................................... 1 Horn, Gary, DDS............................................. 18 Johnston, Douglas, DDS ................................. 39 Kissinger, Mary, DDS ...................................... 42 House, Mark, DDS.......................................... 11 Johnston, Jeffery, DDS................................... 26 Kissinger, Scott, DDS..................................... 49 House, Mark, DDS DMD................................. 58 Johnston, Ronald ............................................ 15 Klein, Joel, DDS.............................................. 18 Houser, Jamin, DDS .............................4, 12, 57 Johnston, Ronald, DDS ................................... 35 Klein, Mark, DDS............................................ 45 Houser, Javan, DDS................................. 11,61 Johnston, Samantha ....................................... 35 Klekamp, David, DDS..................................... 27 Howard, Brian, DDS.......................................... 9 Johnston, Samantha, DDS.............................. 35 Klingener, Elyse, DDS DMD ........................... 32 Howell, Bruce, DDS DMD ............................... 34 Johnstone, Dennis, DDS DIVID ........................ 54 Kloehn, Richard, DDS ..................................... 45 Hubbell, Makala, DDS..................................... 26 Jolly, Ankur, DDS............................................ 63 Klumb, Thomas, DDS..................................... 49 Hubble, Gregory, DDS.................................... 49 Jolstad, Mark, DDS................................... 26,49 Kneale, Evan ................................................... 63 • Hudson, Dale, DDS......................................... 26 Jones, Brandt, DDS........................................ 12 Kneale, Evan, DDS......................................... 63 Hudson, Matthew ............................................ 39 Jones, David, DDS .......................................... 55 Knecht, Alexander, DDS................................. 35 Hulse, Gary, DDS.............................................. 9 Jones, Jeanice, DDS ....................................... 26 Knecht, Nathaniel, DDS.................................. 35 Humbargar, David, DDS.................................45 Jones, Kristin, DDS ................................... 14,49 Knechtel, Kurt, DDS ........................................ 52 Humphrey, Stephen, DDS ............................... 61 Jones, Kristin, DDS MSW ............................... 45 Kneller, Timothy, DDS...................................... 5 Humphreys, Roger, DDS................................ 18 Jones, Michael, DDS ....................................... 40 Knight, Preston, DDS ........................................ 8 Hunter, Gregory ..............................................39 Jones, Natalie, DDS .................................. 18,58 Knott, Kenneth, DDS ....................................... 54 Hurd, Mark, DDS............................................. 58 Jones, Randall, DDS ....................................... 60 Knowlton, Anthony, DDS................................ 58 Hurd, Richard, DDS........................................39 Joo, Nelson, DMD............................................. 5 Koch, Richard, DDS ........................................ 27 Hurst, Jeffery, DDS......................................... 45 Jordeth, William, DDS..................................... 18 Kochevar, Casey, DDS................................... 52 Huser, Rebecca .............................................. 26 Jorgensen, Amy, DDS ........................... 5, 26, 40 Koditek, Edward, DDS.................................... 18 Huskey, David, DDS.......................................26 Jorgensen, Thomas, DDS ................................ 11 Koehler, Steven .............................................. 35 Hutchins, Nadine, DDS................................... 39 Jungman, Gregory .............................. 10, 31, 44 Koff, Robert, DDS DMD.................................. 18 Hutchinson, Larry, DDS.................................. 26 Justus, John, DDS...................................... 5,33 Kofford, Michael .............................................. 58 Hutchison, Brian, DDS.................................... 62 Kaes, Jeffrey, DDS .......................................... 26 Kohlmeier, Randall, DDS.................................. 1 Ignatieff, Nataliya............................................ 26 Kaines, Joel, DDS........................................... 35 Kollar, Mark, DDS..................................... 18,35 Ikeda, Jana, DDS.............................................. 9 Kalhorn, Jim, DDS ........................................... 18 Kolz, Arlene, DDS........................................... 18 Inner City Health Center Chc .......................... 26 Kallio, Jennifer, DDS....................................... 53 Komanduri, Krishna, DDS................................. 5 Ipson, Jerolyn, DDS........................................ 14 Kalra, Gunjan, DDS ........................................... 5 Kondratenko, Andrey, DDS............................. 40 Irick, Bruce, DDS.............................................55 Kammer, Thomas, DDS .................................. 51 Koo, David, DDS ............................................. 27 Isaacs, Christine, DDS.................................... 14 Kampfe, Tom, DDS......................................... 14 Korosciel, Malgorzata, DDS ............................ 63 Israelson, Michael, DDS..................................53 Kanchanlal, Vikash, DDS DIVID ................. 12,58 Kottenstette, Jennifer, DDS ............................ 58 Ito, Richard, DDS............................................ 26 Kang, Ruth, DDS ............................................. 26 Kraft, Brian, DDS...................................... 52,60 Jabour, Dorienne, DDS................................... Jackson, Darrell, DDS....................................... 1 1 Karami, Ardavan, DDS ...................................... Karaskevicus, Jennifer, DDS .......................... 5 26 Krainik, Gregory, DDS .............................. Kramer, Jeffrey, DDS ...................................... 61,63 35 Jackson, Stephen, DDS..................................42 Karden, Steven, DDS ........................................ 5 Kramer, Steven, DDS..................................... 35 Jacobs, Naomi, DDS....................................... 35 Karla, Mark, DDS DIVID ................................... 23 Krannawitter, Jeff, DDS.................................. 45 Jacobson, David, DDS.................................... 39 Kassmel, Summer, DDS................................. 32 Krannawitter, Jeffrey, DDS ............................... 1 Jaffee, Mark, DDS.............................................9 Kattaura, Roopindar.......................................... 5 Krause, Rhonda, DDS.................................... 53 Jagger, William, DDS...................................... 58 Kaufmann, Stephenie ...................................... 65 Kreider, Beth, DDS......................................... 27 Jakubanis, Terrence, DDS .............................. 32 Kawakami, Sam, DDS ..................................... 45 Krieger, George, DDS ......................... 32, 47, 60 James, Sue, DDS............................................ 61 Kawano, Richard, DDS................................... 26 Kron, Robert, DMD......................................... 40 Jamison, Nicholas, DDS.................................40 Kawasugi, Kai, DDS .................................. 26,63 Kruglet, Neil, DDS ............................................. 5 Janda, Matthew, DDS..................................... 60 Kearney, James, DDS ..................................... 18 Krum, Nelson, DDS ..................................... 9, 18 Jaques, Ronald, DDS...................................... 33 Kearney, John, DDS....................................... 12 Kuljis, Lawrence, DDS 41 Jarvis, Byford, DDS......................................... 11 Keeler, Beverly, DDS ...................................... 34 .................................... Kunstadter, Karl, DDS ......................... Jebril, Hanaa, DDS......................................... 44 Keene, Gregory, DDS DMD ............................ 44 Kupka, Carolyn, DDS DMD 9 Jefferies, Robert, DDS.................................... 55 Keller, Brian, DDS........................................... 18 ................. Kurth, Jenniifer................................................ .............. 32 Jeffers, Janis ................................................... 60 Keller, Tracie, DDS......................................... 18 Kurtz, Susan, DDS .......................................... 27 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 85 Delta Dental Premier Kwon, Justin, DDS...................................... 5, 11 Kwon, Michelle................................................27 Kwon, Michelle, DMD...................................... 56 Lacey, William, DDS....................................... 32 Lacouture, Cary ...............................................37 Lacouture, Cary, DDS..................................... 56 Lacy, Edward .................................................. 53 Lacy, Rosalinda, DDS..................................... 44 Ladd, Stanley, DDS.........................................52 Lage, Gregg, DDS........................................... 27 Lahr, Kenneth, DDS........................................ 55 Lai, Pearl.........................................................45 Lai, Pearl, DDS............................................... 49 Lake City Dental Clinic Chc ............................. 44 Lamb, Daniel, DMD......................................... 18 Lamoreaux, Jarom.......................................... 18 Lamoreaux, Jarom, DDS.................................55 Lampert, Jodi, DDS......................................... 14 Lander, Todd, DMD........................................... 5 Langenfeld, Brian, DDS.................................... 5 Langereis, Arthur, DDS................................... 34 Langley, Donald, DDS................................. 1,27 Lanzisera, Paul, DDS DMD ............................. 18 Larsen, David, DDS........................................ 39 Larson, Craig, DDS......................................... 33 Larson, Michael, DDS..................................... 34 Larson, Robert, DDS.........................................5 Latteier, Philip, DDS........................................ 39 Lauder, Kenneth, DDS.................................... 45 Laudert, Suzanne, DDS.................................. 42 Law, Steven, DDS..................................... 27,50 Lawler, Michael, DDS......................................50 Lawrence, Bryce, DDS.................................... 18 Lawrence, Jagger, DDS.................................. 18 Lawson, Mark, DDS.......................................... 5 Laycock, Stephen, DDS.................................. 18 Le Huan Cue, Richard, DDS ....................... 5, 45 Le, Nickie........................................................27 Le, Tina, DDS..................................................64 Lecavalier, Ross, DDS.................................... 63 Lee, Andy, DDS................................................ 5 Lee, Bruce ................................................... 5,60 Lee, Bruce, DDS............................................. 14 Lee, Christina, DDS........................................ 27 Lee, Curtis, DDS DMD.................................... 50 Lee, Jennifer, DDS.......................................... 64 Lee, Kye, DDS................................................ 27 Lee, Monique, DDS DMD................................43 Lee, Tommy, DDS............................................. 5 Legg, Paul, DDS DMD.................................... 27 Lehrer, Lawrence, DDS...................................37 Le-Huan-Cua, Christopher, DDS....................... 5 Leins, Leo, DDS.............................................. 50 Lemke, Timothy, DDS....................................... 5 Leone, Edward, DDS...................................... 27 Lepera, Rachel ................................................ 56 Lepera, Rachel, DDS...................................... 45 Lesch, Halee, DDS..........................................61 Levasseur, Dennis, DDS................................. 18 Levin, Alan, DDS.............................................27 Levin, Brett, DDS DMD................................... 27 Levos, Kenneth, DDS...................................... 34 Lewis, Jonathan, DDS.....................................63 Ley, John, DDS............................................... 18 Liberman, Adam, DDS DMD ...........................49 Light, Todd, DDS............................................. 27 Ligon, Richard, DDS.......................................40 Limpede, Bogdan, DDS..................................45 Lind, Stace, DDS DMD................................... 14 Lindman, Mika], DDS................................ 35,53 Lindsay, Scott, DDS DMD ............................... 14 Link, Michael, DDS..........................................27 Linkow, Ronald, DDS...................................... 27 Linn, Stephen, DDS........................................ 23 Liontas, Christopher ........................................ 18 Liontas, Christopher, DDS .............................. 18 Lipe, Carl, DDS............................................... 27 Littman, Edward, DDS DMD............................ 34 Liu, James, DDS............................................... 5 Lodes, Gene, DDS.......................................... 18 Lodi, Jeffrey ..................................................... 27 Lodi, Jeffrey, DDS............................................. 1 Lodwick, Sunshine, DDS................................. 60 Loe, Kimbal, DDS............................................. 5 Loewen, Rebecca ..................... 5, 18, 27, 40, 61 Loewen, Rebecca, DDS.................................. 58 Logan, Sara, DDS..................................... 12,14 Logelin, Michael .................. 5, 18, 27, 40, 58, 61 Long, Howard .................................................. 38 Long, Kyle, DDS.............................................. 27 Long, Lance, DDS...........................................45 Longo, Norma, DDS DMD ............................... 18 Look, Kim, DDS............................................... 18 Looze, Richard, DDS........................................ 5 Loper, Darlyne, DDS DMD..............................49 Lopez, Avery, DDS..........................................45 Lopez, Sergio .................................................. 27 Lorenz, Robert, DDS.......................................53 Losacco, Thomas, DDS.................................. 38 Loustalet, Lorraine, DDS................................. 59 Lovato, Elosia..................................................45 Lovato, Matthew, DDS.................................... 18 Lovato, Michael, DDS..................................... 18 Love, William, DDS......................................... 49 Lovejoy, Christian, DMD................................. 18 Lovejoy, Peter, DDS........................................ 18 Loveland, Douglas, DDS................................. 23 Lowe, Derek .................................................... 39 Lowery, Teresa, DDS...................................... 27 Luce, William, DDS......................................... 64 Lucero, Orlando, DDS PC ............................... 18 Ludden, William ............................................... 63 Luhrs, F........................................................... 10 Lunders Scott, Jennifer ................................... 27 Lundy, Brooke..................................................11 Lunn, George, DDS......................................... 32 Lutskiy, Aleksandr, DDS DMD ........................ 63 Lutskiy, Aleksandr, DMD.................................45 Lybrook, Carol, DDS....................................... 37 Lybrook, Scott, DMD....................................... 37 Lydiatt, John, DDS.......................................... 18 Lyons, Juliann, DDS........................................ 27 Mack, Eric, DDS..............................................43 Mackie, William................................................11 Madden, Robert, DDS.....................................49 Madden, William, DDS.................................... 27 Madison, Mark, DDS....................................... 39 Madlang, Cesar, DDS ............................... 27.46 Maes, Leroy, DDS........................................... 27 Maguire, Richard, DDS................................... 32 Mahoney, Ronald, DDS.................................. 64 Maier, Thomasr, DDS......................................11 Majors, Kelsey, DDS........................................ 1 Makowski, James, DDS.................................. 27 Malivuk, Michael, DDS.................................... 18 Maloy, Shawn, DDS.................................... 5,49 Mangle, James, DDS...................................... 35 Mangold, Anne, DDS...................................... 55 Manh, Katie, DDS........................................... 27 Maniatis, James, DDS..................................... 27 Maniatis, Peter, DDS....................................... 27 Mankin, Julie, DDS...................................... 5, 27 Mann, Jon, DDS.............................................. 32 Manos, Erik, DDS............................................ 27 Manshadi, Davood, DDS ............................. 5,46 Manske, Jennifer, DDS................................... 46 Mantanona, Clarisa, DDS ............................... 18 Marchbanks, Sara, DDS................................. 46 Mardis, Donald, DDS...................................... 27 Marillac Dental Clinic Chc ............................... 39 Markle, Thomas, DMD.................................... 23 Marlowe, Mark, DDS....................................... 27 Marogil, Hani, DDS DMD.................................11 Marr, Kami, DDS............................................. 41 Marr, Kevin, DDS............................................ 41 Marron, Bruce, DDS........................................37 Marschner, Thomas, DDS..................... 1, 27, 63 Marshall, Carol, DDS...................................... 18 Marshall, Kevin, DDS...................................... 46 Marshall, Kimberly, DDS................................... 5 Martin, Donovan, DDS ..................... Martin, Mike ..................................... Martin, Roy, DDS ............................. Martin, Sarira, DDS.......................... Martin, Steven, DDS ........................ Martin, Timothy, DDS....................... Martinez, Daniel, DDS ..................... Martinez, Efren, DDS DMD.............. Martinez, Lyda, DDS........................ Martinez, Mario, DDS....................... Martinich, Robert, DDS .................... Martinson, Sharlene, DDS ............... Manx, Charles, DDS ......................... Massey, Britny, DDS........................ Masterson, Timothy, DDS ................ Masthay, Robert, DDS DMD........... Mastin, Jessie, DDS........................ Mate, Duane, DDS.......................... Mata, Lyndon, DDS......................... Materon, Juan, DDS ....................... Matsui, Thomas, DDS..................... Matthes, Jon, DDS.......................... Matthews, W, DMD ......................... Maurer, Amber, DDS ...................... Maurer, Casper, DDS ..................... Maurer, James, DDS ...................... Maxwell, Traver, DDS DMD............ Mayo, James, DDS ......................... Mazzola, Christopher ...................... McAdams, Lee ................................ McArthur, Bruce, DDS .................... McArtor, Shivaun, DDS................... McArtor, Steven, DDS..................... McAuliffe, Kevin, DDS..................... McCarty, Cheryl, DDS..................... McCarty, Robert, DDS .................... McClure, Patrick, DDS .................... McCreight, Wendy, DDS................. McCulloch, Edward, DDS ............... McDill, Michael, DDS ...................... McDonald, Robert, DDS DMD ........ McGinty, Eileen, DDS MD .............. McGlashan, William, DDS.............. McGuffey, Corte, DDS ................... McIntosh -Ault, Kareen, DDS.......... McIntyre, Peter, DDS ..................... McKinley, Brock, DDS.................... McCarty, Forney, DDS ................... McMurtrey, Lonnie, DDS................ McNamara, Thomas, DDS ............. McNeely, William, DDS.................. McVeigh, Adam .............................. McWilliams, Kelli, DDS................... Medaugh, Peter, DDS DMD........... Mediavilla, Eric, DDS ..................... Mehlhoff, Christopher, DDS ........... Meister, Robert, DDS ..................... Mejia, Eva, DDS ............................. Mellor, Craig, DDS ......................... Mertz, Guy, DDS............................ Mertz, Peter, DDS .......................... Metropolitan Community P............. Meyer, Marvin, DDS PC ................. Meyer, Robert, DDS DMD.............. Meyer, Roger, DDS........................ Meyer, Sarah, DDS........................ Michaels, Polly, DDS DMD ............ Mickelson, J, DDS.......................... Mickens, Kenneth, DDS................ Micklin, David, DDS ...................... Milausnic, Michael, DDS ............... Millea, John, DDS ......................... Miller, Abraham, DDS ................... Miller, Andrew, DDS PC ................ Miller, Bryan, DMD........................ Miller, Charles, MD ....................... Miller, Derek, DDS ........................ Miller, Eric ..................................... Miller, Jamison, DDS DMD ............................. Miller, Michael, DDS....................................... 38 ................. 9 ............... 39 ............... 55 ............... 49 ............... 43 ............... 56 ............... 18 ............... 46 ............... 27 ............... 27 ......... 43.49 ............... 54 ............... 55 ... 18, 19, 57 ............... 14 ............... 63 ............... 19 ........... 1,27 ............11 11 .................. 1 ................ 46 ................ 19 ................ 19 ................ 39 ................ 39 ................ 52 .................. 5 .................. 1 ................ 19 ................ 13 ................ 46 ................ 53 ................ 53 ................ 27 ................ 53 ................ 52 ................ 61 .......... 23,60 ................ 19 ................ 35 .................. 5 ................ 46 ................ 46 ................ 41 ................ 27 ................ 19 ................ 34 ................. 19 ................. 63 ................. 19 ........... 43,46 ................. 27 ................. 19 1 ................. 37 ................. 49 ................. 10 ................... 1 ................. 63 ................. 52 ................. 52 ................... 5 ................. 49 ................. 19 ................. 19 ................. 14 ................. 49 ................. 32 ................... 9 ................. 27 ................. 46 ................. 58 ................. 53 .................. 19 .................. 33 .................. 38 .................. 19 .................... 5 19 • ['A Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0 86 • Miller, Murray, DDS DMD................................ 31 Miller, Rodger, DDS.......................................... 5 Miller, Stacey, DDS.........................................41 Millward, Michael, DDS................................... 14 Milnor, Laura, DDS...................................... 5,35 Milos-Valstad, Pamela, DDS DMD ..................65 Milushev, Metodi, DDS DMD....................... 5, 14 Miner, Mason, DDS......................................... 32 Mingle, Michael, DDS........................................5 Minnis, Robert, DDS....................................... 14 Mioduski, Theodore ......................................... 53 Missirlian, Harutun, DDS MD .......................... 35 Mitchell, William, DDS.....................................34 Miyamoto, Paul, DDS........................................5 Mizoue, Paul, DDS..........................................63 Mjos, David, DDS DMD................................... 19 Mobley, James, DDS DMD ............................. 58 Mock, Gregory, DDS....................................... 19 Modrowski, Brian, DDS................................... 35 Moeller, Jeffrey, DDS...................................... 58 Moffitt, Bert, DDS............................................ 63 Mohelicki, Ania, DDS........................................ 9 Moll, Terry, DDS.............................................. 12 Mollner, Mark, DDS......................................... 19 Moncayo, Santiago, DDS................................27 Monfort Community Health Chc ......................41 Monroe, Kelly, DDS.........................................27 Montanez, Mario, DDS ........................ 19, 27, 41 Montano, Melissa, DDS .................. :... 19, 27. 41 Montano, Ronald, DDS ................... 5, 19, 27, 41 Montezuma County Public CHC...................... 23 Moore, Dwayne, DDS....................................... 5 Moore, Gregory, DDS..................................... 19 Moore, James, DDS........................................39 Moore, Steven ................................................. 37 Moran, Thomas, DDS DMD ............................ 39 Morehead, Jonathan, DDS................................ 1 Moreland, Jodie, DDS..................................... 49 Moreschini, Richard, DDS DMD...................... 58 Moreschini, Ronald, DDS................................58 Morgan, Vernon, DDS..................................... 31 Moroni, Michael, DDS..................................... 12 Morrill, Brent, DDS.......................................... 65 Morris, Rosana, DDS...................................... 43 Morrison, Eric, DDS DMD ............................... 38 Morrissey, Donald, DDS DMD......................... 19 Morrow, Carol, DDS........................................ 62 Morrow, Robert, DDS DMD .............................62 Mortensen, Andew.......................................... 35 Moser, Jeffrey, DDS.......................................... 1 Moses, James, DDS....................................... 27 Moss, Jack, DDS.........................................2. 60 Moss, Stewart, DDS........................................55 Mucci, Michael, DDS...................................:...36 Mueller, Ryan, DMD........................................ 11 Mulheran, Thomas, DDS............... 19, 27, 36, 53 Mullins, Rob, DDS........................................... 14 Mulvany, Damien, DDS DMD.......................... 33 Murcko, Laura, DDS........................................49 Murdoch, Richard, DDS.................................. 27 Murdock, Chad, DDS DMD ............................. 57 Murphy, Ciaran, DDS...................................... 36 Murphy, F, DDS................................................ 9 Murphy, Kathleen, DDS CSW ......................... 55 Murphy, Michael, DDS.................................... 36 Murphy, Robert, DDS......................................46 Murray, Aaron, DDS........................................ 62 Murray, John, DDS..........................................38 Murray, Rhett, DDS...........................................5 Murray, Robert, DDS....................................... 38 Murray, Stephen, DDS.................................... 27 Musanje, Lawrence ......................... 5, 28, 41, 61 Musolf, Melissa, DDS...................................... 19 Mussone, Christopher, DDS ........................... 19 Mutchler, Richard, DDS PC ............................. 19 Myers, Richard, DDS........................................ 9 Myers, Sere ..................................................... 14 Nack, Steven, DDS......................................... 56 Naiman, Ivan, DDS......................................... 42 Najjar, Ellias, DDS...........................................49 Delta Dental Premier Najjar, Tania....................................................61 Najjar, Tania, DMD............................................ 5 Nakamura, Ann, DDS........................................ 2 Nakamura, Michael, DDS.................................. 2 Naranja, Anthony ...................................... 28,55 Naranja, Anthony, DDS................................... 39 Nary, Timothy, DDS........................................ 10 Nassimbene, Bradley, DDS ............................ 28 Nassimbene, Raymond, DDS ......................... 33 Nassimbene, Robert, DDS .............................. 28 Neal, Cheri, DDS PC ....................................... 56 Neel, Janet, DDS................................ 19, 37, 65 Nelson, Brad, DDS.......................................... 39 Nelson, Donald .................................................. 5 Nelson, Donald, DDS...................................... 19 Nelson, James ................................................ 15 Nelson, Jeff, DDS............................................ 32 Nelson, Jonathan, DDS................................... 65 Nelson, Ruth, DDS..........................................50 Nelson, Ruth, DDS DR .................................... 14 Nelson, William, DDS...................................... 28 Nessel, Larry, DDS......................................... 33 Neumann, Daniel, DDS...................................65 Newcomb, Johnathan, DMD ............................. 2 Newman, Steven, DDS................................... 28 Newsome, Linda; DDS....................................44 Nguyen, Huy, DDS............................................ 5 Nguyen, Lan, DDS.......................................... 28 Nguyen, Phong, DDS...................................... 19 Nguyen, Quynh ................... 5, 19, 28, 41, 58, 61 Nichols, Richard, DDS................................ 8,46 Nicholson, Stephen, DDS................................. 8 Nickell, Phillip, DDS........................................ 14 Nicolette, John, DDS....................................... 33 Nicolosi, Patricia, DDS PC .............................. 14 Nielsen, Kurt, DDS.......................................... 14 Niemi, Thomas, DDS........................................ 2 Nishimura, Roger, DDS................................... 28 Noah, Jason, DMD.......................................... 38 Noble, Glenn, DDS.......................................... 37 Nordstrom, David, DDS................................... 53 Nordstrom, Walter, DDS................................. 28 Norrie, Daniel, DDS DMD ............................... 14 Norris, Garth, DDS.......................................... 33 Northen, Roger, DDS...................................... 36 Northwest Colorado Denta Chc ...................... 23 Novak, Samuel, DDS.......................................11 Novak, Scott, DDS DMD................................... 5 Novelen, Mark, DDS....................................... 33 Noyes, Michael, DDS...................................... 14 Nyvold, Thomas, DDS..................................... 46 Oakson, J........................................................ 42 Obana Dela Paz, Carmeliza, DDS .................. 28 Obeirne, Jacqueline ........................................ 46 Oberry, Shawn, DDS......................................... 2 Obrien, Robert, DDS....................................... 52 Ochoa, Margarita, DDS ............................... 5.46 Odowd, Cynthia...............................................46 Offerdahl, John, DDS DMD ............................. 46 Oja, Eugene .................................................... 34 Oldershaw, William, DDS................................49 Oldroyd, Todd, DDS DMD ............................... 49 Cleary, Joseph ................................................ 51 Oligmueller, James, DDS................................ 53 Olivier, Jonathan, DDS.................................... 61 Olsen, Brian .................................................... 23 Olsen, Lonnie, DDS........................................ 19 Olson, Dwight, DDS DMD ......................... 19,57 Olson, Richlund, DDS..................................... 14 Olson, Robert .................................................... 2 Omi, Sheldon, DDS DMD................................ 64 Oneal, Kelly, DDS........................................... 19 Oneill, Bradford, DDS................................ 33,60 Oneill, Kevin .................................................... 14 Oneill, Larry, DMD........................................... 56 Ontiveros, Michael, DDS.................................46 Oreskovich, Tony, DDS................................... 58 Ortegon, Gino, DDS DMD ............................... 58 Osborn, Angela ............................................... 51 Ouellette, Thomas, DDS................................. 28 Owen, Steven, DDS........................................ 32 Owens, Ronald, DDS...................................... 32 Owens, Timothy, DDS.................................... 36 Ozenbaugh, Brian, DDS................................... 5 Packer, Rachel ................................................ 10 Padula, Juli Ann, DDS.................................... 58 Paini, William, DDS......................................... 28 Paisley, Ian, DDS............................................ 10 Paison, Thomas, DDS.................................... 60 Palmer, Ronald, DDS...................................... 19 Palumbo, Glenn, DDS..................................... 46 Pantleo, Paul, DDS......................................... 38 Parascand, Michael, DDS ............................... 12 Pare, Henri, DDS............................................ 28 Pareja, ClaudeA, DDS.................................... 63 Parfitt, James, DDS DMD................................. 6 Parish, Dural, DDS.......................................... 63 Park, Alexander, DDS..................................... 63 Park, Michael, DDS MD .................................. 52 Park, Wonpyo, DDS........................................ 19 Parker -Smart, Janis ........................................ 46 Parkin, Ralph, DDS DMD................................ 19 Parkinson, Cynthia, DDS................................ 28 Parlet, Craig, DDS.......................................... 19 Parsons, Joseph, DDS...................................... 2 Passon, J.......................................................... 6 Pasternak, Mark, DDS.................................... 33 Paswaters, Stephanie, DDS ........................... 46 Patana, Curtis, DDS........................................ 23 Patrilla, Stanley, DDS..................................... 28 Patterson, Kendra, DDS DMD ........................ 28 Patton, Noel, DDS DMD................................. 19 Pavel, Margareta, DDS................................... 49 Payne, Randall(Randy), DDS ......................... 19 Peak Vista Community Hea ...................... 19,32 Peak, Douglas, DDS....................................... 19 Pechek, Ty ...................................................... 58 Pechek, Tyson, DDS....................................... 58 Peebles -Turner, Mary ......................................11 Penk, Stuart, DDS........................................... 28 Peppler, Michael, DDS DMD..................... 14,55 Peppier, Michael, DMD................................... 51 Perrett, William ................................................ 19 Perry, Stephen, DDS .............. 2, 6, 9, 28, 41, 52 Peters, Kenneth, DDS..................................... 43 Petersen, Michael, DDS.................................. 56 Petersen, Richard, DDS.................................. 56 Peterson, Andrea, DDS .............................. 2,63 Peterson, Bruce, DDS..................................... 10 Peterson, Jerry, DDS PC ................................ 31 Peterson, Tyr, DDS PC ..................................... 2 Petkova, Anastasia, DDS............................ 6,46 Petracek, Justin, DDS..................................... 63 Pettine, Eric, DDS........................................... 36 Pettus, John, DDS.......................................... 32 Pettyjohn, Catherine, DDS .............................. 43 Pfalzgraf, John, DDS...................................... 28 Pfeifer, William, DDS LLC ............................... 14 Pfister, Candace, DDS DMD........................... 37 Phi, Hanh, DDS............................................... 61 Phillips, James, DDS...................................... 46 Philson, Gregory, DDS... ................................. 58 Piaskowy, Jeffrey ............................................ 60 Pierson, Dianne, DDS..................................... 52 Pike, William, DDS.......................................... 34 Pinkner, Jay, DDS........................................... 52 Pitt, David, DDS.............................................. 53 Pixley, Thomas, DDS...................................... 36 Pizer, Scott, DDS............................................ 28 Plamondon, Thomas, DDS DID ....................... 19 Platt, Jeffery, DDS.......................................... 19 Plous, Michael ................................................. 46 Poczatek, Sharon, DDS.................................... 9 Podratz, Adam, DDS....................................... 19 Pohl, Raymond, DDS...................................... 49 Polidori, Brian, DDS........................................ 46 Polke, Kenneth, DDS PC ................................ 63 Pollard, George................................................11 Pollary, Kenneth, DDS.................................... 19 Pond, Thomas, DDS....................................... 34 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 87 Delta Dental Premier Pontarelli, William, DDS.................................. Poovey, John, DDS DMD................................ 46 39 Ricks, Bruce, DDS.......................................... Ridgway, Alan, DDS ........................................ 39 55 Sampath, Vidhyalakshmi, DDS ................. San Juan Basin Health De Chc ...................... 46,63 32 Porter, James, DDS........................................ Porter, Nicolas, DDS....................................... 49 23 Riegel, Mark, DDS DMD................................... Rieker, Bryan, DDS......................................... 2 55 Sanchez, Porforio, DDS.................................. Sanders, Cary, DDS PC ................................. 28 36 Porzio-Dilizia, Paulette, DDS DMD................. Posey, Russell, DDS.......................................36 38 Riesselman, Phillip, DDS.................................. Rikli, Thomas, DDS PC ................................... 6 20 Sanders, Nelson, DDS .................................... Sanders, Randall, DDS ..................................... 63 6 Posnick, Richard, DDS...................................... Pott, Thomas, DDS.........................................46 9 Rinaldi, Todd ................................................... Rinaldi, Todd, DDS......................................... 37 28 Sanderson, Stuart, DDS................................. Sandoval, Dean, DDS ..................................... 28 12 Potter, Brad, DDS............................................. Poulsen, Kenneth, DDS.................................... 6 9 Rinaldis, Patrick, DDS ..................................... Ringdahl, Mark, DDS...................................... 41 37 Sankaranarayanan, Srivalli ....................... Sankaranarayanan, Srivalli, DDS ............... 28,61 6.28 Powell, Charles, DDS...................................... Powell, David, DDS MD .................................. 34 38 Rippe, Christian, DDS ..................................... Ripplinger, David, DDS................................... 14 23 Santi, Richard, DDS PC .................................. Sathre, Richard, DDS..................................... 54 54 Powell, Jerald, DDS........................................41 Powers, Robert, DDS........................................2 Roach, Maureen, DDS .................................... Roach, Maureen, DDS DMD ........................... 51 28 Saunders, Robert, DDS DMD ......................... Saunders, Ryan, DDS ..................................... 58 23 Prajapati, Snahel, DDS DMD .......................... Prendergast, Patrick, DDS .............................. 46 14 Robbins, Braden, DDS .................................... Robbins, Kristin, DDS DR ............................... 28 28 Sauza, Juan, DDS.......................................... Scarffe, Charles, DDS ....................................... 52 2 Prentice, Brian, DDS....................................... Preston, James, DDS......................................49 54 Robbins, Roy, DMD........................................ Roberts, Dale .................................................. 20 31 Scarpella, Pasco, DDS................................... Scavuzzo, Frank, DDS .................................... 10 43 Probst, Scott, DDS.......................................... Probst, Travis, DDS........................................ 19 19 Roberts, Dale, DDS ................................... Roberts, Martin, DDS........................................ 28,44 9 Schaefer, Stephen, DDS ................................. Schaeffer, Teri, DMD...................................... 36 63 Pruett, Nicolas, DDS....................................... Puchalski, John, DDS.....................................61 19 Roberts, Tony, DDS ........................................ Robertson, Stephen, DDS............................... 58 28 Schafer, Jacqueline, DDS ................................ Schaffer, Joel, DDS.......................................... 11 9 Pucheril, Aneeta, DDS.................................... Pueblo Community Health Chc....................... 46 58 Robinson, David, DDS PC .............................. Robinson, Harold, DDS ................................... 58 46 Schaffer, Lisa...................................................11 Schaffner, Nathan, DDS................................. 65 Purinsh, Mary, DDS........................................ Pyne, Thomas, DDS....................................... 19 28 Robinson, T ............................................... Robinson, T, DMID ........................................... 14,46 61 Scheich, Jeffrey, DDS ..................................... Scheich, Stephanie, DDS ............................... 12 12 Pyo, Han, DDS DMD......................................... Quandt, John, DDS......................................... 6 28 Robison, Edmund, DDS.................................. Robison -Knox, Mary, DDS .............................. 36 20 Scheidies, Jennifer, DDS................................ Scherber, Joseph, DDS.................................. 52 64 Qui, Peter, DDS..............................................46 Quigley, John........................................6, 28, 55 Roby, Todd, DDS ............................................52 Rodgers, Charles, DDS ... 2, 6, 11, 20, 33, 46, 60, Schiffer, Stephen, DDS ..................................... Schindler, Joy, DDS ........................................ 1 14 Quigley, John, DDS......................................... Raab, Richard, DDS........................................ 60 36 63 Rodgers, James, DDS .............................. 23,28 Schleicher, David ............................................ Schluter, Craig, DDS ....................................... 39 12 Raabe, John, DDS.......................................... Radz, Gary, DDS............................................28 28 Rodrick, David, DDS............,.......................... Rodriguez, Leopoldo, DDS ............................. 14 20 Schneider, Debra, DDS.................................. Schneider, Walter, DDS .................................. 28 33 Raether, Gail, DDS......................................... Ragulsky, Ronald, DDS.................................. 33 58 Rodriguez, Melanie, DDS ................................ Rodriguez, Paul............................................... 58 20 Schoemaker, Jeane, DDS .............................. Schoemaker, Neil, DDS.................................. 37 37 Rahimpour, Navid, DDS.................................. Randolph, David, DDS.................................... 19 28 Rodriguez, Paul, DDS..................................... Roepe, Steven, DDS ....................................... 20 49 Scholes, Landis, DDS..................................... Scholz, Colleen ............................................... 14 36 Rankin, Jennifer And, DDS...............................6 Ranov, Boyan, DDS DMD ........................... 6,61 Rogers, Sterling, DDS ..................................... Rogers, William, DDS..................................... 20 20 Schonberger, Charles, DDS ............................11 Schope, Andrew, DDS.................................... 14 Ranta, George, DDS PC ................................. Ranta, Jeffrey, DDS DMD ............................... 37 37 Rogge, Cliff, DDS ............................................ Rohleder, Julia, DMD...................................... 52 20 Schope, Betty, DDS........................................ Schreiber, William, DDS PC ............................ 20 54 Ranucci, Andrew, DDS DMD .......................... 52 6 Rold, Trent, DDS ............................................. Rolfson, Matthew, DDS 46 12 Schrock, Theodore, DDS DMD....................... Schroeder, Timothy, DDS ............................... 60 46 Rasulov, Aziz.................................................... Rasulov, Aziz, DDS.........................................61 ................................... Rollow, John, DDS .......................................... 59 Schuler, Darrell, DDS ........................................ 6 58 Rathburn, Tara, DDS........................................ Rauk, Daniel, DDS.......................................... 9 34 Romig, Gregory, DDS....................................... Ronco, Ronald, DDS DMID .............................. 6 20 Schultz, R, DDS.............................................. Schulz, Kyle, DDS DP ..................................... 58 Rausa, Jana, DDS............................................ 6 Rones, Jonathan, DDS..................................... 6 Schwab, Michael, DDS DMD .......................... 28 55 Ray, Jason, DDS PC ................................. Ray, Veronica, DDS........................................36 28,33 Roper, Raymond, DDS..................................... Rosamsetty, Prathima ..................................... 9 58 Schwab, Tommy ............................................. Schwan, Steven, DDS.................................... 41 Rayl, Jeffrey, DDS MD .................................... Read, Terry, DDS...................................... 19 19,20 .Rossow, Eric, DDS .......................................... Rota, Joseph, DMID ......................................... 23 20 Schwartz, Marc, DDS ...................................... Schwartz, Timothy, DDS ................................. 28 28 Ready, Thomas, DDS..................................... Reardon, Daniel, DDS..................................... 58 54 Rotolo, Gary, DDS.......................................... Rotwein, Pamela, DDS................................... 28 28 Schwa rtzenberger, Danielle ............................ Schwerdt, Jenne, DDS .................................... 29 29 Reardon, William, DDS ............................. Rebber, David, DDS........................................33 62, 65 Roubal, Debbie, DDS PC ................................ Rowan, Matthew, DDS ................................ 20 6,28 Scott, Daniel, DDS............................................ Scriven, Clark, DDS PC .................................. 6 60 Reck, Diane, DDS PC ..................................... Reck, Steven 20 20 Rowe, Merril, DDS........................................... Rowlette, Michael, DDS.................................. 6 12 Secora, Carolyn, DDS ................................... SeoraGreg, DDS......................................... 61 4s ................................................... Redfearn, Ryan, DDS..................................... Redfearn, Trent, DDS 33 43 Royal, John, DDS ............................................ Ruff, Michael, DDS .......................................... 20 65 Secrist, Brian, DDS......................................... Segal, Brigitte, DDS........................................ 49 41 ..................................... Redford, David, DDS....................................... Redwood, William, DDS..................................23 28 Runnings, Steven, DDS PC ............................ Rush, Larry, DDS ............................................ 28 20 Sehy, Christina, DDS...................................... Seifert, Teniel, DDS DMID ............................... 46 23 Reed, Thomas, DDS....................................... Reiakvam, Per, DDS 33 28 Rush, Steven, DDS........................................... Russell, Sharon, DDS..................................... 6 28 Seiler, Conny, DDS......................................... Seiler, Stephen, DDS...................................... 29 20 ....................................... Reid, Douglas, DDS PC .................................. Rein, Gary, DDS............................................. 20 28 Rutherford, Jordan, DDS ................................. Ruvins, Edward, DDS....................................... 55 6 Sekiya, Floyd, DDS......................................... Sellers, Gary, DDS .......................................... 64 44 Reinicke, Mark, DDS PC.................................20 Repose, Ryan, DDS DMD............................... 37 Ryan, Michael, DDS ........................................ Ryan, Timothy, DDS....................................... 39 20 Sellers, R.......................................................... Selting, Wayne, DDS...................................... 6 20 Resnick, Mark...................................................6 Revoir, Jeffrey, DDS....................................... 28 Rygg, Paul....................................................... Rygg, Paul, DDS............................................. 65 20 Sennett, Michael, DDS .................................... Sessa, Kevin, DDS........................................... 29 9 Reynolds, James, DDS..................................... Rezaei, Seyed, DDS................................... 6 6,46 Rysner, Eric, DDS........................................... Sadar, Loretta, DDS........................................ 43 63 Sessions, Bruce, DDS SC .............................. Setterberg, James, DDS PC ........................... 52 38 Rice, Donald, DDS.......................................... Rich, Terry 28 12 Saddler, Aurora, DDS..................................... Saddler, Gary, DDS..................................28, 55 55 Sewell, Andrew ................................................. Seymour, Brittany, DDS .................................. 9 29 ....................................................... Rich, Terry, DDS............................................. 20 46 Sadler, Norris, DDS DMD............................... Saeks, Adam, DDS 28 52 Shaddock, James, DDS.................................. Sharp, Donald, DDS....................................... 41 34 Richards, Drew ................................................ Richards, Drew, DDS......................................46 Richardson, Brian, DDS ......................................... Saggio, Mark, DDS.......................................... Saide Karin, Stephanie, DDS .................... 9 11, 49 Sharp, Julie, DDS........................................... Shayevsky, Michael, DDS ................................. 41 6 ..................................49 Richardson, Steven, DDS ............................... 20 20 Sakamaki, Carl, DDS...................................... Saliman, Ronald, DDS 28 6 Shea, Michael, DDS DMD .............................. Shearer, Amy, DDS DMD................................. 38 9 Richardson, Tom ............................................. ...................................... • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and varticipating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 88 Delta Dental Premier ................................. Sheldon, Lisa, DDS...........................................9 Stamm, Heather, DDS.................................... 29 Thompson, Joseph, DDS 41 Shepherd, Renee, DDS.................................. 34 Stang, Jeffrey, DDS........................................ 63 Thompson, Larry, DDS PC ............................. 46 Sherlock, Edward, DDS ................................... 64 Staples, Jared, DDS DMD ........................ 23,54 Thompson, Scot, DDS.................................... 49 Sherman, Lewis, DDS..................................... 46 Steeghs, Brigitte, DDS.................................... 42 Thomson, Patrick, DDS DMD ......................... 65 Shibilski, Kelly, DDS........................................ 32 Steen, Dale, DDS ............................................ 46 Thongin, Ekapoj, DDS DMD ............................. 6 Shields, Michael, DDS.................................... 20 Stegelmeier, Krehl, DDS................................. 37 Thornal, Benjamin, DDS................................. 38 Shipley, Samantha, DDS................................ 20 Stein, Laurie, DDS.......................................... 39 Thorne, Donald, DDS DMD ............................ 41 Short, Howard, DDS DMD ............................... 20 Steinbach, Rebecca, DDS .............................. 53 Thornell, William, DDS DMD ........................... 55 Short, Yolanda, DDS DMD..............................43 Stella, Helen, DDS DMD ................................. 34 Thousand, John, DDS ....................................... 6 Short, Yolanda, DMD...................................... 14 Sterling, Kevin, DDS....................................... 23 Thrash, Frederic, DDS.................................... 49 Shulze, Richard...............................................54 Stevens, Courtney, DDS .... :............................ 41 Thrash, Frederick, DMD .................................. 56 Shulze, Richard, DDS DMD ...................... 37.54 Stevens, Jessica, DDS .................................... 55 Thurman, David, DDS ......................... 29, 47, 60 Sibo, Jennifer, DDS......................................... 12 Stevens, Sterling, DDS................................... 33 Thurman, Lon, DDS PC .................................. 20 Sica, Paul..........................................................9 Stewart, Hugh, DDS ........................................ 46 Thurmon, Hadley, DDS ................................... 61 Sidwell, Stephen, DDS.................................... 52 Stiles, Michael, DDS....................................... 63 Tiao, Katie........................... 6, 20, 29, 41, 58, 61 Siegmund, John, DDS PC ............................... 36 Stoddard, Dennis, DDS............................... 6,29 Tibbetts, Richard, DDS................................... 37 Sievers, John, DDS PC ................................... 33 Stoddard, Scott, DDS ...................................... 39 Tidwell, Scott, DDS........................................... 2 Simeral, Robert ................................................. 9 Stoor, Michael, DDS ........................................ 20 Tilliss, Larry, DDS........................................... 33 Simon, Jonathan, DDS DMD ............................2 Strachan, Bozena ............................................ 38 Tillotson, Evan, DDS ....................................... 20 Simon, Randall, DDS........................................ 2 Stratton, Amy, DDS ......................................... 36 Timlin, Scott, DDS ........................................... 61 Simpson, Thomas, DDS.................................... 9 Strauss, Thomas, DDS................................... 52 Tippets, Jeffrey, DDS ...................................... 43 Sims, Alan, DDS............................................. 14 Stdcca, Duilio, DDS PC ................................... 58 Tomasetti, David, DMD ................................... 49 Sinkule, Steven, DDS...................................... 37 Strietzel, Dale, DDS.................................. 32,54 Tomlinson, Kathy, DDS ..................................... 2 Sites, Brent, DDS............................................ 59 Strong, Brad, DDS.......................................... 54 Topelson, Ian, DDS ................................... 29,38 Skelton, Martha, DDS.....................................63 Stuart, Charles, DMD...................................... 44 Topolnycky, Andrew, DDS ................................. 6 Skromme, Allan, DDS....................................... 9 Stucky, Joe, DDS............................................ 54 Toriggino, Dominic, DDS.................................. 6 Slack, Donica.................................................. 58 Stutznegger, Conrad, DDS ............................. 52 Torok, Andreea, DDS ....................................... 11 Slack, Neill, DDS....................................... 10,47 Sullivan, Cort, DDS......................................... 64 Toth, Eric, DDS DMD...................................... 39 Slack, Thomas, DDS.......................................20 Sullivan, Daniel ............................................... 39 Townsend, Tim, DDS ...................................... 60 Slaysky, Aaron, DDS.......................................46 Sullivan, Margot, DDS ..................................... 64 Tran, Hung, DDS............................................ 29 Sletten, Christina, DDS................................... 20 Sullivan, Raymond, DDS ................................. 36 Tran, Luan, DDS....................................... 55,63 Smedley, John, DDS.......................................29 Suman, Jamie, DDS ......................................... 11 Tran, Tram, DDS ............................................. 