Delta Dental Premier® Dentists
Transcription
Delta Dental Premier® Dentists
DENTAL PROGRAM FOR KAISER PERMANENTE FEHBP ENROLLEES You must be a Kaiser Permanente FEHBP enrollee to participate in the dental plan. KAISER PERMANENTE AND DELTA DENTAL Kaiser Permanente and Delta Dental Insurance Company recognize that good oral care is an important part of your general health. Your enrollment in a Kaiser Permanente FEHB plan option gives you and your family two ways to maintain good oral health — a preventive dental benefit administered by Delta Dental (Delta Dental Premier®), which is included as part of your High Option or Standard Option benefits, and a separate optional plan (DeltaCare® USA), which you may be eligible to purchase for an additional premium.* PREVENTIVE DENTAL COVERAGE (DELTA DENTAL PREMIER) With your FEHBP medical coverage through Kaiser Permanente, you receive dental coverage for preventive services. Your only costs will be the patient’s share of the procedure at the time of treatment. With Delta Dental Premier, you may visit the dentist of your choice, but your out-of-pocket costs are usually less when you choose to visit a Delta Dental dentist. Your FEHBP preventive dental coverage covers the following procedures: > Periodic oral evaluation >Comprehensive oral evaluation >Intraoral films, complete series >Bitewings, 2 films per six months or 4 films per year > Prophylaxis, adult > Prophylaxis, child >Topical application of fluoride, child > Topical application of fluoride, adult This is a brief description of the features of Kaiser Foundation Health Plan of Georgia, Inc.’s High Option and Standard Option. Before making a final decision, please read the Plan’s Federal brochure (RI 73-321). All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochure. Your medical plan also provides coverage for a select number of other procedures such as accidental injuries and treatment of TMJ. DELTACARE USA COVERAGE (OPTIONAL PLAN*) If you would like more inclusive coverage for you and your family, you may obtain separate coverage through Delta Dental’s prepaid program, for an additional monthly premium. The DeltaCare USA program has set copayments and no annual deductibles or maximums for covered benefits. Enrollees select a dentist in the DeltaCare USA network from whom they receive treatment. Coverage includes the following types of services (refer to your copayment schedule for a complete list of covered services): > X-rays > Extractions > Root canals > Dentures > Fillings > Crowns > Orthodontics > Periodontal scaling and root planing THE COST OF COVERAGE FOR DELTACARE USA IS: Employee Employee and Spouse Employee and Child(ren) Employee and Family Monthly or $10.96 $18.81 $18.93 $27.29 Twice a year $ 65.76 $112.86 $113.58 $163.74 Rates are effective 1/1/15 through 12/31/15. HOW TO ENROLL No enrollment form is necessary for Delta Dental Premier. If you wish to purchase the optional DeltaCare USA coverage, please see the enclosed DeltaCare USA booklet for enrollment and payment authorization forms. Delta Dental Premier and DeltaCare USA are offered and administered by Delta Dental Insurance Company (Delta Dental) in Georgia. * These benefits are neither offered nor guaranteed under contract with the FEHB program, but are made available to all enrollees and family members who become members of the Kaiser Foundation Health Plan of Georgia, Inc.’s High Option and Standard Option. HOW COVERAGE WORKS Your preventive dental coverage and the DeltaCare USA optional plan work differently. To help you choose the right coverage for your needs, this chart provides helpful information on how your benefits work. You must be a Kaiser Permanente FEHBP enrollee to participate in the dental plan. Features Delta Dental Premier* (preventive care benefit) DeltaCare USA (optional plan) Premium cost to patient Coverage already included with your medical plan. Monthly premium applies Covered services Limited to eight procedures; each procedure limited to two times per year for each covered enrollee. Bitewings are 2 films per six months or 4 films per year. Covers broad range of procedures listed on copayment schedule, including orthodontics, crowns and fillings. Copayments Delta Dental pays 70% of the allowed amount or 70% of the fee actually charged, whichever is less. The patient pays the remaining 30%. Most diagnostic and preventive services have minimal, if any, copayments. Minimal copayments on most restorative services. All covered procedures have predetermined copayments. The patient can reference the copayment schedule to know the copayment amount before a dental visit. (Employees receive the copayment schedule as part of their DeltaCare USA enrollment welcome kit, or they may refer to the enclosed DeltaCare USA brochure.) Dentist network advantages Freedom to visit any licensed dentist each time treatment is needed: > No need to select a dental office Visit your assigned DeltaCare USA dentist to receive benefits: > Ability to change primary care network dentist monthly via phone or online > Ability to change dentists at any time without contacting Delta Dental > Easy referrals to a large pre-screened specialty care network (referred by assigned primary care dentist) Out-of-area coverage Service area not restricted — visit any licensed Service area applies, but out-of-area emergency dentist: care allowance covers up to $100 per incident. > Patients may have lower out-of-pocket costs when visiting a Delta Dental Premier dentist Deductibles/maximums No deductible or maximums on covered procedures. No annual deductible and no annual dollar maximum except for accidental injury. Additional advantages Claims convenience — Delta Dental dentists file all claim forms for you if you visit a Delta Dental dentist. No claim forms required. Patient pays fixed copayment amount at time of treatment. Orthodontic takeover provision — new enrollees who were previously covered by another dental plan may continue treatment with the same dentist, even if he or she is not a DeltaCare USA dentist. *This is a summary or brief description of the features of the Kaiser Foundation Health Plan of Georgia, Inc. Before making a final decision, please read the Plan’s Federal brochure (RI 73-321). All benefits are subject to the definitions, limitations, and exclusions set forth in the Federal brochure. Contact Us Delta Dental Premier Customer Service (includes automated voice Dentist Search, Online Eligibility, attendant and fax-on-demand) Benefits and Claims Status Call toll-free: 800-521-2651 deltadentalins.com Claims Submission Delta Dental Insurance Company P.O. Box 1809 Alpharetta, GA 30023-1809 DeltaCare USA Customer Service (includes automated voice Dentist Search, Online Eligibility attendant and fax-on-demand) and Benefits Call toll-free: 800-422-4234 deltadentalins.com/deltacareusa Claims and Preauthorization Submission DeltaCare USA P.O. Box 1810 Alpharetta, GA 30023-1810 PAYMENT EXAMPLE USING A DELTA DENTAL PREMIER DENTIST (PREVENTIVE CARE COVERAGE) Dentist Bills Allowed Amount Delta Dental Pays Dentist Patient Pays Dentist (70% of allowed amount) (30% of allowed amount) D0120 — Periodic oral evaluation $38.00 $35.00 $24.50 $10.50 D0150 — Comprehensive oral evaluation $69.00 $60.00 $42.00 $18.00 D0210 — Intraoral, complete series $110.00 $106.00 $74.20 $31.80 D0272/ — Bitewings, 2 films per six D0274 months or 4 films per year $39.00 $32.00 $22.40 $9.60 D1110 — Prophylaxis, adult $70.00 $65.00 $45.50 $19.50 D1120 — Prophylaxis, child $60.00 $53.00 $37.10 $15.90 D1208 — Topical application of fluoride (child or adult) $33.00 $27.00 $18.90 $8.10 TOTAL PATIENT PAYMENT $113.40 PAYMENT EXAMPLE USING A NON-DELTA DENTAL DENTIST (PREVENTIVE CARE COVERAGE) Dentist Bills Allowed Amount Delta Dental Pays Dentist Patient Pays Dentist (70% of allowed amount) (30% of allowed amount plus the difference between the billed and allowed amounts) D0120 — Periodic oral evaluation $38.00 $35.00 $24.50 $13.50 D0150 — Comprehensive oral evaluation $69.00 $60.00 $42.00 $27.00 D0210 — Intraoral, complete series $110.00 $106.00 $74.20 $35.80 D0272/ — Bitewings, 2 films per six D0274 months or 4 films per year $39.00 $32.00 $22.40 $16.60 D1110 — Prophylaxis, adult $70.00 $65.00 $45.50 $24.50 D1120 — Prophylaxis, child $60.00 $53.00 $37.10 $22.90 D1208 — Topical application of fluoride (child or adult) $33.00 $27.00 $18.90 $14.10 TOTAL PATIENT PAYMENT $154.40 The claims examples above are based on average charges for ZIP codes 30001-30099 and are intended for illustrative purposes only. Actual charges may vary by provider or geographic area. SAMPLE DELTACARE USA PATIENT COPAYMENT AMOUNTS (OPTIONAL PLAN) Patient Pays Dentist D0150 — Comprehensive oral evaluation No Cost D0210 — intraoral, complete series No Cost D0272 — Bitewings, 2 films or 4 films per year No Cost D1110 — Prophylaxis, adult $10.00 D1120 — Prophylaxis, child $10.00 D1208 — Topical application of fluoride (child) No Cost D1208 — Topical application of fluoride (adult) Not Covered DeltaCare USA enrollees will receive a complete schedule of copayments with their enrollment materials. E #78958_FEHP (rev. 07/14) YOUR SMILE IS COVERED The DeltaCare® USA program is the prepaid plan available to FEHBP members for an additional premium. DELTACARE USA PROVIDED BY DELTA DENTAL INSURANCE COMPANY KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. WE KEEP YOU SMILING SCGACS04HL_DCU_GAA11_5450_V14_09.11.2014 Welcome To DeltaCare USA — Quality, Convenience, Predictable Costs DeltaCare USA is a dental program that provides you and your family with quality dental benefits at an affordable cost. The DeltaCare USA program is designed to encourage you and your family to visit the dentist regularly to maintain your dental health. When you enroll, you select a contract dentist to provide services. The DeltaCare USA network consists of private practice dental facilities that have been carefully screened for quality. ENROLL IN DELTACARE USA AND YOU’LL ENJOY THESE FEATURES: QUALITY > Extensive benefits for you and your family >N o restrictions on pre‑existing conditions, except for work in progress > Large, stable network of dentists, so you can enjoy a long‑term relationship with your dentist CONVENIENCE > No claim forms to complete > Expanded business hours for toll‑free customer service, from 8 a.m. to 9 p.m., Eastern time PREDICTABLE COSTS > No deductibles > Out‑of‑pocket costs are clearly defined > Out‑of‑area dental emergency coverage up to $100 per emergency > No annual or lifetime dollar maximums except for accidental injury DeltaCare USA is administered by Delta Dental Insurance Company (Delta Dental). These benefits are neither offered nor guaranteed under contract with the FEHB Program, but are made available to all enrollees and family members who become members of a Kaiser Foundation Health Plan of Georgia, Inc., FEHBP health plan option. FIND A DELTACARE USA DENTIST Select from among the many conveniently located DeltaCare USA contracted general dentists. To find the most current listing of DeltaCare USA dental offices you can: >V isit our website at deltadentalins.com/enrollees. Under Find a dentist, select DeltaCare USA as your network. > Call Customer Service at 800-422-4234 for help in finding a DeltaCare USA dentist. Highlights of your DeltaCare USA Program Eligibility for you and your family If you are a subscriber in a Kaiser Foundation Health Plan of Georgia, Inc. FEHBP health plan option, you can enroll in the DeltaCare USA program. You may also enroll eligible dependents. What if I have questions about my DeltaCare USA Program? Easy enrollment Simply complete the enclosed Dental Enrollment Form. Be sure to indicate a dentist (from the list of contract dental facilities) for both yourself and your eligible dependents. Include the name of your group. Payment choices include the automatic deduction option, for which you will need to enclose a check for the first month's payment and a voided blank check, or the semi-annual payment option, for which you will need to enclose a check for the first semi-annual payment. How your DeltaCare USA program works Your selected contract dentist will take care of your dental care needs. If you require treatment from a specialist, your contract dentist will handle the referral for you. After you have enrolled, you will receive a membership packet that includes an identification card and an Evidence of Coverage that fully describes the benefits of your dental program. Also included in this packet are the name, address and phone number of your contract dentist. Simply call the dental facility to make an appointment. Under the DeltaCare USA program, many services are covered at no cost, while others have copayments (amount you pay your contract dentist) for certain benefits. See the "Description of Benefits and Copayments" for a list of your benefits. Please note: Dental services that are not performed by your selected contract dentist, a contract specialist or are not covered under provisions for emergency care below, are not covered by your DeltaCare USA program. e Provisions for emergency care Under your DeltaCare USA program, you and your eligible dependents are covered for out-of-area dental emergencies (35 or more miles from your contract dentist). Your program pays up to $100 for emergency dental expenses per emergency for each enrollee. Accident injury benefit The DeltaCare USA program provides coverage for accidental injury (caused by external forces) at 100% of the contract dentist's "filed fees" for benefits (less any applicable copayments). The enrollee must be eligible under the DeltaCare USA program when the accident occurs. Accident injury benefits are subject to a $1,600 maximum, per 12 months, per person. My dentist is a Delta Dental dentist but is not on the list of DeltaCare USA dentists. Can I still receive treatment from this dentist? You must receive treatment from your selected DeltaCare USA contract dentist. Please note that Delta Dental dentists are not necessarily DeltaCare USA dentists. Do my family members receive treatment from the same DeltaCare USA contract dentist? You and your eligible dependents may receive care from the same contract dentist, or if you prefer, you may collectively select up to a maximum of three contract dental facilities. Can I change my contract dentist? You may change contract dentists by notifying us either by phone or in writing, or by visiting our website (deltadentalins.com). If you contact us by the 21st of the month, the change will become effective the first of the following month. 1 Highlights of your DeltaCare USA Program Can I have my teeth whitened under the DeltaCare USA program? External bleaching is a benefit under your program, subject to certain limitations. Talk to your contract dentist about your options. Does my DeltaCare USA program cover tooth-colored fillings and crowns on molars? The upgrade to porcelain and other tooth-colored materials on molars is included as a benefit under your program. The copayment shows you what your out of pocket cost will be. How long does it take to get an appointment with a DeltaCare USA dentist? Two to four weeks is a reasonable amount of time to wait for a routine, non-urgent appointment. If you require a specific time, you may have to wait longer. Most DeltaCare USA dentists are in private group practices, which means greater appointment availability and extended office hours. Are pre-existing dental conditions and work in progress covered? Treatment for pre-existing conditions, such as extracted teeth, is covered under the DeltaCare USA program. However, benefits are not provided for any dental treatment started before joining the program (that is, work in progress, such as preparations for crowns, root canals and impressions for dentures). Orthodontic treatment in progress may be covered for new DeltaCare USA enrollees. See the "Limitations and Exclusions of Benefits." How does the DeltaCare USA program encourage preventive care? Your DeltaCare USA program is designed to encourage regular visits to the dentist by having no copayments (fees you pay to the contract dentist) on most diagnostic and preventive benefits. See the enclosed "Description of Benefits and Copayments." e Does my DeltaCare USA program cover specialists' services? Your contract dentist will coordinate your specialty care needs for oral surgery, endodontics, periodontics or pediatric dentistry with an approved contract specialist. If there is no contract specialist within your service area, there are no benefits for specialist services. What if I have questions about my DeltaCare USA program? Call Customer Service at 800-422-4234. We have multilingual representatives available from 8 a.m. to 9 p.m. Eastern time, Monday through Friday. Our Customer Service representatives can answer benefits questions, as well as arrange facility transfers and urgent care referrals. Our Service Our Customer Customer Service representatives can representatives have answer worked benefits in dental questions as can well facilities and as arrange facility answer benefits transfers urgent questions,and as well care referrals as arrange facility transfers and urgent care referrals. 2 Plan GAA11 DeltaCare USA Description of Benefits and Copayments SCHEDULE A Description of Benefits and Copayments The Benefits shown below are performed as deemed appropriate by the attending Contract Dentist subject to the limitations and exclusions of the Program. Please refer to Schedule B for further clarification of Benefits. Enrollees should discuss all treatment options with their Contract Dentist prior to services being rendered. Text that appears in italics below is specifically intended to clarify the delivery of benefits under the DeltaCare USA program and is not to be interpreted as CDT-2015 procedure codes, descriptors or nomenclature that are under copyright by the American Dental Association. The American Dental Association may periodically change CDT codes or definitions. Such updated codes, descriptors and nomenclature may be used to describe these covered procedures in compliance with federal legislation. CODE ENROLLEE PAYS DESCRIPTION D0100-D0999 D0120 D0140 D0145 D0150 D0160 D0170 D0171 D0180 D0190 D0191 D0210 D0220 D0230 D0240 D0250 D0260 D0270 D0272 D0273 D0274 D0277 D0330 D0460 D0470 D0472 D0473 D0474 D0999 I. DIAGNOSTIC - When referable services are provided by a Contract Specialist, the Enrollee pays 75 percent of that Dentist's "filed fees." * Periodic oral evaluation - established patient .................................................................................... No Cost Limited oral evaluation - problem focused ........................................................................................ No Cost Oral evaluation for a patient under three years of age and counseling with primary caregiver ......................... No Cost Comprehensive oral evaluation - new or established patient ................................................................. No Cost Detailed and extensive oral evaluation - problem focused, by report ....................................................... No Cost Re-evaluation - limited, problem focused (established patient; not post-operative visit) ................................. No Cost Re-evaluation - post-operative office visit ......................................................................................... $5.00 Comprehensive periodontal evaluation - new or established patient ........................................................ No Cost Screening of a patient ................................................................................................................ No Cost Assessment of a patient .............................................................................................................. No Cost Intraoral - complete series of radiographic images - limited to 1 series every 24 months ............................... No Cost Intraoral - periapical first radiographic image .................................................................................... No Cost Intraoral - periapical each additional radiographic image ...................................................................... No Cost Intraoral - occlusal radiographic image ............................................................................................ No Cost Extraoral - first radiographic image ................................................................................................ No Cost Extraoral - each additional radiographic image .................................................................................. No Cost Bitewing - single radiographic image .............................................................................................. No Cost Bitewings - two radiographic images .............................................................................................. No Cost Bitewings three radiographic images .............................................................................................. No Cost Bitewings - four radiographic images - limited to 1 series every 6 months ................................................. No Cost Vertical bitewings - 7 to 8 radiographic images ................................................................................. No Cost Panoramic radiographic image ...................................................................................................... No Cost Pulp vitality tests ....................................................................................................................... No Cost Diagnostic casts ........................................................................................................................ No Cost Accession of tissue, gross examination, preparation and transmission of written report ................................. No Cost Accession of tissue, gross and microscopic examination, preparation and transmission of written report ............ No Cost Accession of tissue, gross and microscopic examination, including assessment of surgical margins for presence of disease, preparation and transmission of written report .................................................................... No Cost Unspecified diagnostic procedure, by report - includes office visit, per visit (in addition to other services) ........... $10.00 D1000-D1999 D1110 D1120 D1206 D1208 D1310 D1330 D1351 D1352 D1353 D1510 D1515 II. PREVENTIVE - When referable services are provided by a Contract Specialist, the Enrollee pays 75 percent of that Dentist's "filed fees." * Prophylaxis cleaning - adult - 1 per 6 month period ............................................................................ $10.00 Prophylaxis cleaning - child - 1 per 6 month period ............................................................................ $10.00 Topical application of fluoride varnish - child to age 19; 1 D1206 or D1208 per 6 month period ....................... No Cost Topical application of fluoride - excluding varnish - child to age 19; 1 D1206 or D1208 per 6 month period ......... No Cost Nutritional counseling for control of dental disease ............................................................................. No Cost Oral hygiene instructions ............................................................................................................. No Cost Sealant - per tooth - limited to permanent molars through age 15 .......................................................... $18.00 Preventive resin restoration in a moderate to high caries risk patient - permanent tooth - limited to permanent molars through age 15 ................................................................................................................ $18.00 Sealant repair - per tooth - limited to permanent molars through age 15 ................................................... $18.00 Space maintainer - fixed - unilateral ............................................................................................... $100.00 Space maintainer - fixed - bilateral ................................................................................................. $100.00 3 Plan GAA11 D1520 D1525 D1550 D1555 DeltaCare USA Description of Benefits and Copayments Space maintainer - removable - unilateral ........................................................................................ $100.00 Space maintainer - removable - bilateral ......................................................................................... $100.00 Re-cement or re-bond space maintainer .......................................................................................... $18.00 Removal of fixed space maintainer ................................................................................................ $18.00 D2000-D2999 III. RESTORATIVE - When referable services are provided by a Contract Specialist, the Enrollee pays 75 percent of that Dentist's "filed fees." * - Includes polishing, all adhesives and bonding agents, indirect pulp capping, bases, liners and acid etch procedures. D2140 D2150 D2160 D2161 D2330 D2331 D2332 D2335 D2390 D2391 D2392 D2393 D2394 D2510 D2520 D2530 D2542 D2543 D2544 D2610 D2620 D2630 D2642 D2643 D2644 D2650 D2651 D2652 D2662 D2663 D2664 D2710 D2710 D2712 D2712 D2720 D2720 D2721 D2721 D2722 D2722 D2740 D2740 D2750 D2750 D2751 D2751 D2752 Amalgam - one surface, primary or permanent .................................................................................. $28.00 Amalgam - two surfaces, primary or permanent ................................................................................ $32.00 Amalgam - three surfaces, primary or permanent .............................................................................. $35.00 Amalgam - four or more surfaces, primary or permanent ..................................................................... $40.00 Resin-based composite - one surface, anterior (tooth colored) .............................................................. $36.00 Resin-based composite - two surfaces, anterior (tooth colored) ............................................................. $42.00 Resin-based composite - three surfaces, anterior (tooth colored) ........................................................... $47.00 Resin-based composite - four or more surfaces or involving incisal angle (anterior) (tooth colored) .................. $53.00 Resin-based composite crown, anterior ........................................................................................... $78.00 Resin-based composite - one surface, posterior (tooth colored) ............................................................. $75.00 Resin-based composite - two surfaces, posterior (tooth colored) ............................................................ $80.00 Resin-based composite - three surfaces, posterior (tooth colored) .......................................................... $85.00 Resin-based composite - four or more surfaces, posterior (tooth colored) ................................................. $110.00 1, 2 Inlay - metallic - one surface .................................................................................................... $290.00 1, 2 Inlay - metallic - two surfaces ................................................................................................... $300.00 1, 2 Inlay - metallic - three or more surfaces ...................................................................................... $310.00 1, 2 Onlay - metallic - two surfaces .................................................................................................. $308.00 1, 2 Onlay - metallic - three surfaces ................................................................................................ $318.00 1, 2 Onlay - metallic - four or more surfaces ...................................................................................... $326.00 1 Inlay - porcelain/ceramic - one surface .......................................................................................... $390.00 1 Inlay - porcelain/ceramic - two surfaces ......................................................................................... $410.00 1 Inlay - porcelain/ceramic - three or more surfaces ............................................................................ $425.00 1 Onlay - porcelain/ceramic - two surfaces ....................................................................................... $425.00 1 Onlay - porcelain/ceramic - three surfaces ..................................................................................... $445.00 1 Onlay - porcelain/ceramic - four or more surfaces ............................................................................ $470.00 1 Inlay - resin-based composite - one surface (tooth colored) ................................................................ $260.00 1 Inlay - resin-based composite - two surfaces (tooth colored) ............................................................... $300.00 1 Inlay - resin-based composite - three or more surfaces (tooth colored) ................................................... $330.00 1 Onlay - resin-based composite - two surfaces (tooth colored) .............................................................. $340.00 1 Onlay - resin-based composite - three surfaces (tooth colored) ............................................................ $355.00 1 Onlay - resin-based composite - four or more surfaces (tooth colored) ................................................... $385.00 1 Crown - resin-based composite (indirect) ....................................................................................... $160.00 1 Crown - resin-based composite (indirect) - (molars) .......................................................................... $310.00 1 Crown - ¾ resin-based composite (indirect) .................................................................................... $160.00 1 Crown - ¾ resin-based composite (indirect) - (molars) ...................................................................... $310.00 1 Crown - resin with high noble metal ............................................................................................. $430.00 1 Crown - resin with high noble metal - (molars) ................................................................................ $580.00 1 Crown - resin with predominantly base metal .................................................................................. $330.00 1 Crown - resin with predominantly base metal - (molars) ..................................................................... $480.00 1 Crown - resin with noble metal ................................................................................................... $330.00 1 Crown - resin with noble metal - (molars) ...................................................................................... $480.00 1 Crown - porcelain/ceramic substrate ............................................................................................. $330.00 1 Crown - porcelain/ceramic substrate - (molars) ................................................................................ $480.00 1 Crown - porcelain fused to high noble metal ................................................................................... $430.00 1 Crown - porcelain fused to high noble metal - (molars) ...................................................................... $580.00 1 Crown - porcelain fused to predominantly base metal ....................................................................... $330.00 1 Crown - porcelain fused to predominantly base metal - (molars) .......................................................... $480.00 1 Crown - porcelain fused to noble metal ......................................................................................... $330.00 4 Plan GAA11 D2752 D2780 D2781 D2782 D2783 D2783 D2790 D2791 D2792 D2794 D2910 D2915 D2920 D2921 D2929 D2930 D2931 D2932 D2933 D2940 D2941 D2949 D2950 D2951 D2952 D2953 D2954 D2957 D2970 D2971 D2980 D2981 D2982 D2983 D2990 DeltaCare USA Description of Benefits and Copayments Crown - porcelain fused to noble metal - (molars) ............................................................................ $480.00 1 Crown - ¾ cast high noble metal ................................................................................................. $430.00 1 Crown - ¾ cast predominantly base metal ..................................................................................... $330.00 1 Crown - ¾ cast noble metal ....................................................................................................... $330.00 1 Crown - ¾ porcelain/ceramic ...................................................................................................... $330.00 1 Crown - ¾ porcelain/ceramic - (molars) ......................................................................................... $480.00 1 Crown - full cast high noble metal ............................................................................................... $430.00 1 Crown - full cast predominantly base metal .................................................................................... $330.00 1 Crown - full cast noble metal ...................................................................................................... $330.00 1 Crown - titanium ...................................................................................................................... $430.00 Re-cement or re-bond inlay, onlay, veneer or partial coverage restorations ............................................... $18.00 Re-cement or re-bond indirectly fabricated or prefabricated post and core ................................................ $18.00 Re-cement or re-bond crown ........................................................................................................ $18.00 Reattachment of tooth fragment, incisal edge or cusp (anterior) (tooth colored) .......................................... $53.00 Prefabricated porcelain/ceramic crown - primary tooth - anterior primary tooth ........................................... $100.00 Prefabricated stainless steel crown - primary tooth ............................................................................. $100.00 Prefabricated stainless steel crown - permanent tooth ......................................................................... $100.00 Prefabricated resin crown - anterior primary tooth .............................................................................. $116.00 Prefabricated stainless steel crown with resin window - anterior primary tooth ........................................... $100.00 Protective restoration .................................................................................................................. $30.00 Interim therapeutic restoration - primary dentition ............................................................................... $30.00 Restorative foundation for an indirect restoration ............................................................................... $34.00 Core buildup, including any pins when required ................................................................................. $34.00 Pin retention - per tooth, in addition to restoration .............................................................................. $34.00 2 Post and core in addition to crown, indirectly fabricated ..................................................................... $85.00 2 Each additional indirectly fabricated post - same tooth ...................................................................... $85.00 Prefabricated post and core in addition to crown ............................................................................... $70.00 Each additional prefabricated post - same tooth ................................................................................ $70.00 Temporary crown (fractured tooth) - palliative treatment only ................................................................. $18.00 Additional procedures to construct new crown under existing partial denture framework ............................... $66.00 Crown repair necessitated by restorative material failure ...................................................................... $45.00 Inlay repair necessitated by restorative material failure ........................................................................ $45.00 Onlay repair necessitated by restorative material failure ...................................................................... $45.00 Veneer repair necessitated by restorative material failure ..................................................................... $45.00 Resin infiltration of incipient smooth surface lesions - limited to permanent molars through age 15 ................... $18.00 1 D3000-D3999 D3110 D3120 D3220 D3221 D3222 D3230 D3240 D3310 D3320 D3330 D3346 D3347 D3348 D3410 D3421 D3425 D3426 IV. ENDODONTICS - When referable services are provided by a Contract Specialist, the Enrollee pays 75 percent of that Dentist's "filed fees." * Pulp cap - direct (excluding final restoration) .................................................................................... $18.00 Pulp cap - indirect (excluding final restoration) .................................................................................. $18.00 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction and application of medicament ........................................................................................................... $25.00 Pulpal debridement, primary and permanent teeth ............................................................................. $44.00 Partial pulpotomy for apexogenesis - permanent tooth with incomplete root development .............................. $25.00 Pulpal therapy (resorbable filling) - anterior, primary tooth (excluding final restoration) .................................. $44.00 Pulpal therapy (resorbable filling) - posterior, primary tooth (excluding final restoration) ................................ $44.00 3 Root canal - endodontic therapy, anterior tooth (excluding final restoration) ............................................. $156.00 3 Root canal - endodontic therapy, bicuspid tooth (excluding final restoration) ............................................ $212.00 3 Root canal - endodontic therapy, molar (excluding final restoration) ...................................................... $288.00 3 Retreatment of previous root canal therapy - anterior ........................................................................ $176.00 3 Retreatment of previous root canal therapy - bicuspid ....................................................................... $232.00 3 Retreatment of previous root canal therapy - molar .......................................................................... $308.00 3 Apicoectomy - anterior .............................................................................................................. $180.00 3 Apicoectomy - bicuspid (first root) ................................................................................................ $180.00 3 Apicoectomy - molar (first root) ................................................................................................... $180.00 3 Apicoectomy (each additional root) .............................................................................................. $80.00 5 Plan GAA11 DeltaCare USA Description of Benefits and Copayments D3427 Periradicular surgery without apicoectomy ........................................................................................ $180.00 D3430 Retrograde filling - per root 3 ........................................................................................................ $84.00 D3450 Root amputation, per root - not covered in conjunction with a hemisection 3 .............................................. $96.00 D4000-D4999 V. PERIODONTICS - When referable services are provided by a Contract Specialist, the Enrollee pays 75 percent of that Dentist's "filed fees." * - Includes preoperative and postoperative evaluations and treatment under a local anesthetic. D4210 D4211 D4212 D4240 D4241 D4249 D4260 D4261 D4274 D4341 D4342 D4355 D4910 D4921 Gingivectomy or gingivoplasty - four or more contiguous teeth or tooth bounded spaces per quadrant .............. $210.00 Gingivectomy or gingivoplasty - one to three contiguous teeth or tooth bounded spaces per quadrant ............... $100.00 Gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth ...................................... $100.00 Gingival flap procedure, including root planing - four or more contiguous teeth or tooth bounded spaces per quadrant .................................................................................................................................. $210.00 Gingival flap procedure, including root planing - one to three contiguous teeth or tooth bounded spaces per quadrant .................................................................................................................................. $210.00 Clinical crown lengthening - hard tissue .......................................................................................... $200.00 Osseous surgery (including elevation of a full thickness flap and closure) - four or more contiguous teeth or tooth bounded spaces per quadrant ...................................................................................................... $400.00 Osseous surgery (including elevation of a full thickness flap and closure) - one to three contiguous teeth or tooth bounded spaces per quadrant ...................................................................................................... $400.00 Distal or proximal wedge procedure (when not performed in conjunction with surgical procedures in the same anatomical area) ....................................................................................................................... $100.00 Periodontal scaling and root planing - four or more teeth per quadrant - limited to 4 quadrants during any 12 consecutive months ................................................................................................................... $78.00 Periodontal scaling and root planing - one to three teeth per quadrant - limited to 4 quadrants during any 12 consecutive months ................................................................................................................... $78.00 Full mouth debridement to enable comprehensive evaluation and diagnosis - limited to 1 treatment in any 12 consecutive months ................................................................................................................... $78.00 Periodontal maintenance - limited to 1 treatment each 6 month period .................................................... $62.00 Gingival irrigation - per quadrant ................................................................................................... No Cost D5000-D5899 VI. PROSTHODONTICS (removable) D5110 Complete denture - maxillary 4, 5 .................................................................................................... $420.00 D5120 Complete denture - mandibular 4, 5 ................................................................................................. $420.00 D5130 Immediate denture - maxillary 4, 5 ................................................................................................... $480.00 D5140 Immediate denture - mandibular 4, 5 ................................................................................................ $480.00 D5211 Maxillary partial denture - resin base (including any conventional clasps, rests and teeth) 4, 5 .......................... $416.00 D5212 Mandibular partial denture - resin base (including any conventional clasps, rests and teeth) 4, 5 ....................... $416.00 D5213 Maxillary partial denture - cast metal framework with resin denture bases (including any conventional clasps, 4, 5 rests and teeth) .................................................................................................................... $450.00 D5214 Mandibular partial denture - cast metal framework with resin denture bases (including any conventional clasps, 4, 5 rests and teeth) .................................................................................................................... $450.00 D5225 Maxillary partial denture - flexible base (including any clasps, rests and teeth) 4, 5 ....................................... $500.00 D5226 Mandibular partial denture - flexible base (including any clasps, rests and teeth) 4, 5 .................................... $500.00 D5410 Adjust complete denture - maxillary 4 .............................................................................................. $18.00 D5411 Adjust complete denture - mandibular 4 ........................................................................................... $18.00 D5421 Adjust partial denture - maxillary 4 ................................................................................................. $18.00 D5422 Adjust partial denture - mandibular 4 ............................................................................................... $18.00 D5510 Repair broken complete denture base ............................................................................................ $40.00 D5520 Replace missing or broken teeth - complete denture (each tooth) .......................................................... $18.00 D5610 Repair resin denture base ........................................................................................................... $40.00 D5620 Repair cast framework ................................................................................................................ $40.00 D5630 Repair or replace broken clasp ..................................................................................................... $40.00 D5640 Replace broken teeth - per tooth ................................................................................................... $18.00 D5650 Add tooth to existing partial denture ............................................................................................... $18.00 D5660 Add clasp to existing partial denture ............................................................................................... $18.00 D5670 Replace all teeth and acrylic on cast metal framework (maxillary) .......................................................... $220.00 D5671 Replace all teeth and acrylic on cast metal framework (mandibular) ........................................................ $220.00 D5710 Rebase complete maxillary denture 6 .............................................................................................. $144.00 6 Plan GAA11 D5711 D5720 D5721 D5730 D5731 D5740 D5741 D5750 D5751 D5760 D5761 D5820 D5821 D5850 D5851 DeltaCare USA Description of Benefits and Copayments Rebase complete mandibular denture ........................................................................................... $144.00 6 Rebase maxillary partial denture ................................................................................................. $144.00 6 Rebase mandibular partial denture ............................................................................................... $144.00 6 Reline complete maxillary denture (chairside) ................................................................................. $84.00 6 Reline complete mandibular denture (chairside) .............................................................................. $84.00 6 Reline maxillary partial denture (chairside) ..................................................................................... $84.00 6 Reline mandibular partial denture (chairside) .................................................................................. $84.00 6 Reline complete maxillary denture (laboratory) ................................................................................ $144.00 6 Reline complete mandibular denture (laboratory) ............................................................................. $144.00 6 Reline maxillary partial denture (laboratory) .................................................................................... $144.00 6 Reline mandibular partial denture (laboratory) ................................................................................. $144.00 4 Interim partial denture (maxillary) ................................................................................................. $40.00 4 Interim partial denture (mandibular) .............................................................................................. $40.00 4, 6 Tissue conditioning, maxillary ................................................................................................... $40.00 4, 6 Tissue conditioning, mandibular ................................................................................................. $40.00 6 D5900-D5999 VII. MAXILLOFACIAL PROSTHETICS - Not Covered D6000-D6199 VIII. IMPLANT SERVICES - Not Covered D6200-D6999 IX. PROSTHODONTICS, fixed (each retainer and each pontic constitutes a unit in a fixed partial denture [bridge]) D6210 D6211 D6212 D6240 D6240 D6241 D6241 D6242 D6242 D6245 D6245 D6250 D6250 D6251 D6251 D6252 D6252 D6600 D6601 D6602 D6603 D6604 D6605 D6606 D6607 D6608 D6609 D6610 D6611 D6612 D6613 D6614 D6615 D6720 Pontic - cast high noble metal .................................................................................................... $430.00 7 Pontic - cast predominantly base metal ......................................................................................... $330.00 7 Pontic - cast noble metal ........................................................................................................... $330.00 7 Pontic - porcelain fused to high noble metal ................................................................................... $430.00 7 Pontic - porcelain fused to high noble metal - (molars) ...................................................................... $580.00 7 Pontic - porcelain fused to predominantly base metal ........................................................................ $330.00 7 Pontic - porcelain fused to predominantly base metal - (molars) ........................................................... $480.00 7 Pontic - porcelain fused to noble metal ......................................................................................... $330.00 7 Pontic - porcelain fused to noble metal - (molars) ............................................................................ $480.00 7 Pontic - porcelain/ceramic .......................................................................................................... $330.00 7 Pontic - porcelain/ceramic - (molars) ............................................................................................ $480.00 7 Pontic - resin with high noble metal ............................................................................................. $430.00 7 Pontic - resin with high noble metal - (molars) ................................................................................ $580.00 7 Pontic - resin with predominantly base metal .................................................................................. $330.00 7 Pontic - resin with predominantly base metal - (molars) ..................................................................... $480.00 7 Pontic - resin with noble metal .................................................................................................... $330.00 7 Pontic - resin with noble metal - (molars) ....................................................................................... $480.00 7 Inlay - porcelain/ceramic, two surfaces .......................................................................................... $410.00 7 Inlay - porcelain/ceramic, three or more surfaces ............................................................................. $425.00 7 Inlay - cast high noble metal, two surfaces ..................................................................................... $400.00 7 Inlay - cast high noble metal, three or more surfaces ........................................................................ $410.00 7 Inlay - cast predominantly base metal, two surfaces ......................................................................... $300.00 7 Inlay - cast predominantly base metal, three or more surfaces ............................................................ $310.00 7 Inlay - cast noble metal, two surfaces ........................................................................................... $300.00 7 Inlay - cast noble metal, three or more surfaces .............................................................................. $310.00 7 Onlay - porcelain/ceramic, two surfaces ........................................................................................ $425.00 7 Onlay - porcelain/ceramic, three or more surfaces ........................................................................... $445.00 7 Onlay - cast high noble metal, two surfaces ................................................................................... $408.00 7 Onlay - cast high noble metal, three or more surfaces ...................................................................... $418.00 7 Onlay - cast predominantly base metal, two surfaces ........................................................................ $308.00 7 Onlay - cast predominantly base metal, three or more surfaces ........................................................... $318.00 7 Onlay - cast noble metal, two surfaces ......................................................................................... $308.00 7 Onlay - cast noble metal, three or more surfaces ............................................................................. $318.00 7 Crown - resin with high noble metal ............................................................................................. $430.00 7 7 Plan GAA11 D6720 D6721 D6721 D6722 D6722 D6740 D6740 D6750 D6750 D6751 D6751 D6752 D6752 D6780 D6781 D6782 D6783 D6783 D6790 D6791 D6792 D6930 D6940 D6980 DeltaCare USA Description of Benefits and Copayments Crown - resin with high noble metal - (molars) ................................................................................ $580.00 7 Crown - resin with predominantly base metal .................................................................................. $330.00 7 Crown - resin with predominantly base metal - (molars) ..................................................................... $480.00 7 Crown - resin with noble metal ................................................................................................... $330.00 7 Crown - resin with noble metal - (molars) ...................................................................................... $480.00 7 Crown - porcelain/ceramic ......................................................................................................... $330.00 7 Crown - porcelain/ceramic - (molars) ............................................................................................ $480.00 7 Crown - porcelain fused to high noble metal ................................................................................... $430.00 7 Crown - porcelain fused to high noble metal - (molars) ...................................................................... $580.00 7 Crown - porcelain fused to predominantly base metal ....................................................................... $330.00 7 Crown - porcelain fused to predominantly base metal - (molars) .......................................................... $480.00 7 Crown - porcelain fused to noble metal ......................................................................................... $330.00 7 Crown - porcelain fused to noble metal - (molars) ............................................................................ $480.00 7 Crown - ¾ cast high noble metal ................................................................................................. $430.00 7 Crown - ¾ cast predominantly base metal ..................................................................................... $330.00 7 Crown - ¾ cast noble metal ....................................................................................................... $330.00 7 Crown - ¾ porcelain/ceramic ...................................................................................................... $330.00 7 Crown - ¾ porcelain/ceramic - (molars) ......................................................................................... $480.00 7 Crown - full cast high noble metal ............................................................................................... $430.00 7 Crown - full cast predominantly base metal .................................................................................... $330.00 7 Crown - full cast noble metal ...................................................................................................... $330.00 Re-cement or re-bond fixed partial denture ...................................................................................... $26.00 7 Stress breaker ........................................................................................................................ $66.00 Fixed partial denture repair necessitated by restorative material failure .................................................... $50.00 7 D7000-D7999 X. ORAL AND MAXILLOFACIAL SURGERY - When referable services are provided by a Contract Specialist, the Enrollee pays 75 percent of that Dentist's "filed fees." * - Includes preoperative and postoperative evaluations and treatment under a local anesthetic. D7111 Extraction, coronal remnants - deciduous tooth ................................................................................. $22.00 D7140 Extraction, erupted tooth or exposed root (elevation and/or forceps removal) ............................................. $22.00 D7210 Surgical removal of erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated ..................................................................................................... $48.00 D7220 Removal of impacted tooth - soft tissue .......................................................................................... $84.00 D7230 Removal of impacted tooth - partially bony ....................................................................................... $110.00 D7240 Removal of impacted tooth - completely bony ................................................................................... $135.00 D7241 Removal of impacted tooth - completely bony, with unusual surgical complications ...................................... $155.00 D7250 Surgical removal of residual tooth roots (cutting procedure) .................................................................. $65.00 D7251 Coronectomy - intentional partial tooth removal ................................................................................. $155.00 D7286 Incisional biopsy of oral tissue - soft - does not include pathology laboratory procedures .............................. $35.00 D7310 Alveoloplasty in conjunction with extractions - four or more teeth or tooth spaces, per quadrant ...................... $80.00 D7311 Alveoloplasty in conjunction with extractions - one to three teeth or tooth spaces, per quadrant ...................... $80.00 D7320 Alveoloplasty not in conjunction with extractions - four or more teeth or tooth spaces, per quadrant .................. $100.00 D7321 Alveoloplasty not in conjunction with extractions - one to three teeth or tooth spaces, per quadrant .................. $100.00 D7471 Removal of lateral exostosis (maxilla or mandible) ............................................................................. $80.00 D7472 Removal of torus palatinus .......................................................................................................... $80.00 D7473 Removal of torus mandibularis ...................................................................................................... $80.00 D7510 Incision and drainage of abscess - intraoral soft tissue ........................................................................ $35.00 D7960 Frenulectomy - also known as frenectomy or frenotomy - separate procedure not incidental to another procedure $90.00 D8000-D8999 XI. ORTHODONTICS ** If a Copayment dollar amount is not listed, Enrollee pays 75 percent of the Contract Orthodontist's "filed fees." D8050 D8060 D8070 D8080 Interceptive orthodontic treatment of the primary dentition .................................................................. 8 Interceptive orthodontic treatment of the transitional dentition .............................................................. 8 Comprehensive orthodontic treatment of the transitional dentition - child or adolescent to age 19 .................. 8 Comprehensive orthodontic treatment of the adolescent dentition - adolescent to age 19 ............................ 8 8 ** ** ** ** Plan GAA11 DeltaCare USA Description of Benefits and Copayments D8090 Comprehensive orthodontic treatment of the adult dentition - adults, including covered dependent adult 8 ................................................................................................................................ ** children D8660 Pre-orthodontic treatment examination to monitor growth and development - not to be charged with any other 9 consultation procedure(s) ........................................................................................................... No Cost D8680 Orthodontic retention (removal of appliances, construction and placement of removable retainers) 10 ................ ** D8999 Unspecified orthodontic procedure, by report - includes the START-UP FEE, which includes initial examination, diagnosis, consultation and initial banding ........................................................................................ $150.00 D9000-D9999 D9110 D9211 D9212 D9215 D9219 D9310 D9430 D9440 D9450 D9931 D9975 D9986 D9987 XII. ADJUNCTIVE GENERAL SERVICES - When referable services are provided by a Contract Specialist, the Enrollee pays 75 percent of that Dentist's "filed fees." * Palliative (emergency) treatment of dental pain - minor procedure .......................................................... $18.00 Regional block anesthesia ........................................................................................................... No Cost Trigeminal division block anesthesia ............................................................................................... No Cost Local anesthesia in conjunction with operative or surgical procedures ..................................................... No Cost Evaluation for deep sedation or general anesthesia ............................................................................ No Cost Consultation - diagnostic service provided by dentist or physician other than requesting dentist or physician ....... $30.00 Office visit for observation (during regularly scheduled hours) - no other services performed .......................... $5.00 Office visit - after regularly scheduled hours ..................................................................................... $28.00 Case presentation, detailed and extensive treatment planning ............................................................... No Cost Cleaning and inspection of a removable appliance ............................................................................. No Cost External bleaching for home application, per arch; includes materials and fabrication of custom trays ............... $150.00 Missed appointment - without 24 hour notice - per 15 minutes of appointment time ..................................... $18.00 Canceled appointment - without 24 hour notice - per 15 minutes of appointment time .................................. $18.00 * If services for a listed procedure are performed by the assigned Contract Dentist, the Enrollee pays the specified Copayment. Listed procedures that are not available in the contract facility or that require a Dentist to provide specialized services, may be provided by a contracted oral surgeon, endodontist, periodontist or pediatric dentist at 75 percent of the Contract Specialist's "filed fees." Specialist services are only available in areas where there is a DeltaCare USA Contract Specialist, and upon referral by the assigned Contract Dentist. Procedures not listed above are not covered, however, may be available at the Contract Dentist's "filed fees." "Filed fees" means the Contract Dentist's fees on file with Delta Dental. Questions regarding these fees should be directed to the Customer Service department at 800-422-4234. Emergency Services - The Contract Dentist is responsible for providing covered emergency dental care while an Enrollee is within 35 miles of the contract facility. If an Enrollee is more than 35 miles from the Contract Dentist's facility, Delta Dental will reimburse the Enrollee for the cost of covered emergency dental care, less any applicable Enrollee copayments, to a maximum of $100.00 per enrollee, per emergency. All services are subject to the limitations and exclusions of the program. Accident Injury Benefit - this program provides coverage for dental accident injuries up to 100 percent of the Dentist's usual fee, less any applicable Enrollee copayments, to a maximum of $1,600.00 per Enrollee, in any 12-month period. The benefit is subject to the limitations and exclusions of the program. FOOTNOTES 1 Replacement is subject to a limitation requiring the existing restoration to be 5+ years old. 2 Base or noble metal is the benefit. If an inlay, onlay or indirectly fabricated post and core is made of high noble metal, an additional fee up to $100.00 per tooth will be charged for the upgrade. 3 A benefit for permanent teeth only. 4 Includes after delivery adjustments and tissue conditioning, if needed, for the first six months after placement, if the Enrollee continues to be eligible and the service is provided at the Contract Dentist's facility where the denture was originally delivered. 5 Replacement is subject to a limitation requiring the existing denture to be 5+ years old. 6 Limited to 1 per denture during any 12 consecutive months. 7 Replacement is subject to a limitation requiring the existing bridge to be 5+ years old. 8 Listed Copayment covers up to 24 months of active orthodontic treatment excluding the services listed for D8999 (Startup fee), and D8680 (Orthodontic retention). Beyond 24 months, an additional monthly fee not to exceed 75 percent of the Contract Orthodontist's "filed fee" applies. 9 Plan GAA11 DeltaCare USA Description of Benefits and Copayments 9 In the event orthodontic treatment is not required or is declined by the Enrollee, a fee of $50.00 will apply. The Enrollee is also responsible for any incurred orthodontic diagnostic record fees. 10 Includes adjustments and/or office visits up to 24 months. After 24 months, a monthly fee not to exceed 75 percent of the Contract Orthodontist's "filed fee" applies. 10 Name: (Zip Code) Child - CH Kaiser Foundation Health Plan for Georgia Spouse - SP ( Date of Birth: Home Phone #: F M (Check One) Male/ Female (Month) (Day) Date of Birth (Year) Continue on reverse side Contract Facility Name PLEASE LIST ELIGIBLE DEPENDENTS TO BE COVERED IN ADDITION TO YOURSELF Note: You may choose up to three separate offices for yourself and all dependent enrollees. (To add additional dependents, please attach a separate sheet.) Employee Identification #: (State) (First) Dental Facility #: (Month) ) 09.04.2013 (Year) Contract Facility #: (Day) (M.I.) DIRECTIONS: Please complete items 1 through 6 on both sides of the page. Indicate your choice of Contract Facilities as well as those of your dependents (if applicable). Once you have completed items 1 through 2, please indicate one payment option choice on the reverse side. *Relationship Codes: Place the following two character code in the first column to designate each dependent as follows: Dependent Name Dependent Information Relationship Code * 2 Dental Facility Name: Soc. Security #: E-mail Address (City) (Street Address) (Last) Primary Enrollee Information Mailing Address: 1 DENTAL ENROLLMENT FORM 3 AUTOMATIC PAYMENT AUTHORIZATION FORM Employee + Spouse Employee $ 18.93 $ 18.81 $ 10.96 Employee + 2 or more $ 27.29 Employee + Child MONTHLY (AUTOMATIC DEDUCTION) Credit Union account Savings Checking Deduction Payment Option. I choose the Automatic Automatic Deduction Payment Option Complete and sign the Automatic Payment Authorization section on the enrollment form. Be sure to enclose a voided blank check from this account. Enclose a check for the first month’s premium. Your monthly dues will be deducted from the account specified on the 15th of each month prior to the coverage month (e.g., April dues will be deducted on March 15th). Your coverage will automatically be terminated if your automatic deduction is declined by your bank for insufficient funds, a closed account, etc. Return the enrollment materials, along with the first month’s payment, by the 15th for coverage to begin the 1st of the following month. Delta Dental Insurance Company Dept 0170 Los Angeles, CA 90084-0170 2015 Rates effective 01/01/2014 2015 - 12/31/2014 1.) 2.) 4 Employee + Spouse Employee $ 113.58 $ 112.86 $ 65.76 Employee + 2 or more $ 163.74 Employee + Child SEMI-ANUALLY (PAYMENT BY CHECK) Payment Option I choose the Semi-Annual Semi-Annual Payment Option Submit the first payment with your enrollment form. Once enrolled, you will be billed thereafter. Dues must be paid in full by the 15th of the month prior to the coverage month or your coverage will be automatically terminated. You cannot break coverage. Return the enrollment form and the first payment by the 15th of the month for coverage to begin the 1st of the following month. 2015 - 12/31/2014 2015 Rates effective 01/01/2014 Delta Dental Insurance Company Dept 0170 Los Angeles, CA 90084-0170 Automatic Deduction Payment Authorization (If Automatic Deduction was completed) OR For your convenience, Delta Dental has made it possible to choose from two payment options. Your monthly premium may be paid directly to Delta Dental or you may choose to elect automatic deduction. Please choose ONE payment method only. 1.) 2.) 3.) 4.) 5 I (we) hereby authorize Delta Dental to charge the applicable monthly dues for dental coverage to my account designated below. I understand that coverage will only become and remain effective if there are sufficient funds at the time of the deduction. I understand eligibility begins the first of the month following my initital deduction. This authority to deduct funds from my account is to remain in full force and effective until I notify Delta Dental in writing 30 days prior to termination. I also understand there cannot be any lapse of coverage in a 12-month period from the time of my enrollment. I agree to comply with the terms as outlined in the Combined Evidence of Coverage and Disclosure Form. (My bank is authorized to make corrections if any should be necessary.) Bank or savings and loan name __________________________________________________________ Branch_____________________________________________________________________________________ Branch telephone number __________________________________________City, State _______________________________________________________________ZIP code ________________________________ Signature Account number ____________________________________________ ABA (bank routing #) 6 Date _______________________________ I hereby enroll in the DeltaCare USA program. I understand that enrollment in the dental plan is for a period of one year, and that I will no longer be eligible for coverage if I fail to maintain my membership. Signature of Enrollee _____________________________________________________________________________________________________________________ Limitations and Exclusions of Benefits SCHEDULE B Limitations of Benefits 1. A full mouth x-ray series (including any combination of periapicals or bitewings with a panoramic film) or a series of seven or more vertical bitewings is limited to one series every 24 months. 2. Bitewing x-rays are limited to not more than one series of four films in any six month period. 3. Diagnostic casts are limited to aid in diagnosis by the Contract Dentist for covered benefits. 