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New Mexico Oral Health Medicaid Fee for Service Provider Directory

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CITY STATE TYPE OF PROVIDER

SPECIALTY NAME OF THE PROVIDER ADDRESS PHONE

ACOMA NM Dentist Dentistry GEORGE KENT MATTHEW DENTIST

80 VETERANS BLVD 5055525300

ACOMA NM Indian Health Svcs Hospital Enhanced EPST NEW SUNRISE RTC 20 MOCKING BIRID DR 5055525500

ALAMOGORDO NM Dentist Dentistry ACKALL IBRAHEEM GEORGE DDS 2150 S US HWY 54 5754438133

ALAMOGORDO NM Clinic Federally Qlfd Hlth Ctr BEN ARCHER HEALTH CENTER 2150 HWY 54 S 5754438133

ALAMOGORDO NM Dentist Dentistry HARRELL SEAN MICHAEL DDS 1713 E 10TH ST STE A 5754395439

ALAMOGORDO NM Dentist Dentistry MACKEY JACOB B DDS 1713 E 10TH ST STE A 5754395439

ALAMOSA CO Dentist Dentistry GOODARE-ROSENTHAL NANCY LEE DDS 128 MARKET ST 7195899691

ALAMOSA CO Dentist Dentistry HARAM PHILLIP JAMES DDS 128 MARKET ST 7195899691

ALAMOSA CO Dentist Dentistry MARTINEZ AIMEE LOUISE DDS 128 MARKET ST 7195899691

ALAMOSA CO Dentist Dentistry WEBER MAX JONATHAN DDS 128 MARKET ST 7195899691

ALBUQUERQUE NM Dentist Dentistry ABEYTA ALICIA A DDS 4830 JUAN TABO BLVD NE STE K 5052937611

ALBUQUERQUE NM Dentist Dentistry ABQ ORTHODONTICS 2010 WYOMING BLVD NE 5052960761 The following list is dental service providers for the New Mexico Medicaid Program for April 30, 2014. Some providers may not be able to take new Medicaid patients. When contacting the dental providers, be certain to let them know you are a Medicaid recipient. Indian Health Service dental providers are restricted to Native American recipients.

This list is for Centennial Care Fee -for- Service recipients. If you are enrolled in a Centennial Care - Managed Care Organizations you must use one of the following links to locate the dental providers for your plan:

Blue Cross Blue Shield of New Mexico: http://public.hcsc.net/providerfinder/home.do United HealthCare: https://www.dbp.com/presence/release/

Molina HealthCare of New Mexico: https://eportal.molinahealthcare.com/eportal/providers/ProviderSearch.aspx?RedirectFrom=MolinaStaticWeb Presbyterian Health Plan: https://presbyterianproviderfinder.ipf.vitals.com/search

The information for these providers is based on the information the Medicaid program currently has available on file. If any information is not current, please use your local phone directory to locate the dental providers.

(2)

PROVIDER

ALBUQUERQUE NM Dentist Dentistry ABSHERE PHILIP M DDS 111 COORS BLVD NW #E-6 5053523808 ALBUQUERQUE NM Dentist Dentistry ACC HEALTH INC 901 LAMBERTON PL NE STE

W

5053231300 ALBUQUERQUE NM Dentist Dentistry ADVENTURE DENTAL OF

ALBUQUERQUE

5000 MENAUL BLVD #B 5058721212 ALBUQUERQUE NM Dentist Dentistry AHN YEHOON DDS 5505 CENTRAL AVE NE 5058436060 ALBUQUERQUE NM Indian Health Svcs

Hospital

Dental ALBUQUERQUE IHS DENTAL CLINIC

9169 COORS RD NW 5053462306 ALBUQUERQUE NM Indian Health Svcs

Hospital

Dental ALBUQUERQUE PHS INDIAN HOSPITAL

801 VASSAR DR NE 5052484000 ALBUQUERQUE NM Dentist Dentistry ALICIA A ABEYTA DDS LLC 4830 JUAN TABO BLVD NE

STE K

5052937611 ALBUQUERQUE NM Dentist Dentistry AMAZING GRACE FAMILY

DENTISTRY PC

4401 COORS BLVD SW STE CD

5053691703 ALBUQUERQUE NM Dentist OralEndoPeriodn

tics&otherSurgy

AMAZING GRACE FAMILY DENTISTRY PC

4401 COORS BLVD SW STE CD

5053691703 ALBUQUERQUE NM Dentist Dentistry ARMSTRONG KENNETH J DDS 5850 EUBANK BLVD NE STE

B38

5052753167 ALBUQUERQUE NM Dentist Dentistry ATTIPOE QUINCY S DDS 4401 COORS BLVD SW STE

CD

2103790083 ALBUQUERQUE NM Dentist Dentistry BACIU EVA CEZARA DDS 6001 WINTER HAVEN DR

NW

5058429799 ALBUQUERQUE NM Dentist Dentistry BEAR CANYON FAMILY

DENTISTRY LLC

7007 WYOMING BLVD NE STE B2

5058211430 ALBUQUERQUE NM Dentist OralEndoPeriodn

tics&otherSurgy

BEAR CANYON ORAL AND FACIAL SURGERY

10151 MONTGOMERY BLVD NE STE 2D

5052923400 ALBUQUERQUE NM Dentist Dentistry BELFON ROBERT F DMD 6800 MONTGOMERY BLVD

NE STE F

5058837262 ALBUQUERQUE NM Dentist Dentistry BELLA SMILES INC 9204 MENAUL BLVD NE STE

3

5052996112 ALBUQUERQUE NM Dentist Dentistry BERGMAN DENNIS W DMD 111 COORS STE E-6 5053523808 ALBUQUERQUE NM Dentist Dentistry BINGHAM SCOTT DMD 7711 ZUNI RD SE 5052567711 ALBUQUERQUE NM Dentist Dentistry BISHOP MATTHEW DDS 201 SAN PEDRO SE SUITE

B-2

5052325437 ALBUQUERQUE NM Dentist Dentistry BOUTZ JOHN W DDS 7111 PROSPECT PL NE STE

C

5058835773 ALBUQUERQUE NM Dentist Dentistry BRETTNER ALBERT M DDS 1801 CAMINO DE SALUD NE

SUITE 1200

5059254031 ALBUQUERQUE NM Dentist Dentistry BRIMHALL DALLAS CREED DDS 4421 IRVING BLVD NW STE

B

5058216910 ALBUQUERQUE NM Dentist Dentistry BRINTON CLARK FAIRBANKS DMD 1625 RIO BRAVO BLVD SW

STE 33

(3)

PROVIDER

ALBUQUERQUE NM Dentist Dentistry BUTTERFIELD DONALD E DDS 6900 GONZALES RD SW 5058437493

ALBUQUERQUE NM Dentist OralEndoPeriodn tics&otherSurgy BUTTNER CHRISTOPHER A DDS 6800 MONTGOMERY BLVD NE STE O 5053389833

ALBUQUERQUE NM Dentist Dentistry C MAHLON FRALEIGH DDS LLC 8400 OSUNA RD NE STE 4B 5052932644

ALBUQUERQUE NM Dentist OralEndoPeriodn tics&otherSurgy CANDELARIA LIONEL M DDS 6800 A MONTGOMERY BLVD NE 5058811130

ALBUQUERQUE NM Dentist Dentistry CASAUS DANA M DDS MS 5910 CUBERO DR NE STE D 5055084939

ALBUQUERQUE NM Dentist Dentistry CASAUS ORTHODONTICS 5910 CUBERO DR NE STE D 5055084939

ALBUQUERQUE NM Dentist Dentistry CELEBRATE DENTAL & BRACES 1625 RIO BRAVO BLVD SW STE 33 5058500305

ALBUQUERQUE NM Dentist Dentistry CELEBRATE DENTAL & BRACES 1625 RIO BRAVO BLVD SW STE 33 7204272818

ALBUQUERQUE NM Dentist Dentistry CHA LILY E DDS 201 SAN PEDRO SE SUITE B-2 5052325437

ALBUQUERQUE NM Dentist Dentistry CHAN GREGG T DDS 4411 SAN MATEO BLVD NE STE E-1 9728693789

ALBUQUERQUE NM Dentist Dentistry CHANG PE DDS 7111 PROSPECT PL NE STE B 5058885131

ALBUQUERQUE NM Dentist Dentistry CHAPMAN JASON K DDS 7007 WYOMING BLVD NE STE B2 5058211430

ALBUQUERQUE NM Dentist Dentistry CHAVEZ ARMANDO J DDS 2001 EL CENTRO FAMILIAR BLVD SW 5058737423

ALBUQUERQUE NM Dentist Dentistry CHERRY HILLS DENTAL 7007 WYOMING BLVD NE STE A4 5058211433

ALBUQUERQUE NM Dentist Dentistry CHIANG JONATHAN YANG DDS 9169 COORS RD NW 5053462306

ALBUQUERQUE NM Dentist Dentistry CITO STEPHEN M DDS 3900 EUBANK BLVD NE STE 2 5052985522

ALBUQUERQUE NM Dentist Dentistry CLARK LANCE DON DMD 1698 RIO BRAVO BLVD SW 5052472717

ALBUQUERQUE NM Dentist Dentistry CLAYDEN DAVID MICHAEL DDS 1625 RIO BRAVO BLVD SW STE 33 5055542831

ALBUQUERQUE NM Dentist Dentistry CLEMES ANDREW JEFFREY DDS 9169 COORS BLVD NW 5059224206

ALBUQUERQUE NM Dentist Dentistry CLIFFORD LETITIA M DDS 2001 EL CENTRO FAMILIAR BLVD SW 5058737423

ALBUQUERQUE NM Dentist Dentistry COFFMAN TAMERA PAGE DDS 8220 LOUISIANA BLVD NE STE A 5054333366

ALBUQUERQUE NM Dentist Dentistry COMFORT DENTAL 4701 LOMAS BLVD NE 5052322273

ALBUQUERQUE NM Dentist Dentistry COMFORT DENTAL CENTRAL 13031 CENTRAL AVE NE 5053322273

(4)

PROVIDER

ALBUQUERQUE NM Dentist Dentistry COMFORT DENTAL OF RIO BRAVO 1698 RIO BRAVO BLVD SW 5052472717