49 Smialek, Barry, DDS....................................... 14 Summers, Corbett, DDS................................... 9 Tran, Vien, DDS ........................................ 44,54 Smith, Alexander ............................................. 63 Sumner, Jill ....................................................... 6 Travis, Stephen, DDS....................................... 9 Smith, Bradley, DDS.......................................54 Svoboda, Brian, DDS ................................ 14,29 Trefil, Karleen, DDS DMD............................... 59 Smith, David, DDS.......................................... 34 Swain, Thomas, DDS ...................................... 29 Trembath, Lori, DDS....................................... 61 Smith, Gerald .................................................. 63 Swanbom, Jon, DDS ....................................... 36 Tripam, Alois, DDS................................... 36, 54 Smith, Gerald, DDS......................................... 61 Swanson Culbertson, Peggy, DDS ................. 29 Tritsch, Thomas, DDS ..................................... 21 Smith, Henry, DDS PC .................................... 14 Swanson, David, DDS ..................................... 46 Trujillo, Derie, DDS........................................... 2 Smith, J, DDS.................................................. 20 Swanson, James, DDS................................... 58 Tsumura, Kurt, DDS ........................................ 29 Smith, Jared .................................................... 12 Sweeney, Patrick, DDS ................................... 64 Tuchklaper, Scott, DDS...............................9, 11 Smith, Jason, DDS.......................................... 23 Sweet, Ronald, DDS....................................... 64 Tucker, Steven, DDS...................................... 36 Smith, Joshua ................................................. 55 Swing, Sandra, DDS....................................... 20 Turner, Celia, DDS .......................................... 32 Smith, Lance, DDS..........................................61 Sydney, Gilbert, DDS ...................................... 41 Turnquist, Kerry, DDS ...................................... 11 Smith, Lee.......................................................20 Tabberson, Bruce, DDS .................................. 20 Twerskoi, Vladislav, DDS .................................. 6 Smith, Mark, DDS..................................... 41, 61 Tabor, Carl, DDS DMD................................... 36 Twiss, Tyler, DDS DMD.................................. 43 Smith, Paul,. DDS............................................ 20 Tafolla, Jerome, DDS ...................................... 20 Uchida, Bruce, DDS........................................ 46 Smith, Richard, DDS MD.................................46 Takaki, Alan, DDS ........................................... 58 Uchida, Thomas, DDS.................................... 49 Sniegowski, Thomas, DDS ............................. 29 Takaki, Duane, DDS....................................... 58 Ugai, Mark, DDS............................................. 32 Soder-Blackman, Kelly, DDS .......................... 52 Takemoto, Susan, DDS.................................... 9 Unger Waters, Jennifer, DDS ......................... 38 Sohn, Buhmhan, DDS.....................................29 Talavera, Sylvia, DDS ..................................... 46 Unkel, Stephen, DDS ...................................... 32 Solich, Gregory, DDS......................................20 Talbot, Brett, DDS DMD .................................. 20 Unrath, Robert, DDS DMD.............................. 29 Soltani, Azadeh, DDS DMD ............................ 52 Talley, Brian, DMD.......................................... 38 Unser, Michael, DDS...................................... 46 Sommer, Craig, DDS...................................... 20 Taneja, Puja, DDS............................................ 6 Uremovich, Mark, DDS..................................... 2 Song Johnson, Maria, DDS .............................49 Tao, Clara, DDS .............................................. 20 Uremovich, Milan, DDS ..................................... 2 Songer, Debra, DDS....................................... 11 Tappan, Major, DDS....................................... 29 Utberg, Robert, DMD...................................... 56 Sonntag, Russell, DDS................................... 58 Targos, Ned, DDS ........................................... 29 Ute Health Center Ihs Ute Mountain ............... 61 Sorensen, Katerina, DDS................................ 36 Tarr, James, DDS........................................... 39 Utke, Calvin, DDS........................................... 21 Sorensen, Thomas, DDS .......................... 38.39 Tatarko, Olga, DIDS ......................................... 56 Uy, Mary Joyce, DDS ...................................... 29 Sosdian, Quynh-Dung, DDS ........................... 20 Tayde, Shital, DDS DMD.................................. 2 Uyemura, Douglas, DDS ................................. 41 Sosdian, Stephen, DDS.................................. 20 Taylor, Ronald, DDS....................................... 39 Uyemura, Mark, DMD..................................... 41 Sousa, April, DDS............................................. 9 Taylor, Ronald, DDS MS ................................. 29 Vairin, Christopher, DDS ................................. 29 Spaeth, Oliver, DDS........................................ 20 Taylor, Stephen, DDS....................................... 2 Valley Wide Health Servi Chc ... 1, 15, 32, 44, 59 Spanjer, William, DDS.....................................29 Tedford, Terry, DDS ........................................ 14 Valstad, Judson, DDS DMD ............................ 65 Speer, Jennifer, DDS DMD ............................. 29 Terada, Jennifer, DDS.................................... 29 Valuck, Paul, DDS.......................................... 29 Speirs, Aaron, DDS.........................................46 Ters, Martin, DDS........................................... 53 Van Dusen, Scotty, DDS ................................. 39 Spence, Peter, DDS........................ :............... 33 Thai, Minh, DDS .............................................. 29 Van Orman, James, DDS ............................... 12 Spencer, Daniel, DDS.....................................29 Thalken, Jerry, DDS ........................................ 63 Van Wagenen, Jason ...................................... 64 Spencer, Jaclynn, DDS................................... 10 Theisen, John, DDS........................................ 37 Van Wagenen, Jason, DDS ............................ 63 Spencer, Stephen, DMD................................. 53 Theobald, Charles, DDS...............................:. 43 Vanacker, Alexander, DDS ............................. 57 Sperle, Andrew, DDS...................................... 20 Theriot, Roy, DDS....................................... 6,29 Vandewalle, Denise, DDS ................................. 1 Sperling, Morton, DDS.................................... 29 Theroux, Christine ........................................... 56 Vanek, Benedict, DDS.................................... 46 Spicciati, Louis, DDS.......................................20 Thomas, Abraham, DDS DMD ........................ 20 Vanek, Melvin ................................................. 46 Spiegel, Jeffery, DDS...................................... 49 Thomas, Michael, DMD ................................... 59 Vanek, Steven, DDS....................................... 46 Sprout, Christopher, DDS ............................... 38 Thomason, Ethelyn, DDS DMD ........................ 9 Vanicek, Peter, DDS....................................... 14 Sprout, Jeffrey, DDS....................................... 34 Thomason, Ethelyn, DMD............................. 2,9 Vanness, Marc, DMD ...................................... 21 Stacey, Robert, DDS.......................................54 Thomasson, Thomas, DDS ............................... 6 Vanzytveld, Eric, DDS ..................................... 29 Stacey, Timothy, DDS.....................................20 Thompson, Bill, DDS ....................................... 20 Varley, Michael, DDS ...................................... 43 Stafford, Joel, DDS DMD................................ 57 Thompson, Glenn, DDS DMID ......................... 20 Varner, Jeffrey, DMD........................................ 6 Stambaugh, James, DDS................................29 Thompson, Harold, DDS DMD PC .................. 55 Varshayskaya, Marina .................................... 29 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 89 Delta Dental Premier Vedi, Anita, DDS............................................... 2 Venuto, Nick, DDS.......................................... 29 Verma, Deepali, DDS......................................21 Vessel Sinn, Alice ........................................... 21 Vessel, Allen, DDS..........................................21 Vestal, John .................................................... 23 Vetowich, Michael, DDS..................................49 Vidmar, Dennis, DDS...................................... 59 Vieregger, Catherine ....................................... 14 Vigil, Gilbert, DDS PC ..................................... 29 Villalon, Elmer, DDS MD DMD DP .................. 59 Vilner, Leon, DDS........................................... 29 Visger, Sean, DDS.......................................... 52 Vogl, Walt ........................................................ 12 Volp, John ....................................................... 49 Vondra, Anthony ............................................. 31 Vostatek, Sean ................................................ 21 Wachuta, Timothy, DDS............................ 29.38 Wadsworth, Kenneth, DDS ............................. 46 Wagenaar, Paul, DDS..................................... 14 Wagle, F.......................................................... 21 Wahl, Dale, DDS............................................... 6 Wahl, Michael, DDS........................................ 21 Waite, John, DDS............................................ 57 Walden, Robert, DDS......................................47 Walgast, John, DDS DMD ............................... 52 Walgast, John, DMD....................................... 52 Walker, Stefanie, DMD......................................6 Wallace, John..............................................2, 41 Wallace, Richard, DDS.....................................6 Walsh, Pamela, DDS........................................ 2 Walsh, Stephen, DDS..................................... 55 Ward, Daniel, DDS.................................... 59,62 Ward, Larry, DDS..............................................2 Ward, Nicole, DDS DMD...................................6 Warlick, Philip, DDS........................................ 62 Warner, Homer, DDS...................................... 23 Warrington, Tom, DDS...................................... 1 Wasinger, Jack, DDS...................................... 47 Wasserman, Alan, DDS.................................... 9 Waterman, Richard, DDS................................41 Waters, Gregory, DDS...................................... 2 Watson, Brian, DDS........................................ 29 Weakland, Patrick, DDS..................................65 Wearner, Brian, DDS...................................... 55 Webb, David, DDS.......................................... 21 Webb, Michael .................................... 14, 47, 61 Weber, John, DDS................................ 9, 10, 61 Webster, Kelvin, DDS..................................... 37 Weekes, Bradley, DDS...................................49 Weenig, Val, DDS........................................... 21 Weimar, William, DDS.....................................29 Weinstein, Steven, DDS..................................42 Weir, Frank, DDS............................................ 14 Weissman, John, DDS...................................... 9 Welch, Chad, DDS.......................................... 29 Welch, Christopher, DDS ............................ 1.62 Weldon, David ................................................... 9 Wells, Gordon, DDS........................................36 Wells, Richard ................................................. 12 Werner, Sarah, DDS....................................... 29 Wertz, David, DDS.......................................... 53 West, Gordon, DDS........................................44 West, Walter, DDS.......................................... 33 West -Bennett, Kirsten, DDS ............................63 Westerman, Richard, DDS..............................23 Westmoreland, Tanya ..................................... 39 Westover, Brock ................................................ 9 Westover, Brock, DDS.................................... 23 Weyman, Paul, DDS....................................... 33 Whalen, Dann, DDS........................................ 47 Wheeler, Richard, DDS...................................34 Wherley, Daniel, DDS..................................... 29 White, Dawn, DDS.................................... 29,51 White, Jaime...................................................44 White, Kelly, DDS PC ...................................... 29 White, Winston ................................................ 21 Whitney, Hal ...................................................... 6 Whittern, Cathy, DDS......................................52 Wiedey, Richard, DDS.................................... 21 Wilk, Steven, DDS PC ..................................... 29 Wilken, Keith, DDS.......................................... 59 Wilkman, Stephen, DDS................................... 9 Willard, Christopher, DDS ............................... 63 Williams Trujillo, Amy, DDS ............................ 21 Williams, Mitchell ............................................. 37 Williams, Mitchell, DDS................................... 12 Williams, Richard, DDS..................................... 1 Williamson, Chadwick, DDS............................ 29 Willis, Adam, DDS...........................................63 Willis, Lawrence ........................................ 23,33 Wilson, Benjamin, DDS.............................40, 54 Wilson, Cindy -Sue, DDS..................................11 Wilson, Daniel, DDS..........................................6 Wilson, Joseph, DDS...................................... 21 Wilson, Kenneth, DDS MD ................................ 6 Wilson, Paige, DDS......................................... 34 Wilson, Patrick ................................................ 12 Wilson, Patrick, DMD...................................... 43 Wilson, Richard, DDS..................................... 32 Wilson, Robert, DDS....................................... 21 Wilson -Polk, Amy ............................................ 62 Wilsted, Neal, DDS......................................... 14 Wimpee, Philip, DDS.......................................49 Winber, Ralph, DDS........................................ 64 Winkler, Robert, DDS...................................... 21 Winnicki, Jeffrey, DDS .............................. 34, 44 Winquist, Heidi, DDS.........................................9 Winter, Eric, DDS............................................ 63 Winter, Stuart .................................................... 2 Winter, Walter ................................................... 2 Wise, Randall, DDS........................................ 47 Wittenberg, Edd, DDS EdD ............................. 21 Wixom, Alan, DDS.......................................... 40 Woessner, Rudolph, DDS ............................... 61 Wohlgemuth, Barry, DDS..................................6 Wohlwend, Charles, DDS ............................... 59 Wohlwend, Joseph, DDS................................ 59 Wolff, Tracy, DDS........................................... 29 Wolfson, Gary, DDS........................................ 14 Wong, Alan, DDS............................................ 34 Wood, Bradley, DDS....................................... 52 Wood, John, DDS........................................... 40 Wood -Harman, Beckie .............................. 42,56 Woods, Joseph, DDS DMD ............................. 21 Workman, John, DDS......................................11 Workman, Ryan, DDS..................................... 23 Worley, Rick....................................................29 Wortham, Roy, DDS.........................................11 Wostrel, Terry, DDS........................................ 49 Woyda, Charles, DDS..................................... 21 Wright, David, DDS......................................... 54 Wright, Mark, DDS.......................................... 21 Wright, Peggy, DDS.......................................... 1 Wuerker, Richard, DDS................................... 36 Wursten, Jeffrey ................................................ 2 Wyatt, John, DDS PC ...................................... 64 Wyte, Joshua .................................................. 29 Yahnian, Lawrence, DDS................................29 Yancey, Marianne, DDS.................................. 42 Yardumian, Robert, DDS DMD ....................... 65 Yaros, Ronald, DDS..........................................6 Yasoni, Marc ................................................... 63 Yasoni, Marc, DDS.......................................... 63 Yeats, David, DDS DMD................................. 34 Yeros, James, DDS........................................... 6 Yi, Woon, DDS.................................................. 6 Yoon, Paul ....................................................... 15 Yoon, Paul, DDS............................................. 47 York, Kimberly, DDS....................................... 14 Yost, Morgan, DDS................................... 21, 23 Young, Daniel, DDS........................................59 Young, Kathleen, DDS.................................... 14 Young, Matthew .................. 6, 21, 29, 41, 59, 61 Young, Richard, DDS...................................... 38 Youngquist, Adam, DDS................................. 36 Zabel, Lynelle, DDS........................................ 43 Zander -Holmes, Nicole ................................... 36 Zeigler, Jeremy, DDS DMD ............................. 55 Zeitlin, David, DDS..........................................63 Zelazek, Paul, DDS......................................... 63 Zelenka, Rodney ............................................. 29 Zelie, Stephen, DDS....................................... 64 Zenon, Joshua, DDS....................................... 33 Zeppelin, Daniel, DDS...................................... 6 Zervas, Steven, DDS PC ................................ 42 Zimmer, Colleen, DDS.................................... 36 Zimmer, Donald, DDS.....................................33 Zimmer, Richard, DDS.................................... 36 Zimmermann, Erich, DDS ............................... 47 Zimmet, Neil, DDS............................................ 2 Zipfel, Jennifer, DDS......................................... 7 ORAL SURGEON Abood, Joseph .................................................. 2 Aragon, Steven, DDS DMD ............................ 33 Bandrowsky, Timothy, DDS ...................... 12.21 Barr, Ronald, DDS MD DD .............................. 23 Berman, David, DDS MD DMD....................... 42 Berman, Mark, DDS MD ................................. 42 Berwick, James, DDS..................................... 21 Bley, Justin, DDS DMD................................... 41 Borris, Thomas, DDS .......................... 21, 43, 65 Bottenbley, Cecil, DDS DM DMD .................... 47 Bottenbley, Cecil, DDS MD DMD .................... 29 Burnham, Michael, DDS MD ........................... 61 Carroll, John, DDS.......................................... 49 Carver, Douglas .............................................. 31 Carver, Douglas, DDS ........................ 30, 49, 56 Catalano, Joseph, DDS.................................... 7 Catalano, Joseph, DDS DMD ......................... 51 Catalano, Joseph, DDS MD ............................ 14 Cayo, Craig, DDS DD..................................... 54 Colm, Stephen, DDS....................................... 54 Colm, Stephen, DDS DMD ..........7, 9, 11, 36,43 Colm, Stephen, DMD.......................... 21, 36, 52 Cosby, Michael D, DDS MD ............................ 30 Cosby, Michael, DDS MD ............................... 51 Crichton, David, DDS...................................... 21 Curry, James, DDS......................................... 43 D Addario, Matthew ........................................ 21 Day, Gregory, DDS MD DMD ......................... 59 Decino, Donald, DDS...................................... 47 Dombrowski, Jeffrey, DDS MD ....................... 21 Esposito, Daniel, MD DMD ............................. 49 Facy, Rebecca, DDS .......................... 12, 21, 44 Floyd, Carlton, DDS MD MS ............................. 7 Floyd, Carlton, DDS MS .................................. 14 Foley, Daniel, DDS PC ..................................... 9 Garehime, William, DDS................................. 43 Glasgow, Mark, DDS................................ 49.56 Haltom, George, DDS..................................... 38 Hanawalt, Ronald, DDS PC ............................ 36 Harper, Clayton, DDS ............... 9, 21, 30, 43. 47 Harper, Clayton, DDS MD ............................. 7, 9 Hildebrandt, John, DDS.................................. 21 Hong, Douglas, MD DMD ............................... 21 Hull. Donald .................................................... 21 Hunter, Robert, DDS MD DMD ....................... 56 Ingalls, Gregory, DDS................................. 2,47 Iverson, Bruce, DDS....................................... 49 Jensen, Ole, DDS........................................... 30 Jensen, Ole, DDS DD..................................... 42 Jensen, Ole, DDS DD DP ............................... 36 Jensen, Ole, DDS MS ..................................... 34 Johnson, Michael ............................................ 38 Johnson, Michael, DDS MD ............................ 32 Kelly, Stephen, DDS DMD .............................. 40 Keogh, Barry, DDS MD ......................... 7, 14, 51 Latta, James, DDS.......................................... 43 Lesnick, Julie, DDS..................................... 2.47 Lessig, James, DDS................................. 15,49 Lupori, John D, DDS DO MD .......................... 60 Madlock, Paul, DDS DMD......... 7, 21, 43, 47. 63 Madlock, Paul, DDS MD ................................. 36 Madlock, Paul, DDS MD DMD .......................... 9 McLain, Richard .............................................. 31 McLain, Richard, DDS ........................ 30, 49, 56 McMunn, William, DDS MD........................11, 30 I* • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. - July 2009 90 0 9 0 ORTHODONTIST m 47 22 Arango, Jose, DDS MS ............................. 22,59 Atha, Eric, DDS ------------uu Avant, Daniel, DDS ..................................... 1.22 Bahr, Carl, uos-------------- ox Bahr, coxoonomo--------15o1 sm aax�n�[owo.................................. 22: 47:59 Delta Dental Premier Delta Dental member and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 91 S City of Ot Collins I* Delta Dental Premier Reed, Charles, DDS MS ................................... 7 Regan, Paul....................................................64 Regan, Paul, DMD.......................................... 34 Resnick, Jeffrey, DDS..................................... 50 Richter, David, DDS.................................. 41,43 Rocke, Paul, DDS..................................... 30.50 Roth, Justin, DDS...................................... 22.30 Rudman, Robert ..............................................52 Rudman, Robert, DDS.................................... 30 Saydyk, Theodore ........................................... 38 Saydyk, Theodore, DDS................................... 7 Schaefer, David, DMD....................................65 Schafer, Alan, DDS DMD................................23 Schroeder, David, DDS...................................22 Scott, Nile, DDS.............................................. 59 Shaner, William, DDS PC................................22 Shaver, Theresa, DDS MS ................................ 7 Shellhart, W........................................... 7, 34, 37 Shellhart, W, DDS........................................... 64 Siersma, G (George), DDS ............................. 30 Skelton, Thomas, DDS....................................22 Sloss, Erin, DDS............................................. 30 Stasi, Mark ........................................................ 7 Stasi, Mark, DDS................................. 38, 50. 64 Stoll, Gregory, DDS MS .................................. 61 Straffon, Derek, DDS...................................... 30 Stringert, Howard, DDS...................................59 Struhs, Theodore, DDS................................... 13 Suter, Scott, DDS MS ..................................... 22 Taloumis, Louis, DDS..................................... 22 Taloumis, Louis, DDS DMD ............................ 22 Terry, Bangorn, DMD...................................... 22 Theroux, Kevin, DDS................................ 42,51 Timmins, Gerard, DDS MS .............................. 55 Unterseher, Ronald ......................................... 30 Unterseher, Ronald, DDS MS ......................... 64 Urbaniak, James, DDS....................................50 Venrick, Melissa, DDS DMD ........................... 52 Walker, John, DDS DMD................................. 10 Weddle, Larry, DDS DMD...............................64 Weimer, Allan, DDS........................................ 23 Weimer, Allan, DDS MS ................................ 60 Weinbach, Jonathan, DDS........................53, 64 Wiggins, Cassy, DDS DMD MS ...................... 57 Wilhelm, Robert, DDS..................................... 37 Wilkerson, Damon, DDS................................. 30 Williams, Bryan, DDS......................................23 Williams, Bryan, DDS MD ............................... 34 Wetzel, David, DDS.................................... 10,61 Wong, Jeffrey, DDS MS .................................. 10 Youngquist, Henry, DDS MS ........................... 22 Zinkann, Karla ........................................... 30,47 Zinkann, Karla, DDS................................... 7,30 Zinkann, Karla, DDS MS ................................. 50 Ziuchkovski, James, DDS MS ......................... 22 PEDODONTIST Adams, Timothy, DDS DPM ............................30 Barr, Elizabeth, DMD......................................64 Barr, Nelle....................................................... 64 Benzley, Layne................................................64 Boraz, Robert .................................................. 13 Boraz, Robert, DDS........................................ 57 Browning, Michael...........................................41 Browning, Michael, DDS................................. 36 Bull, John, DDS...............................................40 Burt, Matthew .................................................. 59 Burt, Matthew, DDS........................................ 38 Callahan, Clinton, DDS................................... 22 Carlson Marks, Lisa .................................... 7,30 Christensen, Edward ................................... 7,52 Christensen, Edward, DDS ............................. 44 College, Courtney ..................................... 32,37 College, Courtney, DDS ...................... 34, 50. 64 Dean, Glen, DDS MD......................................40 Decker, Jill, DDS....................................... 53,64 Derloshon, Tobias, DDS................................. 54 Doll, Mischelle, DDS.......................................41 Donaldson, Tandi, DDS.................................. 33 Ellis, Randall ......................................... 7, 30. 61 Ellis, Randall, DDS....................................22, 59 Erickson, Joshua, DDS................................... 22 Evans, Gregory, DDS...................................... 36 Farrar, Norman, DDS...................................... 55 Flander, Jayme, DDS...................................... 30 Foster, Karen, DDS...........................................7 Fox, Lisa .................................................... 13.43 George, Theodore, DDS................................. 22 Gerken, Louis, DDS........................................ 54 Grant, Nancy, DDS......................................... 51 Haman, Michelle, DDS....................................22 Hargleroad, Jennifer, DDS .............................. 36 Harris, Meredith ............................................... 30 Harris, Meredith, DDS MD ................................ 7 Hayutin, David, DDS......................................... 7 Hayutin, David, DDS LLC................................ 30 Henry, Robert .................................................. 59 Henry, Robert, DDS MS .................................. 38 Holmes, Douglas, DDS................................... 32 Houston, Kemie, DDS..................................... 33 Howe, Keaton..................................................64 Howe, Keaton, DDS........................................ 53 Hurd, Autumn, DDS........................................ 50 Hymer, Barbara, DDS....................................... 2 Ibrahim, Alfaiyaz, DDS.................................... 31 Jones, Michael, DDS....................................... 10 Kahl, Jeffrey, DDS........................................... 22 Kirkham, Derek, DDS...................................... 22 Klein, Ulrich, DDS DMD.................................... 7 Koch, Mark, DDS.............................................. 7 Kramer, Mark, DDS......................................... 36 Kretsch, Kimberly............................................64 Kretsch, Kimberly, DDS.................................. 53 Kutter-Kaelin, Kathryn ..................................... 57 Landgren, John, DDS...................................... 50 Lewis, Lucinda, DDS AN PC .............................7 Lovell, Erin, DDS............................................. 38 Mani, Archana, DDS DMD .............................. 22 Monak, Edmund ........................................ 22,54 Monak, Edmund, DDS.................................... 10 Moyer, Ira, DDS.............................................. 50 Murzyn-Dantzer, Linda, DDS DMD ................... 7 Nguyen, Andrew, DDS.................... 7, 31, 51. 57 Nielsen, Beth, DDS......................................... 57 Noffsinger, David, DDS................................... 40 Norwood, James ............................................. 13 Norwood, James, DDS.................................... 43 Obermann, William..........................................41 Obermann, William, DDS................................ 36 Packer, Rachel ................................................ 60 Pankratz, Robert, DDS.................................... 50 Pauly, Albert, DDS.......................................... 36 Purcell, Michael, DDS..................................... 59 Ramirez, David ................................................ 52 Ramirez, David, DDS...................................... 44 Rubenstrunk, John, DDS .......................... 15,31 Rusnak, Marykate........................................... 36 Savage, Bryan, DDS ............................. 2, 15,42 Shah, Purvi.................................................. 2.47 Shah, Purvi, DDS............................................ 13 Sierk, Jonathan, DDS.......................... 22. 31, 43 Simons, Nancy, DDS MD ................................ 31 Smith, Bradley, DDS................................. 15, 31 Smith, Scott, DDS..................................... 15, 31 Souza, Edward, DMD...................................... 22 Stimmel, Lisa, DDS......................................... 43 Strange, David .................... 2, 31, 32, 34, 37, 41 Strange, David, DDS................................. 44, 64 Strange, Malcolm .... 2, 31, 32, 37. 41, 44. 47, 64 Strange, Malcolm, DDS................................... 34 Suazo, Lawrence, DDS................................... 32 Takesono Yu, Jennifer, DDS ............................. 7 Tippets, Derren, DMD..................................... 54 Vean, Allen, DDS DMD................................... 31 Wong, Julie, DDS....................................... 2, 31 Walter, Philip, DDS......................................... 60 Watana, Patra, DDS DMD ....... :...................... 42 Watts Carpenter, Erin ...................................... 10 Weisenfeld, Andrew, DDS PC ......................... 15 Whalen, Sean, DDS........................................ 64 Wilson, Anne, DDS........................................... 7 Witkoff, Jesse, DDS.................................... 2,31 Young, Jeffrey, DDS................................. 53,64 PERIODONTIST Allen, William, DDS........................ Bardsley, Norman, DDS................. Blue, Mark ...................................... Boyesen, Janie .............................. Boyesen, Janie, DDS..................... Braun, James, DDS ....................... Bridgewater, Martha, DDS ............. Brown, Cherie, DDS MS ................ Buckstein, Jan, DDS PC ................ Butler, Maryanne, DDS .................. Chapman, Thomas, DDS ............... Chung, Dyeus, DDS....................... Dale, Eric, DDS .............................. Degeare, Danny, DDS ................... Denny, Robert, DDS ...................... Denny, Robert, DDS DMD ............. Eckles, Terry, DDS MS ................. Fitzpatrick, Brian, DDS DMD........., Fitzpatrick, Brian, DMD .................. Fowler, Jeffrey, DDS..................... Glick, Paul, DDS ........................... Glick, Paul, DDS MS ..................... Gomez, Luis, DDS DMD ............... Gurinsky, Brian ............................. Gurinsky, Brian, DDS ........ 23,31, Heller, Douglas ............................. Heller, Douglas, DDS MD DMD .... Holling, George, DDS ................... Huber, Michael, DDS .................... Jankowski, Mark, DDS.................. Johnson, David, DDS MS ............. Johnson, Lonnie, DDS PhD .......... Kantor, Michael ............................. Kantor, Michael, DDS DMD .......... Kohut, Dejan, DDS........................ Kuhar, Kenneth ............................. Lindeberg, Richard, DDS .............. Lubow, Richard, DDS DMD .......... Lubow, Richard, DMD ................... Lucas, Mark .................................. Lucas, Mark, DDS ......................... McClain, Pamela, DDS ................. Merritt, Jennifer, DDS ................... Miller, Gaylen, DDS MS ................ Modarressi, Marmar, DDS ............ Neugeboren, Neil, DDS ................ Parker, Robert, DDS ..................... Pomeranz, Alan ............................ Pomeranz, Alan, DDS DMD........., Poulos, Michael, DDS ................... Reich, Gregory, DDS ................... Reissner, Marc ............................. Reissner, Marc, DDS ................... Richardson, Heather, DDS DMD . Richardson, Heather, DMD.......... Rosenzweig, Todd, DDS.............. Sakkaris, Christopher, DDS ......... Sandoval, Elivinio, DDS ............... Schallhorn, Robert, DDS.............. Scheidt, Michael, DDS ................. Shaw, Sean, DMD ....................... Somers, Ann, DDS....................... Spillman, Kent, DDS .................... Thomas, Lloyd, DDS.................... Tilliss, Steven, DDS MS ............... Vanderven, Franc, DDS DMD...... Weaver, Adam, DDS.................... Weaver, Adam, DDS MS ............. Wheeler, Mark, DDS DMD........... Will, Joseph, DDS MS .................. Williams, Dee, DMD ..................... ................ 22 .................. 7 ................ 32 ................ 50 ................ 50 ................ 36 ................ 31 ................ 47 ................ 31 ................ 57 .......... 31,43 ................ 10 ................ 31 ................ 22 .................. 3 ................... 7 ................. 41 ................. 22 ................... 1 ................. 15 ................. 50 ................... 8 ....... 3, 10, 31 ........... 47,65 36, 43, 52, 64 ................... 8 .................. 8 ................. 54 ................. 51 ................. 33 ................. 36 ................... 8 ................. 51 ................. 31 ............. 3, 52 ........... 31,42 ................ 37 . 8, 10, 31, 37 . 8, 13, 31, 43 ...... 31 ................. 51 ................... 8 ................. 37 ................. 31 ................. 23 .................. 31 .................. 64 .................. 62 .................. 31 .................. 31 ............ 23.42 .................. 62 .................. 31 .............. 8,31 .................. 23 .................. 37 .................. 64 .................... 8 .................... 8 .............11, 55 .................... 3 .................. 31 ................... 3 .................. 37 .................. 42 .................. 47 .................. 57 .................. 42 .............11. 55 .................. 47 .................. 47 • C7 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail_, manner or methods by which Participating Dentist provides care. • July 2009 92 • • Delta Dental Premier PROSTHODONTIST Allen, Mark, DDS.............................................23 Astroth, Jeffrey, DDS........................................ 8 Clear, Keith, DDS MS ....................................... 8 Draper, Scott, DDS................................... 23,65 Gallegos, Louisa, DDS....................................31 Hauschildt, Theodore, DDS ............................ 31 Lee, Seung, DDS.............................................. 8 McCartney, James, DDS................................. 23 Olson, Lee, DDS............................................. 11 Tavel, Arnold, DDS DMD................................ 31 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 93 • Sample EOB for Dental Services 0 Delta Dental of Colorado n PO Box 173803 - Denver CO 80217-3803 Phone: 303.741.9305 or 800.610.0201 'A (8:00 am - 6:00 pm MST) www.deltadentalco.com APPEAL RIGHTS: If your claim was denied or only partially paid and you are responsible for the unpaid amount, you have the right to appeal. To request a first level appeal, you must submit your written appeal, and any supporting documentation, within 180 days of the date of the original Explanation of Benefits to: PO Box 172528, Denver CO 80217.2528. A decision will be made within 30 days from the date we receive your request. If your claim remains denied, it may qualify for a second level review. If your claim is denied after both appeals, you may be able to file civil action in court within one year from the date of the final denial. PROCESSED.`,'; DENTIST/FACILITY DENTISLSTATUS PROVIDER'ID NO. 04/08/2009 ABC DENTAL PPO 000000000000 ,`SUBSCRIBER NAME :- !, PATIENT,: NAME ,` BIRTHDATE GROUP .' CLAIM NO. JANE DOE JANE DOE 01/01/1976 000000 000000000000 OOTH SERVICE ' PROCEDURE SUBMITTED APPROVED'- ALLOWED = DDCO PAl'IENT -' PROCESSING. NO COMPLETION DATE DESCRIPTION AMOUNT AMOUNT AMOUNT DEDUCTIBLE Co Ins90 : RESPONSIBILITY DDCO PAYS POLICIES _. 04/01/2009 PERIODIC EVALUA 46.00 27.00 27.00 .00 100 10.00 17.00 04/01/2009 CLEANING — CHIL 63.00 41.00 41.00 .00 100 .00 41.00 TOTALS 109.00 68.00 68.00 10.00 58.00 n Delta Dental of Colorado PO Box 173803 - Denver CO 80217-3803 *001103/1--S 0--B 0 • ��u�r��ur��nrn�r���un�r�r�n�m��n�n���un�n�r��n� JANE DOE 123 ANY ST. DENVER, CO 80202 MAXIMUM USED TO DATE 157.00 DEDUCTIBLE SATISFIED TO DATE .00 TOTAL PLAN PAID 04/08/2009 58.00 NOT CHARGEABLE TO PATIENT 41.00 PATIENT RESPONSIBILITY 10.00 Oral Health i Good oral health is important for more than a bright smile. Healthy teeth and gums are also linked to better overall health. Page 1 Implementation Timeline n U 41 CITY OF FORT #INS IMPLEMENTATION TIMETABLE - January 1, 2010 d DELTA DENTAL Task Activity Comments/Status Responsible Party Target Date Comments 1 Initial Implementation (based on actual City of Fort Collins actions) 1.1 1.2 1.3 1.4 Notification of contract award Exchange of contact information for all parties Schedule initial implementation meeting date Finalize group documents for group set-up City of Fort Collins City of Fort Collins/Delta Dental City of Fort Collins/Delta Dental Delta Dental October 2009 October 2009 October 2009 October 2009 2 Im lementation Meeting with Group 2.1 2,2 2.3 2.4 Complete New Group Questionnaire Review of proposed implementation schedule, deliverables & dates Discussion of eligibility submission & timing Set schedule of regular implementation meetings/conference calls City of Fort Collins/Delta Dental City of Fort Collins/Delta Dental City of Fort Collins/Delta Dental City of Fort Collins/Delta Dental November 2009 Starting working DDCO EDI staff to coordinate setup in DCS2000 per City of Fort Collins's requirments. November 2009 November 2009 November 2009 3 Group Set U 3.1 Prepare Group Application Delta Dental November 2009 November 2009 3.2 Verification of all final benefit plan designs City of Fort Collins/Delta Dental 3.3 Sign & return Group Application and Binder Check City of Fort Collins December 2009 3.4 Set up Claim Tables Delta Dental December 2009 3.5 Prepare Group Master Contract City of Fort Collins/Delta Dental December 2009 3.6 Discussion of Master Contract changes if any City of Fort Collins December 2009 3.7 Master Contract executed City of Fort Collins/Delta Dental December 2009 3.8 Benefit Booklet prepared Delta Dental December 2009 3.9 Discussion of Booklet changes if any City of Fort Collins/Delta Dental December 2009 3.10 Final Approval of Booklet City of Fort Collins December 2009 4 Initial Eligibility Set U 4.1 Exchange contact information for all technical participants City of Fort Collins/Delta Dental December 2009 4.2 Review & confirm file transmission specifications City of Fort Collins/Delta Dental December 2009 4.3 Discussion of COBRA administration City of Fort Collins/Delta Dental December 2009 4.4 Set up Group numbers / subgroups City of Fort Collins/Delta Dental December 2009 4.5 Test files created based on file format specifications City of Fort Collins/Delta Dental December 2009 4.6 Send First Test Eligibility File City of Fort Collins/Delta Dental December 2009 4.7 Run First Test File Delta Dental December 2009 4.8 Error Report sent to Group for review and December 2009 discussion w/ DDCO 4.9 Run & Send Second Test File ACS/Delta Dental December 2009 5 Error Report sent to Group for review and December 2009 discussion w/ DDCO 5.1 Final Approval of test files City of Fort Collins/Delta Dental Mid Dec 2009 5 Final Eligibility Set U 5.1 Submit production eligibility file City of Fort Collins By Dec 1, 2009 5.2 Eligibility file is loaded Delta Dental By Dec 1, 2009 Error Report sent to Group for review and City of Fort Collins/Delta Dental By Dec 1, 2009 discussion w/ DDCO 5.3 Conduct final eligibility audit Delta Dental By Dec 1, 2009 Eligiblity File is corrected, completed, and uploaded By Dec 1, 2009 5.4 Conduct ID card audit Delta Dental By Dec 1, 2009 5.5 Mail ID cards Delta Dental By Dec 1 2009 Only if file full complete file is loaded no later than 12/2/09. Delta Dental 8/8/2009 CITY OF FORT WNS IMPLEMENTATION TIMETABLE - January 1, 2010 t� AWN DELTA DENTAL 6 Enrollment Process 6.1 Discussion of enrollment process, materials, meeting City of Fort Collins/Delta Dental Nov 2009 schedules 6.2 Development of enrollment materials City of Fort Collins/Delta Dental Nov 2009 6.3 Changes & finalization of enrollment materials City of Fort Collins/Delta Dental Nov 2009 6.4 Enrollment materials prepared & distributed City of Fort Collins/Delta Dental Mid Dec 2009 7 Claim Payment Set U 7.1 Identify prior history parameters to be requested from City of Fort Collins/Delta Dental Nov 2009 past claim payors, if necessary 7.2 History loads from prior carriers are requested City of Fort Collins/Delta Dental Dec 2009 7.3 Dummy claims are tested Delta Dental Nov 2009 7.4 Commence paying claims Delta Dental Jan 2010 7.5 lFinalize banking arrangements City of Fort Collins/Delta Dental Dec 2009 8 Service Plan 8.1 Demo & training on online eligibility tools, claim report City of Fort Collins/Delta Dental Jan 2010 systems, etc. 8.2 Ongoing eligibility reconciliation procedures and follow-up City of Fort Collins/Delta Dental Jan 2010 8.3 Ongoing premium/fee reconciliation procedures City of Fort Collins/Delta Dental Jan 2010 8.4 Final approval that all implementation timelines have City of Fort Collins/Delta Dental Jan 2010 been met & all activities completed 8.5 Creation of Strategic Business Plan Delta Dental Jan 2010 8.6 Review & approval of Strategic Business Plan City of Fort Collins/Delta Dental Jan 2010 Delta Dental 8/8/2009 • Delta Dental Annual Report 2007, 2008 0 0 No Text � �Ag Dd% lDfttdacoho ao9 W L6t^'hI E. 'h�..d .•' yhir 117tf�:i � }J �� s,�'c::r ar � 1 M � t � gm OM ham DL1%I.KS om1m11 L�ii I`1'�il I51�1a w mwo • City of Ot Collins 0 Delta Dental of Colorado 2007 Annual Report Table of Contents Executive Summary.........................................p. Celebrate 5o Years ............................................ p. 5 Products & Services....................................pp 6-9 Meet Don Safer .............................................. p. io Foundation Efforts........................................pp. ii Meet Julie Bien ............................................... P. 12 Executive Staff & Board of Trustees ........pp. 13-14 Meet Linda Arneson.......................................p. 15 Financials & Measures of Success ................ P. 16 Zoo? Annul Report kClic�k � \fie WIN! DELTA DENTAL ANNUAL REP 200i I 3 Year4--o - Fina, 'cial Strength and Community Comm.itment`'for Delta Dental of Colorado 2007 was an extraordinary year for Delta Dental of Colorado. We were able to grow our dentist network and offer new and exciting products. Our employees continued to provide exemplary service for our customers. Our Foundation promoted oral health for Colorado's women and children. And our financial health remains strong. 2oo8 is our 5oth year here in Colorado. We're proud that more than 95% of the 3,000 employer groups we serve choose to stay with us — giving us a stable base of customers. More than 95% of our customers say they're satisfied or very satisfied with Delta Dental and the value we provide. Delta Dental had a positive financial year in 2007 with revenue at $208 million with reserves of $58 million. Our dental network continues to grow. Delta Dental contracts with nearly 84% of Colorado's active practicing dentists. That's a distinct advantage for our more than 800,000 members seeking dental care. All participating dentists have agreed to certain requirements that result in more affordable dental care. As a result, employers can more easily afford to provide dental coverage for their members. And members can see their dentist regularly and not have to worry about unexpected costs. We are a non-profit organization. That means we don't have shareholders to whom we must return a profit. Our main goal is to make dental care more accessible — in the most efficient and effective ways. Our work has made a difference. In 2007, the Delta Dental Foundation started an educational campaign — providing oral health information to Colorado's pregnant women. In just one year, according to survey data, awareness of the importance of oral health for pregnant women rose from 26% to 56%. In a survey of new mothers in the Denver Metro area — 58% changed their behavior in some way — such as going to a dentist during their pregnancy. Finally, Delta Dental has a distinct advantage over our competitors. We're a local company — and we know the marketplace better than anyone. For 50 years, we've been proud and committed Colorado citizens. On behalf of all of us here at Delta Dental of Colorado, thank you for making our first 5o years successful. Please take a moment to check out our annual report. You're sure to find something to smile about. Kathryn A. Paul Delta Dental President and Chief Executive Officer Click here for a video message from Kate Paul. Brian Hendrickson, DMD Chairman of the Board DELTA DENTAL ANNUAL REF�.007 1 4 F Fifty Years of Smiles "Reaching the 5oth anniversary as a company is a very important milestone." Kate Paul j rp Delta Dental in 2 o o 8 Celebrates 50 Years in Colorado Delta Dental is proud to celebrate 50 years of service in Colorado. The company was formed in 1958 as Colorado Dental Service by a group of dentists who understood that people who had insurance were more likely to seek the care they needed. In the last 50 years, Delta Dental of Colorado has grown and thrived. Today we provide dental coverage to 3,000 employer groups and more than 800,000 members. No other Colorado carrier comes close to having the number of subscribers we do. In fact, Delta Dental has nearly three times the number of insured members, compared to our nearest competitor. Our dentist network is unparalleled. In 2007, the network increased to more than 2,5oo dentists statewide — more than twice as large as any of our competitors. More than nine out of io members receive in -network benefits when they see the dentist of their choice. N "We're here to serve the people of Colorado," says Kate Paul, president and CEO of Delta Dental of Colorado. "We have the broadest network available and we offer reasonable rates and cost effective, quality insurance products that make it easier for our members to get the care they need." Over the last five decades our tradition of care and service for our customers continues. Last year, more than 95% of our customers said they were satisfied or very satisfied with Delta Dental. We move forward in 2008 focusing on our strengths. We'll continue to grow our network and provide more dental coverage in Colorado, while working to improve oral health in our communities. Delta Dental of Colorado has grown and thrived for 5o years, but our work has just begun. Medical research points to the importance of good oral health. Delta Dental is uniquely positioned to help make good oral health in Colorado a reality. "Reaching the 5oth anniversary as a company is a very important milestone," says Paul. "Not only have we served the people of the state of Colorado for 5o years, it also means we have the fiscal strength and stability to provide great services over the next 50 years. " DELTA DENTAL ANNUAL REPORT 2007 1 5 Delta Dental Meets Customers' Needs F with Product Variety Innovative Options A New In2007 Delta Dental introduced new and improved plan designs in 2007 to meet employers' and employees' benefit needs. The link between oral health and overall health is dear. Delta Dental is doing its part to expand preventive dental benefits so dentists can meet the increasingly complex needs of their patients. c A l N Evidence -Based Dentistry Delta Dental in 2007 offered evidence -based dentistry (EBD) as an enhanced feature for all its products. EBD provides two additional routine or periodontal cleanings for individuals with diabetes, pregnancy or cardiovascular disease who .5 t have periodontal conditions. In addition, patients with suppressed immune conditions, such as chemotherapy or radiation treatment, or HIV, also may benefit. The only documentation required is a notation on the claim form from the treating dentist describing the patient's condition. Patient Direct: A New Discount Plan Also in 2007, we introduced Delta Dental Patient Direct, a new discount product with an emphasis on prevention. This discount plan, which is not an insurance product, offers a number of preventive services at no cost and deep discounts on other procedures. Achieve Plan Delta Dental in 2007 launched the Achieve Plan, which offers richer benefits and lower premiums if an Achieve network dentist provides the care. Achieve dentists are selected for inclusion in the new network based on their strong preventive practices, high customer satisfaction and good long-term patient outcomes. Delta Dental launched this innovative plan as a pilot last year and will market it more widely in 2008. ` Check out our website, www.deltadentalco.com, for more information on our new products. DELTA DENTAL ANNUAL FIDT 2007 1 6 Delta Dental Gives Employers Options Voluntary Group Dental Plan The Voluntary Group Dental plan is designed to meet an employer's need to provide a comprehensive benefits package while reallocating costs to the employee. The plan allows employers to offer a dental benefit plan and each employee may elect to participate. 2-9 Product Portfolio Delta Dental offers eight plan designs for employer groups with two to nine employees. The product portfolio includes two Delta Dental Premier options, two Delta Dental PPO options and four new Achieve options. For information on plan designs, rates and underwriting guidelines, download our 2-9 proposal. Administrative Service Contracts ' Self -funded groups may contract with Delta Dental for administrative dental services and the use of our provider network. COBRA Administration Delta Dental can administer dental benefits for COBRA recipients. Employer groups can contract with Delta Dental to provide dental benefits or to handle the COBRA billing and administration. Retiree Dental Delta Dental offers retiree products for groups with ioo or more employees. EyeMed Vision Products Delta Dental offers risk, self -funded and voluntary vision quotes to our brokers and employer groups in partnership with EyeMed Vision Care, the nation's largest vision carrier. For more information on the benefits Delta Dental offers employers, click here. DELTA DENTAL ANNUAL REPORT 2007 1 7 .411, i , Dual Network Twice the Value for Delta Dental's Customers Delta Dental's dual dental network — Premier and PPO — is twice as large as any of our competitors' networks. It makes up 84% of Colorado's dentists. Why is that important? It makes our dental network i00% larger than any of our major competitors. It also means lower claims costs for employers and smaller out-of-pocket expenses for employees. Most dental patients with PPO plans elect to go out of network to see their dentists. These patients have no protection from the often higher fees charged by non - network dentists. That's where Delta Dental comes in. With our dual network, Delta Dental protects our members by putting limits on the amounts participating dentists can charge for a given procedure. In addition, participating dentists can't balance bill the patient for the difference between the charged amount and the amount allowed by Delta Dental. While most insurance companies offer these protections, they're only offered through a much smaller network of dentists. By contracting with 84% of Colorado's dentists, we're able to offer these savings to nearly all our members because 9 out of io of our members are able to see a "What it means for individual subscribers is they can Delta Dental network dentist when they see the dentist go to a dentist knowing they will be able to utilize their of their choice. benefits in a full way," says Jean Lawhead, Delta Dental If you would like to know how much you'll save by Vice President of Sales and Marketing. "Many plans choosing Delta Dental of Colorado, go to only offer benefits for a smaller network and if you go www.deltadentalco.com and click The Delta Difference out of that network, you'll pay a whole lot more money. on our home page. That's not the case at Delta Dental." 0 DELTA DENTAL ANNUAL f•T 2007 1 8 AV The Delta Difference Larger Network Means Greater Savings Delta Dental PPO Delta Dental Premier® Members can choose the dentist they want while Delta Dental Premier plan members can choose care H ,K saving money with the Delta Dental PPO. With the from any licensed dentist and are covered under an PPO plan: extensive list of services. With the Premier plan: Members will receive the most cost efficient care Members are responsible only for the payment of when they see participating PPO dentists. their deductible, coinsurance and any non -covered Members are protected from balance billing. services up to the approved amount for They also receive discounts by seeing either a the procedure. participating Premier dentist. Discounts will be Premier dentists file claims directly with Delta greater by seeing a PPO dentist. Dental and accept reimbursement in full. When selecting a non -participating dentist, benefits Reimbursement may be lower and members may r also are provided, but there are no discounts have additional out-of-pocket expenses if they choose required on dentist fees, nor are there any a non -participating dentist. protections from balance billing. • Dentists in the dual network (PPO & Premier) file claims directly with Delta Dental. 