[PDF] PARKVIEW SIGNATURE CARE DENTAL PROVIDERS AS OF 07/01

39428_7ParkviewSignatureCareDentalProviders(7).pdf PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone CalocaElisaDMDAspen Dental 3737 West Market St Akron OH 44333Summit(330) 668-8880 LloydNathanDMDAspen Dental3737 West Market StAkronOH44333Summit(330) 668-8880 HayesJohnDDSHayes & Mead Family Dentistry811 Trail Ridge RdAlbionIN46701Noble(260) 636-7374 MeadAlisonDDSHayes & Mead Family Dentistry811 Trail Ridge RdAlbionIN46701Noble(260) 636-7374 SmithHeatherDMDHayes & Mead Family Dentistry811 Trail Ridge Rd AlbionIN46701Noble(260) 636-7374 BerningJeremyDMDAspen Dental1630 State StreetSte EAllianceOH44601Stark (330) 248-5180 GillParkerDMDAspen Dental4758 South Scatterfield RdAndersonIN46013Madison (765) 642-9500 WoodDavidDDSAspen Dental4758 South Scatterfield RdAndersonIN46013Madison (765) 642-9500 YousifRebwarDDSAspen Dental4758 South Scatterfield RdAndersonIN46013Madison (765) 642-9500 Brown TravisDMDAngola Dental Center 205 E Harcourt Rd AngolaIN46703Steuben (260) 665-5767 DunlapPenelopeDDSDunlap Dental Solutions LLC909 W Maumee StSte JAngolaIN46703Steuben (260) 624-3355 GabetCharlesDDSGabet Family Dentistry901 N Williams StreetAngolaIN46703Steuben(260) 665-3637 HeselbarthJeniDDSAngola Dental Center 205 E Harcourt Rd AngolaIN46703Steuben(260) 655-5767 KleinrichertToddDDSAngola Dental Center 205 E Harcourt Rd AngolaIN46703Steuben(260) 655-5767 LosierKurtDDSAspen Dental1555 N Wayne St AngolaIN46703Steuben (260) 319-5090 MooreGuy DDS Angola Dental Center 205 E Harcourt Rd Angola IN 46703Steuben (260) 665-5767 SmithHeatherDMDGabet Family Dentistry901 N Williams StreetAngolaIN46703Steuben (260) 665-3637 TerryKregDDSAspen Dental1555 N Wayne StAngolaIN46703Steuben (260) 319-5090 ThieleKelliDMDAngola Dental Center 205 E Harcourt Rd Angola IN 46703Steuben (260) 665-5767 WarnerRickDDSAspen Dental1555 N Wayne StAngolaIN46703Steuben(260) 319-5090 WatkinsTamaraDDSHealthy Smiles Family Dentistry101 N Terrace BlvdAngolaIN46703Steuben (260) 668-7645 WilliamsGalenDDSGabet Family Dentistry901 N Williams StreetAngolaIN46703Steuben (260) 665-3637

AronovichSharonDMDUniversity of Michigan - Surgery Maxillofacial (Oral Surgery)1500 East Medical Center Drive, Med Inn Room C233aAnn ArborMI48109Washtenaw(734) 936-5950

ChinAmyDDSUniversity of Michigan - Surgery Maxillofacial (Oral Surgery)1500 East Medical Center Drive, Med Inn Room C233aAnn ArborMI48109Washtenaw(734) 936-5950

EdwardsSeanDDSUniversity of Michigan - Surgery Maxillofacial (Oral Surgery)1500 East Medical Center Drive, Med Inn Room C233aAnn ArborMI48109Washtenaw(734) 936-5950

HakimMohamedDDSUniversity of Michigan - Surgery Maxillofacial (Oral Surgery)1500 East Medical Center Drive, Med Inn Room C233aAnn ArborMI48109Washtenaw(734) 936-5950

MoeJustineDDSUniversity of Michigan - Surgery Maxillofacial (Oral Surgery)1500 East Medical Center Drive, Med Inn Room C233aAnn ArborMI48109Washtenaw(734) 936-5950

RomeoGerardoDDSUniversity of Michigan - Surgery Maxillofacial (Oral Surgery)1500 East Medical Center Drive, Med Inn Room C233aAnn ArborMI48109Washtenaw(734) 936-5950

WardBrentDDSUniversity of Michigan - Surgery Maxillofacial (Oral Surgery)1500 East Medical Center Drive, Med Inn Room C233aAnn ArborMI48109Washtenaw(734) 936-5950

Zupelari GoncalvesPauloDDSUniversity of Michigan - Surgery Maxillofacial (Oral Surgery)1500 East Medical Center Drive, Med Inn Room C233aAnn ArborMI48109Washtenaw(734) 936-5950

BritschMichael DDSArchbold Dental Clinic 804 Stryker St ArchboldOH43502Fulton(419) 446-2743 ChanMarvinDMDAspen Dental 3228 N Ridge Road EAshtabulaOH44004Ashtabula(440) 969-1247 DerrowCarolineDDSAuburn Pediatric Dentistry1005 Nicholas St Auburn IN46706DeKalb(260) 927-0707 DeWaldGinaDDSDeWald Northeast Dental Group 405 Smith DrAuburn IN46706DeKalb(260) 925-2660 HeffelfingerNathanielDDSSmiles for Life LLC1201 E 7th StreetAuburnIN46706DeKalb(260) 925- 4290 MarksBethDDSDeWald Northeast Dental Group 405 Smith DrAuburn IN46706DeKalb(260) 925-2660 MarrAnnaDDSAuburn Dental Associates PC1100 N Main Ste 101Auburn IN46706DeKalb(260) 925-3110 PickardJessicaDDSScheumann Dental Associates1202 N Main StAuburnIN46706DeKalb(260) 925-2812 ScheumannGaryDDSScheumann Dental Associates1202 N Main StAuburnIN46706DeKalb(260) 925-2812 SchmidtAndrewDDSAuburn Dental Associates PC1100 N Main Ste 101AuburnIN46706DeKalb(260) 925-3110

Last Reviewed 6/30/2021

Last Revised 6/30/20211 of 16

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone SchmidtDanielDDSAuburn Dental Associates PC1100 N Main Ste 101AuburnIN46706DeKalb(260) 925-3110 StollerChadDDSScheumann Dental Associates1202 N Main StAuburnIN46706DeKalb(260) 925-2812 ClemensGabrielDDSAspen Dental 10967 E US Highway 36AvonIN46123Hendricks(317) 272-0700 Hamati Isam DDSAspen Dental10967 E US Highway 36AvonIN46123Hendricks(317) 272-0700 LeicklyBrandonDDSAspen Dental10967 E US Highway 36AvonIN46123Hendricks(317) 272-0700 MannanSaurabhDMDAspen Dental10967 E US Highway 36AvonIN46123Hendricks(317) 272-0700 MarogilHaniDMDAspen Dental10967 E US Highway 36AvonIN46123Hendricks(317) 272-0700 FisherEdwardDDSFisher Dental220 Forest Park DrBerneIN46711Adams(260) 589-2309 FisherPaulDDSFisher Dental220 Forest Park DrBerneIN46711Adams(260) 589-2309 LavertyWhitneyDDSAspen Dental330 N Jacob DriveBloomingtonIN47404Monroe(812) 323-7400 LeeHyunjiDMDAspen Dental330 N Jacob DriveBloomingtonIN47404Monroe(812) 323-7400 HottBartholomewDDSBluffton Dental Solutions317 W Market StBlufftonIN46714Wells(260) 824-3162 HottBartholomewDDSHott Family Dentistry LLC706 N Main StBlufftonIN46714Wells(260) 824-2442 NodineDuaneDDSHott Family Dentistry LLC706 N Main StBlufftonIN46714Wells(260) 824-2442 WanNkechiDDSMercy Seat Dentistry Inc 2155 Commerce DrBluffton IN46714Wells(260) 823-3328 CalderonPeterDDSAspen Dental1121 S Main StSte 330Bowling GreenOH43402Wood(419) 353-3686

McDonoughMatthewDDSAspen Dental (ORAL SURGERY ONLY) 1121 S Main StSte 330Bowling GreenOH43402Wood(419) 353-3686

ShahKaushikDDSAspen Dental1121 S Main StSte 330Bowling GreenOH43402Wood(419) 353-3686 TaylorBethany DDS Aspen Dental 1121 S Main StSte 330Bowling GreenOH43402Wood(419) 353-3686

AdelspergerJohnDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1040 Patrick PlSuite ABrownsburgIN46112Hendricks(317) 297-1007

HanzlikLaurenDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1040 Patrick PlSuite ABrownsburgIN46112Hendricks(317) 297-1007

KirkupChristopherDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1040 Patrick PlSuite ABrownsburgIN46112Hendricks(317) 297-1007

TancrediSamuelDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1040 Patrick PlSuite ABrownsburgIN46112Hendricks(317) 297-1007

AdnanUzmaDDSBryan Community Health Center228 South Main StreetBryan OH43506Williams (567) 239-4562 AhmedCassimDDSWhittaker Dental Care Bryan201 Van Gundy Dr Bldg ABryan OH43506Williams (419) 636-4202 BratsbergKellyDDSBryan Dental, Inc442 West High StreetSte 2Bryan OH43506Williams (419) 636-3163 BrownScottDDSBryan Community Health Center228 South Main StreetBryan OH43506Williams (567) 239-4562

CaroselloStephenDDSWhittaker Dental Care Bryan201 Van Gundy Dr Bldg ABryan OH43506Williams (419) 636-4202

ChaneyCarlDDSBryan Dental, Inc442 West High StreetSte 2Bryan OH43506Williams (419) 636-3163

ChaneyEdwardDDSWhittaker Dental Care Bryan201 Van Gundy Dr Bldg ABryan OH43506Williams (419) 636-4202

