you’re not responsible for charges over the allowed amount ......as an individual or group member,...

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As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one from our network has its advantages: - You’re not responsible for charges over the allowed amount for covered services from a network dental provider – that’s more savings on out-of- pocket dental expenses. - Less paperwork for you: Network dental providers will file your dental claims for you. If you’re a group member with access to our DentalPlus provider network, the DentalPlus network includes the same BCBSNC network in North Carolina, plus additional providers across the United States. Check your member ID card to find out if you have DentalPlus access, or contact your group administrator for help. DISCLAIMER: You must be enrolled in a dental plan that offers a participating provider arrangement. Please refer to your Member Guide for details. THIS DATA UPDATED AS NEEDED TWICE PER MONTH We do our best to post the most accurate, up-to-date information. However, because we continually add providers to our network and providers occasionally decide to discontinue their participation, we cannot guarantee the accuracy or currency of our information at the time of your search. While this PDF file is open, select Edit from the top of the page, then select Find. A small window should open up; type the word that you want to locate into the text field. Then click on the "Find" or "Find Next" button. The document should jump to the section containing that word and should highlight it. Please check with the provider before receiving services to confirm the provider is active in the BCBSNC network in NC or the DenteMax network outside of NC or call 1-800-305-6638. Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

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Page 1: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one from our network has its advantages:

- You’re not responsible for charges over the allowed amount for covered services from a network dental provider – that’s more savings on out-of-pocket dental expenses.

- Less paperwork for you: Network dental providers will file your dental claims for you.

If you’re a group member with access to our DentalPlus provider network, the DentalPlus network includes the same BCBSNC network in North Carolina, plus additional providers across the United States. Check your member ID card to find out if you have DentalPlus access, or contact your group administrator for help.

DISCLAIMER: You must be enrolled in a dental plan that offers a participating provider arrangement. Please refer to your Member Guide for details.

THIS DATA UPDATED AS NEEDED TWICE PER MONTH

We do our best to post the most accurate, up-to-date information. However, because we continually add providers to our network and providers occasionally decide to discontinue their participation, we cannot guarantee the accuracy or currency of our information at the time of your search.

While this PDF file is open, select Edit from the top of the page, then select Find. A small window should open up; type the word that you want to locate into the text field. Then click on the "Find" or "Find Next" button. The document should jump to the section containing that word and should highlight it.

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 2: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

GUERRANT, GEORGE PEETA, UMAGeneral Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA

435 WEST COLISEUM BOULEVARD, FORT WAYNE 435 WEST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 969-5367 Phone: (260) 969-5367

County: ALLEN County: ALLEN

ANTHONY, THOMAS JOHNSON, STEVEN PERRY, SVETLANAGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA

435 WEST COLISEUM BOULEVARD, FORT WAYNE 435 WEST COLISEUM BOULEVARD, FORT WAYNE 435 WEST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 969-5367 Phone: (260) 969-5367 Phone: (260) 969-5367

County: ALLEN County: ALLEN County: ALLEN

ARNETT, SHANNON KUMAR, POOJA PRASAD, ROLLINGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA

435 WEST COLISEUM BOULEVARD, FORT WAYNE 435 WEST COLISEUM BOULEVARD, FORT WAYNE 435 WEST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 969-5367 Phone: (260) 969-5367 Phone: (260) 969-5367

County: ALLEN County: ALLEN County: ALLEN

BATES, ROBERT LU, BIQING PUNJ, AMITGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA

435 WEST COLISEUM BOULEVARD, FORT WAYNE 435 WEST COLISEUM BOULEVARD, FORT WAYNE 435 WEST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 969-5367 Phone: (260) 969-5367 Phone: (260) 969-5367

County: ALLEN County: ALLEN County: ALLEN

COLE, ELDON MALKOWSKI, FRED SIMON, KATHRYNGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA

435 WEST COLISEUM BOULEVARD, FORT WAYNE 435 WEST COLISEUM BOULEVARD, FORT WAYNE 435 WEST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 969-5367 Phone: (260) 969-5367 Phone: (260) 969-5367

County: ALLEN County: ALLEN County: ALLEN

DARSHANI, KIRTI PAGE, GARY STERBA, WAYNEGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA

435 WEST COLISEUM BOULEVARD, FORT WAYNE 435 WEST COLISEUM BOULEVARD, FORT WAYNE 435 WEST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 969-5367 Phone: (260) 969-5367 Phone: (260) 969-5367

County: ALLEN County: ALLEN County: ALLEN

ESLINGER, BRYAN PATEL, BRIJESH VELASCO, ALBERTOGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA

435 WEST COLISEUM BOULEVARD, FORT WAYNE 435 WEST COLISEUM BOULEVARD, FORT WAYNE 435 WEST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 969-5367 Phone: (260) 969-5367 Phone: (260) 969-5367

County: ALLEN County: ALLEN County: ALLEN

ALLEN County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 3: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

ADLER, BROOKE CHOWHAN IQBAL, NADIA DOWNEY, CLARKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

720 EAST COLISEUM BOULEVARD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 483-4888 Phone: (260) 483-4888 Phone: (260) 483-4888

County: ALLEN County: ALLEN County: ALLEN

ADLER, BROOKE COLLURU, KRISHNA DOWNEY, CLARKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46805 FORT WAYNE, IN 46804

Phone: (260) 432-7970 Phone: (260) 483-4888 Phone: (260) 432-7970

County: ALLEN County: ALLEN County: ALLEN

AHMAD, NASIR COLLURU, KRISHNA ENGLES, LEIFOral Surgery General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46804 FORT WAYNE, IN 46805

Phone: (260) 483-4888 Phone: (260) 432-7970 Phone: (260) 483-4888

County: ALLEN County: ALLEN County: ALLEN

BUCK, JOSHUA CREAGER, TESSA ENGLES, LEIFGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

720 EAST COLISEUM BOULEVARD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805 FORT WAYNE, IN 46804

Phone: (260) 483-4888 Phone: (260) 483-4888 Phone: (260) 432-7970

County: ALLEN County: ALLEN County: ALLEN

BUCK, JOSHUA CREAGER, TESSA ESLINGER, BRYANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4716 ILLINOIS ROAD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46804 FORT WAYNE, IN 46805

Phone: (260) 432-7970 Phone: (260) 432-7970 Phone: (260) 483-4888

County: ALLEN County: ALLEN County: ALLEN

BUKSAR, DAVID DANIEL, KYLE ESLINGER, BRYANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

720 EAST COLISEUM BOULEVARD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805 FORT WAYNE, IN 46804

Phone: (260) 483-4888 Phone: (260) 483-4888 Phone: (260) 432-7970

County: ALLEN County: ALLEN County: ALLEN

BUKSAR, DAVID DANIEL, KYLE FRIEDMAN, KARAGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4716 ILLINOIS ROAD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46804 FORT WAYNE, IN 46805

Phone: (260) 432-7970 Phone: (260) 432-7970 Phone: (260) 483-4888

County: ALLEN County: ALLEN County: ALLEN

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 4: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

FRIEDMAN, KARA GRIFFING, RUSSELL HAWKINS, RACHAELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 432-7970 Phone: (260) 483-4888 Phone: (260) 483-4888

County: ALLEN County: ALLEN County: ALLEN

GHANG, YOHAN GRIFFING, RUSSELL HAWKINS, RACHAELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46804 FORT WAYNE, IN 46804

Phone: (260) 483-4888 Phone: (260) 432-7970 Phone: (260) 432-7970

County: ALLEN County: ALLEN County: ALLEN

GHANG, YOHAN GRIFFITHS, DANIEL JACKSON, ROBERTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4716 ILLINOIS ROAD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46804 FORT WAYNE, IN 46805

Phone: (260) 432-7970 Phone: (260) 432-7970 Phone: (260) 483-4888

County: ALLEN County: ALLEN County: ALLEN

GONQUEH, SHADRACH HAMATI, ISAM JACKSON, ROBERTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

720 EAST COLISEUM BOULEVARD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805 FORT WAYNE, IN 46804

Phone: (260) 483-4888 Phone: (260) 483-4888 Phone: (260) 432-7970

County: ALLEN County: ALLEN County: ALLEN

GONQUEH, SHADRACH HAMATI, ISAM JOHNSON, WILLIAMGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4716 ILLINOIS ROAD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46804 FORT WAYNE, IN 46805

Phone: (260) 432-7970 Phone: (260) 432-7970 Phone: (260) 483-4888

County: ALLEN County: ALLEN County: ALLEN

GRAVES, LINDSEY HARPER, DUSTIN JOHNSON, WILLIAMGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

720 EAST COLISEUM BOULEVARD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805 FORT WAYNE, IN 46804

Phone: (260) 483-4888 Phone: (260) 483-4888 Phone: (260) 432-7970

County: ALLEN County: ALLEN County: ALLEN

GRAVES, LINDSEY HARPER, DUSTIN JONES, ALEXANDRAGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4716 ILLINOIS ROAD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46804 FORT WAYNE, IN 46805

Phone: (260) 432-7970 Phone: (260) 432-7970 Phone: (260) 483-4888

County: ALLEN County: ALLEN County: ALLEN

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 5: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

JONES, ALEXANDRA LEONARD, CHRISTOPHER NOROOZI, AHMAD REZAGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46805 FORT WAYNE, IN 46804

Phone: (260) 432-7970 Phone: (260) 483-4888 Phone: (260) 432-7970

County: ALLEN County: ALLEN County: ALLEN

KHEIRI, AFAQ LEONARD, CHRISTOPHER NOTARIANNI, JOHNGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46804 FORT WAYNE, IN 46805

Phone: (260) 483-4888 Phone: (260) 432-7970 Phone: (260) 483-4888

County: ALLEN County: ALLEN County: ALLEN

KHEIRI, AFAQ LEYES, KATHERINE NOTARIANNI, JOHNGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46805 FORT WAYNE, IN 46804

Phone: (260) 432-7970 Phone: (260) 483-4888 Phone: (260) 432-7970

County: ALLEN County: ALLEN County: ALLEN

LARRABEE, TODD LOSIER, KURT PHILLIPS, AARONGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

720 EAST COLISEUM BOULEVARD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 483-4888 Phone: (260) 483-4888 Phone: (260) 483-4888

County: ALLEN County: ALLEN County: ALLEN

LARRABEE, TODD NIES, MICHAEL PHILLIPS, MARKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46805 FORT WAYNE, IN 46804

Phone: (260) 432-7970 Phone: (260) 483-4888 Phone: (260) 432-7970

County: ALLEN County: ALLEN County: ALLEN

LARSEN, PAUL NIES, MICHAEL PHILLIPS, AARONGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46804 FORT WAYNE, IN 46804

Phone: (260) 483-4888 Phone: (260) 432-7970 Phone: (260) 432-7970

County: ALLEN County: ALLEN County: ALLEN

LARSEN, PAUL NOROOZI, AHMAD REZA RAMCHANDRAREDDY, SHASHIDHARGeneral Dentistry Oral Surgery General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 432-7970 Phone: (260) 483-4888 Phone: (260) 483-4888

County: ALLEN County: ALLEN County: ALLEN

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 6: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

RAMCHANDRAREDDY, SHASHIDHAR SCHILL, GAVIN SMITH, JENNIFERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4716 ILLINOIS ROAD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46804 FORT WAYNE, IN 46805

Phone: (260) 432-7970 Phone: (260) 432-7970 Phone: (260) 483-4888

County: ALLEN County: ALLEN County: ALLEN

REDDY MANDA, ANIL SCHINDLER, CHARLES SMITH, JENNIFERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

720 EAST COLISEUM BOULEVARD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805 FORT WAYNE, IN 46804

Phone: (260) 483-4888 Phone: (260) 483-4888 Phone: (260) 432-7970

County: ALLEN County: ALLEN County: ALLEN

ROSADO, NAHIR SCHINDLER, CHARLES SPARKS, JEREMIAHGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46804 FORT WAYNE, IN 46804

Phone: (260) 483-4888 Phone: (260) 432-7970 Phone: (260) 432-7970

County: ALLEN County: ALLEN County: ALLEN

ROSADO, NAHIR SHANK, KYLE SPARKS, JEREMIAHGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 432-7970 Phone: (260) 483-4888 Phone: (260) 483-4888

County: ALLEN County: ALLEN County: ALLEN

SCHAFER, SEAN SHANK, KYLE STAHL, MARKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46804 FORT WAYNE, IN 46805

Phone: (260) 483-4888 Phone: (260) 432-7970 Phone: (260) 483-4888

County: ALLEN County: ALLEN County: ALLEN

SCHAFER, SEAN SHINGALA, NIMESH STEPHENS, DEREKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 432-7970 Phone: (260) 483-4888 Phone: (260) 483-4888

County: ALLEN County: ALLEN County: ALLEN

SCHILL, GAVIN SHINGALA, NIMESH STEPHENS, DEREKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46804 FORT WAYNE, IN 46804

Phone: (260) 483-4888 Phone: (260) 432-7970 Phone: (260) 432-7970

County: ALLEN County: ALLEN County: ALLEN

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 7: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

SWEET, NICOLE WOO, KIJIN SHANTEAU, OWENGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES HEARTLAND DENTAL CARE

720 EAST COLISEUM BOULEVARD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 2828 EAST STATE BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 483-4888 Phone: (260) 483-4888 Phone: (260) 484-9248

County: ALLEN County: ALLEN County: ALLEN

TITUS, JONATHAN WOO, KIJIN DOWNIE, REBECCAGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES J PAUL DOWNIE DDS

720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE 982 KOEHLINGER DRIVE, NEW HAVEN

FORT WAYNE, IN 46805 FORT WAYNE, IN 46804 NEW HAVEN, IN 46774

Phone: (260) 483-4888 Phone: (260) 432-7970 Phone: (260) 749-1940

County: ALLEN County: ALLEN County: ALLEN

TITUS, JONATHAN YU, MING DOWNIE, JASPERGeneral Dentistry Oral Surgery General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES J PAUL DOWNIE DDS

4716 ILLINOIS ROAD, FORT WAYNE 720 EAST COLISEUM BOULEVARD, FORT WAYNE 982 KOEHLINGER DRIVE, NEW HAVEN

FORT WAYNE, IN 46804 FORT WAYNE, IN 46805 NEW HAVEN, IN 46774

Phone: (260) 432-7970 Phone: (260) 483-4888 Phone: (260) 749-1940

County: ALLEN County: ALLEN County: ALLEN

WAKIM, SAMUEL YU, MING BALON, JOHNGeneral Dentistry Oral Surgery General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES LIFETIME DENTAL CARE OF INDIANA

720 EAST COLISEUM BOULEVARD, FORT WAYNE 4716 ILLINOIS ROAD, FORT WAYNE 2828 EAST STATE BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46804 FORT WAYNE, IN 46805

Phone: (260) 483-4888 Phone: (260) 432-7970 Phone: (260) 482-6689

County: ALLEN County: ALLEN County: ALLEN

WAKIM, SAMUEL LAHRMAN, DON KAVANAUGH, MATHEWGeneral Dentistry Orthodontics General Dentistry

ASPEN DENTAL ASSOCIATES DON E LAHRMAN DDS LIFETIME DENTAL CARE OF INDIANA

4716 ILLINOIS ROAD, FORT WAYNE 6236 WEST JEFFERSON BOULEVARD, FORT WAYNE 2828 EAST STATE BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46804 FORT WAYNE, IN 46805

Phone: (260) 432-7970 Phone: (800) 945-1175 Phone: (260) 482-6689

County: ALLEN County: ALLEN County: ALLEN

WINDSOR, ROBERT COLEMAN, ANGELA SHANTEAU, OWENGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES HEARTLAND DENTAL CARE LIFETIME DENTAL CARE OF INDIANA

720 EAST COLISEUM BOULEVARD, FORT WAYNE 2828 EAST STATE BOULEVARD, FORT WAYNE 2828 EAST STATE BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46805 FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 483-4888 Phone: (260) 484-9248 Phone: (260) 482-6689

County: ALLEN County: ALLEN County: ALLEN

WINDSOR, ROBERT MCBRIDE, DONALD WAN, NKECHIGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES HEARTLAND DENTAL CARE LIFETIME DENTAL CARE OF INDIANA

4716 ILLINOIS ROAD, FORT WAYNE 2828 EAST STATE BOULEVARD, FORT WAYNE 2828 EAST STATE BOULEVARD, FORT WAYNE

FORT WAYNE, IN 46804 FORT WAYNE, IN 46805 FORT WAYNE, IN 46805

Phone: (260) 432-7970 Phone: (260) 484-9248 Phone: (260) 482-6689

County: ALLEN County: ALLEN County: ALLEN

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 8: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

ARGUS, MARY COOPER, JASON LARRABEE DEWELL, KELLIGeneral Dentistry General Dentistry General Dentistry

MARY ELLEN ARGOS DDS SMALL SMILES OF FORT WAYNE SMALL SMILES OF FORT WAYNE

6427 GEORGETOWN NORTH BOULEVARD, FORT WAYNE 7524 KMART PLAZA SOUTH, FORT WAYNE 7524 KMART PLAZA SOUTH, FORT WAYNE

FORT WAYNE, IN 46815 FORT WAYNE, IN 46816 FORT WAYNE, IN 46816

Phone: (260) 486-4444 Phone: (260) 441-8500 Phone: (260) 441-8500

County: ALLEN County: ALLEN County: ALLEN

KAPILIKISHA, MUKUKA CROOM, OLIVIA LOWE, SAMANTHAGeneral Dentistry General Dentistry General Dentistry

MK DENTAL SERVICES SMALL SMILES OF FORT WAYNE SMALL SMILES OF FORT WAYNE

4207 LAKE AVENUE, FORT WAYNE 7524 KMART PLAZA SOUTH, FORT WAYNE 7524 KMART PLAZA SOUTH, FORT WAYNE

FORT WAYNE, IN 46815 FORT WAYNE, IN 46816 FORT WAYNE, IN 46816

Phone: (260) 420-9609 Phone: (260) 441-8500 Phone: (260) 441-8500

County: ALLEN County: ALLEN County: ALLEN

WARNER, RICK DEKKER REED, LISA LU, BIQINGGeneral Dentistry General Dentistry General Dentistry

RICK A WARNER DDS SMALL SMILES OF FORT WAYNE SMALL SMILES OF FORT WAYNE

10540 COLDWATER ROAD, FORT WAYNE 7524 KMART PLAZA SOUTH, FORT WAYNE 7524 KMART PLAZA SOUTH, FORT WAYNE

FORT WAYNE, IN 46845 FORT WAYNE, IN 46816 FORT WAYNE, IN 46816

Phone: (260) 637-4648 Phone: (260) 441-8500 Phone: (260) 441-8500

County: ALLEN County: ALLEN County: ALLEN

BELMER, MARSHALL FELDE, STEVEN MARCH PHILLIPS, MARGARETGeneral Dentistry General Dentistry General Dentistry

SMALL SMILES OF FORT WAYNE SMALL SMILES OF FORT WAYNE SMALL SMILES OF FORT WAYNE

7524 KMART PLAZA SOUTH, FORT WAYNE 7524 KMART PLAZA SOUTH, FORT WAYNE 7524 KMART PLAZA SOUTH, FORT WAYNE

FORT WAYNE, IN 46816 FORT WAYNE, IN 46816 FORT WAYNE, IN 46816

Phone: (260) 441-8500 Phone: (260) 441-8500 Phone: (260) 441-8500

County: ALLEN County: ALLEN County: ALLEN

BRADLEY, KATHLEEN FRASIER, JEREMIAH MERRITT BROOKS, BRIDGETGeneral Dentistry General Dentistry General Dentistry

SMALL SMILES OF FORT WAYNE SMALL SMILES OF FORT WAYNE SMALL SMILES OF FORT WAYNE

7524 KMART PLAZA SOUTH, FORT WAYNE 7524 KMART PLAZA SOUTH, FORT WAYNE 7524 KMART PLAZA SOUTH, FORT WAYNE

FORT WAYNE, IN 46816 FORT WAYNE, IN 46816 FORT WAYNE, IN 46816

Phone: (260) 441-8500 Phone: (260) 441-8500 Phone: (260) 441-8500

County: ALLEN County: ALLEN County: ALLEN

CHOI, YOONHYEOK HARDIN, CALARA MONSON, ANN MARIEGeneral Dentistry General Dentistry General Dentistry

SMALL SMILES OF FORT WAYNE SMALL SMILES OF FORT WAYNE SMALL SMILES OF FORT WAYNE

7524 KMART PLAZA SOUTH, FORT WAYNE 7524 KMART PLAZA SOUTH, FORT WAYNE 7524 KMART PLAZA SOUTH, FORT WAYNE

FORT WAYNE, IN 46816 FORT WAYNE, IN 46816 FORT WAYNE, IN 46816

Phone: (260) 441-8500 Phone: (260) 441-8500 Phone: (260) 441-8500

County: ALLEN County: ALLEN County: ALLEN

CLUTE, STEVEN KUMAR, SHALESH NEWMAN, DUSTINGeneral Dentistry General Dentistry General Dentistry

SMALL SMILES OF FORT WAYNE SMALL SMILES OF FORT WAYNE SMALL SMILES OF FORT WAYNE

7524 KMART PLAZA SOUTH, FORT WAYNE 7524 KMART PLAZA SOUTH, FORT WAYNE 7524 KMART PLAZA SOUTH, FORT WAYNE

FORT WAYNE, IN 46816 FORT WAYNE, IN 46816 FORT WAYNE, IN 46816

Phone: (260) 441-8500 Phone: (260) 441-8500 Phone: (260) 441-8500

County: ALLEN County: ALLEN County: ALLEN

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 9: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

NICHOLSON, TERESA RAJU, SAVITHRI DANIEL, KYLEGeneral Dentistry General Dentistry General Dentistry

SMALL SMILES OF FORT WAYNE TLC DENTAL ASPEN DENTAL ASSOCIATES

7524 KMART PLAZA SOUTH, FORT WAYNE 7908 CARNEGIE BOULEVARD, FORT WAYNE 1310 NORTH NATIONAL ROAD, COLUMBUS

FORT WAYNE, IN 46816 FORT WAYNE, IN 46804 COLUMBUS, IN 47201

Phone: (260) 441-8500 Phone: (260) 423-2525 Phone: (812) 314-0000

County: ALLEN County: ALLEN County: BARTHOLOMEW

PETERSON, HELEN DOWNEY, CLARKGeneral Dentistry General Dentistry

SMALL SMILES OF FORT WAYNE ASPEN DENTAL ASSOCIATES

7524 KMART PLAZA SOUTH, FORT WAYNE 1310 NORTH NATIONAL ROAD, COLUMBUS

FORT WAYNE, IN 46816 COLUMBUS, IN 47201

Phone: (260) 441-8500 Phone: (812) 314-0000

County: ALLEN County: BARTHOLOMEW

REID, AMBER ADLER, BROOKE ENGLES, LEIFGeneral Dentistry General Dentistry General Dentistry

SMALL SMILES OF FORT WAYNE ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

7524 KMART PLAZA SOUTH, FORT WAYNE 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

FORT WAYNE, IN 46816 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (260) 441-8500 Phone: (812) 314-0000 Phone: (812) 314-0000

County: ALLEN County: BARTHOLOMEW County: BARTHOLOMEW

TAYLOR, JENNIFER BUCK, JOSHUA ESLINGER, BRYANGeneral Dentistry General Dentistry General Dentistry

SMALL SMILES OF FORT WAYNE ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

7524 KMART PLAZA SOUTH, FORT WAYNE 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

FORT WAYNE, IN 46816 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (260) 441-8500 Phone: (812) 314-0000 Phone: (812) 314-0000

County: ALLEN County: BARTHOLOMEW County: BARTHOLOMEW

TOOLE, KEVIN BUKSAR, DAVID FRIEDMAN, KARAGeneral Dentistry General Dentistry General Dentistry

SMALL SMILES OF FORT WAYNE ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

7524 KMART PLAZA SOUTH, FORT WAYNE 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

FORT WAYNE, IN 46816 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (260) 441-8500 Phone: (812) 314-0000 Phone: (812) 314-0000

County: ALLEN County: BARTHOLOMEW County: BARTHOLOMEW

HUNT, STEPHEN COLLURU, KRISHNA GHANG, YOHANGeneral Dentistry General Dentistry General Dentistry

STEPHEN P HUNT DDS ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4207 LAKE AVENUE, FORT WAYNE 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

FORT WAYNE, IN 46815 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (260) 420-9609 Phone: (812) 314-0000 Phone: (812) 314-0000

County: ALLEN County: BARTHOLOMEW County: BARTHOLOMEW

VALLIERE, ROGER CREAGER, TESSA GONQUEH, SHADRACHGeneral Dentistry General Dentistry General Dentistry

SUMMIT CITY SMILES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1340 WEST STATE BOULEVARD, FORT WAYNE 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

FORT WAYNE, IN 46808 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (260) 484-3215 Phone: (812) 314-0000 Phone: (812) 314-0000

County: ALLEN County: BARTHOLOMEW County: BARTHOLOMEW

BARTHOLOMEW County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 10: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

GRAVES, LINDSEY JOHNSON, WILLIAM LOSIER, KURTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

COLUMBUS, IN 47201 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (812) 314-0000 Phone: (812) 314-0000 Phone: (812) 314-0000

County: BARTHOLOMEW County: BARTHOLOMEW County: BARTHOLOMEW

GRIFFING, RUSSELL JONES, ALEXANDRA NIES, MICHAELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

COLUMBUS, IN 47201 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (812) 314-0000 Phone: (812) 314-0000 Phone: (812) 314-0000

County: BARTHOLOMEW County: BARTHOLOMEW County: BARTHOLOMEW

GRIFFITHS, DANIEL KHEIRI, AFAQ NOROOZI, AHMAD REZAGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

COLUMBUS, IN 47201 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (812) 314-0000 Phone: (812) 314-0000 Phone: (812) 314-0000

County: BARTHOLOMEW County: BARTHOLOMEW County: BARTHOLOMEW

HAMATI, ISAM LARRABEE, TODD NOTARIANNI, JOHNGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

COLUMBUS, IN 47201 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (812) 314-0000 Phone: (812) 314-0000 Phone: (812) 314-0000

County: BARTHOLOMEW County: BARTHOLOMEW County: BARTHOLOMEW

HARPER, DUSTIN LARSEN, PAUL PHILLIPS, MARKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

COLUMBUS, IN 47201 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (812) 314-0000 Phone: (812) 314-0000 Phone: (812) 314-0000

County: BARTHOLOMEW County: BARTHOLOMEW County: BARTHOLOMEW

HAWKINS, RACHAEL LEONARD, CHRISTOPHER PHILLIPS, AARONGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

COLUMBUS, IN 47201 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (812) 314-0000 Phone: (812) 314-0000 Phone: (812) 314-0000

County: BARTHOLOMEW County: BARTHOLOMEW County: BARTHOLOMEW

JACKSON, ROBERT LEYES, KATHERINE RAMCHANDRAREDDY, SHASHIDHARGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

COLUMBUS, IN 47201 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (812) 314-0000 Phone: (812) 314-0000 Phone: (812) 314-0000

County: BARTHOLOMEW County: BARTHOLOMEW County: BARTHOLOMEW

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 11: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

REDDY MANDA, ANIL SHINGALA, NIMESH WALKER, LARRYGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

COLUMBUS, IN 47201 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (812) 314-0000 Phone: (812) 314-0000 Phone: (812) 314-0000

County: BARTHOLOMEW County: BARTHOLOMEW County: BARTHOLOMEW

REID, AMBER SMITH, JENNIFER WINDSOR, ROBERTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

COLUMBUS, IN 47201 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (812) 314-0000 Phone: (812) 314-0000 Phone: (812) 314-0000

County: BARTHOLOMEW County: BARTHOLOMEW County: BARTHOLOMEW

ROSADO, NAHIR SPARKS, JEREMIAH WOO, KIJINGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

COLUMBUS, IN 47201 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (812) 314-0000 Phone: (812) 314-0000 Phone: (812) 314-0000

County: BARTHOLOMEW County: BARTHOLOMEW County: BARTHOLOMEW

SCHAFER, SEAN STEPHENS, DEREK YU, MINGGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

COLUMBUS, IN 47201 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (812) 314-0000 Phone: (812) 314-0000 Phone: (812) 314-0000

County: BARTHOLOMEW County: BARTHOLOMEW County: BARTHOLOMEW

SCHILL, GAVIN SWEET, NICOLE BARTELS, CHRISTOPHERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES TIPTON LAKES FAMILY DENTIST

1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS 4570 WEST JONATHAN MOORE PIKE, COLUMBUS

COLUMBUS, IN 47201 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (812) 314-0000 Phone: (812) 314-0000 Phone: (812) 342-3969

County: BARTHOLOMEW County: BARTHOLOMEW County: BARTHOLOMEW

SCHINDLER, CHARLES TITUS, JONATHAN STRICKLAND, AARONGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES WHITE RIVER DENTAL

1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS 2459 WEST JONATHAN MOORE PIKE, COLUMBUS

COLUMBUS, IN 47201 COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (812) 314-0000 Phone: (812) 314-0000 Phone: (812) 378-5500

County: BARTHOLOMEW County: BARTHOLOMEW County: BARTHOLOMEW

SHANK, KYLE WAKIM, SAMUELGeneral Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1310 NORTH NATIONAL ROAD, COLUMBUS 1310 NORTH NATIONAL ROAD, COLUMBUS

COLUMBUS, IN 47201 COLUMBUS, IN 47201

Phone: (812) 314-0000 Phone: (812) 314-0000

County: BARTHOLOMEW County: BARTHOLOMEW BENTON County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 12: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

BORDER, WILLIAM HOCKEMA, JEFFREY BAINES, COLLEENGeneral Dentistry Oral Surgery General Dentistry

WILLIAM R BORDER DDS INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESHEARTLAND DENTAL CARE

809 NORTH WASHINGTON AVENUE, FOWLER 10801 NORTH MICHIGAN ROAD, ZIONSVILLE 2001 EAST BROADWAY, LOGANSPORT

FOWLER, IN 47944 ZIONSVILLE, IN 46077 LOGANSPORT, IN 46947

Phone: (765) 884-0740 Phone: (317) 733-0926 Phone: (574) 722-2233

County: BENTON County: BOONE County: CASS

KIRKUP, CHRISTOPHER MCBRIDE, DONALDOral Surgery General Dentistry

INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESHEARTLAND DENTAL CARE

10801 NORTH MICHIGAN ROAD, ZIONSVILLE 2001 EAST BROADWAY, LOGANSPORT

ZIONSVILLE, IN 46077 LOGANSPORT, IN 46947

Phone: (317) 733-0926 Phone: (574) 722-2233

County: BOONE County: CASS

GEYMAN, BETHANY LEE, RAYMON MUNANTE PAZ, MONICAGeneral Dentistry Oral Surgery General Dentistry

BETHANY J GEYMAN DDS INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESHEARTLAND DENTAL CARE

4450 WESTON POINTE DRIVE, ZIONSVILLE 1667 NORTH LEBANON STREET, LEBANON 2001 EAST BROADWAY, LOGANSPORT

ZIONSVILLE, IN 46077 LEBANON, IN 46052 LOGANSPORT, IN 46947

Phone: (317) 733-0571 Phone: (317) 297-1007 Phone: (574) 722-2233

County: BOONE County: BOONE County: CASS

ERIKS, DOUGLAS DORSEY, TIMOTHY MURPHY, ROGERGeneral Dentistry General Dentistry General Dentistry

ERIKS DENTAL TIMOTHY M DORSEY DDS HEARTLAND DENTAL CARE

1650 WEST OAK STREET, ZIONSVILLE 151 EAST BOW STREET, THORNTOWN 2001 EAST BROADWAY, LOGANSPORT

ZIONSVILLE, IN 46077 THORNTOWN, IN 46071 LOGANSPORT, IN 46947

Phone: (317) 873-8902 Phone: (765) 436-2433 Phone: (574) 722-2233

County: BOONE County: BOONE County: CASS

ADELSPERGER, JOHN SHANTEAU, OWENOral Surgery General Dentistry

INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES HEARTLAND DENTAL CARE

1667 NORTH LEBANON STREET, LEBANON 2001 EAST BROADWAY, LOGANSPORT

LEBANON, IN 46052 LOGANSPORT, IN 46947

Phone: (317) 297-1007 Phone: (574) 722-2233

County: BOONE County: CASS

BUTTRUM, JEFFREY JONES, HARRY STANGEBYE, RONALDOral Surgery General Dentistry General Dentistry

INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESHARRY W JONES DDS HEARTLAND DENTAL CARE

10801 NORTH MICHIGAN ROAD, ZIONSVILLE 905 EAST COLUMBIA STREET, FLORA 2001 EAST BROADWAY, LOGANSPORT

ZIONSVILLE, IN 46077 FLORA, IN 46929 LOGANSPORT, IN 46947

Phone: (317) 733-0926 Phone: (574) 967-4240 Phone: (574) 722-2233

County: BOONE County: CARROLL County: CASS

FAULK, DANOral Surgery

INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

1667 NORTH LEBANON STREET, LEBANON

LEBANON, IN 46052

Phone: (317) 297-1007

County: BOONE

BOONE County

CARROLL County

CASS County CLARK County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 13: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

BADGER, MICHAEL DUNN, CHRISTOPHER JUNG, CLARENCEOrthodontics Orthodontics General Dentistry

BADGER AND SPILLER DMD DUNN ORTHODONTICS HEARTLAND DENTAL CARE

757 EAST HIGHWAY 131, CLARKSVILLE 493 NORTH INDIANA AVENUE, SELLERSBURG 1516 LYNCH LANE, CLARKSVILLE

CLARKSVILLE, IN 47129 SELLERSBURG, IN 47172 CLARKSVILLE, IN 47129

Phone: (812) 288-6681 Phone: (812) 246-5800 Phone: (812) 288-1066

County: CLARK County: CLARK County: CLARK

SPILLER, ROBERT SUMNER, FRANKLIN MCBRIDE, DONALDOrthodontics General Dentistry General Dentistry

BADGER AND SPILLER DMD FRANKLIN L SUMNER DMD HEARTLAND DENTAL CARE

757 EAST HIGHWAY 131, CLARKSVILLE 105 HUNTER STATION WAY, SELLERSBURG 1516 LYNCH LANE, CLARKSVILLE

CLARKSVILLE, IN 47129 SELLERSBURG, IN 47172 CLARKSVILLE, IN 47129

Phone: (812) 288-6681 Phone: (812) 246-1770 Phone: (812) 288-1066

County: CLARK County: CLARK County: CLARK

BAKER, CHRISTOPHER SMITH, GARY NEAFUS, JAMESGeneral Dentistry General Dentistry General Dentistry

BAKER MANAGEMENT COMPANY GARY E SMITH DMD JAMES L NEAFUS DDS

111 HERITAGE SQUARE, SELLERSBURG 1417 MARKET STREET, CHARLESTOWN 1404 BLACKISTON MILL ROAD, CLARKSVILLE

SELLERSBURG, IN 47172 CHARLESTOWN, IN 47111 CLARKSVILLE, IN 47129

Phone: (812) 248-4880 Phone: (812) 256-2143 Phone: (812) 282-7759

County: CLARK County: CLARK County: CLARK

JONES, BRUCE CRAWFORD, GORDON GRAVES, LINDSEYGeneral Dentistry General Dentistry General Dentistry

BRUCE E JONES DDS GORDON B CRAWFORD DMD JOHN W IHNEN DMD

430 LOCUST STREET, JEFFERSONVILLE 807 MAIN STREET, JEFFERSONVILLE 1116 VETERANS PARKWAY, CLARKSVILLE

JEFFERSONVILLE, IN 47130 JEFFERSONVILLE, IN 47130 CLARKSVILLE, IN 47129

Phone: (812) 288-8131 Phone: (812) 282-5663 Phone: (812) 283-1100

County: CLARK County: CLARK County: CLARK

GILL, RAYMIE BROWN, JENNIFER IHNEN, JOHNGeneral Dentistry General Dentistry General Dentistry

CHARLESTOWN FAMILY DENTISTRY HEARTLAND DENTAL CARE JOHN W IHNEN DMD

1454 MARKET STREET, CHARLESTOWN 1516 LYNCH LANE, CLARKSVILLE 1116 VETERANS PARKWAY, CLARKSVILLE

CHARLESTOWN, IN 47111 CLARKSVILLE, IN 47129 CLARKSVILLE, IN 47129

Phone: (812) 256-6317 Phone: (812) 288-1066 Phone: (812) 283-1100

County: CLARK County: CLARK County: CLARK

FISCHER, KATHLEEN HARRIS, MICHAEL YU, MINGGeneral Dentistry General Dentistry Oral Surgery

DOCTOR KATHLEEN FISCHER DMD HEARTLAND DENTAL CARE JOHN W IHNEN DMD

1005 EAST LEWIS AND CLARK PARKWAY, CLARKSVILLE 1516 LYNCH LANE, CLARKSVILLE 1116 VETERANS PARKWAY, CLARKSVILLE

CLARKSVILLE, IN 47129 CLARKSVILLE, IN 47129 CLARKSVILLE, IN 47129

Phone: (812) 280-7500 Phone: (812) 288-1066 Phone: (812) 283-1100

County: CLARK County: CLARK County: CLARK

COTTON, DOUGLAS JAMES, LESLIE BROWN, JENNIFERGeneral Dentistry General Dentistry General Dentistry

DOUGLAS V COTTON DMD HEARTLAND DENTAL CARE LIFETIME DENTAL CARE OF INDIANA

409 WEST 6TH STREET, JEFFERSONVILLE 1516 LYNCH LANE, CLARKSVILLE 1516 LYNCH LANE, CLARKSVILLE

JEFFERSONVILLE, IN 47130 CLARKSVILLE, IN 47129 CLARKSVILLE, IN 47129

Phone: (812) 288-4691 Phone: (812) 288-1066 Phone: (812) 280-1001

County: CLARK County: CLARK County: CLARK

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 14: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

HARRIS, MICHAEL MOHAN, MANEESH RODIGHIERO, DEBORAHGeneral Dentistry Oral Surgery General Dentistry

LIFETIME DENTAL CARE OF INDIANA ORAL SURGERY GROUP OF CLARKSVILLE SPRING STREET DENTAL

1516 LYNCH LANE, CLARKSVILLE 1516 LYNCH LANE, CLARKSVILLE 1410 SPRING STREET, JEFFERSONVILLE

CLARKSVILLE, IN 47129 CLARKSVILLE, IN 47129 JEFFERSONVILLE, IN 47130

Phone: (812) 280-1001 Phone: (812) 285-8890 Phone: (812) 285-1006

County: CLARK County: CLARK County: CLARK

JAMES, LESLIE JOHNSON, S GROSS, TRAVISGeneral Dentistry Orthodontics General Dentistry

LIFETIME DENTAL CARE OF INDIANA S MEREDITH JOHNSON JUNIOR DMD TRAVIS L GROSS DDS

1516 LYNCH LANE, CLARKSVILLE 2946 HIGHWAY 62, JEFFERSONVILLE 9419 HIGHWAY 403, CHARLESTOWN

CLARKSVILLE, IN 47129 JEFFERSONVILLE, IN 47130 CHARLESTOWN, IN 47111

Phone: (812) 280-1001 Phone: (812) 288-8880 Phone: (812) 256-0606

County: CLARK County: CLARK County: CLARK

JUNG, CLARENCE SHOEMAKER, DEBORAHGeneral Dentistry General Dentistry

LIFETIME DENTAL CARE OF INDIANA SHOEMAKER FAMILY DENTAL

1516 LYNCH LANE, CLARKSVILLE 2310 ALLISON LANE, JEFFERSONVILLE

CLARKSVILLE, IN 47129 JEFFERSONVILLE, IN 47130

Phone: (812) 280-1001 Phone: (812) 288-7135

County: CLARK County: CLARK

WALKER, HEATHER DICK, MICHAEL DENNANY, RAYMONDGeneral Dentistry General Dentistry General Dentistry

MORTENSON FAMILY DENTAL SMILE CARE FAMILY DENTISTRY RAYMOND L DENNANY III DDS

2917 HIGHWAY 62, JEFFERSONVILLE 1240 VETERANS PARKWAY, CLARKSVILLE 21 NORTH WASHINGTON STREET, BRAZIL

JEFFERSONVILLE, IN 47130 CLARKSVILLE, IN 47129 BRAZIL, IN 47834

Phone: (812) 288-1000 Phone: (812) 284-2701 Phone: (812) 448-3639

County: CLARK County: CLARK County: CLAY

WRIGHT, FREDERICK ALLEN, STEPHANIEGeneral Dentistry General Dentistry

MORTENSON FAMILY DENTAL SPRING STREET DENTAL

2917 HIGHWAY 62, JEFFERSONVILLE 1410 SPRING STREET, JEFFERSONVILLE

JEFFERSONVILLE, IN 47130 JEFFERSONVILLE, IN 47130

Phone: (812) 288-1000 Phone: (812) 285-1006

County: CLARK County: CLARK

FORSEE, DONALD CARMAN, MICHELLE BUTLER, MATTHEWOrthodontics General Dentistry General Dentistry

ORAL AND MAXILLOFACIAL SURGERY SPRING STREET DENTAL MONARCH DENTAL

207 SPARKS AVENUE, JEFFERSONVILLE 1410 SPRING STREET, JEFFERSONVILLE 1216 WEST EADS PARKWAY, LAWRENCEBURG

JEFFERSONVILLE, IN 47130 JEFFERSONVILLE, IN 47130 LAWRENCEBURG, IN 47025

Phone: (812) 282-8467 Phone: (812) 285-1006 Phone: (812) 537-0537

County: CLARK County: CLARK County: DEARBORN

MARTIN, T MASON, JOHN CORNETT, AMBEROral Surgery General Dentistry General Dentistry

ORAL AND MAXILLOFACIAL SURGERY SPRING STREET DENTAL MONARCH DENTAL

207 SPARKS AVENUE, JEFFERSONVILLE 1410 SPRING STREET, JEFFERSONVILLE 1216 WEST EADS PARKWAY, LAWRENCEBURG

JEFFERSONVILLE, IN 47130 JEFFERSONVILLE, IN 47130 LAWRENCEBURG, IN 47025

Phone: (812) 282-8467 Phone: (812) 285-1006 Phone: (812) 537-0537

County: CLARK County: CLARK County: DEARBORN

CLAY County

DEARBORN County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 15: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

GOLDSTEIN, DAVID ANTHONY, THOMASGeneral Dentistry General Dentistry

MONARCH DENTAL ALLCARE DENTAL AND DENTURES

1216 WEST EADS PARKWAY, LAWRENCEBURG 613 EAST MCGALLIARD ROAD, MUNCIE

LAWRENCEBURG, IN 47025 MUNCIE, IN 47303

Phone: (812) 537-0537 Phone: (765) 286-1606

County: DEARBORN County: DELAWARE

HEUER, ALLISON STAGGS, RUSSELL ARNETT, SHANNONGeneral Dentistry General Dentistry General Dentistry

MONARCH DENTAL RUSSELL S STAGGS DDS ALLCARE DENTAL AND DENTURES

1216 WEST EADS PARKWAY, LAWRENCEBURG 1815 NORTH GREENSBURG CROSSING, GREENSBURG 613 EAST MCGALLIARD ROAD, MUNCIE

LAWRENCEBURG, IN 47025 GREENSBURG, IN 47240 MUNCIE, IN 47303

Phone: (812) 537-0537 Phone: (812) 663-6263 Phone: (765) 286-1606

County: DEARBORN County: DECATUR County: DELAWARE

LOUDERMILK, JOHN BATES, ROBERTGeneral Dentistry General Dentistry

MONARCH DENTAL ALLCARE DENTAL AND DENTURES

1216 WEST EADS PARKWAY, LAWRENCEBURG 613 EAST MCGALLIARD ROAD, MUNCIE

LAWRENCEBURG, IN 47025 MUNCIE, IN 47303

Phone: (812) 537-0537 Phone: (765) 286-1606

County: DEARBORN County: DELAWARE

NAKHLA, DANNY MUSAL, MICHAEL COLE, ELDONGeneral Dentistry Pediatric Dentistry General Dentistry

MONARCH DENTAL ADOLESCENT AND PEDIATRIC DENTISTRY ALLCARE DENTAL AND DENTURES

1216 WEST EADS PARKWAY, LAWRENCEBURG 610 SOUTH TILLOTSON AVENUE, MUNCIE 613 EAST MCGALLIARD ROAD, MUNCIE

LAWRENCEBURG, IN 47025 MUNCIE, IN 47304 MUNCIE, IN 47303

Phone: (812) 537-0537 Phone: (765) 288-5527 Phone: (765) 286-1606

County: DEARBORN County: DELAWARE County: DELAWARE

POYAN, FARZANA ELBRECHT, JAMES ESLINGER, BRYANGeneral Dentistry General Dentistry General Dentistry

MONARCH DENTAL ADVANCED FAMILY DENTISTRY OF MUNCIE ALLCARE DENTAL AND DENTURES

1216 WEST EADS PARKWAY, LAWRENCEBURG 3511 FOX RIDGE LANE, MUNCIE 613 EAST MCGALLIARD ROAD, MUNCIE

LAWRENCEBURG, IN 47025 MUNCIE, IN 47304 MUNCIE, IN 47303

Phone: (812) 537-0537 Phone: (765) 287-7000 Phone: (765) 286-1606

County: DEARBORN County: DELAWARE County: DELAWARE

REBBER, DAVID STAGGE, DAVID GUERRANT, GEORGEGeneral Dentistry General Dentistry General Dentistry