24 J., Y, aH '1 tl DELTA DENTAL ANNUAL REPORT 2007 I . �f r S ®n Sae , S, Makes a Difference with his Practice Patients f s, l t 7:•� � J � � �`• is E j P kks�° g r Don Safer, DDS, MS, works in his Cherry Creek office. Click here to see Don's video. In 37 years of dental practice, endodontist Don Safer, DDS, MS, has "thoroughly enjoyed" his patients and practice. "I chose the career in a roundabout way," he says. "I've loved dealing with people and I've loved working with my hands — it was just natural." Dr. Safer's seen a lot of changes in dentistry over the years. "Technology has advanced dentistry in quantum leaps," he says. "And that's why at this stage, I enjoy practicing as much — if not more — than when 1 first started." His practice specializes in treating diseases of the soft tissue inside a tooth. "Most of the people who come in are swollen, or in discomfort, or have a lot of problems," he says. "That in itself is gratifying to snake them comfortable again." Dr. Safer deals with more than half a dozen insurance companies, but he's been with Delta Dental since the beginning of his practice more than 30 years ago. Delta Dental is different than other insurance companies, he says. 4 "They think as much about the dentists as they do about the patients," he says. "Therefore, they make a good relationship between the two." Delta Dental is easy to access, either by phone or online. A good amount of work can be accomplished by accessing Delta Dental's website, but it's also easy to find a friendly voice on the end of the phone line, he says. "Most of the insurance companies we contact, you can't get hold of a live person to talk to — so the people dealing with the books are very happy to deal with Delta Dental," he says Delta Dental's work in the community also sets them apart, he says. "People are happy to know it's not just another insurance company," Dr. Safer says. "It's an insurance company that specializes in dentistry — they know the most of anybody out there." For Dr. Safer, it's the patients who bring him the most pleasure in his work. "I like working with the patients," he says. "The work has gotten to the point — because I've done it for 37 years — that I'm relatively good at it. But the patients make the work most interesting." DELTA DENTAL ANNUAL RF2007 1 10 Delta Dental's Foundation Reaching Out to Help Our Communities For more than a decade, the Delta Dental of Colorado Foundation has supported efforts to improve oral health in our communities. The Foundation provides grants to organizations and projects that advance the prevention of oral disease and promote the science and practice of dentistry. Here are some highlights from the Foundation's funding efforts. Smile-a-bration Our signature oral health program has provided more than $a million in free dental care to low-income children over the last five years. For many children, it was the first time they'd seen a dentist. Delta Dental has recognized that children's self-esteem and overall well-being improve when their dental needs are met. i Chopper Toppers Sealant Program With Foundation funding, Kids in Need of Dentistry (KIND) can provide dental sealants to more low- income children in Metro Denver area schools than ad ever before. Cavity Free at Three q The Delta Dental of Colorado Foundation joined with the Rose, Caring for Colorado and Colorado Health foundations to train oral health and other providers to better meet the needs of underserved populations. The goal is to improve the oral health treatment and education of mothers, their infants akk and very young children. The Delta Dental Frontier Center The center provides education to dental and medical students, residents and practitioners, on the important connection between oral health and overall health. The center was formed in a unique partnership with Delta Dental Foundation and the University of Colorado. The Hygienist Co -Location Project This research -based project evaluates the impact of providing preventive oral health care for children within primary care settings. The study will look at the impact of housing registered dental hygienists near six pediatric medical practices statewide that treat large numbers of low-income children. Oral Health Community Education Series The Foundation sponsors regular training opportunities for health care practitioners statewide. These events focus on educating participants on the important link between oral health and systemic health. Oral Health Public Education Campaign Nearly all oral disease is preventable. The Foundation has funded a public awareness campaign aimed at informing pregnant women and mothers of young children about the importance of regular dental care. The campaign specifically promotes the need to understand the possibility of transmitting oral disease from mother to baby and importance of good oral health for pregnant women and new moms. DELTA DENTAL ANNUAL REPORT 2007 1 11 ,.:' .1 . r I L, 10 W., - , V1 11 RY" I Ge Bien; RDIt oDenier Heat` , cafes' for- a pa&t tn- fh-&A-en-W 21fffi-c oW e's Leo: 0n. D r� Julie Bien, IUD 1HI Denver Health's Dental Clinic Julie Bien, RDH, a dental hygienist at the Denver Health Dental Clinic, finds f that her days are always different and challenging. The clinic, which provides everything from routine dental care to emergency services for mostly indigent patients, is w busy. Typically, she cares for more than I20 patients a month. The patients come from all over the world and often need further education in the importance of oral health. "We see a diverse group of patients from different cultures," she says. "Some of these people don't know how to take care of their mouths properly, so it's our job not only to relieve our patients from their pain, but to educate them." Last year, Delta Dental of Colorado gave Julie brochures in Spanish and English that helped her explain to her patients the need for oral health care for pregnant women, mothers and children. The brochures have been popular and a helpful tool to help Bien with her oral health message. "I was pleasantly surprised when Delta Dental supplied these brochures," she says. "I've distributed these not only in our dental clinic, but in the Kids Care Clinic so parents know how important oral health care is for their children." Many of Bien's patients can't afford milk or other foods that contribute to good oral health. Not all understand that sugar in the diet, from candy to soda, can cause cavities in themselves and their children. Bien, who has worked with Denver Health for nearly five years, has spent more than 30 years working as a hygienist. She finds her work rewarding. "I really like working in community health," she says. " I think we make a difference for the indigent population here - educating them and providing them care for their oral health needs." DELTA DENTAL ANNUAL Re 2007 1 12 11 Ms. Amy Sharkey City of Fort Collins 215 North Mason Street, 2"d Floor Fort Collins, Colorado 80522 Re: Response to Request for Proposal (RFP) for City of Fort Collins Dear Ms. Sharkey: Thank you for the opportunity to provide a dental benefits proposal for the City of Fort Collins. As you know, Delta Dental of Colorado has been providing dental insurance and service to the employees of the City since January 1997. As the sole Account Manager for the City of Fort Collins, I have developed a strong understanding of the City's expectations from a carrier. 1 believe that Delta Dental has demonstrated our commitment to this relationship by providing excellent customer service over the past 13 years. We are excited at the prospect of continuing to provide dental coverage to employees of the City of Fort Collins. Please take a moment to review the many advantages Delta Dental of Colorado offers your employees. Employer Savings (Claims Paid by Croup) • 2009: City of Fort Collins received approximately $1 4,603 in savings from Delta Rental's dual network. • Please refer to the Delta Dental Difference report (sent under separate cover) for details. . Employee Savings (Member Savings) • Delta Dental's.provider agreements do not allow balance -billing.. • The difference is evident when comparing Delta Dental to CIGNA, AETNA and MetLife. • Please refer to the Delta Dental Difference report (sent under separate cover) for details. Dual Network Advantage • Due to our expansive networks across the Colorado, 92% of your employees will have access to "network" providers (Delta Dental PPOsm and Delta Dental Premier) ensuring discounts and network protection. • Cigna's anticipated network access (PPO protection only) is 42% in one year. This means that over 58% of your claims are expected to be incurred outside of Cigna's network. • Aetna's anticipated network access (PPO protection only) is 32% in one year. This means that over 68% of your claims are expected to be incurred outside of Aetna's network. • MetLife's anticipated network access (PPO protection only) is 41% in one year. This means that over 59% of your claims are expected to be incurred outside of Aetna's network. • Delta Dental discounts range as high as 17.3% for the PPO network and as high as 5.6% for the Premier network. 0 0 City of At Collins 0 Dental Network Protection Comparison MetLife vs. Delta Dental PPO Plan ■ PPO ■ Premier 0 NonPar vcna vciiLai j Welclorne, Our" New, Dental, Direct Delta Dental Was pleased-t6anhounc-e the arrival in 266� of Dr No-ria Collins your new C616fadb Dental` Director Dk, Collins e- 11 pr6ffi6te_&Vi'doncombased dentistry in our new pt6diiEt development ovthe latest researcli:and science _gui e. Dr. Collins; A6 f�ractkod general dentistry for 13 on , d, --Y'--�LtsiiAqlltbililnue-",,ii6��tiVI56if a - help 96-W beltab�ental'g dual hetwotk of PPO and Premidt dentists', making dental care more accessibie%aifd"11__` or ifiern ers. In addition to hei experience as a, practicing -ticing, Coll s as Wed wiffi'Ibdding' dentist; Dt. 66-i'mi" bral'tdre and deritAI products companies in professional relations and marketing-, She earned r dental dogde-fr6m'-' Glasgow University and has an MA, andMBAf N From left ..toright: Di. Collins is a past me4efbf 1; Acadefffy of General Dentistty fied'A Lawhead, = Barbara -B. Spring&,-J`D. 46 B-'a7jd aiid-hai�bbe POUii&tibh n, -Sti Vice Presldent.,Sales'and Marketmg - General 'Counsel and m ofnbof the BritishDental Association, `- -Linda M. Arneson Vice President Administration the bilich behW Association and the -Chief Opeiating Officer h Kat Paul American DentalAssociation. �,.Tresident--,, and ' CEp., ficna o ins, DDS Tental Di'ct6r - re Russell & Schreier Vic6 Piosident. Finance DELTA DENTAL ANNUAL REPORT 2007 1 13 C 1 ? ^s f a•ry+k e�3�rt4y r s Delta Dental`Plans Association,.' ` A-Waiv' nal Netw®irk ` 5 For more than 5o years the Delta Dental Plans ' Association anatiorialnetwo"rk�ofnon"profit z ` dental service organizations, has worked=to improve the oral health of Americans by of%ring liigh:quahty;`afford`a^Uledentalcoveragewith'=" an emphasi"s on prevention to a wide variety of employers and individuals In addition � r Delta De tal member companies serve more than a quarter of fire estini"ated _i65 million Arnencans with dental msurancej servirig:,more , than 55 million people in 887006 employe"r groups nationwide. Delta Dental Premier offers the largest dental' network 'nationwide with more than i24;6o6 1. providers j > 8a o00 locations:. Delta Dental s PPO`network has more iha.n an 63,00o dentists practicing in more than. zo4;oOO locations t Delta Dental m"ember companies IZad about $i3 billion m premium revenue m fiscal year zoo6 the In'' s a�th ."year of financial gams a Delta Dental member c-ompanie-"s in aoo '. processed more than 73 milhon dental dams z 3Q , i ;, sw '' `",. a ;aliout > 33: rriillion:weekly =.wt?i ri accuracy "` safe of gcj percent: f Delta Dental s umquefcost Acontrol me7 V" s 1 help ^ensure gtiiality` are at an `affo`rdable price, saving groups mole: than $5 3 billion m oo6 ' v �As;a°mem er of the Delta D� ntalwPlans � �� ` Association; Delta ;Dental of Col'oiado 'Ail able Ito Bring these unique and valuaUle benefits to T> rrr.�,-y... T.,. uw t B+ tS S`f^ r t &P c' =its members Source Delta, WAansAssociation g r , Delta Dental Board of Trustees 2007-200g Seated — Left to Right: Michael Hate, DDS C. David Kikumoto Kate Paul, President & CEO Brian Hendrickson, DMD, Board Chair B. LaRae Orullian Cynthia Evans • Standing — Left to Right: Denise Kassebaum, DDS Olivia Thompson Alex Acevedo, DDS John Mathewson Gail Schoettler, Ph.D. Terry Koele George Beilby, DDS Cheryl Wenzinger Lisa Augustine, DDS DELTA DENTAL ANNUAL RF.2007 1 14 Linda Arneson A Career Journey at Delta Dental Linda Arneson says she's grown up with Delta Dental. They've both come a long way. Arneson, now Delta Dental of Colorado's chief operating officer, joined the company 36 years ago as a temporary file clerk. She was 18-years-old. "I tell everybody I was io," she says, laughing. "I was the best file cleric they've ever had and I've been here ever since." Delta Dental began operations in small, two -bedroom apartment in the basement of a building on High Street in Denver. The living room was the filing area and the master bedroom housed the executive offices. They used typewriters and whiteout at first; they didn't have their first computer until the ig8os. The City of Lakewood and Denver Public Schools were among the first employer groups. Today, they're still with Delta Dental. _ Arneson was one of four ' :�` employees. After six weeksW�"11!__:,�'_,_',� - she was hired full-time. Linda Arneson, When she started at Delta chief operating officer for Dental, she wasn't sure what Delta Dental of Colorado. she wanted to do for a career. Delta Dental inspired her to Click here to see earn a degree in business. Linda's video. Over the years she's worked in Delta Dental's filing, billing, underwriting, marketing and professional services departments. In recent years, she's been a member of the executive team in a leadership role over claims and customer service. "I've worked for Delta Dental for 36 years and I've had a lot of opportunities," she says. "So for me, Delta Dental has been a wonderful experience." So what's it like to work at Delta Dental? "It's really quite fun," Arneson says. "We work hard, serve our customers and we're accountable. And we always find something to smile about." DELTA DENTAL ANNUAL REPORT 2007 1 15 Measures of Success Consolidated Balance Sheet and Nu'mUerix;percertage 'ofdenhstswhoonsolldated Statement of Operations and Reserves contract with Delta Dental 2�519:/g4, Vol (a;net growth of �%) Consolidated Balance Sheet Consolidated Statement of Operations and Reserves Number of Delta:De-htAl Prefetred Years Ended December ji 2007 2oo6 Years Ended December3l (In.Thousands) (In Thousands) Option Providers;_` 47 ASSETS Group revenues Cash and investments $61,591 $4.7,687 Net investment income Number of enrollees served.(�00,000„ Amounts receivable 7,529 13,012 TOTAL REVENUE Property and equipment, Pe"rcepta � e of Grou s g P net and other assets 3,309 4,661 Benefits for services retained in 2o07 ` 9 9 O �O. TOTAL ASSETS $72,429 $65,36o to members and Cost management savings to ;customers ` LIABILITIES . ` million and subscribers79 Loss and loss adjustment Number of claimsprocessed expenses I.4 million Unearned premiums Accounts payable and Amount paid out in claims accrued liabilities 176 nlillxon TOTAL LIABILITIES Paymentaccuracy`ofclarrrls IOOO. RESERVES (based on statistical sampling) Restricted reserves Unrestricted reserves Premium revenue ^ OOO Total reserves 2007 2oo6 $203,507 $2o6,153 4,o89 2,452 207,596 208,6o5 operating expenses 200,029 2031710 NET GAIN 7,567 4,895 $7,533 $8,570 Reserves at beginning 696 293 of year 50,332 44,035 Net change in unrealized 6,203 6,165 gains on investments 98 i,o67 14,432 15,028 2,000 2,000 55,997 48,332 57,997 50,332 Zo3,;�07, TOTAL LIABILITIES Overall subscriber satisfaction. AND RESERVES $72,429 $65,36o O wifh Deltaen Dtal.'�z 93 Net change in unrecognized pension loss 335 Reserves at end of year $57,997 $50,332 (Complete audited financial statements are available for inspection at our corporate offices upon request.) DELTA DENTAL ANNUAL RE102007 1 16 2 o o 8 annual report • What uiveso) Good Products. Good Service. Good Works. Good Value. �OO a� 0 0 L�JI�SlS� Lv/1�4S�S 4 0 �a p. T -Mao amb&DA ym . W -0 °o °, .a° t L, U.wvut�s�j W!4!� �b4ft � _ "—_u fo p_�� a Le go In 2008, Delta ;,Dental ;gave each ;employee '$1;0.00 `to donate to °their . favorite ,charf;y ;in ihonor (of the �com,panys :50th anniversary. LooK for employee photos and their charities throughout the annual report. IF ,Andy Q ,Reilly A'Izheimees Association DELTA PtffVA1 ANNUAL REPORT 261 iIPAGE 2 Contents Executive Summa .. P" Dual Network ......... PP. 4-5 Products ;& Services pp.!6 .� H*Y Foundation Efforts ........ ....... pp. ro-zi What .Gives? We do ................. ......•, pp. 12-13 Executive ;Staff'& Board -,of Trustees ,.....` ,pp. ,14-m5 'Measures Success Financials & of ...... �i,6-17� What Gives? We do. Delta Dental of Colorado Celebrates 50 Years of Service Most companies don't make it to the 50-year mark, especially now.n,these challenging economic times. So what gives? At -Delta Dental, we give good value. We give good service. We give our customers a long history of financial stability and sustainability. And as a non-profit dental benefits organization, we give back to our Colorado communities with innovative programs designed to prevent cavities and promote oral health. 20o8 was an exciting year for Delta Dental —of Colorado. Despite the economic downturn that has affected many Colorado employers and their employees, we continued to offer reasonable rates and cost effective, quality insurance products that made it easier for our more than 800,000 members to get the care they need. We know people are more likely to see a dentist if they have dental insurance. In 2oo8, we were proud to launch Delta Dental for Individuals and Families, a product designed to provide dental benefits to those who don't get coverage through an employer. We've also expanded our preventive dentistry program, creating Prevention First Dental, a new product that gives financial incentives for patients to get the oral health preventive services they need. We have the broadest network of dentists in the state and it continues to grow and thrive. Our dual network — made up of Premier and PPO dentists — is twice as large as any of our competitors' networks. Nearly nine out of ro Colorado dentists are affiliated with Delta Dental networks. What's the advantage? It means more choice for our subscribers, lower claims costs for employers and smaller out-of-pocket expenses for employees. Kathryn A. Paul Delta Dental of Colorado President 6T Chief Executive Officer Brian Hendrickson, DMD, chairman of the Board of Trustees, and Kate Paul, Delta Dental of Colorado President iX CEO. Our service is outstanding. Most of our claims are paid within five days with nearly r00% accuracy. Most calls are answered within seconds. Once employers choose Delta Dental, they rarely switch. Our retention rate for our 3,000 groups is more than 96%. Delta Dental had a positive financial year in 2oo8 with revenue at $212 million with reserves of $58 million. At Delta Dental, our work has just begun. We're committed to improving the oral health of our community. Since 1958, we've understood the importance of good oral health. We now understand the vital importance of oral health when it comes to overall health. The Delta Dental Foundation in 2oo8 continues to support and create programs statewide to improve oral health care in our communities. We're proud of this important work and we look forward to continuing it in the years to come. On behalf of Delta Dental of Colorado, thank you for making the last 5o years possible. With our fiscal strength and stability, we look forward to providing great products and service for our customers in the next 5o years. Brian Hendrickson, DMD Delta Dental of Colorado Chairman of the Board of Trustees DELTA DENTAL ANNUAL REPORT 2008 PAGE 3 Dual Network Creates Twice the Value For Delta Dental Customers Delta Dental's dual,dental network — Premier and PPO — is twice as large as any of our competitors' networks. Delta Dental is alone in contracting with nearly nine out of io of Colorado's licensed dentists. So why is that important? The size of the network makes a huge difference in affordable and accessible dental care for members. When they see dentists who contract with Delta Dental, it results in lower claims costs for employer groups and smaller out-of-pocket expenses for members. None of the 20 other carriers who offer dental insurance in Colorado has a network close to the size of ours. As with all our competitors, Delta Dental has a PPO network, similar in size to our competitors'. About 40 % of Colorado's dentists participate in Delta Dental's PPO network. But it's what's outside the PPO network that makes the difference. Most employer groups buy PPO plans. But because most dentists aren't in PPO networks, this means the majority of PPO patients see dentists who do not participate in their carrier's network. This results in more expensive care for the patient. But at Delta Dental, another 45% of dentists participate in Delta Dental's Premier network. Together our PPO and Premier networks account for 85 % of Colorado's dentists. For nearly nine out of io Delta Dental members, their dentist of choice participates in the Delta Dental Dual Network. That means these patients have important protections that save them money and make their dental care more affordable. Here are some examples: • When a dentist contracts with Delta Dental, he or she agrees to a number of requirements that make it less expensive for Delta Dental patients to get the care they need. • A dentist can't charge more than the maximum allowed amount for the procedures provided, even if it's not a covered procedure. The dentist also agrees not to balance bill for the amount between the billed amount and the maximum allowed amount. The claims and out-of-pocket savings that result from our dual network is what makes Delta Dental the most effective and valuable dental plan in today's market. And that's why our retention rate with employers is greater than 96%. Colorado's Dentists ,tbeIta (Dental ' ;(PROS"" {Dentists ` Delta ID., rbt IIPrernier® Delta 16e061 `t0.ut-,dPNetwork tf s: r ass. cam DELTA DENTAL ANNUAL REPORT 2008 PAGE 4 No Text Delta Dental of Colorado Offers Product & Service Choices for Employers When it comes to dental products for employers, one size doesn't fit all. It doesn't have to — Delta Dental of Colorado offers a variety of products designed specifically to meet the needs of our employer groups and their employees. Here are the products we offer: Delta Dental PPO51" Delta Dental Premier® The Delta Dental PPO emphasizes choice, while helping The Delta Dental Premier plan allows members to choose members save money on their dental care when seeing any licensed dentist for treatment and provides an extensive a Delta Dental PPO dentist. With the PPO plan: list of covered services. With the Delta Dental Premier Plan: Participating PPO dentists have agreed to • Members are responsible only for the payment of their accept a reduced fee to provide services. deductible, coinsurance and any non -covered services • up to the approved amount for the procedure. Members will receive benefits if they see a Delta Dental PPO dentist (in -network). Delta Dental Premier dentists file claims directly with • Members who choose to see a non-PPO dentist Delta Dental and accept reimbursement in full. may incur additional out-of-pocket expenses. If members choose a non -participating dentist, they may incur additional out-of-pocket expenses. Exclusive Panel Option, a feature of Delta Dental PPO Delta Dental Patient Direct® The EPO option provides a comprehensive plan Delta Dental Patient Direct allows groups to offer a stand- • using the PPO network. With the EPO plan: alone discount plan or pair it with an insurance product. • Benefits are available only to Colorado residents. This plan gives groups and members total flexibility by providing the choice of two fee schedules. Members • Dental care must be provided by a PPO dentist. can save a significant percentage on certain dental • PPO dentists, who agree not to balance bill for additional procedures from participating dentists in the separate services, file claims directly with Delta Dental. Delta Dental Patient Direct dental network of more than 55o dentists. This plan is affordable and easy to use with: • No maximums. Maximum Allowable Charge (MAC}, a feature No waiting periods. of Delta Dental PPO • No annual deductibles. With a MAC plan: • No claims to file. • Benefits are paid based on the PPO fee schedule. • Patients may see any dentist, but will receive greater benefits if they go to a participating Delta Dental PPO dentist. Achieve Plan • If patients see a Delta Dental Premier dentist, The Achieve Plan offers richer benefits and lower premiums they are responsible for the difference between when an Achieve network dentist provides the care. the allowed amount and the Delta Dental PPO Achieve dentists are selected for the network based on their fee, plus any deductible and coinsurance. strong preventive practices and long-term high customer • satisfaction. Dental research has shown that preventive Patients who see non -participating dentists may practices can result in improved patient oral health outcomes, incur additional out-of-pocket expenses. a corresponding reduction in treatment needs and such beneficial outcomes as the longer retention of natural teeth. a DELTA DENTAL ANNUAL REPORT 2008 PAGE 6 0 THE DELTA DENTAL DIFFERENCE Illustration of Data Analysis - Based on Claims: Twelve Months Claims ending 6/30/2009 PPO Plan Design Gross Submitted Charges Less Ineligible Claims Net Eligible Claims PPO Network Savings Premier Network Savings Total Network Savings Nonparticipating Dentist limit savings Grand Total Savings Patient Payments Claims Paid by Group Delta Dental Difference Plan Savings City of Fort Collins MetLife Delta Dental Claim $ % of Eligible Claim $ % of Eligible $1,752,955 100.6% $1,752,955 100.6% - 10 250 -0.6% - 10 250 1.3% $1,742,705 100.0% $1,742,705 100.0% -$139,607 -8.0% -$123,410 -7.1 % $0 0.0% -$74,193 2.8% -$139,607 -8.0% -$197,603 -11.3% $30,693 1.8% $27,097 1.6% $170,299 9.8% $224,700 12.9% $674,667 38.7% $650,178 37.3% $928,431 53.3% $894,924 51.4% $33,507 4% Average Enrolled employees 1,421 1,421 Voluntary Group Dental Plan The Voluntary Group Dental Plan is designed to meet an employer's need to provide a comprehensive benefits package while reallocating costs to the employee. The plan allows employers to offer a dental benefit plan and each employee may elect to participate. Delta Dental offers voluntary dental options for both Premier and PPO dentist networks. Groups can choose the Gold or Platinum options: Gold Option: The Gold Option provides a comprehensive benefits plan that has waiting periods for some major services. Waiting periods must be met before benefits will be paid. Platinum Option: The Platinum Option provides comprehensive benefits from the date of enrollment, but benefit coverage levels improve the longer the member is enrolled in the program. 2-9 Product Portfolio Delta Dental offers four plan designs for employer groups with two to nine employees. The product portfolio includes two Delta Dental Premier options and two Delta Dental PPO options. Administrative Service Contracts Self -funded groups may contract with Delta Dental for administrative dental services and the use of our provider network. Self -funded employers pay administrative fees to Delta Dental for processing claims, the use of network dentists and for additional administrative services. Groups may use either the Delta Dental Premier or Delta Dental PPO network for self -funded contracts. COBRA Administration"�. Delta Dental can administer dental benefits for COBRA recipients. Employer groups can contract with Delta Dental to provide dental benefits or to handle the COBRA billing and administration. EyeMed Vision Products Delta Dental offers risk, self -funded and voluntary vision quotes to our brokers and employer groups in partnership with EyeMed Vision Care, the nation's largest vision carrier. EyeMed is affiliated with a large number of independent optical offices and retail chains, such as Lenscrafters, Pearl Vision, Sears Optical and Target Optical centers. As a standard benefit, all Delta Dental of Colorado dental members receive a free discount vision product available through EyeMed participating providers. Retiree Dental Delta Dental offers retiree products for groups with ioo or more employees in their active group. The retiree dental plan is voluntary and the retiree is responsible for the cost of the program. Retirees choose from three options for themselves and all eligible dependents up to age 25. Custom design retiree products are available for groups with Soo active enrolled retirees in an existing dental plan. v lA A' . ,. DELTA DENTAL ANNUAL REPORT 2008 PAGE % IN &A New in ZooB Delta dental for Individuals & ]Families Now Delta Dental has everyone covered —individuals and families too. Studies show people with dental insurance are more likely to see a dentist and have better oral health. And good oral health helps your overall health. Delta Dental created the individual and family plans with that in mind. Individuals can be Delta Dental members even if they don't get dental coverage through their employer. They can choose between a discount plan or two different insurance plans. Patient Direct® You choose from among 550 Patient Direct dentists in Colorado. Under the plan, members: • Have no annual maximums or deductibles. • Have no waiting periods. • Must receive care from their assigned Patient Direct dentists, who offer significant discounts. PPO Direct You choose from among 1,228 Colorado dentists. Under the plan, members: • Have a $75 per person deductible. • Have a maximum of $i,000 annually per person. • Have waiting periods on some services. • Must receive care from PPO dentists, who offer reduced fees. PPO Plus Direct You choose from among 2,611 Colorado dentists. Under the plan, members: • Have a $5o deductible per person. • Have a maximum of $1,5oo annually per person. • Have waiting periods on some services. May receive care from any dentist, but get the greatest savings from PPO dentists. Delta Dental of Colorado Encourages Oral Health Care with Innovative Prevention Products for Groups Prevention First Dental Researchers have uncovered links between gum disease and systemic health problems, such as heart disease and strokes. That's why dental health should be a priority for individual and families. Good dental care can change overall health for the better. Delta Dental in 2oo8 introduced a new Prevention First Dental Plan, designed to promote good health habits for consumers. The plan — a new product option that can be added to the Delta Dental PPO or Delta Premier plans — seeks innovative ways to help groups and members maximize their dental dollars. The plan: • Encourages routine dental visits for patients because it does not count the cost of diagnostic and preventive care services toward an individual's annual maximum. • Allows patients to stretch their maximum and use it for additional dental treatment if needed. • Emphasizes preventive care, which can save costs over the long term, by reducing the need for more expensive services. • Gives Delta Dental an easy opportunity to promote the importance of oral health among patients and providers. Evidence -Based Dentistry Delta Dental has introduced a new approach to improve the correlation between oral health and overall health. Using scientific evidence, Delta Dental has enhanced dental plans to include additional preventive services for people with certain health conditions. The improved benefits include coverage of up to a total of four cleanings or periodontal maintenance cleanings per benefit period — instead of the typical two. Evidence -based preventive benefits will target such high risk health conditions as: • People with diabetes who have periodontal (gum) conditions. • Pregnant women who have periodontal (gum) conditions. • People with cardiovascular disease who have periodontal (gum) conditions. • People with kidney failure or who are undergoing dialysis. • People with suppressed immune systems due to chemotherapy/radiation treatment, HIV and organ or bone marrow transplants. Good dental care can change health for the better. iNk ieiMiiier u i Cancer ieague ..of .Colorado FA(DENTALANNUAL;REP,QRT2008.10%( Et49 Delta Dental Foundation Supports Projects to Improve oral Health in our Colorado Communities The Delta Dental Foundation provides grants to organizations and projects that advance the prevention of oral disease. Working for more than a decade, the Foundation has supported a variety of projects that make a difference in the lives of Coloradoans. The goals of the Delta Dental of Colorado Foundation are to: • Better understand Colorado's current oral health programs and strategically pursue funding opportunities. • Increase understanding of the importance of oral health in the philanthropic, public policy, medical and oral health communities. • Participate in public policy efforts to improve oral health for all Coloradoans. • Disperse funds into the community using grant -making guidelines. Here are highlights from the Foundation's current projects. Choppers Toppers Sealant Program With Foundation funding, Kids in Need of Dentistry (KIND) can provide dental sealants to more low-income children in Metro Denver area schools than ever before. Cavity Free at Three The Foundation joined the Rose, Caring for Colorado and Colorado Health foundations, the Colorado Trust and Kaiser Permanerife to. train oral health and other providers to better meet the>needs of underserved populations. The goal,,i's:to improve the oral health treatment and education of mothers their ni ants_ .and very''young children. s=' i Delta Dental Frontier Center The center provides education to dental and medical students, residents and practitioners on the important connection between oral health and overall health. The Frontier Center's goal is to enhance patient health by creating strong ties between the medical and dental professions. The center was formed in a unique partnership with Delta Dental Foundation and the University of Colorado. The Hygienist Co -Location Project This research -based project evaluates the impact of providing preventive oral health care for children within primary care settings. The study is documenting the impact of housing registered dental hygienists in close proximity to six pediatric medical practices throughout the state, specifically those with large numbers of Medicare and Child Health Plan Plus children. Colorado Dental Association Donation In honor of its 5oth anniversary, Delta Dental of Colorado made a $ioo,000 gift to the Colorado Dental Association's Mission of Mercy. The gift was used to buy mobile dental equipment to be used in future Mission of Mercy projects. Michael Ezell I Have a Dream 'Foundation of Colorado DELTA DENTAL ANNUAL REPORT 2008 PAGE 10 i 4 F "A i"g,", Xs C a a. III Oral Health Public Education Campaign The Children's Hospital Children's Oral Health Clinic Nearly all oral disease is preventable. The Foundation The clinic's goal is to eradicate cavities among high -risk has funded a public awareness campaign aimed at children and to provide preventive oral health services informing pregnant women and mothers of young for young children. Services will be offered in a new oral children about the importance of regular dental care. health area at the Children's Hospital Dental Clinic. The campaign specifically promotes the need to understand the possibility of transmitting oral disease from mother to baby and the importance of good Smite-a-bration oral health for pregnant women and new moms. Smile-a-bration continues as Delta Dental's signature program that provides free dental services for low- ` income children. Smile-a-bration is no longer a one -day Dental Aid Xylitol Evaluation program. In 2oo8, low-income children ages 18 and The Foundation has funded the evaluation of a project younger who had no dental insurance, received dental that tests the effectiveness of xylitol intervention for care at six sites statewide. In 2009, Smile-a-bration Bright Smiles for Bright Futures participants, low- will be offered as an insurance program statewide. , income women and their children. Xylitol is a natural substance that helps fight bacteria in the mouth. Invest Insurance for Adults Invest provides 12 months of dental benefits or $i,000 (whatever is reached first) to adults 18 and older in Colorado, who are uninsured and have incomes at 200 percent or less of the federal poverty level. } T t 5s r z��� k "' arinda Step 13 iand Dumb frientls League Vincent�Cha�ez Alzheimersgssa�ia�tion° a ¢DEL'TA(DENTALrANNUALaREPORT 2008lPAGE.11 �, That Gives? Delta Dental of Colorado Gives Each Employee $1,000 to Donate to a Charity of Their Choice To celebrate our 5oth anniversary in Colorado, each Delta Dental employee in.2oo8 receivedSi,000togive ,to af5oi-(q),(3,)c-hai-ity�dftheir"-,chbice. More than,$130,000 was distributed to ;Colorado 6hantable,organizations. Why give? The program objectives 4nduided: Offenng employees.a chance to support their `favorite charities as,an acknowledgement of their years of hard work and dedication. - Spreadingtheword that Delta Dental is,a41on-profit organization. • Giving back to our Colorado communities in thanks .,for supporting Delta Dental for 50 years. We knew our employees wanted to give to their favorite charities, but were not always in position "The Rocky Mountain MS Center has really helped me cope with living with this disease and helped z me learn not to think about the what —ifs and just live day to day and have a positive outlooK." Delta Dental employee Christine C-illion who rallied her colleagues to donate $8,000 to the Rocky Mountain MS Center financiglly,to:support these,efforts. The;goal of ,the, giving,program was to more fully -help our empl9yees,support and explore their passions. One group,ofemployees gave'$io;5ooto a �Colorado group .that fights child abuse. Another,group gave $8;oo,o to the Rocky Mountain MS Center in support,of afellow, employee recently diagnosed with m ultiple,sclerosis. We',knew the employees would be enthused about the effort. Delta Dentars :only •requirement was that the charity be a'50I.(c),'(3);and would benefit,Coloradoans. "As anon_profit� organization, ifs our missionto help �our community," said Kate Paul; Delta Dental president,and ,CEO. "Our 5oth anniversary;giving program -has provided us a wonderful opportunity to ,do just that — by reaching -out to charitable,organizations,throughout,our,state. We are proud of our employees and their ,contributons." RE, t A va, "With the money that, I donated to the Big TUs "' 'r� , n'cramp As (a 1h, qge thing iftr py (son. o A thlone of `the Dings `that Ih, e Rodkis I fpmand to (mo0t, att (df tlhw)yearlb isqy jprvd4dbty (mme than, (Christmas. (a (0 1 d , �t , e can, �gk, -111' toad IN 4s toortrown dod fl�y �h me `that (he lh*s (C] (one iper, Q tft L 1h WRY (other (d Wrdmen, (like I Wmsdfi- $ht erI (Fennt ant dez Ihippes hor 411,000to tbe Arthl rflAs FvwadOlHon, will help (a (0-bilid tgo to (arith, bftis camp. Zht erA tsont,Ala, twos 0qg mod *,Rlb Jume Oile oNth, r'tfts four years (qgo Ohm, h e was (eight. C71 0DELTA DEN7A ANNUAL REPORT Z-s PAGE t2 l We could just go and relax and enjoy each others company." Sally Connors; a. breast cancer survivor, telling of the evenings, out she I and her husband enjoyed with support from the Diana Price —fish e:•.�n .. ; �^ y +. "a, £ `- .ba, , , foandat2on Sally,dona#ed $1,000'to the foundation, which helped Tents e � cancer �� : I f(( p njoy an`evening out . • WPZ t t hen we got home, W it was just the start.., "`The (did�a lot cof wonderful things (back .,' fl »' of a'Whole new family Y «^ ►`. then(andjI Know they stillado those wonderf�ui,"dully Smith, a ;athngslfoothertdesenvingfhamilies"�(Lordn'eT « wfio1c ntributed �Tr�wJillo, Cwho ggave Iher'$1;00.'0 kto IMead ,starth r her "$1;000 to Atloptioh Options. he . IPtr�ogram. Lorane,rwhoigrewluptastone(of. organization helped.dudy and her )10 children An (Ordway, (Colo„ (benefited (as ca (chi)d from the Mead SStartP,r�ogram husband adopt their two children. } 9 t^ m '`I am a single mom of three. No husband no support., And every day �' ' I get up and thank God because I am blessed, not lucky, but blessed because my pantry is full of groceries." Karen Calderon, who gave ., her $1,000 contribution to Food Bank of the Rockies. I i laj - ' 1t=s a =wonderful ;waytobring tt a. plot ,of people `together awho.� ;" "It moKes me feel really you havent ;heard iabgut W - 4 «: � '� good inside because when I thought,dbout for Equite (a came to America there was e ilong time. It's therapy" Scott ( not a lot of help. And even. ThrelKeid don664d'$1;00,0 Ito �� rt, I did #houghlneeded s���, ti, m ` not know show' to get it:lVow CartngBrid ge, �a�gr�oup «;th^at r` provides free websites ;nor families,and I feel'that we have"come a . friends kWh want to communicate mwith:(each long'way. It feels good. to other ,during `the il►hess.of a (loved gone,: in. i help other refugees Y Y°',l lta Dental employee and refugee from melnar, of his f a A a a rz �nd�Trac, ,Adams, �whodied oo ang, a e low �of'cancer in 20.0$ ���� rr °r � ' Laos,=cantributed $1,000 to.ttie NmonyyAmercan „ Association of Colorado. . - !DEL'TA;DENTA'L ANNUAL,REPORT2OO81PAGE 13' a Farewell & welcome to Delta Dental Board of Trustees Thank you to members of the Delta Dental Board of Trustees who retired from the board in December 2008. They are: Michael Hale, DDS, a practicing general dentist in Parker, CO, who served on the board from 2000-2008; Terry Koele, a financial consultant with AXA Advisors, LLC, who served on the board from 2000-2oo8; and John Mathewson, who served as first vice president to UFCW Local seven's Executive Board and is now retired. Mathewson served on the board from 2001-2008. P"I Delta Dental gives special thanks to outgoing board chairman, Brian Hendrickson, DMD, who served on the board from 2000-2oo8. Dr. Hendrickson practices general dentistry in Wheat Ridge, CO. The new trustees starting in 200g are Douglas Berkey, DMD, MPH, MS; Richard Call, DMD, MS; Victor Lazzaro Jr.; and Marilyn Taylor. Cynthia Evans, an executive professor of management at the Monfort College of Business, has,assuln ed,theZhair position. $ n, ,k 1 ;@ ic a a � y .. b N { K. e F _. N'a L e, l e : IPr 1tHe�5lmcK 447YLD� (RmXd CC}e k; tt lium�o lQ1(�ia Tik�� n°Pis ii hail ke �ti G fR f4aRe JQrat�ian; Jb�oneG 1Q' l5? Fa�xeid . ;DELTyQ;DENTAL�ANNUAL.REP,ORT'.2008!PAGE 14 .. = Delta Dental Plans Association Promotes Oral Health with National Network For more than 5o years, Delta Dental has worked to improve the oral health of Americans by making dental coverage affordable and available to a wide variety of employers, groups and individuals. Delta Dental member companies: • Provide more than 25% of the estimated 173 million Americans with dental insurance, covering more than 51 million people in more than 93,000 groups nationwide. • Delta Dental Premiere offers the largest dental network in the nation, encompassing more than 123,000 providers in 194,900 office locations. • Delta Dental PP0Im has a national network of more than 65,000 dentists practicing in 116,500 locations. • Delta Dental member companies posted about $14 billion in premium revenues in fiscal year 2007, the system's 28th consecutive year of fiscal gains. • Delta Dental member companies processed more than 76 million dental claims, some 1.4 Delta Dental of Colorado Executive Staff million weekly, with a 99% accuracy rate. From left to right: • Delta Dental's unique cost -control measures and Linda M. Arneson lean Lawhead Chief Operating Officer Vice President, Sales and Marketing contractual agreements with dentists ensure quality care at moderate fees, collectively saving subscribers Dr. Fiona Collins Russell J. Schreier with group dental more than $5.8 billion in 2007. Dental Director Vice President, Finance Source: Delta Dental Plans Association Kathryn A. Paul Barbara B. Springer, J.D. President and CEO General Counsel and Vice President, Administration Financials Consolidated Balance Sheet and Consolidated Statement of Operations ani Reserves Consolidated Balance Sheet Years Ended December ji 2oo8 2007 (In Thousands) ASSETS Cash and investments $59,56o $61,591 Amounts receivable 9,138 7,529 Property and equipment, net and other assets' 3,991 3,309 TOTAL ASSETS $72,689 $72,4.29 LIABILITIES Loss and loss adjustment expenses $8,143 $7,533 Unearned premiums 6oi 696 Accounts payable and accrued liabilities 6,303 6,203 TOTAL LIABILITIES 15,047 14,432 RESERVES Restricted reserves 2,000 2,000 Unrestricted reserves 55,642 55,997 Total reserves 57,642 57,997 TOTAL LIABILITIES AND RESERVES $72,689 $72,429 Consolidated Statement of Operations and Reserves Years Ended December ji 20o8 2007 (In Thousands) Premium revenues $212,271 $203,507 Net investment income 209 4,o89 TOTAL REVENUE 212,4.8o 207,596 Benefits for services to members and operating expenses (including community benefit expenditures) 2og,891 200,029 NET GAIN 2,589 7,567 Reserves at beginning ofyear 57,997 50,332 Net change in unrealized losses on investments (3,o62) 98 Net change in unrecognized pension loss 118 - Reserves at end of year $ 57,642 $57,997 (Complete audited financial statements are available for inspection at our corporate offices upon request.) DELTA DENTAL ANNUAL REPORT 2008 PAGE 16 City of F* Collins - . . . ..... ................. . . . .. ..... . .... . . . .. ....... ........ . ..... ........ ........ I . ........... .. . ....................... . . . ....... ... . . . ........... . . ....... .. . . . ................. . .................... .......... . . ... ... . . ......... . .. ..... .. ... .... ...... ..................... . . .......... ... ........ .... Annual Dental Network Savings Comparison MetLife vs. Delta Dental PPO Plan El PPO El Premier i` w My No Text 0 • • • City of Fort Collins Provider "Report Cards" Delta Dental of Colorado is still in the development stages of the provider "report card." Our goal is to roll this out in 2010. Trade Secret, Proprietary & Confidential r� Policy Assuring Member Satisfaction 0 0 • • • City of Fort Collins Assuring Membership Satisfaction Each year Delta Dental of Colorado (DDCO) contracts with an external healthcare research company to survey our subscriber population to determine an overall level of satisfaction with our services. The research company randomly selects subscribers to be surveyed each month until a sufficient sample size is met. There are 5 global satisfaction questions and one open ended question: "What could Delta Dental of Colorado do to improve your satisfaction with us?" Any changes or trends will be identified with the monthly feedback received from the external research company. In addition to keeping the pulse on the overall satisfaction of DDCO subscribers, we use this information to assist us with trends regarding new products or processes. Trade Secret, Proprietary & Confidential • Sample Reports n U • • Standard Reports Listing Name and Description Frequency Quick Look Report Monthly Shows the most frequently requested group summary information: premium, paid claims, and enrollment by month, for the current and prior reporting periods. Claim Summary Report Monthly Provides detailed information on claims submitted (e.g. number of claims paid, average enrollment, average cost per employee/member) for the current and prior reporting periods. Member Age Distribution Report Monthly Shows a graph of enrolled members by age for the last month of the current and prior reporting periods. Network Utilization Comparison Monthly Shows the number, submitted charges, and paid amount of claims to Delta Dental PPO, Delta Dental Premier, DeltaCare, and non -network providers (as applicable) for the current reporting period. Dentist Payment Distribution Report Monthly Profiles which dentists have been utilized the most based on total claims dollars paid for the current reporting period. The number of claims per dentist is also included. Cost Containment Report Details each cost containment feature of Delta Dental's comprehensive cost management program, and provides specific dollar figures and percentages of savings accrued within each Monthly category (e.g. Network Savings, Consultant Review) for the current and prior reporting periods. A graph of total submitted charges, containment savings, and paid claims is also included. Claims Utilization Report Provides a detailed breakdown of how dental benefit dollars have been applied over a specified period according to service categories (e.g. Diagnostic and Preventive, Major Monthly Restorative). Average cost per procedure and cost per member by coverage category is also included. Claims Utilization by Member Report This text format report contains both measures — treatment cost and number of treatments Monthly by member type Claims Utilization by Network Report Monthly This text format report contains dollars saved and percent of all dollars for each network and across all networks, for each of the treatment categories. It also contains totals across all networks Demographics and Financials: Member Demographics Monthly This report contains for each month, all the various member demographic measures in one place, with totals by member type and by subgroup, across the selected range of months. Demographics and Financials: Rate Code Demographics Monthly This report contains for each month, all the various rate codes demographic measures in one place, with totals by subgroup, across the selected range of months. Demographics and Financials: Claims and Premium Demographics Monthly The report contains, for each month, the number of subscribers, number of claims, claims paid dollars, premium paid dollars and admin fee paid dollars across the selected range of months Claims Incurred and Claims Paid Report Monthly This report shows the lag between the month the claim was incurred (the date of service) and the month the claim was paid. The column headings represent the month in which the claim was incurred and row headings represent the month in which the claim was paid • • Standard Reports Listing Name and Description Frequency Performance of customer service and claims processing This report shows several commonly requested and reported operations statistics for the most recent calendar year. It contains data related to claims processing turnaround time and Monthly accuracy, and data on customer service inquiries. This is a static report based on Delta Dental of Colorado's Book of Business. Provider Rankin Monthly This report shows the Providers ranked according to the claims paid dollars and the visit frequency by member type Paid Claims Distribution by Provider type Monthly This Pie Chart report shows the distribution of business between Par (Premier and PPO) and Non -Par providers, based on how the claim was paid. Par-NonPar Provider Report Monthly This report shows by state, the distribution of business between Par (Premier and PPO) and Non -Par providers, based on how the claim was paid. It also shows by member, the visit count, procedure count and provider count. • ABC Company Claims Incurred and Claims Paid Report 01 /01 /2009 - 04/30/2009 Incurred Month Paid Month Total Paid 04/302009 03/312009 02/282009 OV312009 12/31/2008 11/30/2008 10/312008 09/302008 08/312008 07/31/2008 06/302008 05/312008 04/30/2008 03/31/2008 0229/2008 01/312008 12/312007 11/302007 10/312007 09/302007 08/312007 07/31/2007 06/302007 05/312007 Before 05/312007 04/30/2009 $16,637 $9,319 $1,914 $1,034 $72 $28,97 03/31/2009 $19,368 $6,821 $262 $568 $43 $27,06 02282009 $20,976 $10,73' -$ 5 $31,68 01/31/2009' $26.030 $9,451 $159 $1,742 $84 $55 $37,52 otal lncurre E78,63 E28,68 $29,71 $38,06 $10,06 $15 $1,74 S4 b E $ $ b E $ $5 $ b $ b $ E $ E E $125,248 Report Date:05/19/2009 Master: 000000000-00000000-0000 • ABC Company Claims Summary Resort 01 /01 /2008 - 04/30/2008 01 /01 /2009 - 04/30/2009 Variance Total Claims Submitted ($ $231,730 $257,684 11.2% Total Claims Paid $) $116,774 $125,248 7.3% Total Cost Containment Savings $114,956 $132,436 15.2% The Delta Dental Difference" $55,735 $62,040 11.3% Total Claims Paid (#) 894 939 5.0% Average Cost per Claim $130.62 $133.38 2.10/6 Average Employees Enrolled 493 529 7.3% Average Members Enrolled 1,303 1,345 3.2% Average Claims dollars per Employee $236.86 $236.76 -0.0% Average Claims Paid per Employee 1.8 1.8 -2.1% Cost Savings/Employee $233.18 $250.35 1 7.4% Total Premiums $0 $0 0.0% 1 Total Admin Fees $6,846 $7,361 7.5% "Network Savings, (;onsultant hteview, (;ontract Limitations, Non-twiaDle Jervlces --- --- - - - - - - - - - 250,000 #. 200,000 150,000 ------------------------ — ------ 100,000 50,000 41117 . 55irfM 01101 /2008 - 04/30/2008 01 /01 /2009 - 04/30/2009 Report Date: 05/19/2009 Master: 000000000-00000000-0000 0 City of i♦t Collins ! The Delta Difference MetLife vs. Delta Dental Savings PPO Plan 30000 $33,507 - - - 25000 y i $24,489 20000 . 15000 10000 5000 i ------ —. xx Group Savings ---- Patient Savings 0 0 9 ABC Company Claims Utilization by Member Report 01 /01 /2009 - 04/30/2009 Subscriber Subscriber Spouse Claims Spouse Dependent Dependent % of Total Claims Paid Total Coverage Category Claims Paid Procedure Paid Amount Procedure Claims Paid Procedure Total Amount Procedure Amount Count Count Amount Count Amt Count 1. Diagnostic $11,731.00 367 $5,576.00 160 $9,216.00 293 21.2% $26,523.00 820 2. Preventive $7,747.00 134 $4,059.00 72 $8,105.00 200 15.9% $19,911.00 406 3. Restorative (Basic) $6,168.00 95 $5,418.10 73 $4,036.00 58 12.5% $15,622.10 226 4. Restorative (Major) $7,819.50 41 $3,298.40 20 $8.50 1 8.9% $11,126.40 62 5. Endodontics $7,623.20 16 $3,559.00 7 $368.00 1 9.2% $11,550.20 24 6. Periodontics $4,643.00 52 $2,617.80 17 $51.20 2 5.8% $7,312.00 71 7. Prosthodontics $3,041.30 10 $1,394.00 3 $0.00 0 3.5% $4,435.30 13 8. Implant Services $0.00 0 $395.50 1 $0.00 0 0.3% $395.50 1 9. Oral Surgery $1,914.00 22 $1,301.90 16 $3,681.60 33 5.5% $6,897.50 71 10.Orthodontics $2,247.00 23 $733.50 11 $16,715.35 162 15.7% $19,695.85 196 11. Miscellaneous $597.00 6 $64.00 1 $1,118.00 11 1.4% $1,779.00 18 Total $53,531.00 766 $28,417.20 381 $43,299.65 761 100.0% $125,247.85 1,908 % of Total 43% 40% 23% 20% 35% 40% Total Claims Paid Count 359 209 371 939 Average Claim Paid Amt $149.11 $135.97 $116.71 $133.38 Report Date: 05/19/2009 Master: 000000000-00000000-0000 • • • ABC Company Claims Utilization by Network Report 01 /01 /2009 - 04/30/2009 Network and Coverage Category Claims Paid Amount Procedure Count % of Total Amt Delta Dental PPO 1. Diagnostic $26,523.00 820 21.2% 2. Preventive $19,911.00 406 15.9% 3. Restorative (Basic) $15,622.10 226 12.5% 4. Restorative (Major) $11,126.40 62 8.9% 5. Endodontics $11,550.20 24 9.2% 6. Periodontics $7,312.00 71 5.8% 7. Prosthodontics $4,435.30 13 3.5% 8. Implant Services $395.50 1 0.3% 9. Oral Surgery $6,897.50 71 5.5% 10. Orthodontics $19,695.85 196 15.7% 11. Miscellaneous $1,779.00 18 1.4% Total $125,247.85 1,908 100.0% % of Grand Total Amt 100.0% 100.0% Total Claims Paid Count 928 Average Claim Paid Amt $134.97 • • • Gr, ind Total 1. Diagnostic $26,523.00 820 21.2% 2. Preventive $19,911.00 406 15.9% 3. Restorative (Basic) $15,622.10 226 12.5% 4. Restorative (Major) $11,126.40 62 8.9% 5. Endodontics $11,550.20 24 9.2% 6. Periodontics $7,312.00 71 5.8% 7. Prosthodontics $4,435.30 13 3.5% 8. Implant Services $395.50 1 0.3% 9. Oral Surgery $6,897.50 71 5.5% 10. Orthodontics $19,695.85 196 15.7% 11. Miscellaneous $1,779.00 18 1.4% Grand Total $125,247.85 1,908 100.0% % of Grand Total Amt 100.0% 100.0% Grand Total Claims Paid Count 942 Average Claim Paid Amt $132.96 Report Date: 05/19/2009 Master: 000000000-00000000-0000 0 0 0 ABC Company Claims Utilization Report 01/01/2008 - 04/30/2008 01/01/2009 - 04/30/2009 Percent Change from Prior Coverage Category Procedures Total Amount % Paid Procedures Total Amount % Paid Procedures Total Amt Paid Paid PMPM Paid PMPM Paid PMPM Paid PMPM Paid PMPM Paid PMPM Diagnostic 0.166 $25,279 21.6% $4.85 0.152 $26,523 21.2% $4.93 -8.1% 4.9% 1.6% Preventive 0.073 $19,344 16.6% $3.71 0.075 $19,911 15.9% $3.70 3.8% 2.9% -0.3% Restorative (Basic) 0.033 $12,542 10.7% $2.41 0.042 $15,622 12.5% $2.90 26.5% 24.6% 20.6% Restorative (Major) 0.012 $11,536 9.9% $2.21 0.012 $11,126 8.9% $2.07 -1.6% -3.6% -6.6% Endodontics 0.003 $9,029 7.7% $1.73 0.004 $11,550 9.2% $2.15 29.1% 27.9% 23.9% Periodontics 0.015 $8,161 7.0% $1.57 0.013 $7,312 5.8% $1.36 -9.5% -10.4% -13.2% Prosthodontics 0.000 $660 0.6% $0.13 0.002 $4,435 3.5% $0.82 529.6% 572.0% 550.9% Implant Services 0.000 $0 0.0% 0.00 0.000 $396 0.3% $0.07 0.0% 0.0% 0.0% Oral Surgery 0.010 $5,227 4.5% $1.00 0.013 $6,898 5.5% $1.28 32.3% 32.0% 27.8% Orthodontics 0.048 $23,892 20.5% $4.58 0.036 $19,696 15.7% $3.66 -24.1% -17.6% -20.2% Miscellaneous 0.002 $1,104 0.9% $0.21 0.003 $1,779 1.4% $0.33 34.1% 61.1% 56.1% Total 0.362 1 $116,774 100 % $22.401 0.355 1 $125,248 100%1 $23.28 -2.1% 7.3% 3.9-/ Amount Paid Prior Period Report Date: 05/19/2009 Master: 000000000-00000000-0000 Amount Paid Current Period O Diagnostic ® Preventive ® Restorative (Basic) O Restorative (Major) O Endodontics O Periodontics O Prosthodontics • Implant Services ® Oral Surgery e Orthodontics ® Miscellaneous 0 0 9 Claims Utilization Report - Description Purpose This report provides a detailed breakdown of how dental benefit dollars have been applied over a specified period according to service categories. Description Eleven categories, or "procedure classes", are included in this dollar analysis, including: ➢ Diagnostic —examination, x-rays ➢ Preventive —prophylaxis, fluoride treatments ➢ Restorative (Basic) —amalgam (silver) and composite (white) restorations (fillings) ➢ Endodontic—pulpal therapy, root canals ➢ Periodontic—treatment to gums and supporting bone ➢ Oral Surgery —extraction and oral surgery procedures ➢ Restorative (Major) —crown services ➢ Prosthodontic—bridges, partial and complete dentures ➢ Orthodontic —braces ➢ Misc.—general procedures including anesthesia, consultations ➢ Implant Services - implants C] ABC Company Cost Containment Report 01 /01 /2008 - 04/30/2008 01 /01 /2009 - 04/30/2009 Dollars Submitted $231,730 $257,684 Procedures Submitted 2,337 2,584 Dollars Saved % Of Billed Charues Dollars Saved % of Billed Charges Less Cost Containment Features: Network Savings $41,992 18.1% $47,390 18.4% Consultant Review $1,329 0.6% $990 0.4% Contractual Limitations $9,535 4.1% $8,622 3.3% Non -Billable Services $2,879 1.2% $5,038 2.0% Total Delta Dental Difference $55,735 24.1% $62,040 24.1% Coordination of Benefits $0 0.0% $909 0.4% Optional Services $8,608 3.7% $16,585 6.4% Non -Covered Services $11,280 4.9% $12,497 4.8% Eligibility Verification $8,484 3.7% $2,898 1.1% A. Total Containment Features: $84,107 36.3% $94,929 36.8%_ Less Administrative Limitations: Deductible $3,320 1.4% $4,145 1.6% Patient Responsibility $27,529 11.9% $33,121 12.9% Maximum Exceeded $0 0.0% $241 0.1 % B. Total Administrative Limitations $30,849 13.3% $37,507 14.6% Total Containment (A+B) $114,956 49.6% $132,436 51 A01o_ Total Containment per Employee/Month $68.26 $62.62 Total Plan Paid $116 774 50A016 1 $125 248 48.6% Report Date: 05/19/2009 Master: 000000000-00000000-0000 ABC Company Cost Containment Report 01 /01 /2008 - 04/30/2008 Total Containment Features ® Total Administrative Limitations ® Total Plan Paid 01 /01 /2009 - 04/30/2009 O Total Containment Features ® Total Administrative Limitations ® Total Plan Paid Report Date: 05/19/2009 Master: 000000000-00000000-0000 0 0 d DELTA DENTAL° 0 ABC Company Cost Containment Report 01/01/2009 - 04/30/2009 Cost Containment Features 4% 16% 1% N} O Delta Dental Difference ® C.O.B. ® Non -Covered Services O Eligibility Verification 01/01/2009 - 04/30/2009 Administrative Limitations 1% I 11 0 88% I Deductible ® Patient Responsibility ® Maximum Exceeded Report Date: 05/19/2009 Master: 000000000-00000000-0000 Cost Containment Report Description Purpose This report singles out each cost containment feature of Delta Dental's comprehensive cost management program, and provides specific dollar figures and percentages of savings accrued within each category. Description Cost containment efforts provide savings not only to the purchaser of the dental benefit program, but to the covered individual as well. The report includes savings from both participating and non -participating dentists' services. Explanation of Terms ➢ Network Savings (Delta Dental Difference) —Dollars saved from reduction in submitted fees to reflect the participating dentist's fee as filed with Delta Dental or the maximum plan allowance, the balance of which is not chargeable to the patient by the participating dentists. ➢ Consultant Review (Delta Dental Difference) —Savings directly attributable to the clinical determination made by Delta Dental's internal & external (regional) consultants. ➢ Contract Limitations (Delta Dental Difference) —Delta Dental's state-of-the-art computer system allows us to monitor benefit levels of every contract closely to ensure that payment is made strictly within prescribed limits. ➢ Non -Billable (Delta Dental Difference) —Savings from procedures not chargeable to patient or the group contract by the participating dentists. ➢ C.O.B.