4. Prophylaxis or periodontal maintenance is limited to one procedure each six month period. 5. Benefits for sealants include the application of sealants only to permanent first and second molars with no decay, with no restorations and with the occlusal surface intact through age 15. Benefits for sealants do not include the repair or replacement of a sealant on any tooth within three years of its application. 6. Amalgams and composites are benefits for the removal of decay, for minor repairs of tooth structure or to replace a lost or failing restoration. 7. The placement of a crown, inlay or onlay is a benefit when there is insufficient tooth structure to support a filling. Replacement of an existing crown, inlay or onlay that is non-functional or non-restorable is a benefit when the existing restoration is five+ years old. 8. If a porcelain margin is also chosen by the Enrollee for a covered porcelain-fused-to-metal crown, the maximum additional cost for this laboratory upgrade is $75.00. 9. A covered metallic inlay, onlay, or indirectly fabricated post and core using base or noble metal is available for listed Copayment(s). If the Enrollee elects to have high noble metal used instead, the maximum additional cost of this material upgrade is $100.00 per tooth. 10. A direct or indirect pulp cap is a benefit only on a vital permanent tooth with an open apex or a vital primary tooth. 11. With the exception of pulp caps and pulpotomies, endodontic procedures (e.g. root canal therapy, apicoectomy, retrofill, etc.) are only a benefit on a permanent tooth with pathology. 12. A therapeutic pulpotomy on a permanent tooth is limited to palliative treatment when the Contract Dentist is not performing root canal therapy. 13. Clinical crown lengthening - hard tissue is limited to one per tooth per lifetime. 14. Periodontal scaling and root planing are limited to four quadrants during any 12 month period. 15. Full mouth debridement (gross scale) is limited to one treatment in any 12 month period. 16. Coverage for the placement of a fixed partial denture ("bridge") is limited to: a. b. The initial placement of a bridge when all the following conditions are present: a single permanent tooth requires prosthetic replacement. the abutment teeth can adequately support and retain a new bridge. the missing tooth cannot be replaced by adding a prosthetic tooth to a serviceable existing removable partial denture. no other missing teeth in the same arch require prosthetic replacement with a new removable partial denture; and (for a bridge replacing a posterior tooth) one or more of the abutment teeth meet Limitation #7. The replacement of an existing bridge that is not serviceable due to decay, fracture or other non-cosmetic defect, if: the existing bridge is at least five years old; and the same abutment teeth can adequately support and retain a new bridge; and no other missing teeth in the same arch require prosthetic replacement. 17. Coverage for a new removable partial or complete denture is limited to: a. b. The initial placement of removable partial or complete denture in an arch when: one or more permanent teeth require prosthetic replacement; and the missing tooth/teeth cannot be replaced by adding a prosthetic tooth to a serviceable existing removable partial denture; and (for partial dentures only) there are suitable abutment teeth to retain and support a removable partial denture. The replacement of an existing removable partial or complete denture with non-cosmetic defect(s) that cause the denture to be non-serviceable if: the existing removable denture is at least five years old; and the existing removable denture cannot be made serviceable by adjustment, repair, relining or rebasing. 11 Limitations and Exclusions of Benefits 18. Relines, tissue conditioning and rebases are limited to one per denture during any 12 consecutive months. 19. Interim partial dentures (stayplates), in conjunction with fixed or removable appliances, are limited to: - The replacement of extracted anterior teeth for adults during a healing period when the teeth cannot be added to an existing partial denture or The replacement of permanent tooth/teeth for children under 16 years of age. 20. A new removable partial, complete or immediate denture includes after delivery adjustments and tissue conditioning at no additional cost for the first six months after placement if the Enrollee continues to be eligible and the service is provided at the Contract Dentist's facility where the denture was originally delivered. 21. Retained primary teeth shall be covered as primary teeth. 22. Excision of the frenum is a benefit only when it results in limited mobility of the tongue, it causes a large diastema between teeth or it interferes with a prosthetic appliance. 23. External bleaching is limited to fabrication of one bleaching tray per arch; bleaching gel for two weeks of patient self treatment; and no more than one treatment per arch, per 36 months. 24. Benefits provided by a contract pediatric Dentist are available at 75 percent of the specialist's "filed fees." Referral by the assigned Contract Dentist is required before services are received. 25. Benefits for a soft tissue management program are limited to those parts, which are listed covered services listed on Schedule A. If an Enrollee declines non-covered services within a soft tissue management program, it does not eliminate or alter other covered benefits. 26. Emergency Services - The Contract Dentist is responsible for providing covered emergency dental care while an Enrollee is within 35 miles of the Contract Dentist's facility. If an Enrollee requires emergency dental care and is more than 35 miles from the Contract Dentist's facility, then Delta Dental will reimburse the Enrollee for the cost of covered emergency dental care, less any applicable Enrollee copayments, to a maximum of $100.00 per Enrollee, per emergency. Emergency dental care is limited to listed procedures required to alleviate severe pain, swelling and/or bleeding or to avoid placing the Enrollee's health in serious jeopardy. Any further treatment of the cause of such emergency dental care must be preauthorized by Delta Dental or provided by the assigned Contract Dentist. All services are subject to the limitations and exclusions of the program. 27. Accident Injury Benefit - An accident injury is damage to the hard and soft tissue of the mouth caused directly and independently of all other causes by external forces. Damage to the hard and soft tissue of the mouth from normal chewing function is covered under Schedule A, Description of Benefits and Copayments. Delta Dental will pay up to 100 percent of the Dentist's usual fee, for expenses an Enrollee incurs for an accident injury, less any applicable Copayment(s), up to a maximum of $1,600.00 in any 12-month period. Accident injury benefits include the following procedure in addition to those listed in Schedule A, Description of Benefits and Copayments: D7270 tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth and/or alveolus includes splinting and/or stabilization. Payment of accident injury benefits are subject to Schedule B, Limitations and Exclusions of Benefits, excluding Limitations #7, 16, and 17. Benefits are limited to services provided as a result of an accident that occurred: a. while the Enrollee was covered under the DeltaCare USA program, or b. while the Enrollee was covered under another DeltaCare USA program, provided benefits for the expenses incurred would have been paid had the Enrollee continued to be eligible under that program. 28. An Optional procedure is defined as any alternative procedure presented by the Contract Dentist that satisfies the same dental need as a covered procedure, is chosen by the Enrollee, and is subject to the limitations and exclusions of the Program. The applicable charge to the Enrollee is the difference between the Contract Dentist's "filed fee" for the Optional procedure and the "filed fee" for the covered procedure, plus any applicable Copayment for the covered procedure. "Filed fees" mean the Contract Dentist's fees on file with Delta Dental. Questions regarding these fees should be directed to the Customer Service department at 800-422-4234. Exclusions of Benefits 1. Any procedure that is not specifically listed under Schedule A, Description of Benefits and Copayments. 2. Restorations placed solely due to cosmetics, abrasions, attrition, erosion, restoring or altering vertical dimension, congenital or developmental malformation of teeth. 12 Limitations and Exclusions of Benefits 3. Porcelain crowns, porcelain fused to metal or resin with metal type crowns and fixed partial dentures (bridges) for children under 16 years of age. 4. Loss or theft of full or partial dentures, space maintainers, crowns and fixed partial dentures (bridges). 5. Appliances or restorations necessary to increase vertical dimension, replace or stabilize tooth structure loss by attrition, realignment of teeth, periodontal splinting, gnathologic recordings, equilibration or treatment of disturbances of the temporomandibular joint (TMJ). 6. Precious metal for removable appliances, metallic or permanent soft bases for complete dentures, porcelain denture teeth, precision abutments for removable partials or fixed partial dentures (overlays, implants, and appliances associated therewith) and personalization and characterization of complete and partial dentures. 7. An initial treatment plan which involves the removal and reestablishment of the occlusal contacts of 10 or more teeth with crowns, onlays, fixed partial dentures (bridges), or any combination of these is considered to be full mouth reconstruction under the DeltaCare USA program. Crowns, onlays and fixed partial dentures associated with such a treatment plan are not covered Benefits. This exclusion does not eliminate the benefit for other covered services. 8. Implant placement or removal, appliances placed on or services associated with implants, including but not limited to prophylaxis and periodontal treatment. 9. Extraction/removal of an erupted, partially erupted or impacted tooth: a. Solely for orthodontic purposes. b. When the tooth exhibits no signs or symptoms of infection, cystic degeneration, fracture, caries and/or having caused damage to an adjacent tooth; or c. When the extraction or removal would be inconsistent with generally accepted professional standards. 10. Treatment or extraction of primary teeth when exfoliation (normal shedding and loss) is imminent. 11. Consultations for non-covered benefits. 12. Replacement of restorations, crowns, bridges, dentures or prosthetic teeth to enhance cosmetics and/or better match bleached teeth. 13. Dental services received from any dental facility other than the assigned Contract Dentist including the services of an out-of-network dental specialist, unless expressly authorized by Delta Dental or as cited under Emergency Services. 14. Any procedure that in the professional opinion of the Contract Dentist: a. has poor prognosis for a successful result and reasonable longevity based on the condition of the tooth or teeth and/or surrounding structures, or b. is inconsistent with generally accepted standards for dentistry. 15. All related fees for admission, use, or stays in a hospital, out-patient surgery center, extended care facility, or other similar care facility. 16. Congenital malformations (e.g. congenitally missing teeth, supernumerary teeth, enamel and dentinal dysplasias, etc.), except for the treatment of newborn children with congenital defects or birth abnormalities. 17. Dispensing of drugs not normally utilized in the delivery of dental services. 18. Dental expenses incurred in connection with any dental procedure started before the Enrollee's eligibility with the DeltaCare USA program. Examples include: teeth prepared for crowns, root canals in progress, orthodontics (unless qualified for the orthodontic treatment in progress provision). 19. Dental expenses incurred in connection with any dental procedures started after termination of eligibility for coverage. 20. Dental conditions arising out of and due to Enrollee's employment for which Worker's Compensation is paid. Services that are provided to the Enrollee by state government or agency thereof, or are provided without cost to the Enrollee by any municipality, county or other subdivision. 21. Treatment required by reason of war declared or undeclared. Orthodontic Limitations The DeltaCare USA program provides coverage for orthodontic treatment plans provided through Contract Orthodontists. Startup fees, retention fees, and the cost to the Enrollee for the treatment plan are listed in Schedule A, Description of Benefits and Copayments and subject to the following: 1. Orthodontic treatment must be provided by the selected Contract Orthodontist. 13 Limitations and Exclusions of Benefits 2. Orthodontic Copayments are listed on Schedule A, Description of Benefits and Copayments for both interceptive and comprehensive orthodontic treatment. Additional fees will be charged for start-up and retention. 3. Benefits cover 24 months of active interceptive orthodontic treatment. 4. Benefits cover 24 months of active comprehensive orthodontic treatment, including initial banding, de-banding and any commonly used appliances such as headgear. 5. Following benefited interceptive or comprehensive orthodontic treatment, retention is covered up to a maximum of 24 months. Retention includes the initial construction, placement and adjustment to removable retainers and office visits. 6. Treatment plans extending beyond 24 months of active interceptive or comprehensive orthodontic treatment, or 24 months of retention, will be subject to a monthly office visit fee to the Enrollee not to exceed 75 percent of the Contract Orthodontist's "filed fee" per month. 7. Should an Enrollee's coverage be cancelled or terminated for any reason, and at the time of cancellation or termination the Enrollee is receiving orthodontic treatment, the Enrollee will be solely responsible for payment for treatment provided after cancellation or termination. In this event the Enrollee's obligation shall be based on 100 percent of the Contract Orthodontist's "filed fee." The Contract Orthodontist will prorate the amount over the number of months remaining in the initial 24 months of treatment. The Enrollee will make payments based on an arrangement with the Contract Orthodontist. 8. If treatment is not required or the Enrollee chooses not to start treatment after the diagnosis and consultation has been completed by the Contract Orthodontist, the Enrollee will be charged a consultation fee of $50.00 in addition to diagnostic record fees. 9. Three recementations or replacements of a bracket/band on the same tooth or a total of five rebracketings/rebandings on different teeth during the covered course of treatment are Benefits. If any additional recementations or replacements of brackets/bands are performed, the Enrollee is responsible for the cost at the Contract Orthodontist's usual fee. 10. The Copayment is payable to the Contract Orthodontist who initiates banding in a course of orthodontic treatment. If, after banding has been initiated, the Enrollee changes to another Contract Orthodontist to continue orthodontic treatment, the Enrollee: a. will not be entitled to a refund of any amounts previously paid; and b. will be responsible for all payments, up to and including the full Copayment, that are required by the new Contract Orthodontist for completion of the orthodontic treatment. 11. Orthodontic treatment in progress is limited to new DeltaCare USA Enrollees who, at the time of their original effective date, are in active treatment started under their previous employer sponsored dental plan, as long as they continue to be eligible under the DeltaCare USA program. Active treatment means tooth movement has begun. Enrollees are responsible for all Copayments and fees subject to the provisions of their prior dental plan. Delta Dental is financially responsible only for amounts unpaid by the prior dental plan for qualifying orthodontic cases. Orthodontic Exclusions 1. Pre-, mid- and post-treatment records that include cephalometric x-rays, tracings, photographs and study models. 2. Lost, stolen or broken orthodontic appliances. 3. Changes in treatment necessitated by accident of any kind, and/or lack of Enrollee cooperation. 4. Surgical procedures incidental to orthodontic treatment. 5. Myofunctional therapy. 6. Surgical procedures related to cleft palate, micrognathia or macrognathia. 7. Treatment related to temporomandibular joint disturbances. 8. Supplemental appliances not routinely used in comprehensive orthodontics, including, but not limited to: palatal expander, habit control appliance, pendulum, quad helix or herbst. 9. Restorative work caused by orthodontic treatment. 10. Extractions solely for the purpose of orthodontics. 11. Treatment in progress at inception of eligibility, unless qualified for the orthodontic treatment in progress provision. 12. Patient initiated transfer after bands have been placed. 13. Composite or ceramic brackets, lingual adaptation of orthodontic bands and other specialized or cosmetic alternatives to standard fixed and removable orthodontic appliances. 14 Participating DeltaCare USA Dental Offices Consultorios dentales de la red DeltaCare USA Kaiser Foundation Health Plan of Georgia Open Offices/ Consultorios abiertos ACWORTH #010551 COAST DENTAL OF ACWORTH 3509 BAKER RD NW STE 401, 30101‑6305 (770) 917‑8943 F/T 3 P/T 2 #036108 DNTL ESSENTIALS FAMILY DNTSTY 4450 CALIBRE XING NW # 1206, 30101‑4104 (770) 529‑9060 F/T 1 #008951 LAKE POINT DENTAL 3950 COBB PKWY NW STE 402, 30101‑9528 (770) 966‑9396 F/T 3 ALPHARETTA #002202 ALPHARETTA DENTAL ASSOC PC 2795 OLD MILTON PKWY STE 900, 30009‑2207 (770) 754‑1155 P/T 1 #028530 BYRD DENTAL GROUP‑NORTH POINT 4000 N POINT PKWY STE 500, 30022‑8803 (770) 777‑0911 F/T 2 P/T 1 (SP, KO) #042958 GREAT EXPRESSIONS DNTL CTR GA 5230 MCGINNIS FERRY RD, 30005‑3921 (678) 527‑1130 F/T 1 P/T 5 #048234 GREAT EXPRESSIONS DNTL CTR GA 401 SOUTH MAIN ST, STE B5, 30009 (770) 663‑8717 F/T 3 #028016 KIMBALL BRIDGE DENTAL 4380 KIMBALL BRIDGE RD, 30022‑1460 (678) 256‑6304 P/T 1 #046716 UTAH MED HOLDING FACILITY 1130 SANCTUARY PARKWAY, 30009 ATLANTA #043541 ALLIANCE ORTHO & FAM DNTSTRY 275 14TH ST NW STE 100, 30318‑9100 (404) 254‑0149 P/T 1 #050203 ART OF THE SMILE 3280 HOWELL MILL RD NW #112, 30327 (404) 355‑5332 F/T 1 October through December 2014 / Octubre a Diciembre de 2014 #010582 COAST DENTAL OF SANDY SPRINGS 7539 ROSWELL RD, 30350‑8501 (678) 443‑9300 F/T 2 P/T 4 #048248 GREAT EXPRESSIONS DNTL CTR GA 1571 PHOENIX BLVD, STE 8, 30349 (770) 996‑7700 F/T 4 #010576 COAST DTL NORTH DRUID HILLS 2484 BRIARCLIFF RD NE STE 29, 30329‑3011 (404) 315‑7375 F/T 5 P/T 5 #048330 GREAT EXPRESSIONS DNTL CTR GA 1720 OLD SPRING HOUSE LN 315, 30338 (770) 451‑7041 F/T 3 #017600 COLLINS FAMILY DENTISTRY 759 MLK DR NW STE 200, 30314‑4153 (404) 588‑0464 F/T 1 #010489 LEONARD J ROUTENBERG 4511 CHAMBL DUNWDY RD STE A2, 30338‑6243 (770) 394‑6778 F/T 1 #017204 DENTAL ONE ASSOCIATES 1901 PHOENIX BLVD#100, 30349 (770) 991‑0913 F/T 3 #025281 DENTAL ONE ASSOCIATES 600 W PEACHTREE ST NW # 750, 30308‑3613 (404) 876‑7200 F/T 3 #020090 GA DENTISTRY LLC 2460 CUMB PKWY SE STE 210, 30339‑5038 (770) 433‑2414 F/T 1 P/T 1 #958601 GREAT EXPRESSIONS DNTL CTR GA 2138 HENDERSON MILL RD NE, 30345‑3762 (770) 493‑1242 P/T 11 #016534 GREAT EXPRESSIONS DNTL CTR GA 675 W PEACHTREE ST NW # 120, 30308‑1989 (404) 874‑2038 F/T 4 P/T 11 #035258 GREAT EXPRESSIONS DNTL CTR GA 10 10TH ST NW STE 100, 30309‑3835 (404) 892‑2337 F/T 6 P/T 13 #035317 GREAT EXPRESSIONS DNTL CTR GA 13 CORPORATE BLVD BLD13 #12, 30329‑1906 (678) 836‑2120 F/T 4 P/T 13 #035319 GREAT EXPRESSIONS DNTL CTR GA 3752 CASCADE RD SW STE 190, 30331‑2149 (678) 836‑2118 P/T 10 #010552 COAST DENTAL OF BUCKHEAD 3330 PIEDMONT RD NE STE 16, 30305‑1726 (404) 237‑5330 F/T 3 P/T 2 #042954 GREAT EXPRESSIONS DNTL CTR GA 3365 PIEDMONT RD NE STE 1110, 30305‑1708 (404) 237‑3070 P/T 5 #010577 COAST DENTAL OF NORTHLAKE 4805 BRIARC RD NE STE 104, 30345‑2737 (770) 414‑9282 F/T 2 P/T 3 #042956 GREAT EXPRESSIONS DNTL CTR GA 4920 ROSWELL ROAD, STE 13A, 30342 (404) 236‑7222 F/T 2 P/T 4 #010578 COAST DENTAL OF PERIMETER 1100 HAMMOND DR STE 210, 30328‑8153 (770) 399‑9300 F/T 1 P/T 4 #042959 GREAT EXPRESSIONS DNTL CTR GA 785 VIRGINIA AVE STE A, 30354‑1991 (404) 768‑8700 P/T 5 09/09/14 #038496 LYNDON NAIPAUL INC 1776 OLD SPR HOUSE LN # 302, 30338‑6225 (770) 936‑0113 F/T 1 (SP) #035888 PERFECT TOUCH DENTAL 80 PEYTON RD SW, 30311‑1710 (404) 696‑6675 F/T 1 AUGUSTA #001897 WILLIAM MARESKA, DDS 3802 WASHINGTON RD, 30907‑5144 (706) 863‑7642 AUSTELL #008952 ANISA HAILEY, DDS 4760 AUSTELL RD, 30106‑2007 (770) 941‑9995 CONYERS #050782 ASPEN DENTAL 1450 HIGHWAY 138 SE, 30013 (770) 285‑2270 F/T 1 #010553 COAST DENTAL OF CONYERS 1910 HIGHWAY 20 SE # 100 # E, 30013‑2074 (770) 602‑4733 F/T 2 P/T 4 #042962 GREAT EXPRESSIONS DNTL CTR GA 2390 WALL ST SE STE 120, 30013‑2151 (770) 929‑3411 P/T 4 #043238 SIGNATURE DENTAL LLC 2750 OWENS RD SW STE B, 30094‑3991 (770) 483‑7774 F/T 1 CUMMING #050784 ASPEN DENTAL 1530 MARKET PLACE BLVD, 30041 (678) 208‑3470 F/T 3 #048233 GREAT EXPRESSIONS DNTL CTR GA 3845 MEDICAL PARK DRIVE, 30106 (770) 739‑2100 F/T 4 CANTON #050779 ASPEN DENTAL 2030 CUMMING HWY STE 110, 30115 (404) 974‑9000 F/T 2 CARROLLTON #053000 ASPEN DENTAL 1382 SOUTH PARK STREET, 30117 (678) 864‑3260 F/T 3 #024491 CASTLEBERRY DENTAL LLC 5905 IRON GATE TRCE, 30040‑5801 (770) 888‑8834 (PE, FR) #039361 NORTH CUMMING DENISTRY LLC 1715 FRIENDSHIP CIR STE 100, 30028‑6918 (470) 253‑7349 F/T 1 DALTON #050781 ASPEN DENTAL 849 SHUGART RD, 30720 (706) 459‑3333 F/T 4 CARTERSVILLE #050788 ASPEN DENTAL 215 CHEROKEE PLACE, 30121 (770) 387‑1618 F/T 3 #035940 DREAM SMILE DENTAL LLC 1100 E WALNUT AVE STE 9 10, 30721‑4171 (706) 508‑4222 F/T 1 (SP, GE, HI) DECATUR #035318 GREAT EXPRESSIONS DNTL CTR GA 200 PONCE DE LEON STE#300, 30030 (678) 836‑2113 F/T 7 P/T 13 #028914 CARTERSVILLE DENTAL GROUP 22 FELTON PL, 30120‑2152 (770) 387‑1277 ‑1‑ #029636 PATTERSON DENTAL GROUP 7413 WHITESVILLE RD, 31904‑3227 (706) 256‑1312 F/T 1 #035416 GREAT EXPRESSIONS DNTL CTR GA 1152 OLD SALEM RD SE, 30094‑5944 (678) 836‑2140 F/T 4 P/T 11 #024769 SOUTHSIDE MEDICAL CENTER INC 1046 RIDGE AVE SW, 30315‑1640 (404) 688‑1350 F/T 1 #046008 CARTERSVILLE SMILES 22 FELTON PLACE STE A, 30120 (770) 387‑1277 F/T 1 COLUMBUS #051437 ASPEN DENTAL 6783 VETERANS PARKWAY BLDG 4, 31909 (706) 321‑3909 F/T 1 (SP) #042957 GREAT EXPRESSIONS DNTL CTR GA 2853 CANDLER RD STE 101, 30034‑1421 (404) 244‑1166 F/T 2 P/T 4 DR_DCU_5450‑2_OCT2014_09.09.2014 PLGAKFG #048231 GREAT EXPRESSIONS DNTL CTR GA 2785 LAWRENCENCEVILLE HWY103, 30033 (770) 491‑1132 F/T 8 #035320 GREAT EXPRESSIONS DNTL CTR GA 570 LANIER AVE W HWY54 # 2, 30214‑7649 (678) 836‑2103 F/T 2 P/T 6 #028153 METRO DECATUR DENTAL GROUP 4570 MEMORIAL DR, 30032‑1447 (404) 292‑3133 P/T 1 #042963 GREAT EXPRESSIONS DNTL CTR GA 395 N JEFF DAVIS DR STE A, 30214‑1672 (770) 460‑0870 F/T 1 P/T 4 DOUGLASVILLE #050771 ASPEN DENTAL 6351 DOUGLAS BLVD, 30135 (404) 267‑0400 F/T 3 #048232 GREAT EXPRESSIONS DNTL CTR GA 141 BANKS STATION, #121‑122, 30214 (770) 716‑9778 F/T 3 #010566 COAST DENTAL OF DOUGLASVILLE 3308 GEORGIA HWY 5 STE E, 30135 (770) 947‑0006 F/T 1 P/T 3 #959601 GREAT EXPRESSIONS DNTL CTR GA 3387 HIGHWAY 5 STE E, 30135‑6900 (770) 489‑6200 F/T 1 P/T 12 #035260 GREAT EXPRESSIONS DNTL CTR GA 3271 HIGHWAY 5, 30135‑2384 (678) 836‑2111 F/T 4 P/T 11 #048230 GREAT EXPRESSIONS DNTL CTR GA 8505 HOSPITAL DRIVE, 7 & 8, 30134 (770) 489‑6735 F/T 6 #032612 JERRY NUTT/ASSOC 8505 HOSPITAL DR STE 7, 30134‑2414 (770) 489‑6735 #023936 TIMOTHY BYRD, DMD 6740 DOUGLASVILLE BL STE A, 30135 (770) 949‑5600 F/T 1 DULUTH #043546 ALLIANCE ORTHO & FAM DNTSTRY 3796 SATELLITE BLVD STE 101, 30096‑5698 (770) 687‑2353 P/T 1 (SP) #010567 COAST DENTAL OF DULUTH 3870 PCHTREE IND BLVD, 30096‑1422 (770) 476‑9004 F/T 3 P/T 5 #010579 COAST DENTAL OF PLEASANT HILL 1630 PLEASANT HL RD STE 200, 30096‑5828 (770) 381‑7878 F/T 2 P/T 3 DUNWOODY #017729 MICHELLE JACQUES, DDS 1853 PEELER RD STE A, 30338‑5951 (770) 391‑9212 F/T 1 (RU) FAIRMOUNT #038689 METROPOLITAN DTL ASSOC 2285 HIGHWAY 411 N, 30139‑2911 (706) 337‑2577 P/T 1 (PE, SP) FAYETTEVILLE #043544 ALLIANCE ORTHO & FAM DNTSTRY 1307 HIGHWAY 85 N STE B, 30214‑7818 (770) 719‑3300 P/T 1 (SP) #010568 COAST DENTAL OF FAYETTVILLE 805 GLYNN ST S STE 131, 30214‑2010 (770) 460‑6651 F/T 1 P/T 8 FOREST PARK #048331 GREAT EXPRESSIONS DNTL CTR GA 4930 GOVERNORS DRIVE #405, 30297 (404) 363‑1700 F/T 7 GAINESVILLE #050772 ASPEN DENTAL 890 DAWSONVILLE HWY STE F, 30501 (678) 928‑3219 F/T 3 #048235 GREAT EXPRESSIONS DNTL CTR GA 300 PEARL NIX PARKWAY STE D, 30501 (770) 536‑1957 F/T 5 GRAYSON #034851 COMFORT DENTAL STUDIO, PC 2219 LOGANVILLE HWY, 30017‑1622 (678) 377‑1800 #033370 ROYAL DENTAL CARE 2594 LOGANVILLE HWY# 102, 30017 (678) 672‑1590 F/T 1 JOHNS CREEK #036208 DENTISTRY OF JOHN CREEK 10305 MEDLOCK BRG RD STE B3, 30097‑4403 (770) 418‑4939 P/T 1 (SP) JONESBORO #016535 GREAT EXPRESSIONS DNTL CTR GA 1002 POINTE SOUTH PKWY, 30238‑4324 (770) 472‑9399 F/T 2 P/T 10 (SP) LAKE CITY #010570 COAST DENTAL ‑ MORROW 5656 JONESBORO RD STE 103, 30260‑3853 (678) 422‑6967 F/T 3 P/T 3 LAWRENCEVILLE #010571 COAST DENTAL OF LAWRENCEVILLE 650 GWINNETT DR STE 210, 30046‑7439 (770) 963‑5999 F/T 1 P/T 5 #959501 GREAT EXPRESSIONS DNTL CTR GA 555 OLD NORCROSS RD STE 120, 30046‑8703 (770) 277‑9700 P/T 12 #035282 GREAT EXPRESSIONS DNTL CTR GA 1960 RIVERSIDE PKWY STE 105, 30043‑5945 (678) 836‑2109 P/T 9 #035283 GREAT EXPRESSIONS DNTL CTR GA 2000 RIVERSIDE PKWY STE 200, 30043‑5926 (678) 836‑2109 F/T 4 P/T 16 #042964 GREAT EXPRESSIONS DNTL CTR GA 4850 SUGARLOAF PKWY STE 204, 30044‑2861 (770) 995‑6109 F/T 1 P/T 4 #048237 GREAT EXPRESSIONS DNTL CTR GA 1699 DULUTH HIGHWAY STE 5, 30043 (770) 338‑1963 F/T 4 LILBURN #010572 COAST DENTAL OF LILBURN 3050 5 FORKS RD SW STE H, 30047‑1877 (770) 982‑7533 F/T 3 P/T 3 #016531 GREAT EXPRESSIONS DNTL CTR GA 4145 LAWRENCEVILLE HWY #15, 30047 (770) 923‑1814 F/T 6 P/T 18 (VI, SP) #048238 GREAT EXPRESSIONS DNTL CTR GA 4145 LAWRENCEVILLE HWY STE 5, 30047 (770) 638‑8090 F/T 3 #042960 GREAT EXPRESSIONS DNTL CTR GA 2292 MOUNT ZION RD, 30236‑2528 (770) 961‑8300 P/T 4 #041775 ZOOM DENTAL LLC 4574 LVILLE HWY NW STE 120, 30047‑3605 (770) 921‑9000 F/T 1 P/T 3 (KO, SP) #043538 TARA BLVD FAMILY DENTISTRY 772 NORTH AVE, 30236‑2226 (770) 892‑5328 P/T 1 (PE, SP) LOGANVILLE #010573 COAST DENTAL OF LOGANVILLE 4325 ATLANTA HWY STE 9, 30052‑3264 (770) 466‑0918 F/T 4 P/T 2 KENNESAW #037787 DENTISTRY AT KENNESAW POINT 1350 WOOTEN LAKE RD NW # 203, 30144‑1346 (678) 275‑2066 F/T 1 #044309 EASTSIDE DENTISTRY 2715 LOGANVILLE HWY # 340‑3D, 30052‑6660 (678) 956‑1381 P/T 1 (HI) #958301 GREAT EXPRESSIONS DNTL CTR GA 400 E W BARR PKWY NW STE 607, 30144‑4997 (770) 425‑1324 F/T 1 P/T 12 MABLETON #010574 COAST DENTAL OF MABLETON 4875 FLOYD RD SW STE 113, 30126‑1379 (770) 732‑0900 F/T 4 P/T 1 #035264 GREAT EXPRESSIONS DNTL CTR GA 3525 BUSBEE DR NW STE 200, 30144‑5677 (678) 836‑2103 F/T 6 P/T 15 MACON #050770 ASPEN DENTAL 5019 RIVERSIDE DRIVE UNIT A, 31210 (478) 405‑0664 F/T 2 #048236 GREAT EXPRESSIONS DNTL CTR GA 1301 SHILOH RD BLVD 600 #660, 30144 (770) 423‑9699 F/T 2 ‑2‑ #019562 NORTH MACON DENTAL ASSOC 4020 ELNORA DR, 31210‑1823 (478) 477‑1228 F/T 1 MARIETTA #010583 COAST DENTAL OF SPRAYBERRY 2550 SANDY PLAINS RD STE 145, 30066‑7221 (770) 321‑2755 F/T 2 P/T 3 #010575 COAST DTL OF MARIETTA TRADE 270 COBB PKWY S STE 180, 30060‑6520 (770) 425‑6333 F/T 3 P/T 5 #044425 DR JOHN FAMILY DENTISTRY 550 FRANKLIN RD SE STE B, 30067‑7740 (770) 514‑5055 P/T 1 #009328 GREAT EXPRESSIONS DNTL CTR GA 2209 ROSWELL RD STE 300, 30062‑9300 (678) 560‑2970 F/T 5 P/T 11 #042955 GREAT EXPRESSIONS DNTL CTR GA 3823 ROSEWELL RD, STE 205, 30062 (770) 973‑9275 F/T 6 P/T 4 #048239 GREAT EXPRESSIONS DNTL CTR GA 1545 POWERS FERRY RD SE #220, 30067 (770) 980‑9404 F/T 1 #898901 JOHN GRAHAM, DDS 50 PLAZA WAY NW STE G, 30060‑1141 (770) 427‑4778 F/T 1 #008908 SPRAYBERRY DENTAL ASSOC 2663 SANDY PLAINS RD, 30066‑4256 (770) 977‑0827 F/T 2 P/T 1 MCDONOUGH #050780 ASPEN DENTAL 1430HIGHWAY 20 WEST, 30253 (678) 537‑6000 F/T 2 MONROE #957801 PATRICIA PASS‑DUDLEY, DDS 146 MLK BLVD PMB 387, 30655 (770) 207‑5158 F/T 1 MORROW #935801 SOUTHLAKE DENTAL ASSOC PC 6630 EXCHANGE PL, 30260‑2310 (770) 968‑1710 P/T 1 (SP) MOULTRIE #035922 FARREY FAMILY DENTISTRY 513 S MAIN ST, 31768‑4637 (229) 890‑3908 F/T 1 (SP) NEWNAN #050777 ASPEN DENTAL 201 NEWNAN CROSSING BYPASS, 30263 (678) 621‑6410 F/T 3 #035256 GREAT EXPRESSIONS DNTL CTR GA 38 JEFFERSON PKWY, 30263‑5812 (678) 836‑2139 F/T 2 P/T 11 #048240 GREAT EXPRESSIONS DNTL CTR GA 148 BULLSBORO DRIVE, 30263 (770) 251‑4370 F/T 3 NORCROSS #041205 GIBBONS DENTAL STUDIOS 5635 PEACHTREE PKWY STE 100, 30092‑2823 (770) 642‑4711 P/T 1 #032088 WEI‑YEN CHANG, DDS 415 E CROSSVILLE RD STE A, 30075‑7626 (678) 461‑4875 F/T 1 (JA, CH) STOCKBRIDGE #043545 ALLIANCE ORTHO & FAM DNTSTRY 31 HIGHWAY 138 W STE 160, 30281‑4260 (770) 507‑6580 P/T 1 SUWANEE #017230 COAST DENTAL 2855 LAWRENCEVILLE SUWANEE, 30024 (678) 482‑2197 F/T 1 P/T 4 #035254 GREAT EXPRESSIONS DNTL CTR GA 1040 EAGLES LDG PKWY, #200, 30281 (678) 836‑2136 F/T 2 P/T 12 TUCKER #016532 GREAT EXPRESSIONS DNTL CTR GA 4500 HUGH HOWELL RD STE 140, 30084‑4700 (770) 938‑9090 F/T 2 P/T 11 #959401 GREAT EXPRESSIONS DENTAL CTR 7760 SPALDING DR, 30092‑4207 (770) 270‑5700 F/T 2 P/T 13 SAVANNAH #048241 GREAT EXPRESSIONS DNTL CTR GA 132 SOUTHERN BOULEVARD, 31405 (912) 356‑5444 F/T 3 #025250 SPALDING DENTAL CENTER 6460 SPALDING DR STE C, 30092‑1805 (770) 263‑8408 F/T 1 (RU, SP) #012133 JAMES MELVIN, DMD 7001 HODGSON DR STE 4, 31406‑2549 (912) 355‑1307 F/T 1 #048244 GREAT EXPRESSIONS DNTL CTR GA 330 CORPORATE CENTER COURT A, 30281 (678) 289‑6707 F/T 3 PEACHTREE CITY #016473 GREAT EXPRESSIONS DNTL CTR GA 320 STEVENS ENTRY, 30269‑1325 (770) 486‑0110 F/T 2 P/T 10 #958401 JAMES WILLIAMS, DDS 310 EISENHOWER DR # 2 # BLD, 31406‑2632 (912) 351‑0615 F/T 1 #029147 SACRED DENTAL & ASSOC 4362 N HENRY BLVD, 30281‑3662 (770) 474‑9202 F/T 1 (SP) #891301 SAVANNAH DENTAL ASSOCIATES 413 W DUFFY ST, 31401‑6789 (912) 234‑5003 F/T 1 STONE MOUNTAIN #028103 BURLIN DENTAL ASSOCIATES 4687 ROCKBRIDGE RD STE 7, 30083‑4281 (404) 296‑9070 F/T 1 POOLER #052025 ASPEN DENTAL 276 POOLER PKWY STE A, 31322 (912) 330‑9070 F/T 2 POWDER SPRINGS #010580 COAST DTL OF POWDER SPRINGS 3721 NEW MACLAND RD STE 210, 30127‑2088 (770) 222‑3300 F/T 2 P/T 2 RIVERDALE #043543 ALLIANCE ORTHO & FAM DNTSTRY 7218 HIGHWAY 85, 30274‑2908 (678) 545‑1560 P/T 1 (SP) #010460 ZOOM DENTAL 207 UPPER RIVERDALE RD SW, 30274‑2585 (770) 751‑8887 F/T 1 (SP, RU) ROSWELL #035262 GREAT EXPRESSIONS DNTL CTR GA 770 HOLCOMB BRIDGE RD, 30076‑1618 (678) 836‑2102 F/T 4 P/T 15 SNELLVILLE #042632 CAPTIVATING SMILES 2118 SCENIC HWY, 30078 (770) 609‑2901 F/T 1 #035255 GREAT EXPRESSIONS DNTL CTR GA 2220 WISTERIA DR STE 300, 30078‑4604 (678) 836‑2107 F/T 5 P/T 14 #042961 GREAT EXPRESSIONS DNTL CTR GA 2341 HENRY CLOWER BLVD STE A, 30078‑7420 (770) 736‑0099 F/T 1 P/T 5 #015953 S ALABA FAWOLE, DDS MD PC 2488 SCENIC HWY, 30078 (678) 377‑6830 P/T 1 #009465 DENTURES AND FAMILY DENTISTRY 1825 ROCKBRIDGE RD STE 14C, 30087‑3306 (770) 482‑7800 #028140 METRO DEKALB DENTAL GROUP 4849 MEMORIAL DR, 30083‑4175 (404) 296‑4119 P/T 1 #035719 SMILES FOR LESS 1525 E PARK PL BLVD STE 1500, 30087‑6402 (770) 879‑0845 (VI, SP) SUGAR HILL #048833 THE TEETH DOCTOR LLC 6025 CUMMING HWY STE 610, 30518 (678) 482‑5170 F/T 1 (VI) ‑3‑ #010464 TUCKER TOWN DENTAL 4865 LAVISTA RD STE C, 30084‑4436 (404) 761‑1542 F/T 1 (VI) VALDOSTA #052762 ASPEN DENTAL 1609 NORMAN DR STE B, 31601 (229) 269‑4607 F/T 3 WARNER ROBINS #051946 ASPEN DENTAL 2745 WATSON BLVD, 31093 (478) 953‑2836 F/T 3 WOODSTOCK #010584 COAST DENTAL OF WOODSTOCK 12195 HIGHWAY 92 STE 148, 30188‑3603 (770) 517‑2772 F/T 3 P/T 4 #029460 METROPOLITAN DTL ASSOC 8294 HIGHWAY 92 STE 200, 30189‑3672 (770) 928‑2376 F/T 1 (PE) #008928 TIMOTHY BYRD, DMD 2035 TOWNE LAKE PKWY STE 130, 30189‑5550 (770) 926‑8200 F/T 1 P/T 1 (SP) Closed Offices / Consultorios cerrados These offices are presently serving members, but are closed to further enrollment at this time. These offices may open to new enrollment in the future if office capacity permits. / Estos consultorios brindan atención a los miembros actuales, pero se encuentran cerrados a nuevas inscripciones. En el futuro estarán disponibles para nuevas inscripiones, si su capacidad se lo permite. AUGUSTA #001896 FREDERICK THIELKE, DMD 3643 WALTON WAY EXT, 30909‑4507 (706) 738‑7129 F/T 1 D E S O L C BUFORD #027911 LANIER DENTAL ASSOCIATES 4965 LANIER ISLANDS PKWY#105, 30518‑1700 (770) 831‑0559 (SP) LAGRANGE #933801 TARA DENNIS, DDS 1555 DOCTORS DR STE 105, 30240‑4132 (706) 812‑8220 F/T 1 TUCKER #937001 MEENA MEHTA, DDS 3981 LAWRENCEVILLE HWY STE A, 30084‑4525 (770) 491‑1138 F/T 1 Visit us at our website/ Visite nuestro sitio de Internet: www.deltadentalins.com F/T ‑ Full Time Dentist F/T ‑ Dentista de tiempo completo P/T ‑ Part Time Dentist P/T ‑ Dentista de medio tiempo Foreign languages spoken in the dental office are listed by code in ( ). Below is a key to the foreign language codes. Los idiomas que se hablan en la oficina dental estan detallados por códigos en ( ). Abajo detallamos los códigos a los diferentes idiomas. AF AM AR KM CA CH CL HR CS IN IT JA KO LO 12 14 PE PL ‑ ‑ ‑ ‑ ‑ ‑ ‑ ‑ ‑ Afrikaans Armenian Arabic Cambodian Cantonese Chinese Creole Croatian Czech EI FR GE GR HE HI 4 HU 13 ‑ ‑ ‑ ‑ ‑ ‑ ‑ ‑ ‑ East Indian French German Greek Hebrew Hindi Hmong Hungarian Ilacano ‑ ‑ ‑ ‑ ‑ ‑ ‑ ‑ ‑ Indonesian Italian Japanese Korean Lao Mandarin Mien Persian Polish PT RO RU SM SP TA TH TR VI ‑ ‑ ‑ ‑ ‑ ‑ ‑ ‑ ‑ Portuguese Romanian Russian Samoan Spanish / Español Tagalog Thai Turkish Vietnamese LANGUAGE ASSISTANCE: Language capabilities are self‑reported by the individual dental facilities and not independently verified by Delta Dental. If an enrollee requires language assistance to enable communication in a dental setting, Delta Dental will arrange for professional services through a certified interpretation vendor at no cost to the enrollee. Additional Dental Offices will be added as required. You may call our Customer Service department at 800‑422‑4234 for updates to the provider list. If any office is closed to further enrollment, Delta Dental reserves the right to assign you another dental office as close to your home as possible. Se agregaran mas Oficinas Dentales adicionales conforme se vayan necesitando. Puede llamar al departamento de Servicio al Cliente al 800‑422‑4234 para obtener una lista de los proveedores. Delta Dental se reserva el derecho de asignarle otra oficina dental lo mas cercana a su casa como sea posible. In Georgia, DeltaCare USA is underwritten and administered by Delta Dental Insurance Company. En Georgia, DeltaCare USA es asegurado y administrado por Delta Dental Insurance Company. NOTE: Contact the provider before making your choice if you have scheduling problems or small children. NOTA: Contacte al proveedor antes de escogerlo si tiene problemas o niños pequeños. ‑4‑ Find all of our dental health resources, including a risk assessment tool, articles, videos and a free e-newsletter subscription, at: mysmileway.com. CUSTOMER SERVICE 800-422-4234 Monday through Friday, 8 a.m. to 9 p.m., Eastern time PROVIDED BY: DELTA DENTAL INSURANCE COMPANY 1130 Sanctuary Parkway, Suite 600 Alpharetta, GA 30009 deltadentalins.com/enrollees NOTE: THIS IS ONLY A BRIEF SUMMARY OF THE PLAN. The Group Dental Service Contract must be consulted to determine the exact terms and conditions of coverage. An Evidence of coverage will be sent to you upon enrollment. In Georgia, DeltaCare USA is underwritten and administered by Delta Dental Insurance Company. E #78968_GA_Kaiser (rev. 07/14) YOUR SMILE IS COVERED You must be a Kaiser Permanente FEHBP enrollee to participate in the dental plan DIRECTORY OF DELTA DENTAL PREMIER DENTISTS ® FOR YOUR FEHBP PREVENTIVE DENTAL BENEFITS DELTA DENTAL INSURANCE COMPANY KAISER PERMANENTE — GEORGIA EDITION WE KEEP YOU SMILING Delta Dental Premier® Dentists How to use this directory You must be a Kaiser Permanente FEHBP enrollee to participate in the Delta Dental Premier dental Plan (the “dental Plan”). This directory contains the names of Delta Dental Premier dentists in your state. Your enrollment in a Kaiser Permanente plan for Federal Employees gives you and your family a preventive dental benefit administered by Delta Dental (Delta Dental Premier®). You may obtain treatment from any licensed dentist, but if you select a Premier dentist, you receive additional advantages: • Delta Dental dentists complete claim forms and submit them directly to Delta Dental. • You pay only your portion of the bill at the time of treatment because Delta Dental pays its portion directly to the dentist. • Delta Dental dentists establish certain fees with Delta Dental, which means your costs may be lower than if you visit a non-Delta Dental dentist. You will generally save on out-of-pocket expenses if you visit a Premier dentist. If you select a non-Delta Dental dentist, you may be responsible for the entire dental bill at the time of treatment; which means you will have to wait for reimbursement for any covered amounts from Delta Dental. Your FEHBP brochure lists your benefits, limitations and exclusions, and explains coinsurance costs. This directory is current as of September 2014 and replaces all previous editions. Please note that it is subject to change without notice. Therefore, we strongly recommend that you ask your dentist about his or her current status as a participating Premier dentist with Delta Dental. It is important to know when you enroll in this dental Plan, services are provided through the dental Plan’s delivery system, as described in the Kaiser Permanente Plan’s Federal brochure, but the continued participation of any one doctor, hospital or other provider cannot be guaranteed. For the most current list of Premier dentists in your area, use our online directory at deltadentalins.com. If you experience any problems with a Delta Dental dentist, send a written explanation to the following address: Delta Dental Insurance Company Attn: Customer Service P. O. Box 1809 Alpharetta, GA 30023-1809 Toll-free 800-521-2651 Dental Specialties General dentists provide a full range of services for the entire family. Endodontists specialize in diseases and injuries of the tooth pulp, performing such services Oral surgeons remove impacted teeth and repair fractures of the jaw and other damage to the bone structure around the mouth. Orthodontists correct misaligned teeth and jaws, usually by applying braces. Pediatric dentists limit their practices to children and teenagers. Periodontists treat diseases of the tissues that support and surround the teeth. Prosthodontists specialize in the restoration of natural teeth and/or the replacement of missing teeth with crowns, bridges, dentures, implants and other procedures. Delta Dental’s Mission: To advance dental health and access through exceptional dental benefits service, technology and professional support. INS-PREM-5/07 If you are enrolled in the FEHB program and will be a member of Kaiser Foundation Health Plan of Georgia, Inc., effective January 1, 2015, you are entitled to the following preventive benefits: Payment Example Using a Delta Dental Premier Dentist (Preventive Care Coverage) Dentist Bills Allowed Amount Delta Dental Pays Dentist (70% of allowed amount) Patient Pays Dentist (30% of allowed amount) D0120 — Periodic oral evaluation $38.00 $35.00 $24.50 $10.50 D0150 — Comprehensive oral evaluation $69.00 $60.00 $42.00 $18.00 D0210 — Intraoral, complete series $110.00 $106.00 $74.20 $31.80 D0272 — Bitewings, 2 films per six months or 4 films per year $39.00 $32.00 $22.40 $9.60 D1110 — Prophylaxis, adult $70.00 $65.00 $45.50 $19.50 D1120 — Prophylaxis, child $60.00 $53.00 $37.10 $15.90 D1208 — Topical application of fluoride (child or adult) $33.00 $27.00 $18.90 $8.10 TOTAL PATIENT PAYMENT 113.40 Payment Example Using a Non-Delta Dental Dentist (Preventive Care Coverage) Dentist Bills Allowed Amount Delta Dental Pays Dentist (70% of allowed amount) Patient Pays Dentist (30% of allowed amount plus the difference between the billed and allowed amount) D0120 — Periodic oral evaluation $38.00 $35.00 $24.50 $13.50 D0150 — Comprehensive oral evaluation $69.00 $60.00 $42.00 $27.00 D0210 — Intraoral, complete series $110.00 $106.00 $74.20 $35.80 D0272 — Bitewings, 2 films per six months or 4 films per year $39.00 $32.00 $22.40 $16.60 D1110 — Prophylaxis, adult $70.00 $65.00 $45.50 $24.50 D1120 — Prophylaxis, child $60.00 $53.00 $37.10 $22.90 D1208 — Topical application of fluoride (child or adult) $33.00 $27.00 $18.90 $14.10 TOTAL PATIENT PAYMENT 154.40 The claims examples above for Delta Dental Premier coverage are based on average charges for ZIP codes 30001-30099 and are intended for illustrative purposes only. Actual charges may vary by provider or geographic area. This is a brief description of the features of Kaiser Foundation Health Plan of Georgia, Inc.’s High Option and Standard Option. Before making a final decision, please read the Plan’s Federal brochure (RI 73-321). All benefits are subject to the definitions, limitations, and exclusions set forth in the Federal brochure. For claims and benefit inquiries, call Delta Dental Insurance Company customer service toll-free at 800-521-2651. KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. ACWORTH General Dentists Adams, Christopher 1685 Mars Hill Rd Nw Ste 200, 30101 (770) 919-0930 Ebid, Fady 3950 Cobb Pkwy Nw, 30101 (770) 966-9396 Edwards, Joi 3950 Cobb Pkwy Nw, 30101 (770) 966-9396 Goodwin, Charles 5471 Bells Ferry Rd Ste 200, 30102 (770) 928-7281 Granger, Debbie 3950 Cobb Pkwy Nw, 30101 (770) 966-9396 Hahn, Steven 5490 Crossroads Dr Ste 1, 30102 (770) 926-2784 Harfoush, Nael 3950 Cobb Pkwy Nw, 30101 (770) 966-9396 Hinkle, William 4343 S Main St, 30101 (770) 974-6868 Horlick, Alan 6572 Highway 92 Ste 120, 30102 (770) 591-8446 Kakadia, Ashish 3509 Baker Rd Nw Ste 401, 30101 (770) 917-8943 Kakadia, Ashish 5552 Robin Rd Ste A, 30102 (770) 928-0595 Kim, Jason 5490 Crossroads Dr Ste 1, 30102 (770) 926-2784 Lakkegowda, Shilpa 3509 Baker Rd Nw Ste 401, 30101 (770) 917-8943 Oral Surgeons Bagheri, Shahrokh 3950 Cobb Pkwy Nw, 30101 (770) 966-9396 Coker, Neysa 85 Golf Crest Dr Ste 209, 30101 (770) 429-2326 Shoup, Greg 1685 Mars Hill Rd Nw, 30101 (770) 448-8882 Garvey, Soyini 1030 W Gordon Ave Ste A, 31701 (229) 432-9555 ALMA General Dentists White, Adam 1685 Mars Hill Rd Nw, 30101 (770) 448-8882 Hernandez, Miguel 1030 W Gordon Ave Ste A, 31701 (229) 432-9555 Virgen, Alvaro 501 N Pierce St, 31510 (912) 632-0872 Pediatric Dentists Johnson, Javier 1412 W Oakridge Dr, 31707 (229) 888-6559 Viruet, Elizabeth 501 N Pierce St, 31510 (912) 632-0872 Johnson, Javier 204 N Westover Blvd, 31707 (229) 888-6559 Williams Wood, Ayana 501 N Pierce St, 31510 (912) 632-0872 Johnson, Javier 2607 Gillionville Rd, 31707 (229) 883-3443 ALPHARETTA General Dentists Johnson Jr, George 1030 W Gordon Ave Ste A, 31701 (229) 432-9555 Adams, Marc 5665 Atlanta Hwy Ste 107, 30004 (770) 521-0026 King, Charles 915 W Highland Ave, 31701 (229) 435-0677 Akbar, Roya 875 N Main St #358, 30009 (770) 475-4455 King Sr, Charles 915 W Highland Ave, 31701 (229) 435-0677 Alexander, Jeremy 4640 Valais Ct Ste 102, 30022 (770) 642-4711 Landau Jr, Louis 2305 Village Green Ct, 31707 (229) 435-4548 Ali Rajai, Mohhammad 11670 Jones Bridge Rd Ste C, 30005 (770) 751-8800 Maali, Barbara 1412 W Oakridge Dr, 31707 (229) 888-6559 Atkinson, Erik 5530 Windward Pkwy Ste 410, 30004 (770) 360-5505 Maali, Barbara 204 N Westover Blvd, 31707 (229) 888-6559 Bae, Eunjoo 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Maali, Barbara 2607 Gillionville Rd, 31707 (229) 883-3443 Baine, Michael 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Mann, Brian 902 S Slappey Blvd, 31701 (229) 435-6627 Bang, Erin 11775 Northfall Ln Ste 107, 30009 (770) 619-2909 Mann, Cleveland 902 S Slappey Blvd, 31701 (229) 435-6627 Barnett, Autumn 5304 Windward Pkwy Ste 107, 30004 (770) 777-1911 Beard Iii, Wm Johnston 12220 Birmingham Hwy Bldg 100, 30004 (770) 664-5600 Davila, Manuel 85 Golf Crest Dr Ste 209, 30101 (770) 429-2326 Bittinger, Carlla 1825 Mars Hill Rd Nw, 30101 (770) 422-9375 Demo, Michael 85 Golf Crest Dr Ste 209, 30101 (770) 429-2326 Choi, Eunis 1825 Mars Hill Rd Nw, 30101 (770) 422-9375 Harrison, Farryn 5552 Robin Rd Ste A, 30102 (770) 928-0595 Hejazi-Werner, Shiva 1825 Mars Hill Rd Nw, 30101 (770) 422-9375 Kinsey, Richard 85 Golf Crest Dr Ste 209, 30101 (770) 429-2326 Johnson, Christian 1825 Mars Hill Rd Nw, 30101 (770) 422-9375 Middleton, Charles 3950 Cobb Pkwy Nw Ste 103, 30101 (770) 917-6161 Lopyan, Rochelle 1825 Mars Hill Rd Nw, 30101 (770) 422-9375 Nadler, David 6572 Highway 92 Ste 120, 30102 (770) 591-8446 Shealy Jr, James 1825 Mars Hill Rd Nw, 30101 (770) 422-9375 Patel, Jay 4450 Calibre Crossing Ste 1206, 30101 (404) 907-2117 Smith, Gia 1825 Mars Hill Rd Nw, 30101 (770) 422-9375 Rose, Scott 85 Golf Crest Dr Ste 209, 30101 (770) 429-2326 Turner, Jason 2155 Cedarcrest Rd, 30101 (770) 439-9119 Slaton, Claire 3459 Acworth Due West Rd Nw, 30101 (770) 975-0175 Yoda-Blackburn, Kyoko 1825 Mars Hill Rd Nw, 30101 (770) 422-9375 Tawadros, Azmi 5283 Bells Ferry Rd Ste 200, 30102 (770) 516-7153 ADAIRSVILLE General Dentists Threadgill, Jonathan 85 Golf Crest Dr Ste 209, 30101 (770) 429-2326 Edwards, Mark 6000 Joe Frank Harris A, 30103 (770) 773-7244 Endodontists Lim, Tony 102 N Central Ave, 30103 (770) 773-7311 Lim, Denny 2483 Cedarcrest Rd #301, 30101 (770) 627-5358 Desir, Rolin 3950 Cobb Pkwy Nw, 30101 (770) 966-9396 Periodontists Miller, Lavendra 2722 Dawson Rd Ste 12, 31707 (229) 888-2488 Lisin-Queen, Natasha 3950 Cobb Pkwy Nw, 30101 (770) 966-9396 Mann, Arnold 3509 Baker Rd Nw Ste 401, 30101 (770) 917-8943 Alford, Leroy 10 Legacy Way Ste C, 30103 (770) 773-7227 Parrish, Robert 1401 Dawson Rd, 31707 (229) 883-7891 Beckford, Yvonne 5230 Mcginnis Ferry Rd, 30005 (678) 527-1130 Meek, John 4873 N Main St, 30101 (770) 974-4184 Mann, Arnold 5552 Robin Rd Ste A, 30102 (770) 928-0595 ADEL General Dentists Patel, Nivedita 1030 W Gordon Ave Ste A, 31701 (229) 432-9555 Byrd, Timothy 4000 N Point Pkwy Ste 500, 30022 (770) 777-0911 Ojibway, Angela 5490 Crossroads Dr Ste 1, 30102 (770) 926-2784 Yusuf, Sheerin 3509 Baker Rd Nw Ste 401, 30101 (770) 917-8943 Hilliard, Christopher 130 S Parrish Ave, 31620 (229) 896-4166 Scott, Brett 1030 W Gordon Ave Ste A, 31701 (229) 432-9555 Cansler, Christopher 12220 Birmingham Hwy Bldg 100, 30004 (770) 475-9095 Parnes, Alan 6199 Highway 92 Ste 132, 30102 (770) 928-4434 Orthodontists Knighton, James 602 N Parrish Ave, 31620 (229) 896-7595 Taylor Acree, Sonya 1412 W Oakridge Dr, 31707 (229) 888-6559 Chandler, Kristina 5304 Windward Pkwy Ste 107, 30004 (770) 777-1911 Taylor Acree, Sonya 2607 Gillionville Rd, 31707 (229) 883-3443 Chaudhary, Shafaq 980 Birmingham Rd Ste 507, 30004 (678) 352-1033 Taylor Acree, Sonya 2824 Gillionville Rd, 31721 (229) 883-3443 Chauhan, Muhammad 4380 Kimball Bridge Rd, 30022 (678) 256-6304 Taylor Iii, Robert 2607 Gillionville Rd, 31707 (229) 883-3443 Chipps, Edward 11790 Northfall Ln Ste 401, 30009 (770) 777-0511 Yang, May 1030 W Gordon Ave Ste A, 31701 (229) 432-9555 Cox, Kelle 980 Birmingham Rd Ste 507, 30004 (678) 352-1033 Oral Surgeons Dimassi, Matthew 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Parris, David 3509 Baker Rd Nw Ste 401, 30101 (770) 917-8943 Parris, David 5552 Robin Rd Ste A, 30102 (770) 928-0595 Roark, Cindy 3509 Baker Rd Nw Ste 401, 30101 (770) 917-8943 Roark, Cindy 5552 Robin Rd Ste A, 30102 (770) 928-0595 Sajid, Mohammad 5552 Robin Rd Ste A, 30102 (770) 928-0595 Thornton, Sarah 3950 Cobb Pkwy Nw, 30101 (770) 966-9396 Van Dam, Christina 3950 Cobb Pkwy Nw, 30101 (770) 966-9396 Vaughn, Sharcola 3950 Cobb Pkwy Nw, 30101 (770) 966-9396 Wilson, Hal 1685 Mars Hill Rd Nw, 30101 (770) 919-0930 Berwick, Jennifer 1685 Mars Hill Rd Nw, 30101 (770) 448-8882 Couch Jr, William 1685 Mars Hill Rd Nw, 30101 (770) 448-8882 Cox Jr, Stanley 1685 Mars Hill Rd Nw, 30101 (770) 448-8882 Depew, Donald 2161 Cedarcrest Rd, 30101 (770) 422-3939 Iaculli, John 1685 Mars Hill Rd Nw, 30101 (770) 448-8882 Long, Meridith 1685 Mars Hill Rd Nw, 30101 (770) 448-8882 Park, Eric 1685 Mars Hill Rd Nw, 30101 (770) 448-8882 Patel, Tina 1685 Mars Hill Rd Nw, 30101 (770) 448-8882 Podray, Susan 1685 Mars Hill Rd Nw, 30101 (770) 448-8882 Segnere, Jeffrey 1685 Mars Hill Rd Nw, 30101 (770) 448-8882 This information is current as of September 2014 Mccartney Jr, Michael 101 W 5th St, 31620 (229) 896-7679 Mcmillan, Jesse 130 S Parrish Ave, 31620 (229) 896-4166 ALBANY General Dentists Arrington, Ronnie 1714 E Broad Ave, 31705 (229) 435-5176 Berry Iii, William 500 N Monroe St, 31701 (229) 435-4689 Braverman, Richard 1030 W Gordon Ave Ste A, 31701 (229) 432-9555 Carr, Michael 2305 Village Green Ct, 31707 (229) 435-4548 Edwards-Howard, Annie 2420 Westgate Dr, 31707 (999) 999-9999 Graper, Charles 2615 Gillionville Rd #6, 31707 (229) 435-8100 White Iii, Frank 706 N Slappey Blvd, 31701 (229) 446-1400 Pediatric Dentists Dodge Iii, Charles 9570 Nesbit Ferry Rd Ste 103, 30022 (770) 992-0502 Sample, Steven 2301 Lullwater Rd, 31707 (229) 439-8896 Dunford, R Matthew 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Feild Jr, William 1011 W 3rd Ave, 31701 (229) 435-8349 Page 1 Dimassi, Matthew 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Dunford, R Matthew 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 1 of56Pages KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Eakin, Donald 5230 Mcginnis Ferry Rd, 30005 (678) 527-1130 Levenson, Joshua 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Pai, Manasi 11585 Jones Bridge Rd Ste 710, 30022 (404) 937-3535 Thomas, Steven 401 S Main St Ste B5, 30009 (770) 663-8717 Elliott Austin, Jennie 5304 Windward Pkwy Ste 107, 30004 (770) 777-1911 Livingston Jr, Lynn 401 S Main St Ste B5, 30009 (770) 663-8717 Parnes, Alan 11550 Jones Bridge Rd Ste 5, 30022 (770) 521-1780 Toub, Farid 5304 Windward Pkwy Ste 107, 30004 (770) 777-1911 Emadzadeh, Bahareh 5304 Windward Pkwy Ste 107, 30004 (770) 777-1911 Livingston Jr, Lynn 5230 Mcginnis Ferry Rd, 30005 (678) 527-1130 Parnes, Gary 875 N Main St Ste 359, 30009 (770) 475-4434 Tranh, Vinh 2880 Old Alabama Rd #100, 30022 (770) 663-0333 Epstein, Raymond 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Logue, Carrie 1030 Cambridge Sq Ste B, 30009 (678) 578-5035 Parsa, Mehrdod 2880 Old Alabama Rd #100, 30022 (770) 663-0333 Van Dam, Christina 4000 N Point Pkwy Ste 500, 30022 (770) 777-0911 Epstein, Raymond 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Logue, Carrie 980 Birmingham Rd Ste 507, 30004 (678) 352-1033 Patel, Ketankumar 342 N Main St Ste 110, 30009 (678) 762-1613 Venkataraman, Veena 12315 Crabapple Rd Ste 121, 30004 (770) 569-0613 Faggioni, Martino 5230 Mcginnis Ferry Rd, 30005 (678) 527-1130 Maggan, Manoj 3590 Old Milton Pkwy, 30005 (770) 521-1978 Patel, Ronak 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Waters, Paul 5230 Mcginnis Ferry Rd, 30005 (678) 527-1130 Firmin, Sechin 5304 Windward Pkwy Ste 107, 30004 (770) 777-1911 Majmundar, Ami 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Patel, Ronak 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Whitworth, Brandon 401 S Main St Ste B5, 30009 (770) 663-8717 Chapman, James 12220 Birmingham Hwy Bldg 50, 30004 (770) 664-6008 Galperin, Elvira 10955 Jones Bridge Rd Ste 129, 30022 (678) 319-0210 Mamut, Lana 11925 Jones Bridge Rd, 30005 (770) 772-0606 Prattas, George 1060 Cambridge Sq Ste E, 30009 (770) 442-9300 Williamson, Delbert 4000 N Point Pkwy Ste 500, 30022 (770) 777-0911 Galvez, Margarita 366 N Main St Ste 450, 30009 (678) 387-2783 Martin, Steven 3155 North Point Pkwy, 30005 (770) 664-1342 Prattas, Rosalind 1060 Cambridge Sq Ste E, 30009 (770) 442-9300 Witkin, Eugene 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Chen, Andrew 11770 Haynes Bridge Rd Ste 605&606, 30009 (678) 689-0205 Gibbons, Troy 2795 Old Milton Pkwy, 30009 (770) 754-1155 Maya, Victor 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Reznik, Michael 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Worful, Douglas 13800 Highway 9 N Ste K, 30004 (678) 762-1601 Hader, Jesse 5230 Mcginnis Ferry Rd, 30005 (678) 527-1130 Maya, Victor 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Reznik, Michael 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Yelizarov, Leonid 11925 Jones Bridge Rd, 30005 (770) 772-0606 Hamzehpour, Afsaneh 401 S Main St Ste B5, 30009 (770) 663-8717 Mcdonald, Roy 3005 Royal Blvd S Ste 250, 30022 (770) 667-6453 Roark, Cindy 8465 Holcomb Bridge Rd, 30022 (770) 594-2616 Oral Surgeons Hanono, Bella 3155 N Point Pkwy Bldg G #200, 30005 (770) 752-5400 Millkey, Mary Catherine 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Sabbagh, Imad 366 N Main St Ste 200, 30009 (770) 475-6136 Harandifassih, Lyda 5230 Mcginnis Ferry Rd, 30005 (678) 527-1130 Millkey, Mary Catherine 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Salekian, Masoud 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Harandi-Fassih, Ali 5230 Mcginnis Ferry Rd, 30005 (678) 527-1130 Minniti, Lorenzo 270 Saint Claire Dr Ste 105, 30004 (678) 990-8590 Singh, Manjeet 5230 Mcginnis Ferry Rd, 30005 (678) 527-1130 Harrelson, Brett 11180 State Bridge Rd Ste 405, 30022 (770) 777-2803 Minton Jr, Warren 401 S Main St Ste B5, 30009 (770) 663-8717 Singh, Sunil 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Hepler, Bradley 10525 Old Alabama Connector Rd, 30022 (770) 992-2236 Minton Jr, Warren 5230 Mcginnis Ferry Rd, 30005 (678) 527-1130 Singh, Sunil 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Hill, Charles 7855 N Point Pkwy, 30022 (770) 641-9900 Mohammadizadeh, Hossein 3975 Old Milton Pkwy Ste 3, 30005 (770) 619-0014 Sotnikov, Stanley 10955 Jones Bridge Rd Ste 129, 30022 (678) 319-0210 Jafari, Samira 12988 Ga Hwy 9, 30004 (678) 891-2900 Moore, Charles 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Stringer, Linda 5230 Mcginnis Ferry Rd, 30005 (678) 527-1130 Johnson, Eric 3990 Old Milton Pkwy Ste 1, 30005 (770) 663-3436 Moore, Charles 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Su, Meng 9950 Jones Bridge Rd, 30022 (678) 366-1000 Kabani, Shaila 11770 Haynes Bridge Rd Ste 605&606, 30009 (678) 689-0205 Myers, Dan 3070 Windward Plz Ste R, 30005 (678) 366-2322 Swegman, Mary 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Nabi, Saed 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Swegman, Mary 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Nasseh, Panida 11925 Jones Bridge Rd, 30005 (770) 772-0606 Syed, Hasan 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Nguyen, Henry 401 S Main St Ste B5, 30009 (770) 663-8717 Syed, Hasan 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Nia, Farhad 5304 Windward Pkwy Ste 107, 30004 (770) 777-1911 Tantuco, Kathleen 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Obeid, Fadi 4380 Kimball Bridge Rd, 30022 (678) 256-6304 Tantuco, Kathleen 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 O'neal, Brandon 322 N Main St, 30009 (770) 475-9509 Taylor, Gary 3440 Old Alabama Rd, 30022 (770) 475-0603 Outlaw Jr, Herbert 401 S Main St Ste B5, 30009 (770) 663-8717 Thirumalai, Jaishankar 295 Rucker Rd Ste 160, 30004 (678) 762-0690 Kim, Dan 2850 Holcomb Bridge Rd Ste 120, 30022 (770) 640-9033 Kim, John 401 S Main St Ste B5, 30009 (770) 663-8717 Langer, David 401 S Main St Ste B5, 30009 (770) 663-8717 Leafe, Stephen 30 Milton Ave, 30009 (770) 475-9630 Lee, Jung 5304 Windward Pkwy Ste 107, 30004 (770) 777-1911 Lee, Winston 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Levenson, Joshua 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 This information is current as of September 2014 Page 2 Ali Khan, Husain 11975 Morris Rd Ste 220, 30005 (770) 795-8990 Bagheri, Shahrokh 11975 Morris Rd Ste 220, 30005 (770) 795-8990 Bagheri, Shahrokh 401 S Main St Ste B5, 30009 (770) 663-8717 Blair, Henry 3400 Old Milton Pkwy # C, 30005 (770) 475-3190 Chishom, Mark 260 Rucker Rd Ste 400, 30004 (678) 710-6000 Duncan, Dale 4165 Old Milton Pkwy, 30005 (770) 664-6533 Etezadi-Tabrizi, Abtin 3400 Old Milton Pkwy # C, 30005 (770) 475-3190 Huynh, Cang 260 Rucker Rd Ste 400, 30004 (678) 365-4889 Huynh, Cang 5304 Windward Pkwy Ste 107, 30004 (770) 777-1911 Keim Jr, Richard 3400 Old Milton Pkwy # C, 30005 (770) 475-3190 Levy, Steven 3400 Old Milton Pkwy # C, 30005 (770) 475-3190 Shahriari, Abtin 5304 Windward Pkwy Ste 107, 30004 (770) 777-1911 Treadway, Antwan 3400 Old Milton Pkwy # C, 30005 (770) 475-3190 Velez, Martin 3400 Old Milton Pkwy # C, 30005 (770) 475-3190 Waksor, Adam 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Waksor, Adam 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Young, Justin 3400 Old Milton Pkwy # C, 30005 (770) 475-3190 2 of56Pages Endodontists Didato, Anthony 5304 Windward Pkwy Ste 107, 30004 (770) 777-1911 Doyle, Michael 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Doyle, Michael 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Johnson, Clifford 1000 Cambridge Sq Ste B, 30009 (678) 473-0205 Zielinski, Tracie 4205 N Point Pkwy Ste G, 30022 (770) 664-6410 Orthodontists Cox Jr, Stanley 10525 Old Alabama Connector Rd, 30022 (770) 448-8882 Fleming, John 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Gluck, Brett 2455 Old Milton Pkwy, 30009 (770) 664-6003 Granger, Michael 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Hajibaik, Nima 4190 Old Milton Prkwy #2i, 30005 (678) 389-9400 Kratzer, Daniel 4205 N Point Pkwy Ste C, 30022 (770) 664-4936 Mibab, Ben 9570 Nesbit Ferry Rd, 30022 (770) 552-6800 Patel, Alpesh 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 White, Adam 10525 Old Alabama Connector Rd, 30022 (770) 448-8882 Yavari, Javid 2706 Abbey Ct, 30004 (770) 664-1999 Pediatric Dentists Ariaban, Nanna 4190 Old Milton Pkwy Ste 2k, 30005 (678) 389-6669 Bak, Yang-sun 11730 Jones Bridge Rd Ste B, 30005 (770) 344-0170 Desouza, Sharon 2880 Old Alabama Rd #400, 30022 (678) 240-2777 Finkelman, Judith 8560 Holcomb Bridge Rd, 30022 (770) 642-9824 Haffner, Christy 3300 Old Milton Pkwy, 30005 (770) 777-9400 Haffner, John 3300 Old Milton Pkwy, 30005 (770) 777-9400 Herrin, Brent 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Hom-Minniti, Petula 270 Saint Claire Dr Ste 105, 30004 (678) 990-8590 Keleske, Rachel 11730 Jones Bridge Rd Ste B, 30005 (770) 344-0170 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. King, Daniel 3719 Old Alabama Rd #400b, 30022 (770) 777-1222 Cummings, Leigh 3380 Old Jefferson Rd, 30607 (706) 548-3279 Nath, Vishant 1030 Cambridge Sq Ste B, 30009 (678) 578-5035 Dubose, Claude 348 Oak St, 30601 (706) 543-6527 Nath, Vishant 980 Birmingham Rd Ste 507, 30004 (678) 352-1033 French, Cile 3380 Old Jefferson Rd, 30607 (706) 548-3279 Shehata, Andrew 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Garrett, Timothy 598 Prince Ave, 30601 (706) 543-4952 Sundareswaran, Pushpa 2880 Old Alabama Rd #400, 30022 (678) 240-2777 Orthodontists Cox Jr, Stanley 3131 Atlanta Hwy, 30606 (706) 354-8383 Russell, Robert 1010 Prince Ave Ste 301, 30606 (706) 549-0110 White, Adam 3131 Atlanta Hwy, 30606 (706) 354-8383 Arana, Carolina 999 Peachtree St Ne Ste 700, 30309 (404) 537-5224 Archie, Aurelius 1421 Peachtree St Ne Ste A, 30309 (404) 541-9894 Ashford, Robin 2177 Godby Rd Ste D, 30349 (404) 763-3326 Pediatric Dentists Baawo Jr, Albert 3280 Howell Mill Rd Nw Ste 315, 30327 (404) 355-6088 Guy, Ira 1289 Cedar Shoals Dr, 30605 (706) 353-7018 Harmon, Michelle 2470 Daniels Bridge Rd, 30606 (706) 355-3109 Babo, Evis 2045 Peachtree Rd Ne Ste 100, 30309 (404) 605-0359 Trotter, Leigh Ann 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Hardy, Wolanda 10 Huntington Rd Ste A2, 30606 (706) 543-7262 Shaw, Melissa 2470 Daniels Bridge Rd, 30606 (706) 355-3109 Bang, Erin 5718 Buford Hwy Ne, 30340 (770) 455-0466 Vahid, Banafsheh 980 Birmingham Rd Ste 507, 30004 (678) 352-1033 Higginbotham, Melody 1171 Mitchell Bridge Rd Ste A, 30606 (706) 548-2651 Wells, Jennifer 1010 Prince Ave # 202e, 30606 (706) 548-7373 Barnett, Autumn 740 Ferst Dr Nw # 207, 30332 (404) 733-2022 Periodontists Karamanolis, Alexandra 3380 Old Jefferson Rd, 30607 (706) 548-3279 ATLANTA General Dentists Barton, Hollis 1816 Independence Sq Ste B, 30338 (770) 399-9199 Kim, John 485 Newton Bridge Rd, 30607 (706) 850-3325 Aaron, Zina 10 10th St Nw Ste 100, 30309 (404) 892-2337 Baumrind, Jeffrey 100 Peachtree St Nw Ste 1820, 30303 (404) 659-4222 Mcrae Jr, Matthew 995 Baxter St, 30606 (706) 546-8480 Abbott, Roger 290 Hilderbrand Dr Ste A9, 30328 (404) 255-2273 Baumrind, Sara 100 Peachtree St Nw Ste 1820, 30303 (404) 659-4222 Neisler, Deck 3380 Old Jefferson Rd, 30607 (706) 548-3279 Abes, Lauren 3435 Lenox Rd Ne, 30326 (404) 325-9000 Beckford, Yvonne 10 10th St Nw Ste 100, 30309 (404) 892-2337 Owensby, Brandi 2470 Daniels Bridge Rd, 30606 (706) 355-3109 Abes, Lauren 80 Perimeter Center Pl Ne Bldg 2700, 30346 (678) 248-3566 Beckford, Yvonne 13 Corporate Blvd Ne Ste 120, 30329 (678) 836-2120 Bezreh, Husam 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Bezreh, Husam 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Chong, Woojae 11125 Jones Bridge Rd Ste 200, 30022 (770) 569-0529 Chong, Woojae 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Frodge, Brandon 342 N Main St Ste 110, 30009 (678) 762-1613 Mehraban, Ali 4000 N Point Pkwy Ste 500, 30022 (770) 777-0911 Pearson, Robert 12220 Birmingham Hwy Bldg 100, 30004 (770) 475-9095 Pearson, Robert 3710 Old Milton Pkwy #101, 30005 (678) 762-0535 Quinn, Michael 11770 Haynes Bridge Rd Ste 605&606, 30009 (678) 689-0205 Zinney, William 5230 Mcginnis Ferry Rd, 30005 (678) 527-1130 AMERICUS General Dentists Duke Jr, Ray 626 E Forsyth St, 31709 (229) 924-4054 Hasnain, Bagar 101 Mayo St #a, 31709 (229) 924-4647 ASHBURN General Dentists Taylor Iii, Robert 115 N Johnson St, 31714 (229) 567-0355 ATHENS General Dentists Barker, Lane 1020 Hawthorne Ave, 30606 (706) 999-9999 Bennett, Chanda 1165 Mitchell Bridge Rd Ste A, 30606 (706) 546-7722 Blankenship, Mark 1020 Hawthorne Ave, 30606 (706) 546-7390 Cole, Ronald 1060 Gaines School Rd, 30605 (706) 353-8053 Parkman, Terry 700 Sunset Dr Ste 401, 30606 (706) 546-7149 Pate, Robert 3380 Old Jefferson Rd, 30607 (706) 548-3279 Popescu, Flavia 995 Baxter St, 30606 (706) 546-8480 Powell, James 1720 Epps Bridge Pkwy Ste 110, 30606 (706) 227-0773 Satterfield-White, Alyson 1171 Mitchell Bridge Rd Ste A, 30606 (706) 548-2651 Simmons, Barron 847 S Milledge Ave, 30605 (706) 546-1716 Swann, Whitney 1171 Mitchell Bridge Rd Ste A, 30606 (706) 548-2651 Wells, Erik 1010 Prince Ave # 202e, 30606 (706) 548-7373 Oral Surgeons Gray, Brett 740 Prince Ave Ste 12a, 30606 (706) 549-9711 Manus, Richard 1010 Prince Ave # 103s, 30606 (706) 548-0604 Mcdonald Jr, James 1010 Prince Ave # 103s, 30606 (706) 548-0604 Miller, David 3380 Old Jefferson Rd, 30607 (706) 548-3279 Pollack, Steven 740 Prince Ave Ste 12a, 30606 (706) 549-9711 Pritchett, John 740 Prince Ave Ste 12a, 30606 (706) 549-9711 Satterfield, Stanley 2000 Prince Ave, 30606 (706) 543-8377 Tomlinson, Jonathan 600 Oglethorpe Ave Ste 4, 30606 (999) 999-9999 This information is current as of September 2014 Abes, Marshall 80 Perimeter Center Pl Ne Bldg 2700, 30346 (678) 248-3566 Abimbola, Adelani 13 Corporate Blvd Ne Ste 120, 30329 (678) 836-2120 Abimbola, Adelani 675 W Peachtree St Ne, 30308 (404) 874-2038 Abrahams, Howard 5685 Lake Placid Dr, 30342 (404) 843-1999 Adams, Jairus 3435 Lenox Rd Ne, 30326 (404) 325-9000 Adams, Jairus 80 Perimeter Center Pl Ne Bldg 2700, 30346 (678) 248-3566 Alexander, Deepa 8329 Roswell Rd, 30350 (770) 671-1111 Alexander, William 3730 Carmia Dr Sw Ste 170, 30331 (404) 349-7889 Allen, Joseph 1336 Glenwood Ave Se, 30316 (404) 688-0013 Allen, Matthew 171 Cleveland Ave Sw, 30315 (404) 762-5441 Alvarez, Joseph 2814 Spring Rd Se Ste 126, 30339 (770) 434-2181 Alvarez, Joseph 3280 Howell Mill Rd Nw Ste 237, 30327 (404) 355-8120 Ammons, Adrienne 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Arana, Carolina 229 Peachtree St Ne Ste 206, 30303 (404) 522-7913 Arana, Carolina 2900 Peachtree Rd Nw Ste 209, 30305 (404) 261-0909 Page 3 Beckford, Yvonne 2138 Henderson Mill Rd Ne, 30345 (770) 493-1242 Beckford, Yvonne 3365 Piedmont Rd Ne Ste 1110, 30305 (404) 237-3070 Beckford, Yvonne 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Beckford, Yvonne 4920 Roswell Rd Ste 13a, 30342 (404) 236-7222 Beckford, Yvonne 675 W Peachtree St Ne, 30308 (404) 874-2038 Beckford, Yvonne 785 Virginia Ave Ste A, 30354 (404) 768-8700 Benet-Rockefeller, Mireddy 5901b Peachtree Dunwoody Rd, 30328 (770) 698-9133 Benet-Rockefeller, Mireddy 600 W Peachtree St Nw Ste 750, 30308 (404) 876-7200 Bens, Michael 290 Hilderbrand Dr Ste A9, 30328 (404) 255-2273 Benson, Henry 800 Mount Vernon Hwy Ne Ste 405, 30328 (770) 394-3114 Benson, Matthew 800 Mount Vernon Hwy Ne Ste 405, 30328 (770) 394-3114 Berger, Edward 2970 Peachtree Rd Nw Ste 660, 30305 (404) 237-6464 Berkovich, Victor 3644 Chamblee Tucker Rd Ste D, 30341 (770) 939-4003 Bhatia, Vikram 1407 Dresden Dr Ne Ste 200, 30319 (404) 816-9336 Bivins, Dequan 3220 Cobb Pkwy Se Ste 205, 30339 (770) 541-6511 Bjur, Todd 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 3 of56Pages Blass, Allen 80 Perimeter Center Pl Ne Bldg 2700, 30346 (770) 671-0001 Bodner, Arthur 309 E Paces Ferry Rd Ne #611, 30305 (404) 261-3091 Bogdanoff, Cindy 2706 Clairmont Rd Ne, 30329 (404) 633-9663 Bordeaux, David 855 Juniper Street Ne, 30308 (404) 249-1716 Boyd, Russell 7000 Peachtree Dunwoody Rd, 30328 (770) 351-9222 Braverman, Richard 4054 Buford Hwy Ne, 30345 (404) 477-5665 Braverman, Richard 5495 Old National Hwy, 30349 (404) 223-5665 Breeden, Angela 1607 White Way, 30344 (404) 762-9002 Breeden, Angela 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Breeden, Angela 3695 Cascade Rd Sw Ste V, 30331 (404) 696-6595 Breeden, Angela 3890 Redwine Rd Sw Ste 108, 30331 (404) 344-7645 Breeden, Angela 6175 Old National Hwy #430, 30349 (770) 907-2666 Brinkman, William 6075 Roswell Rd Ste 610, 30328 (404) 256-1597 Brodsky, Lisa 1150 Hammond Dr #225 B-e, 30328 (770) 913-0703 Brookins, Jennifer 2440 Fairburn Rd Sw Ste 301, 30331 (404) 349-7777 Brooks, Lashandia 2440 Fairburn Rd Sw Ste 301, 30331 (404) 349-7777 Brooks, Tara 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Broomfield, Brittany 3700 Martin Luther King Jr Dr Sw, 30331 (404) 752-1400 Broomfield, Brittany 868 York Ave Sw, 30310 (404) 752-1400 Brown, Donald 2970 Peachtree Rd Nw Ste 665, 30305 (404) 816-7075 Brown, Melissa 650 Ponce De Leon Ave Ne, 30308 (404) 874-0800 Brown, Melissa 75 Marietta St Nw Ste 100, 30303 (404) 577-0868 Bruce, John 1816 Independence Sq Ste B, 30338 (770) 399-9199 Budeir, Mouhannad 2440 Fairburn Rd Sw Ste 301, 30331 (404) 349-7777 Buford, Larry 3885 Princeton Lakes Way #400, 30331 (404) 344-1511 Buggs, Keith 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Buggs, Keith 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Buggs, Keith 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Chong, Justin 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Daniel, Sharon 868 York Ave Sw, 30310 (404) 752-1400 Edmonds, Ericka 3695 Cascade Rd Sw Ste V, 30331 (404) 696-6595 Fisher-Mclin, Antonia 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Buggs, Keith 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Chong, Justin 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Davidson, Philip 1901 Phoenix Blvd Ste 100, 30349 (770) 991-0913 Edmonds, Ericka 3890 Redwine Rd Sw Ste 108, 30331 (404) 344-7645 Foote, Destiny 2285 Peachtree Rd Ne Ste 203, 30309 (678) 666-3624 Buggs, Keith 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Chong, Justin 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 De Oca, Ricardo 3369 Buford Hwy Ne Ste 840, 30329 (404) 636-5570 Edwards, Letisha 2440 Fairburn Rd Sw Ste 301, 30331 (404) 349-7777 Forman, Errol 6690 Roswell Rd Ste 530, 30328 (404) 256-6474 Burnett, Gordon 1895 Phoenix Blvd Ste 148, 30349 (770) 997-4598 Chong, Justin 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Deangelis, Lisa 2882 N Druid Hills Rd #a, 30329 (404) 327-4404 Eisenberg, Stanley 2706 Clairmont Rd Ne, 30329 (404) 633-9663 Fowler, Kimberlyn 1901 Phoenix Blvd Ste 100, 30349 (770) 991-1522 Bussey, Heather 804 Town Blvd Ne Ste 2010, 30319 (404) 631-6277 Choy, Sun 5901b Peachtree Dunwoody Rd, 30328 (770) 698-9133 Delman, Michael 229 Peachtree St Ne Ste 206, 30303 (404) 522-7913 Ellington, Kent 2788 Bayard St, 30344 (678) 387-2783 Franklin, Edmond 1177 Garden Walk Blvd, 30349 (770) 997-9090 Butler Jr, Frank 5520 Old National Hwy Ste A, 30349 (404) 767-8003 Clarida, Gale 1651 Mount Vernon Rd, 30338 (770) 394-3920 Delman, Michael 2900 Peachtree Rd Nw Ste 209, 30305 (404) 261-0909 Elliott Austin, Jennie 740 Ferst Dr Nw # 207, 30332 (404) 733-2022 Freeman, Paul 1938 Peachtree Rd Nw Ste 308, 30309 (404) 355-2001 Butts, Jeffrey 3650 Market Place Blvd #920, 30344 (404) 344-2323 Clarke, Gloria 2841 Greenbriar Pkwy Sw, 30331 (404) 344-5000 Delman, Michael 999 Peachtree St Ne Ste 700, 30309 (404) 537-5224 Emadzadeh, Bahareh 740 Ferst Dr Nw # 207, 30332 (404) 733-2022 Freemont, Joi 606 S Central Ave, 30354 (404) 761-1659 Byer, Fabian 1177 Garden Walk Blvd, 30349 (770) 997-9090 Coakley, Kalee 2070 S Park Pl Se Ste 330, 30339 (770) 955-1188 Dholakia, Purvi 2138 Henderson Mill Rd Ne, 30345 (770) 493-1242 Epstein, Raymond 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Friedrich, Ryan 2625 Piedmont Rd Ne Ste 35, 30324 (404) 240-0222 Callier, Karen 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Cohen, Sandra 4700 Chamblee Dunwoody Rd, 30338 (770) 457-1351 Dimassi, Matthew 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Etienne, Marc 2138 Henderson Mill Rd Ne, 30345 (770) 493-1242 Camp, David 6111 P'tree Dnwdy Rd Ne #a101, 30328 (770) 395-7057 Coleman, Marla 970 Martin Luther King Jr Dr Sw Ste 301, 30314 (404) 523-3153 Diora, Mira 4920 Roswell Rd Ste 13a, 30342 (404) 236-7222 Evans, Genise 10 10th St Nw Ste 100, 30309 (404) 892-2337 Fritz, Brenda 3333 Piedmont Rd Ne Ste 200&130 Terminus, 30305 (404) 816-8200 Campbell, Monica 10 10th St Nw Ste 100, 30309 (404) 892-2337 Collins Ii, James 1336 Glenwood Ave Se, 30316 (404) 688-0013 Doneff, Gregory 200 Ashford Ctr N Ste 330, 30338 (770) 396-1188 Evans, Genise 475 Bill Kennedy Way #d-e, 30316 (404) 622-0622 Campbell, Monica 4840 Roswell Rd Bldg A, 30342 (404) 256-0009 Collins Ii, James 759 Martin Luther King Jr Dr Nw # 200, 30314 (404) 588-0064 Dorrian, Yvonne 1571 Phoenix Blvd Ste 8, 30349 (770) 996-7700 Faggioni, Martino 785 Virginia Ave Ste A, 30354 (404) 768-8700 Dragulescu, Tudor 10 10th St Nw Ste 100, 30309 (404) 892-2337 Faris, Azad 5659 Buford Hwy #208, 30340 (770) 986-2600 Dragulescu, Tudor 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Feil, Robert 107 W Paces Ferry Rd Nw, 30305 (404) 233-6488 Campbell, Wendell 4840 Roswell Rd Bldg A, 30342 (404) 256-0009 Cara, Yasheena 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Cara, Yasheena 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Cara, Yasheena 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Cara, Yasheena 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Cara, Yasheena 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Carden, Sammy 1901 Phoenix Blvd Ste 100, 30349 (770) 991-0913 Carden, Sammy 5901b Peachtree Dunwoody Rd, 30328 (770) 698-9133 Carden, Sammy 600 W Peachtree St Nw Ste 750, 30308 (404) 876-7200 Carter, Stanley 650 Ponce De Leon Ave Ne, 30308 (404) 874-0800 Carter, Stanley 75 Marietta St Nw Ste 100, 30303 (404) 577-0868 Chan, Dennis 4849 Buford Hwy Ste 110, 30341 (770) 216-8377 Chandler, Kristina 740 Ferst Dr Nw # 207, 30332 (404) 733-2022 Chang, Carol 3628 Chamblee Tucker Rd, 30341 (770) 934-2657 Chen, Jeffrey 1407 Dresden Dr Ne Ste 200, 30319 (404) 816-9336 Cheng, Yi-tsu 5008 Buford Hwy Ste B, 30341 (770) 457-3671 Cook, Robert 2847 Henderson Mill Rd, 30341 (770) 496-0496 Covington Jr, John 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Covington Jr, John 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Covington Jr, John 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Dunford, R Matthew 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Dunson, Melanie 3435 Lenox Rd Ne, 30326 (404) 325-9000 Covington Jr, John 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Dunson, Melanie 80 Perimeter Center Pl Ne Bldg 2700, 30346 (770) 671-0001 Covington Jr, John 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Durst, Reuben 103 Broad St Sw, 30303 (404) 577-4691 Cowgill, Cary 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Dyer, Celia 4054 Buford Hwy Ne, 30345 (404) 477-5665 Cox, Kelle 2221 Johnson Ferry Rd #2a, 30319 (770) 407-6549 Cudia, Robert 857 Collier Rd Nw Ste 14, 30318 (404) 355-4952 Curry, Shonna 1046 Ridge Ave Sw, 30315 (404) 688-1350 Curry, Shonna 1100 Cleveland Ave, 30344 (404) 688-1350 Curry, Shonna 2578 Gresham Rd Se, 30316 (404) 688-1350 Curry, Shonna 