This Oral Health Provider Directory Dated 12/26/2019 Is .

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This oral health provider directory dated 12/26/2019 is for informational purposes only and subject to change.The following list is dental service providers for the New Mexico Medicaid Program for December 26, 2019. Some providers may not be able to take newMedicaid patients. hen 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: rn Sky Community Care: https://www.dbp.com/presence/release/Presbyterian Health Plan: searchThe information for these providers is based on the information the Medicaid program currently has available on file. If any information isnot current, please use your local phone directory to locate the dental providers.New Mexico Oral Health Medicaid Fee for Service Provider DirectoryCITYSTATEACOMAACOMAACOMAACOMANMNMNMNMTYPE OF PROVIDERSPECIALTYIndian Health DentistDentistryNAME OF THE PROVIDERADDRESSPHONEACOMA CANONCITO LAGUNA PHSFEIST DAVID C DDSSTILL KOREY BETH DDSULIBARRI JOSHUA ROSS DDS80808080VETERANS BLVDVERERINS BLVDVETERANS BLVDVETERANS MDentistOralEndoPeriodntics&oth WOODS MONTOYA KIMBERLY RerSurgyDMD80 B VETERANS BLVD5055526644ALAMONMDentistDentistryBALL THOMAS BOAKE DDSHWY 169 MM 295758542626ALAMOGORDONMDentistClinic Federally QlfdHlth &otherSurgyMedical and Dental andSpec BHDentistryDentistryDentistryDentistryALAMO ORTHODONTICS516 1ST ST # OALAMOGORDONMNMNMNMNMBEN ARCHER HEALTH CENTERDEAN TYRELL CARSON DDSDEVAKI SWATHI DDSHAN ALEXANDER W DMDKUNNEKEL ASHISH THOMAS DDS2150 HWY 54 S2150 HIGHWAY 54 S780 SCENIC DR1713 10TH ST SUITE A780 SCENIC 94BBBB

ALAMOGORDONMDentistDentistryO GIBSON SIYONG DDS2150 HIGHWAY 54 S5754438133ALAMOGORDONMDentistDentistryPUCKETT C RAY JR DDS2150 HIGHWAY 54 DentistryDentistryDentistryDentistryDAVIS SUSAN ELAINE DDSFISHER STEPHEN CARL DDSHARAM PHILLIP JAMES DDSKOHLGRAF KARL GUSTAF DDSLOO DANIELLE M tryMARTINEZ AIMEE LOUISE DDS128 MARKET tryDentistryROBBEN STACEYRENEE DDSSISNEROS DAVID MICHAEL DDS128 MARKET ST128 MARKET ST71958996917195895161ALAMOSACOPhysician, MDMultiple SpecialtiesVALLEY-WIDE HEALTH SYSTEMS INC 128 MARKET ST7195895161ALAMOSACODentistDentistryWILSON ERIC JAMES istALBUQUERQUENMDentistDentistryA BETTER SMILE DENTISTRY LLCOralEndoPeriodntics&oth A TO Z CHILDRENS DENTISTRYOralEndoPeriodntics&otherSurgyABQ DENTURES ARKETMARKETMARKET128 MARKET ST475 COORS BLVD NWSTE A3301 COORS RD NW2010 WYOMING BLVD NESTE K505208050550583937035052172225DentistryADVENTURE DENTAL OFALBUQUERQUEAFFORDABLE DENTURES ALBUQUERQUE PC5000 MENAUL BLVD NESTE B4821 ALEXANDER BLVDNEMedical and Dental andSpec BHALBUQUERQUE HEALTH CARE FORTHE HOMELESS INC1217 1ST ST NWNMNMClinic Federally QlfdHlth CtrIndian Health SvcsHospitalIndian Health istryDentistryDentistryALBUQUERQUE IHS DENTAL CLINIC 9169 COORS RD NWALBUQUERQUE PHS INDIAN801 VASSAR DR NE9201 EAGLE RANCH RDALLEN GRANT SKOUSEN DMDNWAMERICAN INSTITUTE OF DENTAL 2901 JUAN TABO BLVDSTE 10ANDERSON STEWART JOSEPH DMD 5343 WYOMING BLVD yDentistryANTANI KARTIK NAGENDRA DMDAPEX NMDentistDentistDentistryDentistryARNHART LISA W DDSBAO LI DMD10820 COMANCHE RD NE6330 RIVERSIDE PLAZA STE 1656808 ACADEMYPARKWAY EAST NE475 COORS BLVD 01505822877750589827975052080505