MONARCH DENTAL ADVANCED FAMILY DENTISTRY OF MUNCIE ALLCARE DENTAL AND DENTURES

1216 WEST EADS PARKWAY, LAWRENCEBURG 3511 FOX RIDGE LANE, MUNCIE 613 EAST MCGALLIARD ROAD, MUNCIE

LAWRENCEBURG, IN 47025 MUNCIE, IN 47304 MUNCIE, IN 47303

Phone: (812) 537-0537 Phone: (765) 287-7000 Phone: (765) 286-1606

County: DEARBORN County: DELAWARE County: DELAWARE

ZAHARAKOS, PETER STAGGE, SHERRY KUMAR, POOJAGeneral Dentistry General Dentistry General Dentistry

PETER C ZAHARAKOS DDS ADVANCED FAMILY DENTISTRY OF MUNCIE ALLCARE DENTAL AND DENTURES

5 EAST CENTER STREET, LAWRENCEBURG 3511 FOX RIDGE LANE, MUNCIE 613 EAST MCGALLIARD ROAD, MUNCIE

LAWRENCEBURG, IN 47025 MUNCIE, IN 47304 MUNCIE, IN 47303

Phone: (812) 537-1138 Phone: (765) 287-7000 Phone: (765) 286-1606

County: DEARBORN County: DELAWARE County: DELAWARE

DECATUR County

DELAWARE County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 16: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

LU, BIQING SIMON, KATHRYN BUCK, JOSHUAGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES

613 EAST MCGALLIARD ROAD, MUNCIE 613 EAST MCGALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47303 MUNCIE, IN 47303 MUNCIE, IN 47304

Phone: (765) 286-1606 Phone: (765) 286-1606 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

MALKOWSKI, FRED STERBA, WAYNE BUKSAR, DAVIDGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES

613 EAST MCGALLIARD ROAD, MUNCIE 613 EAST MCGALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47303 MUNCIE, IN 47303 MUNCIE, IN 47304

Phone: (765) 286-1606 Phone: (765) 286-1606 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

PAGE, GARY VELASCO, ALBERTO CAIRD, ROBERTGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES

613 EAST MCGALLIARD ROAD, MUNCIE 613 EAST MCGALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47303 MUNCIE, IN 47303 MUNCIE, IN 47304

Phone: (765) 286-1606 Phone: (765) 286-1606 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

PATEL, BRIJESH ADLER, BROOKE CHOWHAN IQBAL, NADIAGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

613 EAST MCGALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47303 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 286-1606 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

PEETA, UMA BIERCIEWSKA, HALINA COLLURU, KRISHNAGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

613 EAST MCGALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47303 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 286-1606 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

PERRY, SVETLANA BLASS, ANGELINA CREAGER, TESSAGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

613 EAST MCGALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47303 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 286-1606 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

PUNJ, AMIT BROWN, RYAN DANIEL, KYLEGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

613 EAST MCGALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47303 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 286-1606 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 17: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

DOWNEY, CLARK GRIFFING, RUSSELL KHAN, MUHAMMADGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

ENGLES, LEIF HAMATI, ISAM KHEIRI, AFAQGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

ESLINGER, BRYAN HARPER, DUSTIN LARRABEE, TODDGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

FRIEDMAN, KARA HAWKINS, RACHAEL LARSEN, PAULGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

GHANG, YOHAN JACKSON, ROBERT LEONARD, CHRISTOPHERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

GONQUEH, SHADRACH JOHNSON, WILLIAM LEYES, KATHERINEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

GRAVES, LINDSEY JONES, ALEXANDRA LOSIER, KURTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 18: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

NIES, MICHAEL ROSADO, NAHIR SMITH, JENNIFERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

NOROOZI, AHMAD REZA SALKELD, STEVEN SPARKS, JEREMIAHOral Surgery General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

NOTARIANNI, JOHN SCHAFER, SEAN STAHL, MARKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

PHILLIPS, AARON SCHILL, GAVIN STEPHENS, DEREKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

PHILLIPS, MARK SCHINDLER, CHARLES STRICKLAND, AARONGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

RAMCHANDRAREDDY, SHASHIDHAR SHANK, KYLE SWEET, NICOLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

REDDY MANDA, ANIL SHINGALA, NIMESH TITUS, JONATHANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE 1825 WEST MC GALLIARD ROAD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 282-2770 Phone: (765) 282-2770

County: DELAWARE County: DELAWARE County: DELAWARE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 19: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

WAKIM, SAMUEL RAPP, JOHN NARASIMHAMURTHY, RAGHUNANDANGeneral Dentistry Orthodontics General Dentistry

ASPEN DENTAL ASSOCIATES ASSOCIATED ORTHODONTISTS OF INDIANA HEARTLAND DENTAL CARE

1825 WEST MC GALLIARD ROAD, MUNCIE 12110 WEST COUNTY ROAD 550 SOUTH, DALEVILLE 1130 EAST PRINCETON AVENUE, MUNCIE

MUNCIE, IN 47304 DALEVILLE, IN 47334 MUNCIE, IN 47303

Phone: (765) 282-2770 Phone: (765) 378-4780 Phone: (765) 286-4195

County: DELAWARE County: DELAWARE County: DELAWARE

WALKER, LARRY WALKER, DONALD SHANTEAU, OWENOral Surgery Oral Surgery General Dentistry

ASPEN DENTAL ASSOCIATES DONALD R WALKER DDS HEARTLAND DENTAL CARE

1825 WEST MC GALLIARD ROAD, MUNCIE 1806 WEST MCGALLIARD ROAD, MUNCIE 1130 EAST PRINCETON AVENUE, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47303

Phone: (765) 282-2770 Phone: (317) 288-2522 Phone: (765) 286-4195

County: DELAWARE County: DELAWARE County: DELAWARE

WINDSOR, ROBERT DARROCA, WILLIAM SHANTEAU, OWENGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE

1825 WEST MC GALLIARD ROAD, MUNCIE 1130 EAST PRINCETON AVENUE, MUNCIE 2890 WEST WHITE RIVER BOULEVARD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47303 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 286-4195 Phone: (765) 284-6312

County: DELAWARE County: DELAWARE County: DELAWARE

WOO, KIJIN DARROCA, WILLIAM STIVASON, JAYMIGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE

1825 WEST MC GALLIARD ROAD, MUNCIE 2890 WEST WHITE RIVER BOULEVARD, MUNCIE 1130 EAST PRINCETON AVENUE, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47304 MUNCIE, IN 47303

Phone: (765) 282-2770 Phone: (765) 284-6312 Phone: (765) 286-4195

County: DELAWARE County: DELAWARE County: DELAWARE

YU, MING KANG, WOON TREGEAGLE, THADDEUSOral Surgery General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE

1825 WEST MC GALLIARD ROAD, MUNCIE 1130 EAST PRINCETON AVENUE, MUNCIE 2890 WEST WHITE RIVER BOULEVARD, MUNCIE

MUNCIE, IN 47304 MUNCIE, IN 47303 MUNCIE, IN 47304

Phone: (765) 282-2770 Phone: (765) 286-4195 Phone: (765) 284-6312

County: DELAWARE County: DELAWARE County: DELAWARE

BRANDT, MARY MCBRIDE, DONALD JACKSON, CARLOrthodontics General Dentistry General Dentistry

ASSOCIATED ORTHODONTISTS OF INDIANA HEARTLAND DENTAL CARE JACKSON FAMILY DENTISTRY

12110 WEST COUNTY ROAD 550 SOUTH, DALEVILLE 2890 WEST WHITE RIVER BOULEVARD, MUNCIE 2016 WEST MCGALLIARD ROAD, MUNCIE

DALEVILLE, IN 47334 MUNCIE, IN 47304 MUNCIE, IN 47304

Phone: (765) 378-4780 Phone: (765) 284-6312 Phone: (765) 284-7242

County: DELAWARE County: DELAWARE County: DELAWARE

DAVIS, WARREN MCBRIDE, DONALD ELLISON, RICHARDOrthodontics General Dentistry General Dentistry

ASSOCIATED ORTHODONTISTS OF INDIANA HEARTLAND DENTAL CARE RICHARD T ELLISON DDS

12110 WEST COUNTY ROAD 550 SOUTH, DALEVILLE 1130 EAST PRINCETON AVENUE, MUNCIE 1602 WEST JACKSON STREET, MUNCIE

DALEVILLE, IN 47334 MUNCIE, IN 47303 MUNCIE, IN 47303

Phone: (765) 378-4780 Phone: (765) 286-4195 Phone: (765) 289-0236

County: DELAWARE County: DELAWARE County: DELAWARE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 20: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

GRIFFING, RUSSELL WILLIG, CHRISTIAANGeneral Dentistry General Dentistry

ADONI DENTAL CHRISTIAAN A WILLIG DDS

2909 COUNTY HOME ROAD, GOSHEN 110 NORTH NAPPANEE STREET, ELKHART

GOSHEN, IN 46526 ELKHART, IN 46514

Phone: (574) 875-1069 Phone: (574) 293-5216

County: ELKHART County: ELKHART

SWITZER, HARRY HAWKINS, RACHAEL BARKER, AVISGeneral Dentistry General Dentistry General Dentistry

HARRY L SWITZER DDS ADONI DENTAL HEWITT AND FELTZER DENTISTRY PARTNERSHIP

517 EAST 5TH STREET, HUNTINGBURG 2909 COUNTY HOME ROAD, GOSHEN 211 EAST MADISON, GOSHEN

HUNTINGBURG, IN 47542 GOSHEN, IN 46526 GOSHEN, IN 46526

Phone: (812) 383-4100 Phone: (574) 875-1069 Phone: (574) 534-8777

County: DUBOIS County: ELKHART County: ELKHART

JACKSON, ROBERT BARTMAN, JAMIEGeneral Dentistry General Dentistry

ADONI DENTAL HEWITT AND FELTZER DENTISTRY PARTNERSHIP

2909 COUNTY HOME ROAD, GOSHEN 211 EAST MADISON, GOSHEN

GOSHEN, IN 46526 GOSHEN, IN 46526

Phone: (574) 875-1069 Phone: (574) 534-8777

County: ELKHART County: ELKHART

ABBAS, ZEHRA LEYES, KATHERINE BARTOSIAK, RONALDGeneral Dentistry General Dentistry General Dentistry

ADONI DENTAL ADONI DENTAL HEWITT AND FELTZER DENTISTRY PARTNERSHIP

2909 COUNTY HOME ROAD, GOSHEN 2909 COUNTY HOME ROAD, GOSHEN 211 EAST MADISON, GOSHEN

GOSHEN, IN 46526 GOSHEN, IN 46526 GOSHEN, IN 46526

Phone: (574) 875-1069 Phone: (574) 875-1069 Phone: (574) 534-8777

County: ELKHART County: ELKHART County: ELKHART

AHMAD, NASIR SMITH, JENNIFER BROCKMAN, AMYOral Surgery General Dentistry General Dentistry

ADONI DENTAL ADONI DENTAL HEWITT AND FELTZER DENTISTRY PARTNERSHIP

2909 COUNTY HOME ROAD, GOSHEN 2909 COUNTY HOME ROAD, GOSHEN 211 EAST MADISON, GOSHEN

GOSHEN, IN 46526 GOSHEN, IN 46526 GOSHEN, IN 46526

Phone: (574) 875-1069 Phone: (574) 875-1069 Phone: (574) 534-8777

County: ELKHART County: ELKHART County: ELKHART

CHOWHAN IQBAL, NADIA STAHL, MARK FELTZER, JEFFGeneral Dentistry General Dentistry General Dentistry

ADONI DENTAL ADONI DENTAL HEWITT AND FELTZER DENTISTRY PARTNERSHIP

2909 COUNTY HOME ROAD, GOSHEN 2909 COUNTY HOME ROAD, GOSHEN 211 EAST MADISON, GOSHEN

GOSHEN, IN 46526 GOSHEN, IN 46526 GOSHEN, IN 46526

Phone: (574) 875-1069 Phone: (574) 875-1069 Phone: (574) 534-8777

County: ELKHART County: ELKHART County: ELKHART

ESLINGER, BRYAN WAKIM, SAMUEL GUERRANT, GEORGEGeneral Dentistry General Dentistry General Dentistry

ADONI DENTAL ADONI DENTAL HEWITT AND FELTZER DENTISTRY PARTNERSHIP

2909 COUNTY HOME ROAD, GOSHEN 2909 COUNTY HOME ROAD, GOSHEN 211 EAST MADISON, GOSHEN

GOSHEN, IN 46526 GOSHEN, IN 46526 GOSHEN, IN 46526

Phone: (574) 875-1069 Phone: (574) 875-1069 Phone: (574) 534-8777

County: ELKHART County: ELKHART County: ELKHART

DUBOIS County

ELKHART County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 21: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

HEWITT, SCOTT HEWITT, SCOTT GRIFFITHS, DANIELGeneral Dentistry General Dentistry General Dentistry

HEWITT AND FELTZER DENTISTRY PARTNERSHIP HEWITT DENTAL GROUP OF ELKHART I H DENTAL PC

211 EAST MADISON, GOSHEN 319 WEST LUSHER AVENUE, ELKHART 2909 COUNTY HOME ROAD, GOSHEN

GOSHEN, IN 46526 ELKHART, IN 46517 GOSHEN, IN 46526

Phone: (574) 534-8777 Phone: (574) 389-8300 Phone: (574) 875-1069

County: ELKHART County: ELKHART County: ELKHART

BARKER, AVIS BUCK, JOSHUA HAMATI, ISAMGeneral Dentistry General Dentistry General Dentistry

HEWITT DENTAL GROUP OF ELKHART I H DENTAL PC I H DENTAL PC

319 WEST LUSHER AVENUE, ELKHART 2909 COUNTY HOME ROAD, GOSHEN 2909 COUNTY HOME ROAD, GOSHEN

ELKHART, IN 46517 GOSHEN, IN 46526 GOSHEN, IN 46526

Phone: (574) 389-8300 Phone: (574) 875-1069 Phone: (574) 875-1069

County: ELKHART County: ELKHART County: ELKHART

BARTMAN, JAMIE BUKSAR, DAVID HARPER, DUSTINGeneral Dentistry General Dentistry General Dentistry

HEWITT DENTAL GROUP OF ELKHART I H DENTAL PC I H DENTAL PC

319 WEST LUSHER AVENUE, ELKHART 2909 COUNTY HOME ROAD, GOSHEN 2909 COUNTY HOME ROAD, GOSHEN

ELKHART, IN 46517 GOSHEN, IN 46526 GOSHEN, IN 46526

Phone: (574) 389-8300 Phone: (574) 875-1069 Phone: (574) 875-1069

County: ELKHART County: ELKHART County: ELKHART

BARTOSIAK, RONALD CREAGER, TESSA JOHNSON, WILLIAMGeneral Dentistry General Dentistry General Dentistry

HEWITT DENTAL GROUP OF ELKHART I H DENTAL PC I H DENTAL PC

319 WEST LUSHER AVENUE, ELKHART 2909 COUNTY HOME ROAD, GOSHEN 2909 COUNTY HOME ROAD, GOSHEN

ELKHART, IN 46517 GOSHEN, IN 46526 GOSHEN, IN 46526

Phone: (574) 389-8300 Phone: (574) 875-1069 Phone: (574) 875-1069

County: ELKHART County: ELKHART County: ELKHART

BROCKMAN, AMY DOWNEY, CLARK LARRABEE, TODDGeneral Dentistry General Dentistry General Dentistry

HEWITT DENTAL GROUP OF ELKHART I H DENTAL PC I H DENTAL PC

319 WEST LUSHER AVENUE, ELKHART 2909 COUNTY HOME ROAD, GOSHEN 2909 COUNTY HOME ROAD, GOSHEN

ELKHART, IN 46517 GOSHEN, IN 46526 GOSHEN, IN 46526

Phone: (574) 389-8300 Phone: (574) 875-1069 Phone: (574) 875-1069

County: ELKHART County: ELKHART County: ELKHART

FELTZER, JEFF ESLINGER, BRYAN LEONARD, CHRISTOPHERGeneral Dentistry General Dentistry General Dentistry

HEWITT DENTAL GROUP OF ELKHART I H DENTAL PC I H DENTAL PC

319 WEST LUSHER AVENUE, ELKHART 2909 COUNTY HOME ROAD, GOSHEN 2909 COUNTY HOME ROAD, GOSHEN

ELKHART, IN 46517 GOSHEN, IN 46526 GOSHEN, IN 46526

Phone: (574) 389-8300 Phone: (574) 875-1069 Phone: (574) 875-1069

County: ELKHART County: ELKHART County: ELKHART

GUERRANT, GEORGE GRAVES, LINDSEY NOROOZI, AHMAD REZAGeneral Dentistry General Dentistry Oral Surgery

HEWITT DENTAL GROUP OF ELKHART I H DENTAL PC I H DENTAL PC

319 WEST LUSHER AVENUE, ELKHART 2909 COUNTY HOME ROAD, GOSHEN 2909 COUNTY HOME ROAD, GOSHEN

ELKHART, IN 46517 GOSHEN, IN 46526 GOSHEN, IN 46526

Phone: (574) 389-8300 Phone: (574) 875-1069 Phone: (574) 875-1069

County: ELKHART County: ELKHART County: ELKHART

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 22: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

NOTARIANNI, JOHN BRANDT, MARY SAKAMAKI, MARKGeneral Dentistry Orthodontics Endodontics

I H DENTAL PC ASSOCIATED ORTHODONTISTS OF INDIANA CALVIN DUKE ENTERPRISES

2909 COUNTY HOME ROAD, GOSHEN 1910 VIRGINIA AVENUE, CONNERSVILLE 4801 PAOLI PIKE, FLOYDS KNOBS

GOSHEN, IN 46526 CONNERSVILLE, IN 47331 FLOYDS KNOBS, IN 47119

Phone: (574) 875-1069 Phone: (765) 827-9876 Phone: (812) 923-1500

County: ELKHART County: FAYETTE County: FLOYD

ROSADO, NAHIR DAVIS, WARREN ALLEN, STEPHANIEGeneral Dentistry Orthodontics General Dentistry

I H DENTAL PC ASSOCIATED ORTHODONTISTS OF INDIANA CHARLESTOWN ROAD DENTAL

2909 COUNTY HOME ROAD, GOSHEN 1910 VIRGINIA AVENUE, CONNERSVILLE 3739 CHARLESTOWN ROAD, NEW ALBANY

GOSHEN, IN 46526 CONNERSVILLE, IN 47331 NEW ALBANY, IN 47150

Phone: (574) 875-1069 Phone: (765) 827-9876 Phone: (812) 944-8756

County: ELKHART County: FAYETTE County: FLOYD

SCHILL, GAVIN RAPP, JOHN CARMAN, MICHELLEGeneral Dentistry Orthodontics General Dentistry

I H DENTAL PC ASSOCIATED ORTHODONTISTS OF INDIANA CHARLESTOWN ROAD DENTAL

2909 COUNTY HOME ROAD, GOSHEN 1910 VIRGINIA AVENUE, CONNERSVILLE 3739 CHARLESTOWN ROAD, NEW ALBANY

GOSHEN, IN 46526 CONNERSVILLE, IN 47331 NEW ALBANY, IN 47150

Phone: (574) 875-1069 Phone: (765) 827-9876 Phone: (812) 944-8756

County: ELKHART County: FAYETTE County: FLOYD

SHANK, KYLE MASON, JOHNGeneral Dentistry General Dentistry

I H DENTAL PC CHARLESTOWN ROAD DENTAL

2909 COUNTY HOME ROAD, GOSHEN 3739 CHARLESTOWN ROAD, NEW ALBANY

GOSHEN, IN 46526 NEW ALBANY, IN 47150

Phone: (574) 875-1069 Phone: (812) 944-8756

County: ELKHART County: FLOYD

SPARKS, JEREMIAH WACH, ANTHONY SHARIFF, OMARGeneral Dentistry General Dentistry General Dentistry

I H DENTAL PC ANTHONY G WACH DMD CHARLESTOWN ROAD DENTAL

2909 COUNTY HOME ROAD, GOSHEN 3819 CHARLESTON ROAD, NEW ALBANY 3739 CHARLESTOWN ROAD, NEW ALBANY

GOSHEN, IN 46526 NEW ALBANY, IN 47150 NEW ALBANY, IN 47150

Phone: (574) 875-1069 Phone: (812) 941-9533 Phone: (812) 944-8756

County: ELKHART County: FLOYD County: FLOYD

TURNOCK, JACK ANGELL, BRADLEY WATTS, AMBERGeneral Dentistry Orthodontics General Dentistry

JACK A TURNOCK DDS BRADLEY G ANGELL DMD CHARLESTOWN ROAD DENTAL

330 WEST LEXINGTON, ELKHART 3120 BLACKISTON MILL ROAD, NEW ALBANY 3739 CHARLESTOWN ROAD, NEW ALBANY

ELKHART, IN 46516 NEW ALBANY, IN 47150 NEW ALBANY, IN 47150

Phone: (574) 293-4141 Phone: (812) 941-0001 Phone: (812) 944-8756

County: ELKHART County: FLOYD County: FLOYD

COOK, CHRISTOPHER HAMILTON, CHERYLEndodontics General Dentistry

CALVIN DUKE ENTERPRISES CHERYL L HAMILTON DMD

4801 PAOLI PIKE, FLOYDS KNOBS 3684 HIGHWAY 150, FLOYDS KNOBS

FLOYDS KNOBS, IN 47119 FLOYDS KNOBS, IN 47119

Phone: (812) 923-1500 Phone: (812) 923-1400

County: FLOYD County: FLOYD

FLOYD County

FAYETTE County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 23: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

RAO, SHEILA KIRBY HORTON, ANGELA HAMAN SMITH, DANIELLEPediatric Dentistry General Dentistry General Dentistry

DENTAL HEALTH SPECIALISTS OF KENTUCKY HEARTLAND DENTAL CARE KIDS DENTISTRY NEW ALBANY

3120 BLACKISTON MILL ROAD, NEW ALBANY 411 LAFOLLETE STATION SOUTH, FLOYDS KNOBS 2441 STATE STREET, NEW ALBANY

NEW ALBANY, IN 47150 FLOYDS KNOBS, IN 47119 NEW ALBANY, IN 47150

Phone: (812) 941-0008 Phone: (812) 923-8871 Phone: (812) 944-9300

County: FLOYD County: FLOYD County: FLOYD

SHUSTER, MYRON LITTLE, KEITH MILLER, LAWRENCEPediatric Dentistry General Dentistry Pediatric Dentistry

DENTAL HEALTH SPECIALISTS OF KENTUCKY HEARTLAND DENTAL CARE LAWRENCE E MILLER DDS

3120 BLACKISTON MILL ROAD, NEW ALBANY 411 LAFOLLETE STATION SOUTH, FLOYDS KNOBS 136 EAST COTTON AVENUE, NEW ALBANY

NEW ALBANY, IN 47150 FLOYDS KNOBS, IN 47119 NEW ALBANY, IN 47150

Phone: (812) 941-0008 Phone: (812) 923-8871 Phone: (812) 948-2296

County: FLOYD County: FLOYD County: FLOYD

KRON, JENNIFER MCBRIDE, DONALD ZAEPFEL, MAURICEEndodontics General Dentistry General Dentistry

ENDODONTIC ASSOCIATES OF SOUTHERN INDIANA HEARTLAND DENTAL CARE M CHRIS ZAEPFEL DMD

3018 CHARLESTOWN CROSSING, NEW ALBANY 411 LAFOLLETE STATION SOUTH, FLOYDS KNOBS 1523 STATE STREET, NEW ALBANY

NEW ALBANY, IN 47150 FLOYDS KNOBS, IN 47119 NEW ALBANY, IN 47150

Phone: (812) 945-3636 Phone: (812) 923-8871 Phone: (812) 944-9929

County: FLOYD County: FLOYD County: FLOYD

SHULER, SCOTT COOK, JOHN CROWLEY, MAURICEEndodontics Oral Surgery Oral Surgery

ENDODONTIC ASSOCIATES OF SOUTHERN INDIANA J CRAIG COOK DDS MAURICE RICKY CROWLEY DMD

3018 CHARLESTOWN CROSSING, NEW ALBANY 1919 STATE STREET, NEW ALBANY 1919 STATE STREET, NEW ALBANY

NEW ALBANY, IN 47150 NEW ALBANY, IN 47150 NEW ALBANY, IN 47150

Phone: (812) 945-3636 Phone: (812) 945-9100 Phone: (812) 945-2760

County: FLOYD County: FLOYD County: FLOYD

WOODS, MARCUS WILLIAMS, J MICHAEL CAMPBELL, MARIANNEOrthodontics General Dentistry General Dentistry

ENGILMAN ORTHODONTICS NEW ALBANY J MICHAEL WILLIAMS DMD LLC MORTENSON FAMILY DENTAL

2441 STATE STREET, NEW ALBANY 2676 CHARLESTOWN ROAD, NEW ALBANY 2441 STATE STREET, NEW ALBANY

NEW ALBANY, IN 47150 NEW ALBANY, IN 47150 NEW ALBANY, IN 47150

Phone: (812) 944-8200 Phone: (812) 945-5533 Phone: (812) 941-8500

County: FLOYD County: FLOYD County: FLOYD

DENZINGER, FRANK HOMRIGHAUSEN, JAMES SMITH, JAMESOrthodontics Oral Surgery General Dentistry

FRANK W DENZINGER DDS JAMES K HOMRIGHAUSEN DMD MORTENSON FAMILY DENTAL

1813 STATE STREET, NEW ALBANY 5120 CHARLESTOWN ROAD, NEW ALBANY 2441 STATE STREET, NEW ALBANY

NEW ALBANY, IN 47150 NEW ALBANY, IN 47150 NEW ALBANY, IN 47150

Phone: (812) 944-6759 Phone: (812) 944-4000 Phone: (812) 941-8500

County: FLOYD County: FLOYD County: FLOYD

BRINEGAR, DANIEL DIDAT, KENNETH MOHAN, MANEESHGeneral Dentistry General Dentistry Oral Surgery

HEARTLAND DENTAL CARE KENNETH E DIDAT DDS ORAL SURGERY GROUP OF SOUTHERN INDIANA

411 LAFOLLETE STATION SOUTH, FLOYDS KNOBS 3007 CHARLESTOWN CROSSING, NEW ALBANY 2441 STATE STREET, NEW ALBANY

FLOYDS KNOBS, IN 47119 NEW ALBANY, IN 47150 NEW ALBANY, IN 47150

Phone: (812) 923-8871 Phone: (812) 945-3829 Phone: (812) 944-7200

County: FLOYD County: FLOYD County: FLOYD

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 24: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

EMERSON, RICHARD CAIRD, ROBERTGeneral Dentistry General Dentistry

RICHARD L EMERSON DDS PSC ASPEN DENTAL ASSOCIATES

9215 STATE ROAD 64, GEORGETOWN 3101 SOUTH WESTERN AVENUE, MARION

GEORGETOWN, IN 47122 MARION, IN 46953

Phone: (812) 951-3776 Phone: (765) 662-1022

County: FLOYD County: GRANT

PRYOR, RONALD ADLER, BROOKE CHOWHAN IQBAL, NADIAOrthodontics General Dentistry General Dentistry

RONALD J PRYOR DMD ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

800 HIGHLANDER POINT DRIVE, FLOYDS KNOBS 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

FLOYDS KNOBS, IN 47119 MARION, IN 46953 MARION, IN 46953

Phone: (812) 923-9877 Phone: (765) 662-1022 Phone: (765) 662-1022

County: FLOYD County: GRANT County: GRANT

FERGUSON, STUART AHMAD, NASIR COLLURU, KRISHNAEndodontics Oral Surgery General Dentistry

STUART FERGUSON DDS ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1813 STATE STREET, NEW ALBANY 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

NEW ALBANY, IN 47150 MARION, IN 46953 MARION, IN 46953

Phone: (812) 945-3099 Phone: (765) 662-1022 Phone: (765) 662-1022

County: FLOYD County: GRANT County: GRANT

LOGAN, TIMOTHY ASWATH, VINAY DANDALA, SRAVANTHIOral Surgery General Dentistry General Dentistry

TIMOTHY W LOGAN DMD ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1964 STATE STREET, NEW ALBANY 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

NEW ALBANY, IN 47150 MARION, IN 46953 MARION, IN 46953

Phone: (812) 944-1009 Phone: (765) 662-1022 Phone: (765) 662-1022

County: FLOYD County: GRANT County: GRANT

STEMM, WILSON BLASS, ANGELINA DANIEL, KYLEGeneral Dentistry General Dentistry General Dentistry

W S STEMM DMD ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1109 EAST SPRING STREET, NEW ALBANY 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

NEW ALBANY, IN 47150 MARION, IN 46953 MARION, IN 46953

Phone: (812) 944-6021 Phone: (765) 662-1022 Phone: (765) 662-1022

County: FLOYD County: GRANT County: GRANT

BROWN, RYAN DOWNEY, CLARKGeneral Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

MARION, IN 46953 MARION, IN 46953

Phone: (765) 662-1022 Phone: (765) 662-1022

County: GRANT County: GRANT

MARTIN, EDWARD BUCK, JOSHUA ENGLES, LEIFGeneral Dentistry General Dentistry General Dentistry

EDWARD J MARTIN DDS ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1302 PEARL STREET, COVINGTON 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

COVINGTON, IN 47932 MARION, IN 46953 MARION, IN 46953

Phone: (765) 793-4680 Phone: (765) 662-1022 Phone: (765) 662-1022

County: FOUNTAIN County: GRANT County: GRANT

GRANT County

FOUNTAIN County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 25: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

ESLINGER, BRYAN HAWKINS, RACHAEL LARRABEE, TODDGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

MARION, IN 46953 MARION, IN 46953 MARION, IN 46953

Phone: (765) 662-1022 Phone: (765) 662-1022 Phone: (765) 662-1022

County: GRANT County: GRANT County: GRANT

FRIEDMAN, KARA HEMBROFF, RICHARD LARSEN, PAULGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

MARION, IN 46953 MARION, IN 46953 MARION, IN 46953

Phone: (765) 662-1022 Phone: (765) 662-1022 Phone: (765) 662-1022

County: GRANT County: GRANT County: GRANT

GHANG, YOHAN JACKSON, ROBERT LEONARD, CHRISTOPHERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

MARION, IN 46953 MARION, IN 46953 MARION, IN 46953

Phone: (765) 662-1022 Phone: (765) 662-1022 Phone: (765) 662-1022

County: GRANT County: GRANT County: GRANT

GONQUEH, SHADRACH JOHNSON, WILLIAM LEYES, KATHERINEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

MARION, IN 46953 MARION, IN 46953 MARION, IN 46953

Phone: (765) 662-1022 Phone: (765) 662-1022 Phone: (765) 662-1022

County: GRANT County: GRANT County: GRANT

GRIFFING, RUSSELL JONES, ALEXANDRA LOSIER, KURTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

MARION, IN 46953 MARION, IN 46953 MARION, IN 46953

Phone: (765) 662-1022 Phone: (765) 662-1022 Phone: (765) 662-1022

County: GRANT County: GRANT County: GRANT

HAMATI, ISAM KHAN, MUHAMMAD NIES, MICHAELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

MARION, IN 46953 MARION, IN 46953 MARION, IN 46953

Phone: (765) 662-1022 Phone: (765) 662-1022 Phone: (765) 662-1022

County: GRANT County: GRANT County: GRANT

HARPER, DUSTIN KHEIRI, AFAQ NOROOZI, AHMAD REZAGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

MARION, IN 46953 MARION, IN 46953 MARION, IN 46953

Phone: (765) 662-1022 Phone: (765) 662-1022 Phone: (765) 662-1022

County: GRANT County: GRANT County: GRANT

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 26: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

NOTARIANNI, JOHN SALKELD, STEVEN STAHL, MARKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

MARION, IN 46953 MARION, IN 46953 MARION, IN 46953

Phone: (765) 662-1022 Phone: (765) 662-1022 Phone: (765) 662-1022

County: GRANT County: GRANT County: GRANT

PHILLIPS, MARK SCHAFER, SEAN STEPHENS, DEREKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

MARION, IN 46953 MARION, IN 46953 MARION, IN 46953

Phone: (765) 662-1022 Phone: (765) 662-1022 Phone: (765) 662-1022

County: GRANT County: GRANT County: GRANT

PHILLIPS, AARON SCHILL, GAVIN SWEET, NICOLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

MARION, IN 46953 MARION, IN 46953 MARION, IN 46953

Phone: (765) 662-1022 Phone: (765) 662-1022 Phone: (765) 662-1022

County: GRANT County: GRANT County: GRANT

RAMCHANDRAREDDY, SHASHIDHAR SCHINDLER, CHARLES TITUS, JONATHANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

MARION, IN 46953 MARION, IN 46953 MARION, IN 46953

Phone: (765) 662-1022 Phone: (765) 662-1022 Phone: (765) 662-1022

County: GRANT County: GRANT County: GRANT

REDDY MANDA, ANIL SHINGALA, NIMESH WAKIM, SAMUELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

MARION, IN 46953 MARION, IN 46953 MARION, IN 46953

Phone: (765) 662-1022 Phone: (765) 662-1022 Phone: (765) 662-1022

County: GRANT County: GRANT County: GRANT

REID, AMBER SMITH, JENNIFER WALKER, LARRYGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

MARION, IN 46953 MARION, IN 46953 MARION, IN 46953

Phone: (765) 662-1022 Phone: (765) 662-1022 Phone: (765) 662-1022

County: GRANT County: GRANT County: GRANT

ROSADO, NAHIR SPARKS, JEREMIAH WINDSOR, ROBERTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION 3101 SOUTH WESTERN AVENUE, MARION

MARION, IN 46953 MARION, IN 46953 MARION, IN 46953

Phone: (765) 662-1022 Phone: (765) 662-1022 Phone: (765) 662-1022

County: GRANT County: GRANT County: GRANT

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 27: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

WOO, KIJIN SHANTEAU, OWEN BRANDT, MARYGeneral Dentistry General Dentistry Orthodontics

ASPEN DENTAL ASSOCIATES HEARTLAND DENTAL CARE ASSOCIATED ORTHODONTISTS OF INDIANA

3101 SOUTH WESTERN AVENUE, MARION 840 EAST 45TH STREET, MARION 8418 EAST 116TH STREET, FISHERS

MARION, IN 46953 MARION, IN 46953 FISHERS, IN 46038

Phone: (765) 662-1022 Phone: (765) 674-9959 Phone: (317) 585-7491

County: GRANT County: GRANT County: HAMILTON

YU, MING HART, RYAN BRANDT, MARYOral Surgery General Dentistry Orthodontics

ASPEN DENTAL ASSOCIATES LIFETIME DENTAL CARE OF INDIANA ASSOCIATED ORTHODONTISTS OF INDIANA

3101 SOUTH WESTERN AVENUE, MARION 2017 SOUTH WESTERN AVENUE, MARION 370 MEDICAL DRIVE, CARMEL

MARION, IN 46953 MARION, IN 46953 CARMEL, IN 46032

Phone: (765) 662-1022 Phone: (765) 651-9500 Phone: (317) 844-4104

County: GRANT County: GRANT County: HAMILTON

DANIEL, KYLE MONTGOMERY, MARK DAVIS, WARRENGeneral Dentistry General Dentistry Orthodontics

HEARTLAND DENTAL CARE LIFETIME DENTAL CARE OF INDIANA ASSOCIATED ORTHODONTISTS OF INDIANA

840 EAST 45TH STREET, MARION 2017 SOUTH WESTERN AVENUE, MARION 8418 EAST 116TH STREET, FISHERS

MARION, IN 46953 MARION, IN 46953 FISHERS, IN 46038

Phone: (765) 674-9959 Phone: (765) 651-9500 Phone: (317) 585-7491

County: GRANT County: GRANT County: HAMILTON

HART, RYAN MURPHY, ROGER DAVIS, WARRENGeneral Dentistry General Dentistry Orthodontics

HEARTLAND DENTAL CARE LIFETIME DENTAL CARE OF INDIANA ASSOCIATED ORTHODONTISTS OF INDIANA

840 EAST 45TH STREET, MARION 2017 SOUTH WESTERN AVENUE, MARION 370 MEDICAL DRIVE, CARMEL

MARION, IN 46953 MARION, IN 46953 CARMEL, IN 46032

Phone: (765) 674-9959 Phone: (765) 651-9500 Phone: (317) 844-4104

County: GRANT County: GRANT County: HAMILTON

HOWELL BARRY, JESSICA RICHARDSON, ADAM RAPP, JOHNGeneral Dentistry General Dentistry Orthodontics

HEARTLAND DENTAL CARE LIFETIME DENTAL CARE OF INDIANA ASSOCIATED ORTHODONTISTS OF INDIANA

840 EAST 45TH STREET, MARION 2017 SOUTH WESTERN AVENUE, MARION 8418 EAST 116TH STREET, FISHERS

MARION, IN 46953 MARION, IN 46953 FISHERS, IN 46038

Phone: (765) 674-9959 Phone: (765) 651-9500 Phone: (317) 585-7491

County: GRANT County: GRANT County: HAMILTON

LITTLE, KEITH SHANTEAU, OWEN RAPP, JOHNGeneral Dentistry General Dentistry Orthodontics

HEARTLAND DENTAL CARE LIFETIME DENTAL CARE OF INDIANA ASSOCIATED ORTHODONTISTS OF INDIANA

840 EAST 45TH STREET, MARION 2017 SOUTH WESTERN AVENUE, MARION 370 MEDICAL DRIVE, CARMEL

MARION, IN 46953 MARION, IN 46953 CARMEL, IN 46032

Phone: (765) 674-9959 Phone: (765) 651-9500 Phone: (317) 844-4104

County: GRANT County: GRANT County: HAMILTON

MCBRIDE, DONALD BENEDICT, BRIANGeneral Dentistry Orthodontics

HEARTLAND DENTAL CARE BENEDICT ORTHODONTICS

840 EAST 45TH STREET, MARION 11780 OLIO ROAD, FISHERS

MARION, IN 46953 FISHERS, IN 46037

Phone: (765) 674-9959 Phone: (317) 578-9500

County: GRANT County: HAMILTONHAMILTON County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 28: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

BERMAN, SVETLANA WALKER, ALEX MILLIKAN, DANIELEndodontics Oral Surgery General Dentistry

BERMAN ENDODONTICS CENTRAL INDIANA ORAL SURGERY AND IMPLANTOLOGYDENTAL HEALTH ASSOCIATES OF INDIANA

704 ADAMS STREET, CARMEL 272 MEDICAL DRIVE, CARMEL 17419 CAREY ROAD, WESTFIELD

CARMEL, IN 46032 CARMEL, IN 46032 WESTFIELD, IN 46074

Phone: (317) 815-5552 Phone: (317) 844-9888 Phone: (317) 896-8734

County: HAMILTON County: HAMILTON County: HAMILTON

POER, BART HARMON, CLAREN PETERSON, GAILGeneral Dentistry General Dentistry General Dentistry

BLP DENTAL PROFESIONALS CLAREN HARMON DDS DENTAL HEALTH ASSOCIATES OF INDIANA

16411 SOUTHPARK DRIVE, WESTFIELD 252 EAST CARMEL DRIVE, CARMEL 17419 CAREY ROAD, WESTFIELD

WESTFIELD, IN 46074 CARMEL, IN 46032 WESTFIELD, IN 46074

Phone: (317) 896-1986 Phone: (317) 848-7300 Phone: (317) 896-8734

County: HAMILTON County: HAMILTON County: HAMILTON

TIEK, BRANDON COMPTON, CHRISTOPHER SINGH, SUNILGeneral Dentistry General Dentistry General Dentistry

BRANDON K TIEK DDS COMPTON DENTALCARE DENTAL HEALTH ASSOCIATES OF INDIANA

14390 CLAY TERRACE BOULEVARD, CARMEL 15626 SPRINGMILL, WESTFIELD 10435 COMMERCE DRIVE, CARMEL

CARMEL, IN 46032 WESTFIELD, IN 46074 CARMEL, IN 46032

Phone: (317) 815-9800 Phone: (317) 867-5472 Phone: (317) 872-4000

County: HAMILTON County: HAMILTON County: HAMILTON

KONG, SUNG MCGRATH, DANIEL HELTON, AILEENGeneral Dentistry General Dentistry General Dentistry

BRIGHT SMILE DENTAL CARE CROSSROADS DENTISTRY DENTISTRY ON 116

11530 ALLISONVILLE ROAD, FISHERS 14780 NORTH POINTE BOULEVARD, NOBLESVILLE 890 EAST 116TH STREET, CARMEL

FISHERS, IN 46038 NOBLESVILLE, IN 46060 CARMEL, IN 46032

Phone: (317) 845-5100 Phone: (317) 770-9730 Phone: (317) 575-8993

County: HAMILTON County: HAMILTON County: HAMILTON

HAMDAN, YASER JOHNSTON, DERRICK WALKER, DONALDGeneral Dentistry General Dentistry Oral Surgery

CARMEL DENTAL GALLERY CUMBERLAND POINTE DENTAL CARE DONALD R WALKER DDS

2330 EAST 116TH STREET, CARMEL 15887 CUMBERLAND ROAD, NOBLESVILLE 272 MEDICAL DRIVE, CARMEL

CARMEL, IN 46032 NOBLESVILLE, IN 46060 CARMEL, IN 46032

Phone: (317) 566-1270 Phone: (317) 770-0089 Phone: (317) 844-9888

County: HAMILTON County: HAMILTON County: HAMILTON

WORTHINGTON, JESSICA LANIE, JOEL DOWDEN, RODERICKGeneral Dentistry General Dentistry General Dentistry

CARMEL FAMILY DENTISTRY DENTAL HEALTH ASSOCIATES OF INDIANA DOWDEN FAMILY DENTISTRY

370 MEDICAL DRIVE, CARMEL 17419 CAREY ROAD, WESTFIELD 9623 WINDERMERE BOULEVARD, FISHERS

CARMEL, IN 46032 WESTFIELD, IN 46074 FISHERS, IN 46037

Phone: (317) 575-0200 Phone: (317) 896-8734 Phone: (317) 594-0461

County: HAMILTON County: HAMILTON County: HAMILTON

JACHIMOWICZ, STANLEY MILLIKAN, DANIEL GOSSWEILER, TIMOTHYOral Surgery General Dentistry General Dentistry

CARMEL ORAL AND MAXILLOFACIAL SURGERY DENTAL HEALTH ASSOCIATES OF INDIANA EZ DENTAL AND DENTURES

13590B NORTH MERIDIAN, CARMEL 10435 COMMERCE DRIVE, CARMEL 14904 GREYHOUND COURT, CARMEL

CARMEL, IN 46032 CARMEL, IN 46032 CARMEL, IN 46032

Phone: (317) 844-7626 Phone: (317) 872-4000 Phone: (317) 566-3300

County: HAMILTON County: HAMILTON County: HAMILTON

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 29: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

BENNETT, MICHAEL SMITH, ERIC HOCKEMA, JEFFREYOral Surgery General Dentistry Oral Surgery

FISHERS ORAL & MAXILLOFACIAL SURGERY HEARTLAND DENTAL CARE INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

9126 TECHNOLOGY, FISHERS 17746 SUN PARK DRIVE, WESTFIELD 3021 EAST 98TH STREET, INDIANAPOLIS

FISHERS, IN 46038 WESTFIELD, IN 46074 INDIANAPOLIS, IN 46280

Phone: (317) 849-3667 Phone: (317) 896-5009 Phone: (317) 846-3446

County: HAMILTON County: HAMILTON County: HAMILTON

PEASE, GREGORY HECHT, USHA KIRKUP, CHRISTOPHERGeneral Dentistry General Dentistry Oral Surgery

GREGORY J PEASE DDS HECHT FAMILY DENTISTRY INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

310 WEST 161 STREET, WESTFIELD 1123 SOUTH RANGE LINE ROAD, CARMEL 3021 EAST 98TH STREET, INDIANAPOLIS

WESTFIELD, IN 46074 CARMEL, IN 46032 INDIANAPOLIS, IN 46280

Phone: (317) 867-2828 Phone: (317) 569-9559 Phone: (317) 846-3446

County: HAMILTON County: HAMILTON County: HAMILTON

HARRIS, BRADLEY HIPLE, EVAN LAPP, THOMASGeneral Dentistry General Dentistry Oral Surgery

HARRIS DENTAL HIPLE FAMILY DENTISTRY INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

10604 EAST 96TH STREET, FISHERS 630 3RD AVENUE SOUTHWEST, CARMEL 11980 FISHERS CROSSING, FISHERS

FISHERS, IN 46037 CARMEL, IN 46032 FISHERS, IN 46038

Phone: (317) 845-8135 Phone: (317) 843-9760 Phone: (317) 845-7878

County: HAMILTON County: HAMILTON County: HAMILTON

GRAY, BRADLEY CARLSON, KENNETH MOENNING, JOHNGeneral Dentistry General Dentistry Oral Surgery

HEARTLAND DENTAL CARE HOOSIER DENTURE CENTER INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

17746 SUN PARK DRIVE, WESTFIELD 705 SOUTH RANGELINE ROAD, CARMEL 11980 FISHERS CROSSING, FISHERS

WESTFIELD, IN 46074 CARMEL, IN 46032 FISHERS, IN 46038

Phone: (317) 896-5009 Phone: (317) 581-9047 Phone: (317) 845-7878

County: HAMILTON County: HAMILTON County: HAMILTON

MCBRIDE, DONALD BOJRAB, MATTHEW GOVE, RAYMONDGeneral Dentistry Oral Surgery General Dentistry

