Participating Dentists - GEHA Connection Dental Federal

DENTAL 

DIRECTORY

CONNECTION Dental Network 

Table of Contents 

Ada County.......................................................................................................3 

Bannock County................................................................................................3 

Bear Lake County .............................................................................................4 

Bingham County ...............................................................................................4 

Bonner County ..................................................................................................4 

Bonneville County .............................................................................................4 

Boundary County ..............................................................................................4 

Canyon County .................................................................................................4 

Cassia County ...................................................................................................5 

Clearwater County ............................................................................................5 

Custer County ...................................................................................................5 

Elmore County ..................................................................................................5 

Fremont County ................................................................................................5 

Gem County......................................................................................................5 

Idaho County ....................................................................................................5 

Jefferson County ...............................................................................................5 

Jerome County ..................................................................................................5 

Kootenai County ...............................................................................................5 

Lemhi County ...................................................................................................5 

Madison County ................................................................................................6 

Minidoka County ..............................................................................................6 

Nez Perce County ..............................................................................................6 

Oneida County ..................................................................................................6 

Payette County ..................................................................................................6 

Teton County ....................................................................................................6 

Twin Falls County .............................................................................................6 

This directory of providers may change from time to time for any number of reasons. Such changes may sometimes 

occur before a new directory can be printed. CONNECTION Dental does not guarantee the continued participation of 

the providers listed or that participating providers are available in all areas. Please refer to your benefit booklet for a 

complete description of your plan's coverage, limits, and exclusions.

Table of Contents 

Valley County ...................................................................................................6 

Index of Participating Dentists ..............................................................................7 

Provider Nomination Form ....................................................................................9 

This directory of providers may change from time to time for any number of reasons. Such changes may sometimes 

occur before a new directory can be printed. CONNECTION Dental does not guarantee the continued participation of 

the providers listed or that participating providers are available in all areas. Please refer to your benefit booklet for a 

complete description of your plan's coverage, limits, and exclusions.

