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Member HandbookJuly 2011

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What is CoverKids?CoverKids is Tennessee’s Children’s Health Insurance Plan (CHIP). This plan is for children in the CoverKids Program. The rules of the program are there to help children stay healthy.

Who is DentaQuest?DentaQuest works with CoverKids to make sure the dental plan runs well. DentaQuest will work with you to make sure you can get the dental care you need. We can answer any questions that you have about your dental plan. Our phone number is 1-888-291-3766.

Assurance of Non-DiscriminationNo one is treated in a different way because of race, color, birthplace, language, sex, age, or disability. Do you think you’ve been treated unfairly? Do you have more questions? Do you need more help? You can make a free call to: 1-888-291-3766.

How to Use This HandbookIf you need interpretation/translation services, please call DentaQuest at 1-888-291-3766. We can provide a translator for you over the phone. If you have a hearing or speech problem you can call us on a TTY/TDD machine. Our TTY/TDD number is 1-800-466-7566

This handbook will tell you all about your dental plan. It tells you what to do to schedule an appointment. It tells you what is covered by your dental plan. It gives you phone numbers that you will need to call to get more information. All of the things that you need to know about your dental program are in this handbook.

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Table of Contents

Enrollment ............................................................................................. 5Coverage ............................................................................................... 5How to get a list of DentaQuest Providers............................................. 6Orarl Health Matters .............................................................................. 6Members Through Age 18 ..................................................................... 7Dentist Appointments............................................................................. 7At the Dentist’s Office ............................................................................ 7Emergency Services.............................................................................. 8Orthodontic Benefits .............................................................................. 8Member Rights ...................................................................................... 8Member Responsibilities ....................................................................... 9Grievance and Appeals....................................................................16-17State Informal Review...........................................................................18Questions..............................................................................................18Premiums ............................................................................................ 19Co-payments ....................................................................................... 19Maximum Out of Pocket Expenses ..................................................... 20Finding a Dentist.................................................................................. 20Dental Provider Directory .................................................................... 21Attachment A- Schedule of Benefits Group I A & B ............................. 78Attachment A- Schedule of Benefits Group II ...................................... 80Attachment A- Schedule of Benefits Group AI/AN ............................... 82

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EnrollmentEnclosed are a welcome letter and a DentaQuest CoverKids Identification {ID} card for your dental care. It is very important to keep this card in a safe place and not lose it. You will need to take this card with you each time you visit the dentist. It is against the law to let someone else use your DentaQuest CoverKids ID card. If your card is lost, damaged, or stolen, please contact DentaQuest CoverKids Customer Service at 1-888-291-3766 Monday through Friday 8 am to 5 pm Central Standard Time or visit the website at www.DentaQuestgov.com. When you receive your ID card, prior to seeking dental services please call customer services to find out when Your CoverKids dental benefits will begin or look at your CoverKids approval letter, it will have the date your CoverKids benefits begin. Services received before the effective date will not be covered.

If your CoverKids enrollment ends, you will be sent a letter saying that you are no longer covered by the CoverKids health plan. This also means that you are no longer covered by DentaQuest for dental services. The date stated by the letter will be the last day that you will be covered by CoverKids. Any services received after the termination date on the letter will not be paid by CoverKids. You will have to pay for any services received after the termination date on the letter.

CoverageSome services will need to be approved by DentaQuest before you can get them. An approval that you got from a plan not in the CoverKids program will not be valid. CoverKids will only cover services you need to stay healthy.

Your dentist may say you need certain dental services. Talk to your dentist before you receive these services so you are fully aware of what you may have to pay. Your dentist will look at the Office Reference Manual for CoverKids and let you know if you may have to pay for the services because it may not be covered by CoverKids.

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How to get a list of DentaQuest Providers - In-Network

The dentist and places who give dental care for DentaQuest are called the Provider Network. All of these providers are listed in a Provider Directory. This handbook contains a current Provider Directory but changes in dentist participation can occur at any time. Before making an appointment or receiving dental services make sure the dentist is still a DentaQuest CoverKids provider.

You can find a dentist in your area online, at www.DentaQuestgov.com or you can call us at 1-888-291-3766 for help finding a dentist.

Oral Health MattersWorking together to improve your oral health.GOOD ORAL HEALTH FOR INFANTS AND YOUNG CHILDREN STARTS EARLY!

Helpful Brushing Tips

Even before your baby’s teeth show, you should clean the gums with a damp cloth after meals and at bedtime your dentist can show you how.

Baby teeth are important and once teeth show, you should clean them with a soft-bristled toothbrush (without toothpaste) after meals and at bedtime.

It is good to wean your child from pacifiers and the bottle between 9 and 12 months of age.

Helpful Sleeping Tips

Do not put your baby to sleep with a bottle because it causes baby bottle tooth decay, which causes pain and infection. Try one of these instead:

• Offer a blanket or favorite toy • Give baby a warm bath • Rock baby to sleep • As a last resort, allow WATER ONLY in the bottle

It may take about 3 to 7 nights of the child crying to break the bedtime bottle habit.

Starting regular dental care as soon as possible is good for your child’s health. The American Academy of Pediatric Dentistry recommends children have a dental home and their first check-up with the dentist by age one when possible.

A dental home is a dentist your child sees regularly every six months for check-ups. This dentist will take care of your child by providing the dental services he or she needs and always being available to care for your child. So don’t wait! Find a CoverKids dentist in your community today and establish a dental home for your child.

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Remember a dental home provides your child:• Complete dental care and a dental plan designed for your child• Guidance about growth, development and diet • How to correctly care for your child’s teeth

If you need help finding a dentist & have CoverKids call DentaQuest Customer Service at 1-888-291-3766

Or visit our website www.DentaQuestgov.com

Members Through Age 18 CoverKids members through age 18 are covered for a lot of services under the CoverKids program; please refer to your benefit tables on page 68-73 for a complete list of services and service details. Exams will be used to see if other services are needed. Some of the services that are available to you include:

• Cleanings - 2 per calendar year• X-Rays - Bitewings (age 2 and older) 1 per calendar year Full Mouth 1

every 3 calendar years• Crowns (some caps)• Root canal treatments• Anesthesia - Provided only when medically indicated• Sealants - Provided for permanent molars only - no limit• Space maintainers• Fillings• Extractions (tooth pulling)• Oral disease services

Attention members - CoverKids has added new benefits to your program effective July 1, 2010! Please refer to the benefit tables on page 78-83 for a complete list of services and service details available to you.

Dentist AppointmentsYour Dental Home - the main place you go to for your dental care. In DentaQuest, you will go to a dental home for your dental care. A dental home is a dentist your child sees regularly. This dentist will take care of your child by providing the dental services they need.

When you call the dentist, you should have these items ready:

• Pen or pencil• Your ID card• Your calendar

When you call the dentist’s office, tell them that you are a CoverKids member. Let them know that you would like to make an appointment to see the dentist. See which dates and times work best for you. Write down the date and time of the appointment on your calendar. When the date of your appointment comes, just go to the dentist’s office. It is that easy. If you have been going to a different dentist, please ask the old dentist to send your dental records to your new dentist. If you are not able to keep your scheduled appointment, call the dentist office to let them know you will not be coming and to reschedule the appointment.

At the Dentist’s OfficeWhen you go to the dentist’s office, you should bring your DentaQuest

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CoverKids ID card. Just show the receptionist your ID card. The dentist will see you shortly. The dentist can give you some helpful tips on taking care of your health.

Emergency ServicesYour child can also see a DentaQuest dentist for emergencies. You should ask your dentist how to contact him or her in an emergency. Your dentist may have a different telephone number to call in an emergency. Four emergency services are covered per year - two visits during office hours and two visits after office hours, if they are provided by a dentist who participates in the CoverKids network. If you see a dentist that is not participating, you can be billed for the services.

If you obtain services from an Out-of-Network Provider in the event of a true emergency, the Out-of-Network Provider may or may not file a claim for you. If you are charged or receive a bill, you must submit a claim to be considered for benefits. You must submit the claim within 120 calendar days from the date the service was received. If you do not submit the claim within 120 calendar days, it will not be considered.

If you have an emergency, you can call DentaQuest any time of the day or night. We always have someone here who can help you get emergency treatment. Please call us at: 1-888-291-3766.

Orthodontic BenefitsOn July 1, 2010 CoverKids added dental benefits to your plan. One of the additions is Orthodontic Benefits. In order to be eligible for this additional orthodontic coverage, you must have been continuously enrolled in CoverKids for a complete year (12 months). For example if your child became effective on CoverKids May 1, 2010 and have had no gaps in coverage for a full year (12 months = 365 days) then they will be eligible for orthodontic benefits on July 1, 2011.If you have questions about your orthodontic benefits please call DentaQuest CoverKids Customer Service at 1-888-291-3766. The Lifetime Orthodontic Maximum limit is $1,250 and is not applicable to the family’s five percent (5%) cost sharing.

Know Your RightsAs a member of the CoverKids program, you have rights.

You have the right to:

• Be treated with respect, dignity, and privacy. You have a right to privacy and to have your dental, medical and financial information treated with privacy.

• Know about DentaQuest, CoverKids and your dentist

• Ask for and get information about DentaQuest, its policies, its services, its quality program, its

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caregivers, and members’ rights and duties.• Be able to choose a dental care giver from the CoverKids directory• Be able to refuse care from a specific dentist• Receive information about CoverKids and the services

available to you• Make decisions about your dental care• File a complaint or appeal about DentaQuest or a dental care giver • Have access to your dental records. Ask for and get information about

your dental records as the federal and state laws say. You can see your dental records, get copies of your dental records, and ask to correct your dental records if they are wrong.

• Not be discriminated against by the health care provider on the basis of age, sex, race, physical or mental handicap, national origin, ethnicity, religion, sexual orientation, and genetic information, source of payment or type, or degree of illness or condition.

• You may voluntarily leave the CoverKids program even if you qualify for benefits. You can do this by calling CoverKids at 1-866-620-8864

• Have DentaQuest keep your health information private pursuant to state and federal laws

• Be told of changes in services or if your dentist leaves CoverKids

Your ResponsibilitiesAs a member of the CoverKids program, there are some things that you need to do. You are responsible for:

• Using the CoverKids dental program• Making appointments and receiving dental services from an in-network

DentaQuest CoverKids provider.• Knowing, understanding and following the terms and conditions

of this handbook• Listening to the dentist• Taking care of your teeth• Making appointments and keeping appointments• Canceling appointments as early as possible• Paying your co-payments and premiums {if applicable}• Making sure you are the only person who uses your CoverKids

identification card and letting DentaQuest CoverKids know if it is lost or stolen

• Showing your DentaQuest CoverKids ID card when you go to the dentist• Answering questions about your health that will help your dentist take care

of you• Letting your dentist know if you have had care in an emergency room

within 24 hours or been to another dentist recently• Immediately informing CoverKids of any of these things:

1. An address change each and every time you move 2. A phone number change each and every time you change phone

numbers 3. A name change

Please send this information (including your Family ID number) to:

CoverKidsP.O. Box 182261

Chattanooga, TN 37422-7261Toll-free: 1-866-620-8864

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Unfair Treatment Complaint

Federal law says that unfair treatment is not allowed. No one can be treated in a different way because of race, color, birthplace, language, sex, age, beliefs or disability. If you feel that you have been treated unfairly for any of these reasons, you have the right to complain. We do not allow unfair treatment in CoverKids. We need the following facts so we can look into your complaint. If you need help to fill out this page, let us know. 1. Are you filing this complaint for yourself? Yes No If yes, go to question number 2. If no, tell us your name: ________________________________________ Give us a phone number where we can reach you: ( ) 2. What is the name of the person you feel was treated unfairly?

3. Who do you think treated this person unfairly? Name ________________ Address ________ City, State, ZIP Code ________ Phone Number ( ) ________________________

‐ or ‐ ( ) ________ 4. Give us facts about the unfair treatment.

Check the box or boxes that you think were the reason for the unfair treatment. Race Color Birthplace LanguageSpoken Sex Sex Beliefs Age Disability Religion

What date did the unfair treatment take place? Do you think it happened other times? Yes No If yes, how many other times? Have you complained about this problem before and tried to have it stopped?

Yes No If yes, who have you talked to about it? Name: When did you talk to them about it?

Name of Person You Feel Was Treated Unfairly

__________________________________________ Last Middle Initial First

Date of Birth

_____ / ______ / ________ Month Day Year

Full Mailing Address: _________________________________________________________________ Street Number and Name, Rural Route, Apartment Number, Lot Number, PO Box, etc.

Social Security Number:

City:

State:

Zip:

Daytime Phone ( ) Evening Phone ( )

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Have you filed this complaint with another federal, state or local agency? Yes No Have you filed this complaint with any federal or state court? Yes No If yes, check all that apply. Federal agency Federal court State agency State court Local agency If yes, tell us the name of the contact person at the agency/court where you filed the complaint. Name Agency/Court Name Address City, State, ZIP Code Phone Number ( ) 5. In your own words, tell us what happened. You can attach more pages if you need them. Please sign below. Attach any other information that you think will be helpful. Sign here Date If you filled out this page for someone else, sign here [Note: if you helped someone file this complaint, you don’t have to sign.] Print your name Date Mail these pages to: CoverKids Program Attn: Director of Non‐discrimination Compliance 310 Great Circle Road Nashville, TN 37243 If you have questions, please call 1‐855‐286‐9085 (toll‐free) for help. TTY: (toll‐free) 1‐877‐779‐3103. To get help in one of the following languages, call 1.855.203.9610.

Arabic Bosnian Kurdish‐Badinani Kurdish‐Sorani Somali Spanish Vietnamese

CoverKids does not allow unfair treatment based on race, color, language spoken, sex, sexual orientation, religion, beliefs, handicap/disability or age.

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Queja por trato injusto La ley federal dice que el trato injusto no está permitido. Nadie puede recibir un trato diferente debido a su raza, color de la piel, lugar de nacimiento, idioma, sexo, edad, creencias o discapacidad. Si piensa que ha sido tratado de manera injusta por alguno de esos motivos, usted tiene el derecho de quejarse. CoverKids no permite el trato injusto. Necesitamos la siguiente información para que podamos evaluar su queja. Si necesita ayuda para llenar esta hoja, avísenos. 1. ¿Está completando esta queja para usted mismo(a)? Si No Si respondió “sí”, pase a la pregunta número 2. De lo contrario, díganos el nombre de usted:

Anote un número de teléfono en donde nos podemos comunicar con usted: ( )

2. ¿Cuál es el nombre de la persona que usted piensa que fue tratada injustamente?

Nombre de la persona que usted piensa fue tratada injustamente

_____________________________________________________Apellido Nombre Inicial

Fecha de nacimiento

____ / _____ / __ Mes Día Año

Dirección postal completa: ___________________________________________________________________________ N.º de casa y nombre de la calle, Rural Route, n.º de departamento, n.º de lote, PO Box, etc.

Número de Seguro Social:

Ciudad:

Estado:

Código postal:

Teléfono durante el día ( ) Teléfono durante la noche ( )

3. ¿Quién piensa usted que trató de manera injusta a esta persona? Nombre Dirección Ciudad, Estado y Código postal Número de teléfono ( )

‐ o ‐ ( ) 4. Díganos los hechos sobre el trato injusto. Check Marque la casilla o casillas que usted piensa fueron el motivo del trato injusto.

Raza Color Lugar de nacimiento

Idioma hablado

Sexo

Religión Creencias Edad Discapacidad

¿Cuál fue la fecha en que tuvo lugar el trato injusto? ¿Piensa usted que ha ocurrido otras veces? Si No If Si respondió “sí", ¿en cuántas ocasiones?

¿Se ha quejado previamente de este problema y ha intentando que lo dejen de hacer? Si No

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Queja por trato injusto La ley federal dice que el trato injusto no está permitido. Nadie puede recibir un trato diferente debido a su raza, color de la piel, lugar de nacimiento, idioma, sexo, edad, creencias o discapacidad. Si piensa que ha sido tratado de manera injusta por alguno de esos motivos, usted tiene el derecho de quejarse. CoverKids no permite el trato injusto. Necesitamos la siguiente información para que podamos evaluar su queja. Si necesita ayuda para llenar esta hoja, avísenos. 1. ¿Está completando esta queja para usted mismo(a)? Si No Si respondió “sí”, pase a la pregunta número 2. De lo contrario, díganos el nombre de usted:

Anote un número de teléfono en donde nos podemos comunicar con usted: ( )

2. ¿Cuál es el nombre de la persona que usted piensa que fue tratada injustamente?

Nombre de la persona que usted piensa fue tratada injustamente

_____________________________________________________Apellido Nombre Inicial

Fecha de nacimiento

____ / _____ / __ Mes Día Año

Dirección postal completa: ___________________________________________________________________________ N.º de casa y nombre de la calle, Rural Route, n.º de departamento, n.º de lote, PO Box, etc.

Número de Seguro Social:

Ciudad:

Estado:

Código postal:

Teléfono durante el día ( ) Teléfono durante la noche ( )

3. ¿Quién piensa usted que trató de manera injusta a esta persona? Nombre Dirección Ciudad, Estado y Código postal Número de teléfono ( )

‐ o ‐ ( ) 4. Díganos los hechos sobre el trato injusto. Check Marque la casilla o casillas que usted piensa fueron el motivo del trato injusto.

