PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2020

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME**

Last Name First Name Title Group Name Address Suite City State Zip county Phone

Caloca Elisa DMD Aspen Dental 3737 West Market St Akron OH 44333 Summit (330) 668-8880

Lloyd Nathan DMD Aspen Dental 3737 West Market St Akron OH 44333 Summit (330) 668-8880

Hayes John DDS Hayes & Mead Family Dentistry 811 Trail Ridge Rd Albion IN 46701 Noble (260) 636-7374

Mead Alison DDS Hayes & Mead Family Dentistry 811 Trail Ridge Rd Albion IN 46701 Noble (260) 636-7374

Smith Heather DMD Hayes & Mead Family Dentistry 811 Trail Ridge Rd Albion IN 46701 Noble (260) 636-7374

Berning Jeremy DMD Aspen Dental 1630 State Street Ste E Alliance OH 44601 Stark (330) 248-5180

Wood David DDS Aspen Dental 4758 South Scatterfield Rd Anderson IN 46013 Madison (765) 642-9500

Yousif Rebwar DDS Aspen Dental 4758 South Scatterfield Rd Anderson IN 46013 Madison (765) 642-9500

Brown Travis DMD Angola Dental Center 205 E Harcourt Rd Angola IN 46703 Steuben (260) 665-5767

Dunlap Penelope DDS Dunlap Dental Solutions LLC 909 W Maumee St Ste J Angola IN 46703 Steuben (260) 624-3355

Gabet Charles DDS Gabet Family Dentistry 901 N Williams Street Angola IN 46703 Steuben (260) 665-3637

Heselbarth Jeni DDS Angola Dental Center 205 E Harcourt Rd Angola IN 46703 Steuben (260) 655-5767

Kleinrichert Todd DDS Angola Dental Center 205 E Harcourt Rd Angola IN 46703 Steuben (260) 655-5767

Losier Kurt DDS Aspen Dental 1555 N Wayne St Angola IN 46703 Steuben (260) 319-5090

Moore Guy DDS Angola Dental Center 205 E Harcourt Rd Angola IN 46703 Steuben (260) 665-5767

Smith Heather DMD Gabet Family Dentistry 901 N Williams Street Angola IN 46703 Steuben (260) 665-3637

Terry Kreg DDS Aspen Dental 1555 N Wayne St Angola IN 46703 Steuben (260) 319-5090

Thiele Kelli DMD Angola Dental Center 205 E Harcourt Rd Angola IN 46703 Steuben (260) 665-5767

Warner Rick DDS Aspen Dental 1555 N Wayne St Angola IN 46703 Steuben (260) 319-5090

Watkins Tamara DDS Healthy Smiles Family Dentistry 101 N Terrace Blvd Angola IN 46703 Steuben (260) 668-7645

Williams Galen DDS Gabet Family Dentistry 901 N Williams Street Angola IN 46703 Steuben (260) 665-3637

Aronovich Sharon DMD University of Michigan - Surgery Maxillofacial (Oral Surgery) 1500 East Medical Center Drive, Med Inn Room C233a Ann Arbor MI 48109 Washtenaw (734) 936-5950

Edwards Sean DDS University of Michigan - Surgery Maxillofacial (Oral Surgery) 1500 East Medical Center Drive, Med Inn Room C233a Ann Arbor MI 48109 Washtenaw (734) 936-5950

Moe Justine DDS University of Michigan - Surgery Maxillofacial (Oral Surgery) 1500 East Medical Center Drive, Med Inn Room C233a Ann Arbor MI 48109 Washtenaw (734) 936-5950

Moe Justine DDS University of Michigan - Surgery Maxillofacial (Oral Surgery) 1500 East Medical Center Drive, Med Inn Room C213a Ann Arbor MI 48109 Washtenaw (734) 936-5950

Skouteris Christos DMD University of Michigan - Surgery Maxillofacial (Oral Surgery) 1500 East Medical Center Drive, Med Inn Room C233a Ann Arbor MI 48109 Washtenaw (734) 936-5950

Ward Brent DDS University of Michigan - Surgery Maxillofacial (Oral Surgery) 1500 East Medical Center Drive, Med Inn Room C233a Ann Arbor MI 48109 Washtenaw (734) 936-5950

Britsch Michael DDS Archbold Dental Clinic 804 Stryker St Archbold OH 43502 Fulton (419) 446-2743

Chan Marvin DMD Aspen Dental 3228 N Ridge Road E Ashtabula OH 44004 Ashtabula (440) 969-1247

Blair Jesse DDS Scheumann Dental Associates 1202 N Main St Auburn IN 46706 DeKalb (260) 925-2812

Derrow Caroline DDS Auburn Pediatric Dentistry 1005 Nicholas St Auburn IN 46706 DeKalb (260) 927-0707

DeWald Gina DDS DeWald Northeast Dental Group 405 Smith Dr Auburn IN 46706 DeKalb (260) 925-2660

Heffelfinger Nathaniel DDS Smiles for Life LLC 1201 E 7th Street Auburn IN 46706 DeKalb (260) 925- 4290

Marks Beth DDS DeWald Northeast Dental Group 405 Smith Dr Auburn IN 46706 DeKalb (260) 925-2660

Marr Anna DDS Auburn Dental Associates PC 1100 N Main Ste 101 Auburn IN 46706 DeKalb (260) 925-3110

Pickard Jessica DDS Scheumann Dental Associates 1202 N Main St Auburn IN 46706 DeKalb (260) 925-2812

Roberts James DMD James A Roberts, DMD 102 N Clark Street Auburn IN 46706 DeKalb (260) 925-4660

Scheumann Gary DDS Scheumann Dental Associates 1202 N Main St Auburn IN 46706 DeKalb (260) 925-2812

Schmidt Andrew DDS Auburn Dental Associates PC 1100 N Main Ste 101 Auburn IN 46706 DeKalb (260) 925-3110

Schmidt Daniel DDS Auburn Dental Associates PC 1100 N Main Ste 101 Auburn IN 46706 DeKalb (260) 925-3110

Last Reviewed 6/30/2020

Last Revised 6/30/2020 1 of 14

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2020

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME**

Last Name First Name Title Group Name Address Suite City State Zip county Phone

Clemens Gabriel DDS Aspen Dental 10967 E US Highway 36 Avon IN 46123 Hendricks (317) 272-0700

Hamati Isam DDS Aspen Dental 10967 E US Highway 36 Avon IN 46123 Hendricks (317) 272-0700

Mannan Saurabh DMD Aspen Dental 10967 E US Highway 36 Avon IN 46123 Hendricks (317) 272-0700

Marogil Hani DMD Aspen Dental 10967 E US Highway 36 Avon IN 46123 Hendricks (317) 272-0700

Stickley Alyssa DDS Aspen Dental 10967 E US Highway 36 Avon IN 46123 Hendricks (317) 272-0700

Fisher Edward DDS Fisher Dental 220 Forest Park Dr Berne IN 46711 Adams (260) 589-2309

Fisher Paul DDS Fisher Dental 220 Forest Park Dr Berne IN 46711 Adams (260) 589-2309

Frey James DDS Aspen Dental 330 N Jacob Drive Bloomington IN 47404 Monroe (812) 323-7400

Laverty Whitney DDS Aspen Dental 330 N Jacob Drive Bloomington IN 47404 Monroe (812) 323-7400

Lee Hyunji DMD Aspen Dental 330 N Jacob Drive Bloomington IN 47404 Monroe (812) 323-7400

Hott Bartholomew DDS Bluffton Dental Solutions 317 W Market St Bluffton IN 46714 Wells (260) 824-3162

Hott Bartholomew DDS Hott Family Dentistry LLC 706 N Main St Bluffton IN 46714 Wells (260) 824-2442

Nodine Duane DDS Hott Family Dentistry LLC 706 N Main St Bluffton IN 46714 Wells (260) 824-2442

Wan Nkechi DDS Mercy Seat Dentistry Inc 2155 Commerce Dr Bluffton IN 46714 Wells (260) 823-3328

Calderon Peter DDS Aspen Dental 1121 S Main St Ste 330 Bowling Green OH 43402 Wood (419) 353-3686

McDonough Matthew DDS Aspen Dental (ORAL SURGERY ONLY) 1121 S Main St Ste 330 Bowling Green OH 43402 Wood (419) 353-3686

Shah Kaushik DDS Aspen Dental 1121 S Main St Ste 330 Bowling Green OH 43402 Wood (419) 353-3686

Taylor Bethany DDS Aspen Dental 1121 S Main St Ste 330 Bowling Green OH 43402 Wood (419) 353-3686

Adelsperger John DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1040 Patrick Pl Suite A Brownsburg IN 46112 Hendricks (317) 297-1007

Kirkup Christopher DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1040 Patrick Pl Suite A Brownsburg IN 46112 Hendricks (317) 297-1007

Tancredi Samuel DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1040 Patrick Pl Suite A Brownsburg IN 46112 Hendricks (317) 297-1007

Adnan Uzma DDS Bryan Community Health Center 228 South Main Street Bryan OH 43506 Williams (567) 239-4562

Ahmed Cassim DDS Whittaker Dental Care Bryan 201 Van Gundy Dr Bldg A Bryan OH 43506 Williams (419) 636-4202

Bratsberg Kelly DDS Bryan Dental, Inc 442 West High Street Ste 2 Bryan OH 43506 Williams (419) 636-3163

Brown Scott DDS Bryan Community Health Center 228 South Main Street Bryan OH 43506 Williams (567) 239-4562

Carosello Stephen DDS Whittaker Dental Care Bryan 201 Van Gundy Dr Bldg A Bryan OH 43506 Williams (419) 636-4202

Chaney Carl DDS Bryan Dental, Inc 442 West High Street Ste 2 Bryan OH 43506 Williams (419) 636-3163

Chaney Edward DDS Whittaker Dental Care Bryan 201 Van Gundy Dr Bldg A Bryan OH 43506 Williams (419) 636-4202

Dhingra Pallavi DDS Bryan Community Health Center 228 South Main Street Bryan OH 43506 Williams (567) 239-4562