Ada County 

ADA COUNTY 

General Dentistry 

Bergloff, John A DDS 

1104 W Cherry Ln 

Meridian, ID 83642 

(208) 888-7889 

Brewster, Carrick C DDS 

7337 Northview 

Boise, ID 83704 

(208) 376-7447 

Bruce III, John M DMD 

1744 N Mitchell St 


(208) 322-1263 

Bruce IV, John M DDS 

1744 N Mitchell St 


(208) 323-7999 

Butterfield, Casey S DDS 

2630 S Eagle Rd 


(208) 888-0625 

Cammann, John W DMD 



(208) 585-3235 

Cammann, Michael M 

DMD 



(208) 888-4711 

Cantwell, R Erik DDS 



(208) 888-4711 

Claiborne, Wayne L DDS 

10552 W Garverdale Court 

Suite 902 


(208) 336-4777 

Cook, Don R DDS 

8300 Northview St 


(208) 377-8078 

Croft, Douglas W DDS 

927 N Linder Rd 

Kuna, ID 83634 

(208) 922-4149 

Croft, Gordon G DMD 

8300 Northview St 


(208) 377-8078 

Francis, Grant H DDS 

943 N Linder 


(208) 922-1919 

Grant, James D DMD 

672 E Wythe Creek Court 

Suite 101 Unit D 


(208) 629-2800 

7677 W Emerald St 


(208) 639-4390 

Hansen, Timothy A DDS 

4840 N Rosepoint Way 

Suite A 


(208) 938-1825 

Higginson, Michael L 

DDS 

1177 N Eagle Rd 

Eagle, ID 83616 

(208) 939-3010 

Jarvis, Reed K DDS 

1508 W Cayuse Creek Dr 

Suite 150 


(208) 888-0900 

9460 Franklin Rd 


(208) 322-8200 

Jensen, Brian C DMD 



(208) 939-3010 

Kooyman, Matthew L 

DDS 

1500 W Cayuse Creek Dr 

Suite 100 


(208) 884-8858 

Laney, Jeffrey C DDS 



(208) 888-4711 

Lewis, David M DDS 

3175 S Meridian Rd 

Suite 150 


(208) 888-5470 

Lowry, Eric B DDS 



(208) 377-0410 

Lowry, F Brion DDS 



(208) 377-0410 

Mooso, Darin R DDS 

9776 W State St 

Star, ID 83669 

(208) 898-4080 

Oto, Marvin G DDS 



(208) 939-3010 

Idaho 

Participating Dentists 

Payne, Steven L DMD 


Suite 120 


(208) 887-9000 

Peterson, Wayne R DDS 

2427 N Cole Rd 


(208) 322-8877 

Pilling, Wade DMD 

4795 N Summit Way 

Suite 120 


(208) 888-0662 

7677 W Emerald 


(208) 639-4390 

Reed, Andrew A DDS 



(208) 888-4711 

Richards, Cory D DDS 

1570 E Heritage Park St 

Suite 100 


(208) 884-8066 

Robertson, Bradley E 

DDS 



(208) 322-1747 

Scott, Jonathan N DMD 


Suite 120 


(208) 887-9000 

Skousen, Nathaniel R 

DMD 



(208) 375-3755 

Steiner, Greg D DDS 

1500 N Crestmont Dr 

Suite C 


(208) 888-4481 

Stephenson, Glen K 

DMD 

7480 Northview 


(208) 375-4041 

9319 Hills Gate Dr 

Star, ID 83669 

(208) 375-4041 

Uniat, Brooks J DDS 

325 E Shore Dr 

Suite 100 


(208) 938-0280 

This list is subject to change. 