Raza Color Lugar de nacimiento

Idioma hablado

Sexo

Religión Creencias Edad Discapacidad

¿Cuál fue la fecha en que tuvo lugar el trato injusto? ¿Piensa usted que ha ocurrido otras veces? Si No If Si respondió “sí", ¿en cuántas ocasiones?

¿Se ha quejado previamente de este problema y ha intentando que lo dejen de hacer? Si No

Si respondió “sí”, ¿con quién habló sobre eso? Nombre: ¿Cuándo habló con esa persona sobre eso? ¿Ha presentado esta queja con alguna otra agencia federal, estatal o local? Si No ¿ha presentado esta queja ante un tribunal federal o estatal? Si No Si respondió “sí”, marque todo lo que corresponda: Agencia federal Tribunal federal Agencia estatal Tribunal estatal Agencia local

Si respondió “sí”, díganos el nombre de la persona de contacto en la agencia/tribunal donde presentó la queja.

Nombre Nombre de la agencia/tribunal Dirección Ciudad, Estado y Código postal Número de teléfono ( ) 5. Díganos, en sus propias palabras, lo que ocurrió. Si es necesario, puede adjuntar más hojas ________ Por favor abajo. Adjunte cualquier otra información que piense que podría ser útil. Firme aquí Fecha ________ Si usted completó esta hoja para otra persona, firme aquí. [Nota: si usted le ayudó a alguien completar esta queja, no tiene que firmar.] Escriba su nombre en letra de imprenta: ___________________ Fecha Envíe estas páginas por correo a: CoverKids Program Attn: Director of Non‐discrimination Compliance 310 Great Circle Road Nashville, TN 37243 Si tiene preguntas, llame al 1‐855‐286‐9085 (llamada gratuita) para pedir ayuda. TTY: llamada gratuita 1‐877‐779‐3103. Para obtener ayuda en otro idioma, llame al 1.855.203.9610 (llamada gratuita):

Arabic Bosnian Kurdish‐Badinani Kurdish‐Sorani Somali Spanish Vietnamese

CoverKids está no tolera el trato injusto por motivo de raza, color de la piel, idioma hablado, sexo, orientación sexual, religión, creencias, discapacidad/incapacidad o edad del individuo.

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Grievance and Appeal Rights Grievances are when you call or send a letter to tell us you are not happy with a decision that DentaQuest has made other than a denial or reduction of services. Some examples of grievances may include: the quality of care or services received, access to dental care services, provider care and treatment, or administrative issues.

If you have a grievance, you can call us at 1-888-291-3766 or write to us at the address listed below.

DentaQuest TN CoverKids

Attn: Customer Service12121 North Corporate Parkway

Mequon, WI 53092

Once we receive your grievance, we will begin to investigate the problem. You will get an answer in no more than 30 working days from the date we received your grievance.

If you disagree with a decision made to deny, reduce, end, delay or stall a covered service you have the right to appeal. To exercise it, file your appeal in writing within 30 calendar days after the date you receive a denial notice.

Who May File An Appeal? You or someone you name to act for you (your authorized representative) may file an appeal. You can name a relative, friend, advocate, attorney, doctor, or someone else to act for you. Others may already be authorized under State law to act for you. If you want someone to act for you, you and your authorized representative must sign, date and send us a statement naming that person to act for you.

You can call us at: 1-888-291-3766 to learn how to name your authorized representative. If you have a hearing or speech impairment, please call us at TTY/TDD toll-free 1-800-466-7566

There Are Two Kinds of Appeals You Can File

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Standard (30 days)You can ask for a standard appeal. We must give you a decision no later than 30 days after we get your appeal.

Fast (72 hour review)You can ask for a fast appeal if you or your dentist believe that your health could be seriously harmed by waiting too long for a decision. We must decide on a fast appeal no later than 72 hours after we get your appeal.

• If any dentist asks for a fast appeal for you, or supports you in asking for one, and the dentist indicates that waiting for 30 days could seriously harm your health, we will automatically give you a fast appeal.

• If you ask for a fast appeal without support from a dentist, we will decide if your health requires a fast appeal. If we do not give you a fast appeal, we will decide your appeal within 30 days.

What Do I Include With My Appeal?You should include: your name, address, Member ID number, reasons for appealing, and any evidence you wish to attach. You may send in supporting medical records, doctors’ or dentists letters, or other information that explains why we should provide the service. Call your dentist if you need this information to help you with your appeal.

How Do I File An Appeal?For a Standard Appeal: You or your authorized representative should mail your written appeal to the address below:

DentaQuest TN CoverKids

Attention: Appeals Department12121 North Corporate Parkway

Mequon, WI 53092

For a Fast Appeal: You or your authorized representative should contact us by telephone at 1-888-291-3766 (TTY/TDD: 1-800-466-7566) or fax to 262-834-3452.

What Happens Next? If you disagree with that decision you will have further appeal rights. You will be notified of those appeal rights if this happens.

Contact Information:If you need information or help call us at:

Toll Free: 888-291-3766TTY/TDD: 800-466-7566

State Informal Review – DENTAL RELATED APPEALSThe State of Tennessee, Benefits Administration has an appeal process that is available to you AFTER you have exhausted the grievance process with the claims administrator. Appeals must be requested in writing within 8 days of the claim determination or decision. To file an appeal at the state level, the member should send a letter and supporting documentation (e.g., explanation of benefit statements, decision letters, statements from healthcare providers, and medical records) to:

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Appeals Coordinator, Benefits Administration26th Floor, Wm. R. Snodgrass Tennessee Tower

312 Rosa L. Parks Avenue Nashville, TN 37243-1102

If your request is not received by Benefits Administration within 8 days, you may give up the right to further review. It is a good idea to maintain a copy of all correspondence you send. Specific questions regarding the appeal process may be directed to the appeals coordinator at 615-741-4517 or 1-866-576-0029. The appeals coordinator in Benefits Administration may also request review by the state’s independent medical consultant. A written decision of the appeal coordinator should be issued within 20 days of receipt of the request for further review.

State Informal Review - ELIGIBILITY RELATED APPEALS

A. Informal ReviewYou may request review of an eligibility issue by writing or calling the Administrative Contractor (AC) Policy Studies Inc (PSI). You may request review of an eligibility issue by writing or calling the CoverKids’ Administrative Contractor (AC). The AC’s address and toll-free number are provided on page 9. A request for review must be received within 30 days of issuance of written notice of the action for which review is requested or, if notice is not provided, 30 days from the time the applicant becomes aware of the action. If the AC’s review is not favorable, a formal written request can be submitted to Benefits Administration for review by the state-level CoverKids Eligibility Appeals Committee.

B. Formal ReviewYou may request further review by sending a letter and supporting documentation to:

Appeals Coordinator, Benefits Administration26th Floor, Wm. R. Snodgrass Tennessee Tower

312 Rosa L Parks AvenueNashville, TN 37243-1102

Requests must be received by Benefits Administration within 30 days of the issuance of the informal review decision. If your request is not received within 30 days, you may give up the right to further review. Receipts of requests for review will be acknowledged in writing within 10 days, including notification that a decision should be issued within one calendar month of receipt of the acknowledgment letter.

The request will be scheduled for review by the CoverKids Review Committee. The Committee will be composed of five members, including Benefits Administration staff and at least one licensed medical professional, selected by the Commissioner of his designee. The members of the Committee shall not have been directly involved in the matter under review. You will receive written notification of the Committee’s decision, stating the reasons for the decision. The decision of the CoverKids Review Committee is the final administrative recourse available to the Member.

Questions about Your Dental Program?DentaQuest can answer any questions that you have about your dental plan. If you would like to ask DentaQuest questions please call us at 1-888-291-3766.

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If you would like more information on oral health and taking care of your teeth, please visit our website www.DentaQuestgov.com. On the website you can read and print educational materials about oral health.

PremiumsIf applicable, you will receive an invoice from DentaQuest regarding your monthly premium amount which will be due on the first day of each month. Failure to pay the premium by the due date will result in a suspension of dental services until payment is received. If payment is not received by the specified date you will lose dental benefit coverage. You will not be able to enroll in CoverKids for six months and you must pay your outstanding balance.

Co-payment (or Co-pay)A co-payment is when you have to pay any part of your bill each time you get certain dental services. This is a fixed charge. To find out what your co-pay is, and for what applicable services, please call DentaQuest at 1-888-291-3766 or you can look at the co-pay in the benefit table attachment.

There are no co-pays for “preventive services.” If you would like to know if the service that you are going to get is a “preventive service,” please refer to the benefit table attachment. For example, if you go to the dentist on Monday and have a filling, you will have to pay your co-pay and the rest will be paid. If you go back to the dentist on Tuesday and have another filling, you will have to pay your co-pay and the rest will be paid.

You are responsible for your assigned co-payments prior to your dental treatment. If you do not pay your co-pay, your dental provider or DentaQuest may utilize whatever legal actions are available to collects these co-pay amounts.

Maximum Out of Pocket Expenses

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Suja Thomas, DDS, General DentistryCharles Fisher, DDS, General Dentistry

106 Tulsa RdOak Ridge, TN 37830(865)482-1881Ages Accepted: Ages 5 and OlderHandicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 04:00 PM

Practice Name: Mountain Dental PC

Ronald J. Salage, DDS, General DentistryRobert Maples, DDS, General DentistryKevin Law, DDS, General Dentistry

Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 03:30 PMTue: 08:00 AM to 03:30 PMWed: 08:00 AM to 03:30 PMThu: 08:00 AM to 03:30 PMFri: 08:00 AM to 03:30 PM

710 N Main StSte AClinton, TN 37716(865)425-8803

Practice Name: Anderson County Health Department Dental

Anderson County

TENNESSEE

Elliott B. Hills, DDS, General Dentistry

Ages Accepted: 3 to 20Handicap Accessible: Handicapped access

110 N Forrest AveCamden, TN 38320(731)584-5211

Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 12:00 PM

Practice Name: Elliott B. Hills, D.D.S.

Benton County

Gerald T. Martin, DDS, General Dentistry

Ages Accepted: Ages 8 and OlderHandicap Accessible: Handicapped access

2012 N Main StShelbyville, TN 37160(931)684-6351

Hours:Tue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 12:00 PM

Practice Name: Gerald T. Martin, D.D.S.

Jason White, DDS, General DentistryJay Davis, DDS, General Dentistry

401 Deery StShelbyville, TN 37160(931)684-1882Ages Accepted: Ages 4 and OlderHandicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: Davis Dental PLLC

Bedford County

Zeb C. Shope Jr., DDS, General Dentistry

Practice Name: Z. Conley Shope, Jr. DDS, PC

Dan Lovely, Jr, DDS, General Dentistry


726 E Lamar Alexander PkwyMaryville, TN 37804(865)604-6227

Practice Name: Maryville Dental Clinic DBA Apple Dental

Trent Stansbury, DDS, General DentistryKevin Law, DDS, General Dentistry

Mobile Unit 22Maryville, TN 37802(865)804-2465

Practice Name: Kingston Dental LLC

Henry F. Lee, DDS, General Dentistry354 Glascock StAlcoa, TN 37701(865)983-0870Ages Accepted: 3 to 20Handicap Accessible: Handicapped accessHours:Mon: 09:00 AM to 05:00 PMTue: 09:00 AM to 05:00 PMWed: 09:00 AM to 05:00 PMThu: 09:00 AM to 05:00 PM

Practice Name: Henry F. Lee, D.D.S.

Blount County

Andrew Troutt, DDS, General DentistryJulian J Swain, DDS, General DentistryDerek Jones, DDS, General Dentistry

216 Highway 641 NCamden, TN 38320(731)584-2299

Practice Name: Twin Lakes Dental Associates

Paul McCord, DDS, General Dentistry2222 Chambliss Ave NWCleveland, TN 37311(423)479-8544

Practice Name: Paul T McCord DDS PC

Edward A. Meydrech, DMD, General DentistryLucelia Lima, DDS, General Dentistry

430 Stuart Rd NESte 2Cleveland, TN 37312(423)559-0157Ages Accepted: Ages 4 and OlderHandicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: Dental Center, Inc

Timothy H. Ray, DDS, General Dentistry3770 Ocoee Pl NWSte 101Cleveland, TN 37312(423)473-7500Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 01:00 PM

Practice Name: Bradley Dental Center

Bradley County

Ages Accepted: Ages 3 and OlderHandicap Accessible: Handicapped accessSpecial Needs: Yes

2947 Sam James RdMaryville, TN 37803(865)379-6292

Hours:Wed: 09:00 AM to 05:00 PMThu: 09:00 AM to 05:00 PMFri: 09:00 AM to 05:00 PM

Families are not required to pay more than 5% annual family income for out of pocket expenses. If you have paid enough co-payments that you have reached your “maximum,” you will not have any more co-payments until you renew your coverage. To find out if you have reached your maximum co-payment limit, please contact DentaQuest at 1-888-291-3766.

CoverKids Dental Plan DENTAL PROVIDER DIRECTORY

This list only includes general and pediatric dentists. However, if you want help finding a dentist, including a variety of dental specialists, please call DentaQuest CoverKids Customer Service at 1-888-291-3766 Monday through Friday 8 am to 5 pm Central Standard Time or go to the DentaQuest website at www.DentaQuestgov.com.

Finding a DentistDentaQuest will help you find a dentist or dental specialist. There are many dentists that are available to treat you.

For information on which dentists you can go to please contact DentaQuest. Our phone number is 1-888-291-3766. We can help you find the closest dentist that is in the program. To obtain the full extent of benefits, you must receive services from a dentist who participates in your plan network. Only dentists that are in the CoverKids program can treat you for non-emergency services. The names of all dentists and dental specialists in the CoverKids program are available to you in a provider directory, on DentaQuest’s website at www.DentaQuestgov.com and by calling DentaQuest at 1-888-291-3766.

When you call DentaQuest, you should have these items ready:• Pen or pencil• Your ID card

When you call DentaQuest, tell them that you are a CoverKids member. Let DentaQuest know why you want to go to the dentist. DentaQuest will give you the names of dentists in your area. You do not have to get a referral from your medical Primary Care Physician (PCP) to go to the dentist. In addition to calling DentaQuest customer service you can also visit our website at www.DentaQuestgov.com to receive a list of dentists that are available to treat you.

How to Find a DentistUsing Our Website

Visit our website at

www.DentaQuestgov.com<http://www.DentaQuestgov.com/>

find a participating dentist in your area.1. You will need to choose “Find A Dentist”

2. Then enter your state (Tennessee)3. Choose your program (TN-CoverKids)

4. Then enter your home zip codeSince your dental plan is DentaQuest,you must go to dentists on this list so

that CoverKids will pay for your dental care.

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For the most up-to-date provider information log onto www.DentaQuestgov.com.

CoverKids DENTAL PROVIDER DIRECTORY








Anderson County

TENNESSEE






Benton County









Bedford County








Mobile Unit 22Maryville, TN 37802(865)804-2465




Blount County











Bradley County




22

For the most up-to-date provider information please call customer service at (888) 291-3766.

Danny K. Tackett, DMD, General Dentistry

Ages Accepted: 4 to 21

2707 Jacksboro PikeSte 4Jacksboro, TN 37757(423)566-0401

Practice Name: D.K. Tackett, D.M.D.

Campbell County

William Walker, DDS, General Dentistry


755 Broad St NWCleveland, TN 37311(423)479-4169

Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 03:00 PMThu: 08:00 AM to 05:00 PM

Practice Name: William G Walker DDS

Susan Allison, DDS, General Dentistry

Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: Yes

313 W High StWoodbury, TN 37190(615)563-2112

Practice Name: Smile Creations

Darryl Deason, DDS, General DentistryPatrick Carroll, DDS, General DentistryAndrew Bucher, DDS, General Dentistry

801 W Main StSte BWoodbury, TN 37190(615)563-2266

Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 07:00 PMFri: 08:00 AM to 05:00 PMSat: 08:00 AM to 05:00 PM


Practice Name: Darryl T. Deason, D.D.S.

Cannon County

Eddie C. Towles, DDS, General DentistryMichael Lopez, DDS, General Dentistry

2257 Jacksboro PikeLa Follette, TN 37766(423)562-4766Ages Accepted: Ages 2 and OlderHandicap Accessible: Handicapped accessHours:Mon: 09:00 AM to 07:00 PMTue: 09:00 AM to 05:30 PMWed: 09:00 AM to 05:30 PMThu: 09:00 AM to 07:00 PM

Practice Name: Shel Dental Center


William Webb, DDS, General Dentistry560 RB Wilson DrHuntingdon, TN 38344(731)986-2180

Practice Name: William E Webb DDS

Mark Williams, DDS, General DentistryJ.B. Johnsonius, DDS, General Dentistry

14815 Highland DrMC Kenzie, TN 38201(731)352-2041

Hours:Fri: 08:00 AM to 12:00 PM

Ages Accepted: Ages 0 to 20Handicap Accessible: Handicapped accessSpecial Needs: YesPractice Limitations: Existing Patients Only OverAge Limit

Practice Name: J.B. Johnsonius, D.D.S.