FarajWaseemDDSWhittaker Dental Care Bryan201 Van Gundy Dr Bldg ABryan OH43506Williams (419) 636-4202 HallJohnDDSWhittaker Dental Care Bryan201 Van Gundy Dr Bldg ABryan OH43506Williams (419) 636-4202

Kioko Jr.JuliusDDSBryan Community Health Center228 South Main StreetBryan OH43506Williams (567) 239-4562

KopylowiczJaninaDDSWhittaker Dental Care Bryan201 Van Gundy Dr Bldg ABryan OH43506Williams (419) 636-4202

LantzyStevenDDSWhittaker Dental Care Bryan201 Van Gundy Dr Bldg ABryan OH43506Williams (419) 636-4202

MistryJayDDSWhittaker Dental Care Bryan201 Van Gundy Dr Bldg ABryan OH43506Williams (419) 636-4202

MoureidenBanaDMDWhittaker Dental Care Bryan201 Van Gundy Dr Bldg ABryan OH43506Williams (419) 636-4202

NagyAhmedDMDBryan Community Health Center228 South Main StreetBryan OH43506Williams (567) 239-4562

PanderSatinderDMDBryan Community Health Center228 South Main StreetBryan OH43506Williams (567) 239-4562

PhanHuongDMDBryan Community Health Center228 South Main StreetBryan OH43506Williams (567) 239-4562

ThalerRussellDMDWhittaker Dental Care Bryan201 Van Gundy Dr Bldg ABryan OH43506Williams (419) 636-4202

Last Reviewed 6/30/2021

Last Revised 6/30/20212 of 16

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone

TheisGregoryDDSBryan Community Health Center228 South Main StreetBryan OH43506Williams (567) 239-4562

WalkupSheaDDSBryan Dental, Inc442 West High StreetSte 2Bryan OH43506Williams (419) 636-3163

WhittakerDanielDMDWhittaker Dental Care Bryan201 Van Gundy Dr Bldg ABryan OH43506Williams (419) 636-4202

ZhangYou DMD Whittaker Dental Care Bryan201 Van Gundy Dr Bldg ABryan OH43506Williams (419) 636-4202 ButlerGregoryDDSButler Dental Group 106 E Green St Butler IN46721DeKalb(260) 868-2221 KeefeRichardDDSAspen Dental4550 Belden Village St NW CantonOH44718Stark(330) 499-4600 KrajciDanielDDSAspen Dental4550 Belden Village St NW CantonOH44718Stark(330) 499-4600 PatelSejal SatishDDSAspen Dental4550 Belden Village St NW CantonOH44718Stark(330) 499-4600 SmithBrandonDDSAspen Dental950 North Bridge StUnit DChillicotheOH45601Ross(740) 773-7411 TerryTheodoreDDSAspen Dental950 North Bridge StUnit DChillicotheOH45601Ross(740) 773-7411 BixlerJohnDDSTurtle Town Dental LLC 210 W Whitley StChurubuscoIN46723Whitley(260) 693-3921 HladinDionneDDSChurubusco Family Dentistry LLC230 E Whitley StChurubuscoIN46723Whitley(260) 693-2177

JohnsonEmily DDSChurubusco Family Dentistry LLC230 E Whitley StChurubuscoIN46723Whitley(260) 693-2177

KellyChelseaDDSTurtle Town Dental LLC 210 W Whitley StChurubuscoIN46723Whitley(260) 693-3921 NeeseMargaretDDSTurtle Town Dental LLC 210 W Whitley StChurubuscoIN46723Whitley(260) 693-3921

ZollingerRichardDDSChurubusco Family Dentistry LLC230 E Whitley StChurubuscoIN46723Whitley(260) 693-2177

AroraChetanDDSAspen Dental9850 Colerain AveCincinnatiOH45251Hamilton(513) 699-7070 Cousins BatesCarolynDMDAspen Dental867 Eastgate North Dr CincinnatiOH45245Clermont(513) 843-0133 KireruMartinDDSAspen Dental6218 Glenway Ave CincinnatiOH45211Hamilton(513) 245-8460 KumarNishirDDSAspen Dental6218 Glenway Ave CincinnatiOH45211Hamilton(513) 245-8460 McQueenClintDMDAspen Dental867 Eastgate North Dr CincinnatiOH45245Clermont(513) 843-0133 NadikudaSwapnaDMDAspen Dental867 Eastgate North Dr CincinnatiOH45245Clermont(513) 843-0133 PatelBhavikDMDAspen Dental867 Eastgate North Dr CincinnatiOH45245Clermont(513) 843-0133 PatelDhruvkumarDDSAspen Dental35 E Kemper Rd CincinnatiOH45246Hamilton(513) 642-0002 Steele-BattierShawnaDDSAspen Dental35 E Kemper Rd CincinnatiOH45246Hamilton(513) 642-0002 ChoiDanielDMDAspen Dental 1116 Veterans Parkway ClarksvilleIN47129Clark(812) 283-1100 DeffendallJessieDMDAspen Dental 1116 Veterans Parkway ClarksvilleIN47129Clark(812) 283-1100 GravesLindseyDMDAspen Dental1116 Veterans ParkwayClarksvilleIN47129Clark(812) 283-1100 HardinCourtneyDMDAspen Dental 1116 Veterans Parkway ClarksvilleIN47129Clark(812) 283-1100 KimJaeDDSAspen Dental 1116 Veterans Parkway ClarksvilleIN47129Clark(812) 283-1100 NelsonBrookeDMDAspen Dental1116 Veterans ParkwayClarksvilleIN47129Clark(812) 283-1100 VeatchRachelDMDAspen Dental1116 Veterans ParkwayClarksvilleIN47129Clark(812) 283-1100 AdamsAnthonyDMDAspen Dental 8301 W Ridgewood DrClevelandOH44129Cuyahoga(216) 642-6291 CaroselloStephen DDSAspen Dental 1300 SOM Center RdClevelandOH44124Cuyahoga(440) 684-0900

KrajekianJosephDMDAspen Dental (ORAL SURGERY ONLY) 7351 Northcliff AveClevelandOH44144Cuyahoga(216) 661-8077

Patel DaxeshkumarDDSAspen Dental 3540 WestgateClevelandOH44126Cuyahoga(440) 333-2929 PopaAndreiDMDAspen Dental 7351 Northcliff AveClevelandOH44144Cuyahoga(216) 661-8077 SinghVandanaDDSAspen Dental 3540 WestgateClevelandOH44126Cuyahoga(440) 333-2929

BumbaughCourtneyDDSSmiles on Main Family Dentistry510 N Main StreetColumbia CityIN46725Whitley(260) 212-5058

GlogasGeoffreyDDSColumbia City Dentists506 N Line StColumbia CityIN46725Whitley(260) 248-4242

Last Reviewed 6/30/2021

Last Revised 6/30/20213 of 16

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone McConnellJames DDSJames A McConnell DDS510 A N Line StColumbia CityIN46725Whitley(260) 248-2588

PattersonNathanDDSPatterson Family Dentistry PC642 North Opportunity DrSte 101Columbia CityIN46725Whitley(260) 248-4858

PattersonRyanDDSPatterson Family Dentistry PC642 North Opportunity DrSte 101Columbia CityIN46725Whitley(260) 248-4858

JoseDanyDMDAspen Dental 1501 Hilliard Rome RdColumbusOH43228Franklin(614) 429-5179 MillerFranklinDDSAspen Dental 1310 North National RoadSte AColumbus IN47201Bartholomew(812) 314-0000 WooKijinDMDAspen Dental1310 North National RoadSte AColumbusIN47201Bartholomew(812) 314-0000 AulakhNavneetDDSAspen Dental1571 S US 231CrawfordsvilleIN47933Montgomery (765) 225-2086

SlapnickaJanDDSAspen Dental (ORAL SURGERY ONLY) 1571 S US 231CrawfordsvilleIN47933Montgomery (765) 225-2086

StickleyAlyssaDDSAspen Dental1571 S US 231CrawfordsvilleIN47933Montgomery (765) 225-2086 AfzalShaheeraDDSAspen Dental3286 Pentagon Park BlvdDaytonOH45431Greene(937) 427-1400 ClementeAlexanderDDSAspen Dental3286 Pentagon Park Blvd DaytonOH45431Greene(937) 427-1400 JudgeArwinderDDSAspen Dental3286 Pentagon Park Blvd DaytonOH45431Greene(937) 427-1400 ModiParagDMDAspen Dental 3286 Pentagon Park Blvd DaytonOH45431Greene(937) 427-1400 NadikudaSwapnaDMDAspen Dental 2411 Miamisburg Centerville Rd DaytonOH45459Montgomery(937) 436-5600 NagyZoltanDMDAspen Dental3286 Pentagon Park Blvd DaytonOH45431Greene(937) 427-1400 TroniloEllysDDSAspen Dental2411 Miamisburg Centerville RdDaytonOH45459Montgomery(937) 436-5600 WallaceWayneDDSAspen Dental 2411 Miamisburg Centerville Rd DaytonOH45459Montgomery(937) 436-5600 WhealtonLindseyDMDAspen Dental2411 Miamisburg Centerville RdDaytonOH45459Montgomery(937) 436-5600 AlhmoudOmarDDSAspen Dental1601 N Clinton StUnit ADefianceOH43512Defiance (419) 789-4112 ChungJinboDDSAspen Dental1601 N Clinton StUnit ADefianceOH43512Defiance (419) 789-4112 EggersHenryDDSAspen Dental1601 N Clinton StUnit ADefianceOH43512Defiance (419) 789-4112 HavighurstJulieDDSAspen Dental1601 N Clinton StUnit ADefianceOH43512Defiance (419) 789-4112 IckesZachDDSAspen Dental1601 N Clinton StUnit ADefianceOH43512Defiance (419) 789-4112

ThalerRussellDMDWhittaker Dental Care Defiance100 Stadium DriveSuite ADefianceOH43512Defiance (419) 784-0775

