directory of participating dental providers new mexico new ... network directory 2020-01.pdfdavid s...

45
New Mexico Directory of Participating Dental Providers Alliance Network NEW MEXICO BERNALILLO County ALBUQUERQUE - 87102 General Dentist AHN, YEHOON, DDS 717 ENCINO PL NE STE 6 (505) 247-8005 SP Language(s): BACHICHA, CHRISTINA M., DDS 606 ENCINO PL NE (505) 243-6714 SP Language(s): BARADARAN, SAM, DDS 2116 HINKLE ST SE (505) 843-7493 BODZIAK, JENNIFER R., DDS 1801 CAMINO DE SALUD NE (505) 925-4031 BORGMANN, DAVID S., DDS 809 TIJERAS AVE NW (505) 842-9350 CORIZ, PATRICK D., DDS 1101 MEDICAL ARTS AVE NE BLDG 1 (505) 843-6655 DAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 FARLEY, DAVID L., DDS 717 ENCINO PL NE STE 2 (505) 243-1451 GREWAL, KAPIL, DDS 717 ENCINO PL NE STE 7 (505) 843-9636 HO, MY T., DDS 2116 HINKLE ST SE (505) 843-7493 SP, VT Language(s): HORN, RICHARD E., DDS 801 ENCINO PL NE D 1 MEDICAL ARTS S (505) 242-9781 JACKSON, MELISSA D., DMD 2116 HINKLE ST SE (505) 843-7493 KIRAN, ASLI B., DDS 1801 CAMINO DE SALUD NE STE 1100 (505) 925-7917 AR, GK, SI, TK, VT Language(s): KIRAN, ASLI B., DDS 1801 CAMINO DE SALUD NE STE 1200 (505) 925-4031 AR, GK, SI, TK, VT Language(s): PACHECO, ERIC M., DDS 717 ENCINO PL NE STE 7 (505) 843-9636 PAVLAKOS, NECTARIOS V., DDS 1801 CAMINO DE SALUD NE STE 1200 (505) 925-4031 AR, GK, SI, VT Language(s): STERBA, PATRICK M., DDS 606 ENCINO PL NE (505) 243-6714 TATLOCK, CHARLES D., DDS 1801 CAMINO DE SALUD NE STE 1200 (505) 925-4031 SP, VT Language(s): TRUONG, HENRY, DDS 2116 HINKLE ST SE (505) 843-7493 VALLES, DOMINGO F., DDS 500 CENTRAL AVE SE (505) 243-3535 SP Language(s): VALLES, JOE L., DDS 500 CENTRAL AVE SE (505) 243-3535 SP Language(s): Multi-Specialty UNM MEDICAL GROUP INC 1801 CAMINO DE SALUD NE STE 1200 (505) 925-4031 SP, VT Language(s): UNM MEDICAL GROUP INC 1127 UNIVERSITY BLVD NE (505) 272-5326 SP, VT Language(s): ALBUQUERQUE - 87104 General Dentist MILLS, PAUL E., DDS 809 TYERAS AVE NW (505) 842-9350 SWEENEY, MICHAEL A., DMD 1700 CENTRAL AVE SW STE D (505) 480-7200 ALBUQUERQUE - 87105 General Dentist BOWERS, JONATHAN L., DMD 2001 CENTRO FAMILIAR BLVD SW (505) 873-7423 BRUM, MARK D., DDS 2001 CENTRO FAMILIAR BLVD SW (505) 873-7423 SP Language(s): CAIN, LEE E., DDS 3001 ISLETA BLVD SW (505) 877-8910 SP Language(s): CHAVEZ, ARMANDO J., DDS 2001 CENTRO FAMILIAR BLVD SW (505) 873-7405 CHIEM, BECKY D., DDS 4201 CENTRAL AVE NW STE F1 (505) 843-7172 CLARK, LANCE D., DMD 1698 RIO BRAVO BLVD SW (505) 247-2717 PT Language(s): DYE, JEREMIAH M., DDS 2001 CENTRO FAMILIAR BLVD SW (505) 873-7423 SP Language(s): EBRAHIMI, HAMID R., DDS 4201 CENTRAL AVE NW NW STE F1 (505) 843-7172 FAMILY SMILES 4201 CENTRAL AVE NW STE F1 (505) 843-7172 FIRST CHOICE COMMUNITY HEALTHCARE INC 2001 CENTRO FAMILIAR BLVD SW (505) 873-7423 FOUTZ, JONAH L., DDS 1625 RIO BRAVO BLVD SW STE 33 (505) 877-5555 GALVIN, JARED D., DMD 1698 RIO BRAVO BLVD SW (505) 247-2717 SP Language(s): GOYAL, NIKITA, DDS 2001 CENTRO FAMILIAR BLVD SW (505) 873-7423 GUDDETI, SUNIL KUMAR RED, DMD 4201 CENTRAL AVE NW STE F1 (505) 843-7172 KIM, MINWOO, DDS 4201 CENTRAL AVE NW STE F1 (505) 843-7172 LEE, SHAUN M., DDS 4201 CENTRAL AVE NW STE F1 (505) 843-7172 MARTINS, STEPHANIE M., DDS 4201 CENTRAL AVE NW STE F1 (505) 843-7172 MATTE, MATTHEW A., DDS 1 SAGEBRUSH ST SW (505) 869-3200 MCGARRY, CODY G., DMD 1698 RIO BRAVO BLVD SW (505) 247-2717 SP Language(s): MENESES, JULEINI M., DMD 4201 CENTRAL AVE NW STE F1 (505) 843-7172 MILNE, BLAINE G., DMD 1625 RIO BRAVO BLVD SW STE 33 (505) 877-5555 MONTES, SANDRA, DDS 2001 CENTRO FAMILIAR BLVD SW (505) 873-7423 MURGA, FIELFER L., DDS 1010 BRIDGE BLVD SW STE E (505) 877-0435 NGO, TIMOTHY T., DDS 4201 CENTRAL AVE NW STE F1 (505) 843-7172 PARK, HYUNJUNG, DDS 4201 CENTRAL AVE NW STE F1 (505) 843-7172 PEREZ, ELISABETH K., DDS 4201 CENTRAL AVE NW STE F1 (505) 843-7172 QUAM, ZELLISHA A., DMD 4201 CENTRAL AVE NW STE F1 (505) 843-7172 RIESENBERGER, ZACHARY, DDS 2001 CENTRO FAMILIAR BLVD SW (505) 873-7423 SP Language(s): ROUKEMA, PETER J., DMD 6400 CENTRAL AVE SW (505) 836-0322 SALAZAR, JANICE N., DDS 1698 RIO BRAVO BLVD SW (505) 247-2717 SP Language(s): SCHLOTTMAN, DAVID E., DDS 2001 CENTRO FAMILIAR BLVD SW (505) 873-7400 SPENCER, SHAMAINE R., DDS 2001 CENTRO FAMILIAR BLVD SW (505) 873-7423 STAKER, ALLAN P., DDS 6400 CENTRAL AVE SW (505) 836-0322 STEWART, BRYAN D., DDS 1625 RIO BRAVO BLVD SW STE 33 (505) 554-2831 SP Language(s): TRUONG, TUYET PHI N., DMD 2001 CENTRO FAMILIAR BLVD SW (505) 873-7400 TUNG, LIANG TSO, DDS 2001 CENTRO FAMILIAR BLVD SW (505) 873-7423 CN, MZ Language(s): UJDA, KATARZYKA, DDS 2001 CENTRO FAMILIAR BLVD SW (505) 873-7400 URBANE, MARK E., DDS 1625 RIO BRAVO BLVD SW STE 33 (505) 877-5555 VICUNA, EMERSON L., DDS 1010 BRIDGE BLVD SW STE F (505) 877-1113 WILCOTS, KAI K., DDS 4201 CENTRAL AVE NW STE F1 (505) 843-7172 YANG, JAE, DDS 4201 CENTRAL AVE NW STE F1 (505) 843-7172 ZIEMANN, RONALD W., DDS 1 SAGEBRUSH ST SW (505) 869-4866 Orthodontist CLAYDEN, DAVID M., DDS 1625 RIO BRAVO BLVD SW STE 33 (505) 877-5555 LOVELAND, KELCEY G., DMD 1625 RIO BRAVO BLVD SW STE 33 (505) 877-5555 ALBUQUERQUE - 87106 General Dentist AHN, YEHOON, DDS 200 OAK ST NE STE 4 (505) 247-8005 SP Language(s): GREWAL, KAPIL, DDS 200 OAK ST NE STE 4 (505) 247-8005 MARTINEZ, AUDRA M., DDS 3410 INDIAN SCHOOL RD NE (505) 265-6921 MCGINTY, SUZANNE, DDS 3410 INDIAN SCHOOL RD NE (505) 265-6921 Page 1 of 44 January 2020 New Mexico Alliance Network Currently not accepting new patients. This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Upload: others

Post on 29-Mar-2021

3 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New Mexico

Directory of Participating Dental Providers

Alliance Network

NEW MEXICOBERNALILLO County

ALBUQUERQUE - 87102

General Dentist

AHN, YEHOON, DDS717 ENCINO PL NE STE 6 (505) 247-8005

SPLanguage(s):

BACHICHA, CHRISTINA M., DDS606 ENCINO PL NE (505) 243-6714

SPLanguage(s):

BARADARAN, SAM, DDS2116 HINKLE ST SE (505) 843-7493

BODZIAK, JENNIFER R., DDS1801 CAMINO DE SALUD NE (505) 925-4031

BORGMANN, DAVID S., DDS809 TIJERAS AVE NW (505) 842-9350

CORIZ, PATRICK D., DDS1101 MEDICAL ARTS AVE NE BLDG 1 (505) 843-6655

DAVID S BORGMAN DDS PC809 TIJERAS AVE NW (505) 842-9350

FARLEY, DAVID L., DDS717 ENCINO PL NE STE 2 (505) 243-1451

GREWAL, KAPIL, DDS717 ENCINO PL NE STE 7 (505) 843-9636

HO, MY T., DDS2116 HINKLE ST SE (505) 843-7493

SP, VTLanguage(s):

HORN, RICHARD E., DDS801 ENCINO PL NE D 1 MEDICAL ARTS S (505) 242-9781

JACKSON, MELISSA D., DMD2116 HINKLE ST SE (505) 843-7493

KIRAN, ASLI B., DDS1801 CAMINO DE SALUD NE STE 1100 (505) 925-7917

AR, GK, SI, TK, VTLanguage(s):

KIRAN, ASLI B., DDS1801 CAMINO DE SALUD NE STE 1200 (505) 925-4031

AR, GK, SI, TK, VTLanguage(s):

PACHECO, ERIC M., DDS717 ENCINO PL NE STE 7 (505) 843-9636

PAVLAKOS, NECTARIOS V., DDS1801 CAMINO DE SALUD NE STE 1200 (505) 925-4031

AR, GK, SI, VTLanguage(s):

STERBA, PATRICK M., DDS606 ENCINO PL NE (505) 243-6714

TATLOCK, CHARLES D., DDS1801 CAMINO DE SALUD NE STE 1200 (505) 925-4031

SP, VTLanguage(s):

TRUONG, HENRY, DDS2116 HINKLE ST SE (505) 843-7493

VALLES, DOMINGO F., DDS500 CENTRAL AVE SE (505) 243-3535

SPLanguage(s):

VALLES, JOE L., DDS500 CENTRAL AVE SE (505) 243-3535

SPLanguage(s):

Multi-Specialty

UNM MEDICAL GROUP INC1801 CAMINO DE SALUD NE STE 1200 (505) 925-4031

SP, VTLanguage(s):

UNM MEDICAL GROUP INC1127 UNIVERSITY BLVD NE (505) 272-5326

SP, VTLanguage(s):

ALBUQUERQUE - 87104

General Dentist

MILLS, PAUL E., DDS809 TYERAS AVE NW (505) 842-9350

SWEENEY, MICHAEL A., DMD1700 CENTRAL AVE SW STE D (505) 480-7200

ALBUQUERQUE - 87105

General Dentist

BOWERS, JONATHAN L., DMD2001 CENTRO FAMILIAR BLVD SW (505) 873-7423

BRUM, MARK D., DDS2001 CENTRO FAMILIAR BLVD SW (505) 873-7423

SPLanguage(s):

CAIN, LEE E., DDS3001 ISLETA BLVD SW (505) 877-8910

SPLanguage(s):

CHAVEZ, ARMANDO J., DDS2001 CENTRO FAMILIAR BLVD SW (505) 873-7405

CHIEM, BECKY D., DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

CLARK, LANCE D., DMD1698 RIO BRAVO BLVD SW (505) 247-2717

PTLanguage(s):

DYE, JEREMIAH M., DDS2001 CENTRO FAMILIAR BLVD SW (505) 873-7423

SPLanguage(s):

EBRAHIMI, HAMID R., DDS4201 CENTRAL AVE NW NW STE F1 (505) 843-7172

FAMILY SMILES4201 CENTRAL AVE NW STE F1 (505) 843-7172

FIRST CHOICE COMMUNITY HEALTHCARE INC2001 CENTRO FAMILIAR BLVD SW (505) 873-7423

FOUTZ, JONAH L., DDS1625 RIO BRAVO BLVD SW STE 33 (505) 877-5555

GALVIN, JARED D., DMD1698 RIO BRAVO BLVD SW (505) 247-2717

SPLanguage(s):

GOYAL, NIKITA, DDS2001 CENTRO FAMILIAR BLVD SW (505) 873-7423

GUDDETI, SUNIL KUMAR RED, DMD4201 CENTRAL AVE NW STE F1 (505) 843-7172

KIM, MINWOO, DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

LEE, SHAUN M., DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

MARTINS, STEPHANIE M., DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

MATTE, MATTHEW A., DDS1 SAGEBRUSH ST SW (505) 869-3200

MCGARRY, CODY G., DMD1698 RIO BRAVO BLVD SW (505) 247-2717

SPLanguage(s):

MENESES, JULEINI M., DMD4201 CENTRAL AVE NW STE F1 (505) 843-7172

MILNE, BLAINE G., DMD1625 RIO BRAVO BLVD SW STE 33 (505) 877-5555

MONTES, SANDRA, DDS2001 CENTRO FAMILIAR BLVD SW (505) 873-7423

MURGA, FIELFER L., DDS1010 BRIDGE BLVD SW STE E (505) 877-0435

NGO, TIMOTHY T., DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

PARK, HYUNJUNG, DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

PEREZ, ELISABETH K., DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

QUAM, ZELLISHA A., DMD4201 CENTRAL AVE NW STE F1 (505) 843-7172

RIESENBERGER, ZACHARY, DDS2001 CENTRO FAMILIAR BLVD SW (505) 873-7423

SPLanguage(s):

ROUKEMA, PETER J., DMD6400 CENTRAL AVE SW (505) 836-0322

SALAZAR, JANICE N., DDS1698 RIO BRAVO BLVD SW (505) 247-2717

SPLanguage(s):

SCHLOTTMAN, DAVID E., DDS2001 CENTRO FAMILIAR BLVD SW (505) 873-7400

SPENCER, SHAMAINE R., DDS2001 CENTRO FAMILIAR BLVD SW (505) 873-7423

STAKER, ALLAN P., DDS6400 CENTRAL AVE SW (505) 836-0322

STEWART, BRYAN D., DDS1625 RIO BRAVO BLVD SW STE 33 (505) 554-2831

SPLanguage(s):

TRUONG, TUYET PHI N., DMD2001 CENTRO FAMILIAR BLVD SW (505) 873-7400

TUNG, LIANG TSO, DDS2001 CENTRO FAMILIAR BLVD SW (505) 873-7423

CN, MZLanguage(s):

UJDA, KATARZYKA, DDS2001 CENTRO FAMILIAR BLVD SW (505) 873-7400

URBANE, MARK E., DDS1625 RIO BRAVO BLVD SW STE 33 (505) 877-5555

VICUNA, EMERSON L., DDS1010 BRIDGE BLVD SW STE F (505) 877-1113

WILCOTS, KAI K., DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

YANG, JAE, DDS4201 CENTRAL AVE NW STE F1 (505) 843-7172

ZIEMANN, RONALD W., DDS1 SAGEBRUSH ST SW (505) 869-4866

Orthodontist

CLAYDEN, DAVID M., DDS1625 RIO BRAVO BLVD SW STE 33 (505) 877-5555

LOVELAND, KELCEY G., DMD1625 RIO BRAVO BLVD SW STE 33 (505) 877-5555

ALBUQUERQUE - 87106

General Dentist

AHN, YEHOON, DDS200 OAK ST NE STE 4 (505) 247-8005

SPLanguage(s):

GREWAL, KAPIL, DDS200 OAK ST NE STE 4 (505) 247-8005

MARTINEZ, AUDRA M., DDS3410 INDIAN SCHOOL RD NE (505) 265-6921

MCGINTY, SUZANNE, DDS3410 INDIAN SCHOOL RD NE (505) 265-6921

Page 1 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 2: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoALBUQUERQUE - 87106 (continued)

Directory of Participating Dental Providers

Alliance Network

NIENDORFF, WILLIAM J., DDS801 VASSAR DR NE (505) 248-4070

PATEL, KINNARI, DDS3410 INDIAN SCHOOL RD NE (505) 265-6921

QUACH, VU, DMD3410 INDIAN SCHOOL RD NE (505) 265-6921

SILanguage(s):

ALBUQUERQUE - 87107

General Dentist

ARMSTRONG, KENNETH J., DDS1776 MONTANO RD NW (505) 615-0951

CHISHOLM, DOUGLAS P., DMD5308 4TH ST NW (505) 341-2273

SPLanguage(s):

CLAYTON, MARK, DMD5308 4TH ST NW (505) 341-2273

DENTAL PARTNERS OF NORTHVALLEY5308 4TH ST NW (505) 341-2273

DOMINGUEZ, FRANK, DMD5721 4TH ST NW (505) 345-0515

SPLanguage(s):

FAMILY CHOICE DENTAL6211 4TH ST NW STE 13 (505) 821-5437

GREENE, DAVID W., DDS6211 4TH ST NW STE 13 (505) 821-5437

SPLanguage(s):

KIRACOFE, KIRK L., DDS1776 MONTANO RD NW STE 6 (505) 615-0951

MYERS, ERIC A., DDS6211 4TH ST NW STE 13 (505) 821-5437

SPLanguage(s):

NOYES JR., JOHN D., DDS6211 4TH ST NW STE 13 (505) 821-5437

ROSS, GARY M., DDS3520 MONTGOMERY BLVD NE (505) 888-2606

THOMAS, MATTHEW M., DDS5308 4TH ST NW (505) 341-2273

SPLanguage(s):

VANLEEUWEN, ELIZABETH A., DDS5721 4TH ST NW (505) 345-0515

WELLS, KELLY S., DDS6211 4TH ST NW STE 13 (505) 821-5437

SPLanguage(s):

WINTERTON, ERIC L., DDS5308 4TH ST NW (505) 341-2273

Multi-Specialty

PERFECT TEETH FOURTH ST PC5721 4TH ST NW (505) 345-0515

ALBUQUERQUE - 87108

General Dentist

AHMED, ZARAH Z., DDS201 SAN PEDRO DR SE STE B-2 (505) 232-5437

ALLEN, GRANT, DMD201 SAN PEDRO DR SE STE B2 (505) 232-5437

BARADARAN, SAM, DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

BELLAM, KRANTIKUMARI, DMD333 SAN MATEO BLVD SE UNIT A (505) 268-8888

BINGHAM, SCOTT, DMD7711 ZUNI RD SE (505) 256-7711

SPLanguage(s):

BISHOP, MATTHEW R., DDS201 SAN PEDRO DR SE STE B-2 (505) 232-5437

SPLanguage(s):

BROUSSARD, RAYMOND E., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

CARTER JR., BARNEY W., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

CHA, LILY, DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

CHAVEZ, ARMANDO J., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

CHAVEZ, KEELY J., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

CHUNG, CHRISTINA K., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

COBLE, JEREMY C., DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

SPLanguage(s):

COBLE, JEREMY C., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

SILanguage(s):

CUMMINGS, ANDREW B., DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

SPLanguage(s):

DARDANO, MAURICIO E., DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

SPLanguage(s):

DOMINGUEZ, CORI J., DMD201 SAN PEDRO DR SE STE B2 (505) 232-5437

EBRAHIMI, HAMID R., DDS5505 CENTRAL AVE NE (505) 843-6060

EBRAHIMI, HAMID R., DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

FLORES, ROSANNA R., DDS5608 ZUNI RD SE (505) 262-6547

SP, VTLanguage(s):

GOFF, SARAH M., DMD333 SAN MATEO BLVD SE UNIT A (505) 268-8888

GOMEZ, DALLIN D., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

GONZALEZ, MARTIN, DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

SPLanguage(s):

GREENE, DAVID W., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

SPLanguage(s):

GUDDETI, SUNIL KUMAR RED, DMD5505 CENTRAL AVE NE (505) 843-6060

HAGGERTY JR., ROBERT W., DDS5124 ZUNI RD SE (505) 268-3384

HAGGERTY, BRETT R., DDS5124 ZUNI RD SE (505) 268-3384

HARRISON, ANNE K., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

HATCH, CAMERON J., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

HONG, KEE JU, DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

HUBBERT, STEPHEN, DDS5608 ZUNI RD SE (505) 262-6547

SPLanguage(s):

JENSEN, STEPHEN R., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

JOHANSEN, ROBERT W., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

JOHNSON, JESSE T., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

KERST, JEFFREY L., DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

SPLanguage(s):

KHAIRA, AARON S., DMD201 SAN PEDRO DR SE STE B2 (505) 232-5437

KHAYOUMI, SALIA, DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

SPLanguage(s):

KIM, MINWOO, DDS5505 CENTRAL AVE NE (505) 843-6060

KIM, SEO YOUNG, DMD5608 ZUNI RD SE (505) 262-6560

KINZER, KYE G., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

KLINTMALM, ERIK G., DMD333 SAN MATEO BLVD SE UNIT A (505) 268-8888

SPLanguage(s):

KNOTT, KENNETH E., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

LAPSKER, JENNIFER A., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

LEE, JUNG W., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

LEE, SHAUN M., DDS5505 CENTRAL AVE NE (505) 843-6060

GHLanguage(s):

LIM, JOHN T., DDS533 WASHINGTON ST NE (505) 268-9047

CN, SPLanguage(s):

LIN, WEIYE, DMD333 SAN MATEO BLVD SE UNIT A (505) 268-8888

MAIWAND, SAFA H., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

SILanguage(s):

MANSHAD, ANIS, DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

MARTINS, STEPHANIE M., DDS5505 CENTRAL AVE NE (505) 843-6060

MATTE, AMY C., DDS637 SAN MATEO BLVD SE STE A (505) 256-8855

MATTE, JOHN J., DDS637 SAN MATEO BLVD SE (505) 255-7891

MENESES, JULEINI M., DMD5505 CENTRAL AVE NE (505) 843-6060

MYERS, ERIC A., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

NG, NOAH S., DMD5505 CENTRAL AVE NE (505) 843-6060

NGO, TIMOTHY T., DDS5505 CENTRAL AVE NE (505) 843-6060

NGUYEN, ALICIA V., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

NGUYEN, TRAM T., DDS5608 ZUNI RD SE (505) 262-6560

OWENS, DEREK E., DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

Page 2 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 3: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoALBUQUERQUE - 87108 (continued)

Directory of Participating Dental Providers

Alliance Network

PARCO, TODD M., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

PARK, HYUNJUNG, DDS5505 CENTRAL AVE NE (505) 843-6060

PARK, HYUNJUNG, DDS5400 CENTRAL AVE SE STE C 101 (505) 508-1118

KO, SPLanguage(s):

PATEL, KETAN K., DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

PRESTWICH, BRENDON E., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

QUAM, ZELLISHA A., DMD5505 CENTRAL AVE NE (505) 843-6060

ROWAN, RICHARD G., DMD201 SAN PEDRO DR SE STE B2 (505) 232-5437

SMALL SMILES OF EAST ALBUQUERQUE201 SAN PEDRO DR SE STE B2 (505) 232-5437

SNYDER, JEFFREY T., DMD5608 ZUNI RD SE (505) 262-6547

TANAKA, LEILANI K., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

TASKER, KENNETH, DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

TRAN, BO V., DDS5608 ZUNI RD SE (505) 262-6547

SP, VTLanguage(s):

TRUONG, HENRY, DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

WELLS, KELLY S., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

WILCOTS, KAI K., DDS5505 CENTRAL AVE NE (505) 843-6060

YANG, JAE, DDS5505 CENTRAL AVE NE (505) 843-6060

Oral Surgery

REID, DOUGLAS M., DMD201 SAN PEDRO DR SE STE B2 (505) 232-5437

Orthodontist

BUSH, HELEN D., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

SPLanguage(s):

DULA, GEORGE V., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

GUTIERREZ PULIDO, LUIS D., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

SPLanguage(s):

HANN, ROBERT C., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

LOVELAND, KELCEY G., DMD201 SAN PEDRO DR SE STE B2 (505) 232-5437

ONUORA, OBIAJULU I., DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

REECE, CALEB W., DMD201 SAN PEDRO DR SE STE B2 (505) 232-5437

RUDD, DANIEL B., DDS333 SAN MATEO BLVD SE UNIT A (505) 268-8888

Pediatric Dentist

AHMED, ZARAH Z., DDS201 SAN PEDRO DR SE STE B-2 (505) 232-5437

ARAGON, ASHLEE, DMD201 SAN PEDRO DR SE STE B2 (505) 232-5437

CALL, VAUGHN D., DMD201 SAN PEDRO DR SE STE B2 (505) 232-5437

DARCY, KAITLYN N., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

GUTIERREZ, KAREN, DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

HATCH, BRIAN K., DMD333 SAN MATEO BLVD SE UNIT A (505) 268-8888

PECK, CHRISTIAN S., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

SIEGEL, SCOTT L., DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

SIEGEL, SCOTT L., DMD201 SAN PEDRO DR SE STE B2 (505) 232-5437

TROPP, ALMUT, DDS201 SAN PEDRO DR SE STE B2 (505) 232-5437

Multi-Specialty

LOBO CHILDRENS DENTISTRY201 SAN PEDRO DR SE STE B2 (505) 232-5437

PEPPERMINT DENTAL SAN MATEO LLC333 SAN MATEO BLVD SE UNIT A (505) 268-8888

ALBUQUERQUE - 87109

General Dentist

ALGERMISSEN, ANTHONY J., DDS7520 MONTGOMERY BLVD NE BLDG E12 (505) 888-6980

SILanguage(s):

ANDERSON, STEWART J., DMD5343 WYOMING BLVD NE STE A (505) 822-8777

ARMIJO, MICHAEL J., DDS5900 CUBERO DR NE STE B (505) 797-1000

BACA, DIANA M., DDS5900 CUBERO DR NE STE C (505) 822-8589

BARADARAN, SAM, DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

BEAR CANYON FAMILY DENTISTRY7007 WYOMING BLVD NE STE B2 (505) 821-1430

BELLAM, KRANTIKUMARI, DMD4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

BREWER, JEFFREY L., DDS7520 MONTGOMERY BLVD NE BLDG C S (505) 889-3777

SPLanguage(s):

CASAREZ QUINTANA, ALICIA R., DDS7520 MONTGOMERY BLVD NE STE E10 (505) 323-3630

SPLanguage(s):

CASAREZ QUINTANA, GIANNA N., DDS7520 MONTGOMERY BLVD NE STE E 10 (505) 323-3600

SPLanguage(s):

CASAUS, JENNIFER I., DDS5920 CUBERO DR NE (505) 822-0664

SPLanguage(s):

COBLE, JEREMY C., DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

SPLanguage(s):

CUMMINGS, ANDREW B., DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

SPLanguage(s):

DARDANO, MAURICIO E., DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

SPLanguage(s):

DAVIS, MICHAEL W., DDS6808 ACADEMY PARKWAY EAST NE STE (505) 898-2797

DEMARCO, CHRISTOPHER F., DDS7520 MONTGOMERY BLVD NE STE E-10 (505) 323-3600

DOMINGUEZ, FRANK, DMD5900 CUBERO DR NE STE E (505) 797-7466

SPLanguage(s):

DUHON, ALAN L., DMD6808 ACADEMY PARKWAY EAST NE STE (505) 898-2797

EBRAHIMI, HAMID R., DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

EDWARDS, ANTHONY H., DDS6830 MONTGOMERY BLVD NE STE B (505) 294-9208

SPLanguage(s):

ESSENMACHER, LINDSAY M., DDS6830 MONTGOMERY BLVD NE STE D (505) 881-0334

FARRELL, MICHAEL J., DDS5920 CUBERO DR NE (505) 822-0663

FEDE, CASSIE I., DMD6800 MONTGOMERY BLVD NE STE F (505) 883-8830

FORDE, COLIN A., DDS7520 MONTGOMERY BLVD NE BLDG CD (505) 872-0327

SPLanguage(s):

FORDE, COLIN A., DDS7520 MONTGOMERY BLVD NE BLDG CC (505) 883-3722

SPLanguage(s):

GALLEGOS, CHRISTOPHER F., DDS5901 WYOMING BLVD NE STE W (505) 821-4422

GOFF, SARAH M., DMD4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

GOMEZ KROETER, TERRY, DDS6830 MONTGOMERY BLVD NE STE F (505) 296-5200

GONZALEZ, MARTIN, DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

SPLanguage(s):

HOLE, JENNIFER C., DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

SPLanguage(s):

HONG, KEE JU, DDS5901 WYOMING BLVD NE STE W (505) 821-4422

HONG, KEE JU, DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

HOWARD, DWIGHT D., DDS4273 MONTGOMERY BLVD NE STE 120E (505) 883-3229

ISHAM, MICHAEL S., DDS5555 MONTGOMERY BLVD NE STE 17 (505) 881-0422

SPLanguage(s):

KASSAM, SARAH L., DDS6800 MONTGOMERY BLVD NE STE C (505) 884-8000

SILanguage(s):

KERST, JEFFREY L., DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

SPLanguage(s):

KHAYOUMI, SALIA, DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

SPLanguage(s):

KIRACOFE, KIRK L., DDS6208 MONTGOMERY BLVD NE STE A (505) 881-8488

SPLanguage(s):

KLINTMALM, ERIK G., DMD4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

SPLanguage(s):

LEE, CURTIS G., DMD7520 MONTGOMERY BLVD NE BLDG D-11 (505) 884-6237

Page 3 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 4: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoALBUQUERQUE - 87109 (continued)

Directory of Participating Dental Providers

Alliance Network

LIN, WEIYE, DMD4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

LINES, DEREK C., DDS5343 WYOMING BLVD NE STE A (505) 822-8777

MARTINEZ, DANIEL L., DDS7930 WYOMING BLVD NE STE A (575) 881-7337

MCALLISTER, GREGORY R., DDS5910 CUBERO DR NE STE B (505) 243-7655

MCDONALD, ANDREW R., DDS8010 PALOMAS AVE NE (505) 828-1244

MCFARLAND, ANDREW R., DDS7900 SAN PEDRO DR NE STE C 5 (505) 933-6871

MIRA CONSULTING INC6808 ACADEMY PARKWAY EAST NE STE (505) 898-2797

MONTES, SANDRA, DDS7007 WYOMING BLVD NE STE B2 (505) 821-1430

MOONEYHAN, KAREN E., DDS5901 WYOMING BLVD NE STE W (505) 821-4422

SPLanguage(s):

NIENDORFF, WILLIAM J., DDS6808 ACADEMY PARKWAY EAST NE STE (505) 898-2797

SPLanguage(s):

OLLASON, JOHN R., DDS4273 MONTGOMERY BLVDNE STE 120E (505) 883-3229

OWENS, DEREK E., DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

PATEL, KETAN K., DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

PEREYRA, OMAR A., DDS4233 MONTGOMERY BLVD NE 120 W (505) 323-7966

SPLanguage(s):

PERFECT TEETH5900 CUBERO DR NE STE E (505) 797-7466

POLITO, LAUREN L., DMD7900 SAN PEDRO DR NE STE C5 (505) 993-6871

FRLanguage(s):

QUINTANA, OSCAR C., DDS7520 MONTGOMERY BLVD NE STE E10 (505) 323-3630

SPLanguage(s):

REED, ATEM AE, DDS7007 WYOMING BLVD NE STE A4 (505) 821-1433

SPLanguage(s):

SHAH, VASU A., DDS5700 SAN ANTONIO DR NE STE A1 (505) 797-3000

SMITH EDWARDS, JULIET V., DDS6830 MONTGOMERY BLVD NE STE B (505) 294-9208

HGLanguage(s):

STAKER, ALLAN P., DDS7900 SAN PEDRO DR NE STE C5 (505) 933-6871

STOCKTON 22 INC6830 MONTGOMERY BLVD NE STE A (505) 830-9081

STOCKTON, ERIN E., DMD6830 MONTGOMERY BLVD NE STE A (505) 830-9081

SPLanguage(s):

STOCKTON, SETH J., DMD6830 MONTGOMERY BLVD NE STE A (505) 830-9081

SPLanguage(s):

TRUONG, HENRY, DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

VAROZ, JESSE T., DDS5700 SAN ANTONIO DR NE (505) 797-3000

WELLS, GREGORY S., DDS5900 CUBERO DR NE STE E (505) 797-7466

WILSON, RYAN H., DMD5901 WYOMING BLVD NE STE W (505) 821-4422

WOODS, COREY W., DMD7007 WYOMING BLVD NE STE B2 (505) 821-1430

YANG, JAE, DDS5901 WYOMING BLVD NE STE W (505) 821-4422

ZAMORA, JAMES, DDS5920 CUBERO DR NE (505) 822-0663

Endodontist

ADVANCED ENDODONTICS7520 MONTGOMERY BLVD NE BLDG E1 (505) 797-1212

CLARK, SHANE T., DMD7520 MONTGOMERY BLVD NE BLDG E1 (505) 797-1212

HOCHBERG, ROBERT P., DDS7520 MONTGOMERY NE BLDG STE B BLD (505) 881-6902

SPLanguage(s):

STEFFENSEN, JOHN, DDS5901 WYOMING BLVD NE STE W (505) 821-4422

Oral Surgery

BUTTNER, CHRISTOPHER, DDS6800 MONTGOMERY BLVD NE STE O (505) 338-9833

GRLanguage(s):

CANDELARIA, LIONEL M., DDS6800 MONTGOMERY BLVD NE STE A (505) 881-1130

HAGEN, JEFFREY M., DMD5900 CUBERO DR NE STE A (505) 797-3530

HAGEN, JEFFREY M., DMD6800 MONTGOMERY BLVD NE STE A (505) 881-1130

HAGEN, JEFFREY M., DMD6830 MONTGOMERY BLVD NE STE A (505) 830-9081

MCCONNELL, MARK S., DDS5925 WYOMING BLVD NE STE B (505) 858-0500

MITCHELL, JOHN C., DDS6800 MONTGOMERY BLVD NE STE A (505) 881-1130

SPLanguage(s):

MONCAYO, MAX P., DDS5901 WYOMING BLVD NE STE W (505) 821-4422

NG, WAI P., DMD5900 CUBERO DR NE STE A (505) 797-3530

ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES6800 MONTGOMERY BLVD NE STE A (505) 881-1130

STEEL, DREW V., DMD5901 WYOMING BLVD NE STE W (505) 821-4422

SPLanguage(s):

TUGGLE, DAVID E., DDS7009 MONTGOMERY BLVD NE (505) 291-9600

SI, SPLanguage(s):

WHEATON, JEFFERY B., DMD5900 CUBERO DR NE STE A (505) 797-3530

Orthodontist

BUTTNER, JAYNE, DDS6800 MONTGOMERY BLVD NE STE B (505) 881-1100

CASAUS, DANA M., DDS5910 CUBERO DR NE STE D (505) 508-4939

HANN, ROBERT C., DDS7520 MONTGOMERY BLVD NE STE D9 (505) 884-5610

KELLAM, STEPHEN A., DMD7510 MONTGOMERY BLVD NE STE 203 (505) 293-0687

ONUORA, OBIAJULU I., DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

RUDD, DANIEL B., DDS4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

Pediatric Dentist

HATCH, BRIAN K., DMD4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

Periodontist

GHAFFARIGARAKANI, SASAN, DDS5901 WYOMING BLVD NE STE W (505) 821-4422

Multi-Specialty

NE HEIGHTS MODERN DENTISTRY LLC5901 WYOMING BLVD NE STE W (505) 821-4422

PEPPERMINT DENTAL MONTGOMERY4411 SAN MATEO BLVD NE STE E1 (505) 872-4867

ALBUQUERQUE - 87110

General Dentist

AURORA, NAVBIR SINGH, DDS2424 LOUISIANA BLVD NE STE 501 (505) 348-1036

BIR, NEESHA R., DDS6101 CANDELARIA RD NE (505) 883-0005

BROWN, SHEILA M., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

BURNETT JR., WILLIAM D., DDS4400 CUTLER AVE NE (505) 875-8555

CHANG, PE, DDS7111 PROSPECT PL NE STE B (505) 888-5131

LO, VTLanguage(s):

CLARK, GUY C., DDS2100 LOUISIANA BLVD NE STE 104 (505) 883-4867

COMFORT DENTAL OF CORONADO5820 MENAUL BLVD NE (505) 872-2772

CONNER, MICHAEL R., DDS6810 MENAUL BLVD NE STE B (505) 872-1100

DOCKSTADER, JEREMY R., DMD4701 LOMAS BLVD NE (505) 232-2273

CN, FR, PT, SPLanguage(s):

DOMINGUEZ, FRANK, DMD5800 LOMAS BLVD NE (505) 268-6388

SPLanguage(s):

DOMINGUEZ, FRANK, DMD6101 CANDELARIA RD NE (505) 883-0005

SPLanguage(s):

DUNIVEN, DAVID W., DDS5000 MENAUL BLVD NE STE W (505) 872-1212

SPLanguage(s):

FANNING, RACHEL H., DDS3901 GEORGIA ST NE STE C4 (505) 884-9793

FRYE, JOSHUA R., DMD6810 MENAUL BLVD NE STE B (505) 872-1100

SPLanguage(s):

GALLEGOS, CHRISTOPHER F., DDS6810 MENAUL BLVD NE STE B (505) 872-1100

GIBBONS, CHAZ M., DMD5820 MENAUL BLVD NE (505) 872-2772

AR, SP, XWLanguage(s):

GOUDE, CRISMON A., DDS5800 LOMAS BLVD NE (505) 268-6388

GRADY, ALICIA A., DDS7905 MARBLE AVE NE (505) 232-5710

SP, VTLanguage(s):

Page 4 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 5: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoALBUQUERQUE - 87110 (continued)

Directory of Participating Dental Providers

Alliance Network

GUTIERREZ, DONALD P., DMD1441 CARLISLE BLVD NE STE A (505) 255-9859

GUTIERREZ, ELOY R., DDS1441 CARLISLE BLVD NE STE B (505) 255-9860

HERO DENTAL OF ALBUQUERQUE PC5000 MENAUL BLVD NE STE B (505) 872-1212

HORTON, NATHAN S., DMD5820 MENAUL BLVD NE (505) 872-2772

SPLanguage(s):

LEE, FOOK C., DDS2017 SAN MATEO BLVD NE (505) 856-1081

LINDSLEY, HOLLY M., DDS2100 LOUISIANA BLVD NE STE 104 (505) 883-4867

LINDSLEY, HOLLY M., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

LUCERO, MARY A., DDS2100 LOUISIANA BLVD NE STE 104 (505) 883-4867

MAAS, SARA E., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

SPLanguage(s):

MANSOUR, RAFAT MARIE, DDS2424 LOUISIANA BLVD NE STE 501 (505) 348-1036

MCCOMAS, GABRIELE E., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

SPLanguage(s):

MILLBURN, MICHAEL J., DDS5820 MENAUL BLVD NE (505) 872-2772

SPLanguage(s):

MISLA, KAREN C., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

SPLanguage(s):

MISNER, REBECCA S., DMD5000 MENAUL BLVD NE STE B (505) 872-1212

MONTANO, STACEY M., DDS3901 GEORGIA ST NE BLDG G 1 (505) 888-3112

MONTGOMERY, GREGORY D., DDS6810 MENAUL BLVD NE STE B (505) 872-1100

MORGAN, SEAN, DDS4701 LOMAS BLVD NE (505) 232-2273

MORTLEY, HUNTER L., DDS3901 GEORGIA ST NE STE A3 (505) 881-1998

PERFECT TEETH6101 CANDELARIA RD NE (505) 883-0005

PERFECT TEETH5800 LOMAS BLVD NE (505) 268-6388

PHAN, DANIELLE, DDS5000 MENAUL BLVD NE STE B (505) 872-1212

SPLanguage(s):

POLITO, YOANN P., DDS4701 LOMAS BLVD NE (505) 232-2273

CN, FR, PT, SPLanguage(s):

PREBER, HEATHER E., DMD7127 PROSPECT PL NE (505) 881-4365

SPLanguage(s):

PREBLE, DEREK R., DMD2424 LOUISIANA BLVD NE STE 501 (505) 348-1036

ROUSSEL, MIKE E., DMD7127 PROSPECT PL NE (505) 881-4365

SPLanguage(s):

SAPP, WILLIAM A., DDS2100 LOUISIANA BLVD NE STE 104 (505) 883-4867

SAPP, WILLIAM A., DDS2100 LOUISIANA BLVD NE STE 131 (505) 883-4867

SMITH, SANDRA A., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

SPLanguage(s):

STEICHEN, CRAIG T., DDS7131 PROSPECT PL NE (505) 883-6562

TINGEN, RACHAEL H., DDS2100 LOUISIANA BLVD NE STE 131 (505) 883-4867

URBANE, MARK E., DDS6810 MENAUL BLVD NE STE B (505) 872-1100

WILSON, ELIZABETH M., DDS5820 MENAUL BLVD NE (505) 872-2772

WILSON, RYAN H., DMD6810 MENAUL BLVD NE STE B (505) 872-1100

YAMAZAKI, YASUFUMI, DDS5000 MENAUL BLVD NE (505) 872-1212

SPLanguage(s):