Joseph Widner, DDS, General DentistryNathan Nash, DDS, General DentistryJennifer McGill, DDS, General DentistryMark E. Holifield, DMD, General DentistryMoulton Abernathy Jr, DDS, General Dentistry

25 Stone Ridge CvHuntingdon, TN 38344(731)986-9484Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: Huntingdon Dental Clinic

Carroll County


Leonard G. Ray, DDS, General DentistryJerry A. Gilpin, DMD, General Dentistry

776 S Main StAshland City, TN 37015(615)792-4238Ages Accepted: 3 to 21

Practice Name: Leonard Ray , DDS & Jerry Gilpin, DMD

Stephen M. Kaufman, DDS, General Dentistry

Ages Accepted:Handicap Accessible: Handicapped access

202 N Main StSte CAshland City, TN 37015(615)792-3790


Practice Name: Cheatham Family Dentistry

Rick Vu, DDS, General Dentistry254 Ren Mar DrSte 103Pleasant View, TN 37146(615)746-2929Ages Accepted: Ages 8 and OlderHandicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 12:00 PM

Practice Name: 5 Star Dental Care PLLC

Cheatham County

Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM







Mobile Unit 40Clinton, TN 37716(865)804-2465






Anderson County

TENNESSEE






Benton County









Bedford County









Blount County











Bradley County




Mon: 07:30 AM to 04:30 PMTue: 07:30 AM to 04:30 PMWed: 07:30 AM to 12:00 PMThu: 07:30 AM to 04:30 PMFri: 07:30 AM to 12:00 PM


Hours:Mon: 07:30 AM to 04:30 PMTue: 07:30 AM to 04:30 PMWed: 07:30 AM to 12:00 PM

Fri: 07:30 AM to 12:00 PM


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Campbell County















Cannon County















Carroll County












Cheatham County








Mobile Unit 40Clinton, TN 37716(865)804-2465






Anderson County

TENNESSEE






Benton County









Bedford County









Blount County











Bradley County




Mon: 07:30 AM to 04:30 PMTue: 07:30 AM to 04:30 PMWed: 07:30 AM to 12:00 PMThu: 07:30 AM to 04:30 PMFri: 07:30 AM to 12:00 PM



Fri: 07:30 AM to 12:00 PM


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Shaku J. Patel, DDS, General Dentistry

Ages Accepted: Ages 0 to 20Handicap Accessible: Handicapped access

209 Irish Cemetery RdP.O. Box 967Tazewell, TN 37879(423)626-3345


Practice Name: Shaku J. Patel, D.D.S., P.C.

Melvin K. Donesky, DDS, General Dentistry


212 Forrest AvenueP.O. Box 684New Tazewell, TN 37825(423)626-6565


Practice Name: Melvin K. Donesky, D.D.S.

Claiborne County

Harvey L. Latimer, DDS, General Dentistry


4622 Highway 41 AP.O. Box 169Pleasant View, TN 37146(615)746-4337

Hours:Mon: 06:30 PM to 08:00 PMWed: 06:00 PM to 08:00 PMThu: 11:00 AM to 01:00 PM

Practice Name: Pleasant View Center

Janette Gardner, DDS, General Dentistry


504 N Jackson StSte 102Tullahoma, TN 37388(931)571-7339

Practice Name: Janette G Gardner DDS

Rajan Kshatri, DDS, General Dentistry1956 N Jackson StTullahoma, TN 37388(931)455-8255

Practice Name: Absolute Dental

Coffee County

John H. Stone, DDS, General Dentistry


202 Brown StreetCelina, TN 38551(931)243-3160


Practice Name: John H. Stone, D.D.S.

Clay County

Dean Downer, DDS, General DentistryPractice Name: Crossville Dental Center

Cumberland County

Kimberly Scott, DDS, General DentistrySteven Scallions, DDS, General DentistryPeete Lewis, DDS, General DentistryRajan Kshatri, DDS, General DentistryWilliam Hill, DDS, General DentistryMark Connolly, DDS, General DentistryJames O. Cantrell, DDS, General Dentistry

1958 N Jackson StTullahoma, TN 37388(931)454-0001



Practice Name: Tullahoma Dental Group PLLC

Katherine (Beth) Keen Saunders, DDS, General Dentistry

Paul E. Honeycutt, DDS, General DentistryLarry Dean Honeycutt, DDS, General DentistryThomas Cosby, DDS, General DentistryJames Cade, DDS, General Dentistry


1240 McArthur StManchester, TN 37355(931)728-3501

Practice Name: Paul E Honeycutt


Mitzi Wade, DDS, General DentistryJay Rasmussen, DDS, General DentistryMaria Fedler, DDS, General Dentistry

Practice Name: Affordable Dental of Tennessee

Rick Vu, DDS, General Dentistry3831A Gallatin PikeNashville, TN 37216(615)226-8434Ages Accepted:Handicap Accessible: Handicapped accessHours:Mon: 09:00 AM to 01:00 PMTue: 09:00 AM to 01:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PM

Practice Name: 5 Star Dental Care

Davidson County

Richard Heard, DDS, General Dentistry


5655 Peavine Road, Suite 102P.O. Box 1809Fairfield Glade, TN 38558(931)456-0232

Practice Name: J. Benjamin Rivers, D.M.D., P.C.

George Steedley, DMD, General DentistryLucelia Lima, DDS, General DentistryDavid Hippensteel, DMD, General DentistryJeffrey Graham, DDS, General DentistryTeresa Ellis, DDS, General Dentistry


1720 West Avenue NorthSuite 106Crossville, TN 38555(931)484-3007







Campbell County






Ruth O. Lima, DDS, General Dentistry


Mobil Unit-1Cleveland, TN 37311(423)778-2273


Practice Name: Ronald McDonald CareMobil












Cannon County















Carroll County











Cheatham County



Tue: 09:00 AM to 06:00 PMFri: 09:00 AM to 06:00 PM

Hours:Mon: 09:00 AM to 06:00 PMTue: 09:00 AM to 06:00 PMFri: 09:00 AM to 06:00 PM

25












Claiborne County












Coffee County






Clay County


Cumberland County
















Davidson County














Campbell County








Mobil Unit-1Cleveland, TN 37311(423)778-2273














Cannon County















Carroll County











Cheatham County



Tue: 09:00 AM to 06:00 PMFri: 09:00 AM to 06:00 PM


26


Mary E. Watts, DDS, General DentistryAngela Southwell, DDS, General Dentistry

206 Rivergate PkwySte AGoodlettsville, TN 37072(615)859-9994

Practice Name: Associated Children's Dentistry PLLC - Goodlettsville


2011 Charlotte AveSte ANashville, TN 37203(615)327-0322

Practice Name: Associated Children's Dentistry PLLC - Downtown

Benita S. Jackson, DDS, General Dentistry617 Woodland StNashville, TN 37206(615)256-2324Ages Accepted: Ages 3 and Older

Practice Name: American Dental Center, PC

Jay Rasmussen, DDS, General DentistryMaria Fedler, DDS, General Dentistry

328 22nd Ave NNashville, TN 37203(615)340-8500



Darryl Bivens, DDS, General Dentistry313B Harding PlNashville, TN 37211(615)833-8790Hours:Mon: 09:00 AM to 05:00 PMTue: 09:00 AM to 05:00 PMWed: 09:00 AM to 08:00 PMThu: 09:00 AM to 08:00 PMFri: 09:00 AM to 05:00 PMSat: 09:00 AM to 02:00 PM

Practice Name: Bivens Dental Group PC

William Robertson, DDS, General Dentistry917 Harpeth Valley PlNashville, TN 37221(615)646-5151Hours:Mon: 08:00 AM to 06:00 PMTue: 09:00 AM to 04:00 PMWed: 08:00 AM to 06:00 PMThu: 09:00 AM to 04:00 PMFri: 08:00 AM to 12:00 PM

Practice Name: Bill Robertson DDs

Harvey L. Latimer, DDS, General Dentistry1900 Patterson StSuite 101Nashville, TN 37203(615)320-1805Ages Accepted: 2 to 99Handicap Accessible: Handicapped accessHours:Mon: 09:30 AM to 04:30 PMTue: 09:30 AM to 04:30 PMWed: 09:30 AM to 11:30 AMThu: 02:30 PM to 04:30 PMFri: 09:30 AM to 04:30 PMSat: 09:30 AM to 11:30 AM

Practice Name: Associated Dental Group


William P. Davis, DDS, General Dentistry325 Rural Hill RdSuite 4Nashville, TN 37217(615)399-3440Ages Accepted: Ages 4 and OlderHandicap Accessible: Handicapped access

Practice Name: Davis Dental Arts Studio, P.C.

Juanita A. Rouse, DDS, General Dentistry113 23rd Ave NNashville, TN 37203(615)321-0922Ages Accepted: 5 to 21Handicap Accessible: Handicapped accessHours:Mon: 09:00 AM to 04:00 PMTue: 09:00 AM to 04:00 PMWed: 09:00 AM to 04:00 PMThu: 09:00 AM to 04:00 PM

Practice Name: Creative Dentistry, P.C.

Antarpreet Singh, DDS, General DentistryKellee Lusk McKenzie, DDS, General Dentistry

1315 Bell RdAntioch, TN 37013(615)717-0507

Practice Name: Cane Ridge Dentist

William K. Woods, DMD, General DentistryPhilip Van Vranken, DMD, General DentistryAndrew Harris, DDS, General DentistryTracie Battle, DMD, General Dentistry


940 Richards RdSte 103Antioch, TN 37013(615)866-9109Ages Accepted: Ages 2 and OlderHandicap Accessible: Handicapped accessSpecial Needs: Yes

Practice Name: Brite Smilez Cosmetic & Family Dentistry LLC

Pratapari Kakkad, DDS, General Dentistry135 Donelson PikeNashville, TN 37214(615)883-7089Ages Accepted: 2 to 99Handicap Accessible: Handicapped access

Practice Name: Donelson Dental Care

S. Adele Doherty, DDS, General Dentistry107 New Brick Church PikeSuite CGoodlettsville, TN 37072(615)851-4744Ages Accepted: Ages 2 and OlderHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: Dental Wellness Center, P.C.

Delilah Johnson, DDS, General Dentistry5910 Charlotte PikeNashville, TN 37209(615)353-9153

Practice Name: Delilah Johnson DDS

DeRanae Davis-Dudley, DDS, General Dentistry3915 Clarksville PikeSte BNashville, TN 37218(615)299-8700Ages Accepted: Ages 3 and OlderHours:Tue: 10:30 AM to 07:00 PMThu: 10:30 AM to 07:00 PMSat: 09:00 AM to 02:00 PM

Practice Name: Davis-Dudley Family Dentistry PC












Claiborne County













Coffee County


Mobile Unit 33Newport, TN 37822(865)804-2465


Cocke County






Clay County


Cumberland County















Davidson County










5045 Old Hickory BlvdHermitage, TN 37076(615)872-9269

27



















































Claiborne County













Coffee County


Mobile Unit 33Newport, TN 37822(865)804-2465


Cocke County






Clay County


Cumberland County















Davidson County











28


Mike Glasmeier, DMD, General Dentistry5357 Mount View RdAntioch, TN 37013(615)731-8960

Practice Name: First Impressions Family Dentistry

Christian Bennerman, DDS, General Dentistry2111 Gallatin Pike NMadison, TN 37115(615)859-5706

Practice Name: Dynasty Dental LLC

Bobby L. Larry, DDS, General Dentistry2011 Charlotte AveNashville, TN 37203(615)329-0008Hours:Mon: 09:00 AM to 05:00 PMTue: 09:00 AM to 07:30 PMWed: 09:00 AM to 05:00 PMThu: 09:00 AM to 07:30 PMSat: 09:00 AM to 01:00 PM

Practice Name: Dr Bob L Larry FICOI

Douglas Cornish, DMD, General Dentistry607 W Due West AveSuite 110Madison, TN 37115(615)868-2476Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PM

Practice Name: Doug Cornish DMD LLC


Jacqueline K. Butler-Mitchell, DDS, General Dentistry4825 Trousdale DrSte 222Nashville, TN 37220(615)445-8700

Practice Name: Integrity Dental Care

Ethel P. Harris, DDS, General Dentistry2802 Bransford AveNashville, TN 37204(615)783-0142


Ages Accepted: Ages 2 and Older

Practice Name: Heavenly Images Dental & Nutritional Center, PLLC

Phillip Gray II, DDS, General Dentistry625 Berry RdNashville, TN 37204(615)385-9400Ages Accepted: 3 to 20Handicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: Gray Dental Care LLC

Kevin Bolden, DDS, General Dentistry8090 Highway 100Nashville, TN 37221(615)891-1853

Practice Name: Gentle Touch Family Dentistry PC


Khalid N. Shaikh, DDS, General Dentistry6202 Charlotte PikeNashville, TN 37209(615)352-5582Ages Accepted: 6 to 21Handicap Accessible: Handicapped access

Practice Name: Khalid N Shaikh DDS

J. Kenneth Williams, DDS, General Dentistry416 W Old Hickory BlvdMadison, TN 37115(615)868-8527Ages Accepted: 3 to 20Handicap Accessible: Handicapped accessHours:Mon: 01:00 PM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 01:00 PMSat: 08:00 AM to 03:00 PM

Practice Name: James K. Williams, D.D.S.

Rhonda D. Switzer-Nadasdi, DMD, General Dentistry

Elizabeth E. Sparrow, DDS, General Dentistry

1721 Patterson StNashville, TN 37203(615)329-4790


Ages Accepted: Ages 3 and OlderHandicap Accessible: Handicapped accessSpecial Needs: YesForeign Languages: Bosnian, English, German,Russian, Spanish

Practice Name: Interfaith Dental Clinic


Kevin Bolden, DDS, General Dentistry

Practice Name: Matthew Walker Comprehensive Health Center

Brenda Moore, DDS, General Dentistry908 34th Ave NNashville, TN 37209(615)327-4499

Practice Name: Martin Dental

Mark H. Whitefield, DDS, General Dentistry4251 Lebanon PikeHermitage, TN 37076(615)889-5545Ages Accepted:Handicap Accessible: Handicapped accessHours:Fri: 09:00 AM to 05:00 PMSat: 09:00 AM to 05:00 PM

Practice Name: Mark H Whitefield DDS

Loretta Matic, DMD, General Dentistry534 Paragon Mills RdNashville, TN 37211(615)834-9667



Practice Name: Loretta Matic, D.M.D., P.C.

Leslie Dillard, DDS, General Dentistry121 Belle Forest CirNashville, TN 37221(615)646-9992Ages Accepted: Ages 3 and Older

Practice Name: Leslie D Dillard DDS











































29























































































30


Krystal Lewis, DDS, General DentistrySunny Bant, DDS, General Dentistry

Ages Accepted: Ages 0 to 99Handicap Accessible: Handicapped accessSpecial Needs: Yes

451 Murfreesboro PikeNashville, TN 37210(615)256-7543

Practice Name: Napier Dental Associates PLLC

Eugene T. Eng Tow, DDS, General Dentistry


1314 5th Ave NSuite 400Nashville, TN 37208(615)254-8608Ages Accepted: 2 to 20Handicap Accessible: Handicapped access

Practice Name: Metro Dental

Johnny Miller, DDS, General DentistryLance Harrison, DDS, General DentistryAngel Hall, DDS, General DentistryTommy Dorsey II, DDS, General DentistryDeRanae Davis-Dudley, DDS, General DentistryLoray Davis, DDS, General DentistryCarol Darnell, DMD, General Dentistry

Ages Accepted: Ages 3 and OlderHandicap Accessible: Handicapped accessSpecial Needs: YesForeign Languages: Arabic, English, Spanish,Vietnamese

1035 14th Ave NNashville, TN 37208(615)324-9669


Barry W. Rolin, DDS, General Dentistry

Practice Name: Rolin Hills Dental Care Goodlettsville

Brent Miller, DDS, General DentistryAngel Hall, DDS, General DentistryPatrick Carroll, DDS, General Dentistry


1570 Gallatin Pike NMadison, TN 37115(615)865-6000

Practice Name: Rivergate Village Dental

Roderick V. Frazier, DDS, General Dentistry309 Northcreek BlvdGoodlettsville, TN 37072(615)851-1777Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PM

Practice Name: Rivergate Dental Group LLC

Christian Bennerman, DDS, General Dentistry


1818 Albion StNashville, TN 37208(615)746-4533

Practice Name: Nashville General Hospital


George Smiley, DDS, General DentistryTheryl Humphry Davis, DDS, General Dentistry

2026 Clifton AveNashville, TN 37203(615)321-5600Ages Accepted: Ages 0 to 14

Practice Name: Smiley Dental Associates, Inc.

Roney O.W. Guinn, DDS, General Dentistry


4300 Charlotte AveNashville, TN 37209(615)298-2488


Practice Name: Roney O.W. Guinn, D.D.S.

Barry W. Rolin, DDS, General DentistryTimothy Fritsch, DMD, General Dentistry

4805 Gallatin PikeNashville, TN 37216(615)227-0955Ages Accepted:Handicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PM

Practice Name: Rolin Hills Dental Care Inglewood

101 East CtGoodlettsville, TN 37072(615)859-5574Ages Accepted:Handicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Thomas S. Underwood, DDS, General Dentistry


4219 Hillsboro PikeSte 105Nashville, TN 37215(615)383-5366

Practice Name: Thomas S. Underwood, D.D.S.