HEARTLAND DENTAL CARE INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDY DENTAL GROUP WESTFIELD

17746 SUN PARK DRIVE, WESTFIELD 11980 FISHERS CROSSING, FISHERS 16407 SOUTHPARK DRIVE, WESTFIELD

WESTFIELD, IN 46074 FISHERS, IN 46038 WESTFIELD, IN 46074

Phone: (317) 896-5009 Phone: (317) 845-7878 Phone: (317) 867-5400

County: HAMILTON County: HAMILTON County: HAMILTON

MURPHY, ROGER BUSSARD, DAVID LEWIS, ELIZABETHGeneral Dentistry Oral Surgery General Dentistry

HEARTLAND DENTAL CARE INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDY DENTAL GROUP WESTFIELD

17746 SUN PARK DRIVE, WESTFIELD 11980 FISHERS CROSSING, FISHERS 16407 SOUTHPARK DRIVE, WESTFIELD

WESTFIELD, IN 46074 FISHERS, IN 46038 WESTFIELD, IN 46074

Phone: (317) 896-5009 Phone: (317) 845-7878 Phone: (317) 867-5400

County: HAMILTON County: HAMILTON County: HAMILTON

SHANTEAU, OWEN BUTTRUM, JEFFREY MILLER, JACKGeneral Dentistry Oral Surgery General Dentistry

HEARTLAND DENTAL CARE INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDY DENTAL GROUP WESTFIELD

17746 SUN PARK DRIVE, WESTFIELD 3021 EAST 98TH STREET, INDIANAPOLIS 16407 SOUTHPARK DRIVE, WESTFIELD

WESTFIELD, IN 46074 INDIANAPOLIS, IN 46280 WESTFIELD, IN 46074

Phone: (317) 896-5009 Phone: (317) 846-3446 Phone: (317) 867-5400

County: HAMILTON County: HAMILTON County: HAMILTON

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 30: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

SHATTUCK, LORI SUSOTT, JON SHANTEAU, OWENGeneral Dentistry General Dentistry General Dentistry

INDY DENTAL GROUP WESTFIELD JON W SUSOTT DDS LIFETIME DENTAL CARE OF INDIANA

16407 SOUTHPARK DRIVE, WESTFIELD 215 EAST MAIN STREET, WESTFIELD 14160 MUNDY DRIVE, NOBLESVILLE

WESTFIELD, IN 46074 WESTFIELD, IN 46074 NOBLESVILLE, IN 46060

Phone: (317) 867-5400 Phone: (317) 896-5353 Phone: (317) 774-1600

County: HAMILTON County: HAMILTON County: HAMILTON

GOVE, RAYMOND LANE, ANDREW WHITE, STEPHANIEGeneral Dentistry General Dentistry General Dentistry

JACK M AND ELIZABETH B MILLER DDS LANE DENTAL LLC LIFETIME DENTAL CARE OF INDIANA

12720 MEETING HOUSE ROAD, CARMEL 14747 OAK ROAD, CARMEL 11681 BROOKS SCHOOL ROAD, FISHERS

CARMEL, IN 46032 CARMEL, IN 46033 FISHERS, IN 46037

Phone: (317) 571-1900 Phone: (317) 581-1200 Phone: (317) 913-9694

County: HAMILTON County: HAMILTON County: HAMILTON

LEWIS, ELIZABETH BURTON CHAPMAN, JULIE JANER, MYRNAGeneral Dentistry General Dentistry Pediatric Dentistry

JACK M AND ELIZABETH B MILLER DDS LIFETIME DENTAL CARE OF INDIANA LITTLE SMILES

12720 MEETING HOUSE ROAD, CARMEL 14160 MUNDY DRIVE, NOBLESVILLE 409 NORTH PERU STREET, CICERO

CARMEL, IN 46032 NOBLESVILLE, IN 46060 CICERO, IN 46034

Phone: (317) 571-1900 Phone: (317) 774-1600 Phone: (317) 984-1800

County: HAMILTON County: HAMILTON County: HAMILTON

MILLER, JACK DANKOWSKI, MARK LIPKEN, NEILGeneral Dentistry General Dentistry Orthodontics

JACK M AND ELIZABETH B MILLER DDS LIFETIME DENTAL CARE OF INDIANA NEIL A LIPKEN DDS

12720 MEETING HOUSE ROAD, CARMEL 14160 MUNDY DRIVE, NOBLESVILLE 1132 SOUTH RANGE LINE ROAD, CARMEL

CARMEL, IN 46032 NOBLESVILLE, IN 46060 CARMEL, IN 46032

Phone: (317) 571-1900 Phone: (317) 774-1600 Phone: (317) 848-2055

County: HAMILTON County: HAMILTON County: HAMILTON

SHATTUCK, LORI DARROCA, WILLIAM VELEZ YANGUAS, FRANCISCOGeneral Dentistry General Dentistry General Dentistry

JACK M AND ELIZABETH B MILLER DDS LIFETIME DENTAL CARE OF INDIANA NOBLESVILLE DENTAL CLINIC INC

12720 MEETING HOUSE ROAD, CARMEL 14160 MUNDY DRIVE, NOBLESVILLE 356 SOUTH 16TH STREET, NOBLESVILLE

CARMEL, IN 46032 NOBLESVILLE, IN 46060 NOBLESVILLE, IN 46060

Phone: (317) 571-1900 Phone: (317) 774-1600 Phone: (317) 773-7218

County: HAMILTON County: HAMILTON County: HAMILTON

RUSSELL, JENNIFER SCHROEDER, MICHAEL SPOHR, CHRISTOPHEROrthodontics General Dentistry General Dentistry

JENNIFER A RUSSELL DDS LIFETIME DENTAL CARE OF INDIANA PEBBLE BROOK DENTISTRY

13752 LAKERIDGE DRIVE, FISHERS 11681 BROOKS SCHOOL ROAD, FISHERS 5713 PEBBLE VILLAGE LANE, NOBLESVILLE

FISHERS, IN 46037 FISHERS, IN 46037 NOBLESVILLE, IN 46062

Phone: (317) 576-9400 Phone: (317) 913-9694 Phone: (317) 896-1515

County: HAMILTON County: HAMILTON County: HAMILTON

FERGUSON, JOHN SHANTEAU, OWEN RESMER, LINDSAYGeneral Dentistry General Dentistry Orthodontics

JOHN D FERGUSON DDS LIFETIME DENTAL CARE OF INDIANA RESMER ORTHODONTICS

201 NORTH UNION STREET, WESTFIELD 11681 BROOKS SCHOOL ROAD, FISHERS 16000 PROSPERITY DRIVE, NOBLESVILLE

WESTFIELD, IN 46074 FISHERS, IN 46037 NOBLESVILLE, IN 46060

Phone: (317) 896-3767 Phone: (317) 913-9694 Phone: (317) 774-8480

County: HAMILTON County: HAMILTON County: HAMILTON

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 31: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

BACON, SAMUEL HUSEMAN, JAMES SCHOPPEL, BRIANGeneral Dentistry General Dentistry General Dentistry

RLI DENTAL LLC TRANSITIONS DENTAL BRIAN E SCHOPPEL DDS

7340 CROSSING PLACE, FISHERS 485 NOBLE CREEK DRIVE, NOBLESVILLE 5774 WEST US HIGHWAY 52, NEW PALESTINE

FISHERS, IN 46038 NOBLESVILLE, IN 46060 NEW PALESTINE, IN 46163

Phone: (317) 570-5480 Phone: (317) 770-1247 Phone: (317) 861-4484

County: HAMILTON County: HAMILTON County: HANCOCK

RAUB, ROBIN KRUEGER, DANIEL HOSTETLER, HARVEYProsthodontics General Dentistry General Dentistry

ROBIN RAUB DDS TRANSITIONS DENTAL HARVEY L HOSTETLER DDS

19405 LITTLE CHICAGO ROAD, NOBLESVILLE 485 NOBLE CREEK DRIVE, NOBLESVILLE 1542 NORTH STATE STREET, GREENFIELD

NOBLESVILLE, IN 46062 NOBLESVILLE, IN 46060 GREENFIELD, IN 46140

Phone: (317) 773-3839 Phone: (317) 770-1247 Phone: (317) 462-5531

County: HAMILTON County: HAMILTON County: HANCOCK

FLEMING, RYAN BENDER, DAVID RITTER JR, JOHNGeneral Dentistry General Dentistry General Dentistry

RYAN C FLEMMING DDS VILLAGE DENTAL JOHN M RITTER JR DDS

4728 LIMERICK DRIVE, CARMEL 13578 EAST 131ST STREET, FISHERS 727 EAST BROADWAY, FORTVILLE

CARMEL, IN 46033 FISHERS, IN 46037 FORTVILLE, IN 46040

Phone: (317) 848-1884 Phone: (317) 773-5833 Phone: (317) 485-6477

County: HAMILTON County: HAMILTON County: HANCOCK

JACKLIN, SCOTT CLAUSS, JOHN KIMMEL, CRAIGGeneral Dentistry General Dentistry General Dentistry

SCOTT G JACKLIN DDS WESTFIELD DENTAL CARE KIMMEL DENTISTRY

10445 NORTH COLLEGE AVENUE, INDIANAPOLIS 17419 CAREY ROAD, WESTFIELD 7397 NORTH 600 WEST, MC CORDSVILLE

INDIANAPOLIS, IN 46280 WESTFIELD, IN 46074 MC CORDSVILLE, IN 46055

Phone: (317) 846-3431 Phone: (317) 896-8734 Phone: (317) 335-3395

County: HAMILTON County: HAMILTON County: HANCOCK

SHIELDS, STEPHEN SHONK, WILLIAM POWERS, EVA MARIEGeneral Dentistry General Dentistry General Dentistry

STEPHEN SHIELDS DDS WILLIAM K SHONK DDS LIFETIME DENTAL CARE OF INDIANA

411 NORTH PERU STREET, CICERO 1540 CONNER STREET, NOBLESVILLE 168 EAST NEW ROAD, GREENFIELD

CICERO, IN 46034 NOBLESVILLE, IN 46060 GREENFIELD, IN 46140

Phone: (317) 984-3531 Phone: (317) 773-0883 Phone: (317) 462-7700

County: HAMILTON County: HAMILTON County: HANCOCK

BRADLEY, STEVEN REID, AMBERGeneral Dentistry General Dentistry

STEVEN BRADLEY LIFETIME DENTAL CARE OF INDIANA

110 NORTH RANGELINE ROAD, CARMEL 168 EAST NEW ROAD, GREENFIELD

CARMEL, IN 46032 GREENFIELD, IN 46140

Phone: (317) 846-4325 Phone: (317) 462-7700

County: HAMILTON County: HANCOCK

ELLIOTT, THOMAS KIRKWOOD, BRIAN SCHUELER DUQUE, NANCYGeneral Dentistry General Dentistry General Dentistry

THOMAS J ELLIOTT DDS BRANDYWINE DENTAL GROUP PC LIFETIME DENTAL CARE OF INDIANA

17 WEST JACKSON STREET, CICERO 101 NORTH STATE STREET, GREENFIELD 168 EAST NEW ROAD, GREENFIELD

CICERO, IN 46034 GREENFIELD, IN 46140 GREENFIELD, IN 46140

Phone: (317) 984-5677 Phone: (317) 462-3456 Phone: (317) 462-7700

County: HAMILTON County: HANCOCK County: HANCOCK

HANCOCK County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 32: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

MCDONALD, CHRISTIE OBANION, LESTER MILLER, RONALDGeneral Dentistry General Dentistry General Dentistry

MCDONALD FAMILY DENTISTRY COOTHBRUSH INC RONALD J MILLER DMD

5842 WEST BROADWAY, MCCORDSVILLE 545 COUNTRY BLUB ROAD SOUTHEAST, CORYDON 1910 ALLISON LANE, CORYDON

MCCORDSVILLE, IN 46055 CORYDON, IN 47112 CORYDON, IN 47112

Phone: (317) 336-7788 Phone: (812) 738-2257 Phone: (812) 738-1361

County: HANCOCK County: HARRISON County: HARRISON

MCDONALD, BRENT RAMEY, LENVIL PRYOR, RONALDGeneral Dentistry General Dentistry Orthodontics

MCDONALD FAMILY DENTISTRY COOTHBRUSH INC RONALD J PRYOR DMD

5842 WEST BROADWAY, MCCORDSVILLE 545 COUNTRY BLUB ROAD SOUTHEAST, CORYDON 1985 EDSEL LANE, CORYDON

MCCORDSVILLE, IN 46055 CORYDON, IN 47112 CORYDON, IN 47112

Phone: (317) 336-7788 Phone: (812) 738-2257 Phone: (812) 738-7273

County: HANCOCK County: HARRISON County: HARRISON

LEE, VANESSA HOMRIGHAUSEN, JAMESGeneral Dentistry Oral Surgery

NEW PALESTINE FAMILY DENTISTRY JAMES K HOMRIGHAUSEN DMD

7285 WEST US 52, NEW PALESTINE 1283 HILLVIEW DRIVE, CORYDON

NEW PALESTINE, IN 46163 CORYDON, IN 47112

Phone: (317) 861-5000 Phone: (812) 734-0125

County: HANCOCK County: HARRISON

PALUGA, SHARON DAY, JAMIE ANTHONY, THOMASGeneral Dentistry General Dentistry General Dentistry

SHARON PALUGA STAGGS DDS JLD DENTAL ALLCARE DENTAL AND DENTURES OF INDIANA

4037 ARBOR LANE SUITE A, NEW PALESTINE 1300 OLD HIGHWAY 135 NORTH EAST, CORYDON 10439 US ROUTE 36, AVON

NEW PALESTINE, IN 46163 CORYDON, IN 47112 AVON, IN 46123

Phone: (317) 861-4550 Phone: (812) 738-8081 Phone: (317) 209-9069

County: HANCOCK County: HARRISON County: HENDRICKS

ELIAS, JAMES ARNETT, SHANNONGeneral Dentistry General Dentistry

MORTENSON FAMILY DENTAL CENTER CORYDON ALLCARE DENTAL AND DENTURES OF INDIANA

2086 OLD HIGHWAY 135 NORTHWEST, CORYDON 10439 US ROUTE 36, AVON

CORYDON, IN 47112 AVON, IN 46123

Phone: (812) 731-1300 Phone: (317) 209-9069

County: HARRISON County: HENDRICKS

HALL, MARK KRANTZ, RICHARD AVANT, BERNICEGeneral Dentistry General Dentistry General Dentistry

COOTHBRUSH INC MORTENSON FAMILY DENTAL CENTER CORYDON ALLCARE DENTAL AND DENTURES OF INDIANA

545 COUNTRY BLUB ROAD SOUTHEAST, CORYDON 2086 OLD HIGHWAY 135 NORTHWEST, CORYDON 10439 US ROUTE 36, AVON

CORYDON, IN 47112 CORYDON, IN 47112 AVON, IN 46123

Phone: (812) 738-2257 Phone: (812) 731-1300 Phone: (317) 209-9069

County: HARRISON County: HARRISON County: HENDRICKS

MCCOOE, TERRY MATTINGLY, ROBERT BATES, ROBERTGeneral Dentistry General Dentistry General Dentistry

COOTHBRUSH INC ROBERT MATTINGLY DMD ALLCARE DENTAL AND DENTURES OF INDIANA

545 COUNTRY BLUB ROAD SOUTHEAST, CORYDON 127 SOUTH CAPITOL AVENUE, CORYDON 10439 US ROUTE 36, AVON

CORYDON, IN 47112 CORYDON, IN 47112 AVON, IN 46123

Phone: (812) 738-2257 Phone: (812) 738-0108 Phone: (317) 209-9069

County: HARRISON County: HARRISON County: HENDRICKS

HENDRICKS County

HARRISON County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 33: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

COLE, ELDON PAGE, GARY STERBA, WAYNEGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA

10439 US ROUTE 36, AVON 10439 US ROUTE 36, AVON 10439 US ROUTE 36, AVON

AVON, IN 46123 AVON, IN 46123 AVON, IN 46123

Phone: (317) 209-9069 Phone: (317) 209-9069 Phone: (317) 209-9069

County: HENDRICKS County: HENDRICKS County: HENDRICKS

ESLINGER, BRYAN PATEL, BRIJESH VELASCO, ALBERTOGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA

10439 US ROUTE 36, AVON 10439 US ROUTE 36, AVON 10439 US ROUTE 36, AVON

AVON, IN 46123 AVON, IN 46123 AVON, IN 46123

Phone: (317) 209-9069 Phone: (317) 209-9069 Phone: (317) 209-9069

County: HENDRICKS County: HENDRICKS County: HENDRICKS

GUERRANT, GEORGE PEETA, UMA ADLER, BROOKEGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA ASPEN DENTAL ASSOCIATES

10439 US ROUTE 36, AVON 10439 US ROUTE 36, AVON 2377 EAST MAIN STREET, PLAINFIELD

AVON, IN 46123 AVON, IN 46123 PLAINFIELD, IN 46168

Phone: (317) 209-9069 Phone: (317) 209-9069 Phone: (317) 837-8700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

JOHNSON, STEVEN PERRY, SVETLANA AHMAD, NASIRGeneral Dentistry General Dentistry Oral Surgery

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA ASPEN DENTAL ASSOCIATES

10439 US ROUTE 36, AVON 10439 US ROUTE 36, AVON 2377 EAST MAIN STREET, PLAINFIELD

AVON, IN 46123 AVON, IN 46123 PLAINFIELD, IN 46168

Phone: (317) 209-9069 Phone: (317) 209-9069 Phone: (317) 837-8700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

KUMAR, POOJA PRASAD, ROLLIN BUCK, JOSHUAGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA ASPEN DENTAL ASSOCIATES

10439 US ROUTE 36, AVON 10439 US ROUTE 36, AVON 2377 EAST MAIN STREET, PLAINFIELD

AVON, IN 46123 AVON, IN 46123 PLAINFIELD, IN 46168

Phone: (317) 209-9069 Phone: (317) 209-9069 Phone: (317) 837-8700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

LU, BIQING PUNJ, AMIT BUKSAR, DAVIDGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA ASPEN DENTAL ASSOCIATES

10439 US ROUTE 36, AVON 10439 US ROUTE 36, AVON 2377 EAST MAIN STREET, PLAINFIELD

AVON, IN 46123 AVON, IN 46123 PLAINFIELD, IN 46168

Phone: (317) 209-9069 Phone: (317) 209-9069 Phone: (317) 837-8700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

MALKOWSKI, FRED SIMON, KATHRYN CREAGER, TESSAGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA ASPEN DENTAL ASSOCIATES

10439 US ROUTE 36, AVON 10439 US ROUTE 36, AVON 2377 EAST MAIN STREET, PLAINFIELD

AVON, IN 46123 AVON, IN 46123 PLAINFIELD, IN 46168

Phone: (317) 209-9069 Phone: (317) 209-9069 Phone: (317) 837-8700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 34: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

DANIEL, KYLE GRIFFITHS, DANIEL LARRABEE, TODDGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD

PLAINFIELD, IN 46168 PLAINFIELD, IN 46168 PLAINFIELD, IN 46168

Phone: (317) 837-8700 Phone: (317) 837-8700 Phone: (317) 837-8700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

DOWNEY, CLARK HAMATI, ISAM LARSEN, PAULGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD

PLAINFIELD, IN 46168 PLAINFIELD, IN 46168 PLAINFIELD, IN 46168

Phone: (317) 837-8700 Phone: (317) 837-8700 Phone: (317) 837-8700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

ENGLES, LEIF HARPER, DUSTIN LEONARD, CHRISTOPHERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD

PLAINFIELD, IN 46168 PLAINFIELD, IN 46168 PLAINFIELD, IN 46168

Phone: (317) 837-8700 Phone: (317) 837-8700 Phone: (317) 837-8700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

ESLINGER, BRYAN HAWKINS, RACHAEL NOTARIANNI, JOHNGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD

PLAINFIELD, IN 46168 PLAINFIELD, IN 46168 PLAINFIELD, IN 46168

Phone: (317) 837-8700 Phone: (317) 837-8700 Phone: (317) 837-8700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

FRIEDMAN, KARA JACKSON, ROBERT PHILLIPS, MARKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD

PLAINFIELD, IN 46168 PLAINFIELD, IN 46168 PLAINFIELD, IN 46168

Phone: (317) 837-8700 Phone: (317) 837-8700 Phone: (317) 837-8700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

GRAVES, LINDSEY JOHNSON, WILLIAM RAMCHANDRAREDDY, SHASHIDHARGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD

PLAINFIELD, IN 46168 PLAINFIELD, IN 46168 PLAINFIELD, IN 46168

Phone: (317) 837-8700 Phone: (317) 837-8700 Phone: (317) 837-8700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

GRIFFING, RUSSELL KHEIRI, AFAQ ROSADO, NAHIRGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD

PLAINFIELD, IN 46168 PLAINFIELD, IN 46168 PLAINFIELD, IN 46168

Phone: (317) 837-8700 Phone: (317) 837-8700 Phone: (317) 837-8700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 35: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

SCHILL, GAVIN WALKER, LARRY ATMAR, BRIKHNAGeneral Dentistry Oral Surgery General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES DENTAL HEALTH ASSOCIATES OF INDIANA

2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD 8101 A US HIGHWAY 36, AVON

PLAINFIELD, IN 46168 PLAINFIELD, IN 46168 AVON, IN 46123

Phone: (317) 837-8700 Phone: (317) 837-8700 Phone: (317) 272-6990

County: HENDRICKS County: HENDRICKS County: HENDRICKS

SCHINDLER, CHARLES WINDSOR, ROBERT BENEDICT, BRIANGeneral Dentistry General Dentistry Orthodontics

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES DENTAL HEALTH ASSOCIATES OF INDIANA

2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD 110B NORTH SAINT ROAD 267, AVON

PLAINFIELD, IN 46168 PLAINFIELD, IN 46168 AVON, IN 46123

Phone: (317) 837-8700 Phone: (317) 837-8700 Phone: (317) 272-7206

County: HENDRICKS County: HENDRICKS County: HENDRICKS

SHANK, KYLE YU, MING BENEDICT, BRIANGeneral Dentistry Oral Surgery Orthodontics

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES DENTAL HEALTH ASSOCIATES OF INDIANA

2377 EAST MAIN STREET, PLAINFIELD 2377 EAST MAIN STREET, PLAINFIELD 8101 A US HIGHWAY 36, AVON

PLAINFIELD, IN 46168 PLAINFIELD, IN 46168 AVON, IN 46123

Phone: (317) 837-8700 Phone: (317) 837-8700 Phone: (317) 272-6990

County: HENDRICKS County: HENDRICKS County: HENDRICKS

SHINGALA, NIMESH BAILEY, JAMES GORIS, DAVIDGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES BAILEY FAMILY DENTAL DENTAL HEALTH ASSOCIATES OF INDIANA

2377 EAST MAIN STREET, PLAINFIELD 97 DOVER STREET, AVON 8101 A US HIGHWAY 36, AVON

PLAINFIELD, IN 46168 AVON, IN 46123 AVON, IN 46123

Phone: (317) 837-8700 Phone: (317) 272-9300 Phone: (317) 272-6990

County: HENDRICKS County: HENDRICKS County: HENDRICKS

SMITH, JENNIFER BEATY, MICHAEL LOGAN, TIMOTHYGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES DANVILLE DENTAL CLINIC DENTAL HEALTH ASSOCIATES OF INDIANA

2377 EAST MAIN STREET, PLAINFIELD 2166 EAST MAIN STREET, DANVILLE 8101 A US HIGHWAY 36, AVON

PLAINFIELD, IN 46168 DANVILLE, IN 46122 AVON, IN 46123

Phone: (317) 837-8700 Phone: (317) 745-7711 Phone: (317) 272-6990

County: HENDRICKS County: HENDRICKS County: HENDRICKS

SPARKS, JEREMIAH HAWK, NATHAN MILLIKAN, DANIELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES DANVILLE DENTAL CLINIC DENTAL HEALTH ASSOCIATES OF INDIANA

2377 EAST MAIN STREET, PLAINFIELD 2166 EAST MAIN STREET, DANVILLE 8101 A US HIGHWAY 36, AVON

PLAINFIELD, IN 46168 DANVILLE, IN 46122 AVON, IN 46123

Phone: (317) 837-8700 Phone: (317) 745-7711 Phone: (317) 272-6990

County: HENDRICKS County: HENDRICKS County: HENDRICKS

WAKIM, SAMUEL AYERS, JOHN MUSTARD, KIRKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES DANVILLE DOWNTOWN DENTISTRY DENTAL HEALTH ASSOCIATES OF INDIANA

2377 EAST MAIN STREET, PLAINFIELD 94 SOUTH TENNESSEE STREET, DANVILLE 8101 A US HIGHWAY 36, AVON

PLAINFIELD, IN 46168 DANVILLE, IN 46122 AVON, IN 46123

Phone: (317) 837-8700 Phone: (317) 745-2500 Phone: (317) 272-6990

County: HENDRICKS County: HENDRICKS County: HENDRICKS

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 36: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

PANDEY, ABHA SHANTEAU, OWEN GRIFFITHS, DANIELPediatric Dentistry General Dentistry General Dentistry

DENTAL HEALTH ASSOCIATES OF INDIANA HEARTLAND DENTAL CARE I H DENTAL

110B NORTH SAINT ROAD 267, AVON 5250 US HIGHWAY 36, AVON 10967 EAST US HIGHWAY 36, AVON

AVON, IN 46123 AVON, IN 46123 AVON, IN 46123

Phone: (317) 272-7206 Phone: (317) 745-1680 Phone: (317) 272-0700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

PETERSON, GAIL VELLIGAN, GREGORY HAMATI, ISAMGeneral Dentistry General Dentistry General Dentistry

DENTAL HEALTH ASSOCIATES OF INDIANA HEARTLAND DENTAL CARE I H DENTAL

8101 A US HIGHWAY 36, AVON 5250 US HIGHWAY 36, AVON 10967 EAST US HIGHWAY 36, AVON

AVON, IN 46123 AVON, IN 46123 AVON, IN 46123

Phone: (317) 272-6990 Phone: (317) 745-1680 Phone: (317) 272-0700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

BAEHNER, ROBERT BUCK, JOSHUA HARPER, DUSTINGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE I H DENTAL I H DENTAL

5250 US HIGHWAY 36, AVON 10967 EAST US HIGHWAY 36, AVON 10967 EAST US HIGHWAY 36, AVON

AVON, IN 46123 AVON, IN 46123 AVON, IN 46123

Phone: (317) 745-1680 Phone: (317) 272-0700 Phone: (317) 272-0700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

LARRABEE, TODD BUKSAR, DAVID JOHNSON, WILLIAMGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE I H DENTAL I H DENTAL

5250 US HIGHWAY 36, AVON 10967 EAST US HIGHWAY 36, AVON 10967 EAST US HIGHWAY 36, AVON

AVON, IN 46123 AVON, IN 46123 AVON, IN 46123

Phone: (317) 745-1680 Phone: (317) 272-0700 Phone: (317) 272-0700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

MCBRIDE, DONALD CREAGER, TESSA LARRABEE, TODDGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE I H DENTAL I H DENTAL

5250 US HIGHWAY 36, AVON 10967 EAST US HIGHWAY 36, AVON 10967 EAST US HIGHWAY 36, AVON

AVON, IN 46123 AVON, IN 46123 AVON, IN 46123

Phone: (317) 745-1680 Phone: (317) 272-0700 Phone: (317) 272-0700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

PHELPS, JASON DOWNEY, CLARK NOTARIANNI, JOHNGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE I H DENTAL I H DENTAL

5250 US HIGHWAY 36, AVON 10967 EAST US HIGHWAY 36, AVON 10967 EAST US HIGHWAY 36, AVON

AVON, IN 46123 AVON, IN 46123 AVON, IN 46123

Phone: (317) 745-1680 Phone: (317) 272-0700 Phone: (317) 272-0700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

REID, AMBER GRAVES, LINDSEY ROSADO, NAHIRGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE I H DENTAL I H DENTAL

5250 US HIGHWAY 36, AVON 10967 EAST US HIGHWAY 36, AVON 10967 EAST US HIGHWAY 36, AVON

AVON, IN 46123 AVON, IN 46123 AVON, IN 46123

Phone: (317) 745-1680 Phone: (317) 272-0700 Phone: (317) 272-0700

County: HENDRICKS County: HENDRICKS County: HENDRICKS

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 37: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

SCHILL, GAVIN KIRKUP, CHRISTOPHER MAUPIN, HEATHERGeneral Dentistry Oral Surgery General Dentistry

I H DENTAL INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESMAUPIN FAMILY DENTISTRY

10967 EAST US HIGHWAY 36, AVON 8102 KINGSTON STREET, AVON 1070 WEST MAIN STREET, PLAINFIELD

AVON, IN 46123 AVON, IN 46123 PLAINFIELD, IN 46168

Phone: (317) 272-0700 Phone: (317) 271-7600 Phone: (317) 838-7100

County: HENDRICKS County: HENDRICKS County: HENDRICKS

SHANK, KYLE LEE, RAYMON MURER, ROBERTGeneral Dentistry Oral Surgery General Dentistry

I H DENTAL INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESROBERT E MURER DDS

10967 EAST US HIGHWAY 36, AVON 1040 PATRICK PLACE, BROWNSBURG 157 MEADOW DRIVE, DANVILLE

AVON, IN 46123 BROWNSBURG, IN 46112 DANVILLE, IN 46122

Phone: (317) 272-0700 Phone: (317) 297-1007 Phone: (317) 745-5497

County: HENDRICKS County: HENDRICKS County: HENDRICKS

SPARKS, JEREMIAH BISCHOFF, JAMES BAEHNER, ROBERTGeneral Dentistry General Dentistry General Dentistry

I H DENTAL JAMES G BISCHOFF DDS ROBERT L BAEHNER DDS

10967 EAST US HIGHWAY 36, AVON 642 EAST MAIN STREET, BROWNSBURG 10944 EAST US HIGHWAY 36, AVON

AVON, IN 46123 BROWNSBURG, IN 46112 AVON, IN 46123

Phone: (317) 272-0700 Phone: (317) 852-8959 Phone: (317) 273-0073

County: HENDRICKS County: HENDRICKS County: HENDRICKS

WALKER, LARRY PARSEY, JAMES SHAIKH MILHARCIC, SAMIAOral Surgery General Dentistry General Dentistry

I H DENTAL JAMES R PARSEY DDS SAMIA R SHAIKH DDS

10967 EAST US HIGHWAY 36, AVON 7461 EAST US HIGHWAY 36, AVON 65 EAST GARNER ROAD, BROWNSBURG

AVON, IN 46123 AVON, IN 46123 BROWNSBURG, IN 46112

Phone: (317) 272-0700 Phone: (317) 272-3002 Phone: (317) 852-9299

County: HENDRICKS County: HENDRICKS County: HENDRICKS

YU, MING BECKER, AMY CHEESMAN, SKIPPEROral Surgery General Dentistry General Dentistry

I H DENTAL LIFETIME DENTAL CARE OF INDIANA SKIP C CHEESMAN DDS

10967 EAST US HIGHWAY 36, AVON 1551 NORTH GREEN STREET, BROWNSBURG 167 NORTH DAN JONES ROAD, PLAINFIELD

AVON, IN 46123 BROWNSBURG, IN 46112 PLAINFIELD, IN 46168

Phone: (317) 272-0700 Phone: (317) 852-5668 Phone: (317) 839-2088

County: HENDRICKS County: HENDRICKS County: HENDRICKS

ADELSPERGER, JOHN SHANTEAU, OWENOral Surgery General Dentistry

INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESLIFETIME DENTAL CARE OF INDIANA

1040 PATRICK PLACE, BROWNSBURG 1551 NORTH GREEN STREET, BROWNSBURG

BROWNSBURG, IN 46112 BROWNSBURG, IN 46112

Phone: (317) 297-1007 Phone: (317) 852-5668

County: HENDRICKS County: HENDRICKS

ADELSPERGER, JOHN VANNATTER, DORIS HERRON, LARRYOral Surgery General Dentistry General Dentistry

INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESMAIN STREET FAMILY DENTISTRY L R HERRON DDS

8102 KINGSTON STREET, AVON 712 WEST MAIN STREET, PLAINFIELD 1226 RILEY ROAD, NEW CASTLE

AVON, IN 46123 PLAINFIELD, IN 46168 NEW CASTLE, IN 47362

Phone: (317) 271-7600 Phone: (317) 839-5500 Phone: (765) 521-2775

County: HENDRICKS County: HENDRICKS County: HENRY

HENRY County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 38: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

NEITZKE, ANNE ASWATH, VINAY COLLURU, KRISHNAGeneral Dentistry General Dentistry General Dentistry

MARY BETH SHEEHAN STAHLEY DDS ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

439 NORTH MCCULLUM STREET, KNIGHTSTOWN 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KNIGHTSTOWN, IN 46148 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 345-7780 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HENRY County: HOWARD County: HOWARD

SHEEHAN, MARY BETH BLACKMON, AMANDA DANDALA, SRAVANTHIGeneral Dentistry General Dentistry General Dentistry

MARY BETH SHEEHAN STAHLEY DDS ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

439 NORTH MCCULLUM STREET, KNIGHTSTOWN 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KNIGHTSTOWN, IN 46148 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 345-7780 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HENRY County: HOWARD County: HOWARD

GOODMAN, MICHAEL BLASS, ANGELINA DANIEL, KYLEGeneral Dentistry General Dentistry General Dentistry

MICHAEL GOODMAN DDS ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

468 NORTH 5TH STREET, MIDDLETOWN 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

MIDDLETOWN, IN 47356 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 354-2213 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HENRY County: HOWARD County: HOWARD

SHACKELFORD, ANN BROWN, RYAN DOWNEY, CLARKGeneral Dentistry General Dentistry General Dentistry

NEW CASTLE GENTLE DENTIST ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

120 SOUTH MEMORIAL DRIVE, NEW CASTLE 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

NEW CASTLE, IN 47362 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 529-9095 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HENRY County: HOWARD County: HOWARD

HAWK, NATHAN BUCK, JOSHUA ENGLES, LEIFGeneral Dentistry General Dentistry General Dentistry

RAINTREE DENTAL ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3221 SOUTH MEMORIAL DRIVE, NEW CASTLE 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

NEW CASTLE, IN 47362 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 529-8668 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HENRY County: HOWARD County: HOWARD

CAIRD, ROBERT ESLINGER, BRYANGeneral Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700

County: HOWARD County: HOWARD

ADLER, BROOKE CHOWHAN IQBAL, NADIA FRIEDMAN, KARAGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HOWARD County: HOWARD County: HOWARD

HOWARD County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 39: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

GHANG, YOHAN JACKSON, ROBERT LEONARD, CHRISTOPHERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HOWARD County: HOWARD County: HOWARD

GONQUEH, SHADRACH JOHNSON, WILLIAM LEYES, KATHERINEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HOWARD County: HOWARD County: HOWARD

GRIFFING, RUSSELL JONES, ALEXANDRA LOSIER, KURTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HOWARD County: HOWARD County: HOWARD

HAMATI, ISAM KHAN, MUHAMMAD NIES, MICHAELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HOWARD County: HOWARD County: HOWARD

HARPER, DUSTIN KHEIRI, AFAQ NOROOZI, AHMAD REZAGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HOWARD County: HOWARD County: HOWARD

HAWKINS, RACHAEL LARRABEE, TODD NOTARIANNI, JOHNGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HOWARD County: HOWARD County: HOWARD

HEMBROFF, RICHARD LARSEN, PAUL PHILLIPS, AARONGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HOWARD County: HOWARD County: HOWARD

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 40: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

PHILLIPS, MARK SCHINDLER, CHARLES WAKIM, SAMUELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HOWARD County: HOWARD County: HOWARD

RAMCHANDRAREDDY, SHASHIDHAR SHINGALA, NIMESH WALKER, LARRYGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HOWARD County: HOWARD County: HOWARD

REDDY MANDA, ANIL SMITH, JENNIFER WINDSOR, ROBERTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HOWARD County: HOWARD County: HOWARD

ROSADO, NAHIR STAHL, MARK WOO, KIJINGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HOWARD County: HOWARD County: HOWARD

SALKELD, STEVEN STEPHENS, DEREK YU, MINGGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700 Phone: (765) 454-9700

County: HOWARD County: HOWARD County: HOWARD

SCHAFER, SEAN SWEET, NICOLE BRANDT, MARYGeneral Dentistry General Dentistry Orthodontics

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASSOCIATED ORTHODONTISTS OF INDIANA

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO 3423 SOUTH LAFOUNTAIN, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700 Phone: (765) 453-2363

County: HOWARD County: HOWARD County: HOWARD

SCHILL, GAVIN TITUS, JONATHAN DAVIS, WARRENGeneral Dentistry General Dentistry Orthodontics

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASSOCIATED ORTHODONTISTS OF INDIANA

2124 EAST BOULEVARD STREET, KOKOMO 2124 EAST BOULEVARD STREET, KOKOMO 3423 SOUTH LAFOUNTAIN, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 454-9700 Phone: (765) 454-9700 Phone: (765) 453-2363

County: HOWARD County: HOWARD County: HOWARD

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 41: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

RAPP, JOHN MCBRIDE, DONALD SIM, SOOOrthodontics General Dentistry General Dentistry

ASSOCIATED ORTHODONTISTS OF INDIANA HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE

3423 SOUTH LAFOUNTAIN, KOKOMO 2362 WEST BOULEVARD, KOKOMO 2362 WEST BOULEVARD, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 453-2363 Phone: (765) 452-0530 Phone: (765) 236-1570

County: HOWARD County: HOWARD County: HOWARD

BECK, JOSEPH MCBRIDE, DONALD WALKER, LARRYGeneral Dentistry General Dentistry Oral Surgery

COMFORT DENTAL OF KOKOMO HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE

2910 SOUTH REED ROAD, KOKOMO 2362 WEST BOULEVARD, KOKOMO 2016 SOUTH ELIZABETH STREET, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 455-9800 Phone: (765) 236-1570 Phone: (765) 452-0028

County: HOWARD County: HOWARD County: HOWARD

BEARD, KIMBERLY MCBRIDE, DONALD YEGERLEHNER, KIRKGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE

2362 WEST BOULEVARD, KOKOMO 2016 SOUTH ELIZABETH STREET, KOKOMO 2362 WEST BOULEVARD, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 452-0530 Phone: (765) 452-0028 Phone: (765) 452-0530

County: HOWARD County: HOWARD County: HOWARD

DOBBS, STEVEN MONTGOMERY, MARK YEGERLEHNER, KIRKGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE

2362 WEST BOULEVARD, KOKOMO 2362 WEST BOULEVARD, KOKOMO 2362 WEST BOULEVARD, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 236-1570 Phone: (765) 452-0530 Phone: (765) 236-1570

County: HOWARD County: HOWARD County: HOWARD

HICKEY, JOSEPH MONTGOMERY, MARK CARBAJAL, WALTERGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE LADD DENTAL GROUP

2362 WEST BOULEVARD, KOKOMO 2362 WEST BOULEVARD, KOKOMO 2333 WEST LINCOLN ROAD, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 452-0530 Phone: (765) 236-1570 Phone: (765) 455-0085

County: HOWARD County: HOWARD County: HOWARD

HICKEY, JOSEPH SHANTEAU, OWEN FRAUNDORFER, MARGAUXGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE LADD DENTAL GROUP

2362 WEST BOULEVARD, KOKOMO 2362 WEST BOULEVARD, KOKOMO 2333 WEST LINCOLN ROAD, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 236-1570 Phone: (765) 236-1570 Phone: (765) 455-0085

County: HOWARD County: HOWARD County: HOWARD

HOWELL BARRY, JESSICA SHANTEAU, OWEN LADD, JOHNGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE LADD DENTAL GROUP

2362 WEST BOULEVARD, KOKOMO 2362 WEST BOULEVARD, KOKOMO 2333 WEST LINCOLN ROAD, KOKOMO

KOKOMO, IN 46902 KOKOMO, IN 46902 KOKOMO, IN 46902

Phone: (765) 236-1570 Phone: (765) 452-0530 Phone: (765) 455-0085

County: HOWARD County: HOWARD County: HOWARD

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 42: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

OSTROVSKY, INESSA LADD, JOHN MUNANTE PAZ, MONICAGeneral Dentistry General Dentistry General Dentistry

LADD DENTAL GROUP LADD DENTAL OF GREENTOWN LIFETIME DENTAL CARE OF INDIANA

2333 WEST LINCOLN ROAD, KOKOMO 520 WEST MAIN STREET, GREENTOWN 927 SOUTH WASHINGTON STREET, KOKOMO

KOKOMO, IN 46902 GREENTOWN, IN 46936 KOKOMO, IN 46901

Phone: (765) 455-0085 Phone: (765) 628-2203 Phone: (765) 868-7113

County: HOWARD County: HOWARD County: HOWARD

SCHEMEHORN, ANDREW OSTROVSKY, INESSA MURPHY, ROGERGeneral Dentistry General Dentistry General Dentistry

LADD DENTAL GROUP LADD DENTAL OF GREENTOWN LIFETIME DENTAL CARE OF INDIANA

2333 WEST LINCOLN ROAD, KOKOMO 520 WEST MAIN STREET, GREENTOWN 927 SOUTH WASHINGTON STREET, KOKOMO

KOKOMO, IN 46902 GREENTOWN, IN 46936 KOKOMO, IN 46901

Phone: (765) 455-0085 Phone: (765) 628-2203 Phone: (765) 868-7113

County: HOWARD County: HOWARD County: HOWARD

SMITH, HAROLD SCHEMEHORN, ANDREW SHANTEAU, OWENGeneral Dentistry General Dentistry General Dentistry

LADD DENTAL GROUP LADD DENTAL OF GREENTOWN LIFETIME DENTAL CARE OF INDIANA

2333 WEST LINCOLN ROAD, KOKOMO 520 WEST MAIN STREET, GREENTOWN 927 SOUTH WASHINGTON STREET, KOKOMO

KOKOMO, IN 46902 GREENTOWN, IN 46936 KOKOMO, IN 46901

Phone: (765) 455-0085 Phone: (765) 628-2203 Phone: (765) 868-7113

County: HOWARD County: HOWARD County: HOWARD

TOWNS, STEPHEN SMITH, HAROLDGeneral Dentistry General Dentistry

LADD DENTAL GROUP LADD DENTAL OF GREENTOWN

2333 WEST LINCOLN ROAD, KOKOMO 520 WEST MAIN STREET, GREENTOWN

KOKOMO, IN 46902 GREENTOWN, IN 46936

Phone: (765) 455-0085 Phone: (765) 628-2203

County: HOWARD County: HOWARD

WISLER, CRAIG TOWNS, STEPHEN HARPER, RONNIEGeneral Dentistry General Dentistry General Dentistry

LADD DENTAL GROUP LADD DENTAL OF GREENTOWN BROWNSTOWN DENTAL CLINIC

2333 WEST LINCOLN ROAD, KOKOMO 520 WEST MAIN STREET, GREENTOWN 615 WEST COMMERCE STREET, BROWNSTOWN

KOKOMO, IN 46902 GREENTOWN, IN 46936 BROWNSTOWN, IN 47220

Phone: (765) 455-0085 Phone: (765) 628-2203 Phone: (812) 358-5950

County: HOWARD County: HOWARD County: JACKSON

CARBAJAL, WALTER WISLER, CRAIG ENGLAND, ROGERGeneral Dentistry General Dentistry General Dentistry

LADD DENTAL OF GREENTOWN LADD DENTAL OF GREENTOWN DOCTOR ROGER W ENGLAND DDS

520 WEST MAIN STREET, GREENTOWN 520 WEST MAIN STREET, GREENTOWN 120 EAST BRIDGE STREET, BROWNSTOWN

GREENTOWN, IN 46936 GREENTOWN, IN 46936 BROWNSTOWN, IN 47220

Phone: (765) 628-2203 Phone: (765) 628-2203 Phone: (812) 358-2444

County: HOWARD County: HOWARD County: JACKSON

FRAUNDORFER, MARGAUX KUNELIS, CONNIE STRULL, NORMANGeneral Dentistry General Dentistry Oral Surgery

LADD DENTAL OF GREENTOWN LIFETIME DENTAL CARE OF INDIANA STRULL AND STRULL

520 WEST MAIN STREET, GREENTOWN 927 SOUTH WASHINGTON STREET, KOKOMO 325 NORTH WALNUT STREET, SEYMOUR

GREENTOWN, IN 46936 KOKOMO, IN 46901 SEYMOUR, IN 47274

Phone: (765) 628-2203 Phone: (765) 868-7113 Phone: (866) 896-4401

County: HOWARD County: HOWARD County: JACKSON

JACKSON County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 43: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

STRULL, GREGORY GALLOWAY, LINEL HEUER, ALLISONOral Surgery General Dentistry General Dentistry

STRULL AND STRULL ROY D EARLIN DMD MONARCH DENTAL

325 NORTH WALNUT STREET, SEYMOUR 411 CLIFTY DRIVE, MADISON 304 NORRIS AVENUE, NORTH VERNON

SEYMOUR, IN 47274 MADISON, IN 47250 NORTH VERNON, IN 47265

Phone: (866) 896-4401 Phone: (812) 273-2388 Phone: (812) 346-8000

County: JACKSON County: JEFFERSON County: JENNINGS

EDWARDS, WALTER HOLLAND, WILLIAMGeneral Dentistry General Dentistry

WALTER F EDWARDS DMD MONARCH DENTAL

703 GREEN ROAD, MADISON 304 NORRIS AVENUE, NORTH VERNON

MADISON, IN 47250 NORTH VERNON, IN 47265

Phone: (812) 265-5390 Phone: (812) 346-8000

County: JEFFERSON County: JENNINGS

LARGURA, ALDO JOHNSON, MARKOrthodontics General Dentistry

ALDO M LARGURA DDS MONARCH DENTAL

3860 WEST STATE ROAD 10, WHEATFIELD 304 NORRIS AVENUE, NORTH VERNON

WHEATFIELD, IN 46392 NORTH VERNON, IN 47265

Phone: (219) 956-2044 Phone: (812) 346-8000

County: JASPER County: JENNINGS

BUTLER, MATTHEW LEVITT, ALEXANDERGeneral Dentistry General Dentistry

MONARCH DENTAL MONARCH DENTAL

304 NORRIS AVENUE, NORTH VERNON 304 NORRIS AVENUE, NORTH VERNON

NORTH VERNON, IN 47265 NORTH VERNON, IN 47265

Phone: (812) 346-8000 Phone: (812) 346-8000

County: JENNINGS County: JENNINGS

BADGER, MICHAEL CAIRD, ROBERT NAKHLA, DANNYOrthodontics General Dentistry General Dentistry

