PPO
DentalGuard Preferred®
Provider DirectoryLouisiana
September, 2015
The Guardian Life Insurance Company of America, New York, NY 10004.
Search Criteria:Parish: JeffersonLanguages spoken: No Preference (English)Number of providers in directory: 383
NETWORK OVERVIEW
GO GREEN!To help reduce the consumption of paper,pleaseaccess dental dentist information from Guardian'sFind a Provider site, via linkson.www.guardianlife.com andwww.GuardianAnytime.com.The site is available24/7 and allows you to search for a dental provideror create a customized provider directory. You canalso find a general dentist or specialist through ourmobile app, Guardian Anytime® Mobile.
QUALITY OF CARE YOU CAN COUNT ONThe DentalGuard Preferred plan allows you andyour family to visit any general dentist or specialistyou choose. DentalGuard Preferred dentists arecontracted based on discounted fees andreimbursement is based on your plan design.DentalGuard Preferred is a large network thatprovides access to participating dentists with greatdiscounts so you can save more. You can also electto see a DentalGuard Plus or a non-participatingdentist using your out-of-network benefits andGuardian's reimbursement is based on a feeschedule or a reasonable and customary amount(also known as "UCR"), depending on your plan.
DENTALGUARD PREFERRED(In-Network Benefits)With the DentalGuard Preferred (PPO) plan, youcan see any dentist you'd like. However, you havemore opportunities to save money when you see aparticipating dentist in the DentalGuard Preferrednetwork.
Guardian's payment to the provider for coveredservices is sent directly to the DentalGuardPreferred dentist.You are responsible for:
• any deductibles • any co-payments • services that are not covered by Guardian • services denied due to the frequency or contractlimitations • cosmetic upgrades
NOTE: The dentist may bill at the time of service forany deductible, co-payment, and/or non-coveredservice(s).
DENTALGUARD PLUS(Out-Of-Network Benefits)DentalGuard Plus dentists are reimbursed based ona discounted fee schedule. Services performed by aDentalGuard Plus dentist are usually paid at thelower, out-of-network coinsurance rate.Guardian's payment to the provider for coveredservices is sent directly to the DentalGuard Plusprovider. You are responsible for: • any deductibles • any co-payments • services that are not covered by Guardian • services denied due to the frequency or contractlimitations • cosmetic upgrades
NOTE: The dentist may bill at the time of service forany deductible, co-payment, and/or non-coveredservice(s).
DENTISTS WHO ARE NOT PARTICIPATING IN THEDentalGuard Preferred NETWORKS(Out-Of-Network Benefits)Services performed by a dentist not contracted inthe DentalGuard Preferred or DentalGuard Plusnetworks dentist are usually paid at a lower, out-of-network coinsurance rate. If a dental specialist isneeded and one is not available in the DentalGuardPreferred or DentalGuard Plus networks, benefitsare usually paid at the out-of-network benefit rate,regardless of a referral from an participating dentist.
Go online! www.GuardianAnytime.comAccess your Guardian benefits information 24 hours a day, 7 days a week
Guardian Anytime is our secure website where you can check benefits and coverage information, checkthe status of a claim, find a provider, print forms, ID cards and more! Registered users can go onlineanytime, anywhere - its available 24 hours a day, 7 days a weekIf you haven't registered yet, it's easy! Go to www.GuardianAnytime.com. You'll be online in minutes!
ENDODONTICS
JEFFERSON
GRETNAAccardo,ChelseaOffice : EndodonticAssociates
250 Meadowcrest St,#200
(504) 391-2324
Bonson,ScottOffice : EndodonticAssociates
250 Meadowcrest St,#200
(504) 391-2324
Dickerson,ArthurOffice : EndodonticAssociates
250 Meadowcrest St,#200
(504) 391-2324
Flint,ThomasOffice : EndodonticAssociates
250 Meadowcrest St,#200
(504) 391-2324
HARVEYDyer,RegineOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
KENNERDyer,RegineOffice : Lakeside DentalCare
2400 Veterans Blvd,#210
(504) 833-3200
METAIRIEAlongi,DominickOffice : NorthlakeEndodontics
3621 Ridgelake Dr,#301
(504) 832-2433
Dyer,Regine † Office : Louisiana DentalCenter
3301 Veterans Blvd,#203
(504) 833-6825
Matherne,RyanOffice : Louisiana DentalCenters
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Vedros,LaurenOffice : NorthlakeEndodontics
3621 Ridgelake Dr,#301
(504) 832-2433
GENERAL DENTISTRY
JEFFERSON
GRETNAAdams,Michael † Office : Michael Adams
307 Gretna Blvd ,#A (504) 361-5367
Arrington,MarthaOffice : BluebonnetDental Care
400 Lapalco Blvd ,#B (504) 392-4384
Barnes,MiaOffice : Kool Smiles
6 Westside ShoppingCtr
(504) 264-5307
Belanger,KennethOffice : K J BelangerDDS and R P Bertu
406 Lafayette St (504) 366-3052
Bergeron,Ronald † Office : Ronald PBergeron DDS
1799 Stumpf Blvd,#3
(504) 367-6135
Bertucci,RonaldOffice : K J BelangerDDS and R P Bertu