Faraj Waseem DDS Whittaker Dental Care Bryan 201 Van Gundy Dr Bldg A Bryan OH 43506 Williams (419) 636-4202

Hall John DDS Whittaker Dental Care Bryan 201 Van Gundy Dr Bldg A Bryan OH 43506 Williams (419) 636-4202

Kioko Jr. Julius DDS Bryan Community Health Center 228 South Main Street Bryan OH 43506 Williams (567) 239-4562

Kopylowicz Janina DDS Whittaker Dental Care Bryan 201 Van Gundy Dr Bldg A Bryan OH 43506 Williams (419) 636-4202

Lantzy Steven DDS Whittaker Dental Care Bryan 201 Van Gundy Dr Bldg A Bryan OH 43506 Williams (419) 636-4202

Mistry Jay DDS Whittaker Dental Care Bryan 201 Van Gundy Dr Bldg A Bryan OH 43506 Williams (419) 636-4202

Moureiden Bana DMD Whittaker Dental Care Bryan 201 Van Gundy Dr Bldg A Bryan OH 43506 Williams (419) 636-4202

Nagy Ahmed DMD Bryan Community Health Center 228 South Main Street Bryan OH 43506 Williams (567) 239-4562

Pander Satinder DMD Bryan Community Health Center 228 South Main Street Bryan OH 43506 Williams (567) 239-4562

Phan Huong DMD Bryan Community Health Center 228 South Main Street Bryan OH 43506 Williams (567) 239-4562

Thaler Russell DMD Whittaker Dental Care Bryan 201 Van Gundy Dr Bldg A Bryan OH 43506 Williams (419) 636-4202

Theis Gregory DDS Bryan Community Health Center 228 South Main Street Bryan OH 43506 Williams (567) 239-4562

Last Reviewed 6/30/2020

Last Revised 6/30/2020 2 of 14

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2020

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME**

Last Name First Name Title Group Name Address Suite City State Zip county Phone

Walkup Shea DDS Bryan Dental, Inc 442 West High Street Ste 2 Bryan OH 43506 Williams (419) 636-3163

Whittaker Daniel DMD Whittaker Dental Care Bryan 201 Van Gundy Dr Bldg A Bryan OH 43506 Williams (419) 636-4202

Zhang You DMD Whittaker Dental Care Bryan 201 Van Gundy Dr Bldg A Bryan OH 43506 Williams (419) 636-4202

Butler Gregory DDS Butler Dental Group LLC 106 E Green St Butler IN 46721 DeKalb (260) 868-2221

Keefe Richard DDS Aspen Dental 4550 Belden Village St NW Canton OH 44718 Stark (330) 499-4600

Krajci Daniel DDS Aspen Dental 4550 Belden Village St NW Canton OH 44718 Stark (330) 499-4600

Patel Sejal Satish DDS Aspen Dental 4550 Belden Village St NW Canton OH 44718 Stark (330) 499-4600

Smith Brandon DDS Aspen Dental 950 North Bridge St Unit D Chillicothe OH 45601 Ross (740) 773-7411

Terry Theodore DDS Aspen Dental 950 North Bridge St Unit D Chillicothe OH 45601 Ross (740) 773-7411

Berning Emily DDS Churubusco Family Dentistry LLC 230 E Whitley St Churubusco IN 46723 Whitley (260) 693-2177

Bixler John DDS Turtle Town Dental LLC 210 W Whitley St Churubusco IN 46723 Whitley (260) 693-3921

Hladin Dionne DDS Churubusco Family Dentistry LLC 230 E Whitley St Churubusco IN 46723 Whitley (260) 693-2177

Kelly Chelsea DDS Turtle Town Dental LLC 210 W Whitley St Churubusco IN 46723 Whitley (260) 693-3921

Neese Margaret DDS Turtle Town Dental LLC 210 W Whitley St Churubusco IN 46723 Whitley (260) 693-3921

Zollinger Richard DDS Churubusco Family Dentistry LLC 230 E Whitley St Churubusco IN 46723 Whitley (260) 693-2177

Arora Chetan DDS Aspen Dental 9850 Colerain Ave Cincinnati OH 45251 Hamilton (513) 699-7070

Cousins Bates Carolyn DMD Aspen Dental 867 Eastgate North Dr Cincinnati OH 45245 Clermont (513) 843-0133

Kireru Martin DDS Aspen Dental 6218 Glenway Ave Cincinnati OH 45211 Hamilton (513) 245-8460

Kumar Nishir DDS Aspen Dental 6218 Glenway Ave Cincinnati OH 45211 Hamilton (513) 245-8460

McQueen Clint DMD Aspen Dental 867 Eastgate North Dr Cincinnati OH 45245 Clermont (513) 843-0133

Nadikuda Swapna DMD Aspen Dental 867 Eastgate North Dr Cincinnati OH 45245 Clermont (513) 843-0133

Patel Bhavik DMD Aspen Dental 867 Eastgate North Dr Cincinnati OH 45245 Clermont (513) 843-0133

Patel Dhruvkumar DDS Aspen Dental 35 E Kemper Rd Cincinnati OH 45246 Hamilton (513) 642-0002

Steele-Battier Shawna DDS Aspen Dental 35 E Kemper Rd Cincinnati OH 45246 Hamilton (513) 642-0002

Choi Daniel DMD Aspen Dental 1116 Veterans Parkway Clarksville IN 47129 Clark (812) 283-1100

Deffendall Jessie DMD Aspen Dental 1116 Veterans Parkway Clarksville IN 47129 Clark (812) 283-1100

Graves Lindsey DMD Aspen Dental 1116 Veterans Parkway Clarksville IN 47129 Clark (812) 283-1100

Hardin Courtney DMD Aspen Dental 1116 Veterans Parkway Clarksville IN 47129 Clark (812) 283-1100

Kim Jae DDS Aspen Dental 1116 Veterans Parkway Clarksville IN 47129 Clark (812) 283-1100

Nelson Brooke DMD Aspen Dental 1116 Veterans Parkway Clarksville IN 47129 Clark (812) 283-1100

Walker Joshua DMD Aspen Dental 1116 Veterans Parkway Clarksville IN 47129 Clark (812) 283-1100

Adams Anthony DMD Aspen Dental 8301 W Ridgewood Dr Cleveland OH 44129 Cuyahoga (216) 642-6291

Carosello Stephen DDS Aspen Dental 1300 SOM Center Rd Cleveland OH 44124 Cuyahoga (440) 684-0900

Krajekian Joseph DMD Aspen Dental (ORAL SURGERY ONLY) 7351 Northcliff Ave Cleveland OH 44144 Cuyahoga (216) 661-8077

Patel Daxeshkumar DDS Aspen Dental 3540 Westgate Cleveland OH 44126 Cuyahoga (440) 333-2929

Popa Andrei DMD Aspen Dental 7351 Northcliff Ave Cleveland OH 44144 Cuyahoga (216) 661-8077

Singh Vandana DDS Aspen Dental 3540 Westgate Cleveland OH 44126 Cuyahoga (440) 333-2929

Bumbaugh Courtney DDS Smiles on Main Family Dentistry 510 N Main Street Columbia City IN 46725 Whitley (260) 212-5058

Glogas Geoffrey DDS Columbia City Dentists 506 N Line St Columbia City IN 46725 Whitley (260) 248-4242

McConnell James DDS James A McConnell DDS 510 A N Line St Columbia City IN 46725 Whitley (260) 248-2588

Last Reviewed 6/30/2020

Last Revised 6/30/2020 3 of 14

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2020

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME**

Last Name First Name Title Group Name Address Suite City State Zip county Phone

Patterson Nathan DDS Patterson Family Dentistry PC 642 North Opportunity Dr Ste 101 Columbia City IN 46725 Whitley (260) 248-4858

Patterson Ryan DDS Patterson Family Dentistry PC 642 North Opportunity Dr Ste 101 Columbia City IN 46725 Whitley (260) 248-4858

Jose Dany DMD Aspen Dental 1501 Hilliard Rome Rd Columbus OH 43228 Franklin (614) 429-5179

Miller Franklin DDS Aspen Dental 1310 North National Road Ste A Columbus IN 47201 Bartholomew (812) 314-0000

Woo Kijin DMD Aspen Dental 1310 North National Road Ste A Columbus IN 47201 Bartholomew (812) 314-0000

Craig Clayton DDS Aspen Dental 1571 S US 231 Crawfordsville IN 47933 Montgomery (765) 225-2086

Afzal Shaheera DDS Aspen Dental 3286 Pentagon Park Blvd Dayton OH 45431 Greene (937) 427-1400

Clemente Alexander DDS Aspen Dental 3286 Pentagon Park Blvd Dayton OH 45431 Greene (937) 427-1400

Judge Arwinder DDS Aspen Dental 3286 Pentagon Park Blvd Dayton OH 45431 Greene (937) 427-1400

Modi Parag DMD Aspen Dental 3286 Pentagon Park Blvd Dayton OH 45431 Greene (937) 427-1400

Nadikuda Swapna DMD Aspen Dental 2411 Miamisburg Centerville Rd Dayton OH 45459 Montgomery (937) 436-5600

Nagy Zoltan DMD Aspen Dental 3286 Pentagon Park Blvd Dayton OH 45431 Greene (937) 427-1400

Tronilo Ellys DDS Aspen Dental 2411 Miamisburg Centerville Rd Dayton OH 45459 Montgomery (937) 436-5600

Wallace Wayne DDS Aspen Dental 2411 Miamisburg Centerville Rd Dayton OH 45459 Montgomery (937) 436-5600

Whealton Lindsey DMD Aspen Dental 2411 Miamisburg Centerville Rd Dayton OH 45459 Montgomery (937) 436-5600

Chung Jinbo DDS Aspen Dental 1601 N Clinton St Unit A Defiance OH 43512 Defiance (419) 789-4112

Eggers Henry DDS Aspen Dental 1601 N Clinton St Unit A Defiance OH 43512 Defiance (419) 789-4112

Havighurst Julie DDS Aspen Dental 1601 N Clinton St Unit A Defiance OH 43512 Defiance (419) 789-4112