Anissa Burgess, DDS, General Dentistry107 Charles E Davis BlvdNashville, TN 37210(615)726-1807Hours:Mon: 08:00 AM to 03:00 PMTue: 08:00 AM to 03:00 PMWed: 08:00 AM to 03:00 PMThu: 08:00 AM to 03:00 PMFri: 08:00 AM to 03:00 PM

Practice Name: Southside Dental Clinic

Regina Crenshaw, DDS, General Dentistry


4761 Andrew Jackson PkwyHermitage, TN 37076(615)885-3525


Practice Name: Snodgrass-King Pediatric Dental Assoc.

Bobbi Smith, DDS, General Dentistry3926 Gallatin PikeSte ANashville, TN 37216(615)226-2033

Practice Name: Smith Dental Center

Hours:Mon: 12:00 PM to 05:00 PMTue: 09:00 AM to 05:00 PMWed: 09:00 AM to 01:00 PMThu: 09:00 AM to 05:00 PM













































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32

For the most up-to-date provider information please call customer service at (888) 291-3766.Jennifer McGill, DDS, General DentistryMark E. Holifield, DMD, General DentistryMoulton Abernathy Jr, DDS, General Dentistry

Practice Name: Complete Dental Care Clinic

Decatur County

Archie Bertrand, DDS, General Dentistry4928 Edmondson PikeSte 202Nashville, TN 37211(615)837-2004

Practice Name: Walk-In Dental Clinic Inc

Anissa Burgess, DDS, General Dentistry601 Benton AveNashville, TN 37204(615)292-9770Hours:Wed: 04:00 PM to 08:00 PMSat: 08:00 AM to 05:00 PM

Practice Name: Vine Hill Community Clinic

Julie Rezk, DMD, General DentistryGeorge Bare Jr, DMD, General Dentistry

1500 21st Ave SSte 3300Nashville, TN 37212(615)322-3573Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: Vanderbilt Dental Center


Sunil Kumar Arunagiri, DDS, General Dentistry

Practice Name: Dental Center of Charlotte

Anissa Burgess, DDS, General Dentistry1829E Highway 46 SDickson, TN 37055(615)446-0681Ages Accepted: 4 to 21Hours:Mon: 05:30 PM to 08:00 PMTue: 05:30 PM to 08:00 PMThu: 05:30 AM to 08:00 PM

Practice Name: Anissa Burgess, DDS

Dickson County

Jeff Barnes, DDS, General Dentistry407 S Mountain StSmithville, TN 37166(615)597-1110Ages Accepted: 3 to 20Handicap Accessible: Handicapped accessHours:Mon: 09:00 AM to 06:00 PMTue: 09:00 AM to 06:00 PMWed: 09:00 AM to 06:00 PMThu: 09:00 AM to 06:00 PM

Practice Name: Jeff Barnes, D.D.S.

Dekalb County

Joseph Widner, DDS, General DentistryNathan Nash, DDS, General Dentistry

382 Tennessee Ave NParsons, TN 38363(731)847-6625



Brien Polk, DDS, General Dentistry

Practice Name: Dyersburg Pediatric Dentistry

Dyer County

Charles L. Preston, DDS, General Dentistry


342 Henslee DrDickson, TN 37055(615)740-5791


Practice Name: Preston Dental Care, PLLC

Phillip T. Greene, DDS, General Dentistry


306 E College StPO Box 1589Dickson, TN 37055(615)446-2816

Hours:Wed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PMSat: 08:00 AM to 12:00 PM

Practice Name: Phillip T. Greene, D.D.S.

Brandon Sims, DDS, General DentistryShelley A. Sigur, DDS, General Dentistry

1926 Highway 46 SDickson, TN 37055(615)446-7050

Practice Name: Dickson Dental

Hours:Thu: 08:00 AM to 06:00 PMSat: 09:00 AM to 04:00 PM

604 Spring StSte 104Charlotte, TN 37036(615)789-6111

Joe D. O'Neal, DDS, General DentistryLee T. Myers, DDS, General Dentistry

7033 Highway 64Oakland, TN 38060(901)465-4655



Practice Name: Oakland Family Dentistry

Fayette County

William W. Lents, II, DDS, General Dentistry619 W Main StP.O. Box 118Newbern, TN 38059(731)627-2372



Practice Name: William W. Lents, II, D.D.S.

Jason White, DDS, General DentistryLeslie Warren, DDS, General Dentistry

95 US Highway 51 Byp WDyersburg, TN 38024(731)286-1271Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: YesPractice Limitations: Existing Patients Only OverAge LimitHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 12:00 PM




















































33

For the most up-to-date provider information log onto www.DentaQuestgov.com. Jennifer McGill, DDS, General DentistryMark E. Holifield, DMD, General DentistryMoulton Abernathy Jr, DDS, General Dentistry


Decatur County













Dickson County



Dekalb County







Dyer County





















Fayette County


























































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Claude Muse, DDS, General DentistryLori Adamson, DMD, General Dentistry

Practice Name: Claude Dennis Muse DDS

Angela Hill, DDS, General Dentistry


102 Mary Sharp DrP O Box 465Decherd, TN 37324(931)967-6861


Practice Name: Canary & Hill DDS

Nathan Henderson, DDS, General DentistryTerry L. Etter, DDS, General Dentistry

802 N Main StP O Box 515Estill Springs, TN 37330(931)649-3238Ages Accepted:Handicap Accessible: Handicapped accessHours:Mon: 08:30 AM to 05:00 PMTue: 08:20 AM to 05:00 PMWed: 08:20 AM to 05:00 PMThu: 08:20 AM to 05:00 PM

Practice Name: ABC Family & Cosmetic Dentistry PLLC

Franklin County

Dwayne Richardson, DDS, General Dentistry17395 US Highway 64Somerville, TN 38068(901)466-9833Hours:Mon: 09:00 AM to 05:00 PMWed: 09:00 AM to 05:00 PMFri: 09:00 AM to 05:00 PM

Practice Name: Richardson Family Dentistry

Mark Harper, DDS, General DentistryGary Buchanan, DDS, General Dentistry

2066 Hwy 45 BypassTrenton, TN 38330(731)855-1053

Practice Name: Elite Dental Care

David W. Melton, DDS, General Dentistry


3701 Eastend DrHumboldt, TN 38343(731)784-4322


Practice Name: David W. Melton D.D.S.

Gibson County

Edward Elkins, DDS, General Dentistry

Ages Accepted: 2 to 20Handicap Accessible: Handicapped accessSpecial Needs: Yes

109 Front St SP.O. Box 516Cowan, TN 37318(931)967-7092


Practice Name: E. Bryan Elkins, D.D.S.

75 Grant AveDecherd, TN 37324(423)496-5503Ages Accepted: Ages 3 and OlderHandicap Accessible: Handicapped accessHours:Mon: 08:30 AM to 05:30 PMTue: 08:30 AM to 05:30 PMWed: 08:30 AM to 05:30 PMThu: 08:30 AM to 05:30 PM

Amy Theriac, DDS, General DentistryPractice Name: Theriac Family Dentistry

Ben Stallings, DDS, General Dentistry


1630 E Main StHumboldt, TN 38343(731)784-3143


Practice Name: Stallings Clinic

Thomas Patterson, DDS, General Dentistry


23 Garrott DrMedina, TN 38355(731)783-1111


Practice Name: Patterson Family Dentistry

Nathan Nash, DDS, General Dentistry2025 S 1st StP O Box 163Milan, TN 38358(731)686-1151

Practice Name: Nash Family Dental



Gregory G. Dugger, DDS, General Dentistry


403 E College StPulaski, TN 38478(931)363-1531

Practice Name: G.G. Dugger, D.D.S., M.S., P.C.

Fred H. Abernathy, DDS, General Dentistry

Ages Accepted: 3 to 99Handicap Accessible: Handicapped accessPractice Limitations: Emergency Services Only

317 S 2nd StPulaski, TN 38478(931)363-5417


Practice Name: Fred H. Abernathy, D.D.S.

Tesa Reeves, DDS, General Dentistry217 W Jefferson StPulaski, TN 38478(931)363-1564Ages Accepted: Ages 1 and OlderHandicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PM

Practice Name: Dr Tesa Reeves DDS

Giles County

608 S Trenton StP O Box 38Rutherford, TN 38369(731)665-6650

Jennifer McGill, DDS, General DentistryMark E. Holifield, DMD, General DentistryMoulton Abernathy Jr, DDS, General Dentistry


Decatur County













Dickson County



Dekalb County







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Fayette County







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Franklin County











Gibson County




























317 S 2nd StPulaski, TN 38478(931)363-5417





Giles County


Jennifer McGill, DDS, General DentistryMark E. Holifield, DMD, General DentistryMoulton Abernathy Jr, DDS, General Dentistry


Decatur County













Dickson County



Dekalb County







Dyer County





















Fayette County







36


Lawana J. Green, DMD, General Dentistry7719 Highway 131P.O. Box 17Washburn, TN 37888(865)497-2591Ages Accepted: 5 to 100Handicap Accessible: Handicapped access

Practice Name: Washburn Medical Center

Stephen P. Mayo, DDS, General Dentistry


1277 Highway 11wBean Station, TN 37708(865)993-2225

Hours:Mon: 01:00 PM to 08:00 PMTue: 09:00 AM to 05:00 PMWed: 09:00 AM to 05:00 PMThu: 01:00 PM to 08:00 PM

Practice Name: Stephen P. Mayo, D.D.S.

Grainger County

Roger M. Young, DDS, General Dentistry


26741 Main StPO Box 488Ardmore, TN 38449(931)427-2116


Practice Name: Roger M. Young, D.D.S., P.C.


Kevin G. Hartman, DDS, General Dentistry816 Tusculum BlvdSte 1Greeneville, TN 37745(423)636-1911

Practice Name: Kevin G. Hartman, D.D.S.

Donnie Adkins, DMD, General Dentistry


600 Tusculum BlvdSuite 1Greeneville, TN 37745(423)638-5141


Practice Name: Adkins Family Dentistry PLLC

Cynthia Knop, DDS, General DentistryAaron Knop, DMD, General Dentistry

2055 E Andrew Johnson HwySte 3Greeneville, TN 37745(423)639-2176Ages Accepted: Ages 3 and OlderHandicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:30 AM to 05:00 PMTue: 08:30 AM to 05:00 PMWed: 08:30 AM to 05:00 PMThu: 08:30 AM to 05:00 PMFri: 08:30 AM to 05:00 PM

Practice Name: ABC Family Dentistry

Greene County


Mary A. Lewis, DMD, General DentistryLawana J. Green, DMD, General Dentistry

1923 Sulphur Springs RdMorristown, TN 37813(423)317-9344

Practice Name: Cherokee Health Systems - Admin Only

Hamblen County

Christopher Smith, DDS, General Dentistry16 S Central AveP O Box 219Monteagle, TN 37356(931)924-2219Ages Accepted: Ages 4 and OlderHours:Mon: 09:00 AM to 05:00 PMTue: 09:00 AM to 05:00 PMWed: 09:00 AM to 05:00 PMThu: 09:00 AM to 05:00 PM

Practice Name: Monteagle Family Dentistry PLLC

Grundy County

Roberts J. Bradford, DDS, General Dentistry


600 Tusculum Blvd# 1Greeneville, TN 37745(423)638-5141


Practice Name: Roberts J. Bradford, D.D.S.



Timothy Case, DDS, General Dentistry3918 Tennessee AveSte 300Chattanooga, TN 37409(423)821-9771Ages Accepted: Ages 2 and OlderHandicap Accessible: Handicapped accessSpecial Needs: Yes

Practice Name: Case Dental Care

Brian D. Detari, DMD, General Dentistry


406 High StChattanooga, TN 37403(423)267-9124

Hours:Mon: 09:00 AM to 05:00 PMFri: 09:00 AM to 05:00 PMSat: 09:00 AM to 12:00 PM

Practice Name: Brian D Detari DMD

Hannah Yi, DDS, General DentistryMitchell Yates, DDS, General DentistryKimberly Scott, DDS, General DentistryTimothy H. Ray, DDS, General DentistryBijal Naik, DDS, General DentistryPeete Lewis, DDS, General DentistryRajan Kshatri, DDS, General DentistryGlenn B. Finney, DDS, General Dentistry

625 Morrison Springs RdChattanooga, TN 37415(423)305-6400



Practice Name: Absolute Dental & Denture

Hamilton County











Franklin County











Gibson County




























317 S 2nd StPulaski, TN 38478(931)363-5417





Giles County


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Grainger County

















Greene County





Hamblen County



Grundy County




















Hamilton County











Franklin County











Gibson County




























317 S 2nd StPulaski, TN 38478(931)363-5417





Giles County


38


Nathan Henderson, DDS, General Dentistry

Practice Name: Harrison Family Denistry

Thomas C. Rumph Jr., DMD, General Dentistry


3210 Wilcox BlvdChattanooga, TN 37411(423)622-4869


Practice Name: Eastdale Family Dentistry

James W. Wheeler, DDS, General Dentistry


1200 Dodson AveChattanooga, TN 37406(423)778-2800


Practice Name: Dodson Avenue Health Center

Edward A. Meydrech, DMD, General DentistryElizabeth J. Conley, DMD, General Dentistry

1005 Executive DrSte 105Hixson, TN 37343(423)877-7886

Practice Name: Dental Center Inc


Nichole E. Boaz, DDS, General Dentistry5805 Lee HwySte 305Chattanooga, TN 37421(423)894-9950

Practice Name: Nichole E. Boaz DDS PC

Michael R. Johnson, DDS, General Dentistry


4843 Hixson PikeHixson, TN 37343(423)877-1373


Practice Name: Michael R. Johnson, D.D.S., P.C.

Jeffrey Graham, DDS, General DentistryElizabeth J. Conley, DMD, General Dentistry

4976 Highway 58Ste AChattanooga, TN 37416(423)894-5223

Practice Name: Hwy 58 Dental Center



Practice Name: Hixson Dental Center

5707 Highway 58Harrison, TN 37341(423)344-3884Ages Accepted: Ages 3 and OlderHandicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PM

Renita G. Bufford-Jones, DDS, General Dentistry

Practice Name: Bufford-Jones Family Dental Center P.C.

Hardeman County

Walker Hay, DDS, General Dentistry


1861 Main StP.O. Box 658Sneedville, TN 37869(423)733-2131


Practice Name: Sneedville Medical Center

Hancock County

Richard A. Rush, DMD, General Dentistry

Ages Accepted: 3 to 20Handicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

6466 E Brainerd RdChattanooga, TN 37421(423)499-8007

Practice Name: Richard A. Rush, D.M.D.



Stacy R. Wilkerson, DDS, General Dentistry

Practice Name: Stacy R. Wilkerson, DDS

Robert Thomas, DDS, General Dentistry


150 Guinn StSavannah, TN 38372(731)925-0055


Practice Name: Robert D. Thomas, D.D.S.

Hardin County

Anita J. Parks, DDS, General Dentistry407 W Lafayette StBolivar, TN 38008(731)658-6112

Practice Name: Smiles R Us Dental Care

Karl Warren, DDS, General Dentistry


137 Main St NP.O. Box 415Middleton, TN 38052(731)376-0825


Practice Name: Karl H. Warren, D.D.S., P.C.

407 W Lafayette StBolivar, TN 38008(731)659-2885








Grainger County

















Greene County





Hamblen County



Grundy County




















Hamilton County

39


































Hardeman County






Hancock County














Hardin County
















Grainger County

















Greene County





Hamblen County



Grundy County




















Hamilton County

40


John E. Renye, DDS, General Dentistry402 E Main BlvdChurch Hill, TN 37642(423)357-3681Ages Accepted: 5 to 21Handicap Accessible: Handicapped access

Practice Name: J. Eric Renye, D.D.S.

Noah D. Britton, DDS, General Dentistry


309 E Main StRogersville, TN 37857(423)272-3677


Practice Name: David Britton, D.D.S.

Hawkins County

Stephen L. Givens, DDS, General Dentistry


855 Wayne RdSte C1Savannah, TN 38372(731)925-3220


Practice Name: Stephen L. Givens, DDS

1480 Florence RdSavannah, TN 38372(731)925-5349Ages Accepted: 3 to 20Handicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Thomas D. Russell IV, DDS, General DentistryThomas D. Russell III, DDS, General DentistryAndrew D. Russell, DDS, General Dentistry

130 Peachtree PlzBrownsville, TN 38012(731)772-2107Ages Accepted: 8 to 20Handicap Accessible: Handicapped access

Practice Name: Russell Dental Group, P.C.

Robert N. Rooks, DDS, General Dentistry


980 Berrywood AveBrownsville, TN 38012(731)772-9200


Practice Name: Robert N. Rooks, D.D.S.

Philip Carter, DDS, General Dentistry


20 N Washington AveBrownsville, TN 38012(731)779-0889

Hours:Mon: 12:00 PM to 07:00 PMTue: 09:00 AM to 06:00 PMWed: 12:00 PM to 07:00 PMThu: 09:00 AM to 06:00 PMFri: 10:00 AM to 06:00 PMSat: 09:00 AM to 04:00 PM

Practice Name: Dove Family Dentistry

Haywood County



304 Dunlap StParis, TN 38242(731)642-8540Ages Accepted: 3 to 20Handicap Accessible: Handicapped accessPractice Limitations: Existing Patients Only OverAge Limit


David B. Travis, DDS, General Dentistry


715 Morton StParis, TN 38242(731)642-3059

Hours:Mon: 01:00 PM to 06:00 PMTue: 01:00 PM to 06:00 PMThu: 01:00 PM to 05:00 PM

Practice Name: David B. Travis, D.D.S., P.C.