ALBUQUERQUENMDentistDentistryBARADARAN SAM DDSALBUQUERQUENMDentistDentistryBAUGH NEAL J DMD1514 COORS BLVD NW2010 JUAN TABO ntics&otherSurgyDentistryDentistryDentistryBEAR CANYON ORAL AND FACIALSURGERYBELLAM KRANTIKUMARI DMDBINGHAM SCOTT DMDBIR NEESHA R DDS10151 MONTGOMERYBLVD RIVERSIDENE STE 2D PLAZA6330LN NWSTE 1657711 ZUNI RD SE6101 CANDELARIA RD yDentistryBODZIAK JENNIFER R DDSBROUSSARD RAYMOND E ryBROWN SHEILA M DDSALBUQUERQUENMDentistDentistryBRUM MARK D DDS2211 LOMAS BLVD NE2801 EUBANK BLVD NE5000 MENAUL BLVD NESTE B2001 EL CENTROFAMILIAR BLVD SWALBUQUERQUENMDentistDentistryBURNETT WILLIAM D JR DDS4400 CUTLER AVE NE5058758555ALBUQUERQUENMDentistDentistryBUSH LOUIS RITZHAUPT III DDS8616 MENAUL BLVD NESTESTE D RANCH yCALL VAUGHN DAVID tics&otherSurgyCANDELARIA LIONEL M tDentistryALBUQUERQUENMDentistDentistry6800 MONTGOMERYBLVD NESTE A901 LAMBERTON PL NECAPLIN LAWRENCE BRUCE DMDSTE WCARTER BARNEY WALL JR DMD3900 EUBANK BLVD STE8501 CANDELARIA RD NECASAREZ-QUINTANA ALICIA R DDS STE CCASAREZ-QUINTANA GIANNA N DDS 8501 CANDELARIA RD NE CCASAUS DANA MARIE DDS5910 CUBERO DR NE STE5910 CUBERO DR NE STECASAUS ORTHODONTICSDCELEBRATE DENTAL & BRACES1625 RIO BRAVO BLVDCHANG PE DDS7111 PROSPECT PL NECHERRY HILLS DENTAL7007 WYOMING BLVD NECHIANG JONATHAN YANG DDS9169 COORS BLVD NWCHIEM BECKY DINH DDS4201 CENTRAL AVE NW F-1CHISHOLM DOUGLAS PAUL DMD5308 4TH ST NW10320 COTTONWOODCHODOSH DAVID ANDREW DDSPARK NW STE DCHRISTENSEN CHRISTOPHER PDMD9401 COORS BLVD 73

ntistryDentistryCITO STEPHEN M DDSCLARK GUY C DDSCLARK LANCE DON DMDCOBLE JEREMY CHARLES DDS5052985522505883486750524727175055533607COFFMAN TAMERA PAGE DDSCOMFORT DENTALCOMFORT DENTALCOMFORT DENTALCOMFORT DENTAL BRACESCOMFORT DENTAL CENTRAL3900 EUBANK BLVD NE2100 LOUISIANA BLVDSTE 1041698 RIO BRAVO BLVD9201 EAGLE RANCH RDFLOOR 38220 LOUISIANA BLVDNE STE A1125 ALAMEDA BLVD NW4701 LOMAS BLVD NE7900 SAN PEDRO DR NE4701 LOMAS BLVD NE13031 CENTRAL AVE istryCOMFORT DENTAL COTTONWOOD9401 COORS BLVD NW5058902773ALBUQUERQUENMDentistDentistryCOMFORT DENTAL OF ERQUENMDentistCOMFORT DENTAL OF RIO BRAVOCOMFORTABLE DENTISTRY 4UCOPPER CANYON FAMILYDentistryDENTISTRYCOTTONWOOD MALL DENTALDentistryPRACTICE LLCOralEndoPeriodntics&oth COTTONWOOD ORAL &erSurgyMAXILLOFACIAL SURGERY5820 MENAUL BLVD NE1698 RIO BRAVO BLVDSW9204 MENAUL BLVD NE6830 MONTGOMERYBLVD NE STE A10000 COORS BYPASSNW STE G2189674 EAGLE RANCH RDNW STE ryCUMMINGS ANDREW D CUTTRELL GARY W DDSDARCY KAITLYN NICOLE DDSDAVID J MARTINEZ DDS yDentistryDAVIS MICHAEL W DDSDEMARCO CHRISTOPHER FRANICSALBUQUERQUENMDentistDentistryDENTAL HOUSE TRADE WINDS LLC333 SAN MATEO BLVD SE UNIT A1801 CAMINO DE SALUDNE STE 12009201 EAGLE RANCH RD7500 HOLLY AVE NE STE6808 ACADEMYPARKWAY EAST NE STE8501 CANDELARIA RD NE STE C5400 CENTRAL AVE SE #C - 101ALBUQUERQUENMDentistDentistryDENTAL WELLNESS PC1010 BRIDGE BLVD ntistryDOCKSTADER JEREMY RON DMDDOMINGUEZ CORI J DMDDR BARNEY W CARTER DMD PCDR DENTAL OF NEW MEXICODR OSCAR C QUINTANA DDS4701 LOMAS BLVD NE9201 EAGLE RANCH RD3900 EUBANK BLVD NESTE 19800 JUAN TABO BLVD NE8501 CANDELARIA RD 675053480877STE 25052928300