BADGER AND SPILLER DMD MONARCH DENTAL MONARCH DENTAL

410 WEST STREET, MADISON 304 NORRIS AVENUE, NORTH VERNON 304 NORRIS AVENUE, NORTH VERNON

MADISON, IN 47250 NORTH VERNON, IN 47265 NORTH VERNON, IN 47265

Phone: (812) 265-5767 Phone: (812) 346-8000 Phone: (812) 346-8000

County: JEFFERSON County: JENNINGS County: JENNINGS

SPILLER, ROBERT COST, RODNEY POYAN, FARZANAOrthodontics General Dentistry General Dentistry

BADGER AND SPILLER DMD MONARCH DENTAL MONARCH DENTAL

410 WEST STREET, MADISON 304 NORRIS AVENUE, NORTH VERNON 304 NORRIS AVENUE, NORTH VERNON

MADISON, IN 47250 NORTH VERNON, IN 47265 NORTH VERNON, IN 47265

Phone: (812) 265-5767 Phone: (812) 346-8000 Phone: (812) 346-8000

County: JEFFERSON County: JENNINGS County: JENNINGS

EAGLIN, R GAYLE, ROBERTGeneral Dentistry General Dentistry

ROY D EARLIN DMD MONARCH DENTAL

411 CLIFTY DRIVE, MADISON 304 NORRIS AVENUE, NORTH VERNON

MADISON, IN 47250 NORTH VERNON, IN 47265

Phone: (812) 273-2388 Phone: (812) 346-8000

County: JEFFERSON County: JENNINGS

JASPER County

JENNINGS County

JEFFERSON County

JOHNSON County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 44: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

EBEYER, MICHELLE BUCK, JOSHUA ESLINGER, BRYANGeneral Dentistry General Dentistry General Dentistry

A DENTAL TOUCH ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

973 EMERSON PARKWAY, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46143 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 883-3368 Phone: (317) 859-0600 Phone: (317) 859-0600

County: JOHNSON County: JOHNSON County: JOHNSON

GILTNER, EMILY BUKSAR, DAVID FRIEDMAN, KARAGeneral Dentistry General Dentistry General Dentistry

A DENTAL TOUCH ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

973 EMERSON PARKWAY, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46143 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 883-3368 Phone: (317) 859-0600 Phone: (317) 859-0600

County: JOHNSON County: JOHNSON County: JOHNSON

KAPUR, NINA CHOWHAN IQBAL, NADIA GHANG, YOHANGeneral Dentistry General Dentistry General Dentistry

A DENTAL TOUCH ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

973 EMERSON PARKWAY, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46143 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 883-3368 Phone: (317) 859-0600 Phone: (317) 859-0600

County: JOHNSON County: JOHNSON County: JOHNSON

MCDONALD, CHRISTIE COLLURU, KRISHNA GONQUEH, SHADRACHGeneral Dentistry General Dentistry General Dentistry

A DENTAL TOUCH ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

973 EMERSON PARKWAY, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46143 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 883-3368 Phone: (317) 859-0600 Phone: (317) 859-0600

County: JOHNSON County: JOHNSON County: JOHNSON

NEW, PATRICIA CREAGER, TESSA GRAVES, LINDSEYGeneral Dentistry General Dentistry General Dentistry

A NEW SMILE PC ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1700 WEST SMITH VALLEY ROAD, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 888-6684 Phone: (317) 859-0600 Phone: (317) 859-0600

County: JOHNSON County: JOHNSON County: JOHNSON

SAUER, AARON DANIEL, KYLE GRIFFING, RUSSELLGeneral Dentistry General Dentistry General Dentistry

AJS DENTAL ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

704 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46143 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 865-1234 Phone: (317) 859-0600 Phone: (317) 859-0600

County: JOHNSON County: JOHNSON County: JOHNSON

ADLER, BROOKE DOWNEY, CLARK GRIFFITHS, DANIELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 859-0600 Phone: (317) 859-0600 Phone: (317) 859-0600

County: JOHNSON County: JOHNSON County: JOHNSON

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 45: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

HAWKINS, RACHAEL LEYES, KATHERINE ROSADO, NAHIRGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 859-0600 Phone: (317) 859-0600 Phone: (317) 859-0600

County: JOHNSON County: JOHNSON County: JOHNSON

JACKSON, ROBERT LOSIER, KURT SCHAFER, SEANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 859-0600 Phone: (317) 859-0600 Phone: (317) 859-0600

County: JOHNSON County: JOHNSON County: JOHNSON

JOHNSON, WILLIAM NIES, MICHAEL SCHILL, GAVINGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 859-0600 Phone: (317) 859-0600 Phone: (317) 859-0600

County: JOHNSON County: JOHNSON County: JOHNSON

JONES, ALEXANDRA NOROOZI, AHMAD REZA SCHINDLER, CHARLESGeneral Dentistry Oral Surgery General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 859-0600 Phone: (317) 859-0600 Phone: (317) 859-0600

County: JOHNSON County: JOHNSON County: JOHNSON

KHEIRI, AFAQ NOTARIANNI, JOHN SHANK, KYLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 859-0600 Phone: (317) 859-0600 Phone: (317) 859-0600

County: JOHNSON County: JOHNSON County: JOHNSON

LARRABEE, TODD PHILLIPS, AARON SMITH, JENNIFERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 859-0600 Phone: (317) 859-0600 Phone: (317) 859-0600

County: JOHNSON County: JOHNSON County: JOHNSON

LEONARD, CHRISTOPHER REDDY MANDA, ANIL SPARKS, JEREMIAHGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 859-0600 Phone: (317) 859-0600 Phone: (317) 859-0600

County: JOHNSON County: JOHNSON County: JOHNSON

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 46: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

STAHL, MARK YU, MING GARDNER, GREGORYGeneral Dentistry Oral Surgery General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES DENTAL CARE PARTNERS OF INDIANA

331 SOUTH STATE ROAD 135, GREENWOOD 331 SOUTH STATE ROAD 135, GREENWOOD 1251 US HIGHWAY 31 NORTH, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 859-0600 Phone: (317) 859-0600 Phone: (317) 881-5310

County: JOHNSON County: JOHNSON County: JOHNSON

STEPHENS, DEREK MIRISE, PHILIP KRAMER, KYLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES CEDAR LANE FAMILY DENTISTRY DENTAL CARE PARTNERS OF INDIANA

331 SOUTH STATE ROAD 135, GREENWOOD 850 CEDAR LANE, FRANKLIN 1251 US HIGHWAY 31 NORTH, GREENWOOD

GREENWOOD, IN 46142 FRANKLIN, IN 46131 GREENWOOD, IN 46142

Phone: (317) 859-0600 Phone: (317) 736-7476 Phone: (317) 881-5310

County: JOHNSON County: JOHNSON County: JOHNSON

SWEET, NICOLE WEEKS, TIMOTHY LENOS, STEVENGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES CENTER GROVE DENTISTRY DENTAL CARE PARTNERS OF INDIANA

331 SOUTH STATE ROAD 135, GREENWOOD 107 NORTH STATE ROAD 135, GREENWOOD 1251 US HIGHWAY 31 NORTH, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 859-0600 Phone: (317) 885-6400 Phone: (317) 881-5310

County: JOHNSON County: JOHNSON County: JOHNSON

TITUS, JONATHAN ALEX, SONIA MCNICHOLL, IRISGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES DENTAL CARE PARTNERS OF INDIANA DENTAL CARE PARTNERS OF INDIANA

331 SOUTH STATE ROAD 135, GREENWOOD 1251 US HIGHWAY 31 NORTH, GREENWOOD 1251 US HIGHWAY 31 NORTH, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 859-0600 Phone: (317) 881-5310 Phone: (317) 881-5310

County: JOHNSON County: JOHNSON County: JOHNSON

WALKER, LARRY ATTAPHITAYA, SURAT OLABI, NASSIMOral Surgery Orthodontics General Dentistry

ASPEN DENTAL ASSOCIATES DENTAL CARE PARTNERS OF INDIANA DENTAL CARE PARTNERS OF INDIANA

331 SOUTH STATE ROAD 135, GREENWOOD 1251 US HIGHWAY 31 NORTH, GREENWOOD 1251 US HIGHWAY 31 NORTH, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 859-0600 Phone: (317) 881-5310 Phone: (317) 881-5310

County: JOHNSON County: JOHNSON County: JOHNSON

WINDSOR, ROBERT DAGER, MARCUS PARIKH, KARISHMAGeneral Dentistry Orthodontics General Dentistry

ASPEN DENTAL ASSOCIATES DENTAL CARE PARTNERS OF INDIANA DENTAL CARE PARTNERS OF INDIANA

331 SOUTH STATE ROAD 135, GREENWOOD 1251 US HIGHWAY 31 NORTH, GREENWOOD 1251 US HIGHWAY 31 NORTH, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 859-0600 Phone: (317) 881-5310 Phone: (317) 881-5310

County: JOHNSON County: JOHNSON County: JOHNSON

WOO, KIJIN FELDE, STEVEN WHITE, STEPHANIEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES DENTAL CARE PARTNERS OF INDIANA DENTAL CARE PARTNERS OF INDIANA

331 SOUTH STATE ROAD 135, GREENWOOD 1251 US HIGHWAY 31 NORTH, GREENWOOD 1251 US HIGHWAY 31 NORTH, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 859-0600 Phone: (317) 881-5310 Phone: (317) 881-5310

County: JOHNSON County: JOHNSON County: JOHNSON

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 47: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

WISLER, CRAIG MCBRIDE, DONALD WILLMAN, BRADENGeneral Dentistry General Dentistry General Dentistry

DENTAL CARE PARTNERS OF INDIANA HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE

1251 US HIGHWAY 31 NORTH, GREENWOOD 1090 SOUTH STATE ROAD 135, GREENWOOD 1090 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46143 GREENWOOD, IN 46143

Phone: (317) 881-5310 Phone: (317) 882-8899 Phone: (317) 882-8899

County: JOHNSON County: JOHNSON County: JOHNSON

GORIS, DAVID MCBRIDE, DONALD XU, YUDONGGeneral Dentistry General Dentistry General Dentistry

DOCTOR DAVID W GORIS DDS HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE

201 SOUTH EMERSON AVENUE, GREENWOOD 1711 SOUTH STATE ROAD, GREENWOOD 601 LIBRARY PARK, GREENWOOD

GREENWOOD, IN 46143 GREENWOOD, IN 46143 GREENWOOD, IN 46142

Phone: (317) 888-4044 Phone: (317) 882-8000 Phone: (317) 881-2050

County: JOHNSON County: JOHNSON County: JOHNSON

GOLDER, JEFFREY NARASIMHAMURTHY, RAGHUNANDAN MONTEFALCO, PHILIPGeneral Dentistry General Dentistry Oral Surgery

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

1711 SOUTH STATE ROAD, GREENWOOD 601 LIBRARY PARK, GREENWOOD 1630 WEST SMITH VALLEY ROAD, GREENWOOD

GREENWOOD, IN 46143 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 882-8000 Phone: (317) 881-2050 Phone: (317) 882-3370

County: JOHNSON County: JOHNSON County: JOHNSON

GREENLEE BOURFF, AMANDA POPOVICIU, CHRISTINA POTTER, TYLERGeneral Dentistry General Dentistry Oral Surgery

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

2179 NORTH MORTON STREET, FRANKLIN 1711 SOUTH STATE ROAD, GREENWOOD 1630 WEST SMITH VALLEY ROAD, GREENWOOD

FRANKLIN, IN 46131 GREENWOOD, IN 46143 GREENWOOD, IN 46142

Phone: (317) 738-9884 Phone: (317) 882-8000 Phone: (317) 882-3370

County: JOHNSON County: JOHNSON County: JOHNSON

KEARSCHNER, JENNY SHAMSI, SAROSH PRUITT, JOHNGeneral Dentistry General Dentistry Oral Surgery

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

601 LIBRARY PARK, GREENWOOD 601 LIBRARY PARK, GREENWOOD 1630 WEST SMITH VALLEY ROAD, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46142

Phone: (317) 881-2050 Phone: (317) 881-2050 Phone: (317) 882-3370

County: JOHNSON County: JOHNSON County: JOHNSON

MAUPIN, HEATHER SHANTEAU, OWEN FISHER, JEFFREYGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE JEFFREY J FISHER DDS

601 LIBRARY PARK, GREENWOOD 1711 SOUTH STATE ROAD, GREENWOOD 119 NORTH US 31, WHITELAND

GREENWOOD, IN 46142 GREENWOOD, IN 46143 WHITELAND, IN 46184

Phone: (317) 881-2050 Phone: (317) 882-8000 Phone: (317) 535-5665

County: JOHNSON County: JOHNSON County: JOHNSON

MCBRIDE, DONALD VELLIGAN, GREGORY KAMER, KARENGeneral Dentistry General Dentistry Endodontics

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE LIFETIME DENTAL CARE OF INDIANA

601 LIBRARY PARK, GREENWOOD 601 LIBRARY PARK, GREENWOOD 1090 SOUTH STATE ROAD 135, GREENWOOD

GREENWOOD, IN 46142 GREENWOOD, IN 46142 GREENWOOD, IN 46143

Phone: (317) 881-2050 Phone: (317) 881-2050 Phone: (317) 882-8899

County: JOHNSON County: JOHNSON County: JOHNSON

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 48: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

VALENCIA, LUZ ELENA WALTON, MATTHEW BUCK, JOSHUAGeneral Dentistry General Dentistry General Dentistry

LUZ ELENA VALENCIA DDS PC WALTON FAMILY AND COSMETIC DENTISTRY ASPEN DENTAL ASSOCIATES

625 NORTH MADISON AVENUE, GREENWOOD 75 NORTH STATE ROAD 135, GREENWOOD 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

GREENWOOD, IN 46142 GREENWOOD, IN 46142 MICHIGAN CITY, IN 46360

Phone: (317) 865-1010 Phone: (317) 885-7006 Phone: (219) 873-9000

County: JOHNSON County: JOHNSON County: LA PORTE

MASTERS, JACOB BUKSAR, DAVIDGeneral Dentistry General Dentistry

MASTERS FAMILY DENTISTRY ASPEN DENTAL ASSOCIATES

191 US 31 SOUTH, GREENWOOD 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

GREENWOOD, IN 46142 MICHIGAN CITY, IN 46360

Phone: (317) 881-2500 Phone: (219) 873-9000

County: JOHNSON County: LA PORTE

REEVES, MICHAEL LYNN, STEVEN COLLURU, KRISHNAGeneral Dentistry General Dentistry General Dentistry

MICHAEL REEVES DDS STEVEN E LYNN DDS ASPEN DENTAL ASSOCIATES

3195 WEST FAIRVIEW ROAD, GREENWOOD 723 COLLEGE AVENUE, VINCENNES 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

GREENWOOD, IN 46142 VINCENNES, IN 47591 MICHIGAN CITY, IN 46360

Phone: (317) 887-0888 Phone: (812) 882-5113 Phone: (219) 873-9000

County: JOHNSON County: KNOX County: LA PORTE

WINN, JEFFREY CREAGER, TESSAGeneral Dentistry General Dentistry

PARKVIEW DENTAL ASPEN DENTAL ASSOCIATES

549 PARKVIEW DRIVE, NEW WHITELAND 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

NEW WHITELAND, IN 46184 MICHIGAN CITY, IN 46360

Phone: (317) 535-7522 Phone: (219) 873-9000

County: JOHNSON County: LA PORTE

SCEARCE, ZACHARY LAHRMAN, DON DANIEL, KYLEGeneral Dentistry Orthodontics General Dentistry

SIGNATURE DENTAL DON E LAHRMAN DDS ASPEN DENTAL ASSOCIATES

997 EAST COUNTY LINE ROAD, GREENWOOD 1101 SOUTH HUNTINGTON STREET, SYRACUSE 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

GREENWOOD, IN 46143 SYRACUSE, IN 46567 MICHIGAN CITY, IN 46360

Phone: (317) 865-1193 Phone: (574) 457-5771 Phone: (219) 873-9000

County: JOHNSON County: KOSCIUSKO County: LA PORTE

LUMSDON, MICHELLE DOWNEY, CLARKGeneral Dentistry General Dentistry

STONES CROSSING DENTISTRY DDS ASPEN DENTAL ASSOCIATES

2525 SOUTH STATE ROAD 135, GREENWOOD 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

GREENWOOD, IN 46143 MICHIGAN CITY, IN 46360

Phone: (317) 535-3940 Phone: (219) 873-9000

County: JOHNSON County: LA PORTE

WILKINS, AARON ADLER, BROOKE DZIAK, RICHARDGeneral Dentistry General Dentistry General Dentistry

STONES CROSSING DENTISTRY DDS ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2525 SOUTH STATE ROAD 135, GREENWOOD 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

GREENWOOD, IN 46143 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (317) 535-3940 Phone: (219) 873-9000 Phone: (219) 873-9000

County: JOHNSON County: LA PORTE County: LA PORTE

KNOX County

KOSCIUSKO County

LA PORTE County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 49: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

ENGLES, LEIF HAMATI, ISAM LARRABEE, TODDGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 873-9000 Phone: (219) 873-9000 Phone: (219) 873-9000

County: LA PORTE County: LA PORTE County: LA PORTE

ESLINGER, BRYAN HARPER, DUSTIN LEONARD, CHRISTOPHERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 873-9000 Phone: (219) 873-9000 Phone: (219) 873-9000

County: LA PORTE County: LA PORTE County: LA PORTE

FRIEDMAN, KARA HAWKINS, RACHAEL LEYES, KATHERINEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 873-9000 Phone: (219) 873-9000 Phone: (219) 873-9000

County: LA PORTE County: LA PORTE County: LA PORTE

GHANG, YOHAN JACKSON, ROBERT LOSIER, KURTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 873-9000 Phone: (219) 873-9000 Phone: (219) 873-9000

County: LA PORTE County: LA PORTE County: LA PORTE

GONQUEH, SHADRACH JOHNSON, WILLIAM LOUDERMILK, JOHNGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 873-9000 Phone: (219) 873-9000 Phone: (219) 873-9000

County: LA PORTE County: LA PORTE County: LA PORTE

GRAVES, LINDSEY JONES, ALEXANDRA NIES, MICHAELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 873-9000 Phone: (219) 873-9000 Phone: (219) 873-9000

County: LA PORTE County: LA PORTE County: LA PORTE

GRIFFITHS, DANIEL KHEIRI, AFAQ NOROOZI, AHMAD REZAGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 873-9000 Phone: (219) 873-9000 Phone: (219) 873-9000

County: LA PORTE County: LA PORTE County: LA PORTE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 50: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

NOTARIANNI, JOHN SCHAFER, SEAN SWEET, NICOLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 873-9000 Phone: (219) 873-9000 Phone: (219) 873-9000

County: LA PORTE County: LA PORTE County: LA PORTE

PHILLIPS, MARK SCHILL, GAVIN TITUS, JONATHANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 873-9000 Phone: (219) 873-9000 Phone: (219) 873-9000

County: LA PORTE County: LA PORTE County: LA PORTE

PHILLIPS, AARON SCHINDLER, CHARLES WINDSOR, ROBERTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 873-9000 Phone: (219) 873-9000 Phone: (219) 873-9000

County: LA PORTE County: LA PORTE County: LA PORTE

RAMCHANDRAREDDY, SHASHIDHAR SHANK, KYLE WOO, KIJINGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 873-9000 Phone: (219) 873-9000 Phone: (219) 873-9000

County: LA PORTE County: LA PORTE County: LA PORTE

REDDY MANDA, ANIL SMITH, JENNIFER LANT, CHRISTIEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES COMPASSION FOR CARING

5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5408 NORTH JOHNSON ROAD, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 873-9000 Phone: (219) 873-9000 Phone: (219) 879-5599

County: LA PORTE County: LA PORTE County: LA PORTE

ROSADO, NAHIR SPARKS, JEREMIAH TIMMONS, JAMESGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES JAMES H TIMMONS DDS

5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5408 NORTH JOHNSON ROAD, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 873-9000 Phone: (219) 873-9000 Phone: (219) 879-5580

County: LA PORTE County: LA PORTE County: LA PORTE

SALKELD, STEVEN STEPHENS, DEREK AYANGADE, CRESHINDAGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES MICHIGAN CITY FAMILY DENTISTRY

5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 5240 SOUTH FRANKLIN STREET, MICHIGAN CITY 332 DUNES PLAZA, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 873-9000 Phone: (219) 873-9000 Phone: (219) 871-7171

County: LA PORTE County: LA PORTE County: LA PORTE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 51: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

AYANGADE, OLUSEYI CAMPAGNA, PHILIP MONTANEZ, FRANKIEPeriodontology General Dentistry General Dentistry

MICHIGAN CITY FAMILY DENTISTRY PHILIP L CAMPAGNA DDS VALPARAISO FAMILY DENTISTRY

332 DUNES PLAZA, MICHIGAN CITY 106 WOODLAND COURT, MICHIGAN CITY 1431 SOUTH WOODLAND AVENUE, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 871-7171 Phone: (219) 872-0519 Phone: (219) 874-7840

County: LA PORTE County: LA PORTE County: LA PORTE

OLGUIN, DE ALVIN BEHREND, ROBERT OSTROWSKI, LEONARDPeriodontology General Dentistry General Dentistry

MICHIGAN CITY FAMILY DENTISTRY VALPARAISO FAMILY DENTISTRY VALPARAISO FAMILY DENTISTRY

332 DUNES PLAZA, MICHIGAN CITY 1431 SOUTH WOODLAND AVENUE, MICHIGAN CITY 1431 SOUTH WOODLAND AVENUE, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 871-7171 Phone: (219) 874-7840 Phone: (219) 874-7840

County: LA PORTE County: LA PORTE County: LA PORTE

TAYLOR, BRENDA BREUKER, JAMES PARKER, WENDYGeneral Dentistry General Dentistry General Dentistry

MICHIGAN CITY FAMILY DENTISTRY VALPARAISO FAMILY DENTISTRY WENDY A PARKER DDS

332 DUNES PLAZA, MICHIGAN CITY 1431 SOUTH WOODLAND AVENUE, MICHIGAN CITY 715 PINE STREET, MICHIGAN CITY

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360

Phone: (219) 871-7171 Phone: (219) 874-7840 Phone: (219) 874-4800

County: LA PORTE County: LA PORTE County: LA PORTE

SCHMIDT, RANDALL CONAWAY, DAVIDOrthodontics General Dentistry

ORTHODONTIC AFFILIATES PC VALPARAISO FAMILY DENTISTRY

1300 STATE STREET, LA PORTE 1431 SOUTH WOODLAND AVENUE, MICHIGAN CITY

LA PORTE, IN 46350 MICHIGAN CITY, IN 46360

Phone: (219) 324-3260 Phone: (219) 874-7840

County: LA PORTE County: LA PORTE

SCHMIDT, RANDALL CUELLAR, LUIS AYANGADE, OLUSEYIOrthodontics General Dentistry Periodontology

ORTHODONTIC AFFILIATES PC VALPARAISO FAMILY DENTISTRY A AND A DENTAL

1401 WOODLAND AVENUE, MICHIGAN CITY 1431 SOUTH WOODLAND AVENUE, MICHIGAN CITY 7880 BROADWAY, MERRILLVILLE

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MERRILLVILLE, IN 46410

Phone: (219) 874-2207 Phone: (219) 874-7840 Phone: (219) 795-9999

County: LA PORTE County: LA PORTE County: LAKE

SURBER, THOMAS HEARN, MATTHEW ALAVANJA, RATOMIROrthodontics Oral Surgery General Dentistry

ORTHODONTIC AFFILIATES PC VALPARAISO FAMILY DENTISTRY A AND A DENTAL CENTER

1401 WOODLAND AVENUE, MICHIGAN CITY 1431 SOUTH WOODLAND AVENUE, MICHIGAN CITY 7880 BROADWAY, MERRILLVILLE

MICHIGAN CITY, IN 46360 MICHIGAN CITY, IN 46360 MERRILLVILLE, IN 46410

Phone: (219) 874-2207 Phone: (219) 874-7840 Phone: (219) 795-9999

County: LA PORTE County: LA PORTE County: LAKE

SURBER, THOMAS HEIN, ERIC AYANGADE, OLUSEYIOrthodontics General Dentistry Periodontology

ORTHODONTIC AFFILIATES PC VALPARAISO FAMILY DENTISTRY A AND A DENTAL CENTER

1300 STATE STREET, LA PORTE 1431 SOUTH WOODLAND AVENUE, MICHIGAN CITY 7880 BROADWAY, MERRILLVILLE

LA PORTE, IN 46350 MICHIGAN CITY, IN 46360 MERRILLVILLE, IN 46410

Phone: (219) 324-3260 Phone: (219) 874-7840 Phone: (219) 795-9999

County: LA PORTE County: LA PORTE County: LAKE

LAKE County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 52: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

TAYLOR, BRENDA COOPER, JASON LARRABEE DEWELL, KELLIGeneral Dentistry General Dentistry General Dentistry

A AND A DENTAL CENTER CHILDREN DENTAL CLINIC OF GARY CHILDREN DENTAL CLINIC OF GARY

7880 BROADWAY, MERRILLVILLE 3506 VILLAGE COURT, GARY 3506 VILLAGE COURT, GARY

MERRILLVILLE, IN 46410 GARY, IN 46408 GARY, IN 46408

Phone: (219) 795-9999 Phone: (219) 985-3313 Phone: (219) 985-3313

County: LAKE County: LAKE County: LAKE

BECK, RICHARD CROOM, OLIVIA LOWE, SAMANTHAGeneral Dentistry General Dentistry General Dentistry

BECK DENTAL CENTER CHILDREN DENTAL CLINIC OF GARY CHILDREN DENTAL CLINIC OF GARY

233 EAST 84TH DRIVE, MERRILLVILLE 3506 VILLAGE COURT, GARY 3506 VILLAGE COURT, GARY

MERRILLVILLE, IN 46410 GARY, IN 46408 GARY, IN 46408

Phone: (219) 736-2309 Phone: (219) 985-3313 Phone: (219) 985-3313

County: LAKE County: LAKE County: LAKE

KENFIELD, MELISSA DEKKER REED, LISA LU, BIQINGGeneral Dentistry General Dentistry General Dentistry

BROADWAY DENTISTRY CHILDREN DENTAL CLINIC OF GARY CHILDREN DENTAL CLINIC OF GARY

9247 BROADWAY, MERRILLVILLE 3506 VILLAGE COURT, GARY 3506 VILLAGE COURT, GARY

MERRILLVILLE, IN 46410 GARY, IN 46408 GARY, IN 46408

Phone: (219) 769-1485 Phone: (219) 985-3313 Phone: (219) 985-3313

County: LAKE County: LAKE County: LAKE

BELMER, MARSHALL FELDE, STEVEN MARCH PHILLIPS, MARGARETGeneral Dentistry General Dentistry General Dentistry

CHILDREN DENTAL CLINIC OF GARY CHILDREN DENTAL CLINIC OF GARY CHILDREN DENTAL CLINIC OF GARY

3506 VILLAGE COURT, GARY 3506 VILLAGE COURT, GARY 3506 VILLAGE COURT, GARY

GARY, IN 46408 GARY, IN 46408 GARY, IN 46408

Phone: (219) 985-3313 Phone: (219) 985-3313 Phone: (219) 985-3313

County: LAKE County: LAKE County: LAKE

BRADLEY, KATHLEEN FRASIER, JEREMIAH MERRITT BROOKS, BRIDGETGeneral Dentistry General Dentistry General Dentistry

CHILDREN DENTAL CLINIC OF GARY CHILDREN DENTAL CLINIC OF GARY CHILDREN DENTAL CLINIC OF GARY

3506 VILLAGE COURT, GARY 3506 VILLAGE COURT, GARY 3506 VILLAGE COURT, GARY

GARY, IN 46408 GARY, IN 46408 GARY, IN 46408

Phone: (219) 985-3313 Phone: (219) 985-3313 Phone: (219) 985-3313

County: LAKE County: LAKE County: LAKE

CHOI, YOONHYEOK HARDIN, CALARA MONSON, ANN MARIEGeneral Dentistry General Dentistry General Dentistry

CHILDREN DENTAL CLINIC OF GARY CHILDREN DENTAL CLINIC OF GARY CHILDREN DENTAL CLINIC OF GARY

3506 VILLAGE COURT, GARY 3506 VILLAGE COURT, GARY 3506 VILLAGE COURT, GARY

GARY, IN 46408 GARY, IN 46408 GARY, IN 46408

Phone: (219) 985-3313 Phone: (219) 985-3313 Phone: (219) 985-3313

County: LAKE County: LAKE County: LAKE

CLUTE, STEVEN KUMAR, SHALESH NEWMAN, DUSTINGeneral Dentistry General Dentistry General Dentistry

CHILDREN DENTAL CLINIC OF GARY CHILDREN DENTAL CLINIC OF GARY CHILDREN DENTAL CLINIC OF GARY

3506 VILLAGE COURT, GARY 3506 VILLAGE COURT, GARY 3506 VILLAGE COURT, GARY

GARY, IN 46408 GARY, IN 46408 GARY, IN 46408

Phone: (219) 985-3313 Phone: (219) 985-3313 Phone: (219) 985-3313

County: LAKE County: LAKE County: LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 53: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

NICHOLSON, TERESA FOLKE, BERNADETTE ARNOLD, DAVIDGeneral Dentistry Pediatric Dentistry General Dentistry

CHILDREN DENTAL CLINIC OF GARY CHILDRENS DENTAL CENTER OF NORTHWEST INDIANADAVID M ARNOLD DDS

3506 VILLAGE COURT, GARY 7863 BROADWAY, MERRILLVILLE 1275 JOLIET STREET, DYER

GARY, IN 46408 MERRILLVILLE, IN 46410 DYER, IN 46311

Phone: (219) 985-3313 Phone: (219) 769-6636 Phone: (219) 865-8984

County: LAKE County: LAKE County: LAKE

PETERSON, HELEN PORAPAIBOON, KIMBERLY ARCH, JOSEPHGeneral Dentistry Pediatric Dentistry General Dentistry

CHILDREN DENTAL CLINIC OF GARY CHILDRENS DENTAL CENTER OF NORTHWEST INDIANADENTAL AFFILIATES

3506 VILLAGE COURT, GARY 7863 BROADWAY, MERRILLVILLE 123 EAST 113TH AVENUE, CROWN POINT

GARY, IN 46408 MERRILLVILLE, IN 46410 CROWN POINT, IN 46307

Phone: (219) 985-3313 Phone: (219) 769-6636 Phone: (219) 677-8030

County: LAKE County: LAKE County: LAKE

REID, AMBER RAMBALAKOS, THALIA HONG, STANLEYGeneral Dentistry Pediatric Dentistry General Dentistry

CHILDREN DENTAL CLINIC OF GARY CHILDRENS DENTAL CENTER OF NORTHWEST INDIANADENTAL CENTER CROWN POINT

3506 VILLAGE COURT, GARY 7863 BROADWAY, MERRILLVILLE 11055 BROADWAY, CROWN POINT

GARY, IN 46408 MERRILLVILLE, IN 46410 CROWN POINT, IN 46307

Phone: (219) 985-3313 Phone: (219) 769-6636 Phone: (219) 663-3248

County: LAKE County: LAKE County: LAKE

TAYLOR, JENNIFER RIGG, CHARLES TRUELOVE, KESLERGeneral Dentistry Pediatric Dentistry General Dentistry

CHILDREN DENTAL CLINIC OF GARY CHILDRENS DENTAL CENTER OF NORTHWEST INDIANADENTAL CENTER CROWN POINT

3506 VILLAGE COURT, GARY 7863 BROADWAY, MERRILLVILLE 11055 BROADWAY, CROWN POINT

GARY, IN 46408 MERRILLVILLE, IN 46410 CROWN POINT, IN 46307

Phone: (219) 985-3313 Phone: (219) 769-6636 Phone: (219) 663-3248

County: LAKE County: LAKE County: LAKE

TOOLE, KEVIN HALCARZ, JILL WADAS III, JOHNGeneral Dentistry General Dentistry General Dentistry

CHILDREN DENTAL CLINIC OF GARY CINDY KIRBY DDS DENTAL CENTER CROWN POINT

3506 VILLAGE COURT, GARY 1000 EAST 80TH PLACE, MERRILLVILLE 11055 BROADWAY, CROWN POINT

GARY, IN 46408 MERRILLVILLE, IN 46410 CROWN POINT, IN 46307

Phone: (219) 985-3313 Phone: (219) 769-4246 Phone: (219) 663-3248

County: LAKE County: LAKE County: LAKE

CARTER, GILBERT KIRBY, CINDY COLITZ, ALANOrthodontics General Dentistry General Dentistry

CHILDRENS DENTAL CENTER OF NORTHWEST INDIANACINDY KIRBY DDS DENTAL CENTER MUNSTER

7863 BROADWAY, MERRILLVILLE 5129 EAST 81ST AVENUE, MERRILLVILLE 417 EAST RIDGE ROAD, MUNSTER

MERRILLVILLE, IN 46410 MERRILLVILLE, IN 46410 MUNSTER, IN 46321

Phone: (219) 769-6636 Phone: (219) 945-5777 Phone: (219) 836-9841

County: LAKE County: LAKE County: LAKE

FERGUSON, CRYSTAL KIRBY, CINDY SMITH, JERROLDPediatric Dentistry General Dentistry General Dentistry

CHILDRENS DENTAL CENTER OF NORTHWEST INDIANACINDY KIRBY DDS DENTAL CENTER MUNSTER

7863 BROADWAY, MERRILLVILLE 1000 EAST 80TH PLACE, MERRILLVILLE 417 EAST RIDGE ROAD, MUNSTER

MERRILLVILLE, IN 46410 MERRILLVILLE, IN 46410 MUNSTER, IN 46321

Phone: (219) 769-6636 Phone: (219) 769-4246 Phone: (219) 836-9841

County: LAKE County: LAKE County: LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 54: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

WADAS III, JOHN POPA, MIHAELA SHANTEAU, OWENGeneral Dentistry General Dentistry General Dentistry

DENTAL CENTER MUNSTER HEARTLAND DENTAL CARE HEARTLAND FAMILY DENTAL

417 EAST RIDGE ROAD, MUNSTER 8079 MADISON STREET, MERRILLVILLE 1515 WEST 45TH AVENUE, GRIFFITH

MUNSTER, IN 46321 MERRILLVILLE, IN 46410 GRIFFITH, IN 46319

Phone: (219) 836-9841 Phone: (219) 769-7855 Phone: (219) 922-9007

County: LAKE County: LAKE County: LAKE

SIM, CHANBO SHANTEAU, OWEN SIVAPRAKASAM, PRATHIPGeneral Dentistry General Dentistry General Dentistry

FAMILY DENTAL CARE HEARTLAND DENTAL CARE HEARTLAND FAMILY DENTAL

6075 CLEVELAND CIRCLE, MERRILLVILLE 8079 MADISON STREET, MERRILLVILLE 1515 WEST 45TH AVENUE, GRIFFITH

MERRILLVILLE, IN 46410 MERRILLVILLE, IN 46410 GRIFFITH, IN 46319

Phone: (219) 980-0319 Phone: (219) 769-7855 Phone: (219) 922-9007

County: LAKE County: LAKE County: LAKE

GARZA, ROSANNE SIM, SOO PONG, HENRYGeneral Dentistry General Dentistry General Dentistry

GENTLE DENTAL FAMILY CARE HEARTLAND DENTAL CARE HENRY K PONG DDS

844 NORTH CLINE AVENUE, GRIFFITH 8079 MADISON STREET, MERRILLVILLE 3820 CENTRAL AVENUE, LAKE STATION

GRIFFITH, IN 46319 MERRILLVILLE, IN 46410 LAKE STATION, IN 46405

Phone: (219) 924-7733 Phone: (219) 769-7855 Phone: (219) 962-8666

County: LAKE County: LAKE County: LAKE

PIEGZA, JEAN SIVAPRAKASAM, PRATHIP SARBIESKI, JEFFERYPeriodontology General Dentistry General Dentistry

HAMMON DENTAL CENTER HEARTLAND DENTAL CARE JEFFERY R SARBIESKI DDS

5254 HOHMAN AVENUE, HAMMOND 8079 MADISON STREET, MERRILLVILLE 964 WEST US HIGHWAY 30, SCHERERVILLE

HAMMOND, IN 46320 MERRILLVILLE, IN 46410 SCHERERVILLE, IN 46375

Phone: (219) 933-4900 Phone: (219) 769-7855 Phone: (219) 865-8410

County: LAKE County: LAKE County: LAKE

DANIEL, KYLE WEATHERFORD, ALVIN MANOUS, JOHANNAGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE JOHANNA MANOUS DDS

8079 MADISON STREET, MERRILLVILLE 8079 MADISON STREET, MERRILLVILLE 9305 CALUMET AVENUE, MUNSTER

MERRILLVILLE, IN 46410 MERRILLVILLE, IN 46410 MUNSTER, IN 46321

Phone: (219) 769-7855 Phone: (219) 769-7855 Phone: (219) 836-2041

County: LAKE County: LAKE County: LAKE

KIM, MARY LOPEZ, SARAH RINGO, JOHNGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE HEARTLAND FAMILY DENTAL JOHN W RINGO DDS

8079 MADISON STREET, MERRILLVILLE 1515 WEST 45TH AVENUE, GRIFFITH 2001 US HIGHWAY 41, SCHERERVILLE

MERRILLVILLE, IN 46410 GRIFFITH, IN 46319 SCHERERVILLE, IN 46375

Phone: (219) 769-7855 Phone: (219) 922-9007 Phone: (219) 322-7658

County: LAKE County: LAKE County: LAKE

LEE, BOGUN MCBRIDE, DONALD DOXAS, GEORGEGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE HEARTLAND FAMILY DENTAL KENNETH FRIED DDS

8079 MADISON STREET, MERRILLVILLE 1515 WEST 45TH AVENUE, GRIFFITH 1332 119TH STREET, WHITING

MERRILLVILLE, IN 46410 GRIFFITH, IN 46319 WHITING, IN 46394

Phone: (219) 769-7855 Phone: (219) 922-9007 Phone: (219) 659-4900

County: LAKE County: LAKE County: LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 55: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

DOXAS, GEORGE RUCKER, WILLIE SILVERT, MICHAELGeneral Dentistry General Dentistry Orthodontics

KENNETH FRIED DDS KENNETH FRIED DDS MICHAEL E SILVERT DMD

5254 HOHMAN AVENUE, HAMMOND 5655 HARRISON STREET, MERRILLVILLE 10773 RANDOLPH, CROWN POINT

HAMMOND, IN 46320 MERRILLVILLE, IN 46410 CROWN POINT, IN 46307

Phone: (219) 933-4900 Phone: (219) 980-4900 Phone: (219) 663-3020

County: LAKE County: LAKE County: LAKE

DOXAS, GEORGE DANKOWSKI, MARK MITSOS, MICHAELGeneral Dentistry General Dentistry General Dentistry

KENNETH FRIED DDS LAKELAND CREEK FAMILY DENTAL MICHAEL R MITSOS DDS

5655 HARRISON STREET, MERRILLVILLE 8080 UTAH STREET, MERRILLVILLE 310 RIDGE ROAD, MUNSTER

MERRILLVILLE, IN 46410 MERRILLVILLE, IN 46410 MUNSTER, IN 46321

Phone: (219) 980-4900 Phone: (219) 947-2581 Phone: (219) 836-8200

County: LAKE County: LAKE County: LAKE

FRIED, KENNETH TUJETSCH, MARY AYANGADE, CRESHINDAGeneral Dentistry General Dentistry General Dentistry

KENNETH FRIED DDS LAKELAND CREEK FAMILY DENTAL MICHIGAN CITY FAMILY DENTISTRY

1332 119TH STREET, WHITING 8080 UTAH STREET, MERRILLVILLE 6834 INDIANAPOLIS BOULEVARD, HAMMOND

WHITING, IN 46394 MERRILLVILLE, IN 46410 HAMMOND, IN 46324

Phone: (219) 659-4900 Phone: (219) 947-2581 Phone: (219) 595-0427

County: LAKE County: LAKE County: LAKE

FRIED, KENNETH VU, MINH TRANG AYANGADE, OLUSEYIGeneral Dentistry General Dentistry Periodontology

KENNETH FRIED DDS LAKELAND CREEK FAMILY DENTAL MICHIGAN CITY FAMILY DENTISTRY

5254 HOHMAN AVENUE, HAMMOND 8080 UTAH STREET, MERRILLVILLE 6834 INDIANAPOLIS BOULEVARD, HAMMOND

HAMMOND, IN 46320 MERRILLVILLE, IN 46410 HAMMOND, IN 46324

Phone: (219) 933-4900 Phone: (219) 947-2581 Phone: (219) 595-0427

County: LAKE County: LAKE County: LAKE

FRIED, KENNETH FLETES, LAURA OLGUIN, DE ALVINGeneral Dentistry General Dentistry Periodontology

KENNETH FRIED DDS LAURA G FLETES DDS MICHIGAN CITY FAMILY DENTISTRY

5655 HARRISON STREET, MERRILLVILLE 2838 45TH STREET, HIGHLAND 6834 INDIANAPOLIS BOULEVARD, HAMMOND

MERRILLVILLE, IN 46410 HIGHLAND, IN 46322 HAMMOND, IN 46324

Phone: (219) 980-4900 Phone: (219) 922-7945 Phone: (219) 595-0427

County: LAKE County: LAKE County: LAKE

RUCKER, WILLIE ESPINO, MARIAN TAYLOR, BRENDAGeneral Dentistry General Dentistry General Dentistry

KENNETH FRIED DDS MARIAN M ESPINO DDS MICHIGAN CITY FAMILY DENTISTRY

1332 119TH STREET, WHITING 9335 CALUMET AVENUE, MUNSTER 6834 INDIANAPOLIS BOULEVARD, HAMMOND

WHITING, IN 46394 MUNSTER, IN 46321 HAMMOND, IN 46324

Phone: (219) 659-4900 Phone: (219) 836-2092 Phone: (219) 595-0427

County: LAKE County: LAKE County: LAKE

RUCKER, WILLIE MARXER, THOMAS FRANKOS, JIMGeneral Dentistry General Dentistry General Dentistry

KENNETH FRIED DDS MARXER DENTAL CENTER MUNSTER DENTAL CENTER

5254 HOHMAN AVENUE, HAMMOND 1000 EAST 80TH PLACE, MERRILLVILLE 805 RIDGE ROAD, MUNSTER

HAMMOND, IN 46320 MERRILLVILLE, IN 46410 MUNSTER, IN 46321

Phone: (219) 933-4900 Phone: (219) 769-7517 Phone: (219) 836-4747

County: LAKE County: LAKE County: LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 56: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

SWANTKO, RODNEY SCHMIDT, RANDALL LUDFORD, CRAIGOral Surgery Orthodontics General Dentistry

MUNSTER ORAL SURGERY ORTHODONTIC AFFILIATES PC PREMIER DENTAL GROUP

9250 COLUMBIA AVENUE, MUNSTER 9335 CALUMET AVENUE, MUNSTER 7891 BROADWAY, MERRILLVILLE

MUNSTER, IN 46321 MUNSTER, IN 46321 MERRILLVILLE, IN 46410

Phone: (219) 836-1500 Phone: (219) 836-2335 Phone: (219) 769-9388

County: LAKE County: LAKE County: LAKE

WARGO, NIKKI SURBER, THOMAS BLUMBERG, REUBENGeneral Dentistry Orthodontics General Dentistry

NIKKI A WARGO DDS ORTHODONTIC AFFILIATES PC REUBEN E BLUMBERG DDS INC

1452 EAST 85TH AVENUE, MERRILLVILLE 194 DEANNA DRIVE, LOWELL 7803 WEST 75TH AVENUE, SCHERERVILLE

MERRILLVILLE, IN 46410 LOWELL, IN 46356 SCHERERVILLE, IN 46375

Phone: (219) 756-6214 Phone: (219) 696-1531 Phone: (219) 322-6892

County: LAKE County: LAKE County: LAKE

SCHMIDT, RANDALL SURBER, THOMAS MOLL, ROBERTOrthodontics Orthodontics General Dentistry

ORTHODONTIC AFFILIATES ORTHODONTIC AFFILIATES PC ROBERT H MOLL DDS

8626 WICKER AVENUE, SAINT JOHN 9335 CALUMET AVENUE, MUNSTER 940 RICHARD ROAD, DYER

SAINT JOHN, IN 46373 MUNSTER, IN 46321 DYER, IN 46311

Phone: (219) 365-0671 Phone: (219) 836-2335 Phone: (219) 865-0940

County: LAKE County: LAKE County: LAKE

SCHMIDT, RANDALL POPOVICH, NATALIE ZIMMERS, PAMALAOrthodontics General Dentistry General Dentistry