Ickes Zach DDS Aspen Dental 1601 N Clinton St Unit A Defiance OH 43512 Defiance (419) 789-4112

Thaler Russell DMD Whittaker Dental Care Defiance 100 Stadium Drive Suite A Defiance OH 43512 Defiance (419) 784-0775

Zagorec John DMD Aspen Dental 1601 N Clinton St Unit A Defiance OH 43512 Defiance (419) 789-4112

Journay Jonathan DMD Aspen Dental 1100 Sunbury Rd Unit 712 Delaware OH 43015 Delaware (740) 362-5800

Kunduru Hemanth DMD Aspen Dental 1100 Sunbury Rd Unit 712 Delaware OH 43015 Delaware (740) 362-5800

Que Paul DMD Aspen Dental 1100 Sunbury Rd Unit 712 Delaware OH 43015 Delaware (740) 362-5800

Shahpatel Khyati DMD Aspen Dental 6395 Midway Mall Elyria OH 44035 Lorain (440) 324-2600

Ajayi Akeem DDS Aspen Dental 5020 West Lloyd Expwy Ste 200 Evansville IN 47712 Vanderburgh (812) 863-8000

Anumolu-Alapati Naga DDS Aspen Dental 5020 West Lloyd Expwy Ste 200 Evansville IN 47712 Vanderburgh (812) 863-8000

Biggerstaff Alyssa DMD Aspen Dental 5020 West Lloyd Expwy Ste 200 Evansville IN 47712 Vanderburgh (812) 863-8000

Harper Dustin DMD Aspen Dental 508 North Green River Road Evansville IN 47715 Vanderburgh (812) 479-5000

Hornback Thomas DMD Aspen Dental 508 North Green River Rd Evansville IN 47715 Vanderburgh (812) 479-5000

Kiefer Adam DDS Aspen Dental 5020 West Lloyd Expwy Ste 200 Evansville IN 47712 Vanderburgh (812) 863-8000

Peifer Scott DDS Aspen Dental (ORAL SURGERY ONLY) 508 North Green River Rd Evansville IN 47712 Vanderburgh (812) 479-5000

Slapnicka Jan DDS Aspen Dental (ORAL SURGERY ONLY) 5020 West Lloyd Expwy Ste 200 Evansville IN 47712 Vanderburgh (812) 863-8000

Vizconde David DMD Aspen Dental 508 North Green River Rd Evansville IN 47715 Vanderburgh (812) 479-5000

Bhonagiri Jithendar DDS Aspen Dental 2540 Tiffin Ave Findlay OH 45840 Hancock (419) 424-3500

Sandu Jarjot DDS Aspen Dental 2540 Tiffin Ave Findlay OH 45840 Hancock (419) 424-3500

Bojrab Matthew DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10972 Allisonville Rd Ste 100 Fishers IN 46038 Hamilton (317) 845-7878

Bussard David DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 11980 Fishers Crossing Fishers IN 46038 Hamilton (317) 845-7878

Last Reviewed 6/30/2020

Last Revised 6/30/2020 4 of 14

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2020

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME**

Last Name First Name Title Group Name Address Suite City State Zip county Phone

Bussard David DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10972 Allisonville Rd Ste 100 Fishers IN 46038 Hamilton (317) 845-7878

Lambert R Cole DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10972 Allisonville Rd Ste 100 Fishers IN 46038 Hamilton (317) 845-7878

Lapp Thomas DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10972 Allisonville Rd Ste 100 Fishers IN 46038 Hamilton (317) 845-7878

Moenning John DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10972 Allisonville Rd Ste 100 Fishers IN 46038 Hamilton (317) 845-7878

Agyeman Doreen DMD Aspen Dental 720 East Coliseum Blvd Fort Wayne IN 46805 Allen (260) 483-4000

Allen Colleen DDS Summit Dental Group 10213 Dupont Circle Dr W Fort Wayne IN 46825 Allen (260) 484-8596

Allen Colleen DDS Summit Dental Group 9121 Illinois Rd Fort Wayne IN 46804 Allen (260) 434-0099

Allen David DDS Afdent 4041 Parnell Avenue Fort Wayne IN 46805 Allen (260) 482-8386

Aluri Praveena DMD Aspen Dental 4716 Illinois Rd Ste 101 Fort Wayne IN 46804 Allen (260) 432-7970

Argus Mary Ellen DDS Mary Ellen Argus, DDS 2801 Maplecrest Rd Fort Wayne IN 46815 Allen (260) 486-4444

Atkinson Harold DDS Lima Road Dentistry 9019 Lima Road Fort Wayne IN 46818 Allen (260) 489-4090

Agyeman Doreen DMD Core Dental Care 2444 Getz Road Fort Wayne IN 46804 Allen (260) 444-4715

Berger Eric DMD Berger Dentistry SW LLC 4616 W Jefferson Blvd Fort Wayne IN 46804 Allen (260) 432-8596

Berger Eric DMD Berger Dentistry 1620 St Joe River Dr Fort Wayne IN 46805 Allen (260) 482-4202

Berger Timothy DMD Berger Dentistry 1620 St Joe River Dr Fort Wayne IN 46805 Allen (260) 482-4202

Berger Timothy DMD Berger Dentistry SW LLC 4616 W Jefferson Blvd Fort Wayne IN 46804 Allen (260) 432-8596

Bertsch Joshua DMD Salkeld Family Dental LLC 12962 Coldwater Rd Fort Wayne IN 46845 Allen (260) 637-4648

Bible Christopher DDS Christopher L Bible, DDS 3825 W Jefferson Blvd Fort Wayne IN 46804 Allen (260) 435-1968

Blake Thomas DDS Thomas R Blake DDS 2409 Fairoak Dr Fort Wayne IN 46805 Allen (260) 747-5745

Bojrab Nathan DDS Legacy Dental 7215 Engle Rd Fort Wayne IN 46804 Allen (260) 434-1133

Bokel Fred DDS Fred E Bokel DDS Inc 5730 Falls Dr Ste 200 Fort Wayne IN 46804 Allen (260) 436-5718

Bolinger Craig DDS Bolinger Dental LLC 5800 Fairfield Ave Ste 220 Fort Wayne IN 46807 Allen (260) 456-6073

Braasch Bryan DDS Afdent 4041 Parnell Avenue Fort Wayne IN 46805 Allen (260) 482-8386

Bruick Dwane DDS Georgetown North Dental Group 6405 Georgetown N Blvd Fort Wayne IN 46815 Allen (260) 485-0583

Bueter Matthew DDS Afdent 4041 Parnell Avenue Fort Wayne IN 46805 Allen (260) 482-8386

Bunner Thomas DDS Thomas A Bunner DDS 9417 St. Joe Center Rd Fort Wayne IN 46835 Allen (260) 486-4800

Carmien Matthew DDS Aspen Dental 720 East Coliseum Blvd Fort Wayne IN 46805 Allen (260) 483-4000

Chenoweth Robert DDS Summit Dental Group 10213 Dupont Circle Dr W Fort Wayne IN 46825 Allen (260) 484-8596

Chenoweth Robert DDS Summit Dental Group 9121 Illinois Rd Fort Wayne IN 46804 Allen (260) 434-0099

Clark Grace DDS Aspen Dental 4716 Illinois Rd Ste 101 Fort Wayne IN 46804 Allen (260) 432-7970

Clinkenbeard Benjamin DDS Benjamin J. Clinkenbeard, DDS 3615 Lake Avenue Fort Wayne IN 46805 Allen (260) 424-6031

Clute Steven DDS Smile Works Youth Dentistry 7524 S Anthony Blvd Fort Wayne IN 46816 Allen (260) 441-8500

Coleman Angela DDS North Pointe Dental Care 10505 Lima Rd Fort Wayne IN 46818 Allen (260) 484-9248

Cooper George DDS George R Cooper DDS 2121 E Dupont Rd Ste E Fort Wayne IN 46825 Allen (260) 489-1508

Cooper, IV George R. DMD George R Cooper DDS 2121 E Dupont Rd Ste E Fort Wayne IN 46825 Allen (260) 489-1508

Corey Samuel DDS Samuel L Corey DDS High Tech & Cosmetic Dentistry 10216 Dupont Circle Dr E Fort Wayne IN 46825 Allen (260) 489-0078

Creager Tessa DDS Omni Dental 10020 Dupont Circle Ct Ste 150 Fort Wayne IN 46825 Allen (260) 450-7040

Creech Matthew DDS Fort Wayne Dental Group 7202 Engle Road Fort Wayne IN 46804 Allen (260) 432-3459

Diedrich Gregory DMD Afdent 4041 Parnell Avenue Fort Wayne IN 46805 Allen (260) 482-8386

Diehl David DDS Dupont Family Dentistry 10215 Dupont Circle Drive West Fort Wayne IN 46825 Allen (260) 489-1100

Dinh James DDS Georgetown North Dental Group 6405 Georgetown N Blvd Fort Wayne IN 46815 Allen (260) 485-0583

Dinh James DDS Lima Road Dentistry 9019 Lima Road Fort Wayne IN 46818 Allen (260) 489-4090

Druley Kimbra DDS Druley Dental 10202 A Coldwater Road Fort Wayne IN 46825 Allen (260) 433-8665

Dziak Richard DDS Afdent 4041 Parnell Avenue Fort Wayne IN 46805 Allen (260) 482-8386

Eady Jr Marvin DDS Doctor Eady Family Dentistry PC 4646 W Jefferson Blvd Ste 140 Fort Wayne IN 46804 Allen (260) 459-1415

Edmondson Gwendolyn DDS Mary Ellen Argus, DDS 2801 Maplecrest Rd Fort Wayne IN 46815 Allen (260) 486-4444

Ellinwood Charles DDS Steven P Ellinwood DDS 5725 Maplecrest Rd Suite 1 Fort Wayne IN 46835 Allen (260) 492- 2640