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Damji, Omar 17 Executive Park Dr Ne Ste 100, 30329 (404) 633-1853 Dancy, William 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 This information is current as of September 2014 Dyer, Celia 5495 Old National Hwy, 30349 (404) 223-5665 Fenton, Alaina 1046 Ridge Ave Sw, 30315 (404) 688-1350 Fenton, Alaina 1100 Cleveland Ave, 30344 (404) 688-1350 Fenton, Alaina 2578 Gresham Rd Se, 30316 (404) 688-1350 Ferrara, Nancy 1980 Moores Mill Rd Nw, 30318 (404) 351-5200 Fields, David 3333 Piedmont Rd Ne Ste 200&130 Terminus, 30305 (404) 816-8200 Fields, David 3435 Lenox Rd Ne, 30326 (404) 325-9000 Eaglin, Jason 275 14th Street #100, 30318 (678) 902-9180 Fields, David 80 Perimeter Center Pl Ne Bldg 2700, 30346 (678) 248-3566 Eakin, Donald 3365 Piedmont Rd Ne Ste 1110, 30305 (404) 237-3070 Fink, William 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Eaton, Darryl 2882 N Druid Hills Rd #a, 30329 (404) 327-4404 Finot, James 10 10th St Nw Ste 100, 30309 (404) 892-2337 Eaton, Darryl 600 W Peachtree St Nw Ste 750, 30308 (404) 876-7200 Firmin, Sechin 740 Ferst Dr Nw # 207, 30332 (404) 733-2022 Edge, Lizzette 4054 Buford Hwy Ne, 30345 (404) 477-5665 Fisher-Mclin, Antonia 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Edge, Lizzette 5495 Old National Hwy, 30349 (404) 223-5665 Fisher-Mclin, Antonia 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Edmonds, Ericka 1607 White Way, 30344 (404) 762-9002 Fisher-Mclin, Antonia 4054 Buford Hwy Ne, 30345 (404) 477-5665 Page 4 4 of56Pages Gabriel, Ibrahim 2910 N Druid Hills Rd Ne Ste K, 30329 (404) 634-7559 Galvez, Margarita 2788 Bayard St, 30344 (678) 387-2783 Ganupur, Supriya 3652 Chamblee Dunwoody Rd #5, 30341 (678) 923-1137 Gao, Cheng 4897 Buford Hwy Ste 122, 30341 (770) 452-5922 Gavric, Grace 1100 Circle 75 Pkwy Se Ste 200, 30339 (770) 980-0558 Geiger, Gina 2380 Benjamin E Mays Dr Sw Ste A, 30311 (404) 758-1055 Gessling, Melissa 675 W Peachtree St Ne, 30308 (404) 874-2038 Gilbert, James 3330 Piedmont Rd Ne Ste 13, 30305 (404) 237-5330 Gilbert, James 4805 Briarcliff Rd Ne Ste 104, 30345 (770) 414-9282 Gilkey, Jacqueline 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Givens, Rodney 2484 Briarcliff Rd Ne Ste 29, 30329 (404) 315-7375 Good, John 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Gordon, Anita 2814 Buford Hwy Ne, 30329 (404) 688-5668 Gordon, Chanda 5626 Fulton Industrial Blvd #110, 30336 (404) 349-7730 Gordon, Marsha 4380 Georgetown Sq Ste 1007, 30338 (770) 458-3600 Grant, Alim 1901 Phoenix Blvd Ste 100, 30349 (770) 991-0913 Grant, Alim 600 W Peachtree St Nw Ste 750, 30308 (404) 876-7200 Greene, Danielle 1188 Ralph David Abernathy Blvd Sw, 30310 (404) 758-0770 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Greene, Danielle 545 Edgewood Ave Se, 30312 (404) 589-0900 Harandi-Fassih, Ali 10 10th St Nw Ste 100, 30309 (404) 892-2337 Holt, Travon 197 14th St Nw #101, 30318 (404) 937-6942 Kakadia, Ashish 3330 Piedmont Rd Ne Ste 13, 30305 (404) 237-5330 Koch, Laura 855 Juniper Street Ne, 30308 (404) 249-1716 Greissinger, Michelle 222 12th St Ne #1a, 30309 (404) 873-2957 Harandi-Fassih, Ali 13 Corporate Blvd Ne Ste 120, 30329 (678) 836-2120 Holt, Travon 3515 Camp Creek Pkwy #100, 30344 (404) 629-9290 Kakadia, Ashish 3660 Cascade Rd Sw, 30331 (678) 891-0069 Koshy, Jessy 7878 Roswell Rd Ste O, 30350 (770) 993-7947 Hader, Jesse 10 10th St Nw Ste 100, 30309 (404) 892-2337 Harandi-Fassih, Ali 1720 Old Spring House Ln #315, 30338 (770) 451-7041 Hubbard, Delores 1784 Washington Ave, 30344 (404) 766-8559 Kakadia, Ashish 4805 Briarcliff Rd Ne Ste 104, 30345 (770) 414-9282 Krieger, Carolyn 952 Peachtree St Ne #100, 30309 (404) 874-1955 Hader, Jesse 13 Corporate Blvd Ne Ste 120, 30329 (678) 836-2120 Harandi-Fassih, Ali 2138 Henderson Mill Rd Ne, 30345 (770) 493-1242 Kalra, Neelu 4054 Buford Hwy Ne, 30345 (404) 477-5665 Kurtz, Paul 3833 Roswell Rd Ne Ste 100, 30342 (404) 261-6794 Hader, Jesse 2138 Henderson Mill Rd Ne, 30345 (770) 493-1242 Harandi-Fassih, Ali 3365 Piedmont Rd Ne Ste 1110, 30305 (404) 237-3070 Huynh, Scott 80 Perimeter Center Pl Ne Bldg 2700, 30346 (678) 248-3566 Kalra, Neelu 5495 Old National Hwy, 30349 (404) 223-5665 Kwak, Min 5901b Peachtree Dunwoody Rd, 30328 (770) 698-9133 Hader, Jesse 3365 Piedmont Rd Ne Ste 1110, 30305 (404) 237-3070 Harandi-Fassih, Ali 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Kandalhar, Swati 3330 Piedmont Rd Ne Ste 13, 30305 (404) 237-5330 Hader, Jesse 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Harandi-Fassih, Ali 4920 Roswell Rd Ste 13a, 30342 (404) 236-7222 Lakkegowda, Shilpa 7000 Peachtree Dunwoody Rd Bldg 8, 30328 (770) 392-0766 Hader, Jesse 4920 Roswell Rd Ste 13a, 30342 (404) 236-7222 Harandi-Fassih, Ali 675 W Peachtree St Ne, 30308 (404) 874-2038 Hader, Jesse 675 W Peachtree St Ne, 30308 (404) 874-2038 Harandi-Fassih, Ali 785 Virginia Ave Ste A, 30354 (404) 768-8700 Hader, Jesse 785 Virginia Ave Ste A, 30354 (404) 768-8700 Harden Jr, John 550 Peachtree St Ne Ste 1410, 30308 (404) 523-6236 Haidari, Mehron 3652 Chamblee Dunwoody Rd, 30341 (770) 936-0833 Harmon, Tom 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Hall Jr, John 1099 Martin Luther King Jr Dr Nw, 30314 (404) 753-9742 Harmon, Tom 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Hamilton, Travis 3435 Lenox Rd Ne, 30326 (678) 248-6285 Harmon, Tom 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Hamilton, Travis 4054 Buford Hwy Ne, 30345 (404) 477-5665 Harris, Albert 1230 Peachtree St Ne #2475, 30309 (404) 607-6960 Hamilton, Travis 5495 Old National Hwy, 30349 (404) 223-5665 Harris, Hugh 952 Peachtree St Ne Ste 100, 30309 (404) 874-1955 Hamilton, Travis 80 Perimeter Center Pl Ne Bldg 2700, 30346 (770) 671-0001 Harris-Echols, Dana 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Hamzehpour, Afsaneh 5025 Winters Chapel Rd, 30360 (770) 817-1007 Harrison, Calvert 38 Lenox Pointe Ne Ste A, 30324 (404) 814-9944 Jeon, Danny 400 Cleveland Ave Sw, 30315 (404) 761-8455 Hanjrah, Jasmine 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Harvey, Alex 1177 Garden Walk Blvd, 30349 (770) 997-9090 Jeon, Danny 4920 Roswell Rd Ste 13a, 30342 (404) 236-7222 Hanjrah, Jasmine 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Harvey, Candace 4054 Buford Hwy Ne, 30345 (404) 477-5665 Jeon, Philip 2788 Bayard St, 30344 (678) 387-2783 Hanjrah, Jasmine 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Harvey, Candace 5495 Old National Hwy, 30349 (404) 223-5665 Jewett, E Glynn 2882 N Druid Hills Rd #a, 30329 (404) 327-4404 Hanjrah, Jasmine 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Harvey Jr, Thaddeus 3379 Peachtree Rd Ne Ste 850, 30326 (404) 846-9100 Johnson, Gary 3915 Cascade Rd Sw Ste 120, 30331 (404) 472-0425 Harandifassih, Lyda 10 10th St Nw Ste 100, 30309 (404) 892-2337 Hassanzadeh, Mehran 275 14th Street #100, 30318 (678) 902-9180 Johnson, Mantique 2882 N Druid Hills Rd #a, 30329 (404) 327-4404 Harandifassih, Lyda 13 Corporate Blvd Ne Ste 120, 30329 (678) 836-2120 Hedlund, Richard 1742 Mount Vernon Rd Ste 250, 30338 (770) 399-6799 Johnson, Mantique 5901b Peachtree Dunwoody Rd, 30328 (770) 698-9133 Harandifassih, Lyda 2138 Henderson Mill Rd Ne, 30345 (770) 493-1242 Hegedus, Gabor 6400 Powers Ferry Rd, 30339 (770) 955-1684 Johnson, Mantique 75 Marietta St Nw Ste 100, 30303 (404) 577-0868 Harandifassih, Lyda 3365 Piedmont Rd Ne Ste 1110, 30305 (404) 237-3070 Henry, Kim 3619 S Fulton Ave Ste 100, 30354 (404) 761-2525 Jones, Theron 5819 Campbellton Rd Sw, 30331 (404) 349-8055 Harandifassih, Lyda 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Hill, Ashley 740 Ferst Dr Nw # 207, 30332 (404) 733-2022 Jones, Trent 1 Baltimore Pl Nw # 403, 30308 (404) 685-8605 Kinard, Brian 80 Perimeter Center Pl Ne Bldg 2700, 30346 (770) 671-0001 Harandifassih, Lyda 4920 Roswell Rd Ste 13a, 30342 (404) 261-2211 Hill Jr, Cecil 1355 Peachtree St Ne Ste 1225, 30309 (404) 724-9918 Kakadia, Ashish 1100 Hammond Dr Ste 210, 30328 (770) 399-9300 Kirkley, Matthew 4920 Roswell Rd Ste 13a, 30342 (404) 236-7222 Harandifassih, Lyda 675 W Peachtree St Ne, 30308 (404) 874-2038 Hollifield, Tauheedah 475 Bill Kennedy Way #d-e, 30316 (404) 622-0622 Kakadia, Ashish 2484 Briarcliff Rd Ne Ste 29, 30329 (404) 315-7375 Ko, Han Kyun 5725 Buford Hwy #204, 30340 (770) 234-9331 This information is current as of September 2014 Hwahng, Michael 5979 Buford Hwy Ne Ste A1, 30340 (770) 455-0505 Jackson, Cheryl 4054 Buford Hwy Ne, 30345 (404) 477-5665 Jackson, Cheryl 5495 Old National Hwy, 30349 (404) 223-5665 Jackson, Marlon 1046 Ridge Ave Sw, 30315 (404) 688-1350 Jackson, Montina 2611 Martin Luther King Jr Dr Sw, 30311 (404) 699-1919 Jacques, Michelle 1853 Peeler Rd Ste A, 30338 (770) 391-9212 Jaffe, Dennis 98 Broad St Sw, 30303 (404) 688-7574 Jain, Parul 100 Peachtree St Nw Ste 1820, 30303 (404) 659-4222 Jamison, Tiffany 1177 Garden Walk Blvd, 30349 (770) 997-9090 Jamison-Johnson, Angela 3915 Cascade Rd Sw Ste 120, 30331 (404) 472-0425 Jefferies, Ngandu 4054 Buford Hwy Ne, 30345 (404) 477-5665 Jefferies, Ngandu 5495 Old National Hwy, 30349 (404) 223-5665 Page 5 Katz, David 13 Corporate Blvd Ne Ste 120, 30329 (678) 836-2120 Katz, David 1571 Phoenix Blvd Ste 8, 30349 (770) 996-7700 Keane Dawes, Ronique 5495 Old National Hwy, 30349 (404) 223-5665 Kearns, Janet 1250 Caroline St Ne #c200, 30307 (404) 889-8370 Kemp, David 2484 Briarcliff Rd Ne Ste 29, 30329 (404) 315-7375 Kerr, Robert 1100 Circle 75 Pkwy Se Ste 200, 30339 (770) 980-0558 Khan, Saima 4054 Buford Hwy Ne, 30345 (404) 477-5665 Khan, Saima 5495 Old National Hwy, 30349 (404) 223-5665 Kim, Alen 400 Cleveland Ave Sw, 30315 (404) 761-8455 Kim, Chol 2494 Jett Ferry Rd Ste 101, 30338 (770) 393-1524 Kim, Eugene 4054 Buford Hwy Ne, 30345 (404) 477-5665 Kim, Eugene 5495 Old National Hwy, 30349 (404) 223-5665 Kim, Jennifer 4054 Buford Hwy Ne, 30345 (404) 477-5665 Kim, Jennifer 5495 Old National Hwy, 30349 (404) 223-5665 Kim, John 5725 Buford Hwy Ne Ste 204, 30340 (770) 234-9331 Kim, Joo-won 675 W Peachtree St Ne, 30308 (404) 874-2038 Kim, Sora 3 Dunwoody Park Ste 119, 30338 (678) 395-5861 Kimche, Daryl 2921 Piedmont Rd Ne Ste E, 30305 (404) 262-0806 Kinard, Brian 3435 Lenox Rd Ne, 30326 (404) 325-9000 5 of56Pages Larsen, Aaron 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Lathon, Shirley 1607 White Way, 30344 (404) 762-9002 Lathon, Shirley 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Lathon, Shirley 3695 Cascade Rd Sw Ste V, 30331 (404) 696-6595 Lathon, Shirley 3890 Redwine Rd Sw Ste 108, 30331 (404) 344-7645 Lawton, Eric 1188 Ralph David Abernathy Blvd Sw, 30310 (404) 758-0770 Lawton, Eric 545 Edgewood Ave Se, 30312 (404) 589-0900 Lee, Beom 3220 Cobb Pkwy Se Ste 205, 30339 (770) 541-6511 Lee, Christine 13 Corporate Blvd Ne Ste 120, 30329 (678) 836-2120 Lee, Joon 309 E Paces Ferry Rd Ne, 30305 (404) 261-3091 Lee, Jung 675 W Peachtree St Ne, 30308 (404) 874-2038 Lee, Jung 740 Ferst Dr Nw # 207, 30332 (404) 733-2022 Lee, Thomas 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Lester, Jack 440 Flat Shoals Ave Se, 30316 (404) 688-2223 Levenson, Joshua 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Lewis, Phoeby 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Limeres, Luis 2244 Henderson Mill Rd Ne, 30345 (770) 270-1494 Lindsay, Jonathan 229 Peachtree St Ne Ste 206, 30303 (404) 522-7913 Lindsay, Jonathan 2900 Peachtree Rd Nw Ste 209, 30305 (404) 261-0909 Lindsay, Jonathan 999 Peachtree St Ne Ste 700, 30309 (404) 537-5224 Lipham, Steven 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Lipham, Steven 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Marson, Russell 999 Peachtree St Ne Ste 700, 30309 (404) 537-5224 Minton Jr, Warren 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Napenas, Jose Herick 3030 Headland Dr Sw Ste 300, 30311 (404) 344-8778 Parekh, Chintan 4054 Buford Hwy Ne, 30345 (404) 477-5665 Lipham, Steven 2788 Bayard St, 30344 (678) 387-2783 Maya, Victor 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Minton Jr, Warren 4920 Roswell Rd Ste 13a, 30342 (404) 236-7222 Nayee, Mayur 4380 Georgetown Sq Ste 1007, 30338 (770) 458-3600 Park, Hyunso 2070 S Park Pl Se Ste 330, 30339 (770) 955-1188 Lipham, Steven 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Mccann, Katie 2090 Dunwoody Club Dr Ste 105, 30350 (770) 998-0111 Minton Jr, Warren 675 W Peachtree St Ne, 30308 (404) 874-2038 Negelow, Steven 2900 Peachtree Rd Nw Ste 209, 30305 (404) 261-0909 Lipham, Steven 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Mccoy, Chalandria 600 W Peachtree St Nw Ste 750, 30308 (404) 876-7200 Minton Jr, Warren 785 Virginia Ave Ste A, 30354 (404) 768-8700 Newsome, Andrew 2230 Godby Rd # 110, 30349 (404) 768-2887 Parker, Lauren 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Livingston Jr, Lynn 10 10th St Nw Ste 100, 30309 (404) 892-2337 Mccoy, Chalandria 80 Peyton St Sw, 30311 (404) 696-6675 Moody, Catherine 4805 Briarcliff Rd Ne Ste 104, 30345 (770) 414-9282 Nguyen, Binh 700 Morosgo Dr Ne # J100, 30324 (404) 262-9600 Livingston Jr, Lynn 13 Corporate Blvd Ne Ste 120, 30329 (678) 836-2120 Mckellar, Christina 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Moore, Charles 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Nguyen, Linh 2505 Chamblee Tucker Rd, 30341 (770) 986-0773 Livingston Jr, Lynn 1571 Phoenix Blvd Ste 8, 30349 (770) 996-7700 Mckellar, Christina 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Nguyen, Pat 2367 Shallowford Ter, 30341 (770) 986-8985 Livingston Jr, Lynn 1720 Old Spring House Ln #315, 30338 (770) 451-7041 Mckellar, Christina 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Morgan Jr, Ray 3333 Piedmont Rd Ne Ste 200&130 Terminus, 30305 (404) 816-8200 Livingston Jr, Lynn 3365 Piedmont Rd Ne Ste 1110, 30305 (404) 237-3070 Mckoy, Paul 1607 White Way, 30344 (404) 762-9002 Livingston Jr, Lynn 4920 Roswell Rd Ste 13a, 30342 (404) 236-7222 Mckoy, Paul 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Livingston Jr, Lynn 675 W Peachtree St Ne, 30308 (404) 874-2038 Livingston Jr, Lynn 785 Virginia Ave Ste A, 30354 (404) 768-8700 Logue, Carrie 2221 Johnson Ferry Rd #2a, 30319 (770) 407-6549 Long, Robert 222 12th St Ne #1a, 30309 (404) 873-2957 Long, Robert 4536 Chamblee Dunwoody Rd, 30338 (770) 454-8432 Looper, Joseph 1799 Briarcliff Rd Ne Ste E, 30306 (404) 872-3838 Looper, Joseph 1799 Briarcliff Rd Ne Ste E, 30306 (404) 872-3838 Lottier, Shawn 3400 Peachtree Rd Ne Ste 1125, 30326 (404) 365-0211 Love, James 857 Collier Rd Nw Ste 14, 30318 (404) 355-4952 Lu, Mai 857 Collier Rd Nw Ste 14, 30318 (404) 355-4952 Lumpkin, Arva 3621 Vinings Slope Se Ste 4350, 30339 (770) 444-9393 Malayter, Amanda 4054 Buford Hwy Ne, 30345 (404) 477-5665 Mandalia, Amy 900 Peachtree St Ne Ste 100a, 30309 (678) 321-1888 Marable, Henry 650 Ponce De Leon Ave Ne, 30308 (404) 874-0800 Marable, Henry 75 Marietta St Nw Ste 100, 30303 (404) 577-0868 Mariyam, Afrin 5972 Roswell Rd, 30328 (404) 256-6400 Marsh, Vincent 1901 Phoenix Blvd Ste 100, 30349 (770) 991-0913 Marsh, Vincent 3379 Peachtree Rd Ne, 30326 (404) 846-9100 Muccioli, Lydia 2285 Peachtree Rd Ne Ste 203, 30309 (678) 666-3624 Muigai, Paul 4054 Buford Hwy Ne, 30345 (404) 477-5665 Muigai, Paul 5495 Old National Hwy, 30349 (404) 223-5665 Mckoy, Paul 3695 Cascade Rd Sw Ste V, 30331 (404) 696-6595 Mulki, Ezat 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Mckoy, Paul 3890 Redwine Rd Sw Ste 108, 30331 (404) 344-7645 Mulki, Ezat 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Mckoy, Paul 6175 Old National Hwy #430, 30349 (770) 907-2666 Mulki, Ezat 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Mcmahon-Lee, Cheryl 3435 Lenox Rd Ne, 30326 (404) 325-9000 Mulki, Ezat 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Mcmahon-Lee, Cheryl 80 Perimeter Center Pl Ne Bldg 2700, 30346 (678) 248-3566 Murray, Joseph 3730 Carmia Dr Sw Ste 170, 30331 (404) 349-7889 Mcmaster, Guy 2931 Paces Ferry Rd Se Ste 10, 30339 (770) 432-8516 Mcmillon, Melissa 1901 Phoenix Blvd Ste 100, 30349 (770) 991-0913 Mcnay, David 1441 Dresden Dr Ne Ste 250, 30319 (404) 254-1128 Murray, Joseph 967 Cleveland Ave, 30344 (404) 762-5770 Murray, Portia 321 Pharr Rd Ne Ste A, 30305 (404) 917-1111 Musicer, Wendy 3435 Lenox Rd Ne, 30326 (404) 325-9000 Mian, Alia 4054 Buford Hwy Ne, 30345 (404) 477-5665 Myers, Alan 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Mian, Alia 5495 Old National Hwy, 30349 (404) 223-5665 Myerson, Nancy 5901b Peachtree Dunwoody Rd, 30328 (770) 698-9133 Michaels, Thomas 4060 Peachtree Rd Ne Ste H, 30319 (404) 261-0260 Myerson, Nancy 600 W Peachtree St Nw Ste 750, 30308 (404) 876-7200 Millkey, Mary Catherine 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Nagar, Ushma 5495 Old National Hwy, 30349 (404) 223-5665 Mills, Laura 700 Morosgo Dr Ne # J100, 30324 (404) 262-9600 Nagode, Paul 6075 Lake Forrest Dr Ste 100, 30328 (404) 303-1199 Minton Jr, Warren 10 10th St Nw Ste 100, 30309 (404) 892-2337 Naipaul, Lyndon 1776 Old Spring House Ln #302, 30338 (770) 936-0113 Minton Jr, Warren 13 Corporate Blvd Ne Ste 120, 30329 (678) 836-2120 Nam, Kasie 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Minton Jr, Warren 2138 Henderson Mill Rd Ne, 30345 (770) 493-1242 Nam, Kasie 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Minton Jr, Warren 3365 Piedmont Rd Ne Ste 1110, 30305 (404) 237-3070 Nam, Kasie 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 This information is current as of September 2014 Page 6 Nguyen, Thuc 4719 Ashford Dunwoody Rd, 30338 (770) 671-1311 Nguyen, Trinh 5150 Buford Hwy Ne Ste C290, 30340 (770) 452-0630 Nia, Farhad 740 Ferst Dr Nw # 207, 30332 (404) 733-2022 Nichols, Aja 229 Peachtree St Ne Ste 206, 30303 (404) 522-7913 Nichols, Aja 2900 Peachtree Rd Nw Ste 209, 30305 (404) 261-0909 Nichols, Aja 999 Peachtree St Ne Ste 700, 30309 (404) 537-5224 Nikain, Shiva 2900 Peachtree Rd Nw Ste 209, 30305 (404) 261-0909 Nikain, Shiva 999 Peachtree St Ne Ste 700, 30309 (404) 537-5224 Nwoku, Ada 5495 Old National Hwy, 30349 (404) 223-5665 Ogundipe, Taiwo 5495 Old National Hwy, 30349 (404) 223-5665 Ojibway, Angela 1000 Abernathy Rd Ste 400 # 300, 30328 (770) 393-0800 Ojibway, Angela 1816 Independence Sq Ste B, 30338 (770) 399-9199 Ojibway, Angela 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Osunfisan, Olubunmi 1100 Hammond Dr Ste 210, 30328 (770) 399-9300 Osunfisan, Olubunmi 4054 Buford Hwy Ne, 30345 (404) 477-5665 Osunfisan, Olubunmi 5495 Old National Hwy, 30349 (404) 223-5665 Padgett, Sherry 309 E Paces Ferry Rd Ne #611, 30305 (404) 261-3091 Paige, Travis 3379 Peachtree Rd Ne Ste 850, 30326 (404) 846-9100 Paladines, Jorge 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Pandey, Anita 1000 Abernathy Rd Ste 330, 30328 (770) 393-0800 Parbhoo, Dharmesh 1177 Garden Walk Blvd, 30349 (770) 997-1387 6 of56Pages Parnes, Steven 5064 Nandina Ln Ste D, 30338 (770) 392-9764 Patel, Dimple 290 Hilderbrand Dr Ste A9, 30328 (404) 255-2273 Patel, Ketankumar 3255 Peachtree Rd Ne Ste 4, 30305 (404) 841-8668 Patel, Ronak 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Patel, Trushar 232 19th St Nw Ste 7200, 30363 (404) 567-8900 Patt, Seth 3365 Piedmont Rd Ne # 1110, 30305 (404) 237-3070 Patten, Karyl 256 Clifton St Se, 30317 (404) 687-1010 Patten, Karyl 35 Whitefoord Ave Se, 30317 (404) 588-0101 Perez, Harold 2859 Paces Ferry Rd Se Ste 530, 30339 (678) 355-8980 Perez, Loscar 1720 Old Spring House Ln #315, 30338 (770) 451-7041 Perez-Irizarry, Jose 2788 Bayard St, 30344 (678) 387-2783 Perpall, Abigail 4920 Roswell Rd Ste 13a, 30342 (404) 236-7222 Peters Iii, Nathan 18 Marietta St Nw Ste 100, 30303 (404) 524-7009 Peters Iii, Nathan 3490 Piedmont Rd Ne Ste 230, 30305 (404) 233-4900 Phillips, George 229 Peachtree St Ne Ste 206, 30303 (404) 522-7913 Phillips, Thomas 229 Peachtree St Ne Ste 206, 30303 (404) 522-7913 Piede, Robert 80 Perimeter Center Pl Ne Bldg 2700, 30346 (678) 248-3566 Pikus, Alexander 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Pittman, Bobby 2788 Bayard St, 30344 (678) 387-2783 Pitts, Joseph 5685 Lake Placid Dr, 30342 (404) 252-2125 Poole, Charles 3655 Roswell Rd Ne #200, 30342 (404) 264-0002 Posey, James 10 Piedmont Ctr Ne Ste 120, 30305 (404) 261-8121 Powell, Rometta 2800 Spring Rd Se Ste F2, 30339 (770) 319-9933 Press, Michael 1150 Hammond Dr Ste E250, 30328 (770) 395-0551 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Preston, Otisha 465 Boulevard Se Ste 207a, 30312 (404) 624-1230 Roark, Cindy 3330 Piedmont Rd Ne Ste 13, 30305 (404) 237-5330 Sarembock, Mitchell 3435 Lenox Rd Ne, 30326 (404) 325-9000 Smith, Jeremy 2900 Peachtree Rd Nw Ste 209, 30305 (404) 261-0909 Tralongo, Kenneth 2900 Peachtree Rd Nw Ste 209, 30305 (404) 261-0909 Price, Ryan 10 10th St Nw Ste 100, 30309 (404) 892-2337 Roark, Cindy 3660 Cascade Rd Sw, 30331 (678) 891-0069 Smith, Jeremy 999 Peachtree St Ne Ste 700, 30309 (404) 537-5224 Tralongo, Kenneth 309 E Paces Ferry Rd Ne #611, 30305 (404) 261-3091 Procter, Nirali 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Roark, Cindy 4805 Briarcliff Rd Ne Ste 104, 30345 (770) 414-9282 Sarembock, Mitchell 80 Perimeter Center Pl Ne Bldg 2700, 30346 (678) 248-3566 Smith, Jewel 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Tralongo, Kenneth 999 Peachtree St Ne Ste 700, 30309 (404) 537-5224 Procter, Nirali 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Roark, Cindy 7539 Roswell Rd, 30350 (678) 443-9300 Snyder, Larry 2070 S Park Pl Se Ste 330, 30339 (770) 955-1188 Tran, Doan Trang 675 W Peachtree St Ne, 30308 (404) 874-2038 Procter, Nirali 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Rodgers, Beverly 2440 Fairburn Rd Sw Ste 301, 30331 (404) 349-7777 Solarin, Oluwatoyin 6067 Buford Hwy Ne Ste D, 30340 (770) 674-1438 Triggs, Morgan 3435 Lenox Rd Ne, 30326 (404) 325-9000 Procter, Nirali 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Rodriguez, Alex 245 N Highland Ave Ne #260, 30307 (404) 589-7799 Soulimiotis, Andrew 855 Juniper Street Ne, 30308 (404) 249-1716 Truan, Jacob 4320 Roswell Rd Ne, 30342 (404) 869-7711 Pullins, Charlotte 10 10th St Nw Ste 100, 30309 (404) 892-2337 Rogers, Kael 2841 Greenbriar Pkwy Sw #306, 30331 (404) 344-5000 Stiles, Janet 550 Peachtree St Ne Ste 1260, 30308 (404) 688-5668 Uetsuki, John 2847 Henderson Mill Rd, 30341 (770) 496-0496 Pullins, Charlotte 13 Corporate Blvd Ne Ste 120, 30329 (678) 836-2120 Rosenberg, Jeremy 6111 P'tree Dnwdy Rd Ne #a101, 30328 (770) 395-7057 Stoever, Christina 5975 Roswell Rd Ste 229, 30328 (404) 252-7373 Vakharia, Ashish 465 Boulevard Se Ste 207a, 30312 (404) 624-1230 Ramey, Rita 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Rosenberg-Mcgowan, Christine 17 Executive Park Dr Ne Ste 100, 30329 (404) 633-1853 Sullen, Mordena 1099 Martin Luther King Jr Dr Nw, 30314 (404) 752-7777 Vallabhaneni, Jaya 3273 Shallowford Rd Ne, 30341 (770) 455-0628 Swegman, Mary 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Vandiver, Terrence 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Ray, Nina 5495 Old National Hwy, 30349 (404) 223-5665 Reagin, Todd 1370 Center Dr Ste 101, 30338 (770) 671-9199 Reagin, William 3646 Chamblee Tucker Rd, 30341 (770) 939-7134 Reddy, Anitha 5505 Peachtree Dunwoody Rd Ste 460, 30342 (404) 883-3287 Redie, Daniel 3040 Briarcliff Rd Ne, 30329 (404) 254-5196 Refai, Anna 2859 Paces Ferry Rd Se Ste 530, 30339 (678) 355-8980 Reichman, Richard 275 14th St Nw Ste 100, 30318 (404) 254-0149 Reid, Juan 2685 Metropolitan Pkwy Sw Ste J1, 30315 (404) 762-9615 Rosenberg-Mcgowan, Christine 2070 S Park Pl Se Ste 330, 30339 (770) 955-1188 Rosenberg-Mcgowan, Christine 229 Peachtree St Ne Ste 206, 30303 (404) 522-7913 Rosenberg-Mcgowan, Christine 2900 Peachtree Rd Nw Ste 209, 30305 (404) 261-0909 Rosenberg-Mcgowan, Christine 309 E Paces Ferry Rd Ne #611, 30305 (404) 261-3091 Rosenberg-Mcgowan, Christine 999 Peachtree St Ne Ste 700, 30309 (404) 537-5224 Rosenthal, Michael 3435 Lenox Rd Ne, 30326 (678) 248-6285 Rosenthal, Michael 80 Perimeter Center Pl Ne Bldg 2700, 30346 (678) 248-3566 Ross, Donald 1175 Peachtree St Ne Ste 1204, 30361 (404) 892-2097 Schroeder, Daniel 1140 Hammond Dr Bldg K Ste 225, 30328 (770) 522-0099 Schulte, James 1720 Peachtree St Nw Ste 632, 30309 (404) 881-9583 Sconion Ii, Arnold 275 14th St Nw Ste 100, 30318 (404) 254-0149 Scott, Justin 2285 Peachtree Rd Ne Ste 203, 30309 (678) 666-3624 Shah, Neal 1175 Peachtree St Ne Ste 1204, 30361 (404) 892-2097 Shah, Neal 75 Marietta St Nw Ste 100, 30303 (404) 577-0868 Shaw, Dewayne 1901 Phoenix Blvd Ste 100, 30349 (770) 991-0913 Shepheard, Sharnn 4054 Buford Hwy Ne, 30345 (404) 477-5665 Shepheard, Sharnn 5495 Old National Hwy, 30349 (404) 223-5665 Shokoohi, Cyrus 5920 Roswell Rd Ste A201, 30328 (404) 252-4700 Sikes, Christy 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Singh, Manjeet 10 10th St Nw Ste 100, 30309 (404) 892-2337 Singh, Manjeet 13 Corporate Blvd Ne Ste 120, 30329 (678) 836-2120 Singh, Manjeet 2138 Henderson Mill Rd Ne, 30345 (770) 493-1242 Singh, Manjeet 2910 N Druid Hills Rd Ne, 30329 (404) 633-4030 Reid Iii, Walter 10 10th St Nw Ste 100, 30309 (404) 892-2337 Routenberg, Leonard 4511 Chamblee Dunwoody Rd Ste A2, 30338 (770) 394-6778 Reid Iii, Walter 13 Corporate Blvd Ne Ste 120, 30329 (678) 836-2120 Rowan, Randal 4306 N Peachtree Rd # B, 30341 (770) 455-1400 Singh, Manjeet 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Reid Iii, Walter 675 W Peachtree St Ne, 30308 (404) 874-2038 Russell, Amy 1651 Mount Vernon Rd, 30338 (770) 394-3920 Singh, Manjeet 4920 Roswell Rd Ste 13a, 30342 (404) 236-7222 Richardson, Asia 2484 Briarcliff Rd Ne Ste 29, 30329 (404) 315-7375 Sabbagh, Imad 2788 Bayard St, 30344 (678) 387-2783 Singh, Manjeet 675 W Peachtree St Ne, 30308 (404) 874-2038 Richardson, Asia 3660 Cascade Rd Sw, 30331 (678) 891-0069 Sabur, Jeanette 1901 Phoenix Blvd Ste 100, 30349 (770) 991-0913 Singh, Manjeet 785 Virginia Ave Ste A, 30354 (404) 768-8700 Richman, Jerry 4200 Northside Pkwy Nw, 30327 (404) 841-9500 Sachar, Ruchita 4920 Roswell Rd Ste 13a, 30342 (404) 236-7222 Singh, Manjeet 857 Collier Rd Nw Ste 5b, 30318 (404) 355-1125 Ricks, Craig 5529a Old National Hwy, 30349 (404) 767-7788 Sadri, Mahin 80 Perimeter Center Pl Ne Bldg 2700, 30346 (678) 248-3566 Singh, Sunil 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Riley, Carye 309 E Paces Ferry Rd Ne #611, 30305 (404) 261-3091 Roark, Cindy 1100 Hammond Dr Ste 210, 30328 (770) 399-9300 Roark, Cindy 2484 Briarcliff Rd Ne Ste 29, 30329 (404) 315-7375 Sajid, Mohammad 3660 Cascade Rd Sw, 30331 (678) 891-0069 Samaan, Samy 13 Corporate Blvd Ne Ste 120, 30329 (678) 836-2120 Sandvi, Christopher 80 Perimeter Center Pl Ne Bldg 2700, 30346 (770) 671-0001 This information is current as of September 2014 Singh, Manjeet 3365 Piedmont Rd Ne Ste 1110, 30305 (404) 237-3070 Smith, Ellison 650 Ponce De Leon Ave Ne, 30308 (404) 874-0800 Smith, Ellison 75 Marietta St Nw Ste 100, 30303 (404) 577-0868 Smith, Jeremy 229 Peachtree St Ne Ste 206, 30303 (404) 522-7913 Page 7 Syed, Hasan 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Szikman, Michael 2070 S Park Pl Se Ste 300, 30339 (770) 952-3333 Szikman, Richard 2070 S Park Pl Se Ste 300, 30339 (770) 952-3333 Tabassian, Kadijeh 3200 Downwood Cir Nw, 30327 (404) 355-1150 Tantuco, Kathleen 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Taylor, Rita 6175 Old National Hwy, 30349 (770) 996-9523 Tekin, Burak 3280 Howell Mill Rd Nw Ste 112, 30327 (404) 355-5332 Thaiya, Christine 80 Perimeter Center Pl Ne Bldg 2700, 30346 (678) 248-3566 Thomas, Carolyn 2788 Bayard St, 30344 (678) 387-2783 Thomas, Steven 1720 Old Spring House Ln #315, 30338 (770) 451-7041 Thompson, Oluwaseum 1100 Hammond Dr Ste 210, 30328 (770) 399-9300 Thompson, Oluwaseum 7539 Roswell Rd # A, 30350 (678) 443-9300 Thornton, Neely 2788 Bayard St, 30344 (678) 387-2783 Tiwana, Sabeen 650 Ponce De Leon Ave Ne, 30308 (404) 874-0800 Tiwana, Sabeen 75 Marietta St Nw Ste 100, 30303 (404) 577-0868 Toub, Farid 740 Ferst Dr Nw # 207, 30332 (404) 733-2022 Tralongo, Kenneth 2070 S Park Pl Se Ste 330, 30339 (770) 955-1188 Tralongo, Kenneth 229 Peachtree St Ne Ste 206, 30303 (404) 522-7913 7 of56Pages Vaughn, Sharcola 2177 Godby Rd Ste D, 30349 (404) 763-3326 Vo, Doan Trang 3689 Union Ave, 30354 (404) 766-2283 Vo, Toan 3689 Union Ave, 30354 (404) 766-2283 Vu, Galang 2505 Chamblee Tucker Rd, 30341 (770) 986-0773 Wadley, Lechandre 3435 Lenox Rd Ne, 30326 (404) 325-9000 Wadley, Lechandre 80 Perimeter Center Pl Ne Bldg 2700, 30346 (770) 671-0001 Wagner, Elizabeth 309 E Paces Ferry Rd Ne #611, 30305 (404) 261-3091 Wakefield, Freddie 3435 Lenox Rd Ne, 30326 (404) 325-9000 Wakefield, Freddie 80 Perimeter Center Pl Ne Bldg 2700, 30346 (678) 248-3566 Walters, Colin 1901 Phoenix Blvd Ste 100, 30349 (770) 991-0913 Walters, Colin 600 W Peachtree St Nw Ste 750, 30308 (404) 876-7200 Wand, Ronald 2814 Spring Rd Se Ste 126, 30339 (770) 434-2181 Wang, Chun-chieh 650 Ponce De Leon Ave Ne, 30308 (404) 874-0800 Wang, Chun-chieh 75 Marietta St Nw Ste 100, 30303 (404) 577-0868 Wash, Glennda 3660 Cascade Rd Sw, 30331 (678) 891-0069 Waters, Paul 1720 Old Spring House Ln #315, 30338 (770) 451-7041 Weaver, John 2797 Campbellton Rd Sw Ste A4, 30311 (404) 346-1120 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. White, Mae 2291 Fairburn Rd Sw, 30331 (404) 349-4343 Ali Khan, Husain 10 10th St Nw Ste 100, 30309 (404) 892-2337 Harrison, Farryn 4805 Briarcliff Rd Ne Ste 104, 30345 (770) 414-9282 Ryan, Robert 4054 Buford Hwy Ne, 30345 (404) 477-5665 Marschall, Annika 740 Ferst Dr Nw # 207, 30332 (404) 733-2022 Whyte, Michelle 1100 Hammond Dr Ste 210, 30328 (770) 399-9300 Ali Khan, Husain 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Huynh, Cang 5590 Roswell Rd Ste 290, 30342 (678) 365-4889 Ryan, Robert 5495 Old National Hwy, 30349 (404) 223-5665 Mcginty, Diane 2484 Briarcliff Rd Ne Ste 29, 30329 (404) 315-7375 Wilkerson, Donna 600 W Peachtree St Nw Ste 750, 30308 (404) 876-7200 Ali Khan, Husain 4721 Chamblee Dunwoody Rd, 30338 (770) 396-8860 Huynh, Cang 5730 Glenridge Dr #310, 30328 (678) 412-0311 Schaner, Paul 1100 Lake Hearn Dr Ste 160, 30342 (404) 255-2559 Shapiro, Richard 5555 Peachtree Dunwoody Rd #275, 30342 (404) 256-4772 Williams, Arthur 2166 Lavista Rd Ne, 30329 (404) 872-4455 Ali Khan, Husain 80 Perimeter Center Pl Ne Bldg 2700, 30346 (770) 671-0001 Huynh, Cang 740 Ferst Dr Nw # 207, 30332 (404) 733-2022 Shahriari, Abtin 740 Ferst Dr Nw # 207, 30332 (404) 733-2022 Yusuf, Sheerin 2484 Briarcliff Rd Ne Ste 29, 30329 (404) 315-7375 Jones, Gillian 10 10th St Nw Ste 100, 30309 (404) 892-2337 Waksor, Adam 10 10th St Nw Ste 100, 30309 (404) 892-2337 Yusuf, Sheerin 3330 Piedmont Rd Ne Ste 13, 30305 (404) 237-5330 Kapgan, William 4721 Chamblee Dunwoody Rd, 30338 (770) 396-8860 Waksor, Adam 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Yusuf, Sheerin 5901b Peachtree Dunwoody Rd, 30328 (770) 698-9133 Keim Jr, Richard 1100 Lake Hearn Dr Ste 160, 30342 (404) 255-2559 Waksor, Adam 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Orthodontists Bankston, Stephen 200 Galleria Pkwy Se Ste 1810, 30339 (770) 956-7577 Kuhmichel, Amy 5505 Peachtree Dunwoody Rd # 660, 30342 (404) 220-7505 Whitesides, Lee 2788 Bayard St, 30344 (678) 387-2783 Berry, Thomas 3280 Howell Mill Rd Nw Ste 240, 30327 (404) 351-5335 Kuhmichel, Amy 999 Peachtree St Ne Ste 715, 30309 (404) 892-2999 Whitesides, Lee 4700 Chamblee Dunwoody Rd Ste 400, 30338 (770) 393-8500 Brady, Gordon 3580 Piedmont Rd Ne, 30305 (404) 233-5385 Lala, Asif 10 10th St Nw Ste 100, 30309 (404) 892-2337 Wunderle, Robert 1100 Lake Hearn Dr Ste 160, 30342 (404) 255-2559 Brady, Gordon 4721 Chamblee-dunwoody Rd, 30338 (678) 328-4122 Lee, Joyce 1175 Peachtree St Ne Ste 1202, 30361 (404) 874-1115 Wunderle, Robert 200 Galleria Pkwy Se Ste 1810, 30339 (770) 956-7577 Chishom, Mark 5590 Roswell Rd, 30342 (678) 445-5444 Linek, Peter 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Young, Justin 1100 Lake Hearn Dr Ste 160, 30342 (404) 255-2559 Cho, Sung 3435 Lenox Rd Ne, 30326 (678) 248-6285 Marks, Gregory 309 E Paces Ferry Rd Ne Ste 400, 30305 (404) 233-8221 Young, Justin 200 Galleria Pkwy Se Ste 1810, 30339 (770) 956-7577 Cho, Sung 80 Perimeter Center Pl Ne Bldg 2700, 30346 (770) 671-0001 Maron, Glenn 5505 Peachtree Dunwoody Rd # 660, 30342 (404) 220-7505 Endodontists Carter, Portia 2882 N Druid Hills Rd #a, 30329 (404) 327-4404 Barden, Rodrick 1640 Phoenix Blvd Ste 180, 30349 (770) 996-4500 Castillo Wright, Candace 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Demo, Michael 309 E Paces Ferry Rd Ne Ste 400, 30305 (404) 233-8221 Maron, Glenn 999 Peachtree St Ne Ste 715, 30309 (404) 892-2999 Candelario, Damaries 1950 N Park Pl B-400 #450, 30339 (770) 952-0195 Chen, Andrew 3330 Piedmont Rd Ne Ste 13, 30305 (404) 237-5330 Dillon, Tracy 550 Peachtree St Ne, 30308 (404) 589-1160 Nunn, Donald 1100 Lake Hearn Dr Ste 160, 30342 (404) 255-2559 Didato, Anthony 740 Ferst Dr Nw # 207, 30332 (404) 733-2022 Ducksworth, Joseph 5495 Old National Hwy, 30349 (404) 223-5665 Patel, Jay 10 10th St Nw Ste 100, 30309 (404) 892-2337 Cohen, Barry 4721 Chamblee Dunwoody Rd Ste 200, 30338 (770) 394-0002 Etezadi-Tabrizi, Abtin 1100 Lake Hearn Dr Ste 160, 30342 (404) 255-2559 Patel, Jay 5252 Roswell Rd Ste 201, 30342 (404) 907-2117 Etezadi-Tabrizi, Abtin 200 Galleria Pkwy Se Ste 1810, 30339 (770) 956-7577 Patel, Piyushkumar 1505 Mount Vernon Rd Ste 150, 30338 (770) 559-3648 Foran, Michael 4054 Buford Hwy Ne, 30345 (404) 477-5665 Patel, Piyushkumar 1720 Old Spring House Ln #315, 30338 (770) 451-7041 Foran, Michael 5495 Old National Hwy, 30349 (404) 223-5665 Robertson, Jeannette 3435 Lenox Rd Ne, 30326 (404) 325-9000 Going Jr, Robert 3580 Piedmont Rd Ne, 30305 (404) 233-5385 Robertson, Jeannette 4054 Buford Hwy Ne, 30345 (404) 477-5665 Gordon, Jacques 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Robertson, Jeannette 5495 Old National Hwy, 30349 (404) 223-5665 Gordon, Jacques 3885 Princeton Lk Way Sw #406, 30331 (404) 629-6610 Robertson, Jeannette 80 Perimeter Center Pl Ne Bldg 2700, 30346 (770) 671-0001 Mann, Arnold 2484 Briarcliff Rd Ne Ste 29, 30329 (404) 315-7375 Rogers, Kael 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Mann, Arnold 3330 Piedmont Rd Ne Ste 13, 30305 (404) 237-5330 Rosenberg, Charles 1100 Lake Hearn Dr Ste 160, 30342 (404) 255-2559 Mann, Arnold 3660 Cascade Rd Sw, 30331 (678) 891-0069 Williams, Charles 1571 Phoenix Blvd Ste 8, 30349 (770) 996-7700 Williams, Kimberly 10 10th St Nw Ste 100, 30309 (404) 892-2337 Williams, Kimberly 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Williams, Richard 3535 Piedmont Road Ste P80, 30305 (404) 237-3309 Williams Iii, Curtis 2496 Jett Ferry Rd Ste 100, 30338 (770) 394-5224 Williams Jr, Raymond 1046 Ridge Ave Sw, 30315 (404) 688-1350 Williams Jr, Raymond 2578 Gresham Rd Se, 30316 (404) 688-1350 Winbush, Sharifa 3890 Redwine Rd Sw, 30331 (404) 349-7900 Wingfield, Steven 2900 Peachtree Rd Nw Ste 209, 30305 (404) 261-0909 Wingfield, Steven 999 Peachtree St Ne Ste 700, 30309 (404) 537-5224 Woo, Sung 3 Dunwoody Park Ste 119, 30338 (678) 395-5861 Wood, Andrea 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Woods, Eddie 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Wu, Grace 587 Virginia Ave Ne # 5, 30306 (404) 389-0700 Wyatt Jr, Alfred 6230 Old National Hwy, 30349 (770) 994-7811 Wyrick, Robert 199 Mitchell St Sw, 30303 (404) 659-6073 Yadav, Priyanka 675 W Peachtree St Ne, 30308 (404) 874-2038 Yang, Nelson 1140 Hammond Dr Bldg K Ste 225, 30328 (770) 522-0099 Yates Jr, Edgar 1190 W Druid Hills Dr #125, 30329 (404) 636-5646 Yavari, Behnam 4920 Roswell Rd Ste 13a, 30342 (404) 261-2211 You, Hanna 1720 Old Spring House Ln #315, 30338 (770) 451-7041 Young, Walter 2265 Cascade Rd Sw, 30311 (404) 753-4753 Oral Surgeons Aiken, Andrew 3280 Howell Mill Rd Nw Ste 240, 30327 (404) 351-5335 Anderson Jr, James 4721 Chamblee Dunwoody Rd, 30338 (770) 396-8860 Bagheri, Shahrokh 1571 Phoenix Blvd Ste 8, 30349 (770) 996-7700 Bagheri, Shahrokh 1720 Old Spring House Ln #315, 30338 (770) 451-7041 Hall, Brenda 3580 Piedmont Rd Ne, 30305 (404) 233-5385 Harrison, Farryn 3330 Piedmont Rd Ne Ste 16, 30305 (404) 237-5330 Harrison, Farryn 3660 Cascade Rd Sw, 30331 (678) 891-0069 This information is current as of September 2014 Doyle, Michael 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Figueroa, Yanina 1950 N Park Pl B-400 #450, 30339 (770) 952-0195 Harris, William 550 Peachtree St Ne Ste 1410, 30308 (404) 525-6543 Howard, Cameron 10 10th St Nw Ste 100, 30309 (404) 892-2337 Howard, Cameron 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Jimenez, Jeannette 1901 Phoenix Blvd Ste 100, 30349 (770) 991-0913 Mann, Arnold 1100 Hammond Dr Ste 210, 30328 (770) 399-9300 Mann, Arnold Rosenberg, Charles 755 Mount Vernon Hwy Ne Ste 430, 30328 4805 Briarcliff Rd Ne Ste 104, 30345 (770) 414-9282 (404) 843-8797 Page 8 8 of56Pages Beal-Edward, Kimberly 2440 Fairburn Rd Sw Ste 301, 30331 (404) 349-7777 Bennett, William 2788 Bayard St, 30344 (678) 387-2783 Berwick, Jennifer 1420 Dunwoody Village Pkwy Ste 1420, 30338 (770) 448-8882 Berwick, Jennifer 5590 Roswell Rd Ste A290, 30342 (678) 445-5444 Bruster, Kathy 1901 Phoenix Blvd Ste 100, 30349 (770) 991-0913 Bush, Hector 3680 Cascade Rd Sw Ste B, 30331 (404) 691-4848 Cooper, Justin 10 10th St Nw Ste 100, 30309 (404) 892-2337 Cox Jr, Stanley 1420 Dunwoody Village Pkwy Ste 1420, 30338 (770) 448-8882 Cox Jr, Stanley 4512 Chamblee Dunwoody Rd, 30338 (770) 448-8882 Cox Jr, Stanley 4536 Chamblee Dunwoody Rd, 30338 (770) 448-8882 Cox Jr, Stanley 5590 Roswell Rd Ste A290, 30342 (678) 445-5444 Cox Jr, Stanley 804 Town Blvd Ne Ste A2000, 30319 (404) 343-0677 Crosby, Michael 5590 Roswell Rd #a290, 30342 (678) 445-5444 Eatmon, Kevin 1770 Old Spring House Ln #100, 30338 (770) 451-5740 Eatmon, Kevin 275 14th St Nw Ste 100, 30318 (404) 254-0149 Eisenstein, Oleg 1901 Phoenix Blvd Ste 100, 30349 (770) 991-0913 Elchahal, Alec 2788 Bayard St, 30344 (678) 387-2783 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Everson, Michael 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Podray, Susan 5590 Roswell Rd Ste A290, 30342 (678) 445-5444 Allen, Nelson 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Chaudhary, Shafaq 2221 Johnson Ferry Rd #2a, 30319 (770) 407-6549 Hassan, Zeyad 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Goodman, Sundus 10 10th St Nw Ste 100, 30309 (404) 892-2337 Richard, Ryan 4512 Chamblee Dunwoody Rd, 30338 (770) 448-8882 Allen, Nelson 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Cottrell, David 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Hassan, Zeyad 1350 Spring St Nw Ste 600, 30309 (678) 445-5444 Goodman, Sundus 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Richard, Ryan 5590 Roswell Rd Ste A290, 30342 (678) 445-5444 Andringa, Hans 1607 White Way, 30344 (404) 762-9002 Cottrell, David 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Hassan, Zeyad 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Gorlovsky, Michael 1418 Dresden Dr #205, 30319 (678) 279-5436 Salyer, Hyman 80 Perimeter Center Pl Ne Bldg 2700, 30346 (770) 671-0001 Andringa, Hans 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Cottrell, David 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Hassan, Zeyad 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Schaefer, David 931 Monroe Dr Ne Ste C201, 30308 (770) 972-6000 Andringa, Hans 3695 Cascade Rd Sw Ste V, 30331 (404) 696-6595 Cottrell, David 5590 Prado Pl A270 A280 A290, 30342 (678) 445-5444 Hassan, Zeyad 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Segnere, Jeffrey 1420 Dunwoody Village Pkwy Ste 1420, 30338 (770) 448-8882 Andringa, Hans 3890 Redwine Rd Sw Ste 108, 30331 (404) 344-7645 Coulter, Charles 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Hassan, Zeyad 857 Collier Rd Nw Ste 3, 30318 (404) 992-0500 Coulter, Charles 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Haynes, Deanna 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Coulter, Charles 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Haynes, Deanna 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Coulter, Charles 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Haynes, Deanna 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Gorlovsky, Michael 2221 Johnson Ferry Rd #2a, 30319 (770) 407-6549 Granger, Michael 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Hajibaik, Nima 740 Ferst Dr Nw # 207, 30332 (404) 733-2022 Hall, Tameka 4054 Buford Hwy Ne, 30345 (404) 477-5665 Hall, Tameka 5495 Old National Hwy, 30349 (404) 223-5665 Iaculli, John 1420 Dunwoody Village Pkwy Ste 1420, 30338 (770) 448-8882 Jenkins, Johanna 4939 Lower Roswell Rd #105, 30328 (404) 420-2457 Jenkins, Johanna 750 Hammond Dr Bldg 15 Ste 100, 30328 (770) 671-0400 Karker, R Gordon 10 10th St Nw Ste 100, 30309 (404) 892-2337 Karker, R Gordon 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Kubala, Louis 3680 Cascade Rd Sw Ste B, 30331 (404) 691-4848 Lofters, David 80 Perimeter Center Pl Ne Bldg 2700, 30346 (770) 671-0001 Long, Meridith 1420 Dunwoody Village Pkwy Ste 1420, 30338 (770) 448-8882 Long, Meridith 4512 Chamblee Dunwoody Rd, 30338 (770) 448-8882 Long, Meridith 5590 Roswell Rd Ste A290, 30342 (678) 445-5444 Nikain, Nilo 4512 Chamblee Dunwoody Rd, 30338 (770) 448-8882 Nikain, Nilo 5590 Roswell Rd Ste A290, 30342 (678) 445-5444 Park, Eric 1420 Dunwoody Village Pkwy Ste 1420, 30338 (770) 448-8882 Park, Eric 5590 Roswell Rd Ste A290, 30342 (678) 445-5444 Patel, Alpesh 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Patel, Tina 5590 Roswell Rd Ste A290, 30342 (678) 445-5444 Podray, Susan 1420 Dunwoody Village Pkwy Ste 1420, 30338 (770) 448-8882 Podray, Susan 4512 Chamblee Dunwoody Rd, 30338 (770) 448-8882 Segnere, Jeffrey 5590 Roswell Rd Ste A290, 30342 (678) 445-5444 Shoup, Greg 1420 Dunwoody Village Pkwy Ste 1420, 30338 (770) 448-8882 Andringa, Hans 6175 Old National Hwy #430, 30349 (770) 907-2666 Barham, Latoya 970 Martin Luther King Jr Dr Sw Ste 301, 30314 (404) 523-3153 Brown, Sakita 240 N Highland Ave Ne Bldg 3 # D, 30307 Desouza, Sharon (404) 943-9442 1150 Lake Hearn Dr #170, 30342 Brown, Shelton (678) 445-5444 1150 Lake Hearn Dr #170, 30342 Silver, Arthur Desouza, Sharon (678) 445-5444 931 Monroe Dr Ne Ste C201, 30308 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 972-6000 Brown, Shelton (770) 692-1000 1420 Dunwoody Vlg Pkwy #1420, 30342 Strait, James Desouza, Sharon 1597 Phoenix Blvd Bldg 1591 Ste 1, 30349 (770) 692-1000 3752 Cascade Rd Sw Ste 190, 30331 (770) 909-0002 (678) 836-2118 Brown, Shelton Strait, James 3890 Redwine Rd Sw Ste 206, 30331 Desouza, Sharon 1770 Old Springhouse Lane #100, 30338 (678) 445-5444 3890 Redwine Rd Sw Ste 206, 30331 (770) 451-5740 (678) 445-5444 Brown, Shelton Thomas, Jerry 5590 Roswell Rd Ste A270, 30342 Desouza, Sharon 3515 Camp Creek Point #80, 30344 (678) 445-5444 4536 Chamblee Dunwdy Rd #211, 30338 (404) 344-7695 (678) 445-5444 Buckle, Eileen Thompson, Shunda 3890 Redwine Rd Sw Ste 206, 30331 Desouza, Sharon 1901 Phoenix Blvd Ste 100, 30349 (678) 445-5444 5590 Roswell Rd Ste A270, 30342 (770) 991-0913 (678) 445-5444 Buckle, Eileen White, Adam 5590 Roswell Rd Ste A270, 30342 Dixit, Priya 1420 Dunwoody Village Pkwy Ste 1420, (678) 445-5444 4536 Chamblee Dunwdy Rd #211, 30338 30338 Burgess, Myeasha (678) 445-5444 (770) 448-8882 2788 Bayard St, 30344 Ellington, Janet (678) 387-2783 White, Adam 1150 Lake Hearn Dr #170, 30342 4512 Chamblee Dunwoody Rd, 30338 Caise, Charisse (678) 445-5444 (770) 448-8882 5835 Campbellton Rd Sw #301, 30331 Ellington, Janet (404) 445-5556 White, Adam 1420 Dunwoody Vlg Pkwy #1420, 30342 4536 Chamblee Dunwoody Rd, 30338 (770) 692-1000 Camp, Laneshia (770) 448-8882 1150 Lake Hearn Dr #170, 30342 Ellington, Janet White, Adam (678) 445-5444 3890 Redwine Rd Sw Ste 206, 30331 5590 Roswell Rd Ste A290, 30342 (678) 445-5444 Camp, Laneshia (678) 445-5444 1420 Dunwoody Vlg Pkwy #1420, 30342 Ellington, Janet White, Javonne (770) 692-1000 5590 Roswell Rd Ste A270, 30342 5590 Roswell Rd Ste A290, 30342 (678) 445-5444 Camp, Laneshia (678) 445-5444 3890 Redwine Rd Sw Ste 206, 30331 Freedman, Bret (678) 445-5444 Williams Jr, R Moody 3680 Cascade Rd Sw Ste B, 30331 1355 Peachtree St Ne Ste 780, 30309 (404) 691-4848 Camp, Laneshia (404) 881-1908 4536 Chamblee Dunwdy Rd #211, 30338 Garza-Gongora, Carlos (678) 445-5444 Williams Jr, R Moody 2460 Cumberland Pkwy Se, 30339 3580 Piedmont Rd Ne Ste 222, 30305 Camp, Laneshia (770) 433-2414 (404) 233-1155 5590 Roswell Rd Ste A270, 30342 Halper, Christopher (678) 445-5444 Wright, Marc 1150 Lake Hearn Dr #170, 30342 3019b N Druid Hills Rd Ne, 30329 Chang, Ohkyoung (678) 445-5444 (404) 417-0771 1150 Lake Hearn Dr #170, 30342 Halper, Christopher (678) 445-5444 Yurfest, Paul 3890 Redwine Rd Sw Ste 206, 30331 1218 W Paces Ferry Rd Nw, 30327 (678) 445-5444 Chang, Ohkyoung (404) 262-2212 1420 Dunwoody Vlg Pkwy #1420, 30342 Halper, Christopher (770) 692-1000 Pediatric Dentists 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Chang, Ohkyoung Allen, Nelson 3890 Redwine Rd Sw Ste 206, 30331 1150 Lake Hearn Dr #170, 30342 Harris-Echols, Dana (678) 445-5444 (678) 445-5444 1607 White Way, 30344 (404) 762-9002 Chang, Ohkyoung Allen, Nelson 4536 Chamblee Dunwdy Rd #211, 30338 1420 Dunwoody Vlg Pkwy #1420, 30342 Harris-Echols, Dana (678) 445-5444 (770) 692-1000 3890 Redwine Rd Sw, 30331 (404) 349-7900 Chang, Ohkyoung Allen, Nelson 5590 Roswell Rd Ste A270, 30342 3890 Redwine Rd Sw Ste 206, 30331 Harris-Echols, Dana (678) 445-5444 (678) 445-5444 6175 Old National Hwy #430, 30349 (770) 907-2666 Shoup, Greg 5590 Roswell Rd Ste A290, 30342 (678) 445-5444 This information is current as of September 2014 Page 9 9 of56Pages Haynes, Deanna 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Haynes, Deanna 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Hejazi-Werner, Shiva 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Hejazi-Werner, Shiva 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Hejazi-Werner, Shiva 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Herrin, Brent 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Herrin, Brent 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Herrin, Brent 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Herrin, Brent 4054 Buford Hwy Ne, 30345 (404) 477-5665 Herrin, Brent 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Herrin, Brent 5495 Old National Hwy, 30349 (404) 223-5665 Herrin, Brent 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Holder, Terry 1001 Johnson Ferry Rd, 30342 (770) 692-1000 Holder, Terry 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Holder, Terry 1405 Clifton Rd Ne, 30322 (770) 692-1000 Holder, Terry 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Holder, Terry 303 Parkway Dr Ne, 30312 (770) 692-1000 Holder, Terry 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Holder, Terry 5445 Meridian Mark Rd Ne, 30342 (770) 692-1000 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Holder, Terry 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Lucas, Cleoka 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Park, Julius 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Ross, Tisha 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Thomas Jr, Jack 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Howard, Jaha 2440 Fairburn Rd Sw Ste 301, 30331 (404) 349-7777 Lucas, Cleoka 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Park, Julius 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Thomas Jr, Jack 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Howard, Jaha 4300 Paces Ferry Rd Se Ste 405, 30339 (678) 391-7453 Lucas, Cleoka 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Park, Julius 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Ross, Tisha 5590 Prado Place # A270 A280 A290, 30342 (678) 445-5444 Hutchins, Allen 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Madhiwala, Priya 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Park, Julius 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Hutchins, Allen 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Madhiwala, Priya 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Park, Suyon 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Hutchins, Allen 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Madhiwala, Priya 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Park, Suyon 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Hutchins, Allen 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Madhiwala, Priya 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Park, Suyon 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Hutchins, Allen 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Madhiwala, Priya 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Park, Suyon 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Kebriaei, Amy 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Malhotra, Menka 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Patel, Kunjan 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Kebriaei, Amy 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Malhotra, Menka 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Patel, Kunjan 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Kebriaei, Amy 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Malhotra, Menka 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Patel, Kunjan 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Kebriaei, Amy 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Malhotra, Menka 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Patel, Kunjan 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Kebriaei, Amy 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Maru, Ami 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Powell, Wesley 2244 Henderson Mill Rd Ne #300, 30345 (770) 934-5900 Kerlan, Daniel 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Maru, Ami 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Purvis, Flynt 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Kerlan, Daniel 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Maru, Ami 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Purvis, Flynt 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Kerlan, Daniel 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Maru, Ami 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Purvis, Flynt 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Kerlan, Daniel 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Mason, Derek 3890 Redwine Rd Sw, 30331 (404) 349-7900 Purvis, Flynt 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Lee, Susan 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Mccarley, Christie 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Purvis, Flynt 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Lee, Susan 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Mccarley, Christie 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Roehl, Brad 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Lee, Susan 3280 Howell Mill Rd Nw, 30327 (404) 355-8557 Mccarley, Christie 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Roehl, Brad 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Lee, Susan 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Mccarley, Christie 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Roehl, Brad 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Lee, Susan 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Nath, Vishant 2221 Johnson Ferry Rd #2a, 30319 (770) 407-6549 Roehl, Brad 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Levitas, Theodore 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Nortick, Mariel 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Roehl, Brian 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Levitas, Theodore 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Nortick, Mariel 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Roehl, Brian 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Levitas, Theodore 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Nortick, Mariel 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Roehl, Brian 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Levitas, Theodore 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Nortick, Mariel 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Roehl, Brian 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Lott, Kaneta 2440 Fairburn Rd Sw Ste 301, 30331 (404) 349-7777 Nortick, Mariel 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Ross, Tisha 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Lucas, Cleoka 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Obebe, Akindeko 2788 Bayard St, 30344 (678) 387-2783 Ross, Tisha 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 This information is current as of September 2014 Page 10 Sease, Joseph 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Sease, Joseph 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Sease, Joseph 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Sease, Joseph 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Shilman, Lisa 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Shilman, Lisa 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Shilman, Lisa 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Shilman, Lisa 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Shilman, Lisa 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Simms, Mindy 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Simms, Mindy 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Simms, Mindy 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Trotter, Leigh Ann 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Turner, Jason 2788 Bayard St, 30344 (678) 387-2783 Vahid, Banafsheh 2221 Johnson Ferry Rd #2a, 30319 (770) 407-6549 Walters, Sacha 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Walters, Sacha 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Walters, Sacha 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Walters, Sacha 5590 Prado Pl A270 A280 A290, 30342 (678) 445-5444 Washington, Keysra 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Washington, Keysra 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Washington, Keysra 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Washington, Keysra 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Washington, Keysra 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Simms, Mindy 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Wilson, Antionette 3050 Martin Luther King Jr Dr Sw Ste A, 30311 (404) 696-3163 Simms, Mindy 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Yoo, Chin 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Strickland Phillips, Stephanie 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Yoo, Chin 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Strickland Phillips, Stephanie 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Yoo, Chin 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Strickland Phillips, Stephanie 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Yoo, Chin 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Strickland Phillips, Stephanie 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Periodontists Strickland Phillips, Stephanie 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Sundareswaran, Pushpa 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Sundareswaran, Pushpa 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 Sundareswaran, Pushpa 3890 Redwine Rd Sw Ste 206, 30331 (678) 445-5444 Sundareswaran, Pushpa 4536 Chamblee Dunwdy Rd #211, 30338 (678) 445-5444 Sundareswaran, Pushpa 5590 Roswell Rd Ste A270, 30342 (678) 445-5444 Thomas Jr, Jack 1150 Lake Hearn Dr #170, 30342 (678) 445-5444 Thomas Jr, Jack 1420 Dunwoody Vlg Pkwy #1420, 30342 (770) 692-1000 10 of56Pages Baek, Orson 3435 Lenox Rd Ne, 30326 (678) 248-6285 Baek, Orson 80 Perimeter Center Pl Ne Bldg 2700, 30346 (678) 248-3566 Barnes, Marya 1640 Phoenix Blvd Ste 180, 30349 (770) 994-5678 Bartruff, Michael 222 12th St Ne Ste 1b, 30309 (404) 815-4800 Bezreh, Husam 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Chong, Woojae 2460 Cumberland Pkwy Se, 30339 (770) 433-2414 Chong, Woojae 3435 Lenox Rd Ne, 30326 (404) 325-9000 Chong, Woojae 80 Perimeter Center Pl Ne Bldg 2700, 30346 (678) 248-3566 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Codelli, Gregg 1707 Mount Vernon Rd Ste A, 30338 (770) 668-0604 Zinney, William 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Caughman, Wyatt 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Hammond, Barry 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Myers, Alan 1014 Northwood Rd, 30909 (706) 738-7742 Diversi, Jennifer 1895 Phoenix Blvd Ste 138, 30349 (770) 996-2900 Prosthodontists Chesla, Edward 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Hannan, Fred 4045 Jimmie Dyess Pkwy Ste 103, 30909 (706) 868-4200 Myers, Alan 1631 Gordon Hwy #22, 30906 (706) 790-9302 Chike, Gary 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Hardy, Robert 2825 Washington Rd, 30909 (706) 736-1135 Ogbureke, Ezinne 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Ciarrocca, Katharine 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Haywood, Van 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Ogbureke, Kala 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Clepper, Douglas 3553 Wheeler Rd, 30909 (706) 738-8070 Herman, Wayne 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Oneill Iv, John 2467 Golden Camp Rd, 30906 (706) 790-4440 Clepper, Gregory 3553 Wheeler Rd, 30909 (706) 738-8070 Hobbs, Rebecca 2947 Walton Way Ext, 30909 (706) 955-9516 Patel, Nishabahen 1631 Gordon Hwy #22, 30906 (706) 790-9302 Cole, Nancy 1631 Gordon Hwy #22, 30906 (706) 790-9302 Horne Ii, William 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Pikus, Alexander 1631 Gordon Hwy #22, 30906 (706) 790-9302 Coleman, John 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Jeffcoat, Tanya 1522 Craig St, 30904 (706) 738-0775 Prater, Susan 2947 Walton Way Ext, 30909 (706) 738-6516 Cooper, Katherine 3606 Wheeler Rd, 30909 (706) 481-8811 Jopling Jr, John 1014 Northwood Rd, 30909 (706) 738-7742 Pruett, Michael 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Cooper Iii, Jeril 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Kalathingal, Sajitha 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Rabin, Albert 3226 Washington Rd, 30907 (706) 863-4567 Cowgill, Cary 1631 Gordon Hwy #22, 30906 (706) 790-9302 Keegan, Lawrence 2437 Lumpkin Rd, 30906 (706) 796-6386 Rainge, Louvenia 2139 Lumpkin Rd, 30906 (706) 790-4060 Cudd, E Parker 2431 Peach Orchard Rd Ste D, 30906 (706) 790-6597 Kious, Andrew 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Ramey, Rita 1631 Gordon Hwy #22, 30906 (706) 790-9302 Czuszak, Charlene 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Kurago, Zoya 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Reid, David 4213 Columbia Rd, 30907 (706) 868-6177 Davis, James 4469 Columbia Rd Ste F, 30907 (706) 868-7155 Lee, Thomas 1631 Gordon Hwy #22, 30906 (706) 790-9302 Romero, Mario 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Derossi, Scott 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Lewis, Phoeby 1631 Gordon Hwy #22, 30906 (706) 790-9302 Schappell, Elizabeth 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Echols Jr, Joseph 1414 Marks Church Rd, 30909 (706) 738-8919 Loo, Grant 224 Baston Rd, 30907 (706) 868-1722 Scott, Adam 3553 Wheeler Rd, 30909 (706) 738-8070 Falls, Christopher 1631 Gordon Hwy #22, 30906 (706) 790-9302 Mackert Jr, John 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Sikes, Christy 1631 Gordon Hwy #22, 30906 (706) 790-9302 Frazier, Kevin 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Mareska, William 3802 Washington Rd, 30907 (706) 863-7642 Smith, Livingston 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Furness, Alan 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Martone, Jane 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Spratling, John 1234 Augusta West Pkwy, 30909 (706) 863-7351 Gaines, Varnell 1930 Highland Ave Ste C, 30904 (706) 738-0482 Massey, John 4424 Columbia Rd Ste D, 30907 (706) 868-1322 Spratling, John 495 Furys Ferry Rd, 30907 (706) 863-7351 Gilkey, Jacqueline 1631 Gordon Hwy #22, 30906 (706) 790-9302 Mcgahee, Dwayne 1557 Gordon Hwy Ste B, 30906 (706) 738-1711 Staeben, Eric 4424 Columbia Rd Ste D, 30907 (706) 868-1322 Godbee, Norma 118 Pleasant Home Rd, 30907 (706) 869-9966 Minyard, Michael 3553 Wheeler Rd, 30909 (706) 738-8070 Sterett, Eric 2437 Lumpkin Rd, 30906 (706) 796-6386 Goldberg, Adam 1016 Beverly Heights Dr, 30907 (706) 860-1484 Mitchell, Jan 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Sword, Rhoda 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Goldberg, Steven 1016 Beverly Heights Dr, 30907 (706) 860-1484 Moldovan, Christopher 1218 Augusta West Pkwy, 30909 (706) 860-0518 Thielke, Frederick 3643 Walton Way Ext, 30909 (706) 738-7129 Good, John 1631 Gordon Hwy #22, 30906 (706) 790-9302 Mollica Jr, Anthony 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Thomason, David 3136 Deans Bridge Rd, 30906 (706) 790-3011 Granger, Debbie 1631 Gordon Hwy #22, 30906 (706) 790-9302 Moses, Mirrial 1039 11th St, 30901 (706) 722-4008 Timmerman, Benjamin 436 Furys Ferry Rd, 30907 (706) 863-0405 Halvorsen, Robert 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Murphey, Julian 1414 Marks Church Rd, 30909 (706) 733-3866 Tom, Rodney 116 Pleasant Home Rd, 30907 (706) 868-9630 Hamilton Jr, Andrew 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Murphy, Johnny 1930 Highland Ave Ste B, 30904 (706) 738-1231 Turner, Robert 3553 Wheeler Rd, 30909 (706) 738-8070 Diversi Jr, Henry 1895 Phoenix Blvd Ste 138, 30349 (770) 996-2900 Fraser Jr, Gordon 3379 Peachtree Rd Ne Ste 850, 30326 (404) 846-9100 Frodge, Brandon 10 10th St Nw Ste 100, 30309 (404) 892-2337 Frodge, Brandon 1418 Dresden Dr #205, 30319 (404) 618-0380 Kukreja, Ashish 10 10th St Nw Ste 100, 30309 (404) 892-2337 Kukreja, Ashish 3752 Cascade Rd Sw Ste 190, 30331 (678) 836-2118 Litterer, Mark 3648 Chamblee Tucker Rd #b, 30341 (770) 939-4840 Mehraban, Ali 1720 Old Spring House Ln #315, 30338 (770) 451-7041 Moore, Yolanda 1901 Phoenix Blvd Ste 100, 30349 (770) 991-0913 Perlstein, Meyer 755 Mount Vernon Hwy Ne Ste 140, 30328 (404) 252-9911 Quinn, Michael 3330 Piedmont Rd Ne Ste 13, 30305 (404) 237-5330 Quinn, Michael 4805 Briarcliff Rd Ne Ste 104, 30345 (770) 414-9282 Scher, Aubrey 3648 Chamblee Tucker Rd #b, 30341 (770) 939-4840 Shatz, Peter 2070 S Park Pl Se Ste 200, 30339 (770) 952-5432 Shuster, Abe 999 Peachtree St Ne Ste 710, 30309 (404) 876-4867 Silverstein, Lee 2070 S Park Pl Se Ste 200, 30339 (770) 952-5432 Sweeting, Larry 1901 Phoenix Blvd Ste 100, 30349 (770) 991-0913 Viera, Yeritxa 1901 Phoenix Blvd Ste 100, 30349 (770) 991-0913 Washington, Joseph 1901 Phoenix Blvd Ste 100, 30349 (770) 991-0913 Washington, Joseph 2882 N Druid Hills Rd #a, 30329 (404) 327-4404 Washington, Joseph 600 W Peachtree St Nw Ste 750, 30308 (404) 876-7200 West, Daniel 3435 Lenox Rd Ne, 30326 (404) 325-9000 West, Daniel 80 Perimeter Center Pl Ne Bldg 2700, 30346 (678) 248-3566 Williams, Bristol 3515 Camp Creek Pkwy #80, 30344 (404) 494-3921 Williams, Bristol 7878 Roswell Rd Ste O, 30350 (404) 344-5585 Zinney, William 3365 Piedmont Rd Ne Ste 1110, 30305 (404) 237-3070 Hahn, Steven 900 Peachtree St Ne Ste 100a, 30309 (678) 321-1888 Henson, E Douglas 400 Cleveland Ave Sw, 30315 (404) 761-8455 Lafontaine, Lorraine 80 Perimeter Center Pl Ne Bldg 2700, 30346 (770) 671-0001 Wells, Syretta 10 10th St Nw Ste 100, 30309 (404) 892-2337 AUBURN General Dentists Herr, William 1310 Atlanta Hwy, 30011 (770) 339-4690 AUGUSTA General Dentists Adkins, Juanita 1162 Broad St, 30901 (706) 724-0544 Alemar, David 3128 Washington Rd Ste A, 30907 (706) 860-9882 Arnold, Randall 3553 Wheeler Rd, 30909 (706) 738-8070 Avery, David 3041 Peach Orchard Rd, 30906 (706) 798-6720 Bachand, William 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Benet-Rockefeller, Mireddy 1631 Gordon Hwy #22, 30906 (706) 790-9302 Bennett, Barry 2904 Professional Pkwy, 30907 (706) 860-0650 Bennett, Joseph 1211 W Wheeler Pkwy, 30909 (706) 210-7065 Bjur, Todd 1631 Gordon Hwy #22, 30906 (706) 790-9302 Blalock, John 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Brackett, Martha 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Brackett, William 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Braselton, J Allen 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Brittingham, Kathy 3742 Walton Way Ext, 30907 (706) 860-4190 Brooks, Tara 1631 Gordon Hwy #22, 30906 (706) 790-9302 Bundy, Emily 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Burdeaux, Billie 1930 Highland Ave Ste B, 30904 (706) 738-1231 Callan, Richard 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Callier, Karen 1631 Gordon Hwy #22, 30906 (706) 790-9302 This information is current as of September 2014 Page 11 11 of56Pages KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Vandiver, Terrence 1631 Gordon Hwy #22, 30906 (706) 790-9302 Tay, Franklin 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Cutler, Christopher 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Sananeez, Andreina 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Outlaw Jr, Herbert 3845 Medical Park Dr, 30106 (770) 739-2100 Vernon, Michael 1218 Augusta West Pkwy, 30909 (706) 860-0518 Orthodontists De Stefano, Jamie 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Siranli, Aysegul 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Pace, Michael 4750 Austell Rd, 30106 (770) 948-8888 Dent, Jeffrey 1238 Augusta West Pkwy, 30909 (706) 868-0246 Smith, Cathy 4469 Columbia Rd Ste E, 30907 (706) 860-7980 Parnes, Gary 3999 Austell Rd Ste 304, 30106 (770) 948-1111 Drisko, Connie 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Vento, Yosvany 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Procter, Nirali 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Hanes, Philip 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 AUSTELL General Dentists Sumner, Kathryn 3845 Medical Park Dr, 30106 (770) 739-2100 Hickey, Judson 2315 Central Ave Ste B, 30904 (706) 739-0071 Buggs, Keith 1678 Mulkey Rd #d, 30106 (678) 445-5444 Tang, Melanie 4750 Austell Rd, 30106 (770) 948-8888 Krishna, Ranjitha 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Cara, Yasheena 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Thomas, Tia 1133 E West Connector Ste 20, 30106 (770) 333-9961 Lee, Jaebum 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Carroll Jr, William 1620 Mulkey Rd Ste 200, 30106 (770) 941-5111 Yang, May 3845 Medical Park Dr, 30106 (770) 739-2100 Peacock, Mark 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Chong, Justin 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Yelisetty, Iryna 3845 Medical Park Dr, 30106 (770) 739-2100 Perry, David 231 Davis Rd, 30907 (706) 863-4212 Covington Jr, John 1678 Mulkey Rd #d, 30106 (678) 445-5444 Oral Surgeons Pediatric Dentists Poore, Thomas 1216 W Medical Park Rd, 30909 (706) 860-7758 Fisher-Mclin, Antonia 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Baker, Lee 1243 Augusta West Pkwy, 30909 (706) 855-8989 Powell, James 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Gardner, Richard 4750 Austell Rd, 30106 (770) 948-8888 Brantley, David 1234 Augusta West Pkwy, 30909 (706) 863-7351 Stern, Jacob 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Hailey, Anisa 4760 Austell Rd Ste 2, 30106 (770) 941-9995 Brantley, David 495 Furys Ferry Rd, 30907 (706) 863-7351 Susin, Cristiano 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Hanjrah, Jasmine 1678 Mulkey Rd #d, 30106 (678) 445-5444 Hanes, Carole 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Wikesjo, Ulfme 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Harandi-Fassih, Ali 3845 Medical Park Dr, 30106 (770) 739-2100 Prosthodontists Harmon, Tom 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Ware, James 1631 Gordon Hwy #22, 30906 (706) 790-9302 Webb, David 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Westmoreland, William 2504 Peach Orchard Rd, 30906 (706) 798-8300 Williams, Tyjuan 4045 Jimmy Dyess Pkwy #103, 30909 (706) 868-4200 Wilson, Steven 4059 Columbia Rd, 30907 (706) 863-9445 Wright, Andrew 3041 Peach Orchard Rd, 30906 (706) 798-6720 Young, Nancy 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Zohra, Fatima 1414 Marks Church Rd, 30909 (706) 738-6735 Oral Surgeons Abdelsayed, Rafik 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Bakeman, Richard 1222 George C Wilson Dr, 30909 (706) 868-9500 D'arco, Samuel 3736 Walton Way Ext, 30907 (706) 228-3100 Ellis, Terry 1244 Augusta West Pkwy, 30909 (706) 855-7220 Faircloth, David 1222 George C Wilson Dr, 30909 (803) 642-0020 Ferguson, Henry 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Hunter, Allison 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Kao, Solon 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Robles-Velez, Jennibeth 1222 George C Wilson Dr, 30909 (803) 642-0020 Salgueiro, Martin 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Sidow, Boris 3634 Wheeler Rd, 30909 (706) 860-8228 Stern, Ilanit 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Stevens, Mark 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Andrews Ii, Lee 3545 Wheeler Rd, 30909 (706) 733-1182 Bercowski, Daniel 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Crawford, Robert 499 Furys Ferry Rd, 30907 (706) 860-2200 Deleon, Eladio 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Fortson, Weston 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Marshall, Aksana 456 Furys Ferry Rd, 30907 (803) 613-0122 Rogers, Michael 3545 Wheeler Rd, 30909 (706) 733-1182 Stockstill, John 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Trotter, T Barrett 525 Pleasant Home Rd, 30907 (706) 860-2442 Hill, Jennifer 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Hughes, Kelly 1243 Augusta West Pkwy, 30909 (706) 855-8989 Hughes, Kelly 495 Furys Ferry Rd, 30907 (706) 863-7351 Katcoff, Irwin 1234 Augusta West Pkwy, 30909 (706) 863-7351 Katcoff, Irwin 495 Furys Ferry Rd, 30907 (706) 863-7351 Miller, Phillip 104 Kings Chapel Rd, 30907 (706) 860-2244 Moses, Tina 1240 Augusta West Pkwy, 30909 (706) 863-6262 Rockman, Roy 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Abreu-Serrano, Amara 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Baker, Philip 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Chiche, Gerard 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Guinn Iii, John 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Haeberle, Clarence 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Ivan, Oana 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Kim, Jae Seon 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Lefebvre, Carol 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Endodontists Schafer, Tara 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Bergeron, Brian 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Utermark, Barbara 4469 Columbia Rd Ste B, 30907 (706) 860-5884 Roberts, Steven 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Wilson, Antionette 1631 Gordon Hwy #22, 30906 (706) 790-9302 Sayer, Jason 1215 George C Wilson Dr Ste 1, 30909 (706) 869-9919 Periodontists Myers, Michael 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Arce Munoz, Roger 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Pannu, Darshanjit 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Basquill, Patrick 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Plummer, Kevin 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Susin, Lisiane 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 This information is current as of September 2014 Londono, Jimmy 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Metzler, Kurt 1430 John Wesley Gilbert Dr, 30912 (706) 721-9633 Page 12 Bagheri, Shahrokh 3845 Medical Park Dr, 30106 (770) 739-2100 Digumarthi, Hari 3845 Medical Park Dr, 30106 (770) 739-2100 Etezadi-Tabrizi, Abtin 1790 Mulkey Rd Ste 3a, 30106 (770) 941-2476 Patel, Piyushkumar 3845 Medical Park Dr, 30106 (770) 739-2100 Treadway, Antwan 1790 Mulkey Rd Ste 3a, 30106 (770) 941-2476 Young, Justin 1790 Mulkey Rd Ste 3a, 30106 (770) 941-2476 Orthodontists Hendricks, Tarem 2495 E West Connector, 30106 (678) 384-1020 Berwick, Jennifer 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Hopper, Terry 1680 Mulkey Rd Ste A, 30106 (770) 944-3737 Clower, Thomas 1595 Mulkey Rd, 30106 (770) 948-1000 Jackson, Arlita 1790 Mulkey Rd Ste 4, 30106 (770) 739-4400 Cox Jr, Stanley 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Livingston Jr, Lynn 3845 Medical Park Dr, 30106 (770) 739-2100 Hajibaik, Nima 1678 Mulkey Rd #d, 30106 (678) 445-5444 Mckellar, Christina 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Iaculli, John 1678 Mulkey Rd #d, 30106 (678) 445-5444 Mulki, Ezat 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Long, Meridith 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Nam, Kasie 1678 Mulkey Rd #d, 30106 (678) 445-5444 Nikain, Nilo 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Nguyen, Dai 