ORTHODONTIC AFFILIATES POPOVICH DENTAL CORPORATION SCHERERVILLE DENTAL CARE

7891 BROADWAY, MERRILLVILLE 223 SOUTH COURT STREET, CROWN POINT 2167 US HIGHWAY 41, SCHERERVILLE

MERRILLVILLE, IN 46410 CROWN POINT, IN 46307 SCHERERVILLE, IN 46375

Phone: (219) 769-6691 Phone: (219) 663-0252 Phone: (219) 322-7898

County: LAKE County: LAKE County: LAKE

SURBER, THOMAS POPOVICH, JAMES FOUNDOS BIEGEL, SUSANOrthodontics General Dentistry General Dentistry

ORTHODONTIC AFFILIATES POPOVICH DENTAL CORPORATION SUSAN FOUNDOS BIEGEL DDS

8626 WICKER AVENUE, SAINT JOHN 223 SOUTH COURT STREET, CROWN POINT 1444 119TH STREET, WHITING

SAINT JOHN, IN 46373 CROWN POINT, IN 46307 WHITING, IN 46394

Phone: (219) 365-0671 Phone: (219) 663-0252 Phone: (219) 659-1530

County: LAKE County: LAKE County: LAKE

SURBER, THOMAS BRUCCI, ANTHONY TAMBRINI, SETHOrthodontics General Dentistry General Dentistry

ORTHODONTIC AFFILIATES PREMIER DENTAL GROUP TAMBRINI DENTAL SERVICE

7891 BROADWAY, MERRILLVILLE 7891 BROADWAY, MERRILLVILLE 202 EAST JOLIET STREET, DYER

MERRILLVILLE, IN 46410 MERRILLVILLE, IN 46410 DYER, IN 46311

Phone: (219) 769-6691 Phone: (219) 769-9388 Phone: (219) 865-5040

County: LAKE County: LAKE County: LAKE

SCHMIDT, RANDALL COPPES, STEVEN PIETRUSINSKI, THOMASOrthodontics General Dentistry General Dentistry

ORTHODONTIC AFFILIATES PC PREMIER DENTAL GROUP THOMAS J PIETRUSINSKI DDS

194 DEANNA DRIVE, LOWELL 7891 BROADWAY, MERRILLVILLE 8231 CALUMET AVENUE, MUNSTER

LOWELL, IN 46356 MERRILLVILLE, IN 46410 MUNSTER, IN 46321

Phone: (219) 696-1531 Phone: (219) 769-9388 Phone: (219) 513-0000

County: LAKE County: LAKE County: LAKE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 57: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

BEHREND, ROBERT OSTROWSKI, LEONARD HALL, MARKGeneral Dentistry General Dentistry General Dentistry

VALPARAISO FAMILY DENTISTRY VALPARAISO FAMILY DENTISTRY MICHAEL J MEYER DMD

6629 WEST US ROUTE 30 SUITE 4, SCHERERVILLE 195 DEANNA DRIVE, LOWELL 1504 DENTAL DRIVE, BEDFORD

SCHERERVILLE, IN 46375 LOWELL, IN 46356 BEDFORD, IN 47421

Phone: (219) 865-8220 Phone: (219) 696-1181 Phone: (812) 275-7112

County: LAKE County: LAKE County: LAWRENCE

CONAWAY, DAVID OSTROWSKI, LEONARD MEYER, MICHAELGeneral Dentistry General Dentistry General Dentistry

VALPARAISO FAMILY DENTISTRY VALPARAISO FAMILY DENTISTRY MICHAEL J MEYER DMD

6629 WEST US ROUTE 30 SUITE 4, SCHERERVILLE 6629 WEST US ROUTE 30 SUITE 4, SCHERERVILLE 1504 DENTAL DRIVE, BEDFORD

SCHERERVILLE, IN 46375 SCHERERVILLE, IN 46375 BEDFORD, IN 47421

Phone: (219) 865-8220 Phone: (219) 865-8220 Phone: (812) 275-7112

County: LAKE County: LAKE County: LAWRENCE

CONAWAY, DAVID PIEGZA, JEANGeneral Dentistry Periodontology

VALPARAISO FAMILY DENTISTRY WHITING DENTAL CENTER

195 DEANNA DRIVE, LOWELL 1332 119TH STREET, WHITING

LOWELL, IN 46356 WHITING, IN 46394

Phone: (219) 696-1181 Phone: (219) 659-4900

County: LAKE County: LAKE

CUELLAR, LUIS GALANOS, WILLIAM ELBRECHT, JAMESGeneral Dentistry General Dentistry General Dentistry

VALPARAISO FAMILY DENTISTRY WILLIAM G GALANOS ADVANCED FAMILY DENTISTRY OF ANDERSON

6629 WEST US ROUTE 30 SUITE 4, SCHERERVILLE 500 WEST LINCOLN HIGHWAY, MERRILLVILLE 1612 EAST 53RD STREET, ANDERSON

SCHERERVILLE, IN 46375 MERRILLVILLE, IN 46410 ANDERSON, IN 46013

Phone: (219) 865-8220 Phone: (219) 736-1212 Phone: (765) 622-7000

County: LAKE County: LAKE County: MADISON

HEARN, MATTHEW KANG, WOON STAGGE, DAVIDOral Surgery General Dentistry General Dentistry

VALPARAISO FAMILY DENTISTRY WOON JUNG KANG DDS ADVANCED FAMILY DENTISTRY OF ANDERSON

6629 WEST US ROUTE 30 SUITE 4, SCHERERVILLE 7725 BROADWAY, MERRILLVILLE 1612 EAST 53RD STREET, ANDERSON

SCHERERVILLE, IN 46375 MERRILLVILLE, IN 46410 ANDERSON, IN 46013

Phone: (219) 865-8220 Phone: (219) 769-0550 Phone: (765) 622-7000

County: LAKE County: LAKE County: MADISON

HEIN, ERIC STAGGE, SHERRYGeneral Dentistry General Dentistry

VALPARAISO FAMILY DENTISTRY ADVANCED FAMILY DENTISTRY OF ANDERSON

6629 WEST US ROUTE 30 SUITE 4, SCHERERVILLE 1612 EAST 53RD STREET, ANDERSON

SCHERERVILLE, IN 46375 ANDERSON, IN 46013

Phone: (219) 865-8220 Phone: (765) 622-7000

County: LAKE County: MADISON

MONTANEZ, FRANKIE HECKLEY, DIANE ANTHONY, THOMASGeneral Dentistry General Dentistry General Dentistry

VALPARAISO FAMILY DENTISTRY DIANE J HECKLEY DDS ALLCARE DENTAL AND DENTURES

6629 WEST US ROUTE 30 SUITE 4, SCHERERVILLE 1510 I STREET, BEDFORD 4729 SOUTH SCATTERFIELD ROAD, ANDERSON

SCHERERVILLE, IN 46375 BEDFORD, IN 47421 ANDERSON, IN 46013

Phone: (219) 865-8220 Phone: (812) 275-7785 Phone: (765) 642-1300

County: LAKE County: LAWRENCE County: MADISON

LAWRENCE County

MADISON County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 58: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

ARNETT, SHANNON MALKOWSKI, FRED STERBA, WAYNEGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES

4729 SOUTH SCATTERFIELD ROAD, ANDERSON 4729 SOUTH SCATTERFIELD ROAD, ANDERSON 4729 SOUTH SCATTERFIELD ROAD, ANDERSON

ANDERSON, IN 46013 ANDERSON, IN 46013 ANDERSON, IN 46013

Phone: (765) 642-1300 Phone: (765) 642-1300 Phone: (765) 642-1300

County: MADISON County: MADISON County: MADISON

BATES, ROBERT PAGE, GARY VELASCO, ALBERTOGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES

4729 SOUTH SCATTERFIELD ROAD, ANDERSON 4729 SOUTH SCATTERFIELD ROAD, ANDERSON 4729 SOUTH SCATTERFIELD ROAD, ANDERSON

ANDERSON, IN 46013 ANDERSON, IN 46013 ANDERSON, IN 46013

Phone: (765) 642-1300 Phone: (765) 642-1300 Phone: (765) 642-1300

County: MADISON County: MADISON County: MADISON

COLE, ELDON PATEL, BRIJESH ADLER, BROOKEGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES

4729 SOUTH SCATTERFIELD ROAD, ANDERSON 4729 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON

ANDERSON, IN 46013 ANDERSON, IN 46013 ANDERSON, IN 46013

Phone: (765) 642-1300 Phone: (765) 642-1300 Phone: (765) 642-9500

County: MADISON County: MADISON County: MADISON

ESLINGER, BRYAN PEETA, UMA BUCK, JOSHUAGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES

4729 SOUTH SCATTERFIELD ROAD, ANDERSON 4729 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON

ANDERSON, IN 46013 ANDERSON, IN 46013 ANDERSON, IN 46013

Phone: (765) 642-1300 Phone: (765) 642-1300 Phone: (765) 642-9500

County: MADISON County: MADISON County: MADISON

GUERRANT, GEORGE PERRY, SVETLANA CREAGER, TESSAGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES

4729 SOUTH SCATTERFIELD ROAD, ANDERSON 4729 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON

ANDERSON, IN 46013 ANDERSON, IN 46013 ANDERSON, IN 46013

Phone: (765) 642-1300 Phone: (765) 642-1300 Phone: (765) 642-9500

County: MADISON County: MADISON County: MADISON

KUMAR, POOJA PUNJ, AMIT DANIEL, KYLEGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES

4729 SOUTH SCATTERFIELD ROAD, ANDERSON 4729 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON

ANDERSON, IN 46013 ANDERSON, IN 46013 ANDERSON, IN 46013

Phone: (765) 642-1300 Phone: (765) 642-1300 Phone: (765) 642-9500

County: MADISON County: MADISON County: MADISON

LU, BIQING SIMON, KATHRYN DOWNEY, CLARKGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES

4729 SOUTH SCATTERFIELD ROAD, ANDERSON 4729 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON

ANDERSON, IN 46013 ANDERSON, IN 46013 ANDERSON, IN 46013

Phone: (765) 642-1300 Phone: (765) 642-1300 Phone: (765) 642-9500

County: MADISON County: MADISON County: MADISON

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 59: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

FRIEDMAN, KARA LARRABEE, TODD SHANK, KYLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4758 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON

ANDERSON, IN 46013 ANDERSON, IN 46013 ANDERSON, IN 46013

Phone: (765) 642-9500 Phone: (765) 642-9500 Phone: (765) 642-9500

County: MADISON County: MADISON County: MADISON

GRAVES, LINDSEY LEONARD, CHRISTOPHER SPARKS, JEREMIAHGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4758 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON

ANDERSON, IN 46013 ANDERSON, IN 46013 ANDERSON, IN 46013

Phone: (765) 642-9500 Phone: (765) 642-9500 Phone: (765) 642-9500

County: MADISON County: MADISON County: MADISON

GRIFFING, RUSSELL NOTARIANNI, JOHN SVOMA, GREGGGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4758 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON

ANDERSON, IN 46013 ANDERSON, IN 46013 ANDERSON, IN 46013

Phone: (765) 642-9500 Phone: (765) 642-9500 Phone: (765) 642-9500

County: MADISON County: MADISON County: MADISON

GRIFFITHS, DANIEL PETRY, KATHRYN WALKER, LARRYGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4758 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON

ANDERSON, IN 46013 ANDERSON, IN 46013 ANDERSON, IN 46013

Phone: (765) 642-9500 Phone: (765) 642-9500 Phone: (765) 642-9500

County: MADISON County: MADISON County: MADISON

HAMATI, ISAM ROSADO, NAHIR WINDSOR, ROBERTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4758 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON

ANDERSON, IN 46013 ANDERSON, IN 46013 ANDERSON, IN 46013

Phone: (765) 642-9500 Phone: (765) 642-9500 Phone: (765) 642-9500

County: MADISON County: MADISON County: MADISON

HARPER, DUSTIN SCHILL, GAVIN YU, MINGGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4758 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON

ANDERSON, IN 46013 ANDERSON, IN 46013 ANDERSON, IN 46013

Phone: (765) 642-9500 Phone: (765) 642-9500 Phone: (765) 642-9500

County: MADISON County: MADISON County: MADISON

JOHNSON, WILLIAM SCHINDLER, CHARLES ZENT, CORYGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4758 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON 4758 SOUTH SCATTERFIELD ROAD, ANDERSON

ANDERSON, IN 46013 ANDERSON, IN 46013 ANDERSON, IN 46013

Phone: (765) 642-9500 Phone: (765) 642-9500 Phone: (765) 642-9500

County: MADISON County: MADISON County: MADISON

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 60: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

STRATMAN, BRIAN LITTLE, KEITH JAVED, FAHADGeneral Dentistry General Dentistry General Dentistry

COMFORT DENTAL OF ANDERSON HEARTLAND DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA

820 EAST 53RD STREET, ANDERSON 4019 COLUMBUS AVENUE, ANDERSON 777 BROADWAY, ANDERSON

ANDERSON, IN 46013 ANDERSON, IN 46013 ANDERSON, IN 46012

Phone: (765) 642-9811 Phone: (765) 642-8286 Phone: (765) 641-7930

County: MADISON County: MADISON County: MADISON

LIGHT, CRAIG SHANTEAU, OWEN KAPUR, NINAGeneral Dentistry General Dentistry General Dentistry

CRAIG A LIGHT DDS PC HEARTLAND DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA

1014 EAST 8TH STREET, ANDERSON 4019 COLUMBUS AVENUE, ANDERSON 777 BROADWAY, ANDERSON

ANDERSON, IN 46012 ANDERSON, IN 46013 ANDERSON, IN 46012

Phone: (765) 643-1524 Phone: (765) 642-8286 Phone: (765) 641-7930

County: MADISON County: MADISON County: MADISON

FEEKART, MARY SIMS, JASON LOVE, MARIBETHGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA

777 BROADWAY, ANDERSON 4019 COLUMBUS AVENUE, ANDERSON 777 BROADWAY, ANDERSON

ANDERSON, IN 46012 ANDERSON, IN 46013 ANDERSON, IN 46012

Phone: (765) 642-3124 Phone: (765) 642-8286 Phone: (765) 641-7930

County: MADISON County: MADISON County: MADISON

MCBRIDE, DONALD FERGUSON, JOHN SHANTEAU, OWENGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE JOHN D FERGUSON DDS LIFETIME DENTAL CARE OF INDIANA

777 BROADWAY, ANDERSON 1107 WEST 8TH STREET, ANDERSON 777 BROADWAY, ANDERSON

ANDERSON, IN 46012 ANDERSON, IN 46016 ANDERSON, IN 46012

Phone: (765) 642-3124 Phone: (765) 643-4100 Phone: (765) 641-7930

County: MADISON County: MADISON County: MADISON

MURPHY, ROGER ALLEN, GENEVIEVE JOHNSON, DIANEGeneral Dentistry General Dentistry Orthodontics

HEARTLAND DENTAL CARE LIFETIME DENTAL CARE OF INDIANA QUEST JOHNSON ORTHODONTICS

777 BROADWAY, ANDERSON 777 BROADWAY, ANDERSON 7990 EAST STATE ROAD 28, ELWOOD

ANDERSON, IN 46012 ANDERSON, IN 46012 ELWOOD, IN 46036

Phone: (765) 642-3124 Phone: (765) 641-7930 Phone: (765) 552-5461

County: MADISON County: MADISON County: MADISON

SHANTEAU, OWEN FEEKART, MARYGeneral Dentistry General Dentistry

HEARTLAND DENTAL CARE LIFETIME DENTAL CARE OF INDIANA

777 BROADWAY, ANDERSON 777 BROADWAY, ANDERSON

ANDERSON, IN 46012 ANDERSON, IN 46012

Phone: (765) 642-3124 Phone: (765) 641-7930

County: MADISON County: MADISON

SHINGALA, NIMESH HOWELL BARRY, JESSICA ISAAC, ERROLGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE LIFETIME DENTAL CARE OF INDIANA A FRIENDLY DENTIST

777 BROADWAY, ANDERSON 777 BROADWAY, ANDERSON 8150 OAKLANDON ROAD, INDIANAPOLIS

ANDERSON, IN 46012 ANDERSON, IN 46012 INDIANAPOLIS, IN 46236

Phone: (765) 642-3124 Phone: (765) 641-7930 Phone: (317) 823-8555

County: MADISON County: MADISON County: MARION

MARION County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 61: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

ISAAC, ERROL LEE, JUNGWOO BATES, ROBERTGeneral Dentistry General Dentistry General Dentistry

A FRIENDLY DENTIST AFFORDABLE EMERGENCY DENTAL ALLCARE DENTAL AND DENTURES

3709 EAST WASHINGTON STREET, INDIANAPOLIS 2915 LAFAYETTE ROAD, INDIANAPOLIS 9702 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46201 INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46229

Phone: (317) 351-9701 Phone: (317) 931-1000 Phone: (317) 536-1544

County: MARION County: MARION County: MARION

GALLANOSA, ARNEL PITTMAN, CAROL COLE, ELDONGeneral Dentistry General Dentistry General Dentistry

ACCESS DENTAL ASSOCIATES AFFORDABLE EMERGENCY DENTAL ALLCARE DENTAL AND DENTURES

3750 NORTH MERIDIAN STREET, INDIANAPOLIS 2915 LAFAYETTE ROAD, INDIANAPOLIS 9702 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46208 INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46229

Phone: (317) 283-2255 Phone: (317) 931-1000 Phone: (317) 536-1544

County: MARION County: MARION County: MARION

CHE, LI WALTON, MATTHEW ESLINGER, BRYANGeneral Dentistry General Dentistry General Dentistry

AFFORDABLE DENTAL AFFORDABLE EMERGENCY DENTAL ALLCARE DENTAL AND DENTURES

3850 NORTH POST ROAD, INDIANAPOLIS 2915 LAFAYETTE ROAD, INDIANAPOLIS 9702 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46226 INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46229

Phone: (317) 899-1100 Phone: (317) 931-1000 Phone: (317) 536-1544

County: MARION County: MARION County: MARION

HAMPTON, DUANE KRUSE, SPENCER FOX, PATRICKGeneral Dentistry General Dentistry General Dentistry

AFFORDABLE DENTAL ALEX MISHEL DDS ALLCARE DENTAL AND DENTURES

3850 NORTH POST ROAD, INDIANAPOLIS 6425 NORTH KEYSTONE AVENUE, INDIANAPOLIS 9702 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46226 INDIANAPOLIS, IN 46220 INDIANAPOLIS, IN 46229

Phone: (317) 899-1100 Phone: (317) 255-2941 Phone: (317) 536-1544

County: MARION County: MARION County: MARION

LEE, JUNGWOO MISHEL, ALEX GUERRANT, GEORGEGeneral Dentistry General Dentistry General Dentistry

AFFORDABLE DENTAL ALEX MISHEL DDS ALLCARE DENTAL AND DENTURES

3850 NORTH POST ROAD, INDIANAPOLIS 6425 NORTH KEYSTONE AVENUE, INDIANAPOLIS 9702 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46226 INDIANAPOLIS, IN 46220 INDIANAPOLIS, IN 46229

Phone: (317) 899-1100 Phone: (317) 255-2941 Phone: (317) 536-1544

County: MARION County: MARION County: MARION

CHE, LI ANTHONY, THOMAS JOHNSON, STEVENGeneral Dentistry General Dentistry General Dentistry

AFFORDABLE EMERGENCY DENTAL ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES

2915 LAFAYETTE ROAD, INDIANAPOLIS 9702 EAST WASHINGTON STREET, INDIANAPOLIS 9702 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46229

Phone: (317) 931-1000 Phone: (317) 536-1544 Phone: (317) 536-1544

County: MARION County: MARION County: MARION

HAMPTON, DUANE ARNETT, SHANNON KUMAR, POOJAGeneral Dentistry General Dentistry General Dentistry

AFFORDABLE EMERGENCY DENTAL ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES

2915 LAFAYETTE ROAD, INDIANAPOLIS 9702 EAST WASHINGTON STREET, INDIANAPOLIS 9702 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46229

Phone: (317) 931-1000 Phone: (317) 536-1544 Phone: (317) 536-1544

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 62: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

LU, BIQING PUNJ, AMIT WALTKE, DENNISGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ARLINGTON DENTAL GROUP

9702 EAST WASHINGTON STREET, INDIANAPOLIS 9702 EAST WASHINGTON STREET, INDIANAPOLIS 7373 EAST 21ST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46219

Phone: (317) 536-1544 Phone: (317) 536-1544 Phone: (317) 357-7373

County: MARION County: MARION County: MARION

MALKOWSKI, FRED SIMON, KATHRYN WREGE, BRUCEGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ARLINGTON DENTAL GROUP

9702 EAST WASHINGTON STREET, INDIANAPOLIS 9702 EAST WASHINGTON STREET, INDIANAPOLIS 7373 EAST 21ST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46219

Phone: (317) 536-1544 Phone: (317) 536-1544 Phone: (317) 357-7373

County: MARION County: MARION County: MARION

PAGE, GARY STERBA, WAYNE ADLER, BROOKEGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES

9702 EAST WASHINGTON STREET, INDIANAPOLIS 9702 EAST WASHINGTON STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46250

Phone: (317) 536-1544 Phone: (317) 536-1544 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

PATEL, BRIJESH VELASCO, ALBERTO ADLER, BROOKEGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES

9702 EAST WASHINGTON STREET, INDIANAPOLIS 9702 EAST WASHINGTON STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46237

Phone: (317) 536-1544 Phone: (317) 536-1544 Phone: (317) 244-3000

County: MARION County: MARION County: MARION

PEETA, UMA MAJOR BANKS, ROSCHELLE ADLER, BROOKEGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLISONVILLE DENTAL CENTRE ASPEN DENTAL ASSOCIATES

9702 EAST WASHINGTON STREET, INDIANAPOLIS 2811 EAST 46TH STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46205 INDIANAPOLIS, IN 46227

Phone: (317) 536-1544 Phone: (317) 547-5766 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

PERRY, SVETLANA COPE, ANTHONY AHMAD, NASIRGeneral Dentistry General Dentistry Oral Surgery

ALLCARE DENTAL AND DENTURES ANTHONY M COPE DDS ASPEN DENTAL ASSOCIATES

9702 EAST WASHINGTON STREET, INDIANAPOLIS 9602 EAST WASHINGTON STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46250

Phone: (317) 536-1544 Phone: (317) 359-2308 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

PRASAD, ROLLIN SANTI, JULIA BLASS, ANGELINAGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ARLINGTON DENTAL GROUP ASPEN DENTAL ASSOCIATES

9702 EAST WASHINGTON STREET, INDIANAPOLIS 7373 EAST 21ST STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46227

Phone: (317) 536-1544 Phone: (317) 357-7373 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 63: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

BROWN, RYAN BUKSAR, DAVID DANIEL, KYLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46250

Phone: (317) 244-3000 Phone: (317) 784-6500 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

BROWN, RYAN CHOWHAN IQBAL, NADIA DANIEL, KYLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4155 SOUTH EAST STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46237

Phone: (317) 784-6500 Phone: (317) 784-6500 Phone: (317) 244-3000

County: MARION County: MARION County: MARION

BUCK, JOSHUA COLLURU, KRISHNA DANIEL, KYLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4939 EAST 82ND STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227

Phone: (317) 578-8900 Phone: (317) 244-3000 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

BUCK, JOSHUA COLLURU, KRISHNA DOWNEY, CLARKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46250

Phone: (317) 244-3000 Phone: (317) 784-6500 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

BUCK, JOSHUA CREAGER, TESSA DOWNEY, CLARKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4155 SOUTH EAST STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46237

Phone: (317) 784-6500 Phone: (317) 784-6500 Phone: (317) 244-3000

County: MARION County: MARION County: MARION

BUKSAR, DAVID CREAGER, TESSA DOWNEY, CLARKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227

Phone: (317) 244-3000 Phone: (317) 244-3000 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

BUKSAR, DAVID CREAGER, TESSA ENGLES, LEIFGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4939 EAST 82ND STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46250

Phone: (317) 578-8900 Phone: (317) 578-8900 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 64: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

ENGLES, LEIF FRIEDMAN, KARA GRAVES, LINDSEYGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46250

Phone: (317) 244-3000 Phone: (317) 784-6500 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

ENGLES, LEIF GHANG, YOHAN GRIFFING, RUSSELLGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4155 SOUTH EAST STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46250

Phone: (317) 784-6500 Phone: (317) 244-3000 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

ESLINGER, BRYAN GHANG, YOHAN GRIFFING, RUSSELLGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4939 EAST 82ND STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46237

Phone: (317) 578-8900 Phone: (317) 784-6500 Phone: (317) 244-3000

County: MARION County: MARION County: MARION

ESLINGER, BRYAN GONQUEH, SHADRACH GRIFFING, RUSSELLGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227

Phone: (317) 244-3000 Phone: (317) 244-3000 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

ESLINGER, BRYAN GONQUEH, SHADRACH GRIFFITHS, DANIELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4155 SOUTH EAST STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46227

Phone: (317) 784-6500 Phone: (317) 784-6500 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

FRIEDMAN, KARA GRAVES, LINDSEY GRIFFITHS, DANIELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4939 EAST 82ND STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46237

Phone: (317) 578-8900 Phone: (317) 784-6500 Phone: (317) 244-3000

County: MARION County: MARION County: MARION

FRIEDMAN, KARA GRAVES, LINDSEY GRIFFITHS, DANIELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46250

Phone: (317) 244-3000 Phone: (317) 244-3000 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 65: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

HAMATI, ISAM HAWKINS, RACHAEL JONES, ALEXANDRAGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4939 EAST 82ND STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227

Phone: (317) 578-8900 Phone: (317) 244-3000 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

HAMATI, ISAM HAWKINS, RACHAEL KHEIRI, AFAQGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46250

Phone: (317) 244-3000 Phone: (317) 784-6500 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

HAMATI, ISAM JACKSON, ROBERT KHEIRI, AFAQGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4155 SOUTH EAST STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46237

Phone: (317) 784-6500 Phone: (317) 578-8900 Phone: (317) 244-3000

County: MARION County: MARION County: MARION

HARPER, DUSTIN JACKSON, ROBERT KHEIRI, AFAQGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4939 EAST 82ND STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227

Phone: (317) 578-8900 Phone: (317) 244-3000 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

HARPER, DUSTIN JACKSON, ROBERT LARRABEE, TODDGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46250

Phone: (317) 244-3000 Phone: (317) 784-6500 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

HARPER, DUSTIN JOHNSON, WILLIAM LARRABEE, TODDGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4155 SOUTH EAST STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46237

Phone: (317) 784-6500 Phone: (317) 578-8900 Phone: (317) 244-3000

County: MARION County: MARION County: MARION

HAWKINS, RACHAEL JONES, ALEXANDRA LARRABEE, TODDGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4939 EAST 82ND STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227

Phone: (317) 578-8900 Phone: (317) 244-3000 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 66: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

LARSEN, PAUL LOSIER, KURT NOROOZI, AHMAD REZAGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4939 EAST 82ND STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46227

Phone: (317) 578-8900 Phone: (317) 784-6500 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

LARSEN, PAUL LOUDERMILK, JOHN NOTARIANNI, JOHNGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46250

Phone: (317) 244-3000 Phone: (317) 244-3000 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

LARSEN, PAUL LOUDERMILK, JOHN NOTARIANNI, JOHNGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4155 SOUTH EAST STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46237

Phone: (317) 784-6500 Phone: (317) 784-6500 Phone: (317) 244-3000

County: MARION County: MARION County: MARION

LEONARD, CHRISTOPHER NIES, MICHAEL NOTARIANNI, JOHNGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4939 EAST 82ND STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227

Phone: (317) 578-8900 Phone: (317) 244-3000 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

LEONARD, CHRISTOPHER NIES, MICHAEL PHILLIPS, MARKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46250

Phone: (317) 244-3000 Phone: (317) 784-6500 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

LEONARD, CHRISTOPHER NOROOZI, AHMAD REZA PHILLIPS, MARKGeneral Dentistry Oral Surgery General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4155 SOUTH EAST STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46237

Phone: (317) 784-6500 Phone: (317) 578-8900 Phone: (317) 244-3000

County: MARION County: MARION County: MARION

LEYES, KATHERINE NOROOZI, AHMAD REZA PHILLIPS, AARONGeneral Dentistry Oral Surgery General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4155 SOUTH EAST STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46237

Phone: (317) 784-6500 Phone: (317) 244-3000 Phone: (317) 244-3000

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 67: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

PHILLIPS, MARK REID, AMBER SCHAFER, SEANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4155 SOUTH EAST STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46227

Phone: (317) 784-6500 Phone: (317) 784-6500 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

PHILLIPS, AARON ROSADO, NAHIR SCHILL, GAVINGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4155 SOUTH EAST STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46250

Phone: (317) 784-6500 Phone: (317) 578-8900 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

RAMCHANDRAREDDY, SHASHIDHAR ROSADO, NAHIR SCHILL, GAVINGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4939 EAST 82ND STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46237

Phone: (317) 578-8900 Phone: (317) 244-3000 Phone: (317) 244-3000

County: MARION County: MARION County: MARION

RAMCHANDRAREDDY, SHASHIDHAR ROSADO, NAHIR SCHILL, GAVINGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46227

Phone: (317) 244-3000 Phone: (317) 784-6500 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

REDDY MANDA, ANIL SALKELD, STEVEN SCHINDLER, CHARLESGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46250

Phone: (317) 244-3000 Phone: (317) 784-6500 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

REDDY MANDA, ANIL SCHAFER, SEAN SCHINDLER, CHARLESGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4155 SOUTH EAST STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46237

Phone: (317) 784-6500 Phone: (317) 578-8900 Phone: (317) 244-3000

County: MARION County: MARION County: MARION

REID, AMBER SCHAFER, SEAN SCHINDLER, CHARLESGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227

Phone: (317) 244-3000 Phone: (317) 244-3000 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 68: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

SHANK, KYLE SMITH, JENNIFER SWEET, NICOLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46237

Phone: (317) 244-3000 Phone: (317) 784-6500 Phone: (317) 244-3000

County: MARION County: MARION County: MARION

SHANK, KYLE SPARKS, JEREMIAH SWEET, NICOLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4939 EAST 82ND STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227

Phone: (317) 578-8900 Phone: (317) 244-3000 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

SHANK, KYLE SPARKS, JEREMIAH TITUS, JONATHANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4155 SOUTH EAST STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46237

Phone: (317) 784-6500 Phone: (317) 784-6500 Phone: (317) 244-3000

County: MARION County: MARION County: MARION

SHINGALA, NIMESH SPARKS, JEREMIAH TITUS, JONATHANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4939 EAST 82ND STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46227

Phone: (317) 578-8900 Phone: (317) 578-8900 Phone: (317) 784-6500

County: MARION County: MARION County: MARION

SHINGALA, NIMESH STAHL, MARK WAKIM, SAMUELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46250

Phone: (317) 244-3000 Phone: (317) 784-6500 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

SMITH, JENNIFER STEPHENS, DEREK WAKIM, SAMUELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

4939 EAST 82ND STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46237

Phone: (317) 578-8900 Phone: (317) 244-3000 Phone: (317) 244-3000

County: MARION County: MARION County: MARION

SMITH, JENNIFER STEPHENS, DEREK WALKER, LARRYGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46250

Phone: (317) 244-3000 Phone: (317) 784-6500 Phone: (317) 578-8900

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 69: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

WALKER, LARRY WOO, KIJIN BACSA, TIMOTHYOral Surgery General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES BACSA DENTAL

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 4625 SOUTH EMERSON AVENUE, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46203

Phone: (317) 244-3000 Phone: (317) 784-6500 Phone: (317) 784-5555

County: MARION County: MARION County: MARION

WALKER, LARRY YU, MING MILLER, KELLEYOral Surgery Oral Surgery General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES BETWEEN THE CHEEKS

4155 SOUTH EAST STREET, INDIANAPOLIS 4155 SOUTH EAST STREET, INDIANAPOLIS 5470 LAFAYETTE ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46254

Phone: (317) 784-6500 Phone: (317) 784-6500 Phone: (317) 293-4611

County: MARION County: MARION County: MARION

WINDSOR, ROBERT YU, MING MANN, BRETTGeneral Dentistry Oral Surgery Pediatric Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES BRETT E MANN DDS

4939 EAST 82ND STREET, INDIANAPOLIS 3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 8001 SOUTH SHELBY STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46227

Phone: (317) 578-8900 Phone: (317) 244-3000 Phone: (317) 882-1536

County: MARION County: MARION County: MARION

WINDSOR, ROBERT YU, MING SMITH, BURTONGeneral Dentistry Oral Surgery Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES BURTON G SMITH DDS INC

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4939 EAST 82ND STREET, INDIANAPOLIS 5317 EAST 16TH STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46218

Phone: (317) 244-3000 Phone: (317) 578-8900 Phone: (317) 359-1112

County: MARION County: MARION County: MARION

WINDSOR, ROBERT BRANDT, MARY LO, CARLOGeneral Dentistry Orthodontics Oral Surgery

ASPEN DENTAL ASSOCIATES ASSOCIATED ORTHODONTISTS OF INDIANA CARLO C LO DDS

4155 SOUTH EAST STREET, INDIANAPOLIS 4034 EAST SOUTHPORT ROAD, INDIANAPOLIS 3955 EAGLE CREEK PARKWAY, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46254

Phone: (317) 784-6500 Phone: (317) 780-1958 Phone: (317) 291-2848

County: MARION County: MARION County: MARION

WOO, KIJIN DAVIS, WARREN HINE, CHARLESGeneral Dentistry Orthodontics Endodontics

ASPEN DENTAL ASSOCIATES ASSOCIATED ORTHODONTISTS OF INDIANA CENTRAL INDIANA ENDODONTICS

4939 EAST 82ND STREET, INDIANAPOLIS 4034 EAST SOUTHPORT ROAD, INDIANAPOLIS 8360 SOUTH EMERSON AVENUE, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46237

Phone: (317) 578-8900 Phone: (317) 780-1958 Phone: (317) 882-8300

County: MARION County: MARION County: MARION

WOO, KIJIN RAPP, JOHN MERIWEATHER, CHARLESGeneral Dentistry Orthodontics General Dentistry

ASPEN DENTAL ASSOCIATES ASSOCIATED ORTHODONTISTS OF INDIANA CHARLES E MERIWEATHER DDS

3935 EAST SOUTH PORT ROAD, INDIANAPOLIS 4034 EAST SOUTHPORT ROAD, INDIANAPOLIS 3737 NORTH MERIDIAN STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46208

Phone: (317) 244-3000 Phone: (317) 780-1958 Phone: (317) 925-7751

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 70: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

LUMSDON, MICHELLE COLLINS, DAVID DAGER, MARCUSGeneral Dentistry General Dentistry Orthodontics

CHOICE DENTAL CENTRE OF GREENWOOD DAVID F COLLINS DDS DCP OF INDIANA WASHINGTON SQUARE

8936 SOUTHPOINTE DRIVE, INDIANAPOLIS 3049 NORTH HIGH SCHOOL ROAD, SPEEDWAY 10202 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46227 SPEEDWAY, IN 46224 INDIANAPOLIS, IN 46229

Phone: (317) 881-5200 Phone: (317) 293-0471 Phone: (317) 899-1003

County: MARION County: MARION County: MARION

SPOHR, CHRISTOPHER JORDAN, DAVID FELDE, STEVENGeneral Dentistry General Dentistry General Dentistry

CHOICE DENTAL CENTRE OF GREENWOOD DAVID M JORDAN II DCP OF INDIANA WASHINGTON SQUARE

8936 SOUTHPOINTE DRIVE, INDIANAPOLIS 505 MAIN STREET, BEECH GROVE 10202 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46227 BEECH GROVE, IN 46107 INDIANAPOLIS, IN 46229

Phone: (317) 881-5200 Phone: (317) 783-5554 Phone: (317) 899-1003

County: MARION County: MARION County: MARION

NEWSOM, CLAUDE ALEX, SONIA GARDNER, GREGORYGeneral Dentistry General Dentistry General Dentistry

CLAUDE C NEWSOM DDS DCP OF INDIANA WASHINGTON SQUARE DCP OF INDIANA WASHINGTON SQUARE

3225 NORTH MERIDIAN STREET, INDIANAPOLIS 10202 EAST WASHINGTON STREET, INDIANAPOLIS 10202 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46208 INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46229

Phone: (317) 925-9218 Phone: (317) 899-1003 Phone: (317) 899-1003

County: MARION County: MARION County: MARION

SMITH, J ATTAPHITAYA, SURAT KRAMER, KYLEOral Surgery Orthodontics General Dentistry

COLLEGE PARK ORAL AND MAXILLOFACIAL SURGERY DCP OF INDIANA WASHINGTON SQUARE DCP OF INDIANA WASHINGTON SQUARE

3677 WEST 86TH STREET, INDIANAPOLIS 10202 EAST WASHINGTON STREET, INDIANAPOLIS 10202 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46268 INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46229

Phone: (317) 872-7777 Phone: (317) 899-1003 Phone: (317) 899-1003

County: MARION County: MARION County: MARION

BIERMAN, GREGORY BACSA, TIMOTHY MCNICHOLL, IRISGeneral Dentistry General Dentistry General Dentistry

COMPLETE FAMILY DENTISTRY DCP OF INDIANA WASHINGTON SQUARE DCP OF INDIANA WASHINGTON SQUARE

2955 NORTH HIGH SCHOOL ROAD, INDIANAPOLIS 10202 EAST WASHINGTON STREET, INDIANAPOLIS 10202 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46224 INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46229

Phone: (317) 293-4020 Phone: (317) 899-1003 Phone: (317) 899-1003

County: MARION County: MARION County: MARION

MADDIGAN, DANIEL BARTH, GARY PARIKH, KARISHMAGeneral Dentistry General Dentistry General Dentistry

DANIEL R MADDIGAN DDS DCP OF INDIANA WASHINGTON SQUARE DCP OF INDIANA WASHINGTON SQUARE

723 MAIN STREET, BEECH GROVE 10202 EAST WASHINGTON STREET, INDIANAPOLIS 10202 EAST WASHINGTON STREET, INDIANAPOLIS

BEECH GROVE, IN 46107 INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46229

Phone: (317) 787-1361 Phone: (317) 899-1003 Phone: (317) 899-1003

County: MARION County: MARION County: MARION

ISAACS, DAVID CASCIO, JOHN WHITE, STEPHANIEGeneral Dentistry General Dentistry General Dentistry

DAVID E ISAACS DDS DCP OF INDIANA WASHINGTON SQUARE DCP OF INDIANA WASHINGTON SQUARE

8870 ZIONSVILLE ROAD, INDIANAPOLIS 10202 EAST WASHINGTON STREET, INDIANAPOLIS 10202 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46268 INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46229

Phone: (317) 298-3384 Phone: (317) 899-1003 Phone: (317) 899-1003

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 71: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

WISLER, CRAIG BACSA, TIMOTHY PARIKH, KARISHMAGeneral Dentistry General Dentistry General Dentistry

DCP OF INDIANA WASHINGTON SQUARE DENTAL CARE PARTNERS OF INDIANA DENTAL CARE PARTNERS OF INDIANA

10202 EAST WASHINGTON STREET, INDIANAPOLIS 6020 EAST 82ND STREET, INDIANAPOLIS 6020 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46250

Phone: (317) 899-1003 Phone: (317) 578-0460 Phone: (317) 578-0460

County: MARION County: MARION County: MARION

YUEN SEDWICK, CHERIE BARTH, GARY PINNEY, NEILGeneral Dentistry General Dentistry General Dentistry

DCP OF INDIANA WASHINGTON SQUARE DENTAL CARE PARTNERS OF INDIANA DENTAL CARE PARTNERS OF INDIANA

10202 EAST WASHINGTON STREET, INDIANAPOLIS 6020 EAST 82ND STREET, INDIANAPOLIS 6020 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46250

Phone: (317) 899-1003 Phone: (317) 578-0460 Phone: (317) 578-0460

County: MARION County: MARION County: MARION

OLLER, DEAN DAGER, MARCUS WHITE, STEPHANIEGeneral Dentistry Orthodontics General Dentistry

DEAN H OLLER DDS DENTAL CARE PARTNERS OF INDIANA DENTAL CARE PARTNERS OF INDIANA

5110 COMMERCE SQUARE DRIVE, INDIANAPOLIS 6020 EAST 82ND STREET, INDIANAPOLIS 6020 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46250

Phone: (317) 882-2611 Phone: (317) 578-0460 Phone: (317) 578-0460

County: MARION County: MARION County: MARION

FLANAGAN, DENISE FELDE, STEVEN WISLER, CRAIGOral Surgery General Dentistry General Dentistry

DENISE A FLANAGAN DDS DENTAL CARE PARTNERS OF INDIANA DENTAL CARE PARTNERS OF INDIANA

8240 NAAB ROAD, INDIANAPOLIS 6020 EAST 82ND STREET, INDIANAPOLIS 6020 EAST 82ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46260 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46250

Phone: (317) 876-1095 Phone: (317) 578-0460 Phone: (317) 578-0460

County: MARION County: MARION County: MARION

KELLEY, DENNIS KRAMER, KYLE BELMER, MARSHALLGeneral Dentistry General Dentistry General Dentistry

DENNIS E KELLEY DDS DENTAL CARE PARTNERS OF INDIANA DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE

1260 NORTH POST ROAD, INDIANAPOLIS 6020 EAST 82ND STREET, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46222

Phone: (317) 897-3500 Phone: (317) 578-0460 Phone: (317) 925-2810

County: MARION County: MARION County: MARION

ALEX, SONIA LU, BIQING BRADLEY, KATHLEENGeneral Dentistry General Dentistry General Dentistry

DENTAL CARE PARTNERS OF INDIANA DENTAL CARE PARTNERS OF INDIANA DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE

6020 EAST 82ND STREET, INDIANAPOLIS 6020 EAST 82ND STREET, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46222

Phone: (317) 578-0460 Phone: (317) 578-0460 Phone: (317) 925-2810

County: MARION County: MARION County: MARION

ATTAPHITAYA, SURAT MCNICHOLL, IRIS CHOI, YOONHYEOKOrthodontics General Dentistry General Dentistry

DENTAL CARE PARTNERS OF INDIANA DENTAL CARE PARTNERS OF INDIANA DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE

6020 EAST 82ND STREET, INDIANAPOLIS 6020 EAST 82ND STREET, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46222

Phone: (317) 578-0460 Phone: (317) 578-0460 Phone: (317) 925-2810

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 72: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

CLUTE, STEVEN KUMAR, SHALESH NEWMAN, DUSTINGeneral Dentistry General Dentistry General Dentistry

DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE

2802 LAFAYETTE ROAD, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46222

Phone: (317) 925-2810 Phone: (317) 925-2810 Phone: (317) 925-2810

County: MARION County: MARION County: MARION

COOPER, JASON LARRABEE DEWELL, KELLI NICHOLSON, TERESAGeneral Dentistry General Dentistry General Dentistry

DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE

2802 LAFAYETTE ROAD, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46222

Phone: (317) 925-2810 Phone: (317) 925-2810 Phone: (317) 925-2810

County: MARION County: MARION County: MARION

CROOM, OLIVIA LOWE, SAMANTHA PETERSON, HELENGeneral Dentistry General Dentistry General Dentistry

DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE

2802 LAFAYETTE ROAD, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46222

Phone: (317) 925-2810 Phone: (317) 925-2810 Phone: (317) 925-2810

County: MARION County: MARION County: MARION

DEKKER REED, LISA LU, BIQING REID, AMBERGeneral Dentistry General Dentistry General Dentistry

DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE

2802 LAFAYETTE ROAD, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46222

Phone: (317) 925-2810 Phone: (317) 925-2810 Phone: (317) 925-2810

County: MARION County: MARION County: MARION

FELDE, STEVEN MARCH PHILLIPS, MARGARET TAYLOR, JENNIFERGeneral Dentistry General Dentistry General Dentistry

DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE

2802 LAFAYETTE ROAD, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46222

Phone: (317) 925-2810 Phone: (317) 925-2810 Phone: (317) 925-2810

County: MARION County: MARION County: MARION

FRASIER, JEREMIAH MERRITT BROOKS, BRIDGET TOOLE, KEVINGeneral Dentistry General Dentistry General Dentistry

DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE

2802 LAFAYETTE ROAD, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46222

Phone: (317) 925-2810 Phone: (317) 925-2810 Phone: (317) 925-2810

County: MARION County: MARION County: MARION

HARDIN, CALARA MONSON, ANN MARIE LANIE, JOELGeneral Dentistry General Dentistry General Dentistry

DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE DENTAL CLINIC OF INDIANAPOLIS AT EAGLEDALE DENTAL HEALTH ASSOCIATES OF INDIANA

2802 LAFAYETTE ROAD, INDIANAPOLIS 2802 LAFAYETTE ROAD, INDIANAPOLIS 10409 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46222 INDIANAPOLIS, IN 46229

Phone: (317) 925-2810 Phone: (317) 925-2810 Phone: (317) 897-6453

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 73: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

MILLIKAN, DANIEL CROW, LORA SCHINBECKLER, GARYGeneral Dentistry General Dentistry Oral Surgery

DENTAL HEALTH ASSOCIATES OF INDIANA DOWNTOWN DENTAL GROUP PC GARY A SCHINBECKLER DDS

10409 EAST WASHINGTON STREET, INDIANAPOLIS 201 NORTH ILLINOIS STREET, INDIANAPOLIS 8101 SOUTH SHELBY STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46227

Phone: (317) 897-6453 Phone: (317) 237-2225 Phone: (317) 882-2595

County: MARION County: MARION County: MARION

MUSTARD, KIRK HOVDA, CAMI BALL, GARYGeneral Dentistry General Dentistry General Dentistry

