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Dental Directory ALASKA

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Dental Directory

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Table of Contents

1 Some providers may not participate in our network at all locations in which they

practice. Before receiving services, it is the member's responsibility to verify that the provider is a participating provider at the location the member receives services. This list is subject to change. Please refer to your benefit booklet for a complete

description of your plan's coverage, limits, and exclusions.

CONNECTION DENTAL NETWORK

Anchorage County ...3

Fairbanks North Star County ...3

Kenai Peninsula County ...3

Matanuska-Susitna County ...4

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Participating Dentists

ALASKA

3 Some providers may not participate in our network at all locations in

which they practice. Before receiving services, it is the member's responsibility to verify that the provider is a participating provider at

the location the member receives services.

Handicap Accessible. General Dentistry

Belfiglio, Benjamin J 2601 Boniface Pkwy Ste 3 Anchorage, AK 99504 (907) 333-9591

Accepting New Patients: Yes

Additional Languages spoken: Spanish

Bickler, Kathryn A 1565 Bragaw St Anchorage, AK 99508 (907) 646-8671

Accepting New Patients: Yes

Additional Languages spoken: Vietnamese

2702 Denali St Ste 200 Anchorage, AK 99503 (907) 276-6920

Accepting New Patients: Yes

Additional Languages spoken: Vietnamese

3606 Rhone Cir Ste 1 Anchorage, AK 99508 (907) 646-8670

Accepting New Patients: Yes

Additional Languages spoken: Vietnamese

Bressler, Jason M

4001 Lake Otis Pkwy Ste 200 Anchorage, AK 99508 (907) 222-0400

Accepting New Patients: Yes

Additional Languages spoken: Spanish

Caterinichio, Joseph P 11723 Old Glenn Hwy Ste 213 Eagle River, AK 99577 (907) 694-3737

Accepting New Patients: Yes Foster, Colt D

2601 Boniface Pkwy Ste 3 Anchorage, AK 99504 (907) 333-9591

Accepting New Patients: Yes

Hofstad, Steve E

400 W Northern Lights Blvd Ste 1

Anchorage, AK 99503 (907) 561-4082

Accepting New Patients: Yes

Additional Languages spoken: Spanish

Hyer, James E 3901 Raspberry Rd Anchorage, AK 99502 (907) 258-3384

Accepting New Patients: Yes Jorgensen, Seth M

4001 Lake Otis Pkwy Ste 100 Anchorage, AK 99508 (907) 280-9585

Accepting New Patients: Yes

Additional Languages spoken: Farsi, Spanish

Karn, Orla W

20905 Eastside Dr Ste D1 Chugiak, AK 99567

(907) 688-1488

Accepting New Patients: Yes Lee, Jacqueline Y

880 N St Ste 301 Anchorage, AK 99501 (907) 276-7787

Accepting New Patients: Yes

Additional Languages spoken: English

Oldham, Kenneth D 3650 Lake Otis Pkwy Ste 102 Anchorage, AK 99508 (907) 563-5820

Accepting New Patients: Yes

Additional Languages spoken: French, Spanish

Oxspring, Collin

3024 Mountain View Dr Ste 107

Anchorage, AK 99501 (907) 274-4867

Accepting New Patients: Yes Paape, David J

1000 E Dimond Blvd Ste 200 Anchorage, AK 99515 (907) 929-1728

Accepting New Patients: Yes

Paige, Matthew

4001 Lake Otis Pkwy Ste 200 Anchorage, AK 99508 (907) 222-0400

Accepting New Patients: Yes Park, WooJung

3024 Mountain View Dr Ste 107

Anchorage, AK 99501 (907) 274-4867

Accepting New Patients: No Toone, Gentry J

3024 Mountain View Dr Ste 107

Anchorage, AK 99501 (907) 274-4867

Accepting New Patients: Yes

Additional Languages spoken: Spanish

Wortham, Franklin T 4001 Lake Otis Pkwy Ste 100 Anchorage, AK 99508 (907) 280-9585