ZagorecJohnDMDAspen Dental1601 N Clinton StUnit ADefianceOH43512Defiance (419) 789-4112 JournayJonathanDMDAspen Dental 1100 Sunbury Rd Unit 712DelawareOH43015Delaware(740) 362-5800 KunduruHemanthDMDAspen Dental 1100 Sunbury Rd Unit 712DelawareOH43015Delaware(740) 362-5800 QuePaulDMDAspen Dental1100 Sunbury Rd Unit 712DelawareOH43015Delaware(740) 362-5800 ShahpatelKhyatiDMDAspen Dental 6395 Midway MallElyriaOH44035Lorain (440) 324-2600 AjayiAkeemDDSAspen Dental5020 West Lloyd ExpwySte 200EvansvilleIN47712Vanderburgh(812) 863-8000

Anumolu-AlapatiNagaDDSAspen Dental5020 West Lloyd ExpwySte 200EvansvilleIN47712Vanderburgh(812) 863-8000

BiggerstaffAlyssaDMDAspen Dental5020 West Lloyd ExpwySte 200EvansvilleIN47712Vanderburgh(812) 863-8000

HarperDustinDMDAspen Dental508 North Green River RoadEvansvilleIN47715Vanderburgh(812) 479-5000 HornbackThomasDMDAspen Dental508 North Green River RdEvansvilleIN47715Vanderburgh(812) 479-5000

SlapnickaJanDDSAspen Dental (ORAL SURGERY ONLY) 5020 West Lloyd ExpwySte 200EvansvilleIN47712Vanderburgh(812) 863-8000

SmithMatthewDDSAspen Dental5020 West Lloyd ExpwySte 200EvansvilleIN47712Vanderburgh(812) 863-8000 VizcondeDavidDMDAspen Dental508 North Green River RdEvansvilleIN47715Vanderburgh(812) 479-5000 BhonagiriJithendarDDSAspen Dental2540 Tiffin Ave FindlayOH45840Hancock (419) 424-3500 SanduJarjotDDSAspen Dental2540 Tiffin Ave FindlayOH45840Hancock (419) 424-3500

Last Reviewed 6/30/2021

Last Revised 6/30/20214 of 16

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone

BojrabMatthewDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10972 Allisonville Rd Ste 100FishersIN46038Hamilton (317) 845-7878

BussardDavidDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 11980 Fishers CrossingFishersIN46038Hamilton (317) 845-7878

BussardDavidDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10972 Allisonville Rd Ste 100FishersIN46038Hamilton (317) 845-7878

EdenNatalieDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10972 Allisonville Rd Ste 100FishersIN46038Hamilton (317) 845-7878

LambertR ColeDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10972 Allisonville Rd Ste 100FishersIN46038Hamilton (317) 845-7878

LappThomasDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10972 Allisonville Rd Ste 100FishersIN46038Hamilton (317) 845-7878

MoenningJohnDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10972 Allisonville Rd Ste 100FishersIN46038Hamilton (317) 845-7878

MontesDavidDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10972 Allisonville Rd Ste 100FishersIN46038Hamilton (317) 845-7878

AgyemanDoreenDMDAspen Dental 720 East Coliseum BlvdFort WayneIN46805Allen(260) 483-4000 AllenColleenDDSSummit Dental Group10213 Dupont Circle Dr WFort WayneIN46825Allen(260) 484-8596 AllenColleenDDSSummit Dental Group9121 Illinois Rd Fort WayneIN46804Allen(260) 434-0099 AllenDavidDDSAfdent4041 Parnell AvenueFort WayneIN46805Allen(260) 482-8386 ArgusMary EllenDDSMary Ellen Argus, DDS2801 Maplecrest RdFort WayneIN46815Allen(260) 486-4444 AtkinsonHaroldDDSLima Road Dentistry 9019 Lima RoadFort WayneIN46818Allen(260) 489-4090 AgyemanDoreenDMDCore Dental Care2444 Getz RoadFort WayneIN46804Allen(260) 444-4715 BergerEricDMDBerger Dentistry SW LLC 4616 W Jefferson BlvdFort WayneIN46804Allen(260) 432-8596 BergerEricDMDBerger Dentistry1620 St Joe River DrFort WayneIN46805Allen(260) 482-4202 BergerTimothyDMDBerger Dentistry1620 St Joe River DrFort WayneIN46805Allen(260) 482-4202 BergerTimothyDMDBerger Dentistry SW LLC 4616 W Jefferson BlvdFort WayneIN46804Allen (260) 432-8596 BertschJoshuaDMDSalkeld Family Dental LLC12962 Coldwater RdFort WayneIN46845Allen (260) 637-4648 BibleChristopherDDSChristopher L Bible, DDS3825 W Jefferson BlvdFort WayneIN46804Allen(260) 435-1968 BlairJesseDDSJesse Blair DDS LLC2121 E Dupont RdSte AFort WayneIN46825Allen(260) 490-9684 BlakeThomasDDSThomas R Blake DDS2409 Fairoak DrFort WayneIN46805Allen(260) 747-5745 BojrabNathanDDSLegacy Dental 7215 Engle RdFort WayneIN46804Allen(260) 434-1133 BokelFredDDSFred E Bokel DDS Inc5730 Falls Dr Ste 200Fort WayneIN46804Allen(260) 436-5718 BolingerCraigDDSBolinger Dental LLC5800 Fairfield Ave Ste 220Fort WayneIN46807Allen(260) 456-6073 BraaschBryanDDSAfdent4041 Parnell AvenueFort WayneIN46805Allen(260) 482-8386

Bruick DwaneDDSGeorgetown North Dental Group 6405 Georgetown N Blvd Fort WayneIN46815Allen(260) 485-0583

BueterMatthewDDSAfdent4041 Parnell AvenueFort WayneIN46805Allen(260) 482-8386 BunnerThomasDDSThomas A Bunner DDS9417 St. Joe Center RdFort WayneIN46835Allen(260) 486-4800 CarmienMatthewDDSAspen Dental720 East Coliseum BlvdFort WayneIN46805Allen(260) 483-4000 ChenowethRobertDDSSummit Dental Group10213 Dupont Circle Dr WFort WayneIN46825Allen(260) 484-8596 ChenowethRobertDDSSummit Dental Group9121 Illinois Rd Fort WayneIN46804Allen(260) 434-0099

ClinkenbeardBenjaminDDSBenjamin J. Clinkenbeard, DDS3615 Lake AvenueFort WayneIN46805Allen(260) 424-6031

CluteStevenDDSSmile Works Youth Dentistry7524 S Anthony BlvdFort WayneIN46816Allen(260) 441-8500 ColemanAngelaDDSNorth Pointe Dental Care10505 Lima RdFort WayneIN46818Allen(260) 484-9248 CooperGeorgeDDSGeorge R Cooper DDS2121 E Dupont RdSte EFort WayneIN46825Allen(260) 489-1508 Cooper, IVGeorge R.DMDGeorge R Cooper DDS2121 E Dupont RdSte EFort WayneIN46825Allen(260) 489-1508

CoreySamuelDDSSamuel L Corey DDS High Tech & Cosmetic Dentistry10216 Dupont Circle Dr EFort WayneIN46825Allen(260) 489-0078

CreagerTessaDDSOmni Dental 10020 Dupont Circle CtSte 150Fort WayneIN46825Allen(260) 450-7040 CreechMatthewDDSFort Wayne Dental Group7202 Engle RoadFort WayneIN46804Allen(260) 432-3459

DiehlDavidDDSDupont Family Dentistry10215 Dupont Circle Drive WestFort WayneIN46825Allen(260) 489-1100

DinhJamesDDSGeorgetown North Dental Group 6405 Georgetown N Blvd Fort WayneIN46815Allen(260) 485-0583

DinhJamesDDSLima Road Dentistry9019 Lima RoadFort WayneIN46818Allen(260) 489-4090 DruleyKimbraDDSDruley Dental10202 A Coldwater RoadFort WayneIN46825Allen(260) 433-8665 DziakRichardDDSAfdent4041 Parnell AvenueFort WayneIN46805Allen(260) 482-8386

Last Reviewed 6/30/2021

Last Revised 6/30/20215 of 16

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone

Eady JrMarvinDDSDoctor Eady Family Dentistry PC4646 W Jefferson Blvd Ste 140Fort WayneIN46804Allen(260) 459-1415

EdmondsonGwendolyn DDSHarrison Dental Group 1333 Getz RoadFort WayneIN46804Allen(260) 432-3588 EdmondsonGwendolyn DDSMary Ellen Argus, DDS2801 Maplecrest RdFort WayneIN46815Allen(260) 486-4444 EdmondsonGwendolyn DDSHarrison Dental Group6412 Winchester RdFort WayneIN46819Allen(260) 747-4747

EdmondsonGwendolyn DDSHarrison Dental Group III 10506 Coldwater RdFort WayneIN46845Allen(260) 747-4747

EllinwoodCharlesDDSSteven P Ellinwood DDS5725 Maplecrest RdSuite 1Fort WayneIN46835Allen(260) 492- 2640

EllinwoodStevenDDSSteven P Ellinwood DDS5725 Maplecrest RdSuite 1Fort WayneIN46835Allen(260) 492- 2640

ErringtonEdwinDDSTLC Dental LLC7908 Carnegie BlvdFort WayneIN46804Allen(260) 423-2525

FeaselAllysonDDSDupont Family Dentistry10215 Dupont Circle Drive WestFort WayneIN46825Allen(260) 489-1100