YANG, HUAN, DDS4701 LOMAS BLVD NE (505) 232-2273

CN, PT, SPLanguage(s):

YANG, JAE, DDS6810 MENAUL BLVD NE STE B (505) 872-1100

YEE PAIVA, TARYN, DDS6810 MENAUL BLVD NE STE B (505) 872-1100

SPLanguage(s):

ZINK, AURORA V., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

SPLanguage(s):

Endodontist

STEFFENSEN, JOHN, DDS6810 MENAUL BLVD NE STE B (505) 872-1100

Oral Surgery

GUTIERREZ, TIMOTHY L., DMD1513 CARLISLE BLVD NE (505) 881-7373

MONCAYO, MAX P., DDS6810 MENAUL BLVD NE STE B (505) 872-1100

STEEL, DREW V., DMD6810 MENAUL BLVD NE STE B (505) 872-1100

SPLanguage(s):

Orthodontist

BUSH, HELEN D., DMD5000 MENAUL BLVD NE STE B (505) 872-1212

KELLAM, STEPHEN A., DMD3901 GEORGIA ST NE STE B1 (505) 293-0687

MCMILLAN, JEFFREY B., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

SHAH, RAJA, DDS4701 LOMAS BLVD NE (505) 254-2273

SPLanguage(s):

USITALO, TAYLOR L., DDS5000 MENAUL BLVD NE STE B (505) 872-1212

SPLanguage(s):

Pediatric Dentist

HATCH, BRIAN K., DMD4701 LOMAS BLVD NE (505) 433-5204

SPLanguage(s):

Periodontist

GHAFFARIGARAKANI, SASAN, DDS6810 MENAUL BLVD NE STE B (505) 872-1100

Multi-Specialty

ALBUQUERQUE MODERN DENTISTS6810 MENAUL BLVD NE STE B (505) 872-1100

ASPEN DENTAL2424 LOUISIANA BLVD NE STE 501 (505) 348-1036

ALBUQUERQUE - 87111

General Dentist

ANDERSON, STEWART J., DMD4520 LOWER TERRACE CIR NE (505) 299-4431

ANTANI, KARTIK N., DMD10820 COMANCHE RD NE (505) 323-7700

ASH, RUSSELL D., DDS5850 EUBANK BLVD NE STE B-38 (505) 275-3167

BOEHMER, MONICA, DDS3309 JUAN TABO BLVD NE STE A (505) 271-8009

BOWERS, JONATHAN L., DMD8400 OSUNA RD NE 3B (505) 884-6408

BUTTON, NICHOLAS R., DDS12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

CARTER JR., BARNEY W., DMD3900 EUBANK BLVD NE STE 19 (505) 299-1714

CITO, STEPHEN M., DDS3900 EUBANK BLVD NE STE 2 (505) 298-5522

CLEM, NATHAN F., DMD10555 MONTGOMERY BLVD NE STE 160 (505) 275-2492

EDMINSTEN, ETHAN C., DDS12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

FAMILY DENTAL SERVICES LLC8400 OSUNA RD NE STE 4A (505) 294-4700

GALBRETH, BILL E., DDS4830 JUAN TABO BLVD NE STE H (505) 298-8103

GALLEGOS, CHRISTOPHER F., DDS12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

GHERARDI, JOSEPH R., DDS3900 EUBANK BLVD NE STE 5 (505) 293-6125

GHERARDI, ROBERT J., DMD3900 EUBANK BLVD NE STE 5 (505) 293-6125

HAIGHT, MICHAEL D., DDS10409 MONTGOMERY PKWY NE STE 201 (505) 298-7479

SPLanguage(s):

HAM III, W. BENJAMIN, DDS4101 MORRIS ST NE STE G (505) 312-7888

HERREJON RUIZ, MARIO, DMD12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

SPLanguage(s):

HOLLINGSWORTH RYALS , KELLEY, DDS12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

SPLanguage(s):

KIM, CHRIS Y., DDS8400 OSUNA RD NE STE 5A (505) 884-1989

KU, JAMES H., DDS9316 MONTGOMERY BLVD NE (505) 800-5050

KOLanguage(s):

LAFFERTY, DAN C., DMD4550 EUBANK BLVD NE STE 101 (505) 292-8588

SPLanguage(s):

LAMONT, JENNIFER K., DDS7050 BARSTOW ST NE STE A (505) 508-5429

SPLanguage(s):

LENHOFF, CHRISTINE A., DMD3900 EUBANK BLVD NE STE 11 (505) 292-3933

Page 5 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 6: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoALBUQUERQUE - 87111 (continued)

Directory of Participating Dental Providers

Alliance Network

LEON, MONIQUE M., DMD12231 ACADEMY RD NE STE 301-309 (505) 332-8025

SPLanguage(s):

LUFFEY, JEFFREY S., DDS8400 OSUNA RD NE STE 4A (505) 294-4700

MARTINEZ, MATTHEW L., DMD10409 MONTGOMERY PKWY NE STE 201 (505) 298-7479

MARTINEZ, RUBEN J., DDS8400 OSUNA RD NE STE 5A (505) 884-1989

EN, SPLanguage(s):

MEEKS, SAMUEL A., DMD3900 EUBANK BLVD NE STE 2 (505) 298-5522

MOORE, DAVID T., DDS3900 EUBANK BLVD NE STE 5 (505) 293-6125

NGUYEN, TINA T., DMD9212 MONTGOMERY BLVD NE (505) 292-4940

NGUYEN, VINH Q., DMD9212 MONTGOMERY BLVD NE (505) 292-4940

SP, VTLanguage(s):

OKI, JENNIFER S., DMD8400 OSUNA RD NE STE 3B (505) 881-2421

PADILLA, CHRISTOPHER G., DDS3809 EUBANK BLVD NE (505) 292-2323

SPLanguage(s):

PADILLA, STEPHANIE A., DDS3809 EUBANK BLVD NE (505) 292-2323

SPLanguage(s):

PARK, JONG WOOK, DMD10820 COMANCHE RD NE (404) 277-9891

PAVLAKOS, NECTARIOS V., DDS3904 JUAN TABO BLVDNE (505) 292-7526

PAVLAKOS, NECTARIOS, DDS3900 EUBANK BLVD NE STE 2 (505) 298-5522

PAVLAKOS, VASILIOS J., DDS3904 JUAN TABO BLVD NE (505) 292-7526

PELLERANO, DANIA A., DDS8400 OSUNA RD NE STE 5B (505) 292-8515

RAVAGO, MELISSA, DMD8400 OSUNA RD NE STE 2B (505) 292-6414

ROSS, JASON W., DDS10330 MONTGOMERY BLVD NE STE A (505) 293-7441

ROSS, KERRY L., DDS10330 MONTGOMERY BLVD NE (505) 293-7441

WENICUR, BARBARA L., DDS3309 JUAN TABO BLVD NE STE B (505) 292-8310

WILLIAMS, COLLEEN M., DDS4550 EUBANK BLVD NE STE 203 (505) 881-8979

WILLIAMS, COLLEEN M., DDS10409 MONTGOMERY PKWY NE STE 202 (505) 881-8979

WILSON, RYAN H., DMD12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

YOON, JAJUNG, DMD10820 COMANCHE RD NE (505) 323-7700

YOUNG TRUJILLO, NAZARIO N., DDS10820 COMANCHE RD NE STE D (505) 323-7700

Endodontist

CLARK, JEFFREY M., DMD10429 LAGRIMA DE ORO RD NE (505) 291-8630

CLARK, JEFFREY M., DMD10409 MONTGOMERY PKWY NE STE 100 (505) 291-8630

HADLEY, DAVID L., DDS10429 LAGRIMA DE ORO RD NE (505) 291-8630

PTLanguage(s):

PACHECO, MARC A., DDS10429 LAGRIMA DE ORO RD NE (505) 291-8630

SPLanguage(s):

STEFFENSEN, JOHN, DDS12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

Oral Surgery

MONCAYO, MAX P., DDS12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

SCHOW, BRETT D., DDS10151 MONTGOMERY BLVD NE BUILDIN (505) 292-3400

STEEL, DREW V., DMD12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

SPLanguage(s):

URQUHART, ROBERT C., DDS8400 OSUNA RD NE STE 4B (505) 554-2575

Orthodontist

HALTOM, DARREN M., DDS10433 LAGRIMA DE ORO RD NE (505) 299-4458

HARNICK, DAVID J., DDS10425 MONTGOMERY PKWY NE (505) 323-0500

HARNICK, KARI S., DDS10425 MONTGOMERY PKWY NE (505) 323-0500

Pediatric Dentist

CITO JR., STEPHEN M., DDS3900 EUBANK BLVD NE STE 2 (505) 298-5522

SPLanguage(s):

HESS, STANLEY C., DDS8400 OSUNA RD NE STE 2D (505) 293-7101

Periodontist

BOWERS, JOSEPH H., DMD4550 EUBANK BLVD NE STE 207 (505) 291-9500

ESPINOSA JR., HENRY D., DDS10409 MONTGOMERY PKWY NE STE 203 (505) 888-1116

GHAFFARIGARAKANI, SASAN, DDS12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

HARRISON, KEVIN C., DMD10151 MONTGOMERY BLVD NE BLDG 3 S (505) 275-1662

Multi-Specialty

ABQ MODERN DENTAL GROUP12611 MONTGOMERY BLVD NE STE A-1 (505) 323-1004

ALBUQUERQUE - 87112

General Dentist

ABSHERE, PHILIP M., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

AHMED, ZARAH Z., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

ALLEN, GRANT, DMD2801 EUBANK BLVD NE STE J (505) 299-9606

BAUGH, NEAL J., DMD2010 JUAN TABO BLVD NE (505) 237-2273

SPLanguage(s):

BELLAM, KRANTIKUMARI, DMD1510 WYOMING BLVD NE STE A (505) 903-6999

HILanguage(s):

BISHOP, MATTHEW R., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

SPLanguage(s):

BROUSSARD, RAYMOND E., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

BUSH III, LOUIS R., DDS8616 MENAUL BLVD NE (505) 582-2946

CARTER JR., BARNEY W., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

CASAREZ QUINTANA, ALICIA R., DDS8501 CANDELARIA RD NE STE B (505) 298-9600

SPLanguage(s):

CASAREZ QUINTANA, ALICIA R., DDS8501 CANDELARIA RD NE STE C (505) 292-8300

SPLanguage(s):

CASAREZ QUINTANA, GIANNA N., DDS8501 CANDELARIA RD NE STE C (505) 292-8300

SPLanguage(s):

CASAREZ QUINTANA, GIANNA N., DDS8501 CANDELARIA RD NE STE B (505) 292-8300

SPLanguage(s):

CHA, LILY, DDS2801 EUBANK BLVD NE STE J (505) 299-9606

CHAVEZ, ARMANDO J., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

CHAVEZ, KEELY J., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

CHODOSH, DAVID A., DDS2901 JUAN TABO BLVD NE STE 10 (505) 219-3101

CHRISTENSEN, CHRISTOPHER P., DMD2010 JUAN TABO BLVD NE (505) 237-2273

CHUNG, CHRISTINA K., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

COBLE, JEREMY C., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

SILanguage(s):

DELIC, VESNA, DDS1924 JUAN TABO BLVD NE STE C (505) 293-3451

FR, SRLanguage(s):

DEMARCO, CHRISTOPHER F., DDS8501 CANDELARIA RD NE STE B (505) 292-8300

SPLanguage(s):

DEMARCO, CHRISTOPHER F., DDS8501 CANDELARIA RD NE STE C (505) 292-8300

SPLanguage(s):

DOMINGUEZ, CORI J., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

FOUTZ, JONAH L., DDS2901 JUAN TABO BLVD NE STE 8 (505) 926-1767

FOUTZ, JONAH L., DDS2901 JUAN TABO BLVD NE STE 10 (505) 219-3101

GOMEZ, DALLIN D., DDS2801 EUBANK BLVD NE STE J (505) 299-9707

GREENE, DAVID W., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

SPLanguage(s):

HARRISON, ANNE K., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

HATCH, CAMERON J., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

SPLanguage(s):

HOOPES, JAMES T., DDS1924 JUAN TABO BLVD NE STE C (505) 293-3451

JACKSON, MELISSA D., DMD9204 MENAUL BLVD NE STE 3 (505) 299-6112

Page 6 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 7: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoALBUQUERQUE - 87112 (continued)

Directory of Participating Dental Providers

Alliance Network

JENSEN, STEPHEN R., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

JOHANSEN, ROBERT W., DDS2801 EUBANK BLVD NE STE J (505) 232-5437

JOHNSON, AARON M., DMD2010 JUAN TABO BLVD NE (505) 237-2273

JOHNSON, JESSE T., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

KHAIRA, AARON S., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

KINZER, KYE G., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

SPLanguage(s):

KNOTT, KENNETH E., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

LAPSKER, JENNIFER A., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

LEE, JUNG W., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

LUCERO, ROBERT T., DDS1710 WYOMING BLVD NE (505) 299-9122

MACINTYRE, JENNIFER, DDS2801 EUBANK BLVD NE STE J (505) 299-9606

MAIWAND, SAFA H., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

SILanguage(s):

MANSHAD, ANIS S., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

MANSOUR, RAFAT M., DDS1510 WYOMING BLVD NE STE A (505) 903-6999

MILLER, MARK A., DMD9430 INDIAN SCHOOL RD NE (505) 299-2979

MISLA, KAREN C., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

MONTANO, ERIN M., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

MYERS, ERIC A., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

NGUYEN, ALICIA V., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

NOURI, ALEXANDER, DDS1510 WYOMING BLVD NE STE A (505) 903-6999

PATTERSON, ANDREA, DDS1510 WYOMING BLVD NE STE A (505) 903-6999

PRESTWICH, BRENDON E., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

QUINTANA, OSCAR C., DDS8501 CANDELARIA RD NE BLDG C (505) 292-8300

SPLanguage(s):

ROWAN, RICHARD G., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

SPLanguage(s):

SCHLESINGER, CHARLES, DDS9204 MENAUL BLVD NE STE 3 (505) 299-6112

SPENCER, DARYL, DDS1510 WYOMING BLVD NE STE A (505) 903-6999

TANAKA, LEILANI K., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

TASKER, KENNETH, DDS2801 EUBANK BLVD NE STE J (505) 299-9606

TROPP, STEPHEN M., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

TRUONG, HENRY, DDS2901 JUAN TABO BLVD NE STE 10 (505) 219-3101

WELLS, KELLY S., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

Endodontist

WHITE SR., JOHN H., DDS8501 CANDELARIA RD NE STE D3 (505) 293-2334

Oral Surgery

REID, DOUGLAS M., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

Orthodontist

BUSH, HELEN D., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

DARMITZEL, STEPHEN E., DDS8501 CANDELARIA RD NE STE D3 (505) 293-2334

DULA, GEORGE V., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

GUTIERREZ PULIDO, LUIS D., DDS2801 EUBANK BLVD NE (505) 299-9606

SPLanguage(s):

HANN, ROBERT C., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

LOVELAND, KELCEY G., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

REECE, CALEB W., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

RUPP, QUINTIN D., DMD2010 WYOMING BLVD NE STE G (505) 296-0761

SI, SPLanguage(s):

TRAPNELL, RUSSELL M., DMD2010 WYOMING BLVD NE STE G (505) 296-0761

Pediatric Dentist

AHMED, ZARAH Z., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

ARAGON, ASHLEE, DMD2801 EUBANK BLVD NE STE J (505) 299-9606

CALL, VAUGHN D., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

DARCY, KAITLYN N., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

GUTIERREZ, KAREN, DDS2801 EUBANK BLVD NE STE J (505) 299-9606

JACKSON, JOSEPH L., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

SPLanguage(s):

PECK, CHRISTIAN S., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

SPLanguage(s):

SIEGEL, SCOTT L., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

TASKER, SPENCER J., DMD2801 EUBANK BLVD NE STE J (505) 299-9606

TROPP, ALMUT E., DDS2801 EUBANK BLVD NE STE J (505) 299-9606

Periodontist

FERRARI, MARK A., DDS8501 CANDELARIA RD NE STE D3 (505) 293-2334

Multi-Specialty

AIDA NEW MEXICO CLINICS2901 JUAN TABO BLVD NE STE 10 (505) 219-3101

PEDIATRIC DENTAL ASSOCIATES OF NM LLC2801 EUBANK BLVD NE STE J (505) 299-9606

PERFECT TEETH WYOMING AND CANDELARIA PC8501 CANDELARIA RD NE STE D3 (505) 293-2334

ALBUQUERQUE - 87113

General Dentist

ARCE, JUSEMMY H., DMD6230 PASEO DEL NORTE NE STE B (714) 845-8890

BUTTON, NICHOLAS R., DMD6230 PASEO DEL NORTE NE STE B (714) 845-8890

EDMINSTEN, ETHAN C., DDS6230 PASEO DEL NORTE NE STE B (714) 845-8890

GALLEGOS, CHRISTOPHER F., DDS6230 PASEO DEL NORTE NE STE B (714) 845-8890

HOLBROOK, STEVEN E., DMD8228 LOUISIANA BLVD NE STE C (505) 881-1159

SHAKYA, JASMINE, DDS6230 PASEO DEL NORTE NE STE B (714) 845-8890

WILSON, RYAN H., DMD6230 PASEO DEL NORTE NE STE B (714) 845-8890

Endodontist

STEFFENSEN, JOHN, DDS6230 PASEO DEL NORTE NE STE B (714) 845-8890

Oral Surgery

MONCAYO, MAX P., DDS6230 PASEO DEL NORTE NE STE B (714) 845-8890

STEEL, DREW V., DMD8228 LOUISIANA BLVD NE STE B (505) 821-2111

SPLanguage(s):

STEEL, DREW V., DMD6230 PASEO DEL NORTE NE STE B (714) 845-8890

SPLanguage(s):

Orthodontist

FANNING, MICHAEL J., DDS8212 LOUISIANA BLVD NE STE A (505) 200-0945

SPLanguage(s):

MOHR, ROSS I., DDS7500 HOLLY AVE NE BLDG 2 (505) 292-1282

REISS, STACEY M., DDS6230 PASEO DEL NORTE NE STE B (714) 845-8890

SILVERMAN, MITCHELL B., DMD8216 LOUISIANA BLVD NE (505) 822-1234

Pediatric Dentist

ANNE K HEMPSTEAD DDS PC6400 HOLLY AVE NE STE M (505) 295-1942

COFFMAN, TAMERA P., DDS8220 LOUISIANA BLVD NE STE A (505) 433-3366

HEMPSTEAD, ANNE K., DDS6400 HOLLY AVE NE STE M (505) 295-1942

MARTINEZ, DAVID J., DDS7500 HOLLY AVE NE STE 1 (505) 314-0645

SPLanguage(s):

SIEGEL, SCOTT L., DMD6400 HOLLY AVE NE STE M (505) 295-1942

Periodontist

GHAFFARIGARAKANI, SASAN, DDS6230 PASEO DEL NORTE NE STE B (714) 845-8890

Page 7 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 8: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoALBUQUERQUE - 87113 (continued)

Directory of Participating Dental Providers

Alliance Network

Multi-Specialty

EAGLE POINTE DENTISTS AND ORTHDONTICS6230 PASEO DEL NORTE NE STE B (714) 845-8890

ALBUQUERQUE - 87114

General Dentist

ABSHERE, PHILIP M., DDS9201 EAGLE RANCH RD NW (505) 892-9010

ABSHERE, PHILIP M., DDS9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

ABSHERE, PHILIP M., DDS9211 EAGLE RANCH RD NW (505) 553-3607

ALEGRE DENTAL @ BOSQUE9384 VALLEY VIEW DR NW STE 200 (505) 332-9198

ALLEN, GRANT, DMD9211 EAGLE RANCH RD NW (505) 553-3607

ALLEN, GRANT, DMD9201 EAGLE RANCH RD NW (505) 892-9010

ALLMAN, CASEY C., DMD5740 NIGHT WHISPER RD NW STE 100 (505) 792-1585

SPLanguage(s):

BISHOP, MATTHEW R., DDS9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

BISHOP, MATTHEW R., DDS9211 EAGLE RANCH RD NW (505) 553-3607

SPLanguage(s):

BISHOP, MATTHEW R., DDS9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

BOGOPANE, BOKANG, DDS9401 COORS BLVD NW (505) 890-2773

BROUSSARD, RAYMOND E., DDS9211 EAGLE RANCH RD NW (505) 553-3607

BROUSSARD, RAYMOND E., DDS9201 EAGLE RANCH RD NW (505) 892-9010

CARTER JR., BARNEY W., DMD9201 EAGLE RANCH RD NW (505) 892-9010

CARTER JR., BARNEY W., DMD9211 EAGLE RANCH RD NW (505) 553-3607

CHA, LILY, DDS9201 EAGLE RANCH RD NW (505) 892-9010

CHA, LILY, DDS9211 EAGLE RANCH RD NW (505) 553-3607

CHAVEZ, ARMANDO J., DDS9201 EAGLE RANCH RD NW (505) 633-6982

SPLanguage(s):

CHAVEZ, KEELY J., DDS9211 EAGLE RANCH RD NW (505) 553-3607

CHAVEZ, KEELY J., DDS9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

CHAVEZ, KEELY J., DDS9201 EAGLE RANCH RD NW (505) 892-9010

CHODOSH, DAVID A., DDS3613 NM 528 NW STE G (505) 898-8011

CHODOSH, DAVID A., DDS10320 COTTONWOOD PARK NW STE D (505) 242-4867

CHODOSH, DAVID A., DDS4421 IRVING BLVD NW STE B (505) 821-6910

PT, SPLanguage(s):

CHRISTENSEN, CHRISTOPHER P., DMD9401 COORS BLVD NW (505) 890-2773

SPLanguage(s):

CHUNG, CHRISTINA K., DDS9201 EAGLE RANCH RD NW (505) 892-9010

CHUNG, CHRISTINA K., DDS9211 EAGLE RANCH RD NW (505) 553-3607

COBLE, JEREMY C., DDS9201 EAGLE RANCH RD NW (505) 892-9010

SILanguage(s):

COBLE, JEREMY C., DDS9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

SILanguage(s):

COTTONWOOD PARK DENTISTRY LLC10320 COTTONWOOD PARK NW STE D (505) 242-4867

CURRIE, ZACHARY T., DDS10000 COORS BYPASS NW STE G 218 (505) 242-4867

DAVIS, JOHN D., DDS3610 CALLE CUERVO NW STE A (505) 898-1976

DENTAL PARTNERS OF ALAMEDA LLC1125 ALAMEDA BLVD NW (505) 933-6873

DOMINGUEZ, CORI J., DMD9201 EAGLE RANCH RD NW (505) 892-9010

DOMINGUEZ, FRANK, DMD10250 COTTONWOOD PARK NW STE B (505) 890-0858

SPLanguage(s):

FORDE, COLIN A., DDS10320 COTTONWOOD PARK NW (505) 897-1416

SPLanguage(s):

FOUTZ, JONAH L., DDS3613 NM 528 NW STE G (505) 898-8011

GIAQUINTO, DAVID R., DDS3613 NM 528 NW STE D (505) 899-7645

SPLanguage(s):

GOMEZ, DALLIN D., DDS9201 EAGLE RANCH RD NW (505) 553-3607

GOMEZ, DALLIN D., DDS9201 EAGLE RANCH RD NW FL 1 (505) 892-9010

GRANT DAVIS GRIBBLE DENTAL ASSOCIATES PC3610 CALLE CUERVO NW STE A (505) 898-1976

GREENE, DAVID W., DDS9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

SPLanguage(s):

GREENE, DAVID W., DDS9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

GRIBBLE, BRIAN J., DDS3610 CALLE CUERVO NW STE A (505) 898-1976

HANCHETT, WESLEY R., DDS4421 IRVING BLVD NW STE B (505) 821-6910

PT, SPLanguage(s):

HARRISON, ANNE K., DDS9201 EAGLE RANCH RD NW (505) 892-9010

HATCH, CAMERON J., DDS9201 EAGLE RANCH RD NW FL 3 (505) 892-9010

SPLanguage(s):

HOLLINGSWORTH RYALS , KELLEY, DDS3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

SPLanguage(s):

HOLLOWWA, CONNOR J., DDS3610 CALLE CUERVO NW STE A (505) 898-1976

SPLanguage(s):

HWANG, SHAUN K., DDS8611 GOLF COURSE RD NW (505) 890-6101

KO, SPLanguage(s):

JACKSON, LOUIS A., DDS9211 EAGLE RANCH RD NW (505) 553-3607

JENSEN, STEPHEN R., DDS9201 EAGLE RANCH RD NW (505) 892-9010

JENSEN, STEPHEN R., DDS9211 EAGLE RANCH RD NW (505) 553-3607

JOHANSEN, ROBERT W., DDS9201 EAGLE RANCH RD NW FL 3 (505) 982-9010

JOHANSEN, ROBERT W., DDS9201 EAGLE RANCH RD NW (505) 892-9010

JOHNSON, JESSE T., DDS9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

JOHNSON, JESSE, DDS9201 EAGLE RANCH RD NW (505) 892-9010

JOHNSON, JESSE, DDS9211 EAGLE RANCH RD NW (505) 553-3607

KHAIRA, AARON S., DMD9201 EAGLE RANCH RD NW (505) 892-9010

KHAIRA, AARON S., DMD9211 EAGLE RANCH RD NW (505) 553-3607

KING, MARISOL M., DDS3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

KINZER, KYE G., DDS9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

KINZER, KYE G., DDS9211 EAGLE RANCH RD NW (505) 553-3607

SPLanguage(s):

KNOTT, KENNETH E., DDS9211 EAGLE RANCH RD NW (505) 553-3607

KNOTT, KENNETH E., DDS9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

KNOTT, KENNETH E., DDS9201 EAGLE RANCH RD NW (505) 892-9010

LAPSKER, JENNIFER A., DDS9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

LAPSKER, JENNIFER A., DDS9201 EAGLE RANCH RD NW (505) 892-9010

LEE, JUNG W., DDS9201 EAGLE RANCH RD NW (505) 553-3607

LIGHTHALL, SKYLAR A., DDS9401 COORS BLVD NW (505) 890-2773

LUCERO, MARY A., DDS1000 COORS BY PASS NW STE RG218 (505) 242-4867

MAESTAS, GABRIEL D., DDS1125 ALAMEDA BLVD NW (505) 933-6873

MAIWAND, SAFA H., DDS9201 EAGLE RANCH RD NW (505) 892-9010

SILanguage(s):

MAIWAND, SAFA H., DDS9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

SILanguage(s):

MAJOR, PAKO M., DDS9384 VALLEY VIEW DR NW STE 200 (505) 332-9198

GR, PLLanguage(s):

MANSHAD, ANIS S., DDS9201 EAGLE RANCH RD NW (505) 892-9010

MANSHAD, ANIS S., DDS9201 EAGLE RANCH RD NW (505) 553-3607

MANSOUR, RAFAT M., DDS4824 MCMAHON BLVD NW STE 119 (505) 369-0074

SPLanguage(s):

Page 8 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 9: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoALBUQUERQUE - 87114 (continued)

Directory of Participating Dental Providers

Alliance Network

MASON, BRENTON M., DMD4421 IRVING BLVD NW STE B (505) 821-6910

MINK, KEVIN E., DMD6521 PARADISE BLVD NW STE M (505) 890-3000

MONTANO, ERIN M., DDS9201 EAGLE RANCH RD NW (505) 892-9010

MONTANO, ERIN M., DDS9211 EAGLE RANCH RD NW (505) 553-3607

MYERS, ERIC A., DDS9201 EAGLE RANCH RD NW (505) 892-9010

NEWSOME, BOYD E., DMD4421 IRVING BLVD NW STE B (505) 821-6910

NGUYEN, ALICIA V., DDS9201 EAGLE RANCH RD NW (505) 892-9010

NGUYEN, ALICIA, DDS9211 EAGLE RANCH RD NW (505) 553-3607

NGUYEN, DOROTHY, DMD1628 ALAMEDA BLVD NW (505) 200-9399

OCHENRIDER, DAVID M., DMD10250 COTTONWOOD PARK NW STE B (505) 890-0858

PACHECO, ERIC M., DDS1125 ALAMEDA BLVD NW (505) 933-6873

PATTERSON, ANDREA, DDS4824 MCMAHON BLVD NW STE 119 (505) 369-0074

PISOTTI, GREGORY D., DDS9384 VALLEY VIEW DR NW STE 200 (505) 332-9198

PRESTWICH, BRENDON E., DDS9211 EAGLE RANCH RD NW (505) 553-3607

PRESTWICH, BRENDON E., DDS9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

PRESTWICH, BRENDON E., DDS9201 EAGLE RANCH RD NW (505) 892-9010

ROGERS, JACOB H., DDS6521 PARADISE BLVD NW STE M (505) 890-3000

ROWAN, RICHARD G., DMD9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

ROWAN, RICHARD G., DMD9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

ROWAN, RICHARD G., DMD9211 EAGLE RANCH RD NW (505) 553-3607

SPLanguage(s):

SAPP, WILLIAM A., DDS10320 COTTONWOOD PARK NW STE D (505) 242-4867

SHAKYA, JASMINE, DDS3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

SOLOMON, RICHARD D., DMD9384 VALLEY VIEW DR NW STE 200 (505) 332-9198

SPENCER, DARYL, DDS4824 MCMAHON BLVD NW STE 119 (505) 369-0074

TANAKA, LEILANI K., DDS9211 EAGLE RANCH RD NW (505) 553-3607

TASKER, KENNETH, DDS9201 EAGLE RANCH RD NW (505) 892-9010

TASKER, KENNETH, DMD9211 EAGLE RANCH RD NW (505) 553-3607

TRAN, QUAN ANH, DMD1628 ALAMEDA BLVDNW (505) 200-9399

SP, VTLanguage(s):

TRUCARE DENTAL GROUP INC4824 MCMAHON BLVD NW STE 119 (505) 369-0074

TRUONG, HENRY, DDS3613 NM 528 NW STE G (505) 898-8011

WELLS, KELLY S., DDS9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

WELLS, KELLY S., DDS9211 EAGLE RANCH RD NW (505) 892-9010

WELLS, KELLY S., DDS9201 EAGLE RANCH RD NW (505) 892-9010

WILSON, RYAN H., DMD3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

YANG, JAE, DDS3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

Endodontist

STEFFENSEN, JOHN, DDS3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

WHITE SR., JOHN H., DDS10250 COTTONWOOD PARK NW STE 100 (505) 890-0858

Oral Surgery

CHRISTIANSEN, STEPHEN H., DDS4801 MCMAHON BLVD NW STE 230 (505) 792-4788

JEFFRIES, JOYCE A., DDS9674 EAGLE RANCH RD NW STE 1 (505) 375-0877

SPLanguage(s):

LARMOUR, CHRISTOPHER J., DMD1628 ALAMEDA BLVD NW (505) 899-6979

MONCAYO, MAX P., DDS3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

REID, DOUGLAS M., DMD9201 EAGLE RANCH RD NW (505) 892-9010

REID, DOUGLAS M., DMD9211 EAGLE RANCH RD NW (505) 892-9010

STEEL, DREW V., DMD3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

SPLanguage(s):

Orthodontist

BUSH, HELEN D., DDS9211 EAGLE RANCH RD NW (505) 553-3607

BUSH, HELEN D., DMD9201 EAGLE RANCH RD NW FL 3 (505) 892-9010

DARCY, KAITLYN, DDS9211 EAGLE RANCH RD NW (505) 553-3607

DARMITZEL, STEPHEN E., DDS10250 COTTONWOOD PARK NW STE B (505) 890-0858

DULA, GEORGE V., DDS9201 EAGLE RANCH RD NW (505) 892-9010

DULA, GEORGE V., DDS9211 EAGLE RANCH RD NW (505) 553-3607

DULA, GEORGE V., DDS9201 EAGLE RANCH RD NW FL 3 (505) 892-9010

GUTIERREZ PULIDO, LUIS D., DDS9211 EAGLE RANCH RD NW (505) 553-3607

SPLanguage(s):

GUTIERREZ PULIDO, LUIS D., DDS9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

GUTIERREZ PULIDO, LUIS D., DDS9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

SPLanguage(s):

HANN, ROBERT C., DDS9201 EAGLE RANCH RD NW (505) 892-9010

HANN, ROBERT C., DDS9201 EAGLE RANCH RD NW FL 3 (505) 892-9010

HANN, ROBERT C., DDS9211 EAGLE RANCH RD NW (505) 553-3607

HARNICK, DAVID J., DDS8631 GOLF COURSE RD NW STE F (505) 831-1600

HARNICK, KARI S., DDS8631 GOLF COURSE RD NW STE F (505) 831-1600

LOVELAND, KELCEY G., DMD9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

LOVELAND, KELCEY G., DMD9201 EAGLE RANCH RD NW (505) 892-9010

LOVELAND, KELCEY G., DMD9211 EAGLE RANCH RD NW (505) 553-3607

REECE, CALEB W., DMD9201 EAGLE RANCH RD NW FLOOR 3 (505) 553-3607

REECE, CALEB W., DMD9201 EAGLE RANCH RD NW (505) 892-9010

REISS, STACEY M., DDS3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

SHAH, RAJA, DDS9401 COORS BLVD NW (505) 792-7887

SPLanguage(s):

TORREBIARTE, CARLOS E., DDS3730 ELLISON RD NW STE B (505) 766-4800

SPLanguage(s):

Pediatric Dentist

AHMED, ZARAH Z., DDS9211 EAGLE RANCH RD NW (505) 892-9010

AHMED, ZARAH Z., DDS9201 EAGLE RANCH RD NW (505) 892-9010

ARAGON, ASHLEE, DMD9211 EAGLE RANCH RD NW (505) 553-3607

ARAGON, ASHLEE, DMD9201 EAGLE RANCH RD NW (505) 892-9010

CALL, VAUGHN D., DMD9211 EAGLE RANCH RD NW (505) 553-3607

SPLanguage(s):

CALL, VAUGHN D., DMD9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

CALL, VAUGHN D., DMD9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

DARCY, KAITLYN N., DDS9201 EAGLE RANCH RD NW FL 3 (505) 892-9010

DUCKWORTH, DAMON J., DMD9201 EAGLE RANCH RD NW (505) 892-9010

SILanguage(s):

GUTIERREZ, KAREN, DDS9201 EAGLE RANCH RD NW (505) 892-9010

GUTIERREZ, KAREN, DDS9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

HATCH, BRIAN K., DMD9401 COORS BLVD NW (505) 433-5204

SPLanguage(s):

PECK, CHRISTIAN S., DDS9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

PECK, CHRISTIAN, DDS9211 EAGLE RANCH RD NW (505) 553-3607

SIEGEL, SCOTT L., DMD9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

Page 9 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 10: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoALBUQUERQUE - 87114 (continued)

Directory of Participating Dental Providers

Alliance Network

SIEGEL, SCOTT L., DMD9201 EAGLE RANCH RD NW (505) 892-9010

TASKER, SPENCER J., DMD9211 EAGLE RANCH RD NW (505) 553-3607

TASKER, SPENCER J., DMD9201 EAGLE RANCH RD NW (505) 892-9010

TASKER, SPENCER J., DMD9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

TROPP, ALMUT E., DDS9201 EAGLE RANCH RD NW (505) 892-9010

Periodontist

FERRARI, MARK A., DDS10250 COTTONWOOD PARK NW STE B (505) 890-0858

GHAFFARIGARAKANI, SASAN, DDS3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

Multi-Specialty

AIDA NEW MEXICO CLINICS3613 NM 528 NW STE G (505) 898-8011

COTTONWOOD SMILES DENTISTRY & ORTHODONTI3400 NEW MEXICO 528 NW STE A107 (505) 244-1111

PERFECT TEETH COTTONWOOD PC10250 COTTONWOOD PARK NW STE B (505) 890-0858

SMILES FOR NEW MEXICO KIDS LLC9201 EAGLE RANCH RD NW FL 3 (505) 553-3607

SPLanguage(s):

SPENCER TASKER PEDIATRIC DENTISTRY9201 EAGLE RANCH RD NW (505) 892-9010

SPLanguage(s):

ALBUQUERQUE - 87120

General Dentist

AHN, YEHOON, DDS2116 VISTA OESTE NW STE 202 (505) 836-1076

AHN, YEHOON, DDS8201 GOLF COURSE RD NW STE C3 (505) 200-0187

ALEGRE DENTAL @ PETROGLYPHS2116 VISTA OESTE NW STE 202 (505) 836-1076

ARAGON, JONATHAN, DDS2800 COORS BLVD NW STE A (505) 352-1166

ARMIJO, MARTIN D., DDS6100 COORS BLVD NW STE K6 (505) 897-7740

BELLAM, KRANTIKUMARI, DMD6330 RIVERSIDE PLAZA LN NW STE 165 (630) 730-9676

BERRIN, ROBIN S., DMD3301 COORS BLVD NW STE I (505) 839-3703

BURK, THERON R., DMD3700 COORS BLVD NW STE D (505) 344-6565

CONNER, MICHAEL R., DDS2800 COORS BLVD NW STE A (505) 352-1166

DOMINGUEZ, CORI J., DMD3740 COORS BLVD NW STE A (505) 836-1280

EBRAHIMI, HAMID R., DDS6001 WINTER HAVEN DR NW (505) 842-9799

GREWAL, KAPIL, DDS8201 GOLF COURSE RD NW STE C3 (505) 200-0187

GUDDETI, SUNIL KUMAR RED, DMD6330 RIVERSIDE PLAZA LN NW STE 165 (505) 433-5411

HI, SP, TELanguage(s):

GUDDETI, SUNIL KUMAR RED, DMD6001 WINTER HAVEN DR NW (505) 842-9799

HERREJON RUIZ, MARIO, DMD2800 COORS BLVD NW STE A (505) 352-1166

SPLanguage(s):

HESCH, THOMAS E., DDS3740 COORS BLVD NW STE A (505) 836-1280

HOWELL, RICHARD E., DDS3740 COORS BLVD NW STE A (505) 836-1280

JOHNSON, MARK W., DDS5115 COORS BLVD NW STE F (505) 922-9511

KAMAL ALDEEN, MURTAJA, DDS2800 COORS BLVD NW STE A (505) 352-1166

KELLEY, GRETCHEN M., DDS4801 MONTANO RD NW STE A3 (505) 898-4504

SPLanguage(s):

KELLEY, JONATHAN, DDS4801 MONTANO RD NW STE A3 (505) 898-4504

SPLanguage(s):

KELLY FAMILY DENTAL CENTER4801 MONTANO RD NW STE A3 (505) 898-4504

KIM, MINWOO, DDS6001 WINTER HAVEN DR NW (505) 842-9799

LANTZ, KYLE T., DDS2800 COORS BLVD NW STE A (505) 352-1166

LEE, SHAUN M., DDS6001 WINTER HAVEN DR NW (505) 842-9799

LEWIS HEYWOOD, BARBARA V., DMD8201 GOLF COURSE RD NW STE C3 (505) 200-0187

LONG, C. ROSS, DDS3740 COORS BLVD NW STE A (505) 836-1280

MARTINEZ, AUDRA M., DDS3740 COORS BLVD NW STE A (505) 836-1280

MARTINS, STEPHANIE M., DDS6001 WINTER HAVEN DR NW (505) 842-9799

MENESES, JULEINI M., DMD6001 WINTER HAVEN DR NW (505) 842-9799

MIDTHANA, SRINIVASA R., DDS3803 ATRISCO DR NW STE D (505) 833-1550

MIDTHANA, SRINIVASA R., DDS6001 WINTER HAVEN DR NW (505) 842-9799

MORTAJI, MICHAEL H., DDS3301 COORS BLVD NW STE I (505) 839-3703

MOUNTAIN DENTAL OF NEW MEXICO PC3740 COORS BLVD NW STE A (505) 836-1280

NAMBURI, SUNEEL K., DMD3803 ATRISCO DR NW STE D (505) 833-1550

NAMBURI, SUNEEL K., DMD6330 RIVERSIDE PLAZA LN NW STE 165 (630) 730-9676

NG, NOAH S., DMD6001 WINTER HAVEN DR NW (505) 842-9799

NGO, TIMOTHY T., DDS6001 WINTER HAVEN DR NW (505) 842-9799

PARK, HYUNJUNG, DDS6001 WINTER HAVEN DR NW (505) 842-9799

PISOTTI, GREGORY D., DDS2116 VISTA OESTE NW STE 202 (505) 836-1076

PRESTWICH, BRENDON E., DDS5920 WHITEMAN DR NW (505) 897-6889

ITLanguage(s):

QUACH, VU, DMD3740 COORS BLVD NW STE A (505) 836-1280

QUAM, ZELLISHA A., DMD6001 WINTER HAVEN DR NW (505) 842-9799

SANCHEZ, MICHAEL A., DDS2800 COORS BLVD NW STE A (505) 352-1166

WILCOTS, KAI K., DDS6001 WINTER HAVEN DR NW (505) 842-9799

WILSON, RYAN H., DMD2800 COORS BLVD NW STE A (505) 352-1166

YANG, JAE, DDS6001 WINTER HAVEN DR NW (505) 842-9799

YANG, JAE, DDS5600 COORS BLVD NW STE G4 (505) 431-9740

Endodontist

STEFFENSEN, JOHN, DDS2800 COORS BLVD NW STE A (505) 352-1166

WILSON, RYAN H., DMD5600 COORS BLVD NW STE G4 (505) 431-9740

Oral Surgery

LARMOUR, CHRISTOPHER J., DMD9101 HIGH ASSETS WAY NW STE 101 (505) 899-6979

MONCAYO, MAX P., DDS2800 COORS BLVD NW STE A (505) 352-1166

STEEL, DREW V., DMD2800 COORS BLVD NW STE A (505) 352-1166

SPLanguage(s):

Orthodontist

BUTTNER, JAYNE, DDS6911 TAYLOR RANCH RD NW (505) 881-1100

DUNN, THOMAS W., DDS3710 BOSQUE PLZ NW STE 100 (505) 897-2060

SPLanguage(s):