Accepting New Patients: Yes Wrigley, Deborah E 2601 Boniface Pkwy Ste 3 Anchorage, AK 99504 (907) 333-9591

Accepting New Patients: Yes

Additional Languages spoken: Spanish

Yuknis, Birch A

2601 Boniface Pkwy Ste 3 Anchorage, AK 99504 (907) 333-9591

Accepting New Patients: Yes Yuknis, Leonard F

2601 Boniface Pkwy Ste 3 Anchorage, AK 99504 (907) 333-9591

Accepting New Patients: Yes

Additional Languages spoken: Korean, Spanish General Dentistry Brady, John S 515 7th Ave Ste 220 Fairbanks, AK 99701 (907) 452-8296

Accepting New Patients: Yes

Additional Languages spoken: Spanish

Christensen, Todd S 515 7th Ave Ste 220 Fairbanks, AK 99701 (907) 452-8296

Accepting New Patients: Yes

Additional Languages spoken: Spanish

Wortham, Franklin T 3535 College Rd Ste 202 Fairbanks, AK 99709 (907) 479-8230

Accepting New Patients: Yes

Pediatric Dentistry

Stewart, David M

44539 Sterling Hwy Ste 208 Soldotna, AK 99669 (907) 953-2544

Accepting New Patients: Yes

Additional Languages spoken: Spanish General Dentistry Christensen, Todd S 47707 Judy Lynn Ln Soldotna, AK 99669 (907) 283-9125

Accepting New Patients: Yes

Additional Languages spoken: Spanish

Anchorage County

Fairbanks North

Star County

Kenai Peninsula

County

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Participating Dentists

ALASKA

4 Some providers may not participate in our network at all locations in which they practice. Before receiving services, it is the member's responsibility to verify that the provider is a participating provider at

the location the member receives services.

Handicap Accessible.

Poulson, Justin D 47707 Judy Lynn Ln Soldotna, AK 99669 (907) 283-9125

Accepting New Patients: Yes

Additional Languages spoken: Thai

Oral Maxillofacial Surgery

Day, Richard H

1700 E Bogard Rd Ste B202 Wasilla, AK 99654

(907) 357-3414

Accepting New Patients: Yes Monaco, Matthew A 1700 E Bogard Rd Ste B202 Wasilla, AK 99654

(907) 357-3414

Accepting New Patients: Yes Wimsatt III, James A 1700 E Bogard Rd Bldg B Ste 202

Wasilla, AK 99654

(907) 357-3414

Accepting New Patients: Yes

General Dentistry

Bressler, Jason M 701 E Parks Hwy Ste 209 Wasilla, AK 99654

(907) 376-3368

Accepting New Patients: Yes

Additional Languages spoken: Spanish Burke, Dale F 1401 S Seward Meridian Pkwy Ste E Wasilla, AK 99654 (907) 357-5018

Accepting New Patients: No

Christensen, Stephen W 1401 S Seward Meridian Pkwy Ste E

Wasilla, AK 99654

(907) 357-5018

Accepting New Patients: Yes Crookston, Michael G 1401 S Seward Meridian Pkwy Ste E

Wasilla, AK 99654

(907) 357-5018

Accepting New Patients: Yes

Additional Languages spoken: Romanian

Foster, Colt D

1700 E Bogard Rd Ste A202 Wasilla, AK 99654

(907) 376-9591

Accepting New Patients: Yes Hyer, James E

935 E Westpoint Dr Ste 203 Wasilla, AK 99654

(907) 376-2790

Accepting New Patients: Yes Lowrie, Craig R

1401 S Seward Meridian Pkwy Ste E

Wasilla, AK 99654

(907) 357-5018

Accepting New Patients: No Paige, Matthew

701 E Parks Hwy Ste 209 Wasilla, AK 99654

(907) 222-0400

Accepting New Patients: Yes Sharp II, Norman K 935 E Westpoint Dr Ste 203 Wasilla, AK 99654