ALBUQUERQUE NM Dentist Dentistry COMMUNITY DENTAL SERVICES 2116 HINKLE ST SE 5057655683

ALBUQUERQUE NM Dentist Dentistry COMMUNITY DENTAL SERVICES INC 1231 CANDELARIA NW 5058437493

ALBUQUERQUE NM Dentist Dentistry COMMUNITY DENTAL SERVICES INC 6900 GONZALES RD SW 5058437493

ALBUQUERQUE NM Dentist Dentistry COPPLE TALMAGE BRADLEY DDS 5820 MENAUL BLVD NE 5058722772

ALBUQUERQUE NM Dentist Dentistry COTTONWOOD MALL DENTAL PRACTICE LLC 10000 COORS BYPASS NW STE G218 5052424867

ALBUQUERQUE NM Dentist OralEndoPeriodn tics&otherSurgy COTTONWOOD ORAL & MAXILLOFACIAL SURGERY 9674 EAGLE RANCH RD NW STE 1 5053480877

ALBUQUERQUE NM Dentist Dentistry CURRIE ZACHARY THOMAS DDS 10000 COORS BYPASS NW STE G218 5052424867

ALBUQUERQUE NM Dentist Dentistry CUTTRELL GARY W DDS 1801 CAMINO DE SALUD NE SUITE 1200 5059254031

ALBUQUERQUE NM Dentist Dentistry DAVIS MICHAEL W DDS 6808 ACADEMY PARKWAY EAST NE SUITE A-2 5058982797

ALBUQUERQUE NM Dentist Dentistry DEAN R ALLEN DEAN DDS 4550 EUBANK BLVD NE STE 203 5052922323

ALBUQUERQUE NM Dentist Dentistry DENTAL CARE IN YOUR HOME INC 8104 CEDAR CREEK DR NW 5057926737

ALBUQUERQUE NM Dentist Dentistry DENTAL OFFICE 533 WASHINGTON ST NE 5052689047

ALBUQUERQUE NM Dentist Dentistry DIGHTON STEVEN CHASE DDS 111 COORS BLVD NW 5053523808

ALBUQUERQUE NM Dentist Dentistry DOCKSTADER JEREMY RON DMD 4701 LOMAS BLVD NE 5052322273

ALBUQUERQUE NM Dentist Dentistry DR OSCAR C QUINTANA DDS 8501 CANDELARIA RD NE STE C 5052928300

ALBUQUERQUE NM Dentist Dentistry DREY DENNIS R DDS 6900 GONZALES RD SW 5058437493

ALBUQUERQUE NM Dentist Dentistry DUHON ALAN L DMD 7816 PICKARD AV NE 5052942790

ALBUQUERQUE NM Dentist Dentistry DUKE CITY PEDIATRIC DENTISTRY 8220 LOUISIANA BLVD NE STE A 5054333366

ALBUQUERQUE NM Dentist Dentistry DUNN PAUL RANDOLPH DDS 2116 HINKLE ST SE 5058437493

ALBUQUERQUE NM Dentist Dentistry DUSEK THOMAS DDS MS 9169 COORS BLVD NW 5059224249

ALBUQUERQUE NM Dentist Dentistry DYE JEREMIAH M DDS 2001 EL CENTRO FAMILIAR BLVD SW 5058737423

ALBUQUERQUE NM Dentist Dentistry EDWARDS ANTHONY HERBERT DDS 6830-B MONTGOMERY BOULEVARD 5052949208

ALBUQUERQUE NM Dentist Dentistry EHAT CHRISTOPHER JAMES DDS 13031 CENTRAL AVE NE 5053322273

(5)

PROVIDER

ALBUQUERQUE NM Dentist Dentistry ESPINOZA KIMBERLY MARIE DDS 1801 CAMINO DE SALUD NE SUITE 1200

5059254031 ALBUQUERQUE NM Dentist Dentistry ESQUIBEL DAVINA R DDS 9204 MENAUL BLVD NE STE

3

5052996112 ALBUQUERQUE NM Dentist Dentistry FABRIZIO CORY J DMD 13031 CENTRAL AVE NE 5053322273 ALBUQUERQUE NM Dentist Dentistry FAMILY AND COSMETIC DENTAL

DESIGN

7520 MONTGOMERY BLVD NE BLDG C STE C

5058833722 ALBUQUERQUE NM Dentist Dentistry FAMILY SMILES LLC 4201 CENTRAL AVE NW 5058437172 ALBUQUERQUE NM Dentist Dentistry FAMILY SMILES LLC 5505 CENTRAL AVE NE 5058436060 ALBUQUERQUE NM Dentist Dentistry FAMILY SMILES LLC 6001 WINTERHAVEN RD

NW

5058429799 ALBUQUERQUE NM Dentist Dentistry FEDE CASSIE ISABELLE DMD 1231 CANDELARIA NW 5058437493 ALBUQUERQUE NM Dentist Dentistry FETTIG ALEAHA J DDS 6211 4TH ST NW STE 13 5058215437 ALBUQUERQUE NM Clinic Federally

Qlfd Hlth Ctr

FIRST CHOICE COMM HEALTHCARE

2001 EL CENTRO FAMILIAR BLVD SW

5058737400 ALBUQUERQUE NM Clinic Federally

Qlfd Hlth Ctr

FIRST NATIONS COMMUNITY HEALTH SOURCE

5608 ZUNI RD SE 5052626560 ALBUQUERQUE NM Dentist Dentistry FISHER MATTHEW S DMD 9169 COORS RD NW 5059224238 ALBUQUERQUE NM Dentist Dentistry FLACK MARCIE AHMAN DDS 1625 RIO BRAVO BLVD SW

STE 33

5058500305 ALBUQUERQUE NM Dentist Dentistry FLORES JASON RAY DDS 1801 CAMINO DE SALUD NE

STE 1200

5059254031 ALBUQUERQUE NM Dentist Dentistry FOUTZ JONAH LEROY DDS 1625 RIO BRAVO BLVD SW

STE 33

5058500305 ALBUQUERQUE NM Dentist Dentistry FRALEIGH C MAHLON DDS 8400 OSUNA RD NE 5052932644 ALBUQUERQUE NM Dentist Dentistry FRITZ SHELLY LEE DDS 7520 MONTGOMERY BLVD

NE BLDG E12

5058886980 ALBUQUERQUE NM Dentist Dentistry FULLER DENTAL 6800 MONTGOMERY BLVD

NE STE C

5058848000 ALBUQUERQUE NM Dental Hygienist FULLER JULIE R RDH 6800 MONTGOMERY BLVD

NE STE C

5057920105 ALBUQUERQUE NM Dentist Dentistry GAUNTT DAVIS RAY DDS 6800 MONTGOMERY BLVD

NE STE C

5057920105 ALBUQUERQUE NM Dentist Dentistry GIANNINI ROBERT J DDS 502 SLATE AVE NW 5052249444 ALBUQUERQUE NM Dentist Dentistry GONZALEZ MARTIN DDS 3211 COORS BLVD SW STE

D-2

9728693789 ALBUQUERQUE NM Dentist Dentistry GOOD ROBERT G DDS 9169 COORS RD NW 5059224237 ALBUQUERQUE NM Dentist Dentistry GRAHAM STEPHEN L DDS 10000 COORS BYPASS NW

STE G218

5052424867 ALBUQUERQUE NM Dentist Dentistry GRITZBAUGH GARY S DDS 2434 VALENCIA DR NE 5058845784 ALBUQUERQUE NM Dentist Dentistry GRODNER ROBERT W DDS 3901 GEORGIA ST NE STE

A1

5058837799 ALBUQUERQUE NM Dentist Dentistry GUTIERREZ ELOY R JR DDS 1441 CARLISLE BLVD NE

STE B

(6)

PROVIDER

ALBUQUERQUE NM Dentist OralEndoPeriodn tics&otherSurgy

GUTIERREZ TIMOTHY L DMD 1513 CARLISLE BLVD NE 5058817373

ALBUQUERQUE NM Dentist OralEndoPeriodn tics&otherSurgy HAGEN JEFFREY MICHAEL DMD 6800 MONTGOMERY BLVD NE STE A 5058811130

ALBUQUERQUE NM Dentist Dentistry HOLSEY DAVID EARL DDS 10000 COORS BYPASS NW STE G218 5052424867

ALBUQUERQUE NM Dentist Dentistry HORTON NATHAN S DMD 5820 MENAUL BLVD NE 5058722772

ALBUQUERQUE NM Dentist Dentistry HUBBERT STEPHEN DDS 5608 ZUNI RD SE 5052626560

ALBUQUERQUE NM Dentist Dentistry HUFFMAN THOMAS C DDS 6808 ACADEMY PARKWAY EAST NE SUITE A-2 5058982797

ALBUQUERQUE NM Dentist Dentistry IVERS MELISSA DMD 1801 CAMINO DE SALUD NE SUITE 1200 5059254031

ALBUQUERQUE NM Dentist Dentistry JACKSON JOSEPH L DDS 8501 CANDELARIA RD NE STE D2 5052999606

ALBUQUERQUE NM Dental Hygienist JANCSICS GALE ELIZABETH RDH 8604 MESA TOP RD NW 5058367337

ALBUQUERQUE NM Dentist Dentistry JANG KENNETH DDS 333 SAN MATEO BLVD SE UNIT A 5052688888

ALBUQUERQUE NM Dentist Dentistry JENSEN PETER M DDS 1801 CAMINO DE SALUD NE SUITE 1200 5059254031

ALBUQUERQUE NM Dentist Dentistry JOHNSON ANNE KALLISTA DDS 7520 MONTGOMERY NE 5052928300

ALBUQUERQUE NM Dentist Dentistry JOHNSON MARK W DDS 5115 COORS BLVD NW STE F 5059229511

ALBUQUERQUE NM Dentist OralEndoPeriodn tics&otherSurgy JONES JERRY L DDS 5900 CUBERO DR NE STE A 5057973530

ALBUQUERQUE NM Physician, MD GeneralOtherSpe cializedSurgery JONES JERRY L MD 5900 CUBERO DR NE STE A 5057973530

ALBUQUERQUE NM Dentist Dentistry JORGENSON JEREMY BRIAN DDS 5001 MONTGOMERY BLVD NE STE E1 9728693789

ALBUQUERQUE NM Dentist Dentistry JUST FOR KIDS PC 3301 COORS BLVD NW 5058393703

ALBUQUERQUE NM Dentist Dentistry KASSAM SARAH LALANI DDS 6800 MONTGOMERY BLVD NE STE C 5058848000