Last Reviewed 6/30/2020

Last Revised 6/30/2020 5 of 14

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2020

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME**

Last Name First Name Title Group Name Address Suite City State Zip county Phone

Ellinwood Steven DDS Steven P Ellinwood DDS 5725 Maplecrest Rd Suite 1 Fort Wayne IN 46835 Allen (260) 492- 2640

Errington Edwin DDS TLC Dental LLC 7908 Carnegie Blvd Fort Wayne IN 46804 Allen (260) 423-2525

Errington Edwin DDS Aspen Dental 720 East Coliseum Blvd Fort Wayne IN 46805 Allen (260) 483-4000

Feasel Allyson DDS Dupont Family Dentistry 10215 Dupont Circle Drive West Fort Wayne IN 46825 Allen (260) 489-1100

Fisher Alyssa DDS L Gary Painter PC 4109 Lahmeyer Road Fort Wayne IN 46815 Allen (260) 486-3100

Fortier Guy DDS Guy H Fortier DDS 5725 Maplecrest Rd Fort Wayne IN 46835 Allen (260) 486-2357

Frey James DDS Aspen Dental 4716 Illinois Rd Ste 101 Fort Wayne IN 46804 Allen (260) 432-7970

Friedrich Mark DDS Legacy Dental 7215 Engle Rd Fort Wayne IN 46804 Allen (260) 434-1133

Gandhi Upasna DDS Lakewood Family Dental 4512 Parnell Ave Fort Wayne IN 46825 Allen (260) 399-1333

Gebfert Ryan DMD Gebfert-Park Family Dentistry PC 10010 Dupont Circle Court Fort Wayne IN 46825 Allen (260) 490-4440

Ghori Maria DDS Brad Pulfer DDS 1405 Medical Park Dr Fort Wayne IN 46825 Allen (260) 471-1695

Gilbert Thomas DDS Family Dentistry & Aesthetics Inc 4626 W Jefferson Blvd Fort Wayne IN 46804 Allen (260) 432-0561

Glogas Geoffrey DDS Glogas Family Dentistry, LLC 7207 Engle Road Fort Wayne IN 46804 Allen (260) 426-8805

Gotsch Matthew DDS Geoffrey L Glogas DDS 7207 Engle Road Fort Wayne IN 46804 Allen (260) 426-8805

Gursimran Reen DMD Lakewood Family Dental 4512 Parnell Ave Fort Wayne IN 46825 Allen (260) 399-1333

Hagee Sarah DDS Fort Wayne Dental Group 7202 Engle Road Fort Wayne IN 46804 Allen (260) 432-3459

Hale Jonathan DDS Hale Family Dentistry 4116 E State Blvd Fort Wayne IN 46815 Allen (260) 482-3759

Harrison David DDS Harrison Dental Group 6412 Winchester Rd Fort Wayne IN 46819 Allen (260) 747-4747

Harrison David DDS Harrison Dental Group 4656 W Jefferson Blvd Ste 220 Fort Wayne IN 46804 Allen (260) 747-4747

Harrison David DDS Harrison Dental Group 1333 Getz Rd Fort Wayne IN 46804 Allen (260) 747-4747

Harrison Keith DDS Harrison Dental Group 6412 Winchester Rd Fort Wayne IN 46819 Allen (260) 747-4747

Harrison Keith DDS Harrison Dental Group 4656 W Jefferson Blvd Ste 220 Fort Wayne IN 46804 Allen (260) 747-4747

Harrison Keith DDS Harrison Dental Group 1333 Getz Rd Fort Wayne IN 46804 Allen (260) 747-4747

Hemphill Jason DDS Dupont Family Dentistry 10215 Dupont Circle Drive West Fort Wayne IN 46825 Allen (260) 489-1100

Herber John DDS Herber Yager Family Dentistry PC 9830 Auburn Rd Ste 101 Fort Wayne IN 46825 Allen (260) 489-8435

Hertig Adam DDS Shambaugh Dental Group 4341 Flagstaff Cove Fort Wayne IN 46815 Allen (260) 493-2432

Holmes Ryan DDS Holmes Family & Cosmetic Dentistry 10435 Illinois Road Fort Wayne IN 46814 Allen (260) 469-3671

Jacob Steven DMD Joseph E Kinder, DDS 7210 Maplecrest Rd Fort Wayne IN 46835 Allen (260) 485-5530

Kappesser Cory DMD North Pointe Dental Care 10505 Lima Rd Fort Wayne IN 46818 Allen (260) 484-9248

Kinder Joseph DDS Joseph E Kinder, DDS 7210 Maplecrest Rd Fort Wayne IN 46835 Allen (260) 485-5530

King Angela DDS Lima Road Dentistry, PC 9019 Lima Road Fort Wayne IN 46818 Allen (260) 489-4090

Klinger James DDS Klinger Family Dentistry 9405 Illinois Rd Fort Wayne IN 46804 Allen (260) 459-8494

Kolli Ranvita DDS Lakewood Family Dental 4512 Parnell Ave Fort Wayne IN 46825 Allen (260) 399-1333

Krider Heidi DDS Trok & Krider Dentistry 1001 Chestnut Hills Pkwy Ste 5 Fort Wayne IN 46814 Allen (260) 625-5100

Lake Valerie DDS Valerie E Lake DDS 6211 Covington Rd Fort Wayne IN 46804 Allen (260) 432-1579

Leonard Christopher DDS Afdent 4041 Parnell Avenue Fort Wayne IN 46805 Allen (260) 482-8386

Light Aaron DDS Summit Dental Group 9121 Illinois Rd Fort Wayne IN 46804 Allen (260) 434-0099

Light Aaron DDS Summit Dental Group 10213 Dupont Circle Dr W Fort Wayne IN 46825 Allen (260) 484-8596

Ludwig Kevin DDS Fort Wayne Pediatric Dentistry LLC 10211 Dupont Circle Drive West Fort Wayne IN 46825 Allen (260) 490-5437

Lynch Kelly DDS Timothy D Lynch DDS PC 4207 Hobson Ct Fort Wayne IN 46815 Allen (260) 485-2330

Lynch Timothy DDS Timothy D Lynch DDS PC 4207 Hobson Ct Fort Wayne IN 46815 Allen (260) 485-2330

Marr Bryan DMD Marr & Thompson Dental Group PC 5108 N Clinton St Fort Wayne IN 46825 Allen (260) 482-1551

McKean Philip DDS Philip M McKean DDS PC 6605 E State Blvd Ste 7 Fort Wayne IN 46815 Allen (260) 486-2339

McLellan Brian DDS Legacy Dental 7215 Engle Rd Fort Wayne IN 46804 Allen (260) 434-1133

Meeks Todd DDS Davinci Dental Spa 7205 Engle Rd Fort Wayne IN 46804 Allen (260) 432-8700

Mensah-Boateng Daniel DDS Gentle Care Family Dentistry 812 Lawrence Drive Fort Wayne IN 46804 Allen (260) 387-5890

Middleton Charles M. DDS Charles Middleton, DDS 4302 E State Blvd Fort Wayne IN 46815 Allen (260) 484-3136

Middleton Charles M. DDS Middleton Family Dentistry 1234 E Dupont Rd Suite 4 Fort Wayne IN 46825 Allen (260) 484-3136

Last Reviewed 6/30/2020

Last Revised 6/30/2020 6 of 14

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2020

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME**

Last Name First Name Title Group Name Address Suite City State Zip county Phone

Middleton Connie DDS Charles Middleton, DDS 4302 E State Blvd Fort Wayne IN 46815 Allen (260) 484-3136

Middleton Connie DDS Middleton Family Dentistry 1234 E Dupont Rd Suite 4 Fort Wayne IN 46825 Allen (260) 484-3136

Miller Abigale DMD Afdent 4041 Parnell Avenue Fort Wayne IN 46805 Allen (260) 482-8386

Moore Byron DDS Afdent 4041 Parnell Avenue Fort Wayne IN 46805 Allen (260) 482-8386

Mutton Brent DDS Fort Wayne Dental Group 7202 Engle Road Fort Wayne IN 46804 Allen (260) 432-3459

Neese Margaret DDS Legacy Dental 7215 Engle Rd Fort Wayne IN 46804 Allen (260) 434-1133

O'Hara Brendan DDS Middleton Family Dentistry 1234 E Dupont Rd Fort Wayne IN 46825 Allen (260) 484-3136

O'Hara Brendan DDS Middleton Family Dentistry 4302 E State Blvd Fort Wayne IN 46815 Allen (260) 484-3136

OHeeney Emma DMD Klinger Family Dentistry 9405 Illinois Rd Fort Wayne IN 46804 Allen (260) 459-8494

Painter L Gary DDS L Gary Painter PC 4109 Lahmeyer Road Fort Wayne IN 46815 Allen (260) 486-3100

Park Lawrence DDS Gebfert-Park Family Dentistry PC 10010 Dupont Circle Court Fort Wayne IN 46825 Allen (260) 490-4440

Pecina Roger DDS Afdent 4041 Parnell Avenue Fort Wayne IN 46805 Allen (260) 482-8386

Presser Richard DDS Summit Dental Group 10213 Dupont Circle Dr W Fort Wayne IN 46825 Allen (260) 484-8596

Presser Richard DDS Summit Dental Group 9121 Illinois Rd Fort Wayne IN 46804 Allen (260) 434-0099

Prouty Alan DDS Afdent 4041 Parnell Avenue Fort Wayne IN 46805 Allen (260) 482-8386

Pulfer Brad DDS Brad Pulfer DDS 1405 Medical Park Dr Fort Wayne IN 46825 Allen (260) 471-1695

Rahrig Gerald DDS Yoder-Rahrig Family Dentistry 333 East Tillman Rd Fort Wayne IN 46816 Allen (260) 447-1776

Raju Savithri DDS TLC Dental LLC 7908 Carnegie Blvd Fort Wayne IN 46804 Allen (260) 423-2525

Ratliff Kyle DDS Aspen Dental 720 East Coliseum Blvd Fort Wayne IN 46805 Allen (260) 483-4000

Regan Stephen DDS Summit Dental Group 10213 Dupont Circle Dr W Fort Wayne IN 46825 Allen (260) 484-8596