DENTAL HEALTH ASSOCIATES OF INDIANA DOWNTOWN DENTAL GROUP PC GARY C BALL DMD PC

10409 EAST WASHINGTON STREET, INDIANAPOLIS 201 NORTH ILLINOIS STREET, INDIANAPOLIS 4130 EAST 10TH STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46201

Phone: (317) 897-6453 Phone: (317) 237-2225 Phone: (317) 359-7244

County: MARION County: MARION County: MARION

PETERSON, GAIL TAYLOR, TODD BALL, GARYGeneral Dentistry General Dentistry General Dentistry

DENTAL HEALTH ASSOCIATES OF INDIANA DOWNTOWN DENTAL GROUP PC GARY C BALL DMD PC

10409 EAST WASHINGTON STREET, INDIANAPOLIS 201 NORTH ILLINOIS STREET, INDIANAPOLIS 9595 WHITLEY DRIVE, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46240

Phone: (317) 897-6453 Phone: (317) 237-2225 Phone: (317) 846-3463

County: MARION County: MARION County: MARION

ROMAS, CHRISTOPHER SINGH, PREETINDERJIT TAMBUNAN, DAVIDGeneral Dentistry General Dentistry General Dentistry

DENTAL HEALTH ASSOCIATES OF INDIANA EAGLE CREEK DENTISTRY GEIST FAMILY DENTISTRY

10409 EAST WASHINGTON STREET, INDIANAPOLIS 5685 LAFAYETTE ROAD, INDIANAPOLIS 8150 OAKLANDON ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46254 INDIANAPOLIS, IN 46236

Phone: (317) 897-6453 Phone: (317) 295-1000 Phone: (317) 823-8761

County: MARION County: MARION County: MARION

SALAZAR, MARTIN SALOUM, FADI CARRICO JR, GEORGEGeneral Dentistry Endodontics General Dentistry

DENTAL HEALTH ASSOCIATES OF INDIANA EASTSIDE ENDODONTICS GEORGE L CARRICO JR DDS

10409 EAST WASHINGTON STREET, INDIANAPOLIS 135 NORTH SHORTRIDGE ROAD, INDIANAPOLIS 610 NORTH HIGH SCHOOL ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46214

Phone: (317) 897-6453 Phone: (317) 357-3636 Phone: (317) 247-1010

County: MARION County: MARION County: MARION

SANDERS, STEVEN TREADWELL, ERIC MOHRMAN, GIANNAGeneral Dentistry General Dentistry General Dentistry

DONALD R WALKER DDS ERIC L TREADWELL DDS GIANNA MOHRMAN DDS

1122 SHELBY STREET, INDIANAPOLIS 5510 SOUTH EAST STREET, INDIANAPOLIS 8939 EAST 38TH STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46203 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46226

Phone: (317) 635-3737 Phone: (317) 786-1733 Phone: (317) 898-2822

County: MARION County: MARION County: MARION

WALKER, DONALD CAYETANO, ORLANDO MOHRMAN, BENOral Surgery Prosthodontics General Dentistry

DONALD R WALKER DDS FILDENT INC GIANNA MOHRMAN DDS

1122 SHELBY STREET, INDIANAPOLIS 6202 BROADWAY STREET, INDIANAPOLIS 8939 EAST 38TH STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46203 INDIANAPOLIS, IN 46220 INDIANAPOLIS, IN 46226

Phone: (317) 635-3737 Phone: (317) 254-0433 Phone: (317) 898-2822

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 74: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

PULOS, GUS MCBRIDE, DONALD PEELER, CHRISTOPHERGeneral Dentistry General Dentistry General Dentistry

GUS PULOS DDS HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE OF INDIANA

1002 NORTH MITTHOEFER ROAD, INDIANAPOLIS 986 NORTH MITTHOEFFER, INDIANAPOLIS 8801 NORTH MERIDIAN STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46260

Phone: (317) 898-6666 Phone: (317) 899-3106 Phone: (317) 525-6100

County: MARION County: MARION County: MARION

COLEMAN, ERIN MURPHY, ROGER BUCK, JOSHUAGeneral Dentistry General Dentistry General Dentistry

HADLEY FAMILY DENTISTRY HEARTLAND DENTAL CARE I H DENTAL

5406 SOUTH EMERSON AVENUE, INDIANAPOLIS 986 NORTH MITTHOEFFER, INDIANAPOLIS 5945 CRAWFORDSVILLE ROAD, SPEEDWAY

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46229 SPEEDWAY, IN 46224

Phone: (317) 780-7777 Phone: (317) 899-3106 Phone: (317) 241-1000

County: MARION County: MARION County: MARION

HADLEY, JOSEPH MURPHY, ROGER BUKSAR, DAVIDGeneral Dentistry General Dentistry General Dentistry

HADLEY FAMILY DENTISTRY HEARTLAND DENTAL CARE I H DENTAL

5406 SOUTH EMERSON AVENUE, INDIANAPOLIS 6920 PARKDALE PLACE, INDIANAPOLIS 5945 CRAWFORDSVILLE ROAD, SPEEDWAY

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46254 SPEEDWAY, IN 46224

Phone: (317) 780-7777 Phone: (317) 329-7170 Phone: (317) 241-1000

County: MARION County: MARION County: MARION

SPOHR, CHRISTOPHER RUPRIGHT, ADRIENNE CREAGER, TESSAGeneral Dentistry General Dentistry General Dentistry

HADLEY FAMILY DENTISTRY HEARTLAND DENTAL CARE I H DENTAL

5406 SOUTH EMERSON AVENUE, INDIANAPOLIS 986 NORTH MITTHOEFFER, INDIANAPOLIS 5945 CRAWFORDSVILLE ROAD, SPEEDWAY

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46229 SPEEDWAY, IN 46224

Phone: (317) 780-7777 Phone: (317) 899-3106 Phone: (317) 241-1000

County: MARION County: MARION County: MARION

CHENOWETH, ROBERT SHANTEAU, OWEN DOWNEY, CLARKGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE I H DENTAL

986 NORTH MITTHOEFFER, INDIANAPOLIS 6920 PARKDALE PLACE, INDIANAPOLIS 5945 CRAWFORDSVILLE ROAD, SPEEDWAY

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46254 SPEEDWAY, IN 46224

Phone: (317) 899-3106 Phone: (317) 329-7170 Phone: (317) 241-1000

County: MARION County: MARION County: MARION

HICKEY, JOSEPH SIM, SOO GRAVES, LINDSEYGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE I H DENTAL

6920 PARKDALE PLACE, INDIANAPOLIS 986 NORTH MITTHOEFFER, INDIANAPOLIS 5945 CRAWFORDSVILLE ROAD, SPEEDWAY

INDIANAPOLIS, IN 46254 INDIANAPOLIS, IN 46229 SPEEDWAY, IN 46224

Phone: (317) 329-7170 Phone: (317) 899-3106 Phone: (317) 241-1000

County: MARION County: MARION County: MARION

MCBRIDE, DONALD STEVENS, KRISTIN GRIFFITHS, DANIELGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE I H DENTAL

6920 PARKDALE PLACE, INDIANAPOLIS 6920 PARKDALE PLACE, INDIANAPOLIS 5945 CRAWFORDSVILLE ROAD, SPEEDWAY

INDIANAPOLIS, IN 46254 INDIANAPOLIS, IN 46254 SPEEDWAY, IN 46224

Phone: (317) 329-7170 Phone: (317) 329-7170 Phone: (317) 241-1000

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 75: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

HAMATI, ISAM SHANK, KYLE YU, MINGGeneral Dentistry General Dentistry Oral Surgery

I H DENTAL I H DENTAL I H DENTAL PC

5945 CRAWFORDSVILLE ROAD, SPEEDWAY 5945 CRAWFORDSVILLE ROAD, SPEEDWAY 9940 PENDLETON PIKE, INDIANAPOLIS

SPEEDWAY, IN 46224 SPEEDWAY, IN 46224 INDIANAPOLIS, IN 46236

Phone: (317) 241-1000 Phone: (317) 241-1000 Phone: (317) 541-1900

County: MARION County: MARION County: MARION

JOHNSON, WILLIAM SPARKS, JEREMIAH ZENT, CORYGeneral Dentistry General Dentistry General Dentistry

I H DENTAL I H DENTAL I H DENTAL PC

5945 CRAWFORDSVILLE ROAD, SPEEDWAY 5945 CRAWFORDSVILLE ROAD, SPEEDWAY 9940 PENDLETON PIKE, INDIANAPOLIS

SPEEDWAY, IN 46224 SPEEDWAY, IN 46224 INDIANAPOLIS, IN 46236

Phone: (317) 241-1000 Phone: (317) 241-1000 Phone: (317) 541-1900

County: MARION County: MARION County: MARION

LARRABEE, TODD WALKER, LARRY HAMATI, ISAMGeneral Dentistry Oral Surgery General Dentistry

I H DENTAL I H DENTAL IH DENTAL

5945 CRAWFORDSVILLE ROAD, SPEEDWAY 5945 CRAWFORDSVILLE ROAD, SPEEDWAY 10110 EAST WASHINGTON STREET, INDIANAPOLIS

SPEEDWAY, IN 46224 SPEEDWAY, IN 46224 INDIANAPOLIS, IN 46229

Phone: (317) 241-1000 Phone: (317) 241-1000 Phone: (317) 897-0200

County: MARION County: MARION County: MARION

LEONARD, CHRISTOPHER YU, MING YU, MINGGeneral Dentistry Oral Surgery Oral Surgery

I H DENTAL I H DENTAL IH DENTAL

5945 CRAWFORDSVILLE ROAD, SPEEDWAY 5945 CRAWFORDSVILLE ROAD, SPEEDWAY 10110 EAST WASHINGTON STREET, INDIANAPOLIS

SPEEDWAY, IN 46224 SPEEDWAY, IN 46224 INDIANAPOLIS, IN 46229

Phone: (317) 241-1000 Phone: (317) 241-1000 Phone: (317) 897-0200

County: MARION County: MARION County: MARION

NOTARIANNI, JOHN HAMATI, ISAM ADELSPERGER, JOHNGeneral Dentistry General Dentistry Oral Surgery

I H DENTAL I H DENTAL PC INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

5945 CRAWFORDSVILLE ROAD, SPEEDWAY 9940 PENDLETON PIKE, INDIANAPOLIS 8140 KNUE ROAD, INDIANAPOLIS

SPEEDWAY, IN 46224 INDIANAPOLIS, IN 46236 INDIANAPOLIS, IN 46250

Phone: (317) 241-1000 Phone: (317) 541-1900 Phone: (317) 849-4914

County: MARION County: MARION County: MARION

ROSADO, NAHIR SHANK, KYLE ADELSPERGER, JOHNGeneral Dentistry General Dentistry Oral Surgery

I H DENTAL I H DENTAL PC INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

5945 CRAWFORDSVILLE ROAD, SPEEDWAY 9940 PENDLETON PIKE, INDIANAPOLIS 2647 WATERFRONT PARKWAY EAST DRIVE, INDIANAPOLIS

SPEEDWAY, IN 46224 INDIANAPOLIS, IN 46236 INDIANAPOLIS, IN 46214

Phone: (317) 241-1000 Phone: (317) 541-1900 Phone: (317) 297-1007

County: MARION County: MARION County: MARION

SCHILL, GAVIN SPARKS, JEREMIAH BOJRAB, MATTHEWGeneral Dentistry General Dentistry Oral Surgery

I H DENTAL I H DENTAL PC INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

5945 CRAWFORDSVILLE ROAD, SPEEDWAY 9940 PENDLETON PIKE, INDIANAPOLIS 8140 KNUE ROAD, INDIANAPOLIS

SPEEDWAY, IN 46224 INDIANAPOLIS, IN 46236 INDIANAPOLIS, IN 46250

Phone: (317) 241-1000 Phone: (317) 541-1900 Phone: (317) 849-4914

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 76: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

BUSSARD, DAVID KIRKUP, CHRISTOPHER PRUITT, JOHNOral Surgery Oral Surgery Oral Surgery

INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

8140 KNUE ROAD, INDIANAPOLIS 2647 WATERFRONT PARKWAY EAST DRIVE, INDIANAPOLIS 8445 SOUTH EMERSON AVENUE, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46214 INDIANAPOLIS, IN 46237

Phone: (317) 849-4914 Phone: (317) 297-1007 Phone: (317) 859-5029

County: MARION County: MARION County: MARION

BUTTRUM, JEFFREY LAPP, THOMAS TANCREDI, SAMUELOral Surgery Oral Surgery Oral Surgery

INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

8140 KNUE ROAD, INDIANAPOLIS 8140 KNUE ROAD, INDIANAPOLIS 9670 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46229

Phone: (317) 849-4914 Phone: (317) 849-4914 Phone: (317) 899-5000

County: MARION County: MARION County: MARION

FAULK, DAN LEE, RAYMON TANCREDI, SAMUELOral Surgery Oral Surgery Oral Surgery

INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

2647 WATERFRONT PARKWAY EAST DRIVE, INDIANAPOLIS 2647 WATERFRONT PARKWAY EAST DRIVE, INDIANAPOLIS 9240 NORTH MERIDIAN STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46214 INDIANAPOLIS, IN 46214 INDIANAPOLIS, IN 46260

Phone: (317) 297-1007 Phone: (317) 297-1007 Phone: (317) 846-7377

County: MARION County: MARION County: MARION

HEIDELMAN, JOSEPH MOENNING, JOHN TANCREDI, SAMUELOral Surgery Oral Surgery Oral Surgery

INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

9670 EAST WASHINGTON STREET, INDIANAPOLIS 8140 KNUE ROAD, INDIANAPOLIS 2647 WATERFRONT PARKWAY EAST DRIVE, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46214

Phone: (317) 899-5000 Phone: (317) 849-4914 Phone: (317) 297-1007

County: MARION County: MARION County: MARION

HEIDELMAN, JOSEPH MONTEFALCO, PHILIP TANCREDI, SAMUELOral Surgery Oral Surgery Oral Surgery

INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

9240 NORTH MERIDIAN STREET, INDIANAPOLIS 8140 KNUE ROAD, INDIANAPOLIS 8140 KNUE ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46260 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46250

Phone: (317) 846-7377 Phone: (317) 849-4914 Phone: (317) 849-4914

County: MARION County: MARION County: MARION

KAPP, MICHAEL MONTEFALCO, PHILIP GOVE, RAYMONDOral Surgery Oral Surgery General Dentistry

INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDY DENTAL GROUP

9670 EAST WASHINGTON STREET, INDIANAPOLIS 8445 SOUTH EMERSON AVENUE, INDIANAPOLIS 9310 NORTH MERIDIAN STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46260

Phone: (317) 899-5000 Phone: (317) 859-5029 Phone: (317) 846-6125

County: MARION County: MARION County: MARION

KAPP, MICHAEL POTTER, TYLER LEWIS, ELIZABETHOral Surgery Oral Surgery General Dentistry

INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATESINDY DENTAL GROUP

9240 NORTH MERIDIAN STREET, INDIANAPOLIS 8445 SOUTH EMERSON AVENUE, INDIANAPOLIS 9310 NORTH MERIDIAN STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46260 INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46260

Phone: (317) 846-7377 Phone: (317) 859-5029 Phone: (317) 846-6125

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 77: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

MILLER, JACK TOMPKINS, JOHN FALENDER, LAWRENCEGeneral Dentistry General Dentistry Oral Surgery

INDY DENTAL GROUP JOHN TOMPKINS DDS LAWRENCE GRANT FALENDER DDS

9310 NORTH MERIDIAN STREET, INDIANAPOLIS 340 WEST 30TH STREET, INDIANAPOLIS 1320 NORTH POST ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46260 INDIANAPOLIS, IN 46208 INDIANAPOLIS, IN 46219

Phone: (317) 846-6125 Phone: (317) 926-7900 Phone: (317) 898-2555

County: MARION County: MARION County: MARION

SHATTUCK, LORI HUDSON, JOSEPH ADAMS, LEHMANGeneral Dentistry General Dentistry General Dentistry

INDY DENTAL GROUP JOSEPH T HUDSON DDS LEHMAN D ADAMS DDS

9310 NORTH MERIDIAN STREET, INDIANAPOLIS 2840 NORTH HIGH SCHOOL ROAD, SPEEDWAY 2416 NORTH CAPITAL STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46260 SPEEDWAY, IN 46224 INDIANAPOLIS, IN 46208

Phone: (317) 846-6125 Phone: (317) 293-4123 Phone: (317) 923-3614

County: MARION County: MARION County: MARION

CAMPI, JAMES TAYLOR, JUANITA BURTON CHAPMAN, JULIEGeneral Dentistry General Dentistry General Dentistry

J TODD CAMPI DDS JUANITA R TAYLOR DDS LIFETIME DENTAL CARE OF INDIANA

8025 CRAWFORDSVILLE ROAD, INDIANAPOLIS 4615 LAFAYETTE ROAD, INDIANAPOLIS 5855 MADISON AVENUE, INDIANAPOLIS

INDIANAPOLIS, IN 46214 INDIANAPOLIS, IN 46254 INDIANAPOLIS, IN 46227

Phone: (317) 291-6575 Phone: (317) 968-9700 Phone: (317) 787-6160

County: MARION County: MARION County: MARION

CHE, LI SHAH, JYOTI CASCIO, JOHNGeneral Dentistry General Dentistry General Dentistry

JAMESTOWNE DENTAL JYOTI R SHAH DDS LIFETIME DENTAL CARE OF INDIANA

6249 SOUTH EAST STREET, INDIANAPOLIS 7420 NORTH SHADELAND AVENUE, INDIANAPOLIS 11135 PENDLETON PIKE, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46236

Phone: (317) 789-1000 Phone: (317) 915-0787 Phone: (317) 826-3441

County: MARION County: MARION County: MARION

CHEN, JANE SCHMIDT, KARL FANNING, RACHELGeneral Dentistry Pediatric Dentistry General Dentistry

JANE J CHEN DDS K DOUGLAS SCHMIDT DDS LIFETIME DENTAL CARE OF INDIANA

4715 STATESMEN DRIVE, INDIANAPOLIS 6820 PARKDALE PLACE SUITE 117, INDIANAPOLIS 3915 SOUTH MADISON AVENUE, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46254 INDIANAPOLIS, IN 46227

Phone: (317) 578-9696 Phone: (317) 329-7373 Phone: (317) 788-1001

County: MARION County: MARION County: MARION

SAGALOWSKY, JOEL HARRIS, KIM FLETCHER CRAYTON, CHARIGeneral Dentistry General Dentistry General Dentistry

JOEL A SAGALOWSKY DDS KIM E HARRIS DDS LIFETIME DENTAL CARE OF INDIANA

6117 NORTH COLLEGE AVENUE, INDIANAPOLIS 6225 WEST 56TH STREET, INDIANAPOLIS 9855 CROSSPOINT BOULEVARD, INDIANAPOLIS

INDIANAPOLIS, IN 46220 INDIANAPOLIS, IN 46254 INDIANAPOLIS, IN 46256

Phone: (317) 253-1980 Phone: (317) 293-3300 Phone: (317) 841-7880

County: MARION County: MARION County: MARION

BAILEY, JOHN BAYDYUK, KOSTYANTYN FOERSTER, LISAGeneral Dentistry General Dentistry General Dentistry

JOHN BAILEY JUNIOR DDS PC KOSTYANTYN BAYDYUK DDS LIFETIME DENTAL CARE OF INDIANA

1929 WEST MORRIS STREET, INDIANAPOLIS 3049 NORTH HIGH SCHOOL ROAD, SPEEDWAY 11683 FOX ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46221 SPEEDWAY, IN 46224 INDIANAPOLIS, IN 46236

Phone: (317) 638-4703 Phone: (317) 293-0471 Phone: (317) 826-4347

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 78: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

KEARSCHNER, JENNY RUPRIGHT, ADRIENNE BRINSON, LORIEGeneral Dentistry General Dentistry General Dentistry

LIFETIME DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA LORIE G BRINSON DDS

5855 MADISON AVENUE, INDIANAPOLIS 3915 SOUTH MADISON AVENUE, INDIANAPOLIS 3934 WEST 96TH STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46268

Phone: (317) 787-6160 Phone: (317) 788-1001 Phone: (317) 228-0195

County: MARION County: MARION County: MARION

KLOBOVES, JENNIFER SANTI, JULIA SODER, MARCIAGeneral Dentistry General Dentistry General Dentistry

LIFETIME DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA MARCIA A SODER DDS

3915 SOUTH MADISON AVENUE, INDIANAPOLIS 11683 FOX ROAD, INDIANAPOLIS 6002 WEST 62ND STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46236 INDIANAPOLIS, IN 46278

Phone: (317) 788-1001 Phone: (317) 826-4347 Phone: (317) 293-5011

County: MARION County: MARION County: MARION

MAUPIN, HEATHER SHANTEAU, OWEN STEVENSON, MARKGeneral Dentistry General Dentistry General Dentistry

LIFETIME DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA MARK R STEVENSON DDS

3915 SOUTH MADISON AVENUE, INDIANAPOLIS 11135 PENDLETON PIKE, INDIANAPOLIS 6905 EAST 96TH STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46236 INDIANAPOLIS, IN 46250

Phone: (317) 788-1001 Phone: (317) 826-3441 Phone: (317) 849-6990

County: MARION County: MARION County: MARION

MOHRMAN, GIANNA SHANTEAU, OWEN ANDERSON, MARKGeneral Dentistry General Dentistry Oral Surgery

LIFETIME DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA MARK W ANDERSON DDS

5855 MADISON AVENUE, INDIANAPOLIS 11683 FOX ROAD, INDIANAPOLIS 8240 NABB ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46236 INDIANAPOLIS, IN 46260

Phone: (317) 787-6160 Phone: (317) 826-4347 Phone: (317) 876-1095

County: MARION County: MARION County: MARION

MURPHY, ROGER SHANTEAU, OWEN BACON, SAMUELGeneral Dentistry General Dentistry General Dentistry

LIFETIME DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA MEC DENTAL III

5855 MADISON AVENUE, INDIANAPOLIS 9855 CROSSPOINT BOULEVARD, INDIANAPOLIS 9751 FALL CREEK ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46256 INDIANAPOLIS, IN 46256

Phone: (317) 787-6160 Phone: (317) 841-7880 Phone: (317) 842-1090

County: MARION County: MARION County: MARION

NAZZAL, HANADY SHOCK, DAVID BAILEY, JAMESGeneral Dentistry General Dentistry General Dentistry

LIFETIME DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA MERIDIAN DENTAL CENTER

3915 SOUTH MADISON AVENUE, INDIANAPOLIS 8923 SOUTH MERIDIAN STREET, INDIANAPOLIS 2291 NORTH MERIDIAN STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46217 INDIANAPOLIS, IN 46208

Phone: (317) 788-1001 Phone: (317) 887-4800 Phone: (317) 926-5467

County: MARION County: MARION County: MARION

PARIKH, KARISHMA VELLIGAN, GREGORY BAILEY, JOHNGeneral Dentistry General Dentistry General Dentistry

LIFETIME DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA MERIDIAN DENTAL CENTER

3915 SOUTH MADISON AVENUE, INDIANAPOLIS 9855 CROSSPOINT BOULEVARD, INDIANAPOLIS 2291 NORTH MERIDIAN STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46256 INDIANAPOLIS, IN 46208

Phone: (317) 788-1001 Phone: (317) 841-7880 Phone: (317) 926-5467

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 79: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

BENNETT, MICHAEL ERVIN, HAROLD POYAN, FARZANAOral Surgery General Dentistry General Dentistry

MICHAEL D BENNETT DDS MONARCH DENTAL MONARCH DENTAL

3737 NORTH MERIDAN, INDIANAPOLIS 5023 EAST 56TH STREET, INDIANAPOLIS 5023 EAST 56TH STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46208 INDIANAPOLIS, IN 46226 INDIANAPOLIS, IN 46226

Phone: (317) 931-3299 Phone: (317) 253-2300 Phone: (317) 253-2300

County: MARION County: MARION County: MARION

VIBBERT, MICHAEL HALWANI, GHIATH SANGALANG, NILDAGeneral Dentistry General Dentistry General Dentistry

MICHAEL S VIBBERT DDS PC MONARCH DENTAL NILDA S SANGALANG DDS

7301 GEORGETOWN ROAD, INDIANAPOLIS 4200 S EAST STREET, INDIANAPOLIS 6202 NORTH BROADWAY, INDIANAPOLIS

INDIANAPOLIS, IN 46268 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46220

Phone: (317) 802-0649 Phone: (317) 787-1320 Phone: (317) 257-3321

County: MARION County: MARION County: MARION

SCHROEDER, GERALYN HEUER, ALLISON CURETON, JEROMEGeneral Dentistry General Dentistry General Dentistry

MILES D SCHROEDER DDS AND GERALYN M SCHROEDER DDSMONARCH DENTAL NORTHEAST DENTAL CARE LLC

8028 EAST 10TH STREET, INDIANAPOLIS 5023 EAST 56TH STREET, INDIANAPOLIS 6132 ALLISONVILLE ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46226 INDIANAPOLIS, IN 46220

Phone: (317) 897-8028 Phone: (317) 253-2300 Phone: (317) 259-7310

County: MARION County: MARION County: MARION

SCHROEDER, MILES HEUER, ALLISON GARRISON, BRENTGeneral Dentistry General Dentistry Oral Surgery

MILES D SCHROEDER DDS AND GERALYN M SCHROEDER DDSMONARCH DENTAL NORTHEAST ORAL AND MAXILLOFACIAL SURGERY

8028 EAST 10TH STREET, INDIANAPOLIS 4200 S EAST STREET, INDIANAPOLIS 9860 WESTPOINT DRIVE, INDIANAPOLIS

INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46256

Phone: (317) 897-8028 Phone: (317) 787-1320 Phone: (317) 841-1100

County: MARION County: MARION County: MARION

CHANG, MILLIE NAKHLA, DANNY PARTRIDGE, CORBINGeneral Dentistry General Dentistry Oral Surgery

MILLIE CHANG MONARCH DENTAL NORTHEAST ORAL AND MAXILLOFACIAL SURGERY

8136 BASH STREET, INDIANAPOLIS 5023 EAST 56TH STREET, INDIANAPOLIS 9860 WESTPOINT DRIVE, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46226 INDIANAPOLIS, IN 46256

Phone: (317) 577-6453 Phone: (317) 253-2300 Phone: (317) 841-1100

County: MARION County: MARION County: MARION

CAIRD, ROBERT NAKHLA, DANNY AVANT, BERNICEGeneral Dentistry General Dentistry General Dentistry

MONARCH DENTAL MONARCH DENTAL OAKBROOK DENTAL CENTER

5023 EAST 56TH STREET, INDIANAPOLIS 4200 S EAST STREET, INDIANAPOLIS 4857 OAKBROOK DRIVE, INDIANAPOLIS

INDIANAPOLIS, IN 46226 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46254

Phone: (317) 253-2300 Phone: (317) 787-1320 Phone: (317) 299-3829

County: MARION County: MARION County: MARION

DANDALA, SRAVANTHI POYAN, FARZANA LEW, PAULGeneral Dentistry General Dentistry General Dentistry

MONARCH DENTAL MONARCH DENTAL PAUL I LEW DDS

4200 S EAST STREET, INDIANAPOLIS 4200 S EAST STREET, INDIANAPOLIS 6314 NORTH RUCKER ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46220

Phone: (317) 787-1320 Phone: (317) 787-1320 Phone: (317) 253-8004

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 80: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

DAVIDSON, DANIELLE WITHAM, ROBERT RICE, KEITHGeneral Dentistry General Dentistry Pediatric Dentistry

PERFECT SMILE DENTAL CARE ROBERT J WITHAM DDS PC SARA P VIERNES DDS

7950 SHADELAND AVENUE, INDIANAPOLIS 5470 LAFAYETTE ROAD, INDIANAPOLIS 6820 PARKDALE PLACE, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46254 INDIANAPOLIS, IN 46254

Phone: (317) 849-9961 Phone: (317) 293-4611 Phone: (317) 329-7373

County: MARION County: MARION County: MARION

BLY, PHILLIP COOKE, FRIEDA TAYLOR, JUANITAGeneral Dentistry General Dentistry General Dentistry

PHILLIP M BLY DDS ROCKVILLE FAMILY DENTISTRY SARA P VIERNES DDS

7126 NORTH SHADELAND AVENUE, INDIANAPOLIS 6355 ROCKVILLE ROAD, INDIANAPOLIS 6820 PARKDALE PLACE, INDIANAPOLIS

INDIANAPOLIS, IN 46250 INDIANAPOLIS, IN 46214 INDIANAPOLIS, IN 46254

Phone: (317) 842-6402 Phone: (317) 227-0581 Phone: (317) 329-7373

County: MARION County: MARION County: MARION

WONG, RAYMOND THOMPSON, VERONICA VIERNES, SARAGeneral Dentistry General Dentistry General Dentistry

RAYMOND WONG DDS ROCKVILLE FAMILY DENTISTRY SARA P VIERNES DDS

6920 PARKDALE PLACE, INDIANAPOLIS 6355 ROCKVILLE ROAD, INDIANAPOLIS 6820 PARKDALE PLACE, INDIANAPOLIS

INDIANAPOLIS, IN 46254 INDIANAPOLIS, IN 46214 INDIANAPOLIS, IN 46254

Phone: (317) 328-6708 Phone: (317) 227-0581 Phone: (317) 329-7373

County: MARION County: MARION County: MARION

BOLON, REBECCA ALLEN, RONALD WILSON, SARAHOrthodontics Endodontics General Dentistry

REBECCA P BOLON DDS RONALD K ALLEN DDS SARAH AKARD DDS

9311 NORTH MERIDIAN STREET, INDIANAPOLIS 9524 EAST WASHINGTON STREET, INDIANAPOLIS 3715 KENTUCKY AVENUE, INDIANAPOLIS

INDIANAPOLIS, IN 46260 INDIANAPOLIS, IN 46229 INDIANAPOLIS, IN 46221

Phone: (317) 846-6107 Phone: (317) 898-2311 Phone: (317) 856-2309

County: MARION County: MARION County: MARION

STONER, ROBERT ARMSTRONG, RONALD YUEN SEDWICK, CHERIEOrthodontics Endodontics General Dentistry

ROBERT A STONER DDS RONALD L ARMSTRONG DDS SEDWICK DENTAL

8902 NORTH MERIDIAN STREET, INDIANAPOLIS 1060 EAST 86TH STREET, INDIANAPOLIS 9751 FALL CREEK ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46260 INDIANAPOLIS, IN 46240 INDIANAPOLIS, IN 46256

Phone: (317) 846-4446 Phone: (317) 574-9200 Phone: (317) 842-1090

County: MARION County: MARION County: MARION

LUCUS, ROBERT ZEKONIS, RUTA BAILIE, STEPHENGeneral Dentistry General Dentistry Orthodontics

ROBERT D LUCUS DDS RUTA ZEKONIS DDS SMILE CARE

6211 NORTH COLLEGE AVENUE, INDIANAPOLIS 4131 SHELBY STREET, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46220 INDIANAPOLIS, IN 46227 INDIANAPOLIS, IN 46204

Phone: (317) 255-3221 Phone: (317) 784-2955 Phone: (888) 833-8441

County: MARION County: MARION County: MARION

STOKES, ROBERT CAMPBELL, SAMUEL BROWN, RYANGeneral Dentistry Oral Surgery General Dentistry

ROBERT E STOKES DDS SAMUEL CAMPBELL DDS SMILE CARE

4550 NORTH COLLEGE AVENUE, INDIANAPOLIS 8240 NAAB ROAD, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46205 INDIANAPOLIS, IN 46260 INDIANAPOLIS, IN 46204

Phone: (317) 283-4921 Phone: (317) 876-1095 Phone: (888) 833-8441

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 81: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

CARLSON, KENNETH GORMLEY, ANNE ROSENSTEIN, WILLIAMGeneral Dentistry General Dentistry General Dentistry

SMILE CARE SMILE CARE SMILE CARE

133 WEST MARKET STREET, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46204

Phone: (888) 833-8441 Phone: (888) 833-8441 Phone: (888) 833-8441

County: MARION County: MARION County: MARION

CARTER, BETH HAWK, NATHAN SCHLANG, ELLIOTTGeneral Dentistry General Dentistry General Dentistry

SMILE CARE SMILE CARE SMILE CARE

133 WEST MARKET STREET, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46204

Phone: (888) 833-8441 Phone: (888) 833-8441 Phone: (888) 833-8441

County: MARION County: MARION County: MARION

CARTWRIGHT, SARAH LYDICK, MICHAEL SCHMERGE, WILLIAMGeneral Dentistry General Dentistry General Dentistry

SMILE CARE SMILE CARE SMILE CARE

133 WEST MARKET STREET, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46204

Phone: (888) 833-8441 Phone: (888) 833-8441 Phone: (888) 833-8441

County: MARION County: MARION County: MARION

COOKE, FRIEDA MUNDEN, JENNY SHACKELFORD, ANNGeneral Dentistry General Dentistry General Dentistry

SMILE CARE SMILE CARE SMILE CARE

133 WEST MARKET STREET, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46204

Phone: (888) 833-8441 Phone: (888) 833-8441 Phone: (888) 833-8441

County: MARION County: MARION County: MARION

DEAN, CLARENCE OSBORNE, TRAVIS STANTE, JULIEGeneral Dentistry General Dentistry General Dentistry

SMILE CARE SMILE CARE SMILE CARE

133 WEST MARKET STREET, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46204

Phone: (888) 833-8441 Phone: (888) 833-8441 Phone: (888) 833-8441

County: MARION County: MARION County: MARION

GAUSS, DAVID PHIPPS, ORBREY THOMAS, PRIYAGeneral Dentistry General Dentistry General Dentistry

SMILE CARE SMILE CARE SMILE CARE

133 WEST MARKET STREET, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46204

Phone: (888) 833-8441 Phone: (888) 833-8441 Phone: (888) 833-8441

County: MARION County: MARION County: MARION

GIDEON, JULIE REISINGER, V VALENCIA, LUZ ELENAGeneral Dentistry General Dentistry General Dentistry

SMILE CARE SMILE CARE SMILE CARE

133 WEST MARKET STREET, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS 133 WEST MARKET STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46204 INDIANAPOLIS, IN 46204

Phone: (888) 833-8441 Phone: (888) 833-8441 Phone: (888) 833-8441

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 82: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

MILLS, RYAN QUACH, THANH DEKKER REED, LISAGeneral Dentistry General Dentistry General Dentistry

SOUTHPORT DENTAL THANH QUACH DDS THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS

8028 SOUTH EMERSON AVENUE, INDIANAPOLIS 650 NORTH GIRLS SCHOOL ROAD, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46214 INDIANAPOLIS, IN 46219

Phone: (317) 883-3300 Phone: (317) 209-9702 Phone: (317) 322-1840

County: MARION County: MARION County: MARION

HERD, SARAH BELMER, MARSHALL FELDE, STEVENPeriodontology General Dentistry General Dentistry

STEPHEN C KOEHLER DDS THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS

115 NORTH SHORTRIDGE ROAD, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46219

Phone: (317) 357-2235 Phone: (317) 322-1840 Phone: (317) 322-1840

County: MARION County: MARION County: MARION

KOEHLER, STEPHEN BRADLEY, KATHLEEN FRASIER, JEREMIAHPeriodontology General Dentistry General Dentistry

STEPHEN C KOEHLER DDS THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS

115 NORTH SHORTRIDGE ROAD, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46219

Phone: (317) 357-2235 Phone: (317) 322-1840 Phone: (317) 322-1840

County: MARION County: MARION County: MARION

BROWN, STEPHEN CHOI, YOONHYEOK HARDIN, CALARAGeneral Dentistry General Dentistry General Dentistry

STEPHEN D BROWN DDS THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS

7780 NORTH MICHIGAN ROAD, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46268 INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46219

Phone: (317) 872-3666 Phone: (317) 322-1840 Phone: (317) 322-1840

County: MARION County: MARION County: MARION

BAILIE, STEPHEN CLUTE, STEVEN KUMAR, SHALESHOrthodontics General Dentistry General Dentistry

STEPHEN K BAILIE DDS INC THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS

5699 EAST 71ST STREET, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46220 INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46219

Phone: (317) 849-9911 Phone: (317) 322-1840 Phone: (317) 322-1840

County: MARION County: MARION County: MARION

DOUGLAS, STEVEN COOPER, JASON LARRABEE DEWELL, KELLIGeneral Dentistry General Dentistry General Dentistry

STEVE DOUGLAS DDS PC THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS

6745 SOUTH GRAY ROAD, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46237 INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46219

Phone: (317) 786-1277 Phone: (317) 322-1840 Phone: (317) 322-1840

County: MARION County: MARION County: MARION

SHEAR, STEVEN CROOM, OLIVIA LOWE, SAMANTHAGeneral Dentistry General Dentistry General Dentistry

STEVEN J SHEAR DDS THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS

9002 NORTH MERIDIAN STREET, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46260 INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46219

Phone: (317) 575-8122 Phone: (317) 322-1840 Phone: (317) 322-1840

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 83: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

LU, BIQING REID, AMBER TREADWELL, ERICGeneral Dentistry General Dentistry General Dentistry

THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS VERONICA A THOMPSON DDS

5430 EAST WASHINGTON STREET, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS 650 NORTH GIRLS SCHOOL ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46214

Phone: (317) 322-1840 Phone: (317) 322-1840 Phone: (317) 786-1733

County: MARION County: MARION County: MARION

MARCH PHILLIPS, MARGARET TAYLOR, JENNIFER KHANTSIS, VLADIMIRGeneral Dentistry General Dentistry General Dentistry

THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS VLADIMIR KHANTSIS DDS

5430 EAST WASHINGTON STREET, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS 3500 DEPAUW BOULEVARD, INDIANAPOLIS

INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46268

Phone: (317) 322-1840 Phone: (317) 322-1840 Phone: (317) 874-0151

County: MARION County: MARION County: MARION

MERRITT BROOKS, BRIDGET TOOLE, KEVIN KHANTSIS, VLADIMIRGeneral Dentistry General Dentistry General Dentistry

THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS VLADIMIR KHANTSIS DDS

5430 EAST WASHINGTON STREET, INDIANAPOLIS 5430 EAST WASHINGTON STREET, INDIANAPOLIS 4825 EAST 96TH STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46240

Phone: (317) 322-1840 Phone: (317) 322-1840 Phone: (317) 818-0800

County: MARION County: MARION County: MARION

MONSON, ANN MARIE MALKOWSKI, FRED KHANTSIS, VLADIMIRGeneral Dentistry General Dentistry General Dentistry

THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS THE DENTAL OFFICE VLADIMIR KHANTSIS DDS

5430 EAST WASHINGTON STREET, INDIANAPOLIS 7441 WEST 10TH STREET, INDIANAPOLIS 5445 ROCKVILLE ROAD, INDIANAPOLIS

INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46214 INDIANAPOLIS, IN 46224

Phone: (317) 322-1840 Phone: (317) 271-1028 Phone: (317) 390-1900

County: MARION County: MARION County: MARION

NEWMAN, DUSTIN KWON, SANG BACSA, TIMOTHYGeneral Dentistry General Dentistry General Dentistry

THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS TRADERS POINT DENTAL WASHINGTON STREET DENTISTRY

5430 EAST WASHINGTON STREET, INDIANAPOLIS 6010 WEST 86TH STREET, INDIANAPOLIS 10935 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46278 INDIANAPOLIS, IN 46229

Phone: (317) 322-1840 Phone: (317) 872-4776 Phone: (317) 890-4455

County: MARION County: MARION County: MARION

NICHOLSON, TERESA COOKE, FRIEDA CHURCH, MATTHEWGeneral Dentistry General Dentistry General Dentistry

THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS VERONICA A THOMPSON DDS WASHINGTON STREET DENTISTRY

5430 EAST WASHINGTON STREET, INDIANAPOLIS 650 NORTH GIRLS SCHOOL ROAD, INDIANAPOLIS 10935 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46214 INDIANAPOLIS, IN 46229

Phone: (317) 322-1840 Phone: (317) 786-1733 Phone: (317) 890-4455

County: MARION County: MARION County: MARION

PETERSON, HELEN THOMPSON, VERONICA HAMPTON, DUANEGeneral Dentistry General Dentistry General Dentistry

THE CHILDRENS DENTAL CLINIC OF INDIANAPOLIS VERONICA A THOMPSON DDS WASHINGTON STREET DENTISTRY

5430 EAST WASHINGTON STREET, INDIANAPOLIS 650 NORTH GIRLS SCHOOL ROAD, INDIANAPOLIS 10935 EAST WASHINGTON STREET, INDIANAPOLIS

INDIANAPOLIS, IN 46219 INDIANAPOLIS, IN 46214 INDIANAPOLIS, IN 46229

Phone: (317) 322-1840 Phone: (317) 786-1733 Phone: (317) 890-4455

County: MARION County: MARION County: MARION

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 84: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

HAMDAN, YASER DAVIS, WARREN FRAUNDORFER, MARGAUXGeneral Dentistry Orthodontics General Dentistry

YASER S HAMDAN DDS ASSOCIATED ORTHODONTISTS OF INDIANA DENTURES ONLY

1929 WEST MORRIS STREET, INDIANAPOLIS 303 NORTH MAIN STREET, CULVER 1445 HOOSIER BOULEVARD, PERU

INDIANAPOLIS, IN 46221 CULVER, IN 46511 PERU, IN 46970

Phone: (317) 638-4703 Phone: (574) 842-4871 Phone: (765) 689-7096

County: MARION County: MARSHALL County: MIAMI

WAGNER, YEN RAPP, JOHN LADD, JOHNGeneral Dentistry Orthodontics General Dentistry

YEN WAGNER DDS ASSOCIATED ORTHODONTISTS OF INDIANA DENTURES ONLY

3965 NORTH MERIDIAN, INDIANAPOLIS 1409 NORTH MICHIGAN, PLYMOUTH 1445 HOOSIER BOULEVARD, PERU

INDIANAPOLIS, IN 46208 PLYMOUTH, IN 46563 PERU, IN 46970

Phone: (317) 925-5811 Phone: (574) 936-8787 Phone: (765) 689-7096

County: MARION County: MARSHALL County: MIAMI

RAPP, JOHN OSTROVSKY, INESSAOrthodontics General Dentistry

ASSOCIATED ORTHODONTISTS OF INDIANA DENTURES ONLY

303 NORTH MAIN STREET, CULVER 1445 HOOSIER BOULEVARD, PERU

CULVER, IN 46511 PERU, IN 46970

Phone: (574) 842-4871 Phone: (765) 689-7096

County: MARSHALL County: MIAMI

DIXON, MICHAEL BADELL, JEFF SCHEMEHORN, ANDREWGeneral Dentistry General Dentistry General Dentistry

ARGOS FAMILY DENTISTRY JEFF BADELL DDS DENTURES ONLY

410 NORTH YEARICK STREET, ARGOS 120 WEST WASHINGTON, PLYMOUTH 1445 HOOSIER BOULEVARD, PERU

ARGOS, IN 46501 PLYMOUTH, IN 46563 PERU, IN 46970

Phone: (574) 892-5513 Phone: (574) 936-4557 Phone: (765) 689-7096

County: MARSHALL County: MARSHALL County: MIAMI

BRANDT, MARY BECKER, BRUCE SMITH, HAROLDOrthodontics General Dentistry General Dentistry

ASSOCIATED ORTHODONTISTS OF INDIANA LIGHTHOUSE DENTAL ON WATER STREET DENTURES ONLY

1409 NORTH MICHIGAN, PLYMOUTH 556 NORTH OAK ROAD, PLYMOUTH 1445 HOOSIER BOULEVARD, PERU

PLYMOUTH, IN 46563 PLYMOUTH, IN 46563 PERU, IN 46970

Phone: (574) 936-8787 Phone: (574) 936-3921 Phone: (765) 689-7096

County: MARSHALL County: MARSHALL County: MIAMI

BRANDT, MARY TOWNS, STEPHENOrthodontics General Dentistry

ASSOCIATED ORTHODONTISTS OF INDIANA DENTURES ONLY

303 NORTH MAIN STREET, CULVER 1445 HOOSIER BOULEVARD, PERU

CULVER, IN 46511 PERU, IN 46970

Phone: (574) 842-4871 Phone: (765) 689-7096

County: MARSHALL County: MIAMI

DAVIS, WARREN CARBAJAL, WALTER WISLER, CRAIGOrthodontics General Dentistry General Dentistry

ASSOCIATED ORTHODONTISTS OF INDIANA DENTURES ONLY DENTURES ONLY

1409 NORTH MICHIGAN, PLYMOUTH 1445 HOOSIER BOULEVARD, PERU 1445 HOOSIER BOULEVARD, PERU

PLYMOUTH, IN 46563 PERU, IN 46970 PERU, IN 46970

Phone: (574) 936-8787 Phone: (765) 689-7096 Phone: (765) 689-7096

County: MARSHALL County: MIAMI County: MIAMI

MARSHALL County

MIAMI County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 85: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

CARBAJAL, WALTER WISLER, CRAIG BUCK, JOSHUAGeneral Dentistry General Dentistry General Dentistry