3845 Medical Park Dr, 30106 (770) 739-2100 Park, Eric 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Nwadike, Darious 1025 E West Connector, 30106 (770) 319-8110 Patel, Tina 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Nwoku, Ada 3845 Medical Park Dr, 30106 (770) 739-2100 Podray, Susan 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Oh, Sandra 1678 Mulkey Rd #d, 30106 (678) 445-5444 Richard, Ryan 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Ojibway, Angela 1678 Mulkey Rd #d, 30106 (678) 445-5444 Segnere, Jeffrey 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 12 of56Pages KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Shoup, Greg 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Maru, Ami 1678 Mulkey Rd #d, 30106 (678) 445-5444 White, Adam 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Mccarley, Christie 1678 Mulkey Rd #d, 30106 (678) 445-5444 White, Javonne 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Nortick, Mariel 1678 Mulkey Rd #d, 30106 (678) 445-5444 Pediatric Dentists Park, Julius 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Allen, Nelson 1678 Mulkey Rd #d, 30106 (678) 445-5444 Asarch, Todd 1678 Mulkey Rd #d, 30106 (678) 445-5444 Brown, Shelton 1678 Mulkey Rd #d, 30106 (678) 445-5444 Buckle, Eileen 1678 Mulkey Rd #d, 30106 (678) 445-5444 Bui, Alice 1678 Mulkey Rd #d, 30106 (678) 445-5444 Camp, Laneshia 1678 Mulkey Rd #d, 30106 (678) 445-5444 Chang, Ohkyoung 1678 Mulkey Rd #d, 30106 (678) 445-5444 Cottrell, David 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Coulter, Charles 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Desouza, Sharon 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Ellington, Janet 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Halper, Christopher 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Hassan, Zeyad 1678 Mulkey Rd #d, 30106 (678) 445-5444 Haynes, Deanna 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Hejazi-Werner, Shiva 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Herrin, Brent 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Park, Suyon 1678 Mulkey Rd #d, 30106 (678) 445-5444 Pediatric Dentists Kil, Nam Eun 916 Loganville Hwy #100, 30620 (770) 867-5437 Rush, Demetris 916 Loganville Hwy #100, 30620 (770) 867-5437 BLAIRSVILLE General Dentists Kliewer, Kenneth 10 Deer Xing Trl/3431 Murphy Hwy, 30512 (706) 781-3340 BRASELTON General Dentists Hargrove, James 159 Altama Connector, 31525 (912) 264-8408 Cooney, David 6323 Grand Hickory Dr, 30517 (706) 387-0305 Hartnett, James 46 Professional Dr, 31520 (912) 264-0946 Ghalehgol, Amir 2625 Old Winder Hwy #g, 30517 (855) 343-4056 Hooper, Joanna 1515 Tillman Ave, 31520 (912) 262-0542 Grizzle David, Amy 6323 Grand Hickory Dr, 30517 (706) 387-0305 Johnson, Mark 114 Altama Connector, 31525 (912) 262-6688 Jafari, Samira 2625 Old Winder Hwy #g, 30517 (855) 343-4056 Kennedy, Michael 114 Altama Connector, 31525 (912) 262-6688 Karol, Alena 2625 Old Winder Hwy #g, 30517 (855) 343-4056 Khan, Sophia 159 Altama Connector, 31525 (912) 264-8408 Patel, Kunjan 1678 Mulkey Rd #d, 30106 (678) 445-5444 Lindow, David 10 Deer Xing Trl/3431 Murphy Hwy, 30512 (706) 781-3340 Purvis, Flynt 1678 Mulkey Rd #d, 30106 (678) 445-5444 BLAKELY General Dentists Nguyen, Mong Thu Tran 1702 Ammon Falls Ct, 30517 (770) 703-4205 Kidney, Tami 165 Juniper Cir, 31520 (912) 554-4552 Roehl, Brad 1678 Mulkey Rd #d, 30106 (678) 445-5444 Adams, Nicholas 11079 Columbia St, 39823 (229) 724-7300 Payne, Lee 5391 Highway 53 Ste 101, 30517 (706) 654-1557 Ritola, Kevin 159 Altama Connector, 31525 (912) 264-8408 Roehl, Brian 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Brooks, Charles 13762 Magnolia St, 39823 (229) 723-4111 Rada-Johnson, Tracy 5122 Highway 53, 30517 (706) 654-2492 Roberts Iii, Alfred 114 Altama Connector, 31525 (912) 262-6688 Ross, Tisha 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Brooks Jr, Charles 13762 Magnolia St, 39823 (229) 723-4111 Seibert, Christopher 2625 Old Winder Hwy #g, 30517 (855) 343-4056 Saville, Kristen 114 Altama Connector, 31525 (912) 262-6688 Sease, Joseph 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 BLUE RIDGE General Dentists Stern, Ilisa 2095 Highway 211 Nw Ste 6a, 30517 (770) 868-4288 Smith, Robert 114 Altama Connector, 31525 (912) 262-6688 Shilman, Lisa 1678 Mulkey Rd #d, 30106 (678) 445-5444 Talbot, Barbara 990 E Main St Ste 11, 30513 (706) 258-3384 Tam, Andrew 5122 Highway 53, 30517 (706) 654-2492 Tosto, Ronald 159 Altama Connector, 31525 (912) 264-8408 Simms, Mindy 1678 Mulkey Rd #d, 30106 (678) 445-5444 Oral Surgeons Oral Surgeons Coker, Neysa 21 Kimberly Ln # A, 30513 (706) 632-7801 Gardner Iii, Jess 1215 Tuscany Dr Ste A, 30517 (770) 962-2226 Willox, Angela 159 Altama Connector, 31525 (912) 264-8408 Davila, Manuel 21 Kimberly Ln # A, 30513 (706) 632-7801 Pathak, Sandeep 1215 Tuscany Dr Ste A, 30517 (770) 962-2226 Demo, Michael 21 Kimberly Ln # A, 30513 (706) 632-7801 Walker, Patrick 1215 Tuscany Dr Ste A, 30517 (770) 962-2226 Kinsey, Richard 21 Kimberly Ln # A, 30513 (706) 632-7801 Pediatric Dentists Strickland Phillips, Stephanie 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Sundareswaran, Pushpa 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Thomas Jr, Jack 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Walters, Sacha 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Washington, Keysra 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Yoo, Chin 1678 Mulkey Rd #d, 30106 (678) 445-5444 Periodontists Vandewater, Lee 21 Kimberly Ln # A, 30513 (706) 632-7801 BOGART General Dentists Ham, Jae 1040 Garland Dr Ste 200, 30622 (770) 725-7377 Hwang, Jonathan 1040 Garland Dr Ste 200, 30622 (770) 725-7377 Halper, Christopher 2695 Old Winder Hwy #100, 30517 (770) 965-2340 BREMEN General Dentists Kebriaei, Amy 1678 Mulkey Rd #d, 30106 (678) 445-5444 Adams, Nicholas 410 S West St, 39819 (229) 246-2366 You, Hanna 1040 Garland Dr Ste 200, 30622 (770) 725-7377 Kerlan, Daniel 1678 Mulkey Rd #d, 30106 (678) 445-5444 Beauchamp, David 709 E Shotwell St, 39819 (229) 246-5081 Orthodontists Barker, Gary 159 Altama Connector, 31525 (912) 264-8408 Lee, Susan 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Maxwell, Jimmy 500 Amelia Ave, 39819 (229) 246-3023 Bush, Hector 4011 Atlanta Hwy, 30622 (678) 788-0511 Bordlemay, Catherine 114 Altama Connector, 31525 (912) 262-6688 Levitas, Theodore 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Walden Iii, Hilman 709 E Shotwell St, 39819 (229) 246-5081 Kubala, Louis 4011 Atlanta Hwy, 30622 (678) 788-0511 Brooks, Thomas 1515 Tillman Ave, 31520 (912) 262-0542 Pediatric Dentists Lucas, Cleoka 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 BETHLEHEM General Dentists Brown Iii, Joseph 114 Altama Connector, 31525 (912) 262-6688 Madhiwala, Priya 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Dinh, To Nga 916 Loganville Hwy #100, 30620 (770) 867-5437 This information is current as of September 2014 Bain, Brian 429 Mitchell Ave, 30108 (770) 258-5516 Page 13 Hall, Jennifer 17 Professional Dr Ste 100, 31520 (912) 264-6420 Orthodontists Pediatric Dentists BAINBRIDGE General Dentists Malhotra, Menka 1678 Mulkey Rd #d, 30106 (678) 445-5444 Carson Jr, Daniel 114 Altama Connector, 31525 (912) 262-6688 Richie, Stephen 107 Valley Run Dr, 30110 (770) 537-4446 Hutchins, Allen 1678 Mulkey Rd #d, 30106 (678) 445-5444 BOWDON General Dentists Oral Surgeons Sardo, Mark 2323 Parkwood Dr, 31520 (912) 265-7193 Mehraban, Ali 3845 Medical Park Dr, 30106 (770) 739-2100 Freedman, Bret 4011 Atlanta Hwy, 30622 (678) 788-0511 Wilson, John 1515 Tillman Ave, 31520 (912) 262-0542 Blank, Stephen 302 Laurel St, 30110 (770) 537-4439 Holder, Terry 1678 Mulkey Rd Ste D, 30106 (678) 445-5444 Kim, Mi 1040 Garland Dr Ste 200, 30622 (770) 725-7377 Wilson, Heather 1515 Tillman Ave, 31520 (912) 262-0542 Williams Jr, Harry 302 Laurel St, 30110 (770) 537-4439 BRUNSWICK General Dentists Chike, Gary 1515 Tillman Ave, 31520 (912) 262-0542 Gupta, Deepak 114 Altama Connector, 31525 (912) 262-6688 13 of56Pages Patel, Anjali 159 Altama Connector, 31525 (912) 264-8408 Perez, Celestino 114 Altama Connector, 31525 (912) 262-6688 BUENA VISTA General Dentists Mclaurin, Dwight 365 Geneva Rd, 31803 (706) 596-1895 Mclaurin, Scott 365 Geneva Rd, 31803 (706) 596-1895 BUFORD General Dentists Abes, Marshall 3290 Buford Dr, 30519 (678) 546-3700 Brown, Alla 5328 Lanier Islands Pkwy #200, 30518 (678) 714-9199 Buggs, Keith 4125 Buford Dr Ste U, 30518 (770) 692-1000 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Cara, Yasheena 4125 Buford Dr Ste U, 30518 (770) 692-1000 Mckellar, Christina 4125 Buford Dr Ste U, 30518 (770) 692-1000 Whitworth, Sterling 4520 Nelson Brogdon Blvd, 30518 (770) 945-2119 Carter Iv, James 4520 Nelson Brogdon Blvd, 30518 (770) 945-2119 Mckenzie, Scott 3700 Ridge Rd Ste A, 30519 (678) 714-7541 Yelisetty, Iryna 4520 Nelson Brogdon Blvd, 30518 (770) 945-2119 Chatman, Lisa 3290 Buford Dr, 30519 (678) 248-6251 Meyer, Brittany 3331 Hamilton Mill Rd, 30519 (678) 541-0770 Oral Surgeons Brown, Shelton 4125 Buford Dr Ste U, 30518 (770) 692-1000 Chong, Justin 4125 Buford Dr Ste U, 30518 (770) 692-1000 Mitrofan, Paul 3300 Hamilton Mill Rd Ste 106, 30519 (678) 714-0110 Belinfante, Erik 4749 Nelson Brogdon Blvd, 30518 (770) 932-7726 Buckle, Eileen 4125 Buford Dr Ste U, 30518 (770) 692-1000 Clepper, Gregory 3331 Hamilton Mill Rd, 30519 (678) 541-0770 Mulki, Ezat 4125 Buford Dr Ste U, 30518 (770) 692-1000 Biederman Jr, George 1400 Buford Hwy Ste T1, 30518 (770) 945-1080 Camp, Laneshia 4125 Buford Dr Ste U, 30518 (770) 692-1000 Covington Jr, John 4125 Buford Dr Ste K, 30518 (678) 445-5444 Nam, Kasie 4125 Buford Dr Ste U, 30518 (770) 692-1000 Cho, Sung 3290 Buford Dr, 30519 (678) 248-6251 Chang, Ohkyoung 4125 Buford Dr Ste K, 30518 (678) 445-5444 Davis, James 4520 Nelson Brogdon Blvd, 30518 (770) 945-2119 Nicola, Anca 3331 Hamilton Mill Rd, 30519 (678) 541-0770 Dillon, Tracy 4520 Nelson Brogdon Blvd, 30518 (770) 945-2119 Cottrell, David 4125 Buford Dr Ste U, 30518 (770) 692-1000 Devine, Tim 4300 Buford Dr Ste 7, 30518 (770) 945-4991 Ojibway, Angela 4125 Buford Dr Ste U, 30518 (770) 692-1000 Ellis, Robert 4470 Commerce Dr Ste A, 30518 (678) 714-5109 Coulter, Charles 4125 Buford Dr Ste U, 30518 (770) 692-1000 Dillon, Jennifer 3331 Hamilton Mill Rd, 30519 (678) 541-0770 Patel, Bhavik 2960 Gravel Springs Rd, 30519 (770) 945-7727 Etezadi-Tabrizi, Abtin 4749 Nelson Brogdon Blvd, 30518 (770) 932-7726 Desouza, Sharon 4125 Buford Dr Ste K, 30518 (678) 445-5444 Dunson, Melanie 3290 Buford Dr, 30519 (678) 248-6251 Patel, Nimisha 4745 Nelson Brogdon Blvd, 30518 (770) 271-4411 Gardner Iii, Jess 4470 Commerce Dr Ste A, 30518 (678) 714-5109 Ellington, Janet 4125 Buford Dr Ste U, 30518 (770) 692-1000 Egnatz Evans, Jama 1879 Buford Hwy Ste 5, 30518 (770) 945-7186 Pellegrinon, Michael 3290 Buford Dr, 30519 (678) 248-6251 Patel, Jay 4700 Nelson Brogdon Blvd Ste 220, 30518 (678) 730-2005 Halper, Christopher 4125 Buford Dr Ste K, 30518 (678) 445-5444 Fields, David 3290 Buford Dr, 30519 (678) 546-3700 Procter, Nirali 4125 Buford Dr Ste U, 30518 (770) 692-1000 Pathak, Sandeep 4470 Commerce Dr Ste A, 30518 (678) 714-5109 Halper, Christopher 4530 Nelson Brogden Blvd #a, 30518 (770) 965-2340 Fink, Royal 4271 S Lee St Ste 101, 30518 (678) 546-1500 Rezaei-Amiri, Azita 3290 Buford Dr, 30519 (678) 248-6251 Robertson, Jeannette 3290 Buford Dr, 30519 (678) 546-3700 Hassan, Zeyad 4125 Buford Dr Ste U, 30518 (770) 692-1000 Finot, James 4520 Nelson Brogdon Blvd, 30518 (770) 945-2119 Robinson, Robert 2755 Sawnee Ave, 30518 (770) 614-2427 Walker, Patrick 4470 Commerce Dr Ste A, 30518 (678) 714-5109 Haynes, Deanna 4125 Buford Dr Ste U, 30518 (770) 692-1000 Fisher-Mclin, Antonia 4125 Buford Dr Ste U, 30518 (770) 692-1000 Rosenthal, Michael 3290 Buford Dr, 30519 (678) 248-6251 Wunderle, Robert 4749 Nelson Brogdon Blvd, 30518 (770) 932-7726 Hejazi-Werner, Shiva 4125 Buford Dr Ste U, 30518 (770) 692-1000 Foster, Michael 1930 Buford Mill Dr Ste F, 30519 (770) 614-4022 Russell, Amy 3331 Hamilton Mill Rd, 30519 (678) 541-0770 Young, Justin 4749 Nelson Brogdon Blvd, 30518 (770) 932-7726 Herrin, Brent 4125 Buford Dr Ste K, 30518 (678) 445-5444 Endodontists Glover, William 4520 Nelson Brogdon Blvd, 30518 (770) 271-0070 Sadri, Mahin 3290 Buford Dr, 30519 (678) 546-3700 Johnson, Clifford 4749 Nelson Brogdon Blvd, 30518 (770) 932-5898 Holder, Terry 4125 Buford Dr Ste U, 30518 (770) 692-1000 Hamilton, Travis 3290 Buford Dr, 30519 (678) 248-6251 Schuler-Mitchell, Katrina 3290 Buford Dr, 30519 (678) 546-3700 Hanjrah, Jasmine 4125 Buford Dr Ste U, 30518 (770) 692-1000 Skognes, James 2755 Sawnee Ave, 30518 (770) 614-2427 Harmon, Tom 4125 Buford Dr Ste U, 30518 (770) 692-1000 Sol, Justin 1400 Buford Hwy Ste B4, 30518 (770) 831-0551 Helton, Timothy 4700 Nelson Brogdon Blvd Ste 220, 30518 (678) 730-2005 Soltis, Jozef 3290 Buford Dr, 30519 (678) 248-6251 Jacobs, Dustin 1930 Buford Mill Dr Ste F, 30519 (770) 614-4022 Thaiya, Christine 3290 Buford Dr, 30519 (678) 546-3700 Kim, Joyce 4520 Nelson Brogdon Blvd, 30518 (770) 945-2119 Tranh, Vinh 4271 S Lee St Ste 101, 30518 (678) 546-1500 Kinard, Brian 3290 Buford Dr, 30519 (678) 248-6251 Vancil, Brian 3276 Buford Dr Ste 101, 30519 (678) 714-6343 Leavitt, John 3290 Buford Dr, 30519 (678) 248-6251 Vu, Galang 6025 Cumming Hwy #610, 30518 (678) 482-5170 Lin, Chan 4271 S Lee St Ste 101, 30518 (678) 546-1500 Wadley, Lechandre 3290 Buford Dr, 30519 (678) 248-6251 Lipham, Steven 4125 Buford Dr Ste K, 30518 (678) 445-5444 Waits, Vicki 2755 Sawnee Ave, 30518 (770) 614-2427 Masek, Henry 3290 Buford Dr, 30519 (678) 248-6251 Washington, Melvin 4965 Lanier Islands Pkwy #105, 30518 (770) 831-0559 This information is current as of September 2014 Pediatric Dentists Allen, Nelson 4125 Buford Dr Ste U, 30518 (770) 692-1000 Park, Julius 4125 Buford Dr Ste U, 30518 (770) 692-1000 Park, Suyon 4125 Buford Dr Ste U, 30518 (770) 692-1000 Patel, Kunjan 4125 Buford Dr Ste U, 30518 (770) 692-1000 Purvis, Flynt 4125 Buford Dr Ste U, 30518 (770) 692-1000 Roehl, Brad 4125 Buford Dr Ste U, 30518 (770) 692-1000 Roehl, Brian 4125 Buford Dr Ste U, 30518 (770) 692-1000 Ross, Tisha 4125 Buford Dr Ste U, 30518 (770) 692-1000 Sease, Joseph 4125 Buford Dr Ste U, 30518 (770) 692-1000 Shilman, Lisa 4125 Buford Dr Ste K, 30518 (678) 445-5444 Simms, Mindy 4125 Buford Dr Ste U, 30518 (770) 692-1000 Strickland Phillips, Stephanie 4125 Buford Dr Ste U, 30518 (770) 692-1000 Sundareswaran, Pushpa 4125 Buford Dr Ste K, 30518 (678) 445-5444 Thomas Jr, Jack 4125 Buford Dr Ste U, 30518 (770) 692-1000 Walters, Sacha 4125 Buford Dr Ste U, 30518 (770) 692-1000 Washington, Keysra 4125 Buford Dr Ste U, 30518 (770) 692-1000 Yoo, Chin 4125 Buford Dr Ste U, 30518 (770) 692-1000 Periodontists Orthodontists Holder, Terry 4700 Nelson Brogdon Blvd Ste 220, 30518 (678) 730-2005 Baek, Orson 3290 Buford Dr, 30519 (678) 546-3700 Berwick, Jennifer 4125 Buford Dr Ste U, 30515 (770) 448-8882 Hutchins, Allen 4125 Buford Dr Ste K, 30518 (678) 445-5444 Chong, Woojae 3290 Buford Dr, 30519 (678) 248-6251 Cox Jr, Stanley 4125 Buford Dr Ste U, 30515 (770) 448-8882 Kebriaei, Amy 4125 Buford Dr Ste K, 30518 (678) 445-5444 Mehraban, Ali 4520 Nelson Brogdon Blvd, 30518 (770) 945-2119 Dempsey, Meredith 4330 S Lee St Ste 500, 30518 (770) 271-0833 Kerlan, Daniel 4125 Buford Dr Ste K, 30518 (678) 445-5444 Zinney, William 4520 Nelson Brogdon Blvd, 30518 (770) 945-2119 Lofters, David 3290 Buford Dr, 30519 (678) 546-3700 Lee, Susan 4125 Buford Dr Ste U, 30518 (770) 692-1000 Prosthodontists Long, Meridith 4125 Buford Dr Ste U, 30515 (770) 448-8882 Levitas, Theodore 4125 Buford Dr Ste U, 30518 (770) 692-1000 Park, Eric 4125 Buford Dr Ste U, 30515 (770) 448-8882 Lucas, Cleoka 4125 Buford Dr Ste U, 30518 (770) 692-1000 Phelan, Michael 4330 S Lee St Ste 500, 30518 (770) 271-0833 Madhiwala, Priya 4125 Buford Dr Ste U, 30518 (770) 692-1000 Podray, Susan 4125 Buford Dr Ste U, 30515 (770) 448-8882 Malhotra, Menka 4125 Buford Dr Ste U, 30518 (770) 692-1000 Salyer, Hyman 3290 Buford Dr, 30519 (678) 248-6251 Maru, Ami 4125 Buford Dr Ste U, 30518 (770) 692-1000 Segnere, Jeffrey 4125 Buford Dr Ste U, 30515 (770) 448-8882 Mccarley, Christie 4125 Buford Dr Ste U, 30518 (770) 692-1000 White, Adam 4125 Buford Dr Ste U, 30515 (770) 448-8882 Nortick, Mariel 4125 Buford Dr Ste K, 30518 (678) 445-5444 Page 14 14 of56Pages Luperon, Bolivar 2725 Hamilton Mill Rd Ste 700, 30519 (770) 932-8577 CAIRO General Dentists Brown, Lumis 240 S Broad St, 39828 (229) 377-6125 Harrison, Lonnie 80 Alton Hall Rd, 39828 (229) 377-1350 Miller, Lavendra 220 1st Street Se, 39828 (229) 397-7700 CALHOUN General Dentists Ku, Shireen 115 Laurel Creek Rd Se, 30701 (706) 629-6100 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Mereddy, Ravi Prakash 908 Red Bud Rd Ne, 30701 (706) 629-8822 Langford, Carren 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Self, David 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Nath, Vishant 3395 Sixes Rd Ste 140, 30114 (770) 720-0079 Vautin, David 119 E Center St, 30117 (770) 832-1311 Parmiter, Scott 908 Red Bud Rd Ne, 30701 (706) 629-8822 Lauderdale, Candace 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Shaw, Dewayne 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Walls, H Paul 601 Dixie St, 30117 (770) 832-6123 Rotowa, Olanrewaju 136 W Belmont Dr Ste 4, 30701 (404) 547-6986 Law, Kallie 205 Waleska Rd Ste 2a, 30114 (770) 479-3713 Shim, Young 12875 Cumming Hwy Ste 101, 30115 (678) 845-0366 Nia, Azi 150 Prominence Point Pkwy Ste 600, 30114 (770) 479-9999 Songer, Mark 105 Professional Ct Se, 30701 (706) 629-3233 Lee, Brian 6199 Hickory Flat Hwy Ste 130, 30115 (770) 213-8166 Shorr, James 12875 Cumming Hwy Ste 101, 30115 (678) 845-0366 Oral Surgeons Lee, Katherine 6199 Hickory Flat Hwy Ste 130, 30115 (770) 213-8166 Shrestha, Ansana 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Lewis, Elizabeth 7768 Cumming Hwy Ste 100, 30115 (678) 493-2204 Smith, Benjamin 147 Reinhardt College Pkwy Ste 10, 30114 (770) 345-3051 Linkous, Ruximar 218 Riverstone Dr, 30114 (770) 479-3846 Smith, Maurice 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Lisin-Queen, Natasha 6615 Hickory Flat Hwy #100, 30115 (678) 383-4948 Swords Iii, Edwin 205 Waleska Rd Ste 2a, 30114 (770) 479-3713 Lloyd, Vincent 132 Riverstone Ter Ste 100, 30114 (770) 720-3280 Syed, Hasan 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Logue, Carrie 3395 Sixes Rd Ste 140, 30114 (770) 720-0079 Thornton, Sarah 6615 Hickory Flat Hwy #100, 30115 (678) 383-4948 Martindale, Mark 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Watson, Devon 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Mccann, Katie 1425 Riverstone Pkwy #200, 30114 (770) 479-0600 Oral Surgeons Blair, Henry 100 Wright Ct Ne, 30701 (706) 629-5200 Chung, Billy 216 Newtown Rd Ne, 30701 (706) 602-2296 Etezadi-Tabrizi, Abtin 100 Wright Ct Ne, 30701 (706) 629-5200 Wunderle, Robert 100 Wright Ct Ne, 30701 (706) 629-5200 Young, Justin 100 Wright Ct Ne, 30701 (706) 629-5200 CANTON General Dentists Andu, Liska 1425 Riverstone Pkwy #200, 30114 (770) 479-0600 Chowdhury, Kamran 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Cox, Kelle 3395 Sixes Rd Ste 140, 30114 (770) 720-0079 Cox, Louis 3682 Sixes Rd, 30114 (770) 704-1812 Ebid, Fady 6615 Hickory Flat Hwy #100, 30115 (678) 383-4948 Edwards, Joi 6615 Hickory Flat Hwy #100, 30115 (678) 383-4948 Elkasrawy, Moataz 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Esfandiarinia, Nadia 218 Riverstone Dr, 30114 (770) 479-3846 Fritz, Brenda 104 Prominence Point Pkwy, 30114 (770) 345-2551 Goch, Mark 230 Riverstone Pkwy Ste A, 30114 (440) 479-9425 Granger, Debbie 6615 Hickory Flat Hwy #100, 30115 (678) 383-4948 Harfoush, Nael 6615 Hickory Flat Hwy #100, 30115 (678) 383-4948 Hutchins, Stephen 218 Riverstone Dr, 30114 (770) 479-3846 Johnson, Nicholas 2920 Marietta Hwy #146, 30114 (770) 704-6987 Kemp, David 1425 Riverstone Pkwy #200, 30114 (770) 479-0600 Klausmeyer, William 327 Heights Pl, 30114 (770) 479-1444 Koagel, Anthony 104 Prominence Point Pkwy #102, 30114 (770) 704-6987 Koagel, Anthony 2920 Marietta Hwy #146, 30114 (770) 704-6987 Merritt, Scott 3682 Sixes Rd, 30114 (770) 704-1812 Moghadam, Poya 1810 Cumming Hwy Ste 900, 30115 (678) 880-0087 Mottley, Alvin 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Parekh, Chintan 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Parker, Lauren 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Patel, Haren 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Patel, Ravi 3237 Sixes Rd, 30114 (770) 450-1689 Peters, Kimberly 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Carey, John 4508 Holly Springs Pkwy Ste 1, 30115 (770) 345-8118 Etezadi-Tabrizi, Abtin 201 Oakside Ln Ste B, 30114 (770) 479-9545 Levy, Steven 201 Oakside Ln Ste B, 30114 (770) 479-9545 Mcghee, Robert 201 Oakside Ln Ste B, 30114 (770) 479-9545 Mcghee Jr, Barton 201 Oakside Ln Ste B, 30114 (770) 479-9545 Piccione, Michael 1425 Riverstone Pkwy #200, 30114 (770) 479-0600 Waksor, Adam 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Young, Justin 201 Oakside Ln Ste B, 30114 (770) 479-9545 Endodontists Phelps, John 205 Waleska Rd Ste 2a, 30114 (770) 479-3713 Koagel, Susan 104 Prominence Point Pkwy #102, 30114 (770) 704-6987 Phelps, Kimberly 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Koagel, Susan 2920 Marietta Hwy #146, 30114 (770) 704-6987 Phelps, Stephen 205 Waleska Rd Ste 2a, 30114 (770) 479-3713 Woo, Nelson 4508 Holly Springs Pkwy Ste 2, 30115 (770) 213-1726 Phung, Nicholas 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 Orthodontists Ridley, Laura 2920 Marietta Hwy #146, 30114 (770) 704-6987 Russell, Andrea 8014 Cumming Hwy Ste 401, 30115 (770) 345-2010 Russell, Dirk 8014 Cumming Hwy Ste 401, 30115 (770) 345-2010 Sales, Joseph 2030 Cumming Hwy Ste 110, 30115 (404) 974-9000 This information is current as of September 2014 Nia, Farshid 150 Prominence Point Pkwy Ste 600, 30114 (770) 479-9999 Patel, Alpesh 12420 Cumming Hwy #306, 30115 (678) 947-3600 Smith, Gerald 3755 Sixes Rd Ste 200, 30114 (678) 905-0300 Ponugoti, Asha 3395 Sixes Rd Ste 140, 30114 (770) 720-0079 Trotter, Leigh Ann 12420 Cumming Hwy #306, 30115 (678) 947-3600 Vahid, Banafsheh 3395 Sixes Rd Ste 140, 30114 (770) 720-0079 CARROLLTON General Dentists Afzal, Afsheen 775 South Park St #101, 30117 (678) 839-0031 Balega, Peter 535 Newnan St, 30117 (770) 834-6663 Chang, Jamey 1111 Bankhead Hwy, 30117 (770) 744-1832 Chowdhury, Kamran 1382 S Park St, 30117 (770) 214-1567 Elkasrawy, Moataz 1382 S Park St, 30117 (770) 214-1567 Langford, Carren 1382 S Park St, 30117 (770) 214-1567 Lauderdale, Candace 1382 S Park St, 30117 (770) 214-1567 Martindale, Mark 1382 S Park St, 30117 (770) 214-1567 Mottley, Alvin 1382 S Park St, 30117 (770) 214-1567 Parekh, Chintan 1382 S Park St, 30117 (770) 214-1567 Parker, Lauren 1382 S Park St, 30117 (770) 214-1567 Patel, Haren 1382 S Park St, 30117 (770) 214-1567 Peters, Kimberly 1382 S Park St, 30117 (770) 214-1567 Phelps, Kimberly 1382 S Park St, 30117 (770) 214-1567 Phung, Nicholas 1382 S Park St, 30117 (770) 214-1567 Prather, James 831 Dixie St, 30117 (770) 832-9668 Riley, David 523 Tanner St, 30117 (770) 832-2846 Sales, Joseph 1382 S Park St, 30117 (770) 214-1567 Shaw, Dewayne 1382 S Park St, 30117 (770) 214-1567 Shrestha, Ansana 1382 S Park St, 30117 (770) 214-1567 Pediatric Dentists Smith, Maurice 1382 S Park St, 30117 (770) 214-1567 Chaudhary, Shafaq 3395 Sixes Rd Ste 140, 30114 (770) 720-0079 Syed, Hasan 1382 S Park St, 30117 (770) 214-1567 Page 15 15 of56Pages Watson, Devon 1382 S Park St, 30117 (770) 214-1567 Oral Surgeons Liposky, Richard 535 Newnan St, 30117 (770) 834-6663 Waksor, Adam 1382 S Park St, 30117 (770) 214-1567 Orthodontists Bush, Hector 1109 S Park St, 30117 (678) 788-0511 Kubala, Louis 1109 S Park St, 30117 (678) 788-0511 Pediatric Dentists Freedman, Bret 1109 S Park St, 30117 (678) 788-0511 CARTERSVILLE General Dentists Acuff, Cliff 300 Walnut Grove Rd Se, 30120 (770) 382-8556 Adamson, Nikole 100 Courtyard Dr Se, 30120 (770) 382-5678 Eberhard, Paul 99 Mockingbird Dr, 30120 (770) 386-3908 Ellington, Kent 509 N Tennessee St Ste 107, 30120 (678) 387-2783 Fitzgerald, Mark 100 Courtyard Dr Se, 30120 (770) 382-5678 Galvez, Margarita 509 N Tennessee St Ste 107, 30120 (678) 387-2783 Ganupur, Supriya 22 Felton Pl Ste A, 30120 (770) 387-4354 Jeon, Philip 509 N Tennessee St Ste 107, 30120 (678) 387-2783 Lauderdale, Candace 215 Cherokee Place, 30121 (770) 387-1618 Lee Ii, Michael 650 Henderson Dr Ste 205, 30120 (678) 792-3012 Lim, Denny 328 E Main St #102, 30120 (770) 627-5358 Lim, Kimberly 328 E Main St #102, 30120 (770) 627-5358 Lim, Tony 328 E Main St #102, 30120 (770) 627-5358 Lipham, Steven 509 N Tennessee St Ste 107, 30120 (678) 387-2783 Martin, Maureen 767 West Ave Ste A, 30120 (770) 606-8889 Montes-Sabino, Angelica 5355 Highway 20 Ne, 30121 (770) 382-1111 Obeid, Fadi 109 E Church St, 30120 (770) 382-1215 Obeid, Fadi 5355 Highway 20 Ne, 30121 (770) 382-1111 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Parekh, Chintan 215 Cherokee Pl, 30121 (770) 387-1618 Park, Eric 11 Bowen Ct, 30120 (770) 448-8882 CENTERVILLE General Dentists Baron, Carlos 4401 Armour Rd, 31904 (706) 576-6556 Kim, Jennifer 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Patel, Haren 215 Cherokee Place, 30121 (770) 387-1618 Podray, Susan 11 Bowen Ct, 30120 (770) 448-8882 Noel, Denise 618 N Houston Lake Blvd, 31028 (478) 953-6554 Bassett, Ashley 2400a Double Churches Rd, 31909 (706) 596-1876 Kim, Yeonjoo 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Perez-Irizarry, Jose 509 N Tennessee St Ste 107, 30120 (678) 387-2783 Segnere, Jeffrey 11 Bowen Ct, 30120 (770) 448-8882 CHATSWORTH General Dentists Berard, Leo 2900 Manchester Expy, 31909 (706) 322-5418 King, Jeffery 1846 Warm Springs Rd, 31904 (706) 322-6551 Peters, Kimberly 215 Cherokee Pl, 30121 (770) 387-1618 White, Adam 11 Bowen Ct, 30120 (770) 448-8882 Downey, Shane 221 N 4th Ave, 30705 (706) 695-8318 Blount, Jimmy 6783 Veterans Pkwy, 31909 (706) 321-3909 King, Shaunta 1600 Fort Benning Rd, 31903 (706) 322-9599 Pittman, Bobby 509 N Tennessee St Ste 107, 30120 (678) 387-2783 Pediatric Dentists Hendrix, Kimberly 221 N 4th Ave, 30705 (706) 695-8318 Carpenter Jr, Robert 1901 Warm Springs Rd, 31904 (706) 660-9848 Kowan, Ronald 1218 Peacock Ave, 31906 (706) 327-2143 CHICKAMAUGA General Dentists Caves, Samuel 5900 River Rd Ste 302, 31904 (706) 571-0079 Langford, Carren 6783 Veterans Pkwy, 31909 (706) 321-3909 Chowdhury, Kamran 6783 Veterans Pkwy, 31909 (706) 321-3909 Largeman, Joseph 3830 Rosemont Dr, 31904 (706) 322-6581 Collier, Taylor 6801 River Rd Ste 200, 31904 (706) 494-2844 Lauderdale, Candace 6783 Veterans Pkwy, 31909 (706) 321-3909 Cook, Cathy 2751 Warm Springs Rd #b, 31904 (706) 689-2905 Leerssen, Darcy 1846 Warm Springs Rd, 31904 (706) 322-6551 Cryer, Linkston 3311 Gentian Blvd, 31907 (706) 563-0327 Lockhart, Laretha 1435 54th St Ste 100a, 31904 (706) 507-9132 Curry, Shonna 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Maholick, James 7290 N Lake Dr Ste 505, 31909 (706) 494-1200 Denamur, William 2326 Warm Springs Rd Ste A, 31904 (706) 324-1415 Marable, Henry 1600 Fort Benning Rd, 31903 (706) 322-9599 Dermer, Saul 1324 Wynnton Ct, 31906 (706) 324-6578 Martindale, Mark 6783 Veterans Pkwy, 31909 (706) 321-3909 Dyer, Celia 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Mclaurin, Dwight 2200 Rosemont Dr, 31904 (706) 596-1895 Edge, Lizzette 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Mclaurin, Scott 2200 Rosemont Dr, 31904 (706) 596-1895 Elkasrawy, Moataz 6783 Veterans Pkwy, 31909 (706) 321-3909 Mian, Alia 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Fernandez Jr, Edmidio 3408 University Ave Ste E, 31907 (706) 323-2775 Miller, Christopher 2514 Warm Springs Rd, 31904 (706) 324-6441 Fink, William 3918 Rosemont Dr, 31904 (706) 322-6532 Mottley, Alvin 6783 Veterans Pkwy, 31909 (706) 321-3909 Freeman-Jackson, Cheryl 2206 Francis St, 31906 (706) 653-7057 Muigai, Paul 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Garvey, Soyini 1600 Fort Benning Rd, 31903 (706) 322-9599 Murrell, Marlon 3408 University Ave Ste B, 31907 (706) 563-5516 Grider, Donald 5256 Armour Rd # 1b, 31904 (706) 653-7668 Myers, Tyler 2418 Capstone Ct, 31909 (706) 507-0606 Ham, Jae 2501 Whittlesey Blvd Ste B, 31909 (706) 257-7374 Narde, Joseph 7189 Moon Rd, 31909 (706) 327-3364 Hamilton, Travis 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Obebe, Dayo 7209 Moon Rd, 31909 (706) 243-3000 Hwang, Jonathan 2501 Whittlesey Blvd Ste B, 31909 (706) 257-7374 Oneal, Michael 2514 Warm Springs Rd, 31904 (706) 324-6441 Jenkins, Joshua 2050 Warm Springs Rd, 31904 (706) 327-4513 Osunfisan, Olubunmi 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Joyce, Janice 5605 Princeton Ave Ste B, 31904 (706) 323-8811 Parekh, Chintan 6783 Veterans Pkwy, 31909 (706) 321-3909 Keller, Matthew 4405 N Stadium Drive Ste B, 31909 (706) 225-0444 Parker, Lauren 6783 Veterans Pkwy, 31909 (706) 321-3909 Kim, Eugene 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Parker, Thomas 3408 University Ave Ste B, 31907 (706) 563-5516 Sabbagh, Imad 509 N Tennessee St Ste 107, 30120 (678) 387-2783 Slocum, Elizabeth 179 Pine Grove Rd Ste A, 30120 (770) 387-0750 Smith, Benjamin 109 E Church St, 30120 (770) 382-1215 Smith, James 100 Courtyard Dr Se, 30120 (770) 382-5678 Thomas, Carolyn 509 N Tennessee St Ste 107, 30120 (678) 387-2783 Thomas, Steven 109 E Church St, 30120 (770) 382-1215 Thornton, Neely 509 N Tennessee St Ste 107, 30120 (678) 387-2783 Watson, Devon 215 Cherokee Place, 30121 (770) 387-1618 Wise, Karen 22 Felton Pl, 30120 (770) 387-1277 Bittinger, Carlla 16 Felton Pl Unt B, 30120 (770) 382-3536 Buckle, Eileen 16 Felton Pl Unt B, 30120 (770) 382-3536 Burgess, Myeasha 509 N Tennessee St Ste 107, 30120 (678) 387-2783 Choi, Eunis 16 Felton Pl Unt B, 30120 (770) 382-3536 Dominique, Paul 16 Felton Pl Unt B, 30120 (770) 382-3536 Hejazi-Werner, Shiva 16 Felton Pl Unt B, 30120 (770) 382-3536 Johnson, Christian 16 Felton Pl Unt B, 30120 (770) 382-3536 Lopyan, Rochelle 16 Felton Pl Unt B, 30120 (770) 382-3536 Obebe, Akindeko 509 N Tennessee St Ste 107, 30120 (678) 387-2783 Oral Surgeons Shealy Jr, James 16 Felton Pl Unt B, 30120 (770) 382-3536 Blair, Henry 12 Bowen Ct, 30120 (770) 382-6567 Smith, Gia 16 Felton Pl Unt B, 30120 (770) 382-3536 Etezadi-Tabrizi, Abtin 12 Bowen Ct, 30120 (770) 382-6567 Turner, Jason 509 N Tennessee St Ste 107, 30120 (678) 387-2783 Mcghee Jr, Barton 12 Bowen Ct, 30120 (770) 382-6567 Yoda-Blackburn, Kyoko 16 Felton Pl Unt B, 30120 (770) 382-3536 Middleton, Charles 100 Courtyard Dr Se, 30120 (770) 382-5678 Periodontists Waksor, Adam 215 Cherokee Place, 30121 (770) 387-1618 Whitesides, Lee 509 N Tennessee St Ste 107, 30120 (678) 387-2783 Wunderle, Robert 12 Bowen Ct, 30120 (770) 382-6567 Young, Justin 970 Joe Frank Harris Pkwy Se, 30120 (770) 382-6567 Fletcher Iii, Robert 13 Bowen Ct, 30120 (770) 386-2346 CEDARTOWN General Dentists Gandy, David 109 East Ave, 30125 (770) 748-7736 Ho, Nhi 109 East Ave, 30125 (770) 748-7736 Orthodontists Le, Ha 109 East Ave, 30125 (770) 748-7736 Bennett, William 509 N Tennessee St Ste 107, 30120 (678) 387-2783 Lee, Michael 109 East Ave, 30125 (770) 748-7736 Berwick, Jennifer 11 Bowen Ct, 30120 (770) 448-8882 Palatini Jr, Gerald 113 Plantation Ave # A, 30125 (770) 748-2622 Cox Jr, Stanley 11 Bowen Ct, 30120 (770) 448-8882 Still, Hope 109 East Ave, 30125 (770) 748-7736 Elchahal, Alec 509 N Tennessee St Ste 107, 30120 (678) 387-2783 Willis, Terri 113 Plantation Ave # A, 30125 (770) 748-2622 Long, Meridith 11 Bowen Ct, 30120 (770) 448-8882 Willis, Terri 224 S College St, 30125 (678) 901-3112 This information is current as of September 2014 Graydon, Douglas 107 Gordon St, 30707 (706) 375-3621 CLARKESVILLE General Dentists Boling, Regina 5332 Highway 115 Ste A, 30523 (706) 754-3215 CLARKSTON General Dentists Harrison, Calvert 3700 Market St Ste A2, 30021 (404) 296-8877 Phan, Vanessa 3596 W Hill St, 30021 (404) 499-2216 CLAXTON General Dentists Lasala, Paul 101 Daniel St, 30417 (912) 739-4313 CLERMONT Orthodontists Cannon, James 5297 Cleveland Hwy, 30527 (770) 983-7633 CLEVELAND General Dentists Cochran, Sean 3777 Highway 129 S, 30528 (706) 219-0033 Cox, Bradley 3777 Highway 129 S, 30528 (706) 219-0033 COLQUITT General Dentists Grimsley, Joseph 115 N Cuthbert St, 39837 (229) 758-3345 Kikel, Robert 505 N Cuthbert St, 39837 (229) 758-2127 Lane, Robert 115 N Cuthbert St, 39837 (229) 758-3345 COLUMBUS General Dentists Adams, Gerald 5605 Princeton Ave Ste B, 31904 (706) 323-8811 Adams, Matthew 5605 Princeton Ave Ste B, 31904 (706) 323-8811 Arnold, Joseph 1604 12th St, 31906 (706) 327-0337 Avant, John 2050 Warm Springs Rd, 31904 (706) 327-4513 Page 16 16 of56Pages KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Patel, Haren 6783 Veterans Pkwy, 31909 (706) 321-3909 Moeller, Donald 2300 Manchester Expy Ste H203, 31904 (706) 323-1852 Patterson, Roosevelt 7413 Whitesville Rd, 31904 (706) 256-1312 Robertson, Jeannette 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Pessoa, Jodi-anne 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Ryan, Robert 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Peters, Kimberly 6783 Veterans Pkwy, 31909 (706) 321-3909 Scuba, John 4405 N Stadium Dr Ste A, 31909 (706) 507-0901 Phung, Nicholas 6783 Veterans Pkwy, 31909 (706) 321-3909 Stone, Robert 2422 Double Churches Rd, 31909 (706) 596-1757 Polk, Ronald 3408 University Ave Ste B, 31907 (706) 563-5516 Waksor, Adam 6783 Veterans Pkwy, 31909 (706) 321-3909 Reynolds, Juliane 1600 Fort Benning Rd, 31903 (706) 322-9599 Zwickey, Mark 2422 Double Churches Rd, 31909 (706) 596-1757 Sales, Joseph 6783 Veterans Pkwy, 31909 (706) 321-3909 Zwickey, Mark 701 Center St, 31901 (706) 596-1757 Sharp, William 3910 Rosemont Dr, 31904 (706) 327-5158 Endodontists Brown Balcos, Celina 2750 Owens Rd Sw Ste B, 30094 (770) 483-7774 Allison, David 5820 Veterans Pkwy Ste 307, 31904 (706) 660-9190 Buggs, Keith 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Cosby, Vennis 6801 River Rd Ste 402, 31904 (706) 221-7534 Cara, Yasheena 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Paris, Henry 1821 Whittlesey Rd Ste 100, 31904 (706) 324-3636 Carrington, Venitress 1820 Highway 20 Se Ste 148, 30013 (770) 922-4375 Orthodontists Chinchilla, Julio 1152 Old Salem Rd Se, 30094 (678) 836-2140 Shaw, Dewayne 6783 Veterans Pkwy, 31909 (706) 321-3909 Shepheard, Sharnn 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Shrestha, Ansana 6783 Veterans Pkwy, 31909 (706) 321-3909 Pediatric Dentists Pitts, Leslie 215 Mercer Pl, 30529 (706) 335-7793 CONYERS General Dentists Arrue, Juan 1317 Milstead Ave Ne # A, 30012 (770) 760-0036 Beckford, Yvonne 1152 Old Salem Rd Se, 30094 (678) 836-2140 Beckford, Yvonne 2390 Wall St Se Ste 120, 30013 (770) 929-3411 Bingham, Robin 1380 Milstead Ave Ne Ste A, 30012 (770) 602-1138 Brown Balcos, Celina 1910 Highway 20 Se Ste 100, 30013 (770) 602-4733 Shroff, Payal 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Augustine, Peggy 3645 Gentian Blvd Ste 2, 31907 (706) 660-0221 Sigman, John 3408 University Ave Ste E, 31907 (706) 323-2775 Bush, Hector 3031 Manchester Expy, 31909 (706) 324-4665 Smith, Edward 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Caves, Sammy 3822 Rosemont Dr, 31904 (706) 323-3641 Smith, Edward 5650 Whitesville Rd Ste 101, 31904 (706) 494-5886 Duval, Jamal 3031 Manchester Expy, 31909 (706) 324-4665 Smith, Maurice 6783 Veterans Pkwy, 31909 (706) 321-3909 Hall, Tameka 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Straus, Richard 1380 14th St, 31901 (706) 322-0651 Kubala, Louis 3031 Manchester Expy, 31909 (706) 324-4665 Strickland, Lisa 2400a Double Churches Rd, 31909 (706) 596-1876 Pediatric Dentists Francis, Martin 1910 Highway 20 Se Ste 100, 30013 (770) 602-4733 Freedman, Bret 3031 Manchester Expy, 31909 (706) 324-4665 Gilchrist Jr, Edgar 1151 Nortec Dr Se Ste B, 30013 (770) 483-0029 Herrin, Brent 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Givens, Rodney 1910 Highway 20 Se Ste 100, 30013 (770) 602-4733 Lawrence, Mark 2570 Brookstone Centre Pkwy #100, 31904 (706) 327-6262 Hader, Jesse 1152 Old Salem Rd Se, 30094 (678) 836-2140 Lee, Thomas 1800 Warm Springs Rd Ste A, 31904 (706) 323-7623 Hader, Jesse 2390 Wall St Se Ste 120, 30013 (770) 929-3411 Lugo, Alberto 6501 Veterans Pkwy Bldg 4a, 31909 (706) 660-1310 Hall, William 1152 Old Salem Rd Se, 30094 (678) 836-2140 Mccarley, Christie 6801 River Rd # 400, 31904 (706) 221-2305 Hanjrah, Jasmine 3111 Avalon Blvd #100, 30013 (678) 445-5444 Oral Surgeons COMMERCE General Dentists Harandifassih, Lyda 1152 Old Salem Rd Se, 30094 (678) 836-2140 Campbell, William 1818 Warm Springs Rd, 31904 (706) 324-6106 Brown, Adam 1397 S Elm St, 30529 (706) 335-4222 Harandifassih, Lyda 2390 Wall St Se Ste 120, 30013 (770) 929-3411 Foran, Michael 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Le, Ha 119 Pottery Factory Dr, 30529 (706) 336-8318 Harandi-Fassih, Ali 1152 Old Salem Rd Se, 30094 (678) 836-2140 Hines, William 2422 Double Churches Rd, 31909 (706) 596-1757 Thomason, Samuel 1397 S Elm St, 30529 (706) 335-4222 Harandi-Fassih, Ali 2390 Wall St Se Ste 120, 30013 (770) 929-3411 Syed, Hasan 6783 Veterans Pkwy, 31909 (706) 321-3909 Trice, Andrea 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 Watson, Devon 6783 Veterans Pkwy, 31909 (706) 321-3909 Winchester, James 5815 Moon Rd, 31909 (706) 563-6027 Yelisetty, Iryna 4519 Woodruff Rd Ste 10, 31904 (706) 660-8001 You, Hanna 2501 Whittlesey Blvd Ste B, 31909 (706) 257-7374 This information is current as of September 2014 Chong, Justin 3111 Avalon Blvd #100, 30013 (678) 445-5444 Covington Jr, John 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Dancy, William 1152 Old Salem Rd Se, 30094 (678) 836-2140 Dodson, Jeffery 1807 Over Lake Dr Se Ste A, 30013 (770) 922-3131 Fisher-Mclin, Antonia 3111 Avalon Blvd #100, 30013 (678) 445-5444 Page 17 Harmon, Tom 3111 Avalon Blvd #100, 30013 (678) 445-5444 Parker, Lauren 1450 Highway 138 Se, 30013 (770) 285-2270 Harvey, Candace 1152 Old Salem Rd Se, 30094 (678) 836-2140 Phung, Nicholas 1450 Highway 138 Se, 30013 (770) 285-2270 Hedrick, A Fred 1807 Over Lake Dr Se Ste A, 30013 (770) 922-3131 Procter, Nirali 3111 Avalon Blvd #100, 30013 (678) 445-5444 Hedrick, Aubrey 1807 Over Lake Dr Se Ste A, 30013 (770) 922-3131 Rainford, Tani 1152 Old Salem Rd Se, 30094 (678) 836-2140 Inniss, Dexter 1929 Old Salem Rd Se, 30013 (770) 760-7566 Rainford, Tani 2390 Wall St Se Ste 120, 30013 (770) 929-3411 Katz, David 1152 Old Salem Rd Se, 30094 (678) 836-2140 Reid Iii, Walter 1152 Old Salem Rd Se, 30094 (678) 836-2140 Kim, Joo-won 1152 Old Salem Rd Se, 30094 (678) 836-2140 Reizenson, Igor 1816 Lakefield Ct Se Ste A, 30013 (770) 860-8760 Kim, Sun 2390 Wall St Se Ste 20, 30013 (770) 929-3411 Roark, Cindy 1910 Highway 20 Se Ste 100, 30013 (770) 602-4733 Kimes, Heavenly 1820 Highway 20 Se Ste 148, 30013 (770) 922-4375 Shantz Ii, Marc 1253 Commercial Dr Sw # B, 30094 (770) 922-9932 Kirkley, Matthew 1152 Old Salem Rd Se, 30094 (678) 836-2140 Shikh, Satpal 1745 Highway 138 Se Ste C3, 30013 (678) 772-8900 Langford, Carren 1450 Highway 138 Se, 30013 (770) 285-2270 Shrestha, Ansana 1450 Highway 138 Se, 30013 (770) 285-2270 Lauderdale, Candace 1450 Highway 138 Se, 30013 (770) 285-2270 Singh, Manjeet 1152 Old Salem Rd Se, 30094 (678) 836-2140 Lester, Joe 1217 Royal Dr Sw, 30094 (770) 922-6655 Singh, Manjeet 2390 Wall St Se Ste 120, 30013 (770) 929-3411 Lipham, Steven 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Starling, Alva 1152 Old Salem Rd Se, 30094 (678) 836-2140 Livingston Jr, Lynn 1152 Old Salem Rd Se, 30094 (678) 836-2140 Thompson, Oluwaseum 1152 Old Salem Rd Se, 30094 (678) 836-2140 Livingston Jr, Lynn 2390 Wall St Se Ste 120, 30013 (770) 929-3411 Torbush, Douglas 1000 Iris Dr Sw, 30094 (770) 922-1666 Mckellar, Christina 3111 Avalon Blvd #100, 30013 (678) 445-5444 Wolf, William 1253 Commercial Dr Sw # B, 30094 (770) 922-9932 Mcmullen, James 1151 Nortec Dr Se Ste B, 30013 (770) 483-0029 Yazdanpanah, Navid 2390 Wall St Se Ste 120, 30013 (770) 929-3411 Mctavous, Syreeta 2390 Wall St Se Ste 120, 30013 (770) 929-3411 Oral Surgeons Milligan, Tara 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Minton Jr, Warren 1152 Old Salem Rd Se, 30094 (678) 836-2140 Minton Jr, Warren 2390 Wall St Se Ste 120, 30013 (770) 929-3411 Mottley, Alvin 1450 Highway 138 Se, 30013 (770) 285-2270 Mulki, Ezat 3111 Avalon Blvd #100, 30013 (678) 445-5444 Nam, Kasie 3111 Avalon Blvd #100, 30013 (678) 445-5444 Nwizu, Agatha 1360 Dogwood Dr #202-b, 30013 (770) 474-9202 Ojibway, Angela 3111 Avalon Blvd #100, 30013 (678) 445-5444 Parekh, Chintan 1450 Highway 138 Se, 30013 (770) 285-2270 17 of56Pages Brady, Gordon 1463 Klondike Rd Sw Ste C, 30094 (770) 483-9692 Going Jr, Robert 1463 Klondike Rd Sw Ste C, 30094 (770) 483-9692 Gray, Brett 1463 Klondike Rd Sw Ste C, 30094 (770) 483-9692 Harrison, Farryn 1910 Highway 20 Se Ste 100, 30013 (770) 602-4733 King, Steven 1463 Klondike Rd Sw Ste C, 30094 (770) 483-9692 Lewis Iii, Fulton 1463 Klondike Rd Sw Ste C, 30094 (770) 483-9692 Pollack, Steven 1463 Klondike Rd Sw Ste C, 30094 (770) 483-9692 Pritchett, John 1463 Klondike Rd Sw Ste C, 30094 (770) 483-9692 Singer, Richard 1463 Klondike Rd Sw Ste C, 30094 (770) 483-9692 Waksor, Adam 1450 Highway 138 Se, 30013 (770) 285-2270 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Hutchins, Allen 3111 Avalon Pkwy #100, 30013 (678) 445-5444 CORDELE General Dentists Aliassa, Behzad 5920 Parkway North Blvd Ste 100, 30040 (770) 889-5335 Fields, David 1175 Buford Rd Ste 500, 30041 (678) 947-6077 Kebriaei, Amy 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Chapman, Darryl 706 E 16th Ave, 31015 (229) 273-7800 Alvarez-Kiely, Gloria 520 Pirkle Ferry Rd Ste A, 30040 (770) 781-0888 Fisher-Mclin, Antonia 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Kerlan, Daniel 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Hurt Iii, R 201 E 14th Ave, 31015 (229) 273-6868 Bisig, Jennifer 1595 Peachtree Pkwy Ste 207, 30041 (770) 888-8282 Fisher-Mclin, Antonia 5071 Post Rd Ste 304, 30040 (678) 445-5444 Orthodontists Lee, Susan 3111 Avalon Blvd #100, 30013 (678) 445-5444 CORNELIA General Dentists Bodea, Joanna 520 Pirkle Ferry Rd Ste A, 30040 (770) 781-0888 Gibree, Seth 1595 Peachtree Pkwy Ste 207, 30041 (770) 888-8282 Berwick, Jennifer 3111 Avalon Blvd Se Ste 100, 30013 (770) 448-8882 Levitas, Theodore 3111 Avalon Blvd #100, 30013 (678) 445-5444 Cantrell, Donald 157 Hodges St, 30531 (706) 894-1919 Bragg, Jennifer 655 Atlanta Rd Ste 701, 30040 (770) 889-8420 Golden, James 6030 Bethelview Rd Ste 201, 30040 (678) 947-4478 Chen, Andrew 1910 Highway 20 Se Ste 100, 30013 (770) 602-4733 Lucas, Cleoka 3111 Avalon Blvd #100, 30013 (678) 445-5444 Wilbanks, Brandi 157 Hodges St, 30531 (706) 894-1919 Bryan, Rebecca 403 E Maple St, 30040 (770) 887-3223 Hamilton, Travis 1175 Buford Rd Ste 500, 30041 (678) 947-6077 Cox Jr, Stanley 3111 Financial Blvd Se, 30013 (770) 448-8882 Madhiwala, Priya 3111 Avalon Pkwy #100, 30013 (678) 445-5444 COVINGTON General Dentists Bryan Iii, Lucian 403 E Maple St, 30040 (770) 887-3223 Hanjrah, Jasmine 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Long, Meridith 3111 Avalon Blvd Se Ste 100, 30013 (770) 448-8882 Malhotra, Menka 3111 Avalon Blvd #100, 30013 (678) 445-5444 Budeir, Mouhannad 983 Peachtree Pkwy Ste C, 30041 (770) 888-4444 Hanjrah, Jasmine 5071 Post Rd, 30040 (678) 445-5444 Park, Eric 3111 Avalon Blvd Se Ste 100, 30013 (770) 448-8882 Maru, Ami 3111 Avalon Blvd #100, 30013 (678) 445-5444 Buggs, Keith 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Harmon, Tom 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Podray, Susan 3111 Avalon Blvd Se Ste 100, 30013 (770) 448-8882 Mccarley, Christie 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Buggs, Keith 5071 Post Rd, 30040 (678) 445-5444 Harmon, Tom 5071 Post Rd Ste 304, 30040 (678) 445-5444 Segnere, Jeffrey 3111 Avalon Blvd Se Ste 100, 30013 (770) 448-8882 Nortick, Mariel 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Cara, Yasheena 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Hernandez, Juan 5770 Bethelview Rd #700, 30040 (770) 813-0777 Shoup, Greg 3111 Financial Blvd Se, 30013 (770) 448-8882 Park, Julius 3111 Avalon Blvd #100, 30013 (678) 445-5444 Cara, Yasheena 5071 Post Rd Ste 304, 30040 (678) 445-5444 Kinard, Brian 1175 Buford Rd Ste 500, 30041 (678) 248-6243 White, Adam 3111 Financial Blvd Se, 30013 (770) 448-8882 Park, Suyon 3111 Avalon Blvd #100, 30013 (678) 445-5444 Carpenter, Brian 312 Tribble Gap Rd, 30040 (770) 887-1399 Kiyani, Michael 5905 Iron Gate Trce, 30040 (770) 888-8834 Pediatric Dentists Patel, Kunjan 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Chong, Justin 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Kramer, Susan 1200 Bald Ridge Marina Rd, 30041 (770) 781-8650 Chong, Justin 5071 Post Rd Ste 304, 30040 (678) 445-5444 Lauderdale, Candace 1530 Market Place Blvd, 30041 (678) 208-3470 Chowdhury, Kamran 1530 Market Place Blvd, 30041 (678) 208-3470 Lee, Brian 2950 Buford Hwy #200, 30041 (770) 205-1212 Christianson, Judith 110 N Corners Pkwy # 200, 30040 (770) 664-4936 Lee, Joon 205 Canton Rd, 30040 (770) 889-0061 Christianson, Judith 5465 Bethelview Rd #510, 30040 (770) 664-4936 Lee, Katherine 2950 Buford Hwy #200, 30041 (770) 205-1212 Covington Jr, John 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Lipham, Steven 5071 Post Rd, 30040 (678) 445-5444 Covington Jr, John 5071 Post Rd Ste 304, 30040 (678) 445-5444 Masek, Henry 1175 Buford Rd Ste 500, 30041 (678) 248-6243 Crews, Imelda 202 Tribble Gap Rd #101, 30040 (678) 341-9101 Mcdonald, Kristen 1200 Bald Ridge Marina Rd, 30041 (770) 781-8650 Devine, Tim 110 N Main St, 30040 (770) 887-7769 Mcguinn, Leslie 312 Tribble Gap Rd, 30040 (770) 889-1399 Dunford, R Matthew 410 Ptree Pkwy Bldg 400 #4250, 30041 (770) 887-8807 Mcguinn, Leslie 980 Sanders Rd Ste 200, 30041 (770) 205-3111 Dunson, Melanie 1175 Buford Rd Ste 500, 30041 (678) 947-6077 Mckellar, Christina 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Durand, Melissa 312 Tribble Gap Rd # A, 30040 (770) 887-1399 Mckellar, Christina 5071 Post Rd Ste 304, 30040 (678) 445-5444 Edwards, Ryan 3860 Windermere Pkwy, 30041 (678) 455-3734 Moghaddam, Farid 1715 Friendship Cir #100, 30028 (678) 860-9911 Esker, Teresa 1200 Bald Ridge Marina Rd, 30041 (770) 781-8650 Moody, Kara 655 Atlanta Rd Ste 701, 30040 (770) 889-8420 Farhang-Fallah, Jinoos 5920 Parkway North Blvd Ste 100, 30040 (770) 889-5335 Mulki, Ezat 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Endodontists Khan, Sarah 976 E Freeway Dr Se Ste A, 30094 (770) 483-1331 Mann, Arnold 1910 Highway 20 Se Ste 100, 30013 (770) 602-4733 Washington, Jelani 976 E Freeway Dr Se Ste A, 30094 (770) 483-1331 Allen, Nelson 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Brown, Shelton 3111 Avalon Blvd #100, 30013 (678) 445-5444 Camp, Laneshia 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Chang, Ohkyoung 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Cottrell, David 3111 Avalon Blvd #100, 30013 (678) 445-5444 Coulter, Charles 3111 Avalon Blvd #100, 30013 (678) 445-5444 Desouza, Sharon 3111 Avalon Blvd #100, 30013 (678) 445-5444 Dixit, Priya 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Ellington, Janet 3111 Avalon Blvd #100, 30013 (678) 445-5444 Halper, Christopher 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Hassan, Zeyad 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Haynes, Deanna 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Hejazi-Werner, Shiva 3111 Avalon Blvd #100, 30013 (678) 445-5444 Herrin, Brent 3111 Avalon Blvd #100, 30013 (678) 445-5444 Holder, Terry 3111 Avalon Blvd #100, 30013 (678) 445-5444 Purvis, Flynt 3111 Avalon Blvd #100, 30013 (678) 445-5444 Roehl, Brad 3111 Avalon Blvd #100, 30013 (678) 445-5444 Roehl, Brian 3111 Avalon Blvd #100, 30013 (678) 445-5444 Ross, Tisha 3111 Avalon Blvd #100, 30013 (678) 445-5444 Sease, Joseph 3111 Avalon Blvd #100, 30013 (678) 445-5444 Shilman, Lisa 3111 Avalon Pkwy #100, 30013 (678) 445-5444 Simms, Mindy 3111 Avalon Blvd #100, 30013 (678) 445-5444 Strickland Phillips, Stephanie 3111 Avalon Blvd #100, 30013 (678) 445-5444 Sundareswaran, Pushpa 3111 Avalon Blvd #100, 30013 (678) 445-5444 Thomas Jr, Jack 3111 Avalon Blvd #100, 30013 (678) 445-5444 Walters, Sacha 3111 Avalon Blvd #100, 30013 (678) 445-5444 Washington, Keysra 1400 Dogwood Dr Se, 30013 (770) 761-5690 Washington, Keysra 3111 Avalon Blvd #100, 30013 (678) 445-5444 Yoo, Chin 3111 Avalon Blvd #100, 30013 (678) 445-5444 This information is current as of September 2014 Baker, Melvin 4168 Baker St Ne, 30014 (770) 787-2230 Blount, Jimmy 3162 Elm St Ne, 30014 (678) 625-7505 Blount, Jimmy 5229 Highway 278 Ne, 30014 (770) 482-7800 Deemer, Laurie 2104 Newton Dr Ne, 30014 (770) 787-2828 Hendricks Jr, John 4168 Baker St Ne, 30014 (770) 787-2230 Reddy, Anitha 4139 Baker St Ne Ste 5, 30014 (770) 787-1013 Shikh, Satpal 3136 Highway 278, 30014 (770) 786-9111 Shikh, Satpal 6187 Washington St Sw, 30014 (770) 393-9111 Sudeall, Kirk 3162 Elm St Ne, 30014 (678) 625-7505 Oral Surgeons Dillon, Tracy 3162 Elm St Ne, 30014 (678) 625-7505 Going Jr, Robert 7135 Floyd St Ne, 30014 (770) 787-2444 King, Steven 7135 Floyd St Ne, 30014 (770) 787-2444 Lewis Iii, Fulton 7135 Floyd St Ne, 30014 (770) 787-2444 Pollack, Steven 7135 Floyd St Ne, 30014 (770) 787-2444 Waksor, Adam 3162 Elm St Ne, 30014 (678) 625-7505 Orthodontists Hillman, Donald 4136 Mill St Ne, 30014 (770) 787-2200 Pediatric Dentists Miller, Adrian 4115 Tate St Ne, 30014 (770) 784-7044 Williams, Carolyn 4115 Tate Ne St, 30014 (770) 784-7099 CUMMING General Dentists Abes, Marshall 1175 Buford Rd Ste 500, 30041 (678) 248-6243 Page 18 18 of56Pages KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Mulki, Ezat 5071 Post Rd Ste 304, 30040 (678) 445-5444 Walters, Colin 980 Sanders Rd Ste 200, 30041 (770) 205-3111 Kratzer, Daniel 110 N Corners Pkwy # 200, 30040 (770) 664-4936 Chang, Ohkyoung 5071 Post Rd Ste 304, 30040 (678) 445-5444 Kerlan, Daniel 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Nam, Kasie 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Washburn, Chancey 410 Peachtree Pkwy Ste 4204, 30041 (678) 455-4560 Kratzer, Daniel 5465 Bethelview Rd #510, 30040 (770) 664-4936 Cottrell, David 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Kerlan, Daniel 5071 Post Rd, 30040 (678) 445-5444 Nam, Kasie 5071 Post Rd, 30040 (678) 445-5444 Watson, Devon 1530 Market Place Blvd, 30041 (678) 208-3470 Lofters, David 1175 Buford Rd Ste 500, 30041 (678) 248-6243 Cottrell, David 5071 Post Rd Ste 304, 30040 (678) 445-5444 Kindregan, Meaghan 110 N Corners Pkwy # 200, 30040 (770) 664-4936 Ojibway, Angela 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Wheeler, G Ed 2680 Freedom Pkwy, 30041 (770) 887-8283 Long, Meridith 407 E Maple St Bldg 100 Ste 109, 30040 (678) 445-5444 Coulter, Charles 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Kindregan, Meaghan 5465 Bethelview Rd #510, 30040 (770) 664-4936 Palmer, Michael 103 Mountain View Dr Ste A, 30040 (770) 887-0447 Wong, David 520 Pirkle Ferry Rd Ste A, 30040 (770) 781-0888 Malone, Jacqueline 5755 North Point Pkwy #102, 30040 (770) 619-1776 Coulter, Charles 5071 Post Rd Ste 304, 30040 (678) 445-5444 Lee, Susan 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Palmer, Michael 312 Tribble Gap Rd # A, 30040 (770) 887-1399 Zeman, Mark 103 Mountain View Dr Ste A, 30040 (770) 887-0447 Nikain, Nilo 407 E Maple St Bldg 100 Ste 109, 30040 (678) 445-5444 Davidson, Troy 410 Ptree Pkwy Bldg 400 #4250, 30041 (770) 887-8807 Lee, Susan 5071 Post Rd Ste 304, 30040 (678) 445-5444 Patel, Ravi 1595 Peachtree Pkwy Ste 207, 30041 (770) 888-8282 Oral Surgeons Park, Eric 407 E Maple St Bldg 100 Ste 109, 30040 (678) 445-5444 Desouza, Sharon 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Levitas, Theodore 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Patel, Tina 407 E Maple St Bldg 100 Ste 109, 30040 (678) 445-5444 Desouza, Sharon 5071 Post Rd Ste 304, 30040 (678) 445-5444 Levitas, Theodore 5071 Post Rd Ste 304, 30040 (678) 445-5444 Podray, Susan 3195 Trammel Rd #400, 30041 (678) 879-3006 Ellington, Janet 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Lucas, Cleoka 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Podray, Susan 407 E Maple St Bldg 100 Ste 109, 30040 (678) 445-5444 Ellington, Janet 5071 Post Rd Ste 304, 30040 (678) 445-5444 Lucas, Cleoka 5071 Post Rd Ste 304, 30040 (678) 445-5444 Richard, Ryan 407 E Maple St Bldg 100 Ste 109, 30040 (678) 445-5444 Haffner, John 3480 Keith Bridge Rd Ste A4, 30041 (770) 292-9441 Lugus, Karl 983 Peachtree Pkwy Ste A, 30041 (770) 995-3220 Salyer, Hyman 1175 Buford Rd Ste 500, 30041 (678) 248-6243 Halper, Christopher 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Macmmaster, George 110 N Corners Pkwy # 200, 30040 (770) 664-4936 Segnere, Jeffrey 407 E Maple St Bldg 100 Ste 109, 30040 (678) 445-5444 Halper, Christopher 5071 Post Rd Ste 304, 30040 (678) 445-5444 Macmmaster, George 5465 Bethelview Rd #510, 30040 (770) 664-4936 Shoup, Greg 407 E Maple St Bldg 100 Ste 109, 30040 (678) 445-5444 Hansen, Michael 410 Ptree Pkwy Bldg 400 #4250, 30041 (770) 887-8807 Madhiwala, Priya 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 White, Adam 407 E Maple St Bldg 100 Ste 109, 30040 (678) 445-5444 Hassan, Zeyad 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Madhiwala, Priya 5071 Post Rd Ste 304, 30040 (678) 445-5444 White, Javonne 407 E Maple St Bldg 100 Ste 109, 30040 (678) 445-5444 Hassan, Zeyad 5071 Post Rd Ste 304, 30040 (678) 445-5444 Malhotra, Menka 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Pediatric Dentists Haynes, Deanna 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Malhotra, Menka 5071 Post Rd, 30040 (678) 445-5444 Haynes, Deanna 5071 Post Rd Ste 304, 30040 (678) 445-5444 Maru, Ami 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Hejazi-Werner, Shiva 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Maru, Ami 5071 Post Rd Ste 304, 30040 (678) 445-5444 Hejazi-Werner, Shiva 5071 Post Rd Ste 304, 30040 (678) 445-5444 Mccarley, Christie 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Herrin, Brent 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Mccarley, Christie 5071 Post Rd, 30040 (678) 445-5444 Herrin, Brent 5071 Post Rd, 30040 (678) 445-5444 Nortick, Mariel 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Holder, Terry 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Nortick, Mariel 5071 Post Rd, 30040 (678) 445-5444 Holder, Terry 5071 Post Rd Ste 304, 30040 (678) 445-5444 Park, Julius 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Hutchins, Allen 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Park, Julius 5071 Post Rd Ste 304, 30040 (678) 445-5444 Hutchins, Allen 5071 Post Rd, 30040 (678) 445-5444 Park, Suyon 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Kebriaei, Amy 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Park, Suyon 5071 Post Rd, 30040 (678) 445-5444 Kebriaei, Amy 5071 Post Rd, 30040 (678) 445-5444 Patel, Kunjan 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Peluso Iii, G Joseph 980 Sanders Rd Ste 200, 30041 (770) 205-3111 Perpall, Michael 1200 Bald Ridge Marina Rd, 30041 (770) 781-8650 Peters, Kimberly 1530 Market Place Blvd, 30041 (678) 208-3470 Procter, Nirali 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Procter, Nirali 5071 Post Rd, 30040 (678) 445-5444 Rezaei-Amiri, Azita 1175 Buford Rd Ste 500, 30041 (678) 248-6243 Rosenthal, Michael 1175 Buford Rd Ste 500, 30041 (678) 947-6077 Ryals, Stanley 404 Tribble Gap Rd, 30040 (770) 887-0480 Sadri, Mahin 1175 Buford Rd Ste 500, 30041 (678) 248-6243 Schwendiman, Ryan 410 Ptree Pkwy Bldg 400 #4250, 30041 (770) 887-8807 Scott, Justin 1595 Peachtree Pkwy, 30041 (770) 888-8282 Shefrin, Lauren 1175 Buford Rd Ste 500, 30041 (678) 947-6077 Cho, Sung 1175 Buford Rd Ste 500, 30041 (678) 947-6077 Ducksworth, Joseph 975 Peachtree Pkwy Ste C, 30041 (770) 312-1544 Duncan, Dale 3275 Market Place Blvd Ste 175, 30041 (770) 406-2060 Etezadi-Tabrizi, Abtin 1505 Northside Blvd Ste 2700, 30041 (770) 844-7894 Huynh, Cang 425 Peachtree Pkwy #345, 30041 (404) 433-8433 Mcintosh, Glen 203 Pirkle Ferry Rd, 30040 (770) 889-3673 Meaders, Richard 1505 Northside Blvd Ste 2700, 30041 (770) 844-7894 Patel, Jay 410 Ptree Pkwy Bldg 400 #4250, 30041 (770) 887-8807 Robertson, Jeannette 1175 Buford Rd Ste 500, 30041 (678) 947-6077 Shahriari, Abtin 425 Peachtree Pkwy #345, 30041 (404) 433-8433 Waksor, Adam 1530 Market Place Blvd, 30041 (678) 208-3470 Allen, Nelson 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Young, Justin 1505 Northside Blvd Ste 2700, 30041 (770) 844-7894 Allen, Nelson 5071 Post Rd Ste 304, 30040 (678) 445-5444 Endodontists Bongiovi, Jason 3810 Windermere Pkwy Ste 501, 30041 (770) 889-9600 Short, Kevin 1200 Bald Ridge Marina Rd, 30041 (770) 781-8650 Ames, Jason 202 Tribble Gap Rd Ste 104, 30040 (678) 455-3360 Skognes, James 416 Pirkle Ferry Rd, 30040 (770) 889-1990 Garabadian, Daniel 3275 Market Place Blvd, 30041 (770) 781-5990 Soltis, Jozef 1175 Buford Rd Ste 500, 30041 (678) 947-6077 Howard, Cameron 975 Peachtree Pkwy Ste B, 30041 (999) 999-9999 Steed Jr, Clyde 2350 Atlanta Hwy Ste 100, 30040 (770) 781-9201 Orthodontists Buckle, Eileen 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Berwick, Jennifer 407 E Maple St Bldg 100 Ste 109, 30040 (678) 445-5444 Buckle, Eileen 5071 Post Rd Ste 304, 30040 (678) 445-5444 Corbitt, George 574 Peachtree Pkwy Ste 110, 30041 (770) 886-8911 Bui, Alice 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Cox Jr, Stanley 407 E Maple St Bldg 100 Ste 109, 30040 (678) 445-5444 Bui, Alice 5071 Post Rd, 30040 (678) 445-5444 Crosby, Michael 410 Ptree Pkwy Bldg 400 #4250, 30041 (770) 887-8807 Camp, Laneshia 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Elchahal, Alec 5067 Post Rd Ste 201, 30040 (770) 622-1177 Camp, Laneshia 5071 Post Rd Ste 304, 30040 (678) 445-5444 Iaculli, John 407 E Maple St Bldg 100 Ste 109, 30040 (678) 445-5444 Chang, Ohkyoung 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Swain, Susan 1200 Bald Ridge Marina Rd, 30041 (770) 781-8650 Ullah, Anjum 309 Pirkle Ferry Rd Ste C100, 30040 (770) 205-9226 Vargas, Sandra 520 Pirkle Ferry Rd Ste A, 30040 (770) 781-0888 Venkatesh, Sangita 1175 Buford Rd Ste 500, 30041 (678) 947-6077 Wadley, Lechandre 1175 Buford Rd Ste 500, 30041 (678) 248-6243 This information is current as of September 2014 Brown, Shelton 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Brown, Shelton 5071 Post Rd Ste 304, 30040 (678) 445-5444 Page 19 19 of56Pages KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Patel, Kunjan 5071 Post Rd, 30040 (678) 445-5444 Purvis, Flynt 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Purvis, Flynt 5071 Post Rd, 30040 (678) 445-5444 Roehl, Brad 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Roehl, Brad 5071 Post Rd Ste 304, 30040 (678) 445-5444 Roehl, Brian 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Roehl, Brian 5071 Post Rd Ste 304, 30040 (678) 445-5444 Periodontists Ananthasane, Sengsouriya 5870 Charlotte Ln Ste 200, 30040 (770) 888-8295 Barden, Page 1024 Market Place Blvd, 30041 (770) 844-6771 Chong, Woojae 1175 Buford Rd Ste 500, 30041 (678) 248-6243 Lamb Iii, James 285 Elm St Ste 103, 30040 (678) 455-7828 Montes, Shelly 520 Pirkle Ferry Rd Ste B, 30040 (770) 781-3685 West, Daniel 1175 Buford Rd Ste 500, 30041 (678) 248-6243 Prosthodontists Sol, Justin 3611 Braselton Hwy Ste 104, 30019 (770) 945-2733 Stone, Donna 2300 Liam Ave Ste 111, 30019 (770) 822-6992 Swegman, Mary 3611 Braselton Hwy Ste 104, 30019 (770) 945-2733 Pediatric Dentists Andringa, Hans 3590 Braselton Hwy #201, 30019 (678) 714-7575 Chaudhary, Shafaq 2119 Hamilton Ck Pkwy #200, 30019 (678) 714-7336 Zamora, Andrew 59 Hillside Trce Ste 105, 30157 (770) 505-4746 Oral Surgeons Chaudhary, Shafaq 3590 Braselton Hwy #201, 30019 (678) 714-7575 Billingsley, Michael 117 First National Dr, 30157 (770) 505-9100 Freeman, Venita 2119 Hamilton Ck Pkwy #200, 30019 (678) 714-7336 Coker, Neysa 117 First National Dr, 30157 (770) 505-9100 Kelly, Diane 2119 Hamilton Ck Pkwy #200, 30019 (678) 714-7336 Davila, Manuel 117 First National Dr, 30157 (770) 505-9100 Oral Surgeons Kong, Jeni 3590 Braselton Hwy #201, 30019 (678) 714-7575 Demo, Michael 117 First National Dr, 30157 (770) 505-9100 Cardona-Rohena, Yadira 2089 Teron Trce Ste 215, 30019 (678) 835-1135 Kwon, Sam 3590 Braselton Hwy #201, 30019 (678) 714-7575 Kinsey, Richard 117 First National Dr, 30157 (770) 505-9100 Etezadi-Tabrizi, Abtin 3590 Braselton Hwy Ste 101, 30019 (770) 271-2006 Skoglund, David 2119 Hamilton Ck Pkwy #200, 30019 (678) 714-7336 Threadgill, Jonathan 117 First National Dr, 30157 (770) 505-9100 Jo, Chris 3590 Braselton Hwy Ste 101, 30019 (770) 271-2006 Strickland, Phillip 3590 Braselton Hwy #201, 30019 (678) 714-7575 Vandewater, Lee 117 First National Dr, 30157 (770) 505-9100 Smouse, James 3590 Braselton Hwy Ste 101, 30019 (770) 271-2006 Thebaut, Mark 1152 Auburn Rd #101, 30019 (770) 709-0002 Pediatric Dentists Taufiq, Asif 3619 Braselton Hwy Ste 101, 30019 (770) 831-6602 Periodontists West, Lisa 2713 Charles Hardy Pkwy #111, 30157 (770) 505-0800 Quintero, George 2098 Teron Trce Ste 600, 30019 (770) 614-8823 DALTON General Dentists Prosthodontists Braverman, Richard 2107 E Walnut Ave, 30721 (706) 435-2802 Twardy, Sara 1152 Auburn Rd #101, 30019 (770) 709-0002 Van Derhei, Wenona 3590 Braselton Hwy Ste 103, 30019 (678) 318-3353 Whyte, Michelle 1152 Auburn Rd #101, 30019 (770) 709-0002 Ross, Tisha 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Lafontaine, Lorraine 1175 Buford Rd Ste 500, 30041 (678) 248-6243 Ross, Tisha 5071 Post Rd Ste 304, 30040 (678) 445-5444 Luperon, Bolivar 520 Pirkle Ferry Rd Ste A, 30040 (770) 781-0888 Sease, Joseph 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 DACULA General Dentists Sease, Joseph 5071 Post Rd Ste 304, 30040 (678) 445-5444 Campbell, Monica 1152 Auburn Rd #101, 30019 (770) 709-0002 Sharma, Jyoti 1240 Buford Rd Ste 150, 30041 (770) 781-0203 Crews, Imelda 1152 Auburn Rd #101, 30019 (770) 709-0002 Shilman, Lisa 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Echols, Justin 1152 Auburn Rd #101, 30019 (770) 709-0002 Shilman, Lisa 5071 Post Rd, 30040 (678) 445-5444 Galloway, Sidney 420 Dacula Rd, 30019 (770) 277-0800 Fry, Katherine 3625 Braselton Hwy Ste 101, 30019 (770) 614-9467 Simms, Mindy 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Haider, Abbas 1152 Auburn Rd #101, 30019 (770) 709-0002 Pugh, Brian 3625 Braselton Hwy Ste 101, 30019 (770) 614-9467 Simms, Mindy 5071 Post Rd Ste 304, 30040 (678) 445-5444 Hayward, David 1152 Auburn Rd #101, 30019 (770) 709-0002 Orthodontists Williams, Ronald 43 W Main St Ste B, 30533 (706) 864-3343 Strickland Phillips, Stephanie 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Jones, Daniel 3625 Braselton Hwy Ste 103, 30019 (678) 318-3191 Berwick, Jennifer 2463 Hamilton Mill Pkwy Ste 300, 30019 (770) 448-2228 Witcher, Elizabeth 5458 S Chestatee, 30533 (706) 864-9800 Strickland Phillips, Stephanie 5071 Post Rd Ste 304, 30040 (678) 445-5444 Khan, Saima 1152 Auburn Rd #101, 30019 (770) 709-0002 Cox Jr, Stanley 2119 Hamilton Creek Pkwy, 30019 (770) 448-8882 Witcher, Michael 5458 S Chestatee, 30533 (706) 864-9800 Sundareswaran, Pushpa 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Kinsey, Brian 2119 Hamilton Creek Pkwy, 30019 (999) 999-9999 Cox Jr, Stanley 2463 Hamilton Mill Pkwy Ste 300, 30019 (770) 448-2228 DALLAS General Dentists Sundareswaran, Pushpa 5071 Post Rd Ste 304, 30040 (678) 445-5444 Kurz, Elena 3617 Braselton Hwy Ste 102, 30019 (770) 904-6088 Elchahal, Alec 2055 Hamilton Creek Pkwy #100, 30019 (770) 622-1177 Bickford, Jack 3036 Atlanta Hwy, 30132 (770) 445-6606 Thomas Jr, Jack 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Lala, Shilpa 1325 Auburn Rd, 30019 (678) 495-9500 Gilbert, Joseph 3635 Braselton Hwy Ste A, 30019 (678) 318-3180 Edwards, Letisha 457 Nathan Dean Blvd Ste 109, 30132 (770) 443-8411 Thomas Jr, Jack 5071 Post Rd Ste 304, 30040 (678) 445-5444 Lentz, Colin 3625 Braselton Hwy #102, 30019 (678) 802-1209 Long, Meridith 2463 Hamilton Mill Pkwy Ste 300, 30019 (770) 448-2228 Ganupur, Supriya 457 Nathan Dean Blvd Ste 109, 30132 (770) 443-8411 Walters, Sacha 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Liang, Chu Kai 1325 Auburn Rd, 30019 (678) 495-9500 Park, Eric 2463 Hamilton Mill Pkwy Ste 300, 30019 (770) 448-2228 Lee, Michael 2713 Charles Hardy Pkwy #213, 30157 (770) 443-2488 Walters, Sacha 5071 Post Rd Ste 304, 30040 (678) 445-5444 Mcdonald, Edward 2463 Hamilton Mill Parkway #240, 30019 (770) 932-6510 Podray, Susan 2463 Hamilton Mill Pkwy Ste 300, 30019 (770) 448-2228 Lee, Robert 2176 Macland Rd # B, 30157 (770) 445-1081 Washington, Keysra 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Mian, Alia 1152 Auburn Rd #101, 30019 (770) 709-0002 Segnere, Jeffrey 2463 Hamilton Mill Pkwy Ste 300, 30019 (770) 448-2228 Morin, Jessica 76 Seven Hills Blvd, 30132 (678) 574-4837 Washington, Keysra 5071 Post Rd Ste 304, 30040 (678) 445-5444 Parsons, Ronald 3635 Braselton Hwy Ste A, 30019 (678) 318-3180 Shoup, Greg 2463 Hamilton Mill Pkwy Ste 300, 30019 (770) 448-2228 Parbhoo, Dharmesh 49 Hosiery Mill Rd, 30157 (770) 445-1314 Yoo, Chin 407 East Maple St Bldg 100 #109, 30040 (678) 445-5444 Ray, Nina 1152 Auburn Rd #101, 30019 (770) 709-0002 White, Adam 2119 Hamilton Creek Pkwy, 30019 (770) 448-8882 Shirley, Bobby 3036 Atlanta Hwy, 30132 (770) 445-6606 Yoo, Chin 5071 Post Rd Ste 304, 30040 (678) 445-5444 Shah, Devang 1325 Auburn Rd, 30019 (678) 495-9500 White, Adam 2463 Hamilton Mill Pkwy Ste 300, 30019 (770) 448-2228 Stevens, Jason 2176 Macland Rd # B, 30157 (770) 445-1081 This information is current as of September 2014 Terracina Jr, Frank 290 Merchants Sq Ste A, 30132 (770) 505-6400 Young, Justin 3590 Braselton Hwy Ste 101, 30019 (770) 271-2006 Endodontists Van Derhei, Patrick 3590 Braselton Hwy Ste 103, 30019 (678) 318-3353 DAHLONEGA General Dentists Still, Hope 59 Hillside Trce Ste 105, 30157 (770) 505-4746 Page 20 20 of56Pages Chowdhury, Kamran 849 Shugart Rd, 30720 (706) 370-7587 Davis, Richard 2107 E Walnut Ave, 30721 (706) 435-2802 Dyer, Celia 2107 E Walnut Ave, 30721 (706) 435-2802 Edge, Lizzette 2107 E Walnut Ave, 30721 (706) 435-2802 Elkasrawy, Moataz 849 Shugart Rd, 30720 (706) 370-7587 Hamilton, Travis 2107 E Walnut Ave, 30721 (706) 435-2802 Jackson, Cheryl 2107 E Walnut Ave, 30721 (706) 435-2802 Kim, Eugene 2107 E Walnut Ave, 30721 (706) 435-2802 Kim, Jennifer 2107 E Walnut Ave, 30721 (706) 435-2802 Langford, Carren 849 Shugart Rd, 30720 (706) 370-7587 Lauderdale, Candace 849 Shugart Rd, 30720 (706) 459-3333 Martindale, Mark 849 Shugart Rd, 30720 (706) 370-7587 Mian, Alia 2107 E Walnut Ave, 30721 (706) 435-2802 Mottley, Alvin 849 Shugart Rd, 30720 (706) 370-7587 Muigai, Paul 2107 E Walnut Ave, 30721 (706) 435-2802 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Ogundipe, Taiwo 2107 E Walnut Ave, 30721 (706) 435-2802 Osunfisan, Olubunmi 2107 E Walnut Ave, 30721 (706) 435-2802 Orthodontists Hall, Tameka 2107 E Walnut Ave, 30721 (706) 435-2802 Pediatric Dentists Procter, Nirali 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Buckle, Eileen 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Park, Suyon 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Witcher, Elizabeth 6625 Highway 53 E Ste 440, 30534 (770) 887-9222 Caise, Charisse 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Patel, Kunjan 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Oral Surgeons Camp, Laneshia 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Pitts, Leslie 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Chang, Ohkyoung 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Purvis, Flynt 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Coates, Paula 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Roehl, Brad 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Cottrell, David 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Roehl, Brian 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Coulter, Charles 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Ross, Tisha 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Desouza, Sharon 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Sease, Joseph 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Ellington, Janet 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Shilman, Lisa 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Haffner, John 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Simms, Mindy 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Halper, Christopher 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Strickland Phillips, Stephanie 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Hassan, Zeyad 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Sundareswaran, Pushpa 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Haynes, Deanna 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Thomas Jr, Jack 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Hejazi-Werner, Shiva 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Walters, Sacha 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Herrin, Brent 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Washington, Keysra 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Holder, Terry 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Yoo, Chin 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Hutchins, Allen 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 DECATUR General Dentists Kebriaei, Amy 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Beckford, Yvonne 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Kerlan, Daniel 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Beckford, Yvonne 2853 Candler Rd Ste 101, 30034 (404) 244-1166 Lee, Susan 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Benjamin, Mauzard 2458 Wesley Chapel Rd, 30035 (770) 322-0059 Levitas, Theodore 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Benton, Nardos 2785 Lawrenceville Hwy, 30033 (770) 491-1132 Lucas, Cleoka 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Bolen, Tiffany 755 Commerce Dr Ste 403, 30030 (404) 377-1147 Madhiwala, Priya 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Brackett, Cassandra 3300 Memorial Dr Ste D3, 30032 (404) 289-3060 Malhotra, Menka 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Braverman, Richard 1756 Candler Rd, 30032 (404) 591-5665 Maru, Ami 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Brown, Geoffrey 2375 Wesley Chapel Rd Ste 11, 30035 (770) 987-4077 Mccarley, Christie 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Brown, Maurice 5406 Covington Hwy Ste B, 30035 (770) 323-1960 Nortick, Mariel 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Buggs, Keith 2785 Lawrenceville Hwy, 30033 (770) 491-1132 Park, Julius 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Buitrago, Renan 2785 Lawrenceville Hwy Ste 103, 30033 (770) 491-1132 Parekh, Chintan 2107 E Walnut Ave, 30721 (706) 435-2802 Herrin, Brent 2107 E Walnut Ave, 30721 (706) 435-2802 Parekh, Chintan 849 Shugart Rd, 30720 (706) 370-7587 Prosthodontists Belinfante, Louis 5959 Highway 53 E Ste 250, 30534 (706) 265-1274 Parr, Gregory 602 Main St, 30720 (706) 226-1304 Etezadi-Tabrizi, Abtin 5959 Highway 53 E Ste 250, 30534 (706) 265-1274 DAWSON General Dentists Fox, John 100 Dawson Commons Cir Ste 140, 30534 (706) 265-1700 Arrington, Ronnie 331 Stonewall St Ne, 39842 (229) 995-4773 Jo, Chris 5959 Highway 53 E Ste 250, 30534 (706) 265-1274 DAWSONVILLE General Dentists Young, Justin 5959 Highway 53 E Ste 250, 30534 (706) 265-1274 Buggs, Keith 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Orthodontists Parker, Lauren 849 Shugart Rd, 30720 (706) 370-7587 Patel, Amit 1100 E Walnut Ave Ste 9&10, 30721 (706) 508-4222 Patel, Haren 2107 E Walnut Ave, 30721 (706) 435-2802 Patel, Haren 849 Shugart Rd, 30720 (706) 370-7587 Peters, Kimberly 849 Shugart Rd, 30720 (706) 459-3333 Phelps, Kimberly 849 Shugart Rd, 30720 (706) 370-7587 Phung, Nicholas 849 Shugart Rd, 30720 (706) 370-7587 Pikus, Alexander 2107 E Walnut Ave, 30721 (706) 435-2802 Purdey, Robert 400 S Thornton Ave, 30720 (706) 270-5775 Ragsdale, Kevin 1501 Broadrick Dr Ste 2, 30720 (706) 275-6631 Sales, Joseph 849 Shugart Rd, 30720 (706) 370-7587 Shaw, Dewayne 849 Shugart Rd, 30720 (706) 370-7587 Shepheard, Sharnn 2107 E Walnut Ave, 30721 (706) 435-2802 Shrestha, Ansana 849 Shugart Rd, 30720 (706) 459-3333 Smith, Maurice 849 Shugart Rd, 30720 (706) 370-7587 Soza, Verutzka 2107 E Walnut Ave, 30721 (706) 435-2802 Syed, Hasan 849 Shugart Rd, 30720 (706) 370-7587 Vu, Galang 2107 E Walnut Ave, 30721 (706) 435-2802 Watson, Devon 849 Shugart Rd, 30720 (706) 459-3333 Oral Surgeons Chung, Billy 1107 Memorial Dr Ste 101, 30720 (706) 277-9393 Foran, Michael 2107 E Walnut Ave, 30721 (706) 435-2802 Robertson, Jeannette 2107 E Walnut Ave, 30721 (706) 435-2802 Ryan, Robert 3107 E Walnut Ave, 30721 (706) 428-0235 Waksor, Adam 849 Shugart Rd, 30720 (706) 459-3333 Cara, Yasheena 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Carpenter, Brian 