Regan Stephen DDS Summit Dental Group 9121 Illinois Rd Fort Wayne IN 46804 Allen (260) 434-0099

Roach Philip DDS Philip C Roach, DDS 2121 E Dupont Rd Ste B Fort Wayne IN 46825 Allen (260) 489-1818

Robison Jonathon DDS Timothy S Berger 1620 St Joe River Dr Fort Wayne IN 46805 Allen (260) 482-4202

Robison Jonathon DDS Berger Dentistry SW LLC 4616 W Jefferson Blvd Fort Wayne IN 46804 Allen (260) 432-8596

Rorick Nicholas DDS Sycamore Hills Dentistry 10082 Illinois Rd Fort Wayne IN 46804 Allen (260) 213-4400

Rumbaugh Ronald DDS Ronald L Rumbaugh, DDS 10506 Coldwater Rd Fort Wayne IN 46845 Allen (260) 637-6976

Rupright Adrienne DDS Rupright Family Dentistry 5327 South Bend Drive Fort Wayne IN 46804 Allen (260) 444-5510

Saalfrank Todd DDS Todd Saalfrank DDS, PC 6126 Trier Road Fort Wayne IN 46815 Allen (260) 486-5408

Salazar Elisa DDS Afdent 4041 Parnell Avenue Fort Wayne IN 46805 Allen (260) 482-8386

Salkeld Steven DDS Salkeld Family Dental LLC 12962 Coldwater Rd Fort Wayne IN 46845 Allen (260) 637-4648

Sandhu Mansimran DMD Glogas Family Dentistry, LLC 7207 Engle Road Fort Wayne IN 46804 Allen (260) 426-8805

Scheele Robert DDS Robert C Scheele DDS & Associates 9830 Auburn Rd Ste 103 Fort Wayne IN 46825 Allen (260) 637-6144

Schindler Charles DMD Dental Design of Fort Wayne 2828 E State Blvd Ste A Fort Wayne IN 46805 Allen (260) 482-6689

Shambaugh Jeffrey DMD Shambaugh Family Dentistry 4341 Flagstaff Cove Fort Wayne IN 46815 Allen (260) 493-2432

Shambaugh Michael DDS Michael E Shambaugh, DDS 1320 Medical Park Drive Fort Wayne IN 46825 Allen (260) 484-7919

Shanteau Owen DDS North Pointe Dental Care 10505 Lima Rd Fort Wayne IN 46818 Allen (260) 484-9248

Shanteau Owen DDS Dental Design of Fort Wayne 2828 E State Blvd Ste A Fort Wayne IN 46805 Allen (260) 482-6689

Shupe James DDS James A Shupe DDS Dentistry for Children Inc 3030 Lake Ave Fort Wayne IN 46805 Allen (260) 422-8419

Slyby David DDS David G Slyby DDS PC 4606-B East State Blvd Fort Wayne IN 46815 Allen (260) 484-0725

Smith Tracey DDS Dental Design of Fort Wayne 2828 E State Blvd Ste A Fort Wayne IN 46805 Allen (260) 482-6689

Sotomil Julianne DMD Afdent (Prosthodontist) 4041 Parnell Avenue Fort Wayne IN 46805 Allen (260) 482-8386

Stoner Mark DDS Mark F Stoner DDS LLC 9830 Auburn Rd Ste 102 Fort Wayne IN 46825 Allen (260) 484-4181

Taraji Waseem DMD Harrison Dental Group 1333 Getz Road Fort Wayne IN 46804 Allen (260) 432-3588

Taraji Waseem DMD Harrison Dental Group 6412 Winchester Rd Fort Wayne IN 46819 Allen (260) 747-4747

Taylor Jennifer DDS Smile Works Youth Dentistry 7524 S Anthony Blvd Fort Wayne IN 46816 Allen (260) 441-8500

Teel Thomas DDS Family Dentistry & Aesthetics Inc 4626 W Jefferson Blvd Fort Wayne IN 46804 Allen (260) 432-0561

Thompson Bryan DDS Marr & Thompson Dental Group PC 5108 N Clinton St Fort Wayne IN 46825 Allen (260) 482-1551

Tom Michael DDS Michael T Tom DDS, PC 1135 W Dupont Road Fort Wayne IN 46825 Allen (260) 490-4600

Last Reviewed 6/30/2020

Last Revised 6/30/2020 7 of 14

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2020

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME**

Last Name First Name Title Group Name Address Suite City State Zip county Phone

Trok John DDS Trok & Krider Dentistry 1001 Chestnut Hills Pkwy Ste 5 Fort Wayne IN 46814 Allen (260) 625-5100

Ueber Robert DDS Legacy Dental 7215 Engle Rd Fort Wayne IN 46804 Allen (260) 434-1133

Underwood Steven DDS Steven Underwood 107 Three Rivers East Fort Wayne IN 46802 Allen (260) 426-4438

Valliere Jeffrey DDS Summit City Smiles 1330 E State Blvd Fort Wayne IN 46805 Allen (260) 484-3215

Valliere Roger DDS Summit City Smiles 1330 E State Blvd Fort Wayne IN 46805 Allen (260) 484-3215

Virajitha Velichala DDS Lakewood Family Dental 4512 Parnell Ave Fort Wayne IN 46825 Allen (260) 399-1333

Vollmer Randall DDS Randall E Vollmer 4606-B East State Blvd Fort Wayne IN 46815 Allen (260) 484-9521

Wang Tim DDS Lakewood Family Dental 4512 Parnell Ave Fort Wayne IN 46825 Allen (260) 399-1333

Wehrly Jack DDS Jack Wehrly DDS 3303 Trier Rd Fort Wayne IN 46815 Allen (260) 484-4438

Weil Blake DMD Family Dentistry & Aesthetics Inc 4626 W Jefferson Blvd Fort Wayne IN 46804 Allen (260) 432-0561

Wright Kevin DDS Fort Wayne Dental Group 7202 Engle Road Fort Wayne IN 46804 Allen (260) 432-3459

Yager Jacob DDS Herber Yager Family Dentistry PC 9830 Auburn Road Ste 101 Fort Wayne IN 46825 Allen (260) 489-8435

Yoder Benjamin DDS Yoder-Rahrig Family Dentistry 333 East Tillman Rd Fort Wayne IN 46816 Allen (260) 447-1776

Yoder Thomas DDS Thomas R Yoder, DDS 2121 E Dupont Rd Ste A Fort Wayne IN 46845 Allen (260) 490-9684

Potter Tyler DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1000 W Jefferson Franklin IN 46131 Johnson (317) 882-3370

Pruitt John DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1000 W Jefferson Franklin IN 46131 Johnson (317) 882-3370

Griffith David DDS Garrett Family Dentistry 125 S Randolph St Garrett IN 46738 DeKalb (260) 357-3171

Schlemmer William DDS Garrett Family Dentistry 125 S Randolph St Garrett IN 46738 DeKalb (260) 357-3171

Kapoor Tarnit DMD Aspen Dental 2909 County Home Rd Goshen IN 46526 Elkhart (574) 533-2700

Kolkman Matthew DDS Grabill Family Dentistry 13307 Witmer Rd Grabill IN 46741 Allen (260) 627-1211

Orman Andrew DDS Grabill Family Dentistry 13307 Witmer Rd Grabill IN 46741 Allen (260) 627-1211

Ahmed Adnan DDS Dental Innovations 24163 Front Street Grand Rapids OH 43522 Wood 4198329101

Burcham Wesley DDS Aspen Dental 331 S State Rd 135 Ste D Greenwood IN 46142 Johnson (317) 859-0600

Pillai Seema DMD Aspen Dental 331 S State Rd 135 Ste D Greenwood IN 46142 Johnson (317) 859-0600

Potter Tyler DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1630 W Smith Valley Rd Greenwood IN 46142 Johnson (317) 882-3370

Pruitt John DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1630 W Smith Valley Rd Greenwood IN 46142 Johnson (317) 882-3370

Bixler John DDS John Bixler DDS 11422 Hoagland Road Hoagland IN 46745 Allen (260) 639-6638

Bue Jeffrey DDS Aspen Dental 6658 Airport Hwy Holland OH 43528 Lucas (419) 867-3400

Hampton Joseph DDS Aspen Dental 6658 Airport Hwy Holland OH 43528 Lucas (419) 867-3400

Islam Mohammad DDS Aspen Dental 6658 Airport Hwy Holland OH 43528 Lucas (419) 867-3400

Kioko Jr. Julius DDS Western Lucas County Community Health 330 Oak Terrace Blvd Holland OH 43528 Lucas (567) 218-1900

Nagy Ahmed DMD Western Lucas County Community Health 330 Oak Terrace Blvd Holland OH 43528 Lucas (567) 218-1900

Phan Huong DMD Western Lucas County Community Health 330 Oak Terrace Blvd Holland OH 43528 Lucas (567) 218-1900

Boggs Michael DDS Michael S Boggs DDS 106 N Bryan St Hicksville OH 43526 Defiance (419) 542-7748

Kelly Chelsea DDS Chelsea Kelly DDS 106 N Bryan St Hicksville OH 43526 Defiance (419) 542-7748

Gutterman John DDS Aspen Dental 10140 Indianapolis Blvd Ste A Highland IN 46322 Lake (219) 513-4286

Kapilikisha Mukuka DMD Aspen Dental 10140 Indianapolis Blvd Ste A Highland IN 46322 Lake (219) 513-4286

Schafer Sean DDS Aspen Dental 10140 Indianapolis Blvd Ste A Highland IN 46322 Lake (219) 513-4286

Last Reviewed 6/30/2020

Last Revised 6/30/2020 8 of 14

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2020

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME**

Last Name First Name Title Group Name Address Suite City State Zip county Phone

Brezausek-Sodano Linda DDS Huntertown Dental Services Inc 14932 Old Lima Rd Huntertown IN 46748 Allen (260) 637-5848

Sodano Thomas DDS Huntertown Dental Services Inc 14932 Old Lima Rd Huntertown IN 46748 Allen (260) 637-5848

Batesole Jeffrey DDS Summit Dental Group 650 Cherry Street Huntington IN 46750 Huntington (260) 356-8426