HALTOM, DARREN M., DDS3301 COORS BLVD NW STE I (505) 839-3703

REISS, STACEY M., DDS2800 COORS BLVD NW STE A (505) 352-1166

Pediatric Dentist

ARAGON, ASHLEE, DMD3301 COORS BLVD NW STE I (505) 839-3703

CALL, VAUGHN D., DMD8201 GOLF COURSE RD NW STE C4 (505) 892-9010

DARCY, KAITLYN N., DDS8201 GOLF COURSE RD NW STE C4 (505) 892-9010

MURPHY, KRISTIN K., DMD3301 COORS BLVD NW STE I (505) 839-3703

Periodontist

GHAFFARIGARAKANI, SASAN, DDS2800 COORS BLVD NW STE A (505) 352-1166

Multi-Specialty

ALBUQUERQUE MODERN DENTISTRY LLC2800 COORS BLVD NW STE A (505) 352-1166

BOSQUE SMILES DENTISTRY LLC5600 COORS BLVD NW STE G4 (505) 431-9740

ALBUQUERQUE - 87121

General Dentist

ABSHERE, PHILIP M., DDS3510 COORS BLVD SW STE A (505) 873-4444

ABSHERE, PHILIP M., DDS111 COORS BLVD NW STE E6 (505) 352-3808

SPLanguage(s):

AHMED, ZARAH Z., DDS111 COORS BLVD NW STE E-6 (505) 352-3808

Page 10 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 11: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoALBUQUERQUE - 87121 (continued)

Directory of Participating Dental Providers

Alliance Network

AHMED, ZARAH Z., DDS3510 COORS BLVD SW STE A (505) 873-4444

ALBUQUERQUE WEST SMILES YOUTH DENTISTRY P111 COORS BLVD NW STE E6 (505) 352-3808

ALLEN, GRANT, DMD111 COORS BLVD NW STE E6 (505) 352-3808

ALLEN, GRANT, DMD3510 COORS BLVD SW STE A (505) 873-4444

ARCE, JUSEMMY H., DMD3715 LAS ESTANCIA DR STE 101 (505) 209-9081

ATTIPOE, QUINCY S., DDS4401 COORS BLVDSW STE CD (505) 369-1703

BAO, LI, DMD475 COORS BLVD NW STE A (505) 208-0505

CN, SPLanguage(s):

BARADARAN, SAM, DDS3211 COORS BLVD SW STE D2 (505) 877-4867

BARARADAN, SAM, DDS1514 COORS BLVD NW (505) 588-2819

BELLAM, KRANTIKUMARI, DMD3211 COORS BLVD SW STE D2 (505) 877-4867

BISHOP, MATTHEW R., DDS111 COORS BLVD NW STE E-6 (505) 352-3808

SPLanguage(s):

BISHOP, MATTHEW R., DDS3510 COORS BLVD SW STE A (505) 873-4444

BROUSSARD, RAYMOND E., DDS3510 COORS BLVD SW STE A (505) 873-4444

BROUSSARD, RAYMOND E., DDS111 COORS BLVD NW STE E6 (505) 352-3808

CARTER JR., BARNEY W., DDS111 COORS BLVD NW STE E6 (505) 352-3808

CARTER JR., BARNEY W., DDS3510 COORS BLVD SW (505) 873-4444

CHA, LILY, DDS3510 COORS BLVD SW STE A (505) 873-4444

CHAVEZ, ARMANDO J., DDS3510 COORS BLVD SW (505) 873-4444

CHAVEZ, ARMANDO J., DDS111 COORS BLVD NW STE E6 (505) 352-3808

CHAVEZ, KEELY J., DDS3510 COORS BLVD SW (505) 873-4444

CHAVEZ, KEELY J., DDS111 COORS BLVD NW STE E6 (505) 352-3808

CHUNG, CHRISTINA K., DDS3510 COORS BLVD SW (505) 873-4444

CHUNG, CHRISTINA K., DDS111 COORS BLVD NW STE E6 (505) 352-3808

CLARK, TAYLOR M., DDS111 COORS BLVD NW STE E6 (505) 352-3808

COBLE, JEREMY C., DDS3211 COORS BLVD SW STE D2 (505) 877-4867

SPLanguage(s):

COBLE, JEREMY C., DDS111 COORS BLVD NW STE E6 (505) 352-3808

SILanguage(s):

COBLE, JEREMY C., DDS3510 COORS BLVD SW STE A (505) 873-4444

SILanguage(s):

CONNER, MICHAEL R., DDS3715 LAS ESTANCIA DR STE 101 (505) 209-9081

CUMMINGS, ANDREW B., DDS3211 COORS BLVD SW STE D2 (505) 877-4867

SPLanguage(s):

DARDANO, MAURICIO E., DDS3211 COORS BLVD SW STE D2 (505) 877-4867

SPLanguage(s):

DOMINGUEZ, CORI J., DMD111 COORS BLVD NW STE E6 (505) 352-3808

DOMINGUEZ, CORI J., DMD3510 COORS BLVD SW STE A (505) 873-4444

DOMINGUEZ, FRANK, DMD6660 CENTRAL AVE SW (505) 833-0033

SPLanguage(s):

EBRAHIMI, HAMID R., DDS3211 COORS BLVD SW STE D2 (505) 877-4867

FRYE, JOSHUA R., DMD3715 LAS ESTANCIA DR STE 101 (505) 209-9081

SPLanguage(s):

GOFF, SARAH M., DMD3211 COORS BLVD SW STE D2 (505) 877-4867

GOMEZ, DALLIN D., DDS3510 COORS BLVD SW STE A (505) 873-4444

GOMEZ, DALLIN D., DDS111 COORS BLVD NW STE E6 (505) 345-2380

GONZALEZ, MARTIN, DDS3211 COORS BLVD SW STE D2 (505) 877-4867

SPLanguage(s):

GREENE, DAVID W., DDS111 COORS BLVD NW STE E6 (505) 352-3808

SPLanguage(s):

GREENE, DAVID W., DDS3510 COORS BLVD SW STE A (505) 873-4444

SPLanguage(s):

GREENE, DAVID W., DDS120 98TH ST NW STE C3 (505) 352-5439

SPLanguage(s):

HARRISON, ANNE K., DDS3510 COORS BLVD SW (505) 873-4444

HARRISON, ANNE K., DDS111 COORS BLVD NW STE E6 (505) 352-3808

HATCH, CAMERON, DDS3510 COORS BLVD SW (505) 873-4444

HATCH, CAMERON, DDS111 COORS BLVD NW STE E6 (505) 352-3808

HONG, KEE JU, DDS3211 COORS BLVD SW STE D2 (505) 877-4867

JENSEN, STEPHEN R., DDS111 COORS BLVD NW STE E6 (505) 352-3808

JOHANSEN, ROBERT W., DDS111 COORS BLVD NW STE E6 (505) 352-3808

JOHANSEN, ROBERT W., DDS3510 COORS BLVD SW STE A (505) 873-4444

JOHNSON, JESSE T., DDS111 COORS BLVD NW STE E6 (505) 352-3808

JOHNSON, JESSE T., DDS3510 COORS BLVD SW STE A (505) 873-4444

KAMAL ALDEEN, MURTAJA, DDS3715 LAS ESTANCIA DR STE 101 (505) 209-9081

KERST, JEFFREY L., DDS3211 COORS BLVD SW STE D2 (505) 877-4867

SPLanguage(s):

KHAIRA, AARON S., DMD111 COORS BLVD NW STE E6 (505) 352-3808

KHAIRA, AARON S., DMD3510 COORS BLVD SW STE A (505) 873-4444

KHAYOUMI, SALIA, DDS3211 COORS BLVD SW STE D2 (505) 877-4867

SPLanguage(s):

KIDS CHOICE DENTAL PC120 98TH ST NW STE C3 (505) 352-5439

KINZER, KYE G., DDS3510 COORS BLVD SW (505) 873-4444

KINZER, KYE G., DDS111 COORS BLVD NW STE E6 (505) 352-3808

KLINTMALM, ERIK G., DMD3211 COORS BLVD SW STE D2 (505) 877-4867

SPLanguage(s):

KNOTT, KENNETH E., DDS111 COORS BLVD NW STE E6 (505) 352-3808

SPLanguage(s):

KNOTT, KENNETH E., DDS3510 COORS BLVD SW STE A (505) 873-4444

LAPSKER, JENNIFER A., DDS111 COORS BLVD NW STE E6 (505) 352-3808

LAPSKER, JENNIFER A., DDS3510 COORS BLVD SW (505) 873-4444

LAS ESTANCIAS DENTAL GROUP3715 LAS ESTANCIA DR STE 101 (505) 209-9081

SPLanguage(s):

LEE, JUNG W., DDS3510 COORS BLVD SW STE A (505) 873-4444

LEE, JUNG W., DDS111 COORS BLVD NW STE E6 (505) 352-3808

LEE, SHAUN M., DDS111 COORS BLVD NW STE E6 (505) 352-3808

GHLanguage(s):

LIN, WEIYE, DMD3211 COORS BLVD SW STE D2 (505) 877-4867

MACINTYRE, JENNIFER, DDS3510 COORS BLVD SW STE A (505) 873-4444

MACINTYRE, JENNIFER, DDS111 COORS BLVD NW STE E6 (505) 352-3808

MAIWAND, SAFA H., DDS111 COORS BLVD NW STE E6 (505) 352-3808

SILanguage(s):

MAIWAND, SAFA H., DDS3510 COORS BLVD SW STE A (505) 873-4444

SILanguage(s):

MANSHAD, ANIS S., DDS3510 COORS BLVD SW STE A (505) 873-4444

MANSHAD, ANIS, DDS111 COORS BLVD NW STE E6 (505) 352-3808

MITSOS, JANNA L., DMD6660 CENTRAL AVE SW (505) 833-0033

MYERS, ERIC A., DDS120 98TH ST NW STE C3 (505) 352-5439

SPLanguage(s):

MYERS, ERIC A., DDS111 COORS BLVD NW STE E6 (505) 352-3808

MYERS, ERIC A., DDS3510 COORS BLVD SW STE A (505) 873-4444

NGUYEN, ALICIA V., DDS111 COORS BLVD NW STE E6 (505) 352-3808

Page 11 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 12: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoALBUQUERQUE - 87121 (continued)

Directory of Participating Dental Providers

Alliance Network

NGUYEN, ALICIA V., DDS3510 COORS BLVD SW STE A (505) 873-4444

NOYES JR., JOHN D., DDS120 98TH ST NW STE C3 (505) 352-5439

NUANES, PAUL A., DDS3715 LAS ESTANCIAS CT SW STE 101 (505) 209-9081

OWENS, DEREK E., DDS3211 COORS BLVD SW STE D2 (505) 877-4867

PARCO, TODD M., DDS111 COORS BLVD NW STE E6 (505) 352-3808

PATEL, KETAN K., DDS3211 COORS BLVD SW STE D2 (505) 877-4867

PRESTWICH, BRENDON E., DDS111 COORS BLVD NW STE E6 (505) 352-3808

PRESTWICH, BRENDON E., DDS3510 COORS BLVD SW STE A (505) 873-4444

ROWAN, RICHARD G., DMD111 COORS BLVD NW STE E6 (505) 352-3808

ROWAN, RICHARD G., DMD3510 COORS BLVD SW STE A (505) 873-4444

SANCHEZ, MICHAEL A., DDS3715 LAS ESTANCIA DR STE 101 (505) 209-9081

TANAKA, LEILANI K., DDS111 COORS BLVD NW STE J (505) 352-3808

TANAKA, LEILANI K., DDS3510 COORS BLVD SW STE A (505) 873-4444

TASKER, KENNETH, DDS111 COORS BLVD NW STE E6 (505) 352-3808

TASKER, KENNETH, DDS3510 COORS BLVD SW STE A (505) 873-4444

TRUONG, HENRY, DDS3211 COORS BLVD SW STE D2 (505) 877-4867

WELLS, KELLY S., DDS120 98TH ST NW STE C3 (505) 352-5439

SPLanguage(s):

WELLS, KELLY S., DDS111 COORS BLVD NW STE E6 (505) 352-3808

WELLS, KELLY S., DDS3510 COORS BLVD SW STE A (505) 873-4444

WILSON, RYAN H., DMD3715 LAS ESTANCIA DR STE 101 (505) 209-9081

Endodontist

STEFFENSEN, JOHN, DDS3715 LAS ESTANCIA DR STE 101 (505) 209-9081

Oral Surgery

MONCAYO, MAX P., DDS3715 LAS ESTANCIA DR STE 101 (505) 209-9081

REID, DOUGLAS M., DMD3510 COORS BLVD SW STE A (505) 873-4444

REID, DOUGLAS M., DMD111 COORS BLVD NW STE E6 (505) 352-3808

STEEL, DREW V., DMD3715 LAS ESTANCIA DR STE 101 (505) 209-9081

SPLanguage(s):

STEEL, DREW V., DMD111 COORS BLVD NW E6 (505) 352-3808

Orthodontist

BUSH, HELEN D., DDS3510 COORS BLVD SW (505) 873-4444

BUSH, HELEN D., DDS111 COORS BLVD NW STE E6 (505) 352-3808

DULA, GEORGE V., DDS3510 COORS BLVD SW STE A (505) 873-4444

DULA, GEORGE V., DDS111 COORS BLVD NW STE E6 (505) 352-3808

GUTIERREZ PULIDO, LUIS D., DDS3510 COORS BLVD SW STE A (505) 873-4444

SPLanguage(s):

GUTIERREZ PULIDO, LUIS D., DDS111 COORS BLVD NW STE E6 (505) 352-3808

SPLanguage(s):

HANN, ROBERT C., DDS3510 COORS BLVD SW STE A (505) 873-4444

HANN, ROBERT C., DDS111 COORS BLVD NW STE E6 (505) 352-3808

JENSEN, STEPHEN R., DDS3510 COORS BLVD SW STE A (505) 873-4444

JEPPSEN, JOHN R., DMD3211 COORS BLVD SW STE D2 (505) 877-4867

SPLanguage(s):

LOVELAND, KELCEY G., DMD111 COORS BLVD NW STE E6 (505) 352-3808

LOVELAND, KELCEY G., DMD3510 COORS BLVD SW STE A (505) 873-4444

ONUORA, OBIAJULU I., DDS3211 COORS BLVD SW STE D2 (505) 877-4867

REECE, CALEB W., DMD111 COORS BLVD NW STE E6 (505) 352-3808

REECE, CALEB W., DMD3510 COORS BLVD SW STE A (505) 873-4444

RUDD, DANIEL B., DDS3211 COORS BLVD SW STE D2 (505) 877-4867

Pediatric Dentist

AHMED, ZARAH Z., DDS111 COORS BLVD NW STE E-6 (505) 352-3808

AHMED, ZARAH Z., DDS3510 COORS BLVD SW STE A (505) 873-4444

ARAGON, ASHLEE, DMD111 COORS BLVD NW STE E6 (505) 352-3808

ARAGON, ASHLEE, DMD3510 COORS BLVD SW STE A (505) 873-4444

CALL, VAUGHN D., DMD3510 COORS BLVD SW STE A (505) 873-4444

CALL, VAUGHN D., DMD111 COORS BLVD NW STE E6 (505) 352-3808

DARCY, KAITLYN N., DDS111 COORS BLVD NW STE J (505) 352-3808

DARCY, KAITLYN N., DDS3510 COORS BLVD SW STE A (505) 873-4444

GUTIERREZ, KAREN, DDS111 COORS BLVD NW STE E6 (505) 352-3808

GUTIERREZ, KAREN, DDS3510 COORS BLVD SW STE A (505) 873-4444

HATCH, BRIAN K., DMD3211 COORS BLVD SW STE D2 (505) 877-4867

PECK, CHRISTIAN S., DDS111 COORS BLVD NW STE E6 (505) 352-3808

PECK, CHRISTIAN S., DDS3510 COORS BLVD SW STE A (505) 873-4444

SIEGEL, SCOTT L., DDS111 COORS BLVD NW STE E6 (505) 352-3808

SIEGEL, SCOTT L., DMD3510 COORS BLVD SW STE A (505) 873-4444

SIEGEL, SCOTT L., DMD111 COORS BLVD NW STE E6 (505) 352-3808

TROPP, ALMUT, DDS3510 COORS BLVD SW (505) 873-4444

TROPP, ALMUT, DDS111 COORS BLVD NW STE E6 (505) 352-3808

Periodontist

GHAFFARIGARAKANI, SASAN, DDS3715 LAS ESTANCIA DR STE 101 (505) 209-9081

Multi-Specialty

PEPPERMINT DENTAL RIO BRAVO3211 COORS BLVD SW STE D2 (505) 877-4867

PERFECT TEETH COORS AND CENTRAL PC6660 CENTRAL AVE SW (505) 833-0033

ROUTE 66 CHILDRENS DENTISTRY LLC111 COORS BLVD NW STE E6 (505) 352-3808

SOUTH VALLEY CHILDRENS DENTISTRY LLC3510 COORS BLVD SW STE A (505) 873-4444

ALBUQUERQUE - 87122

General Dentist

MACKIW, STEPHEN R., DDS8000 EUBANK BLVD NE (505) 298-6732

MORGAN, SPENCER S., DDS9501 PASEO DEL NORTE NE STE A (505) 369-1881

SPLanguage(s):

TRAN, HOA V., DDS9551 PASEO DEL NORTE NE STE A (505) 821-8726

VTLanguage(s):

Endodontist

LOVATO, KAREN F., DDS8300 CARMEL AVE NE STE 101 (505) 294-3636

Orthodontist

KING, LISA N., DDS8300 CARMEL AVE NE STE 403 (505) 299-7678

SPLanguage(s):

Pediatric Dentist

MECKLER PEDIATRIC DENTISTRY8300 CARMEL AVE NE STE 602 (505) 878-0700

MECKLER, GARY A., DDS8300 CARMEL AVE NE STE 602 (505) 878-0700

ALBUQUERQUE - 87123

General Dentist

ALLEN, GRANT, DMD106 MOON ST NE STE B (505) 865-1999

ARAGON, ASHLEE, DDS106 MOON ST NE STE B (505) 865-1999

BELLAM, KRANTIKUMARI, DMD800 JUAN TABO BLVD NE STE Q (505) 554-2262

DOMINGUEZ, FRANK, DMD13140 CENTRAL AVE SE STE E (505) 292-3323

SPLanguage(s):

EHAT, CHRISTOPHER J., DDS13031 CENTRAL AVE NE (505) 332-2273

PHLanguage(s):

Page 12 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 13: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoALBUQUERQUE - 87123 (continued)

Directory of Participating Dental Providers

Alliance Network

FARR, ANDREW L., DMD13031 CENTRAL AVE NE (505) 332-2273

ITLanguage(s):

GARDNER, WILLIAM C., DDS201 WYOMING BLVD NE (505) 266-5881

GUDDETI, SUNIL KUMAR RED, DMD800 JUAN TABO BLVDNE STE Q (505) 554-2262

HINRICHS, WADE A., DDS13031 CENTRAL AVE NE (505) 332-2273

RSLanguage(s):

HONG, KEE JU, DDS10221 CENTRAL AVE NE STE 103 ( ) -

LANTZ, THOMAS E., DDS13140 CENTRAL AVE SE STE E (505) 292-3323

MIDTHANA, SRINIVASA R., DDS800 JUAN TABO BLVD NE STE Q (505) 554-2262

NAMBURI, SUNEEL K., DMD800 JUAN TABO BLVD NE STE Q (505) 554-2262

HI, SP, TELanguage(s):

NM CENTER FOR COSMETIC AND FAMILY DENTISTR201 WYOMING BLVD NE (505) 266-5881

PERFECT TEETH FOUR HILLS PC13140 CENTRAL AVE SE STE E (505) 292-3323

TANAKA, LEILANI K., DDS106 MAIN ST NE STE B (505) 865-1999

WELLS, KELLY S., DDS106 MOON ST NE STE B (505) 865-1999

WILLIAMS, COLLEEN M., DDS441 WYOMING BLVD NE (505) 872-4444

SPLanguage(s):

Pediatric Dentist

HEMPSTEAD, ANNE K., DDS106 MAIN ST NE STE B (505) 865-1999

ALBUQUERQUE - 87131

General Dentist

BODZIAK, JENNIFER R., DDS900 YALE BLVD (505) 925-4031

KIRAN, ASLI B., DDS900 YALE NE (505) 925-4031

AR, GK, SI, TK, VTLanguage(s):

PAVLAKOS, NECTARIOS V., DDS900 YALE NE (505) 925-4031

AR, GK, SI, VTLanguage(s):

TATLOCK, CHARLES D., DDS2320 TUCKER AVE NE (505) 272-4106

SP, VTLanguage(s):

Multi-Specialty

UNM MEDICAL GROUP INC900 YALE BLVD NE (505) 925-4031

SP, VTLanguage(s):

CATRON County

RESERVE - 87830

General Dentist

LOPEZ, INEZ M., DMD1 FOSTER LN (575) 533-6456

MANZANARES, MICHAEL J., DDS1 FOSTER LN (575) 533-6456

MARTINEZ LUJAN, MARIFER, DDS1 FOSTER LN (575) 533-6456

MORGAN, TYLER S., DDS1 FOSTER LN (575) 533-6456

RHOADS, HOWARD N., DDS1 FOSTER LANE (575) 533-6456

SPLanguage(s):

WARREN, ANTHONY J., DDS1 FOSTER LN (575) 533-6456

SPLanguage(s):

WESTBROOK, JEFFREY H., DDS1 FOSTER LN (575) 533-6456

CHAVES County

DEXTER - 88230

General Dentist

PARSONS, HARRY R., DDS118 E 2ND ST (575) 734-5402

ROSWELL - 88201

General Dentist

ACHALLA, VENKATA, DDS2600 N MAIN ST (888) 988-4066

AHGHAR, KEON J., DDS824 N MAIN ST STE A (575) 622-4455

SPLanguage(s):

ALL SMILES FAMILY DENTAL CLINICS LLC110 W COUNTRY CLUB RD STE 6 (575) 622-5835

ALL SMILES FAMILY DENTAL CLINICS LLC3751 N MAIN ST STE D (575) 622-5835

ANIFOWOSE, SHOLA D., DDS2600 N MAIN ST STE A (888) 988-4066

FR, SPLanguage(s):

ANTANI, KARTIK N., DMD2600 N MAIN ST (888) 988-4066

AZAD, KOUSHAN H., DMD2600 N MAIN ST STE A (888) 988-4066

BARNEY, LASON J., DDS110 W COUNTRY CLUB RD STE 6 (575) 622-5835

BARNEY, LASON J., DDS3751 N MAIN ST STE D (575) 622-5835

BARONE, RANDY A., DDS250 W COUNTRY CLUB RD (575) 623-4161

SPLanguage(s):

BAYMILLER, SCOTT A., DDS110 W COUNTRY CLUB RD STE 6 (575) 622-5835

BAYMILLER, SCOTT A., DDS3751 N MAIN ST STE D (575) 622-5835

BORN JR., PHILLIP E., DDS3900 N MAIN ST (575) 203-3160

BROWN, DAVID M., DDS2000 N UNION AVE (575) 627-0141

BURNETT, SCOTT L., DDS1405 N UNION AVE (575) 622-2469

CAYCEDO, CLAUDIO H., DDS204 W 2ND ST STE 3 (505) 625-1135

CHANG, YUN SHIK, DDS2600 N MAIN ST (888) 988-4066

FR, SPLanguage(s):

COWDEN, JASON T., DMD2600 N MAIN ST STE A (888) 988-4066

DAHIYA, MONICA, DDS4511 N MAIN ST STE B (575) 208-2380

HILanguage(s):

DESAI, ADITYA A., DDS2600 N MAIN ST (888) 988-4066

HILanguage(s):

DEVAKI, SWATHI, DDS4511 N MAIN ST (575) 208-2380

DO, TRIET, DDS3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

EHIGIATOR, OSAROBO, DDS4511 N MAIN ST STE B (575) 208-2380

FAMILIA DENTAL ROS LLC2600 N MAIN ST STE A (888) 988-4066

GAJULA, TULASI S., DDS701 E COUNTRY CLUB RD (575) 624-7207

GARLA, HARSHAVARDHAN, DDS2600 N MAIN ST STE A (888) 988-4066

GREWAL, KAPIL, DDS2600 N MAIN ST STE A (888) 988-4066

HANEY, PHILIP C., DDS203 E MESCALERO RD (575) 623-9110

HARRELL, SEAN M., DDS3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

HARRELL, SEAN M., DDS110 W COUNTRY CLUB RD STE 6 (575) 622-5835

SPLanguage(s):

HE, SHENYE, DMD3751 N MAIN ST STE D (575) 622-5835

CN, SPLanguage(s):

HE, SHENYE, DMD110 W COUNTRY CLUB RD STE 6 (505) 622-5835

CN, SPLanguage(s):

IMMANNI, GANGADHAR, DDS701 E COUNTRY CLUB RD (575) 624-7207

SPLanguage(s):

IRANI, ALI, DMD2600 N MAIN ST STE A (888) 988-4066

FRLanguage(s):

JUDGE, ARWINDER S., DDS3900 N MAIN ST (575) 203-3160

KAMAL ALDEEN, MURTAJA, DDS2600 N MAIN ST STE A (888) 988-4066

KIDS KARE PC110 W COUNTRY CLUB RD STE 6 (575) 622-5835

SPLanguage(s):

KIDS KARE PC3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

KIM, CHANGHUN, DDS3751 N MAIN ST STE D (575) 622-5835

KOTHA, ABHIROOP, DMD2600 N MAIN ST (888) 988-4066

KOZLOV, ALEKSEY, DMD3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

KUNNEKEL, ASHISH T., DDS4511 N MAIN ST STE B (575) 437-8994

HILanguage(s):

LE, GIA HUY N., DMD3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

Page 13 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 14: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoROSWELL - 88201 (continued)

Directory of Participating Dental Providers

Alliance Network

LE, LEE B., DMD200 W WILSHIRE BLVD STE A (505) 622-5956

SPLanguage(s):

LE, LEE B., DMD701 E COUNTRY CLUB RD (575) 624-7207

SPLanguage(s):

LE, TONY V., DDS2600 N MAIN ST STE A (888) 988-4066

LEE, DAYOON, DDS2600 N MAIN ST STE A (888) 988-4066

LUIKENS, MICHELLE J., DMD10 BATON ROUGE CT (575) 622-3012

LUIKENS, MICHELLE J., DMD2000 N UNION AVE (575) 627-0141

MAI, MACY, DMD3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

MANGLA, KAPIL, DDS4511 N MAIN ST STE B (575) 208-2380

MANSHAD, ANIS S., DDS2600 N MAIN ST STE A (888) 988-4066

FR, SPLanguage(s):

MAUPIN DENTAL LLC2000 N UNION AVE (575) 627-0141

MAUPIN, PAUL J., DDS2000 N UNION AVE (575) 627-0141

MIDTHANA, SRINIVASA R., DDS2600 N MAIN ST (888) 988-4066

MIYAMASU, PATRICK K., DDS2600 N MAIN ST STE A (888) 988-4066

MORAN, STEPHEN C., DDS317 W COUNTRY CLUB RD (575) 624-0636

CR, GR, SPLanguage(s):

MURGA, FIELFER L., DDS2600 N MAIN ST (888) 988-4066

SPLanguage(s):

NEUBAUER, EDWARD E., DDS3751 N MAIN ST STE D (575) 622-5835

NEUBAUER, EDWARD E., DDS110 W COUNTRY CLUB RD STE 6 (575) 622-5835

OUSHY EISSA, NOHA, DDS3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

PARK, JOSEPH, DMD110 W COUNTRY CLUB RD STE 6 (505) 622-5835

CN, KO, SPLanguage(s):

PARK, JOSEPH, DMD3751 N MAIN ST STE D (575) 622-5835

CN, KO, SPLanguage(s):

PAUL, CRAIG R., DDS2000 N UNION AVE (575) 627-0141

SPLanguage(s):

PAUL, CRAIG R., DDS3751 N MAIN ST STE D (575) 622-5835

PEREZ, PAUL D., DDS3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

PEREZ, PAUL D., DDS110 W COUNTRY CLUB RD STE 6 (575) 622-5835

SPLanguage(s):

POLICARPIO, MYRNA L., DDS701 E COUNTRY CLUB RD (575) 624-7207

POLICARPIO, MYRNA L., DDS200 W WILSHIRE BLVD STE A (505) 622-5956

PRICE, TIMOTHY B., DDS313 W COUNTRY CLUB RD STE 6 (575) 622-3300

SPLanguage(s):

QUAN, KRISTI, DDS117 E 19TH ST (575) 621-0800

RANJBARAN, HAMID, DDS3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

RHODES, JOSEPH I., DDS110 W COUNTRY CLUB RD STE 6 (575) 622-5835

SPLanguage(s):

RHODES, JOSEPH I., DDS3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

RUYLE, BONNIE L., DDS110 W COUNTRY CLUB RD STE 6 (575) 622-5835

SPLanguage(s):

RUYLE, BONNIE L., DDS3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

SARKISYAN, ARTUR A., DMD3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

SCHEIB, JEFFREY R., DDS3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

SCHEIB, JEFFREY R., DDS110 W COUNTRY CLUB RD STE 6 (575) 622-5835

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS2600 N MAIN ST (888) 988-4066

SINGH, RUPESH, DDS2600 N MAIN ST STE A (888) 988-4066

STEVENS, MARK A., DMD3751 N MAIN ST STE D (575) 622-5835

SPLanguage(s):

SUBGANI, RAMYA, DDS2600 N MAIN ST (888) 988-4066

TAYLOR, STEPHEN H., DDS3900 N MAIN ST (575) 203-3160

TRUONG, HENRY, DDS2600 N MAIN ST (888) 988-4066

TSAI, HANNAH, DMD2600 N MAIN ST STE A (888) 988-4066

USHER, SARAH R., DMD824 N MAIN ST STE A (575) 622-4455

SPLanguage(s):

VU, DAVID, DDS2600 N MAIN ST (888) 988-4066

WILSON, ERIC J., DDS3751 N MAIN ST STE D (575) 622-5835

WILSON, ERIC J., DDS110 W COUNTRY CLUB RD STE 6 (575) 622-5835

YOON, JAJUNG, DMD2600 N MAIN ST (888) 988-4066

Oral Surgery

HEINER, BRYCE B., DMD3401 N MAIN ST (575) 623-5711

SMITH, BEN M., DMD824 N MAIN ST (575) 622-4455

SMITH, BEN M., DMD2600 N MAIN ST (888) 988-4066

SMITH, BEN M., DMD207 N UNION AVE STE E (575) 624-2095

URQUHART, ROBERT C., DDS3900 N MAIN ST (575) 203-3160

Orthodontist

BADEJOKO, FRANCIS O., DDS2600 N MAIN ST STE A (888) 988-4066

BRUCE, JOSHUA D., DDS2600 N MAIN ST STE A (888) 701-1457

FR, MZ, SPLanguage(s):

DEHGHAN, AMIR H., DDS2600 N MAIN ST STE A (888) 988-4066

FR, SPLanguage(s):

GUYMON, RUSSELL J., DDS2600 N MAIN ST (888) 988-4066

TAYLOR, MICHAEL M., DDS200 W WILSHIRE BLVD STE E (575) 622-4369

SPLanguage(s):

Pediatric Dentist

HAYES, PETER A., DMD405 W COUNTRY CLUB RD (575) 622-8170

FR, SPLanguage(s):

HAYES, PETER A., DMD117 E 19TH ST (575) 621-0800

FR, SPLanguage(s):

TSENG, STEVE H., DDS117 E 19TH ST (575) 621-0800

Multi-Specialty

ASPEN DENTAL3900 N MAIN ST (575) 203-3160

ROSWELL - 88203

General Dentist

CARTER, MICHELE L., DDS711 W ALAMEDA ST (575) 622-3012

CATHEY, PHILLIP M., DDS803 W ALAMEDA ST (575) 622-9134

GAJULA, TULASI S., DDS600 E HOBBS ST (575) 624-7207

GAJULA, TULASI S., DDS606 O CONNOR RD (575) 624-7207

GAJULA, TULASI S., DDS615 S SYCAMORE AVE (575) 624-7207

GAJULA, TULASI S., DDS500 W HOBBS ST (575) 624-7207

GAJULA, TULASI S., DDS25 W MARTIN ST (575) 624-7207

GAJULA, TULASI S., DDS75 UNIVERSITY BLVD (575) 624-7207

GAJULA, TULASI S., DDS1601 E BLAND ST (575) 624-7207

GAJULA, TULASI S., DDS1208 E BLAND ST (575) 624-7207

GAJULA, TULASI S., DDS2807 W BLAND ST (575) 624-7207

GAJULA, TULASI S., DDS312 E MOUNTAIN VIEW RD (575) 624-7207

Page 14 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 15: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoROSWELL - 88203 (continued)

Directory of Participating Dental Providers

Alliance Network

IMMANNI, GANGADHAR, DDS615 S SYCAMORE AVE (575) 624-7207

SPLanguage(s):

IMMANNI, GANGADHAR, DDS75 UNIVERSITY BLVD (575) 624-7207

SPLanguage(s):

IMMANNI, GANGADHAR, DDS600 E HOBBS ST (575) 624-7207

SPLanguage(s):

IMMANNI, GANGADHAR, DDS500 W HOBBS ST (575) 624-7207

SPLanguage(s):

IMMANNI, GANGADHAR, DDS312 E MOUNTAIN VIEW RD (575) 624-7207

SPLanguage(s):

IMMANNI, GANGADHAR, DDS2807 W BLAND ST (575) 624-7207

SPLanguage(s):

IMMANNI, GANGADHAR, DDS25 W MARTIN ST (575) 624-7207

SPLanguage(s):

IMMANNI, GANGADHAR, DDS1601 E BLAND ST (575) 624-7207

SPLanguage(s):

IMMANNI, GANGADHAR, DDS1208 E BLAND ST (575) 624-7207

SPLanguage(s):

IMMANNI, GANGADHAR, DDS606 O CONNOR RD (575) 624-7207

SPLanguage(s):

LE, LEE B., DMD600 E HOBBS ST (575) 624-7207

SPLanguage(s):

LE, LEE B., DMD2807 W BLAND ST (575) 624-7207

SPLanguage(s):

LE, LEE B., DMD500 W HOBBS ST (575) 624-7207

SPLanguage(s):

LE, LEE B., DMD312 E MOUNTAIN VIEW RD (575) 324-7207

SPLanguage(s):

LE, LEE B., DMD1601 E BLAND ST (575) 624-7207

SPLanguage(s):

LE, LEE B., DMD25 W MARTIN ST (575) 624-7207

SPLanguage(s):

LE, LEE B., DMD606 O CONNOR RD (575) 624-7207

SPLanguage(s):

LE, LEE B., DMD615 S SYCAMORE AVE (575) 624-7207

SPLanguage(s):

LE, LEE B., DMD75 UNIVERSITY BLVD BLDG 130 (575) 624-7207

SPLanguage(s):

LE, LEE B., DMD1208 E BLAND ST (575) 624-7207

SPLanguage(s):

LONGWILL, THOMAS J., DDS306 W TILDEN ST (575) 623-3204

SPLanguage(s):

POLICARPIO, MYRNA L., DDS1208 E BLAND ST (575) 624-7207

POLICARPIO, MYRNA L., DDS1601 E BLAND ST (575) 624-7207

POLICARPIO, MYRNA L., DDS25 W MARTIN ST (575) 624-7207

POLICARPIO, MYRNA L., DDS2807 W BLAND ST (575) 624-7207

POLICARPIO, MYRNA L., DDS312 E MOUNTAIN VIEW RD (575) 624-7207

POLICARPIO, MYRNA L., DDS600 E HOBBS ST (575) 624-7207

POLICARPIO, MYRNA L., DDS500 W HOBBS ST (575) 624-7207

POLICARPIO, MYRNA L., DDS615 S SYCAMORE AVE (575) 624-7207

POLICARPIO, MYRNA L., DDS606 O CONNOR RD (575) 624-7207

POLICARPIO, MYRNA L., DDS75 UNIVERSITY BLVD (575) 624-7207

RHOADS, HOWARD N., DDS75 UNIVERSITY BLVD (575) 624-7207

CIBOLA County

GRANTS - 87020

General Dentist

ABRAHAM, KENNETH L., DDS901 E ROOSEVELT AVE (505) 285-4444

BACA, DERRICK R., DDS1209 BONITA ST (505) 876-4034

BERRIN, ROBIN S., DMD805 E HIGH ST (505) 285-3443

SPLanguage(s):

BUKSA VALDIVIA, PATRICIA L., DDS1209 BONITA ST (505) 876-4034

KING, MICHAEL D., DMD920 LOBO CANYON RD STE 6 (505) 287-5586

MATTILA, JEFFERY R., DDS200 LINCOLN AVE (505) 287-2000

MURPHY, KRISTIN K., DMD805 E HIGH ST (505) 285-3443

SHAHEEN, BRUCE B., DDS920 LOBO CANYON RD STE 6 (505) 972-3000

PTLanguage(s):

SMITH, DAMIAN R., DMD920 LOBO CANYON RD STE 6 (505) 972-3000

SUNDANCE DENTAL CARE OF GRANTS LLC920 LOBO CANYON RD STE 6 (505) 972-3000

WHITEHEAD, TYLER A., DDS920 LOBO CANYON RD STE 6 (505) 972-3000

Orthodontist

HALTOM, DARREN M., DDS1209 BONITA ST STE B (505) 299-4458

HALTOM, DARREN M., DDS805 E HIGH ST (505) 285-9833

Pediatric Dentist

ARAGON, ASHLEE, DMD805 E HIGH ST (505) 285-3443

GLADNEY, MARCELLUS N., DMD805 E HIGH ST (505) 285-3443

HENDRICKS, KELLY G., DDS805 E HIGH ST (505) 285-3443

HENDRICKS, KRISTIN W., DDS805 E HIGH ST (505) 285-3443

Multi-Specialty

A TO Z CHILDRENS DENTISTRY805 E HIGH ST (505) 285-3443

SUNDANCE DENTAL CARE OF GRANTS LLC920 LOBO CANYON RD STE 6 (505) 972-3000

COLFAX County

ANGEL FIRE - 87710

General Dentist

DOOLIN, TIMOTHY A., DMD27479 HWY 64 (575) 377-1383

SPLanguage(s):

MCCASH, STRIDER A., DDS27479 HWY 64 (575) 377-1383

RATON - 87740

General Dentist

NAZERI FAMILY DENTISTRY LLC162 HOSPITAL DR (575) 445-3596

NAZERI, BRIAN J., DDS162 HOSPITAL DR (575) 445-3596

CURRY County

CLOVIS - 88101

General Dentist

ACHALLA, VENKATA, DDS4017 N PRINCE ST (888) 988-4066

ALL SMILES FAMILY DENTAL CLINICS LLC600 TEXAS ST STE C (575) 762-1900

ANIFOWOSE, SHOLA D., DDS4017 N PRINCE ST (888) 988-4066

FR, SPLanguage(s):

ANTANI, KARTIK N., DMD4017 N PRINCE ST (888) 988-4066

AZAD, KOUSHAN H., DMD4017 N PRINCE ST (888) 988-4066

BARNEY, LASON J., DDS600 TEXAS ST STE C (575) 762-1900

BAYMILLER, SCOTT A., DDS600 TEXAS ST STE C (575) 762-1900

BURGIN, JEREMY W., DDS821 LEXINGTON RD STE A (575) 762-2355

SPLanguage(s):

COWDEN, JASON T., DMD4017 N PRINCE ST (888) 988-4066

DESAI, ADITYA A., DDS4017 N PRINCE ST (888) 988-4066

HILanguage(s):

DO, TRIET, DDS600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

FAMILIA DENTAL CLOVIS LLC4017 N PRINCE ST (888) 988-4066

GAJULA, TULASI S., DDS100 COMMERCE WAY (575) 769-5024

GAJULA, TULASI S., DDS1400 CAMEO ST (575) 769-5024

Page 15 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 16: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoCLOVIS - 88101 (continued)

Directory of Participating Dental Providers

Alliance Network

GAJULA, TULASI S., DDS500 W 14TH ST (575) 769-5024

GAJULA, TULASI S., DDS400 N DAVIS ST (575) 769-5024

GAJULA, TULASI S., DDS400 LOCKWOOD DR (575) 769-5024

GAJULA, TULASI S., DDS1521 W 13TH ST (575) 762-5021

GARLA, HARSHAVARDHAN, DDS4017 N PRINCE ST (888) 988-4066

GREWAL, KAPIL, DDS4017 N PRINCE ST (888) 988-4066

HARRELL, SEAN M., DDS600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

HE, SHENYE, DMD600 TEXAS ST STE C (575) 762-1900

CN, SPLanguage(s):

HISEL, GLEN W., DDS221 FAIRWAY TER N (575) 762-3711

SPLanguage(s):

HOOPES, JAMES T., DDS3700 N PRINCE ST (575) 219-3040

IMMANNI, GANGADHAR, DDS400 LOCKWOOD DR (575) 769-5024

SPLanguage(s):

IMMANNI, GANGADHAR, DDS500 W 14TH ST (575) 769-5024

SPLanguage(s):

IMMANNI, GANGADHAR, DDS400 N DAVIS ST (575) 769-5024

SPLanguage(s):

IMMANNI, GANGADHAR, DDS100 COMMERCE WAY (575) 769-5024

SPLanguage(s):

IMMANNI, GANGADHAR, DDS1521 W 13TH ST (575) 769-5021

SPLanguage(s):

IMMANNI, GANGADHAR, DDS1400 CAMEO ST (575) 769-5024

SPLanguage(s):

IRANI, ALI, DMD4017 N PRINCE ST (888) 988-4066

FRLanguage(s):

JUDGE, ARWINDER S., DDS3700 N PRINCE ST (575) 219-3040

KAMAL ALDEEN, MURTAJA, DDS4017 N PRINCE ST (888) 988-4066

KIDS KARE PC600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

KIM, CHANGHUN, DDS600 TEXAS ST STE C (575) 762-1900

KOTHA, ABHIROOP, DMD4017 N PRINCE ST (888) 988-4066

KOZLOV, ALEKSEY, DMD600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

KROHNFELDT, SHANE G., DDS4017 N PRINCE ST (888) 988-4066

FR, SPLanguage(s):