Jeff Fletcher, DDS, General Dentistry




Practice Name: Chesemore Proffessional Group

Henry County




George Whitfield, DDS, General Dentistry




Practice Name: Robert Whitfield, D.D.S.

Jeffrey T. Morris, DDS, General Dentistry


324 Tyson AveParis, TN 38242(731)642-7920


Practice Name: Jeffrey T. Morris, D.D.S.

James Graves, DDS, General Dentistry324 Tyson AveParis, TN 38242(731)642-7920Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PM

Practice Name: James C Graves


































Hardeman County






Hancock County














Hardin County









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Hawkins County




















Haywood County















Henry County

















































Hardeman County






Hancock County














Hardin County









42


Jefferson County

Darryl Bivens, DDS, General Dentistry5103 Highway 100Lyles, TN 37098(931)670-5961Hours:Mon: 10:00 AM to 05:00 PMTue: 10:00 AM to 05:00 PMWed: 10:00 AM to 12:00 PMThu: 10:00 AM to 12:00 PMFri: 10:00 AM to 12:00 PM

Practice Name: Hickman County Dental Clinic

Delilah Johnson, DDS, General Dentistry


9584 Highway 46Bon Aqua, TN 37025(931)670-4797

Hours:Tue: 09:00 AM to 04:00 PMWed: 09:00 AM to 04:00 PMThu: 09:00 AM to 04:00 PM

Practice Name: Delilah Johnson, DDS

Hickman County

405 Tyson AveSte AParis, TN 38242(731)642-2244Ages Accepted: Ages 0 to 21Handicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 04:00 PMTue: 08:00 AM to 04:00 PMWed: 08:00 AM to 04:00 PMThu: 08:00 AM to 04:00 PMFri: 08:00 AM to 12:00 PM

Rachel Dasher, DMD, General Dentistry222 Oak StPO Box 670Mountain City, TN 37683(423)727-6319Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 08:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 01:00 PM

Practice Name: R H S C of Upper East Tennessee DBA Mountain City Medical Center

Johnson County

Warren Stinson, DDS, General Dentistry


113 E Broadway BlvdJefferson City, TN 37760(865)475-2762


Practice Name: Stinson & Stinson DDS

Dudley Whitson, DMD, General Dentistry


1047 Highway 92 SPO Box 577Dandridge, TN 37725(865)397-2956


Practice Name: Martin Whitson, DMD

John P. Jones, Jr., DDS, General Dentistry

Practice Name: John P. Jones, Jr., D.D.S.

Martin Roberson, DDS, General Dentistry

Lendell Massengale, Jr., DDS, General Dentistry

310 Simmons RdSte IKnoxville, TN 37922(865)675-3009Ages Accepted: 4 to 21Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 02:00 PMFri: 08:00 AM to 02:00 PM

Practice Name: Dental Associates of West Knoxville

Christopher R. Brown, DMD, General Dentistry213 E Moody AveKnoxville, TN 37920(865)951-1366

Practice Name: Christopher R Brown DMD

Kelbin Rodriguez, DDS, General Dentistry512 Merchant DrKnoxville, TN 37912(865)689-7556

Practice Name: All Smiles Family Dental PLLC

Fredrico Dixon III, DDS, General Dentistry6311 Kingston PikeSte 8WKnoxville, TN 37919(865)584-7336Ages Accepted: Ages 1 and Older

Practice Name: Advanced Dental Concepts PC

Knox County

Russell Hulse, DDS, General DentistryPractice Name: Northshore Dental Arts

Michael J. Molloy, DDS, General Dentistry


4620 Old Broadway StSte AKnoxville, TN 37918(865)688-2045


Practice Name: Michael J. Molloy, DDS

Michael J. Molloy, DDS, General Dentistry808 Winona StKnoxville, TN 37917(865)688-2045

Practice Name: Michael J. Molloy, D.D.S

Edger French, Jr, DDS, General Dentistry

Ages Accepted: Ages 0 to 16

705 Gate LnSte 101Knoxville, TN 37909(865)522-5437


Practice Name: Knoxville Pediatric Dentistry



3720 Cunningham RdKnoxville, TN 37918(865)922-7469








Hawkins County




















Haywood County















Henry County

















43


Jefferson County








Hickman County




Johnson County























Knox County
























Hawkins County




















Haywood County















Henry County

















44


John M. Beasley, DDS, General Dentistry


1620 Business AveLawrenceburg, TN 38464(931)762-1975


Practice Name: John M. Beasley, D.D.S.

Lawrence County

F. Don Foster, DDS, General Dentistry


2205 Clinton HwyPowell, TN 37849(865)945-5552


Practice Name: The Smile Center

James Wood, DDS, General DentistryGlenn B. Finney, DDS, General Dentistry

2220 White AveKnoxville, TN 37916(865)637-5708Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 09:00 AM to 05:00 PMTue: 09:00 AM to 05:00 PMWed: 09:00 AM to 05:00 PMThu: 09:00 AM to 05:00 PMFri: 09:00 AM to 03:00 PM

Practice Name: Orthodontic Designs by Michael Sawaf DMD CAGS

7424 S Northshore DrKnoxville, TN 37919(865)804-2465

Richard L. Robinette, DMD, General DentistryVeronica Filos, DDS, General Dentistry

32 E Main StP.O. Box 39Hohenwald, TN 38462(931)796-7808Ages Accepted: 3 to 20Handicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PM

Practice Name: Dental Haus

Erik Andersson, DDS, General Dentistry


20 E Main StHohenwald, TN 38462(931)796-7577


Practice Name: Affordable Dental Care

Lewis County

Phillip L. Dotson, DDS, General Dentistry


1290 1st AveLawrenceburg, TN 38464(931)762-3409


Practice Name: Phillip L. Dotson, D.D.S., P.C.

James R. Elrod, DDS, General Dentistry1761 Highway 95 SouthP.O. Box 126Greenback, TN 37742(865)856-2320Ages Accepted: 5 to 21Handicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 01:30 PMTue: 08:00 AM to 06:30 PMWed: 12:00 PM to 06:30 PMThu: 08:00 AM to 01:30 PMSat: 08:00 AM to 01:00 PM

Practice Name: James R. Elrod, D.D.S.

Frank T. Rogers, DDS, General Dentistry1501 Loudon HwyPhiladelphia, TN 37846(865)376-8939



Practice Name: Frank T. Rogers, D.D.S.

Loudon County

Theryl Humphry Davis, DDS, General Dentistry1000 Washington St WSuite AFayetteville, TN 37334(931)433-3231Ages Accepted: Ages 0 to 99Handicap Accessible: Handicapped accessPractice Limitations: Sealant Program onlyHours:Mon: 08:00 AM to 04:30 PMTue: 08:00 AM to 04:30 PMWed: 08:00 AM to 04:30 PMThu: 08:00 AM to 04:30 PMFri: 08:00 AM to 04:30 PM

Practice Name: Lincoln County Health Department

Lincoln County


21 Meridian DrJackson, TN 38301(731)847-6625Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: Yes


Ragonva Walls, DDS, General DentistrySteven Scallions, DDS, General DentistryRajan Kshatri, DDS, General Dentistry

80 Federal DrJackson, TN 38305(731)215-2222Hours:Mon: 09:00 AM to 05:00 PMTue: 09:00 AM to 05:00 PMWed: 09:00 AM to 05:00 PMThu: 09:00 AM to 05:00 PMFri: 09:00 AM to 05:00 PM

Practice Name: Affordable Dental & Dentures PC

Madison County

Ronald Hendricks, DDS, General Dentistry


200 A StreetLenoir, TN 37771(865)986-3514


Practice Name: Ronald A Hendricks DDS Family Dental Clinic


Mobile Unit 35Dandridge, TN 37725(865)804-2465


Jefferson County








Hickman County




Johnson County























Knox County

















45







Lawrence County


















Lewis County












Loudon County



Lincoln County







Madison County







Mobile Unit 35Dandridge, TN 37725(865)804-2465


Jefferson County








Hickman County




Johnson County























Knox County

















46


Edward G. Vaughan, DDS, General Dentistry


78 Lynoak CvJackson, TN 38305(731)668-2795


Practice Name: Family Dental Care

James D. Read, DDS, General DentistryMinesh Y. Patel, DDS, General Dentistry

1523 S Highland AveJackson, TN 38301(731)424-6452Ages Accepted: 3 to 20Hours:Mon: 07:45 AM to 07:00 PMTue: 07:45 AM to 07:00 PMWed: 08:00 AM to 04:00 PMThu: 08:00 AM to 06:00 PMFri: 08:00 AM to 01:00 PMSat: 08:00 AM to 01:00 PM

Practice Name: Family & Cosmetic Dentistry of Jackson PLLC

Barry Glenn, DDS, General Dentistry


129 N Star DrJackson, TN 38305(731)661-0051


Practice Name: Dental Care


Jason White, DDS, General DentistryLeslie Warren, DDS, General DentistryBrien Polk, DDS, General Dentistry

1189 Vann DrJackson, TN 38305(731)286-1271

Practice Name: Wild Smiles Pediatric Dentistry LLC

Irvin Rainey, DDS, General Dentistry


458 N ParkwayJackson, TN 38305(731)664-2848


Practice Name: Rainey Dental Office

Michael King, DDS, General Dentistry2000 Greystone SqJackson, TN 38305(731)668-2354Ages Accepted: Ages 8 and OlderHandicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 12:00 PM

Practice Name: Michael W King, DDS

Melvin Wright, DDS, General Dentistry


340 N Hays AveJackson, TN 38301(731)424-4351

Hours:Mon: 08:00 AM to 05:30 PMTue: 08:00 AM to 05:30 PMWed: 08:00 AM to 05:30 PMFri: 08:00 AM to 05:30 PM

Practice Name: Melvin Wright, D.D.S.

William F. Andrews, DDS, General Dentistry


67 Bolivar HwyJackson, TN 38301(731)423-2278


Practice Name: William F. Andrews, D.D.S.

Nathan Owens, DMD, General DentistryMulokozi Lugakingira, DMD, General DentistryAndrea Hannahan, DDS, General DentistryPractice Name: Center for Dental Health

Andrea Hannahan, DDS, General Dentistry1012 Crossings BlvdSte CSpring Hill, TN 37174(931)487-9997Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: Andrea Hannahan DDS PLLC

Maury County

Larry D. Thomas, DDS, General Dentistry


1360 S Ellington PkwyLewisburg, TN 37091(931)359-1993


Practice Name: Tri-Counties Dental Center

Laray Rector, DDS, General Dentistry113 The AcresLewisburg, TN 37091(931)359-7004Ages Accepted: Ages 0 to 21Handicap Accessible: Handicapped accessHours:Mon: 09:00 AM to 05:00 PMTue: 09:00 AM to 05:00 PMWed: 09:00 AM to 05:00 PMThu: 09:00 AM to 05:00 PMFri: 09:00 AM to 03:00 PMSat: 09:00 AM to 03:00 PM






Lawrence County


















Lewis County












Loudon County



Lincoln County







Madison County






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Maury County












Lawrence County


















Lewis County












Loudon County



Lincoln County







Madison County






48


Theryl Humphry Davis, DDS, General Dentistry


1909 Hampshire PikeColumbia, TN 38401(931)388-5757

Practice Name: Maury County Health Department

Garry Love, DDS, General Dentistry


1818 Shady Brook StColumbia, TN 38401(931)388-4670


Practice Name: Garry W Love, DDS

Emily Finney, DMD, General DentistryDavid K. Andrews, DDS, General Dentistry

1412 Trotwood AveSte 4Columbia, TN 38401(931)381-8149Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 07:00 AM to 02:00 PM

Practice Name: David K. Andrews DDS

Michael Oakes, DDS, General DentistryCrystal Gilreath, DMD, General DentistryRegina Crenshaw, DDS, General DentistryValerie Allen, DDS, General DentistryBrittany Adamiak, DDS, General Dentistry


5073 Main StSte 240Spring Hill, TN 37174(615)302-4200


Robert C. Wilhite Jr, DDS, General Dentistry


1300 Hatcher LnColumbia, TN 38401(931)388-2279


Practice Name: Robert C. Wilhite, D.D.S.

Morgan B. Hines, DDS, General Dentistry


418 W 6th StColumbia, TN 38401(931)388-3336


Practice Name: Morgan B. Hines, D.D.S.


Charles Pesce, DDS, General Dentistry111 N Meadows DrAthens, TN 37303(423)745-0236

Practice Name: Charles S. Pesce, D.D.S.

McMinn County


220 Town Center PkwyP.O. Box 849Spring Hill, TN 37174(931)486-0700Ages Accepted: 3 to 99Handicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: Town Center Family Dentistry

Thomas W. Moore, DDS, General Dentistry

Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: YesPractice Limitations: Emergency Services Only

320 N Garden StColumbia, TN 38401(931)388-8121


Practice Name: Thomas W. Moore, Jr., D.D.S.




Meigs County

Gregory L. Wilson, DDS, General Dentistry


710 Federal DrSelmer, TN 38375(731)645-7506


Practice Name: Gregory L. Wilson, D.D.S.

McNairy County

Elaine H. Lemings, DDS, General Dentistry


111 N Meadows DrAthens, TN 37303(423)745-0236


Practice Name: Elaine H. Lemings, D.D.S.
































Nathan Owens, DMD, General DentistryPeete Lewis, DDS, General Dentistry

Practice Name: Lewisburg Family Dentistry

Jack Milligan, DDS, General DentistryWilliam Bell, DDS, General Dentistry

4565 Nashville HwyChapel Hill, TN 37034(931)364-4557

Practice Name: Chapel Hill Family Dentistry

Marshall County









Maury County







John Workman, DDS, General DentistryKimberly Scott, DDS, General DentistryLaray Rector, DDS, General Dentistry

1300 Hatcher LnSte 6Columbi(931)840-8890

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McMinn County












Meigs County






McNairy County





































Nathan Owens, DMD, General DentistryPeete Lewis, DDS, General Dentistry

Practice Name: Lewisburg Family Dentistry

Jack Milligan, DDS, General DentistryWilliam Bell, DDS, General Dentistry

4565 Nashville HwyChapel Hill, TN 37034(931)364-4557

Practice Name: Chapel Hill Family Dentistry

Marshall County









Maury County








1300 Hatcher LnSte 6Columbi(931)840-8890

50


Jerry Johnson, DDS, General DentistryJames Getchonis, DDS, General DentistryEric Fugate, DDS, General DentistryPractice Name: Vonore Dental

Margaret Ramsey, DDS, General DentistryJason Phillips, DDS, General DentistryKeri Everson, DDS, General DentistryElizabeth Evans, DDS, General DentistryWilliam Brakebill, DDS, General Dentistry



3469 New Highway 68Madisonville, TN 37354(423)442-8828

Practice Name: The Monroe County Dental Clinic

George Steedley, DMD, General DentistryLucelia Lima, DDS, General DentistryJeffrey Graham, DDS, General DentistryTeresa Ellis, DDS, General Dentistry

914 New Highway 68Sweetwater, TN 37874(423)337-2034

Practice Name: Sweetwater Dental Center

Monroe County

Gary Jacobson, DDS, General DentistryWilliam Hill, DDS, General DentistryBracy Haynie, DDS, General DentistryLance Harrison, DDS, General DentistryAngel Hall, DDS, General DentistryEmily Finney, DMD, General DentistryMichael Eble, DDS, General DentistryPatrick Carroll, DDS, General DentistryChristian Bennerman, DDS, General Dentistry



1833 Memorial DrClarksville, TN 37043(931)645-8575

Practice Name: Affordable Dental Inc

Montgomery County

William S. Howard, DDS, General Dentistry


415 Veterans Memorial DrP.O. Box 119Tellico Plains, TN 37385(423)253-3403

Hours:Tue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: William S. Howard, D.D.S., Inc.

Johnny Miller, DDS, General DentistryLance Harrison, DDS, General DentistryAngel Hall, DDS, General DentistryTommy Dorsey II, DDS, General DentistryLoray Davis, DDS, General DentistryCarol Darnell, DMD, General DentistryKevin Bolden, DDS, General Dentistry

Practice Name: Mathew Walker Health Center Inc

William P. Green, DDS, General Dentistry


1573 Fort Campbell BlvdClarksville, TN 37042(931)553-0919


Practice Name: Green Clarksville Family Dentistry



1498 Madison StClarksville, TN 37040(931)551-8705


Practice Name: Clarksville Family Dentistry PLC

Lance Harrison, DDS, General Dentistry800 Weatherly DrSte 103BClarksville, TN 37043(931)647-8437

Practice Name: Clarksville DentalSpa

Benjamin R. Howard, DDS, General Dentistry224 Old Mill RdP.O. Box 327Wartburg, TN 37887(423)346-6660Ages Accepted: 3 to 21Handicap Accessible: Handicapped access

Practice Name: Benjamin R. Howard, D.D.S.