FisherAlyssaDDSTooth Acres Dentistry4109 Lahmeyer RoadFort WayneIN46815Allen(260) 486-3100 FloydThomasDDSAspen Dental720 East Coliseum BlvdFort WayneIN 46805Alllen(260) 483-4000 FortierGuyDDSGuy H Fortier DDS5725 Maplecrest RdFort WayneIN46835Allen(260) 486-2357 FriedrichMarkDDSLegacy Dental 7215 Engle RdFort WayneIN46804Allen(260) 434-1133 GabrekAshleyDDSSummit Dental Group10213 Dupont Circle Dr WFort WayneIN46825Allen(260) 484-8596 GabrekAshleyDDSSummit Dental Group9121 Illinois Rd Fort WayneIN46804Allen(260) 434-0099 GandhiUpasnaDDSLakewood Family Dental 4512 Parnell Ave Fort WayneIN46825Allen(260) 399-1333

GebfertRyanDMDGebfert-Park Family Dentistry PC10010 Dupont Circle CourtFort WayneIN46825Allen(260) 490-4440

GhoriMariaDDSBrad Pulfer DDS1405 Medical Park DrFort WayneIN46825Allen(260) 471-1695 GhoriMariaDDSAfdent4041 Parnell AvenueFort WayneIN46805Allen(260) 482-8386

GilbertThomasDDSFamily Dentistry & Aesthetics Inc4626 W Jefferson BlvdFort WayneIN46804Allen(260) 432-0561

GlogasGeoffreyDDSGlogas Family Dentistry, LLC7207 Engle RoadFort WayneIN46804Allen(260) 426-8805 GoodrichLoganDMDMiddleton Family Dentistry1234 E Dupont RdSte 4Fort WayneIN46825Allen(260) 484-3136 GoodrichLoganDMDMiddleton Family Dentistry4302 E State BlvdFort WayneIN46815Allen(260) 484-3136 GotschMatthewDDSGeoffrey L Glogas DDS7207 Engle RoadFort WayneIN46804Allen(260) 426-8805 HageeSarahDDSFort Wayne Dental Group7202 Engle RoadFort WayneIN46804Allen(260) 432-3459 HaleJonathanDDSHale Family Dentistry4116 E State BlvdFort WayneIN46815Allen (260) 482-3759 HameedSaharDDSSouthwest Dental Center LLC9807 Illinois RoadFort WayneIN46804Allen(260) 627-5825 HarrisonDavidDDSHarrison Dental Group6412 Winchester RdFort WayneIN46819Allen(260) 747-4747

HarrisonDavidDDSHarrison Dental Group4656 W Jefferson BlvdSte 220Fort WayneIN46804Allen(260) 747-4747

HarrisonDavidDDSHarrison Dental Group1333 Getz RdFort WayneIN46804Allen(260) 747-4747 HarrisonDavidDDSHarrison Dental Group2801 Maplecrest RdFort WayneIN46815Allen(260) 747-4747 HarrisonDavidDDSHarrison Dental Group III 10506 Coldwater RdFort WayneIN46845Allen(260) 747-4747 HarrisonKeithDDSHarrison Dental Group6412 Winchester RdFort WayneIN46819Allen(260) 747-4747

HarrisonKeithDDSHarrison Dental Group4656 W Jefferson BlvdSte 220Fort WayneIN46804Allen(260) 747-4747

HarrisonKeithDDSHarrison Dental Group1333 Getz RdFort WayneIN46804Allen(260) 747-4747 HarrisonKeithDDSHarrison Dental Group2801 Maplecrest RdFort WayneIN46815Allen(260) 747-4747 HarrisonKeithDDSHarrison Dental Group III 10506 Coldwater RdFort WayneIN46845Allen(260) 747-4747

HemphillJasonDDSDupont Family Dentistry10215 Dupont Circle Drive WestFort WayneIN46825Allen(260) 489-1100

HerberJohnDDSHerber Yager Family Dentistry PC9830 Auburn RdSte 101Fort WayneIN46825Allen(260) 489-8435

HertigAdamDDSShambaugh Dental Group 4341 Flagstaff CoveFort WayneIN46815Allen(260) 493-2432

HolmesRyanDDSHolmes Family & Cosmetic Dentistry10435 Illinois RoadFort WayneIN46814Allen(260) 469-3671

JacobStevenDMDJoseph E Kinder, DDS7210 Maplecrest RdFort WayneIN46835Allen(260) 485-5530 KaluznyJoshuaDDSLakewood Family Dental 4512 Parnell Ave Fort WayneIN46825Allen(260) 399-1333 KappesserCoryDMDNorth Pointe Dental Care10505 Lima RdFort WayneIN46818Allen(260) 484-9248 Kim KyeonghwaDDSHarrison Dental Group1333 Getz RdFort WayneIN46804Allen(260) 432-3588 KimKyeonghwaDDSHarrison Dental Group6412 Winchester RdFort WayneIN46819Allen(260) 747-4747 KimKyeonghwaDDSHarrison Dental Group2801 Maplecrest RdFort WayneIN46815Allen(260) 747-4747 KimKyeonghwaDDSHarrison Dental Group III 10506 Coldwater RdFort WayneIN46845Allen(260) 747-4747

Last Reviewed 6/30/2021

Last Revised 6/30/20216 of 16

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone KinderJosephDDSJoseph E Kinder, DDS7210 Maplecrest RdFort WayneIN46835Allen(260) 485-5530 KingAngelaDDSLima Road Dentistry, PC9019 Lima RoadFort WayneIN46818Allen(260) 489-4090 KlingerJamesDDSKlinger Family Dentistry9405 Illinois RdFort WayneIN46804Allen(260) 459-8494 KolliRanvitaDDSLakewood Family Dental 4512 Parnell Ave Fort WayneIN46825Allen(260) 399-1333

KriderHeidiDDSTrok & Krider Dentistry1001 Chestnut Hills PkwySte 5Fort WayneIN46814Allen(260) 625-5100

LakeValerieDDSValerie E Lake DDS6211 Covington RdFort WayneIN46804Allen(260) 432-1579 LeonardChristopherDDSAfdent4041 Parnell AvenueFort WayneIN46805Allen(260) 482-8386 LightAaronDDSSummit Dental Group9121 Illinois Rd Fort WayneIN46804Allen(260) 434-0099 LightAaronDDSSummit Dental Group10213 Dupont Circle Dr WFort WayneIN46825Allen(260) 484-8596

LudwigKevinDDSFort Wayne Pediatric Dentistry LLC10211 Dupont Circle Drive West Fort WayneIN 46825Allen (260) 490-5437

LynchKellyDDSTimothy D Lynch DDS PC4207 Hobson CtFort WayneIN46815Allen(260) 485-2330 LynchTimothyDDSTimothy D Lynch DDS PC4207 Hobson CtFort WayneIN46815Allen(260) 485-2330 MarrBryanDMDMarr & Thompson Dental Group PC5108 N Clinton StFort WayneIN46825Allen(260) 482-1551 McKeanPhilipDDSPhilip M McKean DDS PC6605 E State Blvd Ste 7Fort WayneIN46815Allen(260) 486-2339 McLellanBrianDDSLegacy Dental 7215 Engle RdFort WayneIN46804Allen(260) 434-1133 MeeksToddDDSDavinci Dental Spa7205 Engle RdFort WayneIN46804Allen(260) 432-8700

Mensah-BoatengDanielDDSGentle Care Family Dentistry812 Lawrence DriveFort WayneIN46804Allen(260) 387-5890

MiddletonCharles M.DDSCharles Middleton, DDS4302 E State BlvdFort WayneIN46815Allen(260) 484-3136

MiddletonCharles M.DDSMiddleton Family Dentistry1234 E Dupont RdSuite 4Fort WayneIN46825Allen(260) 484-3136

MiddletonConnieDDSCharles Middleton, DDS4302 E State BlvdFort WayneIN46815Allen(260) 484-3136

MiddletonConnieDDSMiddleton Family Dentistry1234 E Dupont RdSuite 4Fort WayneIN46825Allen(260) 484-3136

MillerAbigaleDMDAfdent4041 Parnell AvenueFort WayneIN46805Allen(260) 482-8386 MooreByronDDSAfdent4041 Parnell AvenueFort WayneIN46805Allen(260) 482-8386 MuttonBrentDDSFort Wayne Dental Group7202 Engle RoadFort WayneIN46804Allen(260) 432-3459 NeeseMargaretDDSLegacy Dental 7215 Engle RdFort WayneIN46804Allen(260) 434-1133 O'HaraBrendan DDSMiddleton Family Dentistry1234 E Dupont RdFort WayneIN46825Allen(260) 484-3136 O'HaraBrendan DDSMiddleton Family Dentistry4302 E State BlvdFort WayneIN46815Allen(260) 484-3136 OHeeneyEmmaDMDKlinger Family Dentistry9405 Illinois RdFort WayneIN46804Allen(260) 459-8494 OrmanRichelleDDSHarrison Dental Group1333 Getz RoadFort WayneIN46804Allen(260) 432-3588 OrmanRichelleDDSHarrison Dental Group6412 Winchester RdFort WayneIN46819Allen(260) 747-4747 OrmanRichelleDDSHarrison Dental Group2801 Maplecrest RdFort WayneIN46815Allen(260) 747-4747 OrmanRichelleDDSHarrison Dental Group III 10506 Coldwater RdFort WayneIN46845Allen(260) 747-4747 PainterL GaryDDSTooth Acres Dentistry4109 Lahmeyer RoadFort WayneIN46815Allen(260) 486-3100

ParkLawrenceDDSGebfert-Park Family Dentistry PC10010 Dupont Circle CourtFort WayneIN46825Allen(260) 490-4440