3 

Walker, Frank A DMD 

10233 W Overland Rd 


(208) 323-4700 

Wells, Christopher R 

DMD 

1975 Broadway 


(208) 345-2771 

Willis, Warren R DMD 


Suite 120 


(208) 887-9000 

Wold, John D DDS 

600 E Riverpark Ln 

Suite 140 


(208) 383-9155 

BANNOCK 

COUNTY 


Berrey, J Brent DMD 

333 W Cedar St 

Pocatello, ID 83201 

(208) 233-5362 

Bringhurst, Eric L DDS 

1175 Call Place 


(208) 232-1260 

Bringhurst, Louis DDS 

1175 Call Place 

Suite 200 


(208) 232-1260 

Evans, Eron J DDS 

2010 Flandro Dr 


(208) 238-0600 

Fackrell, Robert L DDS 

358 N Grant Ave 


(208) 233-2355 

Fellows, Richard E DDS 

1598 Delphic Way 

Suite B 


(208) 237-4357 

Godfrey, G William DDS 

1980 Birdie Thompson Dr 


(208) 233-8750 

Godfrey, Michael W DMD 

1980 Birdie Thompson Dr 


(208) 233-8750 

Bannock County 

Goodliffe, Pamela DMD 

585 W Booth 

Lava Hot Springs, ID 83246 

(208) 776-5929 

Holm, Carl B DDS 

350 E Cedar St 

Suite A 


(208) 233-2525 

Johnson, Brent R DDS 

1606 E Center St 


(208) 232-5294 

McHugh, Michael T DDS 

1246 Yellowstone Ave 

D3 


(208) 238-0125 

Ormond, Errol K DDS 

675 Yellowstone 


(208) 478-4449 

Reddish, Lee R DDS 

1980 Birdie Thompson 


(208) 233-8750 

Romriell, Gregory E 

DMD 



(208) 478-5550 

Snow, Randal C DMD 

1606 E Center St 


(208) 232-5294 

Sutton, D Porter DMD 

15 W 1st N 

Downey, ID 83234 

(208) 897-5000 

Sutton, Stephen V DMD 

15 W 1st N 

Downey, ID 83234 

(208) 897-5000 

Williams, Duane J DMD 

1130 Call Creek Dr 


(208) 232-8410 

Williams, Paul S DDS 

1130 Call Creek Dr 


(208) 232-8410 

Pediatric Dentistry 

Bybee, Larry W DDS 

716 Yellowstone 


(208) 478-5437

Bannock County 

McWhorter, Robert D 

DDS 

625 E Alameda Rd 


(208) 237-1567 

Misner, Leroy R DDS 



(208) 478-5437 

Periodontics 

Akers, Douglas B DDS 



(208) 233-3660 

BEAR LAKE 

COUNTY 


Hammond, Steven D 

DDS 

455 Washington St 

Montpelier, ID 83254 

(208) 847-1235 

Timothy, Robert J DDS 

215 S 4th St 


(208) 847-0153 

Weston, Monty B DDS 

215 S 4th St 


(208) 847-0153 

BINGHAM 

COUNTY 


Anderson, Robert DDS 

380 W Judicial St 

Blackfoot, ID 83221 

(208) 785-6833 

Burt, R Russell DDS 

310 W Idaho St 


(208) 785-2255 

Carpenter, Curtis DDS 

295 Anderson Rd 

Shelley, ID 83274 

(208) 346-7045 

Hanson, Bryce D DMD 

371 W Fir St 


(208) 357-7611 

Harper, Bradford W DDS 

1120 Pkwy Dr 


(208) 785-0878 

Harper, Brent DMD 

694 W Hwy 39 


(208) 684-3122 

Kunz, Von J DDS 

600 Jensen Grove Dr 


(208) 785-1590 

Nielsen, Steven F DDS 

371 W Fir St 


(208) 357-7611 

Stohl, John R DMD 

530 S State St 


(208) 357-2400 

BONNER 

COUNTY 


Cox, David P DDS 

477542 Hwy 95 N 

Sandpoint, ID 83864 

(208) 263-1905 

Smith, Jonathan J DDS 

1327 Superior St 

Sandpoint, ID 83864 

(208) 263-0829 

BONNEVILLE 

COUNTY 


Baldwin, Cade G DDS 

640 S Woodruff Ave 

Idaho Falls, ID 83401 

(208) 523-5400 

Barnard, Douglas S DDS 



(208) 523-5400 

Barnard, Steven A DDS 



(208) 523-5400 

Bell, Joshua R DMD 

2205 Channing Way 

Suite A 


(208) 529-4484 

Bell, Justine D DDS 


Suite A 


(208) 529-4484 

Idaho 


Bruggeman, Vern B DDS 



(208) 524-2036 

Burtenshaw, Bryce A 

DDS 

200 N Woodruff Ave 


(208) 529-0120 

Burtenshaw, Craig A 

DDS 



(208) 529-0120 

Cooper, Alan R DDS 



(208) 523-5400 

Crandall, Nathan J DDS 

1991 W Broadway 

Suite 1 


(208) 529-1991 

Davis, Scott D DDS 

3315 S Holmes Ave 


(208) 522-4491 

Godfrey, Curtis J DDS 



(208) 529-4321 

Godfrey, D Kent DDS 



(208) 529-4321 

Gordon, Brandon D DDS 

1380 Latah Ave 


(208) 552-0919 

Greenhalgh, Dan R DMD 

250 S Skyline Dr 

Suite 6 


(208) 523-3453 

Heninger, David M DDS 

3375 Merlin Dr 


(208) 524-1700 

Hill, David J DDS 

1400 E 17th St 


(208) 542-5300 

Hillam, Kirt B DDS 

139 Alturas St 


(207) 523-5090 

Hunter, Charles M DMD 

2300 E 17th St 


(208) 525-8383 


4 