LA CASA FAMILY HEALTH CENTER1521 W 13TH ST (575) 769-5021

LE, GIA HUY N., DMD600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

LE, LEE B., DMD1400 CAMEO ST (575) 769-5024

SPLanguage(s):

LE, LEE B., DMD100 COMMERCE WAY (575) 769-5024

SPLanguage(s):

LE, LEE B., DMD500 W 14TH ST (575) 769-5024

SPLanguage(s):

LE, LEE B., DMD400 N DAVIS ST (575) 769-5024

SPLanguage(s):

LE, LEE B., DMD400 LOCKWOOD DR (575) 769-5024

SPLanguage(s):

LE, LEE B., DMD1521 W 13TH ST (575) 769-0888

SPLanguage(s):

MAI, MACY, DMD600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

MANSHAD, ANIS S., DDS4017 N PRINCE ST (888) 988-4066

FR, SPLanguage(s):

MIDTHANA, SRINIVASA R., DDS4017 N PRINCE ST (888) 988-4066

MIYAMASU, PATRICK K., DDS4017 N PRINCE ST (888) 988-4066

MURGA, FIELFER L., DDS4017 N PRINCE ST (888) 988-4066

SPLanguage(s):

NAGGS, JEFF A., DDS821 LEXINGTON RD STE A (575) 762-2201

NEUBAUER, EDWARD E., DDS600 TEXAS ST STE C (575) 762-1900

O QUINN, JULIE A., DDS121 W LLANO ESTACADO BLVD (575) 742-3100

OUSHY EISSA, NOHA, DDS600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

PARK, JOSEPH, DMD600 TEXAS ST STE C (575) 762-1900

CN, KO, SPLanguage(s):

PEREZ, PAUL D., DDS600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

POLICARPIO, MYRNA L., DDS100 COMMERCE WAY (575) 769-5024

POLICARPIO, MYRNA L., DDS500 W 14TH ST (575) 769-5024

POLICARPIO, MYRNA L., DDS400 N DAVIS ST (575) 769-5024

POLICARPIO, MYRNA L., DDS400 LOCKWOOD DR (575) 769-5024

POLICARPIO, MYRNA L., DDS1521 W 13TH ST (575) 769-5021

POLICARPIO, MYRNA L., DDS1400 CAMEO ST (575) 769-5024

RANJBARAN, HAMID, DDS600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

RHOADS, HOWARD N., DDS1521 W 13TH ST (575) 769-5021

RHODES, JOSEPH I., DDS600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

ROWLEY II, NICHOLAS J., DDS201 COMMERCE WAY STE 101 (575) 769-2459

RUYLE, BONNIE L., DDS600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

SCHEIB, JEFFREY R., DDS600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS4017 N PRINCE ST (888) 988-4066

SMITH, BARBARA A., DDS1420 PILE ST (575) 762-1254

STEVENS, MARK A., DMD600 TEXAS ST STE C (575) 762-1900

SPLanguage(s):

SUBGANI, RAMYA, DDS4017 N PRINCE ST (888) 988-4066

TRUONG, HENRY, DDS4017 N PRINCE ST (888) 988-4066

WATERS, CAMERON M., DDS116 W 21ST ST (575) 763-7632

WATERS, MARK N., DDS116 W 21ST ST (575) 763-7632

WILSON, ERIC J., DDS600 TEXAS ST STE C (575) 762-1900

WOOD, MICHAEL G., DDS211 INNSDALE TER (575) 762-7797

SPLanguage(s):

YOON, JAJUNG, DMD4017 N PRINCE ST (888) 988-4066

ZARIKTA, BRIAN A., DDS813 PARKLAND DR (575) 762-4501

ZARIKTA, MICHAEL P., DDS813 PARKLAND DR (575) 762-4501

Endodontist

WELCH, SARAH J., DDS2000 W 21ST ST STE L1 (575) 762-8000

Oral Surgery

SMITH, BEN M., DMD4017 N PRINCE ST (888) 988-4066

URQUHART, ROBERT C., DDS3700 N PRINCE ST (575) 219-3040

Orthodontist

BRUCE, JOSHUA D., DDS4017 N PRINCE ST (888) 988-4066

FR, MZ, SPLanguage(s):

DEHGHAN, AMIR H., DDS4017 N PRINCE ST (888) 988-4066

FR, SPLanguage(s):

FARNSWORTH, DAVID W., DDS205 E LLANO ESTACADO BLVD STE C (575) 762-4794

SPLanguage(s):

Page 16 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 17: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoCLOVIS - 88101 (continued)

Directory of Participating Dental Providers

Alliance Network

GUYMON, RUSSELL J., DDS4017 N PRINCE ST (888) 988-4066

Multi-Specialty

ASPEN DENTAL3700 N PRINCE ST (575) 219-3040

DE BACA County

FORT SUMNER - 88119

General Dentist

HOWARD, DWIGHT D., DDS546 N 10TH ST (575) 355-2417

SPLanguage(s):

MCALLISTER, GREGORY R., DDS546 N 10TH ST (575) 355-2417

RHOADS, HOWARD N., DDS546 N 10TH ST (575) 355-2417

SPLanguage(s):

DONA ANA County

ANTHONY - 88021

General Dentist

ALL SMILES FAMILY DENTAL CLINICS LLC1275 ANTHONY DR STE 2 (575) 882-7800

BADDOUR, MARY C., DDS855 N MAIN (575) 882-3607

SPLanguage(s):

BARNEY, LASON J., DDS1275 ANTHONY DR STE 2 (505) 882-7800

BHATTU, BHARANI K., DDS855 N MAIN (575) 526-1105

CASCI, FRANCIS T., DDS855 N MAIN (575) 882-5706

DO, TRIET, DDS1275 ANTHONY DR STE 2 (575) 882-7800

SPLanguage(s):

ENUGANTI, NARAYANA R., DDS855 N MAIN (575) 882-3607

SPLanguage(s):

GAJULA, TULASI S., DDS855 N MAIN (575) 882-3607

SPLanguage(s):

GUPTA AGGARWAL, NITEHA, DDS855 N MAIN (575) 882-3607

SPLanguage(s):

HARRELL, SEAN M., DDS1275 ANTHONY DR STE 2 (575) 882-7800

SPLanguage(s):

HE, SHENYE, DMD1275 ANTHONY DR STE 2 (575) 882-7800

CN, SPLanguage(s):

KIDS KARE PC1275 ANTHONY DR STE 2 (575) 882-7800

SPLanguage(s):

KIM, CHANGHUN, DDS1275 ANTHONY DR STE 2 (575) 882-7800

KOZLOV, ALEKSEY, DMD1275 ANTHONY DR STE 2 (575) 882-7800

SPLanguage(s):

KUBIAK, RONALD R., DDS855 N MAIN (575) 882-5706

SPLanguage(s):

LA CLINICA DE FAMILIA INC855 N MAIN (575) 882-5706

SPLanguage(s):

LADDHA, KAPIL, DDS855 N MAIN (575) 882-3607

SPLanguage(s):

LARA, WENDY L., DDS855 N MAIN (575) 882-5706

LAUER, MICHAEL T., DMD855 N MAIN (575) 882-5706

SPLanguage(s):

LE, GIA HUY N., DMD1275 ANTHONY DR STE 2 BLDG E (575) 882-7800

SPLanguage(s):

MAESTAS, TANYA SUE, DDS855 N MAIN (575) 882-3607

SPLanguage(s):

MAI, MACY, DMD1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

SPLanguage(s):

MANSHAD, AOUS S., DDS855 N MAIN (575) 882-3607

SPLanguage(s):

NEUBAUER, EDWARD E., DDS1275 ANTHONY DR BLDG E STE 2 (575) 882-7800

OGAS, LAURA N., DDS855 N MAIN (575) 882-5706

SPLanguage(s):

OUSHY EISSA, NOHA, DDS1275 ANTHONY DR STE 2 (575) 882-7800

SPLanguage(s):

PARK, JOSEPH, DMD1275 ANTHONY DR STE 2 (575) 882-7800

CN, KO, SPLanguage(s):

PEREZ, PAUL D., DDS1275 ANTHONY DR STE 2 (575) 882-7800

SPLanguage(s):

PORTER, SILAS M., DMD855 N MAIN (575) 882-5706

SPLanguage(s):

RANJBARAN, HAMID, DDS1275 ANTHONY DR STE 2 (575) 882-7800

SPLanguage(s):

RHODES, JOSEPH I., DDS1275 ANTHONY DR STE 2 (575) 882-7800

SPLanguage(s):

RUSSELL, DAVID W., DMD855 N MAIN (575) 382-3607

SPLanguage(s):

RUYLE, BONNIE L., DDS1275 ANTHONY DR STE 2 (575) 882-7800

SPLanguage(s):

SALADI, SRIKANTHI V., DMD855 N MAIN (575) 882-3807

SPLanguage(s):

SARKISYAN, ARTUR A., DMD1275 ANTHONY DR STE 2 (575) 882-7800

SPLanguage(s):

SCHEIB, JEFFREY R., DDS1275 ANTHONY DR STE 2 (575) 882-7800

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS855 N MAIN (575) 882-3607

SPLanguage(s):

STEVENS, MARK A., DMD1275 ANTHONY DR STE 2 (575) 882-7800

SPLanguage(s):

THOMPSON, CORY G., DMD855 N MAIN (575) 882-3607

SPLanguage(s):

TRIGO, JOY T., DDS855 N MAIN (575) 882-3607

WILSON, ERIC J., DDS1275 ANTHONY DR STE 2 (575) 882-7800

WOOLF, MARK A., DDS1275 ANTHONY DR UNIT 2 (575) 882-7800

CHAPARRAL - 88081

General Dentist

BADDOUR, MARY C., DDS510 E LISA DR (575) 824-0128

SPLanguage(s):

BHATTU, BHARANI K., DDS510 E LISA DR (575) 824-0820

CASCI, FRANCIS T., DDS510 E LISA DR (575) 824-0820

ENUGANTI, NARAYANA R., DDS320 MCCOMBS RD STE E (575) 448-4848

HI, SP, TELanguage(s):

ENUGANTI, NARAYANA R., DDS510 E LISA DR (575) 824-0128

SPLanguage(s):

GAJULA, TULASI S., DDS510 E LISA DR BLDG 3 (575) 824-0820

SPLanguage(s):

GUPTA AGGARWAL, NITEHA, DDS510 E LISA DR (575) 824-0128

SPLanguage(s):

KUBIAK, RONALD R., DDS510 E LISA DR (575) 824-0820

SPLanguage(s):

LA CLINICA DE FAMILIA INC510 E LISA DR (575) 824-0820

SPLanguage(s):

LARA, WENDY L., DDS510 E LISA DR (575) 824-0820

LAUER, MICHAEL T., DMD510 E LISA DR (575) 824-0820

SPLanguage(s):

MAESTAS, TANYA SUE, DDS510 E LISA DR (575) 824-0128

SPLanguage(s):

MANSHAD, AOUS S., DDS510 E LISA DR (575) 824-0128

SPLanguage(s):

MIDTHANA, SRINIVASA R., DDS320 MCCOMBS RD STE E (575) 448-4848

HI, SP, TELanguage(s):

OGAS, LAURA N., DDS510 E LISA DR (575) 824-0128

SPLanguage(s):

PORTER, SILAS M., DMD510 E LISA DR BLDG 3 (575) 824-0820

SPLanguage(s):

RUSSELL, DAVID W., DMD510 E LISA DR (575) 824-0820

SPLanguage(s):

Page 17 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 18: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoCHAPARRAL - 88081 (continued)

Directory of Participating Dental Providers

Alliance Network

SALADI, SRIKANTHI V., DMD510 E LISA DR (575) 824-0128

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS510 E LISA DR (575) 824-0128

SPLanguage(s):

THOMPSON, CORY G., DMD510 E LISA DR BLDG 3 (575) 824-0128

SPLanguage(s):

TRIGO, JOY T., DDS510 E LISA DR (575) 824-0820

HATCH - 87937

General Dentist

BACA JR., LEROY, DDS255 HWY 187 (575) 267-3088

COYNE, PATRICK J., DDS255 HWY 187 (575) 267-3088

SPLanguage(s):

DEAN, TYRELL C., DMD255 HWY 187 (575) 267-3088

SPLanguage(s):

DUNN, PAUL R., DDS255 HWY 187 (575) 267-3088

SPLanguage(s):

FEMAT, RUBEN, DDS255 HWY 187 (575) 267-3088

GLOVER, DAWN K., DDS255 HWY 187 (575) 267-3088

LARA, WENDY L., DDS255 HWY 187 (575) 267-3088

MATHIAS, RICHARD B., DMD255 HWY 187 (575) 267-3088

MAY, AMANDA C., DDS255 HIGHWAY 187 (575) 267-3088

MCCARTHY, TIAPUL Q., DDS255 HWY 187 (575) 267-3088

SPLanguage(s):

O, GIBSON S., DDS255 HWY 187 (575) 267-3088

ODA, SAHARU, DDS255 HWY 187 (575) 267-3088

PR, SPLanguage(s):

PELLEGRINO, CAMILLE R., DDS255 HWY 187 (575) 267-3088

PUCKETT JR., C RAY, DDS255 HIGHWAY 187 (575) 267-3088

QUAN, KRISTI, DDS255 HWY 187 (575) 267-3088

SALCIDO, KAIYRA F., DDS255 HWY 187 (575) 267-3088

SPLanguage(s):

SHAH, JAY A., DMD255 HWY 187 (575) 267-3088

VADLAMANI, PRATHYUSHA, DDS255 HWY 187 (575) 267-3088

SPLanguage(s):

WIATT, MARK E., DDS255 HWY 187 (575) 267-3088

ZIAFAT, MEHRYAR, DMD255 HIGHWAY 187 (575) 267-3088

ZINK, AURORA E., DDS255 HWY 187 (575) 267-3088

Pediatric Dentist

HAYES, PETER A., DMD255 HWY 187 (575) 267-3088

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER255 HWY 187 (575) 267-3088

LA MESA - 88044

General Dentist

BADDOUR, MARY C., DDS18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

BHATTU, BHARANI K., DDS18420 S HIGHWAY 28 (575) 233-3830

CASCI, FRANCIS T., DDS18420 S HIGHWAY 28 (575) 233-3830

ENUGANTI, NARAYANA R., DDS18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

GAJULA, TULASI S., DDS18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

GUPTA AGGARWAL, NITEHA, DDS18420 S HIGHWAY 28 (575) 233-1080

SPLanguage(s):

KUBIAK, RONALD R., DDS18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

LA CLINICA DE FAMILIA INC18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

LARA, WENDY L., DDS18420 S HIGHWAY 28 (575) 233-3830

LAUER, MICHAEL T., DMD18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

MAESTAS, TANYA SUE, DDS18420 S HIGHWAY 28 (575) 233-1080

SPLanguage(s):

MANSHAD, AOUS S., DDS18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

OGAS, LAURA N., DDS18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

PORTER, SILAS M., DMD18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

RUSSELL, DAVID W., DMD18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

SALADI, SRIKANTHI V., DMD18420 S HIGHWAY 28 (575) 233-1080

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS18420 S HIGHWAY 28 (575) 233-3830

SPLanguage(s):

TRIGO, JOY T., DDS18420 S HIGHWAY 28 (575) 233-3830

LAS CRUCES - 88001

General Dentist

ACHALLA, VENKATA, DDS1025 EL PASEO RD STE D1 (888) 988-4066

ANIFOWOSE, SHOLA D., DDS1160 EL PASEO RD STE D1 (888) 988-4066

FR, SPLanguage(s):

ANTANI, KARTIK N., DMD1160 EL PASEO RD STE D1 (888) 988-4066

ASHIDA, DEBBIE L., DDS1001 E BOUTZ RD (575) 526-5671

SPLanguage(s):

AZAD, KOUSHAN H., DMD1160 EL PASEO RD STE D1 (888) 988-4066

BEHRMANN, LOGAN D., DMD2001 E LOHMAN AVE STE 121 (575) 527-4746

COWDEN, JASON T., DMD1025 EL PASEO RD (888) 988-4066

DESAI, ADITYA A., DDS1160 EL PASEO RD STE D1 (888) 988-4066

HILanguage(s):

DURAN, DANIEL A., DDS2974 N MAIN ST (575) 541-9366

FAMILIA DENTAL LAS CRUCES LLC1160 EL PASEO RD STE D1 (888) 988-4066

GABALDON, GENE A., DDS2460 S LOCUST ST STE C (575) 521-0306

SPLanguage(s):

GARLA, HARSHAVARDHAN, DDS1025 EL PASEO RD (888) 988-4066

GREWAL, KAPIL, DDS1160 EL PASEO RD STE D-1 (888) 988-4066

HOLLYWOOD, CAMERON DOC, DDS808 SPRUCE AVE (575) 526-3066

IRANI, ALI, DMD1160 EL PASEO RD STE D1 (888) 988-4066

FRLanguage(s):

KAMAL ALDEEN, MURTAJA, DDS1160 EL PASEO RD STE D1 (888) 988-4066

KINZER, KYE G., DDS2205 S SOLANO DR (575) 522-7320

KOTHA, ABHIROOP, DMD1160 EL PASEO RD STE D1 (888) 988-4066

LADDHA, KAPIL, DDS1160 EL PASEO RD STE 610 (888) 988-4066

LARA, WENDY L., DDS705 E UNIVERSITY AVE STE B (575) 521-0127

LAS CRUCES DENTAL SOLUTIONS2001 E LOHMAN AVE STE 121 (575) 527-4746

LEE, DAYOON, DDS1160 EL PASEO RD STE D1 (888) 988-4066

LIAO, WEN, DDS301 E LOHMAN AVE (575) 524-4900

CN, SPLanguage(s):

MARKETTO IV., DOMINIC L., DDS2980 N MAIN ST (575) 524-3722

SPLanguage(s):

MARKETTO, DREW E., DDS2205 S SOLAND DR (575) 522-7320

MARTIN, KIMBERLY H., DMD705 E UNIVERSITY AVE STE B (575) 521-0127

ASLanguage(s):

Page 18 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 19: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoLAS CRUCES - 88001 (continued)

Directory of Participating Dental Providers

Alliance Network

MARTIN, PATRICIA E., DDS705 E UNIVERSITY AVE STE B (575) 521-0127

SPLanguage(s):

MIDTHANA, SRINIVASA R., DDS1160 EL PASEO RD STE D1 (888) 988-4066

MILAVEC, ANTON F., DDS2980 N MAIN ST (575) 524-3722

MIYAMASU, PATRICK K., DDS1160 EL PASEO RD STE D1 (888) 988-4066

MURGA, FIELFER L., DDS1160 EL PASEO RD STE D1 (888) 988-4066

SPLanguage(s):

PETERSEN, MATHEW C., DDS2001 E LOHMAN AVE STE 121 (575) 527-4746

SPLanguage(s):

PORTER, SILAS M., DMD2001 E LOHMAN AVE STE 121 (575) 527-4746

REITER, HARVEY S., DMD301 E LOHMAN AVE (575) 524-4900

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS1025 EL PASEO RD (888) 988-4066

SUBGANI, RAMYA, DDS1160 EL PASEO RD STE D1 (888) 988-4066

SUDIMACK, DAVID A., DDS2205 S SOLANO DR (575) 522-7320

THOMAS, CHRISTOPHER J., DDS2980 N MAIN ST (575) 524-3722

TROPP, STEPHEN M., DDS2001 E LOHMAN AVE STE 121 (575) 527-4746

TRUJILLO, GABRIEL G., DDS2001 E LOHMAN AVE STE 121 (575) 527-4746

SPLanguage(s):

TRUONG, HENRY, DDS1160 EL PASEO RD (888) 988-4066

WAGNER, MARK V., DMD2001 E LOHMAN AVE STE 121 (575) 527-4746

WALLIS, JARED S., DDS2980 N MAIN ST (575) 524-3722

YOON, JAJUNG, DMD1160 EL PASEO RD STE D1 (888) 988-4066

Oral Surgery

SMITH, BEN M., DMD1160 EL PASEO RD STE D1 (888) 988-4066

Orthodontist

BRUCE, JOSHUA D., DDS1160 EL PASEO RD STE D1 (888) 988-4066

FR, MZ, SPLanguage(s):

DEHGHAN, AMIR H., DDS1160 EL PASEO RD STE D1 (888) 988-4066

FR, SPLanguage(s):

GUYMON, RUSSELL J., DDS1160 EL PASEO RD STE 610 (888) 988-4066

GUYMON, RUSSELL J., DDS1025 EL PASEO RD (888) 988-4066

PAPADEMETRIOU, MICHAEL K., DMD1160 EL PASEO RD STE 610 (888) 988-4066

LAS CRUCES - 88005

General Dentist

ABSHERE, PHILIP M., DDS1901 CALLE DE NINOS (575) 526-5522

AHMED, ZARAH Z., DDS1901 CALLE DE NINOS (575) 526-5522

ALLEN, GRANT, DMD1901 CALLE DE NINOS (575) 526-5522

BADDOUR, MARY C., DDS385 CALLE DE ALEGRA BLDG A (575) 532-1993

SPLanguage(s):

BADDOUR, MARY C., DDS575 S ALAMEDA BLVD (575) 528-6400

SPLanguage(s):

BARNEY, LASON J., DDS1405 S VALLEY DR STE 300 (575) 532-5437

BAYMILLER, SCOTT A., DDS1405 S VALLEY DR STE 300 (575) 532-5437

BHATTU, BHARANI K., DDS575 S ALAMEDA BLVD (575) 528-6400

BHATTU, BHARANI K., DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

BISHOP, MATTHEW R., DDS1901 CALLE DE NINOS (575) 526-5522

SPLanguage(s):

BORHAM, WAEL, DDS608 S ALAMEDA BLVD (575) 523-5589

BORN JR., PHILLIP E., DDS225 E IDAHO AVE STE 23 (575) 524-8556

BROUSSARD, RAYMOND E., DDS1901 CALLE DE NINOS (505) 553-3607

CARTER JR., BARNEY W., DDS1901 CALLE DE NINOS (575) 526-5522

CASCI, FRANCIS T., DDS575 S ALAMEDA BLVD (575) 528-6400

CASCI, FRANCIS T., DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

CHA, LILY, DDS1901 CALLE DE NINOS (575) 526-5522

CHAVEZ, ARMANDO J., DDS1901 CALLE DE NINOS (575) 526-5522

CHAVEZ, KEELY J., DDS1901 CALLE DE NINOS (575) 526-5522

CHUNG, CHRISTINA K., DDS1901 CALLE DE NINOS (575) 526-5522

COBLE, JEREMY C., DDS1901 CALLE DE NINOS (575) 526-5522

SILanguage(s):

CUNNINGHAM, LAUREN K., DDS225 E IDAHO AVE STE 23 (575) 524-8556

DO, TRIET, DDS1405 S VALLEY DR STE 200 (575) 532-5437

SPLanguage(s):

DOMINGUEZ, CORI J., DMD1901 CALLE DE NINOS (575) 526-5522

ELLISS, JOSHUA L., DMD810 S MAIN ST (575) 524-8527

ENUGANTI, NARAYANA R., DDS385 CALLE DE ALEGRA BLDG C (575) 521-7181

SPLanguage(s):

ENUGANTI, NARAYANA R., DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

SPLanguage(s):

ENUGANTI, NARAYANA R., DDS575 S ALAMEDA BLVD (575) 528-6400

SPLanguage(s):

FORDE, COLIN A., DDS1405 S VALLEY DR STE 200 (575) 532-5437

GAJULA, TULASI S., DDS575 S AMANEDA BLVD (575) 528-6470

SPLanguage(s):

GAJULA, TULASI S., DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

SPLanguage(s):

GOMEZ, DALLIN D., DDS1901 CALLE DE NINOS (575) 526-5522

GREENE, DAVID W., DDS1901 CALLE DE NINOS (575) 526-5522

SPLanguage(s):

GUPTA AGGARWAL, NITEHA, DDS385 CALLE DE ALEGRA STE A (575) 521-7181

SPLanguage(s):

GUPTA AGGARWAL, NITEHA, DDS575 S ALAMEDA BLVD (575) 528-6470

SPLanguage(s):

HARRELL, SEAN M., DDS1405 S VALLEY DR STE 300 (575) 532-5437

SPLanguage(s):

HARRISON, ANNE K., DDS1901 CALLE DE NINOS (575) 526-5522

HATCH, CAMERON J., DDS1901 CALLE DE NINOS (575) 526-5522

HE, SHENYE, DMD1405 S VALLEY DR STE 200 (575) 532-5437

CN, SPLanguage(s):

JENSEN, STEPHEN R., DDS1901 CALLE DE NINOS (575) 526-5522

JOHANSEN, ROBERT W., DDS1901 CALLE DE NINOS (575) 526-5522

JOHNSON, JESSE T., DDS1901 CALLE DE NINOS (575) 526-5522

KHAIRA, AARON S., DMD1901 CALLE DE NINOS (575) 526-5522

KIDS KARE PC1405 S VALLEY DR STE 300 (575) 532-5437

SPLanguage(s):

KIM, CHANGHUN, DDS1405 S VALLEY DR STE 300 (575) 532-5437

KINZER, KYE G., DDS1901 CALLE DE NINOS (575) 526-5522

SPLanguage(s):

KNOTT, KENNETH E., DDS1901 CALLE DE NINOS (575) 526-5522

KOZLOV, ALEKSEY, DMD1405 S VALLEY DR STE 200 (575) 532-5437

KUBIAK, RONALD R., DDS575 S ALAMEDA BLVD (575) 528-6400

SPLanguage(s):

KUBIAK, RONALD R., DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

SPLanguage(s):

LA CLINICA DE FAMILIA INC385 CALLE DE ALEGRA BLDG A (575) 521-7181

SPLanguage(s):

LA CLINICA DE FAMILIA INC575 S ALAMEDA BLVD (575) 528-6400

SPLanguage(s):

LAPSKER, JENNIFER A., DDS1901 CALLE DE NINOS (575) 526-5522

Page 19 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 20: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoLAS CRUCES - 88005 (continued)

Directory of Participating Dental Providers

Alliance Network

LARA, WENDY L., DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

LARA, WENDY L., DDS575 S ALAMEDA BLVD (575) 528-6470

LAUER, MICHAEL T., DMD575 S ALAMEDA BLVD (575) 528-6470

SPLanguage(s):

LAUER, MICHAEL T., DMD385 CALLE DE ALEGRA BLDG C (575) 521-7181

SPLanguage(s):

LAUER, MICHAEL T., DMD385 CALLE DE ALEGRA BLDG A (575) 526-1105

SPLanguage(s):

LE, GIA HUY N., DMD1405 S VALLEY DR STE 200 (575) 532-5437

SPLanguage(s):

LEE, JUNG W., DDS1901 CALLE DE NINOS (575) 526-5522

MABRY, ROBERT B., DDS225 E IDAHO AVE STE 14 (575) 523-8663

MACINTYRE, JENNIFER, DDS1901 CALLE DE NINOS (575) 526-5522

MAESTAS, TANYA SUE, DDS575 S ALAMEDA BLVD (575) 528-6470

SPLanguage(s):

MAESTAS, TANYA SUE, DDS385 CALLE DE ALEGRA STE A (575) 521-7181

SPLanguage(s):

MAI, MACY, DMD1405 S VALLEY DR STE 200 (575) 532-5437

SPLanguage(s):

MAIWAND, SAFA H., DDS1901 CALLE DE NINOS (575) 526-5522

SILanguage(s):

MANSHAD, ANIS S., DDS1901 CALLE DE NINOS (575) 526-5522

MANSHAD, AOUS S., DDS575 S ALAMEDA BLVD (575) 528-6470

SPLanguage(s):

MANSHAD, AOUS S., DDS385 CALLE DE ALEGRA BLDG C (575) 521-7181

SPLanguage(s):

MANZANARES, DAVID J., DDS385 CALLE DE ALEGRA BLDG C (575) 541-9249

MONTANO, ERIN M., DDS1901 CALLE DE NINOS (575) 526-5522

MYERS, ERIC A., DDS1901 CALLE DE NINOS (575) 526-5522

NEUBAUER, EDWARD E., DDS1405 S VALLEY DR STE 300 (575) 532-5437

NGUYEN, ALICIA V., DDS1901 CALLE DE NINOS (575) 526-5522

OGAS, LAURA N., DDS575 S ALAMEDA BLVD (575) 528-6400

SPLanguage(s):

OGAS, LAURA N., DDS385 CALLE DE ALEGRA BLDG A (575) 521-7181

SPLanguage(s):

OUSHY EISSA, NOHA, DDS608 S ALAMEDA BLVD (575) 523-5589

OUSHY EISSA, NOHA, DDS1405 S VALLEY DR STE 200 (575) 532-5437

SPLanguage(s):

PARK, JOSEPH, DMD1405 S VALLEY DR STE 300 (575) 532-5437

CN, KO, SPLanguage(s):

PAUL, CRAIG R., DDS1405 S VALLEY DR STE 200 (575) 532-5437

PEREZ, PAUL D., DDS1405 S VALLEY DR STE 300 (575) 532-5437

SPLanguage(s):

PINHOLSTER, MICHAEL D., DDS810 S MAIN ST (575) 524-8527

SPLanguage(s):

PLUE, LAURA W., DDS810 S MAIN ST (575) 524-8527

PORTER, SILAS M., DMD385 CALLE DE ALEGRA BLDG C (575) 521-7181

SPLanguage(s):

PORTER, SILAS M., DMD575 S AMANEDA BLVD (575) 528-6470

SPLanguage(s):

PORTER, SILAS M., DMD575 S ALAMEDA BLVD (575) 528-6470

SPLanguage(s):

PRESTWICH, BRENDON E., DDS1901 CALLE DE NINOS (575) 526-5522

RANJBARAN, HAMID, DDS1405 S VALLEY DR STE 300 (575) 532-5437

SPLanguage(s):

RHODES, JOSEPH I., DDS1405 S VALLEY DR STE 300 (575) 532-5437

SPLanguage(s):

ROWAN, RICHARD G., DMD1901 CALLE DE NINOS (575) 526-5522

RUSSELL, DAVID W., DMD575 S ALAMEDA BLVD (575) 528-6400

SPLanguage(s):

RUSSELL, DAVID W., DMD385 CALLE DE ALEGRA STE A (575) 521-7181

SPLanguage(s):

RUYLE, BONNIE L., DDS1405 S VALLEY DR STE 300 (575) 532-5437

SPLanguage(s):

SALADI, SRIKANTHI V., DMD385 CALLE DE ALEGRA BLDG C (575) 532-1933

SPLanguage(s):

SALADI, SRIKANTHI V., DMD575 S ALAMEDA BLVD (575) 528-6470

SPLanguage(s):

SARKISYAN, ARTUR A., DMD1405 S VALLEY DR STE 300 (575) 532-5437

SPLanguage(s):

SCHEIB, JEFFREY R., DDS1405 S VALLEY DR STE 300 (575) 532-5437

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS385 CALLE DE ALEGRA BLDG A (575) 532-1933

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS575 S ALAMEDA BLVD (575) 528-6470

SPLanguage(s):

SOUTHWELL, JARED M., DDS810 S MAIN ST (575) 524-8527

STEVENS, MARK A., DMD1405 S VALLEY DR STE 200 (575) 532-5437

SPLanguage(s):

TANAKA, LEILANI K., DDS1901 CALLE DE NINOS (575) 526-5522

TASKER, KENNETH, DDS1901 CALLE DE NINOS (575) 526-5522

THOMPSON, CORY G., DMD385 CALLE DE ALEGRA BLDG C (575) 541-9249

SPLanguage(s):

THOMPSON, CORY G., DMD810 S MAIN ST (575) 524-8527

TRIGO, JOY T., DDS575 S ALAMEDA BLVD (575) 528-6400

TRIGO, JOY T., DDS1201 MED PARK DR (575) 647-4089

TRIGO, ROBERTO L., DDS1131 MED PARK DR (575) 521-7017

WELLS, KELLY S., DDS1901 CALLE DE NINOS (575) 526-5522

WILSON, ERIC J., DDS1405 S VALLEY DR STE 300 (575) 532-5437

WOOLF, MARK A., DDS1405 S VALLEY DR STE 200 (575) 532-5437

Oral Surgery

REID, DOUGLAS M., DMD1901 CALLE DE NINOS (575) 526-5522

Orthodontist

BUSH, HELEN D., DDS1901 CALLE DE NINOS (575) 526-5522

DULA, GEORGE V., DDS1901 CALLE DE NINOS (575) 526-5522

GUTIERREZ PULIDO, LUIS D., DDS1901 CALLE DE NINOS (575) 526-5522

SPLanguage(s):

HANN, ROBERT C., DDS1901 CALLE DE NINOS (575) 526-5522

LOVELAND, KELCEY G., DMD1901 CALLE DE NINOS (575) 526-5522

REECE, CALEB W., DMD1901 CALLE DE NINOS (575) 526-5522

Pediatric Dentist

AHMED, ZARAH Z., DDS1901 CALLE DE NINOS (575) 526-5522

ARAGON, ASHLEE, DMD1901 CALLE DE NINOS (575) 526-5522

CALL, VAUGHN D., DMD1901 CALLE DE NINOS (575) 526-5522

DARCY, KAITLYN N., DDS1901 CALLE DE NINOS (575) 526-5522

GUTIERREZ, KAREN, DDS1901 CALLE DE NINOS (575) 526-5522

PECK, CHRISTIAN S., DDS1901 CALLE DE NINOS (575) 526-5522

SIEGEL, SCOTT L., DMD1901 CALLE DE NINOS (575) 526-5522

TASKER, SPENCER J., DMD1901 CALLE DE NINOS (575) 526-5522

TROPP, ALMUT E., DDS1901 CALLE DE NINOS (575) 526-5522

Multi-Specialty

WHITE SANDS CHILDRENS DENTISTRY LLC1901 CALLE DE NINOS (575) 526-5522

Page 20 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 21: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New Mexico

Directory of Participating Dental Providers

Alliance Network

LAS CRUCES - 88007

General Dentist

BACA JR., LEROY, DDS1955 N VALLEY D (575) 541-7323

BACA JR., LEROY, DDS1998 N MOTEL BLVD (575) 541-5941

COYNE, PATRICK J., DDS1955 N VALLEY DR (575) 523-2772

SPLanguage(s):

COYNE, PATRICK J., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

SPLanguage(s):

DEAN, TYRELL C., DMD1955 N VALLEY D (575) 541-7323

SPLanguage(s):

DEAN, TYRELL C., DMD1998 N MOTEL BLVD BLDG A (575) 541-5941

SPLanguage(s):

DUNN, PAUL R., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

SPLanguage(s):

DUNN, PAUL R., DDS1955 N VALLEY DR (575) 523-2772

SPLanguage(s):

FEMAT, RUBEN, DDS1955 N VALLEY DR (575) 523-2772

FEMAT, RUBEN, DDS1998 N MOTEL BLVD (575) 541-5941

GLOVER, DAWN K., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

GLOVER, DAWN K., DDS1955 N VALLEY DR (575) 523-2772

LARA, WENDY L., DDS1955 N VALLEY DR (575) 523-2772

LARA, WENDY L., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

MATHIAS, RICHARD B., DMD1998 N MOTEL BLVD (575) 541-5941

MATHIAS, RICHARD B., DMD1955 N VALLEY D (575) 541-7323

MAY, AMANDA C., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

MAY, AMANDA C., DDS1955 N VALLEY D (575) 541-7323

MCCARTHY, TIAPUL Q., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

SPLanguage(s):

MCCARTHY, TIAPUL Q., DDS1955 N VALLEY DR (575) 523-2772

SPLanguage(s):

O, GIBSON S., DDS1955 N VALLEY DR (575) 523-2772

O, GIBSON S., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

ODA, SAHARU, DDS1955 N VALLEY DR (575) 541-7323

PR, SPLanguage(s):

ODA, SAHARU, DDS1998 N MOTEL BLVD (575) 541-5941

PR, SPLanguage(s):

PELLEGRINO, CAMILLE R., DDS1955 N VALLEY DR (575) 541-7323

PELLEGRINO, CAMILLE R., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

PUCKETT JR., C RAY, DDS1998 N MOTEL BLVD (575) 541-5941

PUCKETT JR., C RAY, DDS1955 N VALLEY DR (575) 523-2772

QUAN, KRISTI, DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

SALCIDO, KAIYRA F., DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

SPLanguage(s):

SALCIDO, KAIYRA F., DDS1955 N VALLEY DR (575) 523-2772

SPLanguage(s):

SHAH, JAY A., DMD1955 N VALLEY D (575) 541-7323

SHAH, JAY A., DMD1998 N MOTEL BLVD (575) 541-5941

TSENG, STEVE H., DDS1998 N MOTEL BLVD (575) 621-0800

VADLAMANI, PRATHYUSHA, DDS1998 N MOTEL BLVD BLDG A (575) 541-5941

SPLanguage(s):

VADLAMANI, PRATHYUSHA, DDS1955 N VALLEY DR (575) 523-2772

SPLanguage(s):

WIATT, MARK E., DDS1955 N VALLEY D (575) 541-7323

WIATT, MARK E., DDS1998 N MOTEL BLVD (575) 541-5941

ZIAFAT, MEHRYAR, DMD1955 N VALLEY D (575) 541-7323

ZIAFAT, MEHRYAR, DMD1998 N MOTEL BLVD BLDG A (575) 541-5941

Pediatric Dentist

HAYES, PETER A., DMD1998 N MOTEL BLVD (575) 541-5941

FRLanguage(s):

HAYES, PETER A., DMD1998 N MOTEL BLVD (575) 636-4471

FR, SPLanguage(s):

HAYES, PETER A., DMD1955 N VALLEY DR (575) 523-2772

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER1998 N MOTEL BLVD BLDG A (575) 541-5941

BEN ARCHER HEALTH CENTER1955 N VALLEY DR (575) 523-2772

LAS CRUCES - 88011

General Dentist

AKOPYAN, NAREK, DMD3340 RINCONADA BLVD STE 2 (575) 382-2054

AN, JP, SPLanguage(s):

AKOPYAN, NAREK, DMD3340 RINCONADA BLVD STE 2B (575) 382-2105

AN, JP, SPLanguage(s):

ALL SMILES FAMILY DENTAL CLINICS LLC530 N TELSHOR BLVD STE A (575) 532-5437

ALLEN, GRANT, DMD3835 E LOHMAN AVE (575) 526-4444

BADDOUR, MARY C., DDS8600 BATAAN MEMORIAL E (575) 382-2112

SPLanguage(s):

BEHRMANN, LOGAN D., DMD2569 E IDAHO AVE (575) 523-1479

JP, SPLanguage(s):

BHATTU, BHARANI K., DDS8600 BATAAN MEMORIAL E (575) 373-9202

BISHOP, MATTHEW R., DDS3835 E LOHMAN AVE (575) 526-4444

CARTER JR., BARNEY W., DMD3835 E LOHMAN AVE (575) 526-4444

CASCI, FRANCIS T., DDS8600 BATAAN MEMORIAL E (575) 373-9202

CHA, LILY, DDS3835 E LOHMAN AVE (575) 526-4444

CHAVEZ, ARMANDO J., DDS3835 E LOHMAN AVE (575) 526-4444

CHAVEZ, KEELY J., DDS3835 E LOHMAN AVE (575) 526-4444

CHUNG, CHRISTINA K., DDS3835 E LOHMAN AVE (575) 526-4444

CONNIFF, JOHN N., DDS2701 MISSOURI AVE STE C (575) 522-8229

ELLISS, JOSHUA L., DMD3340 RINCONADA BLVD STE 2 (575) 382-2054

SP, YILanguage(s):

ELLISS, JOSHUA L., DMD3015 HILLRISE DR (575) 522-0454

ENUGANTI, NARAYANA R., DDS8600 BATAAN MEMORIAL E (575) 382-2112

SPLanguage(s):

ESPINOZA, ROBERTO B., DDS3340 RINCONADA BLVD STE 2 (575) 382-2054

SPLanguage(s):

ESPINOZA, ROBERTO B., DDS3015 HILLRISE DR (575) 522-0454

GAJULA, TULASI S., DDS8600 BATAAN MEMORIAL E (575) 373-9202

SPLanguage(s):

GONZALEZ, JAIME R., DDS2569 E IDAHO AVE (575) 523-1479

SPLanguage(s):

GUPTA AGGARWAL, NITEHA, DDS8600 BATAAN MEMORIAL E (575) 382-2112

SPLanguage(s):

HATCH, CAMERON J., DDS3835 E LOHMAN AVE (575) 526-4444

HE, SHENYE, DMD530 N TELSHOR BLVD STE A (575) 532-5437

CN, SPLanguage(s):

JENSEN, STEPHEN R., DDS3835 E LOHMAN AVE (575) 526-4444

KINZER, KYE G., DDS3835 E LOHMAN AVE (575) 526-4444

SPLanguage(s):

KNOTT, KENNETH E., DDS3835 E LOHMAN AVE (575) 526-4444

KUBIAK, RONALD R., DDS8600 BATAAN MEMORIAL E (575) 373-9202

SPLanguage(s):

Page 21 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 22: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoLAS CRUCES - 88011 (continued)

Directory of Participating Dental Providers

Alliance Network

LA CLINICA DE FAMILIA INC8600 BATAAN MEMORIAL E (575) 373-9202

SPLanguage(s):

LAPSKER, JENNIFER A., DDS3835 E LOHMAN AVE (575) 526-4444

LARA, WENDY L., DDS8600 BATAAN MEMORIAL E (575) 373-9202

LAS CRUCES DENTAL ASSOC PC2569 E IDAHO AVE (575) 523-1479

SPLanguage(s):

LAUER, MICHAEL T., DMD8600 BATAAN MEMORIAL E (575) 373-9202

SPLanguage(s):

LAW, MICHAEL D., DDS4141 CAMINO COYOTE STE A (575) 524-5812

MAESTAS, TANYA SUE, DDS8600 BATAAN MEMORIAL E (575) 382-2112

SPLanguage(s):

MANSHAD, AOUS S., DDS8600 BATAAN MEMORIAL E (575) 382-2112

SPLanguage(s):

