Directory of Participating Dentists Kansas City Metro Area Dental List 2015.pdf · Directory of...
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Transcript of Directory of Participating Dentists Kansas City Metro Area Dental List 2015.pdf · Directory of...
Directory of Participating Dentists – Kansas City Metro Area
As a subscriber covered under Surency Dental’s PPO network, you have the freedom to obtain treatment from any licensed dentist of your choice. In order to maximize your benefits under this program and have less out‐of‐pocket expense, In‐Network dentists should be used to provide your dental services. An In‐Network dentist or a Surency Participating Provider is defined as a licensed dentist who has signed a participating dentist agreement directly with Surency or who has signed a provider contract with a network leasing organization that Surency has contracted with. Participating Dentist (In‐Network)* All dentists in this directory are In‐Network and are available for your use. Surency Life and Health utilizes the DenteMax network and the Maverest Dental Network , in addition to the Surency Dental network, to offer our members additional access to providers. Direct payments will be made to the dentist based on the appropriate network fee schedule. Non‐Participating Dentist (Out‐of Network) As a subscriber covered under the Surency Dental PPO program, you have the freedom to obtain treatment from any licensed dentists of your choice. If you choose to see a dentist who is not a provider with Surency, payment will be made at an out‐of‐network level which may be lower. You will receive payment directly from Surency, and you will be responsible for all dentist charges. The network is always expanding and is subject to change. To verify participation in the network, ask your dentist prior to your visit if he/she participates with Surency, DenteMax or Maverest, visit our website at www.surency.com, or call our customer service department toll free at 1‐866‐818‐8805.
Specialty Code Definitions GP ‐ General Practitioner EN ‐ Endodontist OS ‐ Oral Surgeon OR ‐ Orthodontist PD ‐ Pediatric Dentist PR ‐ Periodontist PS ‐ Prosthodontist
Surency Life and Health Insurance Company 1619 N. Waterfront Parkway
P.O. Box 789773 Wichita, KS 67278‐9773
*A Participating Dentist is solely responsible for the dental care provided to any patient and Surency Life & Health Insurance Company does not
control the detail, manner or methods by which the Participating Dentist provides dental care. Surency Life & Health Insurance Company and
Participating Dentists do not have a relationship of employer and employee nor of principal and agent. No such relationship other than that of
independent parties contracting with each other solely for the purpose of Participating Dentists provision of dental care to Surency Dental PPO
members may be deemed to exist. DenteMax Participating Dentists are contracted directly with DenteMax and will be paid from the
DenteMax fee schedule that applies to his/her contract with DenteMax. Maverest Participating Dentists are contracted directly with Maverest
and will be paid from the Maverest fee schedule that applies to his/her contract with Maverest.
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Aarons Kurt 4411 Belleview Ave Kansas City MO 64111 (816) 531-2070 PD
Adams Robert 501 South Hughes Hamilton MO 64644 (816) 583-2750 GP
Adjemian Maria Del 6651 North Oak Trafficway, Suite 8 Gladstone MO 64118 (816) 468-6767 GP
Adjemian Arsen 5713 Northwest 64th Terrace Kansas City MO 64151 (816) 587-2400 GP
Afzali Mojan 511 SW Jefferson Lees Summit MO 64063 (816) 554-7720 GP
Ahmad Yousaf 940 NW Blue Pkwy Ste A Lees Summit MO 64086 (816) 524-5752 GP
Ahmed Saher 13430 W 62nd Ter Shawnee KS 66216 (913) 962-4400 GP
Al Jumaili Ali 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 GP
Al Jumaili Ali 13316 Metcalf Ave Overland Park KS 66213 (913) 741-5113 GP
Al Jumaili Ali 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP
Al Jumaili Ali 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP
Al Salman Abdulmola 5950 North Oak Trafficway, Suite 103 Gladstone MO 64118 (816) 436-5558 PS
Al Salman Rajiha 5950 North Oak Trafficway, Suite 103 Gladstone MO 64118 (816) 436-5558 GP
Alexander Ronald 17201 E US Highway 40, Ste 102 Independence MO 64055 (816) 478-2036 GP
Alexander Craig 450 South Parker Olathe KS 66061 (913) 829-1438 GP
Allen Gregory 3916 South Lynn Court Independence MO 64055 (816) 254-2345 OS
Allen Gregory 1010 Carondelet Drive, Suite 316 Kansas City MO 64114 (816) 941-0000 OS
Allen Iii Charles 751 East 63rd Street, Suite 404 Kansas City MO 64110 (816) 333-4411 GP
Altenburg Stephanie 5571 Northwest Barry Road Kansas City MO 64154 (816) 587-0600 GP
Altenburg Timothy 5571 Northwest Barry Road Kansas City MO 64154 (816) 587-0600 GP
Anderson Justin 831 Vermont St Lawrence KS 66044 (785) 843-6060 GP
Anderson Eugene 13010 Fuller Avenue Grandview MO 64030 (816) 966-0202 GP
Anderson Farrah 1619 W 24 Hwy Independence MO 64050 (816) 461-0055 GP
Anderson Jeffrey 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 GP
Anderson Thomas 4911 South Arrowhead Drive, Suite 202 Independence MO 64055 (816) 373-4440 GP
Anderson Clifford 4240 Blue Ridge Boulevard, Suite 800 Kansas City MO 64133 (816) 353-7200 PD
Anderson Clifford 915 Southwest Lemans Lane Lees Summit MO 64082 (816) 623-3055 PD
Anderson Jeffrey 13541 Madison Ave Kansas City MO 64145 (816) 942-0033 GP
Anderson Linda 823 Northeast Lakewood Boulevard Lees Summit MO 64064 (816) 478-0909 GP
Anderson Thomas 1000 Walnut Street, Suite 210 Kansas City MO 64106 (816) 421-6667 GP
Anderson Thomas 411 Nichols Road, Suite 231 Kansas City MO 64112 (816) 531-3439 GP
Anderson Farrah 18130 West 119th Street Olathe KS 66061 (913) 948-7711 GP
Anderson Jeffrey 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP
Ang Dan 9233 Ward Parkway, Suite 330 Kansas City MO 64114 (816) 444-8822 PR
Applegate Shelby 3908 South Noland Road Independence MO 64055 (816) 461-2273 GP
Applegate Shelby 651 E US Highway 24 Independence MO 64050 (816) 461-6911 GP
Applegate Shelby 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP
Applegate Shelby 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 GP
Applegate Shelby 9600 East Highway 350 Raytown MO 64133 (816) 356-2273 GP
Arnett Michael 2119 Minnesota Avenue Kansas City KS 66102 (913) 621-3113 GP
Arora Kirandeep 8650 W 95th St Ste 2 Overland Park KS 66212 (913) 642-0031 GP
Asandra Luckana 12 Westwoods Dr, Ste A Liberty MO 64068 (816) 781-0993 GP
Ash Scott 651 East US Highway 24 Independence MO 64050 (816) 461-6911 GP
Ash Scott 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 GP
Ash Scott 9600 E State Route 350 Raytown MO 64133 (816) 356-2273 GP
Ashbaugh Jonas 3908 South Noland Road Independence MO 64055 (816) 461-2273 GP
Ashbaugh Jonas 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP
Ashley David 1520 E 23rd St S Ste Q Independence MO 64055 (816) 252-9190 GP
Page 1 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Ashley David 519 South Main Street Concordia MO 64020 (660) 463-2264 GP
Augustyn Mary 1212 SW Luttrell Rd Blue Springs MO 64015 (816) 525-7155 GP
Augustyn Mary 521 Southeast Second Street, Suite B Lees Summit MO 64063 (816) 525-7155 GP
Augustyn Mary 14109 Overbrook Road, Suite A Leawood KS 66224 (913) 851-1018 GP
Avondet Robert 1525 South 7 Highway Blue Springs MO 64014 (816) 224-0088 GP
Ayer Dennis 6651 North Oak Traffic Way, Suite 8 Kansas City MO 64118 (816) 468-6767 GP
Ayer Dennis 11150 Pflumm Road Lenexa KS 66215 (913) 439-1800 GP
Bagby Mark 7301 Mission Rd, Ste 240 Prairie Village KS 66208 (913) 642-1999 GP
Bagby Thomas 6610 Parallel Parkway Kansas City KS 66102 (913) 299-4100 GP
Bagley Amy 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Bahr Carl 651 East US Highway 24 Independence MO 64050 (816) 461-0300 OR
Bahr Craig 651 East US Highway 24 Independence MO 64050 (816) 461-0300 OR
Bahr Carl 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 OR
Bahr Carl 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 OR
Bahr Craig 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 OR
Bahr Craig 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 OR
Bailey Fred 5420 Northeast Antioch Road Kansas City MO 64119 (816) 452-9700 GP
Bailey Weltman 4301 Paseo Boulevard Kansas City MO 64110 (816) 924-1190 GP
Bailey Jaden 2933 S 47th St Kansas City KS 66106 (913) 677-1004 GP
Baker Caryn 2300 Hutton Road, Suite 102 Kansas City KS 66109 (913) 721-3525 GP
Baraban Paul 6351 West 110th Street Overland Park KS 66211 (913) 451-8300 GP
Barden Dennis 301 E Main St Osawatomie KS 66064 (913) 755-3014 GP
Barreca Christopher 9500 E 63rd St Ste 103 Raytown MO 64133 (816) 737-1110 GP
Baxter John 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 OR
Baxter John 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 OR
Baxter John 10818 Parallel Pkwy Kansas City KS 66109 (913) 299-8860 OR
Bazar Edward 1771 Northwest Burdett Crossing Blue Springs MO 64015 (816) 228-0001 GP
Bazar Edward 1301 S W Arborwalk Blvd, Suite E Lees Summit MO 64082 (816) 228-0001 GP
Beard Mark 6 Victory Ln, Ste 1 Liberty MO 64068 (816) 781-7280 GP
Beard Rodney 6 Victory Ln, Ste 1 Liberty MO 64068 (816) 781-7280 GP
Beard Mark 4746 Belleview Ave Kansas City MO 64112 (816) 531-8740 GP
Beck Suzanne 8603 North Oak Trafficway Kansas City MO 64155 (816) 436-8338 GP
Beck David 3741 SW Raintree Dr Lees Summit MO 64082 (816) 875-3339 GP
Beck Suzanne 3741 SW Raintree Dr Lees Summit MO 64082 (816) 875-3339 GP
Beckman Jason 4911 South Arrowhead Drive, Suite 202 Independence MO 64055 (816) 373-4440 GP
Beckman Jason 1000 Walnut Street, Suite 210 Kansas City MO 64106 (816) 421-6667 GP
Beckman Jason 411 Nichols Road, Suite 231 Kansas City MO 64112 (816) 531-3439 GP