Johnson, Evan O DMD 

1520 Elk Creek Dr 


(208) 522-8854 

Murdock, Wayne B DDS 


Suite A 


(208) 529-4484 

Neff, Marcus D DDS 


Suite 100 


(208) 523-4181 

Nielson, Robert D DMD 

3151 E 17th St 


(208) 529-3836 

Olson, Brant N DDS 

250 S Skyline Dr 

Suite 5 


(208) 522-9101 

Oswald, Brad L DDS 

3456 E 17th St 

Suite 115 


(208) 522-1234 

Polson, Preston H DDS 



(208) 522-4491 

Staley, Galen J DDS 



(208) 529-0120 

Stoddard, Curtis T DMD 



(208) 523-5400 

Stosich, G Van DDS 

1700 E 17th St 


(208) 522-8061 

Summers, Thomas B 

DDS 



(208) 529-0120 

Tall, Mark A DDS 

2460 E 25th St 


(208) 525-4780 

Tall, Michael A DDS 



(208) 522-1332 

Tanner, Nicholas J DDS 



(208) 523-5400 

Canyon County 

Thuernagle, Oliver O 

DMD 

1685 Pancheri Dr 


(208) 523-0840 

Zirker, Jed K DMD 

1801 S Ammon Rd 

Ammon, ID 83406 

(208) 528-7665 

Orthodontics 

Lowder, Phillip D DDS 

1088 N Skyline Dr 


(208) 523-4332 


Memmott, John E DDS 

2300 E 17th St 


(208) 525-8383 

Smith, Randy G DDS 



(208) 542-1333 

BOUNDARY 

COUNTY 


Smith, Jonathan J DDS 

6635 Comanche St 

Bonners Ferry, ID 83805 

(208) 267-1718 

Yeaman, Scott R DDS 

6635 Comanche St 

Bonners Ferry, ID 83805 

(208) 267-1718 

CANYON 

COUNTY 


Cammann, John W DMD 

18 W Main 

Middleton, ID 83644 

(208) 585-3235 

Cammann, Michael M 

DMD 

18 W Main St 


(208) 585-3235 

Carlen, Kelly E DDS 

2811 12th Ave 

Nampa, ID 83686 

(208) 461-1060

Canyon County 

Christensen, Shaun C 

DMD 

214 Holly St 

Suite C 


(208) 466-7424 

Deppe, Thomas D DDS 

1601 12th Ave Rd 

Suite 103 


(208) 466-3597 

4411 E Flamingo Rd 


(208) 466-3597 

French, Robert W DMD 



(208) 466-2458 

Gardner, Scott R DDS 



(208) 466-3239 

Hammer, Jason B DMD 

203 7th Ave S 


(208) 466-8400 

Keller, George B DDS 

207 7th Ave S 


(208) 466-8400 

Keller, Klint R DDS 

203 7th Ave S 


(208) 466-8400 

Laney, Jeffrey C DDS 

18 W Main St 


(208) 585-3235 

McDonald, Robert B 

DMD 


Suite 103 


(208) 466-3597 

4411 E Flamingo Rd 


(208) 466-3597 

Mooso, Darin R DDS 

4105 Clock Tower Ave 

Caldwell, ID 83607 

(208) 455-9498 

Pratt, Robert A DMD 



(208) 466-2458 

Reed, Andrew A DDS 

18 W Main 


(208) 585-3235 

Scott, Jonathan N DMD 

16377 N Market Place Blvd 


(208) 461-5222 

Speirs, Ryan T DMD 

207 7th Ave S 


(208) 466-8400 

Waite, Patrick L DDS 

4105 Clock Tower Ave 

Caldwell, ID 83607 

(208) 455-9498 


16377 N Market Place Blvd 


(208) 461-5222 

CASSIA COUNTY 


Rice, Ronald C DDS 

515 E 5th N 

Burley, ID 83318 

(208) 679-3000 

Oral Maxillofacial 

Surgery 

Plant, Mark A DDS 

2271 Overland Ave 


(208) 677-4773 


Bybee, Larry W DDS 

2271 Overland Dr 


(208) 677-4531 

Misner, Leroy R DDS 

2271 Overland Dr 


(208) 677-4531 

CLEARWATER 

COUNTY 


Gray, J Douglas DDS 

636 Michigan Ave 

Orofino, ID 83544 

(208) 476-4917 

Miller Jr, Michael B DDS 

1265 Ahsahka Rd 


(208) 476-4315 

Wentz, Lynn C DDS 

1265 Ahsahka Rd 


(208) 476-4315 

Idaho 


CUSTER 

COUNTY 


McGowan, Thomas V 

DDS 

1150 12th St 

Challis, ID 83226 

(208) 879-2366 

ELMORE 

COUNTY 


Skousen, Nathaniel R 

DMD 

815 N 6th St E 

Mountain Home, ID 83647 

(208) 375-3755 

FREMONT 

COUNTY 


Brizzee, Gabe C DDS 

305 E 5th N 

Saint Anthony, ID 83445 

(208) 624-3757 

Kunz, Neil L DMD 

305 E 5th N 


(208) 624-3757 

Toenjes, John R DDS 

305 E 5th N 


(208) 624-3757 

GEM COUNTY 



119 N Wardwell Ave 

Emmett, ID 83617 

(208) 365-6313 

IDAHO COUNTY 


Harrington, Tyler J DDS 

615 W N St 

Grangeville, ID 83530 

(208) 983-0105 

Link, John A DDS 

412 W Main 


(208) 983-2422 


5 

Schaff, Bradley J DDS 

615 W N St 

PO Box 368 


(208) 983-0105 

JEFFERSON 

COUNTY 


Dansie, Ben R DMD 

130 N 1st W 

Rigby, ID 83442 

(208) 745-1911 

Mikesell, Quinn Q DMD 

159 W Main 


(208) 745-8788 

Peterson, Mark L DDS 

127 1/2 E Short St 


(208) 745-6536 