ALBUQUERQUE NM Dentist Dentistry KELLAM GARY A DDS MS 10330 MONTGOMERY BV NE 5052930687

ALBUQUERQUE NM Dentist Dentistry KIDS CHOICE DENTAL 6211 4TH ST NW STE 13 5058215437

ALBUQUERQUE NM Dentist Dentistry KIDS CHOICE DENTAL INC 120 98TH ST NW STE C-3 5053525439

ALBUQUERQUE NM Dentist Dentistry KIDS FIRST DENTAL CARE LLC 7711 ZUNI RD SE 5052567711

ALBUQUERQUE NM Dentist Dentistry KIM ELLY B DDS 5505 CENTRAL AVE NE 5058436060

ALBUQUERQUE NM Dentist Dentistry KING LISA DDS 8300 CARMEL AVE NE STE 403 5052997678

(7)

PROVIDER

ALBUQUERQUE NM Dentist Dentistry KUNZ KRISTA M DMD 111 COORS BLVD NW #E6 5053523808 ALBUQUERQUE NM Dentist OralEndoPeriodn

tics&otherSurgy

LARMOUR CHRISTOPHER JOHN DMD

9101 HIGH ASSETS WAY NW STE 101

5058996979 ALBUQUERQUE NM Dentist Dentistry LEE CURTIS GREGORY DMD 6900 GONZALES SW 5058365422 ALBUQUERQUE NM Dentist Dentistry LEE JUNG WON DMD 8201 GOLF COURSE RD NW

STE C3

5058929010 ALBUQUERQUE NM Dentist Dentistry LEE SHAUN MICHAEL DDS 5505 CENTRAL AVE NE 5058436060 ALBUQUERQUE NM Dentist Dentistry LEIGH CHRISTOPHER LLOYD DDS 8501 CANDELARIA RD NE

BLDG B

5052989600 ALBUQUERQUE NM Dentist Dentistry LINDSLEY HOLLY MAE DDS 111 COORS BLVD NW STE

E-6

5053523808 ALBUQUERQUE NM Dentist Dentistry LOS LUNAS HOSP AND TRAINING 7905 MARBLE AVE NE 5052325710 ALBUQUERQUE NM Dental Hygienist LOVE YOUR SMILE DH 7520 MONTGOMERY BLVD

NE STE D-3

5058837744 ALBUQUERQUE NM Dentist Dentistry LUCERO MARY A DDS 2201 LOUISIANA BLVD NE

STE D

5058834867 ALBUQUERQUE NM Dentist Dentistry LYONS RAY A DDS 7905 MARBLE AVE NE 5052325710 ALBUQUERQUE NM Dentist Dentistry MAHER DANIEL L DDS 4400 CUTLER AVE NE 5058811234 ALBUQUERQUE NM Dentist Dentistry MANSOUR RAFAT M DDS 1010 BRIDGE BLVD SW STE

E

5058770435 ALBUQUERQUE NM Dentist Dentistry MARIANETTI OLIVER L DMD 5608 ZUNI RD SE 5052626547 ALBUQUERQUE NM Dentist Dentistry MARSHALL DUANE GLENN DMD 6800 MONTGOMERY BLVD

NE STE C

5058848000 ALBUQUERQUE NM Dentist Dentistry MARTINEZ DAVID JAMES DDS 4263 MONTGOMERY BLVD

NE STE 100

5053140645 ALBUQUERQUE NM Dentist Dentistry MASON BRENTON MATTHEW DMD 7007 WYOMING BLVD NE

STE B2

5058211430 ALBUQUERQUE NM Dentist Dentistry MATTE AMY C DDS 637 SAN MATEO BLVD SE

STE A

5052568855 ALBUQUERQUE NM Dentist Dentistry MATTE JOHN J DDS 637 SAN MATEO BLVD SE 5052557891 ALBUQUERQUE NM Dentist Dentistry MATTHEWS JOSEPH D JR DDS 1801 CAMINO DE SALUD NE

SUITE 1200

5059254031 ALBUQUERQUE NM Dentist Dentistry MATTHEWS WILLIAM L DDS 441 WYOMING BLVD NE 5058724444 ALBUQUERQUE NM Dentist Dentistry MCFARLAND ANDREW

RASMUSSEN DMD

4701 LOMAS BLVD NE 5052322273 ALBUQUERQUE NM Dentist Dentistry MCGARRY CODY GLEN DMD 1698 RIO BRAVO BLVD SW 5052472717 ALBUQUERQUE NM Dentist OralEndoPeriodn

tics&otherSurgy

MCGEE GREGORY R DMD 8228 LOUISIANA BLVD NE SUITE B

5058212111 ALBUQUERQUE NM Dentist Dentistry MIDTHANA SRINIVASA RAO DDS 6001 WINTERHAVEN RD

NW

(8)

PROVIDER

ALBUQUERQUE NM Dentist Dentistry MILLBURN MICHAEL JOHN DDS 5820 MENAUL BLVD NE 5058722772

ALBUQUERQUE NM Dentist Dentistry MIRA CONSULTING 6808 ACADEMY PARKWAY E NE STE A2 5058982797

ALBUQUERQUE NM Dentist Dentistry MISNER REBECCA SUZANNE DMD 5000 MENAUL BLVD STE B 5058721212

ALBUQUERQUE NM Dentist OralEndoPeriodn tics&otherSurgy MITCHELL JOHN COMPTON DDS 6800 MONTGOMERY BLVD NE STE A 5058811130

ALBUQUERQUE NM Dentist Dentistry MOON SORA DMD 201 SAN PEDRO SE STE B-2 5052325437

ALBUQUERQUE NM Dentist Dentistry MORTAJI MICHAEL H DDS 3301 COORS BLVD NW 5058393703

ALBUQUERQUE NM Dentist Dentistry MYERS ERIC ARTHUR DDS 6211 4TH ST NW STE 13 5058215437

ALBUQUERQUE NM Dentist OralEndoPeriodn tics&otherSurgy NG WAI PONG DMD 5900-A CUBERO DR NE 5057973530

ALBUQUERQUE NM Dentist Dentistry NGUYEN TRAM THI MINH DDS 5608 ZUNI RD SE 5052626560

ALBUQUERQUE NM Dentist Dentistry NICHOLS WILLIAM R DDS 4701 LOMAS BLVD NE 5056605081

ALBUQUERQUE NM Dentist Dentistry NIENDORFF WILLIAM JOSEPH DDS 3005 LA MANCHA NW 5052472103

ALBUQUERQUE NM Dentist Dentistry NM COMFORT KIDS LLC 4701 LOMAS BLVD NE 5056605081

ALBUQUERQUE NM Dentist Dentistry NM SMILES 8604 MESA TOP RD NW 5059800070

ALBUQUERQUE NM Dentist Dentistry NM SMILES GO 8604 MESA TOP RD NW 5058367337

ALBUQUERQUE NM Dentist Dentistry NORRIS JULIA MARY DDS MS ORTHO 2116 HINKLE ST SE 5058437493

ALBUQUERQUE NM Dentist Dentistry NOYES JOHN DAVID JR DDS 6211 4TH ST NW STE 13 5058215437

ALBUQUERQUE NM Dentist OralEndoPeriodn tics&otherSurgy ORAL MAXILLOFACIAL SURGERY ASSOCIATES OF NM P 6800 MONTGOMERY NE S 5058811130

ALBUQUERQUE NM Dentist Dentistry ORTEGA ANN L DDS 9169 COORS BLVD NW 5059224249

ALBUQUERQUE NM Dentist Dentistry OSOFSKY RICHARD L DDS 303 10TH ST SW 5052470303

ALBUQUERQUE NM Dentist Dentistry PADILLA CHRISTOPHER G DDS 4550 EUBANK BLVD NE STE 203 5052922323

ALBUQUERQUE NM Dentist Dentistry PADILLA FAMILY & COSMETIC DENTISTRY 4550 EUBANK BLVD NE STE 203 5052922323

ALBUQUERQUE NM Dentist Dentistry PADILLA STEPHANIE ASHLEY DDS 4550 EUBANK BLVD NE STE 203 5052922323

ALBUQUERQUE NM Dentist Dentistry PARTICIPA 2434 VALENCIA DR NE 8008866751

ALBUQUERQUE NM Dentist Dentistry PATTERSON ANDREA DDS 4824 MCMAHON BLVD NW STE 119 2107374008

ALBUQUERQUE NM Dentist Dentistry PEDIATRIC DENTAL ASSOCS OF NM PC 8501 CANDELARIA RD NE STE D2 5052999606

ALBUQUERQUE NM Dentist Dentistry PEPPERMINT DENTAL RIO BRAVO LLC 3211 COORS BLVD SW STE D-2 9728693789

ALBUQUERQUE NM Dentist Dentistry PEPPERMINT DENTAL- SAN MATEO 333 SAN MATEO BLVD SE UNIT A 5052688888

(9)

PROVIDER

ALBUQUERQUE NM Dentist Dentistry PEPPERMINT DENTAL-MONTGOMERY LLC

4411 SAN MATEO BLVD NE STE E-1

9728693789

ALBUQUERQUE NM Dentist Dentistry PHIPPS JONATHAN R DMD 6400 CENTRAL AVE SW 5058360322

ALBUQUERQUE NM Dentist Dentistry PIEKARSKA KATARZYNA DDS 2001 N CENTRO FAMILIAR SW 5058737423

ALBUQUERQUE NM Dentist Dentistry PIMA MEDICAL INSTITUTE 4400 CUTLER AVE NE 5058811234

ALBUQUERQUE NM Dentist Dentistry PRAKASH NAGASHREE BALUR DDS 9204 MENAUL BLVD NE STE 3 5052996112

ALBUQUERQUE NM Dentist Dentistry PURCELL KAITLYN N DDS 111 COORS BLVD NW SUITE #E-6 5053523808

ALBUQUERQUE NM Dentist Dentistry QUAM ZELLISHA ALEXIS DMD MPH 9169 COORS BLVD NW 5059224249

ALBUQUERQUE NM Dentist Dentistry QUINTANA OSCAR C DDS 8501 CANDELARIA RD NE STE C 5052928300