MARGARIT, JAMES L., DDS2540 N TELSHOR BLVD STE E (575) 521-9375

MCCARTHY, TIAPUL Q., DDS3835 E LOHMAN AVE (575) 526-4444

SPLanguage(s):

MOHD NAJIB, SONIA, DDS2569 E IDAHO AVE (575) 523-1479

MY, SPLanguage(s):

MONTANO, ERIN M., DDS3835 E LOHMAN AVE (575) 526-4444

OGAS, LAURA N., DDS8600 BATAAN MEMORIAL E (575) 382-2112

SPLanguage(s):

ORTIZ, NATALIE J., DDS3045 E UNIVERSITY AVE STE B (575) 521-8720

SPLanguage(s):

ORTIZ, RAMON M., DDS3045 E UNIVERSITY AVE STE B (575) 521-8720

SPLanguage(s):

OUSHY EISSA, NOHA, DDS530 N TELSHOR BLVD STE A (575) 532-5437

SPLanguage(s):

PEREZ, RAMON, DDS920 N TELSHOR BLVD STE E (575) 521-0900

SPLanguage(s):

PLUE, LAURA W., DDS3340 RINCONADA BLVD STE 2B (575) 382-2107

AN, JP, SPLanguage(s):

PLUE, LAURA W., DDS3340 RINCONADA BLVD STE 2 (575) 382-2054

PLUE, LAURA W., DDS3015 HILLRISE DR (575) 522-0454

SPLanguage(s):

PORTER, SILAS M., DMD8600 BATAAN MEMORIAL E (575) 373-9202

SPLanguage(s):

QUAN, KRISTI, DDS4311 E LOHMAN AVE (575) 636-4471

QUAN, KRISTI, DDS4351 E LOHMAN AVE (575) 636-4471

QUAN, KRISTI, DDS2450 S TELSHOR BLVD (575) 636-4471

REITER, HARVEY S., DMD1423 S DON ROSER DR (575) 541-0072

SPLanguage(s):

ROWAN, RICHARD G., DMD3835 E LOHMAN AVE (575) 526-4444

RUSSELL, DAVID W., DMD2569 E IDAHO AVE STE A (575) 523-1479

RUSSELL, DAVID W., DMD8600 BATAAN MEMORIAL E (575) 373-9202

SPLanguage(s):

SALADI, SRIKANTHI V., DMD8600 BATAAN MEMORIAL E (575) 382-2112

SPLanguage(s):

SAMANIEGO, MARIO, DDS2569 E IDAHO AVE STE A (575) 523-1479

SARKISYAN, ARTUR A., DMD530 N TELSHOR BLVD STE A (575) 532-5437

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS8600 BATAAN MEMORIAL E (575) 382-2112

SPLanguage(s):

SOUTHWELL, JARED M., DDS3015 HILLRISE DR (575) 522-0454

SOUTHWELL, JARED M., DMD3340 RINCONADA BLVD STE 2 (575) 382-2054

TANAKA, LEILANI K., DDS3835 E LOHMAN AVE (575) 526-4444

THOMPSON, CORY G., DMD3340 RINCONADA BLVD STE 2B (575) 382-2105

THOMPSON, CORY G., DMD1160 MALL DR STE B (575) 532-1933

SPLanguage(s):

THOMPSON, CORY G., DMD3015 HILLRISE DR (575) 522-0454

SPLanguage(s):

THOMPSON, CORY G., DMD8600 BATAAN MEMORIAL E (575) 586-1500

SPLanguage(s):

TRIGO, JOY T., DDS8600 BATAAN MEMORIAL E (575) 373-9202

WALLIS, JARED S., DDS2540 N TELSHOR BLVD STE E (575) 521-9375

WARREN, DAVID D., DDS4141 CAMINO COYOTE STE A (575) 524-5812

WOLF, JACOB B., DDS1425 S TELSHOR BLVD (575) 522-1314

Endodontist

HASLAM, BRYCE S., DDS3045 E UNIVERSITY AVE STE C (575) 222-1600

SPLanguage(s):

KAMINSKY, EDWARD S., DDS3045 E UNIVERSITY AVE STE C (575) 222-1600

SPLanguage(s):

MINER, MARCUS R., DDS3045 E UNIVERSITY AVE BLDG C (575) 222-1600

Oral Surgery

HEINER, BRYCE B., DMD2103 TELSHOR CT (575) 522-8800

ITLanguage(s):

Orthodontist

ADAY, BENNIE J., DDS2701 MISSOURI AVE STE D (575) 522-1500

BUSH, HELEN D., DDS3835 E LOHMAN AVE (575) 526-4444

COOMBS, KEITH C., DDS2701 MISSOURI AVE STE D (575) 522-1500

COOMBS, KEITH C., DDS1160 COMMERCE DR STE B (575) 571-3820

SPLanguage(s):

DULA, GEORGE V., DDS3835 E LOHMAN AVE STE 2 (575) 522-5715

GUTIERREZ PULIDO, LUIS D., DDS3835 E LOHMAN AVE (575) 526-4444

HANN, ROBERT C., DDS3835 E LOHMAN AVE (575) 522-1779

MARTIN, CAMARON L., DDS920 N TELSHOR BLVD STE E (575) 521-0900

REECE, CALEB W., DMD3835 E LOHMAN AVE STE 2 (575) 522-1779

UNITED ORTHODONTICS OF LAS CRUCES920 N TELSHOR BLVD STE E (575) 521-0900

VONDRAK, JOHN G., DDS920 N TELSHOR BLVD STE E (575) 521-0900

Pediatric Dentist

ARAGON, ASHLEE, DMD3835 E LOHMAN AVE (575) 522-1779

CALL, VAUGHN D., DMD3835 E LOHMAN AVE (575) 522-1779

DARCY, KAITLYN N., DDS3835 E LOHMAN AVE (575) 526-4444

DRS CONNIFF AND GORMLEY PEDIATRIC2701 MISSOURI AVE STE C (575) 522-8229

GORMLEY, LAURIE A., DDS2701 MISSOURI AVE STE C (575) 522-8229

SPLanguage(s):

HAYES, PETER A., DMD4351 E LOHMAN AVE (575) 649-7027

FR, SPLanguage(s):

HAYES, PETER A., DMD2450 S TELSHOR BLVD (575) 636-4471

FR, SPLanguage(s):

PARCO, TODD M., DDS3835 E LOHMAN AVE (575) 526-4444

PECK, CHRISTIAN S., DDS3835 E LOHMAN AVE (575) 526-4444

SIEGEL, SCOTT L., DMD3835 E LOHMAN AVE (575) 526-4444

TASKER, SPENCER J., DMD3835 E LOHMAN AVE (575) 526-4444

TROPP, ALMUT, DDS3835 E LOHMAN AVE (575) 526-4444

TSENG, STEVE H., DDS4311 E LOHMAN AVE (575) 636-4471

TSENG, STEVE H., DDS2450 S TELSHOR BLVD (575) 636-4471

Multi-Specialty

MESILLA VALLEY CHILDRENS DENTISTRY LLC3835 E LOHMAN AVE (575) 526-4444

LAS CRUCES - 88012

General Dentist

BACA JR., LEROY, DDS3331 DEL REY BLVD (575) 373-1033

Page 22 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 23: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoLAS CRUCES - 88012 (continued)

Directory of Participating Dental Providers

Alliance Network

BACA JR., LEROY, DDS1600 THORPE RD (575) 382-9292

COYNE, PATRICK J., DDS1600 THORPE RD (575) 382-9292

SPLanguage(s):

COYNE, PATRICK J., DDS3331 DEL REY BLVD (575) 373-1033

SPLanguage(s):

DEAN, TYRELL C., DMD1600 THORPE RD (575) 382-9292

SPLanguage(s):

DEAN, TYRELL C., DMD3331 DEL REY BLVD (575) 373-1033

SPLanguage(s):

DUNN, PAUL R., DDS3331 DEL REY BLVD (575) 373-1033

SPLanguage(s):

DUNN, PAUL R., DDS1600 THORPE RD (575) 382-9292

SPLanguage(s):

FEMAT, RUBEN, DDS1600 THORPE RD (575) 382-9292

FEMAT, RUBEN, DDS3331 DEL REY BLVD (575) 373-1033

GLOVER, DAWN K., DDS1600 THORPE RD (575) 382-9292

LARA, WENDY L., DDS3331 DEL REY BLVD (575) 373-1033

LARA, WENDY L., DDS1600 THORPE RD (575) 382-9292

MATHIAS, RICHARD B., DMD3331 DEL REY BLVD (575) 373-1033

MATHIAS, RICHARD B., DMD1600 THORPE RD (575) 382-9292

MAY, AMANDA C., DDS3331 DEL REY BLVD (575) 373-1033

MAY, AMANDA C., DDS1600 THORPE RD (575) 382-9292

MCCARTHY, TIAPUL Q., DDS1600 THORPE RD (575) 382-9292

SPLanguage(s):

MCCARTHY, TIAPUL Q., DDS3331 DEL REY BLVD (575) 373-1033

SPLanguage(s):

O, GIBSON S., DDS3331 DEL REY BLVD (575) 373-1033

O, GIBSON S., DDS1600 THORPE RD (575) 382-9292

ODA, SAHARU, DDS3331 DEL REY BLVD (575) 373-1033

PR, SPLanguage(s):

ODA, SAHARU, DDS1600 THORPE RD (575) 382-9292

PR, SPLanguage(s):

PELLEGRINO, CAMILLE R., DDS1600 THORPE RD (575) 382-9292

PELLEGRINO, CAMILLE R., DDS3331 DEL REY BLVD (575) 373-1033

PUCKETT JR., C RAY, DDS3331 DEL REY BLVD (575) 373-1033

PUCKETT JR., C RAY, DDS1600 THORPE RD (575) 382-9292

QUAN, KRISTI, DDS3331 DEL REY BLVD (575) 373-1033

QUAN, KRISTI, DDS1600 THORPE RD (575) 382-9292

SALCIDO, KAIYRA F., DDS3331 DEL REY BLVD (575) 373-1033

SPLanguage(s):

SALCIDO, KAIYRA F., DDS1600 THORPE RD (575) 382-9292

SPLanguage(s):

SHAH, JAY A., DMD1600 THORPE RD (575) 382-9292

SHAH, JAY A., DMD3331 DEL REY BLVD (575) 373-1033

VADLAMANI, PRATHYUSHA, DDS1600 THORPE RD (575) 382-9292

SPLanguage(s):

VADLAMANI, PRATHYUSHA, DDS3331 DEL REY BLVD (575) 373-1033

SPLanguage(s):

WIATT, MARK E., DDS3331 DEL REY BLVD (575) 373-1033

WIATT, MARK E., DDS1600 THORPE RD (575) 382-9292

ZIAFAT, MEHRYAR, DMD3331 DEL REY BLVD (575) 373-1033

ZIAFAT, MEHRYAR, DMD1600 THORPE RD (575) 382-9292

Pediatric Dentist

HAYES, PETER A., DMD1600 THORPE RD (575) 382-9292

FRLanguage(s):

HAYES, PETER A., DMD3331 DEL REY BLVD (575) 373-1033

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER1600 THORPE RD (575) 382-9292

BEN ARCHER HEALTH CENTER3331 DEL REY BLVD (575) 373-1033

RADIUM SPRINGS - 88054

General Dentist

BACA JR., LEROY, DDS12080 LB LINDBECK RD (575) 526-6200

COYNE, PATRICK J., DDS12080 LB LINDBECK RD (575) 526-6200

SPLanguage(s):

DEAN, TYRELL C., DMD12080 LB LINDBECK RD (575) 526-6200

SPLanguage(s):

DUNN, PAUL R., DDS12080 LB LINDBECK RD (575) 526-6200

SPLanguage(s):

FEMAT, RUBEN, DDS12080 LB LINDBECK RD (575) 526-6200

GLOVER, DAWN K., DDS12080 LB LINDBECK RD (575) 526-6200

LARA, WENDY L., DDS12080 LB LINDBECK RD (575) 526-6200

MATHIAS, RICHARD B., DMD12080 LB LINDBECK RD (575) 526-6200

MAY, AMANDA C., DDS12080 LB LINDBECK RD (575) 526-2266

MCCARTHY, TIAPUL Q., DDS12080 LB LINDBECK RD (575) 526-6200

SPLanguage(s):

O, GIBSON S., DDS12080 LB LINDBECK RD (575) 526-6200

ODA, SAHARU, DDS12080 LB LINDBECK RD (575) 526-6200

PR, SPLanguage(s):

PELLEGRINO, CAMILLE R., DDS12080 LB LINDBECK RD (575) 526-6200

PUCKETT JR., C RAY, DDS12080 LB LINDBECK RD (575) 526-6200

QUAN, KRISTI, DDS12080 LB LINDBECK RD (575) 526-6200

SALCIDO, KAIYRA F., DDS12080 LB LINDBECK RD (575) 526-6200

SPLanguage(s):

SHAH, JAY A., DMD12080 LB LINDBECK RD (575) 526-6200

VADLAMANI, PRATHYUSHA, DDS12080 LB LINDBECK RD (575) 526-6200

SPLanguage(s):

WIATT, MARK E., DDS12080 LB LINDBECK RD (575) 526-6200

ZIAFAT, MEHRYAR, DMD12080 LB LINDBECK RD (575) 526-2266

Pediatric Dentist

HAYES, PETER A., DMD12080 LB LINDBECK RD (575) 526-2266

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER12080 LB LINDBECK RD (575) 526-6200

SANTA TERESA - 88008

General Dentist

ALL SMILES FAMILY DENTAL CLINICS LLC103 LIVINGSTON LOOP STE B3 (575) 332-4047

BADDOUR, MARY C., DDS100 AIRPORT RD (575) 874-9338

SPLanguage(s):

BARNEY, LASON J., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

BAYMILLER, SCOTT A., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

DAHIYA, MONICA, DDS5690 SANTA TERESITA DR STE A-3 (575) 332-4576

DEVAKI, SWATHI, DDS5690 SANTA TERESITA DR (575) 332-4576

ENUGANTI, NARAYANA R., DDS100 AIRPORT RD (575) 874-9338

SPLanguage(s):

FORDE, COLIN A., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

GAJULA, TULASI S., DDS100 AIRPORT RD BLDG A (575) 874-9338

SPLanguage(s):

HAN, ALEXANDER W., DMD103 LIVINGSTON LOOP STE B3 (575) 332-4047

SPLanguage(s):

Page 23 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 24: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoSANTA TERESA - 88008 (continued)

Directory of Participating Dental Providers

Alliance Network

HARRELL, SEAN M., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

SPLanguage(s):

HE, SHENYE, DMD103 LIVINGSTON LOOP STE B3 (575) 332-4047

KOZLOV, ALEKSEY, DMD103 LIVINGSTON LOOP STE B 3 (575) 332-4047

SPLanguage(s):

LA CLINICA DE FAMILIA INC100 AIRPORT RD (575) 874-9338

SPLanguage(s):

LAUER, MICHAEL T., DMD100 AIRPORT RD (575) 874-9338

SPLanguage(s):

LEIBINSKY RAMOS, POLYNA, DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

HE, RS, SPLanguage(s):

MANSHAD, AOUS S., DDS100 AIRPORT RD (575) 874-9338

SPLanguage(s):

NEUBAUER, EDWARD E., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

OGAS, LAURA N., DDS100 AIRPORT RD (575) 874-9338

SPLanguage(s):

OUSHY EISSA, NOHA, DDS103 LIVINGSTON LOOP STE B3 (623) 466-9649

AR, SPLanguage(s):

PARK, JOSEPH, DMD103 LIVINGSTON LOOP STE B3 (575) 332-4047

CN, KO, SPLanguage(s):

PEREZ, PAUL D., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

PHAN, DANIELLE, DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

PORTER, SILAS M., DMD100 AIRPORT RD (575) 874-9338

SPLanguage(s):

RANJBARAN, HAMID, DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

SPLanguage(s):

RHODES, JOSEPH I., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

RUSSELL, DAVID W., DMD100 AIRPORT RD (575) 874-9338

SPLanguage(s):

SALADI, SRIKANTHI V., DMD100 AIRPORT RD (575) 874-9338

SPLanguage(s):

SCHEIB, JEFFREY R., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

SHAMAPANTH, RAHUL, DDS100 AIRPORT RD (575) 874-9338

SPLanguage(s):

STEVENS, MARK A., DMD103 LIVINGSTON LOOP STE B3 (575) 332-4047

SPLanguage(s):

TRIGO, JOY T., DDS100 AIRPORT RD (575) 874-9338

WILSON, ERIC J., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

WOOLF, MARK A., DDS103 LIVINGSTON LOOP STE B3 (575) 332-4047

SPLanguage(s):

SUNLAND PARK - 88063

General Dentist

BADDOUR, MARY C., DDS2625 MCNUTT RD (575) 589-1500

SPLanguage(s):

BHATTU, BHARANI K., DDS2625 MCNUTT RD (575) 589-0887

CASCI, FRANCIS T., DDS2625 MCNUTT RD (575) 589-0887

ENUGANTI, NARAYANA R., DDS2625 MCNUTT RD (575) 589-1500

SPLanguage(s):

GAJULA, TULASI S., DDS2625 MCNUTT RD (575) 589-0887

SPLanguage(s):

GUPTA AGGARWAL, NITEHA, DDS2625 MCNUTT RD (575) 589-1500

SPLanguage(s):

KUBIAK, RONALD R., DDS2625 MCNUTT RD (575) 589-0887

SPLanguage(s):

LA CLINICA DE FAMILIA INC2625 MCNUTT RD (575) 589-0887

SPLanguage(s):

LARA, WENDY L., DDS2625 MCNUTT RD (575) 589-0887

LAUER, MICHAEL T., DMD2625 MCNUTT RD (575) 528-5537

SPLanguage(s):

MAESTAS, TANYA SUE, DDS2625 MCNUTT RD (575) 589-1500

SPLanguage(s):

MANSHAD, AOUS S., DDS2625 MCNUTT RD (575) 528-5537

SPLanguage(s):

OGAS, LAURA N., DDS2625 MCNUTT RD (575) 589-1500

SPLanguage(s):

PORTER, SILAS M., DMD2625 MCNUTT RD (575) 528-5537

SPLanguage(s):

RUSSELL, DAVID W., DMD2625 MCNUTT RD (575) 589-0887

SPLanguage(s):

SALADI, SRIKANTHI V., DMD2625 MCNUTT RD (575) 589-1500

SPLanguage(s):

SHAMAPANTH, RAHUL, DDS2625 MCNUTT RD (575) 589-1500

SPLanguage(s):

TRIGO, JOY T., DDS2625 MCNUTT RD (575) 589-0887

EDDY County

ARTESIA - 88210

General Dentist

AHGHAR, KEON J., DDS606 N 13TH ST STE 400 (575) 736-3100

BENDER, MARISSA N., DMD1105 MEMORIAL DR (575) 746-9848

SPLanguage(s):

DOSS, JIHAN L., DMD1105 MEMORIAL DR (575) 746-9848

DOSS, JIHAN L., DMD1 FOSTER LN (575) 533-6456

EICKER, ANDREA M., DMD1105 MEMORIAL DR (575) 746-9848

SPLanguage(s):

EICKER, ANDREA M., DMD1 FOSTER LANE (575) 533-6456

SPLanguage(s):

FARION, MARKO O., DDS606 N 13TH ST STE 400 (575) 736-3100

GUNN, KATELYN A., DMD2520 W HERMOSA DR (575) 746-1900

SPLanguage(s):

KNUTSEN, GREGORY R., DDS1 FOSTER LN (575) 533-6456

KNUTSEN, GREGORY R., DDS1105 MEMORIAL DR (575) 746-9848

LOPEZ, INEZ M., DMD1105 MEMORIAL DR (575) 746-9848

MANZANARES, MICHAEL J., DDS1105 MEMORIAL DR (575) 746-9848

MARTINEZ LUJAN, MARIFER, DDS1105 MEMORIAL DR (575) 746-9848

MORGAN, TYLER S., DDS1105 MEMORIAL DR (575) 746-9848

RHOADS, HOWARD N., DDS1105 MEMORIAL DR (575) 746-9848

SPLanguage(s):

USHER, SARAH R., DMD1105 MEMORIAL DR (575) 746-9848

WARREN, ANTHONY J., DDS1105 MEMORIAL DR (575) 746-9848

SPLanguage(s):

WESTBROOK, JEFFREY H., DDS1105 MEMORIAL DR (575) 746-9848

WILSON, ELIZABETH M., DDS1105 MEMORIAL DR (575) 746-9848

WILSON, ELIZABETH M., DDS1 FOSTER LN (575) 533-6456

YOUNGGREN, KAY L., DDS2520 W HERMOSA DR (575) 746-1900

YUCCA DENTAL CENTER PC606 N 13TH ST STE 400 (575) 736-3100

CARLSBAD - 88220

General Dentist

ACHALLA, VENKATA, DDS2330 W PIERCE ST (575) 234-1125

ALL SMILES FAMILY DENTAL CLINICS LLC1201 W MERMOD ST (575) 887-5111

ALL SMILES FAMILY DENTAL CLINICS LLC701 N CANAL ST STE A (575) 887-6837

ANIFOWOSE, SHOLA D., DDS2330 W PIERCE ST (888) 988-4066

FR, SPLanguage(s):

ANTANI, KARTIK N., DMD2330 W PIERCE ST (888) 988-4066

Page 24 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 25: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoCARLSBAD - 88220 (continued)

Directory of Participating Dental Providers

Alliance Network

AZAD, KOUSHAN H., DMD2330 W PIERCE ST (888) 988-4066

BARNEY, LASON J., DDS618 W PIERCE ST (575) 885-3748

BARNEY, LASON J., DDS701 N CANAL ST STE A (575) 885-3948

BARNEY, LASON J., DDS1201 W MERMOD ST (575) 887-5111

BAYMILLER, SCOTT A., DDS618 W PIERCE ST (575) 885-3948

BAYMILLER, SCOTT A., DDS701 N CANAL ST STE A (575) 885-3948

BAYMILLER, SCOTT A., DDS1201 W MERMOD ST (575) 887-5111

DESAI, ADITYA A., DDS2330 W PIERCE ST (888) 988-4066

HILanguage(s):

DO, TRIET, DDS701 N CANAL ST STE A (575) 885-3948

DO, TRIET, DDS1201 W MERMOD ST (575) 998-5111

SPLanguage(s):

FAMILIA DENTAL CARLSBAD LLC2330 W PIERCE ST (888) 988-4066

FORDE, COLIN A., DDS701 N CANAL ST STE A (575) 885-3948

GARLA, HARSHAVARDHAN, DDS2330 W PIERCE ST (888) 988-4066

GREWAL, KAPIL, DDS2230 W PIERCE ST (888) 988-4066

GREWAL, KAPIL, DDS2330 W PIERCE ST (888) 988-4066

HARRELL, SEAN M., DDS701 N CANAL ST STE A (575) 885-3948

HARRELL, SEAN M., DDS1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

HARRELL, SEAN M., DDS701 N CANAL ST STE A (575) 887-6837

SPLanguage(s):

HE, SHENYE, DMD1201 W MERMOD ST (575) 887-5111

CN, SPLanguage(s):

HE, SHENYE, DMD701 N CANAL ST STE A (575) 885-3948

HE, SHENYE, DMD618 W PIERCE ST (575) 532-5437

IRANI, ALI, DMD2330 W PIERCE ST (847) 510-4898

FRLanguage(s):

JUNG, SEUNG, DDS2330 W PIERCE ST (888) 988-4066

FR, SPLanguage(s):

KAMAL ALDEEN, MURTAJA, DDS2230 W PIERCE ST (888) 988-4066

KAMAL ALDEEN, MURTAJA, DDS2330 W PIERCE ST (888) 988-4066

KIDS KARE PC1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

KIM, CHANGHUN, DDS701 N CANAL ST STE A (575) 887-6837

KIM, CHANGHUN, DDS1201 W MERMOD ST (575) 887-5111

KOTHA, ABHIROOP, DMD2330 W PIERCE ST (888) 988-4066

KOZLOV, ALEKSEY, DMD1201 W MERMOD ST (575) 532-5437

SPLanguage(s):

KOZLOV, ALEKSEY, DMD701 N CANAL ST STE A (575) 885-3948

SPLanguage(s):

LE, GIA HUY N., DMD701 N CANAL ST STE A (575) 885-3948

SPLanguage(s):

LE, GIA HUY N., DMD1201 W MERMOD ST (575) 998-5111

SPLanguage(s):

LE, GIA HUY N., DMD701 N CANAL ST STE 200 (575) 885-3948

SPLanguage(s):

LEIBINSKY RAMOS, POLYNA, DDS701 N CANAL ST STE A (575) 885-3948

HE, RS, SPLanguage(s):

LEIBINSKY RAMOS, POLYNA, DDS618 W PIERCE ST (575) 885-3748

HE, RS, SPLanguage(s):

MAI, MACY, DMD1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

MANSHAD, ANIS S., DDS2330 W PIERCE ST (888) 988-4066

FR, SPLanguage(s):

MIDTHANA, SRINIVASA R., DDS2330 W PIERCE ST (888) 988-4066

MIYAMASU, PATRICK K., DDS2330 W PIERCE ST (888) 988-4066

MOHSEN POUR, SHIMA, DDS2330 W PIERCE ST (888) 988-4066

MURGA, FIELFER L., DDS2330 W PIERCE ST (575) 234-1125

SPLanguage(s):

NEUBAUER, EDWARD E., DDS1201 W MERMOD ST (575) 887-5111

NEUBAUER, EDWARD E., DDS618 W PIERCE ST (575) 885-3748

NEUBAUER, EDWARD E., DDS701 N CANAL ST STE A (575) 885-3948

OUSHY EISSA, NOHA, DDS1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

OUSHY EISSA, NOHA, DDS701 N CANAL ST STE A (575) 885-3948

PARK, JOSEPH, DMD1201 W MERMOD ST (575) 887-5111

CN, KO, SPLanguage(s):

PARK, JOSEPH, DMD701 N CANAL ST STE A (575) 887-6837

CN, KO, SPLanguage(s):

PAUL, CRAIG R., DDS701 N CANAL ST STE A (575) 885-3948

PEREZ, PAUL D., DDS701 N CANAL ST STE A (575) 885-3948

PEREZ, PAUL D., DDS618 W PIERCE ST (575) 885-3948

SPLanguage(s):

PEREZ, PAUL D., DDS1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

PHAN, DANIELLE, DDS618 W PIERCE ST (575) 885-3748

PHAN, DANIELLE, DDS701 N CANAL ST STE A (575) 885-3948

QUAN, KRISTI, DDS2430 W PIERCE ST (575) 636-4471

RANJBARAN, HAMID, DDS701 N CANAL ST STE A (575) 887-6837

SPLanguage(s):

RANJBARAN, HAMID, DDS1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

RHODES, JOSEPH I., DDS618 W PIERCE ST (575) 885-3948

SPLanguage(s):

RHODES, JOSEPH I., DDS1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

RHODES, JOSEPH I., DDS701 N CANAL ST STE A (575) 885-3948

RUYLE, BONNIE L., DDS1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

RUYLE, BONNIE L., DDS618 W PIERCE ST (575) 885-3948

SPLanguage(s):

SANTUCCI, PHILLIP J., DDS2330 W PIERCE ST (888) 988-4066

SARKISYAN, ARTUR A., DMD1201 W MERMOD ST (575) 532-5437

SPLanguage(s):

SCHEIB, JEFFREY R., DDS1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

SCHEIB, JEFFREY R., DDS701 N CANAL ST STE A (575) 887-6837

SPLanguage(s):

SKOUMAL, JAMES W., DDS2330 W PIERCE ST (888) 988-4066

FR, SPLanguage(s):

STEVENS, MARK A., DMD701 N CANAL ST STE A (575) 885-3948

SPLanguage(s):

STEVENS, MARK A., DMD1201 W MERMOD ST (575) 887-5111

SPLanguage(s):

SUBGANI, RAMYA, DDS2330 W PIERCE ST (888) 988-4066

TRUONG, HENRY, DDS2330 W PIERCE ST (888) 988-4066

VU, DAVID, DDS2330 W PIERCE ST (888) 988-4066

WILSON, ERIC J., DDS618 W PIERCE ST (575) 885-3748

WILSON, ERIC J., DDS701 N CANAL ST STE A (575) 885-3948

Page 25 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 26: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoCARLSBAD - 88220 (continued)

Directory of Participating Dental Providers

Alliance Network

WILSON, ERIC J., DDS1201 W MERMOD ST (575) 887-5111

WOOLF, MARK A., DDS701 N CANAL ST STE A (575) 887-6837

SPLanguage(s):

YOON, JAJUNG, DMD2330 W PIERCE ST (888) 988-4066

Oral Surgery

SMITH, BEN M., DMD2330 W PIERCE ST (888) 988-4066

Orthodontist

BADEJOKO, FRANCIS O., DDS2330 W PIERCE ST (888) 988-4066

BRUCE, JOSHUA D., DDS2330 W PIERCE ST (888) 988-4066

FR, MZ, SPLanguage(s):

DEHGHAN, AMIR H., DDS2330 W PIERCE ST (888) 988-4066

FR, SPLanguage(s):

FARNSWORTH, DAVID W., DDS701 N CANYON ST (575) 887-2444

GUYMON, RUSSELL J., DDS2330 W PIERCE ST (888) 988-4066

LUNARDON, JAMES F., DDS701 N CANYON ST (575) 887-2444

Pediatric Dentist

HAYES, PETER A., DMD2430 W PIERCE ST (575) 636-4471

FR, SPLanguage(s):

TSENG, STEVE H., DDS2430 W PIERCE ST (575) 636-4471

GRANT County

SILVER CITY - 88061

General Dentist

BECK, JONATHAN A., DDS2109 N PINOS ALTOS RD (575) 534-1133

SPLanguage(s):

BONURA, CAYTLYN F., DDS1608 N BENNETT ST (575) 534-3699

FLETCHER, ADRIAN B., DMD114 W 11TH ST (575) 388-1511

SPLanguage(s):

FLETCHER, ADRIAN B., DMD1007 N POPE ST (575) 388-1511

SPLanguage(s):

GARCIA GURULE, JAYSON D., DDS114 W 11TH ST (575) 388-1511

SPLanguage(s):

GARCIA GURULE, JAYSON D., DDS1007 N POPE ST (575) 388-1511

SPLanguage(s):

HAUSER, LESLEY R., DDS114 W 11TH ST (575) 388-1511

SPLanguage(s):

HAUSER, LESLEY R., DDS1007 N POPE ST (575) 388-1511

SPLanguage(s):

HIDALGO MEDICAL SERVICES1007 N POPE ST (575) 388-1511

HIDALGO MEDICAL SERVICES114 W 11TH ST (575) 388-1511

JOHN B SHERMAN DDS PC3115 N LESLIE RD (575) 388-2515

LEEPER, TAYLOR E., DDS114 W 11TH ST (575) 388-1511

SPLanguage(s):

LEEPER, TAYLOR E., DDS1007 N POPE ST (575) 388-1511

SPLanguage(s):

LINES, JAMES W., DMD114 W 11TH ST (575) 388-1511

FO, SPLanguage(s):

LINES, JAMES W., DMD1007 N POPE ST (575) 388-1511

FO, SPLanguage(s):

PORTER, JUSTIN C., DDS1340 E 32ND ST (575) 538-5664

SPLanguage(s):

SHERMAN, JOHN B., DDS3115 N LESLIE RD (575) 388-2515

SPLanguage(s):

SILVER CITY DENTAL1340 E 32ND ST (575) 538-5664

YORK, ERIC S., DDS311 E 14TH ST (575) 388-2528

Orthodontist

SMITH, BRADLEY R., DMD1340 E 32ND ST (575) 538-5664

Periodontist

EVERETT, JOSEPH D., DDS1608 N BENNETT ST (575) 534-3699

GUADALUPE County

SANTA ROSA - 88435

General Dentist

COLLINS, RAYMOND F., DDS1000 BLUE HOLE RD STE A (575) 472-0029

SPLanguage(s):

DEEP BLUE DENTAL1000 BLUE HOLE RD STE A (575) 472-0029

HOWARD, DWIGHT D., DDS552 HIGHWAY 54 (575) 472-2414

SPLanguage(s):

LUERAS COLLINS, KATRINA L., DDS1000 BLUE HOLE RD STE A (575) 472-0029

SPLanguage(s):

HIDALGO County

LORDSBURG - 88045

General Dentist

FLETCHER, ADRIAN B., DMD530 DE MOSS ST (575) 542-8384

SPLanguage(s):

GARCIA GURULE, JAYSON D., DDS530 DE MOSS ST (575) 542-8384

SPLanguage(s):

HAUSER, LESLEY R., DDS530 DE MOSS ST (575) 542-8384

SPLanguage(s):

HIDALGO MEDICAL SERVICES530 DE MOSS ST (575) 542-8384

LEEPER, TAYLOR E., DDS530 DE MOSS ST (575) 542-8384

SPLanguage(s):

LINES, JAMES W., DMD530 DE MOSS ST (575) 542-8384

FO, SPLanguage(s):

LEA County

HOBBS - 88240

General Dentist

ACHALLA, VENKATA, DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

ALL SMILES FAMILY DENTAL CLINICS LLC3920 N LOVINGTON HWY STE 400 (575) 392-5437

ANIFOWOSE, SHOLA D., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

FR, SPLanguage(s):

ANTANI, KARTIK N., DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

AZAD, KOUSHAN H., DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

BAO, LI, DMD3218 N GRIMES ST (575) 392-7565

BARNEY, LASON J., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

BAYMILLER, SCOTT A., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

CAYCEDO, CLAUDIO H., DDS111 W CLINTON ST (575) 393-6047

COWDEN, JASON T., DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

DESAI, ADITYA A., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

HILanguage(s):

DO, TRIET, DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

FAMILIA DENTAL HOB LLC1710 W JOE HARVEY BLVD STE B (888) 988-4066

GARLA, HARSHAVARDHAN, DDS2400 N GRIMES ST STE B8 (575) 964-8700

HI, TELanguage(s):

GARLA, HARSHAVARDHAN, DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

SPLanguage(s):

GARLA, HARSHAVARDHAN, DDS316 W SCHARBAUER ST (575) 396-9000

HI, TELanguage(s):

GREWAL, KAPIL, DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

HARRELL, SEAN M., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

HE, SHENYE, DMD3920 N LOVINGTON HWY STE 400 (575) 392-5437

CN, SPLanguage(s):

IRANI, ALI, DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

FRLanguage(s):

JUDGE, ARWINDER S., DDS1500 W JOE HARVEY BLVD (575) 864-9424

Page 26 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 27: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoHOBBS - 88240 (continued)

Directory of Participating Dental Providers

Alliance Network

JUNG, SEUNG, DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

FR, SPLanguage(s):

KAMAL ALDEEN, MURTAJA, DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

KIDS KARE PC3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

KIM, CHANGHUN, DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

KOTHA, ABHIROOP, DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

HI, TELanguage(s):

KOZLOV, ALEKSEY, DMD3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

LE, GIA HUY N., DMD3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

MAI, MACY, DMD3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

MIDTHANA, SRINIVASA R., DDS2400 N GRIMES ST STE B8 (575) 964-8700

MIDTHANA, SRINIVASA R., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

MIYAMASU, PATRICK K., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

MOHSEN POUR, SHIMA, DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

MURGA, FIELFER L., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

SPLanguage(s):

NEUBAUER, EDWARD E., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

OUSHY EISSA, NOHA, DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

PARK, JOSEPH, DMD3920 N LOVINGTON HWY STE 400 (575) 392-5437

CN, KO, SPLanguage(s):

PEREZ, PAUL D., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

PONANGI, KALYANA, DMD2400 N GRIMES ST B8 (575) 964-8700

HI, TELanguage(s):

RANJBARAN, HAMID, DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

RHODES, JOSEPH I., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

RUYLE, BONNIE L., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

SANTUCCI, PHILLIP J., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

SARKISYAN, ARTUR A., DMD3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

SCHEIB, JEFFREY R., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

SHINE DENTAL LLC2400 N GRIMES ST STE B8 (575) 964-8700

HI, SPLanguage(s):

SHOEMAKER, R. PAUL, DMD506 N SHIPP ST (575) 393-8069

SPLanguage(s):

SKOUMAL, JAMES W., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

FR, SPLanguage(s):

STEVENS, MARK A., DMD3920 N LOVINGTON HWY STE 400 (575) 392-5437

SPLanguage(s):

SUBGANI, RAMYA, DDS1710 W JOE HARVEY BLVD (847) 496-4850

HILanguage(s):

TRUONG, HENRY, DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

VU, DAVID, DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

WILSON, ERIC J., DDS3920 N LOVINGTON HWY STE 400 (575) 392-5437

YOON, JAJUNG, DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

KOLanguage(s):

ZHENG, KIMBERLY L., DMD1500 W JOE HARVEY BLVD (575) 964-9424

Oral Surgery

SMITH, BEN M., DMD1710 W JOE HARVEY BLVD STE B (888) 988-4066

Orthodontist

BADEJOKO, FRANCIS O., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

BRUCE, JOSHUA D., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

FR, MZ, SPLanguage(s):

DEHGHAN, AMIR H., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

FR, SPLanguage(s):

FARNSWORTH, DAVID W., DDS2526 N FOWLER ST (575) 887-2444

GUYMON, RUSSELL J., DDS1710 W JOE HARVEY BLVD STE B (888) 988-4066

LUNARDON, JAMES F., DDS2526 N FOWLER ST (575) 392-4509

Multi-Specialty

ASPEN DENTAL1500 W JOE HARVEY BLVD (575) 864-9424

JAL - 88252

General Dentist

POLICARPIO, MYRNA L., DDS423 S 3RD ST (575) 395-2205

SP, TALanguage(s):

LOVINGTON - 88260

General Dentist

PUCHALAPALLI, NISHANTH R., DDS701 N MAIN AVE (575) 396-4074

LINCOLN County

CARRIZOZO - 88301

General Dentist

CARRIZOZO HEALTH CENTER DENTAL710 AVE E (575) 648-2839

FONTENOT, FELICIA Y., DDS710 AVE E (575) 648-2839

HACKER, MELINDA R., DDS710 AVE E (575) 648-2839

RUIDOSO - 88345

General Dentist

ALBISTON, ROBERT S., DDS127 EL PASO RD (575) 257-9053

CHILDRESS, KENNETH W., DDS721 MECHEM DR STE 5 (575) 257-5640

SPLanguage(s):

FONTENOT, FELICIA Y., DDS127 EL PASO RD (575) 257-9053

PALMER, ERIC L., DDS127 EL PASO RD (575) 257-9053

FRLanguage(s):

TRUJILLO, KENDAL R., DDS456 MECHEM DR STE C (575) 257-5179

WATERS, SALLY L., DMD1098 MECHEM DR (575) 258-3388

SPLanguage(s):

WESTOVER, JOSEPH E., DMD127 EL PASO RD (575) 257-9053

LOS ALAMOS County

LOS ALAMOS - 87544

General Dentist

BROOKOVER, CURTIS A., DDS3491 TRINITY DR STE A (505) 662-4503

SPLanguage(s):

GREENBURG, MARK A., DDS3250 TRINITY DR STE A (505) 662-4555

SPLanguage(s):

MCDONALD, JONATHAN W., DDS185 CENTRAL PARK SQ (505) 662-2426

PT, SPLanguage(s):

MEYER, RACHEL, DDS112 CENTRAL PARK SQ (505) 662-3163

ORTIZ, NEREIDA, DDS185 CENTRAL PARK SQ (505) 662-2426

SPLanguage(s):

Orthodontist

KNOWLTON, CLARK U., DDS3250 TRINITY DR STE A (505) 662-4555

SPLanguage(s):

MEYERS, DANIEL M., DDS2610 TRINITY DR STE 5 (505) 662-6288

VEST ORTHODONTICS PC3250 TRINITY DR STE A (505) 662-4555

SPLanguage(s):

VEST, DEVAN R., DDS3250 TRINITY DR STE A (505) 662-4555

SPLanguage(s):

Page 27 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 28: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoLOS ALAMOS - 87544 (continued)

Directory of Participating Dental Providers

Alliance Network

Pediatric Dentist

HUMBERSON, JEFFREY W., DDS2101 TRINITY DR (505) 428-7878

HE, SI, SPLanguage(s):

NICHOLS, WILLIAM R., DDS751 TRINITY DR BLDG 3 STE A-B (505) 661-9060

PRISHKULNIK, ELIZABETH T., DDS2101 TRINITY DR (505) 428-7878

LUNA County

COLUMBUS - 88029

General Dentist

BACA JR., LEROY, DDS626 TAFT ST (575) 531-2165

COYNE, PATRICK J., DDS626 TAFT ST (575) 531-2165

SPLanguage(s):

DEAN, TYRELL C., DMD626 TAFT ST (575) 531-2165

SPLanguage(s):

DUNN, PAUL R., DDS626 TAFT ST (575) 531-2165

SPLanguage(s):

FEMAT, RUBEN, DDS626 TAFT (575) 531-2165

GLOVER, DAWN K., DDS626 TAFT ST (575) 531-2165

LARA, WENDY L., DDS626 TAFT ST (575) 531-2165

MATHIAS, RICHARD B., DMD626 TAFT ST (575) 531-2165

MAY, AMANDA C., DDS626 TAFT ST (575) 531-2165

MCCARTHY, TIAPUL Q., DDS626 TAFT ST (575) 531-2165

SPLanguage(s):

O, GIBSON S., DDS626 TAFT ST (575) 531-2165

ODA, SAHARU, DDS626 TAFT ST (575) 531-2165

PR, SPLanguage(s):

ORTIZ, NATALIE J., DDS626 TAFT ST (575) 531-2165

PELLEGRINO, CAMILLE R., DDS626 TAFT ST (575) 531-2165

PUCKETT JR., C RAY, DDS626 TAFT ST (575) 531-2165

QUAN, KRISTI, DDS626 TAFT ST (575) 531-2165

SALCIDO, KAIYRA F., DDS626 TAFT ST (575) 531-2165

SPLanguage(s):