Orthodontics 


197 Stockham Blvd 

Suite A 


(208) 745-7407 

JEROME 

COUNTY 


Bond, David M DDS 

143 E Main St 

Jerome, ID 83338 

(208) 324-7007 

Page, Samuel C DMD 

143 E Main St 

Jerome, ID 83338 

(208) 324-7007 

KOOTENAI 

COUNTY 


Devore, Chad S DDS 

14596 Hwy 41 

Suite A 

Rathdrum, ID 83858 

(208) 687-4455 

Devore, Terry T DDS 

6070 Jackson St 

Spirit Lake, ID 83869 

(208) 623-6400 

Lemhi County 

Mosby, Kent E DDS 

700 W Ironwood Dr 

Suite 320 

Coeur D Alene, ID 83814 

(208) 667-1154 

Rasmussen, Stanley K 

DDS 

1800 Lincoln Way 

Suite 100 


(208) 765-3322 

Scholes, Michael S DMD 

1801 N 3rd St 


(208) 667-1578 

Orthodontics 

Curtis, Erik R DDS 


Suite 203 


(208) 667-3341 

602 Calgary Court 

Suite 302 

Post Falls, ID 83854 

(208) 777-0500 

Jaeger, Thomas L DDS 


Suite 203 


(208) 667-3341 

602 Calgary Court 

Suite 302 

Post Falls, ID 83854 

(208) 777-0500 

LEMHI COUNTY 


Holbrook, Gregory S 

DDS 

1301 Main St 

Suite 9 

Salmon, ID 83467 

(208) 756-2899 

Rogers, Kenneth E DDS 

1005 Main St 


(208) 756-4940 

Smith, Richard R DDS 

106 S Daisy 


(208) 756-2262 

Toenjes, John R DDS 

204 Main St 

Ashton, ID 83467 

(208) 652-7868

Madison County 

MADISON 

COUNTY 


Barnard, Douglas S DDS 

556 Trejo 

Suite C 

Rexburg, ID 83440 

(208) 359-2224 

Barnard, Steven A DDS 

556 Trejo 

Suite C 


(208) 359-2224 

Bauer, Kevin S DDS 

556 Trejo St 

Suite C 


(208) 359-2224 

Cooper, Alan R DDS 

556 Trejo 

Suite C 


(208) 359-2224 

Hammond, Ronald J 

DDS 

556 Trejo St 

Suite C 


(208) 359-2224 

Smith, Douglas J DDS 

56 Prof Plaza 


(208) 356-9262 

Snarr, Thomas D DDS 

44 S Center St 


(208) 356-4240 

Strobel, Dirk E DDS 

59 Prof Plaza 


(208) 356-4400 

Thomason, James C 

DMD 

74 E 1st S 


(208) 356-3012 

Ward, Lane R DDS 

44 S Center 


(208) 356-7562 

Wilkes, Scott E DDS 

56 Prof Plaza 


(208) 356-9262 

Orthodontics 


3 E Center St 

Sugar City, ID 83448 

(208) 745-7407 

MINIDOKA 

COUNTY 


Catmull, Nathan A DDS 

502 8th St 

Rupert, ID 83350 

(208) 436-4747 

Johnson, Neal L DMD 

115 W 100 S 


(208) 436-4532 

Simpson, John A DDS 

502 8th St 


(208) 436-4747 

NEZ PERCE 

COUNTY 


Eke, Paul A DDS 

3509 12th St 

Lewiston, ID 83501 

(208) 743-7911 

Simmons, Kent B DDS 

3326 4th St 


(208) 746-3694 

Orthodontics 

Wilkinson, David L DDS 

3326 4th St 

Building 3 


(208) 746-0479 

ONEIDA 

COUNTY 


Thorpe, Edgar B DDS 

185 S 300 E 

Malad City, ID 83252 

(208) 766-2204 

Idaho 


PAYETTE 

COUNTY 


Fricke, Theodore A DDS 

823 Center Ave 

Payette, ID 83661 

(208) 642-9060 

Hannah, Claudia E DDS 

1441 NE 10th Ave 


(208) 642-9379 

Hansill, Marni L DMD 

1441 NE 10th Ave 


(208) 642-9379 

TETON COUNTY 


Bell, Joshua R DMD 

404 Lupine Dr 

Victor, ID 83455 

(208) 787-8100 

Bell, Justine D DDS 

404 Lupine Dr 


(208) 787-8100 

Murdock, Wayne B DDS 

404 Lupine Dr 


(208) 787-8100 

TWIN FALLS 

COUNTY 


Cress, Justin C DDS 

834 Falls Ave 

Suite 2030B 

Twin Falls, ID 83301 

(208) 733-9181 

Dingman, Mike B DDS 

1186 Eastland Dr N 

Suite A 


(208) 733-6074 

Hughes, James P DDS 

834 Falls Ave 

Suite 2030B 


(208) 733-9181 


6 

Oral Maxillofacial 

Surgery 

Plant, Mark A DDS 

2064 Washington St N 


(208) 734-1097 


Hibbert, Steve L DDS 

1411 N Fillmore 

Suite 602 


(208) 404-9882 

VALLEY 

COUNTY 


Charles, Brian W DMD 

1003 N 3rd 

McCall, ID 83638 

(208) 634-7653 

143 E Lake St 


(208) 634-7653 

509 Pine St 


(208) 634-7653 

Valley County

A 

Akers, Douglas B DDS ..................................4 

Anderson, Robert DDS .................................4 

B 

Baldwin, Cade G DDS ...................................4 

Barnard, Douglas S DDS ...........................4, 6 

Barnard, Steven A DDS .............................4, 6 

Bauer, Kevin S DDS ......................................6 