Bednarczyk Daniel 11164 S Noble Dr Ste 103 Olathe KS 66061 (913) 829-7000 GP
Behrens Deeann 6420 Parallel Ave Kansas City KS 66102 (913) 299-6699 GP
Belfield James 15220 West 87th Street Lenexa KS 66219 (913) 888-0005 GP
Bell Nicholas 5750 Antioch Rd Merriam KS 66202 (913) 671-7066 GP
Bell Nicholas 13316 Metcalf Ave Overland Park KS 66213 (913) 851-5110 GP
Bell Nicholas 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP
Bell Nicholas 10818 Parallel Pkwy Kansas City KS 66109 (913) 299-8860 GP
Bellafiore Joseph 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Bellafiore Joseph 5314 East 115 Street Kansas City MO 64137 (816) 761-2878 GP
Bellafiore Joseph 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP
Beltgens Natalie 1730 South 7 Highway Blue Springs MO 64014 (816) 228-8400 GP
Page 2 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Berkvam Dawn 1010 Walnut St Ste 280 Kansas City MO 64106 (816) 474-9131 GP
Berkvam Dawn 1010 Carondelet Drive, Suite 316 Lenexa KS 66220 (913) 254-1300 GP
Berry Michael 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 PD
Berry Michael 13541 Madison Ave Kansas City MO 64145 (816) 942-0033 PD
Berry Ellen 407 S Clairborne Rd, Ste 104 Olathe KS 66062 (913) 648-2266 GP
Berry Ellen 7171 W 95th St, Ste 100 Shawnee Mission KS 66212 (913) 433-7582 GP
Berry Ellen 25955 W 327th St Paola KS 66071 (913) 294-9223 GP
Berry Michael 6004 North 9 Highway Parkville MO 64152 (816) 746-5437 PD
Bevan Jon 450 South Parker Olathe KS 66061 (913) 829-1438 GP
Bhoot Sonal 1212 SW Luttrell Rd Blue Springs MO 64015 (816) 525-7155 GP
Bhoot Sonal 521 Southeast Second Street, Suite B Lees Summit MO 64063 (816) 525-7155 GP
Bhoot Sonal 14109 Overbrook Road, Suite A Leawood KS 66224 (913) 851-1018 GP
Biggs Nathan 13031 Kansas Avenue Bonner Springs KS 66012 (913) 441-1600 GP
Bikson Bruce 11150 Pflumm Road, Suite 100 Lenexa KS 66215 (913) 317-6453 GP
Bikson Bruce 11737 College Blvd Overland Park KS 66210 (913) 317-6453 GP
Biria Firoozeh 14364 Metcalf Ave Overland Park KS 66223 (913) 499-1111 GP
Bishop Charles 7211 NW 83rd St Ste 120 Kansas City MO 64152 (816) 587-9170 GP
Blacker Mitchell 11208 Quincy Ave Kansas City MO 64137 (816) 763-8400 GP
Blackwell Daniel 10 Northwest Chipman Road Lees Summit MO 64063 (816) 524-6525 OR
Boe Irwin 10346 State Line Rd Leawood KS 66206 (913) 341-2292 GP
Boe Irwin 5940 Lamar Ave Mission KS 66202 (913) 341-2292 GP
Boe Irwin 8650 W 95th St Ste 2 Overland Park KS 66212 (913) 964-0031 GP
Boe Irwin 13430 W 62nd Ter Shawnee KS 66216 (913) 962-4400 GP
Boe Irwin 21 West Wea Street Paola KS 66071 (913) 557-3333 GP
Boles Nathan 1100 Northwest Jefferson Court Blue Springs MO 64015 (816) 229-3828 GP
Bono Vincent 113 Blue Jay Drive, Suite 202 Liberty MO 64068 (816) 792-4080 GP
Boomsaad Oscar 121 North Chester Olathe KS 66061 (913) 782-4449 GP
Bowden Samuel 5321 West 151St Street Leawood KS 66224 (913) 851-9969 GP
Bowden Samuel 1258 West Amity Road Louisburg KS 66053 (913) 851-9969 GP
Boyce Kyle 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP
Boyce Kyle 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP
Boyce Kyle 940 NW Blue Pkwy Ste A Lees Summit MO 64086 (816) 524-5752 GP
Boyce Kyle 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP
Boydston Harry 4601 West 109th, Suite 322 Overland Park KS 66211 (913) 491-3395 GP
Bratton Sara 10803 E State Route 350 Raytown MO 64138 (405) 286-9024 GP
Brent Sarah 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP
Brent Sarah 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP
Brewer Timothy 13100 W 87th Street Parkway Lenexa KS 66215 (913) 248-8880 GP
Brinckman Dayna 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Brinckman Dayna 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP
Britt David 1771 NW Burdett Xing Blue Springs MO 64015 (816) 228-0001 GP
Brobst Edward 6301 North Oak Trafficway, Suite 201 Glasdstone MO 64118 (816) 413-8285 GP
Brotherson Stephen 4116 Strong Avenue Kansas City KS 66106 (913) 831-1212 GP
Brower Harold 20 NW Chipman Rd, Ste 100 Lees Summit MO 64063 (816) 525-5656 GP
Brower Todd 20 NW Chipman Rd, Ste 100 Lees Summit MO 64063 (816) 525-5656 GP
Brown James 3908 South Noland Road Independence MO 64055 (816) 461-2273 GP
Brown James 651 E US Highway 24 Independence MO 64050 (816) 461-6911 GP
Brown James 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP
Page 3 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Brown Melissa 11150 Pflumm Road, Suite 100 Lenexa KS 66215 (913) 317-6453 GP
Brown Rachelle 13100 W 87th Street Parkway Lenexa KS 66215 (913) 248-8880 GP
Brown Ghoston Vermelle 7450 Quivira Rd Lenexa KS 66216 (913) 217-7536 GP
Bruner Hugh 4860 College Boulevard, Suite 114 Overland Park KS 66211 (913) 469-1612 PR
Bruns Bernard 5501 NW 62nd Ter Ste 101 Kansas City MO 64151 (816) 741-6960 GP
Bulleigh Chad 8600 West 95th Street Overland Park KS 66212 (913) 962-7223 OR
Bulleigh Chad 6804 Silverheel Street Shawnee KS 66226 (913) 962-7223 OR
Bunton James 4636 Wyandotte St, Ste 200 Kansas City MO 64112 (816) 753-2664 GP
Bunton Ryan 4635 Wyandotte St, Ste 200 Kansas City MO 64112 (816) 753-2664 GP
Burch James 514 South Noland Road, Suite 140 Independence MO 64050 (816) 833-2124 GP
Burch James 7611 State Line Road, Suite 145 Kansas City MO 64114 (816) 822-0990 GP
Burgess Barry 4461 Indian Creek Pkwy Overland Park KS 66207 (913) 642-4070 GP
Burk Kurt 4104 Northeast Vivion Road Kansas City MO 64119 (816) 452-8700 GP
Burleson Amy 4135 N Mulberry Dr Kansas City MO 64116 (816) 741-5311 PD
Burleson Dustin 4135 N Mulberry Dr Kansas City MO 64116 (816) 741-5311 OR
Burleson Dustin 4151 N Mulberry Dr Ste 210 Kansas City MO 64116 (816) 741-5311 OR
Burneson James 9150 Northeast Barry Road, Suite B Kansas City MO 64157 (816) 792-3500 GP
Burris Todd 7070 Renner Road, Suite 202 Shawnee Mission KS 66217 (913) 268-0888 GP
Burrow Matthew 15953 West 65th Street Shawnee KS 66217 (913) 248-8200 GP
Busch William 2000 Swift Street North Kansas City MO 64116 (816) 471-2911 GP
Call Kasey 4700 Belleview, Suite L 10 Kansas City MO 64112 (816) 561-1115 OS
Call Kasey 7577 Northwest Barry Road, Suite B Kansas City MO 64153 (816) 741-8999 OS
Cantrell Edward 601 North Mur Len Road, Suite 9 Olathe KS 66062 (913) 764-9191 GP
Carr Mark 312 N Walnut St Cameron MO 64429 (816) 632-5812 GP
Casa Adela 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP
Casey Joanna 125 East Park Street Olathe KS 66061 (913) 782-7580 GP
Casper Roger 506 Northwest Murray Road Lees Summit MO 64081 (816) 525-5414 GP
Castaneda Alberto 21620 Midland Dr Shawnee KS 66218 (913) 268-1337 GP
Castellano Anthony 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP
Catallozzi Nicholas 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP
Catallozzi Nicholas 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP
Cates Iii Thomas 4437 S River Blvd Ste 110 Independence MO 64055 (816) 350-9988 GP
Caye Stephen 105 N Stewart Ct Ste 140 Liberty MO 64068 (816) 792-4455 GP
Champen Washing April 620 W 23rd St Independence MO 64055 (816) 254-3382 GP
Champen Washing April 1524 White Avenue Kansas City MO 64126 (816) 418-3670 GP
Champen Washing April 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP
Champen Washing April 811 A South Highway 13 Lexington MO 64067 (660) 259-3823 GP
Chang Youngjune 6708 State Avenue Kansas City KS 66102 (913) 299-8554 GP
Childers Logan 12600 East 40 Highway, Suite 200 Independence MO 64055 (816) 478-4202 PD
Christensen David 7111 Northwest 86th Street Kansas City MO 64153 (816) 741-1155 OR
Christian Nikki 2121 Summit St Kansas City MO 64108 (816) 471-0900 GP
Chung Julia 1619 W 24 Hwy Independence MO 64050 (816) 461-0055 GP
Ciminieri Jason 11111 Nall Ave Ste 100 Leawood KS 66211 (913) 491-4900 GP
Claassen Robert 301 E Armour Blvd Ste 316 Kansas City MO 64111 (816) 756-5600 GP
Clabaugh Richard 651 East US Highway 24 Independence MO 64050 (816) 461-0300 OR
Clabaugh Richard 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 OR
Clabaugh Richard 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 OR
Claiborne Ronald 5316 East 115th Kansas City MO 64137 (816) 763-0511 GP
Page 4 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Clark Artis 751 E 63rd St Ste 200 Kansas City MO 64110 (816) 333-4110 GP
Clark Evelyn 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Clark Evelyn 6724 Troost Ste 407 Kansas City MO 64131 (816) 523-1414 GP
Clemons Trevor 11221 Shawnee Mission Parkway Shawnee KS 66203 (913) 236-8899 GP
Cohen Seth 11005 West 60th Street, Suite 240 Shawnee KS 66203 (913) 631-5622 GP
Cohen Seth 2933 S 47th St Kansas City KS 66106 (913) 677-1004 GP
Colgan Daniel 115 Blue Jay Drive, Suite 104 Liberty MO 64068 (816) 781-7123 GP
Collier Kirk 12208 West 87th Street Parkway, Suite 150 Lenexa KS 66215 (913) 541-1888 OS
Collier Kirk 1441 East 151st, Suite 2 Olathe KS 66062 (913) 782-1529 OS
Collier Kirk 3700 West 83rd, Suite 103 Prairie Village KS 66208 (913) 381-5194 OS
Collins Latedra 620 W 23rd St Independence MO 64055 (816) 254-3382 GP
Collins Latedra 1524 White Avenue Kansas City MO 64126 (816) 418-3670 GP
Collins Latedra 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP
Collins Latedra 811 A South Highway 13 Lexington MO 64067 (660) 259-3823 GP
Combs Melissa 209 Northeast Barry Road Kansas City MO 64155 (816) 436-6767 PR
Combs Melissa 411 Nichols Road, Suite 236 Kansas City MO 64112 (816) 753-0202 PR
Combs Melissa 3355 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 525-4867 PR
Combs Melissa 11401 Nall Avenue Leawood KS 66211 (913) 663-4867 PR
Cook Lewis 1734 East 63rd Street, Suite 401 Kansas City MO 64110 (816) 523-4444 GP
Cook Lewis 9600 E State Route 350 Raytown MO 64133 (816) 356-2273 GP
Cook Jay 4601 W 109th St Ste 320 Overland Park KS 66211 (913) 381-2600 GP
Cottrell Michael 1200 Northwest Jefferson Court Blue Springs MO 64015 (816) 228-3688 GP