SHAH, JAY A., DMD626 TAFT ST (575) 531-2165

VADLAMANI, PRATHYUSHA, DDS626 TAFT ST (575) 531-2165

SPLanguage(s):

WIATT, MARK E., DDS626 TAFT ST (575) 531-2165

ZIAFAT, MEHRYAR, DMD626 TAFT ST (575) 531-2165

Pediatric Dentist

HAYES, PETER A., DMD626 TAFT ST (575) 531-2165

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER626 TAFT ST (575) 531-2165

DEMING - 88030

General Dentist

ABSHERE, PHILIP M., DDS1310 E PINE ST STE B (575) 544-9999

AHMED, ZARAH Z., DDS1310 E PINE ST STE B (575) 544-9999

AKOPYAN, NAREK, DMD1315 S 8TH ST (575) 522-0454

ALLEN, GRANT, DMD1310 E PINE ST STE B (575) 544-9999

ANDREWS, WALTER A., DDS1419 S SANTA BARBARA ST (575) 546-0415

ARGANT, RICHARD, DDS119 N 8TH ST (575) 544-8381

AR, FR, SPLanguage(s):

ASHIDA, DEBBIE L., DDS900 W BIRCH ST (575) 936-4140

SPLanguage(s):

BACA JR., LEROY, DDS125 CHAPARREL BLVD NW (575) 546-4800

BISHOP, MATTHEW R., DDS1310 E PINE ST SET B (575) 544-9999

SPLanguage(s):

BROUSSARD, RAYMOND E., DDS1310 E PINE ST STE B (575) 544-9999

CARTER JR., BARNEY W., DMD1310 E PINE ST STE B (575) 544-9999

CHA, LILY, DDS1310 E PINE ST STE B (575) 544-9999

CHAVEZ, ARMANDO J., DDS1310 E PINE ST STE B (575) 544-9999

CHAVEZ, KEELY J., DDS1310 E PINE ST STE B (575) 544-9999

CHUNG, CHRISTINA K., DDS1310 E PINE ST STE B (575) 544-9999

COBLE, JEREMY C., DDS1310 E PINE ST STE B (575) 544-9999

SILanguage(s):

COYNE, PATRICK J., DDS125 CHAPARREL BLVD NW (575) 546-4800

SPLanguage(s):

CROS, RAYMOND, DMD119 N 8TH ST (575) 544-8381

AR, FR, SPLanguage(s):

DEAN, TYRELL C., DMD125 CHAPARREL BLVD NW (575) 546-4800

SPLanguage(s):

DOMINGUEZ, CORI J., DMD1310 E PINE ST STE B (575) 544-9999

DUNN, PAUL R., DDS125 CHAPARREL BLVD NW (575) 546-4800

SPLanguage(s):

EDGERTON, DEBRA L., DDS125 CHAPARREL BLVD NW (575) 546-4800

SPLanguage(s):

ELLISS, JOSHUA L., DMD1315 S 8TH ST (575) 546-6591

SP, YILanguage(s):

FEMAT, RUBEN, DDS125 CHAPARREL BLVD NW (575) 546-4800

GLOVER, DAWN K., DDS125 CHAPARREL BLVD NW (575) 546-4800

GOMEZ, DALLIN D., DDS1310 E PINE ST STE B (575) 544-9999

GORDON, JOHN L., DDS1315 S 8TH ST (575) 546-6591

SPLanguage(s):

GREENE, DAVID W., DDS1310 E PINE ST STE B (575) 544-9999

SPLanguage(s):

HARRISON, ANNE K., DDS1310 E PINE ST STE B (575) 544-9999

HATCH, CAMERON J., DDS1310 E PINE ST STE B (575) 544-9999

JENSEN, STEPHEN R., DDS1310 E PINE ST STE B (575) 544-9999

JOHANSEN, ROBERT W., DDS1310 E PINE ST STE B (575) 544-9999

JOHNSON, JESSE T., DDS1310 E PINE ST STE B (575) 544-9999

KHAIRA, AARON S., DMD1310 E PINE ST STE B (575) 544-9999

KINZER, KYE G., DDS1310 E PINE ST STE B (575) 544-9999

SPLanguage(s):

KNOTT, KENNETH E., DDS1310 E PINE ST STE B (575) 544-9999

LAPSKER, JENNIFER A., DDS1310 E PINE ST STE B (575) 544-9999

LARA, WENDY L., DDS125 CHAPARREL BLVD NW (575) 546-4800

LEE, JUNG W., DDS1310 E PINE ST STE B (575) 544-9999

MACINTYRE, JENNIFER, DDS1310 E PINE ST STE B (575) 544-9999

MAIWAND, SAFA H., DDS1310 E PINE ST STE B (575) 544-9999

SILanguage(s):

MANSHAD, ANIS S., DDS1310 E PINE ST STE B (575) 544-9999

MATHIAS, RICHARD B., DMD125 CHAPARREL BLVD NW (575) 546-4800

MAY, AMANDA C., DDS125 CHAPARREL BLVD NW (575) 546-4800

MCCARTHY, TIAPUL Q., DDS125 CHAPARREL BLVD NW (575) 546-4800

SPLanguage(s):

MONTANO, ERIN M., DDS1310 E PINE ST ST B (575) 544-9999

MYERS, ERIC A., DDS1310 E PINE ST STE B (575) 544-9999

NGUYEN, ALICIA V., DDS1310 E PINE ST STE B (575) 544-9999

Page 28 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 29: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoDEMING - 88030 (continued)

Directory of Participating Dental Providers

Alliance Network

O, GIBSON S., DDS125 CHAPARREL BLVD NW (575) 546-4800

ODA, SAHARU, DDS125 CHAPARREL BLVD NW (575) 546-4800

PR, SPLanguage(s):

PELLEGRINO, CAMILLE R., DDS125 CHAPARREL BLVD NW (575) 546-4800

PLUE, LAURA W., DDS1315 S 8TH ST (575) 546-6591

SPLanguage(s):

PRESTWICH, BRENDON E., DDS1310 E PINE ST STE B (575) 544-9999

PUCKETT JR., C RAY, DDS125 CHAPARREL BLVD NW (575) 546-4800

QUAN, KRISTI, DDS125 CHAPARREL BLVD NW (575) 546-4800

ROWAN, RICHARD G., DMD1310 E PINE ST STE B (575) 544-9999

SALCIDO, KAIYRA F., DDS125 CHAPARREL BLVD NW (575) 546-4800

SPLanguage(s):

SHAH, JAY A., DMD125 CHAPARREL BLVD NW (575) 546-4800

SOUTHERN NEW MEXICO ORTHODONTICS LLC1310 E PINE ST STE B (575) 544-9999

TANAKA, LEILANI K., DDS1310 E PINE ST STE B (575) 544-9999

TASKER, KENNETH, DDS1310 E PINE ST STE B (575) 544-9999

THOMPSON, CORY G., DMD1315 S 8TH ST (575) 546-6591

VADLAMANI, PRATHYUSHA, DDS125 CHAPARREL BLVD NW (575) 546-4800

SPLanguage(s):

WELLS, KELLY S., DDS1310 E PINE ST STE B (575) 544-9999

WIATT, MARK E., DDS125 CHAPARREL BLVD NW (575) 546-4800

WILLIAMS, TREVOR A., DMD400 S GOLD AVE (575) 546-2684

ZIAFAT, MEHRYAR, DMD125 CHAPARREL BLVD NW (575) 546-4800

Oral Surgery

REID, DOUGLAS M., DMD1310 E PINE ST STE B (575) 544-9999

Orthodontist

BREWKA, ROBERT E., DDS710 S GOLD AVE (575) 546-1400

BUSH, HELEN D., DMD1310 E PINE ST STE B (575) 544-9999

DULA, GEORGE V., DDS1310 E PINE ST STE B (575) 544-9999

GUTIERREZ PULIDO, LUIS D., DDS1310 E PINE ST STE B (575) 544-9999

SPLanguage(s):

HANN, ROBERT C., DDS1310 E PINE ST STE B (575) 544-9999

LOVELAND, KELCEY G., DMD1310 E PINE ST STE B (575) 544-9999

REECE, CALEB W., DMD1310 E PINE ST STE B (575) 352-4894

Pediatric Dentist

AHMED, ZARAH Z., DDS1310 E PINE ST STE B (575) 544-9999

ARAGON, ASHLEE, DMD1310 E PINE ST STE B (575) 544-9999

CALL, VAUGHN D., DMD1310 E PINE ST STE B (575) 544-9999

DARCY, KAITLYN N., DDS1310 E PINE ST STE B (575) 544-9999

GUTIERREZ, KAREN, DDS1310 E PINE ST STE B (575) 544-9999

HAYES, PETER A., DMD125 CHAPARREL BLVD NW (575) 546-4800

FRLanguage(s):

PECK, CHRISTIAN S., DDS1310 E PINE ST STE B (575) 544-9999

SIEGEL, SCOTT L., DMD1310 E PINE ST STE B (575) 544-9999

TASKER, SPENCER J., DMD1310 E PINE ST STE B (575) 544-9999

TROPP, ALMUT E., DDS1310 E PINE ST STE B (575) 544-9999

Multi-Specialty

BEN ARCHER HEALTH CENTER125 CHAPARREL BLVD NW (575) 546-4800

DEMING CHILDRENS DENTISTRY LLC1310 E PINE ST STE B (575) 544-9999

MCKINLEY County

CROWNPOINT - 87313

General Dentist

KNUTSEN, GREGORY R., DDSHWY JUNCTION 371, RTE 9 (505) 786-5291

FORT WINGATE - 87316

General Dentist

SOBKOWSKI, JASON S., DMD520 B SHUSH DR EXIT 33 STATE RD 400 (505) 722-1770

Multi-Specialty

GALLUP INDIAN MEDICAL CENTER286B STATE HIGHWAY 400 POSTMASTE (505) 722-1172

GALLUP INDIAN MEDICAL CENTER520 B SHUSH DR EXIT 33 STATE RD 400 (505) 722-1770

GALLUP - 87301

General Dentist

ABSHERE, PHILIP M., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

AHMED, ZARAH Z., DDS802 US HIGHWAY 491 (505) 862-5018

ALLEN, GRANT, DMD802 US HIGHWAY 491 (505) 862-5018

AMBROSE, TIMOTHY L., DDS516 E NIZHONI BLVD (505) 722-1000

SPLanguage(s):

ANANDARAJAH, SHANKAR, DDS1748 W MALONEY AVE (505) 863-8100

SPLanguage(s):

BELFON, ROBERT, DMD1575 HIGHWAY 264 UNIT B (505) 371-5509

NV, SPLanguage(s):

BISHOP, MATTHEW R., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

SPLanguage(s):

BROUSSARD, RAYMOND E., DDS802 US HIGHWAY 491 (505) 862-5018

CARTER JR., BARNEY W., DMD802 US HIGHWAY 491 STE 802 (505) 862-5018

SPLanguage(s):

CHA, LILY, DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

CHAVEZ, ARMANDO J., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

CHAVEZ, KEELY J., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

CHUNG, CHRISTINA K., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

COBLE, JEREMY C., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

SILanguage(s):

COLEMAN, CODY B., DDS1601 S SECOND ST (505) 722-4422

DAMON MALLETTE, DEZBAA A., DMD501 E NIZHONI BLVD (505) 863-9363

SPLanguage(s):

DOMINGUEZ, CORI J., DMD802 US HIGHWAY 491 STE 802 (505) 862-5018

GIBLETTE, CHRIS J., DMD1601 S SECOND ST (505) 722-4422

GOMEZ, DALLIN D., DDS802 US HIGHWAY 491 (505) 862-5018

GREENE, DAVID W., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

SPLanguage(s):

HARRISON, ANNE K., DDS802 US HIGHWAY 491 (505) 862-5018

HATCH, CAMERON J., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

JENSEN, STEPHEN R., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

JOHANSEN, ROBERT W., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

JOHNSON, JESSE T., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

KHAIRA, AARON S., DMD802 US HIGHWAY 491 STE 802 (505) 862-5018

KING, MICHAEL D., DMD1601 S SECOND ST (505) 722-4422

SPLanguage(s):

KINZER, KYE G., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

SPLanguage(s):

KNOTT, KENNETH E., DDS802 US HIGHWAY 491 (505) 862-5018

KRAUSE, SHARON E., DDS516 E NIZHONI BLVD (505) 722-1560

LAPSKER, JENNIFER A., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

LEE, JUNG W., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

LEIBINSKY RAMOS, POLYNA, DDS516 E NIZHONI BLVD (505) 722-1000

Page 29 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 30: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoGALLUP - 87301 (continued)

Directory of Participating Dental Providers

Alliance Network

MACINTYRE, JENNIFER, DDS802 US HIGHWAY 491 (505) 862-5018

MAIWAND, SAFA H., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

SILanguage(s):

MANSHAD, ANIS S., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

MONTANO, ERIN M., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

MONTANO, ERIN M., DDS214 W AZTEC AVE (505) 863-4457

MONTANO, JARED A., DDS214 W AZTEC AVE (505) 863-4457

MORRIS, JOHN M., DDS1213C US HIGHWAY 491 (505) 979-5600

KOLanguage(s):

MYERS, ERIC A., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

NGUYEN, ALICIA V., DDS802 US HIGHWAY 491 (505) 862-5018

NIETO, EMILY H., DMD516 E NIZHONI BLVD (505) 722-1000

NORFLEET, PHILIP A., DDS516 E NIZHONI BLVD (505) 722-1000

PACHECO, IVAN F., DMD516 E NIZHONI BLVD (505) 722-1000

SPLanguage(s):

PRESTWICH, BRENDON E., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

RAINALDI, LIDIO G., DDS501 E NIZHONI BLVD (505) 863-9363

NV, SPLanguage(s):

RASMUSSEN, AARON D., DDS1601 S SECOND ST (505) 722-4422

ROWAN, RICHARD G., DMD802 US HIGHWAY 491 STE 802 (505) 862-5018

ROWBERRY, M. KORY, DDS1421 US HIGHWAY 491 (505) 863-8000

SHAHEEN, BRUCE B., DDS1601 S SECOND ST (505) 722-4422

PTLanguage(s):

SMITH, DAMIAN R., DMD1601 S SECOND ST (505) 722-4422

SOBKOWSKI, JASON S., DMD516 E NIZHONI BLVD (505) 722-1560

SUNDANCE DENTAL CARE OF GALLUP LLC1601 S SECOND ST (505) 722-4422

TANAKA, LEILANI K., DDS802 US HIGHWAY 491 (505) 862-5018

TASKER, KENNETH, DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

TRAN, BO V., DDS516 E NIZHONI BLVD (505) 722-1000

VTLanguage(s):

VERGIEN, BRADLEY C., DDS1421 US HIGHWAY 491 (505) 863-8000

WELLS, KELLY S., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

WHITEHEAD, TYLER A., DDS1601 S SECOND ST (505) 722-4422

SPLanguage(s):

WILLARD, JADEN E., DMD1601 S SECOND ST (505) 722-4422

GRLanguage(s):

Endodontist

GILBRETH, JOHN B., DDS1808 E AZTEC AVE STE 4 (505) 903-6916

SPLanguage(s):

Oral Surgery

BARLOW, BRETT W., DMD214 W AZTEC AVE (505) 863-4457

REID, DOUGLAS M., DMD802 US HIGHWAY 491 (505) 862-5018

Orthodontist

BUSH, HELEN D., DMD802 US HIGHWAY 491 (505) 862-5018

BUSH, HELEN D., DMD805 US HIGHWAY 491 (505) 862-5018

DULA, GEORGE V., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

GUTIERREZ PULIDO, LUIS D., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

SPLanguage(s):

HANN, ROBERT C., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

LOVELAND, KELCEY G., DMD802 US HIGHWAY 491 STE 802 (505) 862-5018

ORTHO DENTAL PC1748 W MALONEY AVE (505) 863-8100

REECE, CALEB W., DMD802 US HIGHWAY 491 STE 802 (505) 862-5018

SIMONSEN, RANDY T., DDS214 W AZTEC AVE (505) 863-4457

VAHIDNIA, ARMIN, DDS1748 W MALONEY AVE (505) 863-8100

SPLanguage(s):

Pediatric Dentist

AHMED, ZARAH Z., DDS802 US HIGHWAY 491 (505) 862-5018

ARAGON, ASHLEE, DMD802 US HIGHWAY 491 STE 802 (505) 862-5018

CALL, VAUGHN D., DMD802 US HIGHWAY 491 STE 802 (505) 862-5018

DARCY, KAITLYN N., DDS802 US HIGHWAY 491 (505) 862-5018

GUTIERREZ, KAREN, DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

LAYVEY, ANN A., DMD516 E NIZHONI BLVD (505) 722-1000

PECK, CHRISTIAN S., DDS802 US HIGHWAY 491 STE 802 (505) 862-5018

SIEGEL, SCOTT L., DMD802 US HIGHWAY 491 STE 802 (505) 862-5018

TASKER, SPENCER J., DMD802 US HIGHWAY 491 STE 802 (505) 862-5018

TROPP, ALMUT E., DDS802 US HIGHWAY 491 (505) 862-5018

Multi-Specialty

DENTAL INNOVATIONS OF GALLUP214 W AZTEC AVE (505) 863-4457

GALLUP CHILDRENS DENTISTRY LLC802 US HIGHWAY 491 STE 802 (505) 862-5018

GALLUP INDIAN MEDICAL CENTER516 E NIZHONI BLVD (505) 722-1000

TOHATCHI - 87325

General Dentist

LEIBINSKY RAMOS, POLYNA, DDS007 CHOOSGAI (505) 733-8400

NIETO, EMILY H., DMD007 CHOOSHGAI DR (505) 733-8400

NORFLEET, PHILIP A., DDS007 CHOOSGAI DR (505) 733-8400

SOBKOWSKI, JASON S., DMD007 CHOOSGAI DR (505) 733-8440

TRAN, BO V., DDS007 CHOOSGAI DR (505) 733-8440

VTLanguage(s):

Multi-Specialty

GALLUP INDIAN MEDICAL CENTER007 CHOOSGAI DR (505) 733-8440

MORA County

MORA - 87732

General Dentist

MCCAFFREY BOSS, CHRISTOPHER A., DDS3 MORA VALLEY CLINIC RD (575) 387-5069

OTERO County

ALAMOGORDO - 88310

General Dentist

ALBISTON, ROBERT S., DDS610 CUBA AVE (575) 434-3026

ALBISTON, ROBERT S., DDS2081 1ST ST (575) 437-7900

ALL SMILES FAMILY DENTAL CLINICS LLC1713 10TH ST STE A (575) 439-5439

BACA JR., LEROY, DDS2150 HIGHWAY 54 S (575) 443-8133

BARNEY, LASON J., DDS1713 10TH ST STE A (575) 439-5439

BAYMILLER, SCOTT A., DDS1713 10TH ST STE A (575) 439-5439

BEHRMANN, LOGAN D., DMD1022 9TH ST (575) 437-7473

JP, SPLanguage(s):

CHILDRESS, KENNETH W., DDS3199 N WHITE SANDS BLVD STE D9 (575) 434-8776

SPLanguage(s):

COYNE, PATRICK J., DDS2150 HIGHWAY 54 S (575) 443-8133

SPLanguage(s):

DAHIYA, MONICA, DDS780 SCENIC DR (575) 437-8994

DEAN, TYRELL C., DMD2150 HIGHWAY 54 S (575) 443-8133

SPLanguage(s):

DEVAKI, SWATHI, DDS780 SCENIC DR (575) 437-8994

HILanguage(s):

Page 30 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 31: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoALAMOGORDO - 88310 (continued)

Directory of Participating Dental Providers

Alliance Network

DO, TRIET, DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

DUNN, PAUL R., DDS2150 HIGHWAY 54 S (575) 443-8133

SPLanguage(s):

EHIGIATOR, OSAROBO, DDS780 SCENIC DR (575) 437-8994

FEMAT, RUBEN, DDS2150 HIGHWAY 54 S (575) 443-8133

FONTENOT, FELICIA Y., DDS2081 1ST ST (575) 437-7900

SPLanguage(s):

FORDE, COLIN A., DDS1713A 10TH ST STE A (575) 439-5439

GLOVER, DAWN K., DDS2150 HIGHWAY 54 S (575) 443-8133

GONZALEZ, JAIME R., DDS1022 9TH ST (575) 437-7473

SPLanguage(s):

HAN, ALEXANDER W., DMD1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

HARRELL, SEAN M., DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

HE, SHENYE, DMD1713 10TH ST STE A (575) 439-5439

CN, SPLanguage(s):

KIDS KARE PC1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

KIM, CHANGHUN, DDS1713 10TH ST STE A (575) 439-5439

KLUMP, JAMES J., DDS610 CUBA AVE (575) 434-3026

KOZLOV, ALEKSEY, DMD1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

KUNNEKEL, ASHISH T., DDS780 SCENIC DR (575) 437-8994

HILanguage(s):

LARA, WENDY L., DDS2150 HIGHWAY 54 S (575) 443-8133

LAS CRUCES DENTAL ASSOC PC1022 9TH ST (575) 437-7473

LE, GIA HUY N., DMD1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

MAI, MACY, DMD1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

MANGLA, KAPIL, DDS780 SCENIC DR (575) 317-4930

MATHIAS, RICHARD B., DMD2150 HIGHWAY 54 S (575) 443-8133

MAY, AMANDA C., DDS2150 HIGHWAY 54 S (575) 443-8133

MCCARTHY, TIAPUL Q., DDS2150 HIGHWAY 54 S (575) 443-8133

SPLanguage(s):

MOHD NAJIB, SONIA, DDS1022 9TH ST (575) 437-7473

MY, SPLanguage(s):

NEUBAUER, EDWARD E., DDS1713 10TH ST STE A (575) 439-5439

O, GIBSON S., DDS2150 HIGHWAY 54 S (575) 443-8133

ODA, SAHARU, DDS2150 HIGHWAY 54 S (575) 443-8133

PR, SPLanguage(s):

OUSHY EISSA, NOHA, DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

PALMER, ERIC L., DDS2081 1ST ST (575) 437-7900

FR, SPLanguage(s):

PARK, JOSEPH, DMD1713 10TH ST STE A (575) 439-5439

CN, KO, SPLanguage(s):

PAUL, CRAIG R., DDS1713A 10TH ST STE A (575) 439-5439

PELLEGRINO, CAMILLE R., DDS2150 HIGHWAY 54 S (575) 443-8133

PEREZ, PAUL D., DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

PETERSON, TAYNE A., DMD2081 1ST ST (575) 437-7900

PORTER, SILAS M., DMD1022 9TH ST (575) 437-7473

PUCKETT JR., C RAY, DDS2150 HIGHWAY 54 S (575) 443-8133

QUAN, KRISTI, DDS2150 HIGHWAY 54 S (575) 443-8133

RANJBARAN, HAMID, DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

RHODES, JOSEPH I., DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

RUSSELL, DAVID W., DMD1022 9TH ST (575) 437-7473

RUYLE, BONNIE L., DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

SALCIDO, KAIYRA F., DDS2150 HIGHWAY 54 S (575) 443-8133

SPLanguage(s):

SAMANIEGO, MARIO, DDS1022 9TH ST (575) 437-7473

SARKISYAN, ARTUR A., DMD1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

SARKISYAN, ARTUR A., DMD600 TEXAS AVE STE C (575) 762-1900

SPLanguage(s):

SARKISYAN, ARTUR A., DMD103 LIVINGSTON LOOP STE B3 (575) 332-4047

SPLanguage(s):

SARKISYAN, ARTUR A., DMD701 N CANAL ST STE A (575) 885-3948

SPLanguage(s):

SCHEIB, JEFFREY R., DDS1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

SHAH, JAY A., DMD2150 HIGHWAY 54 S (575) 443-8133

SNYDER, JOSEPH A., DDS2832 INDIAN WELLS RD (575) 439-0446

STEVENS, MARK A., DMD1713 10TH ST STE A (575) 439-5439

SPLanguage(s):

VADLAMANI, PRATHYUSHA, DDS2150 HIGHWAY 54 S (575) 443-8133

SPLanguage(s):

WALKER, MICHELLE A., DMD610 CUBA AVE (575) 434-3026

WALKER, MICHELLE A., DMD2081 1ST ST (575) 437-7900

WESTOVER, JOSEPH E., DMD610 CUBA AVE (575) 434-3026

WESTOVER, JOSEPH E., DMD2081 1ST ST (575) 437-7900

CNLanguage(s):

WIATT, MARK E., DDS2150 HIGHWAY 54 S (575) 443-8133

WILSON, ERIC J., DDS1713 10TH ST STE A (575) 439-5439

WOOLF, MARK A., DDS1713A 10TH ST STE A (575) 439-5439

ZIAFAT, MEHRYAR, DMD2150 HIGHWAY 54 S (575) 443-8133

Oral Surgery

HEINER, BRYCE B., DMD700 CUBA AVE (575) 522-8800

ITLanguage(s):

Orthodontist

KLUMP, JOHN P., DDS700 CUBA AVE (575) 434-4957

REECE, CALEB W., DMD516 1ST ST STE K (575) 434-1275

SPLanguage(s):

Pediatric Dentist

HAYES, PETER A., DMD2150 HIGHWAY 54 S (575) 443-8133

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER2150 HIGHWAY 54 S (575) 443-8133

QUAY County

TUCUMCARI - 88401

General Dentist

BALZANO, GARY L., DDS305 E WASHINGTON AVE (575) 461-2400

SPLanguage(s):

RIO ARRIBA County

CHAMA - 87520

General Dentist

ALLEN, GRANT H., DDS451 MAPLE AVE (575) 756-2901

SPLanguage(s):

Page 31 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 32: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New Mexico

Directory of Participating Dental Providers

Alliance Network

EL RITO - 87530

General Dentist

ARANA, ERIKA M., DMDHIGHWAY 571 BLDG 28 (575) 581-4728

SPLanguage(s):

COLLINS, ROXANNE C., DMDHIGHWAY 571 BLDG 28 (575) 581-4728

ELLIOTT, ROBERT M., DDSHIGHWAY 571 BLDG 28 (575) 581-0028

SPLanguage(s):

GARCIA, D. ANTHONY, DDSHIGHWAY 571 BLDG 28 (575) 581-4728

LAS CLINICAS DEL NORTEHIGHWAY 571 BLDG 28 (575) 581-4728

LUKAVSKY, MICHAEL E., DMDHIGHWAY 571 BLDG 28 (575) 581-4728

MALONE, KATHALYN A., DDSHIGHWAY 571 (575) 581-4728

MALONE, KATHALYN A., DDSNM 571 BLDG 28 (505) 581-4728

ROGERS, KATHLEEN A., DDSHIGHWAY 571 BLDG 28 (575) 581-4728

TRUJILLO, EDMUND L., DDSHIGHWAY 571 BLDG 28 (575) 581-4728

EMBUDO - 87531

General Dentist

HARRIS, KAYCI M., DMD1102 STATE HWY 68 (505) 579-4680

HARRIS, KELLIE A., DDS1102 STATE HWY 68 (505) 579-4680

ENLanguage(s):

ESPANOLA - 87532

General Dentist

ACHALLA, VENKATA, DDS1508 N RIVERSIDE DR (888) 988-4066

ANIFOWOSE, SHOLA D., DDS1508 N RIVERSIDE DR STE C (888) 988-4066

FR, SPLanguage(s):

ANTANI, KARTIK N., DMD1508 N RIVERSIDE DR (888) 988-4066

AZAD, KOUSHAN H., DMD1508 N RIVERSIDE DR (505) 753-0544

BAE, SUHO, DDS1508 N RIVERSIDE DR STE C (888) 988-4066

FR, SPLanguage(s):

COWDEN, JASON T., DMD1508 N RIVERSIDE DR STE C (888) 988-4066

FR, SPLanguage(s):

DESAI, ADITYA A., DDS1508 N RIVERSIDE DR (888) 988-4066

HILanguage(s):

EL CENTRO FAMILY HEALTH608 LA JOYA ST STE B (505) 753-9454

EL CENTRO FAMILY HEALTH538 N PASEO DE ONATE (505) 753-7218

FAMILIA DENTAL ESP LLC1508 N RIVERSIDE DR STE C (888) 988-4066

GARLA, HARSHAVARDHAN, DDS1508 N RIVERSIDE DR STE C (888) 988-4066

GREWAL, KAPIL, DDS1508 N RIVERSIDE DR (888) 988-4066

HARBAUGH, JEFFREY S., DDS608 LA JOYA ST STE B (505) 753-7218

SPLanguage(s):

IRANI, ALI, DMD1508 N RIVERSIDE DR STE C (888) 988-4066

FRLanguage(s):

KAMAL ALDEEN, MURTAJA, DDS1508 N RIVERSIDE DR (888) 988-4066

KIM, CHRIS Y., DDS1508 N RIVERSIDE DR STE C (888) 988-4066

FR, SPLanguage(s):

KOTHA, ABHIROOP, DMD1508 N RIVERSIDE DR (888) 988-4066

MITCHELL, JOON H., DDS1508 N RIVERSIDE DR STE C (888) 988-4066

MIYAMASU, PATRICK K., DDS1508 N RIVERSIDE DR STE C (888) 988-4066

MURGA, FIELFER L., DDS1508 N RIVERSIDE DR (888) 988-4066

SPLanguage(s):

PARK, SUN YOUNG, DDS1508 N RIVERSIDE DR STE C (888) 988-4066

FR, SPLanguage(s):

PROVIDER NOT EMPLOYED WITH GROUP608 LA JOYA ST STE B (505) 747-5946

SHAMAPANTH, RAHUL, DDS1508 N RIVERSIDE DR (888) 988-4066

SISNEROS, ARTURO D., DDS538 N PASEO DE ONATE (505) 753-7218

SISNEROS, ARTURO D., DDS608 LA JOYA ST STE B (505) 753-9454

SUBGANI, RAMYA, DDS1508 N RIVERSIDE DR (888) 988-4066

TAYLOR, STEPHEN H., DDS608 LA JOYA ST STE B (505) 753-9454

WILSON, GAVIN B., DDS232 N PASEO DE ONATE (505) 753-7246

YOON, JAJUNG, DMD1508 N RIVERSIDE DR (888) 988-4066

YURKOVICH, RORY M., DDS608 LA JOYA ST STE B (505) 753-9454

Oral Surgery

SMITH, BEN M., DMD1508 N RIVERSIDE DR (888) 988-4066

Orthodontist

BRUCE, JOSHUA D., DDS1508 N RIVERSIDE DR STE C (888) 988-4066

FR, MZ, SPLanguage(s):

DEHGHAN, AMIR H., DDS1508 N RIVERSIDE DR STE C (888) 988-4066

FR, SPLanguage(s):

GUYMON, RUSSELL J., DDS1508 N RIVERSIDE DR (888) 988-4066

KELLAM, STEPHEN A., DMD411 S SANTA CLARA BRIDGE RD (505) 982-5531

MCDONALD, ANDREW R., DDS1508 N RIVERSIDE DR STE C (888) 988-4066

PAPADEMETRIOU, MICHAEL K., DMD1508 N RIVERSIDE DR (888) 988-4066

OHKAY OWINGEH - 87566

General Dentist

KNUTSEN, GREGORY R., DDS2573 STATE HWY 522 (575) 586-0316

TIERRA AMARILLA - 87575

General Dentist

ONYIRIMBA, PHILIP, DDSHIGHWAY 84 COUNTY ROAD 0324 STE 14 (575) 588-7289

SPLanguage(s):

ROOSEVELT County

PORTALES - 88130

General Dentist

CARTER, CHAD B., DDS1521 W 18TH ST (575) 356-8514

GAJULA, TULASI S., DDS201 S KNOXVILLE ST (575) 356-5517

GAJULA, TULASI S., DDS700 E 3RD ST (575) 356-5517

GAJULA, TULASI S., DDS520 W 5TH ST (575) 356-5517

GAJULA, TULASI S., DDS1000 N AVENUE M (575) 356-5517

GAJULA, TULASI S., DDS1415 S GLOBE AVE (575) 356-5517

GAJULA, TULASI S., DDS1515 W FIR ST (575) 356-5517

GAJULA, TULASI S., DDS701 W 18TH ST (575) 356-5517

IMMANNI, GANGADHAR, DDS701 W 18TH ST (575) 356-5517

SPLanguage(s):

IMMANNI, GANGADHAR, DDS1000 N AVENUE M (575) 356-5517

SPLanguage(s):

IMMANNI, GANGADHAR, DDS1415 S GLOBE AVE (575) 356-5517

SPLanguage(s):

IMMANNI, GANGADHAR, DDS1515 W FIR ST (575) 356-5517

SPLanguage(s):

IMMANNI, GANGADHAR, DDS201 S KNOXVILLE ST (575) 356-5517

SPLanguage(s):

IMMANNI, GANGADHAR, DDS520 W 5TH ST (575) 356-5517

SPLanguage(s):

IMMANNI, GANGADHAR, DDS700 E 3RD ST (575) 356-5517

SPLanguage(s):

LA CASA FAMILY HEALTH CENTER1515 W FIR ST (575) 356-6695

LE, LEE B., DMD1415 S GLOBE AVE (575) 356-5517

SPLanguage(s):

LE, LEE B., DMD1515 W FIR ST (575) 356-6695

SPLanguage(s):

LE, LEE B., DMD700 E 3RD ST (575) 356-5517

SPLanguage(s):

Page 32 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 33: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoPORTALES - 88130 (continued)

Directory of Participating Dental Providers

Alliance Network

LE, LEE B., DMD201 S KNOXVILLE ST (575) 356-5517

SPLanguage(s):

LE, LEE B., DMD520 W 5TH ST (575) 356-5517

SPLanguage(s):

LE, LEE B., DMD701 W 18TH ST (575) 356-5517

SPLanguage(s):

LE, LEE B., DMD1000 N AVENUE M (575) 356-5517

SPLanguage(s):

POLICARPIO, MYRNA L., DDS520 W 5TH ST (575) 356-5517

POLICARPIO, MYRNA L., DDS201 S KNOXVILLE ST (575) 356-5517

POLICARPIO, MYRNA L., DDS1415 S GLOBE AVE (575) 356-5517

POLICARPIO, MYRNA L., DDS1515 W FIR ST (575) 769-5021

POLICARPIO, MYRNA L., DDS700 E 3RD ST (575) 356-5517

POLICARPIO, MYRNA L., DDS701 W 18TH ST (575) 356-5517

POLICARPIO, MYRNA L., DDS1000 N AVENUE M (575) 356-6695

RHOADS, HOWARD N., DDS1515 W FIR ST (575) 356-5517

STANDING, AARON M., DMD1521 W 18TH ST (575) 356-8514

THOMPSON, PETER L., DDS123 W 2ND ST (575) 268-0007

SAN JUAN County

AZTEC - 87410

General Dentist

DURFEY, JAMES G., DDS503 S MAIN AVE (505) 334-2000

MATTESON, THOMAS R., DDS455 N LIGHT PLANT RD (505) 344-6102

MATTESON, THOMAS R., DDS315 S ASH ST STE 100 (505) 599-4393

MATTESON, THOMAS R., DDS500 E CHACO ST (505) 334-9414

MATTESON, THOMAS R., DDS507 S PARK AVE (505) 344-9469

MATTESON, THOMAS R., DDS901 MCCOY AVE (505) 334-6831

MATTESON, THOMAS R., DDS401 RIO PECOS RD (505) 334-2621

SEARS, JOHN E., DDS500 E CHACO ST (505) 334-9414

SEARS, JOHN E., DDS901 MCCOY AVE (505) 334-6831

SEARS, JOHN E., DDS507 S PARK AVE (505) 344-9469

SEARS, JOHN E., DDS315 S ASH ST STE 100 (505) 599-4393

BLANCO - 87412

General Dentist

MATTESON, THOMAS R., DDS7313 US 64 (505) 634-3900

BLOOMFIELD - 87413

General Dentist

MATTESON, THOMAS R., DDS329 N BERGIN LN (505) 632-8021

MATTESON, THOMAS R., DDS310 W SYCAMORE AVE (505) 632-2121

MATTESON, THOMAS R., DDS310 LA JARA ST (505) 634-3883

MATTESON, THOMAS R., DDS520 N 1ST ST (505) 634-3400

MATTESON, THOMAS R., DDS1201 N 1ST ST (505) 632-8021

MATTESON, THOMAS R., DDS924 S BLOOMFIELD BLVD (505) 634-3940

MILNE, BLAINE G., DMD100 S 1ST ST (505) 632-3344

RODAS, CHRISTOPHER O., DDS100 S 1ST ST (505) 632-3344

SPLanguage(s):

SEARS, JOHN E., DDS924 S BLOOMFIELD BLVD (505) 634-3940

SEARS, JOHN E., DDS520 N 1ST ST (505) 634-3400

SEARS, JOHN E., DDS1201 N 1ST ST (505) 632-8021

SEARS, JOHN E., DDS310 W SYCAMORE AVE (505) 632-2121

SEARS, JOHN E., DDS310 LA JARA ST (505) 634-3883

SEARS, JOHN E., DDS329 N BERGIN LN (505) 632-8021

SUNDANCE DENTAL CARE OF BLOOMFIELD LLC100 S 1ST ST (505) 632-3344

TORNOW, MICHAEL S., DDS100 S 1ST ST (505) 632-3344

SPLanguage(s):

Oral Surgery

SIKES, JUSTIN B., DMD6 ROAD 7586 (505) 632-1801

FARMINGTON - 87401

General Dentist

ALL SMILES FAMILY DENTAL CLINICS LLC506 AIRPORT DR (575) 325-7700

ARNELL, JORDAN S., DMD800 E 30TH ST STE 3 (505) 327-9161

SPLanguage(s):

BARNEY, LASON J., DDS506 AIRPORT DR (575) 325-7700

BAYMILLER, SCOTT A., DDS506 AIRPORT DR (575) 325-7700

BURGESS, CLARISSA E., DDS2525 E 30TH ST (505) 327-4863

SPLanguage(s):

CLARK, CANDICE E., DDS141 W 20TH ST (575) 325-7121

CLARK, JEFFREY C., DDS141 W 20TH ST (505) 325-7121

COLE, JAMES R., DDS850 E MAIN ST STE A (505) 327-0441

COLEMAN, CODY B., DDS800 E 30TH ST STE 3 (505) 327-9161

SPLanguage(s):

DEBUCK, PETER J., DMD3501 N BUTLER AVE STE 104 (505) 564-4470

DEL TORO, TRAVIS, DMD2525 E 30TH ST (505) 327-4863

DO, TRIET, DDS506 AIRPORT DR (505) 325-7700

SPLanguage(s):

DOSS, JIHAN L., DMD1001 W BROADWAY STE D & E (505) 325-9133

DUNN, PHILLIP R., DDS708 E 20TH ST (505) 327-6155

EICKER, ANDREA M., DMD1001 W BROADWAY STE D & E (505) 325-9133

SPLanguage(s):

HAMPTON, MARINA V., DDS2050 N BUTLER AVE (505) 327-5057

RS, SPLanguage(s):

HARRELL, SEAN M., DDS506 AIRPORT DR (575) 325-7700

SPLanguage(s):

HE, SHENYE, DMD506 AIRPORT DR (575) 325-7700

CN, SPLanguage(s):

HEATON, JONATHAN K., DMD703 N DUSTIN AVE (505) 564-9700

GR, KO, NVLanguage(s):

HILTON III, ALLEN E., DDS2525 E 30TH ST (505) 327-4863

JOHNSON, RONALD S., DMD708 E 20TH ST (505) 327-6155

KIDS KARE PC506 AIRPORT DR (575) 325-7700

SPLanguage(s):

KIM, CHANGHUN, DDS506 AIRPORT DR (575) 325-7700

KNUTSEN, GREGORY R., DDS1001 W BROADWAY STE D & E (505) 325-9133

KOZLOV, ALEKSEY, DMD506 AIRPORT DR (505) 325-7700

SPLanguage(s):

LAYTON, CRAIG, DDS3751 N BUTLER AVE STE 113 (505) 564-9000

SPLanguage(s):

LE, GIA HUY N., DMD506 AIRPORT DR (505) 325-7700

SPLanguage(s):

LOPEZ, INEZ M., DMD1001 W BROADWAY STE D & E (505) 325-9133

LOPEZ, INEZ M., DMD2700 FARMINGTON AVE BLDG C (505) 325-9133

LUSK, KENNETH J., DDS204 N AUBURN AVE (505) 325-8401

SPLanguage(s):

MAI, MACY, DMD506 AIRPORT DR (505) 325-7700

SPLanguage(s):

Page 33 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 34: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoFARMINGTON - 87401 (continued)

Directory of Participating Dental Providers

Alliance Network

MANZANARES, MICHAEL J., DDS1001 W BROADWAY STE E (575) 289-3297

MARTINEZ LUJAN, MARIFER, DDS1001 W BROADWAY STE E (575) 289-3297

MATTESON, THOMAS R., DDS2200 N SUNSET AVE (505) 324-0352

MATTESON, THOMAS R., DDS1400 E 23RD ST (505) 599-8609

MATTESON, THOMAS R., DDS308 EASE 35TH ST (505) 599-8605

MATTESON, THOMAS R., DDS3500 TWIN PEAKS BLVD (505) 599-8613

MATTESON, THOMAS R., DDS1500 E 25TH ST (505) 599-8612

MATTESON, THOMAS R., DDS701 MCCORMICK SCHOOL RD (505) 599-8606

MATTESON, THOMAS R., DDS1201 N BUTLER AVE (505) 599-8607

MATTESON, THOMAS R., DDS4451 WILDFLOWER MESA (505) 599-8622

MATTESON, THOMAS R., DDS700 W APACHE ST (505) 599-8602

MORGAN, TYLER S., DDS1001 W BROADWAY STE D E (505) 325-9133

MOUNTAIN DENTAL OF NEW MEXICO PC708 E 20TH ST (505) 327-6155

MOUNTAIN DENTAL OF NEW MEXICO PC708 E 20TH ST (505) 327-6155

NEUBAUER, EDWARD E., DDS506 AIRPORT DR (505) 325-7700

OUSHY EISSA, NOHA, DDS506 AIRPORT DR (575) 325-7700

SPLanguage(s):