Bell, Joshua R DMD ..................................4, 6 

Bell, Justine D DDS ...................................4, 6 

Bergloff, John A DDS....................................3 

Berrey, J Brent DMD ....................................3 

Bond, David M DDS......................................5 

Brewster, Carrick C DDS ..............................3 

Bringhurst, Eric L DDS .................................3 

Bringhurst, Louis DDS .................................3 

Brizzee, Gabe C DDS ....................................5 

Bruce III, John M DMD.................................3 

Bruce IV, John M DDS..................................3 

Bruggeman, Vern B DDS ..............................4 

Burt, R Russell DDS .....................................4 

Burtenshaw, Bryce A DDS ............................4 

Burtenshaw, Craig A DDS .............................4 

Butterfield, Casey S DDS ..............................3 

Bybee, Larry W DDS.................................3, 5 

C 

Cammann, John W DMD ..........................3, 4 

Cammann, Michael M DMD .....................3, 4 

Cantwell, R Erik DDS...................................3 

Carlen, Kelly E DDS......................................4 

Carpenter, Curtis DDS ..................................4 

Catmull, Nathan A DDS ................................6 

Charles, Brian W DMD .................................6 

Christensen, Shaun C DMD ...........................5 

Claiborne, Wayne L DDS ..............................3 

Cook, Don R DDS .........................................3 

Cooper, Alan R DDS .................................4, 6 

Cox, David P DDS .........................................4 

Crandall, Nathan J DDS .................................4 

Cress, Justin C DDS.......................................6 

Croft, Douglas W DDS ..................................3 

Croft, Gordon G DMD ...................................3 

Curtis, Erik R DDS ........................................5 

D 

Dansie, Ben R DMD ......................................5 

Davis, Scott D DDS .......................................4 

Deppe, Thomas D DDS .................................5 

Devore, Chad S DDS .....................................5 

Devore, Terry T DDS ....................................5 

Dingman, Mike B DDS..................................6 

E 

Eke, Paul A DDS ...........................................6 

Evans, Eron J DDS ........................................3 

Alphabetical Index of 


F 

Fackrell, Robert L DDS .................................3 

Fellows, Richard E DDS ................................3 

Francis, Grant H DDS ....................................3 

French, Robert W DMD ................................5 

Fricke, Theodore A DDS ...............................6 

G 

Gardner, Scott R DDS....................................5 

Godfrey, Curtis J DDS ...................................4 

Godfrey, D Kent DDS...................................4 

Godfrey, G William DDS .............................3 

Godfrey, Michael W DMD ............................3 

Goodliffe, Pamela DMD ...............................3 

Gordon, Brandon D DDS...............................4 

Grant, James D DMD ....................................3 

Gray, J Douglas DDS....................................5 

Greenhalgh, Dan R DMD ..............................4 

H 

Hammer, Jason B DMD.................................5 

Hammond, Ronald J DDS .............................6 

Hammond, Steven D DDS .............................4 

Hannah, Claudia E DDS ................................6 

Hansen, Timothy A DDS ...............................3 

Hansill, Marni L DMD ..................................6 

Hanson, Bryce D DMD..................................4 

Harper, Bradford W DDS ..............................4 

Harper, Brent DMD ......................................4 