PecinaRogerDDSAfdent4041 Parnell AvenueFort WayneIN46805Allen (260) 482-8386 PresserRichardDDSSummit Dental Group10213 Dupont Circle Dr WFort WayneIN46825Allen(260) 484-8596 PresserRichardDDSSummit Dental Group9121 Illinois Rd Fort WayneIN46804Allen(260) 434-0099 PriceJenniferDDSHarrison Dental Group III 10506 Coldwater RdFort WayneIN46845Allen(260) 747-4747 PriceJenniferDDSHarrison Dental Group1333 Getz RdFort WayneIN46804Allen(260) 432-3588 PriceJenniferDDSHarrision Dental Group IV2801 Maplecrest RdFort WayneIN46815Allen(260) 747-4747 ProutyAlanDDSAfdent4041 Parnell AvenueFort WayneIN46805Allen (260) 482-8386 PulferBradDDSBrad Pulfer DDS1405 Medical Park DrFort WayneIN46825Allen(260) 471-1695 RahrigGeraldDDSYoder-Rahrig Family Dentistry333 East Tillman RdFort WayneIN46816Allen(260) 447-1776 RajuSavithriDDSTLC Dental LLC7908 Carnegie BlvdFort WayneIN46804Allen(260) 423-2525 ReganStephenDDSSummit Dental Group10213 Dupont Circle Dr WFort WayneIN46825Allen(260) 484-8596 ReganStephenDDSSummit Dental Group9121 Illinois Rd Fort WayneIN46804Allen(260) 434-0099 RoachPhilipDDSPhilip C Roach, DDS2121 E Dupont RdSte BFort WayneIN46825Allen(260) 489-1818 Robison JonathonDDSTimothy S Berger 1620 St Joe River DrFort WayneIN46805Allen (260) 482-4202

Last Reviewed 6/30/2021

Last Revised 6/30/20217 of 16

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone

Robison JonathonDDSBerger Dentistry SW LLC 4616 W Jefferson BlvdFort WayneIN46804Allen (260) 432-8596

RorickNicholasDDSSycamore Hills Dentistry10082 Illinois Rd Fort WayneIN46804Allen (260) 213-4400 RumbaughRonaldDDSRonald L Rumbaugh, DDS10506 Coldwater RdFort WayneIN46845Allen (260) 637-6976

RuprightAdrienneDDSRupright Family Dentistry 5327 South Bend DriveFort WayneIN46804Allen (260) 444-5510

SaalfrankToddDDSTodd Saalfrank DDS, PC6126 Trier RoadFort WayneIN46815Allen (260) 486-5408 SalazarElisaDDSAfdent4041 Parnell AvenueFort WayneIN46805Allen (260) 482-8386 SalkeldStevenDDSSalkeld Family Dental LLC12962 Coldwater RdFort WayneIN46845Allen (260) 637-4648 SandhuMansimranDMDGlogas Family Dentistry, LLC7207 Engle RoadFort WayneIN46804Allen(260) 426-8805

ScheeleRobertDDSRobert C Scheele DDS & Associates9830 Auburn RdSte 103Fort WayneIN46825Allen (260) 637-6144

SchindlerCharlesDMDDental Design of Fort Wayne2828 E State Blvd Ste A Fort WayneIN46805Allen (260) 482-6689

ShambaughJeffreyDMDShambaugh Family Dentistry4341 Flagstaff CoveFort WayneIN46815Allen (260) 493-2432

ShambaughMichaelDDSMichael E Shambaugh, DDS1320 Medical Park DriveFort WayneIN46825Allen (260) 484-7919

ShanteauOwenDDSNorth Pointe Dental Care10505 Lima RdFort WayneIN46818Allen (260) 484-9248

ShanteauOwenDDSDental Design of Fort Wayne2828 E State Blvd Ste A Fort WayneIN46805Allen (260) 482-6689

ShupeJamesDDSJames A Shupe DDS Dentistry for Children Inc3030 Lake AveFort WayneIN46805Allen (260) 422-8419

SlybyDavidDDSDavid G Slyby DDS PC4606-B East State BlvdFort WayneIN46815Allen (260) 484-0725

SmithTraceyDDSDental Design of Fort Wayne2828 E State Blvd Ste A Fort WayneIN46805Allen (260) 482-6689

SotomilJulianneDMDAfdent (Prosthodontist)4041 Parnell AvenueFort WayneIN46805Allen(260) 482-8386 StonerMarkDDSMark F Stoner DDS LLC9830 Auburn Rd Ste 102Fort WayneIN46825Allen (260) 484-4181 StumpAdamDDSSycamore Hills Dentistry10082 Illinois Rd Fort WayneIN46804Allen(260) 213-4400 TarajiWaseemDMDHarrison Dental Group1333 Getz RoadFort WayneIN46804Allen(260) 432-3588 TarajiWaseemDMDHarrison Dental Group6412 Winchester RdFort WayneIN46819Allen(260) 747-4747 TarajiWaseemDMDHarrison Dental Group2801 Maplecrest RdFort WayneIN46815Allen(260) 747-4747 TarajiWaseemDMDHarrison Dental Group III 10506 Coldwater RdFort WayneIN46845Allen(260) 747-4747 TaylorJenniferDDSSmile Works Youth Dentistry7524 S Anthony BlvdFort WayneIN46816Allen (260) 441-8500

TeelThomasDDSFamily Dentistry & Aesthetics Inc4626 W Jefferson BlvdFort WayneIN46804Allen (260) 432-0561

ThompsonBryanDDSMarr & Thompson Dental Group PC 5108 N Clinton StFort WayneIN46825Allen(260) 482-1551

TomMichaelDDSMichael T Tom DDS, PC1135 W Dupont RoadFort WayneIN46825Allen (260) 490-4600 TrokJohnDDSTrok & Krider Dentistry1001 Chestnut Hills PkwySte 5Fort WayneIN46814Allen (260) 625-5100 UeberRobertDDSLegacy Dental 7215 Engle RdFort WayneIN46804Allen (260) 434-1133 ValliereJeffreyDDSSummit City Smiles 1330 E State BlvdFort WayneIN46805Allen(260) 484-3215 ValliereRogerDDSSummit City Smiles 1330 E State BlvdFort WayneIN46805Allen (260) 484-3215

VillaltaLeonorDDSDental Design of Fort Wayne2828 E State Blvd Ste A Fort WayneIN46805Allen(260) 482-6689

VirajithaVelichalaDDSLakewood Family Dental 4512 Parnell Ave Fort WayneIN46825Allen (260) 399-1333 VollmerRandallDDSRandall E Vollmer4606-B East State BlvdFort WayneIN46815Allen(260) 484-9521 WangTim DDSLakewood Family Dental 4512 Parnell Ave Fort WayneIN46825Allen(260) 399-1333 WebbJaneDDSLima Road Dentristy9019 Lima RoadFort WayneIN46818Allen(260) 489-4090 WehrlyJackDDSJack Wehrly DDS3303 Trier RdFort WayneIN46815Allen (260) 484-4438

WeilBlakeDMDFamily Dentistry & Aesthetics Inc4626 W Jefferson BlvdFort WayneIN46804Allen(260) 432-0561

WrightKevinDDSFort Wayne Dental Group7202 Engle RoadFort WayneIN46804Allen(260) 432-3459

YagerJacobDDSHerber Yager Family Dentistry PC9830 Auburn Road Ste 101Fort WayneIN46825Allen(260) 489-8435

YazdanmehrShawyanDDSAfdent4041 Parnell AvenueFort WayneIN46805Allen(260) 482-8386

YoderBenjaminDDSYoder-Rahrig Family Dentistry333 East Tillman RdFort WayneIN46816Allen (260) 447-1776

ZolnikEmilyDDSSycamore Hills Dentistry10082 Illinois Rd Fort WayneIN46804Allen

PotterTylerDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1000 W JeffersonFranklinIN46131Johnson(317) 882-3370

PruittJohnDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1000 W JeffersonFranklinIN46131Johnson (317) 882-3370

Last Reviewed 6/30/2021

Last Revised 6/30/20218 of 16

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone StumpAdamDDSFremont Family Dentistry1003 Toledo StFremontIN46737Stueben(260) 495-9023 GriffithDavidDDSGarrett Family Dentistry 125 S Randolph StGarrettIN46738DeKalb(260) 357-3171 LinstrombergMeganDDSGarrett Family Dentistry 125 S Randolph StGarrettIN46738DeKalb(260) 357-3171 KapoorTarnitDMDAspen Dental2909 County Home RdGoshenIN46526Elkhart(574) 533-2700 KolkmanMatthewDDSGrabill Family Dentistry13307 Witmer RdGrabillIN46741Allen(260) 627-1211 OrmanAndrewDDSGrabill Family Dentistry13307 Witmer RdGrabillIN46741Allen(260) 627-1211 AhmedAdnanDDSDental Innovations 24163 Front StreetGrand Rapids OH43522Wood 4198329101 FoggAndrewDDSAspen Dental331 S State Rd 135Ste DGreenwoodIN46142Johnson (317) 859-0600 KohRachelDDSAspen Dental331 S State Rd 135Ste DGreenwoodIN46142Johnson (317) 859-0600 PatelSweetyDMDAspen Dental331 S State Rd 135Ste DGreenwoodIN46142Johnson (317) 859-0600 PillaiSeemaDMDAspen Dental331 S State Rd 135Ste DGreenwoodIN46142Johnson (317) 859-0600

PotterTylerDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1630 W Smith Valley RdGreenwoodIN46142Johnson (317) 882-3370

PruittJohnDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1630 W Smith Valley RdGreenwoodIN46142Johnson (317) 882-3370

BixlerJohnDDSJohn Bixler DDS11422 Hoagland RoadHoaglandIN46745Allen(260) 639-6638 BueJeffreyDDSAspen Dental6658 Airport HwyHollandOH43528Lucas(419) 867-3400 HamptonJosephDDSAspen Dental6658 Airport HwyHollandOH43528Lucas(419) 867-3400 IslamMohammadDDSAspen Dental6658 Airport HwyHollandOH43528Lucas(419) 867-3400

Kioko Jr.JuliusDDSWestern Lucas County Community Health330 Oak Terrace BlvdHollandOH43528Lucas(567) 218-1900