LADD DENTAL OF BUNKER HILL LADD DENTAL OF BUNKER HILL ASPEN DENTAL ASSOCIATES

1445 HOOSIER BOULEVARD, PERU 1445 HOOSIER BOULEVARD, PERU 330 NORTH JACOB DRIVE, BLOOMINGTON

PERU, IN 46970 PERU, IN 46970 BLOOMINGTON, IN 47404

Phone: (765) 689-8888 Phone: (765) 689-8888 Phone: (812) 323-7400

County: MIAMI County: MIAMI County: MONROE

FRAUNDORFER, MARGAUX COURTER, NYLA BUKSAR, DAVIDGeneral Dentistry General Dentistry General Dentistry

LADD DENTAL OF BUNKER HILL NYLA J COURTER DDS ASPEN DENTAL ASSOCIATES

1445 HOOSIER BOULEVARD, PERU 9786 WEST DELPHI PIKE, CONVERSE 330 NORTH JACOB DRIVE, BLOOMINGTON

PERU, IN 46970 CONVERSE, IN 46919 BLOOMINGTON, IN 47404

Phone: (765) 689-8888 Phone: (765) 395-3555 Phone: (812) 323-7400

County: MIAMI County: MIAMI County: MONROE

LADD, JOHN CAIRD, ROBERTGeneral Dentistry General Dentistry

LADD DENTAL OF BUNKER HILL ASPEN DENTAL ASSOCIATES

1445 HOOSIER BOULEVARD, PERU 330 NORTH JACOB DRIVE, BLOOMINGTON

PERU, IN 46970 BLOOMINGTON, IN 47404

Phone: (765) 689-8888 Phone: (812) 323-7400

County: MIAMI County: MONROE

OSTROVSKY, INESSA ADLER, BROOKE CHOWHAN IQBAL, NADIAGeneral Dentistry General Dentistry General Dentistry

LADD DENTAL OF BUNKER HILL ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1445 HOOSIER BOULEVARD, PERU 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

PERU, IN 46970 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (765) 689-8888 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MIAMI County: MONROE County: MONROE

SCHEMEHORN, ANDREW BIERCIEWSKA, HALINA COLLURU, KRISHNAGeneral Dentistry General Dentistry General Dentistry

LADD DENTAL OF BUNKER HILL ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1445 HOOSIER BOULEVARD, PERU 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

PERU, IN 46970 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (765) 689-8888 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MIAMI County: MONROE County: MONROE

SMITH, HAROLD BLASS, ANGELINA CREAGER, TESSAGeneral Dentistry General Dentistry General Dentistry

LADD DENTAL OF BUNKER HILL ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1445 HOOSIER BOULEVARD, PERU 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

PERU, IN 46970 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (765) 689-8888 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MIAMI County: MONROE County: MONROE

TOWNS, STEPHEN BROWN, RYAN DANIEL, KYLEGeneral Dentistry General Dentistry General Dentistry

LADD DENTAL OF BUNKER HILL ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1445 HOOSIER BOULEVARD, PERU 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

PERU, IN 46970 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (765) 689-8888 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MIAMI County: MONROE County: MONROE

MONROE County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 86: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

DOWNEY, CLARK GRIFFING, RUSSELL KHAN, MUHAMMADGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (812) 323-7400 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MONROE County: MONROE County: MONROE

ENGLES, LEIF GRIFFITHS, DANIEL KHEIRI, AFAQGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (812) 323-7400 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MONROE County: MONROE County: MONROE

ESLINGER, BRYAN HAMATI, ISAM LARRABEE, TODDGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (812) 323-7400 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MONROE County: MONROE County: MONROE

FRIEDMAN, KARA HARPER, DUSTIN LARSEN, PAULGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (812) 323-7400 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MONROE County: MONROE County: MONROE

GHANG, YOHAN HAWKINS, RACHAEL LEONARD, CHRISTOPHERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (812) 323-7400 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MONROE County: MONROE County: MONROE

GONQUEH, SHADRACH JACKSON, ROBERT LEYES, KATHERINEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (812) 323-7400 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MONROE County: MONROE County: MONROE

GRAVES, LINDSEY JONES, ALEXANDRA LOSIER, KURTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (812) 323-7400 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MONROE County: MONROE County: MONROE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 87: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

LOUDERMILK, JOHN REID, AMBER SMITH, JENNIFERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (812) 323-7400 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MONROE County: MONROE County: MONROE

NIES, MICHAEL ROSADO, NAHIR SPARKS, JEREMIAHGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (812) 323-7400 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MONROE County: MONROE County: MONROE

NOROOZI, AHMAD REZA SCHAFER, SEAN STAHL, MARKOral Surgery General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (812) 323-7400 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MONROE County: MONROE County: MONROE

NOTARIANNI, JOHN SCHILL, GAVIN STEPHENS, DEREKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (812) 323-7400 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MONROE County: MONROE County: MONROE

PHILLIPS, AARON SCHINDLER, CHARLES SWEET, NICOLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (812) 323-7400 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MONROE County: MONROE County: MONROE

RAMCHANDRAREDDY, SHASHIDHAR SHANK, KYLE TITUS, JONATHANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (812) 323-7400 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MONROE County: MONROE County: MONROE

REDDY MANDA, ANIL SHINGALA, NIMESH WAKIM, SAMUELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON 330 NORTH JACOB DRIVE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404

Phone: (812) 323-7400 Phone: (812) 323-7400 Phone: (812) 323-7400

County: MONROE County: MONROE County: MONROE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 88: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

WALKER, LARRY MILLIKAN, DANIEL MUNANTE PAZ, MONICAOral Surgery General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES DENTAL HEALTH ASSOCIATES OF INDIANA LIFETIME DENTAL CARE OF INDIANA

330 NORTH JACOB DRIVE, BLOOMINGTON 3617 WEST STATE ROAD 46, BLOOMINGTON 457 SOUTH LANDMARK AVENUE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47403

Phone: (812) 323-7400 Phone: (812) 876-0007 Phone: (812) 339-7743

County: MONROE County: MONROE County: MONROE

WINDSOR, ROBERT MILLIKAN, DANIEL MURPHY, ROGERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES DENTAL HEALTH ASSOCIATES OF INDIANA LIFETIME DENTAL CARE OF INDIANA

330 NORTH JACOB DRIVE, BLOOMINGTON 1121 WEST 2ND STREET, BLOOMINGTON 457 SOUTH LANDMARK AVENUE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47403 BLOOMINGTON, IN 47403

Phone: (812) 323-7400 Phone: (812) 339-1671 Phone: (812) 339-7743

County: MONROE County: MONROE County: MONROE

WOO, KIJIN SCHINDLER, CHARLES SANTI, JULIAGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES DENTAL HEALTH ASSOCIATES OF INDIANA LIFETIME DENTAL CARE OF INDIANA

330 NORTH JACOB DRIVE, BLOOMINGTON 3617 WEST STATE ROAD 46, BLOOMINGTON 457 SOUTH LANDMARK AVENUE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47403

Phone: (812) 323-7400 Phone: (812) 876-0007 Phone: (812) 339-7743

County: MONROE County: MONROE County: MONROE

YU, MING DANKOWSKI, MARK SHANTEAU, OWENOral Surgery General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES LIFETIME DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA

330 NORTH JACOB DRIVE, BLOOMINGTON 457 SOUTH LANDMARK AVENUE, BLOOMINGTON 457 SOUTH LANDMARK AVENUE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47403 BLOOMINGTON, IN 47403

Phone: (812) 323-7400 Phone: (812) 339-7743 Phone: (812) 339-7743

County: MONROE County: MONROE County: MONROE

DEVITT, TIMOTHY EDINGTON, DODD ROBERTS, ROBINOral Surgery General Dentistry General Dentistry

BLOOMINGTON ORAL SURGERY LIFETIME DENTAL CARE OF INDIANA ROBIN A ROBERTS DDS

857 SOUTH AUTO MALL ROAD, BLOOMINGTON 457 SOUTH LANDMARK AVENUE, BLOOMINGTON 104 EAST 19TH STREET, BLOOMINGTON

BLOOMINGTON, IN 47401 BLOOMINGTON, IN 47403 BLOOMINGTON, IN 47408

Phone: (812) 332-2204 Phone: (812) 339-7743 Phone: (812) 336-2237

County: MONROE County: MONROE County: MONROE

WARZYNIAK, DAVID KLOBOVES, JENNIFER LYNN, STEVENGeneral Dentistry General Dentistry General Dentistry

DAVID A WARZYNIAK DDS LIFETIME DENTAL CARE OF INDIANA STEVEN E LYNN DDS

1602 WEST 3RD STREET, BLOOMINGTON 457 SOUTH LANDMARK AVENUE, BLOOMINGTON 2920 SOUTH MCINTIRE DRIVE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47403 BLOOMINGTON, IN 47403

Phone: (812) 336-3522 Phone: (812) 339-7743 Phone: (812) 323-8112

County: MONROE County: MONROE County: MONROE

LANIE, JOEL LITTLE, KEITHGeneral Dentistry General Dentistry

DENTAL HEALTH ASSOCIATES OF INDIANA LIFETIME DENTAL CARE OF INDIANA

3617 WEST STATE ROAD 46, BLOOMINGTON 457 SOUTH LANDMARK AVENUE, BLOOMINGTON

BLOOMINGTON, IN 47404 BLOOMINGTON, IN 47403

Phone: (812) 876-0007 Phone: (812) 339-7743

County: MONROE County: MONROE MONTGOMERY County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 89: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

MAZE, MICHAEL GOEDEKER, JEFFREY MANN, BRETTGeneral Dentistry General Dentistry Pediatric Dentistry

MICHAEL K MAZE DDS LIFETIME DENTAL CARE OF INDIANA MARTINSVILLE PEDIATRIC DENTISTRY

601 MILL STREET, CRAWFORDSVILLE 8190 WINDFALL LANE, CAMBY 1690 SOUTH OHIO STREET, MARTINSVILLE

CRAWFORDSVILLE, IN 47933 CAMBY, IN 46113 MARTINSVILLE, IN 46151

Phone: (765) 362-5220 Phone: (317) 821-0600 Phone: (765) 342-8435

County: MONTGOMERY County: MORGAN County: MORGAN

MUNDY, BREANN MCFADDEN, JOHNGeneral Dentistry General Dentistry

LIFETIME DENTAL CARE OF INDIANA MCFADDEN FAMILY DENTISTRY

8190 WINDFALL LANE, CAMBY 1030 EAST MORGAN STREET, MARTINSVILLE

CAMBY, IN 46113 MARTINSVILLE, IN 46151

Phone: (317) 821-0400 Phone: (765) 342-3232

County: MORGAN County: MORGAN

DEVITT, TIMOTHY MUNDY, BREANN JOHNSON, DIANEOral Surgery General Dentistry Orthodontics

BLOOMINGTON ORAL SURGERY LIFETIME DENTAL CARE OF INDIANA QUEST JOHNSON ORTHODONTICS

1690 SOUTH OHIO STREET, MARTINSVILLE 8190 WINDFALL LANE, CAMBY 203 NORTH INDIANA STREET, MOORESVILLE

MARTINSVILLE, IN 46151 CAMBY, IN 46113 MOORESVILLE, IN 46158

Phone: (765) 342-8182 Phone: (317) 821-0600 Phone: (317) 834-4933

County: MORGAN County: MORGAN County: MORGAN

YEGERLEHNER, KIRK MURPHY, ROGER QUEST, WILLIAMGeneral Dentistry General Dentistry Orthodontics

BLUFF CREEK FAMILY DENTAL LIFETIME DENTAL CARE OF INDIANA QUEST JOHNSON ORTHODONTICS

9351 STATE ROAD 144, MARTINSVILLE 8190 WINDFALL LANE, CAMBY 203 NORTH INDIANA STREET, MOORESVILLE

MARTINSVILLE, IN 46151 CAMBY, IN 46113 MOORESVILLE, IN 46158

Phone: (317) 422-4944 Phone: (317) 821-0400 Phone: (317) 834-4933

County: MORGAN County: MORGAN County: MORGAN

MCGOWAN, GREGORY MURPHY, ROGER BAUER, TRAVISGeneral Dentistry General Dentistry General Dentistry

GREGORY V MCGOWAN DDS PC LIFETIME DENTAL CARE OF INDIANA TRAVIS BAUER DDS

21 EAST MAIN STREET, MOORESVILLE 8190 WINDFALL LANE, CAMBY 420 SOUTH INDIANA STREET, MOORESVILLE

MOORESVILLE, IN 46158 CAMBY, IN 46113 MOORESVILLE, IN 46158

Phone: (317) 831-4757 Phone: (317) 821-0600 Phone: (317) 831-2006

County: MORGAN County: MORGAN County: MORGAN

FANNING, RACHEL SHANTEAU, OWENGeneral Dentistry General Dentistry

LIFETIME DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA

8190 WINDFALL LANE, CAMBY 8190 WINDFALL LANE, CAMBY

CAMBY, IN 46113 CAMBY, IN 46113

Phone: (317) 821-0400 Phone: (317) 821-0600

County: MORGAN County: MORGAN

GOEDEKER, JEFFREY SHANTEAU, OWEN BARKER, AVISGeneral Dentistry General Dentistry General Dentistry

LIFETIME DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA JEFFREY S FELTZER DMD

8190 WINDFALL LANE, CAMBY 8190 WINDFALL LANE, CAMBY 907 LINCOLNWAY SOUTH, LIGONIER

CAMBY, IN 46113 CAMBY, IN 46113 LIGONIER, IN 46767

Phone: (317) 821-0400 Phone: (317) 821-0400 Phone: (260) 894-4044

County: MORGAN County: MORGAN County: NOBLE

MORGAN County

NOBLE County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 90: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

BARTMAN, JAMIE HALL, MARK AHMAD, NASIRGeneral Dentistry General Dentistry Oral Surgery

JEFFREY S FELTZER DMD MARK M HALL AND MICHAEL J MEYER PTR ASPEN DENTAL ASSOCIATES

907 LINCOLNWAY SOUTH, LIGONIER 231 SOUTH 2ND STREET, ORLEANS 2505 LAPORTE AVENUE, VALPARAISO

LIGONIER, IN 46767 ORLEANS, IN 47452 VALPARAISO, IN 46383

Phone: (260) 894-4044 Phone: (812) 865-2737 Phone: (219) 548-2400

County: NOBLE County: ORANGE County: PORTER

BARTOSIAK, RONALD DILLMAN, ROGER ASWATH, VINAYGeneral Dentistry General Dentistry General Dentistry

JEFFREY S FELTZER DMD ROGER W DILLMAN DDS ASPEN DENTAL ASSOCIATES

907 LINCOLNWAY SOUTH, LIGONIER 138 SOUTH COURT STREET, PAOLI 2505 LAPORTE AVENUE, VALPARAISO

LIGONIER, IN 46767 PAOLI, IN 47454 VALPARAISO, IN 46383

Phone: (260) 894-4044 Phone: (812) 723-3800 Phone: (219) 548-2400

County: NOBLE County: ORANGE County: PORTER

BROCKMAN, AMY BALON, JOHNGeneral Dentistry General Dentistry

JEFFREY S FELTZER DMD ASPEN DENTAL ASSOCIATES

907 LINCOLNWAY SOUTH, LIGONIER 2505 LAPORTE AVENUE, VALPARAISO

LIGONIER, IN 46767 VALPARAISO, IN 46383

Phone: (260) 894-4044 Phone: (219) 548-2400

County: NOBLE County: PORTER

FELTZER, JEFF WALKER, JOSEPH BIERCIEWSKA, HALINAGeneral Dentistry General Dentistry General Dentistry

JEFFREY S FELTZER DMD JOSEPH P WALKER DDS ASPEN DENTAL ASSOCIATES

907 LINCOLNWAY SOUTH, LIGONIER 607 WASHINGTON STREET, CANNELTON 2505 LAPORTE AVENUE, VALPARAISO

LIGONIER, IN 46767 CANNELTON, IN 47520 VALPARAISO, IN 46383

Phone: (260) 894-4044 Phone: (812) 547-2824 Phone: (219) 548-2400

County: NOBLE County: PERRY County: PORTER

GUERRANT, GEORGE BLASS, ANGELINAGeneral Dentistry General Dentistry

JEFFREY S FELTZER DMD ASPEN DENTAL ASSOCIATES

907 LINCOLNWAY SOUTH, LIGONIER 2505 LAPORTE AVENUE, VALPARAISO

LIGONIER, IN 46767 VALPARAISO, IN 46383

Phone: (260) 894-4044 Phone: (219) 548-2400

County: NOBLE County: PORTER

HEWITT, SCOTT LARGURA, ALDO BUCK, JOSHUAGeneral Dentistry Orthodontics General Dentistry

JEFFREY S FELTZER DMD ALDO M LARGURA DDS ASPEN DENTAL ASSOCIATES

907 LINCOLNWAY SOUTH, LIGONIER 1120 SOUTH CALUMET, CHESTERTON 2505 LAPORTE AVENUE, VALPARAISO

LIGONIER, IN 46767 CHESTERTON, IN 46304 VALPARAISO, IN 46383

Phone: (260) 894-4044 Phone: (219) 926-9001 Phone: (219) 548-2400

County: NOBLE County: PORTER County: PORTER

ADLER, BROOKE BUKSAR, DAVIDGeneral Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 548-2400

County: PORTER County: PORTER

PERRY County

PORTER County

ORANGE County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 91: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

CAIRD, ROBERT ESLINGER, BRYAN HAMATI, ISAMGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 548-2400

County: PORTER County: PORTER County: PORTER

CHOWHAN IQBAL, NADIA FRIEDMAN, KARA HARPER, DUSTINGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 548-2400

County: PORTER County: PORTER County: PORTER

COLLURU, KRISHNA GHANG, YOHAN HAWKINS, RACHAELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 548-2400

County: PORTER County: PORTER County: PORTER

CREAGER, TESSA GONQUEH, SHADRACH HEMBROFF, RICHARDGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 548-2400

County: PORTER County: PORTER County: PORTER

DANIEL, KYLE GRAVES, LINDSEY JACKSON, ROBERTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 548-2400

County: PORTER County: PORTER County: PORTER

DOWNEY, CLARK GRIFFING, RUSSELL JONES, ALEXANDRAGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 548-2400

County: PORTER County: PORTER County: PORTER

ENGLES, LEIF GRIFFITHS, DANIEL KHAN, MUHAMMADGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 548-2400

County: PORTER County: PORTER County: PORTER

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 92: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

KHEIRI, AFAQ NOROOZI, AHMAD REZA SALKELD, STEVENGeneral Dentistry Oral Surgery General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 548-2400

County: PORTER County: PORTER County: PORTER

LARRABEE, TODD NOTARIANNI, JOHN SCHAFER, SEANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 548-2400

County: PORTER County: PORTER County: PORTER

LARSEN, PAUL PHILLIPS, MARK SCHILL, GAVINGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 548-2400

County: PORTER County: PORTER County: PORTER

LEONARD, CHRISTOPHER PHILLIPS, AARON SCHINDLER, CHARLESGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 548-2400

County: PORTER County: PORTER County: PORTER

LEYES, KATHERINE RAMCHANDRAREDDY, SHASHIDHAR SHANK, KYLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 548-2400

County: PORTER County: PORTER County: PORTER

LOSIER, KURT REDDY MANDA, ANIL SHINGALA, NIMESHGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 548-2400

County: PORTER County: PORTER County: PORTER

NIES, MICHAEL ROSADO, NAHIR SMITH, JENNIFERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 548-2400

County: PORTER County: PORTER County: PORTER

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 93: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

SPARKS, JEREMIAH WINDSOR, ROBERT POPA, MIHAELAGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES LIFETIME DENTAL CARE OF INDIANA

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 334 WEST US 30, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46385

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 464-9887

County: PORTER County: PORTER County: PORTER

STAHL, MARK WOO, KIJIN SHANTEAU, OWENGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES LIFETIME DENTAL CARE OF INDIANA

2505 LAPORTE AVENUE, VALPARAISO 2505 LAPORTE AVENUE, VALPARAISO 334 WEST US 30, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46385

Phone: (219) 548-2400 Phone: (219) 548-2400 Phone: (219) 464-9887

County: PORTER County: PORTER County: PORTER

STEPHENS, DEREK ARCH, JOSEPH SIM, SOOGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES CHESTERTON SMILES LIFETIME DENTAL CARE OF INDIANA

2505 LAPORTE AVENUE, VALPARAISO 175 EAST US HIGHWAY 20, CHESTERTON 334 WEST US 30, VALPARAISO

VALPARAISO, IN 46383 CHESTERTON, IN 46304 VALPARAISO, IN 46385

Phone: (219) 548-2400 Phone: (219) 728-6093 Phone: (219) 464-9887

County: PORTER County: PORTER County: PORTER

STRICKLAND, AARON CUELLAR, LUIS SIVAPRAKASAM, PRATHIPGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES COSMOPOLITAN DENTISTRY LIFETIME DENTAL CARE OF INDIANA

2505 LAPORTE AVENUE, VALPARAISO 225 ABERDEEN DRIVE, VALPARAISO 334 WEST US 30, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46385 VALPARAISO, IN 46385

Phone: (219) 548-2400 Phone: (219) 548-2322 Phone: (219) 464-9887

County: PORTER County: PORTER County: PORTER

SWEET, NICOLE HURCOMB, NICOLE SILVERT, MICHAELGeneral Dentistry General Dentistry Orthodontics

ASPEN DENTAL ASSOCIATES LIFETIME DENTAL CARE OF INDIANA MICHAEL E SILVERT DMD

2505 LAPORTE AVENUE, VALPARAISO 334 WEST US 30, VALPARAISO 601 EAST LINCOLNWAY, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46385 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 464-9887 Phone: (219) 462-7571

County: PORTER County: PORTER County: PORTER

TITUS, JONATHAN LEDWIDGE, MELISSA SILVERT, MICHAELGeneral Dentistry General Dentistry Orthodontics

ASPEN DENTAL ASSOCIATES LIFETIME DENTAL CARE OF INDIANA MICHAEL SILVERT DMD

2505 LAPORTE AVENUE, VALPARAISO 334 WEST US 30, VALPARAISO 601 EAST LINCOLNWAY, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46385 VALPARAISO, IN 46383

Phone: (219) 548-2400 Phone: (219) 464-9887 Phone: (219) 462-7571

County: PORTER County: PORTER County: PORTER

WAKIM, SAMUEL PIETERS, MYSTIE AYANGADE, OLUSEYIGeneral Dentistry General Dentistry Periodontology

ASPEN DENTAL ASSOCIATES LIFETIME DENTAL CARE OF INDIANA MICHIGAN CITY FAMILY DENTISTRY

2505 LAPORTE AVENUE, VALPARAISO 334 WEST US 30, VALPARAISO 6044 LUTE ROAD, PORTAGE

VALPARAISO, IN 46383 VALPARAISO, IN 46385 PORTAGE, IN 46368

Phone: (219) 548-2400 Phone: (219) 464-9887 Phone: (219) 764-4004

County: PORTER County: PORTER County: PORTER

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 94: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

AYANGADE, CRESHINDA SURBER, THOMAS BEHREND, ROBERTGeneral Dentistry Orthodontics General Dentistry

MICHIGAN CITY FAMILY DENTISTRY ORTHODONTIC AFFILIATES PC VALPARAISO FAMILY DENTISTRY

6044 LUTE ROAD, PORTAGE 3110 WILLOWCREEK ROAD, PORTAGE 2005 ROOSEVELT ROAD, VALPARAISO

PORTAGE, IN 46368 PORTAGE, IN 46368 VALPARAISO, IN 46383

Phone: (219) 764-4004 Phone: (219) 763-1596 Phone: (219) 531-9293

County: PORTER County: PORTER County: PORTER

TAYLOR, BRENDA WALERKO, FRANK BREUKER, JAMESGeneral Dentistry General Dentistry General Dentistry

MICHIGAN CITY FAMILY DENTISTRY PORTAGE FAMILY DENTISTRY VALPARAISO FAMILY DENTISTRY

6044 LUTE ROAD, PORTAGE 6060 LUTE ROAD, PORTAGE 2005 ROOSEVELT ROAD, VALPARAISO

PORTAGE, IN 46368 PORTAGE, IN 46368 VALPARAISO, IN 46383

Phone: (219) 764-4004 Phone: (219) 762-3842 Phone: (219) 531-9293

County: PORTER County: PORTER County: PORTER

SCHMIDT, RANDALL MCFADDEN, THOMAS CONAWAY, DAVIDOrthodontics General Dentistry General Dentistry

ORTHODONTIC AFFILIATES THOMAS J MCFADDEN DDS VALPARAISO FAMILY DENTISTRY

1610 POINTE DRIVE, VALPARAISO 2602 VALLEY DRIVE, VALPARAISO 2005 ROOSEVELT ROAD, VALPARAISO

VALPARAISO, IN 46383 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 464-2644 Phone: (219) 462-1034 Phone: (219) 531-9293

County: PORTER County: PORTER County: PORTER

SURBER, THOMAS PETERS, THOMAS CUELLAR, LUISOrthodontics General Dentistry General Dentistry

ORTHODONTIC AFFILIATES THOMAS R PETERS DDS VALPARAISO FAMILY DENTISTRY

1610 POINTE DRIVE, VALPARAISO 5943 CENTRAL AVENUE, PORTAGE 2005 ROOSEVELT ROAD, VALPARAISO

VALPARAISO, IN 46383 PORTAGE, IN 46368 VALPARAISO, IN 46383

Phone: (219) 464-2644 Phone: (219) 762-9567 Phone: (219) 531-9293

County: PORTER County: PORTER County: PORTER

SCHMIDT, RANDALL FOLKE, KURT DARLING, LUKEOrthodontics General Dentistry General Dentistry

ORTHODONTIC AFFILIATES PC VALE PARK DENTAL CARE VALPARAISO FAMILY DENTISTRY

1120 SOUTH CALUMET ROAD, CHESTERTON 401 WALL STREET, VALPARAISO 2005 ROOSEVELT ROAD, VALPARAISO

CHESTERTON, IN 46304 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 926-9077 Phone: (219) 465-6111 Phone: (219) 531-9293

County: PORTER County: PORTER County: PORTER

SCHMIDT, RANDALL FOLKE, BERNADETTE HEARN, MATTHEWOrthodontics Pediatric Dentistry Oral Surgery

ORTHODONTIC AFFILIATES PC VALE PARK DENTAL CARE VALPARAISO FAMILY DENTISTRY

3110 WILLOWCREEK ROAD, PORTAGE 401 WALL STREET, VALPARAISO 2005 ROOSEVELT ROAD, VALPARAISO

PORTAGE, IN 46368 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 763-1596 Phone: (219) 465-6111 Phone: (219) 531-9293

County: PORTER County: PORTER County: PORTER

SURBER, THOMAS LE, STEVEN HEIN, ERICOrthodontics Pediatric Dentistry General Dentistry

ORTHODONTIC AFFILIATES PC VALE PARK DENTAL CARE VALPARAISO FAMILY DENTISTRY

1120 SOUTH CALUMET ROAD, CHESTERTON 401 WALL STREET, VALPARAISO 2005 ROOSEVELT ROAD, VALPARAISO

CHESTERTON, IN 46304 VALPARAISO, IN 46383 VALPARAISO, IN 46383

Phone: (219) 926-9077 Phone: (219) 465-6111 Phone: (219) 531-9293

County: PORTER County: PORTER County: PORTER

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 95: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

LARGURA, BURTON SCHNEIDER, RICHARDPeriodontology General Dentistry

VALPARAISO FAMILY DENTISTRY R ALAN SCHNEIDER DDS

2005 ROOSEVELT ROAD, VALPARAISO 347 WEST MAIN STREET, MORRISTOWN

VALPARAISO, IN 46383 MORRISTOWN, IN 46161

Phone: (219) 531-9293 Phone: (765) 763-6412

County: PORTER County: SHELBY

MONTANEZ, FRANKIE BROUGHTON, CHARLES JUDAH II, ROBERTGeneral Dentistry Orthodontics General Dentistry

VALPARAISO FAMILY DENTISTRY CHARLES F BROUGHTON DMD ROBERT E JUDAH II DDS PC

2005 ROOSEVELT ROAD, VALPARAISO 981 STATE ROAD 46 EAST, BATESVILLE 110 SOUTH FRANKLIN, FAIRLAND

VALPARAISO, IN 46383 BATESVILLE, IN 47006 FAIRLAND, IN 46126

Phone: (219) 531-9293 Phone: (812) 934-5151 Phone: (317) 835-7892

County: PORTER County: RIPLEY County: SHELBY

OSTROWSKI, LEONARD CHURCH, MATTHEWGeneral Dentistry General Dentistry

VALPARAISO FAMILY DENTISTRY SHELBYVILLE FAMILY DENTAL

2005 ROOSEVELT ROAD, VALPARAISO 122 LEE BOULEVARD, SHELBYVILLE

VALPARAISO, IN 46383 SHELBYVILLE, IN 46176

Phone: (219) 531-9293 Phone: (317) 398-6399

County: PORTER County: SHELBY

BADGER, MICHAEL SCEARCE, DIANEOrthodontics General Dentistry

BADGER AND SPILLER DMD SHELBYVILLE FAMILY DENTAL

82 NORTH MAIN STREET, SCOTTSBURG 122 LEE BOULEVARD, SHELBYVILLE

SCOTTSBURG, IN 47170 SHELBYVILLE, IN 46176

Phone: (812) 752-9983 Phone: (317) 398-6399

County: SCOTT County: SHELBY

BRANDT, MARY SPILLER, ROBERTOrthodontics Orthodontics

ASSOCIATED ORTHODONTISTS OF INDIANA BADGER AND SPILLER DMD

49 PUTNAM PLAZA, GREENCASTLE 82 NORTH MAIN STREET, SCOTTSBURG

GREENCASTLE, IN 46135 SCOTTSBURG, IN 47170

Phone: (765) 653-7290 Phone: (812) 752-9983

County: PUTNAM County: SCOTT

DAVIS, WARREN MAGUIRE, ROBERT ABBAS, ZEHRAOrthodontics General Dentistry General Dentistry

ASSOCIATED ORTHODONTISTS OF INDIANA ROBERT C MAGUIRE DMD ADONI DENTAL

49 PUTNAM PLAZA, GREENCASTLE 1366 NORTH GARDNER, SCOTTSBURG 4170 GRAPE ROAD, MISHAWAKA

GREENCASTLE, IN 46135 SCOTTSBURG, IN 47170 MISHAWAKA, IN 46545

Phone: (765) 653-7290 Phone: (812) 752-3524 Phone: (574) 272-4200

County: PUTNAM County: SCOTT County: ST JOSEPH

RAPP, JOHN ABBAS, ZEHRAOrthodontics General Dentistry

ASSOCIATED ORTHODONTISTS OF INDIANA ADONI DENTAL

49 PUTNAM PLAZA, GREENCASTLE 1290 EAST IRELAND ROAD, SOUTH BEND

GREENCASTLE, IN 46135 SOUTH BEND, IN 46614

Phone: (765) 653-7290 Phone: (574) 299-1400

County: PUTNAM County: ST JOSEPH

RIPLEY County

SCOTT County

PUTNAM County

ST JOSEPH County

SHELBY County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 96: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

AHMAD, NASIR JACKSON, ROBERT BACHMAN, NICHOLASOral Surgery General Dentistry General Dentistry

ADONI DENTAL ADONI DENTAL AFFILIATED FAMILY DENTISTS

1290 EAST IRELAND ROAD, SOUTH BEND 1290 EAST IRELAND ROAD, SOUTH BEND 605 WEST DOUGLAS ROAD, MISHAWAKA

SOUTH BEND, IN 46614 SOUTH BEND, IN 46614 MISHAWAKA, IN 46545

Phone: (574) 299-1400 Phone: (574) 299-1400 Phone: (574) 277-2220

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

AHMAD, NASIR LEYES, KATHERINE CLEVELAND, GRANTOral Surgery General Dentistry General Dentistry

ADONI DENTAL ADONI DENTAL AFFILIATED FAMILY DENTISTS

4170 GRAPE ROAD, MISHAWAKA 1290 EAST IRELAND ROAD, SOUTH BEND 605 WEST DOUGLAS ROAD, MISHAWAKA

MISHAWAKA, IN 46545 SOUTH BEND, IN 46614 MISHAWAKA, IN 46545

Phone: (574) 272-4200 Phone: (574) 299-1400 Phone: (574) 277-2220

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

CHOWHAN IQBAL, NADIA NOROOZI, AHMAD REZA HAMMAN, BETHGeneral Dentistry Oral Surgery General Dentistry

ADONI DENTAL ADONI DENTAL AFFILIATED FAMILY DENTISTS

1290 EAST IRELAND ROAD, SOUTH BEND 4170 GRAPE ROAD, MISHAWAKA 605 WEST DOUGLAS ROAD, MISHAWAKA

SOUTH BEND, IN 46614 MISHAWAKA, IN 46545 MISHAWAKA, IN 46545

Phone: (574) 299-1400 Phone: (574) 272-4200 Phone: (574) 277-2220

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

ENGLES, LEIF SMITH, JENNIFER PARK, MATTHEWGeneral Dentistry General Dentistry General Dentistry

ADONI DENTAL ADONI DENTAL AFFILIATED FAMILY DENTISTS

1290 EAST IRELAND ROAD, SOUTH BEND 1290 EAST IRELAND ROAD, SOUTH BEND 605 WEST DOUGLAS ROAD, MISHAWAKA

SOUTH BEND, IN 46614 SOUTH BEND, IN 46614 MISHAWAKA, IN 46545

Phone: (574) 299-1400 Phone: (574) 299-1400 Phone: (574) 277-2220

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

ESLINGER, BRYAN SMITH, JENNIFER PECINA, ROGERGeneral Dentistry General Dentistry General Dentistry

ADONI DENTAL ADONI DENTAL AFFILIATED FAMILY DENTISTS

1290 EAST IRELAND ROAD, SOUTH BEND 4170 GRAPE ROAD, MISHAWAKA 605 WEST DOUGLAS ROAD, MISHAWAKA

SOUTH BEND, IN 46614 MISHAWAKA, IN 46545 MISHAWAKA, IN 46545

Phone: (574) 299-1400 Phone: (574) 272-4200 Phone: (574) 277-2220

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

GRIFFING, RUSSELL WAKIM, SAMUEL ANTHONY, THOMASGeneral Dentistry General Dentistry General Dentistry

ADONI DENTAL ADONI DENTAL ALLCARE DENTAL AND DENTURES OF INDIANA

1290 EAST IRELAND ROAD, SOUTH BEND 1290 EAST IRELAND ROAD, SOUTH BEND 103 EAST UNIVERSITY DRIVE, GRANGER

SOUTH BEND, IN 46614 SOUTH BEND, IN 46614 GRANGER, IN 46530

Phone: (574) 299-1400 Phone: (574) 299-1400 Phone: (574) 807-8686

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

HAWKINS, RACHAEL WAKIM, SAMUEL ARNETT, SHANNONGeneral Dentistry General Dentistry General Dentistry

ADONI DENTAL ADONI DENTAL ALLCARE DENTAL AND DENTURES OF INDIANA

1290 EAST IRELAND ROAD, SOUTH BEND 4170 GRAPE ROAD, MISHAWAKA 103 EAST UNIVERSITY DRIVE, GRANGER

SOUTH BEND, IN 46614 MISHAWAKA, IN 46545 GRANGER, IN 46530

Phone: (574) 299-1400 Phone: (574) 272-4200 Phone: (574) 807-8686

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 97: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

BATES, ROBERT MALKOWSKI, FRED STERBA, WAYNEGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA

103 EAST UNIVERSITY DRIVE, GRANGER 103 EAST UNIVERSITY DRIVE, GRANGER 103 EAST UNIVERSITY DRIVE, GRANGER

GRANGER, IN 46530 GRANGER, IN 46530 GRANGER, IN 46530

Phone: (574) 807-8686 Phone: (574) 807-8686 Phone: (574) 807-8686

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

COLE, ELDON PAGE, GARY VELASCO, ALBERTOGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA

103 EAST UNIVERSITY DRIVE, GRANGER 103 EAST UNIVERSITY DRIVE, GRANGER 103 EAST UNIVERSITY DRIVE, GRANGER

GRANGER, IN 46530 GRANGER, IN 46530 GRANGER, IN 46530

Phone: (574) 807-8686 Phone: (574) 807-8686 Phone: (574) 807-8686

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

ESLINGER, BRYAN PATEL, BRIJESH HEATH, PETERGeneral Dentistry General Dentistry Oral Surgery

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA EDISON LAKES ORAL SURGERY

103 EAST UNIVERSITY DRIVE, GRANGER 103 EAST UNIVERSITY DRIVE, GRANGER 270 EAST DAY ROAD, MISHAWAKA

GRANGER, IN 46530 GRANGER, IN 46530 MISHAWAKA, IN 46545

Phone: (574) 807-8686 Phone: (574) 807-8686 Phone: (574) 272-8823

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

GUERRANT, GEORGE PEETA, UMA LINMAN, RUSSELLGeneral Dentistry General Dentistry Oral Surgery

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA EDISON LAKES ORAL SURGERY

103 EAST UNIVERSITY DRIVE, GRANGER 103 EAST UNIVERSITY DRIVE, GRANGER 270 EAST DAY ROAD, MISHAWAKA

GRANGER, IN 46530 GRANGER, IN 46530 MISHAWAKA, IN 46545

Phone: (574) 807-8686 Phone: (574) 807-8686 Phone: (574) 272-8823

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

JOHNSON, STEVEN PERRY, SVETLANA MIGHION, GEORGEGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA GEORGE A MIGHION DDS

103 EAST UNIVERSITY DRIVE, GRANGER 103 EAST UNIVERSITY DRIVE, GRANGER 3420 HICKORY ROAD, MISHAWAKA

GRANGER, IN 46530 GRANGER, IN 46530 MISHAWAKA, IN 46545

Phone: (574) 807-8686 Phone: (574) 807-8686 Phone: (547) 256-1579

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

KUMAR, POOJA PUNJ, AMIT BAKER, JAIMEGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA HEARTLAND DENTAL CARE

103 EAST UNIVERSITY DRIVE, GRANGER 103 EAST UNIVERSITY DRIVE, GRANGER 103 OSCEOLA AVENUE, OSCEOLA

GRANGER, IN 46530 GRANGER, IN 46530 OSCEOLA, IN 46561

Phone: (574) 807-8686 Phone: (574) 807-8686 Phone: (574) 674-8757

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

LU, BIQING SIMON, KATHRYN HOUSTON, NICHOLGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES OF INDIANA ALLCARE DENTAL AND DENTURES OF INDIANA HEARTLAND DENTAL CARE

103 EAST UNIVERSITY DRIVE, GRANGER 103 EAST UNIVERSITY DRIVE, GRANGER 103 OSCEOLA AVENUE, OSCEOLA

GRANGER, IN 46530 GRANGER, IN 46530 OSCEOLA, IN 46561

Phone: (574) 807-8686 Phone: (574) 807-8686 Phone: (574) 674-8757

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 98: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

HURCOMB, NICOLE DOWNEY, CLARK LEONARD, CHRISTOPHERGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE I H DENTAL PC I H DENTAL PC

103 OSCEOLA AVENUE, OSCEOLA 1290 EAST IRELAND ROAD, SOUTH BEND 1290 EAST IRELAND ROAD, SOUTH BEND

OSCEOLA, IN 46561 SOUTH BEND, IN 46614 SOUTH BEND, IN 46614

Phone: (574) 674-8757 Phone: (574) 299-1400 Phone: (574) 299-1400

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

MCBRIDE, DONALD GRAVES, LINDSEY NOTARIANNI, JOHNGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE I H DENTAL PC I H DENTAL PC

103 OSCEOLA AVENUE, OSCEOLA 1290 EAST IRELAND ROAD, SOUTH BEND 1290 EAST IRELAND ROAD, SOUTH BEND

OSCEOLA, IN 46561 SOUTH BEND, IN 46614 SOUTH BEND, IN 46614

Phone: (574) 674-8757 Phone: (574) 299-1400 Phone: (574) 299-1400

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

MURPHY, ROGER GRIFFITHS, DANIEL ROSADO, NAHIRGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE I H DENTAL PC I H DENTAL PC

103 OSCEOLA AVENUE, OSCEOLA 1290 EAST IRELAND ROAD, SOUTH BEND 1290 EAST IRELAND ROAD, SOUTH BEND

OSCEOLA, IN 46561 SOUTH BEND, IN 46614 SOUTH BEND, IN 46614

Phone: (574) 674-8757 Phone: (574) 299-1400 Phone: (574) 299-1400

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

SHANTEAU, OWEN HAMATI, ISAM SCHILL, GAVINGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE I H DENTAL PC I H DENTAL PC

103 OSCEOLA AVENUE, OSCEOLA 1290 EAST IRELAND ROAD, SOUTH BEND 1290 EAST IRELAND ROAD, SOUTH BEND

OSCEOLA, IN 46561 SOUTH BEND, IN 46614 SOUTH BEND, IN 46614

Phone: (574) 674-8757 Phone: (574) 299-1400 Phone: (574) 299-1400

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

BUCK, JOSHUA HARPER, DUSTIN SHANK, KYLEGeneral Dentistry General Dentistry General Dentistry

I H DENTAL PC I H DENTAL PC I H DENTAL PC

1290 EAST IRELAND ROAD, SOUTH BEND 1290 EAST IRELAND ROAD, SOUTH BEND 1290 EAST IRELAND ROAD, SOUTH BEND

SOUTH BEND, IN 46614 SOUTH BEND, IN 46614 SOUTH BEND, IN 46614

Phone: (574) 299-1400 Phone: (574) 299-1400 Phone: (574) 299-1400

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

BUKSAR, DAVID JOHNSON, WILLIAM SPARKS, JEREMIAHGeneral Dentistry General Dentistry General Dentistry

I H DENTAL PC I H DENTAL PC I H DENTAL PC

1290 EAST IRELAND ROAD, SOUTH BEND 1290 EAST IRELAND ROAD, SOUTH BEND 1290 EAST IRELAND ROAD, SOUTH BEND

SOUTH BEND, IN 46614 SOUTH BEND, IN 46614 SOUTH BEND, IN 46614

Phone: (574) 299-1400 Phone: (574) 299-1400 Phone: (574) 299-1400

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

CREAGER, TESSA LARRABEE, TODD MURPHY, RUSSELLGeneral Dentistry General Dentistry General Dentistry

I H DENTAL PC I H DENTAL PC IRONWOOD FAMILY DENTISTRY

1290 EAST IRELAND ROAD, SOUTH BEND 1290 EAST IRELAND ROAD, SOUTH BEND 1329 NORTH IRONWOOD DRIVE, SOUTH BEND

SOUTH BEND, IN 46614 SOUTH BEND, IN 46614 SOUTH BEND, IN 46615

Phone: (574) 299-1400 Phone: (574) 299-1400 Phone: (574) 271-7500

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 99: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

BURKART, JAMES HEWITT, SCOTT SERGIO, PAULGeneral Dentistry General Dentistry Periodontology

JAMES BURKART DDS JEFFREY S FELTZER DMD PAUL A SERGIO DDS

13432 MCKINLEY HIGHWAY, MISHAWAKA 518 LINCOLNWAY WEST, MISHAWAKA 1918 EDISON ROAD, SOUTH BEND

MISHAWAKA, IN 46545 MISHAWAKA, IN 46544 SOUTH BEND, IN 46617

Phone: (574) 255-0035 Phone: (574) 255-5630 Phone: (574) 287-8900

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

BARKER, AVIS KWON, MIN GOLDWIN, PAULGeneral Dentistry General Dentistry General Dentistry

JEFFREY S FELTZER DMD JEREMY KWON DDS AND ASSOCIATES PAUL GOLDWIN DDS

518 LINCOLNWAY WEST, MISHAWAKA 6910 NORTH MAIN STREET UNIT 46, GRANGER 225 NORTH NOTRE DAME AVENUE, SOUTH BEND

MISHAWAKA, IN 46544 GRANGER, IN 46530 SOUTH BEND, IN 46617

Phone: (574) 255-5630 Phone: (574) 247-2521 Phone: (574) 287-2931

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

BARTMAN, JAMIE BOND, JOHN FELTMAN, EUGENEGeneral Dentistry General Dentistry Endodontics

JEFFREY S FELTZER DMD JOHN D BOND DDS RISSER ENDODONTICS

518 LINCOLNWAY WEST, MISHAWAKA 915 SOUTH IRONWOOD DRIVE, SOUTH BEND 225 NORTH NOTRE DAME AVENUE, SOUTH BEND

MISHAWAKA, IN 46544 SOUTH BEND, IN 46615 SOUTH BEND, IN 46617

Phone: (574) 255-5630 Phone: (574) 288-5252 Phone: (574) 232-5866

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

BARTOSIAK, RONALD SHANTEAU, OWEN RISSER, SCOTTGeneral Dentistry General Dentistry Endodontics

JEFFREY S FELTZER DMD LIFETIME DENTAL CARE OF INDIANA RISSER ENDODONTICS

518 LINCOLNWAY WEST, MISHAWAKA 1605 NORTH IRONWOOD, SOUTH BEND 225 NORTH NOTRE DAME AVENUE, SOUTH BEND

MISHAWAKA, IN 46544 SOUTH BEND, IN 46635 SOUTH BEND, IN 46617

Phone: (574) 255-5630 Phone: (574) 271-9693 Phone: (574) 232-5866

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

BROCKMAN, AMY THIEL, JENNIFER BELMER, MARSHALLGeneral Dentistry General Dentistry General Dentistry

JEFFREY S FELTZER DMD LIFETIME DENTAL CARE OF INDIANA SMALL SMILES OF SOUTH BEND

518 LINCOLNWAY WEST, MISHAWAKA 1605 NORTH IRONWOOD, SOUTH BEND 2332 MIRACLE LANE, MISHAWAKA

MISHAWAKA, IN 46544 SOUTH BEND, IN 46635 MISHAWAKA, IN 46545

Phone: (574) 255-5630 Phone: (574) 271-9693 Phone: (574) 259-5437

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

FELTZER, JEFF FREID, MICHAEL BRADLEY, KATHLEENGeneral Dentistry Oral Surgery General Dentistry