Cottrell Michael 19401 East 40 Highway, Suite 155 Independence MO 64055 (816) 795-5620 GP
Cottrell Michael 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP
Cottrell Michael 819 Walnut Street, Suite 101 Kansas City MO 64016 (816) 421-6065 GP
Courtney Gary 842 N Main St Lansing KS 66043 (913) 682-5615 GP
Craig Aaron 1100 NW Jefferson Ct Blue Springs MO 64015 (816) 229-3828 GP
Craven Bobby 212 South St Excelsior Spgs MO 64024 (816) 637-8112 OR
Craven Bobby Westowne V Ste 502 Liberty MO 64068 (816) 781-2255 OR
Craven Scott 5000 West 95th Street, Suite 300 Prairie Village KS 66207 (913) 649-0310 GP
Crawford Oran 516 E 63rd St Kansas City MO 64110 (816) 523-4455 GP
Crist Frank 11401 Nall Avenue Leawood KS 66211 (913) 649-5437 OR
Crist Loren 7577 Northwest Barry Road, Suite A Kansas City MO 64153 (816) 746-1200 OR
Crooker Gregory 2933 S 47th St Kansas City KS 66106 (913) 677-1004 GP
Crowder Richard 14922 West 87th Street Lenexa KS 66215 (913) 322-2222 GP
Crumbaugh Jennifer 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 GP
Crumbaugh Jennifer 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP
Culp Steven 1854 Minnesota Avenue, Suite 3 Kansas City KS 66102 (913) 371-1474 GP
Cummings Kevin 401 SW Ward Rd Ste 204 Lees Summit MO 64081 (816) 246-1003 GP
Cummings Tabitha 13643 Holmes Road, Suite A Kansas City MO 64145 (816) 941-7788 GP
Cunningham Kevin 11900 West 87th Street Parkway, Suite 160 Lenexa KS 66215 (913) 599-0888 EN
Daifallah Thaer 831 Vermont St Lawrence KS 66044 (785) 843-6060 GP
Dale Gregory 2109 NE 72nd St, Ste 101 Kansas City MO 64118 (816) 452-3420 GP
Dallal Nadeem 12611 Antioch Road Overland Park KS 66213 (913) 685-9111 GP
Dallal Nadeem 5125 Roe Blvd Ste 100 Roeland Park KS 66920 (913) 831-4300 GP
Dallam Edward 5000 West 95th Street, Suite 300 Prairie Village KS 66207 (913) 649-0310 GP
Darling Robin 1508 NW Mock Ave Ste A Blue Springs MO 64015 (816) 224-9444 GP
Davis Brian 9918 Holmes Road, Suite B Kansas City MO 64131 (816) 943-0003 GP
Page 5 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Davis Robert 6530 Raytown Rd Ste F Raytown MO 64133 (816) 358-0800 GP
Davis Carter 6540 W 95th St Ste 2 Overland Park KS 66212 (913) 381-3033 GP
Day Emily 7381 W 133rd St, Ste 303 Shawnee Mission KS 66213 (913) 239-0713 PD
Day Mollie 407 S Clairborne Rd, Ste 104 Olathe KS 66062 (913) 648-2266 GP
Day Mollie 7171 W 95th St, Ste 100 Shawnee Mission KS 66212 (913) 433-7582 GP
Day Mollie 25955 W 327th St Paola KS 66071 (913) 294-9223 GP
De Laurent Guerschon 2328 Armour Road North Kansas City MO 64116 (816) 472-5660 GP
Deakins John 6 Victory Ln, Ste 1 Liberty MO 64068 (816) 781-7280 GP
Deay Robert 4121 W 83rd St, Ste 239 Prairie Village KS 66208 (913) 385-5950 GP
Demskey Dennis 13905 E Noland Ct Independence MO 64055 (816) 461-2916 GP
Demskey Dennis 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Derenzy Brook 2 Westwood Drive Liberty MO 64068 (816) 781-1430 GP
Deskin Ronald 2029 Burlington St, Ste 3 N Kansas City MO 64116 (816) 421-3437 GP
Deskin Ronald 10616 W 87th St Overland Park KS 66214 (913) 888-9399 GP
Deskin Ronald 1121 N 5th St Kansas City KS 66101 (913) 233-2900 GP
Deutch Michelle 8575 West 110 Street, Suite 326 Overland Park KS 66210 (913) 469-0085 GP
Dighton Steven 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP
Dimas Theodore 688 SE Bayberry Ln Ste 101 Lees Summit MO 64063 (816) 524-3282 GP
Dimas Theodore 4121 W 83rd St Ste 230 Prairie Village KS 66208 (913) 649-1171 GP
Dixson James 1508 North East 96th Street, Suite A Liberty MO 64068 (816) 415-8080 GP
Dolson Mark 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 GP
Dolson Mark 9600 E State Route 350 Raytown MO 64133 (816) 356-2273 GP
Doshi Anjali 10818 Parallel Pkwy Kansas City KS 66109 (913) 299-8860 GP
Dostal Michael 5408 Roberts Street Shawnee KS 66226 (913) 322-6455 GP
Dotson Peter 411 Nichols Road, Suite 257 Kansas City MO 64112 (816) 931-3636 GP
Doyle William 5370 College Boulevard, Suite 120 Overland Park KS 66211 (913) 469-6555 PD
Draper Mathew 3908 South Noland Road Independence MO 64055 (816) 461-2273 GP
Draper Mathew 651 E US Highway 24 Independence MO 64050 (816) 461-6911 GP
Draper Mathew 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP
Draper Mathew 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 GP
Draper Mathew 9600 East Highway 350 Raytown MO 64133 (816) 356-2273 GP
Driscoll Rachel 1170 W Kansas St, Ste R Liberty MO 64068 (816) 715-1000 GP
Drumright Desch Leanne 10818 Parallel Pkwy Kansas City KS 66109 (913) 299-8860 OR
Drumright-Desch Leanne 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP
Duello Daniel 230 Northeast Tudor Road Lees Summit MO 64086 (816) 524-4343 GP
Dye James 4240 Blue Ridge Boulevard Kansas City MO 64133 (816) 353-5038 GP
Dyer Chenoweth Diane 7501 Mission Road, Suite N11 Prairie Village KS 66208 (913) 383-9338 GP
Dykhouse David 1300 South Outer Road Blue Springs MO 64015 (816) 229-0444 OR
Dykhouse Vance 1300 South Outer Road Blue Springs MO 64015 (816) 229-0444 OR
Earp Caryl 11132 S Lone Elm Rd Olathe KS 66061 (913) 780-0011 GP
Echols Kurt 22450 South Harrison Street, Suite 102 Spring Hill KS 66083 (913) 592-4149 GP
Eckenberg Robert 13031 Kansas Avenue Bonner Springs KS 66012 (913) 441-1600 GP
Edgington Blair 4746 Belleview Ave Kansas City MO 64112 (816) 531-8740 GP
Ediger Gordon 13450 Roe Avenue Leawood KS 66209 (913) 345-2929 GP
Eichenlaub Mark 4121 W 83rd St, Ste 224 Prairie Village KS 66208 (913) 649-9300 GP
Engel Gene 11111 Nall Ave Ste 100 Leawood KS 66211 (913) 381-9200 GP
Engelmann Lori 4300 West 133rd Street, Suite 100 Leawood KS 66209 (913) 451-0006 GP
Ennis Robert 3916 South Lynn Court Independence MO 64055 (816) 254-2345 OS
Page 6 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Ennis Robert 1010 Carondelet Drive, Suite 316 Kansas City MO 64114 (816) 941-0000 OS
Euler George 8361 N Congress Ave Kansas City MO 64152 (816) 505-3636 EN
Evans Joseph 1129C W Kansas St Ste C Liberty MO 64068 (816) 781-1224 GP
Faerber John 4121 West 83rd Street, Suite 245 Prairie Village KS 66208 (913) 648-6694 GP
Fain Douglas 12208 W 87th Street Pkwy Ste 150 Lenexa KS 66215 (913) 541-1888 OS
Fain Douglas 1441 East 151st, Suite 2 Olathe KS 66062 (913) 782-1529 OS
Fain Douglas 3700 W 83rd St Ste 203 Prairie Village KS 66208 (913) 381-5194 OS
Farahani Mahdokht 2141 East 151St Street Olathe KS 66062 (913) 764-1018 GP
Fasbinder John 3700 West 83rd Street, Suite 109 Prairie Village KS 66208 (913) 341-6767 GP
Feagan Lonnie 10800 E 77th Ter Raytown MO 64138 (816) 358-1122 GP
Fechner Robert 5750 Antioch Rd Shawnee Mission KS 66202 (913) 671-7066 GP
Fechner Robert 10818 Parallel Pkwy Kansas City KS 66109 (913) 299-8860 GP
Feldhaus Gerard 415 East 69 Highway Claycomo MO 64119 (816) 454-0377 PD
Fender Roger 519 SW 3rd St, Ste G Lees Summit MO 64063 (816) 524-3434 GP
Fisher Perdita 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Fisher Erica 6300 North Revere, Suite 210 Kansas City MO 64151 (816) 505-9767 GP
Fisher Kristy 6300 North Revere, Suite 210 Kansas City MO 64151 (816) 505-9767 GP
Fleming James 1819 Wyandotte Street Kansas City MO 64108 (816) 841-0206 GP
Forbes Matthew 5830 Nall Avenue, Suite 1 Mission KS 66202 (913) 432-3112 GP
Forbes Matthew 6852 Silverheel Street Shawnee Mission KS 66226 (913) 721-6477 GP
Francois Scott 10 Northwest Chipman Road Lees Summit MO 64063 (816) 524-6525 OR
Freeland Gary 912 E 63rd St Kansas City MO 64110 (816) 523-2221 GP
Freytag Larissa 110 S 6th St Atchison KS 66002 (913) 469-9191 OR
Freytag Larissa 216 W 13th St Ottawa KS 66067 (913) 469-9191 OR
Freytag Larissa 15060 S Blackbob Rd Olathe KS 66062 (913) 469-9191 OR
Freytag Larissa 11940 Quivira Rd Overland Park KS 66213 (913) 469-9191 OR
Freytag Larissa 8764 W 151st St Overland Park KS 66221 (913) 469-9191 OR
Freytag Larissa 4026 W 83rd St Prairie Village KS 66208 (913) 469-9191 OR
Freytag Larissa 12125 Shawnee Mission Pkwy Shawnee KS 66216 (913) 469-9191 OR
Friend William 10301 East 61st street Raytown MO 64133 (816) 353-0742 GP
Fry Jeremy 110 S 6th St Atchison KS 66002 (913) 469-9191 OR
Fry Jeremy 2109 NE 72nd St Ste 103 Gladstone MO 64118 (913) 469-9191 OR
Fry Jeremy 216 W 13th St Ottawa KS 66067 (913) 469-9191 OR
Fry Jeremy 15060 S Blackbob Rd Olathe KS 66062 (913) 469-9191 OR
Fry Jeremy 11940 Quivira Rd Overland Park KS 66213 (913) 469-9191 OR
Fry Jeremy 8764 W 151st St Overland Park KS 66221 (913) 469-9191 OR
Fry Jeremy 4026 W 83rd St Prairie Village KS 66208 (913) 469-9191 OR
Fry Jeremy 12125 Shawnee Mission Pkwy Shawnee KS 66216 (913) 469-9191 OR
Fry Jeremy 700 Branch St Ste 7 Platte City MO 64079 (913) 469-9191 OR
Gaik Richard 8568 Church Road Kansas City MO 64157 (816) 792-0801 GP
Galea James 110 S 6th St Atchison KS 66002 (913) 469-9191 OR
Galea James 216 W 13th St Ottawa KS 66067 (913) 469-9191 OR
Galea James 15060 S Blackbob Rd Olathe KS 66062 (913) 469-9191 OR
Galea James 11940 Quivira Rd Overland Park KS 66213 (913) 469-9191 OR
Galea James 8764 W 151st St Overland Park KS 66221 (913) 469-9191 OR
Galea James 4026 W 83rd St Prairie Village KS 66208 (913) 469-9191 OR
Galea James 12125 Shawnee Mission Pkwy Shawnee KS 66216 (913) 469-9191 OR
Gallagher Creighton 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP
Page 7 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Gallagher Creighton 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP
Galvin Shelly 9241 North Oak Trafficway Kansas City MO 64155 (816) 436-2525 GP
Galvin Shelly 4527 Rainbow Boulevard Kansas City KS 66103 (913) 432-0765 GP
Garcia Melinda 9241 North Oak Trafficway Kansas City MO 64155 (816) 436-2525 GP
Garcia Melinda 4527 Rainbow Boulevard Kansas City KS 66103 (913) 432-0765 GP
Gardner Donna 11016 Quivira Rd Overland Park KS 66210 (913) 469-8010 GP
Garner Justin 1126 Northeast Coronado Drive, Suite 109 Blue Springs MO 64014 (816) 229-4527 GP