istDentistDentistryDUKE CITY PEDIATRIC DENTISTRYOralEndoPeriodntics&otherSurgyDULA GEORGE VENNING DDSDentistryDURAN JACK EDWARD QUENMNMNMNMALBUQUERQUE8220 LOUISIANA BLVDNE STE A9201 EAGLE RANCH RDNW9169 COORS BLVD NWDUSEK THOMAS O DDS5054333366505892901050592242499169 COORS BLVD NW2001 EL CENTRODYE JEREMIAH M DDSFAMILIAR BLVD SWEDWARDS ANTHONY HERBERT DDS 6830 MONTGOMERY505922424913031 CENTRAL AVE NE7520 MONTGOMERYBLVD NE BLDG C STE C6211 4TH ST NW STE 135053322273DentistryDentistryEHAT CHRISTOPHER JAMES DDSFAMILY AND COSMETIC DENTALDESIGNFAMILY CHOICE ryDentistryDentistryFAMILY SMILES LLCFAMILY SMILES LLCFAMILY SMILES LLCFARR ANDREW LIONEL DMD4201 CENTRAL AVE NW5505 CENTRAL AVE NE6001 WINTERHAVEN RD13031 CENTRAL AVE NE5058437172505843606050584297995053322273NMClinic Federally QlfdHlth CtrMedical and Dental andSpec BHFIRST CHOICE COMM HEALTHCARE1231 CANDELARIA NW5053453244ALBUQUERQUENMClinic Federally QlfdHlth CtrMedical and Dental andSpec BHFIRST CHOICE COMM HEALTHCARE2001 EL CENTROFAMILIAR BLVD SW5058737400ALBUQUERQUENMClinic Federally QlfdHlth CtrMedical and Dental andSpec BHFIRST CHOICE COMM HEALTHCARE7704-A 2ND ST NW5058901458ALBUQUERQUENMALBUQUERQUENMClinic Federally QlfdHlth CtrClinic Federally QlfdHlth CtrMedical and Dental andSpec BHMedical and Dental andSpec BHFIRST CHOICE COMMUNITY HEALTHCARE INC6900 GONZALES RD SWFIRST CHOICE COMMUNITYHEALTHCARE INC1401 WILLIAM ST SEALBUQUERQUENMClinic Federally QlfdHlth CtrMedical and Dental andSpec BHFIRST NATIONS COMMUNITYHEALTH SOURCEALBUQUERQUENMDentistDentistryFISHER MATTHEW S DMDALBUQUERQUENMDentistDentistryFLORES JASON RAY DDSALBUQUERQUENMDentistDentistryFORDE COLIN ANTHONY 24550576854505608 ZUNI RD SE50526265609169 COORS BLVD NW1801 CAMINO DE SALUDNE STE 127520 MONTGOMERYBLVD NE BLDG C STE C505922424950592540315058833722