2390 Thompson Rd Ste 200, 30534 (706) 265-1399 Chester, Tony 137 Prominence Ct Ste 140, 30534 (706) 265-6877 Chong, Justin 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Covington Jr, John 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Durand, Melissa 2390 Thompson Rd Ste 200, 30534 (706) 265-1399 Evans, Sally 6625 Highway 53 E Ste 440, 30534 (770) 887-9222 Fisher-Mclin, Antonia 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Hanjrah, Jasmine 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Harmon, Tom 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Harris, Craig 212 Prominence Ct, 30534 (706) 216-7777 Harris, Wendy 212 Prominence Ct, 30534 (706) 216-7777 Lipham, Steven 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Mcguinn, Leslie 2390 Thompson Rd Ste 200, 30534 (706) 265-1399 Mckellar, Christina 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Mulki, Ezat 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Nagar, Ritu 78 Dawson Village Way N Ste 170, 30534 (706) 265-0005 Nam, Kasie 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Ojibway, Angela 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Palmer, Michael 2390 Thompson Rd #200, 30534 (706) 265-1399 This information is current as of September 2014 Berwick, Jennifer 100 Dawson Cpmmpn Circle Ste 110, 30534 (678) 445-5444 Cox Jr, Stanley 100 Dawson Cpmmpn Circle Ste 110, 30534 (678) 445-5444 Iaculli, John 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5554 Long, Meridith 100 Dawson Cpmmpn Circle Ste 110, 30534 (678) 445-5444 Nikain, Nilo 100 Dawson Cpmmpn Circle Ste 110, 30534 (678) 445-5444 Park, Eric 100 Dawson Cpmmpn Circle Ste 110, 30534 (678) 445-5444 Patel, Tina 100 Dawson Cpmmpn Circle Ste 110, 30534 (678) 445-5444 Podray, Susan 100 Dawson Cpmmpn Circle Ste 110, 30534 (678) 445-5444 Richard, Ryan 100 Dawson Cpmmpn Circle Ste 110, 30534 (678) 445-5444 Segnere, Jeffrey 100 Dawson Cpmmpn Circle Ste 110, 30534 (678) 445-5444 Shoup, Greg 100 Dawson Cpmmpn Circle Ste 110, 30534 (678) 445-5444 White, Adam 100 Dawson Cpmmpn Circle Ste 110, 30534 (678) 445-5444 White, Javonne 100 Dawson Cpmmpn Circle Ste 110, 30534 (678) 445-5444 Pediatric Dentists Allen, Nelson 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Ariaban, Nanna 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Brown, Shelton 100 Dawson Commons Cir Ste 110, 30534 (678) 445-5444 Page 21 21 of56Pages KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Campbell, Donald 2853 Candler Rd Ste 101, 30034 (404) 244-1166 Harandi-Fassih, Ali 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Minton Jr, Warren 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Singh, Manjeet 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Holmes, Pierre 3660 Flat Shoals Rd Ste 100, 30034 (404) 243-0217 Carrington, Venitress 5992 Covington Hwy, 30035 (770) 322-3121 Harandi-Fassih, Ali 2853 Candler Rd Ste 101, 30034 (404) 244-1166 Minton Jr, Warren 2853 Candler Rd Ste 101, 30034 (404) 244-1166 Singh, Manjeet 2853 Candler Rd Ste 101, 30034 (404) 244-1166 Jones, Gillian 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Colbert, Dionne 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Heard, Jeffrey 4806 Flat Shoals Pkwy, 30034 (770) 987-3430 Moxon, Ryan 2458 Wesley Chapel Rd Ste B, 30035 (770) 322-0059 Smith, Jewel 2785 Lawrenceville Hwy Ste 103, 30033 (770) 491-1132 King, Steven 5243 Snapfinger Woods Dr, 30035 (770) 981-9400 Coletti, George 4324 Covington Hwy, 30035 (404) 281-4607 Heard, Paula 4806 Flat Shoals Pkwy, 30034 (770) 987-3430 Muigai, Paul 1756 Candler Rd, 30032 (404) 591-5665 Smith, Ronald 3660 Flat Shoals Rd Ste 100, 30034 (404) 243-0217 Lala, Asif 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Coletti, George 4537 Covington Hwy, 30035 (404) 281-4607 Hsu, Chiung 1756 Candler Rd, 30032 (404) 591-5665 Nabi, Saed 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Soza, Verutzka 1756 Candler Rd, 30032 (404) 591-5665 Lewis Iii, Fulton 5243 Snapfinger Woods Dr, 30035 (770) 981-9400 Correll, Donald 5040 Snapfinger Woods Dr, 30035 (770) 981-9700 Jackson, Cheryl 1756 Candler Rd, 30032 (404) 591-5665 Nair, Shalini 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Spaulding, Jocelyn 1201 Clairmont Rd Ste 200, 30030 (404) 634-5738 Linek, Peter 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Cumberbatch, Khalil 3660 Flat Shoals Rd Ste 100, 30034 (404) 243-0217 Jefferies, Ngandu 1756 Candler Rd, 30032 (404) 591-5665 Neisler, Deck 4324 Covington Hwy, 30035 (404) 289-6454 Stein, Alan 2450 Lawrenceville Hwy, 30033 (404) 329-0000 Loving Jr, Leroy 2352 Candler Rd, 30032 (404) 289-2589 Dawson, Monica 2458 Wesley Chapel Rd Ste B, 30035 (770) 322-0059 Jeon, Danny 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Osunfisan, Olubunmi 1756 Candler Rd, 30032 (404) 591-5665 Tewogbade, Tara 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Muse, John 755 Commerce Dr Ste A, 30030 (404) 378-2331 Dilworth, Curtis 2445 Candler Rd, 30032 (404) 288-8880 Jernigan Jr, Ben 315 W Ponce De Leon Ave Ste 340, 30030 (404) 378-1466 Parekh, Chintan 1756 Candler Rd, 30032 (404) 591-5665 Thompson, Oluwaseum 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Patel, Jay 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Dyer, Celia 1756 Candler Rd, 30032 (404) 591-5665 Jeter, Terrance 1770 Candler Rd, 30032 (404) 289-2772 Parrish, Anthony 3653 Flakes Mill Rd, 30034 (770) 981-3006 Tiller Jr, Ernest 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Pollack, Steven 5243 Snapfinger Woods Dr, 30035 (770) 981-9400 Edge, Lizzette 1756 Candler Rd, 30032 (404) 591-5665 Jones, J Tyron 2644 Candler Pkwy, 30032 (404) 288-1222 Patel, Ulpa 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Uddin, Monira 2785 Lawrenceville Hwy Ste 103, 30033 (770) 491-1132 Pritchett, John 5243 Snapfinger Woods Dr, 30035 (770) 981-9400 Edmonds, Ericka 755 Commerce Dr Ste 513, 30030 (404) 377-7711 Jones, Monica 5992 Covington Hwy, 30035 (770) 322-3121 Patten, Karyl 3775 N Druid Hills Rd Ste A, 30033 (404) 602-5066 Underwood-Hall, Alda 2485 Park Central Blvd Ste 3, 30035 (770) 593-4976 Robertson, Jeannette 1756 Candler Rd, 30032 (404) 591-5665 Fenton, Alaina 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Kalra, Neelu 1756 Candler Rd, 30032 (404) 591-5665 Post, Megan 4324 Covington Hwy, 30035 (404) 289-6454 Vaughters, Vincent 5040 Snapfinger Woods Dr, 30035 (770) 987-7574 Rogers, Kael 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Fenton, Alaina 2853 Candler Rd Ste 101, 30034 (404) 244-1166 Katz, David 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Price, Thomas 755 Commerce Dr Ste 513, 30030 (404) 377-7711 Victorino, Sharlette 1756 Candler Rd, 30032 (404) 591-5665 Ryan, Robert 1756 Candler Rd, 30032 (404) 591-5665 Fisher, Jayanthi 1336 Columbia Dr Ste B, 30032 (404) 288-2600 Katz, David 2785 Lawrenceville Hwy Ste 103, 30033 (770) 491-1132 Pullins, Charlotte 2785 Lawrenceville Hwy Ste 103, 30033 (770) 491-1132 Vu, Galang 1756 Candler Rd, 30032 (404) 591-5665 Waksor, Adam 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Frankel, David 2450 Lawrenceville Hwy, 30033 (404) 329-0000 Kennedy, James 2784 N Decatur Rd Ste 110, 30033 (404) 299-1984 Pye, Leon 2429 Candler Rd, 30032 (404) 284-3015 Warner, Delbert 3539 Wesley Chapel Rd # A, 30034 (770) 987-1586 Endodontists Franklin, Edmond 2429 Candler Rd, 30032 (404) 202-2398 Kennedy, Ryan 2784 N Decatur Rd Ste 110, 30033 (404) 299-1984 Rafeedie, Suhayl 755 Commerce Dr Ste 513, 30030 (404) 377-7711 Williams, Kimberly 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Gammage, Shauna 3662 Flakes Mill Rd Ste A, 30034 (770) 593-2202 Khan, Saima 1756 Candler Rd, 30032 (404) 591-5665 Ray, Nina 1756 Candler Rd, 30032 (404) 591-5665 Woods, Eddie 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Gilbert, Kenneth 1275 Mcconnell Dr Ste G, 30033 (404) 325-7664 Kim, Eugene 1756 Candler Rd, 30032 (404) 591-5665 Reid Iii, Walter 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Wright, Angela 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Calloway, Allise 4919 Flat Shoals Pkwy Ste 210, 30034 (678) 418-3000 Glasser, Steven 2853 Candler Rd Ste 101, 30034 (404) 244-1166 Kim, Jennifer 1756 Candler Rd, 30032 (404) 591-5665 Richards, Peter 4324 Covington Hwy, 30035 (404) 289-6454 Yelisetty, Iryna 1756 Candler Rd, 30032 (404) 591-5665 Cooper, Justin 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Grage, Walter 4324 Covington Hwy, 30035 (404) 289-6454 Knight, Tasha 2575 Snapfinger Rd Ste G, 30034 (770) 323-0113 Roberts, Marc 3300 Memorial Dr Ste D3, 30032 (404) 243-0217 Oral Surgeons Fisher, Dameon 1756 Candler Rd, 30032 (404) 591-5665 Hader, Jesse 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Lee, Christine 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Roberts, Marc 3660 Flat Shoals Rd Ste 100, 30034 (404) 243-0217 Hader, Jesse 2853 Candler Rd Ste 101, 30034 (404) 244-1166 Livingston Jr, Lynn 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Schopp, Daniel 2530 Lawrenceville Hwy Ste B, 30033 (770) 939-6768 Haider, Abbas 3521 Memorial Dr Ste A, 30032 (404) 567-8485 Livingston Jr, Lynn 2785 Lawrenceville Hwy Ste 103, 30033 (770) 491-1132 Shaeffer, Francis 2058 N Decatur Rd, 30033 (404) 636-1200 Hall, William 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Livingston Jr, Lynn 2853 Candler Rd Ste 101, 30034 (404) 244-1166 Shaw, Keith 4324 Covington Hwy, 30035 (404) 289-2570 Hamilton, Travis 1756 Candler Rd, 30032 (404) 591-5665 Magid, Kevin 814 Church St, 30030 (404) 373-5366 Shepheard, Sharnn 1756 Candler Rd, 30032 (404) 591-5665 Harandifassih, Lyda 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Mathew, Amy 2883 N Decatur Rd Ste F, 30033 (404) 299-7411 Shroff, Payal 1756 Candler Rd, 30032 (404) 591-5665 Harandifassih, Lyda 2853 Candler Rd Ste 101, 30034 (404) 244-1166 Mian, Alia 1756 Candler Rd, 30032 (404) 591-5665 Simms, Gary 4570 Memorial Dr, 30032 (404) 292-3133 This information is current as of September 2014 Page 22 Ali Khan, Husain 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Bagheri, Shahrokh 2785 Lawrenceville Hwy Ste 103, 30033 (770) 491-1132 Brady, Gordon 5243 Snapfinger Woods Dr, 30035 (770) 981-9400 Ducksworth, Joseph 1756 Candler Rd, 30032 (404) 591-5665 Foran, Michael 1756 Candler Rd, 30032 (404) 591-5665 Going Jr, Robert 5243 Snapfinger Woods Dr, 30035 (770) 981-9400 Gray, Brett 5243 Snapfinger Woods Dr, 30035 (770) 981-9400 Hall, Brenda 5243 Snapfinger Woods Dr, 30035 (770) 981-9400 22 of56Pages Marschall, Annika 2680 Lawrenceville Hwy #102, 30033 (678) 990-8034 Waters, Jeffrey 2680 Lawrenceville Hwy #102, 30033 (678) 990-8034 Orthodontists Francis, Oral 127 E Trinity Pl, 30030 (678) 482-9434 Goodman, Sundus 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Hall, Tameka 1756 Candler Rd, 30032 (404) 591-5665 Parikh, Milin 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Patel, Tina 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Schneider, Dylan 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Seaborn, Richard 5243 Snapfinger Woods Dr, 30035 (770) 981-8200 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Williams, Craig 2855 Candler Rd Ste 12, 30034 (404) 243-3210 Thackston, Gregory 506 Madison Ave N, 31533 (912) 384-7200 Dixon, Fredrico 3271 Highway 5, 30135 (678) 836-2111 Minton Jr, Warren 3271 Highway 5, 30135 (678) 836-2111 Rosenberg-Mcgowan, Christine 3666 Highway 5 Ste 102, 30135 (770) 942-2852 Pediatric Dentists Vickers, David 908 Madison Ave N, 31533 (912) 384-4902 Dixon, Fredrico 8505 Hospital Dr # 7&8b, 30134 (770) 489-6735 Minton Jr, Warren 3387 Highway 5 Ste E, 30135 (770) 489-6200 Sales, Joseph 6351 Douglas Blvd, 30135 (770) 577-9478 Wilkerson, Steven 1108 Madison Ave N, 31533 (912) 384-4432 Elkasrawy, Moataz 6351 Douglas Blvd, 30135 (770) 577-9478 Mottley, Alvin 6351 Douglas Blvd, 30135 (770) 577-9478 Shaw, Dewayne 6351 Douglas Blvd, 30135 (404) 267-0400 Oral Surgeons Fisher-Mclin, Antonia 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Mottley, Alvin 8505 Hospital Dr # 7&8b, 30134 (770) 489-6735 Shelton, Denese 8415 Campbellton St, 30134 (770) 942-4899 Mulki, Ezat 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Shrestha, Ansana 6351 Douglas Blvd, 30135 (770) 577-9478 Barkley, Rebecca 755 Commerce Dr Ste 712, 30030 (404) 377-8200 Dixit, Priya 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Glasser, Paul 5243 Snapfinger Woods Dr, 30035 (770) 981-4900 Graper, Charles 1327 Ocilla Rd, 31533 (912) 338-0233 Herrin, Brent 1756 Candler Rd, 30032 (404) 591-5665 Orthodontists Granger, Debbie 1851 Market St Ste 208, 30135 (770) 949-5353 Fender, Dana 114 Peterson Ave N Ste 305, 31533 (912) 384-1560 Hader, Jesse 3271 Highway 5, 30135 (678) 836-2111 Nam, Kasie 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Silliman, Scott 9280 Highway 5 Ste C, 30134 (770) 920-8067 DOUGLASVILLE General Dentists Hader, Jesse 3387 Highway 5 Ste E, 30135 (770) 489-6200 Nguyen, Dai 8505 Hospital Dr # 7&8b, 30134 (770) 489-6735 Singh, Manjeet 3271 Highway 5, 30135 (678) 836-2111 Periodontists Adamson, Christen 3666 Highway 5 Ste 102, 30135 (770) 942-2852 Hair Jr, Joe 6842 Douglas Blvd Ste K, 30135 (770) 949-1005 Nichols, Aja 3666 Highway 5 Ste 102, 30135 (770) 942-2852 Singh, Manjeet 3387 Highway 5 Ste E, 30135 (770) 489-6200 Barnes, Marya 4150 Snapfinger Woods Dr, 30035 (404) 284-3663 Arana, Carolina 3666 Highway 5 Ste 102, 30135 (770) 942-2852 Hall, William 3271 Highway 5, 30135 (678) 836-2111 Nwoku, Ada 8505 Hospital Dr Ste 7&8, 30134 (770) 489-6735 Smith, Jeremy 3666 Highway 5 Ste 102, 30135 (770) 942-2852 Burns Jr, Robert 1989 N Williamsburg Dr, 30033 (404) 929-9957 Arfanakis, Dimitri 3668 Highway 5, 30135 (770) 949-1821 Hanjrah, Jasmine 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Outlaw Jr, Herbert 8505 Hospital Dr Ste 7&8, 30134 (770) 489-6735 Smith, Maurice 6351 Douglas Blvd, 30135 (770) 577-9478 Kukreja, Ashish 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Beckford, Yvonne 3271 Highway 5, 30135 (678) 836-2111 Harandifassih, Lyda 3271 Highway 5, 30135 (678) 836-2111 Padgett, Sherry 3666 Highway 5 Ste 102, 30135 (770) 942-2852 Stevenson, Marnita 3387 Highway 5 Ste E, 30135 (770) 489-6200 Litterer, Mark 755 Commerce Dr, 30030 (404) 378-4245 Beckford, Yvonne 3387 Highway 5 Ste E, 30135 (770) 489-6200 Harandifassih, Lyda 3387 Highway 5 Ste E, 30135 (770) 489-6200 Parekh, Chintan 6351 Douglas Blvd, 30135 (770) 577-9478 Sumner, Kathryn 8505 Hospital Dr # 7&8b, 30134 (770) 489-6735 Miller, Toni 4150 Snapfinger Woods Dr, 30035 (404) 284-3663 Boutwell, Jason 3009 Chapel Hill Rd Ste A, 30135 (770) 942-8288 Harandi-Fassih, Ali 3271 Highway 5, 30135 (678) 836-2111 Park, Hyunso 3666 Highway 5 Ste 102, 30135 (770) 942-2852 Syed, Hasan 6351 Douglas Blvd, 30135 (770) 577-9478 Okeke, Precious 3069 Clifton Springs Rd, 30034 (404) 212-9827 Buggs, Keith 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Harandi-Fassih, Ali 3387 Highway 5 Ste E, 30135 (770) 489-6200 Parker, Lauren 6351 Douglas Blvd, 30135 (770) 577-9478 Tidwell, Joel 3668 Highway 5, 30135 (770) 949-1821 Scher, Aubrey 755 Commerce Dr, 30030 (404) 378-4245 Bunn, Kenneth 3666 Highway 5 Ste 102, 30135 (770) 942-2852 Harkins, Erin 9280 Highway 5 Ste C, 30134 (770) 920-8067 Patel, Ashish 3271 Highway 5, 30135 (678) 836-2111 Tralongo, Kenneth 3666 Highway 5 Ste 102, 30135 (770) 942-2852 Prosthodontists Byrd, Timothy 6740 Douglas Blvd Ste A, 30135 (770) 949-5600 Harmon, Tom 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Patel, Ashish 8505 Hospital Dr Ste 7&8, 30134 (770) 489-6735 Vautin, David 3666 Highway 5 Ste 102, 30135 (770) 942-2852 Camp Sr, Ray 7191 Douglas Blvd # A, 30135 (770) 949-4400 James, Tyrone 3000 Chapel Hill Rd Ste 104, 30135 (770) 920-0112 Patel, Haren 6351 Douglas Blvd, 30135 (770) 577-9478 Watson, Devon 6351 Douglas Blvd, 30135 (770) 577-9478 Cara, Yasheena 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Jones, Robin 2976 Chapel Hill Rd Ste 300, 30135 (678) 838-9600 Patel, Jay 3271 Highway 5, 30135 (678) 836-2111 Wilkins, Afi 3271 Highway 5, 30135 (678) 836-2111 Chauhan, Muhammad 8415 Campbellton St, 30134 (770) 942-4899 Kakadia, Ashish 3308 Georgia Highway 5 # E, 30135 (770) 947-0006 Patel, Jigisha 6128 Prestley Mill Rd Ste E, 30134 (770) 949-0434 Williams, Jacques 8415 Campbellton St, 30134 (770) 942-4899 Chinchilla, Julio 3271 Highway 5, 30135 (678) 836-2111 Langford, Carren 6351 Douglas Blvd, 30135 (770) 577-9478 Patel, Kumar 6128 Prestley Mill Rd Ste E, 30134 (770) 949-0434 Williams, Jim 8558 Hospital Dr, 30134 (770) 949-5393 Chong, Justin 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Lauderdale, Candace 6351 Douglas Blvd, 30135 (770) 577-9478 Patel, Trushar 6128 Prestley Mill Rd Ste E, 30134 (770) 949-0434 Williamson, Delbert 6740 Douglas Blvd Ste A, 30135 (770) 949-5600 Chowdhury, Kamran 6351 Douglas Blvd, 30135 (770) 577-9478 Lindsay, Jonathan 3666 Highway 5 Ste 102, 30135 (770) 942-2852 Peters, Kimberly 6351 Douglas Blvd, 30135 (404) 267-0400 Wingfield, Steven 3666 Highway 5 Ste 102, 30135 (770) 942-2852 Colbert, Dionne 3271 Highway 5, 30135 (678) 836-2111 Livingston Jr, Lynn 8505 Hospital Dr Ste 7&8, 30134 (770) 489-6735 Phelps, Kimberly 6351 Douglas Blvd, 30135 (770) 577-9478 Wood, Andrea 3271 Highway 5, 30135 (678) 836-2111 Colbert, Dionne 8505 Hospital Dr Ste 7&8, 30134 (770) 489-6735 Martindale, Mark 6351 Douglas Blvd, 30135 (770) 577-9478 Phung, Nicholas 6351 Douglas Blvd, 30135 (770) 577-9478 Yang, May 8505 Hospital Dr Ste 7&8, 30134 (770) 489-6735 Covington Jr, John 9375 The Landing Dr #g-130, 30135 (678) 445-5444 Mckellar, Christina 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Procter, Nirali 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Oral Surgeons Dave, Jalpa 3308 Georgia Highway 5 # E, 30135 (770) 947-0006 Mcmiller, Sukari 3271 Highway 5, 30135 (678) 836-2111 Reid Iii, Walter 3271 Highway 5, 30135 (678) 836-2111 Deas, Brian 6095 Professional Pkwy, 30134 (770) 577-5727 Mcmiller, Sukari 8505 Hospital Dr Ste 7&8, 30134 (770) 489-6735 Reid Iii, Walter 3387 Highway 5 Ste E, 30135 (770) 489-6200 Delman, Michael 3666 Highway 5 Ste 102, 30135 (770) 942-2852 Metzgar, Alice 3666 Highway 5 Ste 102, 30135 (770) 942-2852 Roark, Cindy 3308 Georgia Highway 5 # E, 30135 (770) 947-0006 Page 23 23 of56Pages Paschal, Lori 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Sundareswaran, Pushpa 200 E Ponce De Leon Ave Ste 300, 30030 (404) 377-8573 Clements, Kirby 4555 Flat Shoals Pkwy Ste 102, 30034 (404) 241-7710 DEMOREST General Dentists Crawley, Cendie 1080 Historic Hwy 441 N, 30535 (706) 894-1727 DOUGLAS General Dentists Cleveland, Jinnie 1310 Ocilla Rd, 31533 (912) 389-1600 Crawford, Gary 1150 Ward Street Ext W Ste 2, 31533 (912) 384-7400 Fussell, James 1390 Gordon St W, 31533 (912) 384-5474 Fussell, William 1108 Madison Ave N, 31533 (912) 384-4432 Knight, Heidi 709 Peterson Ave N, 31533 (912) 384-0403 Lindsey, Griff 1150 Ward Street Ext W Ste 2, 31533 (912) 384-7400 Mcgovern, Justin 1370 Gordon St W, 31533 (912) 384-1306 Moorman Jr, Guy 1150 Ward Street Ext W Ste 2, 31533 (912) 384-7400 Smith, Matthew 908 Madison Ave N, 31533 (912) 384-4902 This information is current as of September 2014 Ali Khan, Husain 3271 Highway 5, 30135 (678) 836-2111 Ali Khan, Husain 6128 Prestley Mill Rd Ste E, 30134 (770) 949-0434 Anderson, Paul 2976 Chapel Hill Rd, 30135 (678) 838-9600 Bagheri, Shahrokh 8505 Hospital Dr # 7&8b, 30134 (770) 489-6735 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Bankston, Stephen 6001 Professional Pkwy Ste 1020, 30134 (678) 279-2225 Grant, Richard 7475 Douglas Blvd Ste 201, 30135 (770) 942-4100 Hutchins, Allen 9375 The Landing Dr #g-130, 30135 (678) 445-5444 Walters, Sacha 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Alvarez-Kiely, Gloria 5805 State Bridge Rd Ste L, 30097 (678) 474-4917 Davila, Manuel 6043 Prestley Mill Rd Ste A, 30134 (770) 949-3797 Iaculli, John 9375 The Landing Dr Ste 130, 30135 (770) 448-8882 Jordan, Teresa 3271 Highway 5, 30135 (678) 836-2111 Washington, Keysra 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Beck, William 6555 Sugarloaf Pkwy Ste 308, 30097 (678) 474-0777 Harrison, Farryn 3308 Georgia Highway 5 # E, 30135 (770) 947-0006 Kubala, Louis 3306 Highway 5, 30135 (678) 619-1699 Kebriaei, Amy 9375 The Landing Dr #g-130, 30135 (678) 445-5444 White, Marcia 5846 Stewart Pkwy, 30135 (678) 838-2802 Betancourt, Marlyn 3772 Satellite Blvd Ste 100, 30096 (770) 623-4747 Jo, Chris 6001 Professional Pkwy Ste 1020, 30134 (678) 279-2225 Long, James 3666 Highway 5 Ste 100, 30135 (770) 949-7259 Kerlan, Daniel 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Yoo, Chin 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Bhatia, Vikram 10305 Medlock Bridge Rd #b-3, 30097 (770) 813-0112 Jones, Gillian 3271 Highway 5, 30135 (678) 836-2111 Long, Meridith 9375 The Landing Dr Ste 130, 30135 (770) 448-8882 Kimathi, Travis 3432 Highway 5, 30135 (999) 999-9999 Periodontists Bhoompalli, Madhavi 6630 Mcginnis Ferry Rd #c, 30097 (770) 814-7600 Kinsey, Richard 6043 Prestley Mill Rd Ste A, 30134 (770) 949-3797 Park, Eric 4935 Stewart Mill Rd Ste 200, 30135 (770) 627-3042 Lee, Susan 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Linek, Peter 3271 Highway 5, 30135 (678) 836-2111 Park, Eric 9375 The Landing Dr Ste 130, 30135 (770) 448-8882 Levitas, Theodore 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Patel, Piyushkumar 8505 Hospital Dr # 7&8b, 30134 (770) 489-6735 Podray, Susan 9375 The Landing Dr Ste 130, 30135 (770) 448-8882 Lucas, Cleoka 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Reese, Reynaldo 3271 Highway 5, 30135 (678) 836-2111 Schneider, Dylan 3271 Highway 5, 30135 (678) 836-2111 Madhiwala, Priya 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Reese, Reynaldo 4020 Chapel Hill Rd, 30135 (770) 949-2400 Segnere, Jeffrey 9375 The Landing Dr Ste 130, 30135 (770) 448-8882 Malhotra, Menka 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Wells, Syretta 3271 Highway 5, 30135 (678) 836-2111 Rogers, Kael 3271 Highway 5, 30135 (678) 836-2111 White, Adam 9375 The Landing Dr Ste 130, 30135 (770) 448-8882 Maru, Ami 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 DUBLIN General Dentists Schaner, Paul 6001 Professional Pkwy Ste 1020, 30134 (678) 279-2225 Pediatric Dentists Mccarley, Christie 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Barden, Jon 2400 Bellevue Rd Ste 28, 31021 (478) 272-7250 Nortick, Mariel 9375 The Landing Dr #g-130, 30135 (678) 445-5444 Black Jr, Emmett 526 Academy Ave, 31021 (478) 272-6316 Park, Julius 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Brinson, Robby 1617 Rice Ave, 31021 (478) 272-3727 Park, Suyon 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Bruckmair, Timothy 1617 Rice Ave, 31021 (478) 272-3727 Paschal, Lori 3271 Highway 5, 30135 (678) 836-2111 Gay, Tracy 2400 Bellevue Rd Ste 28, 31021 (478) 272-7250 Patel, Kunjan 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Hill, Steven 1100 Bellevue Ave, 31021 (478) 296-9764 Purvis, Flynt 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Whittle, John 2400 Bellevue Rd Ste 28, 31021 (478) 272-7250 Reese, Valerie 4020 Chapel Hill Rd, 30135 (770) 949-2400 Williams, Hayward 112 Rowe St, 31021 (478) 272-8603 Roehl, Brad 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Endodontists Stacey, Barry 6043 Prestley Mill Rd Ste A, 30134 (770) 949-3797 Threadgill, Jonathan 6043 Prestley Mill Rd Ste A, 30134 (770) 949-3797 Treadway, Antwan 6001 Professional Pkwy Ste 1020, 30134 (678) 279-2225 Waksor, Adam 3271 Highway 5, 30135 (678) 836-2111 Waksor, Adam 6351 Douglas Blvd, 30135 (770) 577-9478 Young, Justin 6001 Professional Pkwy Ste 1020, 30134 (678) 279-2225 Allen, Nelson 9375 The Landing Dr #g-130, 30135 (678) 445-5444 Brown, Shelton 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Buckle, Eileen 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Camp, Laneshia 9375 The Landing Dr #g-130, 30135 (678) 445-5444 Chang, Ohkyoung 9375 The Landing Dr #g-130, 30135 (678) 445-5444 Cottrell, David 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Endodontists Coulter, Charles 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Howard, Cameron 3271 Highway 5, 30135 (678) 836-2111 Desouza, Sharon 3271 Highway 5, 30135 (678) 836-2111 Mann, Arnold 3308 Georgia Highway 5 # E, 30135 (770) 947-0006 Desouza, Sharon 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Starkey, Dennis 6126 Prestley Mill Rd Ste J, 30134 (770) 489-1450 Ellington, Janet 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Orthodontists Freedman, Bret 3306 Highway 5, 30135 (678) 619-1699 Berwick, Jennifer 9375 The Landing Dr Ste 130, 30135 (770) 448-8882 Bush, Hector 3306 Highway 5, 30135 (678) 619-1699 Chen, Andrew 3308 Georgia Highway 5 # E, 30135 (770) 947-0006 Cooper, Justin 3271 Highway 5, 30135 (678) 836-2111 Cox Jr, Stanley 9375 The Landing Dr Ste 130, 30135 (770) 448-8882 Goodman, Sundus 3271 Highway 5, 30135 (678) 836-2111 Halper, Christopher 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Hassan, Zeyad 9375 The Landing Dr #g-130, 30135 (678) 445-5444 Haynes, Deanna 9375 The Landing Dr #g-130, 30135 (678) 445-5444 Hejazi-Werner, Shiva 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Herrin, Brent 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Holder, Terry 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 This information is current as of September 2014 Roehl, Brian 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Ross, Tisha 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Sease, Joseph 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Shilman, Lisa 9375 The Landing Dr #g-130, 30135 (678) 445-5444 Simms, Mindy 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Strickland Phillips, Stephanie 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Sundareswaran, Pushpa 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Thomas Jr, Jack 9375 The Landing Dr Ste G130, 30135 (678) 445-5444 Page 24 Kukreja, Ashish 3271 Highway 5, 30135 (678) 836-2111 Kukreja, Ashish 8505 Hospital Dr Ste 7&8, 30134 (770) 489-6735 Mehraban, Ali 8505 Hospital Dr # 7&8b, 30134 (770) 489-6735 Zinney, William 3271 Highway 5, 30135 (678) 836-2111 Prosthodontists Bivins, Dequan 4855 River Green Pkwy, 30096 (770) 500-3757 Bodea, Joanna 5805 State Bridge Rd Ste L, 30097 (678) 474-4917 Brown, Arthur 1630 Pleasant Hill Rd, 30096 (770) 381-7878 Brown, James 10360 Medlock Bridge Rd Ste D, 30097 (770) 623-1198 Burlison, Shelton 2730 Peachtree Industrial Blvd Ste 202, 30097 (678) 473-4750 Chatman, Lisa 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Chen, Jeffrey 10305 Medlock Bridge Rd #b-3, 30097 (770) 813-0112 Christensen, Kurt 6600 Sugarloaf Pkwy Ste 700, 30097 (678) 475-1790 Cohen, Lester 1815 Satellite Blvd Ste 401, 30097 (770) 813-1200 Debowsky, Bryan 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Dinh, To Nga 3820 Pleasant Hill Rd Ste 1, 30096 (770) 497-0110 Dongieux, Benjamin 3500 Duluth Park Ln, 30096 (770) 623-6714 Dunson, Melanie 3502 Satellite Blvd Ste 8, 30096 (678) 248-3603 Dunson, Melanie 9775 Medlock Bridge Rd #i, 30097 (678) 248-6235 Beall Sr, Fred 2400 Bellevue Rd/19 Erin Off Park, 31021 (478) 275-7001 Eaglin, Jason 6290 Abbotts Bridge Rd Ste 101, 30097 (770) 418-1777 Gilchrist Iv, Pinkney 2400 Bellevue Rd/19 Erin Off Park, 31021 (478) 275-7001 Edwards Iii, Kenion 3502 Satellite Blvd Ste 8, 30096 (678) 248-3603 Pediatric Dentists Fields, David 3502 Satellite Blvd Ste 8, 30096 (770) 476-9000 Whigham, Rebecca 109 Fairview Park Dr, 31021 (478) 275-7551 DULUTH General Dentists Abes, Marshall 3502 Satellite Blvd Ste 8, 30096 (678) 248-3603 Abes, Marshall 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Adams, Jairus 9775 Medlock Bridge Rd #i, 30097 (678) 248-6235 Ahn, Jay 2550 Pleasant Hill Rd #119, 30096 (770) 814-7791 24 of56Pages Fields, David 9775 Medlock Bridge Rd #i, 30097 (678) 248-6235 Geoghegan, Thomas 2785 Buford Hwy Bldg B, 30096 (770) 476-3332 Gober, Kelly 3502 Satellite Blvd Ste 8, 30096 (678) 248-3603 Grady, Sean 10710 Medlock Brdg Rd #101, 30097 (678) 957-0770 Ham, Jae 3705 Old Norcross Rd, 30096 (770) 813-0777 Hamilton, Travis 3502 Satellite Blvd Ste 8, 30096 (770) 476-9000 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Hamilton, Travis 9775 Medlock Bridge Rd #i, 30097 (678) 248-6235 Leydecker Iii, Fred 9700 Medlock Bridge Rd Ste 108, 30097 (678) 780-8298 Sarembock, Mitchell 9775 Medlock Bridge Rd #i, 30097 (678) 248-6235 Yavari, Behnam 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Cox Jr, Stanley 3680 Pleasanthill Rd Ste 100, 30096 (770) 448-8882 Hassanzadeh, Mehran 6290 Abbotts Bridge Rd Ste 101, 30097 (770) 418-1777 Makhmalbaf, Ali 3330 Satellite Blvd Ste 10, 30096 (770) 622-8899 Sconion Ii, Arnold 10305 Medlock Bridge Rd #b3, 30097 (770) 418-4939 Yun, Yanghee 3780 Old Norcross Rd Ste 303, 30096 (678) 584-8778 Crosby, Michael 3680 Pleasanthill Rd Ste 100, 30096 (770) 448-8882 Hayward, David 10710 Medlock Bridge Rd Ste 101, 30097 (678) 957-0770 Masek, Henry 3502 Satellite Blvd Ste 8, 30096 (678) 248-3603 Sconion Ii, Arnold 3796 Satellite Blvd #101, 30096 (770) 687-2353 Oral Surgeons Eatmon, Kevin 3796 Satellite Blvd #101, 30096 (770) 687-2353 Hernandez, Juan 3705 Old Norcross Rd Ste 300, 30096 (770) 813-0777 Masek, Henry 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Shearin, Anthony 9775 Medlock Bridge Rd #i, 30097 (678) 248-6235 Huynh, Scott 9775 Medlock Bridge Rd #i, 30097 (678) 248-6235 Mauriocourt Moss, Lisa 3415 East Lawrenceville St, 30096 (770) 476-2400 Shefrin, Lauren 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Hwahng, Michael 2628 Pleasant Hill Rd, 30096 (770) 622-8878 Mccurdy, Clarence 3502 Satellite Blvd Ste 8, 30096 (770) 476-9000 Shefrin, Mark 3540 Duluth Park Ln Ste 270, 30096 (770) 497-8010 Hwang, Jonathan 3705 Old Norcross Rd Ste 300, 30096 (770) 813-0777 Mcfadden, Gerald 3296 Summit Ridge Pkwy Ste 210, 30096 (678) 822-7645 Shifrin, Tatiana 4229 Pleasant Hill Rd, 30096 (770) 232-5255 Jeong, Wook 4855 River Green Pkwy, 30096 (770) 500-3757 Mcmahon-Lee, Cheryl 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Jimenez, Arleen 3780 Old Norcross Rd #303, 30096 (678) 548-8778 Mehraban, Ali 10900 Medlock Bridge Rd Ste 303, 30097 (678) 205-3777 Shim, Young 2805 Peachtree Industrial Blvd Ste 113, 30097 (770) 476-3798 Johnson, Vernard 3585 Peachtree Industrial Blvd #146, 30096 (678) 242-8907 Moscattini, Roy 3660 Howell Ferry Rd # A, 30096 (770) 476-4144 Kabani, Shaila 3870 Peachtree Industrial Blvd #230, 30096 (770) 476-9004 Kakadia, Ashish 1630 Pleasant Hill Rd, 30096 (770) 381-7878 Kakadia, Ashish 3870 Peachtree Industrial Blvd #230, 30096 (770) 476-9004 Katz, Matthew 9700 Medlock Bridge Rd Ste 108, 30097 (678) 780-8298 Kim, Eugene 3840 Peachtree Industrial Blvd Ste 320, 30096 (770) 670-6555 Kim, Hyun 1160 Old Peachtree Rd Ste B, 30097 (678) 473-7770 Kim, Sun 3230 Steve Reynolds Blvd #212, 30096 (470) 545-1096 Kim, Sun 4855 River Green Pkwy, 30096 (770) 500-3757 Kinard, Brian 3502 Satellite Blvd Ste 8, 30096 (770) 476-9000 Kinard, Brian 9775 Medlock Bridge Rd #i, 30097 (678) 248-6235 Lail, Slade 3415 East Lawrenceville St, 30096 (770) 476-2400 Lail, Wallace 3415 East Lawrenceville St, 30096 (770) 476-2400 Leavitt, John 3502 Satellite Blvd Ste 8, 30096 (678) 248-3603 Lee, Beom 4855 River Green Pkwy, 30096 (770) 500-3757 Lee, Diane 3840 Peachtree Industrial Blvd Ste 320, 30096 (770) 670-6555 Lee, Thomas 3502 Satellite Blvd Ste 8, 30096 (678) 248-3603 Lee, Thomas 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Muccioli, Lydia 6300 Hospital Pkwy Ste 275, 30097 (678) 389-9955 Nagar, Ushma 3796 Satellite Blvd Ste 100, 30096 (770) 476-4140 Nguyen, Nhut 3415 B Duluth Hwy 120, 30096 (678) 417-7709 Norton, John 6600 Sugarloaf Pkwy Ste 700, 30097 (678) 475-1790 Palacios-Barrionuevo, Fabiola 3796 Satellite Blvd Ste 100, 30096 (770) 476-4140 Parsons, Ronald 2148 Duluth Highway 120 Ste 101, 30097 (770) 963-3963 Shim, Young 2925 Premiere Pkwy Ste 175b, 30097 (404) 910-9060 Sielski, Jennifer 3820 Pleasant Hill Rd Ste 1, 30096 (770) 497-0110 Slone, Anglea 9590 Medlock Bridge Rd Ste D, 30097 (770) 495-9004 Solarin, Oluwatoyin 1625 Pleasant Hill Rd #b-100, 30096 (404) 455-5770 Sonnier, Marvis 2715 Buford Hwy Ste 100, 30096 (678) 417-2007 Stephenson, Stephanie 3772 Satellite Blvd Ste 100, 30096 (770) 623-4747 Stevens, James 2805 Peachtree Industrial Blvd, 30097 (770) 476-2252 Stone, Donna 3170 Peachtree Industrial Blvd, 30097 (678) 584-5589 Cho, Sung 3502 Satellite Blvd Ste 8, 30096 (678) 248-3603 Cho, Sung 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Etezadi-Tabrizi, Abtin 2925 Premiere Pkwy Ste 185, 30097 (678) 336-8720 Harrison, Farryn 1630 Pleasant Hill Rd, 30096 (770) 381-7878 Jo, Chris 2925 Premiere Pkwy Ste 185, 30097 (678) 336-8720 Mcintosh, Glen 3400 Mcclure Bridge Rd Ste G702, 30096 (770) 476-8576 Robertson, Jeannette 3502 Satellite Blvd Ste 8, 30096 (678) 248-3603 Robertson, Jeannette 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Smouse, James 2925 Premiere Pkwy Ste 185, 30097 (678) 336-8720 Young, Justin 2925 Premiere Pkwy Ste 185, 30097 (678) 336-8720 Mann, Arnold 1630 Pleasant Hill Rd, 30096 (770) 381-7878 Venkatesh, Sangita 9775 Medlock Bridge Rd #i, 30097 (678) 248-6235 Rickoff, B 9590 Medlock Bridge Rd Ste G, 30097 (770) 232-5112 Wadley, Lechandre 3502 Satellite Blvd Ste 8, 30096 (678) 248-3603 Rickoff, Ross 9590 Medlock Bridge Rd Ste G, 30097 (770) 232-5112 Wadley, Lechandre 9775 Medlock Bridge Rd #i, 30097 (678) 248-6235 Yusuf, Sheerin 1630 Pleasant Hill Rd, 30096 (770) 381-7878 Rosenberg-Mcgowan, Christine 3415 B Duluth Hwy 120, 30096 (678) 417-7709 Wakefield, Freddie 3502 Satellite Blvd Ste 8, 30096 (770) 476-9000 Orthodontists Rosenthal, Michael 3502 Satellite Blvd Ste 8, 30096 (770) 476-9000 Wakefield, Freddie 9775 Medlock Bridge Rd #i, 30097 (678) 248-6235 Rosenthal, Michael 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Walls, Kevin 6601 Sugarloaf Pkwy Ste 250, 30097 (770) 495-5844 Rowe, Mark 2320 Satellite Blvd Ste 120, 30096 (770) 622-5909 Wei, Xin 4317 Abbotts Bridge Rd Ste 4, 30097 (770) 814-2212 Sadri, Mahin 9775 Medlock Bridge Rd #i, 30097 (678) 248-6235 Wong, David 5805 State Bridge Rd Ste L, 30097 (678) 474-4917 Sandvi, Christopher 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Wright, Christopher 3796 Satellite Blvd Ste 201, 30096 (770) 476-9025 This information is current as of September 2014 Page 25 Salyer, Hyman 3415 E Lawrenceville St, 30096 (770) 623-8520 Segnere, Jeffrey 3680 Pleasanthill Rd Ste 100, 30096 (770) 448-8882 Shoup, Greg 3680 Pleasanthill Rd Ste 100, 30096 (770) 448-8882 Pediatric Dentists Raina, Rakesh 1815 Satellite Blvd Ste 301, 30097 (678) 205-1028 Roark, Cindy 3870 Peachtree Industrial Blvd #230, 30096 (770) 476-9004 Richard, Ryan 3680 Pleasanthill Rd Ste 100, 30096 (770) 448-8882 Malik, Waheed 2405 Satellite Blvd Ste 115, 30096 (770) 495-8088 Vargas, Sandra 5805 State Bridge Rd Ste L, 30097 (678) 474-4917 Roark, Cindy 1630 Pleasant Hill Rd, 30096 (770) 381-7878 Podray, Susan 3680 Pleasanthill Rd Ste 100, 30096 (770) 448-8882 White, Adam 3680 Pleasanthill Rd Ste 100, 30096 (770) 448-8882 Michelich, Robert 9590 Medlock Bridge Rd Ste G, 30097 (770) 232-5112 Reichman, Richard 3796 Satellite Blvd #101, 30096 (770) 687-2353 Park, Eric 3680 Pleasanthill Rd Ste 100, 30096 (770) 448-8882 Khan, Bilal 9590 Medlock Bridge Rd Ste G, 30097 (770) 232-5112 Triggs, Morgan 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Raina, Divya 4390 Pleasant Hill Rd Ste A, 30096 (770) 622-9772 Long, Meridith 3680 Pleasanthill Rd Ste 100, 30096 (770) 448-8882 Endodontists Thaiya, Christine 3502 Satellite Blvd Ste 8, 30096 (770) 476-9000 Piede, Robert 3502 Satellite Blvd Ste 8, 30096 (678) 248-3603 Gluck, Brett 6130 Abbotts Bridge Rd, 30097 (770) 664-6003 White, Adam 3530 Mall Blvd, 30096 (770) 448-8882 Mann, Arnold 3870 Peachtree Industrial Blvd #230, 30096 (770) 476-9004 Pellegrinon, Michael 3502 Satellite Blvd Ste 8, 30096 (678) 248-3603 Gilbert, Joseph 2148 Duluth Highway 120 Ste 101, 30097 (770) 963-3963 Berwick, Jennifer 3680 Pleasanthill Rd Ste 100, 30096 (770) 448-8882 Chen, Andrew 1630 Pleasant Hill Rd, 30096 (770) 381-7878 Cohen, Barry 3796 Satellite Blvd Ste 200, 30096 (770) 476-4678 Corbitt, George 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Cox Jr, Stanley 3530 Mall Blvd, 30096 (770) 448-8882 25 of56Pages Henry, Sarita 3772 Satellite Blvd Ste 100, 30096 (770) 623-4747 Hicks Jr, James 10475 Medlock Bridge Rd Ste 501, 30097 (678) 822-9818 Holder, Terry 2620 Satellite Blvd, 30096 (770) 692-1000 Kil, Nam Eun 3820 Pleasant Hill Rd Ste 1, 30096 (770) 497-0110 Rush, Demetris 3820 Pleasant Hill Rd Ste 1, 30096 (770) 497-0110 Periodontists Baek, Orson 3502 Satellite Blvd Ste 8, 30096 (678) 248-3603 Baek, Orson 9775 Medlock Bridge Rd #i, 30097 (678) 248-6235 Chong, Woojae 3502 Satellite Blvd Ste 8, 30096 (770) 476-9000 Chong, Woojae 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Litterer, Mark 2925 Premiere Pkwy # 195, 30097 (770) 939-4840 Scher, Aubrey 2925 Premiere Pkwy # 195, 30097 (770) 939-4840 West, Daniel 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 Prosthodontists Lafontaine, Lorraine 9775 Medlock Bridge Rd #i, 30097 (770) 476-9595 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Luperon, Bolivar 5805 State Bridge Rd Ste L, 30097 (678) 474-4917 Fowler, Dwayne 326 N Main St, 30540 (706) 635-7453 Kubala, Louis 4272 Washington Rd, 30809 (706) 621-7586 Gilkey, Jacqueline 141 Banks Sta # 121-122, 30214 (770) 716-9778 Owsley Brown, Julia 1275 Highway 54 W Ste 204, 30214 (770) 461-5500 Muccioli, Randy 6300 Hospital Pkwy Ste 275, 30097 (678) 389-9955 Hall, Cynthia 160 Sailors Dr, 30540 (706) 276-2828 Williamson, Eugene 4250 Washington Rd # 569, 30809 (706) 860-5074 Givens, Rodney 805 Glynn St S Ste 131, 30214 (770) 460-6651 Perez, Pedro 410 N Jeff Davis Dr, 30214 (770) 460-9702 EASTMAN General Dentists Hall, Cynthia 21 Westbrook Ct, 30536 (706) 635-2218 Pediatric Dentists Hader, Jesse 395 N Jeff Davis Dr Ste A, 30214 (770) 460-0870 Price, Ryan 290 Highway 314 Ste A, 30214 (770) 460-6060 Carroll, Clark 750 Medical Center Dr, 31023 (478) 374-7184 Lykins, Shay 60 Highland Ct Ste 202, 30540 (706) 698-3384 Hader, Jesse 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Reichman, Richard 1307 Highway 85 N Ste B, 30214 (770) 719-3300 Dahlstrom, Lyndsey 421 Plaza Ave, 31023 (478) 374-4716 Reid, Ronald 160 Sailors Dr, 30540 (706) 276-2828 Hall, William 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Reid Iii, Walter 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Harrell, Byrd 421 Plaza Ave, 31023 (478) 374-4716 Reid, Ronald 21 Westbrook Ct, 30536 (706) 635-2218 Harandifassih, Lyda 395 N Jeff Davis Dr Ste A, 30214 (770) 460-0870 Richardson, Edwin 113 Ebenezer Rd Ste 101, 30215 (770) 487-9797 Knight, Michael 501 Griffin Ave, 31023 (478) 374-7719 Settel, David 160 Sailors Dr, 30540 (706) 276-2828 Harandifassih, Lyda 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Roark, Cindy 805 Glynn St S Ste 131, 30214 (770) 460-6651 Parkerson, Michael 501 Griffin Ave, 31023 (478) 374-7719 Settel, David 21 Westbrook Ct, 30536 (706) 635-2218 Harandi-Fassih, Ali 395 N Jeff Davis Dr Ste A, 30214 (770) 460-0870 Robinson, Jonathan 113 Ebenezer Rd Ste 101, 30215 (770) 487-9797 Smith, H Wayne 814 Professional Center Dr, 31023 (912) 374-7070 Talbot, James 78 River Ter, 30540 (706) 635-5878 Harandi-Fassih, Ali 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Sconion Ii, Arnold 1307 Highway 85 N Ste B, 30214 (770) 719-3300 Oral Surgeons Oral Surgeons Ferguson, Henry 750 Medical Center Dr, 31023 (478) 374-7184 Smouse, James 9 White Dove Lane, 30540 (706) 946-5015 Orthodontists Harris, James 141 Banks Sta # 121-122, 30214 (770) 716-9778 Singh, Manjeet 395 N Jeff Davis Dr Ste A, 30214 (770) 460-0870 Kao, Solon 750 Medical Center Dr, 31023 (478) 374-7184 Pediatric Dentists Davies-Venn, Leroy 5370 Campbellton Fairburn Rd, 30213 (770) 892-3833 Harvey, Candace 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Singh, Manjeet 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Holmes, Michael 78 River Ter, 30540 (706) 635-5878 White, Javonne 168 Nw Broad St, 30213 (770) 964-1545 Hassanzadeh, Mehran 692 Glynn St N Ste S, 30214 (770) 716-2701 Smith, Stacy 290 Highway 314 Ste A, 30214 (770) 460-6060 Orthodontists EVANS General Dentists FAIRMOUNT General Dentists James, Tyrone 141 Banks Sta Ste 121-122, 30214 (770) 716-9778 Vaughn, Sharcola 101 Beckett Ln Ste 403, 30214 (404) 763-3326 Boone Jr, Toof 5020 Norman St, 31023 (478) 374-4373 Boyd, Daniel 809 Oakhurst Dr Ste B, 30809 (706) 869-8949 Miller, Richard 3099 Highway 411 Se, 30139 (706) 337-3347 James, Tyrone 395 N Jeff Davis Dr Ste A, 30214 (770) 460-0870 Verdin, Rick 105 Braxton Ct, 30214 (770) 461-0449 EATONTON General Dentists Dunn, Celia 584 Blue Ridge Dr, 30809 (706) 650-9700 FAYETTEVILLE General Dentists James, Tyrone 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Wilkerson, Donna 410 N Jeff Davis Dr, 30214 (770) 460-9702 Brown, Thomas 104 N Lafayette St, 31024 (706) 485-6313 Flanagan, Lynn 4369 Evans To Locks Rd, 30809 (706) 863-8197 Ashford, Robin 101 Beckett Ln Ste 403, 30214 (404) 763-3326 Johanson, Lee 410 N Jeff Davis Dr, 30214 (770) 460-9702 Williams, Thomas 265a N Jeff Davis Dr Ste 1, 30214 (678) 817-5900 Jones, Dorothy 136 Sparta Hwy, 31024 (706) 484-0282 Humble, Alisha 3029 William Few Pkwy, 30809 (706) 863-0111 Attia, Magdy 720 Lanier Ave W, 30214 (770) 461-7700 Kakadia, Ashish 805 Glynn St S Ste 131, 30214 (770) 460-6651 Woodrick, George 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Endodontists Scott, Adam 3029 William Few Pkwy, 30809 (706) 863-0111 Beckford, Yvonne 395 N Jeff Davis Dr Ste A, 30214 (770) 460-0870 Livingston Jr, Lynn 141 Banks Sta Ste 121-122, 30214 (770) 716-9778 Woods, Eddie 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Scott, Laura 3029 William Few Pkwy, 30809 (706) 863-0111 Beckford, Yvonne 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Livingston Jr, Lynn 395 N Jeff Davis Dr Ste A, 30214 (770) 460-0870 Wright, Angela 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Simonds, David 4174 Mullikin Rd, 30809 (706) 868-8145 Buggs, Keith 141 Banks Sta # 121-122, 30214 (770) 716-9778 Marable, Henry 395 N Jeff Davis Dr Ste A, 30214 (770) 460-0870 Oral Surgeons Weaver, Adrian 4174 Mullikin Rd, 30809 (706) 868-8145 Carn, Laura 290 Highway 314 Ste A, 30214 (770) 460-6060 Oral Surgeons Chinchilla, Julio 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Stevens, Mark 750 Medical Center Dr, 31023 (478) 374-7184 Williams, Michael 112 Harmony Xing Ste 1, 31024 (706) 484-9844 ELBERTON General Dentists Campbell, Edwin 48 Laurel Dr, 30635 (706) 283-1820 Campbell, Joe 48 Laurel Dr, 30635 (706) 283-1820 Erwin, Stuart 22 Laurel Dr, 30635 (706) 283-8190 Blevins, Keith 7011 Evans Town Center Blvd, 30809 (706) 724-8735 ELLENWOOD General Dentists Neal, Henry 7011 Evans Town Center Blvd, 30809 (706) 724-8735 Bruno, Todd 5937 Highway 42 Ste A, 30294 (770) 961-6272 Chatman, Tracee 5937 Highway 42 Ste A, 30294 (770) 961-6272 Harrison, Calvert 2832 E Atlanta Rd # B2, 30294 (770) 474-3535 ELLIJAY General Dentists Burke, Wesley 21 Westbrook Ct, 30536 (706) 635-2218 Oneal, Kyle 7011 Evans Town Center Blvd, 30809 (706) 724-8735 Scott, Daniel 7011 Evans Town Center Blvd, 30809 (706) 724-8735 Trotter Iv, William 7011 Evans Town Center Blvd, 30809 (706) 724-8735 Blanco, Rosa 4369 Evans To Locks Rd, 30809 (706) 863-8198 Freedman, Bret 4272 Washington Rd, 30809 (706) 621-7586 Perry, Amber 400 Town Park Blvd Ste 400, 30809 (706) 288-1100 FAIRBURN General Dentists Jorden, Terrance 7580 Springbox Dr, 30213 (770) 892-4133 Samuels, Renee 5370 Campbellton Fairburn Rd, 30213 (770) 964-0494 White Jr, Robert 168 Nw Broad St, 30213 (770) 964-1545 Clifton, Shrenna 115 Genevieve Ct, 30215 (770) 486-8229 Dave, Jalpa 805 Glynn St S Ste 131, 30214 (770) 460-6651 Dixon, Fredrico 141 Banks Sta Ste 121-122, 30214 (770) 716-9778 Dorrian, Yvonne 141 Banks Sta Ste 121-122, 30214 (770) 716-9778 Orthodontists Eaglin, Jason 692 Glynn St N Ste S, 30214 (770) 716-2701 Bush, Hector 4272 Washington Rd, 30809 (706) 621-7586 Fenton, Alaina 141 Banks Sta Ste 121-122, 30214 (770) 716-9778 This information is current as of September 2014 Page 26 Marsh, Vincent 395 N Jeff Davis Dr Ste A, 30214 (770) 460-0870 Martindale, Mark 410 N Jeff Davis Dr, 30214 (770) 460-9702 Mathew, Amy 410 N Jeff Davis Dr, 30214 (770) 460-9702 Milligan, Tara 410 N Jeff Davis Dr, 30214 (770) 460-9702 Minton Jr, Warren 395 N Jeff Davis Dr Ste A, 30214 (770) 460-0870 Minton Jr, Warren 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Mitchell, Steven 105 Carnegie Pl Ste 109, 30214 (770) 460-2120 Moore, Carolyn 500 Lanier Ave W Ste 404, 30214 (770) 487-8896 26 of56Pages Ali Khan, Husain 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Anderson, Bruce 288 Highway 314 Ste B, 30214 (770) 692-0453 Bagheri, Shahrokh 141 Banks Sta Ste 121-122, 30214 (770) 716-9778 Collins Jr, Kenneth 565 Lanier Ave E, 30214 (770) 461-0188 Ferrara, Eric 874 Lanier Ave W Ste 101a, 30214 (770) 471-4196 Harrison, Farryn 805 Glynn St S Ste 131, 30214 (770) 460-6651 Johnson Jr, Durwood 1260 Hwy 54 W #200, 30214 (770) 461-2101 Jones, Gillian 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Myers, Walter 288 Highway 314 Ste B, 30214 (770) 692-0453 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Patel, Piyushkumar 141 Banks Sta # 121-122, 30214 (770) 716-9778 White, Adam 100 Carnegie Pl # 102, 30214 (770) 448-8882 Perciaccante, Vincent 288 Highway 314 Ste B, 30214 (770) 692-0453 White, Javonne 100 Carnegie Pl # 102, 30214 (770) 448-8882 Pritchett, John 874 Lanier Ave W Ste 101a, 30214 (770) 471-4196 Pediatric Dentists Chaudhary, Shafaq 4009 Winder Hwy Ste 200, 30542 (678) 714-7575 Desouza, Sharon 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Kong, Jeni 4009 Winder Hwy Ste 200, 30542 (678) 714-7575 Dunkelberger, Fred 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Kwon, Sam 4009 Winder Hwy Ste 200, 30542 (678) 714-7575 Paschal, Lori 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Strickland, Phillip 4009 Winder Hwy Ste 200, 30542 (678) 714-7575 Periodontists FOLKSTON General Dentists Rogers, Kael 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Timmis, David 288 Highway 314 Ste B, 30214 (770) 692-0453 Vuocolo, Michael 490 Bradley Dr Ste B, 30214 (770) 461-5121 Waksor, Adam 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Kukreja, Ashish 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Waksor, Adam 874 Lanier Ave W Ste 101a, 30214 (770) 471-4196 Mehraban, Ali 141 Banks Sta # 121-122, 30214 (770) 716-9778 Endodontists Moore, Yolanda 410 N Jeff Davis Dr, 30214 (770) 460-9702 Howard, Cameron 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Mann, Arnold 805 Glynn St S Ste 131, 30214 (770) 460-6651 Shah, Bhavik 1240 Highway 54 W Ste 315, 30214 (770) 476-6878 Pearson, Robert 141 Banks Sta # 121-122, 30214 (770) 716-9778 Quinn, Michael 805 Glynn St S Ste 131, 30214 (770) 460-6651 Pediatric Dentists Andringa, Hans 4009 Winder Hwy Ste 200, 30542 (678) 714-7575 Sands, Matthew 3773 Second St S, 31537 (912) 496-2946 FOREST PARK General Dentists Beck, William 4095 Jonesboro Rd Ste G, 30297 (404) 608-1050 Braverman, Richard 4458 Jonesboro Rd, 30297 (770) 692-5665 Buitrago, Renan 4930 Governors Dr Ste 405, 30297 (404) 363-1700 Mclendon, Willie 4095 Jonesboro Rd Ste G, 30297 (404) 608-1050 Mian, Alia 4458 Jonesboro Rd, 30297 (770) 692-5665 Muigai, Paul 4458 Jonesboro Rd, 30297 (770) 692-5665 Murray-Donastorg, Perrice 4095 Jonesboro Rd Ste G, 30297 (404) 608-1050 Nwoku, Ada 4095 Jonesboro Rd Ste G, 30297 (404) 608-1050 Ogundipe, Taiwo 4458 Jonesboro Rd, 30297 (770) 692-5665 Pullins, Charlotte 4930 Governors Dr Ste 405, 30297 (404) 363-1700 Ricks Sr, K David 541 Forest Pkwy Ste 18, 30297 (404) 361-7333 Cooper, Justin 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Rachels, Nancy 320 Benjamin H Hill Dr W, 31750 (229) 423-9471 Cox Jr, Stanley 100 Carnegie Pl # 102, 30214 (770) 448-8882 Prosthodontists Edge, Lizzette 4458 Jonesboro Rd, 30297 (770) 692-5665 Merritt Jr, H G 171 Perry House Rd, 31750 (229) 423-2535 Fisher-Mclin, Antonia 4458 Jonesboro Rd, 30297 (770) 692-5665 FLOWERY BRANCH General Dentists Gilkey, Jacqueline 4930 Governors Dr Ste 405, 30297 (404) 363-1700 Bagheri, Shahrokh 4930 Governors Dr Ste 405, 30297 (404) 363-1700 Ahn, Jay 4690 Hog Mountain Rd, 30542 (770) 967-1001 Hamilton, Travis 4458 Jonesboro Rd, 30297 (770) 692-5665 Berry, Thomas 541 Forest Pkwy Ste 18, 30297 (404) 361-7333 Booker, Reginald 4005 Winder Hwy Ste 110, 30542 (770) 531-3232 Harvey, Candace 4458 Jonesboro Rd, 30297 (770) 692-5665 Cardona-Rohena, Yadira 4930 Governors Dr Ste 405, 30297 (404) 363-1700 Kelly, Edward 5900 Spout Springs Rd Ste U21, 30542 (770) 967-1850 Jackson, Cheryl 4458 Jonesboro Rd, 30297 (770) 692-5665 Digumarthi, Hari 4930 Governors Dr Ste 405, 30297 (404) 363-1700 Kelly, Jayne 5900 Spout Springs Rd Ste U21, 30542 (770) 967-1850 Jefferies, Ngandu 4458 Jonesboro Rd, 30297 (770) 692-5665 Ducksworth, Joseph 4458 Jonesboro Rd, 30297 (770) 692-5665 Kwak, Sang 4690 Hog Mountain Rd, 30542 (770) 967-1001 Kalra, Neelu 4458 Jonesboro Rd, 30297 (770) 692-5665 Foran, Michael 4458 Jonesboro Rd, 30297 (770) 692-5665 Lee Iii, Charles 7380 Spout Springs Rd, 30542 (770) 965-5548 Katz, David 4930 Governors Dr Ste 405, 30297 (404) 363-1700 Patel, Piyushkumar 4930 Governors Dr Ste 405, 30297 (404) 363-1700 Nicola, Anca 3446 Winder Hwy Ste 501-q, 30542 (770) 297-5110 Keane Dawes, Ronique 4458 Jonesboro Rd, 30297 (770) 692-5665 Robertson, Jeannette 4458 Jonesboro Rd, 30297 (770) 692-5665 Parsons, Ronald 6050 Spout Springs Rd, 30542 (678) 960-2600 Kim, Eugene 4458 Jonesboro Rd, 30297 (770) 692-5665 Ryan, Robert 4458 Jonesboro Rd, 30297 (770) 692-5665 Payne, Larry 6095 Atlanta Hwy #200, 30542 (770) 614-7122 Kim, Jennifer 4458 Jonesboro Rd, 30297 (770) 692-5665 Orthodontists Orthodontists Livingston Jr, Lynn 4930 Governors Dr Ste 405, 30297 (404) 363-1700 Granger, Michael 745 Bradley Dr, 30214 (770) 461-4142 Iaculli, John 100 Carnegie Pl # 102, 30214 (770) 448-8882 Long, Meridith 100 Carnegie Pl # 102, 30214 (770) 448-8882 Park, Eric 100 Carnegie Pl # 102, 30214 (770) 448-8882 Patel, Tina 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Podray, Susan 100 Carnegie Pl # 102, 30214 (770) 448-8882 Schneider, Dylan 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Segnere, Jeffrey 100 Carnegie Pl # 102, 30214 (770) 448-8882 Shoup, Greg 100 Carnegie Pl # 102, 30214 (770) 448-8882 Gilbert, Joseph 6050 Spout Springs Rd, 30542 (678) 960-2600 This information is current as of September 2014 Maybusher, Frank 4095 Jonesboro Rd Ste G, 30297 (404) 608-1050 Page 27 Pediatric Dentists FORT OGLETHORPE General Dentists FITZGERALD General Dentists Goodman, Sundus 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Bowcock Jr, John 103 Martin Luther King Jr Dr, 31029 (478) 994-2070 Pittman, Zelda 4095 Jonesboro Rd Ste G, 30297 (404) 608-1050 Chen, Andrew 805 Glynn St S Ste 131, 30214 (770) 460-6651 Echols, Eric 102 Pavilion Pkwy, 30214 (770) 716-0111 Ambrose, Valerie 120 N Lee St # D, 31029 (478) 743-0901 Hall, James 120 N Lee St # D, 31029 (478) 743-0901 Zinney, William 570 Lanier Ave W # 2 54, 30214 (678) 836-2128 Eatmon, Kevin 1307 Highway 85 N Ste B, 30214 (770) 719-3300 FORSYTH General Dentists Parekh, Chintan 4458 Jonesboro Rd, 30297 (770) 692-5665 Berwick, Jennifer 100 Carnegie Pl # 102, 30214 (770) 448-8882 Dyer, Celia 4458 Jonesboro Rd, 30297 (770) 692-5665 Mehraban, Ali 4930 Governors Dr Ste 405, 30297 (404) 363-1700 Ambrose Jr, John 120 N Lee St # D, 31029 (478) 743-0901 Orthodontists Byer, Fabian 4930 Governors Dr Ste 405, 30297 (404) 363-1700 Kukreja, Ashish 4930 Governors Dr Ste 405, 30297 (404) 363-1700 Osunfisan, Olubunmi 4458 Jonesboro Rd, 30297 (770) 692-5665 Shivers, Myra 118 N Park Dr, 30214 (770) 460-6765 Bunn, Kenneth 4095 Jonesboro Rd Ste G, 30297 (404) 608-1050 Periodontists Shepheard, Sharnn 4458 Jonesboro Rd, 30297 (770) 692-5665 Tong, Tuan 4095 Jonesboro Rd Ste G, 30297 (404) 608-1050 Trice, Andrea 4458 Jonesboro Rd, 30297 (770) 692-5665 Uddin, Monira 4930 Governors Dr Ste 405, 30297 (404) 363-1700 Yang, May 4930 Governors Dr Ste 405, 30297 (404) 363-1700 Oral Surgeons Hall, Tameka 4458 Jonesboro Rd, 30297 (770) 692-5665 Pediatric Dentists Herrin, Brent 4458 Jonesboro Rd, 30297 (770) 692-5665 27 of56Pages Calloway, Larry 965 Battlefield Pkwy, 30742 (706) 866-8412 Owens Jr, Charles 2364 Battlefield Pkwy, 30742 (706) 861-4930 Oral Surgeons Jones, Harry 78 Alamar St, 30742 (706) 858-7054 Spann, John 78 Alamar St, 30742 (706) 858-7054 Tipps, Steven 78 Alamar St, 30742 (706) 858-7054 Tipps, Wayne 78 Alamar St, 30742 (706) 858-7054 Orthodontists Flanagan, Thomas 72 Stuart Rd, 30742 (706) 861-4114 FORT VALLEY General Dentists Marable, Ulysses 1030 Peach Pkwy Ste 9, 31030 (229) 985-5092 Noel, Denise 106 N Miller St, 31030 (478) 827-0100 Whitaker Jr, John 906 Orange St, 31030 (478) 825-2001 FORTSON General Dentists King, Shaunta 94 Mccrary Rd, 31808 (706) 987-8216 FRANKLIN SPRINGS General Dentists Brady, Don 2341 W Main St, 30639 (706) 245-5031 GAINESVILLE General Dentists Bruner, Robert 1201 Sherwood Park Dr Ne # B, 30501 (770) 534-5821 Buggs, Keith 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Campbell, Monica 3535 Thompson Bridge Rd, 30506 (770) 531-9933 Langford, Carren 890 Dawsonville Hwy F, 30501 (678) 928-3219 Ramey, Rita 821 Dawsonville Hwy #150, 30501 (770) 503-7130 Sarathy, Aaron 1026 Thompson Bridge Rd, 30501 (770) 297-0401 Lee, Susan 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Cara, Yasheena 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Lauderdale, Candace 890 Dawsonville Hwy F, 30501 (678) 928-3219 Ray, Nina 3535 Thompson Bridge Rd, 30506 (770) 531-9933 Simonton Iii, Fred 1221 Sherwood Park Dr Ne Ste C, 30501 (770) 531-1075 Lucas, Cleoka 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Chalasani, Venkatadri 1216 Aviation Blvd Ste 101, 30501 (770) 718-9091 Levenson, Joshua 578 S Enota Dr Ne, 30501 (770) 536-3254 Rayburn, Jennifer 1419 Pearce Cir, 30501 (770) 536-2801 Waksor, Adam 890 Dawsonville Hwy F, 30501 (678) 928-3219 Madhiwala, Priya 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Chowdhury, Kamran 890 Dawsonville Hwy F, 30501 (678) 928-3219 Lipham, Steven 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Sales, Joseph 890 Dawsonville Hwy F, 30501 (678) 928-3219 Orthodontists Malhotra, Menka 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Clarkson, Michael 1208 Sherwood Park Dr Ne, 30501 (770) 532-4419 Livingston Jr, Lynn 300 Pearl Nix Pkwy Ste D, 30501 (770) 536-1957 Salvo Reyes, Maritza 300 Pearl Nix Pkwy Ste D, 30501 (770) 536-1957 Covington Jr, John 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Malikov, Faig 300 Pearl Nix Pkwy Ste D, 30501 (770) 536-1957 Shaw, Dewayne 890 Dawsonville Hwy F, 30501 (678) 928-3219 Crews, Imelda 3535 Thompson Bridge Rd, 30506 (770) 531-9933 Martindale, Mark 890 Dawsonville Hwy F, 30501 (678) 928-3219 Shrestha, Ansana 890 Dawsonville Hwy F, 30501 (678) 928-3219 Dimassi, Matthew 578 S Enota Dr Ne, 30501 (770) 536-3254 Maya, Victor 578 S Enota Dr Ne, 30501 (770) 536-3254 Singh, Sunil 578 S Enota Dr Ne, 30501 (770) 536-3254 Drennon, Faith 3535 Thompson Bridge Rd, 30506 (770) 531-9933 Mcdonald, Edward 3535 Thompson Bridge Rd, 30506 (770) 531-9933 Smith, Maurice 890 Dawsonville Hwy F, 30501 (678) 928-3219 Dunford, R Matthew 578 S Enota Dr Ne, 30501 (770) 536-3254 Mereddy, Ravi Prakash 1216 Aviation Blvd Ste 101, 30501 (770) 718-9091 Syed, Hasan 578 S Enota Dr Ne, 30501 (770) 536-3254 Echols, Justin 3535 Thompson Bridge Rd, 30506 (770) 531-9933 Merritt, Gary 578 S Enota Dr Ne, 30501 (770) 531-1034 Syed, Hasan 890 Dawsonville Hwy F, 30501 (678) 928-3219 Elamin, Nagwa 655 Jesse Jewell Pkwy #e, 30501 (678) 714-7336 Mian, Alia 3535 Thompson Bridge Rd, 30506 (770) 531-9933 Tran, Doan Trang 300 Pearl Nix Pkwy Ste D, 30501 (770) 536-1957 Elkasrawy, Moataz 890 Dawsonville Hwy F, 30501 (678) 928-3219 Mirabel, Roxana 3535 Thompson Bridge Rd, 30506 (770) 531-9933 Tran, Truong 316 Spring St Se, 30501 (770) 531-2522 Pediatric Dentists Ross, Tisha 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Epstein, Raymond 578 S Enota Dr Ne, 30501 (770) 536-3254 Moore, Charles 578 S Enota Dr Ne, 30501 (770) 536-3254 Twardy, Sara 3535 Thompson Bridge Rd, 30506 (770) 531-9933 Allen, Nelson 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Sease, Joseph 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Evans, Sally 819 Thompson Bridge Rd, 30501 (770) 535-8900 Mottley, Alvin 890 Dawsonville Hwy F, 30501 (678) 928-3219 Uddin, Monira 300 Pearl Nix Pkwy Ste D, 30501 (770) 536-1957 Brown, Shelton 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Shilman, Lisa 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Faris, Azad 3535 Thompson Bridge Rd, 30506 (770) 531-9933 Mulki, Ezat 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Urrego, Lia 950 Washington St Nw, 30501 (770) 534-6933 Camp, Laneshia 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Simms, Mindy 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Gallaher, Kell 1026 Thompson Bridge Rd, 30501 (770) 297-0401 Nguyen, Dai 300 Pearl Nix Pkwy Ste D, 30501 (770) 536-1957 Vetter, Michael 1026 Thompson Bridge Rd, 30501 (770) 297-0401 Chang, Ohkyoung 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Skoglund, David 655 Jesse Jewell Pkwy #e, 30501 (678) 714-7336 Gannon, Paul 1026 Thompson Bridge Rd, 30501 (770) 297-0401 Nguyen, Mong Thu Tran 300 Pearl Nix Pkwy Ste D, 30501 (770) 536-1957 Watson, Devon 890 Dawsonville Hwy F, 30501 (678) 928-3219 Chaudhary, Shafaq 655 Jesse Jewell Pkwy #e, 30501 (678) 714-7336 Strickland Phillips, Stephanie 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Goble, Henry 224 Shallowford Rd Nw, 30504 (770) 536-1170 Nicola, Anca 316 Spring St Se, 30501 (770) 531-2522 Wells, David 578 S Enota Dr Ne, 30501 (770) 536-3254 Coulter, Charles 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Sundareswaran, Pushpa 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Gray, Larry 3535 Thompson Bridge Rd, 30506 (770) 531-9933 Nwosu, Deborah 2420 Old Flowery Branch Rd, 30504 (770) 532-1111 Whyte, Michelle 3535 Thompson Bridge Rd, 30506 (770) 531-9933 Desouza, Sharon 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Thebaut, Mark 3535 Thompson Bridge Rd, 30506 (770) 531-9933 Haider, Abbas 3535 Thompson Bridge Rd, 30506 (770) 531-9933 Parekh, Chintan 890 Dawsonville Hwy F, 30501 (678) 928-3219 Witcher, Elizabeth 819 Thompson Bridge Rd, 30501 (770) 535-8900 Ellington, Janet 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Thomas Jr, Jack 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Hanjrah, Jasmine 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Parker, Lauren 890 Dawsonville Hwy F, 30501 (678) 928-3219 Witcher, Michael 819 Thompson Bridge Rd, 30501 (770) 535-8900 Freedman, Bret 3630 Thompson Bridge Rd Ste 18b, 30506 (678) 769-4909 Vaughn, Ryan 1207 Sherwood Park Dr Ne, 30501 (678) 450-7011 Hayward, David 3535 Thompson Bridge Rd, 30506 (770) 531-9933 Patel, Haren 890 Dawsonville Hwy F, 30501 (678) 928-3219 Oral Surgeons Freeman, Venita 655 Jesse Jewell Pkwy #e, 30501 (678) 714-7336 Washington, Keysra 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Her, Shue 592b Medical Park Dr, 30501 (770) 536-6688 Patel, Ketankumar 1586 Park Hill Dr, 30501 (770) 534-0697 Haynes, Deanna 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Weyrich, Thomas 697 Medical Park Ln, 30501 (770) 718-1800 Holmes, Katashia 821 Dawsonville Hwy #150, 30501 (770) 503-7130 Patel, Ronak 578 S Enota Dr Ne, 30501 (770) 536-3254 Holder, Terry 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Yoo, Chin 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Jorgensen, M Kristin 224 Shallowford Rd Nw, 30504 (770) 536-1170 Peters, Kimberly 890 Dawsonville Hwy F, 30501 (678) 928-3219 Hutchins, Allen 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Periodontists Kegler, Clarence 592b Medical Park Dr, 30501 (770) 536-6688 Phung, Nicholas 890 Dawsonville Hwy F, 30501 (678) 928-3219 Kim, John 300 Pearl Nix Pkwy Ste D, 30501 (770) 536-1957 Procter, Nirali 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 This information is current as of September 2014 Ali Khan, Husain 300 Pearl Nix Pkwy Ste D, 30501 (770) 536-1957 Bagheri, Shahrokh 300 Pearl Nix Pkwy Ste D, 30501 (770) 536-1957 Moore, Mark 2048 Windward Ln, 30501 (770) 297-7888 Patel, Piyushkumar 300 Pearl Nix Pkwy Ste D, 30501 (770) 536-1957 Phillips, Donald 1026 Thompson Bridge Rd, 30501 (770) 297-0401 Phillips, William 698 Medical Park Ln, 30501 (770) 718-1090 Page 28 Berwick, Jennifer 655 Jesse Jewell Parkway Se Ste E, 30501 (770) 448-8882 Britt, Thomas 1215 Sherwood Park Dr Ne, 30501 (770) 532-4156 Cox Jr, Stanley 655 Jesse Jewell Parkway Se Ste E, 30501 (770) 448-8882 Long, Meridith 655 Jesse Jewell Parkway Se Ste E, 30501 (770) 448-8882 Park, Eric 655 Jesse Jewell Parkway Se Ste E, 30501 (770) 448-8882 Podray, Susan 655 Jesse Jewell Parkway Se Ste E, 30501 (770) 448-8882 Segnere, Jeffrey 655 Jesse Jewell Parkway Se Ste E, 30501 (770) 448-8882 Sosebee, Glenn 1215 Sherwood Park Dr Ne, 30501 (770) 532-4156 White, Adam 655 Jesse Jewell Parkway Se Ste E, 30501 (770) 448-8882 Kebriaei, Amy 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Kelly, Diane 655 Jesse Jewell Pkwy #e, 30501 (678) 714-7336 28 of56Pages Maru, Ami 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Mccarley, Christie 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Nortick, Mariel 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Park, Suyon 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Patel, Kunjan 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Purvis, Flynt 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Roehl, Brad 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Roehl, Brian 655 Jesse Jewell Pkwy Se Ste E, 30501 (770) 539-9110 Mehraban, Ali 300 Pearl Nix Pkwy Ste D, 30501 (770) 536-1957 Prosthodontists Clark, Wendy 3535 Thompson Bridge Rd, 30506 (770) 531-9933 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. GORDON General Dentists Durham, Stephen 102 Crescent W # A, 30224 (770) 227-3937 Cabell, Marjorie 990 Bear Creek Blvd Ste E, 30228 (770) 707-7905 Smith, Dennis 106 College St, 31031 (478) 628-2142 Evans, Bennie 210 Addavale St, 30224 (770) 229-1490 HARTWELL General Dentists GRAY General Dentists Griffith, Alan 218 S 11th St, 30224 (770) 412-6575 Lee, Michael 30 Chandler Ctr, 30643 (706) 376-7147 Kay, Kenneth 250 W Clinton St, 31032 (478) 986-1830 Griffith, Zoe 218 S 11th St, 30224 (770) 412-6575 Smith Jr, Charles 259 Athens St, 30643 (999) 999-9999 GRAYSON General Dentists Hamilton, Timothy 303 S 8th St, 30224 (770) 227-7422 HAWKINSVILLE General Dentists Magusiak, David 663 S 9th St, 30224 (770) 227-9693 Cheek Jr, Clarence 23 Lovers Lane Rd, 31036 (478) 783-3390 Morgan, Jody 663 S 9th St, 30224 (770) 227-9693 HELEN General Dentists Myers, Roger 604 W Oglethorpe Hwy, 31313 (912) 408-7100 Bender, John 108 River St, 30545 (706) 200-2178 Endodontists Bagheri, Shahrokh 76 Highland Pavilion Ct Ste 137, 30141 (678) 279-5544 Lea, Christopher 111 E Mills Ave, 31313 (912) 463-4405 Cardona-Rohena, Yadira 76 Highland Pavilion Ct Ste 137, 30141 (678) 279-5544 Pediatric Dentists Digumarthi, Hari 76 Highland Pavilion Ct Ste 137, 30141 (678) 279-5544 Dabbas, Zain 2594 Loganville Hwy Ste 102, 30017 (678) 672-1590 Hsu, Shun Ching 1132 Athens Hwy Ste 207, 30017 (678) 512-0261 Huber, Kathy 2023 Grayson Hwy Ste 203, 30017 (678) 226-4466 Long, James 2518 Loganville Hwy, 30017 (770) 237-2220 Nelson, Alisa 2219 Loganville Hwy # 20, 30017 (678) 377-1800 Williams, Charles 2340 Loganville Hwy Ste A102, 30017 (770) 513-0046 Orthodontists Cardenas, Cesar 2340 Loganville Hwy, 30017 (770) 995-4032 Russell, Robert 2402 Loganville Hwy, 30017 (770) 236-9660 Pediatric Dentists Ponugoti, Asha 2594 Loganville Hwy Ste 106, 30017 (678) 682-9819 Parker Jr, Edward 720 S 8th St, 30224 (770) 229-9316 Schroeter, Stuart 210 Addavale St, 30224 (770) 229-1490 Watson Jr, Robert 712 S 8th St, 30224 (770) 229-2811 Oral Surgeons Ferrara, Eric 614 S 8th St, 30224 (770) 228-1010 Paul, Richard 227 S 10th St, 30224 (770) 229-8255 Pritchett, John 614 S 8th St, 30224 (770) 228-1010 Waksor, Adam 614 S 8th St, 30224 (770) 228-1010 Tosto, Ronald 319h W General Screven Way Ste H, 31313 (912) 368-6881 Townsend, Darin 767 Veterans Parkway Ste 102, 31313 (912) 877-6453 Wege, William 124 West Martin Luther King Jr Dr, 31313 (912) 876-2155 HEPHZIBAH General Dentists Echols Jr, Joseph 4805 Windsor Spring Rd, 30815 (706) 592-4041 Hannan, Fred 4110 Windsor Spring Rd, 30815 (706) 793-3600 Jenkins, Eleonora 2636 Tobacco Rd Ste A, 30815 (706) 771-7001 HINESVILLE General Dentists Barker, Gary 319h W General Screven Way Ste H, 31313 (912) 368-6881 Willox, Angela 319h W General Screven Way Ste H, 31313 (912) 368-6881 Oral Surgeons Clayton, Mark 4540 E Oglethorpe Hwy Ste A, 31313 (912) 369-3692 Patel, Anjali 319h W General Screven Way Ste H, 31313 (912) 368-6881 HIRAM General Dentists Bahrami, Azita 76 Highland Pavilion Ct, 30141 (770) 439-6844 Barnett, Autumn 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Bingham-Shultz, Sharon 5886 Wendy Bagwell Pkwy #201, 30141 (678) 384-1787 Orthodontists Bennett, Lathonia 101 E General Stewart Way, 31313 (912) 368-3333 GREENSBORO General Dentists Lindsey, Charles 120 W College St # A, 30224 (770) 228-1223 Brookins, Jennifer 1050 Parkside Cmns Ste 103, 30642 (706) 454-2222 Elhussein, Faisal 101 E General Stewart Way, 31313 (912) 368-3333 Pediatric Dentists Hargrove, James 319h W General Screven Way Ste H, 31313 (912) 368-6881 Elliott Austin, Jennie 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Johnson, Jonathan 615 W Oglethorpe Hwy, 31313 (912) 877-3070 Emadzadeh, Bahareh 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Khan, Sophia 319h W General Screven Way Ste H, 31313 (912) 368-6881 Firmin, Sechin 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Hillin, Bryan 1590 S Main St, 30642 (706) 453-7860 Miller, Adrian 1050 Parkside Cmns Ste 103, 30642 (706) 454-2222 Orthodontists Beal-Edward, Kimberly 1050 Parkside Cmns Ste 103, 30642 (706) 454-2222 Pediatric Dentists Lott, Kaneta 1050 Parkside Cmns Ste 103, 30642 (706) 454-2222 GRIFFIN General Dentists Adcock, Phillip 1528 Lucky St, 30223 (770) 227-0223 Allred, Marc 743 S 8th St, 30224 (770) 228-6101 Allred, Robert 743 S 8th St, 30224 (770) 228-6101 Allred, Robert 743 S 8th St, 30224 (770) 228-6101 Brown, Chastity 663 S 9th St, 30224 (770) 227-9693 Durham, Laura 102 Crescent W # B, 30224 (770) 412-8636 Periodontists Fraser Jr, Gordon 218 S 11th St, 30224 (770) 412-6575 GROVETOWN General Dentists Hammond, Philip 701 Devika Dr #10, 30813 (706) 664-0744 Moreno, Thomas 701 Devika Dr #10, 30813 (706) 664-0744 Wheeler, Julia 5172 Wrightsboro Rd, 30813 (706) 860-1352 HAMPTON General Dentists Allred, Marc 26a E Main St N, 30228 (770) 946-3576 Allred, Robert 26a E Main St N, 30228 (770) 946-3576 Allred, Robert 26a E Main St N, 30228 (770) 946-3576 Ammons, Adrienne 11349 Tara Blvd, 30228 (678) 619-2388 This information is current as of September 2014 Lyle, Terry 103 Ryon Ave Ste B, 31313 (912) 876-9331 Lyon, Charles 124 W Ml King Jr Dr, 31313 (912) 876-2155 Parr, Michael 101 E General Stewart Way, 31313 (912) 368-3333 Parr, Michael 103 E General Stewart Way, 31313 (912) 368-3333 Phillips, Donna 745 S Main St, 31313 (912) 876-3200 Register, Katrice 101 E General Stewart Way, 31313 (912) 368-3333 Roberts, Joyce 615 W Oglethorpe Hwy, 31313 (912) 877-3070 Simmons Jr, Robert 101 E General Stewart Way, 31313 (912) 368-3333 Page 29 Chandler, Kristina 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Ellington, Kent 76 Highland Pavilion Way Ste 193, 30141 (678) 387-2783 Galvez, Margarita 76 Highland Pavilion Way Ste 193, 30141 (678) 387-2783 Jeon, Philip 76 Highland Pavilion Way Ste 193, 30141 (678) 387-2783 Kern, April 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Lee, Jung 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Lipham, Steven 76 Highland Pavilion Way Ste 193, 30141 (678) 387-2783 Nia, Farhad 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Perez-Irizarry, Jose 76 Highland Pavilion Way Ste 193, 30141 (678) 387-2783 Pittman, Bobby 76 Highland Pavilion Way Ste 193, 30141 (678) 387-2783 Sabbagh, Imad 76 Highland Pavilion Way Ste 193, 30141 (678) 387-2783 29 of56Pages Thomas, Carolyn 76 Highland Pavilion Way Ste 193, 30141 (678) 387-2783 Thornton, Neely 76 Highland Pavilion Way Ste 193, 30141 (678) 387-2783 Toub, Farid 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Vu, Theresa 5888 Wendy Bagwell Pkwy #a, 30141 (770) 222-6077 Warren, John 20 Quail Ridge Rd, 30141 (770) 943-9616 Oral Surgeons Ali Khan, Husain 76 Highland Pavilion Ct Ste 137, 30141 (678) 279-5544 Huynh, Cang 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Liposky, Richard 5888 Wendy Bagwell Pkwy #a, 30141 (770) 222-6077 Shahriari, Abtin 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Whitesides, Lee 76 Highland Pavilion Way Ste 193, 30141 (678) 387-2783 Endodontists Didato, Anthony 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Marschall, Annika 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Waters, Jeffrey 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Orthodontists Bennett, William 76 Highland Pavilion Way Ste 193, 30141 (678) 387-2783 Bush, Hector 5140 Jimmy Lee Smith Pkwy, 30141 (770) 222-4450 Elchahal, Alec 76 Highland Pavilion Way Ste 193, 30141 (678) 387-2783 Harless, Theodore 1899 Lake Rd Ste 221, 30141 (770) 222-3244 Kubala, Louis 5140 Jimmy Lee Smith Pkwy, 30141 (770) 222-4450 Nia, Farshid 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Singleton, Douglas 66 Hiram Douglasville Hwy Ste A, 30141 (770) 974-3633 Pediatric Dentists Ariaban, Nanna 4374 Atlanta Hwy Ste 109, 30141 (770) 505-9898 Burgess, Myeasha 76 Highland Pavilion Way Ste 193, 30141 (678) 387-2783 Freedman, Bret 5140 Jimmy Lee Smith Pkwy, 30141 (770) 222-4450 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Mason, Derek 126 Enterprise Path #106, 30141 (770) 439-2550 Robinson, Patrick 441 Athens St, 30549 (706) 367-9861 Fields, David 6568 Tara Blvd, 30236 (770) 961-2000 Nam, Kasie 435 Arrowhead Blvd, 30236 (678) 445-5444 Cox Jr, Stanley 435 Arrowhead Blvd, 30236 (770) 448-8882 Obebe, Akindeko 76 Highland Pavilion Way Ste 193, 30141 (678) 387-2783 Wright, Jerry 92 N Public Sq, 30549 (706) 367-2577 Fisher-Mclin, Antonia 435 Arrowhead Blvd, 30236 (678) 445-5444 Nettles, Paul 6568 Tara Blvd, 30236 (678) 248-3686 Davies-Venn, Leroy 10365 Tara Blvd, 30236 (770) 703-3701 Turner, Jason 76 Highland Pavilion Way Ste 193, 30141 (678) 387-2783 JENKINSBURG General Dentists Franklin, Edmond 301 N Main St, 30236 (770) 477-6869 Ojibway, Angela 435 Arrowhead Blvd, 30236 (678) 445-5444 Long, Meridith 435 Arrowhead Blvd, 30236 (770) 448-8882 HOGANSVILLE General Dentists Walker, Ashley 2261 Highway 42 N, 30234 (770) 775-4535 Goddard Iii, John 157 N Main St, 30236 (770) 478-1001 Pellegrinon, Michael 6568 Tara Blvd, 30236 (678) 248-3686 Park, Eric 435 Arrowhead Blvd, 30236 (770) 448-8882 Freeman, Greg 100 College St, 30230 (706) 637-6125 JERSEY General Dentists Hader, Jesse 1002 Pointe South Pkwy, 30238 (770) 472-9399 Piede, Robert 6568 Tara Blvd, 30236 (770) 961-2000 Podray, Susan 435 Arrowhead Blvd, 30236 (770) 448-8882 HOSCHTON General Dentists Mcgarity, Thomas 129 Main St, 30018 (770) 464-3626 Hader, Jesse 2292 Mount Zion Rd, 30236 (770) 961-8300 Procter, Nirali 435 Arrowhead Blvd, 30236 (678) 445-5444 Richard, Ryan 435 Arrowhead Blvd, 30236 (770) 448-8882 Wells, Steven 55 Freedom Pkwy Ste 104, 30548 (706) 658-2383 JESUP General Dentists Hamilton, Travis 6568 Tara Blvd, 30236 (770) 961-2000 Pullman, Chauntell 248 Arrowhead Blvd, 30236 (770) 471-2333 Salyer, Hyman 6568 Tara Blvd, 30236 (770) 961-2000 JACKSON General Dentists Armstrong Jr, Anthony 107 Drennon Dr, 31545 (912) 427-7072 Hanjrah, Jasmine 435 Arrowhead Blvd, 30236 (678) 445-5444 Reid Iii, Walter 1002 Pointe South Pkwy, 30238 (770) 472-9399 Segnere, Jeffrey 435 Arrowhead Blvd, 30236 (770) 448-8882 Bender, John 464 W Third St #103, 30233 (770) 820-5822 Gray, Larry 135 Peachtree St, 31545 (912) 427-2660 Harandifassih, Lyda 1002 Pointe South Pkwy, 30238 (770) 472-9399 Rosenthal, Michael 6568 Tara Blvd, 30236 (678) 248-3686 Shoup, Greg 435 Arrowhead Blvd, 30236 (770) 448-8882 Bhat, Narayana 316 W 3rd St, 30233 (770) 775-0088 Madray, Gregory 107 W Cherry St, 31545 (912) 427-6404 Harandifassih, Lyda 2292 Mount Zion Rd, 30236 (770) 961-8300 Sandvi, Christopher 6568 Tara Blvd, 30236 (770) 961-2000 White, Adam 435 Arrowhead Blvd, 30236 (770) 448-8882 Hegde, Megha 316 W 3rd St, 30233 (770) 775-0088 Pierce, Thomas 135 Peachtree St, 31545 (912) 427-2660 Harandi-Fassih, Ali 1002 Pointe South Pkwy, 30238 (770) 472-9399 Shearin, Anthony 6568 Tara Blvd, 30236 (770) 961-2000 White, Javonne 435 Arrowhead Blvd, 30236 (770) 448-8882 JASPER General Dentists Simmons, Jon 205 W Orange St, 31545 (912) 427-2333 Harandi-Fassih, Ali 2292 Mount Zion Rd, 30236 (770) 961-8300 Shuler, Michelle 10367 Tara Blvd, 30236 (770) 472-7070 