Morgan County

Vincent B. Atkinson, DMD, General Dentistry526 Majors BlvdLynchburg, TN 37352(931)759-7373

Practice Name: Atkinson Family Dentistry

Moore County

Katherine Ham, DDS, General Dentistry3402 Cainlo DrSte 100Clarksville, TN 37042(931)920-0444

Practice Name: Tiny Town Dental


230 Dover RdClarksville, TN 37042(615)324-9669



1277 Highway 411Vonore, TN 37885(423)884-2273Ages Accepted: 6 to 20Handicap Accessible: Handicapped access














1300 Hatcher LnSte 6Columbia, TN 38401(931)840-8890


















McMinn County















McNairy County








51











Monroe County






Montgomery County






















Morgan County



Moore County







1277 Highway 411Vonore, TN 37885(423)884-2273Ages Accepted: 6 to 20Handicap Accessible: Handicapped access














1300 Hatcher LnSte 6Columbia, TN 38401(931)840-8890


















McMinn County















McNairy County








52


Jerry L. Sullivan, DDS, General DentistryGabriel Sullivan, DDS, General Dentistry

1007 E Reelfoot AveUnion City, TN 38261(731)885-2277Ages Accepted: 2 to 18Handicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 12:00 PM

Practice Name: Sullivan Dentistry

Carlos S. Rodriguez, DDS, General Dentistry1301 Medical Park CirMedical Park Dental CareUnion City, TN 38261(731)885-0355

Practice Name: C.S. Rodriguez, D.D.S.

Denean Carr, DDS, General Dentistry301 S 3rd StUnion City, TN 38261(731)885-4899

Practice Name: Blue Ribbon Dental Center LLC

Obion County


John A. Sines, Sr., DDS, General Dentistry


108 Lifestyle WayBenton, TN 37307(423)338-7777

Practice Name: Total Dental Center of Benton, LLC

Polk County

Buckie Parsons, II, DDS, General DentistryBuckie D. Parsons, DDS, General DentistrySteven E. Ellis, DDS, General DentistryUma Arunkumar, DMD, General Dentistry

215 Oak StLivingston, TN 38570(931)823-5517



Practice Name: Upper Cumberland Family Dentistry PC

Luther Puckett IV, DDS, General Dentistry


508 N Church StLivingston, TN 38570(931)823-3754


Practice Name: L G Puckett DDS

Overton County

William Hill, DDS, General DentistryCalley Elsea, DMD, General DentistryDavid Dudzinski, DDS, General Dentistry

327 N Cedar AveCookeville, TN 38501(931)528-5105

Practice Name: Cookeville Regional Dental Inc

Richard Heard, DDS, General DentistryUma Arunkumar, DMD, General Dentistry

172 W Main StCookeville, TN 38506(931)537-9948Ages Accepted: Ages 2 and OlderHandicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PMSat: 08:00 AM to 12:00 PM

Practice Name: Algood Family Dental Group

Putnam County



5612 Highway 68P.O. Box 179Turtletown, TN 37391(423)496-7709

Hours:Mon: 08:00 AM to 06:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:30 PM



Manish Rana, DDS, General Dentistry400 W Crawford AveSte CMonterey, TN 38574(931)839-8684Hours:Mon: 08:00 AM to 04:00 PMTue: 08:00 AM to 04:00 PMWed: 08:00 AM to 04:00 PMThu: 08:00 AM to 04:00 PM

Practice Name: Monterey Dental Center

Jerald Bryant, DDS, General DentistryCarol Baxter, DDS, General Dentistry

220 N Washington AveCookeville, TN 38501(931)526-2613Ages Accepted: Ages 2 and OlderHandicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 04:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 04:00 PM

Practice Name: Jerald A Bryant DDS

Benjamin Hulse, DDS, General DentistryJason Hintz, DDS, General Dentistry

120 W Jackson StCookeville, TN 38501(931)526-5460Ages Accepted: Ages 1 and OlderHandicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: Hintz Family Dentistry











Monroe County


Mobil Unit-5Decatur, TN 37322(423)778-2273







Montgomery County






1277 Highway 411Vonore, TN 37885(423)884-2273Ages Accepted: 6 to 20Handicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 02:00 PM

















Morgan County



Moore County






53









Obion County






Polk County











Overton County







Putnam County

























Monroe County


Mobil Unit-5Decatur, TN 37322(423)778-2273







Montgomery County






1277 Highway 411Vonore, TN 37885(423)884-2273Ages Accepted: 6 to 20Handicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 02:00 PM

















Morgan County



Moore County






54


Trent Stansbury, DDS, General DentistryKevin Law, DDS, General DentistryTara Ericson, DDS, General Dentistry


820 N Kentucky StKingston, TN 37763(865)717-3586


Roane County


554 West Main StreetAlgood, TN 38506(931)823-5517


Larry E. Farris, DDS, General Dentistry


201 5th Ave WSpringfield, TN 37172(615)384-2659


Practice Name: Onstott & Farris, D.D.S., P.C.

Helen L. Coleman, DDS, General Dentistry



Hours:Mon: 09:00 AM to 06:00 PMTue: 09:00 AM to 06:00 PMThu: 09:00 AM to 06:00 PMFri: 09:00 AM to 06:00 PMSat: 09:00 AM to 03:00 PM

Practice Name: Family Dental Services

Hitendra Patel, DDS, General DentistrySherman House, DDS, General DentistryMaria Fedler, DDS, General DentistryFethi Abdulahi, DDS, General Dentistry

314 Northcrest DrSpringfield, TN 37172(615)382-0700




Robertson County

Brent Miller, DDS, General DentistryThomas Lokensgard, DDS, General DentistryPatrick Carroll, DDS, General DentistryChristian Bennerman, DDS, General Dentistry

4183 Franklin RdSte B5 & B6Murfreesboro, TN 37128(615)907-4746Ages Accepted: Ages 1 and OlderHandicap Accessible: Handicapped accessSpecial Needs: Yes

Practice Name: Blackman Grove Dental

Fran E. Adkins, DMD, General Dentistry2812 Old Fort PkwySte BMurfreesboro, TN 37128(615)896-9322Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 12:00 PM

Practice Name: Blackman Family Dental

Robyn Atkinson, DMD, General Dentistry2606 Merchants WalkMurfreesboro, TN 37128(615)217-7878Ages Accepted: Ages 1 and Older

Practice Name: Atkinson Family Dentistry, P.C.

Vincent B. Atkinson, DMD, General DentistryRobyn Atkinson, DMD, General Dentistry

2618 Merchants WalkMurfreesboro, TN 37128(615)217-7878

Practice Name: Atkinson Family Dentistry PC

Rutherford County

Gina R. Pittenger, DDS, General DentistryDale Pittenger, DDS, General Dentistry

125 Enon Springs Rd ESmyrna, TN 37167(615)459-2579

Practice Name: Gina R. Pittenger

George L. Alissandratos, DDS, General Dentistry431 Nissan DrSte 202Smyrna, TN 37167(615)459-4474Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PM

Practice Name: George L. Alissandratos, DDS

Osayomore Osawe-Eguakun, DDS, General Dentistry206 N Thompson LnSte AMurfreesboro, TN 37129(615)896-7274



Practice Name: Divine Dental Center

Manuel Montealegre, DDS, General Dentistry2441 Old Fort PkwySuite LMurfreesboro, TN 37128(615)848-9091

Practice Name: Comfort Care Dental









Obion County


Mobile Unit 4Wartburg, TN 37887(865)804-2465







Polk County











Overton County







Putnam County
















55






Roane County



















Robertson County











Rutherford County




















Obion County


Mobile Unit 4Wartburg, TN 37887(865)804-2465







Polk County











Overton County







Putnam County
















56


James R. McCawley, DDS, General Dentistry


218 Mtcs RdMurfreesboro, TN 37129(615)890-1461

Practice Name: James R. McCawley, D.D.S.

Jacqueline K. Butler-Mitchell, DDS, General Dentistry


301 Wolverine TrlSte 203Smyrna, TN 37167(615)220-5533



William Thompson, DDS, General Dentistry


122 Heritage Park DrMurfreesboro, TN 37129(615)896-1330


Practice Name: Heritage Park Dentistry



Coley Ramsey, DDS, General Dentistry693 President PlSte 101Smyrna, TN 37167(615)459-6354

Practice Name: Next Level Dental

John Murfree, DDS, General Dentistry1140 Dow StMurfreesboro, TN 37130(615)893-1770

Practice Name: Murfree Dental

Melanie Dunson, DDS, General Dentistry


810 NW Broad StSte 244Murfreesboro, TN 37129(615)896-0580


Practice Name: Melanie D Dunson DDS Family Dental PC

Arvind Patel, DDS, General Dentistry


5168 Murfreesboro RdLa Vergne, TN 37086(615)793-7932


Practice Name: La Vergne Smiles PC


Aldrich T. Perry, DDS, General Dentistry


1121 Greenland DrMurfreesboro, TN 37130(615)896-3360

Practice Name: Perry Family Dentistry LLC

Tamma Johnson-Gray, DDS, General Dentistry


1210 Hazelwood DrSte ASmyrna, TN 37167(615)459-0566

Hours:Mon: 09:00 AM to 05:00 PMTue: 09:00 AM to 05:00 PMWed: 09:00 AM to 05:00 PMThu: 10:00 AM to 07:00 PMSat: 09:00 AM to 12:00 PM

Practice Name: Perfect Smiles Dental Center PLLC

Marvo C. Odds, DDS, General Dentistry


101 Cheerful PlLa Vergne, TN 37086(615)793-1242


Practice Name: Odds' Dental Services PC



Crystal Gilreath, DMD, General DentistryRegina Crenshaw, DDS, General DentistryValerie Allen, DDS, General DentistryBrittany Adamiak, DDS, General Dentistry

1747 Medical Center PkwySte 300Murfreesboro, TN 37129(615)225-0700Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM


Candace Simmons, DDS, General DentistryKevin Gurley, DDS, General Dentistry

1336 Hazelwood DrSmyrna, TN 37167(615)355-6800Ages Accepted: Ages 5 and OlderHandicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 01:00 PMSat: 09:00 AM to 03:00 PM

Practice Name: Smyrna Dental Group

George Steedley, DMD, General DentistryDean Downer, DDS, General Dentistry


Practice Name: Smyrna Dental Center






Roane County



Mobil Unit-3Evensville, TN 37332(423)778-2273



Rhea County



















Robertson County











Rutherford County













57































































Roane County



Mobil Unit-3Evensville, TN 37332(423)778-2273



Rhea County



















Robertson County











Rutherford County













58


Rebecca Lee Hatfield, DDS, General Dentistry


7268 SR 28P.O. Box 519Dunlap, TN 37327(423)949-2117

Practice Name: Rebecca Lee Hatfield

Sequatchie County

Spencer A. Ellis, DDS, General Dentistry


459 Industrial LnP.O. Box 5355Oneida, TN 37841(423)569-3456


Practice Name: Ellis Family Dentistry

Ronald King, DDS, General DentistryGordon Baird, Jr, DMD, General Dentistry

350 Court StreetP.O. Box 210Huntsville, TN 37756(423)663-8200Ages Accepted: 3 to 21Handicap Accessible: Handicapped accessPractice Limitations: Office hours byappointment only

Practice Name: ALQI

Scott County

Franklin Daniel, DDS, General DentistryChristian Bennerman, DDS, General Dentistry

13181 Old Nashville HwySte 110Smyrna, TN 37167(615)459-9296

Practice Name: Unique Dental Care

Jon Shell, DDS, General Dentistry


1106 Glennhill LnSevierville, TN 37862(865)429-4333


Practice Name: Jon E. Shell, D.D.S.

Eugene W. Stinson, DDS, General Dentistry119B Maryville HwySeymour, TN 37865(865)573-9888

Practice Name: E. Woody Stinson, DDS

Sevier County


Kaye Y. Adams-Browne, DDS, General Dentistry3333 Elvis Presley BlvdSuite 202Memphis, TN 38116(901)332-7111Ages Accepted: Ages 4 and OlderHandicap Accessible: Handicapped accessHours:Mon: 08:30 AM to 05:00 PMTue: 08:30 AM to 05:00 PMWed: 08:30 AM to 05:00 PMThu: 08:30 AM to 12:00 PMFri: 08:30 AM to 12:00 PMSat: 08:00 AM to 01:00 PM

Practice Name: Adams-Browne Dental Associates

Mahboubeh Taghavi, DDS, General Dentistry5126 Summer AveSte 101Memphis, TN 38122(901)818-1990Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: AC Dental of Tennessee PLC

Shelby County

Steve Koplow, DDS, General Dentistry


1101 Fox Meadows BlvdSte 102Sevierville, TN 37862(865)774-1442


Practice Name: Steve A Koplow DDS

Roderick A. Branch, DDS, General Dentistry2154 Frayser BlvdMemphis, TN 38127(901)357-5224Ages Accepted: 5 to 20

Practice Name: Associates Dental Group, P.C.

Ajay K. Dave, DDS, General Dentistry4119 Jackson AveMemphis, TN 38128(901)377-7981

Practice Name: Apple Dental Care

Ajay K. Dave, DDS, General Dentistry3216 Park AveMemphis, TN 38111(901)327-0003

Hours:Mon: 09:00 AM to 06:00 PMTue: 09:00 AM to 06:00 PMWed: 09:00 AM to 06:00 PMFri: 09:00 AM to 06:00 PMSat: 08:00 AM to 12:00 PM


Practice Name: Ajay K. Dave, D.D.S.

Adeline Prophete, DDS, General Dentistry6209 Poplar AveSuite 110Memphis, TN 38119(901)685-1003Ages Accepted: 3 to 20Handicap Accessible: Handicapped accessForeign Languages: Creole, English, French,ItalianHours:Mon: 09:00 AM to 05:00 PMTue: 09:00 AM to 05:00 PMWed: 09:00 AM to 05:00 PMThu: 09:00 AM to 05:00 PMFri: 09:00 AM to 05:00 PM

Practice Name: Adeline Prophete, D.D.S.































































59






Sequatchie County








Practice Name: ALQI

Scott County











Sevier County






Shelby County














































































60


Orpheus L. Triplett, DDS, General DentistryRobert Smith, DDS, General DentistryRasone Jones, DDS, General DentistryKahala Cannon, DDS, General DentistryPractice Name: Chickasaw Dental

Gloria J. Pryor, DDS, General Dentistry2410 Chelsea AveMemphis, TN 38108(901)458-1118Ages Accepted: 3 to 99Handicap Accessible: Handicapped accessHours:Mon: 09:00 AM to 04:00 PMTue: 09:00 AM to 12:00 PMWed: 09:00 AM to 12:00 PMFri: 09:00 AM to 04:00 PM

Practice Name: Chelsea Dental Clinic

Burgin E. Claiborne, DDS, General Dentistry4561 Millbranch RdSuite 1Memphis, TN 38116(901)396-5700Ages Accepted: Ages 2 and OlderHandicap Accessible: Handicapped accessHours:Mon: 07:00 AM to 04:30 PMTue: 07:00 AM to 04:30 PMWed: 07:00 AM to 04:30 PMThu: 07:00 AM to 04:30 PMFri: 08:00 AM to 12:00 PM

Practice Name: Burgin E. Claiborne, D.D.S., P.C.

Orpheus L. Triplett, DDS, General DentistryZachary Johnston, DDS, General DentistryAmelya Hardaway, DDS, General DentistryJonathan Hall, DDS, General DentistryKahala Cannon, DDS, General Dentistry

2877 Poplar AveMemphis, TN 38111(901)324-0093Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: Christ Community Health Services Inc

Orpheus L. Triplett, DDS, General DentistryRasone Jones, DDS, General DentistryZachary Johnston, DDS, General DentistryAmelya Hardaway, DDS, General DentistryJonathan Hall, DDS, General DentistryKahala Cannon, DDS, General Dentistry



5366 Mendenhall MallMemphis, TN 38115(901)271-6100

Practice Name: Christ Community Health Services

Fred C. Heros, DDS, General Dentistry3594 Covington PikeMemphis, TN 38128(901)377-6800Ages Accepted: Ages 3 and OlderHandicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PMSat: 08:00 AM to 12:00 PM

Practice Name: Covington Pike Dental

Gloria J. Pryor, DDS, General Dentistry1032 S Cooper StMemphis, TN 38104(901)276-5822Ages Accepted: 3 to 99Handicap Accessible: Handicapped accessHours:Mon: 09:00 AM to 05:00 PMTue: 09:00 AM to 05:00 PMWed: 09:00 AM to 05:00 PMThu: 09:00 AM to 05:00 PMFri: 09:00 AM to 05:00 PMSat: 09:00 AM to 12:00 PM

Practice Name: Cooper Dental Associates


3362 S 3rd StMemphis, TN 38109(901)398-2442Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: Christ Community Medical Clinic

Dewitt H. King, DDS, General Dentistry2212 Airways BlvdMemphis, TN 38114(901)743-2055

Practice Name: Dewitt H. King, D.D.S.

Ragonva Walls, DDS, General DentistryQuintin Julius, DDS, General DentistryVincent H. Copeland, DDS, General Dentistry



1251 Wesley DrSte 130Memphis, TN 38116(901)332-9170

Practice Name: Dental Health Corporation

Dellwyn M. Turnipseed, DMD, General DentistryDavida A. Hollerman, DMD, General Dentistry

1195 Poplar AveMemphis, TN 38105(901)722-8445Ages Accepted: 3 to 20Handicap Accessible: Handicapped access

Practice Name: Dellwyn M. Turnipseed, D.M.D., P.C.