Garrison Helen 8603 North Oak Trafficway Kansas City MO 64155 (816) 436-8338 GP
Gatti John 3383 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 554-7373 EN
Gaugh Craig 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 GP
Gaus Philip 6844 Silverheel Street Shawnee KS 66226 (913) 948-7766 OS
Gegenheimer Lan 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP
Page 8 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Gerhardt Jared 13905 E Noland Ct Independence MO 64055 (816) 461-2916 GP
Gerhardt Jared 10915 NW Highway 45 Parkville MO 64152 (816) 587-1420 GP
Gier Alexandra 5000 West 95th Street, Suite 300 Prairie Village KS 66207 (913) 649-0310 GP
Gier Ronald 5000 West 95th Street, Suite 300 Prairie Village KS 66207 (913) 649-0310 GP
Gillihan Amy 3151 South 291 Highway, Suite B Independence MO 64051 (816) 373-5400 PR
Gillihan Amy 9225 Ward Pkwy, Ste 104 Kansas City MO 64114 (816) 444-8822 GP
Gilman Richard 9233 Ward Parkway, Suite 330 Kansas City MO 64114 (816) 444-8822 PR
Gilmore Mark 932 North 50th Street Kansas City KS 66102 (913) 287-9600 GP
Goodheart Timothy 6530 Raytown Road, Suite A Raytown MO 64133 (816) 353-0673 GP
Gossett Donald 1600 East Evergreen Cameron MO 64429 (816) 632-2723 OS
Gossett Donald 2900 Northeast 60th Street, Suite 203 Gladstone MO 64119 (816) 455-0333 OS
Grassle Kent 507 North Mur Len Road Olathe KS 66062 (913) 782-0873 GP
Graue John 106 N Main St Plattsburg MO 64477 (816) 539-2707 GP
Graue J 6301 North Oak Trafficway, Suite 202 Gladstone MO 64118 (816) 452-2420 GP
Gray Peter 1520 E 23rd St S Ste Q Independence MO 64055 (816) 252-9190 GP
Gray Stefanie 5000 West 95th Street, Suite 300 Prairie Village KS 66207 (913) 649-0310 GP
Gray Peter 519 South Main Street Concordia MO 64020 (660) 463-2264 GP
Green Steven 11551 Granada St, Ste 100 Leawood KS 66211 (913) 491-4488 OS
Green Steven 8919 Parallel Parkway, Suite 480 Kansas City KS 66112 (913) 334-6000 OS
Greenhalgh Dallan 6302 Monrovia Shawnee KS 66216 (913) 631-2400 GP
Greenhalgh Dallan 6345 Long St Shawnee KS 66216 (913) 631-2400 GP
Grider Craig 485 Southwest Ward Road Lees Summit MO 64081 (816) 246-9995 OR
Grove Jane 620 W 23rd St Independence MO 64055 (816) 254-3382 GP
Grove Jane 1524 White Avenue Kansas City MO 64126 (816) 417-3670 GP
Grove Jane 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP
Hagerty Matthew 3922 South Lynn Court, Suite B Independence MO 64055 (816) 252-3520 GP
Haggerty Christopher 3600 NE Ralph Powell Rd, Ste D Lees Summit MO 64064 (816) 554-8300 OS
Haggerty Edward 818 NW Park Ln Lees Summit MO 64063 (816) 525-1655 GP
Hajduch Meghan 9150 Northeast Barry Road, Suite B Kansas City MO 64157 (816) 792-3500 GP
Hajduch Meghan 5940 Lamar Ave Mission KS 66202 (913) 341-2292 GP
Hajduch Meghan 8650 W 95th St Ste 2 Overland Park KS 66212 (913) 642-0031 GP
Hajduch Meghan 13430 W 62nd Ter Shawnee KS 66216 (913) 962-4400 GP
Haley Charles 8137 Parallel Pkwy Kansas City KS 66112 (913) 299-8900 GP
Halford Tricia 3700 W 83rd St Ste 217 Prairie Village KS 66208 (913) 341-9600 GP
Hall Susan 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP
Hambrick Haywood 1115 E 65th St Kansas City MO 64131 (816) 523-7766 OR
Handley Emily 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP
Handley Emily 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP
Handley Emily 10803 E State Route 350 Raytown MO 64138 (405) 286-9024 GP
Haney Jerry 404 North 4th Street Odessa MO 64076 (816) 633-5393 GP
Hansen Gary 6301 North Oak Street, Suite 101 Kansas City MO 64118 (816) 452-0300 OS
Hansen Gary 113 Blue Jay Drive, Suite 201 Liberty MO 64068 (816) 792-3888 OS
Hansen Jo 309 Southwest Market Street Lees Summit MO 64063 (816) 246-4671 OR
Hanson David 912 E 63rd St Kansas City MO 64110 (816) 523-2221 GP
Harman Heidi 14247 Metcalf Avenue Overland Park KS 66223 (913) 782-7223 OR
Harper Dennis 16A Westwoods Dr Liberty MO 64068 (816) 781-9230 OR
Hartman William 13031 Kansas Avenue Bonner Springs KS 66012 (913) 441-1600 GP
Hartter Mark 3568 SW Market St Lees Summit MO 64082 (816) 537-6161 GP
Page 9 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Hassen Harlan 4100 Northeast Vivion Road Kansas City MO 64119 (816) 454-6443 GP
Hastings Kenneth 705 Broadway, Suite E Oak Grove MO 64075 (816) 690-8744 GP
Hawkinson Nicole 209 Northeast Barry Road Kansas City MO 64155 (816) 741-8881 PD
Hawkinson Nicole 411 Nichols Road, Suite 236 Kansas City MO 64112 (816) 753-0202 PD
Hawkinson Nicole 3351 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 524-5447 PD
Hawkinson Nicole 11401 Nall Avenue Leawood KS 66211 (913) 649-5437 PD
Hayes Emily 101 E 63rd St Kansas City MO 64113 (816) 333-1393 GP
Hayes Sam 101 E 63rd St Kansas City MO 64113 (816) 333-1393 GP
He Kenny 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP
Herrera Joe 701 Washington Boulevard Kansas City KS 66101 (913) 362-8868 GP
Higgerson Brad 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 GP
Higgerson Brad 10803 E State Route 350 Raytown MO 64138 (405) 286-9024 GP
Higgerson Brad 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP
Higgerson Brad 7848 State Ave Kansas City KS 66112 (913) 299-1001 GP
Hildebrand Matthew 10803 E State Route 350 Raytown MO 64138 (405) 286-9024 GP
Hillman Matthew 14700 Metcalf Avenue, Suite 110 Overland Park KS 66223 (913) 685-9990 PD
Hills-Attebery Teresa 2000 Kentucky Ave Ste C Platte City MO 64079 (816) 858-2032 GP
Hlavacek Larinda 8568 Church Road Kansas City MO 64157 (816) 792-0801 GP
Hlavacek Matthew 8080 N Flintlock Rd Kansas City MO 64158 (816) 286-4126 OS
Hogan Michael 2043 West Kansas Avenue Liberty MO 64068 (816) 781-5502 GP
Hogard Denise 13905 E Noland Ct Independence MO 64055 (816) 461-2916 GP
Hopkins Mitchell 11551 Granada Lane, Suite 200 Leawood KS 66211 (913) 642-3939 GP
Howard Jerry 13905 E Noland Ct Independence MO 64055 (816) 461-2916 GP
Huddart John 9241 North Oak Trafficway Kansas City MO 64155 (816) 436-2525 GP
Huerter Daniel 4121 West 83rd Street, Suite 232 Prairie Village KS 66208 (913) 381-4132 OR
Huerter Gerard 22120 Midland Drive, Suite B Shawnee KS 66226 (913) 745-2020 OR
Huerter Gerard 8919 Paraller Parkway, Suite 450 Kansas City KS 66112 (913) 334-3055 OR
Hughes Teresa 9241 North Oak Trafficway Kansas City MO 64155 (816) 436-2525 GP
Hughes Teresa 13100 W 87th Street Parkway Lenexa KS 66215 (913) 248-8880 GP
Hughey Joseph 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Hughey Joseph 14270 NW 60th Ct Parkville MO 64152 (800) 409-2563 GP
Humphrey Jr John 12705 W 87th Street Pkwy Lenexa KS 66215 (913) 432-9414 GP
Humphries Julia 125 East Park Street Olathe KS 66061 (913) 782-7580 GP
Hunter Edwin 2011 West Jesse James Road Excelsior Springs MO 64024 (816) 630-5533 GP
Hurd Francis 1508 NW Mock Ave Ste A Blue Springs MO 64015 (816) 224-9444 GP
Hurd Francis 410D SE 3rd St Ste 102 Lees Summit MO 64063 (816) 524-4509 GP
Hurd Joanna 410D SE 3rd St Ste 102 Lees Summit MO 64063 (816) 524-4509 GP
Huyett Laura 2933 S 47th St Kansas City KS 66106 (913) 677-1004 GP
Jackson David 5000 West 95th Street, Suite 300 Prairie Village KS 66207 (913) 649-0310 GP
Jackson Aniika 206 N Bismark St, Ste A Concordia MO 64020 (660) 463-0234 GP
Jackson Aniika 608 Missouri St Waverly MO 64096 (660) 493-2262 GP
Jacobson Larry 6675 Holmes, Suite 690 Kansas City MO 64131 (816) 444-7787 PR
James Rubelita 9500 E 63rd St Ste 103 Raytown MO 64133 (813) 737-1110 GP
Jenkins Jill 15151 S Blackbob Rd Olathe KS 66062 (913) 764-5600 PD
Jenkins Jill 14253 Metcalf Avenue Overland Park KS 66223 (913) 387-3500 PD
Jenkins Jill 6810 Silverheel Street Shawnee KS 66226 (913) 745-2500 PD
Jenkins Jill 8919 Parallel Parkway, Suite 460 Kansas City KS 66112 (913) 299-3300 PD
Jennings Ronald 514 South Noland Road, Noland Medical Plaza Suite 120 Independence MO 64050 (816) 836-5520 GP
Page 10 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Jensen Mark 8005 W 110th St, Ste 212 Shawnee Mission KS 66210 (913) 491-4516 GP
Jensen Mark 8901 W 74th St, Ste 245 Shawnee Mission KS 66204 (913) 384-0600 GP
Jirovec Donald 7301 Mission Road, Suite 225 Prairie Village KS 66208 (913) 831-6060 GP
Johnson Anne 3715 East Gregory Boulevard Kansas City MO 64132 (816) 523-4334 GP
Johnson Clinton 1734 East 63rd Street, Suite 520 Kansas City MO 64110 (816) 523-7788 GP
Johnson Ryan 5830 Nall Avenue, Suite 1 Mission KS 66202 (913) 432-3112 GP
Johnson Ryan 6852 Silverheel Street Shawnee Mission KS 66226 (913) 721-6477 GP
Johnson Higgins Sue 609 Northeast 291 Highway, Suite 360 Lees Summit MO 64086 (816) 525-7100 GP
Jones Stephen 13905 E Noland Ct Independence MO 64055 (816) 461-2916 GP
Jones Carol 707 Minnesota Avenue, Suite 100 Kansas City KS 66101 (913) 321-4385 GP
Jones Randall 1321 Central Ave Kansas City KS 66102 (913) 342-5280 GP
Jordan John 7501 Mission Road, Suite N 1 Prairie Village KS 66208 (913) 649-1712 GP
Journee Michael 4910 NE 81St St Ste A Kansas City MO 64119 (816) 420-9070 GP
Journee Michael 726 Shawnee St Leavenworth KS 66048 (913) 682-2595 GP
Juhn David 7030 West 107th Street, Suite 220 Overland Park KS 66212 (913) 341-8891 GP
Jungmeyer Sheila 246 Northeast Tudor Road Lees Summit MO 64086 (816) 554-1600 GP
Kahn Michael 3711 West 133rd Street Leawood KS 66209 (913) 491-3700 GP
Kahn Michael 11150 Pflumm Road, Suite 100 Lenexa KS 66215 (913) 317-6453 GP
Kahn Michael 11737 College Blvd Overland Park KS 66210 (913) 317-6453 GP
Kanagawa Ronald 6651 North Oak Traffic Way, Suite 8 Kansas City MO 64118 (816) 468-6767 GP
Kanion Shaun 5240 Prospect Avenue Kansas City MO 64130 (816) 921-8187 GP
Kanion Zavon 5240 Prospect Avenue Kansas City MO 64130 (816) 921-8187 GP
Kasiyamhuru Talence 6916 W 135th St Overland Park KS 66223 (913) 940-3585 GP
Kaur Satkar 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP
Keith Donald 6299 Nall Avenue, Suite 200 Mission KS 66202 (913) 384-0044 GP
Kelkar Shilpa 13905 E Noland Ct Independence MO 64055 (816) 461-2916 GP