PALMER, DENVER J., DMD4760 N BUTLER AVE STE D (505) 278-7007

PALMER, DENVER J., DMD4760 N BUTLER AVE STE C (505) 327-0044

PARK, JOSEPH, DMD506 AIRPORT DR (575) 325-7700

CN, KO, SPLanguage(s):

PEREZ, PAUL D., DDS506 AIRPORT DR (505) 325-7700

SPLanguage(s):

QUINTANA, ANTHONY R., DDS2525 E 30TH ST (505) 327-4863

QUINTANA, ANTHONY R., DDS703 N DUSTIN AVE (505) 564-9700

GR, KO, SPLanguage(s):

RANJBARAN, HAMID, DDS506 AIRPORT DR (575) 325-7700

SPLanguage(s):

RASMUSSEN, AARON D., DDS800 E 30TH ST STE 3 (505) 327-9161

SPLanguage(s):

REED, ATEM AE, DDS3751 N BUTLER AVE STE 113 (505) 564-9000

RHOADS, HOWARD N., DDS1001 W BROADWAY STE D & E (505) 325-9133

SPLanguage(s):

RHOADS, HOWARD N., DDS2700 FARMINGTON AVE STE C-1 (505) 325-9133

RHODES, JOSEPH I., DDS506 AIRPORT DR (575) 325-7700

SPLanguage(s):

RUYLE, BONNIE L., DDS506 AIRPORT DR (575) 325-7700

SPLanguage(s):

SARKISYAN, ARTUR A., DMD506 AIRPORT DR (505) 325-7700

SPLanguage(s):

SCHEIB, JEFFREY R., DDS506 AIRPORT DR (575) 325-7700

SPLanguage(s):

SCHUMACHER, CHARLES M., DDS2525 E 30TH ST (505) 327-4863

EN, SPLanguage(s):

SEARS, JOHN E., DDS2200 N SUNSET AVE (505) 324-0352

SEARS, JOHN E., DDS1201 N BUTLER AVE (505) 599-8607

SEARS, JOHN E., DDS701 MCCORMICK SCHOOL RD (505) 599-8606

SEARS, JOHN E., DDS700 W APACHE ST (505) 599-8602

SEARS, JOHN E., DDS1204 CAMINO REAL (505) 980-9522

SEARS, JOHN E., DDS3500 TWIN PEAKS BLVD (505) 599-8613

SEARS, JOHN E., DDS1400 E 23RD ST (505) 599-8609

SEARS, JOHN E., DDS1500 E 25TH ST (505) 599-8612

SEARS, JOHN E., DDS308 EASE 35TH ST (505) 599-8605

STEVENS, MARK A., DMD506 AIRPORT DR (505) 325-7700

SPLanguage(s):

STOGSDILL, BENJAMIN J., DDS1001 W BROADWAY (505) 327-4796

SUMMIT FAMILY DENTAL OF FARMINGTON LLC800 E 30TH ST STE 3 (505) 327-9161

THOMPSON, DONNA M., DDS1212 E 20TH ST (505) 327-6233

SPLanguage(s):

THOMPSON, JENNIFER L., DDS1212 E 20TH ST (505) 327-6233

TORNOW, MICHAEL S., DMD800 E 30TH ST (505) 325-6657

VOLKERDING, BRUCE D., DDS708 E 20TH ST (505) 327-6155

WARREN, ANTHONY J., DDS1001 W BROADWAY STE E (575) 289-3297

SPLanguage(s):

WESTBROOK, JEFFREY H., DDS1001 W BROADWAY STE D & E (505) 325-9133

WILSON, ELIZABETH M., DDS1001 W BROADWAY STE D E (505) 325-9133

WILSON, ERIC J., DDS506 AIRPORT DR (575) 325-7700

WILSON, RYAN H., DDS4760 N BUTLER AVE STE C (505) 327-0044

WILSON, RYAN H., DMD4760 N BUTLER AVE STE D (505) 278-7007

Oral Surgery

CUNDICK, DAVID L., DDS1700 N BUTLER AVE (505) 333-8635

PT, SPLanguage(s):

PETERSEN, SAMUEL G., DDS2401 E 30TH ST BLDG 2 (505) 326-2611

SIKES, JUSTIN B., DMD1700 N BUTLER AVE (505) 333-8635

PT, SPLanguage(s):

Orthodontist

CLARK, STEPHEN B., DDS701 N DUSTIN AVE (505) 327-4495

SILanguage(s):

GRAFF, DEREK J., DMD3180 N BUTLER AVE STE 200 (505) 327-4884

HG, SPLanguage(s):

HERMAN, DAVID J., DDS3751 N BUTLER AVE STE 113 (505) 564-9000

SPLanguage(s):

STROMEYER, ERNEST L., DDS2200 E 20TH ST (505) 327-4872

VAHIDNIA, ARMIN, DDS4760 N BUTLER AVE STE A (505) 325-8858

SPLanguage(s):

Multi-Specialty

DR DAVID HERMAN FOUR CORNERS DENTAL LLC3751 N BUTLER AVE STE 113 (505) 564-9000

FARMINGTON - 87402

General Dentist

BARADARAN, SAM, DDS3030 E MAIN ST STE T1 (505) 325-4867

BELLAM, KRANTIKUMARI, DMD3030 E MAIN ST STE T1 (505) 325-4867

CLARK, TAYLOR M., DDS3903 BECKLAND DR STE B (505) 278-8806

SPLanguage(s):

COBLE, JEREMY C., DDS3030 E MAIN ST STE T1 (505) 325-4867

COLEMAN, CODY B., DDS3903 BECKLAND DR STE B (505) 278-8806

SPLanguage(s):

CUMMINGS, ANDREW B., DDS3030 E MAIN ST STE T1 (505) 325-4867

SPLanguage(s):

DARDANO, MAURICIO E., DDS3030 E MAIN ST STE T1 (505) 325-4867

SPLanguage(s):

DDS CATALYST COUNTRY CLUM LLC6588 E MAIN ST (505) 436-2118

DUNN, MICHAEL J., DDS4725 FOOTHILLS DR STE A (505) 325-2859

EBRAHIMI, HAMID R., DDS3030 E MAIN ST STE T1 (505) 325-4867

ENDRIZZI, SCOTT T., DMD3903 BECKLAND DR (505) 436-2727

GLOVER, DAWN K., DDS2650 E PINON FRONTAGE RD BLDG 300 (505) 327-3331

GOFF, SARAH M., DMD3030 E MAIN ST STE T1 (505) 325-4867

Page 34 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 35: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoFARMINGTON - 87402 (continued)

Directory of Participating Dental Providers

Alliance Network

GONZALEZ, MARTIN, DDS3030 E MAIN ST STE T-1 (505) 325-4867

SPLanguage(s):

HONG, KEE JU, DDS3030 E MAIN ST STE T1 (505) 325-4867

JUNIO, BYRON JENARO M., DMD3030 E MAIN ST STE T1 (505) 325-4867

KERST, JEFFREY L., DDS3030 E MAIN ST STE T1 (505) 325-4867

SPLanguage(s):

KHAYOUMI, SALIA, DDS3030 E MAIN ST STE T1 (505) 325-4867

SPLanguage(s):

KLINTMALM, ERIK G., DMD3030 E MAIN ST STE T1 (505) 325-4867

SPLanguage(s):

LIN, WEIYE, DMD3030 E MAIN ST STE T1 (505) 325-4867

LOBERG, JOHN W., DMD2650 E PINON FRONTAGE RD BLDG 200 (505) 599-9359

MATTESON, THOMAS R., DDS5700 COLLEGE BLVD (505) 599-8880

MATTESON, THOMAS R., DDS4501 WILD FLOWER MESA DR (505) 599-8676

MATTESON, THOMAS R., DDS5101 COLLEGE BLVD (505) 566-3986

MATTESON, THOMAS R., DDS3801 COLLEGE BLVD (505) 599-8608

MATTESON, THOMAS R., DDS5300 FOOTHILLS DR (505) 599-8604

MATTESON, THOMAS R., DDS3700 COLLEGE BLVD (505) 599-8611

MATTESON, THOMAS R., DDS3250 E 30TH ST (505) 599-8627

MATTESON, THOMAS R., DDS1612 HUTTON AVE (505) 599-8601

MICKELSON, J. RYAN, DDS4337 E MAIN ST STE 205 (505) 592-0226

SPLanguage(s):

OWENS, DEREK E., DDS3030 E MAIN ST STE T1 (505) 325-4867

PATEL, KETAN K., DDS3030 E MAIN ST STE T1 (505) 325-4867

RASMUSSEN, AARON D., DDS3903 BECKLAND DR STE B (505) 278-8806

RODAS, CHRISTOPHER O., DDS6588 E MAIN ST (505) 436-2118

SPLanguage(s):

SCHAU, LAUREN F., DDS3903 BECKLAND DR STE B (505) 278-8806

SPLanguage(s):

SEARS, JOHN E., DDS3250 E 30TH ST (505) 599-8627

SEARS, JOHN E., DDS5300 FOOTHILLS DR (505) 599-8604

SEARS, JOHN E., DDS5700 COLLEGE BLVD (505) 599-8880

SEARS, JOHN E., DDS1612 HUTTON AVE (505) 599-8601

SEARS, JOHN E., DDS5101 COLLEGE BLVD (505) 566-3986

SMALLEY, JACK O., DDS2650 E PINON FRONTAGE RD BLDG 300 (505) 327-3331

THOMPSON, ROBERT R., DDS2100 HUTTON AVE (505) 327-1186

TORNOW, MICHAEL S., DMD6588 E MAIN ST (505) 436-2118

WATSON, TRAVIS E., DDS4725 FOOTHILLS DR (505) 325-2859

WITHEM, NICHOLAS R., DMD6588 E MAIN ST (505) 436-2118

SPLanguage(s):

WURSTEN, JEFFREY, DMD4337 E MAIN ST STE 205 (505) 592-0226

Orthodontist

RUDD, DANIEL B., DDS3030 E MAIN ST STE T1 (505) 325-4867

Pediatric Dentist

HATCH, BRIAN K., DMD3030 E MAIN ST STE T1 (505) 325-4867

MURPHY, KRISTIN K., DMD2650 E PINON FRONTAGE RD STE 200 (505) 599-9359

SPLanguage(s):

NCDI ANIMAS PROFESSIONAL LLP2650 E PINON FRONTAGE RD BLDG 200 (505) 599-9359

SUAZO, LAWRENCE E., DDS2650 E PINON FRONTAGE RD BLDG 200 (505) 599-9359

Multi-Specialty

RED ROCK DENTAL3030 E MAIN ST STE T1 (505) 325-4867

KIRTLAND - 87417

General Dentist

CLARK, TAYLOR M., DDS3 ROAD 6523 (505) 598-6800

COLEMAN, CODY B., DDS3 ROAD 6523 (505) 598-6800

GIBLETTE, CHRIS J., DMD3 ROAD 6523 (505) 598-6800

SPLanguage(s):

RASMUSSEN, AARON D., DDS3 ROAD 6523 (505) 598-6800

SUMMIT FAMILY DENTAL OF KIRTLAND LLC3 ROAD 6523 (505) 598-6800

TORNOW, MICHAEL S., DMD3 ROAD 6523 (505) 598-6800

SHIPROCK - 87420

Oral Surgery

SIKES, JUSTIN B., DMDUS HWY 491 N (505) 368-6393

Orthodontist

BECK, C. MICHAEL, DDS91 HIGHWAY 491 S (505) 368-5626

SAN MIGUEL County

LAS VEGAS - 87701

General Dentist

ARAGON, DENNIS E., DDS800 MILLS AVE (505) 454-0631

SPLanguage(s):

COLLINS DENTAL INC1900 7TH ST (505) 425-3331

COLLINS, RAYMOND F., DDS1900 7TH ST (575) 425-3331

SPLanguage(s):

EBELL, EDWARD B., DDS717 5TH ST (505) 425-8942

SPLanguage(s):

EL CENTRO FAMILY HEALTH1235 8TH ST (505) 425-6788

GARCIA, RANDALL E., DDS1950 7TH ST (505) 454-8148

HARBAUGH, JEFFREY S., DDS30 NM HIGHWAY 65 (505) 425-6677

SPLanguage(s):

HARBAUGH, JEFFREY S., DDS1235 8TH ST (505) 425-6788

SPLanguage(s):

LUERAS COLLINS, KATRINA L., DDS1900 7TH ST (575) 425-3331

SPLanguage(s):

OGAS, LAURA N., DDS1235 8TH ST (505) 425-6677

SISNEROS, ARTURO D., DDS1235 8TH ST (505) 425-6788

TAYLOR, STEPHEN H., DDS1235 8TH ST (505) 425-6788

VALDEZ, ESMAEL R., DDS2500 7TH ST STE H (505) 454-8483

SPLanguage(s):

YOON, CHRISTOPHER J., DDS711 6TH ST (505) 425-3435

KO, SPLanguage(s):

YURKOVICH, RORY M., DDS3031 HOT SPRINGS BLVD (505) 425-6677

YURKOVICH, RORY M., DDS1235 8TH ST (505) 425-6788

Orthodontist

KELLAM, STEPHEN A., DMD711 5TH ST (505) 982-5531

PECOS - 87552

General Dentist

QUAN, CLAUDIA L., DDS199 HWY 50 (505) 757-6666

SANDOVAL County

ALBUQUERQUE - 87124

General Dentist

BROUSSARD, RAYMOND E., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

DOMINGUEZ, CORI J., DMD2421 CABEZON BLVD SE STE 101 (505) 884-5437

JOHNSON, JESSE, DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

LEE, JUNG WON, DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

NGUYEN, ALICIA V., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

PRESTWICH, BRENDON E., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

Page 35 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 36: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoALBUQUERQUE - 87124 (continued)

Directory of Participating Dental Providers

Alliance Network

WELLS, KELLY S., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

Orthodontist

JOHANSEN, ROBERT W., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

KHAIRA, AARON S., DMD2421 CABEZON BLVD SE STE 101 (505) 884-5437

ALGODONES - 87001

General Dentist

MATTESON, THOMAS R., DDS1399 HIGHWAY 313 (505) 867-2803

SEARS, JOHN E., DDS1399 HIGHWAY 313 (505) 867-2803

TILSON, CHARLES E., DMD8 CEDAR RD (505) 867-5025

BERNALILLO - 87004

General Dentist

BIR, RAKTIM T., DDS510 HIGHWAY 528 STE I (505) 867-0665

CDB 550 LLC120 E HWY 550 (505) 877-5555

DAVIS, TREVOR, DDS120 E HIGHWAY 550 (505) 877-5555

DOSS, JIHAN L., DMD1500 IDALIA BLDG B (505) 404-5894

EICKER, ANDREA M., DMD1500 IDALIA STE B (505) 404-5894

SPLanguage(s):

FOUTZ, JONAH L., DDS120 E HWY 550 (505) 877-5555

SPLanguage(s):

GRAZIANO, BRYAN J., DDS470 NEW MEXICO 528 STE A (505) 867-8444

HAND, AMANDA L., DDS470 NEW MEXICO 528 STE A (505) 867-8444

SPLanguage(s):

HERREJON RUIZ, MARIO, DMD470 NEW MEXICO 528 STE A (505) 867-8444

SPLanguage(s):

KNUTSEN, GREGORY R., DDS1500 IDALIA BLDG B (505) 404-5894

LOPEZ, INEZ M., DMD1500 IDALIA STE B (505) 404-5894

MANZANARES, MICHAEL J., DDS1500 IDALIA BLDG B (505) 404-5894

MARTINEZ LUJAN, MARIFER, DDS1500 IDALIA (505) 404-5894

MATTESON, THOMAS R., DDS402 CALLE ONATE (505) 872-0882

MATTESON, THOMAS R., DDS485 CAMINO DON TOMAS (505) 867-3309

MATTESON, THOMAS R., DDS148 SPARTAN ALY (505) 867-2388

MATTESON, THOMAS R., DDS480 CALLE DEL NORTE (505) 404-5400

MORGAN, TYLER S., DDS1500 IDALIA BLDG B (505) 404-5894

RHOADS, HOWARD N., DDS1500 IDALIA STE B (505) 404-5894

SPLanguage(s):

SEARS, JOHN E., DDS485 CAMINO DON TOMAS (505) 867-3309

SEARS, JOHN E., DDS480 CALLE DEL NORTE (505) 404-5400

SEARS, JOHN E., DDS402 CALLE ONATE (505) 872-0882

SEARS, JOHN E., DDS148 SPARTAN ALY (505) 867-2388

TRAM, TRACY, DDS470 NEW MEXICO 528 STE A (505) 867-8444

TRUONG, HENRY, DDS120 E HWY 550 (505) 877-5555

WARREN, ANTHONY J., DDS1500 IDALIA BLDG B (505) 404-5894

SPLanguage(s):

WESTBROOK, JEFFREY H., DDS1500 IDALIA BLDG B (505) 404-5894

WILSON, ELIZABETH M., DDS1500 IDALIA BLDG B (505) 404-5894

WILSON, RYAN H., DMD470 NEW MEXICO 528 STE A (505) 867-8444

Endodontist

STEFFENSEN, JOHN, DDS470 NEW MEXICO 528 STE A (505) 867-8444

Oral Surgery

MONCAYO, MAX P., DDS470 NEW MEXICO 528 STE A (505) 867-8444

STEEL, DREW V., DMD470 NEW MEXICO 528 STE A (505) 867-8444

SPLanguage(s):

Orthodontist

CLAYDEN, DAVID M., DDS120 E HIGHWAY 550 (505) 393-5555

LOVELAND, KELCEY G., DMD120 E HIGHWAY 550 (505) 393-5555

REISS, STACEY M., DDS470 NEW MEXICO 528 STE A (505) 867-8444

Periodontist

GHAFFARIGARAKANI, SASAN, DDS470 NEW MEXICO 528 STE A (505) 867-8444

Multi-Specialty

ENCHANTED HILLS DENTISTRY470 NEW MEXICO 528 STE A (505) 867-8444

PERFECT TEETH VENADA PLAZA PC510 HIGHWAY 528 STE I (505) 867-0665

CUBA - 87013

General Dentist

BENDER, MARISSA N., DMD2500 STATE HWY 197 (505) 731-2284

SPLanguage(s):

DOSS, JIHAN L., DMD6349 US HWY 550 (575) 289-3291

DOSS, JIHAN L., DMD2500 STATE HWY 197 (505) 731-2284

DOSS, JIHAN L., DMD50 COUNTY RD 13 (575) 289-2082

EICKER, ANDREA M., DMD2500 STATE HWY 197 (505) 731-2284

SPLanguage(s):

EICKER, ANDREA M., DMD50 COUNTY ROAD 13 (575) 289-3211

SPLanguage(s):

EICKER, ANDREA M., DMD6349 US HWY 550 (575) 289-3291

SPLanguage(s):

KNUTSEN, GREGORY R., DDS2500 STATE HWY 197 (505) 731-2284

KNUTSEN, GREGORY R., DDS6349 US HWY 550 (575) 289-3291

KNUTSEN, GREGORY R., DDSCOUNTY ROAD 13 STE 50 (575) 289-2082

LOPEZ, INEZ M., DMD50 COUNTY RD 13 (575) 289-2082

LOPEZ, INEZ M., DMD2500 STATE HWY 197 (505) 731-2284

LOPEZ, INEZ M., DMD6349 HIGHWAY 550 (505) 289-3291

MANZANARES, DAVID J., DDS6349 US HIGHWAY 550 (575) 289-3291

SPLanguage(s):

MANZANARES, MICHAEL J., DDS2500 ST HWY 197 (505) 731-2284

MANZANARES, MICHAEL J., DDS6349 HIGHWAY 550 (505) 289-3291

MANZANARES, MICHAEL J., DDS50 COUNTY ROAD 13 (575) 289-2082

MARTINEZ LUJAN, MARIFER, DDS6349 HIGHWAY 550 (505) 289-3291

MARTINEZ LUJAN, MARIFER, DDS50 COUNTY ROAD 13 (575) 289-2082

MORGAN, TYLER S., DDS6349 US HWY 550 (575) 289-3291

MORGAN, TYLER S., DDS50 COUNTY RD 13 (575) 289-2082

MORGAN, TYLER S., DDS2500 STATE HWY 197 (505) 731-2284

RHOADS, HOWARD N., DDS2500 STATE HWY 197 (505) 731-2284

SPLanguage(s):

RHOADS, HOWARD N., DDS50 COUNTY RD 13 (575) 289-2082

SPLanguage(s):

RHOADS, HOWARD N., DDS6349 US HWY 550 (575) 289-3291

SPLanguage(s):

SCHLOTTMAN, DAVID E., DDS6349 US HWY 550 (575) 289-3291

SCHLOTTMAN, DAVID E., DDS2500 STATE HWY 197 (505) 731-2219

WARREN, ANTHONY J., DDS6349 HIGHWAY 550 (505) 289-3291

SPLanguage(s):

WARREN, ANTHONY J., DDS2500 STATE HWY 197 (505) 731-2284

SPLanguage(s):

WARREN, ANTHONY J., DDS50 COUNTY ROAD 13 (575) 289-2082

SPLanguage(s):

WESTBROOK, JEFFREY H., DDS2500 STATE HIGHWAY 197 (505) 731-2284

Page 36 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 37: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoCUBA - 87013 (continued)

Directory of Participating Dental Providers

Alliance Network

WESTBROOK, JEFFREY H., DDS50 COUNTY RD 13 (575) 289-2082

WESTBROOK, JEFFREY H., DDS6349 US HWY 550 (575) 289-3291

WILSON, ELIZABETH M., DDS6349 US HWY 550 (575) 289-3291

WILSON, ELIZABETH M., DDS2500 STATE HWY 197 (505) 731-2284

WILSON, ELIZABETH M., DDS50 COUNTY RD 13 (575) 289-2082

PENA BLANCA - 87041

General Dentist

MATTESON, THOMAS R., DDS301 CALTE DEL ESCUELA (505) 404-5585

MATTESON, THOMAS R., DDS800 QUAIL HILL TRL (505) 867-5547

SEARS, JOHN E., DDS800 QUAIL HILL TRL (505) 867-5547

SEARS, JOHN E., DDS301 CALTE DEL ESCUELA (505) 404-5585

PLACITAS - 87043

General Dentist

MATTESON, THOMAS R., DDS5 CALLE DEL CARBON (505) 867-2488

SEARS, JOHN E., DDS5 CALLE DEL CARBON (505) 867-2488

TINGEN, RACHAEL H., DMD3 HOMESTEADS RD BLDGE B (505) 771-1122

RIO RANCHO - 87124

General Dentist

ABSHERE, PHILIP M., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

ABSHERE, PHILIP M., DDS1724 GRANDE BLVD SE (505) 896-0245

ALKIRE, RANDY G., DDS1316 JACKIE RD SE STE 300 (505) 892-5749

SPLanguage(s):

ALLEN, GRANT H., DDS4041 RIDGE ROCK RD SE (505) 891-4510

EN, SPLanguage(s):

ALLEN, GRANT S., DMD4041 RIDGE ROCK RD SE (505) 891-4510

ALLEN, GRANT, DMD1724 GRANDE BLVD SE (505) 896-0245

ALLEN, GRANT, DMD950 UNSER BLVD SE STE 100 (505) 892-2900

BERGMAN, DENNIS W., DMD2200 GRANDE BLVD SE STE A (505) 891-1500

BISHOP, MATTHEW R., DDS1724 GRANDE BLVD SE (505) 896-0245

BISHOP, MATTHEW R., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

BOBBITT, KATELYN N., DMD950 UNSER BLVD SE STE 100 (505) 892-2900

BROUSSARD, RAYMOND E., DDS1724 GRANDE BLVD SE (505) 896-0245

EN, SPLanguage(s):

CABEZON DENTAL LLC2401 CABEZON BLVD SE STE 101-A (505) 896-8862

CANDELARIA, JOHN J., DDS4041 RIDGE ROCK RD SE (505) 891-4510

CANDELARIA, JOHN J., DDS1105 GOLF COURSE RD SE BLDG A (505) 891-3190

CARTER JR., BARNEY W., DMD2421 CABEZON BLVD SE STE 101 (505) 884-5437

CHA, LILY, DDS1724 GRANDE BLVD SE (505) 896-0245

CHA, LILY, DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

CHAVEZ, ARMANDO J., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

CHAVEZ, ARMANDO J., DDS1724 GRANDE BLVD SE (505) 896-0245

CHAVEZ, KEELY J., DDS1724 GRANDE BLVD SE (505) 896-0245

CHAVEZ, KEELY J., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

CHODOSH, DAVID A., DDS2200 GRANDE BLVD SE STE A (505) 891-1500

SPLanguage(s):

CHUNG, CHRISTINA K., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

CHUNG, CHRISTINA K., DDS1724 GRANDE BLVD SE (505) 896-0245

COBLE, JEREMY C., DDS1724 GRANDE BLVD SE (505) 896-0245

SILanguage(s):

COLEMAN, CODY B., DDS770 BROADMOOR BLVD NE (505) 891-0554

CONNER, MICHAEL R., DDS950 UNSER BLVD SE STE 100 (505) 892-2900

CRISLER, JOHN F., DDS2600 THE AMERICAN RD SE STE 369 (505) 898-6000

DAMON MALLETTE, DEZBAA A., DMD1316 JACKIE RD SE STE 200 (505) 994-9693

DOMINGUEZ, CORI J., DMD1724 GRANDE BLVD SE (505) 896-0245

DOMINGUEZ, FRANK, DMD4500 ARROWHEAD RIDGE DR SE (505) 994-1110

SPLanguage(s):

DOSS, JIHAN L., DMD2300 GRANDE BLVD SE STE A (505) 896-7100

EDWARDS, ANTHONY H., DDS1137 COMMERCIAL DR SE (505) 896-9399

EICKER, ANDREA M., DMD2300 GRANDE BLVD SE STE A (505) 954-2337

SPLanguage(s):

FEDE, CASSIE I., DMD1594 SARA RD SE STE C (505) 896-2200

FIFE, STEVEN R., DDS2240 GRANDE BLVD SE STE 101 (505) 994-1700

GEE, JENNIFER T., DDS2003 SOUTHERN BLVD SE STE 133 (505) 221-5740

SPLanguage(s):

GOEBBEL, MARTIN G., DDS2716 SOUTHERN BLVD SE (505) 892-8600

GOMEZ, DALLIN D., DDS2200 GRANDE BLVD SE STE A (505) 891-1500

SPLanguage(s):

GOMEZ, DALLIN D., DDS1724 GRANDE BLVD SE (505) 896-0245

GREENE, DAVID W., DDS1724 GRANDE BLVD SE (505) 896-0245

SPLanguage(s):

HAND, AMANDA L., DDS950 UNSER BLVD SE STE 100 (505) 892-2900

SPLanguage(s):

HANNA, GEORGE, DMD1594 SARA RD SE STE C (505) 273-3220

HARPER, GEORGE W., DDS918 PINEHURST RD SE STE 103 (505) 896-3600

FR, SPLanguage(s):

HATCH, CAMERON J., DDS1724 GRANDE BLVD SE (505) 896-0245

HATCH, CAMERON, DDS2421 CABEZON BLVD SE (505) 884-5437

HERMANN, THOMAS H., DDS4111 BARBARA LOOP SE STE D2 (505) 892-8211

HONG, KEE JU, DDS950 UNSER BLVD SE STE 100 (505) 892-2900

HOWARD, DWIGHT D., DDS1594 SARA RD SE STE C (505) 896-2200

IVERS, MELISSA, DDS950 UNSER BLVD SE STE 100 (505) 892-2900

IVERS, MELISSA, DMD312 UNSER BLVD NE (505) 796-6880

JACKSON, MELISSA D., DMD1316 JACKIE RD SE STE 200 (505) 994-9693

JENSEN, NICHOLAS P., DDS770 BROADMOOR BLVD NE (505) 891-0554

SPLanguage(s):

JOHANSEN, ROBERT W., DDS1724 GRANDE BLVD SE (505) 896-0245

JOHNSON, JESSE T., DDS1724 GRANDE BLVD SE (505) 896-0245

KHAIRA, AARON S., DMD1724 GRANDE BLVD SE (505) 896-0245

KINZER, KYE G., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

KNOTT, KENNETH E., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

KNOTT, KENNETH E., DDS1724 GRANDE BLVD SE (505) 896-0245

KNUTSEN, GREGORY R., DDS2300 GRANDE BLVD SE STE A (505) 896-7100

LAPSKER, JENNIFER A., DDS1724 GRANDE BLVD SE (505) 896-0245

LAPSKER, JENNIFER A., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

LE, TRANG T., DMD1904 WELLSPRING AVE SE STE 101 (505) 896-6654

LEE, JUNG W., DDS1724 GRANDE BLVD SE (505) 896-0245

LEINWEBER, JOHN A., DMD2003 SOUTHERN BLVD SE STE 133 (505) 221-5740

LEWIS HEYWOOD, BARBARA V., DMD2600 THE AMERICAN RD SE STE 230 (505) 922-6000

SPLanguage(s):

LIGHTHALL, SKYLAR A., DDS2003 SOUTHERN BLVD NW STE 133 (505) 221-5740

LOPEZ, INEZ M., DMD2300 GRANDE BLVD SE STE A (505) 896-7100

Page 37 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 38: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoRIO RANCHO - 87124 (continued)

Directory of Participating Dental Providers

Alliance Network

MACINTYRE, JENNIFER, DDS1724 GRANDE BLVD SE (505) 896-0245

MADRID, FELIX C., DDS2345 SOUTHERN BLVD SE STE B1 (505) 892-0111

SPLanguage(s):

MAIWAND, SAFA H., DDS1724 GRANDE BLVD SE (505) 896-0245

SILanguage(s):

MANSHAD, ANIS S., DDS1724 GRANDE BLVD SE (505) 896-0245

MANSHAD, AOUS S., DDS1316 JACKIE RD SE STE 200 (505) 994-9693

MANZANARES, MICHAEL J., DDS2300 GRANDE BLVD SE (505) 896-7100

MARSHALL, DUANE G., DMD770 BROADMOOR BLVD NE (505) 891-0554

MARTINEZ LUJAN, MARIFER, DDS2300 GRANDE BLVD SE (505) 896-7100

MEEKS, SAMUEL A., DMD2200 GRANDE BLVD SE STE A (505) 891-1500

RSLanguage(s):

MILNE, BLAINE G., DMD770 BROADMOOR BLVD NE (505) 891-0554

MONTANO, ERIN M., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

MONTANO, ERIN M., DDS1724 GRANDE BLVD SE (505) 896-0245

MORGAN, TYLER S., DDS2300 GRANDE BLVD SE STE A (505) 896-7100

MORRISON, HONG M., DDS2401 CABEZON BLVD SE STE 101A (505) 896-8862

VTLanguage(s):

MORRISON, JEREMY M., DDS4041 RIDGE ROCK RD SE (505) 891-4510

MORRISON, JEREMY M., DDS2401 CABEZON BLVD SE STE 101A (505) 896-8862

MYERS, ERIC A., DDS1724 GRANDE BLVD SE (505) 896-0245

NGUYEN, ALICIA V., DDS1724 GRANDE BLVD SE (505) 896-0245

PARK, HYUNJUNG, DDS1904 WELLSPRING AVE SE STE 101 (505) 896-6654

PEARLY WHITES DENTAL HYGIENE CLINIC INC2200 GRANDE BLVD SE STE A (505) 891-1500

PECK, CHRISTIAN S., DDS2421 CABEZON BLVD SE STE 101 (505) 884-1344

PRESTWICH, BRENDON E., DDS1724 GRANDE BLVD SE (505) 896-0245

RHOADS, HOWARD N., DDS2300 GRANDE BLVD SE STE A (505) 896-7100

SPLanguage(s):

RIO RANCHO DENTAL ARTS4120 BARBARA LOOP SE (505) 892-8086

RIO RANCHO DENTAL ASSOCIATES2200 GRANDE BLVD SE STE A (505) 891-1500

RIO RANCHO FAMILY DENTAL CARE4041 RIDGE ROCK RD SE (505) 891-4510

RIVERS, ELIZABETH K., DMD1594 SARA RD SE STE C (505) 896-2200

ROWAN, RICHARD G., DMD2421 CABEZON BLVD SE STE 101 (505) 884-5437

ROWAN, RICHARD G., DMD1724 GRANDE BLVD SE (505) 896-0245

SMALLEY, JACK O., DDS1316 JACKIE RD SE STE 200 (505) 994-9693

SMITH EDWARDS, JULIET V., DDS1137 COMMERCIAL DR SE STE 103 (505) 896-9399

HGLanguage(s):

TANAKA, LEILANI K., DDS1724 GRANDE BLVD SE (505) 896-0245

TANAKA, LEILANI K., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

TASKER, KENNETH, DDS1724 GRANDE BLVD SE (505) 896-0245

THE HYGIENE CENTER LLC1316 JACKIE RD SE STE 200 (505) 994-9693

TORNOW, MICHAEL S., DDS770 BROADMOOR BLVD NE (505) 891-0554

TRAN, HOA V., DDS4111 BARBARA LOOP SE STE D1 (505) 892-2010

VTLanguage(s):

TROPP, STEPHEN M., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

TRUJILLO, EDMUND L., DDS312 UNSER BLVD NE (505) 796-6880

URBANE, MARK E., DDS950 UNSER BLVD SE STE 100 (505) 892-2900

SPLanguage(s):

VAROZ, JESSE T., DDS4120 BARBARA LOOP SE (505) 892-8086

VAROZ, JESSE T., DDS1724 GRANDE BLVD SE (505) 896-0245

VAUGHAN, STEPHEN M., DMD2003 SOUTHERN BLVD SE STE 133 (505) 221-5740

WARREN, ANTHONY J., DDS2300 GRANDE BLVD SE (505) 896-7100

SPLanguage(s):

WELLS, KELLY S., DDS1724 GRANDE BLVD SE (505) 896-0245

WESTBROOK, JEFFREY H., DDS2300 GRANDE BLVD SE STE A (505) 896-7100

WILSON, ELIZABETH M., DDS2300 GRANDE BLVD SE STE A (505) 896-7100

WILSON, RYAN H., DMD950 UNSER BLVD SE STE 100 (505) 892-2900

WONDRA, KIRK S., DDS701 BROADMOOR BLVD NE (505) 891-1100

WOODS, COREY W., DMD4120 BARBARA LOOP SE (505) 892-8086

YOUNG TRUJILLO, NAZARIO N., DDS312 UNSER BLVD NE (505) 796-6880

Endodontist

GILBRETH, JOHN B., DDS4111 BARBARA LOOP SE STE B (505) 903-6916

SPLanguage(s):

HARMON, F. JOHN, DDS2320 GRANDE BLVD SE STE A (505) 891-2100

HARMON, MELISSA A., DDS2320 GRANDE BLVD SE STE A (505) 891-2100

STEFFENSEN, JOHN, DDS950 UNSER BLVD SE STE 100 (505) 892-2900

Oral Surgery

MONCAYO, MAX P., DDS950 UNSER BLVD SE STE 100 (505) 892-2900

REID, DOUGLAS M., DMD1724 GRANDE BLVD SE (505) 896-0245

ROGEL, LAURENCE J., DDS1316 JACKIE RD SE STE 600 (505) 994-4772

SPLanguage(s):

STEEL, DREW V., DMD950 UNSER BLVD SE STE 100 (505) 892-2900

SPLanguage(s):

Orthodontist

BUSH, HELEN D., DMD2421 CABEZON BLVD SE STE 101 (505) 884-5437

BUSH, HELEN D., DMD1724 GRANDE BLVD SE (505) 896-0245

BUTTNER, JAYNE, DDS1724 GRANDE BLVD SE (505) 881-1100

DULA, GEORGE, DDS1724 GRANDE BLVD SE (505) 896-0245

GUTIERREZ PULIDO, LUIS D., DDS1724 GRANDE BLVD SE (505) 896-0245

SPLanguage(s):

HANN, ROBERT C., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

HANN, ROBERT C., DDS1724 GRANDE BLVD SE (505) 896-0245

HUGHES, DIANE, DMD2401 CABEZON BLVD SE STE 104 (505) 891-5145

JENSEN, STEPHEN R., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

JORGENSEN, GREGORY J., DMD1401 BARBARA LOOP SE (505) 891-9440

REECE, CALEB W., DMD1724 GRANDE BLVD SE (505) 896-0245

REISS, STACEY M., DDS950 UNSER BLVD SE STE 100 (505) 892-2900

RUDD, DANIEL B., DDS4320 RIDGECREST DR SE STE E (505) 891-1151

SPLanguage(s):

Pediatric Dentist

AHMED, ZARAH Z., DDS1724 GRANDE BLVD SE (505) 896-0245

AHMED, ZARAH Z., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

ARAGON, ASHLEE, DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

ARAGON, ASHLEE, DMD1724 GRANDE BLVD SE (505) 896-0245

CALL, VAUGHN D., DMD1724 GRANDE BLVD SE (505) 896-0245

CALL, VAUGHN D., DMD2421 CABEZON BLVD SE STE 101 (505) 884-5437

DARCY, KAITLYN N., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

DARCY, KAITLYN N., DDS1724 GRANDE BLVD SE (505) 896-0245

GUTIERREZ, KAREN, DDS1724 GRANDE BLVD SE (505) 896-0245

GUTIERREZ, KAREN, DDS2421 CABEZON BLVD SE STE 101 (505) 844-5437

Page 38 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 39: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoRIO RANCHO - 87124 (continued)

Directory of Participating Dental Providers

Alliance Network

HATCH, BRIAN K., DMD1904 WELLSPRING AVE SE STE 105 (505) 415-0462

PECK, CHRISTIAN S., DDS1724 GRANDE BLVD SE (505) 896-0245

SIEGEL, SCOTT L., DMD2421 CABEZON BLVD SE STE 101 (505) 884-5437

TASKER, SPENCER J., DMD2421 CABEZON BLVD SE STE 101 (505) 884-5437

TASKER, SPENCER J., DMD1724 GRANDE BLVD SE (505) 896-0245

TROPP, ALMUT E., DDS2421 CABEZON BLVD SE STE 101 (505) 884-5437

Periodontist

GHAFFARIGARAKANI, SASAN, DDS950 UNSER BLVD SE STE 100 (505) 892-2900

Multi-Specialty

CABEZON PEDIATRIC DENTISTRY2421 CABEZON BLVD SE STE 101 (505) 884-5437

PERFECT TEETH RIO RANCHO PC4500 ARROWHEAD RIDGE DR SE (505) 994-1110

RIO RANCHO MODERN DENTISTRY950 UNSER BLVD SE STE 100 (505) 892-2900

RIO RANCHO PEDICATRIC DENTISTRY1724 GRANDE BLVD SE (505) 896-0245

RIO RANCHO - 87144

General Dentist

BARADARAN, SAM, DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

BELLAM, KRANTIKUMARI, DMD3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

COBLE, JEREMY C., DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

COWDEN, JASON T., DMD7800 CARR WAY NE STE 105 (505) 867-3999

SPLanguage(s):

CUMMINGS, ANDREW B., DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

SPLanguage(s):

EBRAHIMI, HAMID R., DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

GOFF, SARAH M., DMD3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

GONZALEZ, MARTIN, DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

SPLanguage(s):

HONG, KEE JU, DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

KERST, JEFFREY L., DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

SPLanguage(s):

KHAYOUMI, SALIA, DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

SPLanguage(s):

KLINTMALM, ERIK G., DMD3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

SPLanguage(s):

LIN, WEIYE, DMD3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

LUCO, WAYNE A., DDS4405 JAGER DR NE STE C 1 (505) 867-1442

OWENS, DEREK E., DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

PATEL, KETAN K., DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

TRUONG, HENRY, DDS3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

Orthodontist

ONUORA, OBIAJULU I., DDS3634 RIO RANCHO BLVD NE STE 102 (505) 404-3282

RUDD, DANIEL B., DDS3634 RIO RANCHO BLVD NE STE 102 (505) 404-3282

Pediatric Dentist

HATCH, BRIAN K., DMD3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

Multi-Specialty

RIO DENTAL AND ORTHODONTICS LLC3634 RIO RANCH BLVD NE STE 102 (505) 404-3282

SANTO DOMINGO PUEBLO - 87052

General Dentist

NAMBURI, SUNEEL K., DMD85 W HWY 22 (505) 465-3060

SANTA FE County

EDGEWOOD - 87015

General Dentist

BOWERS, JONATHAN L., DMD8 MEDICAL CENTER RD (505) 281-3406

BRUM, MARK D., DDS8 MEDICAL CENTER RD (505) 281-3406

SPLanguage(s):

CURRIE, ZACHARY T., DDS1851 OLD US 66 STE C (505) 281-0373

DYE, JEREMIAH M., DDS8 MEDICAL CENTER RD (505) 281-3406

SPLanguage(s):

FIRST CHOICE COMMUNITY HEALTHCARE INC8 MEDICAL CENTER RD (505) 281-3406

GOYAL, NIKITA, DDS8 MEDICAL CENTER RD (505) 281-3406

JACKSON, MELISSA D., DMD8 MEDICAL CENTER RD (505) 281-3406

LYSONSKI, MICHAEL, DDS1917 US ROUTE 66 STE B C D1 (505) 361-1502

MONTES, SANDRA, DDS8 MEDICAL CENTER RD (505) 281-3406

SCHLOTTMAN, DAVID E., DDS8 MEDICAL CENTER RD (505) 873-7462

SPENCER, SHAMAINE R., DDS8 MEDICAL CENTER RD (505) 281-3406

TUNG, LIANG TSO, DDS8 MEDICAL CENTER RD (505) 281-3406

CN, MZLanguage(s):

Orthodontist

KELLAM, STEPHEN A., DMD1917 OLD US 66 (505) 286-1193

SANTA FE - 87501

General Dentist

ATKINSON, JULIE K., DMD1035 ALTO ST (505) 982-4425

SPLanguage(s):

AUSBERRY, LYDIA C., DDS1035 ALTO ST (505) 982-4425

SPLanguage(s):

BRUM, MARK D., DDS7 MUNICIPAL WAY (505) 224-8718

SPLanguage(s):