ALBUQUERQUE NM Dentist Dentistry RAINBOW DENTAL LLC 8611 GOLF COURSE RD NW 5058906101

ALBUQUERQUE NM Dentist Certified for Behavior Mngmnt RAVAGO MELISSA DMD 1801 CAMINO DE SALUD NE SUITE 1200 5059254031

ALBUQUERQUE NM Dentist Dentistry RAVAGO MELISSA DMD 1801 CAMINO DE SALUD NE SUITE 1200 5059254031

ALBUQUERQUE NM Dentist OralEndoPeriodn tics&otherSurgy RIO GRANDE ORAL MAXILLOFACIAL SURG 8228 LOUISIANA NE STE B 5058212111

ALBUQUERQUE NM Dentist Dentistry RIVERPOINT FAMILY & COSMETIC DENTISTRY 4421 IRVING BLVD NW STE B 5058216910

ALBUQUERQUE NM Dentist OralEndoPeriodn tics&otherSurgy ROHOLT STEVEN B DDS 10151 MONTGOMERY BLVD NE STE 2D 5052923400

ALBUQUERQUE NM Dentist Dentistry ROUKEMA PETER J DMD 6400 CENTRAL AVE SW 5058360322

ALBUQUERQUE NM Dentist OralEndoPeriodn tics&otherSurgy RUDD TRAVIS CHARLES DDS 10151 MONTGOMERY BLVD NE STE 2D 5052923400

ALBUQUERQUE NM Dentist Dentistry RYU HOJOONG DDS 5505 CENTRAL AVE NE 5058436060

ALBUQUERQUE NM Dentist Dentistry SACHS PAUL F DDS 1010 BRIDGE SW 5058984650

ALBUQUERQUE NM Dentist Dentistry SALAZAR JANICE NOEL DDS 1698 RIO BRAVO BLVD SW 5052472717

ALBUQUERQUE NM Dentist OralEndoPeriodn tics&otherSurgy SANDIA ORAL SURGERY AND DENTAL 4550 EUBANK BLVD NE STE 103 5052919600

ALBUQUERQUE NM Dentist Dentistry SANDIA PEDIATRIC DENTISTRY LLC 7007 WYOMING BLVD NE STE C-2 5052003516

ALBUQUERQUE NM Dentist Dentistry SAPP WILLIAM ASHLEY DDS 2201 LOUISIANA BLVD NE STE D 5058834867

(10)

PROVIDER

ALBUQUERQUE NM Dentist Dentistry SCHLOTTMAN DAVID EARL DDS 2001 EL CENTRO FAMILIAR BLVD SE

5058737423

ALBUQUERQUE NM Dentist Dentistry SCHRIPSEMA THOMAS J DDS 3111 EUBANK BLVD NE #B 5052965458

ALBUQUERQUE NM Dentist Dentistry SCHULZ WILLIAM A DDS 2434 VALENCIA DR NE 8008866751

ALBUQUERQUE NM Dentist Dentistry SERENITY DENTAL AND SPA 441 WYOMING BLVD NE 5058724444

ALBUQUERQUE NM Dentist Dentistry SHAFER NOAH MICHAEL DDS 4411 SAN MATEO BLVD NE STE E-1 9728693789

ALBUQUERQUE NM Dentist Certified for Behavior Mngmnt SJOSTROM DANEN S DDS 7007 WYOMING BLVD NE STE C-2 5052003516

ALBUQUERQUE NM Dentist Dentistry SJOSTROM DANEN S DDS 7007 WYOMING BLVD NE STE C-2 5052003516

ALBUQUERQUE NM Dentist Dentistry SMALL SMILES OF ALBUQUERQUE PC 111 COORS BLVD NW STE E-6 5053523808

ALBUQUERQUE NM Dentist Dentistry SMALL SMILES OF EAST ALBUQUERQUE PC 201 SAN PEDRO SE STE B2 5052325437

ALBUQUERQUE NM Dentist OralEndoPeriodn tics&otherSurgy SMILES FOR NEW MEXICO KIDS 8201 GOLF COURSE RD NW STE C3 5058929010

ALBUQUERQUE NM Dentist Dentistry SMILES FOR NM KIDS 8201 GOLF COURSE RD NW STE C3 5058929010

ALBUQUERQUE NM Dentist Dentistry SMITH SANDRA A DDS 111 COORS BLVD NW STE E-6 5053523808

ALBUQUERQUE NM Dentist Dentistry SORRELL DARLENE A DMD 9169 COORS BLVD NW 5059224239

ALBUQUERQUE NM Dentist Dentistry STEPHEN M CITO DDS PA 3900 EUBANK BLVD NE 5052985522

ALBUQUERQUE NM Dentist Certified for Behavior Mngmnt STEPHEN N CHRISTIANSEN DDS 4801 MCMAHON BLVD STE 230 5057924788

ALBUQUERQUE NM Dentist OralEndoPeriodn tics&otherSurgy STEPHEN N CHRISTIANSEN DDS 4801 MCMAHON BLVD STE 230 5057924788

ALBUQUERQUE NM Dentist Dentistry SUNRIDGE DENTAL CARE 6400 CENTRAL AVE SW 5058360322

ALBUQUERQUE NM Dentist Dentistry SVITZER JACK DDS 9169 COORS RD NW 5053462306

ALBUQUERQUE NM Dentist Dentistry TATLOCK CHARLES D DDS 1801 CAMINO DE SALUD NE SUITE 1200 5059254031

ALBUQUERQUE NM Dentist Dentistry THARP BRUCE TERRY DMD 4701 LOMAS BLVD NE 5052322273

ALBUQUERQUE NM Dentist Dentistry THI THIEN HO MY DDS 2116 HINKLE SE 5058437493

ALBUQUERQUE NM Dentist Dentistry TILSON CHARLES E DMD 7007 WYOMING BLVD NE STE A4 5058211433

ALBUQUERQUE NM Dentist Dentistry TORREBIARTE CARLOS E DDS 3730 ELLISON RD NW 5057664800

ALBUQUERQUE NM Dentist Dentistry TRAN LINDA KIM DMD 9169 COORS BLVD NW 5059224249

ALBUQUERQUE NM Dentist Dentistry TRAPNELL RUSSELL MACLEAN DMD 10820 COMANCHE RD NE STE A 5052960761

(11)

PROVIDER

ALBUQUERQUE NM Dentist Dentistry TRUCARE DENTAL 4824 MCMAHON BLVD NW STE 119

2107374008 ALBUQUERQUE NM Dentist Dentistry TRUJILLO KENDAL RENEE DDS 6211 4TH ST NW STE 13 5058215437 ALBUQUERQUE NM Dentist Dentistry TUGGLE DAVID ERIC DDS 4550 EUBANK BLVD NE STE

103

5052919600 ALBUQUERQUE NM Dentist Dentistry ULRICKSON DIANA NOELLE DDS 801 ENCINO PL NE STE A3 5052323588 ALBUQUERQUE NM Dentist Dentistry UNM DENTAL SERVICES CAMINO

DE SALUD RES CLNC 1801 CAMINO DE SALUD NE SUITE 1200 5059254031 ALBUQUERQUE NM Physician Component for Hosptl Multiple Specialties

UNM MEDICAL GROUP INC 2211 LOMAS BLVD NE 5052728950 ALBUQUERQUE NM Dentist Dentistry UPTOWN PARK DENTAL PRACTICE

LLC

2201 LOUISIANA BLVD NE STE D

5058834867 ALBUQUERQUE NM Dentist OralEndoPeriodn

tics&otherSurgy

URQUHART ROBERT C DDS 6800 MONTGOMERY BLVD NE STE A

5058811130 ALBUQUERQUE NM Dental Hygienist UTOPIA DENTAL CARE 6721 SEVILLE PL NW 5058983253 ALBUQUERQUE NM Dentist Dentistry VANSICKLE KENNETH WAYNE

DMD

5505 CENTRAL AVE NE 5058436060 ALBUQUERQUE NM Dentist Dentistry VICUNA EMERSON L DDS 1010 BRIDGE BLVD SW STE

F

5058771113 ALBUQUERQUE NM Dentist Dentistry WAGNER STEPHEN A DDS 801 ENCINO PL NE STE A3 5052323588 ALBUQUERQUE NM Dentist OralEndoPeriodn

tics&otherSurgy

WAGNER JON DAGLEY MD DDS 10000 COORS BYPASS NW STE G218

5052424867 ALBUQUERQUE NM Dentist Dentistry WATSON ERIK ALEXANDER DDS 2116 HINKLE ST SE 5057655683 ALBUQUERQUE NM Dentist Dentistry WELLS KELLY S DDS 2116 HINKLE ST SE 5058437493 ALBUQUERQUE NM Dentist OralEndoPeriodn

tics&otherSurgy

WESTSIDE ORAL SURGERY PC 9101 HIGH ASSETS WAY NW STE 101

5058996979 ALBUQUERQUE NM Dentist Dentistry WILLIAMS DAVID S DDS MSD 1801 CAMINO DE SALUD NE

SUITE 1200

5059254031 ALBUQUERQUE NM Dentist Dentistry YANG HUAN DDS 4701 LOMAS BLVD NE 5052322273 ALBUQUERQUE NM Dentist Dentistry YANG JAE DDS 6001 WINTER HAVEN DR

NW

5058429799 ALBUQUERQUE NM Dentist Dentistry YARBROUGH G MARK DDS 1801 CAMINO DE SALUD NE

STE 1200

5059254031 ALBUQUERQUE NM Dentist Dentistry YOUNG-TRUJILLO NAZARIO N

DDS

10820 COMANCHE RD NE STE D

5053237700 ALBUQUERQUE NM Dentist Dentistry ZINK AURORA VIRGEN DDS 5000 MENAUL BLVD #B 5058721212 ALBUQUERUQE NM Dentist Dentistry BRUM MARK DDS 2001 EL CENTRO FAMILIAR

BLVD SW

(12)

PROVIDER

ANGEL FIRE NM Dentist Dentistry ANGEL FIRE FAMILY DENTISTRY PC

27479 HWY 64 5753771383

ANGELFIRE NM Dentist Dentistry MCCASH STRIDER ARAGORN DDS 27479 HWY 64 5753771383

ANIMAS NM Clinic Federally Qlfd Hlth Ctr HIDALGO MEDICAL SERVICES ANIMAS CLINIC #1 PANTHER BLVD 5755428384