Kelkar Shilpa 11221 Shawnee Mission Parkway Shawnee KS 66203 (913) 236-8899 GP
Kellenberger Galen 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP
Kelly Neil 400 East Red Bridge Road, Suite 119 Kansas City MO 64131 (816) 942-8550 GP
Kemmling Michael 17214 Midland Drive Shawnee KS 66217 (913) 396-4800 GP
Kemmling Michael 6004 North 9 Highway Parkville MO 64152 (816) 746-5437 GP
Kennedy Thomas 2043 West Kansas Avenue Liberty MO 64068 (816) 781-5502 GP
Kennedy Sean 691 Northwest Blue Parkway Lees Summit MO 64086 (816) 525-2056 GP
Kepler Kyle 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 GP
Kepler Jessica 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP
Kiene James 11005 West 60th Street, Suite 240 Shawnee KS 66203 (913) 631-5622 GP
Kim Maria 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
King David 1170 West Kansas Street, Suite R Liberty MO 64068 (816) 716-1000 GP
King Mark 2431 Burlington St N Kansas City MO 64116 (816) 221-3255 GP
King David 14825 East 42nd Street South, Suite 130 Independence MO 64055 (816) 356-1300 GP
King David 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 GP
King Carla 315 Nichols Rd, Ste 217 Kansas City MO 64112 (816) 561-9847 GP
Kirby Charles 7450 Quivira Rd Lenexa KS 66216 (913) 217-7536 GP
Klaassen Leland 407 Clairborne, Suite 203 Olathe KS 66062 (913) 782-1335 GP
Klein Robert 9764 North Ash Avenue Kansas City MO 64157 (816) 792-8030 GP
Klein Robert 12 Westwoods Dr Liberty MO 64068 (816) 781-0993 GP
Klein Nathan 7611 State Line Road, Suite 310 Kansas City MO 64114 (816) 822-1800 GP
Klumb Eric 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Page 11 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Knewtson Jeremy 2043 West Kansas Avenue Liberty MO 64068 (816) 781-5502 GP
Kolarik Paul 9226 Pflumm Lenexa KS 66215 (913) 888-6220 GP
Kong Kyong 16900 E US Highway 24 Independence MO 64056 (816) 257-3720 GP
Kong Kyong 620 W 23rd St Independence MO 64055 (816) 254-3382 GP
Kong Kyong 1524 White Avenue Kansas City MO 64126 (816) 418-3670 GP
Kong Kyong 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP
Kong Kyong 811 A South Highway 13 Lexington MO 64067 (660) 259-3823 GP
Korsten Gerald 248 Northeast Chipman Road Lees Summit MO 64063 (816) 246-4144 PD
Kortje Jana 4746 Belleview Ave Kansas City MO 64112 (816) 531-8740 GP
Koshland Stephen 7301 Mission Rd, Ste 200 Prairie Village KS 66208 (913) 722-6611 GP
Kramer Kelly 246 NE Tudor Rd Lees Summit MO 64086 (816) 554-1600 GP
Krause Donald 9401 Null Avenue, Suite 201 Prairie Village KS 66207 (913) 642-7272 GP
Krause Kevin 9401 Nall Ave Ste 201 Prairie Village KS 66207 (913) 642-7272 GP
Krause Lana 9401 Nall Ave Ste 201 Prairie Village KS 66207 (913) 642-7272 PR
Kremers William 5830 Nall Avenue, Suite 1 Mission KS 66202 (913) 432-3112 GP
Kremers William 6852 Silverheel Street Shawnee Mission KS 66226 (913) 721-6477 GP
Krueger Harold 6807 West 121St Street Leawood KS 66209 (913) 529-5999 OS
Krusich Ian 11111 Nall Ave Ste 106 Leawood KS 66211 (913) 383-2600 GP
Kumar Amit 2043 West Kansas Avenue Liberty MO 64068 (816) 781-5502 GP
Kumar Amit 4731 S Cochise Dr, Ste 204 Independence MO 64055 (816) 373-0753 GP
Kusiak Melissa 407 S Clairborne Rd, Ste 104 Olathe KS 66062 (913) 648-2266 GP
Kusiak Melissa 7171 W 95th St, Ste 100 Shawnee Mission KS 66212 (913) 433-7582 GP
Kusiak Melissa 25955 W 327th St Paola KS 66071 (913) 294-9223 GP
La Manno William 4700 Belleview Ave, Ste L14 Kansas City MO 64112 (816) 934-4585 GP
Labart Justin 6844 Silverheel Street Shawnee KS 66226 (913) 948-7766 OS
Lakebrink Thomas 105 N Stewart Ct Ste 140 Liberty MO 64068 (816) 792-4455 GP
Lam Winnie 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP
Lamanno William 4700 Bellview Avenue, Suite L14 Kansas City MO 64112 (816) 931-4585 GP
Lasater George 8900 State Line Road, Suite 349 Leawood KS 66206 (913) 341-3324 GP
Lask John 1504 Northeast 96th Street, Suite B Liberty MO 64068 (816) 415-4700 EN
Laudie Jacob 622 Southwest 3rd St, Ste M Lees Summit MO 64063 (816) 524-3535 GP
Le John 2029 Burlington St, Ste 3 N Kansas City MO 64116 (816) 421-3437 GP
Le John 10616 W 87th St Overland Park KS 66214 (913) 888-9399 GP
Le John 1121 N 5th St Kansas City KS 66101 (913) 233-2900 GP
Leblanc Michael 15151 S Blackbob Rd Olathe KS 66062 (913) 764-5600 PD
Leblanc Michael 14253 Metcalf Avenue Overland Park KS 66223 (913) 387-3500 PD
Leblanc Michael 6810 Silverheel Street Shawnee KS 66226 (913) 745-2500 PD
Leblanc Michael 8919 Parallel Parkway, Suite 460 Kansas City KS 66112 (913) 299-3300 PD
Ledford William 1236 West 103rd Kansas City MO 64114 (816) 941-0980 GP
Leins Charles 234 South Cherry Street Olathe KS 66061 (913) 782-1420 GP
Lenz Matthew 14221 Metcalf, Suite 100 Overland Park KS 66223 (913) 851-5900 GP
Lerner Douglas 325 E Main St Ste A Gardner KS 66030 (913) 856-8721 GP
Levine Thomas 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP
Lewandowski Joseph 14700 Metcalf Avenue Overland Park KS 66223 (913) 851-8000 GP
Lindgren Meghan 206 East Main Street Gardner KS 66030 (913) 856-4456 OR
Lindgren Meghan 12260 State Line Road Leawood KS 66209 (913) 317-8811 OR
Line Anthony 21900 South Webster, Apartment A Spring Hill KS 66083 (913) 592-2200 GP
Linneman Terry 7515 Nall Ave Prairie Village KS 66208 (913) 649-7500 GP
Page 12 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Long Edwin 9225 Ward Pkwy, Ste 105 Kansas City MO 64114 (816) 523-8100 GP
Lopez Claudia 209 Northeast Barry Road Kansas City MO 64155 (816) 741-8881 PD
Lopez Claudia 411 Nichols Road, Suite 236 Kansas City MO 64112 (816) 753-0202 PD
Lopez Claudia 3351 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 524-5447 PD
Lopez Claudia 11401 Nall Avenue Leawood KS 66211 (913) 649-5437 PD
Lovinggood Thomas 3010 S State Route 291 Ste R Independence MO 64057 (816) 373-2227 OR
Lovinggood Thomas 1295 E 151st St Ste 1 Olathe KS 66062 (913) 782-1663 OR
Lowe Michael 1524 Northeast 96th Street Liberty MO 64068 (816) 792-1022 OS
Lowe Michael 5707 Northwest 64th Terrace Kansas City MO 64151 (816) 454-2200 OS
Lucero James 7000 W 121St St Ste 200 Overland Park KS 66209 (913) 344-9990 GP
Ma Jeffrey 16641 E 23rd St S Independence MO 64055 (816) 833-2700 GP
Mabe Paul 971 E Lincoln Ln Gardner KS 66030 (913) 856-7123 GP
Maize Jesse 1321 SW Market St Lees Summit MO 64081 (816) 554-3400 GP
Maize Jesse 301 NE Mulberry Street, Suite 205 Lees Summit MO 64086 (816) 554-3400 OR
Mancin Andrew 7229 North Oak Trafficway Kansas City MO 64118 (816) 436-2760 GP
Mancin Mark 7229 North Oak Trafficway Kansas City MO 64118 (816) 436-2760 GP
Manroe Mark 11221 Shawnee Mission Parkway Shawnee KS 66203 (913) 236-8899 GP
Mardis Donald 7450 Quivira Rd Lenexa KS 66216 (913) 217-7536 GP
Marengo Anthony 16103 West 135th Street Olathe KS 66062 (913) 829-9222 GP
Markle Taylor 3916 South Lynn Court Independence MO 64055 (816) 254-2345 OS
Markle Taylor 1010 Carondelet Drive, Suite 316 Kansas City MO 64114 (816) 941-0000 OS
Markle Taylor 8748 West 151st Street Overland Park KS 66221 (913) 897-3400 OS
Markle Taylor 11005 West 60th Street, Suite 150 Shawnee KS 66203 (913) 268-9500 OS
Marrs Tyson 12208 West 87th Street Parkway, Suite 150 Lenexa KS 66215 (913) 541-1888 OS
Marrs Tyson 1441 East 151st, Suite 2 Olathe KS 66062 (913) 782-1529 OS
Marrs Tyson 3700 West 83rd, Suite 103 Prairie Village KS 66208 (913) 381-5194 OS
Martincich Gerald 7301 Mission Road, Suite 233 Prairie Village KS 66208 (913) 648-6486 GP
Mason Dozier Charlyne 620 W 23rd St Independence MO 64055 (816) 254-3382 GP
Mason Dozier Charlyne 1524 White Avenue Kansas City MO 64126 (816) 418-3670 GP
Mason Dozier Charlyne 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP
Mason Dozier Charlyne 811 A South Highway 13 Lexington MO 64067 (660) 259-3823 GP
Matlock Paul 301 NE Mulberry, Suite 205 Lees Summit MO 64086 (816) 246-4920 GP
Mattingly David 500 South Davis Street Hamilton MO 64644 (816) 583-2266 GP
Mattingly Emily 500 South Davis Street Hamilton MO 64644 (816) 583-2266 GP
Mcaroy Jennifer 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP
Mccartney Colin 4700 Belleview, Suite L 10 Kansas City MO 64112 (816) 561-1115 OS
Mccartney Colin 7577 Northwest Barry Road, Suite B Kansas City MO 64153 (816) 741-8999 OS
Mcclellan Adam 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 PR
Mccoy Rolfe 500 South Davis Street Hamilton MO 64644 (816) 583-2266 GP
Mccreary James 1734 East 63rd Street, Suite 401 Kansas City MO 64110 (816) 523-4444 GP
Medley Nicole 1212 W Truman Rd Independence MO 64050 (816) 252-1590 GP
Meggison Jacob 10200 West 87th Street Overland Park KS 66212 (913) 642-3939 GP
Mehrrafiee Laleh 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 GP
Mehrrafiee Laleh 13541 Madison Ave Kansas City MO 64145 (816) 942-0033 GP
Mehrrafiee Laleh 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP
Mehrrafiee Laleh 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP
Melson Mark 691 Northwest Blue Parkway Lees Summit MO 64086 (816) 525-2056 GP
Melson Mark 10016 East 67th Street Raytown MO 64133 (816) 737-3400 GP
Page 13 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Melton Scott 6000 North Oak Trafficway, Suite 304 Gladstone MO 64118 (816) 455-6300 GP
Mendenhall Natalie 506 NE 107th St Kansas City MO 64155 (816) 605-0034 GP
Mendenhall Natalie 651 E US Highway 24 Independence MO 64050 (816) 461-6911 GP
Mendenhall Natalie 2205 E 110th St Kansas City MO 64131 (816) 605-0034 GP
Mendenhall Natalie 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Merello David 10200 West 87th Street Overland Park KS 66212 (913) 383-0440 GP
Messer Gavin 2790 Clay Edwards Dr Ste 605 N Kansas City MO 64116 (816) 842-5203 GP
Meyer Donald 4731 S Cochise Dr, Ste 204 Independence MO 64055 (816) 373-0753 GP
Mingos Steve 4746 Belleview Ave Kansas City MO 64112 (816) 531-8740 GP
Mitts David 1100 Northwest Jefferson Court Blue Springs MO 64015 (816) 229-3828 GP