406 Lafayette St (504) 366-3052
Burke,Trang † Office : Earl J Rome JrDDS Apdc
2039 Belle ChasseHwy
(225) 767-2731
Champagne,HughOffice : HughChampagne DDS
743 Terry Pkwy (504) 362-8282
Collins,LatedraOffice : Latedra Collins
91 Westbank Expy
Connell,BrianOffice : Connell DentalCare
137 Bellemeade Blvd (504) 392-0221
Do,Kim ChiOffice : Kool Smiles
6 Westside ShoppingCtr
(504) 264-5307
Euksuzian,SarahOffice : Connell DentalCare
137 Bellemeade Blvd (504) 392-0221
Ferrand,Warren † Office : Warren JFerrand DMD
761 Wright Ave (504) 362-5975
Graziano,RobertOffice : Robert Graziano
848 Terry Pkwy (504) 391-0114
Hoang,HungOffice : BluebonnetDental Care-gretna
400 Lapalco Blvd ,#B (504) 392-4384
Hoang,HungOffice : Geaux Smiles
406 Lafayette St (504) 366-3052
Joseph,NiobeOffice : ComprehensiveDental Center
200 Lapalco Blvd (504) 324-8042
Launey,Kurt † Office : Kurt C LauneyDDS
761 Wright Ave (504) 362-5975
Luke,DawnOffice : Kool Smiles
6 Westside ShoppingCtr
(504) 264-5307
Nelson,JamesOffice : BluebonnetDental Care-gretna
400 Lapalco Blvd ,#B (504) 392-4384
Price,Helen † Office : Helen J Price
521 Hamilton St (504) 368-9174
Shedlarski,JosephOffice : Dr J Shedlarski
1808 Franklin Ave (504) 361-1011
Sutherland,Dannon† Office : Dannon WSutherland DMD
307 Gretna Blvd ,#A (504) 361-5367
Tufton,Michael † Office : Peter M TuftonDDS
654 Terry Pkwy (504) 362-5270
Tufton,Peter † Office : Peter M TuftonDDS
654 Terry Pkwy (504) 362-5270
Vu,BoihoangOffice : Dr Natchez JMorice Jr
12 Westbank Expy,#200
(504) 362-1776
HARVEYAbella,CynthiaOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Alvarez,JasonOffice : Todays Dental
1708 Manhattan Blvd,#C
(504) 361-5333
Anzelmo,JosephOffice : Dental Care
4001 Lapalco Blvd (504) 340-2004
Barre,BartonOffice : Barre DentalCare
1545 Lapalco Blvd,#D-5
(504) 367-0355
Boudreaux,NolanOffice : Dental Care
4001 Lapalco Blvd (504) 340-2004
Breaux,JohnnieOffice : Johnnie Breaux
1708 Manhattan Blvd,#D
(504) 263-1514
Cheuk,JuliaOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Cobb,Caroline † Office : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Cossich,DimetryOffice : Todays Dental
1708 Manhattan Blvd,#C
(504) 361-5333
Deville,MarilynOffice : Todays Dental
1708 Manhattan Blvd (504) 361-5333
Deyoung,BrandiOffice : Todays Dental
1708 Manhattan Blvd (504) 361-5333
Dib,RafikOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Dickerson,Christopher † Office : Devereux andNguyen
2800 Manhattan Blvd,#D
(504) 368-7513
Digney,TaroOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Friedt,ThomasOffice : Todays Dental
1708 Manhattan Blvd,#C
(504) 361-5333
Gregson,JeffreyOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Gruezke,FredOffice : Family Dentistry
1705 Lapalco Blvd,#2
(504) 361-3697
Hafford,JoshuaOffice : Louisiana DentalCenter
2840 Manhattan Blvd (985) 893-2240
Ho,AliceOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Huynh,LeeOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Kollenborn,GrantOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Lacoste,JosephOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Le,HoangOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Le,HoangOffice : Hoang Le
3709 Westbank Expy,#1a
(504) 254-4900
Le,Joseph † Office : ManhattanDental Associates Ll
2840 Manhattan Blvd (504) 324-3353
Le,Oanh † Office : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Lewis,GriffithOffice : Todays Dental
1708 Manhattan Blvd,#C
(504) 361-5333
Linskey-Sanders,JeanetteOffice : Dimetry BCossich Cosmetic & F
1708 Manhattan Blvd (504) 361-5333
Mekari,Ammar † Office : Dimetry BCossich Cosmetic & F
1708 Manhattan Blvd,#C
(504) 361-5333
Menendez,Eduardo† Office : EduardoMenendez
2840 Manhattan Blvd (504) 324-3353
Moncada,LuisOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Moore,LindsayOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Nelson,JamesOffice : Todays Dental
1708 Manhattan Blvd,#C
(504) 361-5333
Nelson,JamesOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Nguyen,AngelaOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Nguyen,Phuong † Office : Devereux andNguyen
2800 Manhattan Blvd,#D
(504) 368-7513
Nhan,Ruby Thuy-Hu† Office : Devereux andNguyen
2800 Manhattan Blvd,#D
(504) 368-7513
Noles,Russell † Office : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Pizzaloto,Lloyd † Office : Lloyd Pizzaloto
2840 Manhattan Blvd (504) 324-3353
Primas,JennesiaOffice : ManhattanDental Associates Ll
2840 Manhattan Blvd (504) 324-3353
Rome,JenniferOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Santarufo,LaurenOffice : Todays Dental
1708 Manhattan Blvd (504) 361-5333
Schafer,Russell † Office : Dental Care
4001 Lapalco Blvd (504) 340-2004
PPO-DentalGuard Preferred
Louisiana Member Services 1-800-541-7846
* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify the provider’s networkparticipation prior to obtaining treatment.