NagyAhmedDMDWestern Lucas County Community Health330 Oak Terrace BlvdHollandOH43528Lucas(567) 218-1900

PhanHuongDMDWestern Lucas County Community Health330 Oak Terrace BlvdHollandOH43528Lucas(567) 218-1900

BoggsMichael DDSMichael S Boggs DDS 106 N Bryan St HicksvilleOH43526Defiance(419) 542-7748 KellyChelseaDDSChelsea Kelly DDS106 N Bryan StHicksvilleOH43526Defiance(419) 542-7748 GuttermanJohnDDSAspen Dental 10140 Indianapolis BlvdSte AHighlandIN46322Lake (219) 513-4286 KapilikishaMukukaDMDAspen Dental 10140 Indianapolis BlvdSte AHighlandIN46322Lake (219) 513-4286 SchaferSeanDDSAspen Dental10140 Indianapolis BlvdSte AHighlandIN46322Lake(219) 513-4286

Brezausek-SodanoLindaDDSHuntertown Dental Services Inc14932 Old Lima Rd HuntertownIN46748Allen(260) 637-5848

SodanoThomasDDSHuntertown Dental Services Inc14932 Old Lima Rd HuntertownIN46748Allen (260) 637-5848 BatesoleJeffreyDDSSummit Dental Group133 E Northpoint AveHuntingtonIN46750Huntington (260) 356-8426 EckertMatthewDDSDowntown Dental429 N Jefferson StHuntingtonIN46750Huntington (260) 356-6651 HartRyanDMDDowntown Dental429 N Jefferson StHuntingtonIN46750Huntington (260) 356-6651 HughesJamesDDSJames D Hughes DDS PC 320 W Northpoint AveHuntingtonIN46750Huntington (260) 356-7920 TruittJamesDDSJames A Truitt DDS490 Bowen Park AveHuntingtonIN46750Huntington (260) 356-5210

AdelspergerJohnDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 777 Beachway Dr Ste 202IndianapolisIN46224Marion (317) 297-1007

AdelspergerJohnDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8140 Knue RdSte 103IndianapolisIN46250Marion (317) 849-4914

BennettJabreaDMDAspen Dental9940 Pendleton PikeSte BIndianapolisIN46236Marion (317) 541-1900

BorkowskiChristineDDSAvalon Dentistry7118 North Shadeland Ave IndianapolisIN46250Marion (317) 849-6776

Last Reviewed 6/30/2021

Last Revised 6/30/20219 of 16

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone

ButtrumJeffreyDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 3021 E 98th StSte 250IndianapolisIN46280Marion (317) 846-3446

ButtrumJeffreyDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8140 Knue RdSte 103IndianapolisIN46250Marion (317) 913-2363

CashKevinDDSAspen Dental 3935 East Southport RdIndianapolisIN46237Marion (317) 244-3000 CumminghamPriyaDMDAspen Dental3935 East Southport RdIndianapolisIN46237Marion (317) 244-3000

DavisMatthewDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8445 S Emerson AveSte 100IndianapolisIN46237Marion (317) 882-1284

GreenAshtonDMDAspen Dental4939 East 82nd St Ste D500IndianapolisIN46250Marion (317) 578-8900

HanzlikLaurenDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 3021 E 98th StSte 250IndianapolisIN46280Hamilton(317) 846-3446

HanzlikLaurenDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 9240 N Meridian StSte 300IndianapolisIN46260Marion (317) 846-7377

HanzlikLaurenDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 777 Beachway Dr Ste 202IndianapolisIN46224Marion (317) 297-1007

HeidelmanJosephDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8140 Knue RdSte 103IndianapolisIN46250Marion (317) 913-2363

HeidelmanJosephDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 9240 N Meridian StSte 300IndianapolisIN46260Marion (317) 846-7377

HeidelmanJosephDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 9670 E Washington StIndianapolisIN46229Marion (317) 899-5000

HockemaJohnDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 3021 E 98th StSte 250IndianapolisIN46280Hamilton(317) 846-3446

JaynesRobDDSAspen Dental 4939 E 82nd StSte D500IndianapolisIN46250Marion (317) 578-8900 JohnsonKrestinaDDSAvalon Dentistry7118 North Shadeland Ave IndianapolisIN46250Marion (317) 849-6776

Last Reviewed 6/30/2021

Last Revised 6/30/202110 of 16

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone

KappMichaelDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8140 Knue RdSte 103IndianapolisIN46250Marion (317) 913-2363

KappMichaelDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 9240 N Meridian StSte 300IndianapolisIN46260Marion (317) 846-7377

KappMichaelDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 9670 E Washington StIndianapolisIN46229Marion (317) 899-5000

KirkupChristopherDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 3021 E 98th StSte 250IndianapolisIN46280Marion (317) 846-3446

KirkupChristopherDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 777 Beachway Dr Ste 202IndianapolisIN46224Marion (317) 297-1007

KirkupChristopherDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8140 Knue RdSte 103IndianapolisIN46250Marion (317) 913-2363

LeicklyBrandonDDSAspen Dental4939 E 82nd St Ste D500IndianapolisIN46250Marion (260) 319-5090 MartinThomasDDSAspen Dental 3935 East Southport RdIndianapolisIN46237Marion (317) 244-3000

MontefalcoPhilipDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8445 S Emerson AveSte 100IndianapolisIN46237Marion (317) 882-1284

MontesDavidDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 9240 N Meridian StSte 300IndianapolisIN46260Marion (317) 846-7377

MontesDavidDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 777 Beachway Dr Ste 202IndianapolisIN46224Marion (317) 297-1007

ParseyJamesDDSAspen Dental 3935 East Southport RdIndianapolisIN46237Marion (317) 244-3000 PetersonAustinDDSAspen Dental3935 East Southport RdIndianapolisIN46237Marion (317) 244-3000 Randall LisbethDDSAspen Dental 3935 East Southport RdIndianapolisIN46237Marion (317) 244-3000 StickleyAlyssaDDSAspen Dental 3935 East Southport RdIndianapolisIN46237Marion (317) 244-3000

TancrediSamuelDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 777 Beachway Dr Ste 202IndianapolisIN46224Marion (317) 297-1007

TancrediSamuelDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8140 Knue RdSte 103IndianapolisIN46250Marion (317) 913-2363

TancrediSamuelDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 9240 N Meridian StSte 300IndianapolisIN46260Marion (317) 846-7377

TancrediSamuelDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 9670 E Washington StIndianapolisIN46229Marion (317) 899-5000

ThomasJasmineDDSAspen Dental 10110 E Washington St Ste EIndianapolisIN46229Marion (317) 897-0200 TroxelJoyDDSAspen Dental5945 Crawfordsville RdSte JIndianapolisIN46224Marion (317) 241-1000 AdnanUzmaDDSKenton Community Health Center111 W Epsy StKentonOH43326Hardin(419) 679-5994 AdnanUzmaDDSRiverside Community Health Center405 N Main StKentonOH43326Hardin(567) 218-1900 Kioko Jr.JuliusDDSKenton Community Health Center111 W Epsy StKentonOH43326Hardin(419) 679-5994 Kioko Jr.JuliusDDSRiverside Community Health Center405 N Main StKentonOH43326Hardin(567) 218-1900 NagyAhmedDMDKenton Community Health Center111 W Epsy StKentonOH43326Hardin(419) 679-5994 NagyAhmedDMDRiverside Community Health Center405 N Main StKentonOH43326Hardin(567) 218-1900 PhanHuongDMDKenton Community Health Center111 W Epsy StKentonOH43326Hardin(419) 679-5994 PhanHuongDMDRiverside Community Health Center405 N Main StKentonOH43326Hardin(567) 218-1900 SleimanDeenaDDSRiverside Community Health Center405 N Main StKentonOH43326Hardin(567) 218-1900 DealTheodoreDMDTrinity Dental900 S Main StKendallvilleIN46755Noble(260) 582-2607 JonesThomasDDSThompson Dental Care225 Fairview Blvd KendallvilleIN46755Noble(260) 347-2251 SmithTyroneDDSTrinity Dental900 S Main StKendallvilleIN46755Noble(260) 582-2607 ThompsonJohnDDSThompson Dental Care225 Fairview Blvd KendallvilleIN46755Noble(260) 347-2251 MurrayPatrickDDSAspen Dental2124 East Boulevard StKokomoIN46902Howard(866) 273-8204 AdamsLawrenceDDSMerit Dental-LaGrange210 West South StLagrangeIN46761Lagrange(260) 463-7006 BassettJeffreyDDSJeffrey L Bassett, DDS108 S Townline RoadLagrangeIN46761Lagrange(260) 463-3652 BennettJeffreyDDSMerit Dental-LaGrange210 West South StLagrangeIN46761Lagrange(260) 463-7006 CribbsWilliamDDSMerit Dental-LaGrange210 West South StLagrangeIN46761Lagrange(260) 463-7006 CyganGregoryDDSMerit Dental-LaGrange210 West South StLagrangeIN46761Lagrange(260) 463-7006 SchindlerCharlesDMDMerit Dental-LaGrange210 West South StLagrangeIN46761Lagrange(260) 463-7006

AdelspergerJohnDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1667 N Lebanon StLebanonIN46052Boone (317) 297-1007

KirkupChristopherDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1667 N Lebanon StLebanonIN46052Boone(317) 297-1007

Last Reviewed 6/30/2021

Last Revised 6/30/202111 of 16

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone

TancrediSamuelDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1667 N Lebanon StLebanonIN46052Boone(317) 297-1007