Mohammed Ali Rasha 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP
Mohn Adrian 13430 Briar Street Leawood KS 66209 (913) 402-8888 GP
Mohn Adrian 13328 Metcalf Ave Overland Park KS 66213 (913) 345-2273 GP
Mohn Peter 700 Branch St Ste 7 Platte City MO 64079 (816) 858-2707 GP
Moncy Mathew 15151 S Blackbob Rd Olathe KS 66062 (913) 764-5600 PD
Moncy Mathew 14253 Metcalf Avenue Overland Park KS 66223 (913) 387-3500 PD
Moncy Mathew 6810 Silverheel Street Shawnee KS 66226 (913) 745-2500 PD
Moncy Mathew 8919 Parallel Parkway, Suite 460 Kansas City KS 66112 (913) 299-3300 PD
Monheiser D 1100 Northwest Jefferson Court Blue Springs MO 64015 (816) 229-3828 GP
Monsma Emily 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP
Montoya Phillip 7848 State Ave Kansas City KS 66112 (913) 299-1001 GP
Moon Joe 14465 Metcalf Avenue Overland Park KS 66223 (913) 422-6699 OR
Moore Thomas 200 West Ohio Butler MO 64730 (660) 679-6105 OR
Moore James 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 EN
Moore Thomas 3553 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 524-7091 OR
Moore James 3700 West 83rd Street, Suite 106 Prairie Village KS 66208 (913) 642-3636 EN
Moore Patrick 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 OS
Moore Patrick 10818 Parallel Pkwy Kansas City KS 66109 (913) 299-8860 OS
Morales John 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 PR
Morris Patrick 613 Southeast 5th Street Lees Summit MO 64063 (816) 554-2663 PR
Morris Lynda 8600 W 95th St, Ste 101 Overland Park KS 66212 (913) 381-4090 GP
Motaref Alex 6406 East 87th Street, Suite 101 Kansas City MO 64138 (816) 763-3030 GP
Mouse John 4321 Northeast Vivion Road, Suite 101 Lucas Plaza Kansas City MO 64119 (816) 453-4994 GP
Moyer David 106 N Main St Plattsburg MO 64477 (816) 539-2707 GP
Moyer David 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP
Moyer David 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP
Muran Charles 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Murray Lynn 400 East Red Bridge Road, Suite 321 Kansas City MO 64131 (816) 943-0600 GP
Musselman Rae 11005 West 60th Street, Suite 240 Shawnee KS 66203 (913) 631-5622 GP
Mutti James 2109 NE 72nd St Ste 103 Gladstone MO 64118 (816) 453-7777 OR
Myer Aleza 400 East Red Bridge Road, Suite 321 Kansas City MO 64131 (816) 943-0600 GP
Myers Edwin 18110 A East 24 Highway Independence MO 64056 (816) 796-9366 GP
Myers Sere 5240 Prospect Avenue Kansas City MO 64130 (816) 921-8187 GP
Myers Cannon Serese 620 W 23rd St Independence MO 64055 (816) 254-3382 PD
Myers Cannon Serese 1524 White Avenue Kansas City MO 64126 (816) 418-3670 PD
Myers Cannon Serese 19 East Gregory Kansas City MO 64114 (816) 444-2483 PD
Myers Cannon Serese 811 A South Highway 13 Lexington MO 64067 (660) 259-3823 PD
Nalamachu Kali 14886 Metcalf Ave Overland Park KS 66223 (913) 814-9252 GP
Page 14 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Naler Adam 510 Branch, Glenn Building Platte City MO 64079 (816) 858-5343 GP
Natanov Albert 11532 West 135th Street Overland Park KS 66221 (913) 948-9488 GP
Nellor Lesley 831 Vermont St Lawrence KS 66044 (785) 843-6060 GP
Nellor Lesley 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP
Nelson Robert 13018 Stateline Road Leawood KS 66209 (913) 498-8899 GP
Nesslein Gary 6301 North Oak Street, Suite 101 Kansas City MO 64118 (816) 452-0300 OS
Nesslein Gary 113 Blue Jay Drive, Suite 201 Liberty MO 64068 (816) 792-3888 OS
Neubauer Edward 1100 NW Jefferson Ct Blue Springs MO 64015 (816) 229-3828 GP
Neuer Eric 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 OR
Neuer Eric 13100 W 87th Street Parkway Lenexa KS 66215 (913) 248-8880 OR
Neuer Eric 11164 S Noble Dr Ste 101 Olathe KS 66061 (913) 393-9911 OR
Neufeld Ira 1709 South Murlen Road Olathe KS 66062 (913) 764-6440 GP
Newland Ragan 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 GP
Newman John 616 Main Street, P O Box 806 Wellsville KS 66092 (785) 883-2117 GP
Newman John 514 South Noland, Suite 140 Independence MO 64050 (816) 833-2124 GP
Nguyen Long 13541 Madison Ave Kansas City MO 64145 (816) 942-0033 GP
Nguyen Long 10803 E State Route 350 Raytown MO 64138 (405) 286-9024 GP
Nguyen Long 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP
Nguyen Scott 8355 North Congress Avenue Kansas City MO 64152 (816) 587-9500 GP
Nielson Donald 16500 Indian Creek Pkwy, Ste 100 Olathe KS 66062 (913) 829-8700 GP
Norman W 1212 Southwest Luttrell Road, Suite D Blue Springs MO 64015 (816) 229-7267 GP
Nowlin Kent 842 N Main St Lansing KS 66043 (913) 682-5615 GP
Oh Se 10803 E State Route 350, Ste A Raytown MO 64138 (816) 356-4008 GP
Oh Se Jin 2001 E Santa Fe St Olathe KS 66062 (913) 839-1490 GP
Okeefe Matthew 7916 W 151St St Stanley KS 66223 (913) 681-5300 GP
Oliver Sara 7301 Mission Rd Ste 246 Prairie Village KS 66208 (913) 362-9688 OR
Oneil Todd 6300 W 143rd St, Ste 110 Overland Park KS 66223 (913) 338-3443 GP
Onnen Jamey 620 W 23rd St Independence MO 64055 (816) 254-3382 GP
Onnen Jamey 1524 White Avenue Kansas City MO 64126 (816) 418-3670 GP
Onnen Jamey 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP
Onnen Jamey 811 A South Highway 13 Lexington MO 64067 (660) 259-3823 GP
Orr Regan 204 East Main Gardner KS 66030 (913) 856-6171 GP
Ouricchio Ana 707 Minnesota Avenue, Suite 100 Kansas City KS 66101 (913) 321-4385 GP
Overman Paul 2043 West Kansas Avenue Liberty MO 64068 (816) 781-5502 GP
Pannell Brian 3916 South Lynn Court Independence MO 64055 (816) 254-2345 OS
Pannell Brian 1010 Carondelet Drive, Suite 316 Kansas City MO 64114 (816) 941-0000 OS
Parkin Ronald 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Parkinson Joseph 2700 Kendallwood Parkway, Suite 205 Gladstone MO 64119 (816) 452-1119 GP
Parrish David 6500 West 95th Street, Suite 102 Overland Park KS 66212 (913) 649-0166 PD
Patel Darpana 16103 West 135th Street Olathe KS 66062 (913) 829-9222 GP
Patrick Richard 4500 College Blvd Ste 302 Overland Park KS 66211 (913) 491-1191 GP
Paulson Jill 17201 E US Highway 40, Ste 102 Independence MO 64055 (816) 478-2036 GP
Peck Turner 400 East Red Bridge Road, Suite 211 Kansas City MO 64131 (816) 942-5977 GP
Pendleton Steven 707 Minnesota Avenue, Suite 100 Kansas City KS 66101 (913) 321-4385 GP
Pendleton Steven 8919 Parallel Parkway, Suite 309 Kansas City KS 66112 (913) 299-0704 GP
Peppes Gregory 11551 Granada Lane, Suite 200 Leawood KS 66211 (913) 642-3939 GP
Perkins Edward 5314 East 115 Street Kansas City MO 64137 (816) 761-2878 GP
Perry Darren 4911 South Arrowhead Drive, Suite 202 Independence MO 64055 (816) 373-4440 GP
Page 15 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Perry Darren 1000 Walnut Street, Suite 210 Kansas City MO 64106 (816) 421-6667 GP
Perry Darren 411 Nichols Road, Suite 231 Kansas City MO 64112 (816) 531-3439 GP
Peterson Geoff 3751 Southwest Hollywood Drive Lees Summit MO 64082 (816) 623-3563 GP
Peterson Geoff 691 Northwest Blue Parkway Lees Summit MO 64086 (816) 525-2056 GP
Peterson Robb 915 Southwest Lemans Lane Lees Summit MO 64082 (816) 358-9691 OR
Peterson Geoff 206 N Bismark St, Ste A Concordia MO 64020 (660) 463-0234 GP
Peterson Geoff 608 Missouri St Waverly MO 64096 (660) 493-2262 GP
Pfeffer Flack Hollie 16500 Indian Creek Pkwy, Ste 100 Olathe KS 66062 (913) 829-8700 GP
Platt David 2109 NE 72nd St, Ste 101 Kansas City MO 64118 (816) 452-3420 GP
Pohl Charles 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP
Pope Micah 4746 Belleview Ave Kansas City MO 64112 (816) 531-8740 GP
Poston John 608 Missouri St Waverly MO 64096 (660) 493-2262 GP
Prstojevich Steven 1208 NE Windsor Dr Lees Summit MO 64086 (816) 524-4334 OS
Putnam Barton 16093 West 135th Street, Suite A Olathe KS 66062 (913) 829-0060 EN
Raccuglia Gary 501 Main Wellsville KS 66092 (785) 883-2222 GP
Rajanna Ravi 721 NE Lakewood Blvd Lees Summit MO 64064 (816) 373-0300 GP
Rajanna Ravi 2001 E Santa Fe St Olathe KS 66062 (913) 839-1490 GP
Reavley Brenton 4151 North Mulberry Drive, Suite 230 Kansas City MO 64116 (816) 326-8204 EN
Reed Tom 8340 Mission Rd Ste 220 Prairie Village KS 66206 (913) 649-4400 GP
Rener Lawson 4320 Wornall Road, Suite 402 Kansas City MO 64111 (816) 561-8050 GP
Reuter Gary 1132 West Kansas Street, Suite 201 Liberty MO 64068 (816) 792-0120 GP
Rich W David 2104 Main St Lexington MO 64067 (660) 259-6223 GP
Richard Derrik 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Richardson Pamela 9500 E 63rd St Ste 103 Raytown MO 64133 (816) 737-1110 GP
Riggs Michael 5517 Foxridge Drive Mission KS 66202 (913) 262-3838 GP
Riley Geoffrey 4444 N Belleview Ave Ste 202 Kansas City MO 64116 (816) 452-1888 GP
Rios Andrea 13100 W 87th Street Parkway Lenexa KS 66215 (913) 248-8880 OR
Rivard Matthew 7847 Parallel Pkwy Kansas City KS 66112 (913) 299-6500 GP
Robbins Thomas 2043 West Kansas Avenue Liberty MO 64068 (816) 781-5502 GP
Roberts Gloria 12611 Antioch Road Overland Park KS 66213 (913) 685-9111 GP
Roberts Travis 2119 Minnesota Avenue Kansas City KS 66102 (913) 621-3113 GP
Rodriguez Jose 4320 Wornall Road, Suite 500 Kansas City MO 64111 (816) 561-4555 GP
Rodriguez Jose 12480 West 62nd Terrace, Suite 200 Shawnee KS 66216 (913) 631-5600 GP
Roedemeier Jahn 4601 W 109th St Ste 320 Overland Park KS 66211 (913) 387-4217 GP
Rondeau Meagan 6300 W 143rd St, Ste 110 Overland Park KS 66223 (913) 338-3443 GP
Rose Tommy 753 State Avenue, Suite 402 Kansas City KS 66101 (913) 321-3999 GP
Rosel Paul 509 North Murlen Road Olathe KS 66062 (913) 782-0674 GP
Rosenthal Marc 1208 NE Windsor Dr Lees Summit MO 64086 (816) 524-4334 OS
Roth John 14465 Metcalf Avenue Overland Park KS 66223 (913) 422-6699 OR
Russell Stephen 9501 North Oak Trafficway, Suite 205 Kansas City MO 64155 (816) 436-2242 GP
Russell Matthew 3908 South Noland Road Independence MO 64055 (816) 461-2273 GP
Ryan William 12710 South Pflumm, Suite 210 Olathe KS 66062 (913) 764-5703 GP
