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This oral health provider directory dated 03/10/2021 is for informational purposes only and subject to change.The following list is dental service providers for the New Mexico Medicaid Program for March,03/2021. Some providers may not be able to take new Medicaid patients.When contacting the dental providers, be certain to let them know you are a Medicaid recipient.Indian Health Service dental providers are restricted to Native American recipients. This list is for Fee -for- Service recipients.If you are enrolled in a Centennial Care - Managed Care Organizations you must use one of the followinglinks to locate the dental providers for your plan:Blue Cross Blue Shield of New Mexico: g-care/find-a-providerWestern Sky Community Care: tor.htmlPresbyterian Health Plan: https://www.phs.org/Pages/find-a-doctor.aspxThe information for these providers is based on the information the Medicaid program currently has available on file. If any information is not current, please use your localphone directory to locate the dental providers.New Mexico Oral Health Medicaid Fee for Service Provider RDOALAMOGORDOALAMOGORDOSTATE TYPE OF PROVIDER SPECIALTYNAME OF THE PROVIDERNMIndian Health SvcsDentalACOMA CANONCITO LAGUNA PHSHospitalNMDentistDentistryFEIST DAVID C DDSNMDentistDentistryHULL AVERY E DMDNMDentistDentistryULIBARRI JOSHUA ROSS DDSNMDentistOralEndoPeriodntics WOODS MONTOYA KIMBERLY R DMD&otherSurgyNMDentistDentistryBALL THOMAS BOAKE DDSNMDentistOralEndoPeriodnticsALAMO ORTHODONTICSNMClinic Federally QlfdMedical and DentalBEN ARCHER HEALTH CENTERNMDentistDentistryDEAN TYRELL CARSON DDSNMDentistDentistryDEVAKI SWATHI DDSNMDentistDentistryHAN ALEXANDER W DMDNMDentistDentistryKUNNEKEL ASHISH THOMAS DDSNMDentistDentistryO GIBSON SIYONG DDSNMDentistDentistryPUCKETT C RAY JR DDSADDRESS80 B VETERANS 0555253005055526644HWY 169 MM 29516 1ST ST # K2150 HWY 54 S2150 HIGHWAY 54 S780 SCENIC DR1713 10TH ST SUITE A780 SCENIC DR2150 HIGHWAY 54 S2150 HIGHWAY 54 ONMDentistDentistrySALLOUM NASIM DDS1713 E 10TH STALAMOSACODentistDentistryDAVIS ALYSE DDS128 MARKET STSTE A57543954397195899691

DAVIS SUSAN ELAINE DDSFISHER STEPHEN CARL DDSHARAM PHILLIP JAMES DDSKOHLGRAF KARL GUSTAF 969171958996917195899691LOO DANIELLE M DDS128 MARKET ST7195899691DentistryDentistryMARTINEZ AIMEE LOUISE DDSROBBEN STACEYRENEE DDS128 MARKET ST128 MARKET ST71958996917195899691DentistDentistrySISNEROS DAVID MICHAEL DDS128 MARKET ST7195895161COPhysician, MDMultiple SpecialtiesVALLEY-WIDE HEALTH SYSTEMS INC128 MARKET ntistryDentistryWILSON ERIC JAMES DDSA BETTER SMILE DENTISTRY