ANTHONY NM Clinic Federally Qlfd Hlth Ctr LA CLINICA DE FAMILIA 855 ANTHONY DR 5755261105

ARTESIA NM Clinic Federally Qlfd Hlth Ctr ARTESIA HEALTH RESOURCES 1105 MEMORIAL DRIVE 5757469848

ARTESIA NM Dentist Dentistry RHOADS HOWARD NEVILLE DDS 1105 MEMORIAL DRIVE 5757469848

BELEN NM Dentist Dentistry CONQUISTADOR DENTAL LLC 704 CHRISTOPHER DR 5058647000

BELEN NM Clinic Federally Qlfd Hlth Ctr FIRST CHOICE COMM HEALTHCARE BELEN MEDICAL & DENTAL CENTER 120 S NINTH ST 5058611013

BELEN NM Dentist Dentistry HIXON LINDA J DDS 1501 E RIVER RD 5058646969

BELEN NM Dentist Dentistry SANCHEZ ROLAND KENT II DDS 704 CHRISTOPHER DR 5058647000

BERNALILLO NM Dentist Dentistry LAUREN LEAH J DDS 203 SANDIA DAY SCHOOL RD 5058674696

BERNALILLO NM Indian Health Svcs Hospital Dental PUEBLO OF SANDIA 203 SANDIA DAY SCHOOL RD 5058674696

BERNALILLO NM Dentist Dentistry RODRIGUEZ KENNETH D DDS 203 SANDIA DAY SCHOOL RD 5058674696

BLOOMFIELD NM Dentist Dentistry ANDERSON CHRISTIAN REED DMD 100 S 1ST ST 5056323344

BLOOMFIELD NM Dentist Dentistry BRAWNER CRAIG IAN DMD 100 S 1ST ST 5056323344

BLOOMFIELD NM Indian Health Svcs Hospital Dental DZILTH-NA-O-DITH-HLE HEALTH CENTER 6 ROAD 7586 5056231801

BLOOMFIELD NM Dentist Dentistry LESLIE KATRINA J DDS 6 ROAD 7586 5756231801

BLOOMFIELD NM Dentist Dentistry LINGARD CHRISTOPHER NEVILLE DMD 6 ROAD 7586 5756231801

BLOOMFIELD NM Dentist Dentistry RASMUSSEN AARON DDS 100 S 1ST ST 5056323344

BLOOMFIELD NM Dentist Dentistry SUNDANCE DENTAL CARE INC 100 S 1ST ST 5056323344

CAMP VERDE AZ Dentist Dentistry ON SITE DENTAL- NEW MEXICO INC 1996 DOUGS PARK RD 9285671832

CANUTILLO TX Dentist Dentistry SHIVARAM CHETAN DDS 6821 DONIPHAN DR 9158774949

CARLSBAD NM Dentist Dentistry ALL SMILES FAMILY DENTAL LLC 618 W PIERCE ST 5758853948

CARLSBAD NM Dentist Dentistry AZAD KOUSHAN HAIDARZADEH DMD 2330 W PIERCE 5752341125

CARLSBAD NM Dentist Dentistry BARNEY LASON JAY DDS 1201 W MERMOD 5758875111

CARLSBAD NM Dentist Dentistry BAYMILLER SCOTT ALAN DDS 618 W PIERCE ST 5758853948

CARLSBAD NM Dentist Dentistry CHHABRA AJNEESH DDS 2330 W PIERCE 5752341125

CARLSBAD NM Dentist Dentistry FAMILIA DENTAL 2330 W PIERCE 5752341125

(13)

PROVIDER

CARLSBAD NM Dentist Dentistry HAKIMZADEH SARA DDS 2330 W PIERCE 5752341125

CARLSBAD NM Dentist Dentistry HARRIS BILLIE J DDS PA 109 N CANAL ST 5758873547

CARLSBAD NM Dentist Dentistry HAYRAPETIAN ARIN DDS 2330 W PIERCE 5752341125

CARLSBAD NM Dental Hygienist HYDEN PEGGY H RDH BS 1104 NORTH SHORE DR 5753026677

CARLSBAD NM Dentist Dentistry KONDRAGUNTA SUMAN DDS 2330 W PIERCE 5752341125

CARLSBAD NM Dentist Dentistry LUNARDON JAMES F DDS 701 N CANYON ST 5758872444

CARLSBAD NM Dentist Dentistry MOLAVI SASAN DDS 2330 W PIERCE 5752341125

CARLSBAD NM Dentist Dentistry PAPISETTI SRIKANTH DDS 2330 W PIERCE 5752341125

CARLSBAD NM Dentist Dentistry PAUL CRAIG RICHARD DDS 618 W PIERCE ST 5758853948

CARLSBAD NM Dentist Dentistry PEREZ PAUL DAVID DDS 618 W PIERCE ST 5758853948

CARLSBAD NM Dentist Dentistry POLINKOVSKY LEONID DDS 2330 W PIERCE 5752341125

CARLSBAD NM Dentist Dentistry PUCHALAPALLI NISHANTH REDDY DDS 2330 W PIERCE 5752341125

CARLSBAD NM Dentist Dentistry RAGIRU VENKAT DDS 2330 W PIERCE 5752341125

CARLSBAD NM Dentist Dentistry REED ATEM AE DDS 618 W PIERCE ST 5758853948

CARLSBAD NM Dentist Dentistry SACKHEIM WILLIAM ERIC DMD 2330 W PIERCE 5752341125

CARLSBAD NM Dental Hygienist SMART SMILES DENTAL CARE LLC 1104 NORTH SHORE DR 5753026677

CARLSBAD NM Dentist Dentistry TAMMINIDI KIRAN KUMAR DMD 2330 W PIERCE 5752341125

CARLSBAD NM Dentist Dentistry VEGESANA SURESH KUMAR VARMA DDS 2330 W PIERCE 5752341125

CARLSBAD NM Dentist Dentistry WEI ROGER B DDS 2330 W PIERCE 5752347125

CARLSBAD NM Dentist Dentistry YANALA KIRAN MAYEE DMD 2330 W PIERCE 5752341125

CARRIZOZO NM Clinical, Rural Health, Dental CARRIZOZO HEALTH CENTER 710 AVENUE E 5756482839

CARRIZOZO NM Dentist Dentistry GOAD JAMIE D DDS 710 AVENUE E 5756482839

CARRIZOZO NM Dentist Dentistry HALL HACKER MELINDA DDS 710 AVENUE E 5756482839

CENTER CO Dentist Dentistry ROSENTHAL MARC ALAN DDS 220 S WORTH 7197543584

CHAMA NM Dentist Dentistry ALLEN GRANT H DDS 451 MAPLE AVE 5757562901

CHAMA NM Dentist Dentistry CHAMA VALLEY DENTAL CARE 451 MAPLE AVE 5757562901

CHAPARRAL NM Dentist Dentistry CHETAN SHIVARAM DDS PC 545 S COUNTY LINE DR SPC B 5758245339

CHAPARRAL NM Dentist Dentistry CHURCHILL WENDY L DDS 510 E LISA DR BLDG 3 5758240128

CHAPARRAL NM Dentist Dentistry ENUGANTI NARAYANA RAO DDS 510 E LISA DR BLDG 3 5758240128

CHAPARRAL NM Dentist Dentistry HARVEY MADANA DDS 510 E LISA DR BLDG 3 5758240128

CHAPARRAL NM Clinic Federally Qlfd Hlth Ctr LA CLINICA DE FAMILIA INC 510 E LISA DR BLDG 3 5758240128

CHAPARRAL NM Dentist Dentistry SAMPERI JEANINE MARIE DMD 510 E LISA DR 5758240128

CHINLE AZ Indian Health Svcs Hospital Dental CHINLE COMPREHENSIVE HEALTH CARE FACILITY OFF HWY 191 9286747001

CLOVIS NM Dentist Dentistry BUNKER ADAM S DMD 1521 W 13TH STREET 5757690888

(14)

PROVIDER

CLOVIS NM Dentist Dentistry CLOVIS HOSPITAL DENTISTRY PC 2100 N MLK BLVD 5757639382

CLOVIS NM Dentist Dentistry EDUCARE DENTAL SERVICES INC SCHOOL BASED 7 PINEWAY BLVD 5757624833

CLOVIS NM Dentist Dentistry FAMILIA DENTAL 4017 N PRINCE ST 5757622757

CLOVIS NM Dentist Dentistry JENNINGS ORTHODONTICS PA 901 E 21ST SUITE B 5757624794

CLOVIS NM Clinic Federally Qlfd Hlth Ctr MANUEL A LOPEZ FAM HEALTH CTR 1521 W 13TH STREET 5757690888

CLOVIS NM Dentist Dentistry MCKINNEY D RICHARD DDS 116 WEST 21ST ST 5757634851

CLOVIS NM Dentist Dentistry MERRITT KENNEDY W DDS 2000 W 21ST ST STE L1 5757628000

CLOVIS NM Dentist Dentistry NEW MEXICO SMILES INC 2000 21ST STREET L-1 5758259513

CLOVIS NM Dentist Dentistry OMARI WASSIM DDS 4017 N PRINCE ST 5757622757

CLOVIS NM Dentist Dentistry WALKER R.G. DDS 921 E 21ST PO BOX 1827 5757692191

COCHITI PUEBLO NM Dentist Dentistry LARRAGOITE PATRICIO C DDS 270 WINDMILL RD 5054652440

COCHITI PUEBLO NM Indian Health Svcs Hospital Dental PUEBLO DE COCHITI 270 WINDMILL RD 5054652440

COLUMBUS NM Clinic Federally Qlfd Hlth Ctr BEN ARCHER HEALTH CENTER 626 TAFT 5755312165

COLUMBUS NM Dentist Dentistry JOHNSON ASHLEY KIRSTAN DMD 626 TAFT 5755312165

COYOTE NM Clinic Federally Qlfd Hlth Ctr EL CENTRO FAMILY HLTH COYOTE CLINIC STATE ROAD 96 #3396 PO BOX 40 5756385487

CROWNPOINT NM Dentist Dentistry CASPER WALTER W DMD CROWNPOINT IHS JUNCTION HWY NAV RD 9 5057865291 CROWNPOINT NM Indian Health Svcs Hospital Dental CROWNPOINT PHS INDIAN HOSP HWY 371 JUNCTION ROUTE 9 5057865291