Pediatric Dentists Doran, Kevin 938 W Church St Ste 104, 30143 (706) 692-2611 Trout Jr, William 135 Peachtree St, 31545 (912) 427-2660 Harmon, Tom 435 Arrowhead Blvd # 100, 30236 (770) 477-7711 Singh, Manjeet 1002 Pointe South Pkwy, 30238 (770) 472-9399 Griffeth, Leigh 391 N Main St, 30143 (706) 692-2646 Wolfe, John 488 W Orange St, 31545 (912) 427-2493 Harvey, Alex 301 N Main St, 30236 (770) 477-6869 Singh, Manjeet 2292 Mount Zion Rd, 30236 (770) 961-8300 Griffeth, Spencer 391 N Main St, 30143 (706) 692-2646 Oral Surgeons Hassanzadeh, Mehran 248 Arrowhead Blvd, 30236 (770) 471-2333 Smith, Steven 1002 Pointe South Pkwy, 30238 (770) 472-9399 Hays, Bruce 6568 Tara Blvd, 30236 (678) 248-3686 Smith-Scott, Sherrie 2292 Mount Zion Rd, 30236 (770) 961-8300 Huynh, Scott 6568 Tara Blvd, 30236 (770) 961-2000 Taylor, Lisa 435 Arrowhead Blvd # 100, 30236 (770) 477-7711 Jamison, Tiffany 301 N Main St, 30236 (770) 477-6869 Taylor Jr, Benjamin 153 W Mill St, 30236 (770) 478-6588 Kinard, Brian 6568 Tara Blvd, 30236 (678) 248-3686 Thomas, Candace Renea 236a Stockbridge Rd, 30236 (202) 277-3005 Lipham, Steven 435 Arrowhead Blvd, 30236 (678) 445-5444 Wadley, Lechandre 6568 Tara Blvd, 30236 (770) 961-2000 Livingston Jr, Lynn 1002 Pointe South Pkwy, 30238 (770) 472-9399 Wakefield, Freddie 6568 Tara Blvd, 30236 (678) 248-3686 Livingston Jr, Lynn 2292 Mount Zion Rd, 30236 (770) 961-8300 Yavari, Behnam 772 North Ave, 30236 (770) 892-5328 Masek, Henry 6568 Tara Blvd, 30236 (770) 961-2000 Oral Surgeons Halper, Christopher 435 Arrowhead Blvd, 30236 (678) 445-5444 Cho, Sung 6568 Tara Blvd, 30236 (678) 248-3686 Hassan, Zeyad 435 Arrowhead Blvd, 30236 (678) 445-5444 Robertson, Jeannette 6568 Tara Blvd, 30236 (770) 961-2000 Haynes, Deanna 435 Arrowhead Blvd, 30236 (678) 445-5444 Vuocolo, Michael 407 Arrowhead Blvd # 123, 30236 (770) 471-5005 Hejazi-Werner, Shiva 435 Arrowhead Blvd, 30236 (678) 445-5444 Endodontists Herrin, Brent 435 Arrowhead Blvd, 30236 (678) 445-5444 Lindow, David 938 W Church St Ste 104, 30143 (706) 692-2611 Muccioli, Lydia 938 W Church St Ste 104, 30143 (706) 692-2611 Riley, Sylvia 938 W Church St Ste 104, 30143 (706) 692-2611 Van Tuyl, David 929 Cove Road, #f, 30143 (706) 692-3759 Wells, David 938 W Church St Ste 104, 30143 (706) 692-2611 Williams Aguilera, Suzanna 938 W Church St Ste 104, 30143 (706) 692-2611 Piccione, Michael 135 Peachtree St, 31545 (912) 427-2660 JONESBORO General Dentists Abes, Marshall 6568 Tara Blvd, 30236 (770) 961-2000 Beckford, Yvonne 1002 Pointe South Pkwy, 30238 (770) 472-9399 Beckford, Yvonne 2292 Mount Zion Rd, 30236 (770) 961-8300 Buggs, Keith 435 Arrowhead Blvd, 30236 (678) 445-5444 Orthodontists Byer, Fabian 301 N Main St, 30236 (770) 477-6869 Raglin, Alisa 938 W Church St Ste 104, 30143 (706) 692-2611 Cara, Yasheena 435 Arrowhead Blvd, 30236 (678) 445-5444 JEFFERSON General Dentists Chong, Justin 435 Arrowhead Blvd, 30236 (678) 445-5444 Cleveland, Douglas 441 Athens St, 30549 (706) 367-9861 Covington Jr, John 435 Arrowhead Blvd, 30236 (678) 445-5444 Cooney, David 1057 Winder Hwy, 30549 (770) 965-4545 Doomes, Ashland 301 N Main St, 30236 (770) 477-6869 Grizzle David, Amy 1057 Winder Hwy, 30549 (706) 367-0305 Dunson, Melanie 6568 Tara Blvd, 30236 (678) 248-3686 Herr, James 92 N Public Sq, 30549 (706) 367-2577 Eaglin, Jason 248 Arrowhead Blvd, 30236 (770) 471-2333 Robinson, Patrick 1057 Winder Hwy, 30549 (706) 367-0305 Faggioni, Martino 248 Arrowhead Blvd, 30236 (770) 471-2333 This information is current as of September 2014 Mcculloch, Terry 1002 Pointe South Pkwy, 30238 (770) 472-9399 Mckellar, Christina 435 Arrowhead Blvd, 30236 (678) 445-5444 Minton Jr, Warren 1002 Pointe South Pkwy, 30238 (770) 472-9399 Allen, Nelson 435 Arrowhead Blvd, 30236 (678) 445-5444 Brown, Shelton 435 Arrowhead Blvd, 30236 (678) 445-5444 Buckle, Eileen 435 Arrowhead Blvd, 30236 (678) 445-5444 Camp, Laneshia 435 Arrowhead Blvd, 30236 (678) 445-5444 Chang, Ohkyoung 435 Arrowhead Blvd, 30236 (678) 445-5444 Cottrell, David 435 Arrowhead Blvd, 30236 (678) 445-5444 Coulter, Charles 435 Arrowhead Blvd, 30236 (678) 445-5444 Desouza, Sharon 435 Arrowhead Blvd, 30236 (678) 445-5444 Ellington, Janet 435 Arrowhead Blvd, 30236 (678) 445-5444 Haffner, John 435 Arrowhead Blvd, 30236 (678) 445-5444 Minton Jr, Warren 2292 Mount Zion Rd, 30236 (770) 961-8300 Shah, Bhavik 226 Arrowhead Blvd, 30236 (770) 478-6878 Mulki, Ezat 435 Arrowhead Blvd, 30236 (678) 445-5444 Orthodontists Holder, Terry 435 Arrowhead Blvd, 30236 (678) 445-5444 Berwick, Jennifer 435 Arrowhead Blvd, 30236 (770) 448-8882 Hutchins, Allen 435 Arrowhead Blvd, 30236 (678) 445-5444 Page 30 30 of56Pages KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Jackson, Kevin 10365 Tara Blvd, 30236 (770) 222-1344 Kebriaei, Amy 435 Arrowhead Blvd, 30236 (678) 445-5444 Kerlan, Daniel 435 Arrowhead Blvd, 30236 (678) 445-5444 Lee, Susan 435 Arrowhead Blvd, 30236 (678) 445-5444 Levitas, Theodore 435 Arrowhead Blvd, 30236 (678) 445-5444 Lucas, Cleoka 435 Arrowhead Blvd, 30236 (678) 445-5444 Madhiwala, Priya 435 Arrowhead Blvd, 30236 (678) 445-5444 Malhotra, Menka 435 Arrowhead Blvd, 30236 (678) 445-5444 Maru, Ami 435 Arrowhead Blvd, 30236 (678) 445-5444 Mason, Derek 435 Arrowhead Blvd, 30236 (678) 445-5444 Mccarley, Christie 435 Arrowhead Blvd, 30236 (678) 445-5444 Nortick, Mariel 435 Arrowhead Blvd, 30236 (678) 445-5444 Park, Julius 435 Arrowhead Blvd, 30236 (678) 445-5444 Park, Suyon 435 Arrowhead Blvd, 30236 (678) 445-5444 Patel, Kunjan 435 Arrowhead Blvd, 30236 (678) 445-5444 Purvis, Flynt 435 Arrowhead Blvd, 30236 (678) 445-5444 Roehl, Brad 435 Arrowhead Blvd, 30236 (678) 445-5444 Roehl, Brian 435 Arrowhead Blvd, 30236 (770) 478-8400 Ross, Tisha 435 Arrowhead Blvd, 30236 (678) 445-5444 Sease, Joseph 435 Arrowhead Blvd, 30236 (678) 445-5444 Shilman, Lisa 435 Arrowhead Blvd, 30236 (678) 445-5444 Simms, Mindy 435 Arrowhead Blvd, 30236 (678) 445-5444 Strickland Phillips, Stephanie 435 Arrowhead Blvd, 30236 (678) 445-5444 Sundareswaran, Pushpa 435 Arrowhead Blvd, 30236 (678) 445-5444 Thomas Jr, Jack 435 Arrowhead Blvd, 30236 (678) 445-5444 Walters, Sacha 435 Arrowhead Blvd, 30236 (678) 445-5444 Washington, Keysra 435 Arrowhead Blvd, 30236 (678) 445-5444 Yoo, Chin 435 Arrowhead Blvd, 30236 (678) 445-5444 Periodontists Chong, Woojae 6568 Tara Blvd, 30236 (770) 961-2000 Horace, Karen 6568 Tara Blvd, 30236 (678) 248-3686 West, Daniel 6568 Tara Blvd, 30236 (678) 248-3686 Zeitman, Barry 405 Arrowhead Blvd, 30236 (770) 471-2306 KENNESAW General Dentists Abes, Marshall 440 Barrett Pkwy, 30144 (678) 248-4052 Abimbola, Adelani 2851 Cobb Pkwy Nw Ste 208, 30152 (770) 422-9445 Amason Jr, J Lee 2430 Powell Pl Nw, 30144 (770) 424-1705 Anderson Jr, Russell 1415 Wooten Lake Rd Nw Ste 300, 30144 (770) 419-2535 Beckford, Yvonne 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Beckford, Yvonne 400 Barrett Pkwy Ste 609, 30144 (770) 425-1324 Benet-Rockefeller, Mireddy 5255 Stilesboro Rd Nw Ste 110, 30152 (770) 499-2152 Breckley, Sean 600 Chastain Rd Nw Ste 422, 30144 (770) 423-1132 Brown, Arthur 1301 Shiloh Rd Nw Ste 660b100 Nw, 30144 (770) 423-9699 Buxton, Erin 1610 Ridenour Blvd Nw Ste 103, 30152 (678) 581-0063 Carden, Sammy 2616 George Busbee Pkwy Nw, 30144 (770) 421-8821 Conner, Chauncey 1200 Barrett Pkwy Ste 200-204, 30144 (678) 354-0079 Contractor, Hamir 1815 Old 41 Hwy Nw Ste 310, 30152 (770) 425-4100 Deuchar, Douglas 3903 Jiles Rd Nw Ste 111b100 Nw, 30144 (770) 792-9190 Duncan, Paul 151 Creel Chase Nw, 30144 (770) 974-7188 Dunson, Melanie 440 Barrett Pkwy, 30144 (678) 248-4052 Edge, Lizzette 3420 Acworth Due West Rd Nw, 30144 (770) 974-5293 Edge Iii, Carl 3420 Acworth Due West Rd Nw, 30144 (770) 974-5293 Edwards, Amesha 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Fields, David 440 Barrett Pkwy, 30144 (770) 427-6000 Ganupur, Supriya 2616 George Busbee Pkwy Nw, 30144 (770) 421-8821 Gessling, Melissa 2616 George Busbee Pkwy Nw, 30144 (770) 421-8821 This information is current as of September 2014 Gober, Kelly 440 Barrett Pkwy, 30144 (770) 427-6000 Olson, Carol 3600 Cherokee St Nw Ste 117, 30144 (770) 424-8077 Vo, Danny 2851 Cobb Pkwy Nw Ste 208, 30152 (770) 422-9445 Goettee, David 5255 Stilesboro Rd Nw, 30152 (770) 794-3332 Olson, David 3600 Cherokee St Nw Ste 117, 30144 (770) 424-8077 Vo, Lan 600 Chastain Rd Nw Ste 422, 30144 (770) 423-1132 Hader, Jesse 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Orza, Emil 1610 Ridenour Blvd Nw Ste 103, 30152 (678) 581-0063 Wadley, Lechandre 440 Barrett Pkwy, 30144 (678) 248-4052 Hader, Jesse 400 Barrett Pkwy Ste 609, 30144 (770) 425-1324 Patel, Chirag 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Williams, Monica 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Hamilton, Travis 440 Barrett Pkwy, 30144 (770) 427-6000 Patel, Maheshvar 1301 Shiloh Rd Nw Ste 660b100 Nw, 30144 (770) 423-9699 Yadav, Priyanka 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Harandifassih, Lyda 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Harandifassih, Lyda 400 Barrett Pkwy Ste 609, 30144 (770) 425-1324 Harandi-Fassih, Ali 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Harandi-Fassih, Ali 400 Barrett Pkwy Ste 609, 30144 (770) 425-1324 Kalantari, Kyandukhta 1350 Wooten Lake Rd Nw #203, 30144 (678) 275-2074 Kataria, Nalini 1610 Ridenour Blvd Nw Ste 103, 30152 (678) 581-0063 Kinard, Brian 440 Barrett Pkwy, 30144 (678) 248-4052 Kirkley, Matthew 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Kirshenbaum, Lisa 2750 Watts Dr Nw, 30144 (770) 429-0955 Lim, Kimberly 3104 Creekside Village Dr Nw Ste 301, 30144 (770) 974-8211 Patt, Seth 1301 Shiloh Rd Nw Ste 1040, 30144 (770) 424-7008 Pellegrinon, Michael 440 Barrett Pkwy, 30144 (678) 248-4052 Poindexter Jr, Robert 1050 Shiloh Rd Nw Ste 206, 30144 (770) 428-7761 Pomazon, Peter 440 Barrett Pkwy, 30144 (678) 248-4052 Ramos, Maria 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Reid Iii, Walter 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Reid Iii, Walter 400 Barrett Pkwy Ste 609, 30144 (770) 425-1324 Rosenthal, Michael 440 Barrett Pkwy, 30144 (770) 427-6000 Russell, Amy 5255 Stilesboro Rd Nw, 30152 (770) 794-3332 Sadaf, Shaheen 1301 Shiloh Rd Nw Bld 600 #660, 30144 (770) 423-9699 Livingston Jr, Lynn 1301 Shiloh Rd Nw Bld 600 #660, 30144 (770) 423-9699 Sadaf, Shaheen 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Livingston Jr, Lynn 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Seekand, Priyanka 5255 Stilesboro Rd Nw, 30152 (770) 794-3332 Livingston Jr, Lynn 400 Barrett Pkwy Ste 609, 30144 (770) 425-1324 Singh, Manjeet 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Meshkian, Shervin 1301 Shiloh Rd Nw Ste 660b100 Nw, 30144 (770) 423-9699 Singh, Manjeet 400 Barrett Pkwy Ste 609, 30144 (770) 425-1324 Millkey, Mary Catherine 3903 Jiles Rd Nw Ste 210, 30144 (770) 590-9050 Minton Jr, Warren 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Minton Jr, Warren 400 Barrett Pkwy Ste 609, 30144 (770) 425-1324 Molina, David 4290 Bells Ferry Rd #136, 30152 (770) 426-6773 Morabit, Joe 1301 Shiloh Rd Nw Ste 660b100 Nw, 30144 (770) 423-9699 Musicer, Wendy 440 Barrett Pkwy, 30144 (770) 427-6000 Nettles, Paul 440 Barrett Pkwy, 30144 (770) 427-6000 Oh, Hannah 2616 George Busbee Pkwy Nw, 30144 (770) 421-8821 Page 31 Smith, Craig 2616 George Busbee Pkwy Nw, 30144 (770) 421-8821 Smith, Derrick 2750 Watts Dr Nw, 30144 (770) 429-0955 Sumner, Kathryn 5255 Stilesboro Rd Nw, 30152 (770) 794-3332 Thompson, Oluwaseum 400 Barrett Pkwy Ste 609, 30144 (770) 425-1324 Tran, Quoc 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Tran, Quoc 400 Barrett Pkwy Ste 609, 30144 (770) 425-1324 Van Dam, Christina 2616 George Busbee Pkwy Nw, 30144 (770) 421-8821 Vaughn, Kelly 1610 Ridenour Blvd Nw Ste 103, 30152 (678) 581-0063 Venkatesh, Sangita 440 Barrett Pkwy, 30144 (770) 427-6000 31 of56Pages Oral Surgeons Ali Khan, Husain 1301 Shiloh Rd Nw Ste 660b100 Nw, 30144 (770) 423-9699 Ali Khan, Husain 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Bagheri, Shahrokh 1301 Shiloh Rd Nw Bld 600 #660, 30144 (770) 423-9699 Carey, John 3900 Frey Rd Nw Ste 106, 30144 (770) 345-8118 Cho, Sung 440 Barrett Pkwy, 30144 (678) 248-4052 Cho, Sung 5255 Stilesboro Rd #120, 30152 (770) 499-2152 Huynh, Cang 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Jones, Gillian 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Kapgan, William 5255 Stilesboro Rd Nw Ste 110, 30152 (770) 499-2152 Patel, Piyushkumar 1301 Shiloh Rd Nw Ste 660b100 Nw, 30144 (770) 423-9699 Robertson, Jeannette 440 Barrett Pkwy, 30144 (678) 248-4052 Rogers, Kael 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Waksor, Adam 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Endodontists Candelario, Damaries 1690 Stone Vlg Ln #922, 30152 (770) 499-2102 Candelario, Damaries 5255 Stilesboro Rd Nw Ste 130, 30152 (770) 499-2152 Figueroa, Yanina 1690 Stone Vlg Ln #922, 30152 (770) 499-2102 Howard, Cameron 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Jimenez, Jeannette 2616 George Busbee Pkwy Nw, 30144 (770) 421-8821 Saraf, Rahul 2752b Watts Dr Nw, 30144 (770) 590-4884 Whitner Jr, Daniel 2616 George Busbee Pkwy Nw, 30144 (770) 421-8821 Orthodontists Castillo Wright, Candace 3903 Jiles Rd Nw Ste 210, 30144 (770) 590-9050 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Conti, Amanda 3903 Jiles Rd Nw Ste 210, 30144 (770) 590-9050 Lee, John 440 Barrett Pkwy, 30144 (770) 427-6000 Corbitt, George 440 Barrett Pkwy, 30144 (770) 427-6000 Mehraban, Ali 1301 Shiloh Rd Nw Bld 600 #660, 30144 (770) 423-9699 Depew, Donald 2748 Watts Dr Nw, 30144 (770) 422-3939 Pearson, Robert 1301 Shiloh Rd Nw Ste 660b100 Nw, 30144 (770) 423-9699 Farrar Jr, William 1690 Stone Village Ln Nw #910, 30152 (678) 401-4326 Goodman, Sundus 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Granger, Michael 3903 Jiles Rd Nw Ste 210, 30144 (770) 590-9050 Karker, R Gordon 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Khanna, Ankush 3903 Jiles Rd Nw Ste 210, 30144 (770) 590-9050 Parikh, Milin 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Patel, Alpesh 3903 Jiles Rd Nw Ste 210, 30144 (770) 590-9050 Schneider, Dylan 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Singleton, Douglas 3104 Creekside Village Dr Nw, 30144 (770) 974-3633 Pediatric Dentists Barham, Latoya 5255 Stilesboro Rd Nw Ste 110, 30152 (770) 499-2152 Desouza, Sharon 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Garza-Gongora, Carlos 3903 Jiles Rd Nw Ste 210, 30144 (770) 590-9050 Herrin, Brent 3903 Jiles Rd Nw Ste 210, 30144 (770) 590-9050 Jordan, Teresa 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Miller, Adrian 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Shehata, Andrew 3903 Jiles Rd Nw Ste 210, 30144 (770) 590-9050 Smithwick Iii, Alfred 3903 Jiles Rd Nw Ste 210, 30144 (770) 590-9050 Williamson, Anjali 5255 Stilesboro Rd Nw Ste 110, 30152 (770) 499-2152 Periodontists Billinger, Bruce 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Chong, Woojae 440 Barrett Pkwy, 30144 (678) 248-4052 Diab, Waddah 3900 Frey Rd Nw Ste 102, 30144 (770) 426-1062 Faler, Ragan 2616 George Busbee Pkwy Nw, 30144 (770) 421-8821 Frodge, Brandon 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 Zinney, William 1301 Shiloh Rd Nw Bld 600 #660, 30144 (770) 423-9699 Zinney, William 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 KINGSLAND General Dentists Lassiter, James 1891 Ga Highway 40 E Ste 1105, 31548 (912) 576-4011 Sands, Matthew 130 N Gross Rd Ste 122, 31548 (912) 729-4147 Pediatric Dentists Dunn, Patricia 2475 Village Dr Ste 114, 31548 (912) 882-4040 LAGRANGE General Dentists Baker Jr, George 307 Church St #a, 30240 (706) 882-5551 Carter, Kisha 313 Mooty Bridge Rd, 30240 (706) 837-0123 Jackson, Karen 204 Smith St, 30240 (706) 884-4254 Jones Harry, Margaret 1602 Vernon Rd Ste 100, 30240 (706) 885-9991 Knight, John 313 Mooty Bridge Rd, 30240 (706) 837-0123 Milligan, Tara 313 Mooty Bridge Rd, 30240 (706) 837-0123 Oliver, Mark 409 W Broome St, 30240 (706) 884-8523 Phillips, Eltanlia 313 Mooty Bridge Rd, 30240 (706) 837-0123 Salter, Patricia 1423 Lafayette Pkwy, 30241 (706) 884-2457 Sibbie, Erika 313 Mooty Bridge Rd, 30240 (706) 837-0123 Threadgill, James 1602 Vernon Rd Ste 100, 30240 (706) 885-9991 Tyrer Iii, James 407 N Greenwood St, 30240 (706) 882-0094 Wheat Jr, Leo 313 Mooty Bridge Rd, 30240 (706) 837-0123 Williams, Steven 313 Mooty Bridge Rd, 30240 (706) 837-0123 Colbert, Dionne 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 Kurtz, Paul 2401 Lawrenceville Hwy, 30044 (770) 962-1977 Orthodontists Delman, Michael 171 Gwinnett Dr Ste C, 30046 (770) 963-1941 Lee, Christopher 1030a Duluth Hwy, 30043 (770) 995-1957 Bush, Hector 147 Commerce Ave, 30241 (706) 882-8081 Dimassi, Matthew 1699 Duluth Hwy, 30043 (770) 338-1963 Lee, Joshua 1032 Old Peachtree Rd Nw #312, 30043 (770) 368-9700 Davies-Venn, Leroy 147 Commerce Ave, 30241 (706) 882-8081 Ebo, Ikechukwu 650 Gwinnett Dr Ste 210, 30046 (770) 963-5999 Lindsay, Jonathan 171 Gwinnett Dr Ste C, 30046 (770) 963-1941 Kubala, Louis 147 Commerce Ave, 30241 (404) 691-4848 Fisk, Craig 747 Old Norcross Rd, 30046 (770) 995-0538 Livingston Jr, Lynn 1699 Duluth Hwy Ste 5, 30043 (770) 338-1963 Pediatric Dentists Foster, Michael 65 Lawrenceville Suwanee Rd, 30044 (678) 407-3919 Livingston Jr, Lynn 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Gannon, Paul 3455 Lawrenceville Hwy, 30044 (770) 921-1115 Livingston Jr, Lynn 4850 Sugarloaf Pkwy Ste 204, 30044 (770) 995-6109 Gilkey, Jacqueline 1699 Duluth Hwy, 30043 (770) 338-1963 Livingston Jr, Lynn 555 Old Norcross Rd Ste 120, 30046 (770) 237-0030 Glasser, Steven 4850 Sugarloaf Pkwy Ste 204, 30044 (770) 995-6109 Malkiel, Barry 916 Hwy 29 # 201, 30046 (770) 995-9255 Griffith, James 2100 Riverside Pkwy Ste 130, 30043 (770) 822-3400 Mansouri, Azita 2401 Lawrenceville Hwy, 30044 (770) 962-1977 Hader, Jesse 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 Mansouri, Michael 2401 Lawrenceville Hwy, 30044 (770) 962-1977 Hader, Jesse 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Mclendon, Earl 685 Scenic Hwy, 30046 (770) 995-4262 Hader, Jesse 4850 Sugarloaf Pkwy Ste 204, 30044 (770) 995-6109 Mclendon, Willie 134 S Clayton St Ste 28, 30046 (770) 338-1911 Hader, Jesse 555 Old Norcross Rd Ste 120, 30046 (770) 237-0030 Meshkian, Shervin 1699 Duluth Hwy, 30043 (770) 338-1963 Harandifassih, Lyda 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 Metzgar, Alice 171 Gwinnett Dr Ste C, 30046 (770) 963-1941 Harandifassih, Lyda 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Minton Jr, Warren 1699 Duluth Hwy, 30043 (770) 338-1963 Harandifassih, Lyda 4850 Sugarloaf Pkwy Ste 204, 30044 (770) 995-6109 Minton Jr, Warren 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 Harandifassih, Lyda 555 Old Norcross Rd Ste 120, 30046 (770) 237-0030 Minton Jr, Warren 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Harandi-Fassih, Ali 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 Minton Jr, Warren 4850 Sugarloaf Pkwy Ste 204, 30044 (770) 995-6109 Harandi-Fassih, Ali 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Minton Jr, Warren 555 Old Norcross Rd Ste 120, 30046 (770) 237-0030 Harandi-Fassih, Ali 4850 Sugarloaf Pkwy Ste 204, 30044 (770) 995-6109 Murray-Donastorg, Perrice 171 Gwinnett Dr Ste C, 30046 (770) 963-1941 Harandi-Fassih, Ali 555 Old Norcross Rd Ste 120, 30046 (770) 237-0030 Nair, Shalini 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Houenou, Heliodore 4825 Sugarloaf Pkwy Ste A, 30044 (770) 962-4322 Nguyen, Tu 1154 Lawrenceville Hwy Ste 102, 30046 (770) 277-0774 Jordan, James 171 Gwinnett Dr Ste C, 30046 (770) 963-1941 Nichols, Aja 171 Gwinnett Dr Ste C, 30046 (770) 963-1941 Kakadia, Ashish 650 Gwinnett Dr Ste 210, 30046 (770) 963-5999 Nurani, Nooredin 1030a Duluth Hwy, 30043 (770) 995-1957 Kim, John 1699 Duluth Hwy, 30043 (770) 338-1963 Ogueri, Udo 665 Duluth Hwy Ste 703, 30046 (770) 962-8835 Klevansky, Jason 3455 Lawrenceville Hwy, 30044 (770) 921-1115 Oh, Hannah 1030a Duluth Hwy, 30043 (770) 995-1957 Klevansky, Jon 3455 Lawrenceville Hwy, 30044 (770) 921-1115 Pealock, Billy 3059 Lawrenceville Hwy Ste D, 30044 (770) 931-9996 Endodontists Fagundes, David 105 Parker Dr Ste A, 30240 (706) 884-3636 Bulloch- Patterson, Angela 105 Parker Dr # B, 30240 (706) 298-5007 Freedman, Bret 147 Commerce Ave, 30241 (404) 691-4848 LAKE PARK General Dentists Rentz Jr, Lester 3012 Us Highway 41 S, 31636 (229) 559-4700 LAKELAND General Dentists Alderman, Stanley 33 Hospital Dr, 31635 (229) 482-1100 Castor, Eric 33 Hospital Dr, 31635 (229) 482-1100 LAVONIA General Dentists Stone, Dale 5771 Vickery St, 30553 (706) 356-8212 LAWRENCEVILLE General Dentists Anizor, Isioma 4825 Sugarloaf Pkwy Ste A, 30044 (770) 962-4322 Arana, Carolina 171 Gwinnett Dr Ste C, 30046 (770) 963-1941 Bae, Eunjoo 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Bashar, Nayeem 3664 Club Dr Ste 105, 30044 (770) 279-7987 Baughman, Joseph 3455 Lawrenceville Hwy, 30044 (770) 921-1115 Beckford, Yvonne 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 Beckford, Yvonne 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Beckford, Yvonne 4850 Sugarloaf Pkwy Ste 204, 30044 (770) 995-6109 Beckford, Yvonne 555 Old Norcross Rd Ste 120, 30046 (770) 237-0030 Oral Surgeons Bhoompalli, Madhavi 1455 Pleasant Hill Rd Ste 807a, 30044 (770) 925-9045 Hines, William 1587 Vernon Rd, 30240 (706) 884-2655 Binkley, John 15 Collins Industrial Way Ste A, 30043 (770) 962-3191 Stone, Robert 1587 Vernon Rd, 30240 (706) 884-2655 Carter, Bruce 751 Old Norcross Rd, 30046 (770) 995-7616 Hendrix, Kitsie 3525 Busbee Dr Nw Ste 200, 30144 (678) 836-2115 This information is current as of September 2014 Carter Iv, James 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Page 32 32 of56Pages KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Perdomo, Carlos 1942 Atkinson Rd #500, 30043 (770) 381-9333 Tucker Jr, Hubert 171 Gwinnett Dr Ste C, 30046 (770) 963-1941 Kersh, Martin 559 Old Norcross Rd, 30046 (770) 339-4440 Lugus, Karl 749 Old Norcross Rd # B, 30046 (770) 995-3220 Echols, Justin 609 Beaver Ruin Rd Nw #a, 30047 (770) 925-3300 Presley, Lucius 3455 Lawrenceville Hwy, 30044 (770) 921-1115 Uddin, Monira 1699 Duluth Hwy, 30043 (770) 338-1963 Mann, Arnold 650 Gwinnett Dr Ste 210, 30046 (770) 963-5999 Parris, Shannon 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 Edge, Lizzette 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Rada-Johnson, Tracy 555 Old Norcross Rd Ste 120, 30046 (770) 237-0030 Vellanki, Asha 1575 Lawrenceville Hwy, 30044 (678) 407-9706 Turner, Jeffrey 771 Old Norcross Rd #125, 30046 (678) 985-0550 Paschal, Lori 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 Faris, Azad 609 Beaver Ruin Rd Nw # A, 30047 (770) 709-0000 Rahimi, Nasim 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Vo, Doan Trang 1605 Buford Dr, 30043 (678) 985-8087 Orthodontists Paschal, Lori 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Fawole, Sunday 4145 Lawrenceville Hwy Nw, 30047 (770) 638-8090 Rahimi, Nasim 555 Old Norcross Rd Ste 120, 30046 (770) 237-0030 Waits, Vicki 455 Grayson Hwy, 30046 (770) 339-5642 Sundareswaran, Pushpa 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 Ford, George 605 Beaver Ruin Rd Nw Ste A, 30047 (770) 381-0703 Rakesh, Pallavi 555 Old Norcross Rd Ste 120, 30046 (770) 237-0030 Whitworth, Brandon 1699 Duluth Hwy Ste 5, 30043 (770) 338-1963 Periodontists Gardner, Randolph 449 Pleasant Hill Rd Nw, 30047 (770) 564-9906 Ramsay, Nedeeka 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Woods, Eddie 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Ratliff, Cynthia 3455 Lawrenceville Hwy, 30044 (770) 921-1115 Yavari, Behnam 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Reichman, Richard 1030a Duluth Hwy, 30043 (770) 995-1957 Yazdanpanah, Navid 4850 Sugarloaf Pkwy Ste 204, 30044 (770) 995-6109 Reid Iii, Walter 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 Zerin, Sayema 965 Oakland Rd Ste 2d, 30044 (678) 407-4072 Reid Iii, Walter 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Reynolds, Tonique 1860 Duluth Hwy Ste 401, 30043 (770) 822-9500 Roark, Cindy 650 Gwinnett Dr Ste 210, 30046 (770) 963-5999 Robinson, Robert 455 Grayson Hwy, 30046 (770) 339-5642 Rosenberg-Mcgowan, Christine 171 Gwinnett Dr Ste C, 30046 (770) 963-1941 Russell, Amy 171 Gwinnett Dr Ste C, 30046 (770) 963-1941 Saturne, Marie 168 E Crogan St, 30046 (678) 407-2803 Singh, Manjeet 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 Singh, Manjeet 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Singh, Manjeet 4850 Sugarloaf Pkwy Ste 204, 30044 (770) 995-6109 Singh, Manjeet 555 Old Norcross Rd Ste 120, 30046 (770) 237-0030 Smith, Jeremy 171 Gwinnett Dr Ste C, 30046 (770) 963-1941 Tabassian, Maryam 911 Duluth Hwy Ste E2, 30043 (678) 209-2273 Taher, Fatemeh 3370 Sugarloaf Pkwy Ste G8, 30044 (678) 215-1300 Tewogbade, Tara 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Tralongo, Kenneth 171 Gwinnett Dr Ste C, 30046 (770) 963-1941 Tran, Doan Trang 1699 Duluth Hwy Ste 5, 30043 (770) 338-1963 Tran, Doan Trang 4850 Sugarloaf Pkwy Ste 204, 30044 (770) 995-6109 Berwick, Jennifer 960 Lakes Pkwy, 30043 (770) 448-8882 Cox Jr, Stanley 960 Lakes Pkwy, 30043 (770) 448-8882 Davis, Laura 875 Lawrenceville Suwanee Rd, 30043 (678) 407-3777 Billinger, Bruce 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Evans, Lawrence 55 Towler Rd # B, 30046 (770) 962-9560 Frodge, Brandon 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Goodman, Sundus 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Lee, John 1790 Atkinson Rd Bldg 4, 30043 (678) 226-2716 Iaculli, John 960 Lakes Pkwy, 30043 (770) 448-8882 Mehraban, Ali 1699 Duluth Hwy, 30043 (770) 338-1963 Oral Surgeons Koch, Jacob 3455 Lawrenceville Hwy, 30044 (770) 921-1115 Quinn, Michael 650 Gwinnett Dr Ste 210, 30046 (770) 963-5999 Ali Khan, Husain 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Koch, Jacob 55 Towler Rd Bldg B, 30046 (770) 962-9560 Zinney, William 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Bagheri, Shahrokh 1699 Duluth Hwy, 30043 (770) 338-1963 Long, Meridith 960 Lakes Pkwy, 30043 (770) 448-8882 Prosthodontists Cardona-Rohena, Yadira 1699 Duluth Hwy Ste 5, 30043 (770) 338-1963 Nguyen, Quang 1605 Buford Dr, 30043 (678) 985-8087 Digumarthi, Hari 1699 Duluth Hwy, 30043 (770) 338-1963 Parikh, Milin 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 Ellis, Robert 745 Old Norcross Rd, 30046 (770) 962-9515 Park, Eric 960 Lakes Pkwy, 30043 (770) 448-8882 Gardner Iii, Jess 745 Old Norcross Rd, 30046 (770) 962-9515 Podray, Susan 960 Lakes Pkwy, 30043 (770) 448-8882 Huynh, Cang 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Raglin, Alisa 1860 Atkinson Rd Ste 108, 30043 (678) 964-2148 Jones, Gillian 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Richard, Ryan 960 Lakes Pkwy, 30043 (770) 448-8882 Patel, Piyushkumar 1699 Duluth Hwy, 30043 (770) 338-1963 Schneider, Dylan 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 Pathak, Sandeep 745 Old Norcross Rd, 30046 (770) 962-9515 Schneider, Dylan 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Beckford, Yvonne 4145 Lawrenceville Hwy Nw Ste 15, 30047 (770) 923-1814 Phillips, Donald 3455 Lawrenceville Hwy, 30044 (770) 921-1115 Segnere, Jeffrey 960 Lakes Pkwy, 30043 (770) 448-8882 Braverman, Richard 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Kakadia, Ashish 3050 Five Forks Trickum Rd Sw Ste H, 30047 (770) 982-7533 Rogers, Kael 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Shoup, Greg 960 Lakes Pkwy, 30043 (770) 448-8882 Campbell, Monica 609 Beaver Ruin Rd Nw #a, 30047 (770) 925-3300 Kalra, Neelu 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Taufiq, Asif 15 Collins Industrial Way Ste B, 30043 (770) 962-0515 White, Adam 960 Lakes Pkwy, 30043 (770) 448-8882 Cara, Yasheena 4574 Lawrenceville Hwy Nw #120, 30047 (770) 921-9000 Katz, David 4145 Lawrenceville Hwy Nw Ste 5, 30047 (770) 638-8090 Waksor, Adam 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Pediatric Dentists Cooper, Roderick 4574 Lawrenceville Hwy Ste 120, 30047 (770) 921-9000 Khan, Saima 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Crews, Imelda 609 Beaver Ruin Rd Nw #a, 30047 (770) 925-3300 Khan, Saima 609 Beaver Ruin Rd Nw #a, 30047 (770) 925-3300 Dalwai, Nazneen 895 Indian Trail Lilburn Rd Nw Ste 11, 30047 (770) 279-5000 Kim, Eugene 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Walker, Patrick 745 Old Norcross Rd, 30046 (770) 962-9515 Zuck, Stacey 945 River Centre Pl Ste 100, 30043 (770) 995-7960 Brown, Shelton 171 Gwinnett Dr Ste B, 30046 (678) 407-8489 Desouza, Sharon 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 Endodontists Dixit, Priya 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 Howard, Cameron 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Dunkelberger, Fred 1960 Riverside Pkwy Ste 105, 30043 (770) 242-3260 This information is current as of September 2014 Page 33 Lafontaine, Lorraine 455 Grayson Hwy, 30046 (770) 339-5642 Gray, Larry 609 Beaver Ruin Rd Nw # A, 30047 (770) 709-0000 Gudipati, Praveen 3993 Lawrenceville Hwy #100a, 30047 (770) 279-2020 Hader, Jesse 4145 Lawrenceville Hwy Nw Ste 15, 30047 (770) 638-8090 Haider, Abbas 609 Beaver Ruin Rd Nw #a, 30047 (770) 925-3300 Hamilton, Travis 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Harandifassih, Lyda 4145 Lawrenceville Hwy Nw Ste 15, 30047 (770) 923-1814 Muccioli, Randy 2000 Riverside Pkwy Ste 200, 30043 (770) 339-0929 Harandi-Fassih, Ali 4145 Lawrenceville Hwy Nw Ste 15, 30047 (770) 638-8090 LILBURN General Dentists Hayward, David 609 Beaver Ruin Rd Nw #a, 30047 (770) 925-3300 Abochhab, Hosam 4574 Lawrenceville Hwy Nw #120, 30047 (770) 921-9000 Hsu, Chiung 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Akinola, Laurie 4051 Hwy 78 Ste F101, 30047 (678) 691-9064 Jackson, Cheryl 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Angeletti Jr, Fred 3970 Five Forks Trickum Rd Sw Ste B, 30047 (770) 921-8442 Jamison, Tiffany 629 Beaver Ruin Rd Nw Ste A, 30047 (770) 696-4144 Batterton, Samuel 375 Rockbridge Rd Nw Ste 164, 30047 (770) 921-7047 Dyer, Celia 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 33 of56Pages Jefferies, Ngandu 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Jenkins, Eleonora 3050 Five Forks Trickum Rd Sw Ste H, 30047 (770) 982-7533 Kim, Jennifer 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Kim, Yeonjoo 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Kleinschmidt, Laura 656 Indian Trail Lilburn Rd Nw Ste 209, 30047 (770) 806-9090 Reid Iii, Walter 4145 Lawrenceville Hwy Nw Ste 15, 30047 (770) 638-8090 Lee, Jong 3050 Five Forks Trickum Rd Sw Ste H, 30047 (770) 982-7533 Roark, Cindy 3050 Five Forks Trickum Rd Sw Ste H, 30047 (770) 982-7533 Leydecker Iii, Fred 4145 Lawrenceville Hwy Nw Ste 15, 30047 (770) 638-8090 Seekand, Priyanka 4145 Lawrenceville Hwy Nw Ste 15, 30047 (770) 923-1814 Livingston Jr, Lynn 4145 Lawrenceville Hwy Nw Ste 15, 30047 (770) 638-8090 Sepmeyer, Richard 4634 Lawrenceville Hwy Nw, 30047 (770) 923-2405 Malayter, Amanda 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Malikov, Faig 4145 Lawrenceville Hwy Nw, 30047 (770) 638-8090 Mcdonald, Edward 609 Beaver Ruin Rd Nw # A, 30047 (770) 709-0000 Mclendon, Willie 550 Pleasant Hill Rd Nw Ste A208, 30047 (770) 381-8228 Meshkian, Shervin 4574 Lawrenceville Hwy Ste 120, 30047 (770) 921-9000 Mian, Alia 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Mian, Alia 609 Beaver Ruin Rd Nw #a, 30047 (770) 925-3300 Millkey, Mary Catherine 4574 Lawrenceville Hwy Nw #120, 30047 (770) 921-9000 Minton Jr, Warren 4145 Lawrenceville Hwy Nw Ste 15, 30047 (770) 638-8090 Mirabel, Roxana 609 Beaver Ruin Rd Nw # A, 30047 (770) 709-0000 Muigai, Paul 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Na, Anne 4574 Lawrenceville Hwy Ste 120, 30047 (770) 921-9000 Nayee, Mayur 4574 Lawrenceville Hwy Nw #120, 30047 (770) 921-9000 Nguyen, Marina 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Ogundipe, Taiwo 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Oh, Sandra 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Osunfisan, Olubunmi 3050 Five Forks Trickum Rd Sw Ste H, 30047 (770) 982-7533 Shahzad, Saliha 3100 Five Forks Trickum Rd Sw, 30047 (770) 978-3292 Shepheard, Sharnn 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Singh, Manjeet 4145 Lawrenceville Hwy Nw Ste 15, 30047 (770) 923-1814 Smith, Jeffrey 3100 Five Forks Trickum Rd Sw Ste 501, 30047 (770) 736-8085 Stevenson, Marnita 4145 Lawrenceville Hwy Nw Ste 15, 30047 (770) 638-8090 Swegman, Mary 4574 Lawrenceville Hwy Nw #120, 30047 (770) 921-9000 Tewogbade, Tara 4145 Lawrenceville Hwy Nw Ste 15, 30047 (770) 923-1814 Twardy, Sara 609 Beaver Ruin Rd Nw #a, 30047 (770) 925-3300 Uddin, Monira 4145 Lawrenceville Hwy Nw Ste 15, 30047 (770) 638-8090 Uddin, Monira 629 Beaver Ruin Rd Nw Ste A, 30047 (770) 925-4773 Urrego-Torres, Claudia 4574 Lawrenceville Hwy Ste 120, 30047 (770) 921-9000 Whyte, Michelle 609 Beaver Ruin Rd Nw #a, 30047 (770) 925-3300 Oral Surgeons Bagheri, Shahrokh 4145 Lawrenceville Hwy Nw Ste 5, 30047 (770) 638-8090 Etezadi-Tabrizi, Abtin 605 Beaver Ruin Rd Nw Ste C, 30047 (770) 923-2926 Foran, Michael 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Robertson, Jeannette 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Osunfisan, Olubunmi 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Ryan, Robert 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Patel, Ketankumar 629 Beaver Ruin Rd Nw Ste A, 30047 (770) 925-8773 Smouse, James 605 Beaver Ruin Rd Nw Ste C, 30047 (770) 923-2926 Perez-Irizarry, Jose 4574 Lawrenceville Hwy Nw #120, 30047 (770) 921-9000 Tucker, Alan 639 Beaver Ruin Rd Nw Ste A, 30047 (770) 923-5200 Pikus, Alexander 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Wunderle, Robert 605 Beaver Ruin Rd Nw Ste C, 30047 (770) 923-2926 Ray, Nina 609 Beaver Ruin Rd Nw #a, 30047 (770) 925-3300 Young, Justin 605 Beaver Ruin Rd Nw Ste C, 30047 (770) 923-2926 This information is current as of September 2014 Endodontists Mann, Arnold 3050 Five Forks Trickum Rd Sw Ste H, 30047 (770) 982-7533 Orthodontists Berwick, Jennifer 645 Beaver Ruin Rd Nw, 30047 (770) 448-8882 Cox Jr, Stanley 645 Beaver Ruin Rd Nw, 30047 (770) 448-8882 Fisher, Dameon 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Hall, Tameka 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Khanna, Ankush 4574 Lawrenceville Hwy Nw #120, 30047 (770) 921-9000 Levitt, Carl 5365 Five Forks Trickum Rd Sw Ste D, 30047 (770) 923-4993 Long, Meridith 645 Beaver Ruin Rd Nw, 30047 (770) 448-8882 Park, Eric 645 Beaver Ruin Rd Nw, 30047 (770) 448-8882 Podray, Susan 645 Beaver Ruin Rd Nw, 30047 (770) 448-8882 Daniel Jr, Claude 3507 Veterans Memorial Hwy, 30122 (770) 948-2900 Huynh, Scott 7230 Stonecrest Pkwy Ste C, 30038 (678) 248-3586 Edmonds, Ericka 560 Thornton Rd, 30122 (770) 234-4859 Kimes, Heavenly 8028 Rockbridge Rd, 30058 (770) 482-2310 Kimble, Lisa 870 Crestmark Dr Ste 100, 30122 (678) 945-0034 Kinard, Brian 7230 Stonecrest Pkwy Ste C, 30038 (678) 248-3586 Norman, Kiristi 2635 Lee Rd Ste C-4, 30122 (770) 489-9141 Lanier, Ida 3035 Panola Rd Ste A, 30038 (770) 593-3426 Shelton, Denese 560 Thornton Rd, 30122 (770) 234-4859 Mccurdy, Clarence 2940 Turner Hill Rd, 30038 (770) 446-8000 Smith, James 1777 Lee Rd Ste D, 30122 (770) 948-1600 Mckenzie, Michael 7494 Covington Hwy, 30058 (999) 999-9999 Young, Jeanette 2635 Lee Rd Ste C-4, 30122 (770) 489-9141 Mosley, Nicholas 6118 Covington Hwy Ste E, 30058 (770) 593-8249 Orthodontists Parker, Anthony 8225 Mall Pkwy Ste 200, 30038 (770) 484-8535 Hall, Tameka 560 Thornton Rd Ste 220, 30122 (770) 732-6008 Pediatric Dentists Parker, Lauren 8225 Mall Pkwy Ste 200, 30038 (770) 484-8535 Redwine, Erin 560 Thornton Rd, 30122 (770) 234-4859 Pimentel, Lola 7230 Stonecrest Pkwy Ste C, 30038 (678) 248-3586 Rose-Mize, Ida 560 Thornton Rd, 30122 (770) 234-4859 Rosenthal, Michael 7230 Stonecrest Pkwy Ste C, 30038 (678) 248-3586 Periodontists Sandvi, Christopher 7230 Stonecrest Pkwy Ste C, 30038 (770) 484-4343 Richard, Ryan 645 Beaver Ruin Rd Nw, 30047 (770) 448-8882 Cushman, Cheryl 2168 Skyview Dr, 30122 (770) 739-5097 Segnere, Jeffrey 645 Beaver Ruin Rd Nw, 30047 (770) 448-8882 LITHONIA General Dentists Solano, Juan 950 Indian Trail Lilburn Rd Nw, 30047 (678) 325-3970 Thomas, Jerry 4030 Lawrenceville Hwy Nw #2, 30047 (770) 931-7695 Thornton, Rene 4574 Lawrenceville Hwy Ste 120, 30047 (770) 921-9000 White, Adam 645 Beaver Ruin Rd Nw, 30047 (770) 448-8882 Wilmot, Janice 956 Killian Rd # D, 30047 (770) 921-2233 Pediatric Dentists Herrin, Brent 4030 Lawrenceville Hwy Nw, 30047 (678) 252-5665 Thebaut, Mark 609 Beaver Ruin Rd Nw #a, 30047 (770) 925-3300 Abes, Marshall 7230 Stonecrest Pkwy Ste C, 30038 (770) 484-4343 Blount, Jimmy 2929 Turner Hill Rd Ste 1410, 30038 (770) 482-7800 Brown, Douglas 7660 Covington Hwy Ste 1, 30058 (770) 482-2964 Brown, Melissa 8052 Mall Pkwy Ste 102, 30038 (678) 323-7144 Brown, Melissa 8180 Mall Pkwy #810, 30038 (770) 484-4994 Buchanan, Brian 2998 Tuner Hill Rd #100, 30038 (404) 289-7311 Chen, Michael 7660 Covington Hwy Ste 1, 30058 (770) 482-2964 Sarembock, Mitchell 7230 Stonecrest Pkwy Ste C, 30038 (678) 248-3586 Schuler-Mitchell, Katrina 7230 Stonecrest Pkwy Ste C, 30038 (770) 484-4343 Shim, Young 7215 Stonecrest Pkwy, 30038 (770) 482-4661 Stewart, Ron 2998 Panola Rd Ste 100, 30038 (770) 322-8040 Summerlin, Dexter 3035 Panola Rd Ste A, 30038 (770) 593-3426 Wadley, Lechandre 7230 Stonecrest Pkwy Ste C, 30038 (770) 484-4343 Wakefield, Freddie 7230 Stonecrest Pkwy Ste C, 30038 (770) 484-4343 Yavari, Behnam 7230 Stonecrest Pkwy Ste C, 30038 (678) 248-3586 Oral Surgeons Dabney, Amber 8200 Mall Pkwy Ste 155, 30038 (770) 484-4051 Cho, Sung 7230 Stonecrest Pkwy Ste C, 30038 (770) 484-4343 Butler, M Forest 320 Killian Hill Rd # A, 30047 (770) 921-3555 Debowsky, Bryan 7230 Stonecrest Pkwy Ste C, 30038 (770) 484-4343 Collins Jr, Kenneth 8052 Mall Pkwy Ste 205, 30038 (770) 484-0135 Greenwald, Gary 656 Indian Trail Lilburn Rd Nw Ste 203, 30047 (770) 381-2600 Dowdy, Vanessa 5461 Hillandale Dr #200, 30058 (770) 981-8301 Robertson, Jeannette 7230 Stonecrest Pkwy Ste C, 30038 (678) 248-3586 Dunson, Melanie 7230 Stonecrest Pkwy Ste C, 30038 (770) 484-4343 Orthodontists Periodontists Prosthodontists Clark, Wendy 609 Beaver Ruin Rd Nw # A, 30047 (770) 709-0000 LITHIA SPRINGS General Dentists Bahrami, Nahid 524 Thornton Rd, 30122 (770) 944-9755 Belinky, Harley 1515 Westfork Dr #a, 30122 (770) 941-7261 Page 34 Fields, David 7230 Stonecrest Pkwy Ste C, 30038 (770) 484-4343 Hamilton, Travis 7230 Stonecrest Pkwy Ste C, 30038 (678) 248-3586 Harrison, Calvert 2132 Rock Chapel Rd, 30058 (770) 484-0255 Hester, Vonda 2998 Panola Rd Ste 100, 30038 (770) 322-8040 34 of56Pages Bush, Hector 7301 Stonecrest Concourse Ste 115, 30038 (770) 482-4885 Duval, Jamal 8225 Mall Pkwy Ste 200, 30038 (770) 482-7400 Echols, Eric 3054 Panola Rd Ste G, 30038 (770) 593-3336 Kubala, Louis 7301 Stonecrest Concourse Ste 115, 30038 (770) 482-4885 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Lofters, David 7230 Stonecrest Pkwy Ste C, 30038 (770) 484-4343 Roark, Cindy 4325 Atlanta Hwy Ste 9, 30052 (770) 466-0918 Blount, Jimmy 5005 Riverside Dr Unit A, 31210 (478) 405-0664 Marable, Lawrence 3661 Eisenhower Pkwy #268, 31206 (478) 474-8037 Ryan, Robert 1386 Gray Hwy, 31211 (478) 745-5239 Thomas, Jerry 2930 Turner Hill Rd, 30038 (770) 484-7645 Oral Surgeons Braverman, Richard 1386 Gray Hwy, 31211 (478) 745-5239 Mian, Alia 1386 Gray Hwy, 31211 (478) 745-5239 Waksor, Adam 5005 Riverside Dr Unit A, 31210 (478) 405-0664 Endodontists Brooks, Tara 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Mixon, George 6501 Peake Rd Ste 600, 31210 (478) 477-7101 White Iii, Frank 3432 Mercer University Dr, 31204 (478) 755-8366 Mann, Arnold 4325 Atlanta Hwy Ste 9, 30052 (770) 466-0918 Burnett, Michael 3432 Mercer University Dr, 31204 (478) 755-8366 Mixon, Kristopher 3432 Mercer University Dr, 31204 (478) 755-8366 Endodontists Orthodontists Callier, Karen 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Mixon, Stephen 6501 Peake Rd Ste 600, 31210 (478) 477-7101 Clark, Rodney 1918 Forsyth St, 31201 (478) 746-0046 Muigai, Paul 1386 Gray Hwy, 31211 (478) 745-5239 Cole, Nancy 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Murphy, Marilyn 1923 Hardeman Ave, 31201 (999) 999-9999 Cowgill, Cary 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Myers, Alan 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Boone Jr, Toof 3312 Northside Dr Bldg B Ste 150, 31210 (478) 746-7686 Dyer, Celia 1386 Gray Hwy, 31211 (478) 745-5239 Obrien, Robert 3432 Mercer University Dr, 31204 (478) 755-8366 Clower, Thomas 3432 Mercer University Dr, 31204 (478) 475-0132 Echols, Justin 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Osunfisan, Olubunmi 1386 Gray Hwy, 31211 (478) 745-5239 Hall, Tameka 1386 Gray Hwy, 31211 (478) 745-5239 Edge, Lizzette 1386 Gray Hwy, 31211 (478) 745-5239 Othman, Samer 4705 Northside Dr Ste 100, 31210 (478) 207-6939 Kubala, Louis 3312 Northside Dr Ste A160, 31210 (478) 471-9300 Falls, Christopher 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Parekh, Chintan 5019 Riverside Dr Unt A, 31210 (478) 405-0664 Pediatric Dentists Gilkey, Jacqueline 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Patel, Nishabahen 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Golubow, Steven 6443 Zebulon Rd #3 A-b, 31220 (478) 238-4460 Petterson, Catherine 3432 Mercer University Dr, 31204 (478) 755-8366 Good, John 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Pikus, Alexander 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Hamilton, Travis 1386 Gray Hwy, 31211 (478) 745-5239 Pyon, Kwang 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Holcomb, Sidney 4366 Log Cabin Dr, 31204 (478) 471-6060 Ramey, Rita 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Jackson, Cheryl 1386 Gray Hwy, 31211 (478) 745-5239 Ross, Charles 3706 Mercer University Dr Ste 7, 31204 (478) 474-2557 Jackson, Nicole 3298 Northside Dr, 31210 (478) 475-1976 Shepheard, Sharnn 1386 Gray Hwy, 31211 (478) 745-5239 Jordan, Sharon 2614 Cherokee Ave, 31204 (478) 743-3583 Shipp, William 238 Emery Hwy, 31217 (478) 476-4636 Keane Dawes, Ronique 1386 Gray Hwy, 31211 (478) 745-5239 Sikes, Christy 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Kim, Eugene 1386 Gray Hwy, 31211 (478) 745-5239 Stockslager, James 4020 Elnora Dr, 31210 (478) 477-1228 Kim, Jennifer 1386 Gray Hwy, 31211 (478) 745-5239 Vandiver, Terrence 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Lauderdale, Candace 5005 Riverside Dr Unit A, 31210 (478) 405-0664 Walker, Ashley 6055 Lakeside Commons Dr #320, 31210 (478) 477-2761 Lee, Thomas 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Ware, James 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Lewis, Phoeby 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Watson, Clinton 3298 Northside Dr, 31210 (478) 475-1976 Lewis Ii, Charles 4366 Log Cabin Dr, 31204 (478) 471-6060 Oral Surgeons Pediatric Dentists Freedman, Bret 7301 Stonecrest Concourse Ste 115, 30038 (770) 482-4885 Jordan, Teresa 7215 Stonecrest Pkwy, 30038 (770) 482-4661 Patel, Jay 4353 Atlanta Hwy, 30052 (770) 554-0848 Miller, Wayne 7215 Stonecrest Pkwy, 30038 (770) 482-4661 Davis, Laura 4132 Atlanta Hwy Ste 202, 30052 (678) 475-7817 Parris, Shannon 8180 Mall Pkwy #810, 30038 (770) 484-4994 Thornton, Rene 4353 Atlanta Hwy, 30052 (770) 554-0848 Windham, Sonya 8052 Mall Pkwy Ste 102, 30038 (770) 484-4994 LOUISVILLE General Dentists Windham, Sonya 8180 Mall Pkwy #810, 30038 (770) 484-4994 Avery, David 610 Mulberry St, 30434 (866) 285-7246 Periodontists Wright, Andrew 610 Mulberry St, 30434 (866) 285-7246 Chong, Woojae 7230 Stonecrest Pkwy Ste C, 30038 (770) 484-4343 Horace, Karen 7230 Stonecrest Pkwy Ste C, 30038 (678) 248-3586 Prosthodontists MABLETON General Dentists Berlin, Robert 4875 Floyd Rd Sw Ste 113, 30126 (770) 732-0900 Lafontaine, Lorraine 7230 Stonecrest Pkwy Ste C, 30038 (678) 248-3586 Cohen, Lawrence 4875 Floyd Rd Sw Ste 113, 30126 (770) 732-0900 LOCUST GROVE General Dentists Dimenstien, Morton 6041 Mableton Pkwy Sw #138, 30126 (770) 948-9248 Bruno, Todd 782 Jackson St, 30248 (770) 288-8600 Dix, Thomas 5591 Mableton Pkwy Sw #109, 30126 (770) 732-8374 Chatman, Tracee 782 Jackson St, 30248 (770) 288-8600 Hartman, Derrik 4875 Floyd Rd Sw Ste 113, 30126 (770) 732-0900 Gwyn, Michelle 5040 Bill Gardner Pkwy Ste 300, 30248 (678) 304-8408 Rainford, Chea 5015 Floyd Rd Sw Ste 530, 30126 (678) 810-1100 Orthodontists Rhodes, Tampa 1025 Veterans Memorial Hwy Se, 30126 (678) 945-1708 Lindsey, Charles 4080 Highway 42, 30248 (770) 914-7994 LOGANVILLE General Dentists Blair, Kevin 4353 Atlanta Hwy, 30052 (770) 554-0848 Burnett, Bevon 4325 Atlanta Hwy Ste 9, 30052 (770) 466-0918 Roark, Cindy 4875 Floyd Rd Sw Ste 113, 30126 (770) 732-0900 Steinhaus, James 5761 Mableton Pkwy Sw, 30126 (770) 948-9200 Swiger, Craig 5345 Floyd Rd Sw Ste 126, 30126 (770) 944-8620 Oral Surgeons Carter, Jeffrey 4743 Atlanta Hwy Ste 220, 30052 (770) 554-3700 Harrison, Farryn 4875 Floyd Rd Sw Ste 113, 30126 (770) 732-0900 Chung, Daniel 150 Highway 78 Ste 400, 30052 (770) 466-0580 Endodontists Erattuparambil, Shabana 2715 Loganville Hwy Ste 340-3d, 30052 (404) 488-5329 Givens, Rodney 4325 Atlanta Hwy Ste 9, 30052 (770) 466-0918 Hibbard, Laurence 150 Highway 78 Ste 400, 30052 (770) 466-0580 Hoover, Brittany 3238 Krisam Creek Dr, 30052 (770) 466-0474 Koehler, Victor 3238 Krisam Creek Dr, 30052 (770) 466-0474 Mann, Arnold 4875 Floyd Rd Sw Ste 113, 30126 (770) 732-0900 MACON General Dentists Ambrose, Valerie 160 Pierce Ave, 31204 (478) 743-0901 Benet-Rockefeller, Mireddy 1536 Eisenhower Pkwy, 31206 (478) 781-4333 Bennett, Leigh 4366 Log Cabin Dr, 31204 (478) 471-6060 Bjur, Todd 1536 Eisenhower Pkwy, 31206 (478) 781-4333 This information is current as of September 2014 Mann, Paul 225 N Macon St, 31210 (478) 733-0857 Page 35 Foran, Michael 1386 Gray Hwy, 31211 (478) 745-5239 Robertson, Jeannette 1386 Gray Hwy, 31211 (478) 745-5239 35 of56Pages Beall Sr, Fred 2971 Vineville Ave, 31204 (478) 746-0727 Gilchrist Iv, Pinkney 2971 Vineville Ave, 31204 (478) 746-0727 Golubow, Nicholas 6443 Zebulon Rd #3 A-b, 31220 (478) 238-4460 Orthodontists Ambrose Jr, John 160 Pierce Ave, 31204 (478) 743-0901 Freedman, Bret 3312 Northside Dr Ste A160, 31210 (478) 471-9300 Hall, James 160 Pierce Ave, 31204 (912) 743-0901 Herrin, Brent 1386 Gray Hwy, 31211 (478) 745-5239 Wilson, Antionette 1536 Eisenhower Pkwy, 31206 (478) 781-4333 MADISON General Dentists Detienne, Marie 1686 Eatonton Rd, 30650 (706) 342-0550 Huff, Frank 1040 Barclay Dr, 30650 (706) 342-1242 Pagett, Forest 1880 Bethany Rd, 30650 (706) 342-3636 Reichman, Richard 1040 Barclay Dr, 30650 (706) 342-1242 Scherer, Dena 2151 Eatonton Rd Ste D, 30650 (706) 752-1910 Scherer Iii, Charles 2151 Eatonton Rd Ste D, 30650 (706) 752-1910 Whetzel, Joshua 1880 Bethany Rd, 30650 (706) 342-3636 Woodruff Jr, Ollen 480 Hancock St, 30650 (706) 342-2155 Orthodontists Bush, Hector 1690 Eatonton Rd, 30650 (706) 342-7272 Kubala, Louis 1690 Eatonton Rd, 30650 (706) 342-7272 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Pediatric Dentists Freedman, Bret 1690 Eatonton Rd, 30650 (706) 342-7272 MANCHESTER General Dentists Aguilar, Abel 408 W Perry St, 31816 (706) 846-2273 MARBLE HILL General Dentists Hart Jr, Thomas 25 Foothills Pkwy Ste 101, 30148 (770) 893-2340 Muccioli, Lydia 25 Foothills Pkwy Ste 101, 30148 (770) 893-2340 Wells, David 25 Foothills Pkwy Ste 101, 30148 (770) 893-2340 MARIETTA General Dentists Abimbola, Adelani 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Adkisson, Steven 709 Canton Rd Ne Ste 210, 30060 (770) 426-4188 Adkisson, Steven 840 Church St Ne Bldg E, 30060 (770) 422-7673 Akbar, Roya 2513 Shallowford Rd Ste 100, 30066 (770) 977-3977 Alpert, Alla 2468 Windy Hill Rd Se Ste 400, 30067 (770) 984-9000 Anderson, James 2663 Sandy Plains Rd, 30066 (770) 977-0827 Arana, Carolina 2969 Johnson Ferry Rd, 30062 (770) 992-2340 Ardeshra, Toral 1275 Powers Ferry Rd Se Ste 10, 30067 (770) 952-7172 Balyan, Supriti 2145 Roswell Rd Ste 120, 30062 (770) 565-1010 Bateh, Victor 1640 Powers Ferry Rd Se Bldg 11 #150, 30067 (770) 980-0432 Beckford, Yvonne 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Beckford, Yvonne 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 Benich, Beau 137 Johnson Ferry Rd #2110, 30068 (770) 953-3143 Benich, Timothy 137 Johnson Ferry Rd #2110, 30068 (770) 953-3143 Berge, Augustine 2319 Powder Springs Rd Sw, 30064 (770) 427-5500 Berlin, Robert 2550 Sandy Plains Rd Ste 145, 30066 (770) 321-2755 Binns, Michael 591 Cherokee St Ne, 30060 (770) 794-7172 Bishara, John 2230 Roswell Rd Ste 200, 30062 (770) 977-0100 Bolden, Carol 2525 Shallowford Rd, 30066 (770) 924-8138 Braxton, Darchelle 2900 Delk Rd Se Ste 1450, 30067 (678) 502-5604 Glover Iii, Charles 129 Marble Mill Rd Nw, 30060 (770) 424-4565 Johnson, Mantique 1275 Powers Ferry Rd Se Ste 10, 30067 (770) 952-7172 Levine, Ross 709 Canton Rd Ne Ste 210, 30060 (770) 426-4188 Bumgarner, William 1001 Whitlock Ave Sw Ste A, 30064 (770) 428-5959 Goch, Mark 2125 Post Oak Tritt Rd, 30062 (770) 977-9090 Johnson, Roy 58 Shawnee Trl Se, 30067 (770) 973-6520 Liang, Chu Kai 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Buxton, Erin 670 Johnson Ferry Rd, 30068 (999) 999-9999 Goolsby, George 3515 Dallas Hwy Sw Ste B, 30064 (770) 499-7005 Judge, Lisa 1230 Powers Ferry Rd Se Ste 6, 30067 (770) 541-0101 Lindsay, Jonathan 2969 Johnson Ferry Rd, 30062 (770) 992-2340 Campbell, Donald 2900 Delk Rd Se Ste 1450, 30067 (678) 502-5604 Graham, John 50 Plaza Way Nw Ste G, 30060 (770) 427-4778 Kakadia, Ashish 2550 Sandy Plains Rd Ste 145, 30066 (770) 321-2755 Linkous, Ruximar 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 Campbell, Julian 175 Whtie Str Nw #300, 30060 (770) 422-6521 Granger, Debbie 1880 West Oak Pkwy #215, 30062 (770) 514-0440 Kakadia, Ashish 270 Cobb Pkwy S Ste 180, 30060 (770) 425-6333 Lisin-Queen, Natasha 1880 West Oak Pkwy #215, 30062 (770) 514-0440 Carden, Sammy 1275 Powers Ferry Rd Se Ste 10, 30067 (770) 952-7172 Grate, William 670 Canton Rd Ne Ste C, 30060 (770) 422-7777 Kakadia, Ashish 3960 Shallowford Rd Ste B, 30062 (770) 993-6893 Livingston Jr, Lynn 1545 Powers Ferry Rd Se Ste 220, 30067 (770) 980-9404 Chaw, Janice 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 Hader, Jesse 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Kakadia, Ashish 4001 Canton Rd, 30066 (770) 591-3832 Livingston Jr, Lynn 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Childs-Wiggins, Deanthia 1611 Sands Pl Se Ste 100, 30067 (770) 226-0008 Hader, Jesse 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 Kansal, Jay 2480 Windy Hill Road Se #405, 30067 (770) 952-0136 Livingston Jr, Lynn 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 Chung, Charles 2860 Johnson Ferry Rd Ste 100, 30062 (770) 998-5290 Hai, Ping 3600 Dallas Hwy Sw Ste 220, 30064 (770) 428-5656 Karamanolis, Alexandra 3911 Mary Eliza Trce Nw, 30064 (770) 528-9966 Love, James 129 Marble Mill Rd Nw, 30060 (770) 424-4565 Cohen, Lee 2480 Windy Hill Rd Se Ste 202, 30067 (770) 272-0222 Haidari, Mehron 50 Ernest Barrett Pkwy Ste #4015, 30066 (770) 218-0218 Karlin, Edward 2520 Windy Hill Rd Se Ste 103, 30067 (770) 955-4222 Lu, Lu Jong 3911 Mary Eliza Trce Nw, 30064 (770) 528-9966 Cohen, Ralph 4939 Lower Roswell Rd, 30068 (770) 973-0544 Hansmann, William 3823 Roswell Rd Ste 104, 30062 (770) 977-1632 Karmarkar, Sanket 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Lu, Lu Jong 550 Franklin Rd Se Ste B, 30067 (770) 514-5055 Croxton, David 1001 Whitlock Ave Sw Ste A, 30064 (770) 428-5959 Harandifassih, Lyda 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Kataria, Nalini 2900 Delk Rd Se Ste 1450, 30067 (770) 951-1133 Lubell, Nanci 1275 Powers Ferry Rd Se Ste 10, 30067 (770) 952-7172 Cudia, Robert 129 Marble Mill Rd Nw, 30060 (770) 424-4565 Harandifassih, Lyda 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 Kemp, David 4250 Roswell Rd #110, 30062 (770) 509-5585 Malikov, Faig 1545 Powers Ferry Rd #220, 30067 (770) 980-9404 Delman, Michael 2969 Johnson Ferry Rd, 30062 (770) 992-2340 Harandi-Fassih, Ali 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Kill, Mathias 1505 Johnson Ferry Rd Ste 100, 30062 (999) 999-9999 Mansouri, Azita 4720 Lower Roswell Rd, 30068 (770) 973-8222 Denny, Wesley 2125 Post Oak Tritt Rd, 30062 (770) 977-9090 Harandi-Fassih, Ali 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 Kimmerling, Kirk 3698 Largent Way Nw Ste 202, 30064 (770) 423-4900 Mansouri, Michael 4720 Lower Roswell Rd, 30068 (770) 973-8222 Deshetler, Benjamin 2678 Kinjac Dr, 30066 (770) 971-1511 Harfoush, Nael 1880 West Oak Pkwy #215, 30062 (770) 514-0440 Kirkley, Matthew 2125 Post Oak Tritt Rd, 30062 (770) 977-9090 Maybusher, Frank 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 Ebid, Fady 1880 West Oak Pkwy #215, 30062 (770) 514-0440 Harris, James 1545 Powers Ferry Rd #220, 30067 (770) 980-9404 Klein, Erik 4101 Roswell Rd Ste 811, 30062 (770) 579-6400 Mazzuchelli, Thomas 58 Shawnee Trl Se, 30067 (770) 973-6520 Edwards, Joi 1880 West Oak Pkwy #215, 30062 (770) 514-0440 Haydon, David 2969 Johnson Ferry Rd, 30062 (770) 992-2340 Klein, Erik 4200 Providence Rd, 30062 (770) 579-6400 Mccamy, F Boland 135 Vann St Ne, 30060 (770) 428-9083 Ellington, Kent 4720 Lower Roswell Rd, 30068 (770) 973-8222 Henson Jr, James 1690 Powder Springs Rd Sw, 30064 (770) 422-9925 Knauer, Jeffrey 2663 Sandy Plains Rd, 30066 (770) 977-0827 Mccann, Katie 4250 Roswell Rd #110, 30062 (770) 509-5585 Elliott, John 129 Marble Mill Rd Nw, 30060 (770) 424-4565 Hildreth, David 3951 Mary Eliza Trace #200, 30064 (770) 425-4001 Knauer, Marshall 2663 Sandy Plains Rd, 30066 (770) 977-0827 Mcgrath, Garrick 3698 Largent Way #202, 30064 (770) 423-4900 Farrow, David 2319 Powder Springs Rd Sw, 30064 (770) 427-9869 Hull, Richard 135 Vann St Ne, 30060 (770) 428-9083 Mckenzie, Michaela 1275 Powers Ferry Rd Se Ste 10, 30067 (770) 952-7172 Finot, James 550 Franklin Rd Se Ste B, 30067 (770) 514-5055 Hurt, Gina 1000 Johnson Ferry Rd, 30068 (770) 579-0802 Kozloski, Kimberly 1295 Terrell Mill Rd Se Ste 102 Ste 102, 30067 (770) 952-5200 Francis, Harmony 1455 Bells Ferry Rd, 30066 (678) 331-1533 Husney, Lawrence 2663 Sandy Plains Rd, 30066 (770) 977-0827 Fuller, Valerie 3939 Roswell Rd Ste 105, 30062 (770) 977-7757 Jackson-Ian, Waunelle 2520 Windy Hill Rd Se Ste 103, 30067 (770) 953-4801 Gandhi, Janice 1880 West Oak Pkwy #215, 30062 (770) 514-0440 Jeon, Danny 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Gilbert, James 4001 Canton Rd, 30066 (770) 591-3832 Jeon, Danny 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 Gilreath Iv, Paul 200 White St Nw, 30060 (678) 710-9132 Jewett, E Glynn 1275 Powers Ferry Rd Se Ste 10, 30067 (770) 952-7172 Gittelman, Robert 365 Villa Rica Way Sw Ste 300, 30064 (770) 428-1999 Jimenez, Arleen 550 Franklin Rd Se Ste B, 30067 (770) 514-5055 This information is current as of September 2014 Page 36 Krempa, David 3698 Largent Way Nw Ste 202, 30064 (770) 423-4900 Kudumula, Anil 270 Cobb Pkwy S Ste 180, 30060 (770) 425-6333 Kurtz, Paul 4720 Lower Roswell Rd, 30068 (770) 973-8222 Kwan, Jeff 2526 Shallowford Rd Ste B, 30066 (770) 924-1232 Lakkegowda, Shilpa 4001 Canton Rd, 30066 (770) 591-3832 Langer, David 1545 Powers Ferry Rd #220, 30067 (770) 980-9404 Leingang Iii, Michael 3823 Roswell Rd Ste 201, 30062 (770) 977-1892 36 of56Pages Mehta, Rina 2500 Dallas Hwy Sw Ste 401, 30064 (770) 428-4888 Meshkian, Shervin 1545 Powers Ferry Rd #220, 30067 (770) 980-9404 Metcalfe, Richard 2100 Roswell Rd Ste 2208, 30062 (770) 578-1300 Miller, Larry 845 Shaw Park Rd Ste B, 30066 (770) 428-0805 Mills, Karen 123 Marble Mill Rd Nw Ste A, 30060 (770) 499-7756 Minton Jr, Warren 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Minton Jr, Warren 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Mitchell, Stephen 1750 Powder Springs Rd Sw, 30064 (770) 499-1304 Ramos, Maria 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Stephens, Dan 2480 Windy Hill Rd Se Ste 307, 30067 (770) 952-0222 Ali Khan, Husain 1880 W Oak Pkwy Ste 215, 30062 (678) 905-9066 Keim Jr, Richard 840 Church St Ne Bldg H, 30060 (770) 428-5476 Moore, Charles 1275 Powers Ferry Rd Se Ste 10, 30067 (770) 952-7172 Ranchod, Hetesh 2769 Chastain Meadows Pkwy, 30066 (770) 794-0808 Stewart, Jamie 2969 Johnson Ferry Rd, 30062 (770) 992-2340 Ali Khan, Husain 4720 Lower Roswell Rd, 30068 (770) 973-8222 Kinsey, Richard 55 Whitcher St Ne Ste 140, 30060 (770) 422-7630 Morabit, Joe 1545 Powers Ferry Rd #220, 30067 (770) 980-9404 Reid Iii, Walter 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Sudeall, Kirk 140 Marble Mill Rd Nw Ste B, 30060 (770) 590-9848 Bagheri, Shahrokh 1545 Powers Ferry Rd #220, 30067 (770) 980-9404 Lazerson, Robert 3020 Roswell Rd Ste 110, 30062 (770) 565-8730 Morabit, Joe 1855 Piedmont Rd #102, 30066 (770) 565-0132 Reilly, Susan 3535 Roswell Rd Ste 3, 30062 (770) 971-6656 Sykes, Robert 451 Atlanta St Se, 30060 (770) 428-4447 Bagheri, Shahrokh 1880 W Oak Pkwy Ste 215, 30062 (678) 905-9066 Lazerson, Robert 3535 Roswell Rd #27, 30062 (770) 321-0257 Morabit, Joe 2468 Windy Hill Rd Se Ste 400, 30067 (770) 984-9000 Reilly Jr, Thomas 3535 Roswell Rd Ste 3, 30062 (770) 971-6656 Sylvan, James 3901 Roswell Rd Ste 220, 30062 (770) 977-0977 Bagheri, Shahrokh 4720 Lower Roswell Rd, 30068 (770) 973-8222 Levy, Steven 1000 Johnson Ferry Rd Bldg H, 30068 (770) 977-0364 Muccioli, Randy 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 Reynolds, Josie 137 Johnson Ferry Rd #2110, 30068 (770) 953-3143 Thompson, Oluwaseum 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Bankston, Stephen 1000 Johnson Ferry Rd Bldg H, 30068 (770) 977-0364 Linek, Peter 1545 Powers Ferry Rd Se Ste 100, 30067 (770) 980-9404 Mulkey, Michael 3951 Mary Eliza Trace #200, 30064 (770) 425-4001 Richardson, Asia 2550 Sandy Plains Rd Ste 145, 30066 (770) 321-2755 Thornton, Sarah 1880 West Oak Pkwy #215, 30062 (770) 514-0440 Bankston, Stephen 2501 Windy Hill Rd Se Ste 150, 30067 (770) 988-9911 Mcghee, Robert 1000 Johnson Ferry Rd Bldg H, 30068 (770) 977-0364 Myerson, Nancy 1275 Powers Ferry Rd Se Ste 10, 30067 (770) 952-7172 Roark, Cindy 1721 Powder Springs Rd #103, 30064 (770) 293-0605 Tiwana, Sabeen 1545 Powers Ferry Rd #220, 30067 (770) 980-9404 Bankston, Stephen 840 Church St Ne Bldg H, 30060 (770) 428-5476 Mcghee, Robert 840 Church St Ne Bldg H, 30060 (770) 428-5476 Nguyen, Thang 1275 Powers Ferry Rd Se Ste 10, 30067 (770) 952-7172 Roark, Cindy 2550 Sandy Plains Rd Ste 145, 30066 (770) 321-2755 Trager, Peter 2480 Windy Hill Rd Se Ste 405, 30067 (770) 952-0136 Belinfante, Erik 1000 Johnson Ferry Rd Bldg H, 30068 (770) 977-0364 Meaders, Richard 1000 Johnson Ferry Rd Bldg H, 30068 (770) 977-0364 Nichols, Aja 2969 Johnson Ferry Rd, 30062 (770) 992-2340 Roark, Cindy 270 Cobb Pkwy S Ste 180, 30060 (770) 425-6333 Tralongo, Kenneth 2969 Johnson Ferry Rd, 30062 (770) 992-2340 Belinfante, Louis 1000 Johnson Ferry Rd Bldg H, 30068 (770) 977-0364 Meaders, Richard 840 Church St Ne Bldg H, 30060 (770) 428-5476 Nunez, Antonio 175 Whtie Str Nw #300, 30060 (770) 422-6521 Roark, Cindy 4001 Canton Rd, 30066 (770) 591-3832 Tran, Quoc 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Blair, Henry 1000 Johnson Ferry Rd Bldg H, 30068 (770) 977-0364 Nunn, Donald 1000 Johnson Ferry Rd Bldg H, 30068 (770) 977-0364 Nwoku, Ada 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 Robinson, Kurtis 840 Church St Ne Ste C1, 30060 (770) 423-1935 Van Greuningen, Victor 2125 Post Oak Tritt Rd, 30062 (770) 977-9090 Blair, Henry 840 Church St Ne Bldg H, 30060 (770) 428-5476 Nunn, Donald 3405 Dallas Hwy Sw Bldg 900, 30064 (770) 424-2003 Orza, Emil 670 Johnson Ferry Rd, 30068 (999) 999-9999 Rosenberg-Mcgowan, Christine 2501 Windy Hill Rd Se Ste 330, 30067 (770) 648-0744 Vaughan, Cathy 2655 Dallas Hwy Sw Ste 510, 30064 (770) 422-8776 Brunner, Daniel 3535 Roswell Rd #27, 30062 (770) 321-0257 Patel, Piyushkumar 1545 Powers Ferry Rd #220, 30067 (770) 980-9404 Pascaner, Beth 1001 Whitlock Ave Sw Ste A, 30064 (770) 428-5959 Rosenberg-Mcgowan, Christine 2969 Johnson Ferry Rd, 30062 (770) 992-2340 Vaughan, Michael 2655 Dallas Hwy Sw Ste 510, 30064 (770) 422-8776 Cardona-Rohena, Yadira 1880 W Oak Pkwy Ste 215, 30062 (678) 905-9066 Piccione, Michael 4250 Roswell Rd #110, 30062 (770) 509-5585 Patel, Atusha 3162 Johnson Ferry Rd Ste 150, 30062 (770) 998-3384 Rudd, Sherry 1000 Whitlock Ave Nw Ste 380, 30064 (770) 425-7556 Vaughn, Sharcola 1880 West Oak Pkwy #215, 30062 (770) 514-0440 Coker, Neysa 55 Whitcher St Ne Ste 140, 30060 (770) 422-7630 Prinsell, Jeffrey 1950 Spectrum Cir Se Ste B300, 30067 (770) 956-9856 Patel, Dipesh 550 Franklin Rd Se Ste B, 30067 (770) 514-5055 Sachdeva, Suvidha 1721 Powder Springs Rd #103, 30064 (770) 293-0605 Wadley, Lechandre 550 Franklin Rd Se Ste B, 30067 (770) 514-5055 Davila, Manuel 55 Whitcher St Ne Ste 140, 30060 (770) 422-7630 Rose, Scott 55 Whitcher St Ne Ste 140, 30060 (770) 422-7630 Patel, Janki 4250 Roswell Rd #110, 30062 (770) 509-5585 Sajid, Mohammad 4001 Canton Rd, 30066 (770) 591-3832 Waldron, Jonathan 3020 Roswell Rd Ste 100, 30062 (770) 977-5547 Demo, Michael 55 Whitcher St Ne Ste 140, 30060 (770) 422-7630 Rosenberg, Charles 1000 Johnson Ferry Rd Bldg H, 30068 (770) 977-0364 Patel, Kumar 3417 Canton Rd Ste 401, 30066 (770) 429-1545 Schlissel, Edward 3020 Roswell Rd Ste 100, 30062 (770) 977-5547 Waldron, Jonathan 3020 Roswell Rd Ste 100, 30062 (770) 977-5547 Digumarthi, Hari 1545 Powers Ferry Rd #220, 30067 (770) 980-9404 Schaner, Paul 1000 Johnson Ferry Rd Bldg H, 30068 (770) 977-0364 Patel, Maheshvar 1075 Whitlock Ave Sw, 30064 (770) 422-5614 Sellers, William 683 Piedmont Rd, 30066 (770) 427-7358 Whitener Jr, James 121 Marble Mill Rd Nw Ste 201, 30060 (770) 427-8579 Etezadi-Tabrizi, Abtin 1000 Johnson Ferry Rd Bldg H, 30068 (770) 977-0364 Schaner, Paul 3405 Dallas Hwy Sw Bldg 900, 30064 (770) 424-2003 Patel, Sanjay 3225 Shallowford Rd Ste 520, 30062 (770) 578-1331 Sheth, Mita 3823 Roswell Rd Ste 104, 30062 (770) 977-1632 Whitworth, Brandon 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 Etezadi-Tabrizi, Abtin 2501 Windy Hill Rd Se Ste 150, 30067 (770) 988-9911 Taufiq, Asif 1545 Powers Ferry Rd Se Ste B, 30067 (770) 980-9404 Patt, Seth 2900 Delk Rd Se Ste 1450, 30067 (770) 951-1133 Silver, Shwetha 1295 Terrell Mill Rd Se Ste 101, 30067 (770) 952-4152 Williams, Monica 4250 Roswell Rd #110, 30062 (770) 509-5585 Etezadi-Tabrizi, Abtin 3405 Dallas Hwy Sw Bldg 900, 30064 (770) 424-2003 Threadgill, Jonathan 55 Whitcher St Ne Ste 140, 30060 (770) 422-7630 Perez, Loscar 1545 Powers Ferry Rd Se Ste 220, 30067 (770) 980-9404 Simpson, Natalie 1951 Canton Rd Ste 310, 30066 (770) 433-2033 Williams Aguilera, Suzanna 3698 Largent Way Nw Ste 202, 30064 (770) 423-4900 Etezadi-Tabrizi, Abtin 840 Church St Ne Bldg H, 30060 (770) 428-5476 Vandewater, Lee 55 Whitcher St Ne Ste 140, 30060 (770) 422-7630 Plavnik, Inessa 1855 Piedmont Rd #102, 30066 (770) 565-0132 Singh, Manjeet 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Worrall Ii, Fred 707 Whitlock Ave Sw Ste D29, 30064 (770) 792-2300 Harrison, Farryn 2550 Sandy Plains Rd Ste 145, 30066 (770) 321-2755 Walls, Richard 2155 Post Oak Tritt Rd, 30062 (770) 973-1738 Plavnik, Inessa 2468 Windy Hill Rd Se Ste 400, 30067 (770) 984-9000 Singh, Manjeet 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 Yang, May 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Jo, Chris 1000 Johnson Ferry Rd Bldg H, 30068 (770) 977-0364 Whitesides, Lee 2900 Delk Rd Se Ste 1450, 30067 (770) 951-1133 Porcaro, Leia 2000 Powers Ferry Rd Se Ste 1-6, 30067 (678) 593-2979 Smith, Barry 709 Canton Rd Ne Ste 210, 30060 (770) 426-4188 Yang, May 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 Kapgan, William 1545 Powers Ferry Rd #220, 30067 (770) 980-9404 Worley Jr, Clarence 121 Marble Hill Rd #202, 30060 (770) 218-9135 Portschy, John 2483 Powder Springs Rd Sw Ste A, 30064 (440) 439-4141 Smith, Jeremy 2969 Johnson Ferry Rd, 30062 (770) 992-2340 Yavari, Behnam 2900 Delk Rd Se Ste 1450, 30067 (770) 951-1133 Kapgan, William 1855 Piedmont Rd #102, 30066 (770) 565-0132 Wunderle, Robert 1000 Johnson Ferry Rd Bldg H, 30068 (770) 977-0364 Prestwich, Mark 1744 Roswell Rd Ste 310, 30062 (770) 973-8183 Smith, Jewel 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 Yavari, Behnam 50 Ernest Barrett Pkwy Ste #4015, 30066 (770) 218-0218 Kapgan, William 2468 Windy Hill Rd Se Ste 400, 30067 (770) 984-9000 Wunderle, Robert 840 Church St Ne Bldg H, 30060 (770) 428-5476 Raeisian, Neda 3911 Mary Eliza Trce Nw, 30064 (770) 528-9966 Stein, Stanley 2745 Sandy Plains Rd, 30066 (770) 977-1611 Oral Surgeons Keim Jr, Richard 1000 Johnson Ferry Rd Bldg H, 30068 (770) 977-0364 Young, Justin 1000 Johnson Ferry Rd Bldg H, 30068 (770) 977-0364 This information is current as of September 2014 Ali Khan, Husain 1545 Powers Ferry Rd #220, 30067 (770) 980-9404 Page 37 37 of56Pages KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Young, Justin 2501 Windy Hill Rd Se Ste 150, 30067 (770) 988-9911 Podray, Susan 810 Canton Rd Ste C, 30060 (770) 448-8882 Hendrix, Kitsie 3823 Roswell Rd Ste 205, 30062 (770) 973-9275 Debowsky, Bryan 1391 Highway 20 W, 30253 (678) 248-6263 Mottley, Alvin 1430 Highway 20 W, 30253 (770) 914-1229 Young, Justin 3405 Dallas Hwy Sw Bldg 900, 30064 (770) 424-2003 Ricci, Steven 1275 Powers Ferry Rd #250, 30067 (770) 955-3878 Mehraban, Ali 1545 Powers Ferry Rd #220, 30067 (770) 980-9404 Dunson, Melanie 1391 Highway 20 W, 30253 (678) 248-6263 Mulki, Ezat 1409 Highway 20 W, 30253 (678) 445-5444 Young, Justin 840 Church St Ne Bldg H, 30060 (770) 428-5476 Richard, Ryan 810 Canton Rd Ste C, 30060 (770) 448-8882 Quinn, Michael 4001 Canton Rd, 30066 (770) 591-3832 Elkasrawy, Moataz 1430 Highway 20 W, 30253 (770) 914-1229 Nam, Kasie 1409 Highway 20 W, 30253 (678) 445-5444 Endodontists Segnere, Jeffrey 810 Canton Rd Ste C, 30060 (770) 448-8882 Shatz, Peter 611 Campbell Hill St Nw, 30060 (770) 422-0642 Elliott Austin, Jennie 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Nia, Farhad 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Shoup, Greg 810 Canton Rd Ste C, 30060 (770) 448-8882 Silver, Martin 810 Canton Rd Ne Ste B, 30060 (770) 422-5220 Emadzadeh, Bahareh 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Ojibway, Angela 1409 Highway 20 W, 30253 (678) 445-5444 Singleton, Douglas 3600 Dallas Hwy Sw Ste 210, 30064 (770) 974-3633 Silverstein, Lee 611 Campbell Hill St Nw, 30060 (770) 422-0642 Fields, David 1391 Highway 20 W, 30253 (678) 248-6263 Parekh, Chintan 1430 Highway 20 W, 30253 (770) 914-1229 Smith, Gerald 2323 Shallowford Rd Ste 101, 30066 (678) 905-0300 Stadeker, Wilkie 123 Marble Mill Rd Nw Ste B, 30060 (678) 354-5119 Firmin, Sechin 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Parker, Lauren 1430 Highway 20 W, 30253 (770) 914-1229 Soriano, Morris 4001 Canton Rd Ste 3, 30066 (770) 926-4333 Sweeting, Larry 1275 Powers Ferry Rd #250, 30067 (770) 955-3878 Fisher-Mclin, Antonia 1409 Highway 20 W, 30253 (678) 445-5444 Patel, Haren 1430 Highway 20 W, 30253 (770) 914-1229 Tipton, Dustin 3770 Due West Rd Nw # 100, 30064 (770) 428-0283 Tomaselli Jr, Dante 810 Canton Rd Ne Ste B, 30060 (770) 422-5220 Gilchrist Jr, Edgar 400 Mcdonough Pkwy, 30253 (770) 957-5214 Peters, Kimberly 1430 Highway 20 W, 30253 (770) 914-1229 White, Adam 62 Shawnee Trl Se, 30067 (770) 448-8882 Viera, Yeritxa 1275 Powers Ferry Rd #250, 30067 (770) 955-3878 Hamilton, Travis 1391 Highway 20 W, 30253 (770) 898-1550 Phung, Nicholas 1430 Highway 20 W, 30253 (770) 914-1229 White, Adam 810 Canton Rd Ste C, 30060 (770) 448-8882 Washington, Joseph 1275 Powers Ferry Rd #250, 30067 (770) 955-3878 Hanjrah, Jasmine 1409 Highway 20 W, 30253 (678) 445-5444 Piede, Robert 1391 Highway 20 W, 30253 (678) 248-6263 Wright, Marc 990 Whitlock Ave Nw, 30064 (770) 670-6916 Zinney, William 1545 Powers Ferry Rd Se Ste 220, 30067 (770) 980-9404 Harmon, Tom 1409 Highway 20 W, 30253 (678) 445-5444 Pimentel, Lola 1391 Highway 20 W, 30253 (678) 248-6263 Pediatric Dentists Prosthodontists Allen, Nelson 2880 Johnson Ferry Rd Ste 100, 30062 (678) 813-2388 Schwartz, Henry 135 Johnson Ferry Rd Ste 2210, 30068 (404) 596-4727 Hays, Bruce 1391 Highway 20 W, 30253 (770) 898-1550 Procter, Nirali 1409 Highway 20 W, 30253 (678) 445-5444 Buckle, Eileen 2526 Shallowford Rd Ste C, 30066 (678) 813-0500 MCDONOUGH General Dentists Hill, Ashley 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Rosenthal, Michael 1391 Highway 20 W, 30253 (770) 898-1550 Cassinelli, Aimee 810 Canton Rd Ne Ste D, 30060 (770) 422-8264 Abes, Marshall 1391 Highway 20 W, 30253 (770) 898-1550 Jeon, Danny 175 Decatur Rd, 30253 (770) 957-9113 Sales, Joseph 1430 Highway 20 W, 30253 (770) 914-1229 Doornbos, Mary 135 Johnson Ferry Rd Ste 2210, 30068 (404) 596-4727 Archie, Aurelius 1540 Pennsylvania Ave, 30253 (770) 320-8792 Kern, April 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Sandvi, Christopher 1391 Highway 20 W, 30253 (770) 898-1550 Garza-Gongora, Carlos 1121 Johnson Ferry Rd B1 #330, 30068 (770) 722-0498 Archie, Aurelius 907 Pavilion Ct, 30253 (770) 320-8792 Kimes, Heavenly 907 Pavilion Ct, 30253 (678) 583-8536 Shaw, Dewayne 1430 Highway 20 W, 30253 (770) 914-1229 Herrin, Brent 3020 Roswell Rd Ste 110, 30062 (678) 239-5072 Barnett, Autumn 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Kinard, Brian 1391 Highway 20 W, 30253 (770) 898-1550 Shrestha, Ansana 1430 Highway 20 W, 30253 (770) 914-1229 Krieger, Martin 810 Canton Rd Ne Ste D, 30060 (770) 422-8264 Bidgoly, Ben 175 Decatur Rd, 30253 (770) 957-9113 Langford, Carren 1430 Highway 20 W, 30253 (770) 914-1229 Smith, Maurice 1430 Highway 20 W, 30253 (770) 914-1229 Riggs, Bruce 840 Kennesaw Ave Nw Ste 2, 30060 (770) 424-9091 Brown, Scott 2093 Jonesboro Rd, 30253 (770) 898-2066 Lauderdale, Candace 1430 Highway 20 W, 30253 (770) 914-1229 Syed, Hasan 1430 Highway 20 W, 30253 (770) 914-1229 Rossitch, Michael 3698 Largent Way Nw Ste 201, 30064 (770) 420-6565 Buggs, Keith 1409 Highway 20 W, 30253 (678) 445-5444 Lee, Jung 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Toub, Farid 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Periodontists Cara, Yasheena 1409 Highway 20 W, 30253 (678) 445-5444 Lee, Natasha 1613 Highway 20 W, 30253 (770) 914-5112 Wadley, Lechandre 1391 Highway 20 W, 30253 (678) 248-6263 Lipham, Steven 1409 Highway 20 W, 30253 (678) 445-5444 Wakefield, Freddie 1391 Highway 20 W, 30253 (770) 898-1550 Martindale, Mark 1430 Highway 20 W, 30253 (770) 914-1229 Watson, Devon 1430 Higway 20 West, 30253 (678) 537-6000 Masek, Henry 1391 Highway 20 W, 30253 (770) 898-1550 Oral Surgeons Desir, Rolin 1880 West Oak Pkwy #215, 30062 (770) 514-0440 Howard, Cameron 1545 Powers Ferry Rd Se Ste 220, 30067 (770) 980-9404 Jimenez, Jeannette 1275 Powers Ferry Rd #250, 30067 (770) 955-3878 Mann, Arnold 1721 Powder Springs Rd #103, 30064 (770) 293-0605 Mann, Arnold 2550 Sandy Plains Rd Ste 145, 30066 (770) 321-2755 Mann, Arnold 270 Cobb Pkwy S Ste 180, 30060 (770) 425-6333 Mann, Arnold 4001 Canton Rd, 30066 (770) 591-3832 Tate, James 1225 Johnson Ferry Rd, 30068 (770) 973-5764 Yusuf, Sheerin 4001 Canton Rd, 30066 (770) 591-3832 Orthodontists Berwick, Jennifer 810 Canton Rd Ste C, 30060 (770) 448-8882 Bruster, Kathy 2655 Dallas Hwy Sw Ste 640, 30064 (770) 420-7071 Carter, Portia 2655 Dallas Hwy Sw Ste 640, 30064 (770) 420-7071 Chen, Andrew 2550 Sandy Plains Rd Ste 145, 30066 (770) 321-2755 Cox Jr, Stanley 62 Shawnee Trl Se, 30067 (770) 448-8882 Cox Jr, Stanley 810 Canton Rd Ste C, 30060 (770) 448-8882 Eisenstein, Oleg 1275 Powers Ferry Rd #250, 30067 (770) 955-3878 Farrar, Kenneth 3770 Due West Rd Nw # 100, 30064 (770) 428-0283 Hall, Denise 3535 Roswell Rd Ste 14, 30062 (770) 321-9494 Huber, Kristen 1275 Powers Ferry Rd #250, 30067 (770) 955-3878 Alexander, Susan 3020 Roswell Rd Ste 130, 30062 (770) 509-2310 Katz, Wendy 1229 Johnson Ferry Rd Ste 100, 30068 (770) 952-5255 Bezreh, Husam 1505 Johnson Ferry Rd Ste 100, 30062 (999) 999-9999 Levitt, Carl 1273 Johnson Ferry Rd, 30068 (770) 971-1017 Billinger, Bruce 1275 Powers Ferry Rd #250, 30067 (770) 955-3878 Long, Meridith 810 Canton Rd Ste C, 30060 (770) 448-8882 Chong, Woojae 810 Canton Rd Ne Ste B, 30060 (770) 422-5220 Park, Eric 810 Canton Rd Ste C, 30060 (770) 448-8882 Faler, Ragan 1275 Powers Ferry Rd #250, 30067 (770) 955-3878 Patel, Tina 810 Canton Rd Ste C, 30060 (770) 448-8882 Hendrix, Kitsie 2209 Roswell Rd Ste 300, 30062 (678) 560-2970 This information is current as of September 2014 Carter, Velmarie 184 Atlanta St, 30253 (678) 583-9983 Caton-Hospedales, Yvonne 854 Hampton Rd, 30253 (770) 320-9882 Chandler, Kristina 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Chong, Justin 1409 Highway 20 W, 30253 (678) 445-5444 Chowdhury, Kamran 1430 Highway 20 W, 30253 (770) 914-1229 Covington Jr, John 1409 Highway 20 W, 30253 (678) 445-5444 Page 38 Mckellar, Christina 1409 Highway 20 W, 30253 (678) 445-5444 Mcmullen, James 400 Mcdonough Pkwy, 30253 (770) 957-5214 Michelet-Viala, Sandy 907 Pavilion Ct, 30253 (678) 583-8536 38 of56Pages Bagheri, Shahrokh 125 Westridge Industrial Blvd #303, 30253 (678) 304-6494 Cardona-Rohena, Yadira 125 Westridge Industrial Blvd #303, 30253 (678) 304-6494 Cho, Sung 