Dean Johnson, DDS, General Dentistry1440 E Shelby DrSte 2Memphis, TN 38116(901)346-1171Ages Accepted: Ages 3 and OlderHandicap Accessible: Handicapped accessHours:Mon: 09:00 AM to 06:00 PMTue: 09:00 AM to 06:00 PMWed: 09:00 AM to 06:00 PMFri: 09:00 AM to 06:00 PMSat: 09:00 AM to 02:00 PM

Practice Name: Dean Johnson, D.D.S.


2877 Poplar AveMemphis, TN 38111(901)324-0093

Hours:Mon: 09:00 AM to 06:00 PMTue: 09:00 AM to 06:00 PMWed: 08:00 AM to 06:00 PMThu: 08:00 AM to 06:00 PMFri: 08:00 AM to 06:00 PMSat: 08:00 AM to 12:00 PM Orpheus L. Triplett, DDS, General Dentistry

Rasone Jones, DDS, General DentistryZachary Johnston, DDS, General DentistryAmelya Hardaway, DDS, General DentistryJonathan Hall, DDS, General DentistryKahala Cannon, DDS, General Dentistry

3362 S 3rd StMemphis, TN 38109(901)398-2442






Sequatchie County








Practice Name: ALQI

Scott County





Mobile Unit 23Pigeon Forge, TN 37863(865)804-2465









Sevier County



Mobil Unit-4Dunlap, TN 37327(423)778-2273








Shelby County












Steve D. Ballard, DDS, General Dentistry2900 Kirby RdSte 12Memphis, TN 38119(901)756-8976

Practice Name: Ballard Family Dentistry PLLC

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3362 S 3rd StMemphis, TN 38109(901)398-2442Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM
















Hours:Mon: 09:00 AM to 06:00 PMTue: 09:00 AM to 06:00 PMWed: 08:00 AM to 06:00 PMThu: 08:00 AM to 06:00 PMFri: 08:00 AM to 06:00 PMSat: 08:00 AM to 12:00 PM Orpheus L. Triplett, DDS, General Dentistry

Rasone Jones, DDS, General DentistryZachary Johnston, DDS, General DentistryAmelya Hardaway, DDS, General DentistryJonathan Hall, DDS, General DentistryKahala Cannon, DDS, General Dentistry

3362 S 3rd StMemphis, TN 38109(901)398-2442






Sequatchie County








Practice Name: ALQI

Scott County





Mobile Unit 23Pigeon Forge, TN 37863(865)804-2465









Sevier County



Mobil Unit-4Dunlap, TN 37327(423)778-2273








Shelby County














62


Lee T. Myers, DDS, General Dentistry1952 Lamar AveMemphis, TN 38114(901)276-4629Ages Accepted: 3 to 21Handicap Accessible: Handicapped access

Practice Name: Family Dentistry

Ashraf A. Husein, DDS, General DentistryBassam Abazid, DDS, General Dentistry

2965 N Germantown RdSte 129Bartlett, TN 38133(901)507-1793


Ages Accepted: Ages 2 and OlderHandicap Accessible: Handicapped accessForeign Languages: Arabic, English, French


Lucy Digmon, DDS, General Dentistry2845 N Houston Levee RdSte 101Cordova, TN 38016(901)266-0555Ages Accepted: Ages 4 and OlderHandicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PM

Practice Name: Digmon Family Dentistry

Ages Accepted: 3 to 99Handicap Accessible: Handicapped accessHours:Mon: 08:45 AM to 06:00 PMTue: 08:45 AM to 06:00 PMWed: 08:45 AM to 06:00 PMThu: 08:45 AM to 06:00 PMFri: 08:45 AM to 06:00 PM

Eric Sharks, DDS, General DentistryJohn W. Rankin, Jr., DDS, General DentistryManise Labady, DDS, General DentistryBrent Johnson, DDS, General DentistryLovelace P. Gipson, II, DDS, General DentistryAnna Duval, DDS, General DentistryTandra F. Atkins, DDS, General Dentistry

1216 Thomas StMemphis, TN 38107(901)525-3800Ages Accepted: 1 to 20Handicap Accessible: Handicapped accessSpecial Needs: Yes

Practice Name: Firestone Dental Group

Eric Sharks, DDS, General DentistryBeverly H. Lewis, DDS, General DentistryManise Labady, DDS, General DentistryBrent Johnson, DDS, General DentistryLovelace P. Gipson, II, DDS, General DentistryAnna Duval, DDS, General DentistryTandra F. Atkins, DDS, General Dentistry



1057 E Raines RdPO Box 70406Memphis, TN 38116(901)525-3800



Joyce R. Freshwater, DDS, General Dentistry577 E Raines RdMemphis, TN 38109(901)345-8582Ages Accepted: Ages 2 and Older

Practice Name: Freshwater Dental

Floyd A. Garrett, DDS, General Dentistry8089 Walnut Run RdSuite 3Cordova, TN 38018(901)737-8981



Practice Name: Floyd Garrett, D.D.S.

Eric Sharks, DDS, General DentistryManise Labady, DDS, General DentistryLovelace P. Gipson, II, DDS, General DentistryAnna Duval, DDS, General Dentistry



5430 Winchester RdMemphis, TN 38115(901)525-3800



Lee T. Myers, DDS, General Dentistry3725 Riverdale RdSuite 1Memphis, TN 38115(901)797-3077Ages Accepted: Ages 4 and OlderHandicap Accessible: Handicapped access

Practice Name: Hickory Hill Family Dentistry


6757 E Shelby DrMemphis, TN 38141(901)276-7314

Hours:Mon: 09:00 AM to 05:00 PMWed: 09:00 AM to 05:00 PMFri: 09:00 AM to 05:00 PMSat: 09:00 AM to 01:00 PM


Practice Name: Hedgerow Family Dentistry

Harry T. Coleman, DDS, General Dentistry3087 Park AveMemphis, TN 38111(901)327-4200Ages Accepted: 2 to 99Handicap Accessible: Handicapped accessHours:Mon: 09:00 AM to 06:00 PMTue: 09:00 AM to 06:00 PMWed: 09:00 AM to 06:00 PMFri: 09:00 AM to 06:00 PMSat: 08:00 AM to 12:00 PM

Practice Name: Harry T. Coleman, D.D.S., P.C.

Hours:Mon: 09:00 AM to 05:00 PMTue: 01:00 PM to 07:00 PMWed: 09:00 AM to 05:00 PMThu: 09:00 AM to 05:00 PMFri: 09:00 AM to 05:00 PM





































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John B. Lott, Sr., DDS, General Dentistry1297 Marlin RdP.O. Box 16306Memphis, TN 38116(901)396-6753Ages Accepted: Ages 2 and OlderHandicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: John B. Lott, D.D.S.

Joe D. O'Neal, DDS, General Dentistry9540 Plantation Lake RdCollierville, TN 38017(901)276-7314

Practice Name: Joe D O'Neal DDS

Nancy Massey, DDS, General DentistryHooman Lohrasbi, DDS, General DentistryNada Kordab, DDS, General DentistryEunjung Edwards, DDS, General DentistrySharad S. Chitalia, DDS, General Dentistry


845 S Highland StMemphis, TN 38111(901)323-8488Ages Accepted: 4 to 20Handicap Accessible: Handicapped accessForeign Languages: Arabic, English, French,Hindi, Spanish

Practice Name: Highland Park Dental Center, P.C.


Ragonva Walls, DDS, General DentistryMahboubeh Taghavi, DDS, General DentistryRobert Stetzel Jr, DDS, General DentistryVincent J. Price, DDS, General DentistryAnthony Price, DDS, General Dentistry


2900 Kirby RdSuite 9Memphis, TN 38119(901)755-7392

Hours:Tue: 09:00 AM to 06:00 PMWed: 09:00 AM to 06:00 PMThu: 09:00 AM to 06:00 PMFri: 09:00 AM to 06:00 PMSat: 09:00 AM to 01:00 PM

Practice Name: Kirby Family Dentistry Inc

Keith D. Morris, DDS, General Dentistry8089 Walnut Run RdSte 1Cordova, TN 38018(901)753-0071Hours:Mon: 08:30 AM to 05:00 PMTue: 08:30 AM to 05:00 PMWed: 08:30 AM to 05:00 PMThu: 08:30 AM to 05:00 PMFri: 08:30 AM to 01:00 PMSat: 08:30 AM to 01:00 PM

Practice Name: Keith Morris Family Dentistry PLLC

John B. Lott, Sr., DDS, General Dentistry771 E Mallory AveMemphis, TN 38106(901)775-9616Ages Accepted: 2 to 21Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM


Murray S. Alperin, DDS, General Dentistry

Practice Name: Murray S. Alperin, D.D.S.

Victoria Rice, DDS, General Dentistry

Cory L. Newsom-Broughton, DDS, General Dentistry

4250 Faronia RdMemphis, TN 38116(901)373-5433



Practice Name: Miller Dental Health Inc

Victoria Rice, DDS, General Dentistry5124 Stage RdSte C2Memphis, TN 38134(901)373-5433Ages Accepted: 3 to 21Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PM

Practice Name: Miller Dental Health

Marilyn Phillips, DDS, General Dentistry3159 Highway 64Ste 100Eads, TN 38028(901)465-2382Ages Accepted: Ages 3 and OlderHandicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PMSat: 09:00 AM to 02:00 PM

Practice Name: Lighthouse Family Dentistry

O Sykes, DDS, General Dentistry1399 Airways BlvdSte 6Memphis, TN 38114(901)323-7613Ages Accepted: 5 to 20Handicap Accessible: Handicapped accessHours:Mon: 09:00 AM to 06:00 PMTue: 09:00 AM to 06:00 PMWed: 09:00 AM to 06:00 PMThu: 09:00 AM to 02:00 PMFri: 09:00 AM to 06:00 PMSat: 09:00 AM to 02:00 PM

Practice Name: O.T. Sykes, D.D.S.

Tonya M. Anderson, DDS, General Dentistry3719 Riverdale RdMemphis, TN 38115(901)366-9953

Practice Name: New Image Family Dentistry

Tonya M. Anderson, DDS, General Dentistry2713 Mount Moriah, Suite 101Memphis, TN 38115(901)366-9953Ages Accepted: 2 to 99Hours:Mon: 09:00 AM to 05:30 PMTue: 09:00 AM to 05:30 PMWed: 09:00 AM to 05:30 PMThu: 09:00 AM to 05:30 PMFri: 09:00 AM to 05:30 PMSat: 09:00 AM to 12:00 PM



1130 S 3rd StMemphis, TN 38106(901)948-7052











































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1130 S 3rd StMemphis, TN 38106(901)948-7052











































66


Richard D. Meekins, DDS, General Dentistry

Practice Name: Richard D. Meekins, D.D.S., P.C.

Philip Carter, DDS, General Dentistry3030 Covington PikeSte 150Memphis, TN 38128(901)213-9337

Practice Name: PurfixSmile Dental Inc

Valencia D. May, DDS, General DentistryMary F. Crawford, DDS, General Dentistry


3468 Plaza AveMemphis, TN 38111(901)452-1104

Practice Name: Plaza Dental Offices, PC

O Sykes, DDS, General Dentistry2523 Lamar AveMemphis, TN 38114(901)323-7613Ages Accepted: Ages 5 and OlderHandicap Accessible: Handicapped accessHours:Mon: 09:00 AM to 06:00 PMTue: 09:00 AM to 06:00 PMWed: 09:00 AM to 06:00 PMThu: 09:00 AM to 02:00 PMFri: 09:00 AM to 06:00 PM

Practice Name: OT Sykes

Mihaela D. Leordeanu, DDS, General Dentistry4515 Poplar AveSte 227Memphis, TN 38117(901)680-9578Ages Accepted: 2 to 21Handicap Accessible: Handicapped accessHours:Mon: 09:00 AM to 05:00 PMTue: 09:00 AM to 05:00 PMWed: 09:00 AM to 05:00 PMThu: 09:00 AM to 05:00 PMFri: 09:00 AM to 05:00 PM

Practice Name: Oak Court Dental

Freida C. Grimes-Moore, DDS, General Dentistry2805 Summer Oaks DrBartlett, TN 38134(901)385-9898Ages Accepted: Ages 2 and OlderHandicap Accessible: Handicapped accessSpecial Needs: Yes

Practice Name: Smiles Are Us Dental Center PC

Carlos D. Alexander, DDS, General Dentistry1697 Bender RdMemphis, TN 38116(901)346-1820

Hours:Mon: 10:00 AM to 06:00 PMTue: 10:00 AM to 06:00 PMWed: 01:00 PM to 08:00 PMThu: 10:00 AM to 06:00 PMFri: 09:00 AM to 01:00 PM


Practice Name: Smile Studios of Memphis

Juan C. Salazar, DDS, General Dentistry


6799 Great Oaks RdSte 201Memphis, TN 38138(901)753-0404

Practice Name: Salazar Dental Group



2390 Lamar AveMemphis, TN 38114(901)743-0704

Larry W. Herring, DDS, General Dentistry


183 Tillman StMemphis, TN 38111(901)452-3211

Practice Name: The Herring Dental, P.A.


3461 Ridge Meadow PkwyMemphis, TN 38115(901)365-5454



Practice Name: The Dental Connection East, P.C.

Sherrye Cosby, DDS, General Dentistry


4205 Hacks Cross RdSte 118Memphis, TN 38125(901)737-8714


Practice Name: Superior Smiles of Memphis LLC

Hours:Mon: 09:00 AM to 05:00 PMTue: 09:00 AM to 05:00 PMWed: 09:00 AM to 05:00 PMThu: 01:00 PM to 07:00 PMFri: 09:00 AM to 05:00 PM

Joe D. O'Neal, DDS, General Dentistry


1331 Union AveSte 1225Memphis, TN 38104(901)276-7314


Practice Name: Union Avenue Dental Associates

Toya P. Dawson, DDS, General Dentistry


2348 Park AveMemphis, TN 38114(901)327-6166


Practice Name: Toya P. Dawson, D.D.S.

Timothy W. Kutas, DDS, General Dentistry


519 N Highland StMemphis, TN 38122(901)327-5604

Hours:Mon: 09:00 AM to 05:00 PMTue: 01:00 PM to 05:00 PMWed: 09:00 AM to 05:00 PMFri: 09:00 AM to 05:00 PM

Practice Name: Timothy W Kutas DDS







































1130 S 3rd StMemphis, TN 38106(901)948-7052


67































































































1130 S 3rd StMemphis, TN 38106(901)948-7052


68




1440 E Shelby DrSuite 5Memphis, TN 38116(901)755-7392Ages Accepted: Ages 2 and OlderHandicap Accessible: Handicapped accessSpecial Needs: Yes

Practice Name: Vincent J Price Family Dentistry Inc

Vanraj M. Modhvadia, DDS, General Dentistry3122 Thomas StMemphis, TN 38127(901)353-2424Ages Accepted: 3 to 20Handicap Accessible: Handicapped accessHours:Mon: 09:00 AM to 05:00 PMTue: 09:00 AM to 05:00 PMThu: 09:00 AM to 05:00 PMFri: 09:00 AM to 05:00 PMSat: 09:00 AM to 12:30 PM

Practice Name: Vanraj M. Modhvadia, D.D.S.

Roy A. Hudson, III, DDS, General Dentistry


516 Vance AveMemphis, TN 38126(901)526-4442


Practice Name: Vance Avenue Dental Clinic PLLC

Nathan D. Willis, DDS, General DentistryWilliam C. Shipley, DDS, General DentistryBrandon Roller, DMD, General DentistryBarry Hopper, DDS, General DentistryFrank M. Geisenhaver, DDS, General Dentistry


401 Martin Luther King Jr BlvdBristol, TN 37620(423)968-4422

Practice Name: Alamont Dental Associates PC

Sullivan County

Angela M. Skidmore, DDS, General Dentistry


4801 Cuba Millington RdMillington, TN 38053(901)872-8787


Practice Name: Westenn Dental Center

Mialika K. Watkins, DDS, General Dentistry


3912 Elvis Presley BlvdMemphis, TN 38116(901)398-8216


Practice Name: Watkins Family Dentistry LLC

Stephanie A. Snelson, DDS, General Dentistry1522 Edgemont AveBristol, TN 37620(423)764-7100

Practice Name: Stephanie A. Snelson, D.D.S.

Wallace Hoskins, DDS, General Dentistry


1203 N Wilcox DrSte CKingsport, TN 37660(423)247-5137


Practice Name: Dwight A. DeBow, DDS, PC

James Seaver, DDS, General DentistryTyler Pittman, DDS, General DentistryAndrew Hagan, DMD, General Dentistry

1990 Highway 394Ste JBlountville, TN 37617(423)217-1338



Practice Name: Blountville Dental Associates


Wallace Hoskins, DDS, General DentistryAndrew Hagan, DMD, General Dentistry

1041 E Sullivan StKingsport, TN 37660(423)279-2777Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: Yes

Practice Name: Sullivan County Children's Dental Clinic

Wallace Hoskins, DDS, General DentistryBarry Hopper, DDS, General Dentistry

975 Emergency RoadBlountville, TN 37617(423)279-2777Ages Accepted: Ages 0 and OlderHandicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 07:30 AM to 06:00 PMTue: 07:30 AM to 06:00 PMWed: 07:30 AM to 06:00 PMThu: 07:30 AM to 06:00 PMFri: 07:30 AM to 06:00 PM


Steven C. Marrs, DDS, General Dentistry


108 Poplar Ridge RdP.O. Box 244Piney Flats, TN 37686(423)538-4044


Practice Name: Steven C. Marrs, D.D.S.



























































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Sullivan County





























































































70


Olivia Stovall-Wilson, DDS, General Dentistry


623 E Main StHendersonville, TN 37075(615)822-3115

Practice Name: Bluegrass Dentistry PLC

Carl W. Bankston, Jr., DDS, General Dentistry


335J W Main StGallatin, TN 37066(615)452-6191


Practice Name: Bankston's Family Dentistry

Sumner County

Douglas Mullins, DDS, General DentistryJeffrey Mercer, DDS, General DentistryClayton Davis, DDS, General Dentistry

613 Watauga StSuite DKingsport, TN 37660(423)245-7741Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: Watauga Dental Center


James M. Rollins, DDS, General Dentistry


394 W Main StHendersonville, TN 37075(615)824-9774


Practice Name: James M. Rollins, D.D.S.