† Dentist is not directly contracted with Guardian. Dentist participates in the Guardian network through an arrangement with another network ("Partner Network"). Such Dentistsare consequentially not credentialed by Guardian and are subject to the credentialing requirements of the Partner Network, which may be different than the Guardian standards. 1
Smith,Rachelle † Office : Todays Dental
1708 Manhattan Blvd,#C
(504) 361-5333
Strain,GregoryOffice : Gregory S StrainFamily Den
2209 Lapalco Blvd,#B
(504) 368-9545
Ust,Bonnie † Office : ManhattanDental Associates Ll
2840 Manhattan Blvd (504) 324-3353
Zadeh,Mohammad † Office : MohammadZadeh
2840 Manhattan Blvd (504) 324-3353
JEFFERSONJouandot,CharlesOffice : Jefferson DentalCare
3809 Jefferson Hwy (504) 833-2211
Martin,GerardOffice : Gerard J Martin
4027 Jefferson Hwy (504) 833-2594
KENNERAdragna,Michael † Office : Country ClubDental Spa
4134 Florida Ave,#101
(504) 469-6333
Blum,RebeccaOffice : Nola DentalStudio
3645 Williams Blvd,#103
(504) 443-5882
Bourg,Darrell † Office : Country ClubDental Spa
4134 Florida Ave,#101
(504) 469-6333
Brown,Kimberly † Office : Just Kids Dental
2526 Williams Blvd (504) 904-0144
Chen,HuiyingOffice : Lakeside DentalCare
2400 VeteransMemorial Blvd ,#210
(504) 833-3200
Coffman,BenOffice : Ben Coffman
4228 Williams Blvd,#208
(504) 469-3763
Crouch,JamesOffice : James Crouch
231 W EsplanadeAve ,#A
(504) 468-9859
Cummings,StevenOffice : Lakeside DentalCare
2400 VeteransMemorial Blvd ,#210
(504) 833-3200
Dassey,Lani † Office : Just Kids Dental
2526 Williams Blvd (504) 904-0144
Davis,Danielle † Office : Just Kids Dental
2526 Williams Blvd (504) 904-0144
Deville,Marilyn † Office : Country ClubDental Spa
4134 Florida Ave,#101
(504) 469-6333
Ellender,KirkOffice : Kirk Ellender
2110 I-10 Service Rd,#201
(504) 443-3337
Freudenthal,Stephanie † Office : Just Kids Dental
2526 Williams Blvd (504) 904-0144
Friedt,ThomasOffice : Lakeside DentalCare
2400 VeteransMemorial Blvd ,#210
(504) 833-3200
Hoppe,CaryOffice : Country ClubDental Spa
3701 Williams Blvd,#253
(504) 469-1551
Iverstine,CaseyOffice : Nola DentalStudio
3645 Williams Blvd,#103
(504) 443-5882
Johnson-Gray,Tamma † Office : Just Kids Dental
2526 Williams Blvd (504) 904-0144
Kahn,Philip † Office : Philip J KahnDDS
1301 W EsplanadeAve
(504) 467-6453
Landesman,IanOffice : Lakeside DentalCare
2400 Veterans Blvd,#210
(504) 833-3200
Liles Iii,AOffice : EsplanadeDental
1401 W EsplanadeAve ,#816
(504) 467-4555
Linskey-Sanders,Jeanette † Office : Cheng You DDSApdc
2400 Veterans Blvd,#210
(504) 833-3200
Maturin,Erin † Office : Erin Maturin
2526 WilliamsBlvd,Just Kids Dental
(504) 904-0144
Mcinnis,Jacob † Office : Country ClubDental Spa
4134 Florida Ave,#101
(504) 469-6333
Newell,Adele † Office : IntergratedHealthcare Allianc
2526 WilliamsBlvd,Just Kids Dental
(504) 904-0144
Parekh,Shefali † Office : Cheng You DDSApdc
2400 VeteransMemorial Blvd ,#210
(504) 833-3200
Quartano,Adam † Office : Country ClubDental Spa
4134 Florida Ave,#101
(504) 469-6333
Russo,NicoleOffice : James A CrouchDDS
231 W EsplanadeAve ,#A
(504) 468-9859
Russo,WynnOffice : Wynn Russo
2301 Williams Blvd,#D
(504) 467-2333
Shannon,Robin † Office : Country ClubDental Spa
4134 Florida Ave,#101
(504) 469-6333
Sommers,Anne † Office : Just Kids Dental
2526 Williams Blvd (504) 904-0144
Taylor,Hope † Office : Cheng You DDSApdc
2400 VeteransMemorial Blvd ,#210
(504) 833-3200
Tingstrom,JessicaOffice : Nola DentalStudio
3645 Williams Blvd,#103
(504) 443-5882
Troendle,ElizabethOffice : Elizabeth MTroendle
3229 Florida Ave (504) 468-3466
Vu,LienOffice : Lakeside Dental
2400 VeteransMemorial Blvd ,#21
(504) 833-3200
Warner,Shanna † Office : Just Kids Dental
2526 Williams Blvd (504) 904-0144
Williams,CraigOffice : Craig A WilliamsDDS
913 Williams Blvd (504) 469-7576
Yeadon,William † Office : William Yeadon
3645 Williams Blvd,#103
(504) 443-5882
You,ChengOffice : Lakeside DentalCare
2400 VeteransMemorial Blvd ,#210
(504) 833-3200
LAFITTEArdalan,CyrousOffice : Jefferson ChcCenter
5140 Church St (504) 689-3300
Blanche,Mabel † Office : JeffersonCommunity Health Car
5140 Church St (504) 689-3373
Breaux,JohnnieOffice : Rfk LafitteMedical Clinic
5140 Church St (504) 689-3300
Clanton,NajaOffice : Naja Clanton
5140 Church St (504) 689-3300
Nguyen,KimOffice : Jefferson ChcCenter
5140 Church St (504) 689-3300
Ponder,ElizabethOffice : Rfk LafitteMedical
5140 Church St (504) 689-3300
Rayford,KimberlyOffice : Rfk LafitteMedical Clinic
5140 Church St (504) 762-8900
Trotter,VeronicaOffice : Rfk LafitteMedical Clinic
5140 Church St (504) 762-8900
Yenuganti,JeevanOffice : JeevanYenuganti
5140 Church St (504) 689-3300
MARREROAdragna,Mickey † Office : Mickey Adragna
2521 Ames Blvd ,#C (504) 340-9696
Andreotta,Lacey † Office : Lacey Andreotta
7301 Westbank Expy (504) 347-1014