ALBUQUERQUENMDentistDentistryFOUTZ JONAH LEROY entistDentistDentistryGALVIN JARED DAVID DMDOralEndoPeriodntics&oth GARAKANI SASAN GHAFFARI DDSDentistryGIBBONS CHAZ MICHAEL ryDentistryGOFF SARAH M DMDGOOD ROBERT G ERQUENMNMDentistDentistGOUDE CRIMSON ALEXANDER DDSGRACE CHILDRENS DENTISTRYGRADY ALICIA A DDSGREWAL KAPIL DDSGUDDETI SUNIL KUMAR REDDYDMDGUTIERREZ ELOY R JR DDSALBUQUERQUEALBUQUERQUENMNMALBUQUERQUE2901 JUAN TABO BLVDNE1698 RIO BRAVO BLVDSW1514 COORS BLVD NW5820 MENAUL BLVD NE4411 SAN MATEO BLVDNE STE E19169 COORS BLVD NWSTE ics&otherSurgyGUTIERREZ KAREN DDSOralEndoPeriodntics&oth GUTIERREZ PULIDO LUIS DAVID5800 LOMAS BLVD NE6400 HOLLY AVE NE STE7905 MARBLE AVE NE717 ENCINO PL NE STE 66330 RIVERSIDE PLAZALN NWSTE 1651441 CARLISLE BLVD NE9201 EAGLE RANCH RDNW9201 EAGLE RANCH RDNMDentistOralEndoPeriodntics&otherSurgyGUTIERREZ TIMOTHY L DMD1513 CARLISLE BLVD NE5058817373ALBUQUERQUENMDentistDentistry4421 IRVING BLVD NWSTE tOralEndoPeriodntics&otherSurgyHARNICK ORTHODONTICSDentistryHATCH BRIAN K DMD8631 GOLF COURSE RDNWF333 SAN MATEO BLVD yHEMPSTEAD ANNE A DDS6400 HOLLY AVE NE DentistryHENRY KYLE L DMDHERMANN THOMAS H DDSHINRICHS WADE A DDSHOLLIDAY M BRETT DDSHORTON NATHAN S DMD6400 CENTRAL AVE SW9169 COORS BLVD NW13031 CENTRAL AVE NE1514 COORS BLVD NW5820 MENAUL BLVD yDentistryHUBBERT STEPHEN EDWARD DDSISHAM MICHAEL SCOTT ryIVERS MELISSA DMD5608 ZUNI RD SE5555 MONTGOMERY NE #171801 CAMINO DE SALUDNE STE 1200HANCHETT WESLEY ROSS 031

entistryJACKSON LOUIS A DDSJACKSON MELISSA D DMDALBUQUERQUENMDental HygienistIn Collaborative Practice JANCSICS GALE ELIZABETH ryJEPPSEN JOHN RYAN DMDOralEndoPeriodntics&oth JEPPSEN JOHN RYAN DMDALBUQUERQUENMDentistDentistryJOHNSON AARON MICHAEL RQUEALBUQUERQUE8201 GOLF COURSE RDNWC32001STEEL CENTROFAMILIAR BLVD SW505892901050587374005058367337JOHNSON MARK W DDSKASSAM SARAH LALANI DDSKERST JEFFREY L DDS8604 MESA TOP RD NW4411 SAN MATEO BLVDNE STE E14411 SAN MATEO BLVD2010 JUAN TABO BLVDNE5115 COORS BLVD NWSTE F6800 MONTGOMERY4411 SAN MATEO BLVDDentistryDentistryKIDS CHOICE DENTAL PCKIDS FIRST DENTAL CARE LLC120 98TH ST NW STE C37711 ZUNI RD SE50535254395052567711DentistDentistryKIM MINWOO DDS4201 CENTRAL AVE NWSTE M SEO YOUNG DMDKING LISA stDentistDentistDentistDentistryCertified for nent 5052997678KINZER KYE GRANT DDS5608 ZUNI RD SE8300 CARMEL AVE NE9201 EAGLE RANCH RDNWKIRAN ASLI BANU DDSKIRAN ASLI BANU DDSKLINTMALM ERICK GUSTAF DMDKNEELAND DENTAL CARELARMOUR CHRISTOPHER JOHN DMD2211 LOMAS BLVD NE2211 LOMAS BLVD NE333 SAN MATEO BLVD SE1628 ALAMEDA BLVD NW9101 HIGH ASSETS ntistryLARRAGOITE PATRICIO C DDSLEE RYAN EUNGJUNE DDSLEE SHAUN MICHAEL DDSLEGACY DENTAL PARTNERSLEWIS LUCINDA ANN DDSLIGHTHALL SKYLAR ALAN DDS221191695505534391699401LOMAS BLVD NECOORS BLVD NWCENTRAL AVE NEWYOMING BLVD NECOORS RD NWCOORS BLVD 005058902773Multiple SpecialtiesDentistryDentistryDentistryLINCOLN COUNTY MEDICAL CENTERLINDSLEY HOLLY MAE DDSLINES DEREK CHRISTIAN DDSLOS LUNAS HOSP AND TRAINING201 CEDAR ST SE STE76002201 LOUISIANA BLVD5343 WYOMING BLVD NE7905 MARBLE AVE 10