Eckert Matthew DDS Downtown Dental 429 N Jefferson St Huntington IN 46750 Huntington (260) 356-6651

Hart Ryan DMD Downtown Dental 429 N Jefferson St Huntington IN 46750 Huntington (260) 356-6651

Hughes James DDS James D Hughes DDS PC 320 W Northpoint Ave Huntington IN 46750 Huntington (260) 356-7920

Truitt James DDS James A Truitt DDS 490 Bowen Park Ave Huntington IN 46750 Huntington (260) 356-5210

Adelsperger John DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 777 Beachway Dr Ste 202 Indianapolis IN 46224 Marion (317) 297-1007

Adelsperger John DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8140 Knue Rd Ste 103 Indianapolis IN 46250 Marion (317) 849-4914

Bennett Jabrea DMD Aspen Dental 9940 Pendleton Pike Ste B Indianapolis IN 46236 Marion (317) 541-1900

Borkowski Christine DDS Avalon Dentistry 7118 North Shadeland Ave Indianapolis IN 46250 Marion (317) 849-6776

Buttrum Jeffrey DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 3021 E 98th St Ste 250 Indianapolis IN 46280 Marion (317) 846-3446

Buttrum Jeffrey DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8140 Knue Rd Ste 103 Indianapolis IN 46250 Marion (317) 913-2363

Cash Kevin DDS Aspen Dental 3935 East Southport Rd Indianapolis IN 46237 Marion (317) 244-3000

Cummingham Priya DMD Aspen Dental 3935 East Southport Rd Indianapolis IN 46237 Marion (317) 244-3000

Davis Matthew DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8445 S Emerson Ave Ste 100 Indianapolis IN 46237 Marion (317) 882-1284

Green Ashton DMD Aspen Dental 9940 Pendleton Pike Ste B Indianapolis IN 46236 Marion (317) 541-1900

Heidelman Joseph DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8140 Knue Rd Ste 103 Indianapolis IN 46250 Marion (317) 913-2363

Heidelman Joseph DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 9240 N Meridian St Ste 300 Indianapolis IN 46260 Marion (317) 846-7377

Heidelman Joseph DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 9670 E Washington St Indianapolis IN 46229 Marion (317) 899-5000

Hockema John DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 3021 E 98th St Ste 250 Indianapolis IN 46280 Hamilton (317) 846-3446

Jaynes Rob DDS Aspen Dental 4939 E 82nd St Ste D500 Indianapolis IN 46250 Marion (317) 578-8900

Johnson Krestina DDS Avalon Dentistry 7118 North Shadeland Ave Indianapolis IN 46250 Marion (317) 849-6776

Kapp Michael DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8140 Knue Rd Ste 103 Indianapolis IN 46250 Marion (317) 913-2363

Kapp Michael DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 9240 N Meridian St Ste 300 Indianapolis IN 46260 Marion (317) 846-7377

Kapp Michael DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 9670 E Washington St Indianapolis IN 46229 Marion (317) 899-5000

Kirkup Christopher DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 3021 E 98th St Ste 250 Indianapolis IN 46280 Marion (317) 846-3446

Kirkup Christopher DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 777 Beachway Dr Ste 202 Indianapolis IN 46224 Marion (317) 297-1007

Kirkup Christopher DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8140 Knue Rd Ste 103 Indianapolis IN 46250 Marion (317) 913-2363

Leickly Brandon DDS Aspen Dental 4939 E 82nd St Ste D500 Indianapolis IN 46250 Marion (260) 319-5090

Martin Thomas DDS Aspen Dental 3935 East Southport Rd Indianapolis IN 46237 Marion (317) 244-3000

Montefalco Philip DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8445 S Emerson Ave Ste 100 Indianapolis IN 46237 Marion (317) 882-1284

Parsey James DDS Aspen Dental 3935 East Southport Rd Indianapolis IN 46237 Marion (317) 244-3000

Randall Lisbeth DDS Aspen Dental 3935 East Southport Rd Indianapolis IN 46237 Marion (317) 244-3000

Steiner Charlene DDS Aspen Dental 3935 East Southport Rd Indianapolis IN 46237 Marion (317) 244-3000

Stickley Alyssa DDS Aspen Dental 3935 East Southport Rd Indianapolis IN 46237 Marion (317) 244-3000

Tancredi Samuel DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 777 Beachway Dr Ste 202 Indianapolis IN 46224 Marion (317) 297-1007

Tancredi Samuel DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 8140 Knue Rd Ste 103 Indianapolis IN 46250 Marion (317) 913-2363

Tancredi Samuel DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 9240 N Meridian St Ste 300 Indianapolis IN 46260 Marion (317) 846-7377

Tancredi Samuel DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 9670 E Washington St Indianapolis IN 46229 Marion (317) 899-5000

Troxel Joy DDS Aspen Dental 5945 Crawfordsville Rd Ste J Indianapolis IN 46224 Marion (317) 241-1000

Adnan Uzma DDS Kenton Community Health Center 111 W Epsy St Kenton OH 43326 Hardin (419) 679-5994

Adnan Uzma DDS Riverside Community Health Center 405 N Main St Kenton OH 43326 Hardin (567) 218-1900

Dhingra Pallavi DDS Kenton Community Health Center 111 W Epsy St Kenton OH 43326 Hardin (419) 679-5994

Last Reviewed 6/30/2020

Last Revised 6/30/2020 9 of 14

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2020

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME**

Last Name First Name Title Group Name Address Suite City State Zip county Phone

Dhingra Pallavi DDS Riverside Community Health Center 405 N Main St Kenton OH 43326 Hardin (567) 218-1900

Kioko Jr. Julius DDS Kenton Community Health Center 111 W Epsy St Kenton OH 43326 Hardin (419) 679-5994

Kioko Jr. Julius DDS Riverside Community Health Center 405 N Main St Kenton OH 43326 Hardin (567) 218-1900

Nagy Ahmed DMD Kenton Community Health Center 111 W Epsy St Kenton OH 43326 Hardin (419) 679-5994

Nagy Ahmed DMD Riverside Community Health Center 405 N Main St Kenton OH 43326 Hardin (567) 218-1900

Phan Huong DMD Kenton Community Health Center 111 W Epsy St Kenton OH 43326 Hardin (419) 679-5994

Phan Huong DMD Riverside Community Health Center 405 N Main St Kenton OH 43326 Hardin (567) 218-1900

Sleiman Deena DDS Riverside Community Health Center 405 N Main St Kenton OH 43326 Hardin (567) 218-1900

Deal Theodore DMD Trinity Dental 900 S Main St Kendallville IN 46755 Noble (260) 582-2607

Jones Thomas DDS Thompson Dental Care 225 Fairview Blvd Kendallville IN 46755 Noble (260) 347-2251

Smith Tyrone DDS Trinity Dental 900 S Main St Kendallville IN 46755 Noble (260) 582-2607

Thompson John DDS Thompson Dental Care 225 Fairview Blvd Kendallville IN 46755 Noble (260) 347-2251

Murray Patrick DDS Aspen Dental 2124 East Boulevard St Kokomo IN 46902 Howard (866) 273-8204

Adams Lawrence DDS Merit Dental-LaGrange 210 West South St Lagrange IN 46761 Lagrange (260) 463-7006

Bassett Jeffrey DDS Jeffrey L Bassett, DDS 108 S Townline Road Lagrange IN 46761 Lagrange (260) 463-3652

Bennett Jeffrey DDS Merit Dental-LaGrange 210 West South St Lagrange IN 46761 Lagrange (260) 463-7006

Cribbs William DDS Merit Dental-LaGrange 210 West South St Lagrange IN 46761 Lagrange (260) 463-7006

Cygan Gregory DDS Merit Dental-LaGrange 210 West South St Lagrange IN 46761 Lagrange (260) 463-7006

Schindler Charles DMD Merit Dental-LaGrange 210 West South St Lagrange IN 46761 Lagrange (260) 463-7006

Adelsperger John DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1667 N Lebanon St Lebanon IN 46052 Boone (317) 297-1007

Kirkup Christopher DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1667 N Lebanon St Lebanon IN 46052 Boone (317) 297-1007

Tancredi Samuel DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 1667 N Lebanon St Lebanon IN 46052 Boone (317) 297-1007

Acosta Denise DMD Hughes Dental Group LLC 13919 Amstutz Rd Leo IN 46765 Allen (260) 627-5345

Hameed Sahar DDS Hughes Dental Group LLC 13919 Amstutz Rd Leo IN 46765 Allen (260) 627-5345

Hughes Bradley DDS Hughes Dental Group LLC 13919 Amstutz Rd Leo IN 46765 Allen (260) 627-5345

Salazar Elisa DDS Hughes Dental Group LLC 13919 Amstutz Rd Leo IN 46765 Allen (260) 627-5345

Griffith David DDS Ligonier Dental Care 907 Lincolnway S Ligonier IN 46767 Noble (260) 894-4044

Linstromberg Megan DDS Ligonier Dental Care 907 Lincolnway S Ligonier IN 46767 Noble (260) 894-4044

Adnan Uzma DDS Gene Wright Community Health Center 441 E 8th St Lima OH 46804 Allen (419) 221-3072

Adnan Uzma DDS Spartan Health Center 1 Spartan Way Lima OH 45801 Allen (419) 996-3436

Dhingra Pallavi DDS Gene Wright Community Health Center 441 E 8th St Lima OH 46804 Allen (419) 221-3072

Dhingra Pallavi DDS Spartan Health Center 1 Spartan Way Lima OH 45801 Allen (419) 996-3436

Kioko Jr. Julius DDS Gene Wright Community Health Center 441 E 8th St Lima OH 46804 Allen (419) 221-3072

Nagy Ahmed DMD Gene Wright Community Health Center 441 E 8th St Lima OH 46804 Allen (419) 221-3072

Nagy Ahmed DMD Spartan Health Center 1 Spartan Way Lima OH 45801 Allen (419) 996-3436

Phan Huong DMD Gene Wright Community Health Center 441 E 8th St Lima OH 46804 Allen (419) 221-3072