Harrington, Tyler J DDS ................................5 

Heninger, David M DDS ...............................4 

Hibbert, Steve L DDS ....................................6 

Higginson, Michael L DDS ...........................3 

Hill, David J DDS ..........................................4 

Hillam, Kirt B DDS .......................................4 

Holbrook, Gregory S DDS.............................5 

Holm, Carl B DDS .........................................3 

Hughes, James P DDS ...................................6 

Hunter, Charles M DMD ...............................4 

J 

Jaeger, Thomas L DDS ..................................5 

Jarvis, Reed K DDS .......................................3 

Jensen, Brian C DMD ....................................3 

Johnson, Brent R DDS ...................................3 

Johnson, Evan O DMD ..................................4 

Johnson, Neal L DMD ...................................6 

K 

Keller, George B DDS ...................................5 

Keller, Klint R DDS.......................................5 

Kooyman, Matthew L DDS ...........................3 

Kunz, Neil L DMD ........................................5 

Kunz, Von J DDS ..........................................4 


7 

L 

Laney, Jeffrey C DDS................................3, 5 

Lewis, David M DDS ....................................3 

Link, John A DDS .........................................5 

Lowder, Phillip D DDS .........................4, 5, 6 

Lowry, Eric B DDS .......................................3 

Lowry, F Brion DDS ....................................3 

M 

McDonald, Robert B DMD ...........................5 

McGowan, Thomas V DDS ...........................5 

McHugh, Michael T DDS..............................3 

McWhorter, Robert D DDS ...........................4 

Memmott, John E DDS ..................................4 

Mikesell, Quinn Q DMD ...............................5 

Miller Jr, Michael B DDS ..............................5 

Misner, Leroy R DDS ................................4, 5 

Mooso, Darin R DDS.................................3, 5 

Mosby, Kent E DDS ......................................5 

Murdock, Wayne B DDS ...........................4, 6 

N 

Neff, Marcus D DDS .....................................4 

Nielsen, Steven F DDS ..................................4 

Nielson, Robert D DMD ................................4 

O 

Olson, Brant N DDS ......................................4 

Ormond, Errol K DDS ...................................3 

Oswald, Brad L DDS .....................................4 

Oto, Marvin G DDS .......................................3 

P 

Page, Samuel C DMD....................................5 

Payne, Steven L DMD ...................................3 

Peterson, Mark L DDS...................................5 

Peterson, Wayne R DDS ................................3 

Pilling, Wade DMD ......................................3 

Plant, Mark A DDS ....................................5, 6 

Polson, Preston H DDS ..................................4 

Pratt, Robert A DMD .....................................5 

R 

Rasmussen, Stanley K DDS...........................5 

Reddish, Lee R DDS ......................................3 

Reed, Andrew A DDS ...............................3, 5 

Rice, Ronald C DDS ......................................5 

Richards, Cory D DDS ..................................3 

Robertson, Bradley E DDS ............................3 

Rogers, Kenneth E DDS ................................5 

Romriell, Gregory E DMD ............................3

S 

Schaff, Bradley J DDS ...................................5 

Scholes, Michael S DMD ..............................5 

Scott, Jonathan N DMD .............................3, 5 

Simmons, Kent B DDS ..................................6 

Simpson, John A DDS ...................................6 

Skousen, Nathaniel R DMD ......................3, 5 