CROWNPOINT NM Dentist Dentistry HALL RAY S II DDS CROWNPOINT-IHS JUNCTION HWY NAV RD 9 5057865291 CROWNPOINT NM Dentist Dentistry KELLY KRISTOPHER JOHN DDS JUNCTION HWY NAV RD 9 5057865291

CROWNPOINT NM Dentist Dentistry KITCHENS DINAH H DMD JUNCTION HWY NAV RD 9 5057865291

CROWNPOINT NM Dentist Dentistry RUST AUSTIN R DMD JUNCTION HWY NAV RD 9 5057865291

CUBA NM Indian Health Svcs Hospital Dental CROWNPOINT-PUEBLO PINTADO CLI #10 PUEBLO PINTADO SCHOOL 5057866387

CUBA NM Clinic Federally Qlfd Hlth Ctr CUBA HEALTH CENTER 6349 HIGHWAY 44 5052893291

CUBA NM Dentist Dentistry SEEBINGER ANDREA MICHELLE DMD 6349 US HIGHWAY 550 5752893291

CUBA NM Dentist Dentistry WESTBROOK JEFFREY HUNTER DDS 6349 HIGHWAY 44 5052893291

(15)

PROVIDER

DALLAS TX Dentist OralEndoPeriodn tics&otherSurgy UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS 5323 HARRY HINES BLVD 2146450334

DEMING NM Dentist Dentistry ABRAMS ELSA FELICIA DDS 125 CHAPARRAL NW 5755464800

DEMING NM Dentist Dentistry ANDREWS WALTER ALAN DDS 1419 SANTA BARBARA ST 5755460415

DEMING NM Dentist Dentistry ARGANT RICHARD DDS 119 N 8TH ST 5755448381

DEMING NM Clinic Federally Qlfd Hlth Ctr BEN ARCHER HEALTH CENTER 125 CHAPARRAL BLVD NW 5752673088

DEMING NM Dentist Dentistry BOHNSTEDT RICHARD STANLEY DMD 125 CHAPARREL BLVD NW 5755464800

DEMING NM Dentist Dentistry DENTISTRY DIVINE SMILE INC 119 N 8TH ST 5755448381

DEMING NM Dentist Dentistry HAYES PETER ANDREW DDS 125 CHAPARRAL NW 5052674606

DENVER CITY TX Dentist Dentistry DEBUSK RONALD E DDS 401 N MUSTANG DR 8065928804

DULCE NM Indian Health Svcs Hospital Dental JICARILLA SERVICE UNIT 500 NORTH MUNDO 5757593291

DULCE NM Dentist Dentistry JONES FRED M DDS 12000 STONE LAKE ROAD 5757593291

DULCE NM Dentist Dentistry LINFORD KURT LOWER DDS 500 NORTH MUNDO 5757593291

DULCE NM Dentist Dentistry SEWELL ROBERT PATRICK DMD 500 NORTH MUNDO 5757593291

DULCE NM Dentist Dentistry WILKINSON MITCHELL RAY DDS 500 N MUNDO 5757593291

DURANGO CO Dentist OralEndoPeriodn tics&otherSurgy JOHNSON MICHAEL WALTER MD DDS 72 SUTTLE ST #E 9703855432

DURANGO CO Dentist Dentistry KOMOROWSKI LUCY WANDA DMD 1135 S CAMINO DEL RIO UNIT 210 9702470202

DURANGO CO Dentist Dentistry MICKELSON J RYAN DDS 1135 S CAMINO DEL RIO UNIT 210 9702470202

DURANGO CO Dentist Dentistry SMILES 4 KIDS 1135 S CAMINO DEL RIO UNIT 210 9702470202

DURANGO CO Dentist Dentistry WURSTEN JEFFREY HARDISON DMD 1135 S CAMINO DEL RIO UNIT 210 9702470202

EDGEWOOD NM Clinic Federally Qlfd Hlth Ctr MTN AND VALLEY REGIONAL HEALTH CTR NO 8 MEDICAL CTR RD 5052813406

EDGEWOOD NM Dentist Dentistry TWEET CHANDRA J DDS 8 MEDICAL CTR RD 5052813406

EL PASO TX Dentist Dentistry AA RELAX DENTAL CARE PLLC 7211 N MESA ST STE 3E 9154002150

EL PASO TX Dentist Dentistry AFFORDABLE DENTAL ASSOCIATES 1861 ROBERT WYNN ST STE D 9155956680

EL PASO TX Dentist OralEndoPeriodn tics&otherSurgy ARRIBAS ALFREDO R DDS MS 10175 GATEWAY BLVD W STE 304 9155046880

EL PASO TX Dentist Dentistry BAI ANTHONY DDS 7211 N MESA ST STE 3E 9154002150

EL PASO TX Dentist Dentistry BECK TYSON T DDS 6065 MONTANA AVE STES B5 9157717966

(16)

PROVIDER

EL PASO TX Dentist Dentistry BREIG JOSEPH JAMES DMD 6065 MONTANA AVE STES B5

9157717966

EL PASO TX Dentist OralEndoPeriodn tics&otherSurgy BURKE VERNON PATRICK DMD MD 10175 GATEWAY BLVD W STE 304 9155046880

EL PASO TX Dentist Dentistry CANDELARIO IVAN DMD 9909 KENWORTHY ST 9157557639

EL PASO TX Dentist Dentistry CARE RONALD W DDS 9909 KENWORTHY ST 9157557369

EL PASO TX Dentist Dentistry COOPWOOD-EARLE DIANE MERLE DDS 6910 MESA ST STE C 9153177565

EL PASO TX Dentist Dentistry COVINGTON RIDDLE PAIGE ERIKA DDS 6065 MONTANA AVE SUITE B5 9157717966

EL PASO TX Dentist Dentistry DARJ MEHRNOOSH DDS 1861 ROBERT WYNN ST STE D 9155956680

EL PASO TX Dentist Dentistry EL PASO VIVA DENTAL PLLC 9584 DYER ST STE B 9157511007

EL PASO TX Dentist Dentistry ESPRI DENTAL 1319 GEORGE DIETER DR STE G 9152574100

EL PASO TX Dentist Dentistry FARRELL SCOTT CARL DDS 5130 FAIRBANKS RD 9156034968

EL PASO TX Dentist Dentistry GARCIA RYAN S DDS 2281 N ZARAGOZA RD STE 102 9158553220

EL PASO TX Dentist Dentistry GUTTIKONDA BHARAT RAM CHOWDRY DDS 6910 MESA ST 9153177565

EL PASO TX Dentist Dentistry JOSE M LOPEZ DMD PA 1717 BROWN ST STE 1B 9155441600

EL PASO TX Dentist Dentistry KEEP SMILIN FAMILY DENTAL PLLC 2281 N ZARAGOZA RD STE 102 9158553220

EL PASO TX Dentist Dentistry KIM EU KYEOM DDS 10039 DYER ST 9157597000

EL PASO TX Dentist Dentistry KIM JIHYE DDS 6910 MESA ST 9153177565

EL PASO TX Dentist Dentistry KOOL SMILES 5130 FAIRBANKS RD 9156034968

EL PASO TX Dentist Dentistry KOOL SMILES 6065 MONTANA AVE SUITE B5 9157717966

EL PASO TX Dentist Dentistry KOOL SMILES 615 N ZARAGOZA RD STE 88 9158585047

EL PASO TX Dentist Dentistry KOOL SMILES 6910 MESA ST STE C 9153177565

EL PASO TX Dentist Dentistry LIGHTHEART KURTIS G DMD MSD 7878 GATEWAY BLVD E STE 300 9155951200

EL PASO TX Dentist Dentistry LIND CHRISTOPHER ANDREW DDS 6065 MONTANA AVE STE B5 9153177565

EL PASO TX Dentist OralEndoPeriodn tics&otherSurgy LOISELLE RICHARD POST DDS 600 SUNLAND PARK DR STE 3-600 9155840590

EL PASO TX Dentist Dentistry LOPEZ JOSE M DMD 1717 BROWN ST STE 1B 9155441600

EL PASO TX Dentist Dentistry LYNN SPENCER V DDS 9411 ALAMEDA AVE STE P 9158586868

EL PASO TX Dentist Dentistry MALDONADO YVONNE E DDS 11965 PELLICANO DR 9158552337

EL PASO TX Dentist Dentistry MARTINEZ-DIAZ MIGUEL ANGEL DMD 9909 KENWORTHY ST 9157557639

(17)

PROVIDER

EL PASO TX Dentist Dentistry MAYFIELD DALE GARY DMD 5130 FAIRBANKS RD 9156034968

EL PASO TX Dentist Dentistry MCDOUGALL KATIE K DDS 5130 FAIRBANKS RD 9156034968

EL PASO TX Dentist Dentistry MOLLERE RODNEY D DDS PA 965 N RESLER DR STE 105 9155852020

EL PASO TX Dentist Dentistry NAFFAH ROBERT DDS 6065 MONTONA AVE SUITE B5 9156034968

EL PASO TX Dentist Dentistry PETTY STEPHEN TRAVIS DDS 6065 MONTANA AVE STE B5 9158585047

EL PASO TX Dentist Dentistry PINERO CORREA ROSARIO MAIRYM DDS 6910 MESA ST STE C 9153177565

EL PASO TX Dentist OralEndoPeriodn tics&otherSurgy PUGAO REO PAOLO LLORENTE DDS MD 10175 GATEWAY BLVD W STE 304 9155046880

EL PASO TX Dentist Dentistry RAVARI NASIM N DDS 10039 DYER ST 9157597000

EL PASO TX Dentist Dentistry RODRIGUEZ SEBASTIAN DDS 9830 GATEWAY BLVD N 9157557900

EL PASO TX Dentist Dentistry ROMERO DENNIS A DDS 6065 MONTANA AVE STES B5 9157717966

EL PASO TX Dentist Dentistry RONALD W CARE DDS INC 9909 KENWORTHY ST 9157557639

EL PASO TX Dentist Dentistry SINGLETON ANDRE DDS 5130 FAIRBANKS RD 9156034968

EL PASO TX Dentist OralEndoPeriodn tics&otherSurgy SMILELIFE ORTHODONTICS 7878 GATEWAY BLVD E STE 300 9155951200