1391 Highway 20 W, 30253 (678) 248-6263 Digumarthi, Hari 125 Westridge Industrial Blvd #303, 30253 (678) 304-6494 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Huynh, Cang 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 White, Adam 1409 Highway 20 West, 30253 (678) 445-5444 Maru, Ami 1409 Highway 20 W, 30253 (678) 445-5444 MILLEDGEVILLE General Dentists Kyu U, Byoung 6452 S Lee St Ste 7, 30260 (678) 422-6500 Paul, Richard 2340 Patrick Henry Pkwy #100, 30253 (770) 474-1260 White, Javonne 1409 Highway 20 West, 30253 (678) 445-5444 Mccarley, Christie 1409 Highway 20 W, 30253 (678) 445-5444 Graham, Gregory 395 Meadow Ridge Dr, 31061 (478) 452-0270 Mccullough, Darryal 2339 Lake Harbin Rd, 30260 (770) 961-1222 Robertson, Jeannette 1391 Highway 20 W, 30253 (678) 248-6263 Womble, Brian 420 Mcdonough Pkwy, 30253 (770) 914-2808 Nortick, Mariel 1409 Highway 20 W, 30253 (678) 445-5444 Harrison, Janet 108 Fieldstone Dr, 31061 (478) 453-7535 Moore, Abner 5918 Jonesboro Rd, 30260 (770) 961-6131 Shahriari, Abtin 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Pediatric Dentists Park, Julius 1409 Highway 20 W, 30253 (678) 445-5444 Justice, Leroy 540 W Thomas St Ste A, 31061 (478) 453-8464 Nguyen, Mong Thu Tran 6319a Jonesboro Rd, 30260 (770) 703-4205 Park, Suyon 1409 Highway 20 W, 30253 (678) 445-5444 Peters, Alfred 540 W Thomas St Ste A, 31061 (478) 453-8464 Reudelhuber, David 7183 Jonesboro Rd Ste 100, 30260 (770) 968-1171 Patel, Kunjan 1409 Highway 20 W, 30253 (678) 445-5444 MONROE General Dentists Roark, Cindy 5656 Jonesboro Rd Ste 103, 30260 (678) 422-6967 Purvis, Flynt 1409 Highway 20 W, 30253 (678) 445-5444 Campbell, Spencer 2120 W Spring St #1100, 30655 (770) 266-7188 Thompson, Oluwaseum 5656 Jonesboro Rd Ste 103, 30260 (678) 422-6967 Roehl, Brad 1409 Highway 20 W, 30253 (770) 692-4900 Dubose, Joshua 416 E Spring St / Pob 1214, 30655 (770) 267-6822 Webb, Larry 6612 Exchange Pl Ste A, 30260 (770) 968-1720 Roehl, Brian 1409 Highway 20 W, 30253 (678) 445-5444 Park, Hyun 256 N Hammond Dr, 30655 (770) 207-0008 Oral Surgeons Ross, Tisha 1409 Highway 20 W, 30253 (678) 445-5444 Pass-Dudley, Patricia 146 Martin Luther King Blvd Pmb #387, 30655 (770) 207-5158 Waksor, Adam 1430 Highway 20 W, 30253 (770) 914-1229 Allen, Nelson 1409 Highway 20 W, 30253 (678) 445-5444 Endodontists Ariaban, Nanna 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Desir, Rolin 125 Westridge Ind Blvd #303, 30253 (770) 954-0072 Brown, Shelton 1409 Highway 20 W, 30253 (678) 445-5444 Didato, Anthony 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Buckle, Eileen 1409 Highway 20 W, 30253 (678) 445-5444 Hwang, Jae 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Camp, Laneshia 1409 Highway 20 W, 30253 (678) 445-5444 Marschall, Annika 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Chang, Ohkyoung 1409 Highway 20 W, 30253 (678) 445-5444 Waters, Jeffrey 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Cottrell, David 1409 Highway 20 W, 30253 (678) 445-5444 Zielinski, Tracie 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Coulter, Charles 1409 Highway 20 W, 30253 (678) 445-5444 Orthodontists Desouza, Sharon 1409 Highway 20 W, 30253 (678) 445-5444 Berwick, Jennifer 1409 Highway 20 West, 30253 (678) 445-5444 Bush, Hector 1828 Jonesboro Rd, 30253 (678) 432-8505 Cox Jr, Stanley 1409 Highway 20 West, 30253 (678) 445-5444 Hajibaik, Nima 1409 Highway 20 W, 30253 (678) 445-9191 Iaculli, John 1409 Highway 20 W, 30253 (678) 445-9191 Kubala, Louis 1828 Jonesboro Rd, 30253 (678) 432-8505 Long, Meridith 1409 Highway 20 West, 30253 (678) 445-5444 Nia, Farshid 1867 Jonesboro Rd Ste 6, 30253 (678) 432-0209 Nikain, Nilo 1409 Highway 20 West, 30253 (678) 445-5444 Park, Eric 1409 Highway 20 West, 30253 (678) 445-5444 Patel, Tina 1409 Highway 20 West, 30253 (678) 445-5444 Podray, Susan 1409 Highway 20 West, 30253 (678) 445-5444 Richard, Ryan 1409 Highway 20 West, 30253 (678) 445-5444 Salyer, Hyman 1391 Highway 20 W, 30253 (678) 248-6263 Segnere, Jeffrey 1409 Highway 20 West, 30253 (678) 445-5444 Shoup, Greg 1409 Highway 20 West, 30253 (678) 445-5444 Ellington, Janet 1409 Highway 20 W, 30253 (678) 445-5444 Freedman, Bret 1828 Jonesboro Rd, 30253 (678) 432-8505 Halper, Christopher 1409 Highway 20 W, 30253 (678) 445-5444 Hassan, Zeyad 1409 Highway 20 W, 30253 (678) 445-5444 Haynes, Deanna 1409 Highway 20 W, 30253 (678) 445-5444 Hejazi-Werner, Shiva 1409 Highway 20 W, 30253 (678) 445-5444 Herrin, Brent 1409 Highway 20 W, 30253 (678) 445-5444 Sease, Joseph 1409 Highway 20 W, 30253 (678) 445-5444 Shilman, Lisa 1409 Highway 20 W, 30253 (678) 445-5444 Simms, Mindy 1409 Highway 20 W, 30253 (678) 445-5444 Strickland Phillips, Stephanie 1409 Highway 20 W, 30253 (678) 445-5444 Sundareswaran, Pushpa 1409 Highway 20 W, 30253 (678) 445-5444 Thomas Jr, Jack 1409 Highway 20 W, 30253 (678) 445-5444 Walters, Sacha 1409 Highway 20 W, 30253 (678) 445-5444 Washington, Keysra 1409 Highway 20 W, 30253 (678) 445-5444 Yoo, Chin 1409 Highway 20 W, 30253 (678) 445-5444 Periodontists Holder, Terry 1409 Highway 20 W, 30253 (678) 445-5444 Chong, Woojae 1391 Highway 20 W, 30253 (678) 248-6263 Hutchins, Allen 1409 Highway 20 W, 30253 (678) 445-5444 West, Daniel 1391 Highway 20 W, 30253 (678) 248-6263 Kebriaei, Amy 1409 Highway 20 W, 30253 (678) 445-5444 Prosthodontists Kerlan, Daniel 1409 Highway 20 W, 30253 (678) 445-5444 Lee, Susan 1409 Highway 20 W, 30253 (678) 445-5444 Levitas, Theodore 1409 Highway 20 W, 30253 (678) 445-5444 Lucas, Cleoka 1409 Highway 20 W, 30253 (678) 445-5444 Madhiwala, Priya 1409 Highway 20 W, 30253 (678) 445-5444 Malhotra, Menka 1409 Highway 20 W, 30253 (678) 445-5444 This information is current as of September 2014 Henson, E Douglas 175 Decatur Rd, 30253 (770) 957-1113 METTER General Dentists Clance, William 500 N Lewis St, 30439 (912) 685-2100 MIDWAY General Dentists Jackson, Rollin 28 Butler Ave, 31320 (912) 880-2288 Pass-Dudley, Patricia 516 Great Oaks Dr, 30655 (770) 207-5158 Scherer, Dena 416 E Spring St / Pob 1214, 30655 (770) 267-6822 Taylor, Steven 303 S Broad St, 30655 (770) 267-4404 Tsur-Tsar, Pavel 2120 W Spring St Ste 1100, 30655 (770) 266-7188 Oral Surgeons Brady, Gordon 307 S Broad St, 30655 (678) 345-1014 Going Jr, Robert 307 S Broad St, 30655 (678) 345-1014 Gray, Brett 307 S Broad St, 30655 (678) 345-1014 Hall, Brenda 307 S Broad St, 30655 (678) 345-1014 King, Steven 307 S Broad St, 30655 (678) 345-1014 Lewis Iii, Fulton 307 S Broad St, 30655 (678) 345-1014 Pollack, Steven 307 S Broad St, 30655 (678) 345-1014 Pritchett, John 307 S Broad St, 30655 (678) 345-1014 Singer, Richard 307 S Broad St, 30655 (678) 345-1014 MORROW General Dentists Hicks, David 5918 Jonesboro Rd, 30260 (770) 961-6131 Huynh, Chi 6452 S Lee St Ste 7, 30260 (678) 422-6500 Kakadia, Ashish 5656 Jonesboro Rd Ste 103, 30260 (678) 422-6967 Underwood, Jennifer 28 Butler Ave, 31320 (912) 880-2288 Page 39 39 of56Pages Harrison, Farryn 5656 Jonesboro Rd Ste 103, 30260 (678) 422-6967 Endodontists Mann, Arnold 5656 Jonesboro Rd Ste 103, 30260 (678) 422-6967 Orthodontists Cox Jr, Stanley 6685 Merchants Way, 30260 (770) 448-8882 Davis, Laura 2033 Mount Zion Rd, 30260 (770) 471-5255 White, Adam 6685 Merchants Way, 30260 (770) 448-8882 MOULTRIE General Dentists Farrey, Kajuana 513 S Main St, 31768 (229) 890-3908 Marable, Michael 307 5th St Se, 31768 (229) 985-5092 NAHUNTA General Dentists Brooks, Thomas 115 N Main St, 31553 (912) 262-0542 Chike, Gary 115 N Main St, 31553 (912) 262-0542 Hooper, Joanna 115 N Main St, 31553 (912) 262-0542 Wilson, Heather 115 N Main St, 31553 (912) 262-0542 Wilson, John 115 N Main St, 31553 (912) 262-0542 NEWNAN General Dentists Asher, Leah 2511 Highway 34 E, 30265 (770) 251-6676 Barrow, Brenda 1605 Highway 34 E Ste A1, 30265 (770) 254-8000 Bass, Jennifer 37 Calumet Pkwy Ste G201, 30263 (770) 683-6030 Beckford, Yvonne 38 Jefferson Pkwy, 30263 (770) 304-5757 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Boag, David 71 Postal Pkwy, 30263 (770) 254-9332 Langford, Carren 201 Newnan Crossing Byp, 30265 (678) 423-3622 Shrestha, Ansana 201 Newnan Crossing Byp, 30265 (678) 423-3622 Schultz, Jeffrey 182 Jefferson Pkwy # A, 30263 (770) 304-5577 Beck, William 5284 Jimmy Carter Blvd #d, 30093 (999) 999-9999 Brummett, Kelley 65 Oak Hill Blvd, 30265 (770) 251-8767 Lauderdale, Candace 201 Newnan Crossing Bypass, 30263 (678) 621-6410 Singh, Manjeet 38 Jefferson Pkwy, 30263 (770) 304-5757 Timmis, David 182 Jefferson Pkwy # A, 30263 (770) 304-5577 Beckford, Yvonne 7760 Spalding Dr, 30092 (770) 270-5700 Carter, Kisha 38 Jefferson Pkwy, 30263 (770) 304-5757 Livingston Jr, Lynn 148 Bullsboro Dr, 30263 (770) 251-4370 Smaltz, Hugh 1605 Highway 34 E Ste A1, 30265 (770) 254-8000 Waksor, Adam 201 Newnan Crossing Bypass, 30263 (678) 621-6410 Blass, Allen 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Cheney Iii, Charley 2680 Highway 34 E, 30265 (770) 502-9733 Martindale, Mark 201 Newnan Crossing Byp, 30265 (678) 423-3622 Smith, Brian 148 Bullsboro Dr, 30263 (770) 251-4370 Endodontists Bunn, Kenneth 5284 Jimmy Carter Blvd #d, 30093 (999) 999-9999 Cheney Iii, Charley 2819 Highway 34 E, 30265 (770) 254-8787 Mcculloch, Terry 20 Baker Rd Ste 6, 30265 (678) 854-0169 Smith, Brian 38 Jefferson Pkwy, 30263 (770) 304-5757 Chowdhury, Kamran 201 Newnan Crossing Byp, 30265 (678) 423-3622 Mcculloch, Terry 38 Jefferson Pkwy, 30263 (770) 304-5757 Smith, Jewel 38 Jefferson Pkwy, 30263 (770) 304-5757 Orthodontists Chatman, Lisa 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Chubb, Kimberly 3229 Highway 34 E Ste 101, 30265 (770) 304-0034 Mcmanus, Daniel 7 Baynard Park, 30265 (770) 254-1134 Smith, Laney 2712 Highway 34 E, 30265 (770) 304-0082 Echols, Eric 1108 Bullsboro Dr Ste 104c, 30265 (678) 423-0100 Choi, James 5139 Jimmy Carter Blvd, 30093 (770) 448-6895 D Auria, Dominick 71 Postal Pkwy, 30263 (770) 254-9332 Meshkian, Shervin 148 Bullsboro Dr, 30263 (770) 251-4370 Smith, Maurice 201 Newnan Crossing Byp, 30265 (678) 423-3622 Long, James 84 Jefferson Pkwy Ste B, 30263 (770) 461-9642 Collins, Joel 5495 Jimmy Carter Blvd, 30093 (770) 368-9159 Davis, Nancy 71 Postal Pkwy, 30263 (770) 254-9332 Meshkian, Shervin 1741 Newnan Crossing Blvd E Ste M, 30265 (770) 251-2273 Soberano, Arlene 2680 Highway 34 E, 30265 (770) 502-9733 Pediatric Dentists Cox, Kelle 6000 Singleton Rd Ste 315, 30093 (770) 248-9059 Elkasrawy, Moataz 201 Newnan Crossing Bypass, 30263 (678) 621-6410 Ferman, Daniel 2511 Highway 34 E, 30265 (770) 251-6676 Fleming, Gordon 71 Postal Pkwy, 30263 (770) 254-9332 Gessling, Melissa 38 Jefferson Pkwy, 30263 (770) 304-5757 Gilbert, James 20 Baker Rd Ste 6, 30265 (678) 854-0169 Gilkey, Jacqueline 148 Bullsboro Dr, 30263 (770) 251-4370 Golik, Blazej 71 Postal Pkwy, 30263 (770) 254-9332 Griffies, Matthew 15 Ruth Dr, 30265 (770) 253-3171 Hader, Jesse 38 Jefferson Pkwy, 30263 (770) 304-5757 Harandifassih, Lyda 38 Jefferson Pkwy, 30263 (770) 304-5757 Harandi-Fassih, Ali 38 Jefferson Pkwy, 30263 (770) 304-5757 Hoffman, Meredith 1741 Newnan Crossing Blvd E Ste M, 30265 (770) 251-2273 Humble, Alisha 2511 Highway 34 E, 30265 (770) 251-6676 James, Tyrone 38 Jefferson Pkwy, 30263 (770) 304-5757 Kabani, Shaila 148 Bullsboro Dr, 30263 (770) 251-4370 Kersey, Douglas 148 Bullsboro Dr, 30263 (770) 251-4370 Knight, Michael 42 Market Square Rd Ste A, 30265 (770) 251-8145 Lambert, Dudley 15 Ruth Dr, 30265 (770) 253-3171 Lambert, Dudley 56 Jefferson St, 30263 (770) 253-2802 Minton Jr, Warren 38 Jefferson Pkwy, 30263 (770) 304-5757 Mitchell, Kevin 71 Postal Pkwy, 30263 (770) 254-9332 Mottley, Alvin 201 Newnan Crossing Byp, 30265 (678) 423-3622 Parekh, Chintan 201 Newnan Crossing Byp, 30265 (678) 423-3622 Parker, Lauren 201 Newnan Crossing Byp, 30265 (678) 423-3622 Parrott, Clarence 15 Ruth Dr, 30265 (770) 253-3171 Parrott, Clarence 56 Jefferson St, 30263 (770) 253-2802 Patel, Haren 201 Newnan Crossing Byp, 30265 (678) 423-3622 Patel, Kumar 1741 Newnan Crossing Blvd E Ste M, 30265 (770) 251-2273 Peters, Kimberly 201 Newnan Crossing Bypass, 30263 (678) 621-6410 Phelps, Kimberly 201 Newnan Crossing Byp, 30265 (678) 423-3622 Phillips, Eltanlia 1201 Lower Fayetteville Rd Ste F, 30265 (770) 253-7800 Phung, Nicholas 201 Newnan Crossing Byp, 30265 (678) 423-3622 Reid Iii, Walter 38 Jefferson Pkwy, 30263 (770) 304-5757 Roark, Cindy 20 Baker Rd Ste 6, 30265 (678) 854-0169 Sahara, Ria 37 Calumet Pkwy Ste G201, 30263 (770) 683-6030 Sales, Joseph 201 Newnan Crossing Byp, 30265 (678) 423-3622 Shaw, Dewayne 201 Newnan Crossing Byp, 30265 (678) 423-3622 This information is current as of September 2014 Stiehl, Brent 55 Glenda Trce, 30265 (770) 252-4466 Mann, Arnold 20 Baker Rd Ste 6, 30265 (678) 854-0169 Yusuf, Sheerin 20 Baker Rd Ste 6, 30265 (678) 854-0169 Bibbs, Lona 1741 Newnan Crossing Blvd E, 30265 (770) 253-4488 Gray, Kale 84 Jefferson Pkwy Ste A, 30263 (770) 252-2700 Swords, Philip 15 Ruth Dr, 30265 (770) 253-3171 Marcum, Barry 84 Jefferson Pkwy Ste A, 30263 (770) 252-2700 Swords, Philip 56 Jefferson St, 30263 (770) 253-2802 Syed, Hasan 201 Newnan Crossing Byp, 30265 (678) 423-3622 Taylor, Lisa 42 Market Square Rd Ste A, 30265 (770) 251-8145 Watson, Devon 201 Newnan Crossing Byp, 30265 (678) 423-3622 Watson Jr, Robert 71 Postal Pkwy, 30263 (770) 254-9332 Mathews, Kim 2401 Newnan Crossing Blvd E Ste 210, 30265 (770) 251-5777 Mobley, Eric 84 Jefferson Pkwy Ste A, 30263 (770) 252-2700 Moore, Alisa 2680 Highway 34 E, 30265 (770) 502-9733 Periodontists Fraser Jr, Gordon 1605 Highway 34 E Ste A, 30265 (678) 423-5000 Wheat Jr, Leo 2680 Highway 34 E, 30265 (770) 502-9733 Wheat Jr, Leo 42 Market Square Rd Ste A, 30265 (770) 251-8145 Williams, Charles 148 Bullsboro Dr, 30263 (770) 251-4370 Williams, Steven 42 Market Square Rd Ste A, 30265 (770) 251-8145 Wright, Angela 38 Jefferson Pkwy, 30263 (770) 304-5757 Oral Surgeons Ali Khan, Husain 1741 Newnan Crossing Blvd E Ste M, 30265 (770) 251-2273 Anderson, Bruce 182 Jefferson Pkwy # A, 30263 (770) 304-5577 Bagheri, Shahrokh 148 Bullsboro Dr, 30263 (770) 251-4370 Bagheri, Shahrokh 1741 Newnan Crossing Blvd E Ste M, 30265 (770) 251-2273 Cardona-Rohena, Yadira 1741 Newnan Crossing Blvd E Ste M, 30265 (770) 251-2273 Patel, Piyushkumar 148 Bullsboro Dr, 30263 (770) 251-4370 Page 40 Mehraban, Ali 148 Bullsboro Dr, 30263 (770) 251-4370 Prosthodontists Rivera-Morales, Warren 15 Ruth Dr, 30265 (770) 253-3171 NORCROSS General Dentists Aaron, Zina 7760 Spalding Dr, 30092 (770) 270-5700 Abes, Lauren 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Abes, Marshall 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Afferica, Todd 4720 Peachtree Ind Blvd #302, 30071 (770) 449-1497 Alexander, Jeremy 5635 Peachtree Pkwy Ste 100, 30092 (770) 642-4711 Arana, Carolina 5448 Spalding Dr Bldg 100 Ste A, 30092 (770) 449-0099 Atighechi, Sharok 736 Holcomb Bridge Rd, 30071 (404) 406-1068 Baek, Orson 3780 Holcomb Bridge Rd #a, 30092 (770) 446-5700 40 of56Pages Chalasani, Venkatadri 5448 Spalding Dr Bldg 100 Ste A, 30092 (770) 449-0099 Dang, Tiffany 5456 Jimmy Carter Blvd Ste 150, 30093 (770) 441-0808 Debowsky, Bryan 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Delman, Michael 5448 Spalding Dr Bldg 100 Ste A, 30092 (770) 449-0099 Dholakia, Purvi 6000 Singleton Rd Ste 315, 30093 (770) 248-9059 Dholakia, Purvi 7760 Spalding Dr, 30092 (770) 270-5700 Dillon, Betty 6460 Spalding Dr #c, 30092 (770) 849-0006 Dimassi, Matthew 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Drennon, Faith 5448 Spalding Dr Bldg 100 Ste A, 30092 (770) 449-0099 Dunford, R Matthew 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Dunson, Melanie 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Epstein, Raymond 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Ezunu, Ifeanyi 6270 Smithpointe Dr, 30092 (770) 263-8408 Fajardo, Jose 5720 Buford Hwy Ste 101, 30071 (770) 368-1818 Fields, David 6060 Dawson Blvd Ste I, 30093 (770) 448-3030 Foltz, Jeffery 5448 Spalding Dr Bldg 100 Ste A, 30092 (770) 449-0099 Galvin, William 6060 Dawson Blvd Ste I, 30093 (770) 448-3030 Gober, Kelly 6060 Dawson Blvd Ste I, 30093 (770) 448-3030 Goodchild, James 5030 Georgia Belle Ct, 30093 (770) 638-5708 Goodroe, Richard 3985 Steve Reynolds Blvd Ste 101, 30093 (770) 806-1255 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Hader, Jesse 7760 Spalding Dr, 30092 (770) 270-5700 Murray-Donastorg, Perrice 5284 Jimmy Carter Blvd #d, 30093 (999) 999-9999 Schwenk, David 4025 Wetherburn Way, 30092 (770) 441-1414 Hamilton, Travis 6060 Dawson Blvd Ste I, 30093 (770) 448-3030 Musicer, Wendy 6060 Dawson Blvd Ste I, 30093 (770) 448-3030 Scott, Brett 6000 Singleton Rd Ste 315, 30093 (770) 248-9059 Harandifassih, Lyda 7760 Spalding Dr, 30092 (770) 270-5700 Na, Anne 6139 Oakbrook Pkwy Ste B, 30093 (770) 448-7037 Shyn, Aristo 5635 Peachtree Pkwy Ste 240, 30092 (770) 448-1977 Harandi-Fassih, Ali 7760 Spalding Dr, 30092 (770) 270-5700 Nabi, Saed 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Singh, Manjeet 7760 Spalding Dr, 30092 (770) 270-5700 Hernandez, Miguel 6000 Singleton Rd Ste 315, 30093 (770) 248-9059 Nguyen, Henry 1394 Indian Trail Lilburn Rd, 30093 (770) 921-9792 Singh, Sunil 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Huynh, Duc 4720 Pchtree Ind Blvd # 5102, 30071 (770) 807-8733 Nguyen, Henry 4782 Jimmy Carter Blvd Ste 4, 30093 (770) 925-1872 Smith, Jeremy 5448 Spalding Dr Bldg 100 Ste A, 30092 (770) 449-0099 Huynh, Scott 6060 Dawson Blvd Ste I, 30093 (770) 448-3030 Nguyen, Thang 5635 Peachtree Pkwy Ste 100, 30092 (770) 441-3133 Steed Jr, Clyde 5635 Peachtree Pkwy Ste 100, 30092 (770) 441-3133 Jamison, Tiffany 5495 Jimmy Carter Blvd Ste A14, 30093 (770) 368-9159 Nichols, Aja 5448 Spalding Dr Bldg 100 Ste A, 30092 (770) 449-0099 Stevenson, Marnita 7760 Spalding Dr, 30092 (770) 270-5700 Johnson Jr, George 6000 Singleton Rd Ste 315, 30093 (770) 248-9059 Nwoku, Ada 5284 Jimmy Carter Blvd #d, 30093 (999) 999-9999 Stingley, Gloria 5050 Jimmy Carter Blvd, 30093 (770) 662-5955 Kim, June 5836 Buford Hwy Ste B, 30071 (770) 300-0031 Padgett, Sherry 5448 Spalding Dr Bldg 100 Ste A, 30092 (770) 449-0099 Suk, Hye 6000 Singleton Rd Ste 315, 30093 (770) 248-9059 Kim, Tony 2415 Beaver Ruin Rd Ste A, 30071 (770) 447-4002 Parker, Lauren 6000 Singleton Rd Ste 315, 30093 (770) 248-9059 Swegman, Mary 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Kimes, Heavenly 736 Holcomb Bridge Rd, 30071 (404) 406-1068 Patel, Nivedita 6000 Singleton Rd Ste 315, 30093 (770) 248-9059 Syed, Hasan 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Kinard, Brian 6060 Dawson Blvd Ste I, 30093 (770) 448-3030 Patel, Ronak 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Talley, Philip 5185 Peachtree Pkwy Ste 201, 30092 (770) 368-1110 Le, Thien 5430 Jimmy Carter Blvd, 30093 (770) 441-7900 Pellegrinon, Michael 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Tantuco, Kathleen 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Leavitt, John 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Pham, Christine 2605 Beaver Ruin Rd, 30071 (770) 409-9559 Tong, Tuan 5495 Jimmy Carter Blvd Ste A14, 30093 (770) 368-9159 Lee, Thomas 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Pham, Lan 5775 Jimmy Carter Blvd, 30071 (770) 447-4702 Tralongo, Kenneth 5448 Spalding Dr Bldg 100 Ste A, 30092 (770) 449-0099 Levenson, Joshua 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Piede, Robert 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Tran, Doan Trang 7760 Spalding Dr, 30092 (770) 270-5700 Lindsay, Jonathan 5448 Spalding Dr Bldg 100 Ste A, 30092 (770) 449-0099 Pittman, Zelda 5284 Jimmy Carter Blvd #d, 30093 (999) 999-9999 Twite Risse, Kristin 5448 Spalding Dr Bldg 100 Ste A, 30092 (770) 449-0099 Livingston Jr, Lynn 7050 Jimmy Carter Blvd, 30092 (770) 270-5700 Pittman, Zelda 7760 Spalding Dr, 30092 (770) 270-5700 Vellanki, Asha 4046 Wetherburn Way Ste 3, 30092 (770) 368-3297 Livingston Jr, Lynn 7760 Spalding Dr, 30092 (770) 270-5700 Rakesh, Pallavi 7760 Spalding Dr, 30092 (770) 270-5700 Vincent, Daniel 3850 Holcomb Bridge Rd, 30092 (770) 449-5999 Masek, Henry 6060 Dawson Blvd Ste I, 30093 (770) 448-3030 Roach, George 6063 Peachtree Pkwy #201b, 30092 (770) 448-4118 Wadley, Lechandre 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Maya, Victor 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Robinson, Robert 5030 Georgia Belle Ct, 30093 (770) 638-5708 Waits, Vicki 5030 Georgia Belle Ct, 30093 (770) 638-5708 Maybusher, Frank 5284 Jimmy Carter Blvd #d, 30093 (999) 999-9999 Rosenberg-Mcgowan, Christine 5448 Spalding Dr Bldg 100 Ste A, 30092 (770) 449-0099 Witkin, Eugene 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Mcdonald, Edward 5139 Jimmy Carter Blvd Ste 203, 30093 (770) 662-3000 Rosenthal, Michael 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Yadav, Priyanka 7760 Spalding Dr, 30092 (770) 270-5700 Mclendon, Willie 5284 Jimmy Carter Blvd #d, 30093 (999) 999-9999 Sandvi, Christopher 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Yavari, Behnam 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Millkey, Mary Catherine 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Sarembock, Mitchell 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Youngblood, Gregg 51 S Peachtree St, 30071 (770) 448-3552 Minton Jr, Warren 7760 Spalding Dr, 30092 (770) 270-5700 Schleicher, Donald 2066 Beaver Ruin Rd Ste H, 30071 (770) 446-7550 Zaleski, Joshua 736 Holcomb Bridge Rd, 30071 (770) 447-9990 Moreland Jr, J Bion 3961 Holcomb Bridge Rd Ste 100, 30092 (770) 449-0202 Schuler-Mitchell, Katrina 6060 Dawson Blvd Ste I, 30093 (770) 448-3030 Zhao, Hongli 2055 Beaver Ruin Rd Ste E, 30071 (770) 242-0021 This information is current as of September 2014 Page 41 Oral Surgeons Bagheri, Shahrokh 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Trotter, Leigh Ann 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Periodontists Cho, Sung 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Baek, Orson 6060 Dawson Blvd Ste I, 30093 (770) 448-3030 Dillon, Tracy 736 Holcomb Bridge Rd, 30071 (404) 406-1068 Baker, Susan 5448 Spalding Dr Bldg 100 # B, 30092 (770) 448-3333 Robertson, Jeannette 6060 Dawson Blvd Ste I, 30093 (770) 448-3030 Bezreh, Husam 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Rogers, Kael 5635 P'tree Pkwy #100, 30092 (404) 783-2580 Chong, Woojae 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Waksor, Adam 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Chong, Woojae 6060 Dawson Blvd Ste I, 30093 (770) 448-3030 Wall, Wm Henry 5139 Jimmy Carter Blvd Ste 201, 30093 (770) 448-0966 West, Daniel 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Endodontists Prosthodontists Doyle, Michael 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Lafontaine, Lorraine 6060 Dawson Blvd Ste I, 30093 (770) 448-3030 Orthodontists OAKWOOD General Dentists Cox Jr, Stanley 3294 Medlock Bridge Rd, 30092 (770) 448-8882 Cranford, Alexander 3294 Medlock Bridge Rd, 30092 (770) 448-8882 Crawford, Keith 3850 Holcomb Bridge Rd Ste 230, 30092 (770) 447-5311 Crosby, Michael 3294 Medlock Bridge Rd, 30092 (770) 448-8882 Collier, Michael 4211 Mundy Mill Pl Ste A, 30566 (770) 535-8160 Greene, Stephanie 4235 Mundy Mill Rd, 30566 (770) 532-2003 Morin, Jessica 4235 Mundy Mill Rd, 30566 (770) 532-2003 Orthodontists Fleming, John 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Britt, Thomas 4204 Mundy Mill Pl, 30566 (770) 503-0404 Granger, Michael 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Sosebee, Glenn 4204 Mundy Mill Pl, 30566 (770) 503-0404 Huynh, Vinh 1568 Indian Trail Lilburn Rd Ste 201, 30093 (770) 840-9500 OGLETHORPE Pediatric Dentists Lofters, David 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 Long, Meridith 3294 Medlock Bridge Rd, 30092 (770) 448-8882 Park, Eric 3294 Medlock Bridge Rd, 30092 (770) 448-8882 Patel, Alpesh 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Salyer, Hyman 6060 Dawson Blvd Ste I, 30093 (678) 248-0499 White, Adam 3294 Medlock Bridge Rd, 30092 (770) 448-8882 Womble, Brian 5635 Peachtree Pkwy Ste 200, 30092 (770) 914-2808 Cimino Iii, Peter 297 Medical Ct, 31068 (478) 472-2325 OMAHA General Dentists Lee, Robert 14 Sixth Ave, 31821 (229) 838-4203 PALMETTO General Dentists Brunson, Jordan 501 Park St, 30268 (770) 463-4541 PEACHTREE CITY General Dentists Beckford, Yvonne 320 Stevens Entry Parkside, 30269 (770) 486-0110 Pediatric Dentists Boag, David 300 Northlake Dr, 30269 (770) 487-8298 Garza-Gongora, Carlos 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Boag, David 403 Highway 74 N Ste A, 30269 (770) 631-3380 Herrin, Brent 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Buggs, Keith 450 Commerce Dr, 30269 (770) 692-1000 Sharma, Jyoti 3953 Holcomb Bridge Rd Ste 100, 30092 (678) 969-5437 Cara, Yasheena 450 Commerce Dr, 30269 (770) 692-1000 Shehata, Andrew 5270 Peachtree Pkwy Ste 101, 30092 (770) 448-9333 Chong, Justin 1280 Highway 74 S Ste 210, 30269 (770) 692-1000 41 of56Pages KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Chong, Justin 450 Commerce Dr, 30269 (770) 692-1000 Pope, Lindsay 50 Eastbrook Bnd # A, 30269 (770) 487-5540 Long, Meridith 450 Commerce Dr, 30269 (770) 448-8882 Hassan, Zeyad 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 Patel, Kunjan 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 Covington Jr, John 1280 Highway 74 S Ste 210, 30269 (770) 692-1000 Pope, Michael 50 Eastbrook Bnd # A, 30269 (770) 487-5540 Park, Eric 450 Commerce Dr, 30269 (770) 448-8882 Hassan, Zeyad 450 Commerce Dr, 30269 (770) 692-1000 Patel, Kunjan 450 Commerce Dr, 30269 (770) 692-1000 Covington Jr, John 450 Commerce Dr, 30269 (770) 692-1000 Procter, Nirali 450 Commerce Dr, 30269 (770) 692-1000 Patel, Tina 450 Commerce Dr, 30269 (770) 448-8882 Haynes, Deanna 450 Commerce Dr, 30269 (770) 692-1000 Purvis, Flynt 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 D Auria, Dominick 300 Northlake Dr, 30269 (770) 487-8298 Reid Iii, Walter 320 Stevens Entry Parkside, 30269 (770) 486-0110 Podray, Susan 232 Commerce Dr, 30269 (770) 448-8882 Hejazi-Werner, Shiva 450 Commerce Dr, 30269 (770) 692-1000 Purvis, Flynt 450 Commerce Dr, 30269 (770) 692-1000 Davis, Nancy 300 Northlake Dr, 30269 (770) 487-8298 Roark, Cindy 1207 N Peachtree Pkwy, 30269 (770) 631-5062 Podray, Susan 450 Commerce Dr, 30269 (770) 448-8882 Herrin, Brent 450 Commerce Dr, 30269 (770) 692-1000 Roehl, Brad 1280 Highway 74 S, 30269 (770) 692-4900 Dorrian, Yvonne 1207 N Peachtree Pkwy, 30269 (770) 631-5062 Roberts, James 1125 Commerce Dr Ste 100, 30269 (770) 486-8516 Richard, Ryan 232 Commerce Dr, 30269 (770) 448-8882 Holder, Terry 450 Commerce Dr, 30269 (770) 692-1000 Roehl, Brad 450 Commerce Dr, 30269 (770) 692-1000 Fisher-Mclin, Antonia 450 Commerce Dr, 30269 (770) 692-1000 Rosenberg-Mcgowan, Christine 500 Stevens Entry, 30269 (770) 487-5327 Richard, Ryan 450 Commerce Dr, 30269 (770) 448-8882 Hutchins, Allen 1280 Highway 74 S Ste 210, 30269 (770) 692-1000 Roehl, Brian 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 Fleming, Gordon 300 Northlake Dr, 30269 (770) 487-8298 Singh, Manjeet 320 Stevens Entry Parkside, 30269 (770) 486-0110 Segnere, Jeffrey 232 Commerce Dr, 30269 (770) 448-8882 Hutchins, Allen 450 Commerce Dr, 30269 (770) 692-1000 Roehl, Brian 450 Commerce Dr, 30269 (770) 692-1000 Gillikin, Craig 320 Stevens Entry Parkside, 30269 (770) 486-0110 Starling, Alva 320 Stevens Entry Parkside, 30269 (770) 486-0110 Segnere, Jeffrey 450 Commerce Dr, 30269 (770) 448-8882 Kebriaei, Amy 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 Ross, Tisha 450 Commerce Dr, 30269 (770) 692-1000 Golik, Blazej 300 Northlake Dr, 30269 (770) 487-8298 Tralongo, Kenneth 500 Stevens Entry, 30269 (770) 487-5327 Shoup, Greg 450 Commerce Dr, 30269 (770) 448-8882 Kebriaei, Amy 450 Commerce Dr, 30269 (770) 692-1000 Sease, Joseph 1280 Highway 74 S Ste 210, 30269 (770) 692-1000 Hader, Jesse 320 Stevens Entry Parkside, 30269 (770) 486-0110 Turkiewicz, Tommy 101 Park Pl, 30269 (770) 486-1218 White, Adam 232 Commerce Dr, 30269 (770) 448-8882 Kerlan, Daniel 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 Sease, Joseph 450 Commerce Dr, 30269 (770) 692-1000 Hanjrah, Jasmine 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 Watson Jr, Robert 300 Northlake Dr, 30269 (770) 487-8298 White, Adam 450 Commerce Dr, 30269 (770) 448-8882 Kerlan, Daniel 450 Commerce Dr, 30269 (770) 692-1000 Shilman, Lisa 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 Hanjrah, Jasmine 450 Commerce Dr, 30269 (770) 692-1000 Wilcox, Ronald 1235 Robinson Rd Ste H, 30269 (770) 487-1880 White, Javonne 232 Commerce Dr, 30269 (770) 448-8882 Lee, Susan 450 Commerce Dr, 30269 (770) 692-1000 Shilman, Lisa 450 Commerce Dr, 30269 (770) 692-1000 Harandifassih, Lyda 320 Stevens Entry Parkside, 30269 (770) 486-0110 Oral Surgeons White, Javonne 450 Commerce Dr, 30269 (770) 448-8882 Levitas, Theodore 450 Commerce Dr, 30269 (770) 692-1000 Simms, Mindy 450 Commerce Dr, 30269 (770) 692-1000 Pediatric Dentists Lucas, Cleoka 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 Stalker, Jack 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 Lucas, Cleoka 450 Commerce Dr, 30269 (770) 692-1000 Strickland Phillips, Stephanie 450 Commerce Dr, 30269 (770) 692-1000 Madhiwala, Priya 450 Commerce Dr, 30269 (770) 692-1000 Sundareswaran, Pushpa 450 Commerce Dr, 30269 (770) 692-1000 Malhotra, Menka 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 Thomas Jr, Jack 450 Commerce Dr, 30269 (770) 692-1000 Malhotra, Menka 450 Commerce Dr, 30269 (770) 692-1000 Walters, Sacha 450 Commerce Dr, 30269 (770) 692-1000 Marcum, Barry 310 Stevens Entry, 30269 (770) 486-0054 Washington, Keysra 450 Commerce Dr, 30269 (770) 692-1000 Maru, Ami 450 Commerce Dr, 30269 (770) 692-1000 Yoo, Chin 450 Commerce Dr, 30269 (770) 692-1000 Mccarley, Christie 1280 Highway 74 S Ste 210, 30269 (770) 692-1000 Prosthodontists Harandi-Fassih, Ali 320 Stevens Entry Parkside, 30269 (770) 486-0110 Harmon, Tom 450 Commerce Dr, 30269 (770) 692-1000 Harris, Peter 1280 Highway 74 S Ste 200, 30269 (770) 486-1984 Harrison, Farryn 1207 N Peachtree Pkwy, 30269 (770) 631-5062 Kakadia, Ashish 1207 N Peachtree Pkwy, 30269 (770) 631-5062 Anderson, Bruce 406 Stevens Entry, 30269 (770) 487-3807 Anderson, Paul 262 S Peachtree Pkwy Ste 1, 30269 (770) 302-0101 Allen, Nelson 450 Commerce Dr, 30269 (770) 692-1000 Perciaccante, Vincent 406 Stevens Entry, 30269 (770) 487-3807 Ariaban, Nanna 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 Schultz, Jeffrey 406 Stevens Entry, 30269 (770) 487-3807 Brown, Shelton 450 Commerce Dr, 30269 (770) 692-1000 Timmis, David 406 Stevens Entry, 30269 (770) 487-3807 Buckle, Eileen 450 Commerce Dr, 30269 (770) 692-1000 Endodontists Camp, Laneshia 450 Commerce Dr, 30269 (770) 692-1000 Lipham, Steven 450 Commerce Dr, 30269 (770) 692-1000 Mann, Arnold 1207 N Peachtree Pkwy, 30269 (770) 631-5062 Mcculloch, Terry 320 Stevens Entry Parkside, 30269 (770) 486-0110 Orthodontists Chang, Ohkyoung 450 Commerce Dr, 30269 (770) 692-1000 Berwick, Jennifer 232 Commerce Dr, 30269 (770) 448-8882 Cottrell, David 450 Commerce Dr, 30269 (770) 692-1000 Berwick, Jennifer 450 Commerce Dr, 30269 (770) 448-8882 Coulter, Charles 450 Commerce Dr, 30269 (770) 692-1000 Cox Jr, Stanley 232 Commerce Dr, 30269 (770) 448-8882 Desouza, Sharon 450 Commerce Dr, 30269 (770) 692-1000 Cox Jr, Stanley 450 Commerce Dr, 30269 (770) 448-8882 Ellington, Janet 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 Crosby, Michael 450 Commerce Dr, 30269 (770) 448-8882 Ellington, Janet 450 Commerce Dr, 30269 (770) 692-1000 Iaculli, John 450 Commerce Dr, 30269 (770) 448-8882 Faunce, Frank 302 Stevens Entry, 30269 (770) 631-4888 Long, James 1280 Highway 74 S Ste 110, 30269 (770) 461-9642 Haffner, John 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 Long, Meridith 232 Commerce Dr, 30269 (770) 448-8882 Halper, Christopher 450 Commerce Dr, 30269 (770) 692-1000 Mckellar, Christina 450 Commerce Dr, 30269 (770) 692-1000 Minton Jr, Warren 320 Stevens Entry Parkside, 30269 (770) 486-0110 Mitchell, Kevin 300 Northlake Dr, 30269 (770) 487-8298 Mulki, Ezat 450 Commerce Dr, 30269 (770) 692-1000 Nam, Kasie 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 Nam, Kasie 450 Commerce Dr, 30269 (770) 692-1000 Padgett, Sherry 500 Stevens Entry, 30269 (770) 487-5327 This information is current as of September 2014 Page 42 Mccarley, Christie 450 Commerce Dr, 30269 (770) 692-1000 Mobley, Eric 310 Stevens Entry, 30269 (770) 486-0054 Nortick, Mariel 1280 Highway 74 S Ste 210, 30269 (678) 445-5444 Nortick, Mariel 450 Commerce Dr, 30269 (770) 692-1000 Park, Julius 450 Commerce Dr, 30269 (770) 692-1000 Park, Suyon 450 Commerce Dr, 30269 (770) 692-1000 42 of56Pages Christensen, George 50 Eastbrook Bnd # A, 30269 (770) 487-5540 PERRY General Dentists Braswell, Temika 1133 Macon Rd, 31069 (478) 988-3200 Chapman, Alvin 233 Wes Park Dr, 31069 (478) 987-7863 Deloach, Anthony 1113 Morningside Dr, 31069 (478) 224-5656 Kinsley, Michael 1306 Macon Rd, 31069 (478) 987-1441 Pierce, Thomas 1021 Keith Drive, 31069 (478) 987-0717 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Shelton, Louis 1102 Morningside Dr, 31069 (912) 987-2402 Wiebe, John 143 Canal St Ste 300, 31322 (912) 330-8801 QUITMAN General Dentists RINCON General Dentists Levenson, Joshua 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Shelton, Thomas 1102 Morningside Dr, 31069 (912) 987-2402 Wilson, Michael 145 Traders Way Ste A, 31322 (912) 354-1515 Black Jr, Larry 1306 E Screven St, 31643 (229) 263-8700 Barker, Gary 201 Business Park #101, 31326 (912) 826-2273 Maya, Victor 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Varn, Jessica 1306 Macon Rd, 31069 (478) 987-1441 Endodontists RABUN GAP Oral Surgeons Canfield, Angela 5871 Hwy 21 S, 31326 (912) 826-4037 Millkey, Mary Catherine 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Billingsley, Michael 8233 Wolffork Rd, 30568 (719) 439-4968 Martinson, Craig 1102 N Columbia Ave, 31326 (912) 826-2402 Moore, Charles 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Redick, Kimberly 131 Silverwood Commercial Dr, 31326 (912) 826-1905 Patel, Nimish 6650 Highway 85, 30274 (770) 997-6222 POOLER General Dentists Didato, Anthony 506 Us Highway 80 W, 31322 (912) 330-9229 Putnam, Charles 145 Traders Way #b, 31322 (912) 998-0020 Orthodontists RICHMOND HILL General Dentists Bannout, Alexander 130 Canal St Ste 204, 31322 (912) 748-5868 Broderick, Thomas 119 Canal St Ste 107, 31322 (812) 988-1118 Anderson, Nils 3766 Coastal Hwy 17 Ste 206, 31324 (912) 459-2345 Taylor, Richard 110 Weisenbaker Rd, 31326 (912) 826-6184 Patel, Ronak 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Barker, Gary 91 Brighton Woods Dr, 31322 (912) 748-4858 Waters, Donihue 145 Traders Way Ste C, 31322 (912) 354-3474 Camp Highsmith, Courtney 11344 Ford Ave, 31324 (912) 756-4060 Tosto, Ronald 201 Business Park #101, 31326 (912) 826-2273 Perez-Irizarry, Jose 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Barkley, Ruby 145 Traders Way Ste D, 31322 (912) 748-4494 Pediatric Dentists Dority, David 10015 Ford Ave Ste 2a, 31324 (912) 756-3880 Willox, Angela 201 Business Park #101, 31326 (912) 826-2273 Redie, Daniel 1849 Highway 138 Sw, 30296 (770) 996-5850 Froude, Paul 12650 Ga Highway 144, 31324 (912) 727-3249 Endodontists Reichman, Richard 7218 Highway 85, 30274 (770) 719-3300 Allen, Matthew 1000 Towne Center Blvd Ste 101, 31322 (912) 748-8585 Beaudreau, Brian 125 Southern Junction Blvd Ste 701, 31322 (912) 330-4545 Camp, George 125 Southern Junction Blvd Ste 701, 31322 (912) 330-4545 Durham, Tracy 145 Traders Way Ste D, 31322 (912) 748-4494 Gustin, James 145 Traders Way Ste D, 31322 (912) 748-4494 Hargrove, James 506 Us Highway 80 W, 31322 (912) 330-9229 Hargrove, James 91 Brighton Woods Dr, 31322 (912) 748-4858 Herring, Shana 143 Canal St Ste 400, 31322 (912) 748-2303 Howard, Jason 91 Brighton Woods Dr, 31322 (912) 748-4858 Khan, Sophia 91 Brighton Woods Dr, 31322 (912) 748-4858 Lauderdale, Candace 276 Pooler Pkwy Ste A, 31322 (912) 330-9070 Sammons, Lindsey 91 Brighton Woods Dr, 31322 (912) 748-4858 Strub, Colin 125 Southern Junction Blvd Ste 701, 31322 (912) 330-4545 Patel, Anjali 91 Brighton Woods Dr, 31322 (912) 748-4858 POWDER SPRINGS General Dentists Barlow, John 4025 Lindley Cir, 30127 (770) 943-3523 Buran, David 4485 N Town Sq Ste 100, 30127 (770) 943-0701 Caceres, Mark 4485 N Town Sq Ste 108, 30127 (770) 943-3344 Drennon, Faith 5041 Dallas Hwy Bldg 1e, 30127 (770) 420-8550 Johnson, Crystal 5780 C H James Pkwy Ste 280, 30127 (770) 943-2525 Miremami, Reza 3721 New Macland Rd #210, 30127 (770) 222-3300 Gray, Larry 10104 Ford Ave Ste G, 31324 (912) 445-5337 Hargrove, James 10104 Ford Ave Ste G, 31324 (912) 445-5337 Pierce, Thomas 10104 Ford Ave Ste G, 31324 (912) 445-5337 Pediatric Dentists Willox, Angela 1101 Gandy Dancer, 31324 (502) 254-8537 Willox, Angela 1962 Hwy 17, 31324 (912) 756-3000 RINGGOLD General Dentists Syed, Hasan 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Tantuco, Kathleen 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Oral Surgeons Waksor, Adam 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Endodontists Doyle, Michael 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Orthodontists Oral Surgeons Eatmon, Kevin 7218 Highway 85, 30274 (770) 719-3300 Nwoku, Ada 5041 Dallas Hwy Bldg 2 #c, 30127 (678) 522-5389 Massey, G Benjamin 26 Edsel Dr, 31324 (912) 756-4646 Day, Louis 138 Battlefield Crossing Ct, 30736 (706) 861-9022 Granger, Michael 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Roark, Cindy 3721 New Macland Rd #210, 30127 (770) 222-3300 Piccione, Michael 10104 Ford Ave Ste G, 31324 (912) 445-5337 Henry, Anthony 7319 Nashville St, 30736 (706) 935-2206 Patel, Alpesh 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Wilson, Stephen 5087 Dallas Hwy Ste 900, 30127 (678) 337-8888 Piccione, Michael 111 Market St, 31324 (912) 677-0006 Shaw, Stephen 4203 Cloud Springs Rd, 30736 (706) 891-2008 Pediatric Dentists Wolf, William 5041 Dallas Hwy Bldg 1e, 30127 (770) 420-8550 Endodontists Webb, Jason 7102 Nashville St, 30736 (706) 935-2211 Lea, Christopher 10220 Ford Ave, 31324 (912) 756-5960 Oral Surgeons Kinsey, Richard 5041 Dallas Hwy Ste A, 30127 (770) 429-5507 Lund, Nathan 10220 Ford Ave, 31324 (912) 756-5960 Rose, Scott 5041 Dallas Hwy Ste A, 30127 (770) 429-5507 Palazzolo, Matthew 10220 Ford Ave, 31324 (912) 756-5960 Threadgill, Jonathan 5041 Dallas Hwy Ste A, 30127 (770) 429-5507 Endodontists Pesto Jr, Alfred 143 Canal St Ste 300, 31322 (912) 330-8801 Mann, Arnold 3721 New Macland Rd #210, 30127 (770) 222-3300 Phillips, Donald 145 Traders Way Ste A, 31322 (912) 354-1515 Pediatric Dentists Scarbrough, Frank 145 Traders Way Ste A, 31322 (912) 354-1515 Patel, Anjali 201 Business Park #101, 31326 (912) 826-2273 Singh, Sunil 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Davis, Richard 7319 Nashville St, 30736 (706) 935-2206 Mohip, Shaila 5041 Dallas Hwy Bldg 1e, 30127 (770) 420-8550 Harrison, Farryn 3721 New Macland Rd #210, 30127 (770) 222-3300 Liposky, Richard 506 Us Highway 80 W, 31322 (912) 330-9229 Orthodontists Wallace, William 10015 Ford Ave Ste 2a, 31324 (912) 756-3880 Willox, Angela 91 Brighton Woods Dr, 31322 (912) 748-4858 Damron, Justin 143 Canal St Ste 300, 31322 (912) 330-8801 Demartino, Sam 613 Towne Park Dr West #201, 31326 (912) 826-0268 Waters, Donihue 613 Towne Park Dr W Ste 201, 31326 (912) 826-2501 Oral Surgeons Barefoot, Matthew 143 Canal St Ste 300, 31322 (912) 330-8801 Baker, J Brian 613 Towne Park Dr West #201, 31326 (912) 826-0268 Trout Jr, William 10104 Ford Ave Ste G, 31324 (912) 445-5337 Ashley, Eric 10220 Ford Ave, 31324 (912) 756-5960 Tosto, Ronald 91 Brighton Woods Dr, 31322 (912) 748-4858 Andrews, Clyde 613 Towne Park Dr West #201, 31326 (912) 826-0268 Bell, Roy 948 Highway 138 Sw, 30296 (770) 909-0070 Coley, Sophia 653 Roberts Dr Ste B, 30274 (770) 991-9925 Herrin, Brent 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Mcintyre, Monica 12 Rountree Rd, 30274 (678) 479-7001 Shehata, Andrew 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Periodontists Orthodontists Dimassi, Matthew 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Chong, Woojae 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Vaught, Robert 2701 Us Highway 17 Ste 2b, 31324 (912) 756-2309 Dunford, R Matthew 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 ROME General Dentists Periodontists Epstein, Raymond 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Atighechi, Sharok 313 Redmond Rd Nw, 30165 (706) 234-3996 Feldman, William 217 Upper Riverdale Rd Sw, 30274 (770) 997-6600 Blackmon, Michael 1801 J L Todd Dr, 30161 (706) 290-7770 Jones, Melissa 7557 Highway 85, 30274 (770) 996-8772 Ganupur, Supriya 204 Redmond Rd Nw, 30165 (706) 291-2550 Bordlemay, Justin 10055 Ford Ave Ste 3c, 31324 (912) 445-5311 Jackson, Kevin 4150 Macland Rd Ste 205, 30127 (770) 222-1344 This information is current as of September 2014 RIVERDALE General Dentists Garza-Gongora, Carlos 207 Upper Riverdale Rd Sw, 30274 (770) 751-8887 Page 43 43 of56Pages KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Goodwin, Erik 204 Redmond Rd Nw, 30165 (706) 291-2550 ROSWELL General Dentists Fisher-Mclin, Antonia 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Mckellar, Christina 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Waters, Paul 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Kalantari, Kyandukhta 204 Redmond Rd Nw, 30165 (706) 291-2550 Aaron, Zina 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Galperin, Elvira 11060 Alpharetta Hwy, 30076 (678) 352-9890 Millkey, Mary Catherine 1345 Hembree Rd, 30076 (770) 569-0529 Wilhoite, Stephen 4401 Shallowford Rd Ste 140, 30075 (770) 587-2541 Muller Jr, Richard 2236 Redmond Cir Nw, 30165 (706) 295-7385 Allen, Matthew 565 Colonial Park Dr Ste 100, 30075 (770) 993-6666 Ganupur, Supriya 1125 Woodstock Rd Ste 520, 30075 (770) 649-0606 Minton Jr, Warren 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Williams, Kimberly 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Patel, Maheshvar 204 Redmond Rd Nw, 30165 (706) 291-2550 Alpert, Alla 11685 Alpharetta Hwy Ste 105, 30076 (678) 297-3992 Goode, Narisa 910 Woodstock Rd Ste 110, 30075 (770) 518-7475 Mulki, Ezat 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Witkin, Eugene 1345 Hembree Rd, 30076 (770) 569-0529 Phan, Uyen 204 Redmond Rd Nw, 30165 (706) 291-2550 Ardeshra, Toral 1125 Woodstock Rd Ste 520, 30075 (770) 649-0606 Goodwin, Kenneth 1540 Old Alabama Rd Ste 300, 30076 (770) 642-8440 Murfree, Robert 2500 Old Alabama Rd Ste 7, 30076 (770) 992-3711 Woodrick, George 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Shim, Young 204 Redmond Rd Nw, 30165 (706) 291-2550 Beckford, Yvonne 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Hader, Jesse 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Nabi, Saed 1345 Hembree Rd, 30076 (770) 569-0529 Woods, Eddie 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Swartz, Larkin 313 Redmond Rd Nw, 30165 (706) 234-3996 Benton, Nardos 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Hall, William 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Nair, Shalini 910 Woodstock Rd Ste 110, 30075 (770) 518-7475 Yadav, Priyanka 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Vandine, Homer 103 Elliott Dr Nw # A, 30165 (706) 236-9853 Bermingham, Roger 600 Houze Way Ste B1, 30076 (770) 587-4296 Hanjrah, Jasmine 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Nam, Kasie 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Oral Surgeons Weldon, David 1801 J L Todd Dr, 30161 (706) 290-7770 Bloor, Priti 2500 Hospital Blvd Ste 320, 30076 (770) 663-4435 Harandifassih, Lyda 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Nguyen, Thang 1125 Woodstock Rd Ste 520, 30075 (770) 649-0606 Oral Surgeons Buckley, Elisha 540 E Crossville Rd Ste 200, 30075 (770) 642-7999 Harandi-Fassih, Ali 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Nguyen, Vinh 1187 Alpharetta Street Ste 100, 30075 (770) 993-9048 Buggs, Keith 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Harmon, Tom 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Packtor, Leonard 9410 Willeo Rd Ste A, 30075 (770) 993-2657 Pediatric Dentists Cara, Yasheena 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Hinds, John 555 Sun Valley Dr Ste C3, 30076 (770) 643-9499 Patel, Dipesh 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Bittinger, Carlla 15 Riverbend Dr Sw Ste 130, 30161 (706) 232-1283 Carden, Sammy 1125 Woodstock Rd Ste 520, 30075 (770) 649-0606 Jeon, Danny 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Patel, Ronak 1345 Hembree Rd, 30076 (770) 569-0529 Buckle, Eileen 15 Riverbend Dr Sw Ste 130, 30161 (706) 232-1283 Carter Iv, James 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Johnson, Brian 1240 Upper Hembree Rd Ste C, 30076 (770) 993-9809 Patel, Ulpa 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Choi, Eunis 15 Riverbend Dr Sw Ste 130, 30161 (706) 232-1283 Chang, Wei Yen 415 E Crossville Rd Ste A, 30075 (678) 461-4875 Johnson, Mantique 1125 Woodstock Rd Ste 520, 30075 (770) 649-0606 Procter, Nirali 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Dominique, Paul 15 Riverbend Dr Sw Ste 130, 30161 (706) 232-1283 Childs-Wiggins, Deanthia 1087 Alpharetta St, 30075 (770) 650-0992 Kashlan, Munir 1240 Upper Hembree Rd Ste B, 30076 (770) 346-8989 Rader, Eric 11685 Alpharetta Hwy, 30076 (770) 475-4040 Hejazi-Werner, Shiva 15 Riverbend Dr Sw Ste 130, 30161 (706) 232-1283 Chong, Justin 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Kirkley, Matthew 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Reid Iii, Walter 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Johnson, Christian 15 Riverbend Dr Sw Ste 130, 30161 (706) 232-1283 Choy, Sun 1125 Woodstock Rd Ste 520, 30075 (770) 649-0606 Kossick, Amanda 10930 Crabapple Rd Ste 140, 30075 (770) 641-8010 Reznik, Michael 1345 Hembree Rd, 30076 (770) 569-0529 Lopyan, Rochelle 15 Riverbend Dr Sw Ste 130, 30161 (706) 232-1283 Covington Jr, John 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Lassiter, James 1345 Hembree Rd, 30076 (770) 751-3115 Singh, Manjeet 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Padilla, Ferdinand 17 John Maddox Dr Nw, 30165 (706) 622-2286 Cox, Kelle 10930 Crabapple Rd Ste 106, 30075 (678) 352-1090 Levenson, Joshua 1345 Hembree Rd, 30076 (770) 569-0529 Singh, Sunil 1345 Hembree Rd, 30076 (770) 569-0529 Shealy Jr, James 15 Riverbend Dr Sw Ste 130, 30161 (706) 232-1283 Dancy, William 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Lipham, Steven 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Smith, Jewel 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Smith, Gia 15 Riverbend Dr Sw Ste 130, 30161 (706) 232-1283 Demercy, Jeff 10930 Crabapple Rd Ste 140, 30075 (770) 641-8010 Livingston Jr, Lynn 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Smith, Michael 1190 Grimes Bridge Rd Ste B, 30075 (770) 998-8116 Yoda-Blackburn, Kyoko 15 Riverbend Dr Sw Ste 130, 30161 (706) 232-1283 Dimassi, Matthew 1345 Hembree Rd, 30076 (770) 569-0529 Logue, Carrie 10930 Crabapple Rd Ste 106, 30075 (678) 352-1090 Sotnikov, Stanley 11060 Alpharetta Hwy, 30076 (678) 352-9890 Periodontists Dunford, R Matthew 1345 Hembree Rd, 30076 (770) 569-0529 Makuch, Michael 1775 Woodstock Rd Ste 350, 30075 (770) 992-3353 Swegman, Mary 1345 Hembree Rd, 30076 (770) 569-0529 Epstein, Raymond 1345 Hembree Rd, 30076 (770) 569-0529 Manocchio, Nicola 685 W Crossville Rd Ste 148, 30075 (770) 587-2727 Syed, Hasan 1345 Hembree Rd, 30076 (770) 569-0529 Evans, Robert 355 S Atlanta St, 30075 (770) 998-1466 Mastro, David 800 Mansell Rd Ste B, 30076 (770) 642-9900 Tantuco, Kathleen 1345 Hembree Rd, 30076 (770) 569-0529 Faris, Azad 1345 Hembree Rd, 30076 (770) 751-3115 Maya, Victor 1345 Hembree Rd, 30076 (770) 569-0529 Tewogbade, Tara 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Finot, James 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Mcgurk, Heather 685 W Crossville Rd Ste 148, 30075 (770) 587-2727 Tran, Doan Trang 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Beninato, John 21 John Maddox Dr Nw, 30165 (706) 234-0718 Hunt, Robert 2001 J L Todd Dr, 30161 (706) 235-5570 Fletcher Iii, Robert 1951 J L Todd Dr, 30161 (706) 234-5353 Linatoc, Anthony 1506 Kingston Hwy Se, 30161 (706) 295-9792 ROSSVILLE General Dentists Peterson Jr, Carl 1200 Mcfarland Ave, 30741 (706) 861-1828 Songer, Brian 2382 Cloud Springs Rd, 30741 (706) 861-0861 This information is current as of September 2014 Page 44 44 of56Pages Ali Khan, Husain 1345 Hembree Rd, 30076 (770) 569-0529 Ali Khan, Husain 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Bagheri, Shahrokh 1345 Hembree Rd, 30076 (770) 569-0529 Brady, Gordon 10930 Crabapple Rd Ste 160, 30075 (678) 781-0050 Brady, Gordon 1345 Hembree Rd, 30076 (770) 569-0529 Etezadi-Tabrizi, Abtin 1792 Woodstock Rd Ste 300, 30075 (678) 672-1440 Going Jr, Robert 10930 Crabapple Rd Ste 160, 30075 (678) 781-0050 Going Jr, Robert 1345 Hembree Rd, 30076 (770) 569-0529 Gray, Brett 10930 Crabapple Rd Ste 160, 30075 (678) 781-0050 Gray, Brett 1345 Hembree Rd, 30076 (770) 569-0529 Hall, Brenda 10930 Crabapple Rd Ste 160, 30075 (678) 781-0050 Hall, Brenda 1345 Hembree Rd, 30076 (770) 569-0529 King, Steven 10930 Crabapple Rd Ste 160, 30075 (678) 781-0050 King, Steven 1345 Hembree Rd, 30076 (770) 569-0529 Lala, Asif 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Lewis Iii, Fulton 10930 Crabapple Rd Ste 160, 30075 (678) 781-0050 Lewis Iii, Fulton 1345 Hembree Rd, 30076 (770) 569-0529 Liposky, Richard 1345 Hembree Rd, 30076 (770) 569-0529 Pollack, Steven 10930 Crabapple Rd Ste 160, 30075 (678) 781-0050 Pollack, Steven 1345 Hembree Rd, 30076 (770) 569-0529 Pritchett, John 10930 Crabapple Rd Ste 160, 30075 (678) 781-0050 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Pritchett, John 1345 Hembree Rd, 30076 (770) 569-0529 Podray, Susan 12010 Etris Rd Ste A100, 30075 (678) 445-5554 Hutchins, Allen 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Trotter, Leigh Ann 1345 Hembree Rd, 30076 (770) 569-0529 SAVANNAH General Dentists Singer, Richard 10930 Crabapple Rd Ste 160, 30075 (678) 781-0050 Richard, Ryan 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Kebriaei, Amy 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Vahid, Banafsheh 10930 Crabapple Rd Ste 106, 30075 (678) 352-1090 Anderson, Carl 4 Harrell Dr, 31408 (912) 964-6241 Singer, Richard 1345 Hembree Rd, 30076 (770) 569-0529 Segnere, Jeffrey 12010 Etris Rd Ste A100, 30075 (678) 445-5554 Kerlan, Daniel 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Walters, Sacha 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Barker, Gary 206 E Montgomery Xrd, 31406 (912) 927-3615 Smouse, James 1792 Woodstock Rd Ste 300, 30075 (678) 672-1440 Shoup, Greg 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Lee, Susan 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Washington, Keysra 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Barker, Gary 206 Johnny Mercer Blvd, 31410 (912) 897-9000 Velez, Martin 1792 Woodstock Rd Ste 300, 30075 (678) 672-1440 Smith, Lori 4706 Woodstock Rd, 30075 (770) 992-6122 Levitas, Theodore 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Yoo, Chin 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Barker, Gary 533 Stephenson Ave, 31405 (912) 236-3557 Waksor, Adam 1345 Hembree Rd, 30076 (770) 569-0529 Soriano, Morris 1153 Alpharetta St, 30075 (770) 587-1587 Lucas, Cleoka 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Periodontists Beaudreau, Brian 5509 Paulsen St, 31405 (912) 354-9204 Waksor, Adam 770 Holcomb Bridge Rd, 30076 (678) 836-2102 White, Adam 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Madhiwala, Priya 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Young, Justin 1792 Woodstock Rd Ste 300, 30075 (678) 672-1440 White, Javonne 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Malhotra, Menka 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Endodontists Pediatric Dentists Doyle, Michael 1345 Hembree Rd, 30076 (770) 569-0529 Allen, Nelson 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Maru, Ami 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Kersh, Martin 11685 Alpharetta Hwy #310, 30076 (770) 754-4949 Brown, Shelton 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Kersh, Martin 1345 Hembree Rd, 30076 (770) 569-0529 Buckle, Eileen 10930 Crabapple Rd Ste 106, 30075 (678) 352-1090 Newsom Iii, William 200 Market Pl Ste 120, 30075 (770) 998-0030 Buckle, Eileen 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Orthodontists Camp, Laneshia 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Berwick, Jennifer 12010 Etris Rd Ste A100, 30075 (678) 445-5554 Cox Jr, Stanley 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Getchell, Christopher 1570 Old Alabama Rd #205, 30076 (770) 998-1009 Goodman, Sundus 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Granger, Michael 1345 Hembree Rd, 30076 (770) 569-0529 Gray, James 10930 Crabapple Rd Ste 240, 30075 (770) 993-6292 Hajibaik, Nima 12010 Etris Rd Ste A100, 30075 (678) 445-5554 Iaculli, John 12010 Etris Rd Ste A100, 30075 (678) 445-5554 Kincaid, Joseph 540 W Crossville Rd, 30075 (770) 518-5180 Levitt, Carl 1775 Woodstock Rd Ste 350, 30075 (770) 516-6100 Long, Meridith 12010 Etris Rd Ste A100, 30075 (678) 445-5554 Nikain, Nilo 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Park, Eric 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Patel, Alpesh 1345 Hembree Rd, 30076 (770) 569-0529 Patel, Tina 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Chang, Ohkyoung 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Chaudhary, Shafaq 10930 Crabapple Rd Ste 106, 30075 (678) 352-1090 Cottrell, David 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Coulter, Charles 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Desouza, Sharon 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Dunkelberger, Fred 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Ellington, Janet 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Garza-Gongora, Carlos 1345 Hembree Rd, 30076 (770) 569-0529 Halper, Christopher 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Hassan, Zeyad 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Haynes, Deanna 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Hejazi-Werner, Shiva 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Herrin, Brent 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Herrin, Brent 1345 Hembree Rd, 30076 (770) 569-0529 Holder, Terry 12010 Etris Rd Ste A100, 30075 (678) 445-5444 This information is current as of September 2014 Mccarley, Christie 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Nath, Vishant 10930 Crabapple Rd Ste 106, 30075 (678) 352-1090 Abelman, Andrea 1305 Hembree Rd Ste 104, 30076 (770) 442-1010 Barden, Page 4947 Fairhaven Way Ne, 30075 (404) 272-2512 Bezreh, Husam 1345 Hembree Rd, 30076 (770) 569-0529 Chong, Woojae 1345 Hembree Rd, 30076 (770) 569-0529 Heinzelmann, Karl 11775 Pointe Pl Ste 104, 30076 (770) 475-3398 Moore, Yolanda 1125 Woodstock Rd Ste 520, 30075 (770) 649-0606 Benet-Rockefeller, Mireddy 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Benson, Gerald 5010 Paulsen St, 31405 (912) 351-0081 Berwitz, Steven 7805 Waters Ave Ste 1a, 31406 (912) 355-5004 Bjur, Todd 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Black, Harold 207 E 31st St, 31401 (912) 232-2779 Prosthodontists Black, Harold 6602 Abercorn St Ste 101, 31405 (912) 354-3444 Park, Julius 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Wells, Syretta 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Booth, Alice 2515 Habersham St, 31401 (912) 234-2206 Park, Suyon 12010 Etris Rd Ste A100, 30075 (678) 445-5444 SAINT MARYS General Dentists Bordlemay, Catherine 318 Johnny Mercer Blvd, 31410 (912) 897-4548 Parris, Shannon 770 Holcomb Bridge Rd, 30076 (678) 836-2102 Harris, William 2420 Osborne Rd, 31558 (912) 882-3322 Bordlemay, Catherine 6602 Abercorn St Ste 101, 31405 (912) 354-3444 Patel, Kunjan 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Hooton, Philip 206 Arnow Dr, 31558 (912) 882-2005 Bosque Jr, Robert 723 E 65th St, 31405 (912) 355-0555 Ponugoti, Asha 10930 Crabapple Rd Ste 106, 30075 (678) 352-1090 Poloff, Linda 118 Hawthorne Lane #a, 31558 (912) 729-4748 Brandt, Rosanne 318 Johnny Mercer Blvd, 31410 (912) 897-4548 Purvis, Flynt 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Prater, Susan 206 Arnow Dr, 31558 (912) 882-2005 Breitberg, Daniel 1190b King George Blvd, 31419 (912) 921-0401 Roehl, Brad 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Prince, Stanley 2006 Osborne Rd, 31558 (912) 882-4274 Brooks, Tara 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Roehl, Brian 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Rentz, Stan 775 Kingsbay Rd Ste B, 31558 (706) 799-5056 Brown, Patricia 102 E Victory Dr, 31405 (912) 238-3600 Ross, Tisha 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Spencer Jr, Richard 2101 Osborne Rd, 31558 (912) 882-6072 Brown Iii, Joseph 207 E 31st St, 31401 (912) 232-2779 Sease, Joseph 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Oral Surgeons Brown Iii, Joseph 6602 Abercorn St Ste 101, 31405 (912) 354-3444 Nortick, Mariel 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Shehata, Andrew 1345 Hembree Rd, 30076 (770) 569-0529 Shilman, Lisa 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Simms, Mindy 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Strickland Phillips, Stephanie 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Sundareswaran, Pushpa 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Thomas Jr, Jack 12010 Etris Rd Ste A100, 30075 (678) 445-5444 Page 45 Pennington, Diane 73 Hawthorn Ln, 31558 (912) 673-6545 Orthodontists Bryant, Kevin 6 Skidaway Village Walk Ste 202, 31411 (912) 598-1959 Sardo, Mark 1819 Osborne Rd Ste B, 31558 (912) 882-6122 Busbee, Bradley 207 E 31st St, 31401 (912) 232-2779 Periodontists Busbee, Bradley 318 Johnny Mercer Blvd, 31410 (912) 897-4548 Ambrose, John 4445 Hwy 40 Ste 405, 31558 (912) 510-7123 SAINT SIMONS ISLAND General Dentists Boyer, Kevin 101 Brunswick Ave, 31522 (912) 634-4890 Haley, Suzanne 123 Main St Plantation, 31522 (912) 638-3559 45 of56Pages Busbee, Bradley 6602 Abercorn St Ste 101, 31405 (912) 354-3444 Callier, Karen 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Childers, Stanley 109 Oglesby Ave, 31408 (912) 966-2102 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Cohen, Scott 835 E 65th St Ste 108, 31405 (912) 353-9533 Grill, Matt 6 Skidaway Village Walk Ste 201, 31411 (912) 598-8111 Melvin Iii, James 7001 Hodgson Memorial Dr, 31406 (912) 355-1307 Smiley, Ronald 920 E 71st St, 31405 (912) 355-5191 Kao, Solon 132 Southern Blvd, 31405 (912) 356-5444 Cole, Nancy 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Groover, Michael 711 E 70th St Ste B, 31405 (912) 354-9541 Miller, Robert 901 E 66th St, 31405 (912) 525-7777 Smith, Robert 6602 Abercorn St Ste 101, 31405 (912) 354-3444 Lala, Asif 130 Stephenson Ave Ste 101, 31405 (912) 351-9803 Comer, Christopher 5302 Frederick St Ste 103, 31405 (912) 355-8771 Gupta, Deepak 207 E 31st St, 31401 (912) 232-2779 Murphy, Johnny 6602 Abercorn St Ste 101, 31405 (912) 354-3444 Smith, Susan 2515 Habersham St, 31401 (912) 234-2206 Morgan Iii, Jackson 4700 Waters Ave # 504, 31404 (912) 355-9330 Cooper, Karen 101 Little Neck Rd # F, 31419 (912) 920-6202 Gupta, Deepak 6602 Abercorn St Ste 101, 31405 (912) 354-3444 Myers, Alan 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Termotto, Sandy 11706 Mercy Blvd Ste 2, 31419 (912) 925-3400 Patel, Piyushkumar 132 Southern Blvd, 31405 (912) 356-5444 Cooper Jr, Philip 413 W Duffy St, 31401 (912) 234-5003 Hargrove, James 13015 Abercorn St Ste D8, 31419 (502) 254-8537 Osborne, Robert 340 Eisenhower Dr Ste 400, 31406 (912) 352-1032 Thomas, Richard 300 Bull St Ste 301, 31401 (912) 234-1944 Patel, Suketu 130 Stephenson Ave Ste 101, 31405 (912) 351-9803 Cossar, Jan 132 Southern Blvd, 31405 (912) 356-5444 Hargrove, James 206 E Montgomery Xrd, 31406 (912) 927-3615 Patel, Nishabahen 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Tosto, Ronald 13015 Abercorn St Ste D8, 31419 (502) 254-8537 Pesto Jr, Alfred 4815 Paulsen St, 31405 (912) 352-2324 Cossar, Jan 5509 Paulsen St, 31405 (912) 354-9204 Hargrove, James 206 Johnny Mercer Blvd, 31410 (912) 897-9000 Patti, Christian 207 E 31st St, 31401 (912) 232-2779 Tosto, Ronald 206 E Montgomery Xrd, 31406 (912) 927-3615 Phillips, Donald 310 Eisenhower Dr Ste 1, 31406 (912) 354-1515 Cowgill, Cary 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Hargrove, James 533 Stephenson Ave, 31405 (912) 236-3557 Patti, Christian 6602 Abercorn St Ste 101, 31405 (912) 354-3444 Tosto, Ronald 206 Johnny Mercer Blvd, 31410 (912) 897-9000 Scarbrough, Frank 310 Eisenhower Dr Ste 1, 31406 (912) 354-1515 Curry, Shonna 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Harpring, Christy 206 Johnny Mercer Blvd, 31410 (912) 897-9000 Pettigrew Ii, William 7208 Hodgson Memorial Dr, 31406 (912) 351-4555 Tosto, Ronald 533 Stephenson Ave, 31405 (912) 236-3557 Stevens, Mark 132 Southern Blvd, 31405 (912) 356-5444 Dew, Abby 206 E Montgomery Xrd, 31406 (912) 927-3615 Hissam, Laura 5420 Paulsen St, 31405 (912) 713-7220 Pfitzer, David 1 Diamond Cwy, Marsh-pt Pl Ste 8, 31406 (912) 264-8408 Towners, George 207 E 31st St, 31401 (912) 232-2779 Wiebe, John 4815 Paulsen St, 31405 (912) 352-2324 Dickinson, Kevin 815 E 68th St, 31405 (912) 352-4338 Holland, Bracey 711 E 70th St Ste A, 31405 (912) 352-4386 Pfitzer, David 13015 Abercorn St Ste D8, 31419 (912) 925-6969 Towners, George 6602 Abercorn St Ste 101, 31405 (912) 354-3444 Wilson, Michael 310 Eisenhower Dr Ste 1, 31406 (912) 354-1515 Dragulescu, Tudor 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Howard, Armstrong 132 Southern Blvd, 31405 (912) 356-5444 Phillips, Donna 904 E 66th St, 31405 (912) 354-4000 Underwood, Jennifer 1 Diamond Cwy, Marsh-pt Pl Ste 8, 31406 (912) 264-8408 Endodontists Dye, Mark 310 Eisenhower Dr Ste 14, 31406 (912) 355-2424 Howard, Jason 533 Stephenson Ave, 31405 (912) 236-3557 Pikus, Alexander 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Vandiver, Terrence 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Elzie-Culmer, Chandra 102 E Victory Dr, 31405 (912) 238-3600 Howard, Julie 533 Stephenson Ave, 31405 (912) 236-3557 Pischke Iii, Joseph 340 Eisenhower Dr Ste 400, 31406 (912) 352-1032 Vaughter, James 5209 Paulsen St, 31405 (912) 355-1512 Evans, William 5302 Frederick St Ste 103, 31405 (912) 355-8771 Humphreys, Frank 3 Wilmington Village Way, 31410 (912) 897-2232 Poston, Benjamin 801 E 66th St, 31405 (912) 354-8467 Ware, James 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Falls, Christopher 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Jackson, Lorna 1501 Abercorn St, 31401 (912) 233-7970 Pyon, Kwang 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Wermuth, Natalie 107 Charlotte Dr Ste H, 31410 (912) 898-0090 Fana Jr, Charles 314 Stephenson Ave, 31405 (912) 352-3955 Jackson Iii, Lester 1501 Abercorn St, 31401 (912) 233-7970 Ramey, Rita 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Williams Iii, James 310 Eisenhower Dr Ste 2, 31406 (912) 351-0615 Faulk, William 4510 Augusta Rd, 31408 (912) 964-1030 Kennedy, Michael 6602 Abercorn St Ste 101, 31405 (912) 354-3444 Reisman Jr, Louis 2515 Habersham St, 31401 (912) 234-2206 Willox, Angela 206 E Montgomery Xrd, 31406 (912) 927-3615 Felps, Leon 6602 Abercorn St Ste 101, 31405 (912) 354-3444 Khan, Sophia 13015 Abercorn St Ste D8, 31419 (502) 254-8537 Roberts Iii, Alfred 207 E 31st St, 31401 (912) 232-2779 Willox, Angela 206 Johnny Mercer Blvd, 31410 (912) 897-9000 Ferraz-Souza, Katie 132 Southern Blvd, 31405 (912) 356-5444 Khan, Sophia 206 E Montgomery Xrd, 31406 (912) 927-3615 Roberts Iii, Alfred 6602 Abercorn St Ste 101, 31405 (912) 354-3444 Willox, Angela 533 Stephenson Ave, 31405 (912) 236-3557 Brancato, Salvatore 130 Stephenson Ave Ste 201, 31405 (912) 354-9248 Friedman, Philip 6803 Forest Park Dr, 31406 (912) 354-7693 Khan, Sophia 206 Johnny Mercer Blvd, 31410 (912) 897-9000 Roher, Carla 836 E 65th St, 31405 (912) 355-0605 Wimbrow, Adrienne 132 Southern Blvd, 31405 (912) 356-5444 Broderick, Thomas 326 Johnny Mercer Blvd, 31410 (912) 897-5900 Fulchi, Ryan 2515 Habersham St, 31401 (912) 234-2206 Khan, Sophia 533 Stephenson Ave, 31405 (912) 236-3557 Rosenthal, Mathew 1 Mall Ter, 31406 (912) 352-7808 Woods, Steven 4019 Augusta Rd Ste 106, 31408 (912) 966-5489 Broderick, Thomas 500 Eisenhower Dr, 31406 (912) 355-7022 Gilkey, Jacqueline 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Lee, Thomas 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Schmitz, Lawrence 2515 Habersham St, 31401 (912) 234-2206 Young, Marcus 207 E 31st St, 31401 (912) 232-2779 Smith, Douglas 5102 Paulsen St Bldg 7, 31405 (912) 655-8855 Gladden, William 10010 Abercorn St Ste 3, 31406 (912) 925-8660 Lewis, Phoeby 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Schnabel, Chad 9a Medical Arts Ctr, 31405 (912) 354-1366 Oral Surgeons Tippin, Terry 132 Southern Blvd, 31405 (912) 356-5444 Good, John 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Livingston Jr, Lynn 132 Southern Blvd, 31405 (912) 356-5444 Scott, Yvondia 533 Stephenson Ave, 31405 (912) 236-3557 Graham, Charles 330 Hodgson Ct, 31406 (912) 353-8383 Maher, Felix 5302 Frederick St Ste 101, 31405 (912) 352-0546 Shantz Ii, Marc 132 Southern Blvd, 31405 (912) 356-5444 Gray, Larry 207 E 31st St, 31401 (912) 232-2779 Martin, Lee 533 Stephenson Ave, 31405 (912) 236-3557 Sikes, Christy 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Gray, Larry 6602 Abercorn St Ste 101, 31405 (912) 354-3444 Mcnaughton, James 114 E Broughton St, 31401 (912) 238-0888 Skinner, Stephanie 10010 Abercorn St Ste 5, 31406 (912) 925-6613 This information is current as of September 2014 Page 46 Bagheri, Shahrokh 132 Southern Blvd, 31405 (912) 356-5444 Barefoot, Matthew 4815 Paulsen St, 31405 (912) 352-2324 Carson Jr, Daniel 6602 Abercorn St Ste 101, 31405 (912) 354-3444 Damron, Justin 4815 Paulsen St, 31405 (912) 352-2324 Ferguson, Henry 132 Southern Blvd, 31405 (912) 356-5444 46 of56Pages Andrews, Clyde 911 E 67th Street, 31405 (912) 681-3545 Baker, J Brian 911 E 67th Street, 31405 (912) 681-3545 Demartino, Sam 911 E 67th Street, 31405 (912) 681-3545 Martin, Rebecca 316 Stephenson Ave, 31405 (912) 355-7790 Miles, Dale 316 Stephenson Ave, 31405 (912) 355-7790 Miles, Derek 316 Stephenson Ave, 31405 (912) 355-7790 Smith, Gerard 343 Commercial Dr # B, 31406 (912) 356-3636 Orthodontists Vaught, Robert 7650 Waters Ave, 31406 (912) 200-3452 Waters, Donihue 208 Johnny Mercer Blvd, 31410 (912) 898-1007 Waters, Donihue 9100 White Bluff Rd Ste 104, 31406 (912) 354-3474 Pediatric Dentists Adams-Smith, Sandra 343 Commercial Dr, 31406 (912) 355-5437 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Colley, H Byron 5901 Abercorn St, 31405 (912) 355-5901 SMYRNA General Dentists Hsu, Chiung 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Pickron, Thomas 2886 Elmwood Dr Se, 30080 (770) 434-1717 Deleon, Cara 310 Eisenhower Dr Ste 6, 31406 (912) 349-4021 Abes, Marshall 2697 Spring Rd Se, 30080 (770) 433-1000 Jackson, Cheryl 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Pitts, James 573 Concord Rd Se Ste B, 30082 (770) 432-3381 Harden, Kamiti 613 Stephenson Ave Ste 201, 31405 (912) 353-9993 Adams, Jairus 2697 Spring Rd Se, 30080 (678) 248-3593 Jefferies, Ngandu 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Pitts, Joseph 573 Concord Rd Se Ste B, 30082 (770) 432-3381 Herrin, Brent 5901 Abercorn St, 31405 (912) 355-5901 Addison, Clarence 4045 Orchard Rd Se Ste 300, 30080 (770) 433-0445 Jeon, Danny 2394 Cobb Pkwy Se, 30080 (770) 850-8442 Price, James 573 Concord Rd Se Ste D, 30082 (770) 319-5727 Mccaslin, Silas 5901 Abercorn St, 31405 (912) 355-5901 Alfaro, Waleska 2350 Belmont Cir Se, 30080 (678) 842-9912 Johnson, Roy 997 Windy Hill Rd Se, 30080 (770) 405-8707 Procter, Nirali 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Mccaslin Vi, Alston 5901 Abercorn St, 31405 (912) 355-5901 Bahrami, Azita 997 Windy Hill Rd Se Ste C, 30080 (770) 434-2110 Kalra, Neelu 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Ray, Nina 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Patel, Anjali 13015 Abercorn St Ste D8, 31419 (502) 254-8537 Barnes, Lisa 2697 Spring Rd Se, 30080 (678) 248-3593 Khan, Saima 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Reich, Robin 4849 S Cobb Dr Se, 30080 (770) 435-5450 Patel, Anjali 206 E Montgomery Xrd, 31406 (912) 927-3615 Blass, Allen 2697 Spring Rd Se, 30080 (678) 248-3593 Kim, Eugene 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Roos, James 672 Concord Rd Se, 30082 (770) 434-5051 Patel, Anjali 206 Johnny Mercer Blvd, 31410 (912) 897-9000 Braverman, Richard 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Kim, Jennifer 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Rosenthal, Michael 2697 Spring Rd Se, 30080 (678) 248-3593 Short, Rico 577 Concord Rd Se Ste A, 30082 (678) 503-0790 Patel, Anjali 533 Stephenson Ave, 31405 (912) 236-3557 Bristol, Jennings 573 Concord Rd Se Ste C, 30082 (770) 435-9046 Kinard, Brian 2697 Spring Rd Se, 30080 (678) 248-3593 Sadri, Mahin 2697 Spring Rd Se, 30080 (770) 433-1000 Orthodontists Perez, Celestino 207 E 31st St, 31401 (912) 232-2779 Buggs, Keith 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Lamothe, David 3246 Atlanta Rd Se Ste B, 30080 (770) 432-1344 Sarembock, Mitchell 2697 Spring Rd Se, 30080 (770) 433-1000 Perez, Celestino 318 Johnny Mercer Blvd, 31410 (912) 897-4548 Cara, Yasheena 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Leavitt, John 2697 Spring Rd Se, 30080 (678) 248-3593 Sclafini, Leslie 4480 N Cooper Lake Rd Se Ste 10, 30082 (770) 863-0005 Perez, Celestino 6602 Abercorn St Ste 101, 31405 (912) 354-3444 Cheng, Hui 2394 Cobb Pkwy Se, 30080 (770) 850-8442 Lipham, Steven 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Shearin, Anthony 2697 Spring Rd Se, 30080 (678) 248-3593 Wilson, Antionette 1800 E Victory Dr Ste 2, 31404 (912) 443-6013 Chong, Justin 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Manning, Jarrett 4450 S Cobb Dr Se, 30080 (770) 433-1515 Shearin, Anthony 997 Windy Hill Rd Se Ste C, 30080 (770) 434-2110 Periodontists Collins, Samuel 2220 Atlanta Rd #104, 30080 (770) 435-6888 Masek, Henry 2697 Spring Rd Se, 30080 (678) 248-3593 Shepard, Keith 705 Windy Hill Rd Se, 30080 (770) 801-1641 Covington Jr, John 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Mckellar, Christina 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Shepheard, Sharnn 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Dunson, Melanie 2697 Spring Rd Se, 30080 (678) 248-3593 Meadows, Amon 4686 S Atlanta Rd Se Ste I, 30080 (404) 799-8499 Shim, Sung 3020 Highlands Pkwy Se Ste A, 30082 (770) 319-9113 Dyer, Celia 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Mian, Alia 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Soberano, Arlene 3200 Highlands Pkwy Se Ste 110, 30082 (678) 305-1090 Edge, Lizzette 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Muigai, Paul 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Soltis, Jozef 2697 Spring Rd Se, 30080 (770) 433-1000 Elzie, Theodis 705 Windy Hill Rd Se, 30080 (770) 801-1641 Mulki, Ezat 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Summerlin, Dexter 4686 S Atlanta Rd Se Ste I, 30080 (404) 799-8499 Fields, David 2697 Spring Rd Se, 30080 (770) 433-1000 Musicer, Wendy 2697 Spring Rd Se, 30080 (770) 433-1000 Szikman, Stewart 2350 Belmont Cir Se, 30080 (678) 842-9912 Prosthodontists Fisher-Mclin, Antonia 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Nam, Kasie 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Venkatesh, Sangita 2697 Spring Rd Se, 30080 (678) 248-3593 Davis, Byron 11706 Mercy Blvd Ste 2, 31419 (912) 925-3400 Haley, D Michael 1310 Concord Rd Se, 30080 (770) 435-3100 Nguyen, Michael 4480 S Cobb Dr Se Ste J, 30080 (678) 305-9916 Victorino, Sharlette 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 SENOIA General Dentists Hamilton, Travis 2697 Spring Rd Se, 30080 (770) 433-1000 Norris, Daniel 620 Concord Rd Se, 30082 (770) 436-4141 Vu, Galang 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Bartholomew, Gary 42 Main St Ste 3b, 30276 (770) 599-4441 Hamilton, Travis 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Ogundipe, Taiwo 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Wadley, Lechandre 2697 Spring Rd Se, 30080 (770) 433-1000 Faler, Maria 42 Main St Ste 3b, 30276 (770) 599-4441 Hanjrah, Jasmine 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Osunfisan, Olubunmi 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Wakefield, Freddie 2697 Spring Rd Se, 30080 (678) 248-3593 Periodontists Harmon, Tom 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Parekh, Chintan 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 White, Kingsley 4500 West Village Pl Se, 30080 (770) 438-9558 Hoff, Robert 3001 S Cobb Dr Se Ste 105, 30080 (770) 434-0503 Patrick, Spencer 4480 N Cooper Lake Rd Se Ste 10, 30082 (770) 863-0005 Wilkin, Christopher 573 Concord Rd Se Ste A, 30082 (770) 433-1001 Alvord, Darron 7001 Hodgson Memorial Dr Ste 3, 31406 (912) 352-2021 Duval, Benjamin 835 E 65th St Ste 101, 31405 (912) 