DYE, JEREMIAH M., DDS7 MUNICIPAL WAY (505) 224-8718

SPLanguage(s):

GOYAL, NIKITA, DDS7 MUNICIPAL WAY (505) 224-8718

JACKSON, MELISSA D., DMD7 MUNICIPAL WAY (505) 224-8718

JENKINS, DALE C., DDS1035 ALTO ST (505) 982-4425

SPLanguage(s):

JENKINS, JUDITH G., DDS1035 ALTO ST (505) 982-4425

SPLanguage(s):

LA FAMILIA MEDICAL DENTAL CENTER1035 ALTO ST (505) 982-4425

LARRAGOITE, M. LAWRENCE, DDS1035 ALTO ST (505) 984-5048

SPLanguage(s):

MALONE, KATHALYN A., DDS1035 ALTO ST (505) 982-4425

VAHEY, BRENDAN R., DDS1035 ALTO ST (505) 982-4425

SPLanguage(s):

WATSON, ERIK A., DDS1035 ALTO ST (505) 629-4714

SPLanguage(s):

Periodontist

MELTON, JOHN J., DDS141 PASEO DE PERALTA STE C (505) 984-8300

SPLanguage(s):

SANTA FE - 87505

General Dentist

BISHOP, MATTHEW R., DDS2008 ST MICHAELS DR STE B (505) 892-9010

SPLanguage(s):

BROOKOVER, CURTIS A., DDS11 CALLE MEDICO STE 1 (505) 982-6426

SPLanguage(s):

BROOKOVER, CURTIS A., DDS409 ST MICHAELS DR (505) 982-6426

SPLanguage(s):

BROWN, SHEILA M., DDS2027 CERRILLOS RD (505) 820-1212

CARTER JR., BARNEY W., DMD2008 ST MICHAELS DR STE B (505) 896-2292

CHAVEZ, ARMANDO J., DDS2008 ST MICHAELS DR STE B (505) 896-2292

CHAVEZ, KEELY J., DDS2008 ST MICHAELS DR STE B (505) 896-2292

Page 39 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 40: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoSANTA FE - 87505 (continued)

Directory of Participating Dental Providers

Alliance Network

CHIARITO, ROBERT, DDS435 SAINT MICHAELS DR STE B201 (505) 982-4867

CHRISTENSEN, LINDSAY D., DMD1 CALLE MEDICO STE 2 (505) 983-4117

CHUNG, CHRISTINA K., DDS2008 ST MICHAELS DR STE B (505) 896-2292

DAVIS, MICHAEL W., DDS1751 OLD PECOS TRL STE B (505) 988-4448

DOMINGUEZ, FRANK, DMD720 SAINT MICHAELS DR STE O (505) 424-7998

SPLanguage(s):

DONOGHUE, JANSEN E., DDS1406 LUISA ST STE 1 (505) 988-5850

DUNIVEN, DAVID W., DDS2027 CERRILLOS RD (505) 872-1212

SPLanguage(s):

DUVURRI, SAMYUKTHA R., DMD2027 CERRILLOS RD (505) 820-1212

ELLEDGE, SCOTT L., DMD402 KIVA CT (505) 982-4317

GOMEZ BARTEK, JACQUELYN M., DDS1533 S ST FRANCIS DR STE F (505) 954-1073

GOMEZ BARTEK, JACQUELYN M., DDS6 CALLE MEDICO STE 2 (505) 982-4686

HALL, KASEY, DMD1439 S ST FRANCIS DR (505) 473-5437

SPLanguage(s):

HARRIS, KELLIE A., DDS2019 GALISTEO ST STE H3 (505) 982-4070

HATCH, CAMERON J., DDS2008 ST MICHAELS DR STE B (505) 896-2292

HERO DENTAL OF SANTA FE PC2027 CERRILLOS RD (505) 820-1212

HUMBERSON, JEFFREY W., DDS490 W ZIA RD STE B (505) 428-7878

HE, SI, SPLanguage(s):

JENSEN ELLEDGE LLC402 KIVA CT (505) 982-4317

JENSEN, RYAN E., DMD402 KIVA CT (505) 982-4317

KASSAM, SARAH L., DDS2027 CERRILLOS RD (505) 820-1212

KINZER, KYE G., DDS2008 ST MICHAELS DR SUITE B (505) 892-9010

SPLanguage(s):

LAPSKER, JENNIFER A., DDS2008 ST MICHAELS DR STE B (505) 896-2292

LEE, SHAUN M., DDS2008 SAINT MICHAELS DR STE B (505) 474-4993

LINDSLEY, HOLLY M., DDS2027 CERRILLOS RD (505) 820-1212

LINDSLEY, HOLLY M., DDS435 SAINT MICHAELS DR STE B201 (505) 982-4867

LOUMEAU, ANDRE J., DDS1406 LUISA ST STE 1 (505) 988-5850

MAAS, SARA E., DDS2027 CERRILLOS RD (505) 820-1212

SPLanguage(s):

MCCOMAS, GABRIELE E., DDS2027 CERRILLOS RD (505) 820-1212

SPLanguage(s):

MILLS, PAUL E., DDS1442 S ST FRANCIS DR UNIT G (505) 988-9635

SPLanguage(s):

MISLA, KAREN C., DDS2027 CERRILLOS RD (505) 820-1212

SPLanguage(s):

MISNER, REBECCA S., DMD2027 CERRILLOS RD (505) 820-1212

MONTANO, ERIN M., DDS2008 ST MICHAELS DR STE B (505) 424-7272

NYLUND, JUSTIN J., DDS1406 LUISA ST STE 1 (505) 988-5850

ORTEGA, DAVID J., DDS550 SAINT MICHAELS DR STE B (505) 984-0881

PHAN, DANIELLE, DDS2027 CERRILLOS RD (505) 820-1212

SPLanguage(s):

RIESENBERGER, ZACHARY, DDS2019 GALISTEO ST STE L2 (505) 982-9222

ROWAN, RICHARD G., DMD2008 ST MICHAELS DR STE B (505) 896-2292

SAMUEL, JAYAKUMAR, DDS720 SAINT MICHAELS DR STE O (505) 424-7998

SANTA FE FAMILY DENTISTRY AND ORTHODONTICS1406 LUISA ST STE 1 (505) 988-5850

SAPP, WILLIAM A., DDS435 SAINT MICHAELS DR STE B201 (505) 982-4867

SMITH, SANDRA A., DDS2027 CERRILLOS RD (505) 820-1212

SPLanguage(s):

TAFOYA, PETER J., DDS404 KIVA CT STE D (505) 988-3804

TANAKA, LEILANI K., DDS2008 ST MICHAELS DR STE B (505) 896-2292

TROPP, STEPHEN M., DDS2008 ST MICHAELS DR STE B (505) 896-2292

UJDA, KATARZYNA, DDS2019 GALISTEO ST STE L2 (505) 982-9222

VALDEZ, ESMAEL R., DDS550B SAINT MICHAELS DR STE 2 (505) 471-7000

SPLanguage(s):

YAMAZAKI, YASUFUMI, DDS2027 CERRILLOS RD (505) 820-1212

SPLanguage(s):

ZINK, AURORA V., DDS2027 CERRILLOS RD (505) 820-1212

SPLanguage(s):

Endodontist

WOLCOTT, JAMES F., DDS539 HARKLE RD STE C (505) 819-5690

Oral Surgery

HEALY, SEAN M., DDS2100 CALLE DE LA VUELTA B103 (505) 984-0694

SPLanguage(s):

HURTADO, DIEGO E., DDS2100 CALLE DE LA VUELTA B103 (505) 984-0694

SPLanguage(s):

SANTA FE ORAL SURGEONS LLC490B W ZIA RD STE 3 (505) 992-1550

SCHOW, BRETT D., DDS1700 HOSPITAL DR (505) 988-2121

URIG JR., EDWARD J., DMD1700 HOSPITAL DR (505) 988-2121

FRLanguage(s):

WHEATON, JEFFERY B., DMD490B W ZIA RD STE 3 (505) 992-1550

Orthodontist

BUSH, HELEN D., DMD2027 CERRILLOS RD (505) 820-1212

BUSH, HELEN D., DMD2008 ST MICHAELS DR STE B (505) 424-7272

DARMITZEL, STEPHEN E., DDS400 KIVA CT STE A (505) 982-6656

HANN, ROBERT C., DDS2008 ST MICHAELS DR STE B (505) 892-9010

KELLAM, STEPHEN A., DMD539 HARKLE RD STE D (505) 982-5531

KNOWLTON, CLARK U., DDS2100 CALLE DE LA VUELTA B102 (505) 983-5000

SPLanguage(s):

MCMILLAN, JEFFREY B., DDS2027 CERRILLOS RD (505) 820-1218

SP, THLanguage(s):

MEYERS, DANIEL M., DDS550 SAINT MICHAELS DR STE A (505) 983-8605

PICK, CLARICE K., DDS125 SIRINGO RD STE A (505) 982-0094

RUDD, DANIEL B., DDS490B W ZIA RD (505) 428-2101

SPLanguage(s):

STEPHEN A KELLAM LLC539 HARKLE RD STE D (505) 982-5531

USITALO, TAYLOR L., DDS2027 CERRILLOS RD (505) 820-1212

SPLanguage(s):

VEST ORTHODONTICS PC2100 CALLE DE LA VUELTA STE B102 (505) 983-5000

SPLanguage(s):

VEST, DEVAN R., DDS2100 CALLE DE LA VUELTA STE B102 (505) 983-5000

SPLanguage(s):

Pediatric Dentist

CALL, VAUGHN D., DMD2008 ST MICHAELS DR STE B (505) 896-2292

CITO JR., STEPHEN M., DDS490 W ZIA RD STE B (505) 428-7878

DARCY, KAITLYN N., DDS2008 ST MICHAELS DR STE B (505) 896-2292

GONZALEZ, JASON A., DDS1439 S ST FRANCIS DR (505) 473-5437

SI, SPLanguage(s):

GONZALEZ, JASON A., DDS1456 S ST FRANCIS DR (505) 984-1827

SI, SPLanguage(s):

HATCH, BRIAN K., DMD490B W ZIA RD (505) 428-7878

HENDRICKS, KELLY G., DDS1439 S ST FRANCIS DR (505) 473-5437

PT, SPLanguage(s):

HENDRICKS, KRISTIN W., DDS1456 S ST FRANCIS DR (505) 984-1827

Page 40 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 41: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoSANTA FE - 87505 (continued)

Directory of Participating Dental Providers

Alliance Network

HENDRICKS, KRISTIN W., DDS1439 S ST FRANCIS DR (505) 473-5437

GR, SPLanguage(s):

HENDRICKS, KRISTIN W., DDS2904 RODEO PARK DR E STE 300B (505) 473-5437

GR, SPLanguage(s):

JACKSON, JOSEPH L., DDS2008 ST MICHAELS DR STE B (505) 896-2292

PECK, CHRISTIAN S., DDS2008 ST MICHAELS DR STE B (505) 896-2292

PECK, PATRICIA H., DDS1692 HOSPITAL DR STE 102 (505) 989-9033

PRISHKULNIK, ELIZABETH T., DDS490B W ZIA RD (505) 428-7878

SIEGEL, SCOTT L., DMD2008 ST MICHAELS DR STE B (505) 896-2292

TASKER, SPENCER J., DMD2008 ST MICHAELS DR STE B (505) 424-7272

TROPP, ALMUT, DDS2008 ST MICHAELS DR STE B (505) 896-2292

Multi-Specialty

PERFECT TEETH PLAZA DEL SOL PC720 SAINT MICHAELS DR STE O (505) 424-7998

SANTA FE CHILDRENS DENTISTRY2008 ST MICHAELS DR STE B (505) 896-2292

SANTA FE - 87506

General Dentist

FERREIRA, JORGE R., DMD17805 US 84/285 (505) 455-2176

SANTA FE - 87507

General Dentist

BORRERO, DANIEL A., DDS3252 CERRILLOS RD STE A (505) 954-1128

SPLanguage(s):

EBRAHIMI, HAMID R., DDS3530 ZAFARANO DR STE C1B (505) 557-4000

HOLLINGSWORTH RYALS , KELLEY, DDS5131 MAIN ST STE 101 (505) 209-9080

SPLanguage(s):

HOLLINGSWORTH RYALS , KELLEY, DDS3569 ZAFARANO DR (505) 986-8000

SPLanguage(s):

KEYSER, BRANDON W., DMD3811 CERRILLOS RD STE 102 (505) 933-6872

KURUVILLA, SARAH B., DDS3569 ZAFARANO DR (505) 986-8000

MARTIN, M. RAY, DDS3600 CERRILLOS RD STE 507 (505) 438-0756

MONTGOMERY, GREGORY D., DDS3569 ZAFARANO DR (505) 986-8000

MONTGOMERY, GREGORY D., DDS5131 MAIN ST STE 101 (505) 209-9080

MOONEYHAN, KAREN E., DDS3569 ZAFARANO DR (505) 986-8000

SPLanguage(s):

MORESCHINI, SYLVIA R., DDS4041 CERRILLOS RD (505) 438-3276

PREBLE, DEREK R., DMD3875 CERRILLOS RD (505) 428-6084

QUAN, CLAUDIA L., DDS3252 CERRILLOS RD STE A (505) 366-0696

SAPP, WILLIAM A., DDS4250 CERRILLOS RD STE 1202 (505) 982-4867

SIEMIASZKO, WILLIAM J., DDS3569 ZAFARANO DR (505) 986-8000

SPLanguage(s):

SIEMIASZKO, WILLIAM J., DDS5131 MAIN ST STE 101 (505) 209-9080

SPLanguage(s):

WILSON, GAVIN B., DDS3569 ZAFARANO DR (505) 986-8000

WILSON, RYAN H., DMD5131 MAIN ST STE 101 (505) 209-9080

WILSON, RYAN H., DMD3569 ZAFARANO DR (505) 986-8000

WYNNE, KATHRYN S., DDS5131 MAIN ST STE 101 (505) 209-9080

SPLanguage(s):

YOUNG TRUJILLO, NAZARIO N., DDS2145 CAJA DEL ORO GRANT RD (505) 474-1438

Endodontist

STEFFENSEN, JOHN, DDS3569 ZAFARANO DR (505) 986-8000

STEFFENSEN, JOHN, DDS5131 MAIN ST STE 101 (505) 209-9080

Oral Surgery

MONCAYO, MAX P., DDS3569 ZAFARANO DR (505) 986-8000

MONCAYO, MAX P., DDS5131 MAIN ST STE 101 (505) 209-9080

STEEL, DREW V., DMD5131 MAIN ST STE 101 (505) 209-9080

SPLanguage(s):

STEEL, DREW V., DMD3569 ZAFARANO DR (505) 986-8000

SPLanguage(s):

URQUHART, ROBERT C., DDS3875 CERRILLOS RD (505) 428-6084

Orthodontist

KNOWLTON, CLARK U., DDS3252 CERRILLOS RD STE B (505) 919-8378

SPLanguage(s):

VEST ORTHODONTICS PC3252 CERRILLOS RD STE B (505) 919-8378

SPLanguage(s):

VEST, DEVAN R., DDS3252 CERRILLOS RD STE B (505) 919-8378

SPLanguage(s):

Periodontist

GHAFFARIGARAKANI, SASAN, DDS5131 MAIN ST STE 101 (505) 209-9080

GHAFFARIGARAKANI, SASAN, DDS3569 ZAFARANO DR (505) 986-8000

Multi-Specialty

ASPEN DENTAL3875 CERRILLOS RD (505) 428-6084

SANTA FE DENTIST OFFICE5131 MAIN ST STE 101 (505) 209-9080

SPLanguage(s):

SANTA FE MODERN DENTISTRY AND ORTHODONTIS3569 ZAFARANO DR (505) 986-8000

SANTA FE - 87508

General Dentist

ATKINSON, JULIE K., DMD6401 S RICHARDS AVE (505) 984-5048

SPLanguage(s):

AUSBERRY, LYDIA C., DDS6401 S RICHARDS AVE (505) 984-5048

SPLanguage(s):

JENKINS, DALE C., DDS6401 S RICHARDS AVE (505) 984-5048

SPLanguage(s):

JENKINS, JUDITH G., DDS6401 S RICHARDS AVE (505) 984-5048

SPLanguage(s):

LA FAMILIA MEDICAL DENTAL CENTER6401 S RICHARDS AVE (505) 984-5048

LARRAGOITE, M. LAWRENCE, DDS6401 S RICHARDS AVE (505) 984-5048

SPLanguage(s):

MALONE, KATHALYN A., DDS6401 S RICHARDS AVE (505) 984-5048

STEFFY, EDWIN D., DDS6401 S RICHARDS AVE (505) 984-5048

VAHEY, BRENDAN R., DDS6401 S RICHARDS AVE (505) 984-5048

SPLanguage(s):

WATSON, ERIK A., DDS6401 S RICHARDS AVE (505) 984-5048

SPLanguage(s):

SIERRA County

TRUTH OR CONSEQUENCES - 87901

General Dentist

BACA JR., LEROY, DDS1960 N DATE ST (575) 894-7662

BACA JR., LEROY, DDS1950 N DATE ST (575) 894-8057

COYNE, PATRICK J., DDS1960 N DATE ST (575) 894-7662

SPLanguage(s):

COYNE, PATRICK J., DDS1950 N DATE ST (575) 894-8057

SPLanguage(s):

DEAN, TYRELL C., DMD1950 N DATE ST (575) 894-8057

SPLanguage(s):

DEAN, TYRELL C., DMD1960 N DATE ST (575) 894-7662

SPLanguage(s):

DUNN, PAUL R., DDS1950 N DATE ST (575) 894-8057

SPLanguage(s):

DUNN, PAUL R., DDS1960 N DATE ST (575) 894-7662

SPLanguage(s):

FELTS, MATTHEW H., DDS800 N CEDAR ST (575) 894-7711

FEMAT, RUBEN, DDS1950 N DATE ST (575) 894-8057

Page 41 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 42: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoTRUTH OR CONSEQUENCES - 87901 (continued)

Directory of Participating Dental Providers

Alliance Network

FEMAT, RUBEN, DDS1960 N DATE ST (575) 894-7662

GLOVER, DAWN K., DDS1960 N DATE ST (575) 894-7662

GLOVER, DAWN K., DDS1950 N DATE ST (575) 894-8057

LARA, WENDY L., DDS1960 N DATE ST (575) 894-7662

LARA, WENDY L., DDS1950 N DATE ST (575) 894-8057

MATHIAS, RICHARD B., DMD1960 N DATE ST (575) 894-7662

MATHIAS, RICHARD B., DMD1950 N DATE ST (575) 894-8057

MAY, AMANDA C., DDS1960 N DATE ST (575) 894-7662

MAY, AMANDA C., DDS1950 N DATE ST (575) 894-8057

MCCARTHY, TIAPUL Q., DDS1960 N DATE ST (575) 894-7662

SPLanguage(s):

MCCARTHY, TIAPUL Q., DDS1950 N DATE ST (575) 894-8057

SPLanguage(s):

O, GIBSON S., DDS1960 N DATE ST (575) 894-7662

O, GIBSON S., DDS1950 N DATE ST (575) 894-8057

ODA, SAHARU, DDS1950 N DATE ST (575) 894-8057

PR, SPLanguage(s):

ODA, SAHARU, DDS1960 N DATE ST (575) 894-7662

PR, SPLanguage(s):

PELLEGRINO, CAMILLE R., DDS1950 N DATE ST (575) 894-8057

PELLEGRINO, CAMILLE R., DDS1960 N DATE ST (575) 894-7662

PUCKETT JR., C RAY, DDS1960 N DATE ST (575) 894-7662

PUCKETT JR., C RAY, DDS1950 N DATE ST (575) 894-8057

QUAN, KRISTI, DDS1950 N DATE ST (575) 894-8057

QUAN, KRISTI, DDS1960 N DATE ST (575) 894-7662

SALCIDO, KAIYRA F., DDS1950 N DATE ST (575) 894-8057

SPLanguage(s):

SALCIDO, KAIYRA F., DDS1960 N DATE ST (575) 894-7662

SPLanguage(s):

SHAH, JAY A., DMD1960 N DATE ST (575) 894-7662

SHAH, JAY A., DMD1950 N DATE ST (575) 894-8057

VADLAMANI, PRATHYUSHA, DDS1950 N DATE ST (575) 894-8057

SPLanguage(s):

VADLAMANI, PRATHYUSHA, DDS1960 N DATE ST (575) 894-7662

SPLanguage(s):

WIATT, MARK E., DDS1950 N DATE ST (575) 894-8057

WIATT, MARK E., DDS1960 N DATE ST (575) 894-7662

ZIAFAT, MEHRYAR, DMD1950 N DATE ST (575) 894-8057

ZIAFAT, MEHRYAR, DMD1960 N DATE ST (575) 894-7662

Pediatric Dentist

HAYES, PETER A., DMD1960 N DATE ST (575) 894-7662

FRLanguage(s):

HAYES, PETER A., DMD1950 N DATE ST (575) 894-8057

FRLanguage(s):

Multi-Specialty

BEN ARCHER HEALTH CENTER1950 N DATE ST (575) 894-8057

BEN ARCHER HEALTH CENTER1960 N DATE ST (575) 894-7662

SOCORRO County

SOCORRO - 87801

General Dentist

ARMSTRONG, KENNETH J., DDS210 NEEL AVE (575) 835-1623

CITO, STEPHEN M., DDS828 HIGHWAY 60 (575) 838-3912

HANNA, GEORGE, DMD204B NEEL AVE (575) 993-5032

LUCERO, MARIAN, DDS824 HIGHWAY 60 (575) 835-2342

Pediatric Dentist

CITO JR., STEPHEN M., DDS828 US HWY 60 (505) 298-5522

TAOS County

PENASCO - 87553

General Dentist

EL CENTRO FAMILY HEALTH15136 STATE ROAD 75 (575) 587-2809

HARBAUGH, JEFFREY S., DDS15136 STATE ROAD 75 (575) 587-2809

SPLanguage(s):

SISNEROS, ARTURO D., DDS15136 STATE HIGHWAY 75 (575) 587-2809

TAYLOR, STEPHEN H., DDS15136 STATE ROAD 75 (575) 587-2809

YURKOVICH, RORY M., DDS15136 STATE HIGHWAY 75 (575) 587-2809

QUESTA - 87556

General Dentist

BENDER, MARISSA N., DMD2573 STATE HWY 522 (505) 982-5565

SPLanguage(s):

DOSS, JIHAN L., DMD2573 STATE HWY (575) 586-0316

EICKER, ANDREA M., DMD2573 STATE HWY 522 (575) 586-0316

SPLanguage(s):

JAMESON, KEITH D., DDS2451 N HWY 522 (575) 586-0259

LOPEZ, INEZ M., DMD2573 STATE HWY 522 (575) 586-0316

MANZANARES, MICHAEL J., DDS2573 STATE HWY 522 (505) 586-0045

MARTINEZ LUJAN, MARIFER, DDS2573 STATE HWY 522 (505) 586-0045

MORGAN, TYLER S., DDS2573 STATE HWY 522 (575) 586-0316

RHOADS, HOWARD N., DDS2573 STATE HWY 522 (575) 586-0316

SPLanguage(s):

SLATER, RODNEY J., DMD2573 STATE HIGHWAY 522 (575) 586-0315

WARREN, ANTHONY J., DDS2573 STATE HWY 522 (505) 586-0045

SPLanguage(s):

WESTBROOK, JEFFREY H., DDS2573 STATE HWY 522 (575) 586-0316

WILSON, ELIZABETH M., DDS2573 STATE HWY 522 (575) 586-0316

RED RIVER - 87558

General Dentist

JUEDES, NOAH P., DDS612 W MAIN ST (575) 754-2300

MORRELL, ADAM, DDS612 W MAIN ST (575) 754-2300

NYLUND, JUSTIN J., DDS612 W MAIN ST (575) 754-2300

RED RIVER FAMILY DENTISTRY LLC612 W MAIN ST (575) 754-2300

TAOS - 87571

General Dentist

HAMMERMAN, WILLARD J., DDS1027 SALAZAR RD STE 1 (575) 758-1100

SPLanguage(s):

HARRIS, KAYCI M., DMD1337 GUSDORF RD STE A (575) 751-9661

HARRIS, KELLIE A., DDS1337 GUSDORF RD STE A (575) 751-9661

SPLanguage(s):

JUEDES, NOAH P., DDS1392 WEIMER RD STE A (575) 758-8303

MORRELL, ADAM, DDS1392 WEIMER RD STE A (575) 758-8303

NIEMIEC, MARK A., DDS1399 WEIMER RD STE 800 (575) 758-9777

NYLUND, JUSTIN J., DDS1392 WEIMER RD STE A (575) 758-8303

ROGERS, KATHLEEN A., DDS1335 GUSDORF RD STE A (575) 751-9333

SHELKO, RAYMOND A., DDS1090 GOAT SPRINGS RD (575) 758-6951

SITES, LOREN A., DDS1392 WEIMER RD (575) 758-8303

YAMAZAKI, YASUFUMI, DDS105 PASEO DEL CANON W (575) 758-3205

SPLanguage(s):

Page 42 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 43: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoTAOS - 87571 (continued)

Directory of Participating Dental Providers

Alliance Network

Endodontist

WOLCOTT, JAMES F., DDS1337 GUSDORF RD STE A (575) 751-9661

Oral Surgery

HURTADO, DIEGO E., DDS1392 WEIMER RD (505) 984-0694

SPLanguage(s):

SCHOW, BRETT D., DDS1337 GUSDORF RD STE A (575) 751-9661

Orthodontist

PICK, CLARICE K., DDS711 PASEO DEL PUEBLO SUR (575) 758-9661

VEST ORTHODONTICS PC1335 GUSDORF RD STE A (575) 776-4234

SPLanguage(s):

VEST, DEVAN R., DDS1335 GUSDORF RD STE A (575) 776-4234

SPLanguage(s):

Multi-Specialty

JUSTIN NYLUND DDS LLC1392 WEIMER RD STE A (575) 758-8303

TORRANCE County

ESTANCIA - 87016

General Dentist

BENDER, MARISSA N., DMD903 C FIFTH ST (505) 384-2777

SPLanguage(s):

DOSS, JIHAN L., DMD903 5TH ST STE C (505) 384-2777

EICKER, ANDREA M., DMD903 C N 5TH ST (505) 384-2777

SPLanguage(s):

KNUTSEN, GREGORY R., DDS903 5TH ST STE C (505) 384-2777

LOPEZ, INEZ M., DMD903 5TH ST STE C (505) 384-2777

MANZANARES, MICHAEL J., DDS903C 5TH ST (505) 384-2777

MARTINEZ LUJAN, MARIFER, DDS903C 5TH ST (505) 384-2777

MORGAN, TYLER S., DDS903 5TH ST STE C (505) 384-2777

RHOADS, HOWARD N., DDS903 5TH ST STE C (505) 384-2777

SPLanguage(s):

WARREN, ANTHONY J., DDS903 C FIFTH ST (505) 384-2777

SPLanguage(s):

WESTBROOK, JEFFREY H., DDS903 5TH ST STE C (505) 384-2777

WILSON, ELIZABETH M., DDS903C N 5TH ST (505) 384-2777

TORREON - 87061

General Dentist

MARTINEZ LUJAN, MARIFER, DDS2500 ST HWY 197 (505) 731-2284

VALENCIA County

BELEN - 87002

General Dentist

BOWERS, JONATHAN L., DMD120 S 9TH ST (505) 873-7462

BRUM, MARK D., DDS120 S 9TH ST (505) 861-1013

SPLanguage(s):

ENCHANTED SMILES LLC305 RIO COMMUNITIES BLVD (505) 864-2978

GRODNER, ROBERT W., DDS305 RIO COMMUNITIES BLVD (505) 864-2978

HIXON, LINDA, DDS1501 E RIVER RD (505) 864-6969

SPLanguage(s):

LENHOFF, CHRISTINE A., DMD1501 E RIVER RD (505) 864-6969

SANCHEZ II, ROLAND K., DDS704 CHRISTOPHER DR (505) 864-7000

SANDOVAL, CECIL C., DDS601 DALIES AVE (505) 864-8912

SPLanguage(s):

SCHLOTTMAN, DAVID E., DDS120 S 9TH ST (505) 873-7462

WILSON, JOE, DDS205 RIO COMMUNITIES BLVD (505) 864-3065

BOSQUE FARMS - 87068

General Dentist

ANDERSON, JAMES F., DDS1430 BOSQUE FARMS BLVD (505) 869-2371

SPLanguage(s):

LOS LUNAS - 87031

General Dentist

ABSHERE, PHILIP M., DDS106 MAIN ST NE STE B (505) 865-1999

ACHALLA, VENKATA, DDS1620 MAIN ST NW STE D (888) 988-4066

AHMED, ZARAH Z., DDS106 MAIN ST NE STE B (505) 865-1999

ALLEN, GRANT, DMD106 MAIN ST NE STE B (505) 865-1999

ANIFOWOSE, SHOLA D., DDS1620 MAIN ST NW STE D (888) 988-4066

FR, SPLanguage(s):

ANTANI, KARTIK N., DMD1620 MAIN ST NW STE D (888) 988-4066

ANTANI, KARTIK N., DMD219 COURTHOUSE RD SE (505) 865-4341

AZAD, KOUSHAN H., DMD1620 MAIN ST NW STE D (888) 988-4066

BAE, SUHO, DDS3472 STATE HIGHWAY 47 (505) 865-9788

BISHOP, MATTHEW R., DDS106 MAIN ST NE STE B (505) 865-1999

SPLanguage(s):

BOWERS, JONATHAN L., DMD145 DON PASQUAL RD NW (505) 865-4618

BROUSSARD, RAYMOND E., DDS106 MAIN ST NE STE B (505) 865-1999

BRUM, MARK D., DDS145 DON PASQUAL RD NW (505) 865-4618

SPLanguage(s):

CARTER JR., BARNEY W., DDS106 MAIN ST NE STE B (505) 865-1999

CHA, LILY, DDS106 MAIN ST NE STE B (505) 865-1999

CHAVEZ, ARMANDO J., DDS106 MAIN ST NE STE B (505) 865-1999

CHAVEZ, KEELY J., DDS106 MAIN ST NE STE B (505) 865-1999

CHUNG, CHRISTINA K., DDS106 MAIN ST NE STE B (505) 865-1999

COBLE, JEREMY C., DDS106 MAIN ST NE STE B (505) 865-1999

SILanguage(s):

DESAI, ADITYA A., DDS1620 MAIN ST NW STE D (888) 988-4066

HILanguage(s):

DOMINGUEZ, CORI J., DMD106 MAIN ST NE STE B (505) 865-1999

DYE, JEREMIAH M., DDS145 DON PASQUAL RD NW (505) 865-4618

SPLanguage(s):

FIRST CHOICE COMMUNITY HEALTHCARE INC145 DON PASQUAL RD NW (505) 865-4618

FORDE, COLIN A., DDS135 TELES ST SW (505) 883-3722

SPLanguage(s):

GARLA, HARSHAVARDHAN, DDS1620 MAIN ST NW STE D (888) 988-4066

GOMEZ, DALLIN D., DDS106 MAIN ST NE STE B (505) 865-1999

GOYAL, NIKITA, DDS145 DON PASQUAL RD NW (505) 224-8740

GREENE, DAVID W., DDS106 MAIN ST NE STE B (505) 865-1999

SPLanguage(s):

HARRISON, ANNE K., DDS106 MAIN ST NE STE B (505) 865-1999

HATCH, CAMERON J., DDS106 MAIN ST NE STE B (505) 865-1999

HAWKINS, DAVID A., DDS135 TELES ST SW (505) 865-4003

SPLanguage(s):

HSI, JONATHAN J., DDS1620 MAIN ST NW STE D (888) 988-4066

IRANI, ALI, DMD1620 MAIN ST NW STE D (888) 988-4066

FRLanguage(s):

JACKSON, MELISSA D., DMD145 DON PASQUAL RD NW (505) 865-4618

JENSEN, STEPHEN R., DDS106 MAIN ST NE STE B (505) 865-1999

JOHANSEN, ROBERT W., DDS106 MAIN ST NE STE B (505) 865-1999

JOHNSON, JESSE T., DDS106 MAIN ST NE STE B (505) 865-1999

KAMAL ALDEEN, MURTAJA, DDS1620 MAIN ST NW STE D (888) 988-4066

FR, SPLanguage(s):

Page 43 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 44: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

New MexicoLOS LUNAS - 87031 (continued)

Directory of Participating Dental Providers

Alliance Network

KHAIRA, AARON S., DMD106 MAIN ST NE STE B (505) 865-1999

KIM, CHRIS Y., DDS1620 MAIN ST NW STE D (888) 988-4066

FR, SPLanguage(s):

KINZER, KYE G., DDS106 MAIN ST NE SUITE B (505) 865-1999

SPLanguage(s):

KNOTT, KENNETH E., DDS106 MAIN ST NE STE B (505) 865-1999

KOTHA, ABHIROOP, DMD1620 MAIN ST NW STE D (888) 988-4066

LAPSKER, JENNIFER A., DDS106 MAIN ST NE STE B (505) 865-1999

SPLanguage(s):

LEE, JUNG W., DDS106 MAIN ST NE STE B (505) 865-1999

LOUMEAU, ANDRE J., DDS3472 STATE HIGHWAY 47 (505) 865-9788

SPLanguage(s):

LUCERO, MARY A., DDS1005 MAIN ST SW (505) 865-9438

MACINTYRE, JENNIFER, DDS106 MAIN ST NE STE B (505) 865-1999

MAIWAND, SAFA H., DDS106 MAIN ST NE STE B (505) 865-1999

SILanguage(s):

MANSHAD, ANIS S., DDS106 MAIN ST NE STE B (505) 865-1999

MANSHAD, AOUS S., DDS1620 MAIN ST NW STE D (888) 988-4066

FR, SPLanguage(s):

MANSOUR, RAFAT MARIE, DDS1700 MAIN ST NW (505) 404-3058

MASON, BRENTON M., DMD3472 STATE HIGHWAY 47 (505) 865-9788

SPLanguage(s):

MIYAMASU, PATRICK K., DDS1620 MAIN ST NW STE D (888) 988-4066

MONTANO, ERIN M., DDS106 MAIN ST NE STE B (505) 865-1999

MONTES, SANDRA, DDS145 DON PASQUAL RD NW (505) 865-4618

MURGA, FIELFER L., DDS1620 MAIN ST NW STE D (888) 988-4066

SPLanguage(s):

MYERS, ERIC A., DDS106 MAIN ST NE STE B (505) 865-1999

NGUYEN, ALICIA V., DDS106 MAIN ST NE STE B (505) 865-1999

PARK, JONG WOOK, DMD219 COURTHOUSE RD SE (505) 865-4341

PATEL, NIPA K., DMD1620 MAIN ST NW STE D (888) 988-4066

PRESTWICH, BRENDON E., DDS106 MAIN ST NE STE B (505) 865-1999

RIESENBERGER, ZACHARY, DDS145 DON PASQUAL RD NW (505) 865-4618

SPLanguage(s):

ROWAN, RICHARD G., DMD106 MAIN ST NE STE B (505) 865-1999

SCHLOTTMAN, DAVID E., DDS145 DON PASQUAL RD NW (505) 865-4618

SMITH, TIMOTHY J., DDS3472 STATE HIGHWAY 47 (505) 865-9788

SPLanguage(s):

SUBGANI, RAMYA, DDS1620 MAIN ST NW STE D (888) 988-4066

TASKER, KENNETH, DDS106 MAIN ST NE STE B (505) 865-1999

TRUONG, HENRY, DDS1620 MAIN ST NW STE D (888) 988-4066

TUNG, LIANG TSO, DDS145 DON PASQUAL RD NW (505) 865-4618

CN, MZLanguage(s):

VELASQUEZ, KENDRA D., DDS3472 STATE HWY 47 (505) 865-9788

WELLS, KELLY S., DDS106 MAIN ST NE STE B (505) 865-1999

WINTERTON, ERIC L., DDS705 MAIN ST SW (505) 865-3395

YOON, JAJUNG, DMD1620 MAIN ST NW STE D (888) 988-4066

YOON, JAJUNG, DMD219 COURTHOUSE RD SE (505) 865-4341

Oral Surgery

REID, DOUGLAS M., DMD106 MAIN ST NE (505) 865-1999

SMITH, BEN M., DMD1620 MAIN ST NW STE D (888) 988-4066

Orthodontist

BRUCE, JOSHUA D., DDS1620 MAIN ST NW STE D (888) 988-4066

FR, MZ, SPLanguage(s):

BUSH, HELEN D., DMD106 MAIN ST NE STE B (505) 865-1999

DEHGHAN, AMIR H., DDS1620 MAIN ST NW STE D (888) 988-4066

FR, SPLanguage(s):

DULA, GEORGE V., DDS106 MAIN ST NE STE B (505) 865-1999

GUTIERREZ PULIDO, LUIS D., DDS106 MAIN ST NE STE B (505) 865-1999

SPLanguage(s):

GUYMON, RUSSELL J., DDS1620 MAIN ST NW STE D (888) 988-4066

HANN, ROBERT C., DDS106 MAIN ST NE STE B (505) 865-1999

LOVELAND, KELCEY G., DMD106 MAIN ST NE STE B (505) 865-1999

PAPADEMETRIOU, MICHAEL K., DMD1620 MAIN ST NW STE D (888) 988-4066

REECE, CALEB W., DMD106 MAIN ST NE STE B (505) 865-1999

Pediatric Dentist

AHMED, ZARAH Z., DDS106 MAIN ST NE STE B (505) 865-1999

ARAGON, ASHLEE, DMD106 MAIN ST NE STE B (505) 865-1999

CALL, VAUGHN D., DMD106 MAIN ST NE STE B (505) 865-1999

DARCY, KAITLYN N., DDS106 MAIN ST NE STE B (505) 865-1999

GUTIERREZ, KAREN, DDS106 MAIN ST NE STE B (505) 865-1999

PECK, CHRISTIAN S., DDS106 MAIN ST NE STE B (505) 865-1999

SIEGEL, SCOTT L., DMD106 MAIN ST NE STE B (505) 865-1999

TASKER, SPENCER J., DMD106 MAIN ST NE STE B (505) 865-1999

TROPP, ALMUT E., DDS106 MAIN ST NE STE B (505) 865-1999

Multi-Specialty

ASPEN DENTAL1700 MAIN ST NW (505) 404-3058

FAMILIA DENTAL LOS LUNAS LLC1620 MAIN ST NW STE D (888) 988-4066

RIO GRANDE CHILDRENS DENTISTRY106 MAIN ST NE STE B (505) 865-1999

PERALTA - 87042

General Dentist

MANZANARES, DAVID J., DDS3615 STATE HIGHWAY 47 (505) 565-0609

SPLanguage(s):

RANJBARAN, HAMID, DDS3615 STATE HIGHWAY 47 (505) 565-0609

STEWART, JAMES D., DDS3615 STATE HIGHWAY 47 (505) 565-0609

Page 44 of 44 January 2020New Mexico Alliance Network

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Page 45: Directory of Participating Dental Providers New Mexico NEW ... Network Directory 2020-01.pdfDAVID S BORGMAN DDS PC 809 TIJERAS AVE NW (505) 842-9350 ... To confirm provider participation,

Language Index

AF AFRIKAANS....... IN INDIAN....... TE TELUGU.......

AI ASIAN INDIAN....... IR IRANIAN....... TH THAI.......

AL ALBANIANS....... IT ITALIAN....... TK TURKISH.......

AM ARAMAIC....... JP JAPANESE....... TL TAMIL.......

AN ARMENIAN....... KA KANNADA....... TN TUNISIAN.......

AR ARABIC ....... KO KOREAN....... TO TOSK.......

AS ASSYRIAN....... KU KURDISH....... TU TURKMEN.......

AT AZERI TURKISH....... LA LATIN....... TW TAIWANESE.......

AU AZERBAIJANI TURKISH....... LB LEBANESE....... UK UKRAINIAN.......

AV AZERI....... LO LAOS....... UR URDU.......

AW AZARI....... LT LITHUANIAN....... UZ UZBEK.......

AZ AZERBAIJANI....... LV LATVIAN....... VS VISAYAN.......

BA BALOCHI....... MA MARATHI....... VT VIETNAMESE.......

BE BENGALI ....... MD MANDARIN....... YI YIDDISH.......

BL BULGARIAN....... MF MORE FOREIGN LANGUAGES....... YR YORUBA.......

BN BANTUSE....... MG MALAGASY.......

BR BERBERE....... MH MAHRATTI.......

BU BURMESE....... ML MALAYALAM.......

CA CASTILIAN....... MN MANIPURI.......

CL CATALAN ....... MY MALAY.......

CM CAMBODIAN....... NE NEPALISE .......

CN CHINESE....... NO NORWEGIAN.......

CO COORG....... PA PARATHI.......

CR CROATIAN....... PH PHILLIPINO.......

CT CANTONESE....... PI PASHTU.......

CZ CZECH....... PL POLISH.......

DA DARI....... PR PERSIAN .......

DN DANISH....... PS PASHAI.......

DT DUTCH....... PT PORTUGESE.......

EG EGYPTIAN....... PU PUNJABI.......

EI EAST INDIAN....... RM ROMANIAN .......

EN ENGLISH....... RS RUSSIAN.......

FA FARSI....... SA SWAMILIA.......

FI FINNISH....... SC SCOTTISH.......

FM FLEMISH ....... SE SETSWANA .......

FR FRENCH....... SG SINHALESE.......

FU FUKIEN CHINESE....... SH SHONA.......

GA GA....... SI SIGN LANGUAGE .......

GK GREEK....... SL SOUTH INDIAN.......

GL GAELIC....... SM SAMOAN.......

GR GERMAN....... SN SINDHI.......

GU GUJARATI....... SP SPANISH.......

HE HEBREW....... SR SERBIAN.......

HG HUNGARIAN....... SS SCANDANAVIAN.......

HI HINDI....... ST SANSKRIT.......

IB IBO....... SV SLOVAK.......

IC ICELANDIC....... SW SWEDISH.......

ID INDONESIAN/ORIYA ....... SY SYRIAN.......

IL ILOCANO....... TA PILIPINO/TAGALOG .......