EL PASO TX Dentist OralEndoPeriodn tics&otherSurgy SMILELIFE ORTHODONTICS 9830 GATEWAY BLVD N 9157557900

EL PASO TX Dentist Dentistry STEVENSON EUGENE DAVIS JR DDS 11165 LA QUINTA PL 9155911999

EL PASO TX Dentist Dentistry SUN ORTHODONTIX 7878 GATEWAY BLVD E STE 300 9155951200

EL PASO TX Dentist Dentistry SUN ORTHODONTIX 9830 GATEWAY BLVD N 9157557900

EL PASO TX Dentist Dentistry SUNNY SMILES 10039 DYER ST 9157597000

EL PASO TX Dentist Dentistry THE DENTAL ARK 11965 PELLICANO DR 9158552337

EL PASO TX Dentist Dentistry TIPLEA MIHAI DDS 6065 MONTANA AVE STE B5 9156035701

EL PASO TX Dentist Dentistry VIEYRA ARTURO A DDS 6065 MONTANA AVE STE B5 9158585047

EL PASO TX Dentist Dentistry WEST TEXAS MAXILLOFACIAL SURGERY PA 10175 GATEWAY W STE 304 9155046880

EL PASO TX Dentist Dentistry YI CHUNKIL DDS 9584 DYER ST STE B 9157511007

EL RITO NM Dentist Dentistry COLLINS ROXANNE C DMD HWY 571 #28 5755814728

EL RITO NM Dentist Dentistry ELLIOTT ROBERT M DDS HWY 571 #28 5755810028

EL RITO NM Dentist Dentistry GARCIA D ANTHONY DDS ST RD 571 BLDG 28 5755814728

EL RITO NM Clinic Federally Qlfd Hlth Ctr LAS CLINICAS DEL NORTE HIGHWAY 571 #28 5755814728

(18)

PROVIDER

EL RITO NM Dentist Dentistry TRUJILLO EDMUND L DDS HWY 571 #28 5755814728

EMBUDO NM Clinic Federally Qlfd Hlth Ctr EL CENTRO FAMILY HLTH EMBUDO HWY 68 2243 RINCONADA 5055794255

EMBUDO NM Dentist Dentistry PADBERG RICHARD D DMD 1102 ST HWY 68 5055794680

ESPANOLA NM Dentist Dentistry COLEMAN CLAYTON N JR DMD 1508 N RIVERSIDE DR 5055300544

ESPANOLA NM Clinic Federally Qlfd Hlth Ctr EL CENTRO FAM HLTH-ESPANOLA DENTAL 608 B LA JOYA STREET 5057539454

ESPANOLA NM Clinic Federally Qlfd Hlth Ctr EL CENTRO FAMILY HEALTH BOND CLINIC 711 BOND ST 5057539503

ESPANOLA NM Dentist Dentistry FAMILIA DENTAL 1508 N RIVERSIDE DR 5057530544

ESPANOLA NM Dentist Dentistry MORESCHINI SYLVIA R DDS 608-B LA JOYA ST 5057539454

ESPANOLA NM Indian Health Svcs Hospital Dental SANTA CLARA HEALTH CENTER RR 5 BOX 446 5057539421

ESPANOLA NM Dentist Dentistry SISNEROS ARTURO DDS 608 B LA JOYA STREET 5057539454

ESTANCIA NM Clinic Federally Qlfd Hlth Ctr ESPERANZA FAMILY HEALTH CENTER 903C 5TH STREET 5053842777

ESTANCIA NM Dentist Dentistry LOPEZ INEZ M DMD 903 C NORTH 5TH ST 5053842777

FARMINGTON NM Dentist Dentistry ANIMAS PEDIATRIC DENTAL GROUP 2650 E PINON FRONTAGE RD BLDG 200 5055999359

FARMINGTON NM Dentist Dentistry ANTONIO JOHN E JR DMD 1001 W BROADWAY STE D 5053274796

FARMINGTON NM Dentist Dentistry BECK C MICHAEL DDS 5605 LA VETA 5053258977

FARMINGTON NM Dentist Dentistry CLARK STEPHEN B DDS 701 N DUSTIN AVE 5053274495

FARMINGTON NM Dentist Dentistry CLARK TAYLOR MARK DDS 6588 E MAIN ST 5053266800

FARMINGTON NM Dentist Dentistry COBLE JEREMY CHARLES DDS 3030 E MAIN ST R101T 5053254867

FARMINGTON NM Dentist Dentistry COLE JAMES ROBERT DDS 850 E MAIN ST STE A 5053270441

FARMINGTON NM Dentist Dentistry COWLEY DANIEL PETE DMD 4760 N BUTLER AVE STE A 5053258858

FARMINGTON NM Dentist Dentistry CROSS RANDOLPH ROBERT DDS 506 AIRPORT DR 5053257700

FARMINGTON NM Dentist Dentistry DARDANO MAURICIO ERNESTO DDS 3030 E MAIN ST R101T 5053254867

FARMINGTON NM Dentist Dentistry DUNSTON KENNETH R DDS MSD PC 2050 N BUTLER AVE 5053275057

FARMINGTON NM Clinic Federally Qlfd Hlth Ctr FARMINGTON COMM HEALTH CENTER 1001 W BROADWAY STE D 5053274796

FARMINGTON NM Dentist Dentistry FOUR CORNERS FAMILY DENTAL LLC 3501 N BUTLER AVE STE 104 5055644700

FARMINGTON NM Dentist Dentistry FOUR CORNERS ORTHODONTICS 3751 N BUTLER AVE STE 113 5055649000

FARMINGTON NM Dentist OralEndoPeriodn tics&otherSurgy GRAFF DEREK JAY DMD 3180 N BUTLER AVE STE 200 5053274884

FARMINGTON NM Dentist Dentistry GRAFF ORTHODONTICS 3180 N BUTLER AVE STE 200 5053274884

(19)

PROVIDER

FARMINGTON NM Dentist Dentistry HERMAN DAVID J DDS 3751 N BUTLER AVE STE 113

5055649000

FARMINGTON NM Dentist Dentistry HOLMES DOUGLAS E DDS 2650 E PINON FRONTAGE RD BLDG 200 5055999359

FARMINGTON NM Dentist Dentistry JOSEPH A WILSON DMD MSD LLC 4760 N BUTLER AVE STE A 5053258858

FARMINGTON NM Dentist Dentistry LIEBERENZ MEGAN KATHLEEN DDS 506 AIRPORT DRIVE 5053257700

FARMINGTON NM Dentist Dentistry MANN TYLER ANTHONY DDS 3501 N BUTLER AVE STE 104 5055644700

FARMINGTON NM Dentist Dentistry MANZ JULIUS N DDS 4601 COLLEGE BLVD HHPC 5055663126

FARMINGTON NM Dentist Dentistry RED ROCK DENTAL-FARMINGTON 3030 E MAIN ST R101T 5053254867

FARMINGTON NM Dentist Dentistry SAN JUAN COLLEGE 4601 COLLEGE BLVD DENTAL PROGRAMS 5055663262

FARMINGTON NM Dentist Dentistry SCHMUTZ JARED WILLIAM DMD 6588 E MAIN ST 5053266800

FARMINGTON NM Dentist Dentistry SMALLEY JACK O DDS 1700 N BUTLER AVE 5053273331

FARMINGTON NM Dentist Dentistry SMILES 4 KIDS 4337 E MAIN ST STE 205 5055920226

FARMINGTON NM Dentist Dentistry STROMEYER ERNEST L DDS 2200 E 20TH ST 5053274872

FARMINGTON NM Dentist Dentistry SUAZO LAWRENCE E DDS 2650 E PINON FRONTAGE RD BLDG 200 5055999359

FARMINGTON NM Dentist Dentistry SUNDANCE DENTAL CARE OF FARMINGTON 800 E 30TH ST 5053279161

FARMINGTON NM Dentist Dentistry SUNDANCE DENTAL OF COUNTRY CLUB 6588 E MAIN ST 5053266800

FARMINGTON NM Dentist Dentistry TORGESON GERALD LELAND DDS 6588 E MAIN ST 5053266800

FARMINGTON NM Dentist Dentistry TORNOW MICHAEL SCOTT DMD 6588 E MAIN ST 5053266800

FARMINGTON NM Dentist Dentistry WANG JEFFREY MATTHEW DDS 506 AIRPORT DRIVE 5053257700

FARMINGTON NM Dentist Dentistry WILSON JOSEPH ALMA DMD 4760 N BUTLER AVE STE A 5053258858

FORT DEFIANCE AZ Dentist Dentistry ARETINO SANDRA L S DDS CORNER OF ROUTE N12 AND N7 9287298000

FORT DEFIANCE AZ Dentist Dentistry CARPENTER CLAYTON A DMD CORNER OF ROUTE N12 AND N7 9287298000

FORT DEFIANCE AZ Dentist Dentistry EISENHUTH GLEN ALLEN DDS CORNER OF ROUTE N12 AND N7 9287298000

FORT DEFIANCE AZ Dentist Dentistry FRIZZELL FELICIA YELENA DDS CORNER OF ROUTE N12 AND N7 9287298000

FORT DEFIANCE AZ Indian Health Svcs Hospital Dental FT DEFIANCE INDIAN HOSPITAL CORNER OF ROUTE N12 AND N7 9287298000

FORT DEFIANCE AZ Dentist Dentistry GOWANS JACOB WILLIAM DMD CORNER OF ROUTE N12 AND N7 9287298000

(20)

PROVIDER

FORT DEFIANCE AZ Dentist Dentistry LLOYD ROBERT JR C DMD CORNER OF ROUTE N12 AND N7

9287298000 FORT DEFIANCE AZ Dentist Dentistry LU BRIAN THOMAS DDS CORNER OF ROUTE N12

AND N7

9287298000 FORT DEFIANCE AZ Dentist Dentistry PRICE JASON RYAN DDS CORNER OF ROUTE N12

AND N7

9287298000 FORT DEFIANCE AZ Dentist Dentistry SATO YOSHIYUKI DDS CORNER OF ROUTE N12

AND N7

9287298000 FORT DEFIANCE AZ Dentist Dentistry WATKINS GARY LYNN DDS CORNER OF ROUTE N12

AND N7

9287298000 FORT SUMNER NM Clinic Federally

Qlfd Hlth Ctr

DE BACA FPC/FQHC 500 N 10TH 5753552414 FORT SUMNER NM Dentist Dentistry SCHILLING KIM DDS 546 N 10TH STREET 5753552417