352-4867 Holland Jr, James 7001 Hodgson Memorial Dr Ste 3, 31406 (912) 352-2021 Mehraban, Ali 132 Southern Blvd, 31405 (912) 356-5444 Pinson, Marion 132 Southern Blvd, 31405 (912) 356-5444 Rawlings, Aaron 7001 Hodgson Memorial Dr Ste 3, 31406 (912) 352-2021 Turner, Kimberly 310 Eisenhower Dr Ste 4, 31406 (912) 355-2688 Faler, Ragan 42 Main St Ste 3b, 30276 (770) 599-4441 This information is current as of September 2014 Page 47 47 of56Pages Oral Surgeons Cho, Sung 2697 Spring Rd Se, 30080 (678) 248-3593 Ducksworth, Joseph 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Foran, Michael 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Robertson, Jeannette 2697 Spring Rd Se, 30080 (678) 248-3593 Robertson, Jeannette 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Ryan, Robert 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Stancil Jr, Cecil 4849 S Cobb Dr Se Ste 200, 30080 (770) 435-9222 Endodontists Berwick, Jennifer 4480 S Cobb Dr Ste K, 30080 (770) 448-8882 Bruster, Kathy 3614 Highlands Pkwy Se, 30082 (770) 432-6070 Carter, Portia 3614 Highlands Pkwy Se, 30082 (770) 432-6070 Cohen, Barry 500 Concord Rd Se, 30082 (770) 432-5455 Cox Jr, Stanley 4480 S Cobb Dr Ste K, 30080 (770) 448-8882 Cox Jr, Stanley 577 Concord Rd Se Ste D, 30082 (770) 448-8882 Fisher, Dameon 1295 W Spring St Se Ste 210, 30080 (770) 319-8220 Fisher, Dameon 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Hall, Tameka 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Iaculli, John 4480 S Cobb Dr Ste K, 30080 (770) 448-8882 Lofters, David 2697 Spring Rd Se, 30080 (678) 248-3593 Long, Meridith 4480 S Cobb Dr Ste K, 30080 (770) 448-8882 Park, Eric 4480 S Cobb Dr Ste K, 30080 (770) 448-8882 Podray, Susan 4480 S Cobb Dr Ste K, 30080 (770) 448-8882 Richard, Ryan 4480 S Cobb Dr Ste K, 30080 (770) 448-8882 Salyer, Hyman 2697 Spring Rd Se, 30080 (678) 248-3593 Segnere, Jeffrey 4480 S Cobb Dr Ste K, 30080 (770) 448-8882 Shoup, Greg 4480 S Cobb Dr Ste K, 30080 (770) 448-8882 Strait, James 2874 King St Se, 30080 (770) 451-5740 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. White, Adam 4480 S Cobb Dr Ste K, 30080 (770) 448-8882 Malhotra, Menka 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Beckford, Yvonne 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Kirkley, Matthew 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Watkins, Richard 2352 Main St E, 30078 (770) 498-4966 White, Adam 577 Concord Rd Se Ste D, 30082 (770) 448-8882 Maru, Ami 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Beckford, Yvonne 2341 Henry Clower Blvd Ste A, 30078 (770) 736-0099 Lett, Nina 1790 Presidential Cir Ste B, 30078 (770) 972-7214 Woods, Eddie 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Pediatric Dentists Mccarley, Christie 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Buggs, Keith 2366 Lenora Church Rd, 30078 (678) 445-5444 Lipham, Steven 2366 Lenora Church Rd, 30078 (678) 445-5444 Yavari, Behnam 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Nortick, Mariel 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Butts, Jeffrey 2488 Scenic Hwy S, 30078 (770) 736-2984 Livingston Jr, Lynn 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Yazdanpanah, Navid 2341 Henry Clower Blvd Ste A, 30078 (770) 736-0099 Park, Julius 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Cara, Yasheena 2366 Lenora Church Rd, 30078 (678) 445-5444 Livingston Jr, Lynn 2341 Henry Clower Blvd Ste A, 30078 (770) 736-0099 Yen, Shurlang 3321 Hwy 124 Ste B, 30039 (770) 972-2888 Park, Suyon 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Carter Robinson, Letoiya 2118 Scenic Hwy N Ste D, 30078 (678) 852-0323 Mccoy, Chalandria 2488 Scenic Hwy S, 30078 (770) 736-2984 Oral Surgeons Patel, Kunjan 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Chong, Justin 2366 Lenora Church Rd, 30078 (678) 445-5444 Mckellar, Christina 2366 Lenora Church Rd, 30078 (678) 445-5444 Purvis, Flynt 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Covington Jr, John 2366 Lenora Church Rd, 30078 (678) 445-5444 Mctavous, Syreeta 2341 Henry Clower Blvd Ste A, 30078 (770) 736-0099 Roehl, Brad 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Dillard, Michael 2400 Wisteria Dr Ste D, 30078 (770) 979-7794 Minton Jr, Warren 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Roehl, Brian 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Dinh, To Nga 1905 Scenic Hwy N Ste 510, 30078 (770) 979-6400 Minton Jr, Warren 2341 Henry Clower Blvd Ste A, 30078 (770) 736-0099 Ross, Tisha 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Fawole, Sunday 2488 Scenic Hwy S, 30078 (678) 377-6830 Mulki, Ezat 2366 Lenora Church Rd, 30078 (678) 445-5444 Rossitch, Michael 500 Concord Rd Se, 30082 (770) 436-0802 Finot, James 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Nam, Kasie 2366 Lenora Church Rd, 30078 (678) 445-5444 Schwartz, Aaron 500 Concord Rd Se, 30082 (770) 436-0802 Fisher-Mclin, Antonia 2366 Lenora Church Rd, 30078 (678) 445-5444 Nguyen, Binh 1977 Scenic Hwy N Ste D, 30078 (770) 979-0661 Sease, Joseph 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 French, Patrick 2176 Oak Rd Ste A, 30078 (770) 985-9559 Pace, Leonard 2176 Oak Rd Ste A, 30078 (770) 985-9559 Shilman, Lisa 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Ghannie, Fazeela 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Pittman, Zelda 2488 Scenic Hwy S, 30078 (770) 736-2984 Simms, Mindy 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Hader, Jesse 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Procter, Nirali 2366 Lenora Church Rd, 30078 (678) 445-5444 Strickland Phillips, Stephanie 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Hader, Jesse 2341 Henry Clower Blvd Ste A, 30078 (770) 736-0099 Racioppi, Jerry 2992 Main St W Ste 100, 30078 (770) 972-1039 Sundareswaran, Pushpa 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Hanjrah, Jasmine 2366 Lenora Church Rd, 30078 (678) 445-5444 Reid Iii, Walter 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Thomas Jr, Jack 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Harandifassih, Lyda 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Sawyer, Allen 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Howard, Cameron 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Walters, Sacha 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Harandifassih, Lyda 2341 Henry Clower Blvd Ste A, 30078 (770) 736-0099 Sielski, Jennifer 1905 Scenic Hwy N Ste 510, 30078 (770) 979-6400 Khan, Sarah 2310 Henry Clower Blvd Ste B, 30078 (770) 979-2928 Washington, Keysra 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Harandi-Fassih, Ali 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Sims, James 1850 Scenic Hwy N B, 30078 (770) 979-0661 Orthodontists Weldon, Leigh 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Harandi-Fassih, Ali 2341 Henry Clower Blvd Ste A, 30078 (770) 736-0099 Singh, Manjeet 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Yoo, Chin 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Harmon, Tom 2366 Lenora Church Rd, 30078 (678) 445-5444 Singh, Manjeet 2341 Henry Clower Blvd Ste A, 30078 (770) 736-0099 Periodontists Harvey, Candace 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Tekin, Burak 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Jeon, Danny 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Tewogbade, Tara 2341 Henry Clower Blvd Ste A, 30078 (770) 736-0099 Katz, David 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Thompson, Oluwaseum 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Katz, David 2341 Henry Clower Blvd Ste A, 30078 (770) 736-0099 Tiller Jr, Ernest 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Kim, Sun 2341 Henry Clower Blvd Ste A, 30078 (770) 736-0099 Vakharia, Ashish 1850 Scenic Hwy N B, 30078 (770) 979-0661 Allen, Nelson 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Bates, Faith 3200 Highlands Pkwy Se Ste 110, 30082 (678) 305-1090 Brown, Shelton 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Buckle, Eileen 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Camp, Laneshia 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Chang, Ohkyoung 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Cottrell, David 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Coulter, Charles 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Desouza, Sharon 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Dixit, Priya 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Ellington, Janet 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Garrett, Lacy 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Halper, Christopher 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Hassan, Zeyad 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Haynes, Deanna 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Hejazi-Werner, Shiva 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Herrin, Brent 2900 S Cobb Dr Se # B2, 30080 (678) 453-5665 Herrin, Brent 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Holder, Terry 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Hutchins, Allen 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Kebriaei, Amy 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Kerlan, Daniel 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Chong, Woojae 2697 Spring Rd Se, 30080 (770) 433-1000 Lee, Susan 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 West, Daniel 2697 Spring Rd Se, 30080 (678) 248-3593 Levitas, Theodore 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 SNELLVILLE General Dentists Lucas, Cleoka 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Allen, Heather 3931 Highway 78 W Ste A, 30039 (770) 985-1050 Madhiwala, Priya 4480 S Cobb Dr Se Ste K, 30080 (678) 445-5444 Balkcom, Jimmy 2310 Henry Clower Blvd, 30078 (770) 972-2000 This information is current as of September 2014 Page 48 48 of56Pages Ali Khan, Husain 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Brady, Gordon 2386 Clower St Ste F100, 30078 (770) 979-9500 Ellis, S Dale 2221 Knollwood Dr, 30078 (770) 972-7911 Going Jr, Robert 2386 Clower St Ste F100, 30078 (770) 979-9500 Jones, Gillian 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Lala, Asif 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Lewis Iii, Fulton 2386 Clower St Ste F100, 30078 (770) 979-9500 Pollack, Steven 2386 Clower St Ste F100, 30078 (770) 979-9500 Pritchett, John 2386 Clower St Ste F100, 30078 (770) 979-9500 Rogers, Kael 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Singer, Richard 2386 Clower St Ste F100, 30078 (770) 979-9500 Waksor, Adam 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Endodontists Berwick, Jennifer 2366 Lenora Church Rd, 30078 (770) 448-8882 Cox Jr, Stanley 2366 Lenora Church Rd, 30078 (770) 448-8882 Everson, Michael 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Fisher, Dameon 2176 Oak Rd Ste D, 30078 (770) 985-4000 Goodman, Sundus 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Long, Meridith 2366 Lenora Church Rd, 30078 (770) 448-8882 Park, Eric 2366 Lenora Church Rd, 30078 (770) 448-8882 Podray, Susan 2366 Lenora Church Rd, 30078 (770) 448-8882 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Richard, Ryan 2366 Lenora Church Rd, 30078 (770) 448-8882 Kil, Nam Eun 1905 Scenic Hwy N Ste 510, 30078 (770) 979-6400 Washington, Keysra 2366 Lenora Church Rd, 30078 (678) 445-5444 Schaefer, David 2371 Henry Clower Blvd, 30078 (770) 972-6000 Kong, Jeni 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Yoo, Chin 2366 Lenora Church Rd, 30078 (678) 445-5444 Segnere, Jeffrey 2366 Lenora Church Rd, 30078 (770) 448-8882 Lee, Susan 2366 Lenora Church Rd, 30078 (678) 445-5444 Periodontists Lawhorn, Troy 4451 Country Club Rd Ste B, 30458 (912) 764-4495 Shoup, Greg 2366 Lenora Church Rd, 30078 (770) 448-8882 Levitas, Theodore 2366 Lenora Church Rd, 30078 (678) 445-5444 Billinger, Bruce 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Lawhorn, Troy 613 E Grady St, 30458 (912) 764-5435 Silver, Arthur 2371 Henry Clower Blvd, 30078 (770) 972-6000 Lucas, Cleoka 2366 Lenora Church Rd, 30078 (678) 445-5444 Frodge, Brandon 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Myers, Roger 301 Florence Ave, 30458 (912) 764-7500 White, Adam 2366 Lenora Church Rd, 30078 (770) 448-8882 Madhiwala, Priya 2366 Lenora Church Rd, 30078 (678) 445-5444 Kukreja, Ashish 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Patel, Suketu 613 E Grady St, 30458 (912) 764-5435 Pediatric Dentists Malhotra, Menka 2366 Lenora Church Rd, 30078 (678) 445-5444 Larner, Jeffrey 2088 Scenic Hwy N, 30078 (770) 736-9945 Uribe, Rodrigo 613 E Grady St, 30458 (912) 764-5435 Zinney, William 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Endodontists Greene, V 1229 Eagles Landing Pkwy Ste A, 30281 (770) 474-1431 Andrews, Clyde 16741 Hwy 67 S #d, 30458 (912) 681-3545 Hader, Jesse 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Baker, J Brian 16741 Hwy 67 S #d, 30458 (912) 681-3545 Hall, William 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Pediatric Dentists Hanjrah, Jasmine 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Allen, Nelson 2366 Lenora Church Rd, 30078 (678) 445-5444 Brown, Shelton 2310 Henry Clower Blvd Ste A, 30078 (678) 344-1888 Brown, Shelton 2366 Lenora Church Rd, 30078 (678) 445-5444 Buckle, Eileen 2366 Lenora Church Rd, 30078 (678) 445-5444 Camp, Laneshia 2366 Lenora Church Rd, 30078 (678) 445-5444 Chang, Ohkyoung 2366 Lenora Church Rd, 30078 (678) 445-5444 Cottrell, David 2366 Lenora Church Rd, 30078 (678) 445-5444 Coulter, Charles 2366 Lenora Church Rd, 30078 (678) 445-5444 Desouza, Sharon 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Desouza, Sharon 2366 Lenora Church Rd, 30078 (678) 445-5444 Dixit, Priya 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Ellington, Janet 2366 Lenora Church Rd, 30078 (678) 445-5444 Halper, Christopher 2366 Lenora Church Rd, 30078 (678) 445-5444 Hassan, Zeyad 2366 Lenora Church Rd, 30078 (678) 445-5444 Haynes, Deanna 2366 Lenora Church Rd, 30078 (678) 445-5444 Hejazi-Werner, Shiva 2366 Lenora Church Rd, 30078 (678) 445-5444 Henry, Sarita 1350 Scenic Hwy N Ste 262, 30078 (770) 972-0921 Herrin, Brent 2366 Lenora Church Rd, 30078 (678) 445-5444 Holder, Terry 2366 Lenora Church Rd, 30078 (678) 445-5444 Hutchins, Allen 2366 Lenora Church Rd, 30078 (678) 445-5444 Kebriaei, Amy 2366 Lenora Church Rd, 30078 (678) 445-5444 Kerlan, Daniel 2366 Lenora Church Rd, 30078 (678) 445-5444 Maru, Ami 2366 Lenora Church Rd, 30078 (678) 445-5444 Mccarley, Christie 2366 Lenora Church Rd, 30078 (678) 445-5444 Nortick, Mariel 2366 Lenora Church Rd, 30078 (678) 445-5444 Park, Julius 2366 Lenora Church Rd, 30078 (678) 445-5444 Park, Suyon 2366 Lenora Church Rd, 30078 (678) 445-5444 Parris, Shannon 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Paschal, Lori 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Patel, Kunjan 2366 Lenora Church Rd, 30078 (678) 445-5444 Purvis, Flynt 2366 Lenora Church Rd, 30078 (678) 445-5444 Roehl, Brad 2366 Lenora Church Rd, 30078 (678) 445-5444 Roehl, Brian 2366 Lenora Church Rd, 30078 (678) 445-5444 Ross, Tisha 2366 Lenora Church Rd, 30078 (678) 445-5444 Rush, Demetris 1905 Scenic Hwy N Ste 510, 30078 (770) 979-6400 Sease, Joseph 2366 Lenora Church Rd, 30078 (678) 445-5444 Shilman, Lisa 2366 Lenora Church Rd, 30078 (678) 445-5444 Simms, Mindy 2366 Lenora Church Rd, 30078 (678) 445-5444 Strickland Phillips, Stephanie 2366 Lenora Church Rd, 30078 (678) 445-5444 Sundareswaran, Pushpa 2220 Wisteria Dr Ste 300, 30078 (678) 836-2107 Sundareswaran, Pushpa 2366 Lenora Church Rd, 30078 (678) 445-5444 Thomas Jr, Jack 2366 Lenora Church Rd, 30078 (678) 445-5444 Walters, Sacha 2366 Lenora Church Rd, 30078 (678) 445-5444 This information is current as of September 2014 SOCIAL CIRCLE General Dentists Hodges, Angela 12800 Highway 278 Se, 30025 (770) 784-0556 Oral Surgeons Lala, Asif 613 E Grady St, 30458 (912) 764-5435 Davis, Kurtis 200 Medical Blvd, 30281 (770) 389-0389 Delice, Stephanie 3579 Highway 138 Se Ste 202, 30281 (770) 474-6111 Evans, Genise 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Fernandez, Alfonso 4084 N Henry Blvd, 30281 (770) 474-7223 Fisher-Mclin, Antonia 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Ghannie, Fazeela 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Jones Jr, Donovan 227 Brookstone Place, 30025 (770) 464-1900 Patel, Anjali 1076 Northside Dr E, 30458 (912) 225-5521 Malcolm, Denny 133 S Cherokee Rd, 30025 (770) 464-2636 Young, Sally 2 Lester Ct, 30458 (912) 489-1386 SPARTA General Dentists Periodontists Harandi-Fassih, Ali 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Alvord, Darron 615 E Grady St, 30458 (912) 764-2196 Harmon, Tom 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Holland Jr, James 615 E Grady St, 30458 (912) 764-2196 Hegde, Megha 590 Eagles Landing Pkwy, 30281 (678) 289-2122 Rawlings, Aaron 615 E Grady St, 30458 (912) 764-2196 Homer, Patricia 7454 Hannover Pkwy #200, 30281 (678) 289-0024 STOCKBRIDGE General Dentists Jorden, Terrance 105 N Park Trl Ste 100, 30281 (678) 289-8004 Justice, Leroy 12900 Broad St, 31087 (706) 444-6886 Peters, Alfred 12900 Broad St, 31087 (706) 444-6886 SPRINGFIELD General Dentists Nelson, Robert 105 S Laurel St, 31329 (912) 754-6822 Ammons, Adrienne 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Nelson Jr, Donald 105 S Laurel St, 31329 (912) 754-6822 STATESBORO General Dentists Barker, Gary 1076 Northside Dr E, 30458 (912) 225-5521 Bray, Cecil 2 Lester Ct, 30458 (912) 489-1386 Bryant-Thomas, Alicia 219 Savannah Ave, 30458 (912) 764-6149 Elerson Jr, James 1601 Fair Rd Ste 800, 30458 (912) 871-3212 Hargrove, James 1076 Northside Dr E, 30458 (912) 225-5521 Khan, Sophia 1076 Northside Dr E, 30458 (912) 225-5521 Thomas, Fionn 219 Savannah Ave, 30458 (912) 764-6149 Tosto, Ronald 1076 Northside Dr E, 30458 (912) 225-5521 Willox, Angela 1076 Northside Dr E, 30458 (912) 225-5521 Page 49 Beckford, Yvonne 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Bhat, Narayana 590 Eagles Landing Pkwy, 30281 (678) 289-2122 Buggs, Keith 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Buitrago, Renan 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Cara, Yasheena 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Chong, Justin 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Coleman, Jeffrey 1050 Eagles Landing Pkwy, 30281 (770) 507-4424 Covington Jr, John 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Culpepper, Stan 113 Center St, 30281 (770) 474-7772 Dancy, William 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Davis, Joanne 200 Medical Blvd, 30281 (770) 389-0389 49 of56Pages Harandifassih, Lyda 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Jorden, Terrance 385 Country Club Dr Ste A, 30281 (678) 289-8004 Katz, David 330 Corporate Center Ct Ste A, 30281 (678) 289-6707 Kim, Alen 3592 Highway 138 Se, 30281 (770) 506-3955 Lipham, Steven 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Livingston Jr, Lynn 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Livingston Jr, Lynn 330 Corporate Center Ct Ste A, 30281 (678) 289-6707 Mckellar, Christina 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Minton Jr, Warren 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Mulki, Ezat 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Nam, Kasie 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Nwizu, Agatha 4362 N Henry Blvd, 30281 (770) 474-9202 Patel, Janki 330 Corporate Center Ct Ste A, 30281 (678) 289-6707 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Procter, Nirali 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Pritchett, John 225 Country Club Dr, 30281 (678) 565-0719 Buckle, Eileen 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Nortick, Mariel 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Wells, Syretta 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Rafeedie, Steven 125 Eagles Pt Pkwy #110, 30281 (770) 507-7520 Rogers, Kael 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Camp, Laneshia 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Park, Julius 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 STONE MOUNTAIN General Dentists Reichman, Richard 31 Highway 138 W Ste 160, 30281 (770) 507-6580 Singer, Richard 225 Country Club Dr, 30281 (678) 565-0719 Chang, Ohkyoung 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Park, Suyon 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Reid Iii, Walter 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Waksor, Adam 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Cottrell, David 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Paschal, Lori 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Abdel-Moeti, Hassan 5500 Lilburn Stone Mountain Rd Ste A, 30087 (770) 923-5500 Samples, Gregory 1900 Hudson Bridge Rd, 30281 (770) 389-1911 Endodontists Coulter, Charles 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Patel, Kunjan 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Orthodontists Desouza, Sharon 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Purvis, Flynt 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Shyn, Aristo 330 Corporate Center Ct, 30281 (678) 289-6707 Berwick, Jennifer 1492 Hudson Bridge Rd, 30281 (770) 448-8882 Desouza, Sharon 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Roehl, Brad 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Singh, Manjeet 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Collins, James 125 Eagles Pointe Pkwy, 30281 (770) 968-0900 Dunkelberger, Fred 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Roehl, Brian 125 Eagles Pointe Pkwy, 30281 (770) 507-7282 Smith, Maurice 330 Corporate Center Ct, 30281 (678) 289-6707 Cooper, Justin 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Ellington, Janet 125 Eagles Pointe Pkwy, 30281 (770) 692-1000 Ross, Tisha 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Smith, Paul 909 Eagles Landing Pkwy, 30281 (770) 507-8010 Cox Jr, Stanley 101 Center St, 30281 (770) 448-8882 Haffner, John 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Sease, Joseph 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Vakharia, Ashish 3579 Highway 138 Se Ste 202, 30281 (770) 474-6111 Cox Jr, Stanley 1492 Hudson Bridge Rd, 30281 (770) 448-8882 Halper, Christopher 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Shilman, Lisa 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Vaughn, Sharcola 299 Country Club Dr, 30281 (770) 506-9812 Duval, Jamal 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Hassan, Zeyad 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Simms, Mindy 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Victorine, Heather 175 Country Club Dr, 30281 (678) 565-9452 Eatmon, Kevin 31 Highway 138 W Ste 160, 30281 (770) 507-6580 Haynes, Deanna 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Strickland Phillips, Stephanie 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Williams, Kimberly 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Goodman, Sundus 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Hejazi-Werner, Shiva 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Sundareswaran, Pushpa 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Wilson-Roberts, Doreen 1233 Eagles Lndg Pkwy #g, 30281 (770) 507-1533 Iaculli, John 1492 Hudson Bridge Rd, 30281 (770) 448-8882 Herrin, Brent 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Thomas Jr, Jack 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Wood, Andrea 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Karker, R Gordon 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Holder, Terry 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Walters, Sacha 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Woods, Eddie 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Long, Meridith 1492 Hudson Bridge Rd, 30281 (770) 448-8882 Hutchins, Allen 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Washington, Keysra 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Wright, Angela 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Park, Eric 1492 Hudson Bridge Rd, 30281 (770) 448-8882 Kebriaei, Amy 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Yoo, Chin 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 You, Hanna 330 Corporate Center Ct, 30281 (678) 289-6707 Podray, Susan 1492 Hudson Bridge Rd, 30281 (770) 448-8882 Kerlan, Daniel 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Periodontists Oral Surgeons Richard, Ryan 1492 Hudson Bridge Rd, 30281 (770) 448-8882 Lee, Susan 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Segnere, Jeffrey 1492 Hudson Bridge Rd, 30281 (770) 448-8882 Levitas, Theodore 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Shoup, Greg 1492 Hudson Bridge Rd, 30281 (770) 448-8882 Lucas, Cleoka 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Soriano, Morris 909 Eagles Landing Pkwy, 30281 (770) 507-1109 Madhiwala, Priya 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Thomas, Jerry 1465 Hudson Bridge Rd #103, 30281 (678) 565-1764 Malhotra, Menka 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 White, Adam 101 Center St, 30281 (770) 448-8882 Maru, Ami 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 White, Adam 1492 Hudson Bridge Rd, 30281 (770) 448-8882 Mccarley, Christie 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Pediatric Dentists Miller, Adrian 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Sconion Ii, Arnold 31 Highway 138 W Ste 160, 30281 (770) 507-6580 Ali Khan, Husain 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Ali Khan, Husain 330 Corporate Center Ct, 30281 (678) 289-6707 Bagheri, Shahrokh 330 Corporate Center Ct Ste A, 30281 (678) 289-6707 Huynh, Cang 1492 Hudson Bridge Rd, 30281 (678) 365-4889 Jones, Gillian 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 King, Steven 225 Country Club Dr, 30281 (678) 565-0719 Lewis Iii, Fulton 225 Country Club Dr, 30281 (678) 565-0719 Howard, Cameron 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Martin, Ronald 125 Eagles Pointe Pkwy, 30281 (770) 474-0048 Allen, Nelson 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 Patel, Piyushkumar 330 Corporate Center Ct, 30281 (678) 289-6707 Brown, Shelton 125 Eagles Pointe Pkwy, 30281 (678) 445-5444 This information is current as of September 2014 Mosley, Monica 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Page 50 Faler, Ragan 239 Village Center Pkwy Ste 200, 30281 (678) 289-0382 Kukreja, Ashish 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Kukreja, Ashish 330 Corporate Center Ct Ste A, 30281 (678) 289-6707 Mehraban, Ali 330 Corporate Center Ct, 30281 (678) 289-6707 Pearson, Robert 330 Corporate Center Ct, 30281 (678) 289-6707 Viera, Yeritxa 1233 Eagles Lndg Pkwy #g, 30281 (770) 507-1533 Zinney, William 1040 Eagles Landing Pkwy #200, 30281 (678) 836-2136 Zinney, William 239 Village Center Pkwy Ste 200, 30281 (770) 474-7560 Prosthodontists Chaney, John 225 Country Club Dr Ste 210, 30281 (770) 474-1239 50 of56Pages Blount, Jimmy 1825 Rockbridge Rd Ste 14c, 30087 (770) 482-7800 Brown Sr, Gregory 5561 Memorial Dr Ste C, 30083 (404) 292-6572 Buggs, Keith 6267 Memorial Dr, 30083 (678) 445-5444 Burgess, Karl 2415 W Park Place Blvd, 30087 (770) 879-1200 Burrell, L Andrea 5370 Stone Mountain Hwy Ste 720, 30087 (770) 465-3400 Cara, Yasheena 6267 Memorial Dr, 30083 (678) 445-5444 Chong, Justin 6267 Memorial Dr, 30083 (678) 445-5444 Collins, Joel 1147 S Hairston Rd, 30088 (404) 297-6635 Collins, Joel 5468 Memorial Dr Ste A, 30083 (404) 292-2900 Covington Jr, John 6267 Memorial Dr, 30083 (678) 445-5444 Dillon, Betty 900 N Hairston Rd Ste B, 30083 (404) 294-8500 Eaton, Darryl 798 Rays Rd Ste 101, 30083 (404) 294-1050 Fisher-Mclin, Antonia 6267 Memorial Dr, 30083 (678) 445-5444 Funderburk, Thomas 1172 Rockbridge Rd, 30087 (770) 931-3388 Hanjrah, Jasmine 6267 Memorial Dr, 30083 (678) 445-5444 Harmon, Tom 6267 Memorial Dr, 30083 (678) 445-5444 Houenou, Heliodore 1525 E Park Place Blvd, 30087 (770) 879-0845 Jackson, Eric 4687 Rockbridge Rd Ste 7, 30083 (404) 296-9070 Kakadia, Ashish 1147 S Hairston Rd, 30088 (404) 297-6635 Kamdar, Kiran 5460 Lilburn Stone Mountain Rd, 30087 (770) 923-2232 Le, Thien 1525 E Park Pl Blvd Ste 1500, 30087 (770) 879-0845 Lipham, Steven 6267 Memorial Dr, 30083 (678) 445-5444 Mcgee, James 5462 Memorial Dr Ste 103, 30083 (404) 299-0022 Mckellar, Christina 6267 Memorial Dr, 30083 (678) 445-5444 Moody, Catherine 1000 Main St Ste F, 30083 (770) 469-1331 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Mulki, Ezat 6267 Memorial Dr, 30083 (678) 445-5444 Segnere, Jeffrey 6267 Memorial Dr, 30083 (770) 448-8882 Maru, Ami 6267 Memorial Dr, 30083 (678) 445-5444 Nam, Kasie 6267 Memorial Dr, 30083 (678) 445-5444 Shoup, Greg 6267 Memorial Dr, 30083 (770) 448-8882 Mccarley, Christie 6267 Memorial Dr, 30083 (678) 445-5444 Nguyen, Dai 1183 S Hairston Rd Ste D, 30088 (404) 292-4012 Solano, Juan 900 N Hairston Rd Ste B, 30083 (404) 294-8500 Nortick, Mariel 6267 Memorial Dr, 30083 (678) 445-5444 Nguyen, Son 2065 Rockbridge Rd, 30087 (770) 469-9771 Strait, James 1183 S Hairston Rd Ste C, 30088 (404) 298-8700 Park, Julius 6267 Memorial Dr, 30083 (678) 445-5444 Ojibway, Angela 6267 Memorial Dr, 30083 (678) 445-5444 White, Adam 6267 Memorial Dr, 30083 (770) 448-8882 Park, Suyon 6267 Memorial Dr, 30083 (678) 445-5444 Owens, Darren 1000 Main St Ste F, 30083 (770) 469-1331 Pediatric Dentists Patel, Kunjan 6267 Memorial Dr, 30083 (678) 445-5444 Procter, Nirali 6267 Memorial Dr, 30083 (678) 445-5444 Rausch, Candace 1172 Rockbridge Rd, 30087 (770) 931-3388 Rausch, Gerald 1172 Rockbridge Rd, 30087 (770) 931-3388 Roark, Cindy 1147 S Hairston Rd, 30088 (404) 297-6635 Simms, Gary 4849 Memorial Dr, 30083 (404) 296-4119 Stephens, Diane 5370 Highway 78 Ste 720, 30087 (770) 465-3400 Stevens, Schadale 4813 Rockbridge Rd Ste 26, 30083 (404) 292-8383 Thompson, Oluwaseum 1147 S Hairston Rd, 30088 (404) 297-6635 Vo, Toan 5460 Lilburn Stone Mountain Rd, 30087 (770) 923-2232 Wilkins, Jawanna 5468 Memorial Dr Ste A, 30083 (404) 292-2900 Allen, Nelson 6267 Memorial Dr, 30083 (678) 445-5444 Brown, Shelton 6267 Memorial Dr, 30083 (678) 445-5444 Buckle, Eileen 6267 Memorial Dr, 30083 (678) 445-5444 Camp, Laneshia 6267 Memorial Dr, 30083 (678) 445-5444 Chang, Ohkyoung 6267 Memorial Dr, 30083 (678) 445-5444 Cottrell, David 6267 Memorial Dr, 30083 (678) 445-5444 Coulter, Charles 6267 Memorial Dr, 30083 (678) 445-5444 Desouza, Sharon 6267 Memorial Dr, 30083 (678) 445-5444 Ellington, Janet 6267 Memorial Dr, 30083 (678) 445-5444 Halper, Christopher 6267 Memorial Dr, 30083 (678) 445-5444 Oral Surgeons Hassan, Zeyad 6267 Memorial Dr, 30083 (678) 445-5444 Harrison, Farryn 1147 S Hairston Rd, 30088 (404) 297-6635 Haynes, Deanna 6267 Memorial Dr, 30083 (678) 445-5444 Endodontists Hejazi-Werner, Shiva 6267 Memorial Dr, 30083 (678) 445-5444 Mann, Arnold 1147 S Hairston Rd, 30088 (404) 297-6635 Orthodontists Herrin, Brent 6267 Memorial Dr, 30083 (678) 445-5444 Berwick, Jennifer 6267 Memorial Dr, 30083 (770) 448-8882 Holder, Terry 6267 Memorial Dr, 30083 (678) 445-5444 Chen, Andrew 1147 S Hairston Rd, 30088 (404) 297-6635 Purvis, Flynt 6267 Memorial Dr, 30083 (678) 445-5444 Roehl, Brad 6267 Memorial Dr, 30083 (678) 445-5444 Roehl, Brian 6267 Memorial Dr, 30083 (678) 445-5444 Ross, Tisha 6267 Memorial Dr, 30083 (678) 445-5444 Sease, Joseph 6267 Memorial Dr, 30083 (678) 445-5444 Shilman, Lisa 6267 Memorial Dr, 30083 (678) 445-5444 Simms, Mindy 6267 Memorial Dr, 30083 (678) 445-5444 Strickland Phillips, Stephanie 6267 Memorial Dr, 30083 (678) 445-5444 Sundareswaran, Pushpa 6267 Memorial Dr, 30083 (678) 445-5444 Tewogbade, Adesegun 374 N Deshong Rd Ste D, 30087 (770) 469-4192 Thomas Jr, Jack 6267 Memorial Dr, 30083 (678) 445-5444 Walters, Sacha 6267 Memorial Dr, 30083 (678) 445-5444 Washington, Keysra 6267 Memorial Dr, 30083 (678) 445-5444 Yoo, Chin 6267 Memorial Dr, 30083 (678) 445-5444 Orthodontists Compton, Richard 215 Farrar Dr, 30747 (706) 857-4850 SUWANEE General Dentists Bae, Eunjoo 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Baine, Michael 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Baine, Michael 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Betancourt, Marlyn 3525 Lvlle Swnee Rd # 100, 30024 (770) 614-4678 Bowns, E Allen 3630 Peachtree Pkwy Ste 311, 30024 (770) 495-9575 Brown, Denise 4000 Smithtown Rd Ste 150, 30024 (770) 932-4404 Buggs, Keith 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Cara, Yasheena 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Choi, James 530 Highland Station Dr Ste 1006, 30024 (678) 546-2603 Chong, Justin 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Clayton, Frank 4320 Suwanee Dam Rd, 30024 (770) 932-0290 Connell, Judson 3895 Johns Creek Pkwy, 30024 (770) 623-8877 Covington Jr, John 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Dimassi, Matthew 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Dimassi, Matthew 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Dunford, R Matthew 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Dunford, R Matthew 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Periodontists Dunford, R Matthew 4330 Johns Creek Pkwy #100, 30024 (770) 622-1515 Hutchins, Allen 6267 Memorial Dr, 30083 (678) 445-5444 Billinger, Bruce 5370 Stone Mountain Hwy Ste 140, 30087 (770) 465-3929 Epstein, Raymond 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Cox Jr, Stanley 6267 Memorial Dr, 30083 (770) 448-8882 Kebriaei, Amy 6267 Memorial Dr, 30083 (678) 445-5444 Quinn, Michael 1147 S Hairston Rd, 30088 (404) 297-6635 Epstein, Raymond 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Davis, Laura 5370 Stone Mountain Hwy Ste 140, 30087 (770) 413-7676 Kerlan, Daniel 6267 Memorial Dr, 30083 (678) 445-5444 SUMMERVILLE General Dentists Finkel, Robert 1325 Satellite Blvd Nw Ste 304, 30024 (770) 497-9111 Eatmon, Kevin 1183 S Hairston Rd Ste C, 30088 (404) 298-8700 Lee, Susan 6267 Memorial Dr, 30083 (678) 445-5444 Compton, Melissa 215 Farrar Dr, 30747 (706) 857-4850 Fisher-Mclin, Antonia 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Long, Meridith 6267 Memorial Dr, 30083 (770) 448-8882 Levitas, Theodore 6267 Memorial Dr, 30083 (678) 445-5444 Compton, Richard 215 Farrar Dr, 30747 (706) 857-4850 Gentry, Harry 3585 Lawrenceville Suwanee Rd, 30024 (770) 945-5850 Park, Eric 6267 Memorial Dr, 30083 (770) 448-8882 Lucas, Cleoka 6267 Memorial Dr, 30083 (678) 445-5444 Keenan, Christopher 64 Stockade Rd, 30747 (706) 857-2323 Gibree, Seth 4355 Suwanee Dam Rd #200, 30024 (770) 614-7300 Podray, Susan 6267 Memorial Dr, 30083 (770) 448-8882 Madhiwala, Priya 6267 Memorial Dr, 30083 (678) 445-5444 Miller, Richard 19 Walnut Ave, 30747 (706) 857-4741 Richard, Ryan 6267 Memorial Dr, 30083 (770) 448-8882 Malhotra, Menka 6267 Memorial Dr, 30083 (678) 445-5444 Green, Lacey 3320 Lawrenceville Suwanee Rd #2f, 30024 (678) 546-4000 This information is current as of September 2014 Page 51 51 of56Pages Hailey, Anisa 4055 Johns Creek Pkwy Ste B, 30024 (678) 436-1300 Hanjrah, Jasmine 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Harmon, Tom 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Herington, Tina 2566 Lawrenceville Suwanee Rd, 30024 (678) 714-2380 Kakadia, Ashish 2855 Lawrenceville Suwanee Rd, 30024 (678) 482-2197 Kalra, Neelu 3525 Lvlle Swnee Rd # 100, 30024 (770) 614-4678 Kegler, Clarence 1500 Pchtree Ind Blvd # 260, 30024 (770) 476-9511 Kim, John 1291 Old Peachtree Rd Nw, 30024 (678) 381-2875 Kim, Joseph 2950 Horizon Park Dr Ste D, 30024 (770) 904-7044 Ko, Han Kyun 1291 Old Peachtree Rd #222, 30024 (678) 381-2875 Kremer, Claudia 4355 Suwanee Dam Rd #200, 30024 (770) 614-7300 Lala, Shilpa 2133 Lawrenceville Suwanee Rd Ste 13, 30024 (678) 377-6453 Levenson, Joshua 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Levenson, Joshua 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Liang, Chu Kai 2133 Lawrenceville Suwanee Rd Ste 13, 30024 (678) 377-6453 Lipham, Steven 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Magursky, Michael 315 Peachtree Ind Blvd Ste 108, 30024 (678) 541-0880 Majmundar, Ami 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Mamut, Lana 3130 Mathis Airport Pkwy #309, 30024 (404) 551-5550 Maya, Victor 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Maya, Victor 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Mayer, Laura 4060 Johns Creek Pkwy, 30024 (770) 418-1414 Mckellar, Christina 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Millkey, Mary Catherine 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Millkey, Mary Catherine 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Moore, Charles 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Mulki, Ezat 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Nabi, Saed 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Smith, Jeremy 4355 Suwanee Dam Rd #200, 30024 (770) 614-7300 Johnson, Clifford 4060 Johns Creek Pkwy Ste A, 30024 (678) 473-0205 Cottrell, David 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Park, Julius 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Nagar, Shainal 2855 Lawrenceville Suwanee Rd, 30024 (678) 482-2197 Starnes, Ashley 2566 Lawrenceville Suwanee Rd, 30024 (678) 714-2380 Mann, Arnold 2855 Lawrenceville Suwanee Rd, 30024 (678) 482-2197 Coulter, Charles 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Park, Suyon 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Nam, Kasie 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Stephenson, Stephanie 3525 Lvlle Swnee Rd # 100, 30024 (770) 614-4678 Orthodontists Davidson, Troy 4330 Johns Creek Pkwy #100, 30024 (770) 622-1515 Patel, Kunjan 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Parikh, Shetal 1039 Peachtree Industrial Blvd, 30024 (770) 614-3232 Swegman, Mary 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Desouza, Sharon 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Parikh, Uday 1039 Peachtree Industrial Blvd, 30024 (770) 614-3232 Swegman, Mary 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Ponugoti, Asha 2650 Lawrenceville Suwanee Rd Ste 104, 30024 (678) 799-7675 Patel, Mitul 2627 Peachtree Pkwy Ste 440, 30024 (770) 888-3384 Syed, Hasan 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Patel, Ravi 3320 Lawrenceville Suwanee Rd #2f, 30024 (678) 546-4000 Syed, Hasan 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Patel, Ravi 4355 Suwanee Dam Rd #200, 30024 (770) 614-7300 Patel, Ronak 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Patel, Ronak 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Patel, Ushma 6916 Mcginnis Ferry Rd, 30024 (770) 623-8750 Perry, Tara 1300 Peachtree Industrial Blvd Ste 4103, 30024 (770) 831-5568 Tantuco, Kathleen 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Tantuco, Kathleen 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Williams, William 4355 Suwanee Dam Rd #200, 30024 (770) 614-7300 Witkin, Eugene 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Wyatt, Kenneth 315 Peachtree Industrial Blvd, 30024 (678) 541-0880 Yi, Katherine 302 Satellite Blvd Ne, 30024 (678) 541-6020 Berwick, Jennifer 4355 Johns Creek Pkwy, 30024 (770) 448-8882 Cardenas, Cesar 3120 Mathis Airport Pkwy Ste 106, 30024 (770) 888-1929 Cox Jr, Stanley 4355 Johns Creek Pkwy, 30024 (770) 448-8882 Crosby, Michael 4330 Johns Creek Pkwy #100, 30024 (770) 622-1515 Elchahal, Alec 4395 Johns Creek Pkwy Ste 100, 30024 (770) 622-1177 Francis, Oral 4140 Moore Rd Ste B102, 30024 (770) 679-5177 Gorlovsky, Michael 3120 Mathis Airport Pkwy Ste 106, 30024 (770) 888-1929 Gorlovsky, Michael 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Granger, Michael 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Kratzer, Daniel 3915 Johns Creek Ct Bldg A #100, 30024 (770) 664-4936 Oral Surgeons Long, Meridith 4355 Johns Creek Pkwy, 30024 (770) 448-8882 Procter, Nirali 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Belinfante, Erik 3890 Johns Creek Pkwy, 30024 (770) 418-0440 Park, Eric 4355 Johns Creek Pkwy, 30024 (770) 448-8882 Pyon, Hak 3370 Lawrenceville Suwanee Rd, 30024 (770) 904-6786 Etezadi-Tabrizi, Abtin 3890 Johns Creek Pkwy, 30024 (770) 418-0440 Patel, Alpesh 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Pyon, Kwang 3370 Lawrenceville Suwanee Rd, 30024 (770) 904-6786 Hogan, Grant 1380 Peachtree Industrial Blvd Ste 100, 30024 (770) 232-1191 Podray, Susan 4355 Johns Creek Pkwy, 30024 (770) 448-8882 Pickwick, Erin 2566 Lawrenceville Suwanee Rd, 30024 (678) 714-2380 Rahbar, Abdol 2910 Horizon Park Dr Ste F, 30024 (770) 614-9191 Reznik, Michael 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Roark, Cindy 2855 Lawrenceville Suwanee Rd, 30024 (678) 482-2197 Sampat, Tina 4060 Johns Creek Pkwy, 30024 (770) 418-1414 Schalk Jr, Richard 4355 Suwanee Dam Rd #200, 30024 (770) 614-7300 Schuler-Mitchell, Katrina 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Schwendiman, Ryan 4330 Johns Creek Pkwy #100, 30024 (770) 622-1515 Scott, Justin 3320 Lawrenceville Suwanee Rd #2f, 30024 (678) 546-4000 Shah, Devang 2133 Lawrenceville Suwanee Rd Ste 13, 30024 (678) 377-6453 Singh, Sunil 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Singh, Sunil 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Meaders, Richard 3890 Johns Creek Pkwy, 30024 (770) 418-0440 Newton, Stacey 335 P'tree Ind Blvd #2210, 30024 (770) 932-8869 Patel, Jay 4330 Johns Creek Pkwy #100, 30024 (770) 622-1515 Waksor, Adam 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Waksor, Adam 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Young, Justin 12 Bowen Ct, 30024 (770) 418-0440 Young, Justin 3890 Johns Creek Pkwy, 30024 (770) 418-0440 Endodontists Davis, Darlene 1120 Peachtree Industrial Blvd Ste 205, 30024 (770) 831-7644 Doyle, Michael 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Doyle, Michael 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 This information is current as of September 2014 Richard, Ryan 4355 Johns Creek Pkwy, 30024 (770) 448-8882 Segnere, Jeffrey 4355 Johns Creek Pkwy, 30024 (770) 448-8882 Shoup, Greg 4355 Johns Creek Pkwy, 30024 (770) 448-8882 Walton, Matthew 2609 Peachtree Pkwy Ste C, 30024 (770) 663-0955 White, Adam 4355 Johns Creek Pkwy, 30024 (770) 448-8882 Pediatric Dentists Allen, Nelson 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Ariaban, Nanna 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Brown, Shelton 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Buckle, Eileen 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Camp, Laneshia 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Chang, Ohkyoung 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Page 52 Ellington, Janet 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Halper, Christopher 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Hansen, Michael 4330 Johns Creek Pkwy #100, 30024 (770) 622-1515 Hassan, Zeyad 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Haynes, Deanna 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Hejazi-Werner, Shiva 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Herrin, Brent 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Herrin, Brent 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Hogan, Rhonda 1380 Peachtree Ind Blvd #150, 30024 (770) 614-8914 Holder, Terry 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Hutchins, Allen 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Jones, Cynthia 3525 Lvlle Swnee Rd # 100, 30024 (770) 614-4678 Kebriaei, Amy 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Kerlan, Daniel 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Kim, Yoo Mee 1120 Peachtree Industrial Blvd Ste 203&204, 30024 (770) 904-7005 Lee, Lisa 1299 Old Peachtree Rd Nw Ste 103, 30024 (770) 813-9393 Lee, Susan 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Levitas, Theodore 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Lucas, Cleoka 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Madhiwala, Priya 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Purvis, Flynt 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Roehl, Brad 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Roehl, Brian 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Ross, Tisha 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Sease, Joseph 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Shehata, Andrew 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Shilman, Lisa 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Simms, Mindy 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Strickland Phillips, Stephanie 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Sundareswaran, Pushpa 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Thomas Jr, Jack 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Trotter, Leigh Ann 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Walters, Sacha 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Washington, Keysra 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Yoo, Chin 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Periodontists Chong, Woojae 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Chong, Woojae 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Pearson, Robert 350 Town Center Ave Ste 301, 30024 (678) 835-0793 Pearson, Robert 4245 Johns Creek Pkwy Ste C, 30024 (678) 990-5980 Prosthodontists Malhotra, Menka 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Kim, Sung Oh 3651 Peachtree Pkwy Ste L, 30024 (770) 622-2231 Maru, Ami 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 SWAINSBORO General Dentists Mccarley, Christie 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Smith, Mark 124 S Main St, 30401 (478) 237-7979 Nortick, Mariel 3855 Johns Creek Pkwy Ste D, 30024 (678) 445-5444 Zebell Jr, Richard 402 W Main St, 30401 (478) 237-8484 52 of56Pages KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Orthodontists Broderick, Thomas 505 W Church St, 30401 (478) 237-6693 SYLVANIA General Dentists Lyles, William 1499 Kennedy Rd Ste D, 31794 (229) 382-7323 Livingston Jr, Lynn 4500 Hugh Howell Rd Ste 140, 30084 (770) 938-9090 Kubala, Louis 3983 Lavista Rd # 192-196, 30084 (770) 939-3700 Bennett Jr, Jerry 2415 Andover Dr, 31602 (229) 671-1900 Mcgovern, Jason 315 14th St E, 31794 (229) 382-0802 Marshall, Robert 2181 Northlake Pkwy Ste 102, 30084 (678) 534-1010 Pediatric Dentists Black Jr, Larry 2935 N Ashley St #130, 31602 (229) 333-8484 Orthodontists Mehta, Meena 3981 Lawrenceville Hwy, 30084 (770) 491-1138 Hagan, C Edward 112 Clifford Ave, 30467 (912) 564-7107 Fender, Dana 1499 Kennedy Rd Ste C, 31794 (229) 386-1336 Martinson, Craig 112 Clifford Ave, 30467 (912) 564-7107 TOCCOA General Dentists Martinson, Maria 112 Clifford Ave, 30467 (912) 564-7107 Castillo, Samuel 3418 Highway 17, 30577 (706) 886-4256 TALBOTTON General Dentists TRENTON General Dentists Garvey, Soyini 341 N Washington Ave, 31827 (706) 665-2139 Owens, Richard 10621 Highway 11, 30752 (706) 657-7561 King, Shaunta 341 N Washington Ave, 31827 (706) 665-2139 TRION General Dentists TALLAPOOSA General Dentists Krueger, W Kirk 176 Central Ave, 30753 (706) 734-3098 Loynes, Murgesh 1196 Pine Grove Rd, 30176 (770) 574-2812 TUCKER General Dentists THOMASTON General Dentists Beckford, Yvonne 3983 Lavista Rd Ste 181, 30084 (770) 939-9293 Allen, Michael 419 N Church St, 30286 (706) 647-7111 Beckford, Yvonne 4500 Hugh Howell Rd Ste 140, 30084 (770) 938-9090 Orthodontists Bohne, Donald 4958 Lavista Rd, 30084 (770) 939-6600 Dobbs Jr, M Drennan 618 N Church St, 30286 (706) 647-4633 THOMASVILLE General Dentists Sibley, Felix 111 E Washington St, 31792 (229) 226-5156 THOMSON General Dentists Anthony, Katie 540 W Hill St, 30824 (706) 595-5152 Brunson Jr, Charles 115 Gordon St, 30824 (706) 595-3462 Hughes, Carroll 540 W Hill St, 30824 (706) 595-5152 Jopling, William 115 Gordon St, 30824 (706) 595-3462 Neal Jr, Thomas 219 W Hendricks St, 30824 (706) 595-2264 Pickard, Curtis 540 Jackson St, 30824 (706) 595-2651 TIFTON General Dentists Busch, Norman 2260 Northlake Pkwy Ste 211, 30084 (770) 491-1686 Chiru, Neelima 2260 Northlake Pkwy #220, 30084 (770) 492-0250 Dholakia, Purvi 4500 Hugh Howell Rd Ste 140, 30084 (770) 938-9090 Etienne, Marc 4500 Hugh Howell Rd Ste 140, 30084 (770) 938-9090 Faggioni, Martino 1462 Montreal Rd Ste 211, 30084 (770) 938-1848 Fountain, Harold 4385 Hugh Howell Rd, 30084 (770) 493-7023 Hader, Jesse 4500 Hugh Howell Rd Ste 140, 30084 (770) 938-9090 Harandifassih, Lyda 4500 Hugh Howell Rd Ste 140, 30084 (770) 938-9090 Harandi-Fassih, Ali 4500 Hugh Howell Rd Ste 140, 30084 (770) 938-9090 Jeon, Danny 2258 Northlake Pkwy Ste 200, 30084 (678) 937-9601 Barlow, Roger 1499 Kennedy Rd Ste D, 31794 (229) 382-7323 Johnson Jr, Raymond 2175 Northlake Pkwy Bldg 4 Ste 138, 30084 (770) 396-4643 Fulp, Nicole 215 Magnolia Dr N, 31794 (229) 382-7996 Kaur, Jagdeep 4879 Lavista Rd Ste 300, 30084 (770) 938-5828 Fulp, Scott 215 Magnolia Dr N, 31794 (229) 382-7996 Kim, James 3754 Lavista Rd, 30084 (999) 999-9999 Hill, Robert 215 Magnolia Dr N, 31794 (229) 382-7996 Kim, Joo-won 4500 Hugh Howell Rd Ste 140, 30084 (770) 938-9090 Prosthodontists Carter, Matthew 103 W Cranford Ave, 31602 (912) 249-0717 Minton Jr, Warren 4500 Hugh Howell Rd Ste 140, 30084 (770) 938-9090 Bowers, James 4416 Hugh Howell Rd Ste A2, 30084 (770) 496-4555 Colson, C Heather 3000 N Patterson St, 31602 (229) 242-2449 Nguyen, Gabrielle 4865 Lavista Rd #c, 30084 (404) 761-1542 TYBEE ISLAND General Dentists Colvin, Sherry 3901 Forrest Street Ext, 31605 (229) 244-8884 Patel, Hiren 1462 Montreal Rd Ste 211, 30084 (770) 938-1848 Bender, John 105a S Campbell Ave, 31328 (912) 655-3583 Grantham, Timothy 103 W Cranford Ave, 31602 (912) 249-0717 Pinsky, Richard 3983 Lavista Rd Ste 104, 30084 (770) 723-1111 Smith, Jessanna 1018 Us Highway 80, 31328 (912) 786-9433 Holloway, Jason 103 W Cranford Ave, 31602 (912) 249-0717 Preston, Bruce 4500 Hugh Howell Rd Ste 310, 30084 (770) 938-3311 TYRONE General Dentists Lairsey, Jason 103 W Cranford Ave, 31602 (912) 249-0717 Pye, Leon 4060 Lavista Rd, 30084 (770) 934-0770 Rahman, Ayesha 2181 Northlake Pkwy Ste 106, 30084 (770) 493-9992 Reid Iii, Walter 4500 Hugh Howell Rd Ste 140, 30084 (770) 938-9090 Singh, Manjeet 4500 Hugh Howell Rd Ste 140, 30084 (770) 938-9090 Tekin, Burak 4500 Hugh Howell Rd Ste 140, 30084 (770) 938-9090 Washington, Eric 4500 Hugh Howell Rd Ste 710, 30084 (678) 534-0573 Oral Surgeons Going Jr, Robert 4915 Lavista Rd, 30084 (770) 934-1907 Hall, Brenda 4915 Lavista Rd, 30084 (770) 934-1907 King, Steven 4915 Lavista Rd, 30084 (770) 934-1907 Osborne, Thomas 2163 Northlake Pkwy Ste 111, 30084 (770) 723-9965 Pollack, Steven 4915 Lavista Rd, 30084 (770) 934-1907 Pritchett, John 4915 Lavista Rd, 30084 (770) 934-1907 Singer, Richard 4915 Lavista Rd, 30084 (770) 934-1907 Endodontists Khan, Bilal 3575 Habersham At Northlake, 30084 (770) 934-1000 Michelich, Robert 3575 Habersham At Northlake, 30084 (770) 934-1000 Rickoff, B 3575 Habersham At Northlake, 30084 (770) 934-1000 Rickoff, Ross 3575 Habersham At Northlake, 30084 (770) 934-1000 Orthodontists Barfield, Gordon 2167 Northlake Pkwy Ste 102, 30084 (770) 939-1280 Bush, Hector 3983 Lavista Rd # 192-196, 30084 (770) 939-3700 This information is current as of September 2014 Freedman, Bret 3983 Lavista Rd # 192-196, 30084 (770) 939-3700 Page 53 Benz, Jeffrey 155 Handley Rd, 30290 (770) 632-0264 Khieu, Anh 1522 Highway 74 N, 30290 (404) 784-1941 Reynolds, Juliane 1134 Senoia Rd #a-2, 30290 (770) 964-9992 Shelton, Denese 60 Carriage Oaks Dr, 30290 (770) 774-7377 Pediatric Dentists Caise, Charisse 120 Handley Rd Ste 10, 30290 (770) 632-7090 Redwine, Erin 60 Carriage Oaks Dr, 30290 (770) 774-7377 Rose-Mize, Ida 60 Carriage Oaks Dr, 30290 (770) 774-7377 UNADILLA General Dentists Murphy, Byron 2858 Pine St, 31091 (478) 627-3263 Stingley, Gloria 2858 Pine St, 31091 (478) 627-3263 UNION CITY General Dentists Greenlea-Taylor, Judy 6740 Shannon Pkwy Ste 2, 30291 (770) 306-2996 Hill, Melissa 4550 Jonesboro Rd Ste 1a, 30291 (770) 306-2266 Kimble, Lisa 4731 Jonesboro Rd Ste 220, 30291 (770) 892-4778 Pauley, Robert 6520 Shannon Pkwy Ste B, 30291 (770) 964-1469 Spears, Thelma 4731 Jonesboro Rd Ste 220, 30291 (770) 892-4778 Maxwell, Douglas 2415 Andover Dr, 31602 (229) 671-1900 Moorman, William 3211 Wildwood Plantation Dr, 31605 (229) 242-4441 Moorman, William 3211 Wildwood Plantation Dr, 31605 (229) 242-4441 Reagin Jr, Ronald 2309 N Patterson St, 31602 (229) 244-4656 Roland, Mark 101d E Northside Dr, 31602 (229) 244-0944 Shiver, Ron 818 Northwood Park Dr, 31602 (229) 247-0923 Stites, Joel 103 W Cranford Ave, 31602 (912) 249-0717 Sullivan, Joshua 3227 N Oak Street Ext Ste A, 31605 (229) 247-3200 Woodward, John 3211 Wildwood Plantation Dr, 31605 (229) 242-4441 Orthodontists Fender, Dana 3229 N Oak Street Ext, 31605 (229) 245-1800 Pediatric Dentists Thomas, Carly 3227 N Oak Street Ext Ste A, 31605 (229) 247-3200 VIDALIA General Dentists Hamilton, Stewart 311 Pete Phillips Dr, 30474 (912) 537-7048 Kimbrel, Robert 311 Pete Phillips Dr, 30474 (912) 537-7048 Morris, Kacy 311 Pete Phillips Dr, 30474 (912) 537-7048 Orthodontists Talton, John 316 Maple Dr # A, 30474 (912) 537-2350 Grant, Richard 4720 Jonesboro Rd Ste 7, 30291 (770) 969-6444 Endodontists VALDOSTA General Dentists Alderman, Stanley 2415 Andover Dr, 31602 (229) 671-1900 53 of56Pages Martin, Rebecca 309 Pete Phillips Dr, 30474 (999) 999-9999 Miles, Dale 309 Pete Phillips Dr, 30474 (999) 999-9999 Miles, Derek 309 Pete Phillips Dr, 30474 (999) 999-9999 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. VILLA RICA General Dentists Chang, Jamey 865 S Carroll Rd, 30180 (770) 459-4131 Chauhan, Muhammad 614 Hwy 61, 30180 (770) 456-7100 Orthodontists Bush, Hector 494 Booth Rd Ste 1a, 31088 (478) 322-0060 Kubala, Louis 494 Booth Rd Ste 1a, 31088 (478) 322-0060 WILLACOOCHEE General Dentists Byrd, Timothy 2035 Towne Lake Pkwy Ste 130, 30189 (770) 926-8200 Kirby, John 1190 Buckhead Xing Ste E, 30189 (770) 926-6719 Jackson, Andrew 600 W Mccranie St, 31650 (912) 283-1340 Cara, Yasheena 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Kligman, Kenneth 113 Towne Lake Pkwy Ste 110, 30188 (770) 928-3055 Pediatric Dentists Varnedoe, Celestine 600 W Mccranie St, 31650 (912) 283-1340 Harvey, M Dawn 105 Dallas Hwy, 30180 (770) 459-5778 Freedman, Bret 494 Booth Rd Ste 1a, 31088 (478) 322-0060 WINDER General Dentists Oral Surgeons WASHINGTON General Dentists Campbell, Sabrina 48 Piedmont Dr Ste 302, 30680 (770) 868-8788 Holes, Bruce 22 W Robert Toombs Ave, 30673 (706) 678-4300 Campbell, Spencer 48 Piedmont Dr Ste 302, 30680 (770) 868-8788 Covington Jr, John 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 WATKINSVILLE Oral Surgeons Hwang, Jonathan 339 Atlanta Hwy Se #500, 30680 (770) 791-0010 Covington Jr, John 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Simonton Iii, Fred 1590 Mars Hill Rd, 30677 (706) 705-1571 Kennedy, Cyndie 212 E Broad St, 30680 (770) 867-3275 Dimassi, Matthew 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Orthodontists Shaw, Larry 315 N Broad St, 30680 (770) 867-9451 Dooley, John 355 Parkway 575 Ste 100, 30188 (770) 924-1657 Oral Surgeons Dunford, R Matthew 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Gordon, Jacques 401 Permian Way #c, 30180 (678) 785-3570 WARNER ROBINS General Dentists Crossley, Michael 1299 Russell Pkwy, 31088 (478) 923-6449 Davis, Ryan 200 Corporate Pointe, 31088 (478) 922-5882 Eckles, Tracy 229 Carl Vinson Pkwy, 31088 (478) 922-4922 Berwick, Jennifer 1610 Mars Hill Rd Ste B, 30677 (770) 448-8882 Fraysure Jr, Paul 229 Carl Vinson Pkwy, 31088 (478) 922-4922 Cox Jr, Stanley 1610 Mars Hill Rd Ste B, 30677 (770) 448-8882 Manus, Richard 359 E Broad St, 30680 (770) 867-1040 Hargett Iii, Edwin 229 Carl Vinson Pkwy, 31088 (478) 922-4922 Long, Meridith 1610 Mars Hill Rd Ste B, 30677 (770) 448-8882 Mcdonald Jr, James 359 E Broad St, 30680 (770) 867-1040 Hartwig, Margaret 316 Margie Dr, 31088 (478) 953-0903 Park, Eric 1610 Mars Hill Rd Ste B, 30677 (770) 448-8882 Prosthodontists Hayslip, Curtis 1295 Russell Pkwy, 31088 (478) 929-2190 Podray, Susan 1610 Mars Hill Rd Ste B, 30677 (770) 448-8882 Huff, Frank 229 Carl Vinson Pkwy, 31088 (478) 922-4922 Segnere, Jeffrey 1610 Mars Hill Rd Ste B, 30677 (770) 448-8882 Kallu, Ravikanth 1299 Russell Pkwy, 31088 (478) 923-6449 Shoup, Greg 1610 Mars Hill Rd Ste B, 30677 (770) 448-8882 Koch, Laura 1299 Russell Pkwy, 31088 (478) 923-6449 White, Adam 1610 Mars Hill Rd Ste B, 30677 (770) 448-8882 Loden, Amy 1267 Russell Pkwy, 31088 (478) 923-0253 WAYCROSS General Dentists Miller, Ken 245 Smithville Church Rd, 31088 (478) 971-4799 Jackson, Andrew 2009 Tebeau St, 31501 (912) 283-1340 Nettles, Paul 245 Smithville Church Rd, 31088 (478) 971-4799 Varnedoe, Celestine 2009 Tebeau St, 31501 (912) 283-1340 Shaw Ii, E Carl 1267 Russell Pkwy, 31088 (478) 923-0253 Virgen, Alvaro 218 Quarterman St, 31501 (912) 287-9140 Strandburg, Mark 212 Hospital Dr Ste E, 31088 (478) 923-2464 Viruet, Elizabeth 218 Quarterman St, 31501 (912) 287-9140 Sumrall, Joseph 100 S Houston Rd, 31088 (478) 929-1661 Oral Surgeons Sumrall Jr, Joseph 100 S Houston Rd, 31088 (478) 929-1661 Vasko, Jeffrey 100 S Houston Rd, 31088 (478) 929-1661 Oral Surgeons Billingsley, Michael 1295 Russell Pkwy, 31088 (478) 929-2190 Carey, Vincent 700 Professional Dr, 31088 (478) 329-0300 Endodontists Graper, Charles 2484 Memorial Dr, 31503 (912) 338-0233 Myers, Roger 1302 Plant Ave, 31501 (912) 285-1437 Orthodontists Sardo, Mark 401 Lister St, 31501 (912) 283-4544 WEST POINT General Dentists Blades, Carl 808 Avenue C, 31833 (706) 643-7731 Golubow, Nicholas 201 Dental Dr, 31088 (478) 328-9555 This information is current as of September 2014 Cara, Yasheena 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Chong, Justin 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Epstein, Raymond 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Benner, Mark 212 E Broad St, 30680 (770) 867-3275 WOODBINE General Dentists Baird, Robert 308 Bedell Ave, 31569 (912) 576-5506 Farahani, Sara 12186 Highway 92 Ste 109, 30188 (678) 238-0202 Fields, David 120 N Medical Pkwy Bldg 200 Ste 100, 30189 (770) 591-7929 Fisher-Mclin, Antonia 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Freemon, John 209 Creekstone Rdg, 30188 (770) 928-0871 Conlon, Dennis 308 Bedell Ave, 31569 (912) 576-5506 WOODSTOCK General Dentists Alemzadeh, Reza 8294 Highway 92 Ste 200, 30189 (770) 928-2376 Anderson, Steven 650 Claremore Professional Way, 30188 (770) 384-8505 Baird, Adam 4595 Towne Lake Pkwy Bldg 200-110, 30189 (770) 517-0444 Baird, Darien 4595 Towne Lake Pkwy Bldg 200-110, 30189 (770) 517-0444 Benich, Beau 6304 Old Highway 5, 30188 (770) 924-0157 Benich, Timothy 6304 Old Highway 5, 30188 (770) 924-0157 Berlin, Robert 4463 Towne Lake Pkwy Ste 200, 30189 (678) 445-1105 Buggs, Keith 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Buggs, Keith 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Buxton, Erin 9020 Highway 92 Ste 120, 30189 (770) 928-4511 Page 54 Gilbert, James 12195 Highway 92 Ste 148, 30188 (770) 517-2772 Halper, Christopher 2230 Towne Lake Pkwy # 100, 30189 (678) 445-5444 Hanjrah, Jasmine 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Hanjrah, Jasmine 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Harden, Scott 1816 Eagle Dr Bldg 200, 30189 (770) 926-0000 Harmon, Tom 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Harmon, Tom 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Hassanzadeh, Mehran 2035 Towne Lake Pkwy Ste 130, 30189 (770) 926-8200 Holder, Terry 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Kakadia, Ashish 12195 Highway 92 Ste 148, 30188 (770) 517-2772 Kakadia, Ashish 4463 Towne Lake Pkwy Ste 200, 30189 (678) 445-1105 Kataria, Nalini 9020 Highway 92 Ste 120, 30189 (770) 928-4511 54 of56Pages Lamba, Arti 12195 Highway 92 Ste 148, 30188 (770) 517-2772 Larsen, Aaron 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Lee, Christine 114 Mirramont Lake Dr, 30189 (770) 592-7000 Lee, Winston 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Levenson, Joshua 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Lipham, Steven 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Ludwiczak, Tomasz 10080 Highway 92, 30188 (770) 592-5921 Mandalia, Amy 2035 Towne Lake Pkwy Ste 130, 30189 (770) 926-8200 Maya, Victor 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Mckellar, Christina 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Millkey, Mary Catherine 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Moore, Charles 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Morgan Jr, Ray 120 N Medical Pkwy Bldg 200 Ste 100, 30189 (770) 591-7929 Mulki, Ezat 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Mulki, Ezat 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Nam, Kasie 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Oh, Sandra 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Oneal, Steven 2230 Towne Lake Pkwy Ste 100, 30189 (770) 924-8848 Orza, Emil 9020 Highway 92 Ste 120, 30189 (770) 928-4511 Parris, David 12195 Highway 92 Ste 148, 30188 (770) 517-2772 Patel, Ronak 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Procter, Nirali 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Radcliffe, Dennis 120 N Medical Pkwy Bldg 200 Ste 100, 30189 (770) 591-7929 Rautenstrauch, Chris 113 Towne Lake Pkwy Ste 110, 30188 (770) 928-3055 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Razzano, Michael 12910 Highway 92 Ste 107, 30188 (770) 595-2600 Kinsey, Richard 2230 Towne Lake Pkwy Bldg 1000, 30189 (770) 924-1083 Levitt, Carl 1025 Rose Creek Dr Ste 260, 30189 (770) 516-6100 Chong, Justin 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Kerlan, Daniel 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Reynolds, Josie 6304 Old Highway 5, 30188 (770) 924-0157 Levy, Steven 149 Towne Lake Pkwy #100, 30188 (770) 928-2095 Long, Meridith 2054 Eagle Dr Ste 120, 30189 (678) 445-5444 Kimathi, Travis 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Reznik, Michael 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Mcghee Jr, Barton 149 Towne Lake Pkwy #100, 30188 (770) 928-2095 Nikain, Nilo 2054 Eagle Dr Ste 120, 30189 (678) 445-5444 Cottrell, David 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Roark, Cindy 12195 Highway 92 Ste 148, 30188 (770) 517-2772 Nadler, David 6304 Old Highway 5 Ste 102, 30188 (770) 591-9555 Park, Eric 2054 Eagle Dr Ste 120, 30189 (678) 445-5444 Roark, Cindy 4463 Towne Lake Pkwy Ste 200, 30189 (678) 445-1105 Rose, Scott 2230 Towne Lake Pkwy Bldg 1000, 30189 (770) 924-1083 Patel, Alpesh 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Sajid, Mohammad 12195 Highway 92 Ste 148, 30188 (770) 517-2772 Threadgill, Jonathan 2230 Towne Lake Pkwy Bldg 1000, 30189 (770) 924-1083 Patel, Tina 2054 Eagle Dr Ste 120, 30189 (678) 445-5444 Sajid, Mohammad 4463 Towne Lake Pkwy Ste 200, 30189 (678) 445-1105 Vandewater, Lee 2230 Towne Lake Pkwy Bldg 1000, 30189 (770) 924-1083 Podray, Susan 2054 Eagle Dr Ste 120, 30189 (678) 445-5444 Shepperd, Steven 120 N Medical Pkwy Bldg 200 Ste 100, 30189 (770) 591-7929 Waksor, Adam 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Richard, Ryan 2054 Eagle Dr Ste 120, 30189 (678) 445-5444 Young, Justin 149 Towne Lake Pkwy #100, 30188 (770) 928-2095 Segnere, Jeffrey 2054 Eagle Dr Ste 120, 30189 (678) 445-5444 Endodontists Shoup, Greg 2054 Eagle Dr Ste 120, 30189 (678) 445-5444 Singh, Sunil 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Steele, Cecolia 116 Mirramont Lake Dr, 30189 (770) 592-7000 Sturn, Ian 10010 Highway 92 Ste 140, 30188 (770) 517-2688 Sturn, Ian 206 Creekstone Rdg, 30188 (999) 999-9999 Swegman, Mary 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Syed, Hasan 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Tantuco, Kathleen 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Thomas, Nicola 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Thompson, Oluwaseum 4463 Towne Lake Pkwy Ste 200, 30189 (678) 445-1105 Van Dam, Christina 2035 Towne Lake Pkwy Ste 130, 30189 (770) 926-8200 Vaughn, Kelly 9020 Highway 92 Ste 120, 30189 (770) 928-4511 Walker, Corinne 2230 Town Lake Pkwy Bldg 700 #130, 30189 (770) 926-2500 Williamson, Delbert 2035 Towne Lake Pkwy Ste 130, 30189 (770) 926-8200 Oral Surgeons Doyle, Michael 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Mann, Arnold 12195 Highway 92 Ste 148, 30188 (770) 517-2772 Mann, Arnold 4463 Towne Lake Pkwy Ste 200, 30189 (678) 445-1105 O'connor, Randolph 271 Heritage Walk, 30188 (770) 924-0423 Odum, Richardson 271 Heritage Walk, 30188 (770) 924-0423 Stein, Edward 1198 Buckhead Xing Ste A, 30189 (678) 445-7666 Yusuf, Sheerin 4463 Towne Lake Pkwy Ste 200, 30189 (678) 445-1105 Orthodontists Berwick, Jennifer 2054 Eagle Dr Ste 120, 30189 (678) 445-5444 Chen, Andrew 12195 Highway 92 Ste 148, 30188 (770) 517-2772 Cox Jr, Stanley 1105 Parkside Ln Ste 1318, 30189 (770) 448-8882 Cox Jr, Stanley 1816 Eagle Dr Bldg 100 Ste B, 30189 (770) 448-8882 Cox Jr, Stanley 2054 Eagle Dr Ste 120, 30189 (678) 445-5444 Billingsley, Michael 345 Parkway 575 Ste 102, 30188 (770) 924-1083 Cox Jr, Stanley Po Box 740209 Dept #40297, 30189 (678) 445-9191 Coker, Neysa 2230 Towne Lake Pkwy Bldg 1000, 30189 (770) 924-1083 Eatmon, Kevin 9895 Main St, 30188 (770) 592-5200 Demo, Michael 2230 Towne Lake Pkwy Bldg 1000, 30189 (770) 924-1083 Granger, Michael 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Etezadi-Tabrizi, Abtin 149 Towne Lake Pkwy #100, 30188 (770) 928-2095 Iaculli, John 1105 Parkside Ln Ste 1318, 30189 (770) 448-8882 Harrison, Farryn 4463 Towne Lake Pkwy Ste 200, 30189 (678) 445-1105 Katz, Wendy 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Huynh, Cang 2230 Towne Lake Pkwy Bldg 1100 Ste 100, 30189 (678) 635-4889 Kincaid, Joseph 355 Parkway 575 Ste 200, 30188 (770) 516-5773 This information is current as of September 2014 White, Adam 1105 Parkside Ln Ste 1318, 30189 (770) 448-8882 White, Adam 1816 Eagle Dr Bldg 100 Ste B, 30189 (770) 448-8882 White, Adam 2054 Eagle Dr Ste 120, 30189 (678) 445-5444 White, Adam Po Box 740209 Dept #40297, 30189 (678) 445-9191 White, Javonne 2054 Eagle Dr Ste 120, 30189 (678) 445-5444 Pediatric Dentists Allen, Nelson 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Allen, Nelson 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Ariaban, Nanna 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Brown, Shelton 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Brown, Shelton 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Buckle, Eileen 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Bui, Alice 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Cottrell, David 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Lee, Susan 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Coulter, Charles 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Levitas, Theodore 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Coulter, Charles 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Lopyan, Rochelle 250 Parkbrooke Pl Ste 250, 30189 (678) 224-5722 Desouza, Sharon 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Lucas, Cleoka 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Ellington, Janet 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Madhiwala, Priya 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Ellington, Janet 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Malhotra, Menka 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Garza-Gongora, Carlos 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Malhotra, Menka 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Halper, Christopher 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Maru, Ami 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Hassan, Zeyad 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Maru, Ami 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Hassan, Zeyad 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Haynes, Deanna 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Haynes, Deanna 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Hejazi-Werner, Shiva 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Hejazi-Werner, Shiva 250 Parkbrooke Pl Ste 250, 30189 (678) 224-5722 Herrin, Brent 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Herrin, Brent 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Herrin, Brent 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Holder, Terry 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Hutchins, Allen 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Camp, Laneshia 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Hutchins, Allen 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Camp, Laneshia 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Kebriaei, Amy 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Chang, Ohkyoung 2230 Towne Lake Pkwy # 100, 30189 (678) 445-5444 Chang, Ohkyoung 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Page 55 Kerlan, Daniel 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 55 of56Pages Mccarley, Christie 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Mccarley, Christie 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Mckellar, Christina 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Nortick, Mariel 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Nortick, Mariel 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Park, Julius 1816 Eagle Dr Ste 200-c, 30189 (770) 926-9260 Park, Julius 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Park, Suyon 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Park, Suyon 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Patel, Kunjan 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Patel, Kunjan 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Pitts, Leslie 2230 Towne Lake Pkwy # 100, 30189 (678) 445-5444 Purvis, Flynt 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Purvis, Flynt 375 Parkway 575 Ste 100, 30188 (770) 692-1000 KAISER PERMANENTE OF GEORGIA DELTA DENTAL PREMIER DENTISTS The most current lists of Delta Dental dentists and benefit and eligibility information are also available at deltadentalins.com. Roehl, Brad 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Roehl, Brad 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Roehl, Brian 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Roehl, Brian 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Ross, Tisha 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Ross, Tisha 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Pearson, Robert 2035 Towne Lake Pkwy Ste 130, 30189 (770) 926-8200 Pearson, Robert 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 WRENS General Dentists Real Jr, William 403 Canterbury Dr, 30833 (706) 547-3148 ZEBULON General Dentists Brunson, Jordan 15988 Barnesville St, 30295 (770) 567-8000 Kirby, Frank 7233 Highway 19 S, 30295 (770) 567-3551 Sease, Joseph 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Sease, Joseph 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Shilman, Lisa 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Shilman, Lisa 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Simms, Mindy 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Simms, Mindy 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Strickland Phillips, Stephanie 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Sundareswaran, Pushpa 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Thomas Jr, Jack 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Thomas Jr, Jack 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Vaughan, Mitchell 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Walters, Sacha 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Walters, Sacha 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Washington, Keysra 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Yoo, Chin 2230 Towne Lake Pkwy Bldg 1300 Ste 100, 30189 (678) 445-5444 Yoo, Chin 375 Parkway 575 Ste 100, 30188 (770) 692-1000 Periodontists Chong, Woojae 7840 Hickory Flat Hwy Bldg E, 30188 (770) 479-8654 Mehraban, Ali 2035 Towne Lake Pkwy Ste 130, 30189 (770) 926-8200 This information is current as of September 2014 Page 56 56 of56Pages Delta Dental — ALABAMA/MISSISSIPPI 2 Perimeter Park South Suite 440W Birmingham, AL 35243 Office: 800-322-7976 or 205-969-5755 Fax: 205-969-5777 Delta Dental — NEVADA 5920 South Rainbow Boulevard Suite 10 Las Vegas, NV 89118 Office: 800-791-5653 or 702-870-6860 Fax: 702-870-0644 Delta Dental — FLORIDA 258 Southhall Lane Suite 350 Maitland, FL 32751 Office: 800-662-9034 or 407-660-9034 Fax: 407-660-2899 Delta Dental — UTAH 257 East 200 South Suite 850 Salt Lake City, UT 84111 Office: 800-453-5577 or 801-575-5168 Fax: 801-575-5171 Delta Dental — GEORGIA 1130 Sanctuary Parkway Suite 600 Alpharetta, GA 30009 Office: 800-521-2651 Fax: 678-297-1972 Delta Dental — TEXAS/LOUISIANA 1701 Shoal Creek Suite 240 Highland Village, TX 75077 Office: 800-775-0523 or 972-966-6800 Fax: 972-317-1435 Delta Dental — MONTANA 55 W. 14th Street Suite 101 Helena, MT 59601 Office: 800-547-1986 Fax: 406-495-0322 #80124 (rev. 9/14)
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