(907) 376-2790

Accepting New Patients: Yes Walker, Edward S

1401 S Seward Meridian Pkwy Ste E

Wasilla, AK 99654

(907) 357-5018

Accepting New Patients: Yes

Yuknis, Birch A

1700 E Bogard Rd Ste 202 Wasilla, AK 99654

(907) 376-9591

Accepting New Patients: Yes Yuknis, Leonard F

1700 E Bogard Rd Ste 202 Wasilla, AK 99654

(907) 376-9591

Accepting New Patients: Yes

Additional Languages spoken: Korean, Spanish

Matanuska-Susitna

County

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Alphabetical Index of

Participating Dentists

5

B

Belfiglio, Benjamin J ... 3 Bickler, Kathryn A ... 3 Brady, John S ... 3 Bressler, Jason M ... 3, 4 Burke, Dale F ... 4

C

Caterinichio, Joseph P ... 3 Christensen, Stephen W ... 4 Christensen, Todd S ... 3 Crookston, Michael G ... 4

D

Day, Richard H ... 4

F

Foster, Colt D ... 3, 4

H

Hofstad, Steve E ... 3 Hyer, James E ... 3, 4

J

Jorgensen, Seth M ... 3

K

Karn, Orla W ... 3

L

Lee, Jacqueline Y ... 3 Lowrie, Craig R ... 4

M

Monaco, Matthew A... 4

O

Oldham, Kenneth D ... 3 Oxspring, Collin ... 3

P

Paape, David J ... 3 Paige, Matthew ... 3, 4 Park, WooJung ... 3 Poulson, Justin D ... 4

S

Sharp II, Norman K ... 4

Stewart, David M ... 3

T

Toone, Gentry J ... 3

W

Walker, Edward S ... 4

Wimsatt III, James A... 4

Wortham, Franklin T ... 3

Wrigley, Deborah E ... 3

Y

Yuknis, Birch A ... 3, 4 Yuknis, Leonard F ... 3, 4

(8)

 

 

 

Dentist

 

Nomination

 

Form

 

If

 

the

 

dentist

 

of

 

your

 

choice

 

is

 

not

 

listed

 

in

 

this

 

directory,

 

you

 

may

 

complete

 

this

 

form

 

to

 

nominate

 

the

 

dentist

 

to

 

participate

 

in

 

the

 

Connection

 

Dental

 

Network.

  

An

 

Application

 

packet

 

will

 

be

 

sent

 

to

 

the

 

eligible

 

providers.

 

The

 

normal

 

time

 

frame

 

for

 

credentialing

 

of

 

dentists

 

takes

 

approximately

 

90

 

days

 

after

 

application

 

has

 

been

 

received.

  

Dentist

 

Information

 

Name:

       

______________________________________________________________________

  

Address:

   

______________________________________________________________________

   

       

______________________________________________________________________

 

Phone:

      

____________________________________

   

Fax:

   

____________________________

 

 

Member

 

Information

 

Name:

       

______________________________________________________________________

  

Address:

   

______________________________________________________________________

   

       

______________________________________________________________________

 

Phone:

      

____________________________________

   

Fax:

   

____________________________

 

Member

 

Identification

 

Number:

  

___________________________________________________

 

Employer

 

Group

 

Name:

  

___________________________

    

Group

 

Number:

   

_______________

 

Please

 

Mail

 

the

 

form

 

to

 

the

 

following

 

address:

 

 

PPO

 

USA,

 

Inc.

       

 

P.O.

 

Box

 

7010

       

 

Lee’s

 

Summit,

 

MO

 

64086

7010

       

 

Attn:

 

Operations

       

Fax

 

to

 

Operations

 

at

 

816

257

4436

      

Call

 

877

277

6872

       

Email

 

[email protected]

      

Thank

 

you

 

for

 

your

 

interest

 

in

 

the

 

Connection

 

Dental

 

Network.

 

 

 

 

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