FT DEFIANCE AZ Dentist Dentistry BISHOP TIMOTHY SCOT DDS CORNER OF ROUTE N12 & N7

9287298000 GALLUP NM Dentist Dentistry AMBROSE TIMOTHY L DDS 516 E NIZHONI BLVD 5057221000 GALLUP NM Dentist Dentistry BALDWIN PAMELA JEAN DDS 802 US HIGHWAY 491 STE

802

5058925018 GALLUP NM Dentist Dentistry BLAIR RANDALL PARLEY DMD 802 US HIGHWAY 491 STE

802

5058925018 GALLUP NM Dentist Dentistry BUSH HELEN D DMD MDS 802 US HIGHWAY 491 STE

802

5058925018 GALLUP NM Dentist Dentistry CARTER BARNEY WALL JR DMD 802 US HIGHWAY 491 STE

802

5058925018 GALLUP NM Dentist Dentistry CHUNG CHRISTINA K DDS 802 US HIGHWAY 491 STE

802

5058925018 GALLUP NM Dentist Dentistry DENTAL INNOVATIONS OF

GALLUP

214 W AZTEC AVE 5058634457 GALLUP NM Dentist OralEndoPeriodn

tics&otherSurgy

DENTAL INNOVATIONS OF GALLUP

214 W AZTEC AVE 5058634457 GALLUP NM Dentist Dentistry EVANS TRAVIS KAY DDS 1601 S SECOND ST 5057224422 GALLUP NM Dentist Dentistry GALLUP CHILDRENS DENTISTRY 802 US HIGHWAY 491 STE

802

5058925018 GALLUP NM Indian Health Svcs

Hospital

Dental GALLUP INDIAN MEDICAL CENTER 516 E NIZHONI BLVD 5057221000 GALLUP NM Indian Health Svcs

Hospital

Dental GALLUP PHS INDIAN MED CENTER 516 E NIZHONI BLVD 5057221000 GALLUP NM Dentist Dentistry GRAHAM STEPHEN S DDS 802 US HIGHWAY 491 STE

802

5058925018 GALLUP NM Dentist Dentistry GROTEN KAMI LYNN DDS 516 E NIZHONI BLVD 5057221000 GALLUP NM Dentist Dentistry HATCH CAMERON JOHN DDS 802 US HIGHWAY 491 STE

802

5058925018 GALLUP NM Dentist Dentistry HO LINDA THI DDS 516 E NIZHONI

BOULEVARD

(21)

PROVIDER

GALLUP NM Dentist Dentistry HUBLEY DAIN CHARLES DMD 516 E NIZHONI BLVD 5057221000

GALLUP NM Dentist Dentistry KIM SEO YOUNG DMD 516 E NIZHONI BLVD 5057221000

GALLUP NM Dentist Dentistry KING MICHAEL DAMIAN DMD 1601 S SECOND ST 5057224422

GALLUP NM Dentist Dentistry MENZ RICHARD C DDS 802 US HIGHWAY 491 STE 802 5058925018

GALLUP NM Dentist Dentistry MOK VICTOR M DMD 516 E NIZHONI BLVD 5057221000

GALLUP NM Dentist Dentistry ORTHO DENTAL INC 1748 W MALONEY AVE 5058638100

GALLUP NM Dentist Dentistry OUTREACH DENTAL 1700 HELENA DR 5058637887

GALLUP NM Dentist Dentistry PACHECO IVAN F DMD 516 EAST NIZHONI BLVD 5057221000

GALLUP NM Dentist Dentistry PECK CHRISTIAN SARGENT DDS 802 US HIGHWAY 491 STE 802 5058925018

GALLUP NM Dentist OralEndoPeriodn tics&otherSurgy ROGEL LAURENCE J DDS PROFESSIONAL ARTS BLDG 1808 E AZTEC 5058634863

GALLUP NM Dentist Dentistry ROWAN RICHARD GANON DMD 802 US HIGHWAY 491 STE 802 5058925018

GALLUP NM Dentist Dentistry SHAHEEN BRUCE BRONDON DDS 1601 S SECOND ST 5057224422

GALLUP NM Dentist Dentistry SHROPSHIRE KIRK ALAN DDS 1700 HELENA DR 9285671832

GALLUP NM Dentist Dentistry SMALL FRY DENTISTRY PC 107 W GREEN AVE 5058706128

GALLUP NM Dentist Dentistry SOBKOWSKI JASON SCOTT DMD 516 E NIZHONI BOULEVARD 5057221000

GALLUP NM Dentist Dentistry SUNDANCE DENTAL OF GALLUP 1601 S SECOND ST 5057224422

GALLUP NM Dentist Dentistry TASKER SPENCER JOHN DMD 802 US HIGHWAY 491 STE 802 5058925018

GALLUP NM Dentist Dentistry ULIBARRI RYAN L DDS 1601 S SECOND ST 5057224422

GALLUP NM Dentist Dentistry VALDA EDUARDO J DDS 107 W GREEN 5058706128

GALLUP NM Dentist Dentistry VITALI ANTHONY DMD 516 EAST NIZHONI BLVD 5057221000

GALLUP NM Dentist Dentistry ZECCA FRANKLIN B DDS 1808 E AZTEC AVE 5058636281

GANADO AZ Dentist Dentistry IM CHANDARA DDS ARIZONA HIGHWAY 264 9287554500

GANADO AZ Physician Component for Hosptl Multiple Specialties NAVAJO HEALTH FNDTN SAGE MEML HOSP ARIZONA HIGHWAY 264 9287554500

GANADO AZ Dentist Dentistry NGUYEN LUKE-HIEU QUANG DDS ARIZONA HWY 264 9287554701

GRANTS NM Dentist Dentistry A TO Z CHILDRENS DENTAL CLINIC LLC 805 E HIGH STREET 5753566695

GRANTS NM Dentist Dentistry BACA DERRICK RAY DDS 1209 BONITA ST 5058764034

GRANTS NM Dentist Dentistry BERRIN ROBIN S DMD 805 E HIGH STREET 5753566695

GRANTS NM Dentist Dentistry GLADNEY MARCELLUS N DMD 805 E HIGH ST 5052853443

GRANTS NM Dentist Dentistry KAMINSKI PAMELA MARIE DMD 805 E HIGH STREET 5758350705

GRANTS NM Dentist Dentistry VALDIVIA PATRICIA B DDS PC 1209 BONITA ST 5058764034

HATCH NM Clinic Federally Qlfd Hlth Ctr BEN ARCHER HEALTH CENTER 255 HWY 187 5752673088

(22)

PROVIDER

HATCH NM Dentist Dentistry MATHIAS RICHARD B DMD 255 HWY 187 5752673088

HOBBS NM Dentist Dentistry CAYCEDO CLAUDIO HERMAN DDS 111 W CLINTON ST 5753936047

HOBBS NM Dentist Dentistry FAMILIA DENTAL 1710 W JOE HARVEY BLVD STE B 5753929879

HOBBS NM Dentist Dentistry GARLA HARSHA VARDHAN DDS 1710 WEST JOE HARVEY BLVD B 5757380335

HOBBS NM Dentist Dentistry LE NATALIE K DDS 1710 WEST JOE HARVEY BLVD B 8889884066

HOBBS NM Dentist Dentistry NALLA VENKATA RAMANA REDDY DDS 2400 N GRIMES ST STE B8 5759648701

HOBBS NM Dentist Dentistry NEUBAUER EDWARD E DDS 3920 LOVINGTON HWY STE 400 5053257700

HOBBS NM Dentist Dentistry POGACEAN IOANA EMILIA DDS 3920 N LOVINGTON HWY STE 400 5753925437

HOBBS NM Dentist Dentistry SHINE DENTAL 2400 N GRIMES ST STE B8 5759648700

HOBBS NM Dentist Dentistry TRAN ALEXANDER S DDS 1710 WEST JOE HARVEY BLVD B 8889884066

IGNACIO CO Indian Health Svcs Hospital Dental SOUTHERN COLORADO UTE SERVICE 123 WEEMINUCHE 9705634581

ISLETA NM Dentist Dentistry GIRON DEVIN KYLE DDS 01 SAGEBRUSH ST 5058693200

ISLETA NM Indian Health Svcs Hospital Dental ISLETA DENTAL CLINIC 1 SAGEBRUSH ST 5058694499

ISLETA NM Dentist Dentistry RICHTER JOHN J III DDS 1 SAGEBRUSH RD 5058694499

ISLETA NM Dentist Dentistry ZIEMANN RONALD W DDS 01 SAGEBRUSH ST 5058693200

JAL NM Dentist Dentistry JAL DENTAL CLINIC 423 SOUTH 3RD STREET 5753952205

JEMEZ PUEBLO NM Indian Health Svcs Hospital Dental JEMEZ HEALTH CENTER 110 SHEEP SPRINGS WAY 5758347413

KIRTLAND NM Dentist Dentistry ANDERSON JAMES FREDERICK DDS 3 ROAD 6523 5055986800

KIRTLAND NM Dentist Dentistry COLEMAN CODY BURNELL DDS ROAD 6523 5055986800

KIRTLAND NM Dentist Dentistry HEAP JOSEPH CHASE DMD ROAD 6523 5055986800

KIRTLAND NM Dentist Dentistry LAYTON CRAIG DDS 3 ROAD 6523 5055986800

KIRTLAND NM Dentist Dentistry SOUTHWELL JARED MICHAEL DMD 3 ROAD 6523 5055986800

KIRTLAND NM Dentist Dentistry SUNDANCE DENTAL CARE OF KIRTLAND LLC ROAD 6523 5055986800

KIRTLAND NM Dentist OralEndoPeriodn tics&otherSurgy SUNDANCE DENTAL CARE OF KIRTLAND LLC ROAD 6523 5055986800

LAS CRUCES NM Dentist Dentistry ASHIDA DEBBIE L DDS 1001 E BOUTZ RD 5755265671

LAS CRUCES NM Clinic Federally Qlfd Hlth Ctr BEN ARCHER HEALTH CENTER 1600 THORPE ROAD 5753829292

References

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