oPeriodntics&otherSurgyA TO Z CHILDRENS DENTISTRY128 MARKET ST475 COORS BLVD NWSTE A3301 COORS RD NWSUITE IALBUQUERQUENMDentistABQ DENTURES LLCNMDentist2010 WYOMING BLVD NESTE K2010 WYOMING BLVD BUQUERQUENMDentistClinic Federally QlfdHlth CtrIndian Health SvcsHospitalALBUQUERQUEALBUQUERQUENMNMIndian Health SvcsDentistDentalDentistryALBUQUERQUE PHS INDIAN HOSPITALALLEN GRANT SKOUSEN entistDentistDentistryDentistryDentistryAMERICAN INSTITUTE OF DENTALANDERSON STEWART JOSEPH DMDANTANI KARTIK NAGENDRA DMD801 VASSAR DR NE9201 EAGLE RANCH RDNW2901 JUAN TABO BLVD5343 WYOMING BLVD NE10820 COMANCHE RD DentistryDentistryAPEX DENTALARNHART LISA W DDSARRIETA MARYHEN Y DDSBAO LI DMD6330 RIVERSIDE PLAZA6808 ACADEMY PARKWAYEASTNE SUITEA2NE5000MENAULBLVD475 COORS BLVD NWABQ alEndoPeriodnticsABQ ORTHODONTICS2010 WYOMING BLVD NE&otherSurgyDentistryADVENTURE DENTAL OF ALBUQUERQUE 5000 MENAUL BLVD NEDentistryAFFORDABLE DENTURES 4821 ALEXANDER BLVDALBUQUERQUE PCNEDentistryAHMED ZARAH ZERIN DDS3301 COORS RD NWMedical and Dental ALBUQUERQUE HEALTH CARE FOR THE1217 1ST ST NWand BHHOMELESS INCDentalALBUQUERQUE IHS DENTAL CLINIC9169 COORS RD NW5058393703STE G5052960761STE 7505922420050524840005058929010STE 10505219310150582287775053237700STE 1656307309676505898279750587212125052080505

ALBUQUERQUENMDentistDentistryBARADARAN SAM DDS1514 COORS BLVD stNMDentistBAUGH NEAL J DMDBEAR CANYON ORAL AND FACIALSURGERYBEHBAHANI KAVEH DMD2010 JUAN TABO BLVD10151 MONTGOMERYBLVD NE STE 2D5505 CENTRAL AVE tDentistryBELLAM KRANTIKUMARI DMDALBUQUERQUENMDentistDentistryBINGHAM SCOTT DMD6330 RIVERSIDE PLAZALN NW7711 ZUNI RD yDentistryBIR NEESHA R DDSBODZIAK JENNIFER R DDS6101 CANDELARIA RD NE2211 LOMAS BLVD yBROUSSARD RAYMOND E istDentistryDentistryBROWN SHEILA M DDSBRUM MARK D entistDentistDentistryDentistryDentistryBRUNSON MATTHEW ANDRIES DDSBURNETT WILLIAM D JR DDSBUSH LOUIS RITZHAUPT III ntistryDentistryCANDELARIA LIONEL M DDSCAPLIN LAWRENCE BRUCE DMDCARTER BARNEY WALL JR DMDCASAREZ-QUINTANA ALICIA R DDSCASAREZ-QUINTANA GIANNA N DDSCASAUS DANA MARIE DDSCASAUS ORTHODONTICSALBUQUERQUENMDentistDentistryCELEBRATE DENTAL & yCHANG PE DDSCHAVEZ KEELY JANE DDSCHEN ALEXANDRIA V DDSCHERRY HILLS DENTALCHIANG JONATHAN YANG DDS2801 EUBANK BLVD NESTE J5000 MENAUL BLVD NE2001 EL CENTROFAMILIAR BLVD SW9169 COORS BLVD NW4400 CUTLER AVE NE8616 MENAUL BLVD NESTE D STE D6800 MONTGOMERY901 LAMBERTON PL NE3900 EUBANK BLVD STE8501 CANDELARIA RD NE8501 CANDELARIA RD NE5910 CUBERO DR NE STE5910 CUBERO DR NE STED1625 RIO BRAVO BLVDSW STE 337111 PROSPECT PL NE7905 MARBLE AVE NE5505 CENTRAL AVE NE7007 WYOMING BLVD NE9169 COORS BLVD DentistryDentistryCHIEM BECKY DINH DDSCHISHOLM DOUGLAS PAUL DMDCHRISTENSEN CHRISTOPHER P DMDCITO STEPHEN M DDS4201 CENTRAL AVE NW5308 4TH ST NW9401 COORS BLVD NW3900 EUBANK BLVD NE5058436060STE 20050587585555055582294STE 1227350589027735052985522