Ardalan,CyrousOffice : Jefferson CommHealth Care Ctr
1855 Ames Blvd ,#B (504) 371-8958
Banquer,JenniferOffice : Jennifer Banquer
7301 Westbank Expy (504) 347-1014
Baudean,Aubrey † Office : Aubrey Baudean
7301 Westbank Expy (504) 347-1014
Bent,KimOffice : Signature SmilesDental
931 Westwood Dr ,#I (504) 340-9207
Bhattarai,SunitiOffice : Healthy Smiles
4940 Lapalco Blvd,#A
(504) 340-9334
Blanche,Mabel † Office : JeffersonCommunity Health Car
1855 Ames Blvd (504) 328-0899
Boudreaux,MichaelOffice : Healthy Smiles
4940 Lapalco Blvd,#A
(504) 340-9334
Bourg,Darrell † Office : Darrell Bourg
2521 Ames Blvd ,#C (504) 340-9696
Breaux,JohnnieOffice : Jefferson ChcCtr
1855 Ames Blvd ,#B (504) 371-8958
Burkhalter,BreahOffice : Healthy Smiles
4940 Lapalco Blvd,#A
(504) 340-9334
Carlisle,WilliamOffice : William Carlisle
2665 Barataria Blvd (504) 348-4232
Clanton,NajaOffice : Naja Clanton
1855 Ames Blvd (504) 371-8958
Deville,Marilyn † Office : Darrell P BourgJr DDS Apdc
2521 Ames Blvd ,#C (504) 340-9696
Do,DiemOffice : Diem Do
5220 Lapalco Blvd (504) 340-9400
Gennaro,JohnOffice : John B GennaroDDS
828 Avenue G St (504) 341-5200
Jackson-Williams,PhyllisOffice : Jefferson CommHealth Care Ctr
1855 Ames Blvd ,#B (504) 347-8377
Jayakrishnan,NinaOffice : Healthy Smiles
4940 Lapalco Blvd,#A
(504) 340-9334
Jordan,KayOffice : Kay Jordan
677 Barataria Blvd (504) 341-3535
Katz,ErinOffice : Signature SmilesDental
931 Westwood Dr ,#I (504) 340-9207
Lacour,Emily † Office : Darrell P BourgJr DDS Apdc
2521 Ames Blvd ,#C (504) 340-9696
Landry,CarrollOffice : Lapalco FamilyDental
5421 Lapalco Blvd,#H
(504) 348-0080
Maurer,Lenore † Office : Lenore Maurer
7301 Westbank Expy (504) 347-1014
Mcinnis,Jacob † Office : Jacob Mcinnis
2521 Ames Blvd ,#C (504) 340-9696
Morice,CharlesOffice : Charles RMorice DDS
7535 Westbank Expy (504) 347-1352
Nguyen,JonathanOffice : Healthy Smiles
4940 Lapalco Blvd,#A
(504) 340-9334
Nguyen,KimOffice : Jefferson CommHealth Care Ctr
1855 Ames Blvd ,#B (504) 347-8377
Nweze,UchennaOffice : Healthy Smiles
4940 Lapalco Blvd,#A
(504) 340-9334
Ponder,ElizabethOffice : Jefferson CommHealth Care Ctr
1855 Ames Blvd ,#B (504) 371-8958
Puckett,WandaOffice : Healthy Smiles
4940 Lapalco Blvd,#A
(504) 340-9334
Quartano,Adam † Office : Darrell P BourgJr DDS Apdc
2521 Ames Blvd ,#C (504) 340-9696
PPO-DentalGuard Preferred
Louisiana Member Services 1-800-541-7846
* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify the provider’s networkparticipation prior to obtaining treatment.
† Dentist is not directly contracted with Guardian. Dentist participates in the Guardian network through an arrangement with another network ("Partner Network"). Such Dentistsare consequentially not credentialed by Guardian and are subject to the credentialing requirements of the Partner Network, which may be different than the Guardian standards. 2
Ragas,PaulOffice : Paul H RagasDDS
2100 Barataria Blvd (504) 340-5263
Rayford,KimberlyOffice : Jchcc Marrero
1855 Ames Blvd ,#B (504) 762-8900
Roberts,AnitraOffice : Healthy Smiles
4940 Lapalco Blvd,#A
(504) 340-9334
Schwarz,JorgeOffice : Healthy Smiles
4940 Lapalco Blvd,#A
(504) 340-9334
Taylor,ThomasOffice : Thomas A TaylorDDS
5132 Lapalco Blvd,#1
(504) 347-7470
Tran,Rosemary † Office : Healthy Smiles
4940 Lapalco Blvd,#A
(504) 340-9334
Trotter,VeronicaOffice : Jchcc Marrero
1855 Ames Blvd ,#B (504) 473-8377
Wightman,Mark † Office : Darrell P BourgJr DDS Apdc
2521 Ames Blvd ,#C (504) 340-9696
Yenuganti,JeevanOffice : Healthy Smiles
4940 Lapalco Blvd,#A
(504) 340-9334
Yenuganti,JeevanOffice : JeevanYenuganti
1855 Ames Blvd ,#B (504) 371-8958
METAIRIEAbella,Cynthia † Office : Cynthia Abella
3301 Veterans Blvd,#203
(504) 833-6825
Alvarez,JasonOffice : Oak FamilyDental
1001 N CausewayBlvd
(504) 834-6410
Amos,LakicaOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Ardalan,CyrousOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 833-6825
Babin,RandallOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Babin,StephanieOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Babin,StephenOffice : Stephen Babin
4508 ClearviewPkwy ,#1a
(504) 454-7008
Batt,HarryOffice : Harry Batt
3939 Houma Blvd,#11
(504) 887-3311
Belou,RobertOffice : Robert Belou
4428 Conlin St (504) 888-9408
Billings,Terry † Office : Terry J BillingsDDS Apdc
3101 7th St (504) 832-2222
Brahney,BridgetOffice : Bridget ABrahney DDS
3508 VeteransMemorial Blvd
(504) 888-6860
Brown,Kimberly † Office : Just Kids Dental
4420 Conlin St (504) 883-5558
Cardona,YaliceOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Carter,ErinOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 833-6825
Chen,HuiyingOffice : Lloyd G VanGeffen DDS
5037 VeteransMemorial Blvd ,#
(504) 887-2428
Chowdhary,MohammadOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Collado,Myrna † Office : Myrna L Collado-torres Apdc