Phan Huong DMD Spartan Health Center 1 Spartan Way Lima OH 45801 Allen (419) 996-3436

Sleiman Deena DDS Gene Wright Community Health Center 441 E 8th St Lima OH 46804 Allen (419) 221-3072

Sleiman Deena DDS Spartan Health Center 1 Spartan Way Lima OH 45801 Allen (419) 996-3436

Zhang Yuchun DDS Aspen Dental 3292 Elida Rd Lima OH 45805 Allen (419) 228-5000

Last Reviewed 6/30/2020

Last Revised 6/30/2020 10 of 14

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2020

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME**

Last Name First Name Title Group Name Address Suite City State Zip county Phone

Najah Husam DDS Aspen Dental 795 Lexington Springmill Rd Mansfield OH 44906 Richland (419) 522-1386

Patel Siddhi DDS Aspen Dental 795 Lexington Springmill Rd Mansfield OH 44906 Richland (419) 522-1386

Kelly Sean DDS Aspen Dental 3101 South Western Ave Marion IN 46953 Grant (765) 662-1022

Yudkowsky David DDS Aspen Dental 3101 South Western Ave Marion IN 46953 Grant (765) 662-1022

Navanit Abhishek DDS Aspen Dental 1436 Mount Vernon Ave Marion OH 43302 Marion (740) 223-1100

Berne David DDS Aspen Dental 2020 Unit E Lincoln Way East Marshallville OH 44645 Wayne (330) 830-5300

Okezie Chimere DDS Aspen Dental (ORAL SURGERY ONLY) 2020 Unit E Lincoln Way East Marshallville OH 44645 Wayne (330) 830-5300

Patel Dishant DDS Aspen Dental 2020 Unit E Lincoln Way East Marshallville OH 44645 Wayne (330) 830-5300

Ahmed Adnan DDS Dental Innovations 2444 S Detroit Ave Maumee OH 43537 Lucas (419) 893-8431

Villaire Matthew DDS Aspen Dental 7610 Mentor Ave Mentor OH 44060 Lake (440) 975-9300

Jones Trent DMD Aspen Dental 6 W Lincoln Hwy Merrillville IN 46410 Lake (219) 472-2275

Balogun Bolanle DDS Aspen Dental 5240 South Franklin St Michigan City IN 46360 La Porte (219) 873-9000

Clinton Adams Priscilla DDS Aspen Dental 5240 South Franklin St Michigan City IN 46360 La Porte (219) 873-9000

Redmond Ann DDS Aspen Dental 5240 South Franklin St Michigan City IN 46360 La Porte (219) 873-9000

Bueter Matthew DDS Afdent 605 W Douglas Rd Mishawaka IN 46545 St Joseph (574) 277-2220

Chein Win DDS Aspen Dental 4170 Grape Rd Mishawaka IN 46545 St Joseph (574) 272-4200

Diedrich Gregory DDS Afdent 605 W Douglas Rd Mishawaka IN 46545 St Joseph (574) 277-2220

Ferguson Caitlin DMD Afdent 605 W Douglas Rd Mishawaka IN 46545 St Joseph (574) 277-2220

Koveck Stephen DDS Afdent 605 W Douglas Rd Mishawaka IN 46545 St Joseph (574) 277-2220

Kulaar Preetinder DDS Aspen Dental 4170 Grape Rd Mishawaka IN 46545 St Joseph (574) 272-4200

Leonard Christopher DDS Afdent 605 W Douglas Rd Mishawaka IN 46545 St Joseph (574) 277-2220

Miller Abigale DMD Afdent 605 W Douglas Rd Mishawaka IN 46545 St Joseph (574) 277-2220

Moore Byron DDS Afdent 605 W Douglas Rd Mishawaka IN 46545 St Joseph (574) 277-2220

Pecina Roger DDS Afdent 605 W Douglas Rd Mishawaka IN 46545 St Joseph (574) 277-2220

Pletcher Austin DMD Afdent 605 W Douglas Rd Mishawaka IN 46545 St Joseph (574) 277-2220

Sitjar Jennifer DDS Aspen Dental 4170 Grape Rd Mishawaka IN 46545 St Joseph (574) 272-4200

Sotomil Julianne DMD Afdent (PROSTHODONTIST) 605 W Douglas Rd Mishawaka IN 46545 St Joseph (574) 277-2220

Zaremba Andrew DMD Aspen Dental 4170 Grape Rd Mishawaka IN 46545 St Joseph (574) 272-4200

Bailey Kenton DDS Kenton L Bailey DDS 506 W South St Monroeville IN 46773 Allen (260) 623-6171

Pittman Tyler DDS Pittman Family Dental 904 E Snyder Ave Montpelier OH 43543 Williams (419) 485-4605

Ahmed Cassim DDS Whittaker Dental Care Napoleon 1330 Scott St Ste B Napoleon OH 43545 Henry (419) 592-1981

Carosello Stephen DDS Whittaker Dental Care Napoleon 1330 Scott St Ste B Napoleon OH 43545 Henry (419) 592-1981

Faraj Waseem DDS Whittaker Dental Care Napoleon 1330 Scott St Ste B Napoleon OH 43545 Henry (419) 592-1981

Hall John DDS Whittaker Dental Care Napoleon 1330 Scott St Ste B Napoleon OH 43545 Henry (419) 592-1981

Kopylowicz Janina DDS Whittaker Dental Care Napoleon 1330 Scott St Ste B Napoleon OH 43545 Henry (419) 592-1981

Lantzy Steven DDS Whittaker Dental Care Napoleon 1330 Scott St Ste B Napoleon OH 43545 Henry (419) 592-1981

Mistry Jay DDS Whittaker Dental Care Napoleon 1330 Scott St Ste B Napoleon OH 43545 Henry (419) 592-1981

Last Reviewed 6/30/2020

Last Revised 6/30/2020 11 of 14

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2020

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME**

Last Name First Name Title Group Name Address Suite City State Zip county Phone

Moureiden Bana DMD Whittaker Dental Care Napoleon 1330 Scott St Ste B Napoleon OH 43545 Henry (419) 592-1981

Thaler Russell DMD Whittaker Dental Care Napoleon 1330 Scott St Ste B Napoleon OH 43545 Henry (419) 592-1981

Whittaker Daniel DMD Whittaker Dental Care Napoleon 1330 Scott St Ste B Napoleon OH 43545 Henry (419) 592-1981

Zhang You DMD Whittaker Dental Care Napoleon 1330 Scott St Ste B Napoleon OH 43545 Henry (419) 592-1981

Khimji Faiza DDS Aspen Dental 1298 N 21st St Newark OH 43055 Licking (740) 322-5700

Adnan Uzma DDS New Carlisle Community Health Center 106 North Main St New Carlisle OH 45344 Clark (937) 667-1122

Dhingra Pallavi DDS New Carlisle Community Health Center 106 North Main St New Carlisle OH 45344 Clark (937) 667-1122

Kioko Jr. Julius DDS New Carlisle Community Health Center 106 North Main St New Carlisle OH 45344 Clark (937) 667-1122

Nagy Ahmed DMD New Carlisle Community Health Center 106 North Main St New Carlisle OH 45344 Clark (937) 667-1122

Phan Huong DMD New Carlisle Community Health Center 106 North Main St New Carlisle OH 45344 Clark (937) 667-1122

Downie William DDS Downie Dental 982 Koehlinger Drive New Haven IN 46774 Allen (260) 749-1940

Noll Mark DDS New Haven Dental Group 615 Professional Park New Haven IN 46774 Allen (260) 493-2113

Fischer William DDS Aspen Dental 341 Graff Rd New Philadelphia OH 44663 Tuscarawas (330) 339-0900

Baji Rajesh DDS Aspen Dental 5700 Youngstown Warren Rd Ste 107 Niles OH 44446 Trumbull (330) 652-3900

Myers Daniel DDS Manchester Family Dentistry PC 1301 State Rd 13 W North Manchester IN 46962 Wabash (260) 982-6042

Downey Clark DDS Still Waters Family Dentistry 10045 North State Road 1 Ossian IN 46777 Wells (260) 622-4138

McDaniels Jason DDS Still Waters Family Dentistry 10045 North State Road 1 Ossian IN 46777 Wells (260) 622-4138

Mott Michael DDS Michael M Mott, DDS 402 E Baldwin Ave Paulding OH 45879 Paulding (419) 399-3394

Richardson Melody DDS Melody M Richardson DDS PC 63 W 6th Peru IN 46970 Miami (765) 473-4109

Lakireddy Murali DDS Aspen Dental 10705 Blacklick Eastern Rd Ste 100 Pickerington OH 43147 Fairfield (614) 382-4648

Al Saraf Resha DDS Aspen Dental 2377 East Main St Ste 175 Plainfield IN 46168 Hendricks (317) 837-8700

Bostos Christalia DDS Aspen Dental 2377 East Main St Ste 175 Plainfield IN 46168 Hendricks (317) 837-8700

Curnutt Brittany DDS Aspen Dental 2377 East Main St Ste 175 Plainfield IN 46168 Hendricks (317) 837-8700

Finney Brandt DDS Aspen Dental 2377 East Main St Ste 175 Plainfield IN 46168 Hendricks (317) 837-8700

Frey James DDS Aspen Dental 2377 East Main St Ste 175 Plainfield IN 46168 Hendricks (317) 837-8700

Goad Michael DDS Aspen Dental 2377 East Main St Ste 175 Plainfield IN 46168 Hendricks (317) 837-8700

Kumar Pooja DDS Aspen Dental 2377 East Main St Ste 175 Plainfield IN 46168 Hendricks (317) 837-8700

Thomas Emily DDS Aspen Dental 2377 East Main St Ste 175 Plainfield IN 46168 Hendricks (317) 837-8700

Zaidi Nazia DDS Aspen Dental 2377 East Main St Ste 175 Plainfield IN 46168 Hendricks (317) 837-8700

Chau John DDS Aspen Dental 3746 National Road East Richmond IN 47374 Wayne (765) 966-4000