ntistryDentistryLOVELAND KELCEY GORDON DMDLYONS RAY A DDSLYSONSKI MICHAEL DDSMAESTAS GABRIEL D Z DAVID JAMES DDS9201 EAGLE RANCH RD7905 MARBLE AVE NE441 WYOMING BLVD NE1125 ALAMEDA BLVD NW9201 EAGLE RANCH RDNW7500 HOLLY AVENUE NESTE 1ALBUQUERQUENMDentistDentistryMAIWAND SAFA HORMAT stDentistryMASON BRENTON MATTHEW DMD2116 HINKLE ST yMCCLAVE RICHARD J DMDMCDONALD ANDREW RYAN DDSMCFARLAND ANDREW RASMUSSENMCGARRY CODY GLEN DMDMECKLER GARY A DDSMECKLER PEDIATRIC DENTISTRYMENESES JULEINI MAIRENI DMDMIDTHANA SRINIVASA RAO DDSMILLBURN MICHAEL JOHN tistDentistDentistryDentistryMIRA CONSULTINGMISLA KAREN COOK DDS4400 CUTLER AVE NE1514 COORS BLVD NW7900 RIOSAN BRAVOPEDRO BLVDDR NE1698SW8300 CARMEL AVE NE8300 CARAMEL AVE NE4201 CENTRAL AVE NW F-1800 JUAN TABO BLVD NE5820 MENAUL BLVD NE6808 ACADEMYPARKWAY EAST NE STE5000 MENAUL BLVD QUERQUENMNMNMDentistDentistDentistDentistryMISNER REBECCA SUZANNE DMDOralEndoPeriodntics&oth MITCHELL JOHN COMPTON DDSDentistryMITSOS JANNA LEE DMD5000 MENAUL BLVD NESTE B6800 MONTGOMERY6660 CENTAL AVE stDentistryMORGAN SEAN RANDALL DDS4701 LOMAS BLVD stDentistryDentistryMORTAJI MICHAEL H DDSMORTLEY HUNTER L DDS3301 COORS BLVD NW3901 GEORGIA NE MDentistDentistDentistryDentistryMOSSMAN MAXIM MOURATOV DDSMUNOZ RICARDO J ryMURGA FIELFER LAZARO DDS2116 HINKLE ST SE2116 HINKLE ST SE1010 BRIDGE BLVD SWSUITE EALBUQUERQUEALBUQUERQUENMNMDentistDentistMURPHY KRISTIN KAY DMDMYERS ERIC ARTHUR NAISBITT MARK ALLEN DDSNAJIB SONIA MOHD DDS3301 COORS RD NW STEI2801 EUBANK BLVD NE2801 EUBANK BLVD NESTE J9201 EAGLE RANCH 355058393703505553360750555336075058503769

ALBUQUERQUENMDentistDentistryNAMBURI SUNEEL KUMAR entistDentistDentistryDentistryDentistryNAPA FAMILY DENTAL10820 COMANCHE RD NENEW AGE DENTISTRY LLC200 OAK ST NE STE 4NEW MEXICO COMMUNITY DENTAL 2116 HINKLE ST SEALBUQUERQUEALBUQUERQUENMNMDentistDentistNEWSOME BOYD EMMIT DMDNG NOAH SAMUEL entistryALBUQUERQUENMDentistDentistryNIDO ARTHUR ANTHONY yDentistryDentistryNIENDORFF WILLIAM JOSEPH DDSNM SMILES GONORBY DARREN CARL DMDNOURI ALEXANDER DDS3900 EUBANK BLVD NESTE 26808 ACADEMYPARKWAY EAST NE STE8604 MESA TOP RD NW2010 WYOMING BLVD NE1510 WYOMING BLVD ntistDentistDentistryDentistryDentistryNOYES JOHN DAVID JR DDSOPPEL-BROWN SAR

alamosa co dentist dentistry fisher stephen carl dds 128 market st 7195899691 alamosa co dentist dentistry haram phillip james dds 128 market st 7195899691 . cottonwood mal