AcostaDeniseDMDHughes Dental Group LLC13919 Amstutz RdLeoIN46765Allen (260) 627-5345 HameedSaharDDSHughes Dental Group LLC13919 Amstutz RdLeoIN46765Allen (260) 627-5345 HughesBradleyDDSHughes Dental Group LLC13919 Amstutz RdLeoIN46765Allen (260) 627-5345 SalazarElisaDDSHughes Dental Group LLC13919 Amstutz Rd Leo IN46765Allen (260) 627-5345 GriffithDavidDDSLigonier Dental Care907 Lincolnway SLigonierIN46767Noble(260) 894-4044 LinstrombergMeganDDSLigonier Dental Care907 Lincolnway SLigonierIN46767Noble(260) 894-4044 AdnanUzmaDDSGene Wright Community Health Center441 E 8th StLimaOH46804Allen(419) 221-3072 AdnanUzmaDDSSpartan Health Center1 Spartan WayLimaOH45801Allen(419) 996-3436 DalalBhumiDDSAspen Dental3292 Elida RdLimaOH45801Allen(419) 228-5000 EllisSabrinaDDSAspen Dental3292 Elida RdLimaOH45801Allen(419) 228-5000 Kioko Jr.JuliusDDSGene Wright Community Health Center441 E 8th StLimaOH46804Allen(419) 221-3072 NagyAhmedDMDGene Wright Community Health Center441 E 8th StLimaOH46804Allen(419) 221-3072 NagyAhmedDMDSpartan Health Center1 Spartan WayLimaOH45801Allen(419) 996-3436 PhanHuongDMDGene Wright Community Health Center441 E 8th StLimaOH46804Allen(419) 221-3072 PhanHuongDMDSpartan Health Center1 Spartan WayLimaOH45801Allen(419) 996-3436 SleimanDeenaDDSGene Wright Community Health Center441 E 8th StLimaOH46804Allen(419) 221-3072 Sleiman DeenaDDSSpartan Health Center1 Spartan WayLimaOH45801Allen(419) 996-3436 ZhangYuchunDDSAspen Dental3292 Elida RdLimaOH45805Allen(419) 228-5000 NajahHusamDDSAspen Dental 795 Lexington Springmill RdMansfieldOH44906Richland (419) 522-1386 PatelSiddhiDDSAspen Dental 795 Lexington Springmill RdMansfieldOH44906Richland (419) 522-1386 KellySean DDSAspen Dental 3101 South Western AveMarion IN 46953Grant (765) 662-1022 NavanitAbhishekDDSAspen Dental 1436 Mount Vernon AveMarion OH 43302Marion(740) 223-1100 BerneDavidDDSAspen Dental2020 Unit E Lincoln Way EastMarshallvilleOH44645Wayne(330) 830-5300

OkezieChimereDDSAspen Dental (ORAL SURGERY ONLY) 2020 Unit E Lincoln Way EastMarshallvilleOH44645Wayne(330) 830-5300

PatelDishantDDSAspen Dental2020 Unit E Lincoln Way EastMarshallvilleOH44645Wayne(330) 830-5300 AhmedAdnanDDSDental Innovations2444 S Detroit Ave Maumee OH 43537Lucas (419) 893-8431 VillaireMatthewDDSAspen Dental 7610 Mentor AveMentorOH44060Lake(440) 975-9300 Childs Jr.GeraldDDSAspen Dental6 W Lincoln HwyMerrillvilleIN46410Lake (219) 472-2275 JonesTrentDMD Aspen Dental6 W Lincoln HwyMerrillvilleIN46410Lake (219) 472-2275 RamandiMelissaDMD Aspen Dental6 W Lincoln HwyMerrillvilleIN46410Lake (219) 472-2275 BalogunBolanleDDSAspen Dental5240 South Franklin StMichigan CityIN46360La Porte(219) 873-9000 ChanYuengDMDAspen Dental5240 South Franklin StMichigan CityIN46360La Porte(219) 873-9000

Clinton AdamsPriscillaDDSAspen Dental5240 South Franklin StMichigan CityIN46360La Porte(219) 873-9000

GoldDevonDMDAspen Dental5240 South Franklin StMichigan CityIN46360La Porte(219) 873-9000 RedmondAnnDDSAspen Dental5240 South Franklin StMichigan CityIN46360La Porte(219) 873-9000

Last Reviewed 6/30/2021

Last Revised 6/30/202112 of 16

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone BueterMatthewDDSAfdent 605 W Douglas RdMishawakaIN46545St Joseph (574) 277-2220 CheinWinDDSAspen Dental4170 Grape RdMishawakaIN46545St Joseph (574) 272-4200 DiedrichGregoryDDSAfdent 605 W Douglas RdMishawakaIN46545St Joseph (574) 277-2220 FergusonCaitlinDMDAfdent 605 W Douglas RdMishawakaIN46545St Joseph (574) 277-2220 GhoriMariaDDSAfdent605 W Douglas RdMishawakaIN46545St Joseph (574) 277-2220 KulaarPreetinderDDSAspen Dental 4170 Grape Rd MishawakaIN46545St Joseph (574) 272-4200 LeonardChristopherDDSAfdent 605 W Douglas RdMishawakaIN46545St Joseph (574) 277-2220 MillerAbigaleDMDAfdent 605 W Douglas RdMishawakaIN46545St Joseph (574) 277-2220 MooreByronDDSAfdent 605 W Douglas RdMishawakaIN46545St Joseph (574) 277-2220 PecinaRogerDDSAfdent 605 W Douglas RdMishawakaIN46545St Joseph (574) 277-2220 PletcherAustinDMDAfdent 605 W Douglas RdMishawakaIN46545St Joseph (574) 277-2220 SitjarJenniferDDSAspen Dental4170 Grape RdMishawakaIN46545St Joseph (574) 272-4200 SotomilJulianneDMDAfdent (PROSTHODONTIST)605 W Douglas RdMishawakaIN46545St Joseph (574) 277-2220 YazdanmehrShawyanDDSAfdent605 W Douglas RdMishawakaIN46545St Joseph (574) 277-2220 BaileyKentonDDSKenton L Bailey DDS506 W South StMonroevilleIN46773Allen (260) 623-6171 PittmanTylerDDSPittman Family Dental904 E Snyder AveMontpelierOH43543Williams (419) 485-4605 CovertClintonDDSAspen Dental 1825 W McGalliard RdMuncieIN47304Delaware(765) 282-2700 AhmedCassimDDSWhittaker Dental Care Napoleon1330 Scott St Ste BNapoleonOH43545Henry(419) 592-1981

CaroselloStephenDDSWhittaker Dental Care Napoleon1330 Scott St Ste BNapoleonOH43545Henry(419) 592-1981

FarajWaseemDDSWhittaker Dental Care Napoleon1330 Scott St Ste BNapoleonOH43545Henry(419) 592-1981 HallJohnDDSWhittaker Dental Care Napoleon1330 Scott St Ste BNapoleonOH43545Henry(419) 592-1981

KopylowiczJaninaDDSWhittaker Dental Care Napoleon1330 Scott St Ste BNapoleonOH43545Henry(419) 592-1981

LantzyStevenDDSWhittaker Dental Care Napoleon1330 Scott St Ste BNapoleonOH43545Henry(419) 592-1981 MistryJayDDSWhittaker Dental Care Napoleon1330 Scott St Ste BNapoleonOH43545Henry(419) 592-1981 MoureidenBanaDMDWhittaker Dental Care Napoleon1330 Scott St Ste BNapoleonOH43545Henry(419) 592-1981 ThalerRussellDMDWhittaker Dental Care Napoleon1330 Scott St Ste BNapoleonOH43545Henry(419) 592-1981

WhittakerDanielDMDWhittaker Dental Care Napoleon1330 Scott St Ste BNapoleonOH43545Henry(419) 592-1981

ZhangYouDMDWhittaker Dental Care Napoleon1330 Scott St Ste BNapoleonOH43545Henry(419) 592-1981 KhimjiFaizaDDSAspen Dental 1298 N 21st StNewarkOH43055Licking(740) 322-5700

AdnanUzmaDDSNew Carlisle Community Health Center106 North Main StNew CarlisleOH45344Clark(937) 667-1122

Kioko Jr.JuliusDDSNew Carlisle Community Health Center106 North Main StNew CarlisleOH45344Clark(937) 667-1122

NagyAhmedDMDNew Carlisle Community Health Center106 North Main StNew CarlisleOH45344Clark(937) 667-1122

PhanHuongDMDNew Carlisle Community Health Center106 North Main StNew CarlisleOH45344Clark(937) 667-1122

NollMarkDDSNew Haven Dental Group 615 Professional Park New HavenIN46774Allen (260) 493-2113 FischerWilliamDDSAspen Dental341 Graff RdNew PhiladelphiaOH44663Tuscarawas(330) 339-0900 BajiRajeshDDSAspen Dental5700 Youngstown Warren RdSte 107NilesOH44446Trumbull(330) 652-3900

MyersDanielDDSManchester Family Dentistry PC 1301 State Rd 13 WNorth ManchesterIN46962Wabash (260) 982-6042

Last Reviewed 6/30/2021

Last Revised 6/30/202113 of 16

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone DowneyClarkDDSStill Waters Family Dentistry10045 North State Road 1OssianIN46777Wells(260) 622-4138

McDanielsJasonDDSStill Waters Family Dentistry10045 North State Road 1OssianIN46777Wells(260) 622-4138

MottMichaelDDSMichael M Mott, DDS402 E Baldwin AvePauldingOH45879Paulding(419) 399-3394 RichardsonMelodyDDSMelody M Richardson DDS PC63 W 6thPeruIN46970Miami (765) 473-4109

LakireddyMuraliDDSAspen Dental 10705 Blacklick Eastern RdSte 100PickeringtonOH43147Fairfield(614) 382-4648