Smith, Douglas J DDS ...................................6 

Smith, Jonathan J DDS ..................................4 

Smith, Randy G DDS.....................................4 

Smith, Richard R DDS ...................................5 

Snarr, Thomas D DDS ...................................6 

Snow, Randal C DMD ...................................3 

Speirs, Ryan T DMD .....................................5 

Staley, Galen J DDS ......................................4 

Steiner, Greg D DDS .....................................3 

Stephenson, Glen K DMD .............................3 

Stoddard, Curtis T DMD................................4 

Stohl, John R DMD........................................4 

Stosich, G Van DDS .....................................4 

Strobel, Dirk E DDS ......................................6 

Summers, Thomas B DDS .............................4 

Sutton, D Porter DMD ..................................3 

Sutton, Stephen V DMD ................................3 

T 

Tall, Mark A DDS..........................................4 

Tall, Michael A DDS .....................................4 

Tanner, Nicholas J DDS ................................4 

Thomason, James C DMD .............................6 

Thorpe, Edgar B DDS ....................................6 

Thuernagle, Oliver O DMD ...........................4 

Timothy, Robert J DDS .................................4 

Toenjes, John R DDS.....................................5 

U 

Uniat, Brooks J DDS......................................3 

W 

Waite, Patrick L DDS ....................................5 

Walker, Frank A DMD ..................................3 

Ward, Lane R DDS ........................................6 

Wells, Christopher R DMD ...........................3 

Wentz, Lynn C DDS ......................................5 

Weston, Monty B DDS ..................................4 

Wilkes, Scott E DDS......................................6 

Wilkinson, David L DDS...............................6 

Williams, Duane J DMD................................3 

Williams, Paul S DDS....................................3 

Willis, Warren R DMD ..............................3, 5 

Wold, John D DDS ........................................3 

Y 

Yeaman, Scott R DDS ...................................4 

Alphabetical Index of 


Z 

Zirker, Jed K DMD ........................................4 


8

Dentist Nomination Form 

If the dentist of your choice is not listed in this directory, you may complete this form to 

nominate the dentist to participate in the CONNECTION Dental Network. An application 

packet will be sent to eligible providers. The normal time frame for credentialing of dentists 

takes approximately 60 days after application has been received. 

Dentist Information 

Name: ________________________________________________________________ 

Address: _______________________________________________________________ 

________________________________________________________________ 

Phone: __________________________________ Fax: _______________________ 

Member Information 

Name: _______________________________________________________________ 

Address: _______________________________________________________________ 

_______________________________________________________________ 

Phone: __________________________________Fax: _________________________ 

Member Identification Number: _____________________________________________ 

Employer Group Name: _________________________Group Number:______________ 

Please mail the form to the following address: 

GEHA Dental Administration 

P.O. Box 455 

Independence, MO 64051-0455 

Or fax to GEHA Dental Administration at 816-257-3358 

Thank you for your interest in the CONNECTION Dental Network.

Participating Dentists - GEHA Connection Dental Federal

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