—Dollars saved by Delta Dental's special attention to properly applying our Coordination of Benefits policies. COB savings is the difference between what Delta Dental would have paid without the COB minus what was paid. ➢ Optional Services —Savings from administrative determinations made by Delta Dental for the most cost-effective dentally acceptable alternative procedures. ➢ Non -Covered Services —Savings from procedures chargeable to the patient but excluded or limited by the group contract (not including amounts over contract maximums, co -payments and deductibles). Eligibility Verification — Benefit denials for procedures rendered during a period of patient ineligibility under the plan. � !►1 LTA IDDE ` ABC Company Demographics and Financials: Claims and Premiums Demographics Report 01 /01 /2009 - 04/30/2009 Month Group Sublocation Division Subscriber Count Claims Count Claims Paid Amount Premium Paid Amount Admin Fee Paid Amount 01/31/2009 000000000 00000000 0000 527 25 $37,521.61 $0.0c $1,799.01 02/28/2009 000000000 00000000 0000 527 23 $31,688.82 $0.0c $1,823.5 03/31/2009 000000000 00000000 0000 53C 21 $27,061.72 $0.0c $3,738.0 04/30/2009 000000000 00000000 0000 531 23 $28,975.7C $0.0c $0.0 Period Total 01/01/2009 through 04/30/2009 2,115 939 $125,247.85 $0.00 $7,360.51 Report Date: 05/19/2009 Master: 000000000-00000000-0000 0 City of P& Collins is ABC Company Demographics and Financials: Member Demographics Report 01 /01 /2009 - 04/30/2009 Month Group Sub Division Division Relationship Age Band Member Count 01/31/2009 000000000 00000000 0000 Subscriber 0-18 1 19-24 20 25-34 90 35-44 137 45-54 178 55-64 95 65+ 6 Subscriber Total 527 Spouse/Partner 19-24 3 25-34 58 35-44 93 45-54 130 55-64 56 65+ 6 Spouse/Partner Total 346 Dependent 0-18 398 19-24 74 25-34 1 Dependent Total 473 Subgroup Total 1,346 02/28/2009 000000000 00000000 0000 Subscriber 0-18 1 19-24 20 25-34 92 Report Date: 05/19/2009 Master: 000000000-00000000-0000 ABC Company Demographics and Financials: Member Demographics Report 01 /01 /2009 - 04/30/2009 Month Group Sub Division Division Relationship Age Band Member Count 35-44 137 45-54 177 55-64 95 65+ 5 Subscriber Total 527 Spouse/Partner 19-24 3 25-34 57 35-44 93 45-54 126 55-64 61 65+ 5 Spouse/Partner Total 345 Dependent 0-18 397 19-24 72 25-34 1 Dependent Total 470 Subgroup Total 1,342 03/31/2009 000000000 00000000 0000 Subscriber 0-18 1 19-24 24 25-34 92 35-44 134 45-54 179 55-64 95 Report Date: 05/19/2009 Master: 000000000-00000000-0000 • ABC Company Demographics and Financials: Member Demographics Report 01 /01 /2009 - 04/30/2009 Month Group Sub Division Division Relationship Age Band Member Count 65+ 5 Subscriber Total 530 Spouse/Partner 19-24 5 25-34 56 35-44 92 45-54 127 55-64 61 65+ 5 Spouse/Partner Total 346 Dependent 0-18 396 19-24 70 25-34 1 Dependent Total 467 Subgroup Total 1,343 04/30/2009 000000000 00000000 0000 Subscriber 19-24 2 25-34 92 35-44 133 45-54 183 55-64 95 65+ 5 Subscriber Total 531 Spouse/Partner 19-24 5 25-34 55 Report Date: 05/19/2009 Master: 000000000-00000000-0000 ABC Company Demographics and Financials: Member Demographics Report 01 /01 /2009 - 04/30/2009 Month Group Sub Division Division Relationship Age Band Member Count 35-44 92 45-54 128 55-64 62 65+ 6 Spouse/Partner Total 348 Dependent 0-18 394 19-24 76 25-34 1 Dependent Total 471 Subgroup Total 1,350 Period Total 01/01/2009 to 04/30/2009 000000000 00000000 0000 Subscriber 0-18 19-24 87 25-34 366 35-44 541 45-54 717 55-64 380 65+ 21 Subscriber Total 2,115 Spouse/Partner 19-24 16 25-34 226 35-44 370 45-54 511 55-64 240 Report Date: 05/19/2009 Master: 000000000-00000000-0000 0 1* 0 ABC Company Demographics and Financials: Member Demographics Report 01 /01 /2009 - 04/30/2009 Month Group Sub Division Division Relationship Age Band Member Count 65+ 22 Spouse/Partner Total 1,385 Dependent 0-18 19-24 25-34 1,585 292 4 Dependent Total 1,881 Subgroup Total 01/01/2009 to 04/30/2009 5,381 Report Date: 05/19/2009 Master: 000000000-00000000-0000 ABC Company Demographics and Financials: Rate Code Demographics Report 01 /01 /2009 - 04/30/2009 Month Group Sub Division Division Rate Code and Description Subscriber Count 01/31/2009 000000000 00000 01- Subscri 132 02 - Subscriber plus Spouse 136 05 - Subscriber plus Child 34 06 - Subscriber plus Children 15 03 - Subscriber plus Family 210 Subgroup Total 527 02/28/2009 0000000000 0000 01 - Subscriber 13 02 - Subscriber plus Spouse 136 05 - Subscriber plus Child 35 06 - Subscriber plus Children 13 03 - Subscriber plus Family 209 Subgroup Total 527 03/31/2009 000000000 00000000 0000 01-Subscriber 13 02 - Subscriber plus Spouse 138 05 - Subscriber plus Child 33 06 - Subscriber plus Children 14 03 - Subscriber plus Family 208 Subgroup Total 530 04/30/2009 000000000 00000000 0000 01 - Subscriber 13 02 - Subscriber plus Spouse 138 05 - Subscriber plus Child 33 06 - Subscriber plus Children 14 03 - Subscriber plus Family 210 Report Date: 05/19/2009 Master: 000000000-00000000-0000 ABC Company nAmnnranhir.G anti Financials: Rate Code Demoaraohics Report 01 /01 /2009 - 04/30/2009 Month Group Sub Division Division Rate Code and Description Subscriber Count Subgroup Total - 531 Period Total 01/01/2009 to 04/30/2009 000000000 00000000 0000 01 - Subscriber 53 02 - Subscriber plus Spouse 548 05 - Subscriber plus Child 135 06 - Subscriber plus Children 56 03 - Subscriber plus Family 837 Subgroup Total 01/01/2009 to 04/30/2009 2,115 Report Date: 05/19/2009 Master: 000000000-00000000-0000 d DELTA DENTAL 0 0 0 0 ABC Company Dentist Payment Distribution Report A review of the highest volume dentists from 0110112009 - 0413012009 Rank Name Delta Dental Network State Paid Claims Percentage of Total Paid Number of Claims 1 CALDWELL, MICHELLE Delta Dental PPO CO $4,011 3.2% 31 2 LOPEZ, AVERY Delta Dental PPO CO $2,731 2.2% 19 3 MALOY, SHAWN Delta Dental PPO CO $2,304 1.8% 19 4 BOBAK, VOYTEK Delta Dental PPO CO $1,670 1.3% 19 5 NICOLETTE, JOHN Delta Dental PPO CO $2,546 2.0% 16 6 SCOTT, DANIEL Delta Dental PPO CO $1,040 0.8% 16 7 RUDMAN, ROBERT Delta Dental PPO CO $3,087 2.5% 15 8 MARTIN, SARIRA Delta Dental PPO CO $1,024 0.8% 15 9 MEYER, M WILLIAM Delta Dental PPO CO $1,180 0.9% 13 10 TSUMURA, KURT Delta Dental PPO CO $1,335 1.1% 12 11 MADLANG, CESAR Delta Dental PPO CO $1,305 1.0% 12 12 MILAUSNIC, MICHAEL Delta Dental PPO CO $1,612 1.3% 11 13 BELLON, MICHAEL Delta Dental PPO CO $2,082 1.7% 10 14 DUQUETTE, DOUGLAS Delta Dental PPO CO $644 0.5% 10 15 DURYEA, MICHAEL Delta Dental PPO CO $562 0.4% 10 16 NELSON, BRYAN Delta Dental PPO CO $1,090 0.9% 9 17 TOMASETTI, DAVID Delta Dental PPO CO $840 0.7% 9 18 WEDDLE JR, LARRY Delta Dental PPO CO $636 0.5% 9 19 SAYDYK, THEODORE Delta Dental PPO CO $572 0.5% 9 20 EDLUND, DAVID Delta Dental PPO CO $3,082 2.5% 8 21 FLOOD, PATRICK Delta Dental PPO CO $1,811 1.4% 8 22 BERNARDY, JEFFREY Delta Dental PPO CO $1,788 1.4% 8 23 WEYMAN, PAUL Delta Dental PPO CO $1,574 1.3% 8 24 NIELSON, KIRK Delta Dental PPO CO $1,035 0.8% 8 25 SANDERSON STUART lDelta Dental PPO I.Co 1 $9781 0.8%1 8 Total 1 $40,5381 32.4%1 312 Report Date: 05/19/2009 Master: 000000000-00000000-0000 • • • ABC Company Member Age Distribution Report 30.0 27.5 25.0 22.5 0 17.5 c a� 15.0 n. 12.5 10.0 7.5 5.0 2.5 0.0 0-18 19-24 25-34 35-44 45-54 55-64 65+ ❑ April 2008 ■ April 2009 Report Date: 05/19/2009 Master: 000000000-00000000-0000 �J ABC Company Network Utilization Comparison for 01/01/2009 - 04/30/2009 Avg Cost Delta Dental Network Total Submitted % Total Paid % # of Claims % per Claim Delta Dental PPO ' $251,706 97.7% $125,248 100.0% 928 98.5% $134.97 Delta Dental Premier $4,310 1.7% $0 0.0% 6 0.6% $0.00 Non-Participating$1 668 0.6% 1 $0 0.0% 1 8 0.8% 1 $0.00 Total Utilization $257,684 100.0% $126,248 100.0% 942 100.0% $132.96 # Delta Dental PPO # Delta Dental Premier # Non -Participating Report Date: 05/19/2009 Master: 000000000-00000000-0000 THE DELTA DENTAL DIFFERENCE Illustration of Data Analysis - Based on Claims: Twelve Months Claims ending 6/30/2009 PPO Plan Design Gross Submitted Charges Less Ineligible Claims Net Eligible Claims PPO Network Savings Premier Network Savings Total Network Savings Nonparticipating Dentist limit savings Grand Total Savings Patient Payments Claims Paid by Group Delta Dental Difference Plan Savings City of Fort Collins United Healthcare Delta Dental Claim $ % of Eligible Claim $ % of Eligible $1,752,955 100.6% $1,752,955 100.6% - 10 250 -0.6% - 10 250 1.3% $1,742,705 100.0% $1,742,705 100.0% -$128,317 -7.4% -$123,410 -7.1% $0 0.0% -$74,193 2.8% -$128,317 -7.4% -$197,603 -11.3% $35,471 2.0% $27,097 1.6% $163,788 9.4% $224,700 12.9% $681,947 39.1 % $650,178 37.3% $932,442 53.5% $894,924 51.4% $37,517 4% Average Enrolled employees 1,421 1,421 • ABC Company Report Date: 05/19/2009 Master: 000000000-00000000-0000 0 0 0 ABC Company Par - NonPar Provider Report 01 /01 /2009 - 04/30/2009 State Network Relationship Visit Count Claims Count Paid Procedure Count Claims Paid Amount Provider Count AZ Delta Dental PPO Dependent 5 5 5 $280.00 2 CO Delta Dental PPO Subscriber 332 355 766 $53,531.00 159 Spouse/Partner 183 202 378 $28,293.20 91 Dependent 353 364 756 $43,019.65 115 Subtotal for CO - Delta Dental PPO 868 921 1,900 $124,843.85 365 Delta Dental Premier Subscriber 2 2 0 $0.00 2 Spouse/Partner 2 2 0 $0.00 2 i Dependent 2 2 0 $0.00 2 Subtotal for CO - Delta Dental Premier 6 6 0 $0.00 6 Non -Participating Subscriber 3 5 0 $0.00 3 Spouse/Partner 3 3 0 $0.00 3 Subtotal for CO - Non -Participating 6 8 0 $0.00 6 Subtotal for CO 880 935 1,900 $124,843.85 377 ID Delta Dental PPO Spouse/Partner 2 2 3 $124.00 1 Period Total Delta Dental PPO Subscriber 332 355 766 $53,531.00 159 Spouse/Partner 185 204 381 $28,417.20 92 Dependent 358 369 761 $43,299.65 117 Delta Dental Premier Subscriber 2 2 0 $0.00 2 Spouse/Partner 2 2 0 $0.00 2 Dependent 2 2 0 $0.00 2 Non -Participating Subscriber 3 5 0 $0.00 3 Spouse/Partner 1 3 3 1 0 1 $0.00 3 Period Total 01/01/2009 through 04/30/2009 1 887 942 1 1,908 1 $125,247.85 380 Report Date: 05/19/2009 Master: 000000000-00000000-0000 • • "DELTA, DENTAVI Operational Measures Delta Dental of Colorado 2008 Q1 Q2 Q3 Q4 YTD Average Speed of Answer - Inc. IVR 0:10 0:10 0:14 0:17 0:13 Telephone Abandonment - Inc. IVR 1.30% 1.22% 1.60% 2.08% 1.55% % Claims Processed in 10 days 96.77% 98.98% 99.40% 98.93% 98.52% Financial Accuracy 100% 100% 100% 100% 100% Claims Accuracy 100% 100% 100% 100% 100% 2009 Q1 Q2 Q3 Q4 YTD Average Speed of Answer - Inc. IVR 0:13 0:13 Telephone Abandonment - Inc. IVR 1.61 % 1.61 % % Claims Processed in 10 days 99.30% 99.30% Financial Accuracy 100% 100% Claims Accuracy 100% 100% MISM • ABC Company Provider' Rankin Report 01 /01 /2009 - 04/30/2009 Claims Paid Subscriber Spouse Dependent State Currently Current) Rank Amount Visit Count Visit Visit Provider Name Licensed License Number Par Par City State Zip Count Count In Premier DPO 1 $4,010.90 15 9 6 CALDWELL, MICHELLE CO 000000008432 Yes Yes DENVER CO 80227 2 $3,086.81 0 0 15 RUDMAN, ROBERT CO 000000008025 Yes Yes DENVER CO 80206 3 $3,082.40 3 3 0 EDLUND, DAVID CO 000000005134 Yes Yes DENVER CO 80227 4 $2,731.20 4 4 10 LOPEZ, AVERY CO 000000009047 Yes Yes DENVER CO 80227 5 $2,546.40 6 4 4 NICOLETTE, JOHN CO 000000105311 Yes Yes ENGLEWOOD CO 80113 6 $2,303.60 4 6 8 MALOY, SHAWN CO 000000006844 Yes Yes LITTLETON CO 80120 7 $2,081.75 0 0 10 BELLON, MICHAEL CO 000000006623 Yes Yes DENVER CO 80224 8 $1,964.80 1 5 0 JANKOWSKI, MARK CO 000000006676 Yes Yes ENGLEWOOD CO 80113 9 $1,811.40 1 5 0 FLOOD, PATRICK CO 000000105188 Yes Yes DENVER CO 80226 10 $1,788.50 2 3 2 BERNARDY, JEFFREY CO 000000008596 Yes Yes DENVER CO 80227 11 $1,683.80 2 0 3 ESPOSITO, DANIEL CO 000000008258 Yes Yes LITTLETON CO 80123 12 $1,670.00 8 0 13 BOBAK, VOYTEK CO 000000007190 Yes Yes DENVER CO 80232 13 $1,638.00 3 0 2 LEWIS, JONATHAN CO 000000106312 Yes Yes DENVER CO 80260 14 $1,611.70 6 5 0 MILAUSNIC, MICHAEL CO 000000008087 Yes Yes DENVER CO 80226 15 $1,573.80 4 0 0 WEYMAN, PAUL CO 000000104938 Yes Yes ENGLEWOOD CO 80113 16 $1,445.00 0 3 0 DEWITT, MICHAEL CO 000000105943 Yes Yes DENVER CO 80206 17 $1,395.90 6 0 1 BODONI, EVA CO 000000009055 Yes Yes ENGLEWOOD CO 80111 18 $1,334.60 5 3 4 TSUMURA, KURT CO 000000007313 Yes Yes DENVER CO 80206 19 $1,305.00 5 1 5 MADLANG, CESAR CO 000000104022 Yes Yes DENVER CO 80232 20 $1,290.60 3 0 7 TERADA, JENNIFER CO 000000008351 Yes Yes DENVER CO 80218 21 $1,285.40 2 0 1 MAYO, JAMES CO 000000009029 Yes Yes ARVADA CO 80004 22 $1,179.80 2 7 2 MEYER, M WILLIAM CO 000000006551 Yes Yes LITTLETON CO 80128 23 $1,161.40 0 2 0 POHL, RAYMOND CO 000000000416 Yes Yes LITTLETON CO 80120 Report Date: 05/19/2009 Master: 000000000-00000000-0000 ABC Company Provider Ranking Report 01 /01 /2009 - 04/30/2009 Claims Paid Subscriber Spouse Dependent State Currently Current) Rank Amount Visit Count Visit Visit Provider Name Licensed License Number Par Par City State Zip Count Count In Premier DPO 24 $1,154.00 0 0 5 HAYUTIN, DAVID CO 000000006181 Yes Yes DENVER CO 80246 25 $1,150.50 0 3 4 RESNICK, JEFFREY CO 000000106353 Yes Yes LITTLETON CO 80123 26 $1,113.20 2 2 1 BOEYINK, TIMOTHY CO 000000007177 Yes Yes LITTLETON CO 80122 27 $1,110.40 2 0 0 TWISS, TYLER CO 000000009117 Yes Yes LITTLETON CO 80126 28 $1,090.25 0 4 5 NELSON, BRYAN CO 000000007052 Yes Yes ARVADA CO. 80003 29 $1,082.00 0 0 4 RODGERS, CHARLES CO 000000009356 Yes Yes AURORA CO 80016 30 $1,040.00 1 0 0 SANCHEZ, PORFORIO BEN CO 000000106333 Yes Yes DENVER CO 80219 31 $1,039.80 2 5 5 SCOTT, DANIEL CO 000000104344 Yes Yes AURORA CO 80012 32 $1,039.20 0 0 1 NEWMAN, RICHARD CO 000000000256 Yes Yes ARVADA CO 80005 33 $1,034.99 3 0 5 NIELSON, KIRK CO 000000006826 Yes Yes AURORA CO 80015 34 $1,024.20 4 1 4 MARTIN, SARIRA CO 000000008568 Yes Yes LITTLETON CO 80123 35 $1,023.20 2 0 0 HAHN, CHRISTOPHER CO 000000008711 Yes Yes DENVER CO 80237 36 $1,015.40 2 0 0 STEARNS, JEFFREY CO 000000009091 Yes Yes DENVER CO 80221 37 $1,004.00 4 0 0 JOHNSON, ROY CO 000000000379 Yes Yes DENVER CO 80232 38 $992.00 2 0 0 MALONEY, SCOTT CO 000000009170 Yes Yes ENGLEWOOD CO 80111 39 $978.10 5 1 2 SANDERSON, STUART CO 000000003710 Yes Yes DENVER CO 80227 40 $977.00 0 0 1 BERMAN, MARK CO 000000006987 Yes Yes ENGLEWOOD CO 80111 41 $962.00 4 1 0 KILROY, THOMAS CO 000000003595 Yes Yes DENVER CO 80232 42 $932.20 2 2 2 HAKALA, CATHERINE CO 000000006643 Yes Yes DENVER CO 80220 43 $854.60 2 5 0 HOEFT, PAUL CO 000000007082 Yes Yes LITTLETON CO 80121 44 $841.60 1 2 1 JOHNSON, COLLIS CO 000000104176 Yes Yes DENVER CO 80206 45 $839.60 2 1 6 TOMASETTI, DAVID CO 000000006570 Yes Yes LITTLETON CO 80122 46 $831.40 0 2 0 HOCH, DONALD CO 000000002782 Yes Yes DENVER CO 80246 Report Date: 05/19/2009 w� Master: 000000000-00000000-0000 '" 444DENTAL ABC Company Provider Ranking Report 01 /01 /2009 - 04/30/2009 Claims Paid Subscriber Spouse Dependent State Currently Current! Rank Amount Visit Count Visit Visit Provider Name Licensed License Number Par Par ]DENVER City State Zip Count Count In Premier DPO 47 $824.80 3 3 1 GIBBS, BRYAN CO 000000008829 Yes Yes CO 80237 48 $821.10 3 2 0 KERN, JAMES CO 000000104689 Yes Yes DENVER CO 80232 49 $819.60 0 2 0 MARTINEZ, LYDA CO 000000009602 Yes Yes DENVER CO 80212 50 $805.00 1 0 0 CORSON, G MICHAEL CO 000000003776 Yes Yes LITTLETON CO 80124 51 $796.00 2 0 0 ROWLETTE, MICHAEL CO 000000105816 Yes Yes CASTLE ROCK CO 80104 52 $792.50 2 1 2 LE, NICKIE CO 000000009300 Yes Yes DENVER CO 80220 53 $789.00 2 2 2 VALUCK, PAUL CO 000000105947 Yes Yes DENVER CO 80224 54 $781.40 4 1 1 HOANG, HANG CO 000000008295 Yes Yes LITTLETON CO 80123 55 $776.00 0 2 0 RING, JAMIE CO 000000008649 Yes Yes DENVER CO 80234 56 $765.00 1 0 0 DAVIS, MATTHEW CO 000000006963 Yes Yes DENVER CO 80241 57 $744.20 2 0 0 AMES, WILLIAM CO 000000104795 Yes Yes ENGLEWOOD CO 80112 58 $718.90 5 0 0 BERTAGNOLLI, EDWARD CO 000000000161 Yes Yes WESTMINSTER CO 80030 59 $704.00 4. 0 0 OESTERLE, LARRY CO 000000007100 Yes Yes AURORA CO 80045 60 $683.60 0 0 2 BOTTENBLEY, CECIL CO 000000006574 Yes Yes DENVER CO 80203 61 $661.70 5 2 0 OBANA DELA PAZ, CARMELIZA CO 000000007881 Yes Yes DENVER CO 80224 62 $643.60 2 3 3 DUQUETTE, DOUGLAS CO 000000008883 Yes Yes DENVER CO 80227 63 $643.50 0 0 3 SHAVER, THERESA CO 000000007280 Yes Yes AURORA CO 80014 64 $636.00 1 1 2 FEREYDOUNI, AMIR CO 000000008495 Yes Yes LITTLETON CO 80120 65 $636.00 5 0 4 WEDDLE JR, LARRY CO 000000008065 Yes Yes DENVER CO 80234 66 $631.00 2 1 0 CHINNI, ASHA CO 000000009607 Yes Yes AURORA CO 80016 67 $604.00 1 0 0 JOSTES, JAMES CO 000000008600 Yes Yes DENVER CO 80206 68 $584.00 4 0 0 LEE, CHRISTINA CO 000000007272 Yes Yes DENVER CO 110237 69 $579.00 3 0 0 CANNON, CHRISTOPHER CO 000000009460 Yes Yes AURORA CO 80013 Report Date: 05/19/2009 Master: 000000000-00000000-0000 ABC Company Provider Ranking Report 01 /01 /2009 - 04/30/2009 Claims Paid Subscriber Spouse Dependent State Currently Current) Rank Amount Visit Count Visit Visit Provider Name Licensed License Number Par Par City State Zip Count Count In Premier DPO 70 $574.00 0 0 8 ZINKANN, KARLA CO 000000005493 Yes Yes GOLDEN CO 80401 71 $572.00 0 0 9 SAYDYK, THEODORE CO 000000000280 Yes Yes AURORA CO 80013 72 $567.30 3 1 4 BUJANDA-WAGNER, SANDRA CO 000000007207 Yes. Yes AURORA CO 80016 73 $561.50 0 0 10 DURYEA, MICHAEL CO 000000005546 Yes Yes DENVER CO 80228 74 $557.00 2 1 0 BROWN, RICHARD CO 000000003158 Yes Yes DENVER CO 80260 75 $556.50 2 0 1 BEVANS, DAVID CO 000000104504 Yes Yes LITTLETON CO 80122 76 $556.00 1 0 0 SACHS, ELLEN CO 000000007031 Yes Yes DENVER CO 80206 77 $542.00 1 1 0 BLANCHARD, JASON CO 000000008142 Yes Yes LITTLETON CO 80122 78 $539.00 2 1 2 MINNIS, ROBERT CO 000000000509 Yes Yes ENGLEWOOD CO 80112 79 $534.20 3 1 2 MEDAUGH, PETER CO 000000006768 Yes Yes ARVADA CO 80003 80 $529.40 2 2 0 NISHIMURA, ROGER CO 000000005173 Yes Yes DENVER CO 80206 81 $517.20 1 0 4 MISNER, REBECCA CO 000000009208 Yes Yes DENVER CO 80233 82 $501.00 1 2 2 HEINY, CHRISTOPHER CO 000000007276 Yes Yes WHEAT RIDGE CO 80033 83 $497.20 0 1 0 PEPPLER, MICHAEL CO 000000008790 Yes Yes ENGLEWOOD CO 80112 84 $496.70 0 2 0 HAZUKA, BERNARD CO 000000002591 Yes Yes ARVADA CO 80003 85 $489.00 2 0 0 MORRISON, ALISON CO 000000009376 Yes Yes ENGLEWOOD CO 80111 86 $477.00 0 0 4 KLEIN, ULRICH CO 000000008519 Yes Yes AURORA CO 80045 87 $467.00 0 0 6 WITKOFF, JESSE CO 000000007927 Yes Yes ARVADA CO 80003 88 $464.00 0 0 2 SAFER, DONALD CO 000000003645 Yes Yes DENVER CO 80206 89 $463.00 0 2 0 WORKMAN, RYAN CO 000000009552 Yes Yes CONIFER CO 80433 90 $458.00 1 0 3 NAJJAR, ELLIAS CO 000000007073 Yes Yes LITTLETON CO 80127 91 $455.40 1 0 2 DRAKE, THOMAS CO 000000006734 Yes Yes LONGMONT CO 80501 92 $447.40 3 1 0 PONTARELLI, WILLIAM CO 000000000267 Yes Yes DENVER CO 80226 Report Date: 05/19/2009 Master: 000000000-00000000-0000 0 0 0 ABC Company Provider Rankinn RPnnrt 01 /01 /2009 - 04/30/2009 Rank Claims Paid Subscriber Spouse Dependent State Currently Current) Amount Visit Count Visit Visit Provider Name Licensed License Number Par Par City State Zip Count Count In Premier DPO 93 $445.48 0 0 6 STASI, MARK CO 000000105444 Yes Yes LITTLETON CO 80127 94 $430.50 2 0 0 TRUJILLO, DERIE CO 000000006185 Yes. Yes ARVADA CO 80005 95 $400.20 0 2 0 FARMER, DALE CO 000000105415 Yes Yes DENVER CO 80219 96 $397.40 0 1 3 SEIFERT, TENIEL CO 000000009365 Yes Yes CONIFER CO 80433 97 $389.90 0 0 5 BURCHFIELD, JOHN CO 000000007867 Yes Yes GOLDEN CO 80401 98 $378.80 3 0 0 STEVENS, JESSICA CO . 000000009649 Yes Yes DENVER CO 80233 99 $377.00 2 0 0 THOMPSON, SCOT CO 000000007429 Yes Yes LITTLETON CO 80123 100 $376.40 1 3 1 1 1 0 ICALETTI, GARY CO 000000100914 1 Yes I Yes I ENGLEWOOD CO 80110 Report Date: 05/19/2009 Master: 000000000-00000000-0000 • ABC Company Quick Look Period: 0110112009 - 0413012009 Month Enrollment Claims Admin Fees January, 2009 527 $37,521.61 $1,799.01 February, 2009 527 $31,688.82 $1,823.50 March, 2009 530 $27,061.72 $3,738.00 April, 2009 531 $28,975.70 $0.00 Total 2,115 $125,247.85 $7,360.51 Average 529 Report Date: 05/19/2009 Master: 000000000-00000000-0000 CJ Sample Data Specifications E 0 • City of OW Collins 9 Annual Dental Network Savings Comparison UnitedHealthcare vs. Delta Dental PPO Plan 13 PPO 13 Premier United Healthcare Delta Dental 0 Delta Dental of Colorado Electronic Data Interchange Transaction Set Implementation Guide Health Care Benefit Enrollment and • Maintenance 834(Full files) C� Function of 834 (Full files) An 834 full file must contain members that are currently eligible on the sponsors system. In addition, terminations are sent for those members that have terminated since the last full file was sent to the payer. The full file differs from an audit file in that an audit file does not contain terminations. 834 Benefit Enrollment and Maintenance Loop ge Control Header Group Header Table 1 -Header M 0 None M 0 None Loop Seg ID Name Usage Repeat Repeat T,,` Transaction Set Number M 1 None BGN ''Beginning Segment M 1 None OOP ID — 1000A SPONSOR NAME 1 Sponsor Name M 1 OOP ID — 100013 PAYER NAME 1 Nl Payer Name M 1 OOP ID — 1000C TPA/BROKER NAME 1 ;I TPA/Broker Name C 1 Table 2 — Detail Loop Seg ID Name Usage Rel2eat Repeat OOP ID — 2000 MEMBER LEVEL DETAIL > 1 Member Level Detail M 1 • REF SSN M 1 3 _'Member �2EF Member Group Number C 1 REFS =Member Subgroup ID C 1 REF 33 Member Carrier ID C 1 DTP t'` Eligibility End Date C 1 DTP ` Employment Date C 1 OOP ID — 2100A MEMBER NAME DETAIL 1 Member Name Member Street Address M M 1 1 !�E_17]Member Member City, State, ZIP Code M 1 Demographic Information M 1 OOP ID — 2100B INCORRECT MEMBER NAME 1 �Member Name C 1 OOP ID — 2300 HEALTH COVERAGE 1 HD "Health Coverage M 1 BenefitBegin C 1 Benefit End C 1 REF Benefit Group Number C 1 F , 'Benefit Subgroup ID C 1 Transaction Set Trailer M 1 GE Function Group Trailer M 1 None Interchange Control Trailer M 1 None 0 ISA — Interchange Control Header Usage: Mandatory Segment Max Use Within Loop: 1 Repeat: NONE •Loop Loop ID: NONE Example: ISA*00*bbbbbbbbbb*00*bbbbbbbbbb*O1*123456789bbbbbb*O1*840568337bbbbbb*010801*1452*U*00401* 000000001*0*P*:— �lote;b_ u�blank Min/Max Segment Usage Name Values Description Length ISA01 M Authorization Information Qualifier 1100" No Authorization information present. 2/2 ISA02 M . Authorization Information Field should consist of 10 spaces 10/10 ISA03 M Security Info Qualifier 1100" No Security info present. 2/2 ISA04 M Security Info field should consist of 10 spaces 10/10 ISA05 M Sender Interchange ID Qualifier "O1" Duns (Dun & Bradstreet) 2/2 "ZZ" Mutually Defined ISA06 M Interchange Sender ID Field must be space filled to the right 15115 To a length of 15 ISA07 M Receiver Interchange ID Qualifier 1101" Duns (Dun & Bradstreet) 2/2. Mutually Defined ISA08 M Interchange receiver ID "840568337 15115 ISA09 M Interchange Date YYMMDD 6/6 • ISA10 M Interchange Time HHMM 4/4 ISAI l M Interchange control and ID "U" U.S. EDI Community of ASC X12, 1/1 TDCC, and UCS ISA12 M Interchange control Version "00401" 515 ISA13 M Interchange control number 9-digit control number must match the 9/9 control number of the IEA02 element ISA14 M Acknowledgment Requested "0" No Acknowledgment Requested 1/1 ISA15 M Usage Indicator "P" Production 1/1 "T" Test ISA16 M Component element separator 1/1 0 GS — Functional Group Header Usage: Mandatory Segment Max Use Within Loop: 1 Loop Repeat: NONE Loop ID: NONE Example: GS*BE*123456789*840568337*20010801*1452*000000001*X*004010X095A1— Min/Max Segment Usage Name Values Description Length GSO1 M Functional Identifier Code `BE" Benefit Enrollment and Maintenance 2/2. GS02 M Application Senders Code Senders ID 2/15 GS03 M Application Receiver's Code "840568337 " 2/15 GS04 M Date CCYYMMDD 8/8 GS05 M Time HHMM 4/4 GS06 M Group Control Number Must match the control number of the 1/9 GE02 element GS07 M Responsibility Agency Code "X" Accredited Standards Committee X12 1/2 GS08 M / Version/Release/Industry Identifier "004010X095A1" 1/12 Code is • ST — Transaction Set Header Usage: Mandatory Segment Max Use Within Loop: I _Loop Repeat: NONE Loop ID: NONE Example: ST*834*0001— Min/Max Segment Usage Name Values Description Length STO1 M Transaction Set Identifier Code "834" Eligibility coverage or benefit inquiry 3/3 ST02 M Transaction Set Control Number Identifying control number that must be 4/9 unique within the transaction set functional group assigned by the originator for a transaction set. COMMENT: The transaction set control numbers in ST02 and SE02 must be identical. This unique number also aids in error resolution research. Start with the number, for example "0001 ", and increment from there. This number must be unique within the specific group and interchanges, but can repeat in other groups and interchanges. • 0 BGN — Beginning Segment Usage: Mandatory Segment Max Use Within Loop: 1 Loop Repeat: NONE Loop ID: NONE • Example: BGN*00*54321 *20000820* 1200****4— Min/Max Segment Usage Name Values Description Length BGNO1 M Purpose Code 1100" Original Transmission 2/2 BGN02 M Reference Number 1/30 BGN03 M Date CCYYMMDD 8/8 BGN04 M Time HIIMMSSUU/ HHMMSS/ H1IMM 4/8 BGN05 NOT USED BGN06 NOT USED BGN07 NOT USED BGN08 M Action Code "4" FulWerify 1/1 BGN09 NOT USED • Nl — Name (Sponsor) Usage: Mandatory Segment Max Use Within Loop: 1 Loop Repeat: 1 Loop ID: 1000A Example: N1*P5*ABC CORPORATION*FI*919191919— Min/Max Segment Usage Name Values Description Length N101 M Entity Identifier Code "P5" Plan Sponsor 2/2 N102 M Name Plan Name 01/35 N103 M Identifier Code "FP' Fed Tax ID 2/2 "ZZ" Mutually Defined N104 M Identifier Organizational Id 2/80 N105 NOT USED N106 NOT USED • 0 N1 — Name (Payer) Usage: Mandatory Segment Max Use Within Loop: 1 Loop Repeat: 1 Loop ID: 100013 Example: NI*IN*Delta Dental of Colorado*FI*318791480— Segment Usage Name N101 M Entity Identifier Code N102 M Name N103 M Identifier Code N104 M Identifier N105 N 106 Min/Max Values Description Len h "IN" Insurer 2/2 "Delta Dental of Colorado" 29/29 "FI" Fed Tax ID 2/2 "381791480" 2/80 NOT USED NOT USED • • N1— Name (TPABroker Name) Usage: Conditional Segment Max Use Within Loop: 1 Loop Repeat: I oop ID: 1000C Example: N1 *TV*XYZ Processing* FI*378478384— Min/Max Segment Usage Name Values Description Lenath N101 M Entity Identifier Code `BO" Broker/ Sales Office 2/2 "TV" Third Party Administrator (TPA) N102 M Name TPA Broker Name 1/60 N103 M Identifier Code "94" Organization Code 2/2 "FI" Fed Tax ID "XV" IIFCA Plan ID N104 M Identifier Organizational ID 2/80 N105 NOT USED N106 NOT USED • 0 INS — Insured Benefit (Subscriber or Dependent) Usage: Mandatory Segment Max Use Within Loop: 1 Loop Repeat: > 1 Loop ID: 2000 Example: INS*Y* 18*021 **A— INS*N* 19*001 *AI*A****F-- INS*N*19*001*AI*A*****Y— Segment Usage Name INS01 M Yes/No Condition INS02 M Individual Relationship Code INS03 M Maintenance Type Code INS04 0 Maintenance Reason Code INS05 M Benefit Status Code INS06 INS07 INS08 INS09 0 Student Status Code INS10 0 Handicap Status Indicator INS11 INS12 INS13 INS14 INS15 INS16 INS17 Values "Y" "N„ "O1" "09" "18" "19" "25" "021" "024" "030" "03" "04" "A„ « C„ NOT USED NOT USED NOT USED «F„ "N„ «P„ «I,,, "N„ NOT USED NOT USED NOT USED NOT USED NOT USED NOT USED NOT USED Description Subscriber Dependent Spouse Adopted Child Self Child Ex -Spouse Addition Termination Audit/No Change Death Retirement Surviving Spouse No Reason Given Active COBRA Full-time Not a Student Part-time Yes, handicapped No, not handicapped Min/Max Len h 1/1 2/2 3/3 2/2 1/1 1/1 1/1 • • 0 0 City of F* Collins 0 The Delta Dental Difference UnitedHealthcare vs. Delta Dental Savings PPO Plan Patient Savings REF — Reference Identification (Subscriber SSN) Usage: Mandatory Segment Max Use Within Loop: 1 Loop Repeat: 1 Loop ID: 2000 Example: REF*OF*999887777— Min/Max Segment Usage Name Values Description Length REFOI M REF02 M REF03 REF04 • 0 Reference ID Qualifier "OF" Subscriber Number Qualifier 2/2 Reference Identification Subscriber Social Security Number 9/9 COMMENT: The social security must be 9 numeric digits. Alpha characters are not expected within the social security number REF02 field. NOT USED NOT USED REF — Reference Identification (Subscriber Group Number) Usage: Conditional (This segment is required if the REF*1L segment is not sent in the HD loop) Segment Max Use Within Loop: 1 Loop Repeat: 1 Loop ID: 2000 Example: REF*1L*0005555— Min/Max Segment Usage Name Values Description Length REFO1 M Reference ID Qualifier REF02 M Reference Identification "1L" Group Number 2/2 Group Number 7/7 COMMENT: The Group number must be 7 numeric digits. Alpha characters are not expected within the group number REF02 field. COMMENT: The subgroup number may also be concatenated to the end of the group number or delimited with an agreed upon character which separates the group and subgroup number. REF03 NOT USED REF04 NOT USED 11 • 0 REF — Reference Identification (Subscriber Subgroup Number) Usage: Conditional (This segment is required if the REF*17 segment is not sent in the HD loop) (The Subgroup number may also be sent on the REF*1L group number segment) Segment Max Use Within Loop: 1 Loop Repeat: 1 Loop ID: 2000 Example: REF*17*0001— Min/Max Segment Usage Name Values Description Length REFO1 REF02 REF03 REF04 • 0 M Reference ID Qualifier "17" Client Reporting Category 2/2 M Reference Identification Subgroup Number 4/4 COMMENT: The Subgroup number must be 4 numeric digits. Alpha characters are not expected within the subgroup number REF02 field. NOT USED NOT USED REF — Reference Identification (Subscriber Carrier ID) Usage: Conditional (see comment) Segment Max Use Within Loop: 1 Loop Repeat: 1 ID: 2000 is Example: REF*DX*DDPO— Min/Max Segment Usage Name Values Description Length REFO1 M Reference ID Qualifier "DX" Department/Agency Number 2/2 REF02 M Reference Identification "DDPUSA" 4/6 REF03 NOT USED REF04 NOT USED C: 0 DTP — Member Level Dates (Eligibility End) Usage: Conditional (see comment) Segment Max Use Within Loop: 1 Woop Repeat: 1 oop ID: 2000 Example: DTP*357*D8*20020301— Min/Max Segment Usage Name Values Description Length DTPO1 M Date/Time Qualifier "357" Eligibility End 3/3 DTP02 M Date Time Period Format Qualifier "D8" Date expressed in Format CCYYMMDD 2/2 DTP03 M Date Time Format Expression of Date as CCYYMMDD 8/8 COMMENT: If a termination is being sent and a 2300 loop is not provided with a benefit end date, this segment date is required. If a benefit end date is provided in the 2300 loop, the term date in the 2000 will be ignored. If coverage is not specified in a 2300 loop, the termination date in the 2000 loop will be for all coverages. 0 DTP — Member Level Dates (Employment Date/Hire Date) Usage: Conditional (see comment) Segment Max Use Within Loop: 1 Loop Repeat: 1 Loop ID: 2000 Example: DTP*336*D8* 19980301-- Min/Max Segment Usage Name Values Description Length DTPO1 M Date/Time Qualifier "336" Employment Begin 3/3 DTP02 M Date Time Period Format Qualifier "D8" Date expressed in Format CCYYMMDD 2/2 DTP03 M Date Time Format Expression of Date as CCYYMMDD 8/8 COMMENT: Segment is suggested if INS02 = "018", the segment is not sent for non -subscriber INS loops. • 0 NM1— Member Name (Subscriber or Dependent Name and SSN) Usage: Mandatory Segment Max Use Within Loop: 1 Repeat: 1 Woop oop ID: 2100A Example: NMI *IL* I *DOE*JOHN *MAYNARD** *34* 111223333— Min/Max Segment Usage Name Values Description Length NM 101 M Entity Identifier Code "IL" Subscriber / Dependent 2/2 "74" Corrected Insured NM102 M Entity Type Qualifier "1" Person (signifies this is a person) 1/1 NM103 M Last Name 1/35 NM104 M First Name 1/25 NM105 O Middle Name 1/25 NM106 NOT USED NM107 NOT USED NMI08 O Identification Code Qualifier "34" SSN Qualifier 2/2 NM109 O Identification Code Dependent SSN 9/9 COMMENT: NM108 and NM109 should only be populated if this is a dependent INS loop. The subscriber SSN was supplied in the earlier REF*OF segment. If the SSN is available for dependents, the SSN should be supplied. • COMMENT: The social security must be 9 numeric digits. Alpha characters are not expected within the social security number REF02 field. NM 110 NOT USED NMI 11 NOT USED r -I L N3 — Address Information (Subscriber Address) Usage: Mandatory Segment Max Use Within Loop: 1 Loop Repeat: 1 Loop ID: 2100A Example: N3 * 123 ANY STREET*APT A— Segment Usage Name Values Description N301 M Address Information Address Line 1 N302 0 Address Information Address Line 2 COMMENT: The segment is mandatory for subscribers and optional for dependents. Min/Max Length 1155 1155 • • 0 N4 — Geographic Location (Subscriber City, State, Zip) Usage: Mandatory Segment Max Use Within Loop: 1 Loop Repeat: 1 Loop ID: 2100A Example: N4*ANY CITY*MI*444449999— N4*TORONTO*ON*M2J4 V2*CAN— Min/Max Segment Usage Name Values Description Length N401 M City Name Free Form Text of City 2/30 N402 M State or Province Code Code (Standard State/Province) as defined 2/2 by appropriate government agency. See Appendix A. N403 M Postal Code Zip Code 5/9 N404 0 Country Code "CAN" Canada 3/3 COMMENT: The segment is mandatory for subscribers and optional for dependents. COMMENT: N404 is required if the N3 and N4 segments designate a Canadian address. N405 0 Location Qualifier "CY" County/Parish 2/2 N406 0 Location Identifier County code 1/3 COMMENT: DDPUSAI can currently only support a County with a max of 3 digits. • 0 DMG — Demographic Information (Subscriber or Dependent) Usage: Mandatory Segment Max Use Within Loop: 1 Loop Repeat: 1 Loop ID: 2100A Example: DMG*D8* 19940713*M— Segment Usage Name Values Description Min/Max Lenzth DMGO1 M Date Time Period Format Qualifier "138" Date expressed in Format CCYYMMDD 2/2 DMG02 M Date Time Period Birth Date expressed as CCYYMMDD 8/8 DMG03 M Gender Code "F" Female 1/1 "M" Male COMMENT: The segment is mandatory for subscribers and dependents. DMG04 NOT USED DMG05 NOT USED DMG06 NOT USED DMG07 NOT USED DMG08 NOT USED DMG09 NOT USED • • 0 • Proposal for Group Dental n LJ n U NM1— Incorrect Member Name (Subscriber or Dependent Name and SSN) Usage: Conditional (Only required by DDPUSAI if the Subscriber SSN is being changed) Segment Max Use Within Loop: 1 Loop Repeat: 1 oopID: 2100B Example: NMI *70* 1 *DOE*JOHN*MAYNARD***34*999887777— COMMENT: This segment should only be sent if the subscriber SSN is being changed. The prior incorrect SSN is sent on the NM109 element. This segment should only be sent on the subscriber INS loop. Min/Max Segment Usage Name NM101 M Entity Identifier Code NM102 M Entity Type Qualifier NM103 M Last Name NM104 M First Name NM105 O Middle Name NM106 NOT USED NM107 NOT USED NM108 M Identification Code Qualifier NM109 M Identification Code 18NM110 NM111 0 Values Description Lenat "70" Prior Incorrect Insured 2/2 Person (signifies this is a person) 1/1 1/35. 1 /25 1/25 "34" SSN Qualifier 2/2 Subscriber SSN 9/9 NOT USED NOT USED HD — Health Coverage Usage: Conditional (see comment) Segment Max Use Within Loop: 1 Loop Repeat: 1 Loop ID: 2300 Example: HD*021 **DEN— HD*021 **DEN*30— HD*021 **DEN*30*FAM— Min/Max Segment Usage Name Values Description Length HDO1 M Maintenance Type Code "021" Addition 3/3 "024" Cancellation or Termination "030" No change HD02 NOT USED HD03 M Insurance Line Code "DEN" Dental 3/3 HD04 O Plan Coverage Desc Group Program Type Info 2/2 Valid Values "00" through "99" COMMENT: 14D04 is only required if the Group contract allows for Multiple Program Types. HD05 O Coverage Level Detail "EID" Employee and 1 dependent 3/3 "E51)" Employee and more than 1 dependent "EMP" Employee Only "ESP" Employee and Spouse "FAM" Employee, Spouse, and dependent(s) COMMENT: HD05 is only required if the Group contract allows for Family Type Groups. HD06 NOT USED HD07 NOT USED HD08 NOT USED HD09 NOT USED HD10 NOT USED HD11 NOT USED COMMENT: The HD segment is required when adding coverages (INS code 021). For Full Files an HD segment is required for all employees not being terminated. The HD segment is optional for terminations if an Eligibility End Date was supplied in the 2000 loop. • • 0 DTP — Member Level Dates (Benefit Begin) Usage: Conditional (see comment) Max Use ,Segment Within Loop: 1 Loop Repeat: 1 Loop ID: 2300 Example: DTP*348*D8*20000815— Min/Max Segment Usage Name Values Description Length DTPO1 M Date/Time Qualifier "348" Benefit Begin 3/3 DTP02 M Date Time Period Format Qualifier "D8" Date expressed in Format CCYYMMDD 2/2 DTP03 M Date Time Format Expression of Date as CCYYMMDD 8/8 COMMENT: Segment is required if HDO1 = "021" or "030" L-I 0 DTP — Member Level Dates (Benefit End) Usage: Conditional (see comment) Segment Max Use Within Loop: 1 Loop Repeat: 1 Loop ID: 2300 Example: DTP*349*D8*20000815— Min/Max Segment Usage Name Values Description Len h DTPO1 M Date/Time Qualifier "349" Benefit End 3/3 DTP02 M Date Time Period Format Qualifier "D8" Date expressed in Format CCYYMMDD 2/2 DTP03 M Date Time Format Expression of Date as CCYYMMDD 8/8 COMMENT: Segment is required if HDO1 = "024" COMMENT: DTP03 should be the last date of Actual Coverage • • 0 REF — Health Coverage Policy (Subscriber Group Number) Usage: Conditional (This segment is required if the REF*IL segment is not sent in the INS loop) ,Segment Max Use Within Loop: 1 Loop Repeat: I Loop ID: 2300 Example: REF*1L*0005555— (this is group number only) REF*1L*00055550001— (this is group and subgroup number) REF*1L*0005555_0001-- (this is group and subgroup number) Min/Max Segment Usage Name Values Description Length REFO1 M Reference ID Qualifier "1L" Group Number 2/2 REF02 M Reference Identification Group Number 7/12 COMMENT: The Group number must be 7 numeric digits. Alpha characters are not expected within the group number REF02 field. COMMENT: The Subgroup number may also be concatenated to the end of the group number or delimited with an agreed upon character which separates the group and subgroup number. REF03 NOT USED REF04 NOT USED �J 0 REF — Health Coverage Policy (Subscriber Subgroup Number) Usage: Conditional (This segment is required if the REF*17 segment is not sent in the INS loop) (The subgroup number may also be sent on the REF*1L group number seg) Segment Max Use Within Loop: 1 Loop Repeat: 1 Loop ID: 2300 Example: REF*17*0001— Min/Max Segment Usage Name Values Description Leneh REFO1 M Reference ID Qualifier "17" Client Reporting Category 2/2 REF02 M Reference Identification Subgroup Number 4/4 COMMENT: The Subgroup number must be 4 numeric digits. Alpha characters are not expected within the subgroup number REF02 field. REF03 NOT USED REF04 NOT USED • 0 SE — Transaction Set Trailer Usage: Mandatory ,Segment Max Use Within Loop: 1 Loop Repeat: NONE Loop ID: NONE Example: RF.*19*12345— min/max Segment Usage Name Values Description Length SE01 M Number of Segments Included Total number of segments included in a 1/10 transaction set including ST and SE SE02 M Transaction Set Control Number 4 to 9-digit control number. 4/9 Must match Transaction Set Control Number in ST02. . 1�1 L' GE — Functional Group Trailer Usage: Mandatory Segment Max Use Within Loop: 1 Loop Repeat: 1 Loop ID: NONE Example: GE*1*000000001— Min/Max Segment Usage Name Values Description Len h GE01 M Number of Transaction Total number of transaction sets included in 1/10 the functional group. GE02 M Transaction Set Control Number 1 to 9-digit control number. Must match 1/9 Functional Group Control Number in GS06. • • 0 IEA — Interchange Control Trailer Usage: Mandatory Segment Max Use Within Loop: I Loop Repeat: 1 oop ID: NONE Example: IEA*1*000000001*— Min/Max Segment Usage Name Values Description Len h IEA01 M Number of Included Functional Groups IEA02 M Interchange Control Number i is Total number of functional groups included 1/10 in the Interchange. 9-digit control number. Must match Interchange 9/9 Control Number in ISA13. 834 Full File Transaction Example Scenario #1 Company I is sending a full file of all covered Subscribers and dependents. For purposes of this example, company 1 has I employee with a spouse. Also, a dependent is being terminated under that 1 employee. Shown in the example is the following; Subscriber is John Paul Doe, DOB June 10 1940, SSN = 111223333, benefit begin Date for Eligibility is August 1 1989 Spouse is Jane M Doe, DOB July 15 1945, SSN=111224444, benefit begin Date for Eligibility is March 1 1999 Dependent Mark Doe is being terminated effective July 1, 2002 ISA*00* *00* *ZZ*067999979 *01*840568337 GS*BE*C1591*840568337*20020821*0916*2304*X*004010- ST*834*12345- BGN*00*ABCDE12456*20000815*0100****4- N1*P5*ABC CORP*FI*777777777--- N1 *IN*DELTA DENTAL OF COLORADO*FI*381791480- INS*Y*18*021**A- REF*OF*111223333- REF*1L*0005555- REF*17*0001- REF*DX*DDPUSA- DTP*336*D8* 19890801-- NM 1 *IL* 1 *DOE*JOHN*PAUL***34* 111223333-- N3*100 Any St*Apt. A- N4*Any Town*MI*48111- DMG*D8* 19400610*M- HD*021**DEN- DTP*348*D8*19890801- INS*N*01*021**A-- REF*OF*111223333- REF*1L*0005555- REF*17*0001- REF*DX*DDPUSA- NM 1 *IL* 1 *DOE*JANE*M* * *34* 111224444- DMG*D8*19450715*F- HD*021 **DEN- DTP*348*D8*19990301- INS*N*O1*024**A- REF*OF*111223333- REF*1L*0005555- REF*17*0001- REF*DX*DDPUSA- NM 1 *IL* I *DOE*MARK* * * *34*333224444- DMG*D8* 19790515*M- HD*024**DEN- DTP*349*D8*20020701- SE*35*12345- GE*1*2304- IEA*1*000000745- *000821*0915*U*00402*000000745*O*P*>- • • 0 • Delta Dental of Colorado TRUE GROUP/EMPLOYER PAID DENTAL PROPOSAL FOR: City of Fort Collins Effective Date: January 1, 2010 Today's Date: August 13, 2009 Proposal Prepared and Presented by: Barbara Kelty Senior Account Manager 303-889-8642 Phone or 800-233-0860 Ext. 142 Delta Dental 4582. S. Ulster Stre Denver, Col 011 a` orado to 800 80237 APPENDIX A US STATE/TERRITORY CODES AK - ALASKA AL - ALABAMA AR-ARKANSAS AS - AMERICAN SAMOA AZ - ARIZONA CA - CALIFORNIA CO - COLORADO CT - CONNECTICUT DC - DISTRICT OF COLUMBIA DE - DELAWARE FL -FLORIDA FM - MICRONESIA GA - GEORGIA GU - GUAM III -HAWAII IA-IOWA ID - IDAHO IL - ILLINOIS IN - INDIANA KS - KANSAS KY - KENTUCKY LA - LOUISIANA MA - MASSACHUSETTS MD - MARYLAND ME - MAINE MH - MARSHALL ISLANDS MI - MICHIGAN MN - MINNESOTA MO - MISSOURI MP - NORTHERN MARIANA ISLANDS MS - MISSISSIPPI MT - MONTANA - NORTH CAROLINA •NC ND - NORTH DAKOTA NE - NEBRASKA NH - HEW HAMPSHIRE NJ - NEW JERSEY NM - NEW MEXICO NV -NEVADA NY -NEW YORK OH - OHIO OK - OKLAHOMA OR - OREGON PA - PENNSYLVANIA PR - PUERTO RICO PW - PALAU RI - RHODE ISLAND SC - SOUTH CAROLINA SD - SOUTH DAKOTA TN - TENNESSEE TX - TEXAS UT - UTAH VA - VIRGINIA VI - VIRGIN ISLANDS VT - VERMONT WA - WASHINGTON WI - WISCONSIN WV - WEST VIRGINIA WY - WYOMING 11 APPENDIX A (continued) CANADIAN PROVINCE CODES AB — ALBERTA BC — BRITISH COLUMBIA LB — LABRADOR MB — MANITOBA NB — BRUNSWICK NF—NEWFOUNDLAND NS —NOVA SCOTIA NT — NORTHWEST TERRITORIES ON — ONTARIO PE — PRINCE EDWARD ISLAND QC — QUEBEC SK — SASKATCHEWAN YT — YUKON TERRITORY • • • Banking Services Agreement 0 E • City of Fort Collins Banking Services Agreement Delta Dental does not operate on an ASO arrangement with a central bank, our ASC banking agreement is proprietary because we pay claims initially then bill the client. Delta Dental has one account from which all claim payments are generated. One check is generated per dentist/payee for all claims to be paid to that payee for every group; therefore, the checks are not group specific. This account is in Delta Dental's name and is funded from Delta Dental's main bank account, as the checks clear the bank (zero balance account). Delta Dental does incur bank charges that are automatically deducted from the account monthly. The administrative cost quoted would cover this feature. The group will receive an administrative fee bill during the first week of each month along with the Group Activity Report (report that lists all claims paid during any given month for that particular group). Trade Secret, Proprietary & Confidential Customer Satisfaction Survey 40 0 Subscriber Satisfaction Results Background and Methodology Since 2002, Delta Dental of Colorado has used HealthCare Research, Inc. (HCR) to conduct a random survey of Delta Dental's subscrib- ing members. Each month, a randomly selected list is pulled from all subscribers who filed claims in the previous month. Professional interviewers from HCR subsequently conduct 100 surveys per month by telephone, surveying subscribers equally from the four primary plan types. The data are weighted by subscriber volumes in each plan to accurately represent all subscribers. Results are posted on- line, showing both monthly and year-to-date progress. This enables Delta Dental to track changes over time and monitor the quality of services delivered to subscribers. satisfaction with Delta Dental This year, when asked, 'How satisfied are you with having Delta Dental for your dental insurance plane' 95% of subscribers filing •claims in 2008 said they are satisfied with Delta Dental. This rating has historically remained above 90%, ranging just four points from 92% up to 96%. These consistently high ratings show a strong re- cord of performance and stability. There are four other key tracking measures on the Subscriber Satis- faction survey: O "How satisfied are you with how ua ickht youu received your Explanation of Benefits statement?" — 98% are satisfied. O "How satisfied are you with the accuracy of Delta Dental's payment for the dental care you received?" — 96%. O "How satisfied are you with Delta Dental's response to your customer service inquiries?" — 92%. O "How satisfied are you with the overall service you received regarding payment of your claim?" — 95%. Ratings on these four tracking measures are either on par or higher N' than those seen in 2007. • �oerau�s��t�aion ��� 9 1 ;,2V4' 2002. 2003 1W4 ?WS Z006 M,72008 RESEARCH INC. ,N.. Administrative Services Agreement 11 • • DELTA DENTAL OF COLORADO 4582 South Ulster Street Denver, Colorado 80237 DELTA DENTAL BENEFITS CONTRACT The parties of this Contract are Sample Contract, INC., herein called the "Group," "Applicant," or "Employer" and Colorado Dental Service Inc., d/b/a Delta Dental of Colorado, herein called "Delta Dental." The Group's Application, a copy of which is attached as Exhibit A, and the attached appendices and riders constitute the entire Contract of the parties and will become binding upon the parties and their respective successors and assigns effective the 1 st day of January, 2006 for a one year period and for successive one-year periods thereafter unless terminated as herein provided. This contract is issued and delivered in the State of Colorado, is governed by the laws of Colorado and is subject to the terms and conditions recited on the subsequent pages of this contract, and may not be changed, altered or terminated except in accordance with Article VII, RENEWAL AND TERMINATION of this Contract. This DECLARATIONS PAGE supersedes any contrary provision of the subsequent sections of this contract. DECLARATION PAGE Group: Sample Contract, INC. Type of Contract: Delta Dental PPO USA Group Number: 7748 Contract Effective Date: January 1, 2006 Contract Anniversary Date: January 1 st Eligible Class: All permanent active employees. Where two Employees who are spouses and are both eligible for coverage under this contract, they may be enrolled together or separately, but not both. Dependent children may only be enrolled under one parent. De0 pendents of above mentioned Subscribers are also eligible. 12/27/2005, DECLARATION PAGE2005 DRAFT • Enrollment Type The enrollment Type is Open Enrollment. Open Enrollment means a period of time each Contract Year occurring prior to the Anniversary Date during which eligible Employees may choose to enroll themselves and/or their eligible Dependents in the Plan, or change from one coverage option to another if the Contract issued to the Group permits them to do so. Coverage will become effective on the Group's Anniversary Date. Eligibility Waiting Period: Active employees working the minimum number of hours as required by the employer will become eligible for enrollment on the first day of the month following 3 months of employment Child Age Limit is age 19. Student Age Limit is age 25. Individual Calendar Year Deductible: $50 deductible per person per calendar year limited to a maximum deductible of $150 per family per calendar year on Basic and Major Covered Services. Individual Calendar Year Maximum: $X,XXX per person total per calendar year on Diagnostic & Preventive, Basic and Major Benefits. • Delta Dental's payment for Orthodontic Benefits will not exceed a lifetime maximum of $X,XXX per eligible person. Is 12/27/2005, DECLARATION PAGE2005 DRAFT E Covered Services: Delta Dental Premier or PPO Dentist Non -Participating Dentist Plan Pays / Patient Pays Plan Pays / Patient Pays Diagnostic & Preventive Benefits Diagnostic & Preventive Services 100% 0% 80% 20% Dental X-Rays 100% 0% 80% 20% Sealants 100% 0% 80% 20% Basic Benefits Oral Surgery Services ' 80% 20% 80% 20% Endodontic Services 80% 20% 80% 20% Periodontic Services 80% 20% 80% 20% Basic Restorative Services 80% 20% 80% 20% Major Benefits Relines and Repairs 50% 50% 50% 50% Special Restorative Services 50% 50% 50% 50% • Prosthodontic Services 50% 50% 50% 50% Rates: Orthodontic Benefits Orthodontic Services: to age 19 50% 50% 50% 50% Orthodontia is a covered benefit. See Delta Dental Benefits Rider DDCO-006 and the ORTHODONTIC RIDER for details of all benefits. Administrative Service Fee: Composite - $x.xx per month per Subscriber This rate is contingent upon 75 percent enrollment of the eligible members of the total Eligible Class, in accordance with the eligibility provisions in Article III. The Service Fee is due the first day of each month, and as further described in Article II. The Monthly Claims Reimbursement Due Date is the 2nd, 12th, and 22nd day or the last business day closest to such date of each month and as further described in Article II. Counties Without Premier or PPO Providers are Bent, Crowley, Custer, Gilpin, Grand, Hinsdale, Jackson, Kiowa, Mineral, Phillips, Rio Blanco, Saguache, San Juan, and Sedgwick. 12/27/2005, DECLARATION PAGE2005 DRAFT • City of Fort Collins Request for Proposal Page 2 • Geo Access results (2 providers in 10 miles): o PPO — 88.7% employees with access o Premier — 95.2% employees with access • Delta Dental is the only dental benefits carrier offering two distinct provider networks. Guarantees • The current Comprehensive and Basic plans Administrative Services Only (ASO) fee of $4.17 per employee, per month is guaranteed for two years. • In addition, performance guarantees are offered on an ongoing basis (see attachment). We are putting 20% of the administrative fee at risk ensuring a high level of service to you and your employees. Account Mana e, Went • Joyce Postlewait, strategic account manager, has been assigned to the City of Fort Collins. She will prepare (in conjunction with you) an annual strategic business plan outlining the objectives and goals for the year. • The strategic account manager will meet with you as necessary. She will provide updates on claims costs, utilization patterns, and trend factors. She will review the plan design with you and offer support and. expertise in evaluating your plan designs and cost containment features. • I will continue as the service account manager. I will manage day-to-day issues and provide you with the high level of service expected by customers of Delta Dental. Reporting • Utilization, financial, and network reports are available on a self -serve basis, 24-hours a day/seven days a week. These reports can easily be manipulated to work with your formatting and reporting needs. We look forward to discussing this proposal with you in greater detail. Please contact us with questions or requests for additional data. We are committed to your business and continuing to provide the world -class support you expect from Delta Dental. Sincerely, Barbara Kelty Senior Account Manager (303)889-8642 bkelty a ddpco.com • Delta Dental of Colorado is the only leading dental benefits carrier that offers two dental networks — Premier and PPO - making our dental network offering 100% larger than any of the major competing dental carriers. Over 2,500 Colorado dentists participate in the Delta Dental Premier® network — that represents approximately 92% of all dentists licensed in the State of Colorado. Of these 2,500 dentists, over 900 also participate in the Delta Dental PPO network. We are proud of our commitment to advancing oral health for members. As specialists, we are experienced in administering all aspects of your dental plan - from managing your benefit dollars to superior customer service. Delta Dental At A Glance N1 We are the largest provider of dental benefits with 50 million covered people. This means that one quarter of all people with dental benefits are covered by Delta Dental Member Companies. N1 We are active in all 50 states plus Puerto Rico, Guam, US Virgin Islands. N1 Three out of four US dentists participate in our networks. What We Can Offer *Nl We offer maximum choice of dentists with two national networks. Nl We control member out of pocket costs and employer claim costs through negotiated network dentist fees. We offer high quality, timely claims payment and customer service. As a not for profit dental service plan, we are committed to the maintenance of oral health through community programs through the Delta Dental of Colorado Foundation. Evidence Based Dentistry EBD is a new approach to designing dental benefits based on scientific evidence that points to an association between an individual's ora health and their overall health. Because we strongly believe in this concept, we're enhancing all of our risk dental plans to include • additional teeth cleanings for patients with certain health conditions. Those people who have periodontal (gum) conditions and are also diabetic, pregnant or have cardiovascular disease can receive two additional cleanings per benefit period. In addition, those people with kidney failure, undergoing dialysis or suppressed immune systems can also receive two additional cleanings per benefit period. Delta Dental of Colorado offers the following full line of dental benefit products. Delta Dental Premier® The Delta Dental Premier® plan offers an extensive list of covered services. Members may choose any licensed dentist for treatment. Premier dentists agree to accept Delta Dental's Maximum Plan Allowance as payment in full (no balance billing). Patients enjoy reduced paperwork as Premier dentists submit claims for the patient. With the Delta Dental Premier® plan: J Members are responsible only for the payment of their deductible, coinsurance, and any non -covered services up to the approved amount for the procedure. � If members choose a non -participating dentist, reimbursement may be lower and they may have additional out-of-pocket expenses. Delta Dental PPO The Delta Dental PPO emphasizes choice, while helping members save money on their dental care when seeing a Delta Dental PPO dentist. PPO dentists agree to accept Delta Dental's PPO fee schedule as payment in full (no balance billing). Patients enjoy reduced paperwork as PPO dentists submit claims for the patient. With the PPO plan: Participating PPO dentists have agreed to accept a reduced fee to provide services. Patients will receive benefits if they see a Delta Dental PPO dentist (in -network) or a non-PPO (Delta Dental Premier® or non- participating dentist). Y Patients who choose to see a non-PPO dentist may incur additional out-of-pocket expenses. 0 Riders or Appendices Attached Countersigned: Delta Dental of Colorado Signature Date Accepted: SAMPLE CONTRACT, INC. Signature Date 12/27/2005, DECLARATION PAGE2005 DRAFT • • ARTICLE I. DEFINITIONS For the purpose of this Contract, the following definitions will apply: 1.1 ALTERNATE BENEFIT Alternate benefit means that benefit allowed for the least -costly, commonly accepted Service or supply that could be used to treat a dental problem for which there are other, more costly treatment options that the Subscriber selects. 1.2 APPLICANT means the Group or Employer for whose Employees dental benefits are being provided. 1.3 BENEFITS means those dental Services that are available under the terms of this Contract as specified in the Benefits Rider, BENEFITS, LIMITATIONS and EXCLUSIONS. 1.4 COINSURANCE means the percentage of a Covered Amount which is payable by Delta Dental. The Coinsurance for each type of Covered Service is noted on the Declaration Page. The Coinsurance applicable to a Subscriber will vary depending upon the type of dental Service. 1.5 COMPLETED means: • For Root Canal Therapy: On the date the canals are permanently filled. • For Fixed Bridges (fixed partial dentures), Crowns, Inlays, Onlays, and other laboratory prepared restorations: On the date the restoration is cemented in place. • For Dentures and Partial Dentures (removable partial dentures): On the date that the final appliance is first inserted in the mouth. • For all other Services, on the date the procedure is Started. For benefit payment purposes, the date Completed will be considered as the date when a Covered Service is incurred. •1 1.6 The CONTRACT ANNIVERSARY DATE or ANNIVERSARY DATE is noted on the declaration page of this Contract and will be defined as the first day of each Contract Year subsequent to the initial Contract Year. 1.7 CONTRACT means this agreement between Delta Dental and the Applicant including the attached appendices, exhibits and riders, if any. This Contract constitutes the entire agreement between the parties. 