BostosChristaliaDDSAspen Dental2377 East Main StSte 175PlainfieldIN46168Hendricks(317) 837-8700 CurnuttBrittanyDDSAspen Dental 2377 East Main St Ste 175PlainfieldIN46168Hendricks(317) 837-8700 FinneyBrandtDDSAspen Dental 2377 East Main St Ste 175PlainfieldIN46168Hendricks (317) 837-8700 GoadMichaelDDSAspen Dental 2377 East Main StSte 175PlainfieldIN46168Hendricks(317) 837-8700 KumarPoojaDDSAspen Dental2377 East Main StSte 175PlainfieldIN46168Hendricks(317) 837-8700 ThomasEmilyDDSAspen Dental2377 East Main StSte 175PlainfieldIN46168Hendricks(317) 837-8700 WarainchRobinDDSAspen Dental2377 East Main StSte 175PlainfieldIN46168Hendricks(317) 837-8700 ChauJohnDDSAspen Dental3746 National Road EastRichmondIN47374Wayne(765) 966-4000 LeonardChristopherDDSAspen Dental3746 National Road EastRichmondIN47374Wayne(765) 966-4000 MoppsAllisonDMDAspen Dental3746 National Road EastRichmondIN47374Wayne(765) 966-4000 TonQuangDMDAspen Dental3746 National Road EastRichmondIN47374Wayne(765) 966-4000 WooKijinDMDAspen Dental3746 National Road EastRichmondIN47374Wayne(765) 966-4000

PattersonNathanDDSPatterson Family Dentistry PC578 Geiger DrSte DRoanokeIN46783Huntington(260) 672-3347

PattersonRyanDDSPatterson Family Dentistry PC578 Geiger DrSte DRoanokeIN46783Huntington(260) 672-3347

LauMan-CheungDDSAspen Dental4900 Milan RdSanduskyOH44870Erie(419) 624-1120 BrownDesmonDDSAspen Dental206 West Ireland RoadSouth BendIN46614St Joseph (574) 299-1400 MyersChelseaDDSAspen Dental206 West Ireland RoadSouth BendIN46614St Joseph (574) 299-1400 Ogunnusi SofuyeModupeDMDAspen Dental206 West Ireland RoadSouth BendIN46614St Joseph (574) 299-1400

PaulWilliamDDSWilliam Paul, DDS (ORAL SURGERY ONLY) 926 E Lasalle AveSouth BendIN46617St Joseph (574) 233-7700

ShueMarkDDSAspen Dental658 Corwin Nixon Blvd South LebanonOH45065Warren(513) 494-3111 LynchKellyDDSTimothy and Kelly Lynch DDS PC202 N State StSouth WhitleyIN46787Whitley(260) 723-6632 LynchTimothyDDSTimothy and Kelly Lynch DDS PC202 N State StSouth WhitleyIN46787Whitley(260) 723-6632 WallaceVictorDDSAspen Dental 100 Mall DrSteubenvilleOH43952Jefferson(740) 264-7000 YangMei-LingDDSAspen Dental100 Mall DrSteubenvilleOH43952Jefferson(740) 264-7000 FarrkhAmanaDDSAspen Dental 3515 Hudson Dr StowOH44224Summit(330) 928-7674 Kulick LesyaDDSAspen Dental 3515 Hudson DrStow OH44224Summit(330) 928-7674 LindstromAaronDDSAspen Dental3515 Hudson Dr StowOH44224Summit(330) 928-7674 MaurerJamesDDSAspen Dental3515 Hudson Dr StowOH44224Summit(330) 928-7674 GuduguntlaChakradharDDSAspen Dental 16750 Royalton RdStrongsvilleOH44136Cuyahoga(440) 878-0770 MadulapallyShirishaDDSAspen Dental 16750 Royalton RdStrongsvilleOH44136Cuyahoga(440) 878-0770

Last Reviewed 6/30/2021

Last Revised 6/30/202114 of 16

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone LantzyStevenDDSCorner Dental Sylvania7640 West SylvaniaSylvaniaOH43560Lucas(419) 7242751 HelfertDonaldDDSAspen Dental3363 South US Hwy 41Terre HauteIN47802Vigo(812) 238-3900 LiangJong-RayDDSAspen Dental3363 South US Hwy 41Terre HauteIN47802Vigo(812) 238-3900 PrabhuSawanDDSAspen Dental3363 South US Hwy 41Terre HauteIN47802Vigo(812) 238-3900 WhalenSusanneDMDAspen Dental4440 South US Hwy 41Terre HauteIN47802Vigo(812) 238-3900 AdnanUzmaDDSTiffin Community Health Center1344 W Seneca AveTiffinOH44883Seneca(419) 445-8140 Kioko Jr.JuliusDDSTiffin Community Health Center1344 W Seneca AveTiffinOH44883Seneca(419) 445-8140 NagyAhmedDMDTiffin Community Health Center1344 W Seneca AveTiffinOH44883Seneca(419) 445-8140 PhanHuongDMDTiffin Community Health Center1344 W Seneca AveTiffinOH44883Seneca(419) 445-8140 SleimanDeenaDDSTiffin Community Health Center1344 W Seneca AveTiffinOH44883Seneca(419) 445-8140 BadamAlekhyaDDSAspen Dental4225 Talmadge Rd ToledoOH43623Lucas(419) 241-2800 Geisler-CalderonCatherineDDSAspen Dental4225 Talmadge Rd ToledoOH43623Lucas(419) 241-2800 Kioko Jr.JuliusDDSBulldog Health Center2400 Collingwood BlvdToledoOH43620Lucas(419) 442-7701 Kioko Jr.JuliusDDSEast Toledo Community Health Center2020 Starr AveToledoOH43605Lucas(567) 218-1900 Kioko Jr.JuliusDDSRams Health Center222 McTigue DrToledoOH43615Lucas(419) 442-7702 NagyAhmedDMDBulldog Health Center2400 Collingwood BlvdToledoOH43620Lucas(419) 442-7701 NagyAhmedDMDEast Toledo Community Health Center2020 Starr AveToledoOH43605Lucas(567) 218-1900 NagyAhmedDMDRams Health Center222 McTigue DrToledoOH43615Lucas(419) 442-7702 PhanHuongDMDBulldog Health Center2400 Collingwood BlvdToledoOH43620Lucas(419) 442-7701 PhanHuongDMDEast Toledo Community Health Center2020 Starr AveToledoOH43605Lucas(567) 218-1900 PhanHuongDMDRams Health Center222 McTigue DrToledoOH43615Lucas(419) 442-7702 SleimanDeenaDDSEast Toledo Community Health Center2020 Starr AveToledoOH43605Lucas(567) 218-1900 BalogunBolanleDDSAspen Dental2505 Laport AveSte 111ValparaisoIN46383Porter(219) 548-2400 MangiaracinaPhilipDMDAspen Dental2505 Laport AveSte 111ValparaisoIN46383Porter(219) 548-2400 MetzgerLaurenDDSAspen Dental 630 Kimmel RdVincennesIN47591Knox (812) 316-3100 PfauAlexDMDAspen Dental630 Kimmel RdVincennesIN47591Knox (812) 316-3100 DeaKyneKevinDDSBrush Dental 278 Manchester Ave WabashIN46992Wabash(260) 563-4065 HameedSaharDDSBrush Dental 278 Manchester Ave WabashIN46992Wabash(260) 563-4065 RichterJoeDDSJoe E Richter DDS832 Manchester Ave WabashIN46992Wabash (260) 563-6332

ColclasureAbigailDMDWarren Family Dentistry 470 Bennett Dr Ste CWarrenIN46792Huntington(260) 375-2246

ColclasureZacharyDMDWarren Family Dentistry 470 Bennett Dr Ste CWarren IN46792Huntington(260) 375-2626

Delvasto JennyferDDSOrange Door Dental Group of Warsaw 1299 Husky Trail WarsawIN46582Kosciusko(574) 269-1200

DixonMichael DDSAspen Dental 530 W 300 NWarsawIN46582Kosciusko(574) 267-1804 HeselbarthJeniDDSAegis Dental Group Warsaw1005 Anchorage RdWarsawIN46580Kosciusko(574) 549-9940

Johnson Gabrielle DDSOrange Door Dental Group of Warsaw 1299 Husky Trail WarsawIN46582Kosciusko(574) 269-1200

KleinrichertToddDDSAegis Dental Group Warsaw1005 Anchorage RdWarsawIN46580Kosciusko(574) 549-9940 MooreGuyDDSAegis Dental Group Warsaw1005 Anchorage RdWarsawIN46580Kosciusko(574) 549-9940 SawAbeDDSOrange Door Dental Group of Warsaw 1299 Husky Trail WarsawIN46592Kosciusko(574) 269-1200 SitjarJenniferDDSAspen Dental530 W 300 NWarsawIN46582Kosciusko(574) 267-1804

Last Reviewed 6/30/2021

Last Revised 6/30/202115 of 16

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2021

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME** Last NameFirst NameTitleGroup NameAddressSuiteCity StateZipcountyPhone

WilligChristiaanDDSOrange Door Dental Group of Warsaw 1299 Husky Trail Warsaw IN46582Kosciusko(574) 269-1200

EdenNatalieDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 16407 South Park Drive #aWestfield IN46074Westfield(317) 845-7878

KhandekarAnaghaDDSAspen Dental387 Burbank RdWoosterOH44691Wayne(330) 262-8383 NguyenKariDDSAspen Dental1320 Boardman Poland RdYoungstownOH44514Mahoning(330) 629-8829 MeierMelissaDDSAspen Dental3941 Taryn TraceZanesville OH43701Muskingum(740) 453-5100

ButtrumJeffreyDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10801 N MichiganSte 201ZionsvilleIN46077Boone(317) 733-0926

HanzlikLaurenDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10801 N MichiganSte 201ZionsvilleIN46077Boone(317) 733-0926

HockemaJohnDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10801 N MichiganSte 201ZionsvilleIN46077Boone(317) 733-0926

KirkupChristopherDDSIndiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10801 N MichiganSte 201ZionsvilleIN46077Boone(317) 733-0926

Last Reviewed 6/30/2021

Last Revised 6/30/202116 of 16