JEFFREY S FELTZER DMD MICHAEL L FREID DDS SMALL SMILES OF SOUTH BEND

518 LINCOLNWAY WEST, MISHAWAKA 225 NORTH NOTRE DAME AVENUE, SOUTH BEND 2332 MIRACLE LANE, MISHAWAKA

MISHAWAKA, IN 46544 SOUTH BEND, IN 46617 MISHAWAKA, IN 46545

Phone: (574) 255-5630 Phone: (574) 232-4868 Phone: (574) 259-5437

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

GUERRANT, GEORGE FISHBAUGH, DAVID CHOI, YOONHYEOKGeneral Dentistry Pediatric Dentistry General Dentistry

JEFFREY S FELTZER DMD NORTH POINT PEDIATRIC DENTISTRY SMALL SMILES OF SOUTH BEND

518 LINCOLNWAY WEST, MISHAWAKA 16597 STATE ROAD 23, SOUTH BEND 2332 MIRACLE LANE, MISHAWAKA

MISHAWAKA, IN 46544 SOUTH BEND, IN 46635 MISHAWAKA, IN 46545

Phone: (574) 255-5630 Phone: (574) 273-8393 Phone: (574) 259-5437

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 100: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

CLUTE, STEVEN KUMAR, SHALESH NEWMAN, DUSTINGeneral Dentistry General Dentistry General Dentistry

SMALL SMILES OF SOUTH BEND SMALL SMILES OF SOUTH BEND SMALL SMILES OF SOUTH BEND

2332 MIRACLE LANE, MISHAWAKA 2332 MIRACLE LANE, MISHAWAKA 2332 MIRACLE LANE, MISHAWAKA

MISHAWAKA, IN 46545 MISHAWAKA, IN 46545 MISHAWAKA, IN 46545

Phone: (574) 259-5437 Phone: (574) 259-5437 Phone: (574) 259-5437

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

COOPER, JASON LARRABEE DEWELL, KELLI NICHOLSON, TERESAGeneral Dentistry General Dentistry General Dentistry

SMALL SMILES OF SOUTH BEND SMALL SMILES OF SOUTH BEND SMALL SMILES OF SOUTH BEND

2332 MIRACLE LANE, MISHAWAKA 2332 MIRACLE LANE, MISHAWAKA 2332 MIRACLE LANE, MISHAWAKA

MISHAWAKA, IN 46545 MISHAWAKA, IN 46545 MISHAWAKA, IN 46545

Phone: (574) 259-5437 Phone: (574) 259-5437 Phone: (574) 259-5437

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

CROOM, OLIVIA LOWE, SAMANTHA PETERSON, HELENGeneral Dentistry General Dentistry General Dentistry

SMALL SMILES OF SOUTH BEND SMALL SMILES OF SOUTH BEND SMALL SMILES OF SOUTH BEND

2332 MIRACLE LANE, MISHAWAKA 2332 MIRACLE LANE, MISHAWAKA 2332 MIRACLE LANE, MISHAWAKA

MISHAWAKA, IN 46545 MISHAWAKA, IN 46545 MISHAWAKA, IN 46545

Phone: (574) 259-5437 Phone: (574) 259-5437 Phone: (574) 259-5437

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

DEKKER REED, LISA LU, BIQING REID, AMBERGeneral Dentistry General Dentistry General Dentistry

SMALL SMILES OF SOUTH BEND SMALL SMILES OF SOUTH BEND SMALL SMILES OF SOUTH BEND

2332 MIRACLE LANE, MISHAWAKA 2332 MIRACLE LANE, MISHAWAKA 2332 MIRACLE LANE, MISHAWAKA

MISHAWAKA, IN 46545 MISHAWAKA, IN 46545 MISHAWAKA, IN 46545

Phone: (574) 259-5437 Phone: (574) 259-5437 Phone: (574) 259-5437

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

FELDE, STEVEN MARCH PHILLIPS, MARGARET TAYLOR, JENNIFERGeneral Dentistry General Dentistry General Dentistry

SMALL SMILES OF SOUTH BEND SMALL SMILES OF SOUTH BEND SMALL SMILES OF SOUTH BEND

2332 MIRACLE LANE, MISHAWAKA 2332 MIRACLE LANE, MISHAWAKA 2332 MIRACLE LANE, MISHAWAKA

MISHAWAKA, IN 46545 MISHAWAKA, IN 46545 MISHAWAKA, IN 46545

Phone: (574) 259-5437 Phone: (574) 259-5437 Phone: (574) 259-5437

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

FRASIER, JEREMIAH MERRITT BROOKS, BRIDGET TOOLE, KEVINGeneral Dentistry General Dentistry General Dentistry

SMALL SMILES OF SOUTH BEND SMALL SMILES OF SOUTH BEND SMALL SMILES OF SOUTH BEND

2332 MIRACLE LANE, MISHAWAKA 2332 MIRACLE LANE, MISHAWAKA 2332 MIRACLE LANE, MISHAWAKA

MISHAWAKA, IN 46545 MISHAWAKA, IN 46545 MISHAWAKA, IN 46545

Phone: (574) 259-5437 Phone: (574) 259-5437 Phone: (574) 259-5437

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

HARDIN, CALARA MONSON, ANN MARIE MAI, TRANGGeneral Dentistry General Dentistry General Dentistry

SMALL SMILES OF SOUTH BEND SMALL SMILES OF SOUTH BEND SOUTH BEND FAMILY DENTISTRY

2332 MIRACLE LANE, MISHAWAKA 2332 MIRACLE LANE, MISHAWAKA 1637 PORTAGE AVENUE, SOUTH BEND

MISHAWAKA, IN 46545 MISHAWAKA, IN 46545 SOUTH BEND, IN 46616

Phone: (574) 259-5437 Phone: (574) 259-5437 Phone: (574) 233-8444

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 101: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

METZLER, GARY LITTELL, MICHAEL PREISCH, JAMESGeneral Dentistry General Dentistry Pediatric Dentistry

THE DENTAL CENTER OF MISHAWAKA THE DENTAL CENTER OF SOUTH BEND THE DENTAL CENTER OF SOUTH BEND

318 EAST 3RD STREET, MISHAWAKA 1005 EAST LASALLE AVENUE, SOUTH BEND 1005 EAST LASALLE AVENUE, SOUTH BEND

MISHAWAKA, IN 46544 SOUTH BEND, IN 46617 SOUTH BEND, IN 46617

Phone: (574) 255-4964 Phone: (574) 254-7504 Phone: (574) 254-7504

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

PREISCH, JAMES METZLER, GARY STAKEM, THERESAPediatric Dentistry General Dentistry General Dentistry

THE DENTAL CENTER OF MISHAWAKA THE DENTAL CENTER OF SOUTH BEND THE DENTAL CENTER OF SOUTH BEND

318 EAST 3RD STREET, MISHAWAKA 12425 ADAMS ROAD, GRANGER 1005 EAST LASALLE AVENUE, SOUTH BEND

MISHAWAKA, IN 46544 GRANGER, IN 46530 SOUTH BEND, IN 46617

Phone: (574) 255-4964 Phone: (574) 277-0544 Phone: (574) 254-7504

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

AUSTGEN, ROBERT MOORE, LISA STAKEM, THERESAPediatric Dentistry Pediatric Dentistry General Dentistry

THE DENTAL CENTER OF SOUTH BEND THE DENTAL CENTER OF SOUTH BEND THE DENTAL CENTER OF SOUTH BEND

12425 ADAMS ROAD, GRANGER 1005 EAST LASALLE AVENUE, SOUTH BEND 12425 ADAMS ROAD, GRANGER

GRANGER, IN 46530 SOUTH BEND, IN 46617 GRANGER, IN 46530

Phone: (574) 277-0544 Phone: (574) 254-7504 Phone: (574) 277-0544

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

AUSTGEN, ROBERT MOORE, LISA STRIETER, LISAPediatric Dentistry Pediatric Dentistry General Dentistry

THE DENTAL CENTER OF SOUTH BEND THE DENTAL CENTER OF SOUTH BEND THE DENTAL CENTER OF SOUTH BEND

1005 EAST LASALLE AVENUE, SOUTH BEND 12425 ADAMS ROAD, GRANGER 12425 ADAMS ROAD, GRANGER

SOUTH BEND, IN 46617 GRANGER, IN 46530 GRANGER, IN 46530

Phone: (574) 254-7504 Phone: (574) 277-0544 Phone: (574) 277-0544

County: ST JOSEPH County: ST JOSEPH County: ST JOSEPH

BARTON, DOUG PEDAVOLI, THOMASPediatric Dentistry General Dentistry

THE DENTAL CENTER OF SOUTH BEND THE DENTAL CENTER OF SOUTH BEND

1005 EAST LASALLE AVENUE, SOUTH BEND 12425 ADAMS ROAD, GRANGER

SOUTH BEND, IN 46617 GRANGER, IN 46530

Phone: (574) 254-7504 Phone: (574) 277-0544

County: ST JOSEPH County: ST JOSEPH

COHEN, RICHARD PIPPENGER, GARY SMITH, GREGGPediatric Dentistry Pediatric Dentistry General Dentistry

THE DENTAL CENTER OF SOUTH BEND THE DENTAL CENTER OF SOUTH BEND GREGG W SMITH DDS

1005 EAST LASALLE AVENUE, SOUTH BEND 1005 EAST LASALLE AVENUE, SOUTH BEND 118 SOUTH COURT STREET, SULLIVAN

SOUTH BEND, IN 46617 SOUTH BEND, IN 46617 SULLIVAN, IN 47882

Phone: (574) 254-7504 Phone: (574) 254-7504 Phone: (812) 268-4010

County: ST JOSEPH County: ST JOSEPH County: SULLIVAN

LITTELL, MICHAEL PIPPENGER, GARY SPRINGER, JAMESGeneral Dentistry Pediatric Dentistry General Dentistry

THE DENTAL CENTER OF SOUTH BEND THE DENTAL CENTER OF SOUTH BEND JAMES C SPRINGER DDS

12425 ADAMS ROAD, GRANGER 12425 ADAMS ROAD, GRANGER 777 NORTH WOLFENBERGER STREET, SULLIVAN

GRANGER, IN 46530 GRANGER, IN 46530 SULLIVAN, IN 47882

Phone: (574) 277-0544 Phone: (574) 277-0544 Phone: (812) 268-6930

County: ST JOSEPH County: ST JOSEPH County: SULLIVAN

SULLIVAN County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 102: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

JOHNSON, STEVEN PERRY, SVETLANAGeneral Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES

170 CREASY LANE, LAFAYETTE 170 CREASY LANE, LAFAYETTE

LAFAYETTE, IN 47905 LAFAYETTE, IN 47905

Phone: (765) 807-7110 Phone: (765) 807-7110

County: TIPPECANOE County: TIPPECANOE

ANTHONY, THOMAS KUMAR, POOJA PRASAD, ROLLINGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES

170 CREASY LANE, LAFAYETTE 170 CREASY LANE, LAFAYETTE 170 CREASY LANE, LAFAYETTE

LAFAYETTE, IN 47905 LAFAYETTE, IN 47905 LAFAYETTE, IN 47905

Phone: (765) 807-7110 Phone: (765) 807-7110 Phone: (765) 807-7110

County: TIPPECANOE County: TIPPECANOE County: TIPPECANOE

ARNETT, SHANNON LU, BIQING PUNJ, AMITGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES

170 CREASY LANE, LAFAYETTE 170 CREASY LANE, LAFAYETTE 170 CREASY LANE, LAFAYETTE

LAFAYETTE, IN 47905 LAFAYETTE, IN 47905 LAFAYETTE, IN 47905

Phone: (765) 807-7110 Phone: (765) 807-7110 Phone: (765) 807-7110

County: TIPPECANOE County: TIPPECANOE County: TIPPECANOE

BATES, ROBERT MALKOWSKI, FRED SIMON, KATHRYNGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES

170 CREASY LANE, LAFAYETTE 170 CREASY LANE, LAFAYETTE 170 CREASY LANE, LAFAYETTE

LAFAYETTE, IN 47905 LAFAYETTE, IN 47905 LAFAYETTE, IN 47905

Phone: (765) 807-7110 Phone: (765) 807-7110 Phone: (765) 807-7110

County: TIPPECANOE County: TIPPECANOE County: TIPPECANOE

COLE, ELDON PAGE, GARY STERBA, WAYNEGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES

170 CREASY LANE, LAFAYETTE 170 CREASY LANE, LAFAYETTE 170 CREASY LANE, LAFAYETTE

LAFAYETTE, IN 47905 LAFAYETTE, IN 47905 LAFAYETTE, IN 47905

Phone: (765) 807-7110 Phone: (765) 807-7110 Phone: (765) 807-7110

County: TIPPECANOE County: TIPPECANOE County: TIPPECANOE

ESLINGER, BRYAN PATEL, BRIJESH VELASCO, ALBERTOGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES

170 CREASY LANE, LAFAYETTE 170 CREASY LANE, LAFAYETTE 170 CREASY LANE, LAFAYETTE

LAFAYETTE, IN 47905 LAFAYETTE, IN 47905 LAFAYETTE, IN 47905

Phone: (765) 807-7110 Phone: (765) 807-7110 Phone: (765) 807-7110

County: TIPPECANOE County: TIPPECANOE County: TIPPECANOE

GUERRANT, GEORGE PEETA, UMA JONES, TRAVISGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ASPEN DENTAL GROUP

170 CREASY LANE, LAFAYETTE 170 CREASY LANE, LAFAYETTE 3725 ROME DRIVE, LAFAYETTE

LAFAYETTE, IN 47905 LAFAYETTE, IN 47905 LAFAYETTE, IN 47905

Phone: (765) 807-7110 Phone: (765) 807-7110 Phone: (765) 447-2725

County: TIPPECANOE County: TIPPECANOE County: TIPPECANOE

TIPPECANOE County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 103: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

JONES, HEATH MURPHY, ROGERGeneral Dentistry General Dentistry

ASPEN DENTAL GROUP LIFETIME DENTAL CARE OF INDIANA

3725 ROME DRIVE, LAFAYETTE 103 NORTH FARABEE DRIVE, LAFAYETTE

LAFAYETTE, IN 47905 LAFAYETTE, IN 47905

Phone: (765) 447-2725 Phone: (765) 447-7052

County: TIPPECANOE County: TIPPECANOE

KNOP, DAVID MURPHY, ROGER ANTHONY, THOMASGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL GROUP LIFETIME DENTAL CARE OF INDIANA ALLCARE DENTAL AND DENTURES

3725 ROME DRIVE, LAFAYETTE 103 NORTH FARABEE DRIVE, LAFAYETTE 1031 NORTH GREEN RIVER ROAD, EVANSVILLE

LAFAYETTE, IN 47905 LAFAYETTE, IN 47905 EVANSVILLE, IN 47715

Phone: (765) 447-2725 Phone: (765) 447-7052 Phone: (812) 773-0271

County: TIPPECANOE County: TIPPECANOE County: VANDERBURGH

LEVITT, ALEXANDER SCHROEDER, MICHAEL ARNETT, SHANNONGeneral Dentistry General Dentistry General Dentistry

LEVITT DENTAL SERVICES LIFETIME DENTAL CARE OF INDIANA ALLCARE DENTAL AND DENTURES

3554 PROMENADE PARKWAY, LAFAYETTE 103 NORTH FARABEE DRIVE, LAFAYETTE 1031 NORTH GREEN RIVER ROAD, EVANSVILLE

LAFAYETTE, IN 47909 LAFAYETTE, IN 47905 EVANSVILLE, IN 47715

Phone: (765) 471-4500 Phone: (765) 447-7052 Phone: (812) 773-0271

County: TIPPECANOE County: TIPPECANOE County: VANDERBURGH

BAINES, COLLEEN SCHROEDER, MICHAEL BATES, ROBERTGeneral Dentistry General Dentistry General Dentistry

LIFETIME DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA ALLCARE DENTAL AND DENTURES

103 NORTH FARABEE DRIVE, LAFAYETTE 103 NORTH FARABEE DRIVE, LAFAYETTE 1031 NORTH GREEN RIVER ROAD, EVANSVILLE

LAFAYETTE, IN 47905 LAFAYETTE, IN 47905 EVANSVILLE, IN 47715

Phone: (765) 447-7052 Phone: (765) 447-7052 Phone: (812) 773-0271

County: TIPPECANOE County: TIPPECANOE County: VANDERBURGH

BAINES, COLLEEN SHANTEAU, OWEN COLE, ELDONGeneral Dentistry General Dentistry General Dentistry

LIFETIME DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA ALLCARE DENTAL AND DENTURES

103 NORTH FARABEE DRIVE, LAFAYETTE 103 NORTH FARABEE DRIVE, LAFAYETTE 1031 NORTH GREEN RIVER ROAD, EVANSVILLE

LAFAYETTE, IN 47905 LAFAYETTE, IN 47905 EVANSVILLE, IN 47715

Phone: (765) 447-7052 Phone: (765) 447-7052 Phone: (812) 773-0271

County: TIPPECANOE County: TIPPECANOE County: VANDERBURGH

DANKOWSKI, MARK SHANTEAU, OWEN ESLINGER, BRYANGeneral Dentistry General Dentistry General Dentistry

LIFETIME DENTAL CARE OF INDIANA LIFETIME DENTAL CARE OF INDIANA ALLCARE DENTAL AND DENTURES

103 NORTH FARABEE DRIVE, LAFAYETTE 103 NORTH FARABEE DRIVE, LAFAYETTE 1031 NORTH GREEN RIVER ROAD, EVANSVILLE

LAFAYETTE, IN 47905 LAFAYETTE, IN 47905 EVANSVILLE, IN 47715

Phone: (765) 447-7052 Phone: (765) 447-7052 Phone: (812) 773-0271

County: TIPPECANOE County: TIPPECANOE County: VANDERBURGH

HARRIS, MICHAEL COPE, SHANE GUERRANT, GEORGEGeneral Dentistry General Dentistry General Dentistry

LIFETIME DENTAL CARE OF INDIANA TRANSITIONS DENTAL COMPANY ALLCARE DENTAL AND DENTURES

103 NORTH FARABEE DRIVE, LAFAYETTE 4921 STATE ROAD 26 EAST, LAFAYETTE 1031 NORTH GREEN RIVER ROAD, EVANSVILLE

LAFAYETTE, IN 47905 LAFAYETTE, IN 47905 EVANSVILLE, IN 47715

Phone: (765) 447-7052 Phone: (765) 807-0592 Phone: (812) 773-0271

County: TIPPECANOE County: TIPPECANOE County: VANDERBURGH

VANDERBURGH County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 104: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

KUMAR, POOJA STERBA, WAYNE AHMAD, NASIRGeneral Dentistry General Dentistry Oral Surgery

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES

1031 NORTH GREEN RIVER ROAD, EVANSVILLE 1031 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47715 EVANSVILLE, IN 47715

Phone: (812) 773-0271 Phone: (812) 773-0271 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

LU, BIQING VELASCO, ALBERTO BIERCIEWSKA, HALINAGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES

1031 NORTH GREEN RIVER ROAD, EVANSVILLE 1031 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47715 EVANSVILLE, IN 47712

Phone: (812) 773-0271 Phone: (812) 773-0271 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

MALKOWSKI, FRED FANSA, MALEK BIERCIEWSKA, HALINAGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES AMAZING DENTAL ASPEN DENTAL ASSOCIATES

1031 NORTH GREEN RIVER ROAD, EVANSVILLE 5200 WASHINGTON AVENUE, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47715 EVANSVILLE, IN 47715

Phone: (812) 773-0271 Phone: (812) 488-2008 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

PATEL, BRIJESH JIMERSON, RUTHIE BLASS, ANGELINAGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES AMAZING DENTAL ASPEN DENTAL ASSOCIATES

1031 NORTH GREEN RIVER ROAD, EVANSVILLE 5200 WASHINGTON AVENUE, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47715 EVANSVILLE, IN 47712

Phone: (812) 773-0271 Phone: (812) 488-2008 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

PEETA, UMA ADLER, BROOKE BLASS, ANGELINAGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1031 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47712 EVANSVILLE, IN 47715

Phone: (812) 773-0271 Phone: (812) 463-8000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

PUNJ, AMIT ADLER, BROOKE BROWN, RYANGeneral Dentistry General Dentistry General Dentistry

ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1031 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47715 EVANSVILLE, IN 47712

Phone: (812) 773-0271 Phone: (812) 479-5000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

SIMON, KATHRYN AHMAD, NASIR BROWN, RYANGeneral Dentistry Oral Surgery General Dentistry

ALLCARE DENTAL AND DENTURES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

1031 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47712 EVANSVILLE, IN 47715

Phone: (812) 773-0271 Phone: (812) 463-8000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 105: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

BUCK, JOSHUA CHOWHAN IQBAL, NADIA DANIEL, KYLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47715 EVANSVILLE, IN 47712

Phone: (812) 463-8000 Phone: (812) 479-5000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

BUCK, JOSHUA COLLURU, KRISHNA DANIEL, KYLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47712 EVANSVILLE, IN 47715

Phone: (812) 479-5000 Phone: (812) 463-8000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

BUKSAR, DAVID COLLURU, KRISHNA DOWNEY, CLARKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47715 EVANSVILLE, IN 47712

Phone: (812) 479-5000 Phone: (812) 479-5000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

BUKSAR, DAVID CREAGER, TESSA DOWNEY, CLARKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47715 EVANSVILLE, IN 47715

Phone: (812) 463-8000 Phone: (812) 479-5000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

CAIRD, ROBERT CREAGER, TESSA ENGLES, LEIFGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47712 EVANSVILLE, IN 47715

Phone: (812) 463-8000 Phone: (812) 463-8000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

CAIRD, ROBERT DANDALA, SRAVANTHI ESLINGER, BRYANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47712 EVANSVILLE, IN 47712

Phone: (812) 479-5000 Phone: (812) 463-8000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

CHOWHAN IQBAL, NADIA DANDALA, SRAVANTHI ESLINGER, BRYANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47715 EVANSVILLE, IN 47715

Phone: (812) 463-8000 Phone: (812) 479-5000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 106: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

FRIEDMAN, KARA GRAVES, LINDSEY HARPER, DUSTINGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47712 EVANSVILLE, IN 47712

Phone: (812) 463-8000 Phone: (812) 463-8000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

FRIEDMAN, KARA GRIFFING, RUSSELL HARPER, DUSTINGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47712 EVANSVILLE, IN 47715

Phone: (812) 479-5000 Phone: (812) 463-8000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

GHANG, YOHAN GRIFFING, RUSSELL HAWKINS, RACHAELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47715 EVANSVILLE, IN 47712

Phone: (812) 463-8000 Phone: (812) 479-5000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

GHANG, YOHAN GRIFFITHS, DANIEL HAWKINS, RACHAELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47715 EVANSVILLE, IN 47715

Phone: (812) 479-5000 Phone: (812) 479-5000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

GONQUEH, SHADRACH GRIFFITHS, DANIEL HEMBROFF, RICHARDGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47712 EVANSVILLE, IN 47712

Phone: (812) 463-8000 Phone: (812) 463-8000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

GONQUEH, SHADRACH HAMATI, ISAM HEMBROFF, RICHARDGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47712 EVANSVILLE, IN 47715

Phone: (812) 479-5000 Phone: (812) 463-8000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

GRAVES, LINDSEY HAMATI, ISAM JACKSON, ROBERTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47715 EVANSVILLE, IN 47712

Phone: (812) 479-5000 Phone: (812) 479-5000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 107: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

JACKSON, ROBERT KHEIRI, AFAQ LEYES, KATHERINEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47712 EVANSVILLE, IN 47712

Phone: (812) 479-5000 Phone: (812) 463-8000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

JOHNSON, WILLIAM KHEIRI, AFAQ LEYES, KATHERINEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47715 EVANSVILLE, IN 47715

Phone: (812) 463-8000 Phone: (812) 479-5000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

JOHNSON, WILLIAM LARRABEE, TODD LOSIER, KURTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47712 EVANSVILLE, IN 47712

Phone: (812) 479-5000 Phone: (812) 463-8000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

JONES, ALEXANDRA LARRABEE, TODD LOSIER, KURTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47715 EVANSVILLE, IN 47715

Phone: (812) 463-8000 Phone: (812) 479-5000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

JONES, ALEXANDRA LARSEN, PAUL LOUDERMILK, JOHNGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47715 EVANSVILLE, IN 47712

Phone: (812) 479-5000 Phone: (812) 479-5000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

KHAN, MUHAMMAD LEONARD, CHRISTOPHER LOUDERMILK, JOHNGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47712 EVANSVILLE, IN 47715

Phone: (812) 463-8000 Phone: (812) 463-8000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

KHAN, MUHAMMAD LEONARD, CHRISTOPHER NIES, MICHAELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47715 EVANSVILLE, IN 47712

Phone: (812) 479-5000 Phone: (812) 479-5000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 108: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

NIES, MICHAEL PHILLIPS, MARK REID, AMBERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47715 EVANSVILLE, IN 47715

Phone: (812) 479-5000 Phone: (812) 479-5000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

NOROOZI, AHMAD REZA PHILLIPS, AARON ROSADO, NAHIROral Surgery General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47715 EVANSVILLE, IN 47712

Phone: (812) 463-8000 Phone: (812) 479-5000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

NOROOZI, AHMAD REZA RAMCHANDRAREDDY, SHASHIDHAR ROSADO, NAHIROral Surgery General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47712 EVANSVILLE, IN 47715

Phone: (812) 479-5000 Phone: (812) 463-8000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

NOTARIANNI, JOHN RAMCHANDRAREDDY, SHASHIDHAR SALKELD, STEVENGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47715 EVANSVILLE, IN 47712

Phone: (812) 463-8000 Phone: (812) 479-5000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

NOTARIANNI, JOHN REDDY MANDA, ANIL SCHAFER, SEANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47712 EVANSVILLE, IN 47712

Phone: (812) 479-5000 Phone: (812) 463-8000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

PHILLIPS, MARK REDDY MANDA, ANIL SCHAFER, SEANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47715 EVANSVILLE, IN 47715

Phone: (812) 463-8000 Phone: (812) 479-5000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

PHILLIPS, AARON REID, AMBER SCHILL, GAVINGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47712 EVANSVILLE, IN 47712

Phone: (812) 463-8000 Phone: (812) 463-8000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 109: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

SCHILL, GAVIN SMITH, JENNIFER STRICKLAND, AARONGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47715 EVANSVILLE, IN 47712

Phone: (812) 479-5000 Phone: (812) 479-5000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

SCHINDLER, CHARLES SPARKS, JEREMIAH SWEET, NICOLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47712 EVANSVILLE, IN 47712

Phone: (812) 463-8000 Phone: (812) 463-8000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

SCHINDLER, CHARLES SPARKS, JEREMIAH SWEET, NICOLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47715 EVANSVILLE, IN 47715

Phone: (812) 479-5000 Phone: (812) 479-5000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

SHANK, KYLE STAHL, MARK TITUS, JONATHANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47712 EVANSVILLE, IN 47712

Phone: (812) 479-5000 Phone: (812) 463-8000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

SHANK, KYLE STAHL, MARK TITUS, JONATHANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47715 EVANSVILLE, IN 47715

Phone: (812) 463-8000 Phone: (812) 479-5000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

SHINGALA, NIMESH STEPHENS, DEREK WAKIM, SAMUELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47712 EVANSVILLE, IN 47715

Phone: (812) 479-5000 Phone: (812) 463-8000 Phone: (812) 479-5000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

SMITH, JENNIFER STEPHENS, DEREK WALKER, LARRYGeneral Dentistry General Dentistry Oral Surgery

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 508 NORTH GREEN RIVER ROAD, EVANSVILLE 5020 WEST LLOYD EXPRESSWAY, EVANSVILLE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47715 EVANSVILLE, IN 47712

Phone: (812) 463-8000 Phone: (812) 479-5000 Phone: (812) 463-8000

County: VANDERBURGH County: VANDERBURGH County: VANDERBURGH

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 110: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

WALKER, LARRY FOSTER, KATHLEEN ADLER, BROOKEOral Surgery General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES HEARTLAND DENTAL CARE ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 2560 WATERBRIDGE WAY, EVANSVILLE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47710 TERRE HAUTE, IN 47802

Phone: (812) 479-5000 Phone: (812) 484-0195 Phone: (812) 238-3900

County: VANDERBURGH County: VANDERBURGH County: VIGO

WINDSOR, ROBERT LOWERY, JEFFREY BLASS, ANGELINAGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES HEARTLAND DENTAL CARE ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 1220 WASHINGTON AVENUE, EVANSVILLE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47714 TERRE HAUTE, IN 47802

Phone: (812) 463-8000 Phone: (812) 473-1400 Phone: (812) 238-3900

County: VANDERBURGH County: VANDERBURGH County: VIGO

WINDSOR, ROBERT MCBRIDE, DONALD BROWN, RYANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES HEARTLAND DENTAL CARE ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 2560 WATERBRIDGE WAY, EVANSVILLE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47710 TERRE HAUTE, IN 47802

Phone: (812) 479-5000 Phone: (812) 484-0195 Phone: (812) 238-3900

County: VANDERBURGH County: VANDERBURGH County: VIGO

WOO, KIJIN MCBRIDE, DONALD BUCK, JOSHUAGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES HEARTLAND DENTAL CARE ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 1220 WASHINGTON AVENUE, EVANSVILLE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

EVANSVILLE, IN 47712 EVANSVILLE, IN 47714 TERRE HAUTE, IN 47802

Phone: (812) 463-8000 Phone: (812) 473-1400 Phone: (812) 238-3900

County: VANDERBURGH County: VANDERBURGH County: VIGO

WOO, KIJIN CRAWFORD, RICK CAIRD, ROBERTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES RICK W CRAWFORD DDS ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 3301 COVERT AVENUE, EVANSVILLE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

EVANSVILLE, IN 47715 EVANSVILLE, IN 47714 TERRE HAUTE, IN 47802

Phone: (812) 479-5000 Phone: (812) 477-8669 Phone: (812) 238-3900

County: VANDERBURGH County: VANDERBURGH County: VIGO

YU, MING CHOWHAN IQBAL, NADIAOral Surgery General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

508 NORTH GREEN RIVER ROAD, EVANSVILLE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

EVANSVILLE, IN 47715 TERRE HAUTE, IN 47802

Phone: (812) 479-5000 Phone: (812) 238-3900

County: VANDERBURGH County: VIGO

YU, MING WALKER, ALEX COLLURU, KRISHNAOral Surgery Oral Surgery General Dentistry

ASPEN DENTAL ASSOCIATES ALEX K WALKER DMD ASPEN DENTAL ASSOCIATES

5020 WEST LLOYD EXPRESSWAY, EVANSVILLE 321 WABASH AVENUE, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

EVANSVILLE, IN 47712 TERRE HAUTE, IN 47807 TERRE HAUTE, IN 47802

Phone: (812) 463-8000 Phone: (812) 235-1001 Phone: (812) 238-3900

County: VANDERBURGH County: VIGO County: VIGO

VIGO County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 111: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

DANIEL, KYLE GRIFFING, RUSSELL KHAN, MUHAMMADGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802

Phone: (812) 238-3900 Phone: (812) 238-3900 Phone: (812) 238-3900

County: VIGO County: VIGO County: VIGO

DOWNEY, CLARK HAMATI, ISAM KHEIRI, AFAQGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802

Phone: (812) 238-3900 Phone: (812) 238-3900 Phone: (812) 238-3900

County: VIGO County: VIGO County: VIGO

ENGLES, LEIF HARPER, DUSTIN LARRABEE, TODDGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802

Phone: (812) 238-3900 Phone: (812) 238-3900 Phone: (812) 238-3900

County: VIGO County: VIGO County: VIGO

ESLINGER, BRYAN HAWKINS, RACHAEL LARSEN, PAULGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802

Phone: (812) 238-3900 Phone: (812) 238-3900 Phone: (812) 238-3900

County: VIGO County: VIGO County: VIGO

FRIEDMAN, KARA HEMBROFF, RICHARD LEONARD, CHRISTOPHERGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802

Phone: (812) 238-3900 Phone: (812) 238-3900 Phone: (812) 238-3900

County: VIGO County: VIGO County: VIGO

GHANG, YOHAN JACKSON, ROBERT LEYES, KATHERINEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802

Phone: (812) 238-3900 Phone: (812) 238-3900 Phone: (812) 238-3900

County: VIGO County: VIGO County: VIGO

GONQUEH, SHADRACH JONES, ALEXANDRA LOSIER, KURTGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802

Phone: (812) 238-3900 Phone: (812) 238-3900 Phone: (812) 238-3900

County: VIGO County: VIGO County: VIGO

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 112: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

NIES, MICHAEL ROSADO, NAHIR SPARKS, JEREMIAHGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802

Phone: (812) 238-3900 Phone: (812) 238-3900 Phone: (812) 238-3900

County: VIGO County: VIGO County: VIGO

NOROOZI, AHMAD REZA SCHAFER, SEAN STAHL, MARKOral Surgery General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802

Phone: (812) 238-3900 Phone: (812) 238-3900 Phone: (812) 238-3900

County: VIGO County: VIGO County: VIGO

NOTARIANNI, JOHN SCHILL, GAVIN STEPHENS, DEREKGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802

Phone: (812) 238-3900 Phone: (812) 238-3900 Phone: (812) 238-3900

County: VIGO County: VIGO County: VIGO

PHILLIPS, MARK SCHINDLER, CHARLES STRICKLAND, AARONGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802

Phone: (812) 238-3900 Phone: (812) 238-3900 Phone: (812) 238-3900

County: VIGO County: VIGO County: VIGO

PHILLIPS, AARON SHANK, KYLE SWEET, NICOLEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802

Phone: (812) 238-3900 Phone: (812) 238-3900 Phone: (812) 238-3900

County: VIGO County: VIGO County: VIGO

RAMCHANDRAREDDY, SHASHIDHAR SHINGALA, NIMESH TITUS, JONATHANGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802

Phone: (812) 238-3900 Phone: (812) 238-3900 Phone: (812) 238-3900

County: VIGO County: VIGO County: VIGO

REDDY MANDA, ANIL SMITH, JENNIFER WAKIM, SAMUELGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES ASPEN DENTAL ASSOCIATES

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802

Phone: (812) 238-3900 Phone: (812) 238-3900 Phone: (812) 238-3900

County: VIGO County: VIGO County: VIGO

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 113: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

WALKER, LARRY STALEY, LUKE MEYER, GARYOral Surgery General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES LUKE W STALEY DDS GARY R MEYER DDS

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3528 WABASH AVENUE, TERRE HAUTE 333 STATE STREET, NEWBURGH

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47803 NEWBURGH, IN 47630

Phone: (812) 238-3900 Phone: (812) 232-8812 Phone: (812) 853-3344

County: VIGO County: VIGO County: WARRICK

WINDSOR, ROBERT PHILLIPS, AARONGeneral Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES PHILCO GROUP

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802

Phone: (812) 238-3900 Phone: (812) 238-3900

County: VIGO County: VIGO

WOO, KIJIN SCHINDLER, CHARLES ADLER, BROOKEGeneral Dentistry General Dentistry General Dentistry

ASPEN DENTAL ASSOCIATES PHILCO GROUP CLARK A DOWNEY DDS

3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3746 NATIONAL ROAD EAST, RICHMOND

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 RICHMOND, IN 47374

Phone: (812) 238-3900 Phone: (812) 238-3900 Phone: (765) 966-4000

County: VIGO County: VIGO County: WAYNE

DUCHANE, RENEE WALKER, LARRY BUCK, JOSHUAGeneral Dentistry Oral Surgery General Dentistry

FAMILY DENTURE CLINIC PHILCO GROUP CLARK A DOWNEY DDS

3315 SOUTH 7TH STREET, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3746 NATIONAL ROAD EAST, RICHMOND

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 RICHMOND, IN 47374

Phone: (812) 232-7424 Phone: (812) 238-3900 Phone: (765) 966-4000

County: VIGO County: VIGO County: WAYNE

MCBRIDE, DONALD YU, MING BUKSAR, DAVIDGeneral Dentistry Oral Surgery General Dentistry

HEARTLAND DENTAL CARE PHILCO GROUP CLARK A DOWNEY DDS

3430 SOUTH FOURTH STREET, TERRE HAUTE 3363 SOUTH US HIGHWAY 41, TERRE HAUTE 3746 NATIONAL ROAD EAST, RICHMOND

TERRE HAUTE, IN 47802 TERRE HAUTE, IN 47802 RICHMOND, IN 47374

Phone: (812) 234-2644 Phone: (812) 238-3900 Phone: (765) 966-4000

County: VIGO County: VIGO County: WAYNE

MULLINS, SUNSHINE DANIEL, KYLEGeneral Dentistry General Dentistry

HEARTLAND DENTAL CARE CLARK A DOWNEY DDS

3430 SOUTH FOURTH STREET, TERRE HAUTE 3746 NATIONAL ROAD EAST, RICHMOND

TERRE HAUTE, IN 47802 RICHMOND, IN 47374

Phone: (812) 234-2644 Phone: (765) 966-4000

County: VIGO County: WAYNE

SNODDY, JEFFREY ALLDREDGE, CARLA DOWNEY, CLARKGeneral Dentistry General Dentistry General Dentistry

HEARTLAND DENTAL CARE ALLDREDGE DENTAL CARE CLARK A DOWNEY DDS

3430 SOUTH FOURTH STREET, TERRE HAUTE 4727 ROSEBUD LANE, NEWBURGH 3746 NATIONAL ROAD EAST, RICHMOND

TERRE HAUTE, IN 47802 NEWBURGH, IN 47630 RICHMOND, IN 47374

Phone: (812) 234-2644 Phone: (812) 490-9500 Phone: (765) 966-4000

County: VIGO County: WARRICK County: WAYNE

WARRICK County

WAYNE County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 114: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

FRIEDMAN, KARA PETRY, KATHRYN ZENT, CORYGeneral Dentistry General Dentistry General Dentistry

CLARK A DOWNEY DDS CLARK A DOWNEY DDS CLARK A DOWNEY DDS

3746 NATIONAL ROAD EAST, RICHMOND 3746 NATIONAL ROAD EAST, RICHMOND 3746 NATIONAL ROAD EAST, RICHMOND

RICHMOND, IN 47374 RICHMOND, IN 47374 RICHMOND, IN 47374

Phone: (765) 966-4000 Phone: (765) 966-4000 Phone: (765) 966-4000

County: WAYNE County: WAYNE County: WAYNE

GRIFFING, RUSSELL ROSADO, NAHIR EDINGTON, DODDGeneral Dentistry General Dentistry General Dentistry

CLARK A DOWNEY DDS CLARK A DOWNEY DDS HEARTLAND DENTAL CARE

3746 NATIONAL ROAD EAST, RICHMOND 3746 NATIONAL ROAD EAST, RICHMOND 1429 CHESTER BOULEVARD, RICHMOND

RICHMOND, IN 47374 RICHMOND, IN 47374 RICHMOND, IN 47374

Phone: (765) 966-4000 Phone: (765) 966-4000 Phone: (765) 966-3736

County: WAYNE County: WAYNE County: WAYNE

HAMATI, ISAM SCHILL, GAVIN HARRIS, JAMESGeneral Dentistry General Dentistry General Dentistry

CLARK A DOWNEY DDS CLARK A DOWNEY DDS HEARTLAND DENTAL CARE

3746 NATIONAL ROAD EAST, RICHMOND 3746 NATIONAL ROAD EAST, RICHMOND 1429 CHESTER BOULEVARD, RICHMOND

RICHMOND, IN 47374 RICHMOND, IN 47374 RICHMOND, IN 47374

Phone: (765) 966-4000 Phone: (765) 966-4000 Phone: (765) 966-3736

County: WAYNE County: WAYNE County: WAYNE

HARPER, DUSTIN SCHINDLER, CHARLES INGRAM, WILLIAMGeneral Dentistry General Dentistry General Dentistry

CLARK A DOWNEY DDS CLARK A DOWNEY DDS HEARTLAND DENTAL CARE

3746 NATIONAL ROAD EAST, RICHMOND 3746 NATIONAL ROAD EAST, RICHMOND 1429 CHESTER BOULEVARD, RICHMOND

RICHMOND, IN 47374 RICHMOND, IN 47374 RICHMOND, IN 47374

Phone: (765) 966-4000 Phone: (765) 966-4000 Phone: (765) 935-7233

County: WAYNE County: WAYNE County: WAYNE

LARRABEE, TODD SVOMA, GREGG LITTLE, KEITHGeneral Dentistry General Dentistry General Dentistry

CLARK A DOWNEY DDS CLARK A DOWNEY DDS HEARTLAND DENTAL CARE

3746 NATIONAL ROAD EAST, RICHMOND 3746 NATIONAL ROAD EAST, RICHMOND 1429 CHESTER BOULEVARD, RICHMOND

RICHMOND, IN 47374 RICHMOND, IN 47374 RICHMOND, IN 47374

Phone: (765) 966-4000 Phone: (765) 966-4000 Phone: (765) 966-3736

County: WAYNE County: WAYNE County: WAYNE

LEONARD, CHRISTOPHER WINDSOR, ROBERT MCBRIDE, DONALDGeneral Dentistry General Dentistry General Dentistry

CLARK A DOWNEY DDS CLARK A DOWNEY DDS HEARTLAND DENTAL CARE

3746 NATIONAL ROAD EAST, RICHMOND 3746 NATIONAL ROAD EAST, RICHMOND 1429 CHESTER BOULEVARD, RICHMOND

RICHMOND, IN 47374 RICHMOND, IN 47374 RICHMOND, IN 47374

Phone: (765) 966-4000 Phone: (765) 966-4000 Phone: (765) 966-3736

County: WAYNE County: WAYNE County: WAYNE

NOTARIANNI, JOHN YU, MING MCBRIDE, DONALDGeneral Dentistry Oral Surgery General Dentistry

CLARK A DOWNEY DDS CLARK A DOWNEY DDS HEARTLAND DENTAL CARE

3746 NATIONAL ROAD EAST, RICHMOND 3746 NATIONAL ROAD EAST, RICHMOND 1429 CHESTER BOULEVARD, RICHMOND

RICHMOND, IN 47374 RICHMOND, IN 47374 RICHMOND, IN 47374

Phone: (765) 966-4000 Phone: (765) 966-4000 Phone: (765) 935-7233

County: WAYNE County: WAYNE County: WAYNE

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.

Page 115: You’re not responsible for charges over the allowed amount ......As an individual or group member, you can see any licensed dentist (dental provider) you prefer, but choosing one

MEY, JOHN VELLIGAN, GREGORYGeneral Dentistry General Dentistry

HEARTLAND DENTAL CARE HEARTLAND DENTAL CARE

1429 CHESTER BOULEVARD, RICHMOND 1429 CHESTER BOULEVARD, RICHMOND

RICHMOND, IN 47374 RICHMOND, IN 47374

Phone: (765) 966-3736 Phone: (765) 966-3736

County: WAYNE County: WAYNE

MEY, JOHN RINGENBERG, THOMASGeneral Dentistry General Dentistry

HEARTLAND DENTAL CARE LIFETIME DENTAL CARE OF INDIANA

1429 CHESTER BOULEVARD, RICHMOND 2519 EAST MAIN STREET, RICHMOND

RICHMOND, IN 47374 RICHMOND, IN 47374

Phone: (765) 935-7233 Phone: (765) 962-1519

County: WAYNE County: WAYNE

PHELPS, JASON SHANTEAU, OWENGeneral Dentistry General Dentistry

HEARTLAND DENTAL CARE LIFETIME DENTAL CARE OF INDIANA

1429 CHESTER BOULEVARD, RICHMOND 2519 EAST MAIN STREET, RICHMOND

RICHMOND, IN 47374 RICHMOND, IN 47374

Phone: (765) 966-3736 Phone: (765) 962-1519

County: WAYNE County: WAYNE

PHELPS, JASON YEGERLEHNER, KIRKGeneral Dentistry General Dentistry

HEARTLAND DENTAL CARE LIFETIME DENTAL CARE OF INDIANA

1429 CHESTER BOULEVARD, RICHMOND 2519 EAST MAIN STREET, RICHMOND

RICHMOND, IN 47374 RICHMOND, IN 47374

Phone: (765) 935-7233 Phone: (765) 962-1519

County: WAYNE County: WAYNE

RINGENBERG, THOMASGeneral Dentistry

HEARTLAND DENTAL CARE

1429 CHESTER BOULEVARD, RICHMOND

RICHMOND, IN 47374

Phone: (765) 966-3736

County: WAYNE

SHANTEAU, OWEN LAHRMAN, DONGeneral Dentistry Orthodontics

HEARTLAND DENTAL CARE DON E LAHRMAN DDS

1429 CHESTER BOULEVARD, RICHMOND 3985 NORTH US HIGHWAY 33, CHURUBUSCO

RICHMOND, IN 47374 CHURUBUSCO, IN 46723

Phone: (765) 966-3736 Phone: (260) 693-2656

County: WAYNE County: WHITLEY

SHANTEAU, OWENGeneral Dentistry

HEARTLAND DENTAL CARE

1429 CHESTER BOULEVARD, RICHMOND

RICHMOND, IN 47374

Phone: (765) 935-7233

County: WAYNE

WHITLEY County

Please check with the provider before receiving services to confirm the provider is active in the BCBSNC

network in NC or the DenteMax network outside of NC or call 1-800-305-6638.

Visit http://www.bcbsnc.com/memberservices/public/dental/ for updates.