1.8 CONTRACT TERM means the period of time from the Effective Date of the Contract until it is terminated in accordance with the provisions of Article VII. 1.9 CONTRACT YEAR is the 365-successive-day period (or, if a February 29 is encompassed, the 366-successive-day period) beginning on the Effective Date set forth in this Contract, .and successive one-year periods thereafter unless terminated. DRAFT Contract Page 1 DDCO— C06 1.10 COVERED AMOUNT means • ■ For Premier Dentists, the lesser of the Premier Maximum Plan Allowance, or the fee actually charged. ■ For all other Dentists, the lesser of the non -participating Maximum Plan Allowance, or the fee actually charged. 1.11 COVERED SERVICES means those Services and supplies covered pursuant to the terms of this Contract. Benefits for all Covered Services are subject to the limitations and exclusions noted in this Contract. 1.12 DEDUCTIBLE means the portion of the Covered Amount for certain Covered Services which must be paid in full for each Subscriber before any Benefits are payable. The amount of the Deductible is noted on the Declaration Page. If there is a maximum amount that a family must pay in Deductibles, that will also be noted on the Declaration Page. 1.13 DENTIST means an individual licensed to practice dentistry at the time and in the place Services are provided. 1.14 DEPENDENT means • the Employee's lawful spouse, including common law spouse; • an unmarried dependent child under the Dependent Age Limit noted on the Contract Declaration Page; • • an unmarried dependent child who is a full-time student enrolled in an accredited school, college, or university, and who is under the Student Age Limit noted on the Declaration Page. • an unmarried covered dependent child who reaches the Dependent Age Limit noted on the Declaration Page, is incapable of self-support because of physical handicap or mental incapacity that began before reaching the Dependent Age Limit, and is chiefly dependent on the Employee for support and maintenance. Delta Dental may annually request a copy of the court - ordered guardianship as proof of such handicap or incapacity and dependency. Upon failure to submit such required proof, or when the child is no longer incapacitated, coverage will terminate. Eligible Dependent children include stepchildren, court -ordered guardianship, adopted children, and foster children, provided such children live with the Employee in a regular parent -child relationship and are dependent on the eligible Employee for support and maintenance. If the child does not live with the Employee in a regular parent -child relationship, the Employee must be legally responsible for the provision of health care for the child. No one may be covered as a Dependent and also as an Employee under this Contract. If both parents are covered as Employees, children may be covered as Dependents of one parent only. Persons in active military service will not be considered as eligible Dependents. • DRAFT Contract Page 2 DDPCO— C06 • 1.15 EFFECTIVE DATE is the date on which coverage begins under the Contract. 1.16 ELIGIBLE CLASS is a category of Employees who are eligible for coverage under the Contract. A list of Eligible Classes is noted on the Declaration Page. 1.17 ELIGIBILITY WAITING PERIOD means a specified period of employment that an Employee must complete before becoming eligible for coverage under the Contract. The length of the Eligibility Waiting Period is chosen by the Applicant and may differ for different Eligible Classes. The Eligibility Waiting Period, if any, is noted on the Declaration Page and in Article III, Section 3.02 and 3.05 . 1.18 EMPLOYEE means someone who works at a minimum the number of hours as defined by the Employer. 1.19 EXPERIMENTAL OR INVESTIGATIONAL PROCEDURES means those services or supplies that are not generally accepted in the dental community as being safe and effective, as defined by Delta Dental. 1.20 GROUP means the Applicant or Employer for whose Employees dental benefits are being provided. 1.21 LATE ENROLLMENT means enrollment occurring after the period of initial • eligibility. Any Late Enrollee must be continuously enrolled for a period of 12 consecutive months before Covered Services other than the ones noted on the Declaration Page become payable under the Contract. The exceptions to this rule are: a) an Employee or Dependent who involuntarily loses coverage through another group insurance plan. (Involuntary loss of coverage is defined as loss due to death, divorce, loss of job, or termination of benefits by the employer.) Such Employee or Dependent will be allowed to enroll within 31 days of the loss of coverage with satisfactory proof of coverage loss and will not be considered a Late Enrollee upon enrollment. b) a dependent child under age 3 may be added on any anniversary until the anniversary on or following the date the dependent child turns age 3. Such child will not be considered a Late Enrollee upon enrollment. If the Applicant has chosen Late Enrollment, then the option will be noted on the Declaration Page. 1.22 MAXIMUM PLAN ALLOWANCE means the maximum allowable amount as determined by Delta Dental for a procedure. Delta Dental evaluates these amounts twice annually, and may increase or decrease fees for any given procedure. 1.23 NECESSARY means a Service that is required by, and appropriate for treatment of, the Subscriber's dental condition according to generally accepted standards • of dental care as determined by Delta Dental. DRAFT Contract Page 3 DDPCO— C06 • 1.24 NON -PARTICIPATING DENTIST means a licensed Dentist who is not currently contracted with Delta Dental as a Participating Dentist. 1.25 OPEN ENROLLMENT means a period of time each Contract Year occurring prior to the Anniversary Date .during which eligible Employees may choose to enroll themselves and/or their eligible Dependents in the Plan, or change from one coverage option to another if the Contract issued to the Group permits them to do so. Coverage will become effective on the Applicant's Anniversary Date. If the Applicant has chosen an Open Enrollment period, then the option will be noted on the Declaration Page. 1.26 PARTICIPATING DENTIST means a licensed Dentist who is currently contracted with Delta Dental. Premier Participating Dentist means a Dentist licensed to practice who has executed a Premier Participating Dentist Agreement with Delta Dental. PPO Participating Dentist means a Dentist licensed to practice who has executed a PPO Dentist Agreement with Delta Dental. 1.27 PREMIUM means the amount of money paid for each Subscriber to purchase the Benefits provided by this Contract, as provided in Article II. 1.28 PRE-TREATMENT ESTIMATE is a service offered by Delta Dental to review a • Dentist's statement, including diagnostic material, describing his planned treatment and expected charges for the purpose of determining Benefits available under the terms of this Contract. 1.29 SERVICE means a procedure or supply that is provided by a Dentist in connection with the dental care of a Person. 1.30 STARTED means • For Full Dentures or Partial Dentures (removable partial dentures): The date the final impression is taken. • For Fixed Bridges (fixed partial dentures), Crowns, Inlays, Onlays and other laboratory prepared restorations: The date the teeth are first prepared (i.e., drilled down) to receive the restoration. • For Root Canal Therapy: The date the pulp chamber is first opened. • For Periodontal Surgery: The date the surgery is actually performed. • For All Other Services: The date the Service is performed. • DRAFT Contract Page 4 DDPCO— C06 • • 1.31 SUBSCRIBER means: • an Employee or Dependent who is eligible to be covered under this Contract pursuant to Article III, is enrolled for the Group Dental Benefits provided in accordance with this Contract, and for whom the appropriate monthly Premium specified in Article II is received; or • a person ceasing to be eligible who elects continued coverage as provided in Article VIII, is enrolled for the Group Dental Benefits provided in accordance with this Contract and for whom the appropriate monthly Premium specified in Article II is received. 1.32 TIED -TO -MEDICAL means the Applicant has packaged the dental benefits with the medical plan that the Applicant offers. Only those who enroll for medical coverage will be considered Subscribers under a dental Contract that is tied -to - medical. If the Applicant has chosen Tied -To -Medical, then the option will be noted on the Declaration Page 1.33 WAITING PERIOD means a period of time starting on a Subscriber's Effective Date (the date that Person's coverage under the Contract began) before Benefits for certain Services become payable. If a Covered Service is Completed before the Waiting Period for that Service ends, that Service is not covered under the Contract. If a Person's coverage under the Contract ended and then the Person later becomes covered again, that Person's Effective Date is the most recent Effective Date unless stated otherwise in the Contract. If Waiting Periods are applicable to coverage, they are noted on the Declaration Page. 1.34 WAITING PERIOD CREDIT means a period of time the Employer has agreed to waive, or credit, the Waiting Period before Benefits for certain Services become payable. This Credit is only applicable for Subscribers effective on the Group's initial effective date. If Waiting Period Credits are applicable to coverage, they are noted on the Declaration Page. ARTICLE II. MONTHLY PREMIUM 2.01 PREMIUM DUE DATE. The Group agrees to remit to Delta Dental during the Contract Term, a monthly Premium that will become due and payable on the first day of the month, for each Subscriber. 2.02 MONTHLY PREMIUM. The Monthly Premiums for each Subscriber are as noted on the Declaration Page. 2.03 INITIAL PREMIUM. This Contract will not be in effect until the initial Premium is received by Delta Dental. Subsequent Premiums will become due and payable on the first day of each month. 2.04 PREMIUMS AT TERMINATION. In the event this Contract terminates for any reason, the Applicant will be liable for all Premiums due but unpaid. DRAFT Contract Page 5 DDPCO— C06 • 2.05 CHANGE OF PREMIUM RATES. In the absence of an amendment mutually agreed upon between Applicant and Delta Dental, no change in Premium rates will be made during a Contract Year except as provided in this Article, Section 2.06. 2.06 EFFECT OF PREMIUM TAX CHANGES. If during a Contract Year, any new tax is imposed on Delta Dental by any government agency on the amount of Premium payable under this Contract or the number of persons covered, or if the rate of an existing tax on the amount of Premium or the number of persons covered is increased, the Monthly Premium stated in this Article, Section 2.02 will be increased by the amount of any such new tax or increased tax. 2.07 CLERICAL ERRORS. Clerical errors or delays in maintaining or exchanging data relative to coverage will not validate or invalidate coverage . that would otherwise be in force. Upon discovery of such errors or delays, an adjustment of charges will be made. 2.08 GRACE PERIOD. The Contract has a Grace Period extending to the last day of the month during which Premium is due, except for the initial Premium referenced in this Article, Section 2.03. The coverage remains in force during this Grace Period unless terminated by the Group. If the Premium is not paid by the end of the Grace Period, the Contract will terminate as of the last date of the • Grace Period. Premiums are due through the last day of the Grace Period, including the Grace Period. 2.09 REFUNDS. Delta Dental must be informed when any Subscriber is no longer eligible. Failure to provide timely notice does not continue a Subscriber's coverage past the time it would otherwise have ended. However, if Delta Dental has been paid Premium on behalf of a Person who is no longer covered, Delta Dental will provide a Premium refund for that person for the period the Premium was paid in error up to a maximum of three months or to the last Contract Anniversary, whichever is less. If any Benefits were paid on behalf of the person after his coverage terminated, the full amount of the Benefits paid in error must be repaid to Delta Dental before any refund of Premium will be provided. 0 DRAFT Contract Page 6 DDPCO— C06 0 ARTICLE III. ELIGIBILITY 3.01 ELIGIBILITY. Any Subscriber who is in an Eligible Class may enroll for coverage under this Contract within 31 days after the completion of the Eligibility Waiting Period or during an Open Enrollment period, if offered by the Employer. a) BECOMING COVERED. Delta Dental must receive enrollment data in a format acceptable to Delta Dental for each Subscriber who wishes to enroll. The enrollment data must be received by Delta Dental within 30 days following an Employee's or Dependent's enrollment. The enrollment data submitted to Delta Dental must include the Subscribers address, gender, social security number, date of birth and effective date. If the Subscriber chooses to enroll his Dependents, each Dependent's name (including surname if different from Employee's), relationship to the Subscriber, address, gender, social security number and date of birth must be submitted. ■ Coverage is effective after the eligibility waiting period as indicated on the Declaration Page, providing the person enrolls for coverage. ■ An Employee may not enroll his eligible Dependents unless he is also enrolled for coverage under the Contract. • b) FAILURE TO ENROLL WITHIN CONTRACTUAL TIME FRAME. ■ Late Enrollment. If a Subscriber fails to enroll within the time frame described in Article 111, Section 3.01 a, the Subscriber will be considered a Late Enrollee and will receive Benefits as described in Article I for Late Enrollment. • ■ Open Enrollment. If a Subscriber fails to enroll within the time frame described in Article III, Section 3.01 a, he may not enroll until the next regularly scheduled Open Enrollment for the Group. ■ Tied -to -Medical. Eligibility for the dental plan will be the same as that required by the medical plan. c) MAINTAINING COVERAGE. The Group will compile and furnish Delta Dental on or prior to the first day of every month a list of any coverage additions, changes, or terminations pertaining to Subscribers. Delta Dental will not be obligated to provide Benefits for any employee or dependent, unless the person is reported upon the list of Subscribers submitted by the Group and the appropriate monthly Premium is made as provided in Article 11. DRAFT Contract Page 7 DDPCO— C06 3.02 EMPLOYEE ELIGIBILITY. Eligible Employees may be enrolled for coverage • under the Contract within 31 days of the date the Employee becomes eligible to enroll. a) Any eligible Employees not enrolled as described above or who are enrolled and subsequently dropped from the plan will not be eligible to enroll at a later date, except during Open Enrollment or as a Late Enrollee (depending on the Enrollment Type of the group). b) Any eligible Employees that suffer involuntary loss of coverage through another source will be allowed to enroll with satisfactory proof of coverage loss. Such Employees must be enrolled within 31 days of the loss of coverage. 3.03 DEPENDENT ELIGIBILITY. Dependents of an eligible Employee may be enrolled for coverage under the Contract within 31 days of the latest of the following dates: • the date the Employee becomes eligible to enroll if he has eligible Dependents on that date. Coverage for eligible Dependents is effective on the date the Employee's coverage becomes effective. • the date the Employee first acquires an eligible Dependent. Coverage becomes effective on the first day of the month following this event. • the date the Contract is amended to provide Dependent coverage for the employment classification to which the Employee belongs. Coverage is effective on the first day of the month following this event. a) If the group's Enrollment Type is Tied -to -Medical: If enrolling one eligible dependent, all eligible dependents who are enrolled in the medical plan must be enrolled. b) Newly acquired dependents must be added within 31 days of acquisition. If not added during this time: If the group's Enrollment Type is Open Enrollment, the dependent can also be added during the Open Enrollment period. If the group's Enrollment Type is Late Enrollment, a dependent can also be added as a Late Enrollee. c) Any eligible dependents not enrolled as described above or who are enrolled and subsequently dropped from the plan will not be eligible to enroll at a later date, except during Open Enrollment or as a Late Enrollee (depending on the Enrollment Type of the group). d) Any eligible dependents that suffer involuntary loss of coverage through another source will be allowed to enroll with satisfactory proof of coverage loss. Such dependents must be enrolled within 31 days of the loss of coverage. • DRAFT Contract Page 8 DDPCO— C06 • 3.04 TERMINATION OF COVERAGE. A Subscriber's coverage will terminate at the earliest of: • The date Delta Dental receives a written request to terminate coverage; • The date the Subscriber is no longer eligible for coverage; • The date the Contract terminates; • The end of the period for which Premium is paid; • The date the Subscriber enters full-time military service of any country; or • As to any Dependent, the. date the person no longer qualifies as a Dependent. Delta Dental must be notified within 60 days if a Dependent or Subscriber is no longer eligible. 3.05 INVOLUNTARY LOSS OF COVERAGE DUE TO STRIKE, LEAVE OF ABSENCE OR LAYOFF. An Employee who loses his coverage because of an absence from work due to strike,. lay-off or leave of absence, and who returns to work within 6 months of the date on which the absence began, will become eligible to re -enroll for coverage on the first day of the month following his return to work. If the Employee's absence exceeds 6 months, then he will be considered a new Employee in every respect and must fulfill the eligibility requirements that apply to new Employees and all Contract provisions relating to • the Deductible, Coinsurance, Contract Year Maximum, and Waiting Periods, if any, will apply to him as if he had not been previously covered. The following exception applies: Delta Dental of Colorado complies with all regulations related to the Uniformed Services Employment and Reemployment Rights Act (USERRA) for Employees called to active duty in the uniformed services. Employees who return to active employment are eligible to enroll as if there had been no leave of absence for uniformed service provided they are still in an Eligible Class of Employee as defined by the group. In addition, USERRA allows for Employees to elect continuation of coverage when coverage would otherwise terminate due to an absence to serve in the uniformed services. Services provided while an Employee is not eligible, due to their leave of absence, will not be covered by this Contract, unless the Employee or any Dependent elects continued coverage as provided in the Article Vill or according to USERRA where applicable. 3.06 INVOLUNTARY LOSS OF "OTHER COVERAGE". Any person not enrolled for the Benefits provided under this Contract who involuntarily loses his Other Coverage (i.e., dental insurance through another source) will be allowed to enroll with satisfactory proof of the loss of such Other Coverage. Such persons must be enrolled within 31 days of the loss of the Other Coverage. Coverage is effective the first day of the month following enrollment. DRAFT Contract Page 9 DDPCO— C06. - • Delta Dental PPO Exclusive Panel Option (EPO) (for Colorado residents onll) The Exclusive Panel Option (EPO) provides a comprehensive benefit plan, using the Delta Dental PPO Dentist network. With the EPO Plan: Benefits are available only to Colorado residents. Dental care must be provided by a PPO dentist for benefits to be paid. PPO dentists file claims directly with Delta Dental and agree not to balance bill patients for additional services. Covered benefits include procedures listed on the EPO copayment schedule. Voluntary Group Dental Plan The Voluntary Group Dental Plan is designed to meet an employer's need to provide a comprehensive benefits package while reallocating costs. The plan allows employers to offer a dental benefit plan which allows each employee to participate. There are two types of Voluntary products available through Delta Dental, either the Gold or Platinum option. Delta Dental offers various voluntary dental options using either the Delta Dental Premier® or Delta Dental PPO network of dentists. J Gold Option - The Gold Option provides a comprehensive benefits plan that has waiting periods on some major services. Waiting periods must be met before benefits will be paid. J Platinum Option - The Platinum Option provides comprehensive benefits from the date of enrollment, but the benefit coverage level improves the longer the member is enrolled in the program. The :achieve Plan • Our concept in designing the Achieve Plan was to select primary care dental providers who emphasize effective preventive dental care. The Achieve network consists of almost 500 general dentists, as well as all of the Delta Dental PPO or Delta Dental Premier® specialty dentists. We have selected the Achieve dental network based on data that reflects specific practices proven to result in better long-term oral health outcomes. These characteristics include: Strong preventive programs High levels of patient retention High patient satisfaction Moderate to conservative treatment patterns Beneficial outcomes such as longer retention of natural teeth The key feature of the Achieve Plan is the network. The Achieve network consists of almost 500 dentists who are located throughout Colorado. These dentists already participate in either our Delta Dental PPO or Delta Dental Premierm Network. Members must choose from any of these Achieve dentists as their general dentist. Members may also see any Delta Dental Premierg or PPO specialist without a referral. Delta Dental Patient Direct® Delta Dental Patient Direct®A Discount Plan for Groups that can be offered to groups with 10 or more enrolled employees on a dual option or standalone basis. Members can save a significant percentage on certain dental procedures. The Patient Direct plan is a discount plan and is not an insurance plan. It is affordable, valuable and easy to use. v1 No Maximums No Waiting Periods No Annual Deductibles No claims to file EyeMed Vision Care® Delta Dental has partnered with EyeMed Vision Care to offer a discount vision program to Delta Dental subscribers and their dependents. This is a value-added service at no cost to the employer group. We also have comprehensive vision plans available to groups with 10 or more enrolled employees. The information contained in this Proposal is a general description of features, benefits, requirements and restrictions of the Delta Dental Group Product. 3.07 VOLUNTARY TERMINATION OF COVERAGE. For those groups offering Open • Enrollment, any Subscriber who chooses voluntarily to terminate his coverage will not be eligible to re -enroll until the next regularly scheduled Open Enrollment for the Group that occurs after the date on which coverage for the person was voluntarily terminated. For those groups not offering Open Enrollment, a Subscriber who voluntarily terminates coverage and chooses to re -enroll will be considered a Late Enrollee and subject to the requirements of Late Enrollment. 3.08 REVIEW OF RECORDS. Applicant will permit Delta Dental, by its auditors or other authorized representatives, on reasonable advance written notice, to inspect records of Applicant in order to verify the accuracy of lists of Subscribers prepared by Applicant and submitted to Delta Dental and to verify Applicant's compliance with Article II. ARTICLE IV. COORDINATION OF BENEFITS 4.01 DEFINITIONS. Coordination of Benefits: Means taking other Plans into account when paying Benefits. Plan: Any Plan that provides benefits or Services for dental care expenses on a group or individual basis. This includes group and blanket insurance, self -insured and prepaid plans, automobile fault or no-fault insurance and government plans (except Medicaid). • Primary Coverage: Coverage that has the first responsibility for paying a claim. The Primary Coverage must pay up to its full liability. Secondary Coverage: Coverage responsible for paying a claim after the Primary Coverage has paid up to its full liability. 4.02 WHEN COORDINATION OF BENEFITS APPLIES. Coordination of Benefits will apply when a Subscriber has coverage under more than one Plan. The Benefits of this Plan will be coordinated with the other Plan(s). 4.03 RULES FOR COORDINATION OF BENEFITS The rules for the order of benefit payment are summarized below. The Plan covering a Subscriber as an Employee will be primary over the policy or program covering a Subscriber as a Dependent. Dependent children's benefit payment determination will be as follows: o The Plan of the parent whose birthday (excluding year of birth) occurs earlier in a year will be primary, or; o If the parents are separated or divorced, the Plan of the parent who is ordered by court decree to take financial responsibility for dental expenses will be primary, or; 0 DRAFT Contract Page 10 DDPCO— C06 • o The Plan of the parent with custody is Primary and if the custodial parent has remarried, the step -parent's Plan is Secondary and the Plan of the parent without custody pays third. If the above rules do not establish an order of benefit payment, the Plan that has covered the Person for the longer period of time will be Primary except that the Plan covering the Person as a laid -off or retired employee or Dependent of such Person will be considered Secondary to any other Plan covering the Person. Any group Plan that does not contain a Coordination of Benefits provision is automatically primary. If this Plan is Primary, this Plan will provide Benefits without regard to benefits provided by any other Plan. If this Plan is Secondary, this Plan will provide Benefits, which together with the other Plan will not exceed 100% of the allowable expense or this Plan's maximum benefit. ARTICLE V. CONDITIONS UNDER WHICH BENEFITS WILL BE PROVIDED 5.01 PAYMENT OF CLAIMS. Covered Services will not include, and no payment will • be made for expenses incurred for the performance of any dental Service not provided for in this Contract, including any attached Appendix, Amendment, or Rider. To submit the expenses to Delta Dental for consideration, the Service must be identified in terms of the American Dental Association Current Dental Terminology (Code on Dental Procedures and Nomenclature). • 5.02 APPEAL OF AN ADVERSE DETERMINATION OF A CLAIM. A. Internal Appeal Process - First Level Appeals If a Subscriber is dissatisfied with any adverse determination, a request for appeal may be submitted in writing within 180 days of the date of the original Explanation of Benefits to: Delta Dental of Colorado Appeal Analyst PO BOX 172528 Denver, CO 80217-2528 A Subscriber may submit additional documentation in support of the appeal. Appeal requests will be reviewed by a Dentist and a clinical peer of the same or similar specialty as would typically manage the case being reviewed. The Dentist and the clinical peer will not have been involved in the initial adverse determination. DRAFT Contract Page 11 DDPCO— C06 A written appeal decision will be issued to the Subscriber that explains the is decision and the rationale for the decision. The appeal decision will be issued within 15 calendar days for pre -service denials and within 20 working days for post -service denials. B. Internal Appeal Process - Second Level Appeals If the Subscriber remains dissatisfied with the outcome of the First Level Appeal decision, a request for a Second Level Appeal may be submitted. The request must be received within 30 days of the First Level Appeal decision and must be submitted to the address noted in 5.02 A. Additional documentation supporting the Second Level Appeal request may be submitted. This appeal will be evaluated by a review panel consisting of three people, two of whom are Dentists. The appeal panel will not have been involved in the case previously. The Subscriber, or a designated representative, may request to appear before the review panel either in person or by conference call. A Second Level Appeal decision will be issued within 5 days of the date of the review panel's decision. C. Internal Appeal Process - Expedited Appeals Subscribers may request expedited reviews of adverse determinations in • situations where the time frame of the standard review procedures would seriously jeopardize the life or health of the Subscriber, would jeopardize the Subscriber's ability to regain maximum function, or, for persons with a disability, create an imminent and substantial limitation on their existing ability to live independently. Expedited review decisions will be issued within 72 hours of the review being commenced. D. Independent External Review (Not available for Self -Funded or Federal Groups) If a Subscriber remains dissatisfied with the outcome of the Second Level Appeal decision, an Independent External Review may be requested. Requests must be received in writing within 60 days of the Second Level Appeal decision and addressed to the Appeals Analyst at the address in 5.02 A. Requests must include a completed extended review request form from the Division of Insurance and a signed consent authorizing Delta Dental to disclose protected health information pertinent to the external review. The Subscriber will be notified of the External Review Decision within 1 day of its receipt by Delta Dental. • DRAFT Contract Page 12 DDPCO— C06 5.03 CLAIMS FROM NON -PARTICIPATING DENTISTS. Payment for Completed Covered Services provided by a Non -Participating Dentist will be based on the non -participating Maximum Plan Allowance. The Subscriber will be responsible for the full cost of Service. 5.04 CLAIMS FROM PARTICIPATING DENTISTS. Payment for Completed Covered Services provided by a Participating Dentist will be made directly to the Dentist. If the Participating Dentist charges more for a Service than Delta Dental allows, that amount is not chargeable to the patient. 5.05 TIME LIMIT FOR SUBMISSION OF CLAIM. Delta Dental will not be obligated to pay claims submitted more than 12 months after the date the Service is Completed. If a claim is denied due to a Participating Dentist's failure to make timely submission, the Subscriber will not be liable to such Dentist for the amount which would have been payable by Delta Dental. 5.06 AVAILABILITY OF DENTIST. While a Subscriber may elect the Service of any licensed Dentist, neither Delta Dental nor Applicant undertakes to guarantee the availability of any particular Dentist. 5.07 RIGHT TO INFORMATION AND RECORDS. Delta Dental has the right to receive information and records related to the examination or treatment of a . Subscriber from any Dentist. Delta Dental may require a Subscriber be examined by a dental consultant retained by Delta Dental. Delta Dental will maintain such information and records in a confidential manner in accordance with federal and state law. • 5.08 EXTENDED COVERAGE. Delta Dental's responsibility to pay for Covered Services for a Person will end if anyone has terminated this Contract or if the Person ceases to be a Subscriber under the terms of the Contract. Delta Dental will cover no further care or Services with the following exception: If the Subscriber has a Covered Service that is Started while still covered under the Contract, but the Covered Service is Completed after Delta Dental no longer covers the Person, Delta Dental will pay Benefits for the Covered Service as follows: • No benefit is payable if the Covered Service is Started after the day the Person's coverage ends • Benefits are payable only in the amount that would have been payable and subject to the same terms and conditions of the Contract that would have applied if the Person's coverage was still in effect; • Benefits are payable only if the Covered Service. is Completed within 60 days after the date the Person's coverage ended. DRAFT Contract Page 13 DDPCO— C06 5.09 PRE-TREATMENT ESTIMATE. Before beginning a course of treatment for which the charge is expected to be $400 or more, a description of that course of treatment may be submitted to Delta Dental before treatment is begun. Delta Dental will provide an estimate of the Benefits payable for the planned course of treatment of a Subscriber. Pre-treatment estimates are not required and are provided as a Service to the Subscriber and Dentist in order to allow for appropriate planning. 5.10 SUBROGATION. Delta Dental is entitled to enforce by its direct suit, or as co - plaintiff with a Subscriber, the Subscriber's claim against any third party to the extent of Benefits paid for, or on behalf of, a Subscriber by Delta Dental. When Delta Dental provides benefit payments for injuries sustained by a Subscriber and the Subscriber subsequently obtains a settlement from a third party which includes such costs, the Subscriber is obligated to refund to Delta Dental the amount equal to the benefit payment made to, or on behalf of, the Subscriber. ARTICLE VI. GENERAL TERMS AND CONDITIONS 6.01 NOTICES. Any notice under this Contract will be sufficient if given by either the Applicant or Delta Dental to the other (or in the case of the Applicant, to its Designated Agent) and will be effective upon the date of mailing. 6.02 NOTICES TO SUBSCRIBERS. Notice to a Subscriber will be in writing and • sent by regular US mail to the current address noted in Delta Dental's records. Notices will be sent via electronic media, if agreed upon by both Delta Dental and the Subscriber. 6.03 LEGAL ACTION. No action at law or in equity may be filed in order to recover on this Contract prior to the expiration of 60 days after final notice of claim has been filed in accordance with the requirements of this Contract. 6.04 REPRESENTATIONS. All statements made by the Group or by an individual will be deemed representations and not warranties. 6.05 ENTIRE CONTRACT; AMENDMENTS. This Contract will be the entire, full, and complete agreement between Delta Dental and the Group concerning group dental care. This Contract may not be orally amended or changed. This Contract may at any time be amended and changed by written agreement between Delta Dental and the Group. Any such amendment will be binding on all Subscribers regardless of the date their coverage became effective or the date treatment was Started. 6.06 CONTRACT CHANGES. No agent or employee of Delta Dental has the authority to change the Contract or waive any of its provisions. No change in the Contract will be valid unless approved in writing by an authorized Delta Dental employee. • DRAFT Contract Page 14 DDPCO— C06 0 6.07 GROUP'S ACCESS TO RECORDS. Delta Dental agrees that the Group or its designated representative, upon reasonable advance written notice, will have the right of access to all files and records pertinent to the Group for examination in accordance with federal and state laws. 6.08 SETTLEMENT OF DISPUTES. Any dispute arising out of or relating to this Contract or the breach thereof between Delta Dental, a Participating Dentist, and Subscriber or any of them, including any disagreement with a claim determination made by Delta Dental after exhaustion of the appeals process procedure outlined in ARTICLE V. CONDITIONS UNDER WHICH BENEFITS will BE PROVIDED Section 5.02, APPEAL OF AN ADVERSE DETERMINATION OF A CLAIM, will be settled by arbitration in accordance with the Commercial Arbitration Rules of the American Arbitration Association, and judgment upon the award rendered by the Arbitrator(s) may be entered in any Court having jurisdiction thereof. Arbitration may be initiated by any party to a dispute by giving notice to each party, by filing two copies of such notice with the American Arbitration Association and by complying with other applicable provisions of the Association's rule. 6.09 PARTICIPATING DENTIST. Delta Dental will make reasonable efforts to make available to the Applicant, a listing of Participating Dentists who have agreed to isprovide Services described in this Contract. This listing may be available in a variety of formats. It is understood that the composition of such directory may be subject to change from time to time-, and Delta Dental reserves the right to change the listing without prior notice to the Applicant. • The Dentists providing or contracting to provide dental Services under this Contract will be solely responsible, and in no case will Delta Dental or the Applicant be liable for any act or omission by such Dentists, their agents or employees. Dentists who participate with Delta Dental are independent contractors. They are neither agents nor employees of Delta Dental, nor is Delta Dental an agent or employee of any Participating Dentist. Delta Dental will not be responsible for any claim or demand on account of damages arising out of, or in any way connected with, any injuries suffered by a Subscriber while receiving care from any Participating provider or in any Participating provider's facilities. 6.10 EMPLOYEE BENEFIT BOOKLET. Delta Dental will issue to the Group, and the Group will make available to each Subscriber, an Employee Benefit Booklet summarizing the Benefits and other provisions of this Contract. If any amendment to this Contract will materially affect any Benefits described in such booklet, a corrected Employee Benefit Booklet or inserts showing the change will be issued to the Group. DRAFT Contract Page 15 DDPCO— C06 6.11 PHYSICAL EXAMINATION. Delta Dental, at its own expense, will have the right 41 and opportunity to examine any individual for whom claim or request for pre - estimation of Benefits is pending under this Contract. 6.12 GENDER. The use of the singular will include the plural, the plural the singular, and the use of any gender will include all genders. 6.13 NON-DISCRIMINATION. Delta Dental does not discriminate against individuals based on health factors for benefits or premium rates. These health factors include: health status, medical condition (including both physical and mental illnesses), claims experience, receipt of health care, medical history, genetic information, evidence of insurability and disability. ARTICLE VII. RENEWAL AND TERMINATION 7.01 RENEWAL. The Contract will be renewed for successive one-year periods unless during any Contract Year either party elects not to renew by giving the other party written notice of such election at least 60 days prior to the end of the current Contract year. In the event that there are changes to the rates or other terms and conditions of this Contract effective on an Anniversary Date, Delta Dental will provide notice of such proposed changes with the notice of renewal. 7.02 TERMINATION. This Contract will be terminated as follows: • a) By either the Group or Delta Dental at the end of the original Contract or at the end of any renewal year, provided the required notice of non -renewal is given. b) In the event any Premium due as stated in Article II of this Contract is not paid within 20 days of the due date, Delta Dental may give notice that payment is due, and if such payment is not received by the last day of the Grace Period, as referenced in Article II, Section 2.08, Delta Dental may terminate all further obligations. c) By election of the Group if Delta Dental defaults in providing the Benefits under the Contract and such default is not corrected within 60 days of such default. d) By election of Delta Dental in the event enrollment of Subscribers falls below 75% of the total number of eligible Employees as of the Contract Effective Date. Delta Dental may, at its option, terminate or propose to the Group alternative adjustment in rates, Benefits, or copayments necessary to correct adverse group experience that could result from such reduction in size. Within 30 days, the Group will select an alternative by written notice to Delta Dental. If an alternative is not selected, Delta Dental may terminate this Contract. • DRAFT Contract Page 16 DDPCO— C06 e) Upon written notification by Group of its intention to terminate this Contract as of any date other than the end of the Contract Term. The termination date will be the last day of the month during which Delta Dental received the Group's written notification of intent to terminate. f) By election of Delta Dental in the event the number of enrolled Employees drops below the required minimum number of 10 enrolled Employees. Delta Dental may, at its option, terminate or propose to the Group alternative adjustment in rates, Benefits, or copayments necessary to correct adverse group experience that could result from such reduction in size. Within 30 days, the Group will select an alternative by written notice to Delta Dental. If an alternative is not selected, Delta Dental may terminate this Contract. g) By election of Delta Dental in the event of fraud or misrepresentation by the Applicant, or with respect to coverage of a Subscriber, fraud or misrepresentation by the Subscriber or such person's representative. 7.03 In the event of termination by Delta Dental as stated in Article VII, Section 7.02, all Benefits will terminate and Delta Dental will be released from all further obligations of this Contract, effective on the last day of the month in which written notice of termination is given; provided Premium is received through that period. Delta Dental will make payment for Services Started while a person was covered under the Contract but Completed after the person's coverage ends pursuant to 40 Article V, Section 5.08, Extended Coverage. 7.04 If on termination of this Contract for any cause Group has not paid Premiums to Delta Dental applicable to a period of time up to and including the termination date, Group will, within 30 days after termination, remit such Premium to Delta Dental. 7.05 REINSTATEMENT. Delta Dental, in its sole discretion, may reinstate a Contract that has terminated due to non-payment of Premium. If Delta Dental does reinstate a Contract, the following rules will apply: a) All Premiums then due and unpaid must be paid, including the Premium for the Grace Period; and b) Interest on past due Premiums must be paid at a rate of 1.5% per month or the maximum allowed in the state of jurisdiction if less; and c) Delta Dental may review the claim experience for the group and, based on its analysis, offer to reinstate the group at a different Premium rate than was in force at the time the Contract lapsed; and • d) A Contract Reinstatement Fee of $50.00 must be paid. DRAFT Contract Page 17 DDPCO— C06 0 ARTICLE VIII. CONTINUATION COVERAGE 8.01 COBRA (Consolidated Omnibus Budget Reconcilation Act of 1985) applies to Groups with 20 or more employees. Subscribers may be eligible to continue coverage under COBRA. The benefits will be the same as the benefits active Employees receive, The Subscriber will be responsible for the entire Premium amount, which cannot exceed 102% of the cost to the plan for a similarly situated active individual. Qualifying events determine eligibility for COBRA coverage and the length of continuation. Termination of service for any reason except gross misconduct is a qualifying event, as well as a reduction in hours. Coverage can be continued for 18 months for these qualifying events. For a covered Dependent, a qualifying event includes termination of the Employee's service, the Employee becoming entitled to Medicare, and the Employee's death, divorce, or legal separation. The date a Dependent no longer meets the definition of Dependent is also a qualifying event. Coverage can be continued for 36 months after the initial qualifying event. When the qualifying event is termination of the Employee's service, COBRA i coverage may be extended for a Subscriber who qualifies for Social Security disability benefits. However, the Subscriber's disability must have existed on the date of the qualifying event or began within the first 60 days of COBRA coverage. When a qualifying event occurs, the employer must give the Subscriber the necessary COBRA election form. This must be completed and returned to the employer within 60 days of the determination and before the end of the initial 18- month COBRA coverage period in order to extend COBRA coverage to 29 months. COBRA Continuation coverage will be effective the first day of the month following termination of coverage. Within 60 days of the coverage termination, the Group must supply eligibility, premium, and initial expected length of COBRA coverage to Delta Dental in order for the Subscriber's benefits to continue. Should the Subscriber's COBRA status change, the Group must notify Delta Dental within 30 days of the change. COBRA Continuation coverage will terminate on the earliest of the following: a) 'the last day of the month in which COBRA Continuation ends; b) the day the Contract terminates; c) the last day of the month that premium has been paid; d) the day the person becomes entitled to Medicare; e) the day the person becomes eligible for coverage under another group isplan. DRAFT Contract Page 18 DDPCO— C06 C] • 8.02 Continued Health Coverage required by the State of Colorado (State Continuation) applies to Groups with less than 20 employees. Subscribers who have been continuously covered under this Contract for at least 6 months may be eligible to continue coverage for 18 months under State Continuation. The coverage, including premium and benefits, will be the same as the coverage active Employees receive, except that the Subscriber will be responsible for the entire Premium amount. Qualifying events determine eligibility for State Continuation. Termination of service is a qualifying event. Reduction in hours is also a qualifying event for Employees who are required to work at least 40 hours per week to receive benefits and whose hours have been reduced below 30 hours per week if the reduction in hours was imposed due to economic conditions and the employer intends to restore the employee to a full 40 hour work schedule once economic conditions improve. For a covered Dependent, a qualifying event includes the Employee's death or divorce. State Continuation coverage will be effective the first day of the month following termination of coverage. Within 60 days of the coverage termination, the Group must supply eligibility and premium to Delta Dental in order for the Subscriber's benefits to continue. State Continuation coverage will terminate on the earliest of the following: a) the last day of the month after 18 months of continued coverage; b) the day the Contract terminates; c) the last day of the month that premium has been paid; d) the day the person becomes entitled to Medicare; e) the day the person becomes eligible for coverage under another group plan; or f) in the case of a Dependent child, the day he no longer meets the definition of Dependent. DRAFT Contract Page 19 DDPCO— C06 Delta Dental Premier® and PP® Limitations and Exclusions • True Group Plans: The following is a brief summary of the benefit limitations and exclusions for the dental plan(s) quoted. Please refer to your dental contract for a complete list. Limitations on Diagnostic and Preventive • Oral examinations and cleanings - twice in 12 months. • Topical fluoride - once in 12 months under age 16. • Full mouth x-rays - once per 60 months. • Bitewing x-rays — once per 12 months. • Sealants - once per tooth in any 36 consecutive month period under age 15. Limitations on Basic Benefits • Amalgam fillings - once per 12 months. • Surgical Periodontic Services - once in any 36-month period. Non -Surgical Periodontic Services - once in any 24-month period. • Periodontal cleanings are included in the cleaning limitations shown above. Limitations on Major Benefits • Benefit for placement of Major Services will not be provided more than once in any 60-month period involving restorations of the same tooth. • No Benefits will be provided for treatment of teeth retained in relation to an overdenture. • Allowance for Special Restorative Services posterior to the first molar will be limited to the allowance for a full metal restoration. The patient will be responsible for the portion of the Dentist's fee in excess of the Delta Dental allowance. • Removable temporary partial dentures are a benefit to replace missing permanent front teeth. Allowance may be made toward the cost of more expensive procedures or materials selected and the patient will be responsible for the portion of the Dentist's fee Limitations on Orthodontic Benefits (if covered) • Replacement or repair of appliances is not covered. • • Orthodontic care provided in the treatment of periodontal cases or cases involving treatment or repositioning of the temporomandibular joint or related conditions is not covered. • Periodic Orthodontic payments will end upon termination of treatment for any reason prior to completion of the case, or upon termination of the Covered Person's eligibility. • For an Orthodontic treatment plan started prior to the eligibility date of the patient, Delta Dental will begin periodic payments with the first payment due following the patient eligibility date. The maximum benefit will be determined based upon the prio EXCLUSIONS The following Services are not Benefits: • Any Covered Service Started when the person was not eligible for such Service under this Contract. • Services for treatment of congenital (present at birth) or developmental (following birth) malformations, except intraoral dental Services for treatment of a condition which is related to, or developed as a result of, cleft lip and/or cleft palate. • Services for cosmetic reasons. • Services for restoring tooth structure lost from wear, erosion, attrition, abrasion or abfraction. • Services related to protecting, altering, correcting, stabilizing, rebuilding or maintaining teeth due to improper alignment, occlusion or contour. • Services related to periodontal stabilization of teeth. Habit appliances, night guards, occlusal guards, athletic mouth guards and gnathological (jaw function) Services, bite registration or analysis, or any related Services. • Charges for prescription drugs. • Hospital costs and any additional fees charged by the Dentist or hospital for hospital services or visits, or charges for use of any facility. Any anesthesia service not specifically included in Covered Services. • Orthodontic Services unless shown as covered on the Summary of Dental Plan Benefits. • Myofunctional therapy or speech therapy. • Services for the treatment of any disturbances of the temporomandibular joint (TMJ), facial pain or any related conditions. • Oral hygiene instructions or dietary instructions. • Replacement of lost, stolen or damaged appliances. • Repair of appliances altered by someone other than a Dentist. • Any Services including any associated Services or procedures not specifically included in Covered Services. • Services for which charges would not have been made if this coverage had not existed, except for Services as provided under Medicaid. RIDERS and APPENDICES 0 0 • ASC Rider 40 A. Delete Item 1.28, in ARTICLE I — DEFINITIONS and replace it with the following Item 1.28. 1.28 SERVICE FEE means the amount of money paid to Delta Dental for each Subscriber to purchase the Administrative Services provided by this Contract, as provided in Article 11. CLAIMS REIMBURSEMENT means the amount of money the Group must pay Delta Dental for the total amount of Dentists' statements paid or otherwise discharged by Delta Dental for services rendered for all Subscribers. B. Delete ARTICLE 11— MONTHLY PREMIUM and replace it with ARTICLE II — SERVICE FEE AND MONTHLY CLAIMS REIMBURSEMENT ARTICLE II — SERVICE FEE AND MONTHLY CLAIMS REIMBURSEMENT 2.01 CLAIMS REIMBURSEMENT Claims Reimbursement - On the 2"d 12th and 22"d day or the last business day closest to such date of each month, Delta Dental will notify the Group of the total amount of Dentists' statements paid or otherwise discharged by Delta Dental for services rendered. Using one of the options described below, a prompt transfer of funds is made to Delta Dental to cover such disbursements as they become • due and payable upon receipt of said notification. a) Automated Clearing House Transfer (ACH Transfer) Once the Group is notified of the total claims paid, Delta Dental has authorization from the Group to initiate an electronic transfer of funds from the Group's account to cover the total claims paid by Delta. The ACH Transfer will occur 2 business days following the Group's receipt of the total claims paid by Delta. This option of reimbursement does not require the Group to place an initial claim reserve with Delta. b) Wire Transfer Once the Group is notified of the total claims paid, the Group initiates the electronic transfer of funds from their account to cover the total claims paid by Delta. This option of reimbursement may require the Group to place a claim reserve with Delta Dental under the following conditions: • If the Group is using the Wire Transfer option to reimburse Delta, the electronic fund transfer must be completed within 5 business days of the Group receiving the invoice. If the Group fails to transfer the total due within the 5 business days, 3 times or more during any 6-month period, Delta Dental will require an initial claim reserve from the Group. The initial claim reserve amount will equal 1 '/2 months of the average projected month of claim expenses. 1 DRAFT ASC Rider 2.02 MONTHLY SERVICE FEE The Monthly Service Fee for each Subscriber is as noted on the Declaration Page. The Group agrees to remit to Delta Dental during the Contract Term a monthly Service Fee, which will become due and payable on the first day of the month, for each Subscriber. 2.03 SERVICE FEE AND CLAIMS REIMBURSEMENT AT TERMINATION. In the event this Contract terminates for any reason, the Applicant will be liable for all Service Fees due but unpaid, as well as Claims Reimbursement. 2.04 CHANGE OF SERVICE FEE. In the absence of an amendment mutually agreed upon between Applicant and Delta, no change in the Service Fee will be made during a Contract Year. 2.05 CLERICAL ERRORS. Clerical errors or delays in maintaining or exchanging data relative to coverage will not validate or invalidate coverage that would otherwise be in force. Upon discovery of such errors or delays, an adjustment of charges will be made. 2.06 GRACE PERIOD. • Service Fee. The Contract has a Grace Period extending to the last day of the month during which the Service Fee is due. • Claims Reimbursement. The Contract has a Grace Period extending to 15 business days after Delta Dental has notified the Group of the total • claims paid, from the 2"d, 12th and 22"d calendar day. The coverage remains in force during this Grace Period unless terminated by the Group. If either the Service Fee or Claims Reimbursement are not paid by the end of the Grace Period, the Contract will terminate as of the last date of the earliest Grace Period. Service Fees and Claim Reimbursement are due through the last day of the Grace Period, including the Grace Period. 2.07 TIMELY NOTICE. Delta Dental must be informed when any Subscriber is no longer eligible. Failure to provide timely notice does not continue a Subscriber's coverage past the time it would otherwise have ended. C. Delete Item 7.02 in ARTICLE VII — RENEWAL AND TERMINATION and replace it with the following Item 7.02 7.02 TERMINATION. This Contract will be terminated as follows: a) By either the Group or Delta Dental at the end of the original Contract or at the end of any renewal year, provided the required notice of non -renewal is given. b) In the event any Service Fee due as stated in Article II of this Contract is not paid within 20 days of the due date, Delta Dental may give notice that payment is due, and if such payment is not received by the last day of the Grace Period, as referenced in Article II, Section 2.06, Delta Dental may terminate all further obligations. i 2 DRAFT • ASC Rider c) In the event any Claims Reimbursement due as stated in Article II of this Contract is not paid within 10 business days of the due date, Delta Dental may give notice that payment is due, and if such payment is not received by the last day of the Grace Period, as referenced in Article II, Section 2.06, Delta Dental may terminate all further obligations. d) By election of the Group if Delta Dental defaults in providing the Benefits under the Contract and such default is not corrected within 60 days of notice of such default. e) By election of Delta Dental in the event enrollment of Subscribers falls below 75% of the total number of eligible Employees as of the Contract Effective Date. Delta Dental may, at its option, terminate or propose to the Group alternative adjustment in rates, Benefits, or copayments. Within 30 days, the Group will select an alternative by written notice to Delta Dental. If an alternative is not selected, Delta Dental may terminate this Contract. f) Upon written notification by the Group of its intention to terminate this Contract as of any date other than the end of the Contract Term. The termination date will be the last day of the month during which Delta Dental received the Group's written notification of intent to terminate. g) By election of Delta Dental in the event of fraud or misrepresentation by the • Applicant, or with respect to coverage of a Subscriber, fraud or misrepresentation by the Subscriber or such person's representative. In the event this Agreement terminates as stated, the Group will remain liable to Delta Dental for the full amount of the Dentists' statements paid or otherwise discharged by Delta Dental for services rendered and incurred under this Contract prior to the termination date. In addition, the Group will be and remain liable to Delta Dental for a period of 12 months following the termination date for the full amount of Dentist's statements paid or otherwise discharged by Delta Dental for services rendered according to ARTICLE V, CONDITIONS UNDER WHICH BENEFITS WILL BE PROVIDED, 5.03 and 5.04. D. Delete Item 7.03 in ARTICLE VII — RENEWAL AND TERMINATION and replace it with the following Item 7.03. 7.03 PROCEDURES ON TERMINATION a) In the event of termination of this Agreement in accordance with the provisions of Article VII, Section 7.02, no Subscriber will, on or after the date on which the termination takes effect, be entitled to any further benefit payments hereunder and Group will indemnify and hold Delta Dental harmless with respect to any claims by or with respect to Subscribers for further benefit payments hereunder without regard to the date on which the dental claims were incurred. 