ALBUQUERQUENMDentistDentistryCLARK GUY C DDS2100 LOUISIANA istryDentistryCLARK LANCE DON DMDCLAYDEN DAVID MICHAEL DDSALBUQUERQUENMDentistCLAYDEN DAVID MICHAEL rgyDentistryCLAYTON MARK RANDALL DMD1698 RIO BRAVO BLVD1625 RIO BRAVO BLVDSW1625 RIO BRAVO BLVDSW5308 4TH ST yDentistryCOBLE JEREMY CHARLES DDSCOFFMAN TAMERA PAGE DDSALBUQUERQUENMDentistDentistryCOMFORT DENTAL9201 EAGLE RANCH RD8220 LOUISIANA BLVDNE STE A1125 ALAMEDA BLVD NWALBUQUERQUENMDentistDentistryCOMFORT DENTAL4701 LOMAS BLVD NE5052322273ALBUQUERQUENMDentistDentistryCOMFORT DENTAL7900 SAN PEDRO DR NESTE C55059336871ALBUQUERQUENMDentistDentistryCOMFORT DENTAL BRACES4701 LOMAS BLVD OMFORT DENTAL CENTRALCOMFORT DENTAL COTTONWOODCOMFORT DENTAL OF CORONADO13031 CENTRAL AVE NE9401 COORS BLVD NW5820 MENAUL BLVD RQUENMNMDentistDentistDentistryDentistryCOMFORT DENTAL OF RIO BRAVOCOMFORTABLE DENTISTRY stALBUQUERQUENMDentist1698 RIO BRAVO BLVD9204 MENAUL BLVD NESTE 3DentistryCOPPER CANYON FAMILY DENTISTRY6830 MONTGOMERYBLVD NE STE ADentistryCORONADO FAMILY DENTAL11130 LOMAS BLVD NESTE F2OralEndoPeriodntics COTTONWOOD ORAL & MAXILLOFACIAL 9674 EAGLE RANCH RDDentistryCOTTONWOOD PARK DENTISTRY LLC10320 COTTONWOODDentistryCUMMINGS ANDREW D DDS333 SAN MATEO BLVD SEDentistryCUTTRELL GARY W DDS1801 CAMINO DE SALUDDentistryDARCY KAITLYN NICOLE DDS3301 COORS RD NWSUITE 1DentistryDAVID J MARTINEZ DDS PC7500 HOLLY AVE NE STE1DentistryDEMARCO CHRISTOPHER FRANICS DDS 8501 CANDELARIA RD NEDentistryDENTAL HOUSE TRADE WINDS LLC5400 CENTRAL AVE SE #C - 101DentistryDENTAL WELLNESS PC1010 BRIDGE BLVD SWSTE 1045058834867STE 3350524727175058775555STE 3350587755555053412273FLOOR 250583090815053696451STE DUNIT 35053140645STE C50529283005056154332STE E5058770435

entistryDOCKSTADER JEREMY RON DMDDOMINGUEZ CORI J DMDALBUQUERQUENMDentistDentistryDONOGHUE JANSEN EDWARD ryDentistryDR BARNEY W CARTER DMD PCDR DENTAL OF NEW yDentistryDentistryDR OSCAR C QUINTANA DDSDUKE CITY PEDIATRIC DENTISTRYDULA GEORGE VENNING DDSDURAN JACK EDWARD DDSDUSEK THOMAS O DDSDYE JEREMIAH M DDSEDWARDS ANTHONY HERBERT DDSALBUQUERQUENMDentistDentistryEHAT CHRISTOPHER JAMES DDS4701 LOMAS BLVD NE9201 EAGLE RANCH RDNW10320 COTTONWOODPARK NW D3900 EUBANK BLVD NE800 JUAN TABO BLVD NEQ8501 CANDELARIA RD NE8220 LOUISIANA BLVD9201 EAGLE RANCH RD9169 COORS BLVD NW9169 COORS BLVD NW2001 EL CENTRO6830 MONTGOMERYBLVD NE STE B13031 CENTRAL