3330 Kingman St ,#6 (504) 888-2092
Collins,Kevin † Office : Kevin J CollinsDDS
6619 Airline Dr ,#B (504) 733-0484
Collins,LatedraOffice : Latedra Collins
2222 ClearviewPkwy ,#1
(504) 302-4215
Comeaux,GeorgeOffice : Jene C PonderDDS
2620 Metairie Rd (504) 834-2180
Constantine,PatrickOffice : P J ConstantineDDS A Professi
3000 Kingman St,#212
(504) 557-8810
Cordova,DaisyOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Cowley,StanOffice : Stan P CowleySr
3237 Metairie Rd (504) 831-4895
Cowley,StanOffice : Stan P CowleyJr
3237 Metairie Rd (504) 831-4895
Cummings,StevenOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Dassey,Lani † Office : Just Kids Dental
4420 Conlin St (504) 883-5558
Davenport,DavidOffice : David Davenport
730 VeteransMemorial Blvd ,#B
(584) 708-5095
Davis,Danielle † Office : IntergratedHealthcare Allianc
4420 Conlin St ,#204 (504) 883-5558
Devereux Jr,Jack † Office : Devereux andNguyen
3330 Kingman St ,#1 (504) 207-0314
Dib,RafikOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Dinh,DungOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Do,Kim ChiOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Donnelly,WilliamOffice : Dr Robert J Gaf
1431 VeteransMemorial Blvd
(504) 835-0340
Elnajjar,SaharOffice : Perfect DentalCare
3531 Ridgelake Dr (504) 831-3390
Ereth Barone,ShellyOffice : Shelly ErethBarone
110 VeteransMemorial Blvd,#105a
(504) 832-1164
Fabre,KeithOffice : Keith Fabre
3133 Edenborn Ave,#3
(504) 455-5864
Faust,JacquelineOffice : Jacqueline RFaust DDS
3008 20th St ,#H (504) 834-1993
Figueroa,JoseOffice : Jose Figueroa
1000 VeteransMemorial Blvd ,#302
(504) 831-7339
Franck,JohnOffice : John Franck
4432 Conlin St ,#1b (504) 888-1304
Franklin,AshleeOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Freudenthal,Stephanie † Office : Just Kids Dental
4420 Conlin St (504) 883-5558
Fugetta,TerryOffice : Terry Fugetta
4508 ClearviewPkwy ,#1a
(504) 454-7008
Gaffney,Robert † Office : Robert J GaffneDDS Apdc
1431 VeteransMemorial Blvd
(504) 835-0340
Gallagher,MichaelOffice : Michael WGallagher DDS
4440 Chastant St ,#A (504) 887-0181
Gallagher,RichardOffice : Richard TGallagher DDS Apdc
4440 Chastant St ,#A (504) 887-0181
Ganucheau,Byron † Office : Edmond JGanucheau Jr DDSApdc
2825 Houma Blvd (504) 887-3121
Ganucheau,Edmond† Office : GanucheauDental Group
2825 Houma Blvd (504) 887-3121
Ganucheau,Paul † Office : Edmond JGanucheau Jr DDSApdc
2825 Houma Blvd (504) 887-3121
Glaviano,GaryOffice : Gary A GlavianoDDS
4400 Trenton St ,#J (504) 885-9599
Gold,JonathanOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Hall,Billy † Office : Just Kids Dental
4420 Conlin St (504) 883-5558
Hamdan,SamirOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Harhad,LyndaOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Hernandez,GabrielOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 833-6825
Ho,Alice † Office : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Holloway,MckenzieOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Hunn,NicoleOffice : Gregory StrainFam Dentistry
3108 W EsplanadeAve
(504) 838-8118
Huynh,LeeOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Igoe,PeterOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Jackson-Williams,PhyllisOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Johnson-Gray,Tamma † Office : Just Kids Dental
4420 Conlin St (504) 883-5558
Kearns,ThomasOffice : Thomas SKearns DDS
3801 Houma Blvd,#101
(504) 454-1893
Khan,KhaliqOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Kollenborn,GrantOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Lacoste,JosephOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Le,Jo † Office : Lakeside DentalAssoc
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Le,Oanh † Office : Louisiana DentalCenter
3301 Veterans Blvd,#203
(504) 833-6825
Lebon,BrianOffice : Brian Lebon
4432 Chastant St (504) 455-5316
Lonergan,PatrickOffice : Patrick MLonergan DDS
3330 Kingman St ,#5 (504) 887-1700
Martin,ChaseOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Martin,ChaseOffice : South RnageDental
730 VeteransMemorial Blvd ,#B
(584) 708-5095
Maturin,Erin † Office : Erin Maturin
4420 Conlin St,JustKids Dental
(504) 883-5558
Maurer,Lenore † Office : Just Kids Dental
4420 Conlin St (504) 883-5558
Mccombs,Michael † Office : MichaelMccombs
3237 Metairie Rd (504) 831-8233
Mccoy,ThomasOffice : Thomas Mccoy
4432 Conlin St ,#1b (504) 889-1209
Mckey,Briggs † Office : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Mekari,AmmarOffice : Mekari LaserDentistry
3939 Houma Blvd,#219
(504) 888-1414
Melton,KirkOffice : Kirk Melton
4224 Houma Blvd,#320
(504) 456-5103
PPO-DentalGuard Preferred
Louisiana Member Services 1-800-541-7846
* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify the provider’s networkparticipation prior to obtaining treatment.