James Howard, DMD, General Dentistry


102 Glen Oak BlvdSte 50AHendersonville, TN 37075(615)826-5533


Practice Name: Howard Dentistry PLLC

Tania Hunter, DDS, General Dentistry


1020 Antebellum CirMonthaven Business ParkHendersonville, TN 37075(615)824-0020


Practice Name: Distinctive Dentistry by Tania Hunter DDS


Angela M. Skidmore, DDS, General DentistryStephanie Holsey, DMD, General Dentistry

726 Highway 51 NCovington, TN 38019(901)476-0661Ages Accepted: Ages 2 and OlderHandicap Accessible: Handicapped access

Practice Name: Covington Dental Care

Kenya Larkins, DDS, General Dentistry11092 Highway 51 SSte B P O Box 647Atoka, TN 38004(901)840-2323Hours:Mon: 09:00 AM to 08:00 PMTue: 09:00 AM to 08:00 PMWed: 09:00 AM to 08:00 PMThu: 09:00 AM to 08:00 PMFri: 09:00 AM to 08:00 PM

Practice Name: Atoka Family Dentistry

Tipton County

Brent Miller, DDS, General DentistryWilliam Hill, DDS, General DentistryRodney Gean, DDS, General DentistryPatrick Carroll, DDS, General DentistryChristian Bennerman, DDS, General Dentistry

112 Saundersville RdSte B226Hendersonville, TN 37075(615)822-2626Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 05:00 PM

Practice Name: Village Dental Group

Mary Beth Tabor, DDS, General Dentistry107 Maple Row BlvdHendersonville, TN 37075(615)822-5588

Practice Name: Mary Beth Tabor DDS

Andrew Marshall, DDS, General DentistryPractice Name: Hartsville Dental Care

Trousdale County

John W. Turner, DDS, General Dentistry


843 Tipton RdP O Box 1023Munford, TN 38058(901)837-6300

Practice Name: Turner Family Dentistry PLLC

Cheryl D. Reese, DDS, General Dentistry973 Highway 51 NSte 7Covington, TN 38019(901)476-3777

Practice Name: Reese Family Dentistry LLC

Clarice R. White, DDS, General Dentistry


12173 Main StSte BMason, TN 38049(901)294-2634


Practice Name: Dr C R White & Associate Dental Center Inc

















Sullivan County





































71











Sumner County


























Tipton County







Trousdale County




























Sullivan County





































72


Mary A. Lewis, DMD, General Dentistry


4330 Maynardville HwyP.O. Box 279Maynardville, TN 37807(865)992-3849

Practice Name: Union County Health Center

John C. Osborn, DDS, General Dentistry



Hours:Mon: 01:00 PM to 08:00 PMTue: 09:00 AM to 12:00 PMThu: 09:00 AM to 05:00 PMFri: 09:00 AM to 05:00 PM

Practice Name: John C. Osborn Family Dentistry

Union County

110 McMurry Blvd EHartsville, TN 37074(615)374-9181Ages Accepted: Ages 3 and OlderHandicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PM

Misty Horn-Blake, DDS, General DentistryBrandon Blake, DDS, General Dentistry

1301 Sunset DrSte 6Johnson City, TN 37604(423)283-8830Ages Accepted: 0 to 21Hours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PM

Practice Name: Misty Horn-Blake DDS PC

Rebecca Nunley, DDS, General Dentistry


108 W 10th AveJohnson City, TN 37604(423)979-1800


Practice Name: Dr Rebecca Nunley

Washington County

Robert K. Bewick, DDS, General Dentistry810 Sparta StSuite 6MC Minnville, TN 37110(931)473-2782

Practice Name: R. Kent Bewick, D.D.S.

Warren County


Robert Moore, DDS, General Dentistry113 Kennedy DrMartin, TN 38237(731)587-4742

Practice Name: Moore Dental Office

James Moss Jr, DDS, General Dentistry

Ages Accepted: Ages 4 and OlderSpecial Needs: Yes

107 E Locust StDresden, TN 38225(731)364-2215


Practice Name: James T Moss DDS PC

Clarence E. Baker, DDS, General Dentistry103 Kennedy DrFamily Dental CareMartin, TN 38237(731)587-5344Ages Accepted: 0 to 21Handicap Accessible: Handicapped accessHours:Mon: 09:00 AM to 05:30 PMTue: 09:00 AM to 05:30 PMWed: 09:00 AM to 05:30 PMThu: 09:00 AM to 05:30 PM

Practice Name: Clarence E. Baker, D.D.S.

Weakley County

T.R. Patel, DDS, General Dentistry


502 Princeton RdSte BJohnson City, TN 37601(423)282-0042


Practice Name: T.R. Patel, D.D.S.

Brent Miller, DDS, General DentistryPractice Name: Grassland Dental

Patrick Carroll, DDS, General DentistryNathan Burns, DMD, General Dentistry

1642 Westgate CirBrentwood, TN 37027(615)373-9889


Ages Accepted: 1 to 13Special Needs: Yes

Practice Name: Brentwood Dental Specialists LLC

Williamson County

Herbert Winstead, DMD, General Dentistry


11765 McMinnville HwyWalling, TN 38587(931)657-5204


Practice Name: Walling Dental Center

White County












Sumner County


























Tipton County







Trousdale County













73











Union County










Washington County



Warren County











Weakley County












Williamson County






White County












Sumner County


























Tipton County







Trousdale County













74


Jared Anway, DDS, General Dentistry


7269 Nolensville RdNolensville, TN 37135(615)776-1050

Practice Name: Mill Creek Dental

Pamela Harris, DDS, General DentistryKyna C. Dublin, DDS, General Dentistry

1000 Meridian BlvdSte 108Franklin, TN 37067(615)771-8809Ages Accepted:Handicap Accessible: Handicapped accessHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 12:00 PM

Practice Name: Meridian Dental Centre


2090 Oxford GlnSte 500Franklin, TN 37067(615)595-5959



Practice Name: McKays Mill Dental

2090 Oxford Glen DrSte 500Franklin, TN 37067(615)595-5959

Shahla Azhdari, DDS, General Dentistry

Ages Accepted: Ages 0 to 20Handicap Accessible: Handicapped accessPractice Limitations: Williamson Countymembers only

2280 Fairview BlvdP.O. Box 539Fairview, TN 37062(615)799-2090


Practice Name: Shahla Azhdari, D.D.S., M.S.

Leah Lee, DDS, General Dentistry


1441 New Highway 96 WSte 6Franklin, TN 37064(615)790-4994

Hours:Mon: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 01:00 PM

Practice Name: Sara B Northcutt, DDS

Alireza Blourchian, DDS, General Dentistry


155 Covey DrSte 300Franklin, TN 37067(615)591-4490


Practice Name: New Image Dentistry




1025 Westhaven BlvdSte 150Franklin, TN 37064(615)599-9752


Practice Name: WHV Dental LLC

Steven H. Rezba, DDS, General Dentistry


3326 Aspen Grove DrSuite 120Franklin, TN 37067(615)771-2151


Practice Name: Steven H. Rezba, D.D.S.



125 Cool Springs BlvdSte 140Franklin, TN 37067(615)771-1111Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: Yes


Shaun Bivens, DMD, General Dentistry541 N Mt Juliet RdSte 2302Mt Juliet, TN 37122(615)773-8882Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: Yes

Practice Name: Dr Shaun M Biven Family & Cosmetic Dentistry

Juanita A. Rouse, DDS, General Dentistry

Hours:Tue: 06:30 PM to 09:30 PMWed: 06:30 PM to 09:30 PMThu: 09:00 AM to 01:00 PM

2510 N Mount Juliet RdMount Juliet, TN 37122(615)754-8890

Practice Name: Creative Dentistry, PC- Wilson County

Chadwick L. Williams, DDS, General Dentistry



414 Hill StLebanon, TN 37087(615)444-2069

Practice Name: Chadwick L. Williams DMD PLLC

Chadwick L. Williams, DDS, General Dentistry205 W High StSte 104Lebanon, TN 37087(615)444-2069


Wilson County






Mobile Unit 24Maynardville, TN 37807(865)804-2465







Union County










Washington County



Warren County











Weakley County












Williamson County






White County



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Wilson County






Mobile Unit 24Maynardville, TN 37807(865)804-2465







Union County










Washington County



Warren County











Weakley County












Williamson County






White County



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Steven Scallions, DDS, General DentistryRajan Kshatri, DDS, General DentistryEmily Finney, DMD, General Dentistry

66 E Hill DrSte AMount Juliet, TN 37122(615)758-2085Ages Accepted: Ages 3 and OlderHandicap Accessible: Handicapped accessSpecial Needs: Yes

Practice Name: Mt Juliet Family Dentistry

Bracy Haynie, DDS, General Dentistry102 Hartman DrSuite HLebanon, TN 37087(615)449-8800Ages Accepted: Ages 2 and OlderHandicap Accessible: Handicapped accessHours:Fri: 08:00 AM to 05:00 PM

Practice Name: Lebanon Family Dentistry

Herman Montgomery, DDS, General Dentistry701 Park AveLebanon, TN 37087(615)453-9937Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 12:00 PM

Practice Name: Herman Q L Montgomery DDS


Rajan Kshatri, DDS, General DentistryTimothy Fritsch, DMD, General Dentistry


401 W Main StSte 205Lebanon, TN 37087(615)444-2262

Practice Name: West Wilson Dental Group

John Workman, DDS, General DentistryMark H. Whitefield, DDS, General DentistryMatthew Avrit, DMD, General Dentistry

Hours:Fri: 08:00 AM to 05:00 PMSat: 08:00 AM to 05:00 PM


Practice Name: Weekend Dental LLC

Tonia-Marie Porter, DDS, General DentistryChadwick Porter, DDS, General Dentistry

125 S College StLebanon, TN 37087(615)449-3222

Practice Name: Porter Dentistry LLC


























































Wilson County

77


Steven Scallions, DDS, General DentistryRajan Kshatri, DDS, General DentistryEmily Finney, DMD, General Dentistry

66 E Hill DrSte AMount Juliet, TN 37122(615)758-2085Ages Accepted: Ages 3 and OlderHandicap Accessible: Handicapped accessSpecial Needs: Yes

Practice Name: Mt Juliet Family Dentistry

Bracy Haynie, DDS, General Dentistry102 Hartman DrSuite HLebanon, TN 37087(615)449-8800Ages Accepted: Ages 2 and OlderHandicap Accessible: Handicapped accessHours:Fri: 08:00 AM to 05:00 PM

Practice Name: Lebanon Family Dentistry

Herman Montgomery, DDS, General Dentistry701 Park AveLebanon, TN 37087(615)453-9937Ages Accepted:Handicap Accessible: Handicapped accessSpecial Needs: YesHours:Mon: 08:00 AM to 05:00 PMTue: 08:00 AM to 05:00 PMWed: 08:00 AM to 05:00 PMThu: 08:00 AM to 05:00 PMFri: 08:00 AM to 12:00 PM

Practice Name: Herman Q L Montgomery DDS


Rajan Kshatri, DDS, General DentistryTimothy Fritsch, DMD, General Dentistry


401 W Main StSte 205Lebanon, TN 37087(615)444-2262

Practice Name: West Wilson Dental Group

John Workman, DDS, General DentistryMark H. Whitefield, DDS, General DentistryMatthew Avrit, DMD, General Dentistry

Hours:Fri: 08:00 AM to 05:00 PMSat: 08:00 AM to 05:00 PM


Practice Name: Weekend Dental LLC

Tonia-Marie Porter, DDS, General DentistryChadwick Porter, DDS, General Dentistry

125 S College StLebanon, TN 37087(615)449-3222

Practice Name: Porter Dentistry LLC


























































Wilson County

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Attachment A - Schedule of BenefitsGroup I A & B

To receive benefits from this Plan, make sure the Provider is a member of the CoverKids Provider Network. If you receive services from an Out-of-Network Provider, you will be responsible for the full payment of the Out-of-Network Provider’s charge. No Benefits are payable for services received from Out-of-Network Providers.

Your dentist will tell you if a service is going to be paid by CoverKids or not before he or she treats you.


DENTAL BENEFITS GROUP ONE A CHILD

GROUP ONE B CHILD

Preventive-- Fluoride treatments - Fluoride varnish 1 year of

age or older up to age 14 - 2 per calendar year-- Dental sealants - For permanent molars, no limit-- Cleanings - 2 cleanings per calendar year

No co-payment No co-payment

Diagnostic Services-- Oral exams - 2 oral exams per calendar year-- X-rays - Bitewings 2 years of age and older 1

per calendar year Full mouth x-rays 1 every three calendar years

No co-payment No co-payment

Emergency Services-- Example - Minor procedure to get patient out of pain - During office hours 2 visits per calen-

dar year - After office hours 2 visits per calendar year

$15 co-payment $15 co-payment

Restorative Services-- Filling-- Crowns


Extractions $15 co-payment $15 co-payment

Anesthesia - Provided only when medically indicated


Other Dental Services $15 co-payment $15 co-payment

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*Children enrolled in CoverKids prior to July 1, 2010 must wait 12 months before they can obtain orthodontic benefits. Children enrolled in CoverKids on or after July 1, 2010 must wait 12 months beofe they can obtain orthodontic benefits. Twelve (12) month waiting period must be consecutive months without a break in eligibility.

**The Life Orthodontic Maximum limit is not applicable to the family’s five percent (5%) cost sharing.

Please keep in mind there are certain covered dental services that will be subtracted from your $1,000 annual benefit cap. The amount of payment made to your dentist will be decided once DentaQuest receives and processes your dental claim and determines how much money remains in your $1,000 annual benefit cap.

If you have exceeded your $1,000 annual benefit cap you will be responsible for payment to your dentist for those services. If you have questions about your dental benefits or payments for dental services please call DentaQuest at 1-888-291-3766 or speak with your dentist.

Orthodontic Services (as of July 1, 2010) - 12-month waiting period*

$15 copayment $15 copayment

Lifetime Orthodontic Maximum amount person**

$1,250 $1,250

Deductibles None None

Annual Benefit Maximum per child $1,000 $1,000

Out of Pocket Maximum as a Percentage (%) of Annual Family Income

5% Not applicable

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Attachment A - Schedule of BenefitsGroup II




DENTAL BENEFITS GROUP TWO CHILD

Preventive-- Fluoride treatments - Fluoride varnish 1 year of age or

older up to age 14 - 2 per calendar year-- Dental sealants - For permanent molars, no limit-- Cleanings - 2 cleanings per calendar year

No co-payment

Diagnostic Services-- Oral exams - 2 oral exams per calendar year-- X-rays - Bitewings 2 years of age and older 1 per calendar

year Full mouth x-rays 1 every three calendar years

No co-payment

Emergency Services-- Example - Minor procedure to get patient out of pain - During office hours 2 visits per calendar year -

After office hours 2 visits per calendar year

$5 co-payment


$5 co-payment

Extractions $5 co-payment

Anesthesia - Provided only when medically indicated $5 co-payment

Other Dental Services $5 co-payment

81






$15 copayment


$1,250

Deductibles None

Annual Benefit Maximum per child $1,000


5%

82

Attachment A - Schedule of BenefitsGroup AI/AN



Your dentist may say you need certain dental services. Talk to your dentist before you receive these services so you are fully aware of what you may have to pay. Your dentist will look at the Office Reference Manual for CoverKids and let you know if you may have to pay for the services because it may not be covered by CoverKids.,

DENTAL BENEFITSAMERICAN INDIAN/ALASKAN NATIVE

(AI/AN) CHILD

Preventive-- Fluoride treatments - Fluoride varnish 1 year of age or

older up to age 14 - 2 per calendar year-- Dental sealants - For permanent molars, no limit-- Cleanings - 2 cleanings per calendar year

No co-payment

Diagnostic Services-- Oral exams - 2 oral exams per calendar year-- X-rays - Bitewings 2 years of age and older 1 per calendar

year Full mouth x-rays 1 every three calendar years

No co-payment

Emergency Services-- Example - Minor procedure to get patient out of pain - During office hours 2 visits per calendar year -

After office hours 2 visits per calendar year

No co-payment


No co-payment

Extractions No co-payment

Anesthesia - Provided only when medically indicated No co-payment

Other Dental Services No co-payment

83






$15 copayment


$1,250

Deductibles None

Annual Benefit Maximum per child $1,000


Not applicable

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DentaQuest12121 N. Corporate Parkway

Mequon, WI 53092

member handbook - dentaquest€¦ · home is a dentist your child sees regularly. this dentist will...

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