Sakima Roberts Ginelle 15151 S Blackbob Rd Olathe KS 66062 (913) 764-5600 PD
Sakima Roberts Ginelle 14253 Metcalf Avenue Overland Park KS 66223 (913) 387-3500 PD
Sakima Roberts Ginelle 8919 Parallel Parkway, Suite 460 Kansas City KS 66112 (913) 299-3300 PD
Sakima-Roberts Ginelle 6810 Silverheel Street Shawnee KS 66226 (913) 745-2500 GP
Samples Stuart 500 South Davis Street Hamilton MO 64644 (816) 583-2266 GP
Sanchez Jason 4908 Johnson Drive, Suite B Mission KS 66205 (913) 384-6800 GP
Page 16 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Saunders S Michelle 831 Vermont St Lawrence KS 66044 (785) 843-6060 GP
Scheerer Sonia 8361 N Congress Ave Kansas City MO 64152 (816) 505-3636 EN
Schlang Elliott 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Schuette James 220 NW Mcnary Ct Lees Summit MO 64086 (816) 554-7656 GP
Schugel Thomas 12208 W 87th Street Pkwy Ste 150 Lenexa KS 66215 (913) 541-1888 OS
Schugel Thomas 1441 East 151st, Suite 2 Olathe KS 66062 (913) 782-1529 OS
Schugel Thomas 3700 W 83rd St Ste 203 Prairie Village KS 66208 (913) 381-5194 OS
Schwartz Barry 8012 State Line Road, Suite 101 Prairie Village KS 66208 (816) 361-7969 GP
Scott Kathy 2029 Burlington St, Ste 3 Kansas City MO 64116 (816) 421-3437 GP
Scott Stanley 7312 Troost Ave Kansas City MO 64131 (816) 523-0024 GP
Scott Kathy 10616 W 87th St Overland Park KS 66214 (913) 888-9399 GP
Scott Roscoe 9601 Antioch Rd Overland Park KS 66212 (913) 383-2343 GP
Seaman Jeffrey 13100 W 87th Street Parkway Lenexa KS 66215 (913) 248-8880 GP
Shapiro Howard 8603 North Oak Trafficway Kansas City MO 64155 (816) 436-8338 GP
Sharifian Alex 1205 NE Coronado Dr Blue Springs MO 64014 (816) 228-4090 GP
Sharifian Alex 13541 Madison Ave Kansas City MO 64145 (816) 942-0033 GP
Sharifian Alex 940 NW Blue Pkwy Ste A Lees Summit MO 64086 (816) 524-5752 GP
Sharifian Alex 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP
Sharifian Alex 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP
Shaw Harvey 6724 Troost Avenue, Suite 509 Kansas City MO 64131 (816) 333-5700 GP
Shaw Jr Harvey 620 W 23rd St Independence MO 64055 (816) 254-3382 GP
Shaw Jr Harvey 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP
Shaw Jr Harvey 811 A South Highway 13 Lexington MO 64067 (660) 259-3823 GP
Sheldon Daniel 125 East Park Street Olathe KS 66061 (913) 782-7580 GP
Shemwell Gary 110 South West 2nd Street, Suite D Lees Summit MO 64063 (816) 525-4788 GP
Sheridan Ellen 104 Archibald Street Kansas City MO 64111 (816) 531-0382 GP
Shewanick Bryan 244 NE US 69 Hwy Ste 101 Claycomo MO 64119 (816) 454-1313 GP
Shine Lawrence 1734 East 63rd Street, Suite 520 Kansas City MO 64110 (816) 523-7788 GP
Shrum Ronald 1938 Northwest Copper Oaks Circle Blue Springs MO 64015 (816) 229-7575 GP
Shrum Ronald 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Shuey Ronald 1316 Southwest US Highway 40 Blue Springs MO 64015 (816) 229-2511 GP
Shultz Christopher 2 Westwood Drive Liberty MO 64068 (816) 781-1430 GP
Shultz Michael 616 East 63rd Street, Suite 104 Kansas City MO 64110 (816) 363-3360 OR
Sickmeyer Steven 721 Northeast Lakewood Boulevard Lees Summit MO 64064 (816) 373-0300 OR
Silva Orlando 2121 Summit St Kansas City MO 64108 (816) 471-0900 GP
Silver Randal 651 E US Highway 24 Independence MO 64050 (816) 461-6911 GP
Simmons Clarence 315 Nichols Road, Suite 208 Kansas City MO 64112 (816) 753-0377 OR
Singh Jasbeer 14 East 18th Street Higginsville MO 64037 (660) 584-7494 GP
Sjogren Douglas 13772 South Blackbob Road Olathe KS 66062 (913) 469-8019 GP
Sloan Madeline 10016 East 67th Street Raytown MO 64133 (816) 737-3400 GP
Sloan Madeline 10803 E State Route 350 Raytown MO 64138 (405) 286-9024 GP
Sloop Jacquelyn 125 East Park Street Olathe KS 66061 (913) 782-7580 GP
Smiley Jamie 13430 Briar Street Leawood KS 66209 (913) 402-8888 GP
Smith David 9501 North Oak Trafficway, Suite 205 Kansas City MO 64155 (816) 436-2242 GP
Smith Bradley 238 NE Tudor Rd Lees Summit MO 64086 (816) 524-4880 GP
Smith Gary 7600 Raytown Rd, Ste 102 Raytown MO 64138 (816) 356-2445 GP
Smith James 104 South Sterling Sugar Creek MO 64054 (816) 254-6557 GP
Smith Jonathan 11005 West 60th Street, Suite 240 Shawnee KS 66203 (913) 631-5622 GP
Page 17 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Smith Norman 6008 North State Route 9, Suite C Parkville MO 64152 (816) 741-5480 EN
Snitker Keith 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP
Snitker Keith 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 GP
Snow John 17700 Susquehanna Ridge Independence MO 64056 (816) 257-0093 GP
Snowbarger Mike 7450 Quivira Rd, Ste 1 Shawnee KS 66216 (913) 217-7536 GP
Snyder Randall 651 East US Highway 24 Independence MO 64050 (816) 461-0300 OR
Snyder Randall 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 OR
Snyder Randall 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 OR
Sobolevskaya Svetlana 8160 West 135th Street Overland Park KS 66223 (913) 402-0009 GP
Solano Cesar 708 NW Commerce Dr Lees Summit MO 64086 (816) 525-8660 OS
Sousa Andrew 2119 Minnesota Avenue Kansas City KS 66102 (913) 621-3113 GP
Spalitto Frank 6675 Holmes, Suite 690 Kansas City MO 64131 (816) 444-7787 GP
Spalitto Joseph 400 East Red Bridge Road, Suite 107 Kansas City MO 64131 (816) 942-6990 GP
Spencer Glynn 12600 East 40 Highway, Suite 200 Independence MO 64055 (816) 478-4202 PD
Spencer Jodie 12600 East 40 Highway, Suite 200 Independence MO 64055 (816) 478-4202 PD
Spencer Glynn 301 Northeast Mulberry, Suite 201 Lees Summit MO 64086 (816) 607-6000 PD
Spencer Jodie 301 Northeast Mulberry, Suite 201 Lees Summit MO 64086 (816) 607-6000 PD
St John Caroline 9150 Northeast Barry Road, Suite B Kansas City MO 64157 (816) 792-3500 GP
St John Caroline 1126 Northeast Coronado Drive, Suite 109 Blue Springs MO 64014 (816) 229-4527 GP
St John Caroline 3751 Southwest Hollywood Drive Lees Summit MO 64082 (816) 623-3563 GP
St John Caroline 691 Northwest Blue Parkway Lees Summit MO 64086 (816) 525-2056 GP
St John Caroline 10016 East 67th Street Raytown MO 64133 (816) 737-3400 GP
Stamos Daniel 5400 North Oak Trafficway, Suite 201 Kansas City MO 64118 (816) 452-0900 EN
Stamos David 4731 South Cochise Drive, Suite 221 Independence MO 64055 (816) 478-8895 EN
Steen Joy 1126 Northeast Coronado Drive, Suite 109 Blue Springs MO 64014 (816) 229-4527 GP
Steen Joy 3751 Southwest Hollywood Drive Lees Summit MO 64082 (816) 623-3563 GP
Steen Joy 691 Northwest Blue Parkway Lees Summit MO 64086 (816) 525-2056 GP
Stevens Paul 102 North East 92 Highway Smithville MO 64089 (816) 532-0545 GP
Stinnett Jaime 6500 West 95th Street, Suite 102 Overland Park KS 66212 (913) 649-0166 PD
Stites Dennis 1325 NE Douglas St Lees Summit MO 64086 (816) 524-4200 GP
Stiver Gregory 13643 Holmes Road, Suite A Kansas City MO 64145 (816) 941-7788 GP
Stone Joshua 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP
Stone Joshua 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP
Straub Stephanie 651 East US Highway 24 Independence MO 64050 (816) 461-6911 GP
Strong Brad 3908 South Noland Road Independence MO 64055 (816) 461-2273 GP
Strong Brad 651 E US Highway 24 Independence MO 64050 (816) 461-6911 GP
Strong Brad 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP
Strutz William 7070 Renner Road, Suite 201 Shawnee KS 66217 (913) 268-0808 PR
Suppasansathorn Mary 7316 Raytown Rd Raytown MO 64133 (816) 353-0140 GP
Suresh Dhyanesh 2029 Burlington St, Ste 3 N Kansas City MO 64116 (816) 421-3437 GP
Suresh Dhyanesh 1301 S W Arborwalk Blvd, Suite E Lees Summit MO 64082 (816) 228-0001 GP
Suresh Dhyanesh 246 Northeast Tudor Road Lees Summit MO 64086 (816) 554-1600 GP
Suresh Dhyanesh 10616 W 87th St Overland Park KS 66214 (913) 888-9399 GP
Suresh Dhyanesh 1121 N 5th St Kansas City KS 66101 (913) 233-2900 GP
Surratt Heather 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Sutton Brian 4546 Main St Kansas City MO 64111 (816) 931-2342 GP
Swee David 601 NW Jefferson St, Ste 2 Blue Springs MO 64014 (816) 229-1599 GP
Tabakh Diana 12927 State Line Road Kansas City MO 64145 (816) 942-7669 GP
Page 18 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Tanner John 4700 Belleview, Suite L 10 Kansas City MO 64112 (816) 561-1115 OS
Tanner Michael 10400 W 103rd St, Ste 21 Overland Park KS 66214 (913) 722-0610 GP
Tanner John 7577 Northwest Barry Road, Suite B Kansas City MO 64153 (816) 741-8999 OS
Taylor Ronald 1600 East Evergreen Cameron MO 64429 (816) 632-2723 OS
Taylor Ronald 2900 Northeast 60th Street, Suite 203 Gladstone MO 64119 (816) 455-0333 OS
Taylor Cathleen 2121 Summit St Kansas City MO 64108 (816) 471-0900 GP
Taylor Timothy 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Tehrani Bahman 735 Northeast Lakewood Boulevard Lees Summit MO 64064 (816) 478-1010 GP
Theilen James 244 NE US 69 Hwy Ste 101 Claycomo MO 64119 (816) 454-1313 GP
Theilen Jerry 244 NE US 69 Hwy Ste 101 Claycomo MO 64119 (816) 454-1313 GP
Thiele Roderick 111 Delaware St Leavenworth KS 66048 (913) 651-8565 GP
Thigpen Ellis 4911 South Arrowhead Drive, Suite 202 Independence MO 64055 (816) 373-4440 GP
Thigpen Ellis 1000 Walnut Road, Suite 210 Kansas City MO 64106 (816) 421-6667 GP
Thigpen Ellis 411 Nichols Road, Suite 231 Kansas City MO 64112 (816) 531-3439 GP
Thomas Daniel 209 Northeast Barry Road Kansas City MO 64155 (816) 436-6767 PR
Thomas David 9051 NE 81St Terr Ste 220 Kansas City MO 64158 (816) 781-5437 PD
Thomas Donna 209 Northeast Barry Road Kansas City MO 64155 (816) 741-8881 PD
Thomas Jonathan 209 Northeast Barry Road Kansas City MO 64155 (816) 436-6767 PR
Thomas Daniel 411 Nichols Road, Suite 236 Kansas City MO 64112 (816) 753-0202 PR
Thomas Daniel 3355 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 525-4867 PR
Thomas Donna 411 Nichols Road, Suite 236 Kansas City MO 64112 (816) 753-0202 PD
Thomas Donna 3351 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 524-5447 PD