Leonard Christopher DDS Aspen Dental 3746 National Road East Richmond IN 47374 Wayne (765) 966-4000

Woo Kijin DMD Aspen Dental 3746 National Road East Richmond IN 47374 Wayne (765) 966-4000

Patterson Nathan DDS Patterson Family Dentistry PC 578 Geiger Dr Ste D Roanoke IN 46783 Huntington (260) 672-3347

Patterson Ryan DDS Patterson Family Dentistry PC 578 Geiger Dr Ste D Roanoke IN 46783 Huntington (260) 672-3347

Last Reviewed 6/30/2020

Last Revised 6/30/2020 12 of 14

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2020

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME**

Last Name First Name Title Group Name Address Suite City State Zip county Phone

Lau Man-Cheung DDS Aspen Dental 4900 Milan Rd Sandusky OH 44870 Erie (419) 624-1120

Brown Desmon DDS Aspen Dental 206 West Ireland Road South Bend IN 46614 St Joseph (574) 299-1400

Ogunnusi Sofuye Modupe DMD Aspen Dental 206 West Ireland Road South Bend IN 46614 St Joseph (574) 299-1400

Paul William DDS William Paul, DDS (ORAL SURGERY ONLY) 926 E Lasalle Ave South Bend IN 46617 St Joseph (574) 233-7700

Shue Mark DDS Aspen Dental 658 Corwin Nixon Blvd South Lebanon OH 45065 Warren (513) 494-3111

Lynch Kelly DDS Timothy and Kelly Lynch DDS PC 202 N State St South Whitley IN 46787 Whitley (260) 723-6632

Lynch Timothy DDS Timothy and Kelly Lynch DDS PC 202 N State St South Whitley IN 46787 Whitley (260) 723-6632

Wallace Victor DDS Aspen Dental 100 Mall Dr Steubenville OH 43952 Jefferson (740) 264-7000

Yang Mei-Ling DDS Aspen Dental 100 Mall Dr Steubenville OH 43952 Jefferson (740) 264-7000

Farrkh Amana DDS Aspen Dental 3515 Hudson Dr Stow OH 44224 Summit (330) 928-7674

Kulick Lesya DDS Aspen Dental 3515 Hudson Dr Stow OH 44224 Summit (330) 928-7674

Lindstrom Aaron DDS Aspen Dental 3515 Hudson Dr Stow OH 44224 Summit (330) 928-7674

Maurer James DDS Aspen Dental 3515 Hudson Dr Stow OH 44224 Summit (330) 928-7674

Guduguntla Chakradhar DDS Aspen Dental 16750 Royalton Rd Strongsville OH 44136 Cuyahoga (440) 878-0770

Madulapally Shirisha DDS Aspen Dental 16750 Royalton Rd Strongsville OH 44136 Cuyahoga (440) 878-0770

Lantzy Steven DDS Corner Dental Sylvania 7640 West Sylvania Sylvania OH 43560 Lucas (419) 7242751

Helfert Donald DDS Aspen Dental 3363 South US Hwy 41 Terre Haute IN 47802 Vigo (812) 238-3900

Liang Jong-Ray DDS Aspen Dental 3363 South US Hwy 41 Terre Haute IN 47802 Vigo (812) 238-3900

Prabhu Sawan DDS Aspen Dental 3363 South US Hwy 41 Terre Haute IN 47802 Vigo (812) 238-3900

Whalen Susanne DMD Aspen Dental 4440 South US Hwy 41 Terre Haute IN 47802 Vigo (812) 238-3900

Adnan Uzma DDS Tiffin Community Health Center 1344 W Seneca Ave Tiffin OH 44883 Seneca (419) 445-8140

Dhingra Pallavi DDS Tiffin Community Health Center 1344 W Seneca Ave Tiffin OH 44883 Seneca (419) 445-8140

Kioko Jr. Julius DDS Tiffin Community Health Center 1344 W Seneca Ave Tiffin OH 44883 Seneca (419) 445-8140

Nagy Ahmed DMD Tiffin Community Health Center 1344 W Seneca Ave Tiffin OH 44883 Seneca (419) 445-8140

Phan Huong DMD Tiffin Community Health Center 1344 W Seneca Ave Tiffin OH 44883 Seneca (419) 445-8140

Sleiman Deena DDS Tiffin Community Health Center 1344 W Seneca Ave Tiffin OH 44883 Seneca (419) 445-8140

Badam Alekhya DDS Aspen Dental 4225 Talmadge Rd Toledo OH 43623 Lucas (419) 241-2800

Dhingra Pallavi DDS East Toledo Community Health Center 2020 Starr Ave Toledo OH 43605 Lucas (567) 218-1900

Geisler-Calderon Catherine DDS Aspen Dental 4225 Talmadge Rd Toledo OH 43623 Lucas (419) 241-2800

Kioko Jr. Julius DDS Bulldog Health Center 2400 Collingwood Blvd Toledo OH 43620 Lucas (419) 442-7701

Kioko Jr. Julius DDS East Toledo Community Health Center 2020 Starr Ave Toledo OH 43605 Lucas (567) 218-1900

Kioko Jr. Julius DDS Rams Health Center 222 McTigue Dr Toledo OH 43615 Lucas (419) 442-7702

Nagy Ahmed DMD Bulldog Health Center 2400 Collingwood Blvd Toledo OH 43620 Lucas (419) 442-7701

Nagy Ahmed DMD East Toledo Community Health Center 2020 Starr Ave Toledo OH 43605 Lucas (567) 218-1900

Nagy Ahmed DMD Rams Health Center 222 McTigue Dr Toledo OH 43615 Lucas (419) 442-7702

Phan Huong DMD Bulldog Health Center 2400 Collingwood Blvd Toledo OH 43620 Lucas (419) 442-7701

Phan Huong DMD East Toledo Community Health Center 2020 Starr Ave Toledo OH 43605 Lucas (567) 218-1900

Phan Huong DMD Rams Health Center 222 McTigue Dr Toledo OH 43615 Lucas (419) 442-7702

Last Reviewed 6/30/2020

Last Revised 6/30/2020 13 of 14

PARKVIEW SIGNATURE CARE DENTAL PROVIDERS

AS OF

07/01/2020

**DENTAL PROVIDERS LISTED ALPHABETICALLY BY CITY NAME**

Last Name First Name Title Group Name Address Suite City State Zip county Phone

Sleiman Deena DDS East Toledo Community Health Center 2020 Starr Ave Toledo OH 43605 Lucas (567) 218-1900

Balogun Bolanle DDS Aspen Dental 2505 Laport Ave Ste 111 Valparaiso IN 46383 Porter (219) 548-2400

Kaushik Ashutosh DDS Aspen Dental 2505 Laport Ave Ste 111 Valparaiso IN 46383 Porter (219) 548-2400

Mangiaracina Philip DMD Aspen Dental 2505 Laport Ave Ste 111 Valparaiso IN 46383 Porter (219) 548-2400

Metzger Lauren DDS Aspen Dental 630 Kimmel Rd Vincennes IN 47591 Knox (812) 316-3100

Pfau Alex DMD Aspen Dental 630 Kimmel Rd Vincennes IN 47591 Knox (812) 316-3100

DeaKyne Kevin DDS Brush Dental 278 Manchester Ave Wabash IN 46992 Wabash (260) 563-4065

Hameed Sahar DDS Brush Dental 278 Manchester Ave Wabash IN 46992 Wabash (260) 563-4065

Richter Joe DDS Joe E Richter DDS 832 Manchester Ave Wabash IN 46992 Wabash (260) 563-6332

Colclasure Abigail DMD Warren Family Dentistry 470 Bennett Dr Ste C Warren IN 46792 Huntington (260) 375-2246

Colclasure Zachary DMD Warren Family Dentistry 470 Bennett Dr Ste C Warren IN 46792 Huntington (260) 375-2626

Delvasto Jennyfer DDS Orange Door Dental Group of Warsaw 1299 Husky Trail Warsaw IN 46582 Kosciusko (574) 269-1200

Dixon Michael DDS Aspen Dental 530 W 300 N Warsaw IN 46582 Kosciusko (574) 267-1804

Gardner Philip DDS Orange Door Dental Group of Warsaw 1299 Husky Trail Warsaw IN 46582 Kosciusko (574) 269-1200

Heselbarth Jeni DDS Aegis Dental Group Warsaw 1005 Anchorage Rd Warsaw IN 46580 Kosciusko (574) 549-9940

Johnson Gabrielle DDS Orange Door Dental Group of Warsaw 1299 Husky Trail Warsaw IN 46582 Kosciusko (574) 269-1200

Kleinrichert Todd DDS Aegis Dental Group Warsaw 1005 Anchorage Rd Warsaw IN 46580 Kosciusko (574) 549-9940

Moore Guy DDS Aegis Dental Group Warsaw 1005 Anchorage Rd Warsaw IN 46580 Kosciusko (574) 549-9940

Sitjar Jennifer DDS Aspen Dental 530 W 300 N Warsaw IN 46582 Kosciusko (574) 267-1804

Willig Christiaan DDS Orange Door Dental Group of Warsaw 1299 Husky Trail Warsaw IN 46582 Kosciusko (574) 269-1200

Khandekar Anagha DDS Aspen Dental 387 Burbank Rd Wooster OH 44691 Wayne (330) 262-8383

Nguyen Kari DDS Aspen Dental 1320 Boardman Poland Rd Youngstown OH 44514 Mahoning (330) 629-8829

Meier Melissa DDS Aspen Dental 3941 Taryn Trace Zanesville OH 43701 Muskingum (740) 453-5100

Buttrum Jeffrey DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10801 N Michigan Ste 201 Zionsville IN 46077 Boone (317) 733-0926

Hockema John DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10801 N Michigan Ste 201 Zionsville IN 46077 Boone (317) 733-0926

Kirkup Christopher DDS Indiana Oral & Maxillofacial Surgery Assoc (ORAL SURGERY ONLY) 10801 N Michigan Ste 201 Zionsville IN 46077 Boone (317) 733-0926

Last Reviewed 6/30/2020

Last Revised 6/30/2020 14 of 14