† Dentist is not directly contracted with Guardian. Dentist participates in the Guardian network through an arrangement with another network ("Partner Network"). Such Dentistsare consequentially not credentialed by Guardian and are subject to the credentialing requirements of the Partner Network, which may be different than the Guardian standards. 3
Menendez,Eduardo† Office : EduardoMenendez
3301 Veterans Blvd,#203
(504) 833-6825
Moore,LindsayOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Moran,MichaelOffice : Michael J MoranDDS
5037 VeteransMemorial Blvd ,#1b
(504) 456-2667
Morgan,WOffice : W Morgan
3100 Kingman St,#100
(504) 780-7006
Murphy,Thomas † Office : Metairie DentalCentre
1304 ClearviewPkwy
(504) 455-4660
Najolia,RaymondOffice : Raymond FNajolia DDS
3939 Houma Blvd,#226
(504) 887-7281
Nass,JaredOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Nelson,JamesOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Newell,Adele † Office : Adele Newell
4420 Conlin St,JustKids Dental
(504) 883-5558
Nguyen,AngelaOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Nguyen,QuynhOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Nguyen,ThaiOffice : Oak FamilyDental
1001 N CausewayBlvd
(504) 834-6410
Nhan,Ruby Thuy-Hu† Office : Devereux andNguyen
3330 Kingman St ,#1 (504) 207-0314
Noles,RussellOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Patterson,MargaretOffice : Oak FamilyDental
1001 N CausewayBlvd
(504) 834-6410
Patterson,TroyOffice : Troy L PattersonDDS
1001 N CausewayBlvd
(504) 834-6410
Picou,JOffice : Picou FamilyDentistry
3414 Hessmer Ave,#201
(504) 454-0067
Picou,StephanieOffice : Picou FamilyDentistry
3414 Hessmer Ave,#201
(504) 454-0067
Pizzaloto,Lloyd † Office : Lloyd Pizzaloto
3301 Veterans Blvd,#203
(504) 833-6825
Poissenot,Paul † Office : Troy L PattersonDDS
1001 N CausewayBlvd
(504) 834-6410
Ponder,JeneOffice : George TComeaux Jr DDS
2620 Metairie Rd (504) 834-2180
Primas,JennesiaOffice : Lakeside DentalAssociates
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Prokopets,EugeniaOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Quartano,Adam † Office : Metarie DentalCenter
1304 ClearviewPkwy
(504) 455-4660
Raphael,ClaireOffice : David C RaphaelDDS
4432 Conlin St ,#1a (504) 888-9204
Raphael,DOffice : D Raphael
4432 Conlin St ,#1a (504) 888-9204
Rocke,Paul † Office : Front RangeOrthodontic
3850 N CausewayBlvd ,#800
(303) 730-7002
Roy,SusanOffice : Susan D Roy
2721 Athania Pkwy (504) 834-3714
Russo,Dennis † Office : Dennis A RussoDDS
5037 VeteransMemorial Blvd ,#3a
(504) 455-6828
Russo,Dennis † Office : Dennis Russo
4801 Cleary Ave (504) 481-4938
Schafer,RussellOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Simone,JosephOffice : Joseph Simone
4420 Conlin St ,#204 (504) 456-0984
Sommers,Anne † Office : Just Kids Dental
4420 Conlin St (504) 883-5558
Steeg,CjOffice : Clarence JSteeg Jr DDS
4440 Chastant St ,#A (504) 888-7607
Strain,GregoryOffice : Gregory S StrainFamily Den
3108 W EsplanadeAve
(504) 838-8118
Summers,Patricia † Office : Patricia GSummers DDS
5928 W Metairie Ave,#2
(504) 734-9009
Swan,TimothyOffice : Timothy Swan
2626 N Arnoult Rd,#110
(504) 324-4952
Tom,Melissa † Office : Metairie DentalCentre
1304 ClearviewPkwy
(504) 455-4660
Tran,RosemaryOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Trentacoste,AnthonyOffice : CausewayDental Care
900 N CausewayBlvd
(504) 835-8741
Trotter,Veronica † Office : Veronica Trotter
3301 VeteransMemorial Blvd ,#203
Ursick,WilliamOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Van Geffen,LloydOffice : Lloyd G VanGeffen DDS
5037 VeteransMemorial Blvd ,#
(504) 887-2428
Walker,Ryan † Office : Lakeside DentalAssoc
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Warner,Shanna † Office : Just Kids Dental
4420 Conlin St (504) 883-5558
Wells,GeorgeOffice : G Patrick WellsJr DDS
3521 N Arnoult Rd,#B
(504) 888-1833
Wu,JustinOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Yuratich,DonaldOffice : Donald Yuratich
2708 David Dr (504) 888-8110
Zadeh,MohammadOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
NEW ORLEANSBergeron,Shannon † Office : Shannon RBergeron
8384 Jefferson Hwy,#4
(504) 738-9900
Blanche,Mabel † Office : JeffersonCommunity Health Car
11312 Jefferson Hwy (504) 328-0899
Clanton,NajaOffice : Jefferson ChcCtrs
11312 Jefferson Hwy (504) 463-5999
Gerstner,DannyOffice : Danny JGerstner
5622 Jefferson Hwy (504) 733-7218
Trotter,VeronicaOffice : Jchcc RiverRidge
11312 Jefferson Hwy (504) 463-5999
RIVER RIDGEArdalan,CyrousOffice : Jefferson CommHealth Care Ctr
11312 Jefferson Hwy (504) 463-3002