Thomas Jonathan 411 Nichols Road, Suite 236 Kansas City MO 64112 (816) 753-0202 PR
Thomas Jonathan 3355 Northeast Ralph Powell Road Lees Summit MO 64064 (816) 525-4867 PR
Thomas Daniel 11401 Nall Avenue Leawood KS 66211 (913) 663-4867 PR
Thomas Donna 11401 Nall Avenue Leawood KS 66211 (913) 649-5437 PD
Thomas Jonathan 11401 Nall Avenue Leawood KS 66211 (913) 663-4867 PR
Thomas Kelly 4861 West 134th Street Leawood KS 66209 (913) 685-1900 GP
Thomas Steven 12800 Metcalf Ave Overland Park KS 66213 (913) 451-7680 OS
Thompson Jeffrey 4851 West 134th Street Leawood KS 66209 (913) 681-8300 OR
Thompson R Wayne 601 North Mur Len Road, Suite 4 Olathe KS 66062 (913) 764-0880 OR
Thompson R Wayne 8740 W 95th St Overland Park KS 66212 (913) 383-3510 OR
Thompson R Wayne 11005 W 60th St Ste 180 Shawnee KS 66203 (913) 631-0110 OR
Thompson Ross 14979 W 119th St Olathe KS 66062 (913) 780-0080 GP
Thompson R Wayne 8919 Parallel Pkwy Ste 219 Kansas City KS 66112 (913) 299-0734 OR
Thomure Jaclyn 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP
Throckmorton James 6309 Morningside Dr Kansas City MO 64113 (816) 523-6615 GP
Thurman Jamie 3568 SW Market St Lees Summit MO 64082 (816) 537-6161 GP
Tillery Bruce 800 Walnut St Valley Falls KS 66088 (785) 945-6248 GP
Tingey Brian 2029 Burlington St, Ste 3 Kansas City MO 64116 (816) 421-3437 GP
Tingey Matthew 7933 State Ave, Ste 100 Kansas City KS 66112 (913) 213-6973 GP
Tinnel Matthew 8919 Parallel Parkway, Suite 309 Kansas City KS 66112 (913) 299-0704 GP
Tinsley William 2 Westwood Drive Liberty MO 64068 (816) 781-1430 GP
Tokar Daniel 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP
Tokar Daniel 8043 Wornall Road, Suite 201 Kansas City MO 64114 (000) 000-0000 GP
Tokar Daniel 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP
Tokar Daniel 9600 E State Route 350 Raytown MO 64133 (816) 356-2273 GP
Toombs Kelly 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 OR
Page 19 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Trakas Anthony 412 Northwest Mock Avenue Blue Springs MO 64014 (816) 229-9225 OS
Tran Harris 13316 Metcalf Ave Overland Park KS 66213 (913) 851-5110 GP
Tran Harris 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP
Tran Harris 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP
Trefil Karleen 3908 South Noland Road Independence MO 64055 (816) 461-2273 GP
Trefil Karleen 651 E US Highway 24 Independence MO 64050 (816) 461-6911 GP
Trefil Karleen 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP
Triplett Douglas 1129 West Kansas Street, Suite C Liberty MO 64068 (816) 781-1224 GP
Truschinger Deedra 1010 Carondelet Drive, Suite 316 Lenexa KS 66220 (913) 254-1300 GP
Tull Gregory 1010 Carondelet Drive, Suite 316 Kansas City MO 64114 (816) 941-0000 GP
Ullman Hillard 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Ullman Hillard 14270 NW 60th Ct Parkville MO 64152 (800) 409-2563 GP
Unruh Benjamin 15151 S Blackbob Rd Olathe KS 66062 (913) 764-5600 GP
Unruh Benjamin 14253 Metcalf Avenue Overland Park KS 66223 (913) 387-3500 GP
Unruh Benjamin 6810 Silverheel Street Shawnee KS 66226 (913) 745-2500 GP
Unruh Benjamin 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP
Unruh Benjamin 8919 Parallel Parkway, Suite 460 Kansas City KS 66112 (913) 299-3300 GP
Van Tasell David 5501 NW 62nd Ter Ste 101 Kansas City MO 64151 (816) 741-6960 GP
Vandenberg Michael 9226 Pflumm Lenexa KS 66215 (913) 888-6220 GP
Vanyperen Tucker 2000 Swift Street North Kansas City MO 64116 (816) 471-2911 GP
Varela Alberto 2121 Summit St Kansas City MO 64108 (816) 471-0900 GP
Varon Frank 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP
Varon Frank 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 GP
Vasanthan Asvin 209 Northeast Barry Road Kansas City MO 64155 (816) 436-6767 PR
Vasquez David 14227 E US Highway 40 Kansas City MO 64136 (816) 478-0013 GP
Vasquez David 819 Walnut Street, Suite 101 Kansas City MO 64106 (816) 421-6065 GP
Vasquez David 125 East Park Street Olathe KS 66061 (913) 728-7580 GP
Viloria Richard 8919 Parallel Parkway, Suite 309 Kansas City KS 66112 (913) 299-0704 GP
Vlasak George 13905 E Noland Ct Independence MO 64055 (816) 461-2916 GP
Vodonick Steven 5638 Nieman Road Shawnee KS 66203 (913) 631-2229 GP
Walden Laura 2121 Summit St Kansas City MO 64108 (816) 471-0900 GP
Waller Smith Jennifer 1619 W 24 Hwy Independence MO 64050 (816) 461-0055 GP
Waller Smith Jennifer 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Waller Smith Jennifer 912 East 63rd Street Kansas City MO 64110 (816) 523-2221 GP
Wallin Harold 11551 Granada St, Ste 100 Leawood KS 66211 (913) 491-4488 OS
Wallin Harold 8919 Parallel Parkway, Suite 480 Kansas City KS 66112 (913) 334-6000 OS
Walls Sara 9233 Ward Parkway, Suite 330 Kansas City MO 64114 (816) 444-8822 PR
Walmann Jeffrey 20168 West 153rd Street Olathe KS 66062 (913) 829-7668 EN
Walters Kinsey 10351 Mastin St Overland Park KS 66212 (913) 492-5180 GP
Walters Kinsey 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP
Walton Gerald 5604 NE Antioch Rd Gladstone MO 64119 (816) 453-9600 GP
Warya Navkiran 4655 State Ave Kansas City KS 66102 (913) 287-7977 GP
Waters Nevin 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP
Watson Lynda 11538 West 119th Street Overland Park KS 66213 (913) 381-4090 GP
Webb Tyler 2043 West Kansas Avenue Liberty MO 64068 (816) 781-5502 GP
Webb Tyler 1212 SW Luttrell Rd Blue Springs MO 64015 (816) 525-7155 GP
Weimer Wendy 4151 North Mulberry Drive, Suite 210 Kansas City MO 64116 (816) 877-0200 GP
Werley Wendy 19401 East 40 Highway, Suite 180 Independence MO 64055 (816) 795-7007 GP
Page 20 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Westfall Adam 303 Marshall Road, Suite 3 Platte City MO 64079 (816) 858-2300 GP
Westfall Wayne 303 Marshall Road, Suite 3 Platte City MO 64079 (816) 858-2300 GP
Westman Benjamin 2109 Northeast 72nd Street, Suite 105 Gladstone MO 64118 (816) 452-4733 GP
White Scott 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
White Scott 9393 W 110th St, Ste 500 Shawnee Mission KS 66210 (888) 833-8441 GP
Whiteman Edward 103 N Clayview Dr Liberty MO 64068 (816) 781-0039 GP
Whiteman Edward 900 N Morse Ave Liberty MO 64068 (816) 781-0039 GP
Whitmore Dewain 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Wick Christopher 4910 NE 81St St Ste A Kansas City MO 64119 (816) 420-9070 GP
Widdison Joseph 652 E US Highway 24 Independence MO 64050 (816) 461-6911 GP
Wilkerson Brian 831 Vermont St Lawrence KS 66044 (785) 843-6060 GP
Wilkinson Debra 1200 Northwest Jefferson Court Blue Springs MO 64015 (816) 228-3688 GP
Wilkinson Debra 19401 East 40 Highway, Suite 155 Independence MO 64055 (816) 795-5620 GP
Williams Angela 651 East US Highway 24 Independence MO 64050 (816) 461-0300 OR
Williams Angela 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 OR
Williams Angela 8043 Wornall Road, Suite 201 Kansas City MO 64114 (816) 333-2500 OR
Williams James 811 NE Rice Rd Lees Summit MO 64086 (816) 524-6510 GP
Williams Zachary 915 Southwest Lemans Lane Lees Summit MO 64082 (816) 358-9691 OR
Williams Zachary 10760 East 350 Highway Raytown MO 64138 (816) 358-9691 OR
Williams Jennifer 707 Minnesota Avenue, Suite 100 Kansas City KS 66101 (913) 321-4385 GP
Williams Jennifer 8919 Parallel Parkway, Suite 309 Kansas City KS 66112 (913) 299-0704 GP
Williamson John 10601 Kaw Dr Kansas City KS 66111 (913) 441-3373 GP
Willis Adam 3315 Gillham Plaza Kansas City MO 64109 (816) 561-2273 GP
Wilson Benjamin 1619 W 24 Hwy Independence MO 64050 (816) 461-0055 GP
Wilson Barry 6299 Nall Avenue, Suite 200 Mission KS 66202 (913) 384-0044 GP
Winburn Richard 10351 Mastin St Overland Park KS 66212 (913) 492-5180 GP
Wince Stacy 234 South Cherry Street Olathe KS 66061 (913) 782-1420 GP
Winthrop Dennis 453 Nichols Rd Ste 200 Kansas City MO 64112 (888) 833-8441 GP
Wismer Russell 6301 Pflumm Rd Shawnee KS 66216 (913) 268-7770 GP
Withhart Jessica 10351 Mastin St Overland Park KS 66212 (913) 492-5180 GP
Wollard Chad 444 W 47th St, Ste 210 Kansas City MO 64112 (816) 561-9666 GP
Wollard Ronald 444 W 47th St, Ste 210 Kansas City MO 64112 (816) 561-9666 GP
Wrenn Thomas 1115 East 65th Street Kansas City MO 64131 (816) 444-9091 GP
Wymore Ryan 4405 S Noland Rd Independence MO 64055 (816) 373-3444 GP
Wymore Ryan 2659 Independence Ave Kansas City MO 64124 (816) 373-3530 GP
Wymore Ryan 825 Euclid Avenue Kansas City MO 64124 (816) 474-4920 GP
Wymore Ryan 912 E 63rd St Kansas City MO 64110 (816) 523-2221 GP
Wymore Ryan 811 South Highway 13, Suite A Lexington MO 64067 (660) 259-3823 GP
Yates David 9600 East Highway 350 Raytown MO 64133 (816) 356-2273 GP
Yee Sharon 10346 State Line Rd Leawood KS 66206 (913) 341-2292 GP
Yee Sharon 5940 Lamar Ave Mission KS 66202 (913) 341-2292 GP
Yee Sharon 8650 W 95th St Ste 2 Overland Park KS 66212 (913) 964-0031 GP
Yee Sharon 5000 West 95th Street, Suite 300 Prairie Village KS 66207 (913) 649-0310 GP
Yee Sharon 13430 W 62nd Ter Shawnee KS 66216 (913) 962-4400 GP
Yip Matthew 13541 Madison Ave Kansas City MO 64145 (816) 942-0033 GP
Yip Matthew 13316 Metcalf Ave Overland Park KS 66213 (913) 851-5110 GP
Yip Matthew 6340 N Chatham Ave Kansas City MO 64151 (816) 746-1171 GP
Yip Matthew 9018 N Skyview Ave Kansas City MO 64154 (816) 741-5113 GP
Page 21 of 22 03/2015
Participating Dentists Directory Surency Dental
Last Name First Name Address City State Zip Phone Number Spec
Young Andrew 15990 S Bradley Dr Olathe KS 66062 (913) 491-3400 OR
Young Andrew 14880 Metcalf Ave Overland Park KS 66223 (913) 491-3400 OR
Young Andrew 22438 South Harrison Street Spring Hill KS 66083 (913) 491-3400 OR
Zaery Farrah 6700 W 121St St, Suite 101 Overland Park KS 66209 (913) 451-2540 GP
Ziegenhorn Dez 3751 Southwest Hollywood Drive Lees Summit MO 64082 (816) 623-3563 GP
Ziegenhorn Dez 13328 Metcalf Ave Overland Park KS 66213 (913) 345-2273 GP
Page 22 of 22 03/2015