3 DRAFT ASC Rider • However, Delta Dental will have the right to process Dentists' statements for payment where each of the following terms are met, provided that any Claims Reimbursement and Service Fees owed Delta Dental have been paid: 1. the Dentist's statement is first received by Delta Dental within 12 months of the termination date of this Agreement according to ARTICLE V, CONDITIONS UNDER WHICH BENEFITS WILL BE PROVIDED, 5.03 and 5.04; 2. the date of service reported on the Dentist's statement was within 12 months of the date the claim was first received by Delta; 3. the date of service reported on the Dentist's statement was no later than the termination date of this Agreement. b) In the event of termination by Delta Dental, all Benefits will terminate and Delta Dental will be released from all further obligations of this Agreement, effective on the last day of the month in which written notice of termination is given; provided, however, that Delta Dental will make payments for dental services for Extended Benefits. Applicant will remain liable to Delta Dental for: 1. the unpaid payments applicable for the period this Agreement was in effect prior to termination; and 2. the full amount of all Dentist's statements paid or otherwise discharged by Delta Dental after the termination date but incurred during the full Term of this Contract. 3. In the event of termination of this Agreement for any cause, Delta Dental will not be required to pay for services provided beyond such termination date, except for the completion of single procedures started while this Agreement was in effect, which are otherwise Benefits under the terms of this Agreement, provided that any Claims Reimbursement and Service Fees owed Delta Dental have been paid. E. Delete Item 7.04 in ARTICLE VII — RENEWAL AND TERMINATION and replace it with the following Item 7.04. 7.04 If on termination of this Contract for any cause Group has not paid Service Fee and/or Claims Reimbursement to Delta Dental applicable to a period of time up to and including the termination date Group will, within 30 days after termination, remit such to Delta. F. Delete Item 7.05 in ARTICLE VII — RENEWAL AND TERMINATION. r� u 4 DRAFT Delta Dental Benefits Rider DDCO - C06 BENEFITS, LIMITATIONS AND EXCLUSIONS C.01 Subject to the limitations and exclusions included in this Contract, the Completed dental Services are Benefits when provided by a Dentist (or other person legally permitted to perform such Services by authority of license) and are determined under the standards of generally accepted dental practice to be Necessary and appropriate. Benefits will be determined (even if no monies are paid) based on the terms of this Contract and Delta Dental's Processing Guidelines. C.02 DIAGNOSTIC, PREVENTIVE AND ADJUNCTIVE BENEFITS. Delta Dental will pay that percentage noted on the Contract Declaration Page of the Maximum Plan Allowance for the following Covered Services. Diagnostic — certain Services performed to assist the Dentist in evaluating the existing conditions and determining the dental care required. Preventive — certain Services performed to prevent the occurrence of dental abnormalities or disease. Adjunctive —certain additional Services including emergency palliative treatment performed as a temporary measure that does not affect a definite cure. 0 C.03 Limitations on Diagnostic, Preventive and Adjunctive Benefits a) Benefits for oral examinations and prophylaxis (adult and child) treatment (and/or any procedure that includes any component of prophylaxis) will not be provided more than twice in any 12-month period. For payment purposes, an adult prophylaxis is not a benefit for persons under age 14. Diagnosis, treatment planning or consultation by the treating Dentist (or other person legally permitted to perform such Services by authority of license) are considered components of a complete oral examination. b) Topical fluoride application is a benefit only through age 15 and only once in 12 months. c) Benefit for full mouth x-rays is made only after 60 months have elapsed following any prior provision of payment for full mouth x-rays under this Delta Dental plan unless documentation of special need is provided. Benefit for supplementary bitewing individual x-rays is provided once every 12 months while the patient is under this Delta Dental plan. A panoramic survey (which may include bitewing x-rays and/or periapical x-rays) is considered a full mouth x-ray for purposes of this Contract. Total allowance for individual periapical x-rays, intraoral occlusal x-rays, extraoral x-rays and/or bitewing x- rays performed on the same day will not exceed the allowance for full mouth x-rays. r� Delta Dental Benefits Rider DDCO - C06 d) Benefit for space maintainers will only be made for appliances to maintain space for eruption of permanent posterior teeth in cases of premature loss of is primary (deciduous) teeth through age 13. e) Adjunctive Services related to another category of Covered Services will be paid at the same percentage as the related category of Covered Services. f) Benefits for sealants are limited to one time per tooth in any 36 consecutive month period. Benefit is allowed only for the occlusal surface of decay -free and previously unrestored permanent molars for children through age 14. There is no separate benefit for preparation or conditioning of the tooth or any other procedure associated with the sealant application. C.04 BASIC BENEFITS. Delta Dental will pay that percentage noted on the Contract Declaration Page of the Maximum Plan Allowance for the following Covered Services. Basic Restorative - amalgam restorations (metal fillings) on posterior teeth, or resin -based composite restorations (white/plastic fillings) on anterior teeth and preformed shell crowns for treatment of carious lesions (decay) which result in visible destruction of hard tooth structure or loss of tooth structure due to fracture. Oral Surgery - extractions and certain other surgical Services and associated covered anesthesia and/or related Covered Services. Endodontic - certain Services for treatment of non -vital tooth pulp resulting from disease or trauma. Periodontic - certain Services for treatment of gums and bone supporting teeth. C.05 Limitations on Basic Benefits a) Benefit for the same Covered Basic Restorative Service will not be provided more than once in any 12-month period. b) Allowance for amalgam restorations (on posterior teeth) or resin -based composite restorations (on anterior teeth) may be made toward the cost of more expensive procedures or materials selected. The patient will be responsible for the portion of the Dentist's fee in excess of the Delta Dental allowance. c) No Benefits will be provided for treatment of teeth retained in relation to an overdenture. 11 Delta Dental Benefits Rider DDCO - C06 d) Benefit for the same Covered Surgical Periodontic Services will not be provided more than once in any 36-month period. Benefit for the same Covered Non -Surgical Periodontic Services will not be provided more than once in any 24-month period. e) Benefit for pulpotomy/pulpectomy will be made only for primary (deciduous) teeth. f) Periodontal maintenance procedures which include any component of prophylaxis are limited to Delta Dental Benefits Rider DDPCO — C, Section C.03, paragraph a. g) A course of treatment for apexification/recalcification (initial, interim, and final visits) is a benefit once per tooth. h) Allowance for assistant surgeon when determined by Delta Dental to be a Covered Service will not exceed 20% of the surgeon's fee for the same Covered Service. i) If this plan includes a late enrollment provision, Late Enrollees added to the dental plan will be required to be continuously enrolled in the dental plan for a consecutive 12-month period prior to being eligible for Basic Benefits. • C.06 MAJOR BENEFITS. Delta Dental will pay that percentage noted on the Contract Declaration Page of the Maximum Plan Allowance for the following Covered Services: Special Restorative - crowns, jackets, cast, fused or other laboratory processed restorations (except preformed shell crowns) for treatment of carious lesions (decay) which result in visible destruction of hard tooth structure or loss of tooth structure due to fracture which cannot be restored with amalgam or resin -based composite restorations. Other Special Restorative - buildups (which may or may not include a post) for treatment of carious lesions (decay) which result in visible destruction of hard tooth structure or loss of tooth structure due to fracture which cannot be restored with amalgam or resin -based composite restorations. Prosthodontic - Services for construction or repair of fixed bridges (fixed partial dentures), cast based metal or acrylic removable partial and acrylic complete dentures, and removable temporary partial dentures to replace completely extracted or avulsed natural permanent teeth. 0 Delta Dental Benefits Rider DDCO - C06 C.07 Limitations on Major Benefits - Special Restorative and Other Special Restorative 41 a) When two or more similar restorations are used to restore a tooth, allowance will not exceed the Covered Amount for the most inclusive Covered Service. b) Benefit for placement of Special Restorative Services will not be provided more than once in any 60-month period involving restorations of the same tooth. This includes any prior provision of Covered Prosthodontic Services involving the same teeth. c) Benefit for placement of Other Special Restorative Services will not be provided more than once in any 60-month period involving restorations of the same tooth. d) Any laboratory processed Special Restorative Service or Other Special Restorative Service (except preformed shell crowns) is not a benefit for children under the age of 12. e) No Benefits will be provided for treatment of teeth retained in relation to an overdenture. f) Allowance for Special Restorative Services posterior to the first molar will be limited to the allowance for a full metal restoration. The patient will be . responsible for the portion of the Dentist's fee in excess of the Delta Dental allowance. g) Allowance for inlays will be limited to the allowance for an amalgam filling on back teeth or resin -based composite on front teeth for the same number of surfaces. The patient will be responsible for the portion of the Dentist's fee in excess of the Delta Dental allowance. h) If this plan includes a late enrollment provision, Late Enrollees added to the dental plan will be required to be continuously enrolled in the dental plan for a consecutive 12-month period prior to being eligible for Special Restorative and Other Special Restorative Benefits. C.08 Limitations on Major Benefits - Prosthodontic a) Benefit for replacement of prosthodontic appliances will not be provided more than once in any 60-month period. For removable partial dentures, the 60- month time limitation is not applicable when there is loss of an anchor tooth. b) Benefit for placement of prosthodontic Services will not be provided more than once in any 60-month period involving restorations of the same tooth. This includes any prior benefits of Special Restorative Services involving the same teeth. 9 Delta Dental Benefits Rider DDCO - C06 c) Allowance for cast based metal or acrylic removable partials and acrylic complete dentures may be made towards the cost of more expensive procedures or materials selected and the patient will be responsible for the portion of the Dentist's fee in excess of the Delta Dental allowance. d) Removable temporary partial dentures are a benefit to replace missing permanent anterior teeth. Allowance may be made toward the cost of more expensive procedures or materials selected and the patient will be responsible for the portion of the Dentist's fee in excess of the Delta Dental allowance. e) Alternate Benefit of a cast based metal removable partial or an acrylic complete denture may be made toward the restorative phase of implant procedures. Alternate Benefit will be paid according to the time limitations listed in Delta Denta I Benefits Rider DDPCO — C, Section C.07, Prosthodontic items a & b. f) Fixed bridges (fixed partial dentures) and/or cast metal framework partial dentures (removable partial dentures) are not a benefit for persons under age 16. g) Fixed and removable prosthodontic appliances are not a benefit in the same arch. Allowance will be limited to the allowance for a removable appliance. • Exception will be made when the fixed bridge (fixed partial denture) replaces anterior teeth. h) Benefit for reline or rebase of a prosthodontic appliance will be made only once in any 36-month period. Reline or rebase of a prosthodontic appliance at the time of insertion and/or within 6 months following insertion by the same Dentist is considered a component of the appliance and separate payment will not be made for such reline or rebase. Reline or rebase of an immediate denture is a covered benefit at any time, subject to the limitation of one in 36 months. i) If this plan includes a late enrollment provision, Late Enrollees added to the dental plan will be required to be continuously enrolled in the dental plan for a consecutive 12-month period prior to being eligible for Prosthodontic Benefits. C.09 GENERAL LIMITATIONS - ALL SERVICES a) Pre- and post -operative procedures are considered part of any associated Covered Service. Benefit will be limited to the Covered Amount for the Covered Service. b) Local anesthesia is considered part of any associated Covered Service. Benefit will be limited to the Covered Amount for the Covered Service. 0 • Checklist for Enrolling New Groups Provide the following to Delta Dental at least 15 days prior to the first on the month the coverage is to be effective: ❑ A Master Application for group dental coverage completed and signed by the employer and agent, if applicable. ❑ Copy of Employer Connection Authorization form (required). ❑ Copy of Automatied Clearinghouse (ACH) Authorization form (optional for groups 10-99). ❑ Copy of Plan design and rates chosen from the proposal that was provided. ❑ Completed enrollment forms for all employees electing coverage. ❑ A copy of prior carrier bill and benefit description, if plan chosen offers take over credits. (To allow for waiver of the benefit waiting period for initial enrollees) ❑ A check equal to first month's premium. ❑ If offering domestic partner coverage, submit a copy of employer's Domestic Partner Affidavit. ❑ If applicable, Broker or Producer Agreement. If not already appointed with Delta Dental, please provide a W9, Agent License and Corporate License. ❑ Mail completed forms and payment to: Delta Dental of Colorado Attn: Lorri Kohle, Sales Strategy Manager 4582 S. Ulster St., Suite 800 • Denver, Colorado 80237 The group's policy, evidence of coverage booklet and an ID card for each subscriber will be provided directly to the group. Group Premium Calculation (Optional) To calculate the premium for your group: 1. Locate the rates for the program you have selected in the table above. 2. Fill in the rates on the table below. 3. Multiply rates by the number of employees in each membership category to determine total monthly premium. This amount is due with your application. 4. Refer to underwriting and enrollment guidelines included in this proposal. #EMPLOYEES RATES MONTHLY PREMIUM Employee X = $0.00 Employee/Spouse X = $0.00 Employee/Child(ren) X = $0.00 Employee/Family X = $0.00 No Coverage/Coverage Elsewhere Rates quoted are for the effective date and zip code shown and are subject to all Plan Provisions including Benefit Limitation, Exclusions and Underwriting and Eligibility Requirements in this proposal. • Delta Dental Benefits Rider DDCO - C06 c) The Covered Amount for a Covered Service Started but not Completed will be limited to the amount determined by Delta Dental. 0 d) A temporary dental Service is considered part of any complete Covered Service. Benefits will be limited to the Covered Amount for the complete Covered Service, unless the temporary Service is specifically included as a Covered Service of this Contract. C.10 EXCLUSIONS - The following Services are not Benefits: a) Services for injuries or conditions which are compensable under Worker's Compensation or employer's liability laws, or Services which are provided to the Subscriber by any federal or state government agency or are provided without cost to the Subscriber by any municipality, county or other political subdivision, or any Services for which the Subscriber would have no obligation to pay in absence of this coverage, except as such exclusion may be prohibited by law. b) Any Covered Service Started when the person was not eligible for such Service under this Contract. c) Services for treatment of congenital (present at birth) or developmental (following birth) malformations, except intraoral dental Services for treatment of a condition which is related to or developed as a result of cleft lip and/or cleft palate, unless otherwise included as a Covered Service of this Contract. • d) Services for cosmetic reasons. e) Services for restoring tooth structure lost from wear, erosion, attrition, abrasion or abfraction. f) Services related to protecting, altering, correcting, stabilizing, rebuilding or maintaining teeth due to improper alignment, occlusion or contour. g) Services related to periodontal stabilization of teeth. h) Habit appliances, night guards, occlusal guards, athletic mouth guards and gnathological (jaw function) Services, bite registration or analysis, or any related Services. i) Pre -medication, analgesia, hypnosis or any other patient management . Services (except covered anesthetic Services). j) Charges for prescription drugs. k) Any Experimental or Investigational Procedures. 1) Services that may otherwise have been covered, but due to the patient's . underlying condition would not prove successful to improve the oral health of Delta Dental Benefits Rider DDCO - C06 • the patient. m) Any procedures done in anticipation of future need (except Covered Preventive Services). n) Hospital costs and any additional fees charged by the Dentist or hospital for hospital services or visits, or charges for use of any facility. o) Any anesthesia service not specifically included in Covered Services. p) Intraoral grafts when done in areas where a tooth/teeth are not present. q) Extraoral grafts (grafting of tissues or other substances from outside the mouth to or into oral tissues), augmentations or implants and/or any associated appliances. Removal of implants or any associated Services. r) Orthodontic Services including any related diagnostic, preventive or interceptive Services (surgical and other treatment of malalignment of teeth and/or jaws), unless noted as a benefit on the Contract Declaration Page. s) Myofunctional therapy or speech therapy. t) Services for the treatment of any disturbances of the temporomandibular joint (TMJ), facial pain, or any related conditions, including any related diagnostic, preventive or interceptive Services, unless noted as a benefit on the Contract Declaration Page. u) Services not performed in accordance with the laws of the State in which Services are rendered, Services performed by any person other than a person authorized by license to perform such Services, or Services performed to treat any condition, other than an oral or dental disease, malformation, abnormality or condition. v) Oral hygiene instructions or dietary instructions. w) Completion of forms, providing diagnostic information or records, or duplication of x-rays or other records. x) Replacement of lost, stolen or damaged appliances. y) Repair of appliances altered by someone other than a Dentist. z) Any Services including any associated Services or procedures not specifically included in Covered Services. aa) Services for which charges would not have been made if this coverage had • not existed, except for Services as provided under Medicaid. Delta Dental Benefits Rider DDCO - C06 bb) Missed appointment charges. cc) Preventive control programs, including home care items. dd) Plaque control programs. ee) Self-inflicted injuries. ff) Bone grafting when done in the same site as a tooth extraction, implant, apicoectomy or hemisection. • Delta Dental PPO Delta Dental Benefits Rider �11 A. Add Item 1.34 and 1.35, in ARTICLE I — DEFINITIONS 1.34 Delta Dental PPO is a preferred provider plan. PPO Dentists provide services at the PPO Discounted Fee Schedule. 1.35 PPO Dentist's Allowable Fee means the fee from the PPO Discounted Fee Schedule that the PPO Dentist has contractually agreed with Delta Dental to accept for treating Eligible Persons under this program, or the fee actually charged ;.whichever is less, for a single procedure. B. Delete and replace Item 1.10, in ARTICLE I — DEFINITIONS. 1.10 Covered Amount means:, ■ For PPO Dentists, the lesser of the PPO Dentist's Allowable fee or the fee actually charged. ■ For Premier Participating Dentists, the lesser of the Premier Maximum Plan Allowance, or the fee actually charged. ■ For all other Dentists, the lesser of the non -participating Maximum Plan Allowance, or the fee actually charged. • Orthodontic Rider DDCO-A/B/C COVERED ORTHODONTICS are defined as the services provided by a licensed Dentist involving orthognathic surgery or appliance therapy for movement of teeth and post -treatment retention for treatment of malalignment of teeth and/or jaws including any related interceptive services. (Extraction of teeth is covered under Oral Surgery Benefits.) Delta Dental will pay that percentage stated on the Contract Declaration Page of the Maximum Plan Allowance for Covered Orthodontic Services up to the maximum amount stated on the Contract Declaration Page. Allowance will be based on total case fees to include active treatment and post treatment retention or stabilization and all payments will be on a periodic basis, in accordance with the dentist's proposed period of active treatment. Separate benefit will not be made for post treatment stabilization. In addition to the Exclusions and Limitations stated in the Benefit Rider, the following exclusions and limitations will apply to Orthodontic Benefits. EXCLUSIONS AND LIMITATIONS: a) No benefits will be provided for 1.. Replacement or repair of appliances. 2. Orthodontic care provided in the treatment of periodontal cases or cases involving treatment or repositioning of the temporomandibular joint or related conditions. b) The obligation of Delta Dental to make periodic payments for an Orthodontic treatment plan will cease upon termination of treatment for any reason prior to completion of the case, or upon termination of the Subscriber's eligibility. c) The obligation of Delta Dental to make periodic payments for an Orthodontic treatment plan begun prior to the eligibility date of the patient will commence with the first payment due following the patient eligibility date. The maximum benefit will be determined based upon the prior carrier's payment history. d) If this plan includes a late enrollment provision, Late Enrollees added to the dental plan will be required to be continuously enrolled in the dental plan for a consecutive 12-month period prior to being eligible for Orthodontic Benefits. • 0 • /UIWIJ4 l_1dEel k, • 0 • Dental Optimizer Brochure 0 • • Dental Optimizer Once you've logged in to our online tools through the Delta Dental website (www deltadentalco.com), you can access the Dental Optimizer tool. Dental Optimizer is a dynamic online tool that allows your clients to evaluate their personal oral health_ Members simply complete a quick survey regarding their overall health and dental habits and instantly, they will receive a customized report on the current state of their dental health. You can promote this tool to current and potential groups as a "value -add" included with all Delta Dental plans. Dental Optimizer has three dynamic features: The Dental Risk Assessment Tool —provides subscribers a better understanding of the dental risks they may face. The risk assessment is specific, based on data from past treatments and services. This feature offers tips on reducing the risk for future dental problems. The Dental Health Suggestion Tool —based upon claim and treatment history, the Dental Health Suggestion feature of Dental Optimizer provides suggestions —including proactive approaches —that subscribers can flake to improve their dental health. The Dental Savings Optimizer Tool —based the subscriber's dental risk assessment, the Savings Optimizer identifies preventive treatments that the subscriber should pursue in order to avoid costly and invasive treatments in the future. The Dental Optimizer Risk Assessment Tool pwbq the past three years: O 1 have had W cavities O 1 have had = cavity t use a tk,oaide toothpaste: ..0.Y ............................................_...........................................................____._....................................... es O no The'wa[ar1 drodt'contaWe floarrde! Risk A55ee5R1ertt O yes HIGH O no your results incicate that you may be at ........_....._.._........................................._............................_. HIGH risk for cavities. Visit your dentist so ....._..._________ ......................... that s/he can perform a clinical 1 brush my teeth at blast ante a day: examination that can help you better O yes ---------------- understand your risk for cavities and the -©-yty — steps YOUcan take to prevent them. MODERATE v_res ___---------- 1. Avoid "grazirW -frequent sipping of HO sweet drinks and eating snacks, including crackers, throughout the LOW day. Choosing tooth -healthy snacks fruits I often suffer ft— *dry mouth,. ........._............ _.._..._.........___....................................._..........................______. O vas such as cheese, and vegetables can help reduce your risk for tooth decay. Give your teeth a chance to rest and rebuild. O'tts ._....._.__._......_. .. ... ...... ..... _..-.... - -.. 2. Dry mouth is a serix:s condition that increases your risk for dental decay. If you think you have this problem, discuss it xith your dentist, physician or pharmacist. S/he may recommend a saliva substitute, fluoride products, or other aids to help prevent decay. Mrs Risk lent Results 3C_QJ26_033109 Ej E EBD Fact Sheet n LJ n U r� EVIDENCE BASED DENTISTRY FACTS vidence Based Dentistry (EBD) EBD is a new approach to designing dental benefits based on scientific evidence that points to an association between an individual's oral health and their overall health. Emerging scientific evidence supports a positive correlation between the treatment and prevention of periodontal disease on improving overall systemic health. These effects could impact some of the nation's most prevalent, debilitating and costly conditions, such as pre -term and low -birth -weight babies, diabetes, heart disease and stroke. Although the evidence is not yet definitive, Delta Dental believes so strongly in the association between oral health and overall health that we're enhancing all of our dental plans to include additional preventive services for patients with certain health conditions. What is Periodontal Disease? During periodontitis, the healthy gum tissue is transformed from pink and firm, with knife-edge margins between the soft tissue and the tooth, to inflamed and red. Eventually, the tissue pulls away from the tooth, allowing pockets to form. These pockets can be measured with a special probe during a standard dental check-up. Any pocket over 3 millimeters in depth signifies gingivitis; a pocket over 5 millimeters usually signifies periodontitis. Coronary Heart Disease Dental disease is associated with an increased risk of coronary heart disease -.'I) • Specifically, periodontal disease is being linked to coronary.artery disease or atherosclerosis, a narrowing of the arteries caused by. •deposits�of fat and plaque onto the arterial walls. "In seve"re.cases, the arteries can become entirely blocked, leading to heart attacks. As the affected arteries are responsibleTor carrying oxygen -rich blood to the heart, the narrowing of these vessels leads to strain and chest.pains during periods of heightened activity. Considering heart disease is the leading cause of death in ,the United States, finding a connection between it and inflammation . of the gums -could lead to anew approach in preventative, cardiac medicine.2 • People with deep periodontal pockets had an increased risk for electrocardiographic abnormalities (ECG) according to"a recent study printed.(;) . • Another study involving Arizona's Pima Indians, who rarely smoke, showed those with gum disease were more than twice as likely to"suffer" a heart attack than those whose gums .were healthy. (4), Pregnancy • .Pregnant women with periodontaPdisease are 4 times more likely to have pre -term birth. • Treatment of periodontitis in �Spregnant women ! improves -periodontal disease and is safe but does not significantly alter rates of pre -term, birth,. low birth ; I weight or.,fetal growth restriction. • The presence of microbial invasion of the amniotic cavity by Porphyromonas gingivalis could indicate a role for periodontal pathogenic bacteria in pregnant women with a diagnosis of threatened" premature labor. The study, which evaluated 26 pregnant women with a diagnosis of threatened premature labor, found the presence of periodontal bacteria,'P. Gingivalis, in both the oral cavity and amniotic.fluid in 30% of the women.(7) _ Diabetes • Oral health complications, including extensive periodontal disease, tooth loss, have been reported among patients with long- standing and poorly controlled diabetes. (8) • In 2002, direct and indirect costs for treating diabetes in the US has been estimated at 132 billion(8)• Medical costs are estimated to be 2.4 times higher for diabetics than non -diabetics. (8) • Diabetics have a 2-fold increased risk for developing periodontitis.O • Number of studies (though not conclusive) indicate that effective control of periodontal infection in diabetics reduces the levels •of advanced glycation end -products (AGE) which leads to diabetic complications.(q) • Until conclusive evidence is shown, careful management of periodontal disease in diabetic patients is highly recommended.() • Periodontitis is twice as prevalent in diabetics as in non- diabetics. (I.) (:) Leivadaros E, van der Velden U, Bizzarro S, ten Heggler J. Gerdes V. Hoek F, Nagy T, Scholma J, Bakker S, Gans R, ten Cate H, Loos 8, "A Pilot Study Into Measurement of Markers ofAtherosclerosis in Periodontitis " Journal of Periodontology 76, r(2o 5): tzr-tz8 (z) Alvarez M, "Hanging by a Thread: Flossing Your Teeth Can Save Your Life," FoxNews.com, oa/z7/zoo7 (3) Shimazaki Y, Saito T, Kiyohara Y, Kato 1, Kubo M, hda M, Koga T, "Relationship Between Electrocardiographic Abnormalities and Periodontal Disease: The Hisayama Study," Journal of Periodontology 75, 6(2004): 791.797 (4) HealthAtoZ.com, "How Serious is Periodontal Disease?" www.healthatoz.com/healthatoz/Atoz/common/standard/transform.jsp?requestURI—/healthatoz/Atoz/dc/caz/enth/peri/serious.jsp (5) Lopez R, "Periodontal disease, preterm birth and low birthweight," Evidence based Dentistry 6(zoo5): go-9r (6) Michaelowicz BS, Hodges IS, DiAngelis AJ, et al, "Treatment ofperiodontal disease and the risk ofpreterm birth," New England Journal of Medicine 355(2oo6): 1885 ,894 (7) Leon R, Silva N, Ovalle A, Chaparm A, Ahumads A, Gajardo M, Martinez M, Gamonal J, "Detection of Porphymmonas gingivalis in the Amniotic Fluid in Pregnant Women With a Diagnosis ofThreatened Premature Labor," Journal of Periodontology 78, 7(z0o7): rz49-rz55 (8) Moore P, Zgibor J, Dasanayake A, "Diabetes: A growing epidemic ofall ages," Journal of the American Dental Association 134(2003): IIS-15S (9) World Health Organization Oral Health Country/Area Profile Programme, Systemic &Oral Health, Diabetes and Periodontal Diseases, www.whocollab.od.mah.se/expl/systdiab.html (io) Coe H, "Periodontal Disease. The Sixth Complication cf Diabetes Mellitus," Diabetes Care 16(1993):329-334 • Signed Business Associate Agreement 0 40 • EyeMed Discount Sheet 0 • L 1 ��afmEq= Ey elVled _ VISION CARE® Your Delta Dental Vision program is provided by EyeMed Vision Care We are pleased to have you as an EyeMed member... Your Vision Care Program As a Delta Dental member, you are eligible for comprehensive vision care savings offered through EyeMed Vision Care. The program is detailed on the back page and is available to all subscribers and eligible dependents. However, this plan cannot be combined or used in conjunction with any other vision care plans. If you are enrolled in a funded vision care program, the discount plan can only be utilized separate from your funded program. Accessing Your Savings Receiving your vision savings is easy. Simply: Locate an EyeMed provider by calling 1-866-246-9041 or use the provider locator at www.eyemedvisioncare.com/deltadental. 2 When scheduling your appointment, inform the office that you are an EyeMed member with a Delta Dental discount plan. '2j Once you arrive, present the ID card below to receive services. Your EyeMed provider will take care of the rest! EyeMed Provider Network We continue to make the EyeMed network more accessible to our members. Therefore, provider locations are subject to change. We recommend calling ahead to confirm the provider's participation in the program. The EyeMed network consists of private practice optometrists, ophthalmologists, opticians, and sonic of the nation's top optical retailers including LensCrafters, Target Optical, Sears Optical and most Pearle Vision locations. Our providers are ready to serve all your eye care needs with their professional services and products. LENSCRAFTERS'SEARS ® OPTICAL V�[�[MAf' optical rxrvnn. rxncrn u>arxs — ---------------- -------------------------------------------------------------------------------------------- d cca3 EyeMed EyeMed VISION CARE. VISION CARE. EyeMed Group Number: 9231093 EyeMed Group Number: 9231093 Group Name: Delta Dental Discount Gvup Name: Delta Dental Discount Member Name: Member Nanie: Call 1-866-246.9041 to Locate the neatest EyeMed provider. Call 1-866.246.9041 to locate the nearest EyeMed provider. This is not an insured plan. -----------------------------------------------------------------=------------------------------------------------------------------ This is not an insured plan. EyeMed Vision Care Discount Plan for Delta Dental Members Vision Care Services Member Cost Exam and Dilation as Necessary: $5 off Comprehensive. Exam $10 off Contact Lens exam Complete Pair of Glasses Purchase: • The following frame, lenses, and lens options discounts & fees apply only if a complete pair is purchased in the same transaction. • Items purchased separately will be discounted 20% off of the retail price. Standard Plastic Lenses including Standard Scratch: Single Vision $75 Bifocat $95 Trifocat $ l25 Frames: Any Frame available at provider location 30% off retail price Lens Options: Standard UV $15 Standard Tint $15 Standard Polycarhonate $40 Standard Anti -reflective Coating $45 Standard Progressive (add -on bifocal) $70 Contact Lenses': (Discount applied to materials onlN) Conventional 15% off retail price Laser Vision Correction: Lasik or PRK 15% off retail price or 5%m off promotional price Frequency: Examination Unlimited Frame Unlimited Lenses Unlimited Contact Lenses Unlimited This is not insuruxe. .After initial purcha.c rcplaccument contact Ian e may he nhmincd via the Internet it suh�cuuial 4n ins+ and mailed directly to the member. Detail, are available at oovhh y^emedvisionrne.ann. Diemher will recen e a L' i, discount on irem, purchased at parricipating prox ides nor included uneler plan coverage 2iY discount nha) not bcombined e cbined with any other di counts or prunoti honal otters, and the discount dexs not apph to EyeAied provider, professional .et m icas or Cnntact IHn,es. Retail prices may vary 1,v location. Not valid for groups domiciled in the Mate of Washington. **LASIK and PRK correction procedure, are provided by the U.S. Laser Netmvork, awned k LC.A-Vt ion. ;Nlemheers curt first call I S77-352-7176 fur the ncare:t laser fneility and to receive authorisation for the discount. Plan Lim imtions/Exclusions: • Orthoptic or vision training, subnonnl Vision aids, and any associated supplemental testin<, • Medical and/or surgical treaouent of the eye, eyes, or supporting struaurc • Corrective eyewear required 6y an employer as a condition of cnhploynhcnt and safer eyehvctar • Services provided as a result of any Workers Compensation Lw • Plano non-prescriprion lenses and non-prccription sunglasses (except for JO4h, discount) Visit eyemedvisioncare.com/deltadental for provider information, plan details and a printable ID card. -----------------------------• • For a listing of providers, please visit • For a listing of providers, please visit www.eyemedvisioncare.com/deltadental www.eyemedvisioncare.com/deltadental or call 1-866-246-9041. or call 1-866-246-9041. • Customer Care Center Hours: • Customer Care Center Hours: Monday through Saturday, 6:00 am to 9:00 pm MT Monday through Saturday, 6:00 am to 9:00 pm MT Sunday, 9:00 am to 6:00 pm MT Sunday, 9:00 am to 6:00 pm MT • This benefit is available to all subscribers • This benefit is available to all subscribers and eligible dependents. and eligible dependents. ----------------------------------------------------------------- =- - -------------------------------------------------- - 0 r1 U • • Maximize PPO — Plus Premier 0 • Maximizing your Benefits with your Delta Dental PPO plan The Delta Dental PPO plan emphasizes choice and helps you save on your dental care costs when seeing a Delta Dental PPO dentist Participating PPO dentists have .agreed to accept a reduced fee for services; however you have the freedom to see any licensed dentist you choose. Benefits are provided whether you choose a Delta Dental PPO dentist or a non-PPO )Delta Dental Premiere or non -participating) dentist Delta Dental PPO Plus Premier As a nationwide dental benefits company, Delta Dental offers a wide variety of PPO dental plans to meet the needs of our customers. Traditional PPO plans offer coverage both in and out -of -network, yet they do not limit the member's financial responsibility out -of -network. Delta Dental is unique with its dual network advantage. Members can access care through either the Delta Dental PPO or Delta Dental Premier® networks and still receive the benefits of discounted fees. 61,000 natic Colorado 1, C. Selectin-z Your Dentist a Premier Dentists o PPO Dentists �rado 2,499 22,000 national Some advantages of the dual network: •You will save money even when you see a Premier dentist, since they also accept discounted fees *No Balance Billing by PPO or Premier Dentists — which means less out-of-pocket costs for you '95% of our members receive dental services from either a Delta Dental PPO or a Delta Dental Premier® dentist •Out -of -network risk is 6o% with competitors' PPO plans, and ours is only 5% As a member in a Delta Dental PPO Plan, you always have the choice of seeing any licensed dentist However, you will experience the greatest savings if you see a Delta Dental PPO dentist (see graph below). Other benefits of selecting a Delta Dental PPO or Delta Dental Premier® dentist include: • Nationwide network of dentists — you have access to over 61,000 Delta Dental PPO dentists and 122,Ooo Delta Dental Premier® dentists throughout the country • Non -covered services are billed to you at Delta Dental's discounted rate — you still save money even if the benefit is not covered under your plan To find out if your dentist is a Delta Dental PPO or Delta Dental Premier(g) dentist simply log onto our website at www.deltadentalco.com or call our Customer Relations Department at (303) 741-9305 or toll -free at (800) &0-0201- If you do not have a dentist or would like help selecting a new dentist, you can contact our Customer Relations Department to find a Delta Dental dentist in your area. BENEFIT ILLUSTRATION ONLY PPO:DENTIST' NON-PPO DENTIST' Service: Porcelain Crown Network Deliabental PPO Delta Dental Non -Participating Dentist Premier® Dentist Dentist Not Chargeable $290.00 $50.00 NA - - ......- ...--- Maximum Allowable* $710 $950 NA ............................. ......... ni-rinrtihla $50.00, .. $SO.00 $SO.00 > 10330-00 b450.00 ,b300.00 Patient Pays ;:,5380 00 $500.00 $700.00 able fee for a PPO dentist is the PPO Fee Schedule which the dentist has agreed to accept. Allowable fee for a Delta Dental Premier® Dentist is the Maximum Plan Allowance. Allowable fee for a rticipating dentist is the Non -Participating Maximum Plan Allowance. dentists are considered in -network providers. The PPO percentage of benefits is based on the PPO Fee Schedule. 2. The Non -Participating percentage of benefits is limited to the Maximum Plan Allowance. You may have additional out-of-pocket costs by using a Non -Participating dentist. Data from 11/07 • Prevention First 0 0 r not seem e a foa dentist Diagnostic and ---, preventive care services do not count against the ' _ . annual maximum Dental extends each member's annual maximum amount lerstand o ]Easy to Use o Promotes Wellness ntist at least once a year Promotes regular visits to the dentist for hately benefit by not preventive care — which can improve a their annual maximum member's overall health nual maximum which - Cost of adding the Prevention First Dental additional treatment option varies based on the current plan annual maximum and claims experience pie of how much extra dental care your members can receive st charges vary. Sample assumes two routine checkups and $i,000 annual maximum W Prevention First Dental Option ental I Member Annual Maximum s Pays Remaining 0 1 $0 $650 ($l,000 - $350) MM Prevention First Dental Option Delta Dental Member Annual Maximum Pays Pays Remaining $350 $0 $1,000 Subscriber Connection U • Subscriber Connection -- -- Created for subscribers, like you! We want to make it as easy as possible for you to use your Delta Dental of Colorado benefits. In order to make your customer service experience seamless, please have your Member ID available when contacting us. Visit us on the Web using Subscriber Connection Subscriber Connection allows you to find information regarding your benefits and claims history, in real-time. Subscriber Connection is available 24 hours a day. With Subscriber Connection you can: • Determine the plan in which you're enrolled • Review benefits information • Check claims status • Print member ID cards • Print Explanation of Benefits (EOB) • Find a dentist Explore Subscriber Connection! Log on to www.deltadentalco.com and click on the Subscriber Connection link located on the left-hand side of the page. Call us During normal business hours (Monday —Friday 8:0o a.m to 6:0o p.m MST) call Customer Relations. After normal business hours, you may call our Integrated Voice Response (IVR) system to gather information about your eligibility, benefits and claims. (303) 741-9305 Denver -metro (800) 610-0201 Toll -free _• (800) 659-2656 Hearing assistance You can e-mail Customer Relations at: Customer_Service@ddpco.com. • • • • • • • • . • • • • • • O • • • • • • • • • • • .. 1 • • • .. • • • • 0 0 * * • • . • • • . • • . • • • • • • .. • 0 0 0 51_RF.�_oiz7o9 •••• vi/here renewal 'is a way of liFe Request for Proposal Number 7054 Benefits -Dental To participate in the RFP process vendors need to sign and return this Business Associate Agreement. BUSINESS ASSOCIATE AGREEMENT ® SECURITY STANDARDS This agreement is entered into between �•'', �� (Business Associate) and the City of Fort Collins. • Business Associate agrees that it will implement policies and procedures to ensure that its creation, receipt, maintenance, or transmission of electronic protected health information ("ePHI") on behalf of the City of Fort Collins complies with the applicable administrative, physical, and technical safeguards required to protect the confidentiality and integrity of ePHI under the Security Standards 45 CFR Part 164. Business Associate agrees that it will ensure that agents or subcontractors agree to implement the applicable administrative, physical, and technical safeguards required to protect the confidentiality and integrity of ePHI under the Security Standards 45 CFR Part 164. Business Associate agrees that it will report security incidents to the City of Fort Collins, Security Manager. r r By: �,�� CL `� .' I' �t, ®ate: J PRINT NAME 1 • TITLE Please return to: City of Fort Collins Attn: Purchasing P.O. Box 580 Ft. Collins, CO 80522-0580 • Signed Proposal Compliance Letter 40 0 • • G� `DELTA DENTALy City of Fort Collins Proposal Compliance Letter We certify that our proposal complies with the contents of this Request for Proposal, unless noted in the following list of exceptions. 1. No deviations. Company Name: Delta Dental of Colorado Name: Jean Lawhead Title: Vice President of Sales and Marketing Phone Number: 720-489-4703 and 1-800-233-0860 E-mail Address: ilawhead(c�ddpco.com Contact Name: Barbara Kelty Title: Senior Account Manager Phone Number: 303-889-8642 t E-mail Address: bkelty@ddpco.com Signature:'da„ J� 1 Trade Secret, Proprietary & Confidential 1 r1 U Signed Plan Design Confirmation 0 • C] • Delta Dental of Colorado City of Fort Collins 1857 1858 1857 1858 PRODUCT NAME Current Current tPurrenf Current, PPO Plan PPO Plan Basic " PPOIPlan PP�O PIanlBasic Delta Dental PPO, Delta Delta Dental PPO, Delta Delta�Dental PRO ID lta Dental Premier® or Non- Dental Premier(D or Non- Denta'IiPrerriie orlNon- $ iDental "Premier oriNon-< Participating Participating Partiapatmg Networks ,\\ General Maximum $2,000 $1,000 Deductible Waived: T1 T1 Individual $25 $50 Family $50 $100 , COVERED SERVICES Type 1 - Diagnostic and Preventive Services Oral exams and cleanings Fluoride treatments X-rays Sealants 100% / 80% 80% / 60% 1 Type 2 - Basic Services �° `" \" Endodontic services Oral surge 80% / 80% 60% / 60% " Fillings Periodontic services 80% / 60% 60% / 50% Type 3 - Major Services-, Relines and repairs Special restorative (inlays, onlays, and crowns)�� u I Prosthodontics (bridges and dentures) 60% / 50% 50% / 50%`' Type 4 - Orthodontia Age Limit 19 NA Orthodontic services 50% Not a benefit Orthodontic lifetime benefit maximum $1,500 NA Renewal Funding Rates Renewal Fundiri'gRates ' 4-Tier Rates and Enrollment 1857 1858 Current Funding Rates Current Funding Rates 'Effective 1/01/2010 Effective 1101_12010 Employee 417 49 $27.41 $13.24 $30.16 $10.64 EE + Spouse 354 29 $52.37 $22.98 $58.08 $17.58 EE + Child(ren) 137 15 $59.86 $25.90 . $66.46 $19 67 > EE + Family 397 45 $96.31 $40.12 Total 1305 138 Admin Fee: $4.17 AdminiF;.,ee: $4.1Z w Total Monthly Premium $76,404.84 $3,509.08 $84,812.37 $2,667.68 4-Tier Grand Totals $79,913.92 $87,480.05 9.47% *Administrative Fee (Admin Fee) is guaranteed for two years through December 31, 2011. THIS SER VES AS YOUR AMENDMENT. YOU WILL NOT RECEIVE ANYADDITIONAL DOCUMENTATION TO SIGN As an authorized representative, I accept this confirmation of coverage and rating. Please circle the plan of benefits chosen along with the approved rating. By signing below, I acknowledge agreement with the rates and benefits described herein and that subsequent contract(s) shall conform to this document unless otherwise agreed to in writing. Signature: iDE�1'A��DENL►Ly I ryh Proposal Compliance Letter City of Fort Collins We certify that our proposal complies with the contents of this Request for Proposal, unless noted in the following list of exceptions. 1. No deviations. Company Name: Delta Dental of Colorado Name: Jean Lawhead Title: Vice President of Sales and Marketing Phone Number: 720-489-4703 and 1-800-233-0860 E-mail Address: ilawhead(D-ddpco.com • Contact Name: Barbara Kelty Title: Senior Account Manager Phone Number: 303-889-8642 E-mail Address: bkelty@ddpco.com Signature: Trade Secret, Proprietary & Confidential 1 r1 U Completed and Signed Questionnaire(s) U • 0 City of Fort Collins August 13, 2009 Questionnaire Response City of Fort Collins • Section 2.0 Services to Be Provided In addition to the plan provisions set forth in the attachments, the City has specific requirements needed to support its day-to-day operations. 2.1 Specific Requirements Account Management The account executive and service representative(s) will deal directly with the City. This environment requires the account management team to: ➢ Be able to devote the time necessary to the account, including being available for frequent telephone and on -site consultations with the City. Firms who are not committed to account service will not receive serious consideration; ➢ Be extremely responsive; ➢ Be comprised of individuals with specialized knowledge of the proposing firm's: - Claims and Eligibility Systems - Provider Networks (where applicable) • - Systems Reporting Capabilities - Claims Adjudication Policies and Procedures - Administrative Services Contract Wording - Standard and Non -Standard Banking Arrangements - Relationships with Third Parties ➢ Be thoroughly familiar with virtually all of the proposing firm's functions that relate directly or indirectly to the account; ➢ Act on behalf of the City in "cutting through red tape". This facet of account management cannot be emphasized enough — the account management team must be able to effectively advance the interests of the City through the firm's corporate structure. Agreed. • 2 r� u City of Fort Collins Enrollment/Eligibility The City will provide initial enrollments electronically or on paper. The initial enrollment and updates will be provided directly to the selected firm by the City. The selected firm will perform direct eligibility certification to providers and verify coverage as a part of the claims management and adjudication process. A quarterly reconciliation between payroll and eligibility will be required of the selected firm. Agreed. Fee Administration Selected firm will invoice the City. The City may calculate the fees/ premiums payable on a monthly basis and will submit these fees directly to the selected firm. Agreed. COBRA Administration Where applicable, COBRA Administration will be conducted by the chosen firm and eligibility • information will be provided by the City. Supportive services required by the selected firm will be as follows: • Accept information from the City on COBRA participants • Send COBRA notifications to plan participants at termination • Claims adjudication inquiries • COBRA member service inquiries related to benefits and claims Delta Dental offers two types of COBRA services: 1) Full Administration Services and 2) Billing Services Only. Employer costs for COBRA vary by the services elected. In addition, Delta Dental retains 2% of premiums collected for administration purposes. • 3 City of Fort Collins • Customer Service The selected firm must have as its primary focus on efficient and effective processing of all inquiries. Satisfactory customer service will include prompt, courteous and accurate responses to the City and employee inquiries regarding claim submissions, applicable provider networks, plan design and provisions, etc. A toll free number should be available for eligibility certification and claim submission inquiries. Agreed. Financial Accounting On a monthly basis, the selected firm must provide an accounting reconciliation of any "central bank" accounts utilized. The selected firm must provide a quarterly written report detailing all administrative expenses charged outside the Administrative Services Agreement. The selected firm must present a report detailing and justifying proposed fees for the coming year by September 1st of the preceding year. Delta Dental does not use a "central bank." We provide a check listing of claim monies is administrative Delta Dental does not charge additional fees outside of the monthly administrative fee. All services are included in this fee. • Delta Dental will provide proposed administrative fees for the coming year no later than September 1st Right to Audit The selected firm must agree to allow the City, or its representative, the right to audit all claims, applicable provider credentialing, financial data and other information relevant to the City's account. Agreed. Data and Management Information Reporting The selected firm must provide monthly paid claim summaries and detailed claim listings, preferably in Excel format or through a secure website. The firm must also provide its standard reporting package. Ad hoc reports will periodically be requested. Enrollment, claims and premium/fee information must be accurate and supplied in a timely manner upon request. Describe online claim reporting and look -up capabilities that will be available to the City. M City of Fort Collins • DDCO's online reporting tool is a dynamic, self -serve reporting system that allows you to access reports 24 hours a day, seven days a week. Charts and reports load quickly and you can perform your own analysis. The following are examples of reports available: • How treatments are distributed by network • What networks members are using • How treatment cost is, distributed by network • Who is getting which treatments • How much your group has saved with Delta Dental • How your group savings are distributed by network • Demographics and financials: totals by subgroup and/or by month • How member type breakdown has change over the years • How rate -code distribution has changed over the years All of these are available at no additional cost. Please see enclosure for a sample reporting package. "No Loss/No Gain" for Covered Employees It is critical that there will be no loss of coverage for any employees. Therefore it is required that • the proposal waives any "actively at work", "dependent confinement", or any other rules that would prevent 100% continuity of coverage for any employees or dependents that are currently covered under the plans. Agreed. • City of Fort Collins • QUESTIONNAIRE Group Dental- Administrative Services Only 1. Do you agree to provide without limitation services to all employees/dependents enrolled as of December 31, 2009? Agreed. 2. Will you agree to replicate each of the current plan's provisions? If not, please list the specific provisions you will not replicate, along with the reason you elect not to replicate the provision(s). If you do not identify those specific provisions you cannot replicate and you are selected as the City's dental services provider, you may be required to make the necessary adjustments in order to achieve replication. Otherwise, your selection may become void. Agreed. 3. What is your monthly administrative fee, expressed in terms of dollars per month per employee? Delta Dental offers a two-year administrative fee of $4.17. 4. For each geographic area in which you have a network applicable to employee population, provide the following information: • • Geo-Access, using 2 dental providers in 10 miles; provide a map if available • Most recent participating provider directory and summary of the number of participating providers in each of the applicable areas (dentists, specialists, etc.) Also provide the website where provider information can be found. Please see enclosed geo-access report and provider directories. The most up to date provider information is on our website www.deltadentalco.com. 5. For each network, describe the specific measures used by your organization to monitor participating provider access. Provide the most recent corresponding statistics available for: • Dentist to member ratios • Average waiting period for an appointment Delta Dental does not track dentist to member ratios. or average waiting period for appointments. We strive to provide a panel that matches or exceeds our competitors. Delta Dental's panel provides enrollees with an expanded selection of general practitioners and specialists. 6. What percentage of your providers has limited their practice to current patients? None. • 0 City of Fort Collins 7. What is your firm's financial rating (e.g., Best & Co., S&P)? A.M. Best Rating has rated Delta Dental with a B+ (Very Good). We focus only on dental benefits, so we are able to provide expertise when it comes to cost -savings and dental benefits administration. Our A.M. Best Rating is lower than expected, because it reflects our single line business strategy and our non-profit status. Delta Dental has been, and continues to be, a strong and viable organization with a healthy financial portfolio. Delta Dental will provide audited financial statements upon request. 8. Please describe your credentialing procedures. Delta Dental adheres to the Department of Regulatory Agencies (DORA) requirements to credential a dentist. Prior to being accepted as a provider by Delta Dental, dentists must furnish: o License verification o Date of application received o Practice scope coincident with panel needs o Satisfactory billing pattern history o Satisfactory utilization review o UCR fee level and filed fees o Need for panel members is o Geographic location Delta Dental conducts reviews on an annual and ongoing basis to ensure compliance with credentialing requirements. 9. What type of reimbursement/payment method(s) is used to reimburse participating providers? Please provide a breakdown by method of review. Delta Dental uses proprietary fee schedules for our Premier and PPO networks. These reimbursement levels are developed directly from our participating dentist's filed fees. Fees are collected for each procedure by geographic regions throughout the United States. Fee schedules are reviewed annually to ensure they keep up with current costs and changes in dental treatment patterns. 10. In addition to routine reimbursement and any withholding provisions, can your providers increase the total reimbursement received from your plan, e.g., by provider incentive programs? If so, please explain. No. Delta Dental does offer provider incentive programs. A 7 City of Fort Collins 11. If provider discounts are used, state the basis of the agreement. Are discounts based on provider charges or actual cost of service? Providers contractually agree to Delta Dental's reimbursement schedules. These schedules contain the discounts providers are allowed to charge. Discounts are based on the average submitted charge. 12. Is there a formal committee that sets quality assurance policy and review the outcome on a regular basis? Yes. 13. Do you capture all utilization data? Yes. 14. What claims experience and utilization reports are available? If there is additional cost, please specify. Reports available are broken into the following categories: utilization of services and networks, treatment savings, demographics and financials. There is no additional cost for these reports. • 15. Describe patient satisfaction surveys that you perform. • Each year Delta Dental contracts with an external healthcare research company to survey our subscriber population to determine an overall level of satisfaction. The research company randomly selects subscribers to be surveyed each month until they achieve a sufficient sample size. There are five global satisfaction questions and one open ended question: "What could Delta Dental do to improve your satisfaction with us?" Any changes or trends will be identified with the monthly feedback received from the external research company. In addition to keeping tabs on the overall satisfaction of Delta Dental subscribers, we use this information to assist us in developing new products or processes. 