Breaux,JohnnieOffice : Jefferson ChcCenters
11312 Jefferson Hwy (504) 463-5999
Burns,JamesOffice : River RidgeDental
9523 Jefferson Hwy (504) 738-7246
Jackson-Williams,PhyllisOffice : Jefferson CommHealth Comm Ctr
11312 Jefferson Hwy (504) 463-5999
Nguyen,KimOffice : Jefferson CommHealth Care Ctr
11312 Jefferson Hwy (504) 463-5999
Ponder,ElizabethOffice : Jefferson CommHealth Care Ctr
11312 Jefferson Hwy (504) 463-3002
Rayford,KimberlyOffice : Jchcc RiverRidge
11312 Jefferson Hwy (504) 463-5999
Yenuganti,JeevanOffice : JeevanYenuganti
11372 Jefferson Hwy (504) 463-5999
WESTWEGOArdalan,CyrousOffice : Jefferson ChcCenters
3932 US-90 (504) 436-2223
Blanche,Mabel † Office : JeffersonCommunity Health Car
3932 US-90 (504) 436-2223
Breaux,JohnnieOffice : Jefferson ChcCtr
3932 US-90 (504) 436-2223
Clanton,NajaOffice : Naja Clanton
3932 US-90 (504) 436-2223
Nguyen,KimOffice : Jefferson ChcCenters
3932 US-90 (504) 436-2223
Ponder,Elizabeth † Office : Jefferson ChcCenter
3932 US-90 (504) 436-2223
Rayford,KimberlyOffice : Jefferson ChcCenter
3932 US-90 (504) 436-2223
Rayford,KimberlyOffice : Jchcc Avondale
4028 US-90 ,# (504) 437-8500
Trotter,VeronicaOffice : Jefferson ChcCenter
3932 US-90 (504) 436-2223
Trotter,VeronicaOffice : Jchcc Avondale
4028 US-90 ,# (504) 437-8500
Yenuganti,JeevanOffice : JeevanYenuganti
3932 US-90 (504) 436-2223
ORAL SURGERY
JEFFERSON
HARVEYDickerson,Christopher † Office : Devereux andNguyen
2800 Manhattan Blvd,#D
(504) 368-7513
Dongieux,JeffreyOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
KENNERDongieux,JeffreyOffice : Jeffrey Dongieux
1900 W EsplanadeAve ,#101
(504) 468-8300
Kreller,Skelly † Office : Skelly Kreller
1401 W EsplanadeAve ,#816
(504) 467-4555
MARREROHarris,DanielOffice : AnthonyIndovina DDS
5132 Lapalco Blvd,#1
(504) 347-7470
PPO-DentalGuard Preferred
Louisiana Member Services 1-800-541-7846
* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify the provider’s networkparticipation prior to obtaining treatment.
† Dentist is not directly contracted with Guardian. Dentist participates in the Guardian network through an arrangement with another network ("Partner Network"). Such Dentistsare consequentially not credentialed by Guardian and are subject to the credentialing requirements of the Partner Network, which may be different than the Guardian standards. 4
Indovina,AnthonyOffice : AnthonyIndovina Apdc
5132 Lapalco Blvd,#2
(504) 340-2401
METAIRIEAdams,ThomasOffice : Oral Surgery
4224 Houma Blvd,#224
(504) 454-4224
Harris,DanielOffice : Oral &Maxillofacial Surgical
4224 Houma Blvd,#670
(504) 456-5033
Indovina,AnthonyOffice : Gregory S StrainFamily Den
3108 W EsplanadeAve
(504) 838-8118
Jackson,WalterOffice : Walter CJackson DDS
4051 VeteransMemorial Blvd ,#200
(504) 455-7161
Lane,RobertOffice : Southern OralSurgery
4224 Houma Blvd,#230
(504) 454-4515
Mathurin,WilliamOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Silvia,CharlesOffice : Charles Silvia
4224 Houma Blvd,#230
(504) 454-4515
ORTHODONTICS
JEFFERSON
GRETNAAsercion,JosephOffice : Joseph Asercion
2112 Belle ChasseHwy ,#12
(504) 392-3000
Jones,JoshuaOffice : Joshua J JonesDDS
305 Gretna Blvd ,#A (504) 368-8152
HARVEYAsercion,JosephOffice : Todays Dental
1708 Manhattan Blvd,#C
(504) 361-5333
Devereux,Jack † Office : Devereux andNguyen
2800 Manhattan Blvd,#D
(504) 368-7513
Miyai,Aaron † Office : Devereux andNguyen
2800 Manhattan Blvd,#D
(504) 368-7513
Nguyen,Phuong † Office : Devereux andNguyen
2800 Manhattan Blvd,#D
(504) 368-7513
Nhan,Ruby Thuy-Hu† Office : Devereux andNguyen
2800 Manhattan Blvd,#D
(504) 368-7513
Poyadou,TimothyOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
Watzke,Robert † Office : Robert Watzke
1929 Jutland Dr (504) 341-0970
Zadeh,Mohammad † Office : MohammadZadeh
2840 Manhattan Blvd (504) 324-3353
KENNERDevereux,Jack † Office : Devereux andNguyen
1401 W EsplanadeAve ,#816
(504) 467-4555
Miyai,Aaron † Office : Devereux andNguyen
1401 W EsplanadeAve ,#816
(504) 467-4555
Scaffidi,DavidOffice : David V ScaffidiDDS
527 W EsplanadeAve ,#101
(504) 468-6200
METAIRIECharbonnet,ClaytonOffice : Dr Linda CaoPed Dentistry
5036 Yale St ,#301 (504) 456-7874
Charbonnet,Clayton† Office : ClaytonCharbonnet
3501 Severn Ave,#3d
(504) 455-7874
Devereux Jr,Jack † Office : Devereux andNguyen
3330 Kingman St ,#1 (504) 207-0314
Dongieux,GeneOffice : Gene DongieuxDDS Ms
3501 Severn Ave,#3d
(504) 835-2273
Duvernay,Brian † Office : Devereux andNguyen
3330 Kingman St ,#1 (504) 207-0314
Iennusa,JohnOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Jones,JoshuaOffice : Joshua J JonesDDS
2727 Houma Blvd,#B