AVE yDentistryENUGANTI NARAYANA RAO DDSFABRIZIO CORY J DMD5505 CENTRAL AVE NE5820 MENAUL BLVD yNMDentistDentistry7520 MONTGOMERYBLVD NE BLDG C STE C6211 4TH ST NW5058833722ALBUQUERQUEFAMILY AND COSMETIC DENTALDESIGNFAMILY CHOICE DENTALALBUQUERQUENMDentistDentistryFAMILY CHOICE DENTAL6211 4TH ST NW STE 135053525439ALBUQUERQUENMDentistDentistryFAMILY SMILES LLC4201 CENTRAL AVE AMILY SMILES LLCFAMILY SMILES LLCFARR ANDREW LIONEL DMD5505 CENTRAL AVE NE6001 WINTERHAVEN RD13031 CENTRAL AVE RQUENMNMFAZEL NADIA SHIRIN DMDFIRST CHOICE COMM HEALTHCARE1217 1ST ST NW1231 CANDELARIA 42455057685450NMNMFIRST CHOICE COMM HEALTHCAREFIRST CHOICE COMM HEALTHCAREFIRST CHOICE COMMUNITY HEALTHFIRST CHOICE COMMUNITYHEALTHCARE INCFIRST NATIONS COMMUNITY HEALTHFISHER MATTHEW S DMD2001 EL CENTRO7704-A 2ND ST NW6900 GONZALES RD SW1401 WILLIAM ST SEALBUQUERQUEALBUQUERQUEDentistryMedical and Dentaland BHMedical and DentalMedical and DentalMedical and DentalMedical and Dentaland BHMedical and DentalDentistry5608 ZUNI RD SE9169 COORS BLVD NW50526265605059224249ALBUQUERQUENMDentistryFLORES JASON RAY DDS1801 CAMINO DE SALUD5059254031DentistClinic FederallyHlth CtrClinic FederallyClinic FederallyClinic FederallyClinic FederallyHlth CtrClinic 232227350589290105052424867STE 73STE 135056345541

ALBUQUERQUENMDentistDentistryFORDE COLIN ANTHONY DDS7520 MONTGOMERYBLVD NE BLDG C STE CALBUQUERQUENMDentistDentistryFOUTZ JONAH LEROY DDS2901 JUAN TABO BLVDNEALBUQUERQUENMDentistDentistryGABALDON MICHAELA COREN DDS9169 COORS RD stDentistryDentistryGALBRETH WILLIAM SCOTT DDSGALVIN JARED DAVID DMD4830 JUAN TABO NE STE1698 RIO BRAVO KANI SASAN GHAFFARI DDS1514 COORS BLVD ntistDentistGIBBONS CHAZ MICHAEL DMDGOFF SARAH M DMDGOOD ROBERT G DDSGOUDE CRIMSON ALEXANDER DDSGRACE CHILDRENS DENTISTRYNMNMDentistDentist5820 MENAUL BLVD NE4411 SAN MATEO BLVD9169 COORS BLVD NW5800 LOMAS BLVD NE6400 HOLLY AVE NE STEM7905 MARBLE AVE NE200 OAK ST NE STE DentistDentistryGUDDETI SUNIL KUMAR REDDY entistDentistGUTIERREZ ELOY R JR DDSGUTIERREZ KAREN DDSGUTIERREZ PULIDO LUIS DAVID entistryHALTOM TUCKER HANCHETT WESLEY ROSS DDSHARNICK ORTHODONTICSHASKINS AMBER JOY ryDentistryHATCH BRIAN K DMDHEMPSTEAD ANNE A DDS333 SAN MATEO BLVD SEUNITAVEA NE STE6400 istryHENRY KYLE L DMD6400 CENTRAL AVE SW5058360322GRADY ALICIA A DDSGREWAL KAPIL DDSGUTIERREZ TIMOTHY L DMDHALTOM DARREN MICHAEL DDS6330 RIVERSIDE PLAZALN NW1441 CARLISLE BLVD NE9201 EAGLE RANCH RD9201 EAGLE RANCH RDNW1513 CARLISLE BLVD NE3301 COORS RD NWSUITE I3301 COORS RD NWSUITE I4421 IRVING BLVD NW8631 GOLF COURSE RD5505 CENTRAL AVE NE5058833722STE 10505219310150523257105052478005STE 6060