16. Do you have an agreement that prohibits providers from billing or collecting from patients more than the designated coinsurance or co -payment in the plan design? Yes. 17. Please describe your method for calculating renewal rates. Delta Dental's renewal process analyzes administrative fees collected with respect to claims paid, and the amount of the claim paid, for the same time period. We analyze the group's data for the most recent 12 months, including enrollment and claims per enrolled employee. Adjustments, if necessary, will be made to the group's administrative fee to reflect the results of this analysis. 8 City of Fort Collins • 18. Do you provide a toll -free number for employees to call with questions on claims, plan provisions or requests for dentist referrals? Yes. 19. Do you provide a care line that employees can call with questions about proper levels of care? No. 20. Will you provide a dedicated representative for the City's Human Resources Department with telephone and email contact information? Yes. 21. Will you perform pre-treatment estimates? If yes, what is your average turnaround time? Yes, Delta Dental's average turn around time is within five to seven business days once completed information is received from provider. 22. Will you provide COBRA services? Yes. 23. Can your firm certify compliance with HIPAA health information security and privacy regulations per attached Exhibit A? Yes. 24. The City may discontinue offering the Basic Plan effective January 1, 2010. Would you cover all participants under the Comprehensive Plan? Yes. • E where. r.Qnewal is away of life � F6rt of Purchasing Request for Proposal Number 7054 Benefits -Dental To participate in the RFP process vendors need to sign and return this Business Associate Agreement. BUSINESS ASSOCIATE AGREEMENT — SECURITY STANDARDS This agreement is entered into between Associate) and the City of Fort Collins. (Business • Business Associate agrees that it will implement policies and procedures to ensure that its creation, receipt, maintenance, or transmission of electronic protected health information ("ePHI") on behalf of the City of Fort Collins complies with the applicable administrative, physical, and technical safeguards required to protect_ the confidentiality and integrity of ePHI under the Security Standards 45 CFR Part 164. Business Associate agrees that it will ensure that agents or subcontractors agree to implement the applicable administrative, physical, and technical safeguards required to protect the confidentiality and integrity of ePHI under the Security Standards 45 CFR Part 164. Business Associate agrees that it will report security incidents to the City of Fort Collins; Security Manager. By: �� G._ ',t.v� Date: PRINT NAME • TITLE Please return to: City of Fort Collins Attn: Purchasing P.O. Box 580 Ft. Collins, CO 80522-0580 • Dental Network Access Analysis 0 0 0 . 0 Delta Dental PPO and Premier Networks City of Fort Collins All Employees Created for... City of Fort Collins Created by... Delta Dental of Colorado July 20, 2009 Created with the Quest Analytics Suite Copyright © 2003-08 Quest Analytics, L. L. C. Delta DenPaPPO and Premier Networks • • 1.1 Contents City of Fort Collins Report Contents All Employees Ju/,2o, Zoos Delta Dental PPO Providers Created for... Access Overview - Employees With Access................................................................................................................ 2 City of Fort Collins Access Overview -Employees Without Access.............................................................................................................. 3 Created by... Delta Dental of Colorado Access Summary by City - All Employees.................................................................................................................. 4 Access Summary by City - Employees With Access.......................................................................................................... 5 Access Summary by City- Employees Without Access........................................................................................................ 6 Access Detail by City- All Employees..................................................................................................................... 7 Access Detail by State -All Employees.................................................................................................................... 8 Delta Dental Premier Providers Access Overview - Employees With Access................................................................................................................ 9 Access Overview - Employees Without Access............................................................................................................. 10 Access Summary by City - All Employees................................................................................................................. 11 Access Summary by City - Employees With Access......................................................................................................... 12 Access Summary by City- Employees Without Access....................................................................................................... 13 Access Detail by City - All Employees.................................................................................................................... 14 Access Detail by State -All Employees................................................................................................................... 15 0 0 0 Delta Dental PPO Providers Delta Dental and Premier Networks - Employees With Access • • 2' Access Overview City of Fort Collins All Employees July 20, 2009 Created for... City of Fort Collins Created by... Delta Dental of Colorado Access Standard 2 in 10 Provider Group Delta Dental PPO Providers Access Map Employee locations... * Employees with Access Comparison Graph Percent of employees with access to a choice of providers over miles. ❑ 1st closest provider 2nd closest provider ® 3rd closest provider I The Access Standard is defined as having: 2 (Delta Dental PPO Providers) Providers within 10 miles 1445 employees 73 715 providers at 50;46 46o 5—ons "access " ® 1l282 (88 A.) employees with >` N. � t Average Average distance 4b 2.6 miles 1St closes prtSGiiie`r Average distance to 2.8 miles '2nd closest provider %Average distance to 3.2 miles 3rd closesi provider 02009Qu IMeOci LLC 100 80 20 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Miles to a Choice of Providers Delta APPO and Premier Networks - Employees Without Access • • 3 Access Overview City of Fort Collins Overall Access' All Employees¢ . , lu/y20, 2009 1,445 employees 73 715 providers at 50969 catio lons 1 .n,. Created for... - -- City of Fort Collins, u 163 (,11;3 /a) employees without access Created by... Delta Dental of Colorado Access Standard 2 in 10 Provider Group Delta Dental PPO Providers Access Map Employee locations... 0 Employees without Access Comparison Graph Percent of employees with access to a choice of providers over miles. ❑ 1st closest provider El 2nd closest provider ® 3rd closest provider I The Access Standard is defined as having: 2 (Delta Dental PPO Providers) Providers within 10 miles sup`-" AverageDistances Average distance to 17.0 miles 1st closest providers Average dIsYance to,.; " ° 18.1 miles closest provider, ,-22nd y , Average distance to, 18.4 miles 3Vd closest provider' F .+ c t,u F �' to -20090"A,I*vcx ttC 100 80 T —'a 60 W 0 d 40 c.+ a 20 0 I I I I I I I I I I I I I I I I I I I _t__J__ 1__1__ L _ _L _ _I_ _ _I__ _I_ _J__1 __1_ _L__I___I___I__J_ I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I s --I---I---I--y---r--t--r--r--I---I--y--y--t--t--r--r- ,. I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I - ------------------- --- ------------------ I 1 I 1 I I I I I 1 I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I f I rl I I I I I 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Miles to a Choice of Providers Delta Dental PPO and Premier Networks - All Employees • Access Summary by City City of Fort Collins All Employees July 20, 2009 Created for... City of Fort Collins Created by... Delta Dental of Colorado Access Standard 2in10 Provider Group Delta Dental PPO Providers Areas With Access Top 15 cities in the market, sorted by the number of employees with access. Areas Without Access Bottom 15 cities in the market, sorted by the number of employees without access. 1 The Access Standard is defined as having: 2 (Delta Dental PPO Providers) P-roviders.within -10-miles •rr .r � FortCollms,CO,, ,;.*�` ,a, §,' � � .1��:>_. �, �, -45 Loveland, CO 12 �•1007 995 122 121 �a;988 99.2 �;�,12, �•,,,�12 1 0.8 �;25 ���.,;�2:9; 3.8 4.0 4.3 W nrlsor; C0 3 70 70 100 0. 0 6.6 3 7 _"4.8 3,2. Denver, CO 446 12 12 100.0 0 0.0 0.6 0.7 0.8 Greeley, C0" 33 12 12`' 100 0 0 ; : -0 0 > 1 5 d '1:5 12 Longmont, CO 33 12 12 100.0 0 0.0 1.6 1.6 1.7 Timnath, CO 0 7 7 100.0 0 0.0 4.4 4.6 4.7 8erthdutl CO. 0 7 7'-.-,100.0 0�..00z7-0 Johnstown, CO 'Millikeri,CO Evans, CO 1 0 0 4 4 4''' 3 G 100.0 0 0.0 2.1 8.3 9.9 5'� 3 800 100.0 -, 1 0 ter; ;-�- 200 0.0 �a-M - �34=9.4r10:3 2.1 3.0 3.0 ..: �----T------,.,�, --�+� �f•-^�---- ,�°�---- p Colorado Springs, CO 230 2 2 100.0 0 0.0 0.5 0.5 0.6 Sevdance,CO .� �...°, e r 0 2, 2 100.0 0 Totals 803 1,346 1,263 93.7 85 6.3 2.6 2.8 3.1 Wellington, CO 0 72 ., 3 .' 4.2 , 69 ; 95 8 1'6.2 = 16.2 16:3 Laporte, CO 0 27 1 3.7 26 96.3 14.1 14.1 14.9 Bellvue; CO 0 '° 22 0 =3 0 0 22 F100.0 .�182 >"19.6 -,20>1 Fort Collins, CO 45 1,007 995 98.8 12 _ 1.2 11.2 11.3 11.5 Livennbre; C0 ` � = s �. �'y >, � ,a. ,;<, �.d � 0 . `.._�.,,,. 10 „;, 5 k�,,,,0 0.0 � 10„• _._ Nunn, CO 0 0 0.0 5 100.0 15.0 25.9 25.9 Ch-- enne,WY 0 3.._s: 0;; 00 Carr, CO 0 3 0 0.0 3 100.0 26.3 28.5 28.6 Pierce, CO' - 6.6 2 -,,100.0 5 6 8 �• 8 Eaton, CO 0 11 9 81.8 2 18.2 8.9 11.1 11.2 651i6 Walden, CO 0 1 0 0.0 1 100.0 40.4 40.4 45.3 Truckee CA', 00 1100026.3 263 263 Merino, CO 0 1 0 0.0 1 100.0 16.5 16.9 25.5 Ault CO- 1 1 0= ` 00 1 ,1000 130 r 21.0 � Totals 46 1,167 1,008 86.4 159 13.6 17.3 1 18.2 18.5 02W901OMkW)Ocs. LLC Delta Dental PPO and Premier Networks - Employees With Access • • Access Summary by City City of Fort Collins All Employees July 20, 2009 Created for... City of Fort Collins Created by... Delta Dental of Colorado Access Standard 2 in 10 Provider Group Delta Dental PPO Providers Areas With Access Top 34 cities in the market, sorted by the number of employees with access. 1 The Access Standard is defined as having: 2 (Delta Dental PPO Providers) Providers within 10 miles •rr .r � Fort Collins CO 45 1;007 995. _ 98:8 25 Loveland, CO 12 122 121 99.2 3.8 4.0 4.3 Windsor CO, - ,70 160:0 Denver, CO 446 12 12 100.0 0.6 0.7 0.8 Greeley; C0 33 12 124 1000 Longmont, CO 33 12 12 100.0 1.6 1.6 1.7 Eaton CO 81:8 . - 4:8 8.3 8.3 5 Timnath, CO 0 7 7 100.0 4.4 4.6 4.7 - Berttiou'tl, CO a , . Johnstown, CO 1 4 4 100.0 2.1 8.3 9.9 Milliken; GO 0_. 5 �'._' -4 80.0 = 3.4 94 10;3 Evans, CO -`rM;-;r„ ^'�` ' ''-'-:`.�k' "° *, v. :-^°.^.. ,�,- w Wellington, CO 9a .,."x.. 0 3 --°-�^sr-^-- 3 �"""F" ' '--• 100.0 �.�... 4.2 2.1 88 = 3.0 3.0 ; '�.�„"... -.,e-T'r: - ,8:9 ,--r-.�-.- 8:9' Colorado Springs, CO 230 2 2 100.0 0.5 0.5 0.6 Severance, CO 0 2 2 100.0 0.8 08 1.3 Boulder, CO Steamb t S nn `s,`CO -- <- 4r -", : 39 2 2 100.0 1.8 2.0 2.1 3- 2 577 2-�" 900:0_ r2'-9 r _? 9 470 Lafayette, CO 11 1 1 100.0 0.3 0.5 0.7 Farrnni -toii; NM z:' 48 1 a 1 100.0 Littleton, CO Parke COW • , a'bd til .. 150 1 1 100.0 0.6 0.8 0.8 Erie, CO 4 1 1 100.0 0.9 1.2 1.2 Austin TX 1 100.0 1?0 1:0' I-b Broomfield, CO 44 1 1 100.0 1.1 1.1 1.3 s -a Eve'r'green,CO Golden, CO 1 19 1 100.0 1.5 1.5 1.5 Casiickock CO 732 1 1 100.0 1:9 46 4:6� Firestone, CO 0 1 1 100.0 2.3 4.3 4.3 Wasoriville CO .. - . , ; _ i , 0 ;a11 .100-0. 2'3 3 s La Salle, CO 1 1 1 100.0 3.8 7.6 7.6 Lyon"s, CO 2 1 1 100.0 , `` 5$ 14.9 Laporte, CO Totals; 0 1.585 27 1;393 1 1 28 V 3.7 i920 9.5 2:6 9.5 2[8 10.3 ,+ 3r2 -ZW9Qu9-qAn 1yva, LLC Delta Dental PPO and Premier Networks - Employees Without Access • Access Summary by City City of Fort Collins All Employees Juryzo, Zoos Created for... City of Fort Collins Created by... Delta Dental of Colorado Access Standard 2in10 Provider Group Delta Dental PPO Providers Areas Without Access Bottom 34 cities in the market, sorted by the number of employees without access. I The Access Standard is defined as having: 2 (Delta Dental PPO Providers) Providers within 10 miles Laporte, CO Bellvue 0 27 26 96.3 0 14.1 8 2 14.1 19.V 14.9 Fort Collins, CO 45 1,007 12 1.2 11.2 11.3 11.5 L verindre CO , :: ; , ; `" ,. 0 10' 10 = -100.0 26:9 271 " ; 27-.6 Nunn, CO Cheyehne, WY °� 77, 0 �0~ 5 33 w ' 5 3 100.0 %100.0 15.0 �� 41c3 25.9 46.�5 25.9 746:5 Carr, CO 0 3 3 100.0 26.3 28.5 28.6 Pierce, GO _..0. 12 2 , .1000 .:5.6 368 -16.8 Eaton, CO 0 11 2 18.2 8.9 11.1 11.2 777 100.0 7W 516 516' Walden, CO 0 1 1 100.0 40.4 40.4 45.3 Truck&; cA_ =�. 100:0 '26:3 _263 26:3;. Merino, CO 0 1 1 100.0 16.5 16.9 25.5 Ault,GO' 1' �1;' 1100:0 13;0 2b:0 :'21A Platteville, CO 0 1 1 100.0 10.6 10.6 11.4 Estes Park, CO,;= - "• ...___�x___.��».r''.. ,, „;,.,�, .��, �,,':� ..� . ,�,�..�.`t , =1 ._._,.�;�_.�:17; : :__'_�__.,..1 � ;100:0 _�,:;.�`3at �...�20:5 _20:5 Milliken, CO 0 5 1 ----^-•- 20.0 2.9 10.7 11.9 Loveland, C0 12 7,� 132 T- 10.4 10t4 10A'. Totals 59 1,296 163 12.6 17.0 18.1 18.4 b 5 7l Siam -0„ ;vy+o?' .. r4Y,'e 5 y a': Side%,.-:G „.. �+.. 4 `A _..-....._..V.�, a i Aa;�1F.;•�" r9. MS r4+ ...-777,77.,..`-giNei p a2009Qu l/awlyl Cs, LLC Delta Dental and Premier Networks - All Employees • 7.1 Access Detail by City City of Fort Collins All Employees July 20, 2009 Created for... City of Fort Collins Created by... Delta Dental of Colorado Access Standard 2 in 10 Provider Group Delta Dental PPO Providers 1 The Access Standard is defined as having: 2 (Delta Dental PPO Providers) Providers within 10 miles All Employees Total '-With Access' Without Access' Average Distance to Providers' State City ProvidersTotal California Tnickee. . 0 10 00 1 100:0 ,t , 26:3 26:3 . 26:3>; Colorado Ault 1 1 0 0.0 1 100.0 13.0 21.0 21.0 r Bellvie .0 7777 F 22 ^s0 F 0 0 �� 1 0 1 i32 Berthoud 0 7 7 100.0 0 0.0 7.0 7.5 7.5 Boul'der� w �' g' 39 2 2 1000 0 A:0 1:8 20 gm Broomfield 44 1 1 100.0 0 0.0 1.1 1.1 1.3 �,.�'"�`' a t r ��f4 �s -00 ^� �3 77 _�'�' _ �;"� Carr�.a°a- 0 3 0_. 3 100,0 z.26r3 :28:5 28!6g Castle Rock 32 1 1 100.0 0 0.0 1.9 4.6 4.6 �N- - - Coloiatlo-go_rings - - _; 230 2 2 100.0 0 0:0 0:5 0;5 0:6 Denver 446 12 12 100.0 0 0.0 0.6 0.7 0.8 ' 8 ' _r Erie 4 1 1 100.0 0 0.0 0.9 1.2 1.2 Estes Park t 1 0 0.0 1 100:0. 3:1 2u 20s5 Evans 0 3 3 100.0 0 0.0 2.1 3.0 3.0 Eveigreen L Firestone 0 1 1 100.0 0 0.0 2.3 4.3 4.3 d . FortCollfns - r 45 1,0 'A5 _ 98.8 92 1,2 - 2:6 _ 2T ib Golden 19 1 1 100.0 0 0.0 1.5 1.5 1.5 100.0 ..;. "0 �m a 0:0 1:5 15 n 2 4 Johnstown 1 4 4 100.0 0 0.0 2.1 8.3 9.9 r , , 7577 La Salle 1 1 1 , 100.0 0- A.O: 3:8 76 -- Lafayette 11 1 1 100.0 0 0.0 0.3 0.5 0.7 7 La oils" ` il; .a 0 � :Z 27 3 � = ' 1 a � r 3 7 � 26 �_ 6 m 14:0 14;0 - 8 Littleton 150 1 1 100.0 0 0.0 0.6 0.8 0.8 Liverr�i�ore-- � 0 10 0��� 00 4: � 10 � 100.0� '26:9 27�1 �27i6r Longmont 33 12 12 100.0 0 0.0 1.6 1.6 1.7 LoOeland, 12 122 121,-' 992 1 D.85 ; 3:9 Lyons 2 1 1 100.0 0 0.0 5.8 5.8 14.9 >_ Masonnvdlevi e Merino 0 1 0 0.0 1 100.0 16.5 16.9 25.5 �� Milliken= 0 5 `4, 800 _ 1 20.0. 3:3 10:6', Nunn 0 5 0 0.0 5 100.0 15.0 25.9 25.9 Parker" 1t Too I Pierce 0 2 0 0.0 2 100.0 5.6 16.8 16.8 Platteville°. 0 = 1 0 0.0 1 1000.. 10.6 40:6 11:4 Severance 0 2 2 100.0 0 0.0 0.8 0.8 1.3 Stee"a"mtwat°Sprngs 2 ° 2T 7 F°„ 2' 7 '100'0 100.0 mm 0 0 AO 0.0 2:9 4.4 E 9~ 4.6 4T0 4.7 Timnath 0 =. r Walden.. 0 .,. 1 . `; 0 0.0 1 100A' 40.4 40.4 4U_ Wellington 0 72 3 4.2 69 95.8 15.9 15.9 16.0 ®20090"Awlylcs, ttc Continued on next page... City of Fort Collins RFP CHECKLIST OF ITEMS INCLUDED WITH PROPOSAL Yes No Description of Item Yes Proposal for Group Dental Yes Signed Business Associate Agreement Yes Signed Proposal Compliance Letter Yes Signed Plan Design Confirmation Yes Completed and Signed Questionnaire(s) Yes Dental Network Access Analysis (if applicable) Yes Copy of your EOB for Dental Services (if applicable) Yes Proposed Implementation Timeline for the City. Yes Audited Financial Statements and/or Department of Insurance filings for the past two years (Only if requested by the City) Yes Provider "Report Cards" used to provide feedback on clinical and non -clinical performance measures Yes Copy of Policy Assuring Member Satisfaction • Yes Samples of all Standard and Optional Reports you are proposed to be provided on an account specific basis Yes Data Specifications for all plans In what format can you receive and transmit eligibility data including additions and deletions? City of Fort Collins can submit eligibility files in our 511 or the HIPAA 834 format. Please submit a copy of your file format specifications for electronic transmissions. Please see enclosed. Do you have any limitations with electronic payroll systems? Please describe your technology capabilities. No. The eligibility system is directly tied to the claims and customer service modules. The EDI Department at Delta Dental handles the processing of electronic enrollment files. Customers can send eligibility files in our 511 or the HIPAA 834 format. Files are typically loaded into our eligibility system in less than forty-eight hours. Once the eligibility system has been updated, claims will be processed according to the information that exists in the eligibility system. • 1 Delta APO and Premier Networks - All Employees � • 7.2 Access Detail by City City of Fort Collins All Employees July 20, 2009 Created for... City of Fort Collins Created by... Delta Dental of Colorado Access Standard 2 in 10 Provider Group Delta Dental PPO Providers 1 The Access Standard is defined as having: 2 (Delta Dental PPO Providers) Providers within 10 miles m20090u [A.lyflz, LLC Delta Dental PPO and Premier Networks - All Employees 0 0 8.1 Access Detail by State City of Fort Collins All Employees July 20, 2009 Created for... City of Fort Collins Created by... Delta Dental of Colorado Access Standard 2in10 Provider Group Delta Dental PPO Providers r The Access Standard is defined as having: 2 (Delta Dental PPO Providers) Providers within 10 miles -MQu IMalyta, LLC Delta Dental Premier Providers Delta DeRaPPO and Premier Networks - Employees With Access • 9 Access Overview City of Fort Collins All Employees July 20, 2009 Created for... City of Fort Collins Created by... Delta Dental of Colorado Access Standard 2 in 10 Provider Group Delta Dental Premier Providers Access Map Employee locations... * Employees with Access Comparison Graph Percent of employees with access to a choice of providers over miles. ❑ 1st closest provider 2nd closest provider IN 3rd closest provider 1 The Access Standard is defined as having: 2 (Delta Dental Premier Providers) Providers within 10 miles AverageDistances Average distance to'M � ` 2.4 miles ]st closest provider Average 2lisance to 2.6 miles 2nd closest provitler Average distance to 3.2 miles 3rd closest �rovider 020090�1/inaryvcs L(C 100 80 d d T a 60 W 0 40 CL 20 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Miles to a Choice of Providers Delta APPO and Premier Networks - Employees Without Access • 10 Access Overview City of Fort Collins All Employees 1ury20, Zoos Created for... City of Fort Collins Created by... Delta Dental of Colorado Access Standard 2in10 Provider Group Delta Dental Premier Providers Access Map Employee locations... 0 Employees without Access Comparison Graph Percent of employees with access to a choice of providers over miles. ❑ 1st closest provider 2nd closest provider ® 3rd closest provider 1 The Access Standard is defined as having: 2 (Delta Dental Premier Providers) Providers within 10 miles Average Distances Average distance to 16.7 miles 1st close"st provides Average distance to 17.1 miles 2n`d closest p�oviiler Average distance fo 18.8 miles 3�d closest provider s- a2009aAOMAWl"" [LC 100 80 a T a 60 W O v 40 d 20 0 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I J__1__1__L__L__I___I_J__ I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I ,r --------------------------------- I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I _- I I I I 1 I I I I I I I I I I I I I 1 I 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Miles to a Choice of Providers Delta DeRal POand Premier Networks - All Employees • 11 Access Summary by City City of Fort Collins All Employees July 20, 2009 Created for... City of Fort Collins Created by... Delta Dental of Colorado Access Standard 2 in 10 Provider Group Delta Dental Premier Providers Areas With Access Top 15 cities in the market, sorted by the number of employees with access. Areas Without Access Bottom 15 cities in the market, sorted by the number of employees without access. f The Access Standard is defined as having: 2 (Delta Dental Premier Providers) Providers within 10 miles Loveland, CO 48 122 121 99.2 1 0.8 3.2 3.3 3.4 77 2 5, Wellington, CO 2 72 63 87.5 9 12.5 5.9 5.9 13.8 Laporte; CO m e_ 0 = 27 13 48.1r 14 ' 51:9 8:6 8 11 1 Denver, CO 702 12 12 100.0 0 0.0 0.6 0.7 0.7 Greeley CO 77 :;12 12-'.1000 0 0.0 1.2 .1.2 1-.2` Longmont, CO 80 12 12 100.0 0 0.0 1.3 1.3 1.5 77 Berthoud, CO 2 7 7 100.0 0 0.0 2.4 2.8 6.7 Timn`ath; CO 0 7 7. ;T00.0 - 0° -- 0.0 4.4 4.5 46 Milliken, CO 0 5 5 100.0 0 0.0 3.1 3.3 3.4 Cheyenne, WY 41 3 3 100.0 0 0.0 2.1 2.3 2.6 taos CO - __-_, - 3 : -100.0 0 -. ':' 0.0 777 2r1 2:7 Totals 1,086 1,374 1,349 98.2 25 1.8 2.4 2.6 3.2 Bellyue, CD ::> ;,>, 0 22 :, _• 0 .= s'.0.0 ?� �: c100;0- ' . f6:7 z , :17.4 17s8 Laporte, CO 0 27 13 48.1 14 51.9 11.9 11.9 15.0 Live"more, CO Wellington, CO 2 72 63 87.5 9 12.5 13.7 13.7 18.2 Nunri;E0 0 5 0 Carr. CO 0 3 0 0_ 0 0.0 00 3 t., y 100.0 t 0 17.3 506 17.3 •50:7 18.4 �5]t6 Fshtail, Tt a xEST- 0 „1 1 Walden, CO 0.0 1 100.0 39.4 39.4 39.4 _ Merinn"d, C0 1'-- ,100:0 163 16:5 16S Ault, CO 1 1 0 0.0 1 100.0 13.0 14.9 14.9 Platleville,CO : 0.01.1000 Y10;6 1210 .. Loveland, CO ForfC611ins CO a, ., 48 121 122 �61OOT' 121 1006 99.2 999 1 0.8 :"0110:6 10.4 10.4 10;6 10.4 11$ Totals 172 1,273 1,203 94.5 70 5.5 16.7 17.1 18.8 02GV79Q"Awlifics, LLC Delta APPO and Premier Networks - Employees With Access 12 Access Summary by City City of Fort Collins All Employees July 20, 2009 Created for... City of Fort Collins Created by... Delta Dental of Colorado Access Standard 2in10 Provider Group Delta Dental Premier Providers Areas With Access Top 34 cities in the market, sorted by the number of employees with access. 1 The Access Standard is defined as having: 2 (Delta Dental Premier Providers) Providers within 10 miles Loveland, CO 48 122 121 99.2 3.2 3.3 3.4 Windsor; CO 70 70 1000 Wellington, CO dam" ---+--ram Laporte CO' 71 x r.'' __.7 2 72 63 87.5 5.9 5.9 13.8 0'481 Denver, CO 702 12 12 100.0 0.6 0.7 0.7 Greeley; CO 77 12 12 100 0 1- 2 12- 162 ` Longmont, CO Eaton; CO 'h Berthoud, CO 80 12 7 12 1:1 7 100.0 100 0 100.0 1.3 1.3 2.8 1.5 3:7? 6.7 T 31 2 3 2 2.4 Timnafti CO d 0 7 e7 100 0 ., 4 4 465 4:6 Milliken, CO .,s*c---•-'-'^sr--m -�r9 . ^w s n,;��----^as.! Johnstown CO Cheyenne, WY 0 5 b�^'S'^"-° 4 3 5 •,�.•rr: a .4 : 3 100.0 3.1 3.3 3.4 �„-R-s 3 41 ' ILL 100.0 2.1 2.3 2.6 Evans-GO��.-' 0 3 ' .3 100.0 21 27 2:7" Severance, CO ColoradoSprmgs,CO,.�P.1000 0 2 2 100.0 0.1 0.1 0.1 Boulder, CO 97 2 2 100.0 0.8 1.3 1.5 SteamboafSp�inigs CO 'It2 2': 100.0 � 1.6 =all i-.1' Pierce, CO Eve"rgreeri; Q Masonville, CO 0 2 1 2 100.0 100.0 5.6 9.6 9.6 0 1 0.1 0.1 0.1 0.1 lafaye46i CO 26 1 1 1000 A 3 i0:5 0:5 : Truckee, CA 8 1 1 100.0 0.5 i 0 6 0.8 _ 1.2 Broomfield CO. ; a�t $i r r 70 a 1?c .,," 1� 1000 � 77 rl).6 ,�.a.0.,i6 Farmington, NM 62 1 1 100.0 0.6 0.6 1.1 Littleton CO 286 11 100 0 0.6__ 0 6 07 ; Parker, CO 70 1 1 100.0 0.7^ 0.7 0.7 Austin, TX 570 1 1 _.0, 100.0 �s�0.91:2 1.0 1.0 1.0 Firestone; CO 1 1 1 1000, ` 12 1:4 2:0. Estes Park, CO 6 1 1 100.0 1.3 1.3 1.6 Golden';;CO� �., x�� �,� � a, �;> - ��;� Aid �.�. at �' Castle Rock, CO � ,27 d 56 „1 1 � La ,1000 � '� 1 5 41 5� s.. •1i51 1 100.0 1.7 1.7 1.7 �- -a . _ ' Tat`als' 2,822 1,373` 98 2 LLLI4_-2-6 3.2 -2099Qa IAA WSy uc Delta Dental PPO and Premier Networks - Employees Without Access 13 Access Summary by City City of Fort Collins All Employees luly20, 2009 Created for... City of Fort Collins Created by... Delta Dental of Colorado Access Standard 2 in 10 Provider Group Delta Dental Premier Providers Areas Without Access Bottom 34 cities in the market, sorted by the number of employees without access. 1 The Access Standard is defined as having: 2 (Delta Dental Premier Providers) Providers within 10 miles •rr .r � BeIIJue;1C0 ; * Laporte, CO O.,n 0 2 0,', 0 22 27 72 5 t 3 � 22 . 14 9 ,100:0 51.9 100:0231N 12.5 u 16;7 7 11.9 11.9 , 23?2 13.7 13.7 �r 15;0.. 18;1 17.3 17.3 t7:8 15.0 a254^' 18.2 Livermore,CO`'. Wellington, CO Nunn "GO ,` °ia' t Carr, CO . ,. ,;5_ 3 100:0 100.0 18:1'sx 18.4 Fishtail;3ii1T `3. Oi 11 100:0 50:6 .50.7 51-.6; Walden, CO Ault, CO__ 0 1 1 100.0 39.4 39.4 39.4 1 ,may, 1 1 1 1 A:0, 100.0 !Li�! 13.0 16t5 14.9 16:5a 14.9 Platteville, CO , . ^; , s s, f€ il , t p .- = , M - Loveland, CO FoR Collihs, C0'`' ^ k • " '` ,' h Totals 48 122 1 0.8 10.4 10.4 10.4 121 172 1,'007 1,273 70 5.5 16.7 17.1 18.8 +,R. 4�4 Y'Kv,s it�i�....?+ .-._ .Aa.•"� 1`,"�. ".. :.e em..n Y� ..Yr-.,fin. }• ..,..�..�..eY.^ yt.... •nfro.�rte'P^.^-....�t+� i?^Y\ ^""°'^.^^4`^ ?''`F^'�.'�w`r+ ;?S'.- •.Z'"•-.'«ry'T'^'T'.-"^aP''�'-..e�A"a,n. 'a.T-----;',Fy'..". S •.n 777 ,a rh. a "rTR _..,..+.�,w. ..-.usk -..�.' }�• _ .,Ay.. s,.'-"1 :c.:tq F,.Y•'�t'.�.3.'.: -.�.-.b� T. ^i......e.?,-k ke Ear,..._.. : 3"..._.` ......w'''.. ��� F ".....aL.',.�:.-...: �"'Y""�"'", �v . �! LEE77,77 -ZOX Qua I Mn yf,m LLC 0 Delta Dental PO and Premier Networks - All Employees 14.1 Access Detail by City City of Fort Collins All Employees July 20, 2009 Created for... City of Fort Collins Created by... Delta Dental of Colorado Access Standard 2 in 10 Provider Group Delta Dental Premier Providers I The Access Standard is defined as having: 2 (Delta Dental Premier Providers) Providers within 10 miles State All Employees City Total Providers; Total With Access' Without Access' Average Distance to Providers California Tnickee x �,8 1 t as 100.0 T_. 0 =,_ " O- ;.: 045. 0:8• T:2 Colorado Ault 1 1 0 0.0 1 100.0 13.0 14.9 14.9 Bellvue 0 22 0 - 0.0 -s- -22, 22 166.6 16.7 17.4; 17:8 Berthoud 2 7 7 100.0 0 0.0 2.4 2.8 6.7 77, Boul6er 97 2 -..•-, 77 2 100.0 0 0.0 Broomfield 70 1 1 100.0 0 0.0 0.6 0.6 0.6 707 3 '100:0 17:3, 1Z3 184 Castle Rock 56 1 1 100.0 0 0.0 1.7 1.7 1.7 Colii"raiio Springs a - Denver _ _ 41E: 702 : ; .,2 12 ,�.T 2� 12 " 100.0 100.0 .; a w 0 0 - 0:0 0.0 ; 0 5r 0.6� 0 5 0.7 : 0.7 Pv Eaton 3 , 11 ii 100.0 0:0 3:2r ; 3.4 3.7:- Erie 4 1 1 100.0 _0 0 0.0 0.9 1.2 1.2 Estes Park , °6 1 11! 100.0 0�`° � 0.6 1.3 .' ` IA k Evans 0 3 3 100.0 0 0.0 2.1 2.7 2.7 Eve"rgreen t9 1 1' 1000 0 0.0 0;5 0:41 Firestone 1 1 1 100.0 0 0.0 1.2 1.4 2.0 i. 4i,i 1;007 1006 999. „7:r" t.O,tt^u, `2i0 23 25 Golden 27 1 1 100.0 0 0.0 1.5 1.5 1.5 n Greeley,; Johnstown 77 3 12 4 12 =`100.0, 4 100.0 0_' 0 -0.0 0.0 12 �a:,�._,.2...: 2.0 13' 2.1 1`.2- 2.1 LaSalle 1 1 _ 1 _'100.0 = 0,, 6.6 3:8 7:6 76" Lafayette 26 1 1 100.0 0 0.0 0.3 0.5 0.5 la`pSrte 0 27 -s` "13 48.1 14,* 51:9 1d:3 10r3` 13:1y Littleton 286 1 1 100.0 ' 0 0.0 0.6 0.6 0.7 `TMµ ._"""".s'., a,1, :.�..;.. ,;,,-•z- -^r*--,` Livermore - ^^^ Off^^^ --^-.,:r*�--+- 10 s 0. � � 00 �^.-�. 10 � ,^»�'�.�.�. '�100.0. �.`:�.�„* � 231 = .Y.'„� 23:� "'.""^=A�'•` ° 'W Longmont 80 12 12 100.0 0 0.0 1.3 1.3 1.5 Pqr -+_ ,Loveland . � �•48 �g� 122 p 121.,..:99 2 1 -0.8. 5t2r, , 34 34'; Lyons 2 1 1 100.0 0 0.0 5.8 5.8 14.3 a_ :j. Masonvwlle -; .: _ : < 0 1 t - 166.6 -0 &, 01: :01 01r Merino 0 1 0 0.0 1 100.0 16.3 16.5 16.5 Milliken 0 5 5 100 0 �H Nunn 0 5 0 0.0 5 100.0 15.0 18.1 18.1 Parker - 70 1 T771°:100.0 Ogg 0.0 0:7� 0:7a -0 -7 Pierce 0 2 2 100.0 0 0.0 5.6 9.6 9.6 ' .... R ,".. k..:. ^^^^,F'�'�'^^\'• .+m +r., mph `..� 7vst7?,'4 '-. 1 .^°°." 0.: aR,,�M' , > 00 x 1.�� 100 0 10s6_ . 10:6 10a6 Severance 0 2 2 100.0 0 0.0 0.1 0.1 0.1 ems, ` .; 0 �_0 01 1s0 _�7 1 st ate Timnath 0 7 7 100.0 0 0.0 4.4 4.5 4.6 Walden >s_t -; 100 0 39.4 39:4 39 4. Wellington 2 72 63 87.5 9 12.5 6.9 6.9 14.3 v2a79oL4esIAI*V" ttc Continued on next page... Delta DenT3/ PPO and Premier Networks - All Employees • 14.2 Access Detail by City City of Fort Collins All Employees July 20, 2009 Created for... City of Fort Collins Created by... Delta Dental of Colorado Access Standard 2 in 10 Provider Group Della Dental Premier Providers I The Access Standard is defined as having: 2 (Delta Dental Premier Providers) Providers within 10 miles 0 2009 Qu I AMVICS,, LLC City of Fort Collins RFP Describe the security parameters for your systems both for the employer and the employees (ex: passwords). • Website users' privacy is protected in several ways; encrypted passwords alphanumeric and character requirements, implementation of an SSL certificate allowing a secure site to communicate privately with the web browser via the https protocol. Additionally regular third party penetration tests are conducted to ensure site security and identify vulnerabilities. Do you require an email address for online access? An email address is not required for employers, but is required for employees. Yes Copy of Banking Services Agreement Yes Copy of Customer Satisfaction Survey Yes Copy of Administrative Services Agreement or Insurance Contract that will be in effect January 1, 2010 Signature of Authorized Representative: • • 2 Delta Den�PPO and Premier Networks - All Employees • • 15.1 Access Detail by State City of Fort Collins All Employees July 20, Zoos Created for... City of Fort Collins Created by... Delta Dental of Colorado Access Standard 2 in 10 Provider Group Delta Dental Premier Providers 1 The Access Standard is defined as having: 2 (Delta Dental Premier Providers) Providers within 10 miles 02679O"Ana"a uC :7 Delta Dental PPO Directory 0 • • Welcome! Since 1958, Delta Dental has been providing high quality, comprehensive dental benefits in the state of Colorado and nationwide. As a non-profit organization, our mission is: To improve the oral health of the communities we serve. The people of Delta Dental work to provide high quality customer service to our members. And the relationship with our dentists is key to achieving our mission. This dentist directory is a valuable tool for helping you find a dentist or dental specialist in your area. The information provided in this directory is not an endorsement of a particular dentist or dental specialist suitable to your needs. Although we try to ensure that our dentist directories are as accurate as possible, the information in the directory is subject to change at anytime. We encourage you to check our website at www.deltadentalco.com for the most current information about • participating dentists near you. Dentist Network This dentist directory is for Delta Dental PPOsm Pre-treatment Estimate If you expect to have dental services that exceed $400, we recommend your dentist submit the treatment plan to Delta Dental for review before any work is actually done. A pre-treatment estimate allows both you and your dentist to know exactly what is covered and what your plan will pay. There is no additional charge for having a pretreatment estimate. Customer Service Information Emergency Services If you have an emergency situation, please contact your dentist as soon as possible to schedule a visit. Delta Dental of Colorado Customer Relations Call us: (303) 741-9305 (Metro -Denver area) (800) 610-0201 (Toll -Free statewide) Customer service representatives are available from 8:00 a.m.. — 6:00 p.m., Monday —Friday. For the hearing impaired: TDD — (800) 659-2656 For Spanish speaking assistance: Para asistencia en espanol Name al (800) 610-0201. Delta Dental of Colorado also uses language interpreters to assist our non-English speaking members. E-mail us: Customer_ Service@ddpco.com A Customer Service representative will respond to your e-mail within 24 business hours, • Monday through Friday. Visit us online: www.deltadentalco.com • Alamosa Colorado COLORADO ALAMOSA GENERAL DENTIST JACKSON, DARRELL, DDS Cottonwood Dental Center 2405 Mullins Ave Alamosa, CO 81101 (719)589-5272 VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services 128 Market St Alamosa, CO 81101 (719)589-9691 WILLIAMS, RICHARD, DDS 315 Edison Ave Alamosa, CO 81101 (719)589-3686 PERIODONTIST FITZPATRICK, BRIAN, DMD 3211 Main St Ste A Alamosa, CO 81101 (866)575-9023 ARVADA ENDODONTIST • BECKER, HELENA, DDS DMD Perfect Teeth 88th and Wadsworth 8749 Wadsworth Blvd Arvada, CO 80003 (303)421-9444 GENERAL DENTIST a ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth 64th and Ward PC 12650 W 64th Ave Unit J Arvada, CO 80004 (303) 423-9000 BAHR, SHAYNA, DDS DMD Comfort Dental of N Arvada 8390 W 80th Ave Arvada, CO 80005 (303)425-6419 BENNETT, GREGORY, DDS 7745 Wadsworth Blvd Ste F Arvada, CO 80003 (303) 421-7611 BORATENSKI, JULIA Arvada Modern Dentistry and Orth 14807 W 64th Ave Ste C Arvada, CO 80007 (303) 456-4095 BUELTEL,ALLEN Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 COX,VALLORY,DDS 6425 Wadsworth Blvd Ste 201 Arvada, CO 80003 (303)940-0125 Delta Dental PPO Arvada Colorado DEAN,MARK,DDS MAJORS, KELSEY, DDS TAYLOR,STEPHEN,DDS Comfort Dental of Arvada Arvada Modern Dentistry and Orth Mountain Dental PC 12380 W 64th Ave 14807 W 64th Ave Ste C 9800 W 59th PI Arvada, CO 80004 Arvada, CO 80007 Arvada, CO 80004 (303) 421-7000 (303) 456-4095 (303) 422-0907 ELLIOTT, BRIAN, DDS MARSCHNER, THOMAS, DDS THOMASON, ETHELYN, DMD Dental Health of Westminster PII Perfect Teeth 64th and Ward PC Perfect Teeth Sheridan and 64th PC 7970 Sheridan Blvd 3 FI 12650 W 64th Ave Unit J 5169 W 64th Ave Arvada, CO 80003 Arvada, CO 80004 Arvada, CO 80003 (303) 427-0730 (303) 423-9000 (303) 426-4050 ELLIS, DANA, DDS PC 10229 W 58th Ave Arvada, CO 80002 (303) 422-2502 EYER,ROBERT 5730 Ward Rd Ste 203 Arvada, CO 80002 (303) 423-0930 FRIEDMAN, MITCHELL, DDS Arvada Dental Office PC 8795 Ralston Rd Ste 210 Arvada, CO 80002 (303)422-8942 HOLMES, CARON, DDS James R Holmes DDS PC 6355 Ward Rd Unit 410 Arvada, CO 80004 (303) 420-7100 HOLMES, JAMES, DDS 6355 Ward Rd Unit 410 Arvada, CO 80004 (303) 420-7100 JENKINS, JESSE, DDS Five Parks Dental 13739 W 85th Dr Arvada, CO 80005 (303) 456-4745 JIMENEZ, ROSSYNET, DDS Mountain Dental PC 9800 W 59th PI Arvada, CO 80004 (303)422-0907 JOESAAR,HARALD,DDS Bella Dental 7913 Allison Way Ste 203 Arvada, CO 80005 (303) 420-1114 KHMIL, LARISA, DDS New Impressions Dental 9122 W 88th Ave Arvada, CO 80005 (303) 422-0836 KOHLMEIER, RANDALL, DDS 8723 Wadsworth Blvd Ste D Arvada, CO 80003 (303) 422-0476 KRANNAWITTER, JEFFREY, DDS 8721 Wadsworth Blvd Ste B Arvada, CO 80003 (303)420-2061 LANGLEY, DONALD, DDS Dental Health of Westminster PII 7970 Sheridan Blvd 3 FI Arvada, CO 80003 (303)427-0730 MATA, DUANE, DDS Mata Dental Associates PC 5310 Ward Rd Ste 101 Arvada, CO 80002 (303)421-6165 MATA, LYNDON, DDS Mate Dental Associates PC 5310 Ward Rd Ste 101 Arvada, CO 80002 (303) 421-6165 MATERON, JUAN, DDS Comfort Dental of N Arvada 8390 W 80th Ave Arvada, CO 80005 (303)425-6419 MAYO, JAMES, DDS Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 MEDAUGH, PETER, DDS DMD 7768 Vance Dr Ste A Arvada, CO 80003 (303)423-0860 MOSS, JACK, DDS Colo Dhca Low Income Dental 7970 Sheridan Blvd Ste 300 Arvada, CO 80003 (303)427-0730 PARSONS, JOSEPH, DDS Perfect Teeth 88th and Wadsworth 8749 Wadsworth Blvd Arvada, CO 80003 (303)424-5463 PERRY,STEPHEN,DDS Colorado Dental Health Care Spec 7970 Sheridan Blvd 3 FI Arvada, CO 80003 (303) 427-0730 PETERSON,ANDREA,DDS Perfect Teeth 64th and Ward PC 12650 W 64th Ave Unit J Arvada, CO 80004 (303) 423-9000 RODGERS, CHARLES, DDS Arvada Modern Dentistry and Orth 14807 W 64th Ave Ste C Arvada, CO 80007 (303) 456-4095 SCARFFE, CHARLES, DDS 7903 Allison Way Ste 103 Arvada, CO 80005 (303) 423-4492 TAYDE, SHITAL, DDS DMD Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 TIDWELL, SCOTT, DDS Comfort Dental of N Arvada 8390 W 80th Ave Arvada, CO 80005 (303)425-6419 TOMLINSON, KATHY, DDS Comfort Dental of N Arvada 8390 W 80th Ave Arvada, CO 80005 (303) 425-6419 TRUJILLO, DERIE, DDS 9056 W 88th Ave Arvada, CO 80005 (303)423-5989 VEDI, ANITA, DDS New Impressions Dental 9122 W 88th Ave Arvada, CO 80005 (303)422-0836 WALLACE, JOHN Perfect Teeth Sheridan and 64th PC 5169 W 64th Ave Arvada, CO 80003 (303) 426-4050 WARD, LARRY, DDS 11005 Ralston Rd Ste 201 Arvada, CO 80004 (303) 423-4198 WATERS, GREGORY, DDS 8850 W 58th Ave Ste 104 Arvada, CO 80002 (303)420-3233 ZIMMET, NEIL, DDS Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 ORAL SURGEON ABOOD,JOSEPH Evergreen Oral and Maxillofacial 14416 W 57th PI Arvada, CO 80002 (303)432-2384 NEWMAN, RICHARD, DDS Specialists and Oral Surgery PC 7913 Allison Way Ste 101 Arvada, CO 80005 (303)422-2990 ORTHODONTIST BEABER, WILLIAM, DDS Beaber Family Orthodontics 5310 Ward Rd Ste 101 Arvada, CO 80002 (303)464-3900 CALLENDER, GALEN, DDS PC 7207 Grandview Ave Arvada, CO 80002 (303) 421-1984 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Arvada Colorado Delta Dental PPO Aurora Colorado COLORADO (CONT-D) GALLAGHER, JAMES, DDS DMD MS 11890 Ralston Rd Arvada, CO 80004 (303) 422-3419 7913 Allison Way Ste 201 Arvada, CO 80005 (303) 424-4048 MASON, JAMES, DDS 6390 Gardenia St Unit 200 Arvada, CO 80004 (303) 421-2616 MESSINGHAM, JASON, DDS Messingham Orthodontics 7523 W 80th Ave Arvada, CO 80003 (303)456-5339 MOORE, THEODORE, DDS Perfect Teeth 88th and Wadsworth 8749 Wadsworth Blvd Arvada, CO 80003 (303) 421-9444 NELSON, BRYAN, DDS DMD MS Standley Lake Orthodontics 8723 Wadsworth Blvd Ste B Arvada, CO 80003 (303) 422-6752 PEDODONTIST HYMER,BARBARA,DDS Perfect Teeth 88th and Wadsworth 8749 Wadsworth Blvd Arvada, CO 80003 (303)424-5463 SAVAGE,BRYAN,DDS West Metro Dentistry For Childre 5730 Ward Rd Ste 202 Arvada, CO 80002 (303)422-3746 VUONG, JULIE, DDS Jesse R Witkoff DDS PC 7578 Sheridan Blvd Arvada, CO 80003 (303)427-9779 WITKOFF, JESSE, DDS 7578 Sheridan Blvd Arvada, CO 80003 (303)427-9779 PERIODONTIST GOMEZ, LUIS, DDS DMD Colorado Dental Health Care Spec 7970 Sheridan Blvd 3 FI Arvada, CO 80003 (303)427-0730 KOHUT, DEJAN, DDS Perfect Teeth 88th and Wadsworth 8749 Wadsworth Blvd Arvada, CO 80003 (303)424-5463 SHAW, SEAN, DMD Comfort Dental of Arvada 12380 W 64th Ave Arvada, CO 80004 (303) 421-7000 AULT GENERAL DENTIST ECKHARDT, BRADLEY, DDS Ault Family Dentistry 120 2nd St Ault, CO 80610 (970)834-2058 AURORA ENDODONTIST BECKER, HELENA, DDS DMD Southlands Endodontics 6240 S Main St Ste 285 Aurora, CO 80016 (303) 699-7668 CHALIAN, GARO, DDS Endodontics of Colorado LLC 11200 E Mississippi Ave Aurora, CO 80012 (303) 696-1919 DIETZ, JACQUELINE, DDS DMD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 HOLTZMANN, DAVID, DDS DMD Endodontics of Colorado LLC 11200 E Mississippi Ave Aurora, CO 80012 (303)696-1919 KOTT, JEREMY, DDS Perfect Teeth E Cornell PC 12200 E Cornell Ave Unit E Aurora, CO 80014 (303)337-0304 RING, JAMIE, DDS DMD Southlands Endodontics 6240 S Main St Ste 285 Aurora, CO 80016 (303) 699-7668 RING, KARLA, DDS DMD Southlands Endodontics 6240 S Main St Ste 285 Aurora, CO 80016 (303) 699-7668 STEIN, ARLENE, DMD Endodontics of Colorado LLC 11200 E Mississippi Ave Aurora, CO 80012 (303) 696-1919 SYRPES, DEMETRIOS, DDS Endodontics of Colorado LLC 11200 E Mississippi Ave Aurora, CO 80012 (303)696-1919 WHITNEY, SCOTT, DDS Southlands Endodontics 6240 S Main St Ste 285 Aurora, CO 80016 (303) 699-7668 YOUSSEF, HESHAM, DDS All Endodontics PC 13741 E Rice PI Ste 200 Aurora, CO 80015 (303)617-6323 GENERAL DENTIST ADAMS, DAWNE, DDS Windsor Dental Care 1155 S Havana St Ste 43 Aurora, CO 80012 (720)213-0004 ALLEN, ROBERT, DDS Tower Dental Partners LLC 18680 E Iliff Ave Unit A Aurora, CO 80013 (303)751-5010 ANDREWS, BRANDIE, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303)341-5437 ANDRUS, ROBERT, DDS 15106 E Hampden Ave Aurora, CO 80014 (303) 766-4141 AUFDERHAR, CHRISTINE, DDS Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 AUGER, CAMERON 18801 E Hampden Ave Ste 178 Aurora, CO 80013 (303) 680-3308 BARTLETT, JAMES, DDS 12331 E Cornell Ave Ste 20 Aurora, CO 80014 (303) 745-7777 BATLINER, TERRENCE Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720) 848-0687 BATLINER, TERRENCE, DDS Uchsc School of Dentistry 13065 E 17th Ave Aurora, CO 80045 (303) 724-6931 BENNETT, DARREN, DDS Perfect Teeth Buckley and Quincy P 4321 S Buckley Rd Aurora, CO 80015 (303) 690-1812 BERGESON,ZACKARY,DDS DMD Comfort Dental of Aurora 1050 S Peoria St Aurora, CO 80012 (303)367-2273 BIEL, TIMOTHY, DDS Associates In Family Dentistry 15425 E Iliff Ave Aurora, CO 80013 (303)755-5768 BLATTER, VICTOR, DMD Rocky Mountain Dental Partners P 730 Potomac St Ste 308 Aurora, CO 80011 (303)364-4322 BOWDEN, CLYDEA, DDS 14591 E Alameda Ave Aurora, CO 80012 (303)343-7072 BRADLEY,KATHLEEN,DDS Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 BRICHACEK, MICHELLE, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720) 848-0687 BRIMHALL, DALLAS, DDS Rocky Mountain Dental Partners P 730 Potomac St Ste 308 Aurora, CO 80011 (303)364-4322 BROOKS, HOWARD Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 BROWN, JENNIE, DDS 1344 S Chambers Rd Ste 104 Aurora, CO 80017 (303) 755-6700 BUJANDA-WAGNER, SANDRA, DDS 6240 S Main St Ste 215 Aurora, CO 80016 (303) 627-5755 BURKART, JOHN, DDS 13731 E Rice PI Ste 100 Aurora, CO 80015 (303) 696-7333 BURTENSHAW,JOHN,DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303) 751-6511 CANNON, CHRISTOPHER, DDS DMD Tower Dental Partners LLC 18680 E Iliff Ave Unit Aurora, CO 80013 (303)751-5010 CARLSTON,MATTHEW,DDS DMD Comfort Dental East Aurora 2131 S Chambers Rd Aurora, CO 80014 (303)750-2273 CARMODY, COLLEEN, DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303)751-6511 CHANG, MICHAEL, DDS DMD PC 1344 S Chambers Rd Ste 102 Aurora, CO 80017 (303)338-2004 CHOE, CHIYON, DDS Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303) 343-3133 CHOLFIN, STUART, DDS 15270 E 6th Ave Unit 3 Aurora, CO 80011 (303)340-3994 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 • • • • • Aurora Colorado COLORADO (CONT-D) CLEAR,SHERYL,DDS Clear Dental Associates PC 11275 E Mississippi Ave Ste 2E2 Aurora, CO 80012 (303)364-5217 CONNOLLY, MARY, DDS Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 DANIEL, THOMAS, DDS 1101 Havana St Aurora, CO 80010 (303)366-3577 DASILVA, RICARDO Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 6240 S Main St Ste 260 Aurora, CO 80016 (303)928-7575 DILIZIA, CAMILLO, DDS DMD Comfort Dental Quincy and Buckley 16981 E Quincy Ave Ste D1 Aurora, CO 80015 (303)617-8400 DOERHOFF, RICHARD, DDS Comfort Dental East Aurora 2131 S Chambers Rd Aurora, CO 80014 (303) 750-2273 DOWLATI, JINA Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 DUNN, DAVID, DDS 2530 S Parker Rd Ste 202 Aurora, CO 80014 (303) 750-2290 EDLUND, DAVID, DDS Aaronwood Dental Care 10700 E Bethany Dr Ste 210 Aurora, CO 80014 (303)988-7410 EDWARDS, GERALD, DDS DMD Comfort Dental of Aurora 1050 S Peoria St Aurora, CO 80012 (303) 367-2273 ESCALA,SAUL,DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 EVANS, RAYMOND, DDS Heather Park Dental Care 2993 S Peoria St Ste 250 Aurora, CO 80014 (303)337-9300 FAHMY, SHARON, DDS 13741 E Rice PI Ste 100 Aurora, CO 80015 (303)617-5212 Delta Dental PPO FANNING, CYRUS, DDS PC 12101 E 2nd Ave Ste 105 Aurora, CO 80011 (303)364-6659 FORD, JAMES, DDS Perfect Teeth E Iliff Ave PC 16723 E IliffAve Aurora, CO 80013 (303)337-0464 Perfect Teeth Buckley and Quincy P 4321 S Buckley Rd Aurora, CO 80015 (303) 690-1812 FORD, MICHAEL, DDS 7450 S Gartrell Rd Ste A Aurora, CO 80016 (303)840-9557 FRISCH, MICHAEL, DDS Windsor Dental Care 1155 S Havana St Ste 43 Aurora, CO 80012 (720)213-0004 FRITZ, TIFFANY, DDS 22651 E Aurora Pkwy Unit A5 Aurora, CO 80016 (303) 617-0303 GILLESPIE, ANDRE Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 GILLIAM, JEFFREY, DDS DMD Comfort Dental of Aurora 1050 S Peoria St Aurora, CO 80012 (303) 367-2273 GINTHER, STEFAN, DDS 6240 S Main St Ste 200 Aurora, CO 80016 (303) 693-2288 GLAMM, JAYME, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720) 848-0687 GLENN,FALONA,DDS 1732 S Chambers Rd Aurora, CO 80017 (303) 751-6916 GLENN, GERALD, DDS Falona Glenn DDS PC 1732 S Chambers Rd Aurora, CO 80017 (303) 751-6916 GOSSENAUER, MARTIN Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 GRYZICK, DAVID, DDS Family First Dental PC 6040 S Gun Club Rd Unit G3 Aurora, CO 80016 (303) 693-9600 HABERSTROH, JULIE, DDS PC 12101 E 2nd Ave Ste 206 Aurora, CO 80011 (303) 343-2161 HANDELMAN, RICHARD, DDS Blue Mesa Dental Aurora 1700 S Chambers Rd Aurora, CO 80017 (303)337-0789 HARRISON, ASHLEIGH, DDS Cornerstar Dental Group and Orth 6730 S Cornerstar Way Ste A Aurora, CO 80016 (303)400-4500 HARVAN, KRISTINA, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303)341-5437 HAWKINS, DARRELL, DDS 11275 E Mississippi Ave Ste 1 W5 Aurora, CO 80012 (303)341-4663 HEDRICK, DAVID, DDS 12357 E Cornell Ave Ste 10 Aurora, CO 80014 (303)337-5800 HIRSCHMAN, WADE, DDS Comerstar Dental Group and Orth 6730 S Cornerstar Way Ste A Aurora, CO 80016 (303) 400-4500 HOANG, HUYEN, DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303) 751-6511 HOUSER, JAMIN, DDS Village Park Dental PC 11085 E Mississippi Ave Aurora, CO 80012 (303)364-6455 JEFFERS, JANIS, DMD 6830 S Liverpool St Ste A Aurora, CO 80016 (303) 400-3483 JOO, NELSON, DMD 2222 S Fraser St Unit 3 Aurora, CO 80014 (303)671-0305 JORGENSEN, AMY, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303)341-5437 JUSTUS, JOHN, DDS Perfect Teeth Mississippi PC 11175 E Mississippi Ave Ste 110 Aurora, CO 80012 (303)343-9313 Cherokee Trail Dental Care 24112 E Orchard Rd Bldg LF09 Aurora, CO 80016 (303) 457-5288 KARAM[, ARDAVAN, DDS Perfect Teeth E Iliff Ave PC 16723 E IliffAve Aurora, CO 80013 (303)337-0464 KARDEN, STEVEN, DDS 11275 E Mississippi Ave Ste 1 E3 Aurora, CO 80012 (303)366-2115 Aurora Colorado Perfect Teeth E Cornell PC 12200 E Cornell Ave Unit E Aurora, CO 80014 (303)337-0304 KHEIR, AHMED, DDS DMD Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303)400-3669 KHMIL, LARISA, DDS Eagle Bend Dental 22651 E Aurora Pkwy Unit A5 Aurora, CO 80016 (303)617-0303 KOMANDURI, KRISHNA, DDS Hanu Dental Care 12343 E Cornell Ave Unit 17 Aurora, CO 80014 (303)340-0087 KRUGLET, NEIL, DDS Associates In Family Dentistry 15425 E IliffAve Aurora, CO 80013 (303)755-5768 KWON, JUSTIN, DDS Green Dental 10700 E Bethany Dr Ste 210 Aurora, CO 80014 (303)745-8828 LANDER,TODD,DMD 11275 E Mississippi Ave Ste 2W1 Aurora, CO 80012 (303)364-7631 LAWSON, MARK, DDS Village Park Dental PC 11085 E Mississippi Ave Aurora, CO 80012 (303)364-6455 LE HUAN CUA, RICHARD, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 LEE, ANDY, DDS Aesthetic Dentistry of Aurora 2900 S Peoria St Ste A Aurora, CO 80014 (303)368-3636 LEE, TOMMY, DDS Aurora Family Dental 14221 E 4th Ave Aurora, CO 80011 (303)344-1227 LE-HUAN-CUA, CHRISTOPHER, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 LEMKE, TIMOTHY, DDS Chambers RD Dental Associates PC 13701 E Mississippi Ave Ste 310 Aurora, CO 80012 (303)366-1592 LIU, JAMES, DDS Comfort Dental Quincy and Buckley 16981 E Quincy Ave Ste D1 Aurora, CO 80015 (303)617-8400 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Aurora Colorado Delta Dental PPO Aurora Colorado COLORADO (CONT-D) LOEWEN,REBECCA Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 LOGELIN, MICHAEL Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 MALOY, SHAWN, DDS Clinica Dental Latina LLC 11175 E Mississippi Ave Ste 100 Aurora, CO 80012 (303)364-9831 MANIKIN, JULIE, DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303) 751-6511 MANSHADI, DAVOOD, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 MARSHALL, KIMBERLY, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 MAXWELL, TRAVER, DDS DMD Comfort Dental Quincy and Buckley 16981 E Quincy Ave Ste D1 Aurora, CO 80015 (303) 617-8400 MCDONALD, ROBERT, DDS DMD Tower Dental Partners LLC 18680 E Iliff Ave Unit A Aurora, CO 80013 (303)751-5010 METROPOLITAN COMMUNITY P McPn North Aurora Dental 3292 Peoria St Aurora, CO 80010 (303) 360-6276 MILLER, ERIC Sands House Gpr Program 13065 E 17ave Mail Stop F840 PO Box 6508 Aurora, CO 80045 (303)724-6941 Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 MILLER, RODGER, DDS Associates In Family Dentistry 15425 E I Ziff Ave Aurora, CO 80013 (303)755-5768 MILNOR, LAURA, DDS Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303)400-3669 MILUSHEV, METODI, DDS DMD Dental Health at Center Pointe P 14591 E Alameda Ave Aurora, CO 80012 (303) 360-0991 MONTANO, RONALD, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303)341-5437 MOORE, DWAYNE, DDS Blue Mesa Dental Aurora 1700 S Chambers Rd Aurora, CO 80017 (303)337-0789 MUSANJE, LAWRENCE Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 NAJJAR, TANIA, DMD Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303) 343-3133 NELSON,DONALD Eagle Bend Dental 22651 E Aurora Pkwy Unit A5 Aurora, CO 80016 (303)617-0303 NGUYEN, HUY, DDS Gateway Dental PC 1076 S Sable Blvd Aurora, CO 80012 (303)369-5517 NGUYEN,QUYNH Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303) 343-3133 NOVAK, SCOTT, DDS DMD Cherokee Trail Dental Care 24112 E Orchard Rd Bldg LF09 Aurora, CO 80016 (303)457-5288 OCHOA, MARGARITA, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 OZENBAUGH, BRIAN, DDS Cornerstar Dental Group and Orth 6730 S Cornerstar Way Ste A Aurora, CO 80016 (303) 400-4500 PARFITT, JAMES, DDS DMD Comfort Dental East Aurora 2131 S Chambers Rd Aurora, CO 80014 (303)750-2273 PASSON,J Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 PERRY,STEPHEN,DDS Dental Health at Center Pointe P 14591 E Alameda Ave Aurora, CO 80012 (303) 360-0991 PETKOVA, ANASTASIA, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 RANOV, BOYAN, DDS DMD Smoky Hill Family Dentistry 16629 E Smoky Hill Rd Aurora, CO 80015 (303) 699-8788 RASULOV, AZIZ Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 RESNICK, MARK Blue Mesa Dental Aurora 1700 S Chambers Rd Aurora, CO 80017 (303)337-0789 REYNOLDS, JAMES, DDS 11275 E Mississippi Ave Ste 2S3 Aurora, CO 80012 (303)364-6455 REZAEI, SEYED, DDS Kids Choice Dental 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 RIESSELMAN, PHILLIP, DDS Windsor Dental Care 1155 S Havana St Ste 43 Aurora, CO 80012 (720)213-0004 Heather Park Dental Care 2993 S Peoria St Ste 250 Aurora, CO 80014 (303)337-9300 RODGERS, CHARLES, DDS Comerstar Dental Group and Orth 6730 S Cornerstar Way Ste A Aurora, CO 80016 (303)400-4500 ROMIG, GREGORY, DDS Clinica Dental Latina LLC 11175 E Mississippi Ave Ste 100 Aurora, CO 80012 (303)364-9831 RONES, JONATHAN, DDS 13701 E Mississippi Ave Ste 360 Aurora, CO 80012 (303)341-6961 ROWAN, MATTHEW, DDS' Comfort Dental of Aurora 1050 S Peoria St Aurora, CO 80012 (303)367-2273 RUSH,STEVEN,DDS Wohlgemuth and Rush DDS PLLC 1450 S Havana St Ste 200 Aurora, CO 80012 (303) 755-8388 RUVINS, EDWARD, DDS Qualdent LLC 6240 S Main St Ste 260 Aurora, CO 80016 (303) 928-7575 SANKARANARAYANAN, SRIVALLI, DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303) 751-6511 SCOTT, DANIEL, DDS Perfect Teeth Mississippi PC 11175 E Mississippi Ave Ste 110 Aurora, CO 80012 (303)343-9313 STODDARD, DENNIS, DDS Childrens Dental Health Center P 2295 S Chambers Rd Ste E Aurora, CO 80014 (303)751-6511 SUMNER, JILL 2993 S Peoria St Ste 210 Aurora, CO 80014 (303) 696-6979 TANEJA, PUJA, DDS Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 THERIOT, ROY, DDS 941 S Havana St Ste 200 Aurora, CO 80012 (303)341-5313 THOMASSON, THOMAS, DDS Southlands Dental Associates 6240 S Main St Ste 220 Aurora, CO 80016 (303) 400-4865 THONGIN, EKAPOJ, DDS DMD Tower Dental Partners LLC 18680 E IliffAve Unit Aurora, CO 80013 (303) 751-5010 THOUSAND, JOHN, DDS Comfort Dental Quincy and Buckley 16981 E Quincy Ave Ste D1 Aurora, CO 80015 (303) 617-8400 TIAO, KATIE Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 TOPOLNYCKY, ANDREW, DDS 16629 E Smoky Hill Rd Aurora, CO 80015 (303) 699-8788 TORIGGINO, DOMINIC, DDS Associates In Family Dentistry 15425 E Iliff Ave Aurora, CO 80013 (303)755-5768 TWERSKOI, VLADISLAV, DDS 1400 Chambers Rd Ste 1 Aurora, CO 80011 (303)364-7491 VARNER, JEFFREY, DMD Comfort Dental East Aurora 2131 S Chambers Rd Aurora, CO 80014 (303)750-2273 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 • 0- Aurora Delta Dental PPO Aurora • Colorado Colorado is • COLORADO (CONT-D) WALKER, STEFANIE, DMD Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720) 848-0687 WARD, NICOLE, DDS DMD Comfort Dental Quincy and Buckley 16981 E Quincy Ave Ste D1 Aurora, CO 80015 (303)617-8400 WHITNEY, HAL Millennium Dental PC 11085 E Mississippi Ave Aurora, CO 80012 (303)343-2700 WILSON, DANIEL, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 WILSON, KENNETH, DDS MD 13764 E Quincy Ave Aurora, CO 80015 (303) 690-0877 WOHLGEMUTH, BARRY, DDS Wohlgemuth and Rush DDS PLLC 1450 S Havana St Ste 200 Aurora, CO 80012 (303) 755-8388 YOUNG, MATTHEW Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 ORAL SURGEON CATALANO,JOSEPH,DDS Aurora Oral and Max Surgeons PC 14991 E Hampden Ave Ste 260 Aurora, CO 80014 (303)699-1964 COLM, STEPHEN, DDS DMD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303) 400-3669 FLOYD, CARLTON, DDS MD MS 1344 S Chambers Rd Ste 201 Aurora, CO 80017 (303)368-7402 HARPER, CLAYTON, DDS MD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 KEOGH, BARRY, DDS MD Aurora Oral and Max Surgeons PC 14991 E Hampden Ave Ste 260 Aurora, CO 80014 (303) 699-1964 MADLOCK, PAUL, DDS DMD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303) 400-3669 QUIST, RHETT, DDS Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303)400-3669 SAVAGE, MICHAEL, DDS DM Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 SEDHOM, ASHRAF, DDS MD DMD Center For Oral and Max Surgery 11246 E Mississippi Ave Aurora, CO 80012 (303)344-0810 WHITE, JEFFERY, DDS 13701 E Mississippi Ave Ste 300 Aurora, CO 80012 (303)344-2705 ORTHODONTIST BURGESS, BRANDY, DDS Cornerstar Dental Group and Orth 6730 S Cornerstar Way Ste A Aurora, CO 80016 (303) 400-4500 DURAN, JACK, DDS Orthodontics Exclusively LLC 13701 E Mississippi Ave Ste 360 Aurora, CO 80012 (303) 789-9257 HARRELL, RICKY Cu Sch of Dentistry Department of Orth 13065 E 17th Ave Aurora, CO 80045 (303) 724-1124 IDICULLA, ANIL, DDS DMD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303) 400-9898 Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303) 400-3669 IDICULLA, ANIL, DMD Dental Associates of Aurora 11275 E Mississippi Ave Ste 2N Aurora, CO 80012 (303) 341-4878 LINN, BRANDON, DDS Perfect Teeth Buckley and Quincy P 4321 S Buckley Rd Aurora, CO 80015 (303)690-1812 LORENZ, ROY, DDS MD 14991 E Hampden Ave Ste 320 Aurora, CO 80014 (303) 690-2333 MASON, JAMES, DDS 2993 S Peoria St Ste 260 Aurora, CO 80014 (303)751-5700 MILLER, BILLIE Dental Management Group LLC 11246 E Mississippi Ave Aurora, CO 80012 (303)337-3337 MILLER, GALEN, DDS Cu Sch of Dentistry Department of Orth 13065 E 17th Ave Aurora, CO 80045 (303)724-1124 MINICK, GERALD, DDS MS 6020 S Gun Club Rd Unit E1 Aurora, CO 80016 (303) 627-6212 NGUYEN, HOANG, DDS MS Care Smiles Orthodontics 1344 S Chambers Rd Ste 101 Aurora, CO 80017 (303)337-2999 NIEBERG-BASKIN, HILARY, DDS All About Kids Braces 15159 E Colfax Ave Unit B Aurora, CO 80011 (303) 341-5437 OESTERLE, LARRY, DDS Cu Sch of Dentistry Department of Orth 13065 E 17th Ave Aurora, CO 80045 (303)724-1124 SAYDYK, THEODORE, DDS Comfort Smile Center 15403 E Hampden Ave Aurora, CO 80013 (303)680-3295 SHAVER, THERESA, DDS MS 14001 E Iliff Ave Ste 201 Aurora, CO 80014 (303)751-1313 SHELLHART, W Cu Sch of Dentistry Department of Orth 13065 E 17th Ave Aurora, CO 80045 (303)724-1124 STASI, MARK Comfort Smile Center 15403 E Hampden Ave Aurora, CO 80013 (303)680-3295 ZINKANN, KARLA, DDS 1700 S Chambers Rd Aurora, CO 80017 (303)337-0789 PEDODONTIST ELLIS, RANDALL Childrens Medicaid Dntl Clinic 14251 E 6th Ave Aurora, CO 80011 (303)343-3133 FOSTER,KAREN,DDS Saddle Rock Pediatric Dentistry 22986 E Smoky Hill Rd Aurora, CO 80016 (303) 690-1690 HAYUTIN, DAVID, DDS Aurora Pediatric Dentistry Prof 5657 S Himalaya St Ste 200 Aurora, CO 80015 (720)886-0808 KLEIN, ULRICH, DDS DMD Childrens Hospital Pediatric Dntry 13123 E 16th Ave Ste B240 Aurora, CO 80045 (720) 777-6788 KOCH, MARK, DDS Childrens Hospital Pediatric Dntry 13123 E 16th Ave Ste B240 Aurora, CO 80045 (720) 777-6788 NGUYEN, ANDREW, DDS Ticket To Smiles 2900 S Peoria St Ste B Aurora, CO 80014 (303)750-7750 WILSON, ANNE, DDS Childrens Hospital Pediatric Dntry 13123 E 16th Ave Ste B240 Aurora, CO 80045 (720)777-6788 PERIODONTIST BARDSLEY, NORMAN, DDS Perfect Teeth E Cornell PC 12200 E Cornell Ave Unit E Aurora, CO 80014 (303)337-0304 GLICK, PAUL, DDS MS Periodontal Associates 2900 S Peoria St Ste D Aurora, CO 80014 (303) 755-4500 JOHNSON, LONNIE, DDS PHD Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 LUBOW, RICHARD, DDS DMD Bright Now Dental 23963 E Prospect Ave Unit E Aurora, CO 80016 (303)400-9898 Mountain View Implants and Perio 6240 S Main St Ste 215 Aurora, CO 80016 (303)928-7589 . LUBOW, RICHARD, DMD Bright Now Dental 3551 S Tower Rd Unit C Aurora, CO 80013 (303)400-3669 RICHARDSON, HEATHER, DDS DMD Perfect Teeth E Cornell PC 12200 E Cornell Ave Unit E Aurora, CO 80014 (303)337-0304 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Aurora Delta Dental PPO Brighton Colorado Colorado COLORADO (CONT-D) SANDOVAL, ELIVINIO, DDS 12090 E Alameda Ave Aurora, CO 80012 (303)360-8365 PROSTHODONTIST ASTROTH, JEFFREY, DDS Cu Dental Faculty Practice 1635 Ursula St 5th FI Aurora, CO 80045 (720)848-0687 LEE, SEUNG, DDS Dental Associates of Aurora 11275 E Mississippi Ave Ste 2N Aurora, CO 80012 (303)341-4878 BAILEY GENERAL DENTIST NICHOLS, RICHARD, DDS 460 County Road 43 Ste 3 Bailey, CO 80421 (303) 838-0311 BENNETT GENERAL DENTIST AVERY,PAUL,DDS 280 E Colfax Ave Bennett, CO 80102 (303)644-3386 BOULDER GENERAL DENTIST ALLEMAN,BRECKGLYN,DDS Alleman Family Dental PC 2760 29th St Ste 2A Boulder, CO 80301 (303) 499-7133 ALLEMAN, DANIEL, DDS Alleman Family Dental PC 2760 29th St Ste 2A Boulder, CO 80301 (303) 499-7133 ATHA, JASON, DDS 350 Broadway St Ste 10 Boulder, CO 80305 (303)494-8200 BUFFER, STEVEN, DDS 385 Broadway St Boulder, CO 80305 (303) 442-4846 BURLUC, AURORA, DDS Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303)443-5133 CANNON, MARK, DDS DMD Comfort Dental Boulder 3400 Arapahoe Ave Boulder, CO 80303 (303)444-2129 DEGARMO, AARON, DDS Bright Now Dental 1840 Folsom St Ste 105 Boulder, CO 80302 (303)417-9401 EVANS, DAVID 1455 Yarmouth Ave Ste 116 Boulder, CO 80304 (303) 442-0990 FREDERICK, CHRISTOPHER, DDS DMD Alpine Dentistry 350 Broadway St Ste 10 Boulder, CO 80305 (303) 494-8200 HAMBLIN, ROBERT, DDS Dental Health of Boulder PLLC 2525 28th St Unit 140 Boulder, CO 80301 (303) 443-0070 HERZIG, LAURA, DDS Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303) 443-5133 HOLECEK, ANDREW, DDS Dental Health of Boulder PLLC 2525 28th St Unit 140 Boulder, CO 80301 (303) 443-0070 HOOK, MARK, DDS Dental Health of Boulder PLLC 2525 28th St Unit 140 Boulder, CO 80301 (303) 443-0070 HOWARD, BRIAN, DDS 2300 Canyon Blvd Boulder, CO 80302 (303) 444-5025 KRUM, NELSON, DDS Bright Now Dental 1840 Folsom St Ste 105 Boulder, CO 80302 (303)417-9401 MARTIN, DONOVAN, DDS Studio One Dental 1610 Canyon Blvd Boulder, CO 80302 (303) 245-0403 PERRY,STEPHEN,DDS Colo Dhca Low Income Dental 2525 28th St Unit 140 Boulder, CO 80301 (303) 443-0070 POCZATEK, SHARON, DDS Todays Choice Dental 2800 Valmont Rd Boulder, CO 80301 (303)444-3232 SHEARER, AMY, DDS DMD Aesthetic and Maxillofacial Associates 1610 Canyon Blvd Boulder, CO 80302 (303)938-0130 SHELDON, LISA, DDS Comfort Dental Boulder 3400 Arapahoe Ave Boulder, CO 80303 (303) 444-2129 SKROMME, ALLAN, DDS Dental Health of Boulder PLLC 2525 28th St Unit 140 Boulder, CO 80301 (303)443-0070 Rosewood Dental 6700 Lookout Rd Boulder, CO 80301 (303)530-0300 SOUSA, APRIL, DDS Comfort Dental Boulder 3400 Arapahoe Ave Boulder, CO 80303 (303) 444-2129 THOMASON, ETHELYN, DDS DMD Perfect Teeth Boulder PC 4155 Darley Ave Ste F Boulder, CO 80305 (303) 499-9700 THOMASON, ETHELYN, DMD Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303) 443-5133 TRAVIS, STEPHEN, DDS Alpine Dentistry 350 Broadway St Ste 10 Boulder, CO 80305 (303)494-8200 TUCHKLAPER,SCOTT,DDS Bright Now Dental 1840 Folsom St Ste 105 Boulder, CO 80302 (303)417-9401 WEBER, JOHN, DDS Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303)443-5133 ORAL SURGEON COLM, STEPHEN, DDS DMD Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303) 443-5133 HARPER,CLAYTON,DDS Bright Now Dental 1840 Folsom St Ste 105 Boulder, CO 80302 (303)417-9401 HARPER, CLAYTON, DDS MD Aesthetic and Maxillofacial Associ 1610 Canyon Blvd Boulder, CO 80302 (303) 938-0130 MADLOCK, PAUL, DDS MD DMD Aesthetic and Maxillofacial Associ 1610 Canyon Blvd Boulder, CO 80302 (303)938-0130 ORTHODONTIST FRONCZAK, RICHARD, DDS 2300 Canyon Blvd Boulder, CO 80302 (303)447-0393 NORRIS, GREGORY, DDS 2669 Spruce St Boulder, CO 80302 (303) 442-8657 WALKER, JOHN, DDS DMD 350 Broadway St Ste 120 Boulder, CO 80305 (303) 494-3535 WITZEL, DAVID, DDS Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303)443-5133 WONG, JEFFREY, DDS MS 3400 Penrose PI Ste 203 Boulder, CO 80301 (303) 444-6680 PEDODONTIST MONAK, EDMUND, DDS Perfect Teeth Folsom PC 1840 Folsom St Ste 201 Boulder, CO 80302 (303) 443-5133 PERIODONTIST GOMEZ, LUIS, DDS DMD Colorado Dental Health Care Spec 2525 28th St Unit 140 Boulder, CO 80301 (303) 443-0070 LUBOW, RICHARD, DDS DMD Bright Now Dental 1840 Folsom St Ste 105 Boulder, CO 80302 (303)417-9401 BRECKENRIDGE GENERAL DENTIST COLLINSWORTH, PHILLIP, DMD Breckenridge Family Dental 400 N Park Ave Ste 12A Breckenridge, CO 80424 (970) 453-4585 FRANCIS, LAUREN Breckenridge Family Dental 400 N Park Ave Ste 12A Breckenridge, CO 80424 (970) 453-4585 GOFF, SABRINA Breckenridge Family Dental 400 N Park Ave Ste 12A Breckenridge, CO 80424 (970) 453-4585 MEISTER, ROBERT, DDS Breckenridge Family Dental 400 N Park Ave Ste 12A Breckenridge, CO 80424 (970) 453-4585 BRIGHTON GENERAL DENTIST ANDERSON, DANIEL, DDS Comfort Dental of Brighton 315 E Bromley Ln Brighton, CO 80601 (303) 659-1125 • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ana vanicipaung Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. • July 2009 • IA Delta Dental of Colorado City of Fort Collins 1857 1858 T NAME Current Current 1C PPO Plan PPO Plan Basic iPF Delta Dental PPO, Delta Delta Dental PPO, Delta Defta'lDer Dental Premierfl or Non- Dental Premierfl or Non- lDenta'11Pr`i Participating Participating 7Par,' General Maximum $2,000 $1,000 f 1 Deductible \ \ \on, �\ Waived: T1 T1 ��;_ Individual $25 $50 Family $50 $100 COVERED SERVICES Type 1 - Diagnostic and Preventive Services Oral exams and cleanings Fluoride treatments X-rays. Sealants 100% / 80% 80% / 60% Type 2 - Basic Services ' Endodontic services Oral surge 80% / 80% 60% / 60% Fillings Periodontic services 80% / 60% 60% / 50% 'ir?ae Type 3 - Major Services ��== Relines and repairs Special restorative (inlays, onlays, and crowns) Prosthodontics (bridges and dentures) 2,� 60% / 50% 50% / 50% Type 4 - Orthodontia o 19 NA Age Limit Orthodontic services 50% Not a benefit Orthodontic lifetime benefit maximum $1,500 NA Renewal Funding'Rates Renewal Funding Rates 4-Tier Rates and Enrollment 1857 1858 Current Funding Rates $27.41 Current Funding Rates $13.24 Effective 1/01/2010 $30:16 Effective 1/01/2010 $10 64 , Employee 417 49 EE + Spouse 354 29 $52.37 $22.98 $58.08, 58 EE + Child(ren) 137 15 $59.86 $25.90 $66 46"'°$19.67 EE + Family 397 45 $96.31 $40.12 $107,.23�$29_.