(504) 454-0864
Khullar,ReenaOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Miyai,Aaron † Office : Devereux andNguyen
3330 Kingman St ,#1 (504) 207-0314
Nhan,Ruby Thuy-Hu† Office : Devereux andNguyen
3330 Kingman St ,#1 (504) 207-0314
Olivier,Brian † Office : OlivierOrthodontics
4408 Trenton St ,#C (504) 218-7300
Suter,Scott † Office : Front RangeOrthodontic Spec
3850 N CausewayBlvd ,#800
(719) 550-0222
Zadeh,MohammadOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
NEW ORLEANSEvans,RhondaOffice : EvansOrthodontics
5700 Citrus Blvd ,#C (504) 301-3413
PEDIATRIC DENTISTRY
JEFFERSON
HARVEYCao,LindaOffice : Smile BrightPedo Dental Care
2800 Manhattan Blvd,#D
(504) 368-7513
KENNERNewell,Adele † Office : IntergratedHealthcare Allianc
2526 WilliamsBlvd,Just Kids Dental
(504) 904-0144
METAIRIEBurns,NathanOffice : Nathan A BurnsDMD Apdc
5036 Yale St ,#302 (504) 455-2213
Cao,LindaOffice : Smile BrightPedo Dental Care
3330 Kingman St ,#1 (504) 207-0314
Curran,RonaldOffice : Nathan A BurnsDMD Apdc
5036 Yale St ,#302 (504) 455-2213
Garrett,LaceyOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
Hemphill,ChrishelleOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Jones,BrigetteOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Maturin,ErinOffice : Kool Smiles
2222 ClearviewPkwy ,#1
(504) 302-4215
Parker,JasonOffice : Pediatric DentistApoc
2201 VeteransMemorial Blvd ,#411
(504) 831-2120
PERIODONTICS
JEFFERSON
HARVEYMoncada,LuisOffice : Louisiana DentalCenter
2840 Manhattan Blvd (504) 324-3353
KENNERDuboue,JaclynOffice : Laketown Dental
4134 Florida Ave,#101
(504) 218-4444
Islam,MahrufaOffice : Cheng You DDSApdc
2400 Veterans Blvd,#210
(504) 833-3200
O'brien,WilliamOffice : Lakeside DentalCare
2400 VeteransMemorial Blvd ,#210
(504) 833-3200
METAIRIEHaik,PhilipOffice : Philip Haik
4324 VeteransMemorial Blvd ,#203
(504) 888-2483
Snitzer,JeffreyOffice : Louisiana DentalCenter
3301 VeteransMemorial Blvd ,#203
(504) 887-6453
PROSTHODONTICS
JEFFERSON
METAIRIEDonaire,Paola † Office : Metarie DentalCenter
1304 ClearviewPkwy
(504) 454-4660
RIVER RIDGECole,Kellene † Office : Kellene Cole
9541 Jefferson Hwy (504) 738-1567
PPO-DentalGuard Preferred
Louisiana Member Services 1-800-541-7846
* Currently not accepting new patients. This information is intended for reference only and is subject to change.It is the member’s responsibility to verify the provider’s networkparticipation prior to obtaining treatment.
† Dentist is not directly contracted with Guardian. Dentist participates in the Guardian network through an arrangement with another network ("Partner Network"). Such Dentistsare consequentially not credentialed by Guardian and are subject to the credentialing requirements of the Partner Network, which may be different than the Guardian standards. 5
DentalGuard Preferred Dentist Nomination FormI would like to nominate my dentist for inclusion in the DentalGuard Preferred ProviderNetwork.I understand that DentalGuard Preferred/Guardian retains final authority forapproving membership in the network. I also understand that DentalGuard Preferred/Guardian may use my name when contacting my dentist and inform them of my desire forthem to join the network. You can also nominate online at www.GuardianLife.com.
NOTE: This form does not serve as an enrollment form for dental coverage or toregister with the dental office as a patient.
DATE:_____________ Group Plan #:_____________________
MEMBER INFO:
Employer: _____________________________________________________________
Patient: _______________________________________________________________
Address: ______________________________________________________________
City/State/Zip: __________________________________________________________
Phone: ___________________________ Fax:_________________________________
E-mail: ________________________________________________________________
DENTIST INFO:
Name: ________________________________________________________________
Address: ______________________________________________________________
City/State/Zip: __________________________________________________________
Phone: ________________________________________________________________
Specialty: ______________________________________________________________
E-mail: ________________________________________________________________
Please submit completed form to: GuardianDentalGuard PreferredAttn: Network ManagementP.O. Box 2465Spokane, WA 99210-9817
Fax: 509-468-6550
Online at www.GuardianLife.com
www.GuardianLife.com
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