- Total 1305 138 Admin Fee: $4.17 $76,404.84 $3,509.08 Adrninf".Fee $84,812.37 $4717,' $2;667.68 Total Monthly Premium 4-Tier Grand Totals $79,913.92 \\\ $89 480 05 71,7: . 'Administrative Fee (Admin Fee) is guaranteed for two years through December 31, 2011. THIS SERVESAS YOUR AMENDMENT. YOU WILL NOT RECEIVEANYADDITIONAL DOCUMENTATION TO SIGN As an authorized representative, I accept this confirmation of coverage and rating. Please circle the plan of benefits chosen along with the approved rating. By signing below, I acknowledge agreement with the rates and benefits described herein and that subsequent contract(s) shall conform to this document unless otherwise agreed to in writing. oil Signature: • • • Brighton Colorado COLORADO (CONT-D) ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth Brighton PC 530 E Bromley Ln Unit 100 Brighton, CO 80601 (303) 637-9047 BETHERS, JOHN, DDS Comfort Dental of Brighton 315 E Bromley Ln Brighton, CO 80601 (303)659-1125 BRUGGEMAN, SCOTT, DDS Prairie Center Dental Care 2223 Prairie Center Pkwy Unit C Brighton, CO 80601 (303)654-3430 BURLUC, AURORA, DDS Perfect Teeth Brighton PC 530 E Bromley Ln Unit 100 Brighton, CO 80601 (303)637-9047 CRAVEN, DUSTIN, DMD Comfort Dental of Brighton 315 E Bromley Ln Brighton, CO 80601 (303) 659-1125 GOMENYUK, NINA, DDS Perfect Teeth Brighton PC 530 E Bromley Ln Ste 100 Brighton, CO 80601 (303) 637-9047 KELLOGG, BRADLEY, DDS Bromley Park Dental 4700 E Bromley Ln Ste 201 Brighton, CO 80601 (303)659-0667 PAISLEY, IAN, DDS Bromley Park Dental 4700 E Bromley Ln Ste 201 Brighton, CO 80601 (303)659-0667 PETERSON,BRUCE,DDS 1790 E Bridge St Brighton, CO 80601 (303)659-1064 SCARPELLA, PASCO, DDS Platte River Family Dental PC 965 Platte River Blvd Unit E Brighton, CO 80601 (303)659-8200 WEBER, JOHN, DDS Perfect Teeth Brighton PC 530 E Bromley Ln Unit 100 Brighton, CO 80601 (303) 637-9047 BROOMFIELD GENERAL DENTIST ADAMS, DAWNE, DDS Broomfield Dental Group 1140 US Highway 287 Unit 200 Broomfield, CO 80020 (303)438-9899 Delta Dental PPO BOTTOMS, BRAND[, DDS Chateaux Family and Cosmetic Denti 13606 Xavier Ln Ste F Broomfield, CO 80023 (303) 465-4500 BURNS, KENDALL, DDS MD DMD Broadlands Family Dentistry LLC 3800 W 144th Ave Ste A400 Broomfield, CO 80023 (303) 460-8700 BURROWS, CLAUDIA, DDS 413 Summit Blvd Unit 204 Broomfield, CO 80021 (303) 440-3300 CARROLL, TARA, DDS Larkridge Family Dentistry 16683 Washington St Broomfield, CO 80023 (303) 962-6400 DAVIS, WILLIAM, DDS 2 Garden Ctr Ste 201 Broomfield, CO 80020 (303) 460-7830 HERZIG, LAURA, DDS Chateaux Family and Cosmetic Denti 13606 Xavier Ln Ste F Broomfield, CO 80023 (303) 465-4500 HOUSER, JAVAN, DDS Broomfield Dental Group 1140 US Highway 287 Unit 200 Broomfield, CO 80020 (303) 438-9899 KWON, JUSTIN, DDS Green Dental 80 Garden Ctr Ste 224 Broomfield, CO 80020 (303) 469-5301 MAROGIL, HANI, DDS DMD 340 E 1 st Ave Ste 202 Broomfield, CO 80020 (303) 466-4646 MATA, LYNDON, DDS Mata Dental Associates PC 6363 W 120th Ave Ste 230 Broomfield, CO 80020 (303) 635-0100 RODGERS, CHARLES, DDS Orchard Dental Group and Orthodo 14422 Orchard Parkway Ste 200 Broomfield, CO 80023 (303) 452-0811 SAIDE KARLIN, STEPHANIE, DDS Chateaux Family and Cosmetic Denti 13606 Xavier Ln Ste F Broomfield, CO 80023 (303) 465-4500 SCHAFFER, LISA Mountain Dental PC 300 Nickel St Ste 11 Broomfield, CO 80020 (303) 635-1816 SONGER, DEBRA, DDS Mountain Dental PC 300 Nickel St Ste 11 Broomfield, CO 80020 (303)635-1816 SUMAN, JAMIE, DDS Chateaux Family and Cosmetic Denti 13606 Xavier Ln Ste F Broomfield, CO 80023 (303) 465-4500 TOROK, ANDREEA, DDS Claudia Burrows DDS PC 413 Summit Blvd Unit 204 Broomfield, CO 80021 (303)440-3300 TUCHKLAPER, SCOTT, DDS Orchard Dental Group and Orthodo 14422 Orchard Parkway Ste 200 Broomfield, CO 80023 (303)452-0811 TURNQUIST, KERRY, DDS Broadlands Family Dentistry LLC 3800 W 144th Ave Ste A400 Broomfield, CO 80023 (303) 460-8700 WILSON, CINDY-SUE, DDS 80 Garden Ctr Ste D Broomfield, CO 80020 (303)635-2640 WORKMAN, JOHN, DDS 13605 Xavier Ln Ste C Broomfield, CO 80023 (303) 469-2016 WORTHAM, ROY, DDS Mountain Dental PC 300 Nickel St Ste 11 Broomfield, CO 80020 (303)635-1816 ORAL SURGEON COLM, STEPHEN, DDS DMD Perfect Teeth W 120th Ave PC 6650 W 120th Ave Ste A6 Broomfield, CO 80020 (303)469-1970 MCMUNN, WILLIAM, DDS MD' Perfect Teeth W 120th Ave PC 6650 W 120th Ave Ste A6 Broomfield, CO 80020 (303) 469-1970 WETMORE, BRUCE, DDS 13605 Xavier Ln Broomfield, CO 80023 (303) 465-2308 ORTHODONTIST BOHMAN, BRIAN, DMD Bohman Orthodontics PC 13605 Xavier Ln Ste D Broomfield, CO 80023 (720)887-8357 BURGESS, BRANDY, DMD Orchard Dental Group and Orthodo 14422 Orchard Parkway Ste 200 Broomfield, CO 80023 (303) 452-0811 PRENTICE, RICARDA, DDS Prentice Orthodontics 3800 W 144th Ave Ste Al000 Broomfield, CO 80023 (303)468-7722 Canon City Colorado PERIODONTIST SCHEIDT, MICHAEL, DDS Colorado Gum Care Ltd 899 US Highway 287 Ste 100 Broomfield, CO 80020 (303) 469-6375 WHEELER, MARK, DDS DMD Colorado Gum Care Ltd 899 US Highway 287 Ste 100 Broomfield, CO 80020 (303) 469-6375 BRUSH GENERAL DENTIST BRAVO, LUIS, DMD 412 Edison St Brush, CO 80723 (970)842-0220 JORGENSEN, THOMAS, DDS Condar 412 Edison St Brush, CO 80723 (970)842-0220 BURLINGTON GENERAL DENTIST EHTESSABIAN, JASON, DDS Burlington Family Dentistry 340 14th St Burlington, CO 80807 (719)346-8266 CALHAN GENERAL DENTIST BULLEN, BENJAMIN Eastern Plains Dental 550 5th St Calhan, CO 80808 (719)355-3895 ORTHODONTIST BAILEY, JOHN, DDS Calhan Dental and Orthodontics 550 5th St Calhan, CO 80808 (719)598-2800 CANON CITY GENERAL DENTIST BATSON, EMILY Orchard Springs Dental 410 Macon Ave Canon City, CO 81212 (719)276-0117 DRISCOLL, DENNIS, DDS Orchard Springs Dental 410 Macon Ave Canon City, CO 81212 (719)276-0117 HOUSE, MARK, DDS Orchard Springs Dental 410 Macon Ave Canon City, CO 81212 (719)276-0117 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Canon City Delta Dental PPO Centennial Colorado Colorado COLORADO (CONT-D) ORAL SURGEON BANDROWSKY, TIMOTHY, DDS Associates In Maxillofac and Oral Surg 111 N 10th St Canon City, CO 81212 (719)599-0500 FACY,REBECCA,DDS Associates In Maxillofac and Oral Surg 111 N 10th St Canon City, CO 81212 (719)599-0500 NASSIMBENE, LEO, DDS Associates In Maxillofac and Oral Surg 111 N 10th St Canon City, CO 81212 (719)599-0500 ONSTAD, MICHAEL, DDS Associates In Maxillofac and Oral Surg 111 N 10th St Canon City, CO 81212 (719)599-0500 SALVO,JOSEPH,DDS Associates In Maxillofac and Oral Surg 111 N 10th St Canon City, CO 81212 (719) 599-0500 CASTLE ROCK GENERAL DENTIST ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth Castle Rock PC 390 S Wilcox St Ste D Castle Rock, CO 80104 (303) 660-6000 BENTLEY, CHRISTOPHER, DDS Bright Now Dental 1001 S Perry St Ste 105A Castle Rock, CO 80104 (303)688-0252 BOLTON, WILLIAM, DDS Perfect Teeth Castle Rock PC 390 S Wilcox St Ste D Castle Rock, CO 80104 (303)660-6000 BRATTON, DWIGHT, DDS Castle Rock Dental Group PC 1001 S Perry St Ste 104A Castle Rock, CO 80104 (303) 663-6030 HANOSH, ALISON, DDS Meadows Family Dentistry 3740 Dacoro Ln Ste 115 Castle Rock, CO 80109 (303)660-5576 JEFFERS, JANIS, DMD Bright Now Dental 1001 S Perry St Ste 105A Castle Rock, CO 80104 (303) 688-0252 KANCHANLAL, VIKASH, DDS DMD Shadow Rock Dentistry 734 Wilcox St Castle Rock, CO 80104 (719)337-7935 LOGAN,SARA,DDS 323 Metzler Dr Ste 102 Castle Rock, CO 80108 (303)688-9476 MORONI, MICHAEL, DDS Mirage Dental Associates 755 S Perry St Ste 200 Castle Rock, CO 80104 (720)733-3440 ROWLETTE, MICHAEL, DDS Castle Rock Dental Group PC 1001 S Perry St Ste 104A Castle Rock, CO 80104 (303) 663-6030 SIBO, JENNIFER, DDS Peak View Dental 4344 Woodlands Blvd Ste 140 Castle Rock, CO 80104 (303)660-9333 VAN ORMAN, JAMES, DDS Milestone Dental 718 Maleta Ln Ste 101 Castle Rock, CO 80108 (303) 660-8540 VOGL, WALT 2 Oakwood Park Plz Ste 206 Castle Rock, CO 80104 (303) 663-9600 WILLIAMS, MITCHELL, DDS Perfect Teeth Castle Rock PC 390 S Wilcox St Ste D Castle Rock, CO 80104 (303)660-6000 ORTHODONTIST BUMGARNER, ROGER, DDS 4344 Woodlands Blvd Ste 260 Castle Rock, CO 80104 (303) 688-9617 DUNBAR,ANDREW,DDS Castle Pines Orthodontics 363 Village Square Ln Castle Rock, CO 80108 (303) 688-3837 Castle Rock Orthodontics 718 Maleta Ln Ste 201 Castle Rock, CO 80108 (303) 427-6300 IDICULLA, ANIL, DDS DMD Bright Now Dental 1001 S Perry St Ste 105A Castle Rock, CO 80104 (303)688-0252 LINDSEY, GREGG, DDS Lindsey and Simpson Orthodontics 62 Founders Pkwy Ste C Castle Rock, CO 80104 (720) 733-8388 LINN, BRANDON, DDS MS Roger L Bumgarner DDS 4344 Woodlands Blvd Ste 260 Castle Rock, CO 80104 (303) 688-9617 . MESSINGHAM, JASON, DDS Castle Rock Orthodontics 718 Maleta Ln Ste 201 Castle Rock, CO 80108 (303)427-6300 STRUHS, THEODORE, DDS Prairie Hawk Orthodontics PC 3750 Dacoro Ln Ste 145 Castle Rock, CO 80109 (720)733-0353 ORAL SURGEON PEDODONTIST BANDROWSKY, TIMOTHY, DDS RVI, DDS SHAH, PURVI, DDS Orris Associates -Colorado PC Pediatric are PC S Perry St Ste 3750 Dacoro Ln Ste 120A 010 Castle Rock, CO 80104 Ca Castle Rock, CO 80109 (303) 660-5651 (303) 663-3388 FACY,REBECCA,DDS Orris Associates -Colorado PC 755 S Perry St Ste 300 Castle Rock, CO 80104 (303) 660-5651 NASSIMBENE, LEO, DDS Oms Associates -Colorado PC 755 S Perry St Ste 300 Castle Rock, CO 80104 (303) 660-5651 ONSTAD, MICHAEL, DDS Orris Associates -Colorado PC 755 S Perry St Ste 300 Castle Rock, CO 80104 (303) 660-5651 SALVO,JOSEPH,DDS Orris Associates -Colorado PC 755 S Perry St Ste 300 Castle Rock, CO 80104 (303)660-5651 PERIODONTIST LUBOW, RICHARD, DMD Bright Now Dental 1001 S Perry St Ste 105A Castle Rock, CO 80104 (303) 688-0252 CENTENNIAL ENDODONTIST GALLEGO-CUBILLOS, SONIA, DDS DMD Perfect Teeth S Holly St PC 8211 S Holly St Centennial, CO 80122 (303)290-6006 LINDSAY, MICHAEL Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303) 689-2273 LOWRY, SCOTT, DDS Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303)689-2273 GENERAL DENTIST AMES, WILLIAM, DDS 6726 S Revere Pkwy Ste A140 Centennial, CO 80112 (303) 662-1180 APPLEGATE,SHELBY,DDS Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303) 689-2273 ASBURY, ROBIN, DDS Metro Smiles PC 9025 E Mineral Cir Ste 102 Centennial, CO 80112 (303)768-8443 ASH, SCOTT, DDS Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303) 689-2273 AUSTIN, DAWN, DDS 14000 E Arapahoe Rd Ste 200 Centennial, CO 80112 (303) 632-3638 BERNER, JEANNETTE, DDS Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303)689-2273 BERRY,KARY,DDS Park Meadows Dental Care 8100 S Quebec St Ste A Centennial, CO 80112 (720) 489-9800 BEVIS, BRITTANY, DDS DMD 1st Choice Dental 6979 S Holly Cir Ste 230 Centennial, CO 80112 (303) 221-2250 BLASKO, JACQUELINE, DDS DMD Comfort Dental of Centennial 8223 S Quebec St Ste A Centennial, CO 80112 (303) 689-2273 BLATTER, VICTOR, DMD Rocky Mountain Dental Partners P 7940 S University Blvd Ste 200 Centennial, CO 80122 (720) 482-0793 BOEYINK, TIMOTHY, DDS 7900 S University Blvd Ste 210 Centennial, CO 80122 (720) 489-7333 BOWERS, SOLEDAD, DDS University Park Dental 7920 S University Blvd Ste 210 Centennial, CO 80122 (720)348-1772 BRANTES, LILIANE, DDS 6979 S Holly Cir Ste 225 Centennial, CO 80112 (303)779-1305 • 1� Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ana ranicipaang Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 • • Centennial Colorado COLORADO (CONT'D) BRAVO, LUIS, DDS DMD 6650 S Vine St Ste 120 Centennial, CO 80121 (303)805-9256 BREDBECK,BRUCE,DDS Perfect Teeth Arapahoe PC 7600 E Arapahoe Rd Ste 311 Centennial, CO 80112 (303) 773-2273 CASE, WILLIAM, DDS DMD 7180 E Orchard Rd Ste 302 Centennial, CO 80111 (720) 488-6600 CHINNI, ASHA, DDS Comfort Dental Parker Road 15250 E Orchard Rd Centennial, CO 80016 (303)680-9990 CHRIST, KEVIN, DDS DMD 9025 E Mineral Cir Ste 200 Centennial, CO 80112 (303)792-9100 CHRISTIANSEN, BART, DDS 9025 E Mineral Cir Ste 250 Centennial, CO 80112 (303)790-9323 FRANQUEMONT, MICHAEL, DDS South Suburban Dental 6650 S Vine St Ste 260 Centennial, CO 80121 (303)795-0066 GREENE, JEROME, DDS Young Family and Cosmetic Dentistr 7400 E Arapahoe Rd Ste 200 Centennial, CO 80112 (303)759-9535 HAMILTON, JEFFREY, DDS DMD Comfort Dental Parker Road 15250 E Orchard Rd Centennial, CO 80016 (303) 680-9990 HOEFT, PAUL, DDS 6690 S Broadway Centennial, CO 80121 (303)794-6339 ISAACS, CHRISTINE, DDS Hawaii DDS PC 8170 S University Blvd Ste 240 Centennial, CO 80122 (303) 770-1106 JONES, KRISTIN, DDS Perfect Teeth Arapahoe PC 7600 E Arapahoe Rd Ste 311 Centennial, CO 80112 (303) 773-2273 LAMPERT, JODI, DDS 8120 S Holly St Ste 116 Centennial, CO 80122 (303)779-8848 LOGAN,SARA,DDS Perfect Teeth S Holly St PC 8211 S Holly St Centennial, CO 80122 (303) 290-6006 Delta Dental PPO MASTERSON, TIMOTHY, DDS 8120 S Holly St Ste 208 Centennial, CO 80122 (303)770-2254 MEYER,SARAH,DDS 6650 S Vine St Ste 240 Centennial, CO 80121 (303)794-2456 MILLWARD, MICHAEL, DDS Comfort Dental Parker Road 15250 E Orchard Rd Centennial, CO 80016 (303) 680-9990 MILUSHEV, METODI, DDS DMD Orchard Dental PC 7180 E Orchard Rd Ste 304 Centennial, CO 80111 (303)741-9949 MINNIS, ROBERT, DDS 6950 S Holly Cir Ste 202 Centennial, CO 80112 (303) 770-2252 MYERS,SERE 14100 E Arapahoe Rd Ste 310 Centennial, CO 80112 (303)699-5804 NELSON, RUTH, DDS DR Perfect Teeth S Holly St PC 8211 S Holly St Centennial, CO 80122 (303) 290-6006 NICOLOSI, PATRICIA, DDS PC 5161 E Arapahoe Rd Ste 310 Centennial, CO 80122 (720) 488-1388 NIELSEN, KURT, DDS Holly Dental Associates LLC 8010 S Holly St Ste 100 Centennial, CO 80122 (303)694-6400 OLSON, RICHLUND, DDS 6930 S University Blvd Ste 204 Centennial, CO 80122 (303) 741-4600 PEPPLER, MICHAEL, DDS DMD 1 st Choice Dental 6979 S Holly Cir Ste 230 Centennial, CO 80112 (303) 221-2250 ROBINSON, T Comfort Kids 4121 E County Line Rd Centennial, CO 80122 (303) 220-0550 SCHOLES, LANDIS, DDS Holly Dental Associates LLC 8010 S Holly St Ste 100 Centennial, CO 80122 (303)694-6400 SHORT, YOLANDA, DMD Centennial Childrens Dental PC 14100 E Arapahoe Rd Ste 211 Centennial, CO 80112 (303)627-8300 SIMS, ALAN, DDS 7180 E Orchard Rd Ste 309 Centennial, CO 80111 (303) 290-8833 SVOBODA, BRIAN, DDS Perfect Teeth Arapahoe PC 7600 E Arapahoe Rd Ste 311 Centennial, CO 80112 (303)773-2273 VANICEK, PETER, DDS 6979 S Holly Cir Ste 225 Centennial, CO 80112 (303)779-1305 WEBB, MICHAEL Comfort Kids 4121 E County Line Rd Centennial, CO 80122 (303)220-0550 WEIR, FRANK, DDS Perfect Teeth Smoky Hill PC 20269 E Smoky Hill Rd Unit H Centennial, CO 80015 (303) 617-5730 WILSTED, NEAL, DDS 7920 S University Blvd Ste 200 Centennial, CO 80122 (720)489-0797 YOUNG, KATHLEEN, DDS Young Family and Cosmetic Dentistr 7400 E Arapahoe Rd Ste 200 Centennial, CO 80112 (303)759-9535 ORAL SURGEON CATALANO, JOSEPH, DDS MD Aurora Oral and Max Surgeons 14100 E Arapahoe Rd Ste 160 Centennial, CO 80112 (303)400-4380 FLOYD, CARLTON, DDS MS 20971 E Smoky Hill Rd Ste 201 Centennial, CO 80015 (720)870-1451 KEOGH, BARRY, DDS MD Aurora Oral and Max Surgeons 14100 E Arapahoe Rd Ste 160 Centennial, CO 80112 (303) 400-4380 LESSIG, JAMES, DDS Advanced Oral and Max Surgery 9094 E Mineral Cir Ste 260 Centennial, CO 80112 (303)768-8570 MICHALIK, THOMAS, DDS MD DMD Advanced Oral and Max Surgery 9094 E Mineral Cir Ste 260 Centennial, CO 80112 (303)768-8570 SHULTZ, BRANDON, DDS PC 15250 E Orchard Rd Centennial, CO 80016 (303) 690-5037 STEARNS, JEFFREY, MD DMD PC 7180 E Orchard Rd Ste 300 Centennial, CO 80111 (303)740-9772 STEH, DENNIS, DDS Oral and Maxillofacial Surgery 7180 E Orchard Rd Ste 300 Centennial, CO 80111 (303)740-9772 Centennial Colorado TANNYHILL, RICHARD, DDS MD R John Tannyhill III MD PC 14000 E Arapahoe Rd Ste 320 Centennial, CO 80112 (303) 493-1933 WEIDEMAN, EDWARD, MD DMD Advanced Oral and Max Surgery 9094 E Mineral Cir Ste 260 Centennial, CO 80112 (303)768-8570 WENNOGLE, CHARLES, DDS 6650 S Vine St Ste 250 Centennial, CO 80121 (303)649-1919 rvar:c•�•z•�arr��r BAHR, CARL, DDS DMD Comfort Dental Braces South 4121 E County Line Rd Centennial, CO 80122 (303)220-0550 BAHR, CRAIG, DDS DMD Comfort Dental Braces South 4121 E County Line Rd Centennial, CO 80122 (303)220-0550 CASSIDY, MARK, DDS DMD 6979 S Holly Cir Ste 280 Centennial, CO 80112 (303)779-1977 ELTON, ROGER, DDS MS 5657 S Himalaya St Ste 110 Centennial, CO 80015 (303)364-6433 GOLD, DAVID, DDS PC 9025 E Mineral Cir Ste 100 Centennial, CO 80112 (303)792-0345 LINDSEY, GREGG, DDS 7200 E Dry Creek Rd Ste At 05 Centennial, CO 80112 (303)770-1453 NIELSON, KIRK, DDS Advanced Orthodontics 16756 E Smoky Hill Rd Centennial, CO 80015 (303)690-2200 OHMART, SCOTT, DDS 7960 S University Blvd Ste 100 Centennial, CO 80122 (303)713-1950 PEDODONTIST SAVAGE,BRYAN,DDS 15454 E Orchard Rd Centennial, CO 80016 (303)422-3746 WEISENFELD, ANDREW, DDS PC Centennial Childrens Dental PC 14100 E Arapahoe Rd Ste 211 Centennial, CO 80112 (303)627-8300 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Center Delta Dental PPO Colorado Springs Colorado Colorado COLORADO (CONT-D) CENTER GENERAL DENTIST VALLEY WIDE HEALTH SERVI CHC Valley Wide Health Services 220 S Worth St Center, CO 81125 (719)784-3594 COLORADO SPGS GENERAL DENTIST CAMPBELL, MONTE, DDS Dr Monte Campbell and Associates 7730 N Union Blvd Ste 101 Colorado Spgs, CO 80920 (719)597-1630 COLORADO SPRINGS ENDODONTIST CORR, ROBERT, DDS Professionals In Dentistry LLC 513 Kiva Rd Colorado Springs, CO 80911 (719)392-5300 Apex Endodontics 8580 Scarborough Dr Ste 200 Colorado Springs, CO 80920 (719) 282-6600 EVELAND, WILLIAM, DMD Peak Endodontics PC 2435 Research Pkwy Ste 250 Colorado Springs, CO 80920 (719)487-9075 MCCARTY, DAVID, DDS DMD Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 MCCARTY, DAVID, DMD Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719)635-2807 GENERAL DENTIST ALURU, SUSMITHA, DMD Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 ANDERSON, BRIAN, DDS Comfort Dntl Citadel Crossing 509 N Academy Blvd Colorado Springs, CO 80909 (719) 591-7599 ANDERSON, JACKSON, DDS 6459 Omaha Blvd Colorado Springs, CO 80915 (719)597-9057 ARNOLD, JULIA, DDS Interquest Dental Group 1310 United Hts Ste 220 Colorado Springs, CO 80921 (719) 266-5150 BAER, DAVID Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719) 576-3276 BAER, DAVID, DDS Stafford Dental Group 559 E Pikes Peak Ave Ste 208 Colorado Springs, CO 80903 (719)636-3311 BARDS, RAYMOND, DDS Professionals In Dentistry LLC 513 Kiva Rd Colorado Springs, CO 80911 (719) 392-5300 BARRETO, NELLY, DDS DMD Perfect Teeth Powers PC 5929 Constitution Ave Colorado Springs, CO 80915 (719) 638-1986 BASHI, VAHID, DDS Best Care Dental PC 6425 Wall St Colorado Springs, CO 80918 (719)528-8292 BAUMGARDNER, THOMAS, DDS DMD Briargate Dental Center 7750 N Union Blvd Ste 101 Colorado Springs, CO 80920 (719) 598-1293 BEASLEY, MICHAEL, DDS Southern Cross Dental 1855 S Nevada Ave Colorado Springs, CO 80905 (719) 471-1717 BENNING, BRIAN, DDS Vanness and Lanzisera PC 5925 Lehman Dr Colorado Springs, CO 80918 (719) 598-6966 BERTSCH, WILLIAM, DDS Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 BRADLEY,KATHLEEN,DDS Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 BRIDGEMAN, HAROLD, DDS Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719) 597-9737 BROEKER, CURTIS, DDS Jade Dental Professionals 6020 Erin Park Dr Ste B Colorado Springs, CO 80918 (719) 266-9393 BRONES, COLLIN, DDS Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719)597-9737 BROWER, KATHLEEN, DDS Jade Dental Professionals 6020 Erin Park Dr Ste B Colorado Springs, CO 80918 (719)266-9393 Jade Dental Professionals 703 N Tejon St Ste A Colorado Springs, CO 80903 (719) 633-0770 BUHRMANN, SCOTT, DDS 655 Southpointe Ct Ste 101 Colorado Springs, CO 80906 (719)576-1355 BULLEN, BENJAMIN, DDS Gleneagle Dental 15455 Gleneagle Dr Ste 110 Colorado Springs, CO 80921 (719) 488-2222 BULLOCK, JEREMY, DDS DMD Comfort Dental Austin Bluffs 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719)591-1811 CALDERWOOD, CODY, DDS Center For Family and Cosmetic DEN 1714 N Circle Dr Colorado Springs, CO 80909 (719) 632-6001 CALDWELL, JAY, DDS 1711 N Murray Blvd Ste A Colorado Springs, CO 80915 (719)574-3240 CAMERINO, ANGELO, DDS North Summit Dental Care 1720 Jet Stream Dr Ste 110 Colorado Springs, CO 80921 (719)481-8373 Centennial Dental Care 5731 Silverstone Ter Ste 200 Colorado Springs, CO 80919 (719) 632-7778 CAMERINO, CAROLYN, DDS Centennial Dental Care 5731 Silverstone Ter Ste 200 Colorado Springs, CO 80919 (719) 632-7778 CARTER, STEVEN, DDS Comfort Dental of North Academy 1634 York Rd Colorado Springs, CO 80918 (719) 522-0800 Comfort Dental Austin Bluffs 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719)591-1811 Comfort Dntl Citadel Crossing 509 N Academy Blvd. Colorado Springs, CO 80909 (719)591-7599 CASTILLO, STEVEN, DDS Castillo Dental Associates PC 1910 Vindicator Dr Ste 103 Colorado Springs, CO 80919 (719) 268-9030 Deer Creek Dental 425 W Rockrimmon Blvd Ste 201 Colorado Springs, CO 80919 (719)593-1053 CHOE, CHIYON, DDS Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 CHRISTIANSEN, RICHARD, DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719)633-8455 CONNOLLY, MARY Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 CRISLER, STEVEN, DDS DMD Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719)597-9737 CULLUM, ARNOLD, DDS Lowell District Dental 251 E Fountain Blvd Unit 100 Colorado Springs, CO 80903 (719) 591-2004 CUTLER, RICHARD, DDS 6165 Lehman Dr Ste 100 Colorado Springs, CO 80918 (719)536-0599 DASILVA, RICARDO Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 DAVIES, KRISTI, DDS Norma M Longo DMD PC 15435 Gleneagle Dr Ste 200 Colorado Springs, CO 80921 (719) 481-6788 DIAL, DUSTIN, DDS DMD Comfort Dental North Powers 6076 Stetson Hills Blvd Colorado Springs, CO 80923 (719) 637-2079 DRURY, ROBERT, DDS Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 DURBIN, CHARLES, DDS PC 413 Security Blvd Ste A Colorado Springs, CO 80911 (719)392-3389 EGBERT, HANS, DDS Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 Cordera Family Dentistry 9235 N Union Blvd Ste 170 Colorado Springs, CO 80920 (719)494-2865 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. • July 2009 10 • • • Colorado Springs Colorado COLORADO (CONT-D) ENEA,STEVEN,DDS 1975 Dominion Way Ste 100 Colorado Springs, CO 80918 (719)388-8700 EVANS, DOUGLAS, DDS MS 7560 Rangewood Dr Ste 310 Colorado Springs, CO 80920 (719)388-1818 FLEMING, JOHN, DDS DMD Perfect Teeth Cheyenne Meadows P 827 Cheyenne Meadows Rd Colorado Springs, CO 80906 (719)579-8799 FRISBIE, KENT, DDS Frisbie Family Dentistry 8540 Scarborough Dr Ste 350 Colorado Springs, CO 80920 (719)282-6636 GEORGE, MARK Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 GLUECKERT,MYLENE,Dos Audubon Dental PC 2960 N Circle Dr Ste 105 Colorado Springs, CO 80909 (719) 597-6300 GORSKY, MICHAEL, DDS PC 2965 Broadmoor Valley Rd Colorado Springs, CO 80906 (719)632-7636 GOULD, STEVEN, DDS Academy Kids Dental Center 2436 S Academy Blvd Colorado Springs, CO 80916 (719) 391-2336 GRANT, JAMES, DDS Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719) 576-3276 GUERRA, CATHERINE, DDS Perfect Teeth Uinta Gardens PC 1768 W Uintah St Colorado Springs, CO 80904 (719)632-8006 HALL, DWAYNE, DDS 5944 Stetson Hills Blvd Ste 100 Colorado Springs, CO 80923 (719)638-2260 HAMIDI, MARIAM, DDS DMD 5780 N Carefree Cir Colorado Springs, CO 80917 (719)597-9737 HANDELMAN, RICHARD, DDS Blue Mesa Citadel Dental PC 825 Citadel Dr E Ste 200 Colorado Springs, CO 80909 (719) 380-7100 Delta Dental PPO HANSEN,MATTHEW,DDS High Point Dental 3030 N Circle Dr Ste 211 Colorado Springs, CO 80909 (719) 471-8111 HASSELBACK, CHRISTOPHER, DDS Comfort Dental of North Academy 1634 York Rd Colorado Springs, CO 80918 (719)522-0800 HENNEGAN, PAUL, DDS Bright Now Dental 3208 N Academy Blvd Ste 140 Colorado Springs, CO 80917 (719) 596-7000 HICKENLOOPER, GARY, DDS Rangewood Dental 3755 Briargate Blvd Ste 200 Colorado Springs, CO 80920 (719) 632-2952 HILL, ANNA, DDS 6685 Delmonico Dr Ste A Colorado Springs, CO 80919 (719) 535-8049 HORN, GARY, DDS 320 E Fontanero St Ste 302 Colorado Springs, CO 80907 (719) 634-4805 JENSON, COLLEEN, DDS DMD Jade Dental Professionals 703 N Tejon St Ste A Colorado Springs, CO 80903 (719)633-0770 JONES, NATALIE, DDS Comfort Dental of North Academy 1634 York Rd Colorado Springs, CO 80918 (719) 522-0800 KALHORN, JIM, DDS Leopoldo Rodriguez DDS LLC 1304 N Academy Blvd Ste 104 Colorado Springs, CO 80909 (719) 596-3939 KHALIL, TARA, DDS Perfect Teeth Woodman Valley PC 6914 N Academy Blvd Ste 1 B Colorado Springs, CO 80918 (719) 266-9868 KIDS IN NEED OF DENTISTR 825 E Pikes Peak Ave Ste 1 Colorado Springs, CO 80903 (303) 733-3710 KINGSFORD, DANIEL, DDS Comfort Dental Austin Bluffs 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719) 591-1811 KLEIN, JOEL, DDS 3123 W Colorado Ave Colorado Springs, CO 80904 (719) 475-1715 KODITEK, EDWARD, DDS Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 KOLZ, ARLENE, DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719)635-2807 Perfect Teeth Uinta Gardens PC 1768 W Uintah St Colorado Springs, CO 80904 (719)632-8006 Perfect Teeth Cheyenne Meadows P 827 Cheyenne Meadows Rd Colorado Springs, CO 80906 (719) 579-8799 KRUM,NELSON,DDS Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719)574-7288 Prominent Point Dental Group and O 9625 Prominent Pt Ste 100 Colorado Springs, CO 80924 (719) 495-5748 LANZISERA, PAUL, DDS DMD Vanness and Lanzisera PC 5925 Lehman Dr Colorado Springs, CO 80918 (719) 598-6966 LAYCOCK, STEPHEN, Dos Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 LEVASSEUR, DENNIS, DDS 6375 Lehman Dr Ste 200 Colorado Springs, CO 80918 (719)593-9182 LIONTAS, CHRISTOPHER Jade Dental Professionals 6020 Erin Park Dr Ste B Colorado Springs, CO 80918 (719)266-9393 Jade Dental Professionals 703 N Tejon St Ste A Colorado Springs, CO 80903 (719) 633-0770 LIONTAS, CHRISTOPHER, DDS Stafford Dental Group 559 E Pikes Peak Ave Ste 208 Colorado Springs, CO 80903 (719)636-3311 LOEWEN,REBECCA Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 LOGELIN, MICHAEL Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 LONGO, NORMA, DDS DMD 15435 Gleneagle Dr Ste 200 Colorado Springs, CO 80921 (719) 481-6788 LOOK, KIM, DDS 1885 S Academy Blvd Colorado Springs, CO 80916 (719)392-3448 Colorado Springs Colorado LOVATO,MATTHEW,DDS 761 Garden Of The Gods Rd Colorado Springs, CO 80907 (719)598-0117 LOVEJOY, CHRISTIAN, DMD Comfort Dental North Powers 6076 Stetson Hills Blvd Colorado Springs, CO 80923 (719)637-2079 LOVEJOY,PETER,DDS Comfort Dental of North Academy 1634 York Rd Colorado Springs, CO 80918 (719)522-0800 LUCERO, ORLANDO, DDS PC 1855 Austin Bluffs Pkwy Ste A Colorado Springs, CO 80918 (719)599-5980 MALIVUK, MICHAEL, DDS Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719) 597-9737 MANTANONA, CLARISA, DDS Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 MASSEY, BRITNY, DDS Cheyenne Mountain Childrens Dent 6514 S Academy Blvd Colorado Springs, CO 80906 (719)442-1960 Ann Hill Dental Services PC 6685 Delmonico Dr Ste A Colorado Springs, CO 80919 (719)535-8049 MATTHES, JON, DDS Southern Cross Dental 1855 S Nevada Ave Colorado Springs, CO 80905 (719)471-1717 MAZZOLA, CHRISTOPHER Nicolas Roger Pruett 830 Tenderfoot Hill Rd Ste 210 Colorado Springs, CO 80906 (719)576-5566 MCINTYRE, PETER, DDS 5925 Lehman Dr Ste 3 Colorado Springs, CO 80918 (719) 475-2511 MCLARTY, FORNEY, DDS 4020 Palmer Park Blvd Colorado Springs, CO 80909 (719)596-4013 MILLER, ANDREW, DDS PC Center For Family and Cosmetic DEN 1714 N Circle Dr Colorado Springs, CO 80909 (719)632-6001 MILLER, JAMISON, DDS DMD Comfort Dental North Powers 6076 Stetson Hills Blvd Colorado Springs, CO 80923 (719)637-2079 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 Colorado Springs Delta Dental PPO Colorado Springs Colorado Colorado COLORADO (CONT-D) MONTANEZ, MARIO, DDS Academy Kids Dental Center 2436 S Academy Blvd Colorado Springs, CO 80916 (719) 391-2336 MONTANO, MELISSA, DDS Academy Kids Dental Center 2436 S Academy Blvd Colorado Springs, CO 80916 (719)391-2336 MONTANO, RONALD, DDS Academy Kids Dental Center 2436 S Academy Blvd Colorado Springs, CO 80916 (719)391-2336 MORRISSEY, DONALD, DDS DMD Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719)597-9737 MULHERAN, THOMAS, DDS Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719)574-7288 MUSOLF, MELISSA, DDS Musolf Dental Center 6140 Tutt Blvd Ste 150 Colorado Springs, CO 80923 (719)622-9200 MUTCHLER, RICHARD, DDS PC 202 E Cheyenne Mountain Blvd Ste E Colorado Springs, CO 80906 (719)576-6551 NEEL, JANET, DDS Professionals In Dentistry LLC 513 Kiva Rd Colorado Springs, CO 80911 (719)392-5300 NGUYEN,QUYNH Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 OLSEN, LONNIE, DDS 3612 Galley Rd Ste D Colorado Springs, CO 80909 (719) 596-7716 OLSON, DWIGHT, DDS DMD Comfort Dental North Powers 6076 Stetson Hills Blvd Colorado Springs, CO 80923 (719)637-2079 PARK, WONPYO, DDS 6165 Lehman Dr Ste 100 Colorado Springs, CO 80918 (719) 536-0599 PATTON, NOEL, DDS DMD Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 PAYNE, RANDALL(RANDY), DDS Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 Perfect Teeth Powers PC 5929 Constitution Ave Colorado Springs, CO 80915 (719)638-1986 Perfect Teeth Woodman Valley PC 6914 N Academy Blvd Ste 1 B Colorado Springs, CO 80918 (719)266-9868 PEAK VISTA COMMUNITY HEA Peak Vista Community Health Cent 2828 International Cir Colorado Springs, CO 80910 (719) 475-0783 PEAK, DOUGLAS, DDS All Smiles Family Dentistry 3715 Bloomington St Ste 160 Colorado Springs, CO 80922 (719) 599-0665 PODRATZ, ADAM, DDS West One Family Dental 1104 W Colorado Ave Colorado Springs, CO 80904 (719) 633-8766 PROBST, SCOTT, DDS Comfort Dntl Citadel Crossing 509 N Academy Blvd Colorado Springs, CO 80909 (719) 591-7599 PROBST, TRAVIS, DDS Comfort Dntl Citadel Crossing 509 N Academy Blvd Colorado Springs, CO 80909 (719) 591-7599 PRUETT, NICOLAS, DDS 830 Tenderfoot Hill Rd Ste 210 Colorado Springs, CO 80906 (719) 576-5566 RAHIMPOUR, NAVID, DDS Southern Cross Dental 1855 S Nevada Ave Colorado Springs, CO 80905 (719) 471-1717 READ,TERRY,DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 Perfect Teeth Garden Gods PC 4329 Centennial Blvd Colorado Springs, CO 80907 (719)592-1600 Perfect Teeth Woodman Valley PC 6914 N Academy Blvd Ste 1 B Colorado Springs, CO 80918 (719) 266-9868 RECK, DIANE, DDS PC 7560 Rangewood Dr Ste 220 Colorado Springs, CO 80920 (719) 266-4848 RECK,STEVEN 7310 Rangewood Dr Ste 100 Colorado Springs, CO 80918 (719) 534-9600 REINICKE, MARK, DDS PC 1539 S 8th St Ste 101 Colorado Springs, CO 80905 (719)634-5864 RODGERS, CHARLES, DDS Prominent Point Dental Group and O 9625 Prominent Pt Ste 100 Colorado Springs, CO 80924 (719)495-5748 SOSDIAN, STEPHEN, DDS Uptown Dental Associates 523 N Nevada Ave Colorado Springs, CO 80903 (719)635-5815 SPAETH, OLIVER, DDS Broadmoor Valley Dental Care PC 2965 Broadmoor Valley Rd Colorado Springs, CO 80906 (719)632-7636 RODRIGUEZ, LEOPOLDO, DDS SPICCIATI, LOUIS, DDS 1304 N Academy Blvd Ste 104 3233 W Carefree Cir Colorado Springs, CO 80909 Colorado Springs, CO 80917 (719)596-3939 (719)597-2400 Erindale Dental LLC 6020 Erin Park Dr Ste B Colorado Springs, CO 80918 (719)266-9393 RODRIGUEZ, PAUL Jade Dental Professionals 6020 Erin Park Dr Ste B Colorado Springs, CO 80918 (719)266-9393 RODRIGUEZ, PAUL, DDS Jade Dental Professionals 703 N Tejon St Ste D Colorado Springs, CO 80903 (719)633-5501 ROHLEDER, JULIA, DMD 105 N Tejon St Colorado Springs, CO 80903 (719)260-0216 RONCO, RONALD, DDS DMD Cheyenne Mountain Dental Group 3605 Star Ranch Rd Colorado Springs, CO 80906 (719)576-3276 ROYAL, JOHN, DDS Alliance Family Dentistry PC 6140 Tutt Blvd Ste 140 Colorado Springs, CO 80923 (719) 955-4023 RUSH,LARRY,DDS 2620 Tenderfoot Hill St Ste 210 Colorado Springs, CO 80906 (719)597-7979 RYGG, PAUL, DDS Jade Dental Professionals 703 N Tejon St Ste A Colorado Springs, CO 80903 (719) 633-0770 SHORT, HOWARD, DDS DMD 5739 Constitution Ave Colorado Springs, CO 80915 (719) 574-7631 SLACK, THOMAS, DDS 2504 E Pikes Peak Ave Ste 201 Colorado Springs, CO 80909 (719)392-8596 SMITH, PAUL, DDS Powers Dental Group LLP 5780 N Carefree Cir Ste A Colorado Springs, CO 80917 (719)597-9737 SOSDIAN, QUYNH-DUNG, DDS Uptown Dental Associates 523 N Nevada Ave Colorado Springs, CO 80903 (719) 635-5815 STOOR, MICHAEL, DDS Comfort Dntl Citadel Crossing 509 N Academy Blvd Colorado Springs, CO 80909 (719)591-7599 TALBOT, BRETT, DDS DMD Comfort Dental Austin Bluffs 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719) 591-1811 THOMAS, ABRAHAM, DDS DMD 5426 N Academy Blvd Ste 202 Colorado Springs, CO 80918 (719)266-5420 THOMPSON, GLENN, DDS DMD 1711 N Murray Blvd Colorado Springs, CO 80915 (719)574-8877 TIAO, KATIE Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 TILLOTSON, EVAN, DDS Crossroads Family Dentistry 1711 N Murray Blvd Colorado Springs, CO 80915 (719)596-3481 VERMA, DEEPALI, DDS Verma Cosmetic and Family Dentistr 511 Security Blvd Colorado Springs, CO 80911 (719)393-1600 VOSTATEK,SEAN Simply Kids Dental 1910 Vindicator Dr Ste 103 Colorado Springs, CO 80919 (719)598-5437 WAHL, MICHAEL, DDS West One Family Dental 1104 W Colorado Ave Colorado Springs, CO 80904 (719)633-8766 WEBB, DAVID, DDS 1911 Lelaray St Ste 1 Colorado Springs, CO 80909 (719)633-7774 WEENIG, VAL, DDS 5010 El Camino Dr Ste B Colorado Springs, CO 80918 (719) 599-7453 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies ana rarticipaung Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 16 11K • Colorado Springs Colorado COLORADO (CONT-D) WIEDEY, RICHARD, DDS 1819 N Circle Dr Ste 6 Colorado Springs, CO 80909 (719)520-5884 WOODS, JOSEPH, DDS DMD Blue Mesa Citadel Dental PC 825 Citadel Dr E Ste 200 Colorado Springs, CO 80909 (719)380-7100 YOUNG, MATTHEW Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719)442-0071 ORAL SURGEON BANDROWSKY, TIMOTHY, DDS Oms Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719) 599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719) 599-0500 BERWICK, JAMES, DDS Affiliates In Oral and Max Surgery 3100 N Academy Blvd Ste 213 Colorado Springs, CO 80917 (719) 597-4060 BORRIS, THOMAS, DDS 6140 Tutt Blvd Ste 140 Colorado Springs, CO 80923 (719)650-9269 COLM, STEPHEN, DMD Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719)574-7288 D ADDARIO, MATTHEW Oms Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719)599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719)599-0500 FACY,REBECCA,DDS Oms Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719)599-0500 Associates In Maxillofac and Oral Surg .595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719)599-0500 HARPER,CLAYTON,DDS Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719)574-7288 Delta Dental PPO HONG, DOUGLAS, MD DMD Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 HULL, DONALD Oms Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719)599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719) 599-0500 MADLOCK, PAUL, DDS DMD Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719) 574-7288 NASSIMBENE, LEO, DDS Oms Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719)599-0500 NASSIMBENE, LEO, DDS MD DMD Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719) 599-0500 ONSTAD, MICHAEL, DDS Oms Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719) 599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719)599-0500 QUIST, RHETT, DDS Affiliates In Oral and Max Surgery 3100 N Academy Blvd Ste 213 Colorado Springs, CO 80917 (719)597-4060 Advanced Oral and Maxillofacial Su 6160 Tutt Blvd Ste 250 Colorado Springs, CO 80923 (719) 359-8652 Bright Now Dental 701 Citadel Or E Colorado Springs, CO 80909 (719) 574-7288 RENEHAN, BRADLEY, DDS MD Colorado Surgical Clinic PC 640 Southpointe Ct Ste 150 Colorado Springs, CO 80906 (719)540-6350 SALVO,JOSEPH,DDS Oms Associates Colorado PC 2222 N Nevada Ave Ste 5009 Colorado Springs, CO 80907 (719) 599-0500 Associates In Maxillofac and Oral Surg 595 Chapel Hills Dr Ste 300 Colorado Springs, CO 80920 (719)599-0500 ORTHODONTIST ARANGO, JOSE, DDS MS Front Range Ortho Specialists 4731 Opus Rd Ste A Colorado Springs, CO 80906 (719)579-9773 BAHR, CARL, DMD Comfort Dental Braces 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719)622-1225 BAHR, CRAIG, DMD Comfort Dental Braces 3952 N Academy Blvd Ste A Colorado Springs, CO 80917 (719) 622-1225 BAILEY, JOHN, DDS Bailey Orthodontics 15455 Gleneagle Dr Ste 110 Colorado Springs, CO 80921 (719) 598-2800 BAILEY, JOHN, DDS MS Bailey Orthodontics 6685 Delmonico Dr Ste B Colorado Springs, CO 80919 (719)598-2800 FOY, MICHAEL, DDS 7560 Rangewood Dr Ste 100 Colorado Springs, CO 80920 (719)597-6800 FRANZ,KAREN,DDS Bright Now Dental 3208 N Academy Blvd Ste 140 Colorado Springs, CO 80917 (719)596-7000 IDICULLA, ANIL, DDS DMD Bright Now Dental 3208 N Academy Blvd Ste 140 Colorado Springs, CO 80917 (719)596-7000 Bright Now Dental 701 Citadel Dr E Colorado Springs, CO 80909 (719)574-7288 JOHNSON, WARREN, DDS Johnson Orthodontics PC 13784 Gleneagle Dr Colorado Springs, CO 80921 (719)572-5150 JOHNSON, WARREN, DDS MS Johnson Orthodontics PC 2190 Academy Cir Colorado Springs, CO 80909 (719)596-3081 MESSINGHAM, JASON, DDS Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719)260-6093 MESSINGHAM, JASON, DDS MS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719)635-2807 Colorado Springs Colorado MORRISON, MICHAEL, DDS 703 N Tejon St Ste E Colorado Springs, CO 80903 (719) 635-9610 ORDAHL, JOHN, DDS DMD 1711 N Murray Blvd Colorado Springs, CO 80915 (719)596-3098 ROTH, JUSTIN, DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 Perfect Teeth Powers PC 5929 Constitution Ave Colorado Springs, CO 80915 (719) 638-1986 SCHROEDER, DAVID, DDS Apple Orthodontix 1694 E Cheyenne Mountain Blvd Colorado Springs, CO 80906 (719) 538-4671 SKELTON, THOMAS, DDS 8540 Scarborough Dr Ste 250 Colorado Springs, CO 80920 (719)487-9303 SUTER, SCOTT, DDS MS 3100 N Academy Blvd Ste 200 Colorado Springs, CO 80917 (719)550-0222 TALOUMIS, LOUIS, DDS Apple Orthodontix 1694 E Cheyenne Mountain Blvd Colorado Springs, CO 80906 (719) 538-4671 TALOUMIS, LOUIS, DDS DMD All Smiles Orthodontix 3715 Bloomington St Ste 160 Colorado Springs, CO 80922 (719)599-0665 TERRY, BANGORN, DMD Smiles For Colorado Orthodontics 1539 S 8th St Ste 200 Colorado Springs, CO 80905 (719) 227-7645 PEDODONTIST ELLIS, RANDALL, DDS Small Smiles 2859 E Fountain Blvd Colorado Springs, CO 80910 (719) 442-0071 ERICKSON, JOSHUA, DDS Erickson Pediatric Dentistry and 0 8580 Scarborough Dr Ste 220 Colorado Springs, CO 80920 (719)282-6666 HAMAN, MICHELLE, DDS 6725 Rangewood Dr Colorado Springs, CO 80918 (719)596-6920 MANI, ARCHANA, DDS DMD Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719)635-2807 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 13 Colorado Springs Delta Dental PPO Denver Colorado Colorado COLORADO (CONT-D) Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 MONAK,EDMUND Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 SIERK, JONATHAN, DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719)635-2807 PERIODONTIST DEGEARE,DANNY,DDS 1819 N Circle Dr Ste 5 Colorado Springs, CO 80909 (719) 473-9277 FITZPATRICK, BRIAN, DDS DMD 320 E Fontanero St Ste 307 Colorado Springs, CO 80907 (719) 475-9023 GURINSKY, BRIAN, DDS Bright Now Dental 3208 N Academy Blvd Ste 140 Colorado Springs, CO 80917 (719)596-7000 MODARRESSI, MARMAR, DDS Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719) 260-6093 REICH, GREGORY, DDS 1975 Research Pkwy Ste 305 Colorado Springs, CO 80920 (719)339-2562 RICHARDSON, HEATHER, DMD Perfect Teeth So 8th St PC 1050 S 8th St Colorado Springs, CO 80905 (719) 635-2807 Perfect Teeth Union Academy PC 5050 N Academy Blvd Colorado Springs, CO 80918 (719)260-6093 PROSTHODONTIST DRAPER, SCOTT, DDS Pikes Peak Prosthodontics 1155 Kelly Johnson Blvd Ste 210 Colorado Springs, CO 80920 (719)532-1007 COMMERCE CITY GENERAL DENTIST EAMES, OWEN, DDS Comfort Dental of Commerce City 7201 Monaco St Commerce City, CO 80022 (303) 287-2755 KARLA, MARK, DDS DMD Commerce City Family Dental PLLC 4972 E 62nd Ave Unit B1 Commerce City, CO 80022 (303) 288-4969 KIDS IN NEED OF DENTISTR 4210 E 72nd Ave Commerce City, CO 80022 (303)733-3710 LOVELAND, DOUGLAS, DDS Reunion Dental Care 18240 E 104th Ave Unit 201 Commerce City, CO 80022 (303)928-7838 PORTER, NICOLAS, DDS Comfort Dental of Commerce City 7201 Monaco St Commerce City, CO 80022 (303) 287-2755 RODGERS, JAMES, DDS 7230 Locust St Commerce City, CO 80022 (303) 289-2831 ROSSOW, ERIC, DDS Reunion Dental Care 18240 E 104th Ave Unit 201 Commerce City, CO 80022 (303) 928-7838 SAUNDERS, RYAN, DDS North Range Family Dentistry 15550 E 103rd PI Unit 110 Commerce City, CO 80022 (303) 443-2900 WARNER, HOMER, DDS Comfort Dental of Commerce City 7201 Monaco St Commerce City, CO 80022 (303) 287-2755 WILLIS, LAWRENCE 6537 E 72nd PI Commerce City, CO 80022 (303)288-6877 CONIFER GENERAL DENTIST BLASKO, JACQUELINE, DDS DMD Comfort Dental Conifer 25597 Conifer Rd Unit 100 Conifer, CO 80433 (303)838-2811 HIGUCHI, CHRISTOPHER, DDS 26267 Conifer Rd Ste 101 Conifer, CO 80433 (303)816-9411 SEIFERT, TENIEL, DDS DMD Comfort Dental Conifer 25597 Conifer Rd Unit 100 Conifer, CO 80433 (303)838-2811 WORKMAN, RYAN, DDS Comfort Dental Conifer 25597 Conifer Rd Unit 100 Conifer, CO 80433 (303) 838-2811 ORTHODONTIST BOBAK,VOYTEK,DMD 26697 Pleasant Park Rd Ste B Conifer, CO 80433 (303)816-5239 WILLIAMS, BRYAN, DDS Williams Orthodontics PLLC 26267 Conifer Rd Ste 101 Conifer, CO 80433 (303)670-5878 CORTEZ GENERAL DENTIST OLSEN, BRIAN Cortez Dental Care 101 S Maple St Ste B Cortez, CO 81321 (970)565-1800 CRIPPLE CREEK GENERAL DENTIST STERLING, KEVIN, DDS 1101 Teller County Rd 1 Cripple Creek, CO 80813 (719)689-3565 DENVER ENDODONTIST AVERBACH, ROBERT, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303)321-7930 BALTZ, KATHLEEN, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303)321-7930 BALTZ, KATHLEEN, DDS MS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 FAGER, FRANK, DDS 3545 S Tamarac Dr Ste 220 Denver, CO 80237 (303) 770-8141 GALLEGO-CUBILLOS, SONIA Metropolitan Dental Care PC 1400 Glenarm PI Rm 200 Denver, CO 80202 (303) 534-2626 SE Denver Dental Associates PC 2660 S Monaco Pkwy Ste A Denver, CO 80222 (303) 757-7175 HAHN, CHRISTOPHER, DDS MS PC 3545 S Tamarac Dr Ste 220 Denver, CO 80237 (303)770-8141 JOSTES, JAMES, DDS Comfort Dental Cherry Creek 201 University Blvd Ste 101 Denver, CO 80206 (303)321-2233 JULTAK, JED, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303)321-7930 LOWRY, SCOTT, DDS Comfort Dental Cherry Creek 201 University Blvd Ste 101 Denver, CO 80206 (303)321-2233 MALONEY, SCOTT, DDS DMD Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303)321-7930 MORRISON, ALISON, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303) 321-7930 PANGBORN, CAMERON, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303)321-7930 SACHS, ELLEN, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303) 321-7930 SAFER, DONALD, DDS Endodontics of Cherry Creek and DT 155 Cook St Ste 301 Denver, CO 80206 (303) 321-7930 GENERAL DENTIST ADAMS, JOHN, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303)455-2273 ALFORD, ANNETTE, DMD University Dental Arts PC 910 16th St Ste 700 Denver, CO 80202 (303)534-7797 ANDERSON, ROBERT, DDS 155 Cook St Ste 251 Denver, CO 80206 (303)321-1323 • • Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. ueita uemat member Cornpames anu r-LI-POL uy Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta • Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 14 • • Denver Colorado COLORADO (CONT-D) ARCHER, RAYMOND, DDS Sloans Lake Dental 4441 W 29th Ave Denver, CO 80212 (303)477-7776 ARIOLA-TIRELLA, NOAH, DDS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 ARMSTRONG, JACK, DDS MD PC 1040 S Gaylord St Ste 103 Denver, CO 80209 (303) 777-6202 ARNOLD, KARA, DDS Highland Smiles PC 3480 W 32nd Ave Denver, CO 80211 (303) 623-0407 AUFDERHAR, CHRISTINE, DDS Per T Reiakvam 3540 S Poplar St Ste 300 Denver, CO 80237 (303)759-3969 BABIN, BRIAN, DDS 6825 E Hampden Ave Ste 103 Denver, CO 80224 (303)355-1645 BARECKI, RICHARD, DDS Bonnie Brae Cosmetic Dentistry 763 S University Blvd Denver, CO 80209 (303)777-7523 BATLINER, DONALD, DDS 4th Avenue Family Dentistry LLC 390 University Blvd Denver, CO 80206 (303)333-0771 BEVANS, GREGORY, DDS 6740 E Hampden Ave Ste 300A Denver, CO 80224 (303) 758-5747 BOLLENBAUGH, KEITH, DDS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 BRADLEY,KATHLEEN,DDS Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 BRANWELL, DONALD, DDS 3865 Cherry Creek North Dr Ste 312 Denver, CO 80209 (303)321-2566 BRAUN,CHAD,DDS 4th Avenue Family Dentistry LLC 390 University Blvd Denver, CO 80206 (303)333-0771 Delta Dental PPO BRAVO, LUIS David C Hoag DMD PC 850 E Harvard Ave Ste 375 Denver, CO 80210 (303)733-0138 BROWN, DONALD, DDS Perfect Teeth Monaco and Evans PC 2223 S Monaco Pkwy Unit F Denver, CO 80222 (303)639-3279 BROWN, RICHARD, DDS PC 8585 Huron St Denver, CO 80260 (303) 428-4314 BURTENSHAW,JOHN,DDS Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303) 937-7511 Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 CARLSON,KENDAL,DMD 3955 E Exposition Ave Ste 212 Denver, CO 80209 (303) 355-2373 CARMODY, COLLEEN, DDS Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303) 937-7511 Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 CARROLL, BERNARD, DDS Comfort Dental of North Denver 4450 W 38th Ave Ste 110 Denver, CO 80212 (303) 455-2273 CARTER,COLLEEN,DDS 3955 E Exposition Ave Ste 218 Denver, CO 80209 (303) 765-2824 CASEMENT, RUSSELL, DDS 1355 S Colorado Blvd Ste C320 Denver, CO 80222 (303) 758-0866 CHAVEZ, MANUEL, DDS 4200 W Conejos PI Ste 324 Denver, CO 80204 (303) 685-4644 CHC DENVER HEALTH WESTSIDE D Denver Health Westside Dental 1100 Federal Blvd Denver, CO 80204 (303)436-4345 CHERNOFF, KENNETH, DDS Timothy J Wachuta 2709 S Colorado Blvd Denver, CO 80222 (303) 756-2770 CHOE, CHIYON, DDS Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 . CHRISTOPHE, JOHN, DDS Creekside Dental Care 3773 Cherry Creek North Dr Ste 120 Denver, CO 80209 (303)355-8670 Denver Colorado DOUGHERTY, CARRIE, DDS DMD Stapleton Dental PLLC 3055 Roslyn St Unit 260 Denver, CO 80238 (303) 399-1488 CLAIR, PREET, DDS DUNKER, INNA, DDS Quebec Square Family Dentistry L Accord Dental Prof LLC 7505 E 35th Ave Ste 304 2121 S Oneida St Ste 321 Denver, CO 80238 Denver, CO 80224 (303)322-2081 (303)796-8767 CLEMENT, CHARLES, DDS 4380 S Syracuse St Ste 502 Denver, CO 80237 (303)694-0585 CONNOLLY, MARY, DDS Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 CONNOR, DONALD, DDS DMD Alpha Dental Care 1 6411 E Colfax Ave Denver, CO 80220 (303)388-2558 CRAVEN, DUSTIN, DMD Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 CRICHLOW, KENNETH, DDS 6795 E Tennessee Ave Ste 350 Denver, CO 80224 (303)322-9501 CULLUM, ARNOLD, DDS Blake Street Dental 1732 Blake St Denver, CO 80202 (303)814-2200 DEAL, THOMAS, DDS 965 S Colorado Blvd Ste 201 Denver, CO 80246 (303)722-8825 DENVER HEALTH BANNOCK DE CHC Denver Health and Hospital Autho 301 W 6th Ave Denver, CO 80204 (303)602-8237 DENVER HEALTH EASTSIDE D CHC Denver Health Eastside Dental 501 28th St Ste MC3600 Denver, CO 80205 (303)436-4740 DEWITT, MICHAEL, DDS MA Dewitt Dental Associates PC 3300 E 1 st Ave Ste 615 Denver, CO 80206 (303)321-5656 DIGIORGIO, ROBERT Capital Hill Dental Group 975 Lincoln St Ste 2C Denver, CO 80203 (303) 991-4455 DINSMORE, DAVID, DDS Comfort Dental Cherry Creek 201 University Blvd Ste 101 Denver, CO 80206 (303)321-2233 DUQUETTE, DOUGLAS, DDS Perfect Teeth Yale PC 7515 W Yale Ave Ste A Denver, CO 80227 (303)988-3319 EGERT, TERRY, DDS 3955 E Exposition Ave Ste 312 Denver, CO 80209 (303)744-3636 ELLIOTT, BRIAN, DDS Dazante Dental Group 2005 Franklin St Ste 590 Denver, CO 80205 (303)430-7399 FARMER, DALE, DDS South Federal Dental Group PC 2345 S Federal Blvd Ste 165 Denver, CO 80219 (303)934-0232 FLOREZ, TANIA, DDS 155 Cook St Ste 251 Denver, CO 80206 (303)321-1323 Cherry Creek Family Dentistry PC 201 University Blvd Ste 210 Denver, CO 80206 (303)321-1323 FOLEY, PATRICK, DDS PC 1516 Locust St Denver, CO 80220 (303)377-5646 FREY, RONNIE, DDS 7060 E Hampden Ave Ste 101 Denver, CO 80224 (303)758-2066 FRIEDMAN, STEPHEN, DDS 3300 E 1 st Ave Ste 580 Denver, CO 80206 (303)321-0055 FURUTA, NICOLE, DDS Lodo Dental PC 1435 Wazee St Ste 102 Denver, CO 80202 (303)623-5636 GIBBS, BRYAN, DDS Cherry Hills Dntl Associates PC 4800 Happy Canyon Rd Ste 140 Denver, CO 80237 (303)757-8446 GOMENYUK, NINA, DDS Perfect Teeth Leetsdale PC 7150 Leetsdale Dr Unit 110A Denver, CO 80224 (303) 321-1700 GOTTLIEB, STANLEYJ, DDS 3838 W 38th Ave Denver, CO 80211 (303)433-1515 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 15 Denver Delta Dental PPO Denver Colorado Colorado COLORADO (CONT-D) GOULD, STEVEN, DDS Adventure Dental of Denver 1407 W 84th Ave Ste 65-8 Denver, CO 80260 (719)576-1850 GRAF, LINDSEY, DDS Bright Now Dental 1955 Arapahoe St Ste A Denver, CO 80202 (303)296-0888 GUIDO, JOSEPH, DDS Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 HAHN,LAURA,DDS Adventure Dental of Denver 1407 W 84th Ave Ste 135-8 Denver, CO 80260 (719)576-1850 HAKALA, CATHERINE, DDS Hakala and Hakala PC 4200 E 8th Ave Ste 200 Denver, CO 80220 (303)321-8967 HAKALA, JOSEPH, DDS Hakala and Hakala PC 4200 E 8th Ave Ste 200 Denver, CO 80220 (303)321-8967 HALL, BRANDON, DDS Perfect Teeth Green Valley Ranch 18607 Green Valley Ranch Blvd Unit 104 Denver, CO 80249 (303)576-6884 HAMILTON, WARIN, DDS DMD Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303)331-6511 HANCHETT, JON, DDS DMD Comfort Dental South Denver 3488 S Willow St Denver, CO 80231 (303)338-8181 HANNON, KEITH, DDS Cherry Creek Family Dentistry PC 201 University Blvd Ste 210 Denver, CO 80206 (303)321-1323 HOAG, DAVID, DMD 850 E Harvard Ave Ste 375 Denver, CO 80210 (303) 733-0138 HOANG, HUYEN, DDS Childrens Dental Health Center P 495 S Federal Blvd Denver, CO 80219 (303)937-7511 Kids Dental PC 7901 E Colfax Ave Denver, CO 80220 (303) 331-6511 HOCH, DONALD, DDS 425 S Cherry St Ste 700 Denver, CO 80246 (303)777-4421 HOHERT, CHANDRA, DDS DMD Terry W Egert DDS PC 3955 E Exposition Ave Ste 312 Denver, CO 80209 (303)744-3636 HUBBELL, MAKALA, DDS Lowry Family Dentistry LLC 8158 E 5th Ave Ste 150 Denver, CO 80230 (303)366-3000 HUSER,REBECCA Tamarac Dental Care 3525 S Tamarac Dr Ste 170 Denver, CO 80237 (303) 773-1211 HUSKEY, DAVID, DDS 2480 S Downing St Ste 200 Denver, CO 80210 (303) 722-0204 IGNATIEFF, NATALIYA Comfort Dental East Colfax 5200 E Colfax Ave Denver, CO 80220 (303)377-3876 INNER CITY HEALTH CENTER CHC 3800 York St Denver, CO 80205 (303) 296-1767 New Hope Dental Services 4200 W Conejos PI Ste LL5 Denver, CO 80204 (720)956-0310 JEFFERS, JANIS, DMD Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303) 321-1181 JOHNSON, COLLIS, DDS 1756 Vine St Denver, CO 80206 (303) 322-1177 JOHNSTON, JEFFERY, DDS Ascent Dental Group 3600 E Alameda Ave Ste 220 Denver, CO 80209 (303) 975-6987 JOLSTAD, MARK, DDS Comfort Dental Cherry Creek 201 University Blvd Ste 101 Denver, CO 80206 (303) 321-2233 JONES, JEANICE, DDS SE Denver Dental Associates PC 2660 S Monaco Pkwy Ste A Denver, CO 80222 (303)757-7175 JORGENSEN, AMY, DDS Adventure Dental of Denver 1407 W 84th Ave Ste 65-8 Denver, CO 80260 (719)576-1850 KANG, RUTH, DDS 496 S Dayton St Denver, CO 80247 (303)360-5660 KARASKEVICUS, JENNIFER, DDS Glendale Dental Group PC 4521 E Virginia Ave Denver, CO 80246 (303)388-5501 KAWANO, RICHARD, DDS 1751 Williams St Denver, CO 80218 (303)388-5645 KAWASUGI, KAI, DDS Heather L Stamm DDS PC 2005 Franklin St Bldg 1 Denver, CO 80205 (303) 839-5109 KEMPERS,GREGORY Creekside Smiles 155 Cook St Ste 141 Denver, CO 80206 (303) 329-0505 KHATRI, AVANT, DDS Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 KIDS IN NEED OF DENTISTR 1350 Clarkson St Denver, CO 80218 (303) 733-3710 2465 S Downing St Ste 207 Denver, CO 80210 (303)733-3710 KILROY, THOMAS, DDS PC 5400 W Jewell Ave Ste 2B Denver, CO 80232 (303) 985-7450 KINKADE, JAMES, DDS Cherry Hills Dntl Associates PC 4800 Happy Canyon Rd Ste 140 Denver, CO 80237 (303)757-8446 KIRCHNER, THOMAS, DDS 820 Clermont St Ste 110 Denver, CO 80220 (303) 399-7106 KOCH, RICHARD, DDS 10101 E Hampden Ave Ste 100 Denver, CO 80231 (303) 671-0101 KOO, DAVID, DDS Bright Now Dental 3865 Cherry Creek North Dr Ste 200 Denver, CO 80209 (303)321-1181 KWON, MICHELLE Americas Children Dentl Clinic 1470 Jersey St Denver, CO 80220 (303)377-1280 LANGLEY, DONALD, DDS Dental Health at Dtc PLLC 5031 S Ulster St Ste 100 Denver, CO 80237 (303)779-8587 LE, NICKIE 820 Clermont St Ste 310 Denver, CO 80220 (303) 377-9278 LEE, CHRISTINA, DDS Dental Health at Dtc PLLC 5031 S Ulster St Ste 100 Denver, CO 80237 (303)779-8587 LEE, KYE, DDS 7159 E Hampden Ave Denver, CO 80224 (303)337-5385 LEONE, EDWARD, DDS 10345 Quivas St Denver, CO 80260 (303) 452-5557 LIGHT, TODD, DDS Comfort Dental Cherry Creek 201 University Blvd Ste 101 Denver, CO 80206 (303)321-2233 LIPE, CARL, DDS 6825 E Hampden Ave Ste 200 Denver, CO 80224 (303)744-0600 LOEWEN,REBECCA Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303)825-2295 LOGELIN, MICHAEL Smile High Dentistry For Childre 1400 Grove St Denver, CO 80204 (303) 825-2295 LONG, KYLE, DDS 3955 E Exposition Ave Ste 110 Denver, CO 80209 (303)722-1690 LOPEZ, SERGIO Americas Children Dentl Clinic 1470 Jersey St Denver, CO 80220 (303) 377-1280 LYONS, JULIANN, DDS 6825 E Hampden Ave Ste 201 Denver, CO 80224 (303)756-6862 MADLANG, CESAR, DDS 4380 S Syracuse St Ste 502 Denver, CO 80237 (303)779-0622 MAES, LEROY, DDS Primary Dentistry For Children 5801 W 44th Ave Unit C Denver, CO 80212 (303) 433-1239 MANH, KATIE, DDS 1701 S Federal Blvd Ste B Denver, CO 80219 (303)935-5279 MANIATIS, JAMES, DDS David P Micklin DDS 2601 E 3rd Ave Denver, CO 80206 (303) 399-1650 Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and varticipaung Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible forthe dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which Participating Dentist provides care. July 2009 0- 16