Participating Dentists - GEHA Connection Dental Federal

DENTAL 

DIRECTORY

CONNECTION Dental Network 

Table of Contents 

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

Bannock County................................................................................................4 

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

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

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

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

Boundary County ..............................................................................................5 

Butte County.....................................................................................................5 

Canyon County .................................................................................................6 

Cassia County ...................................................................................................6 

Clearwater County ............................................................................................6 

Custer County ...................................................................................................6 

Elmore County ..................................................................................................6 

Fremont County ................................................................................................6 

Gem County......................................................................................................6 

Gooding County ................................................................................................6 

Idaho County ....................................................................................................6 

Jefferson County ...............................................................................................6 

Jerome County ..................................................................................................6 

Kootenai County ...............................................................................................7 

Lemhi County ...................................................................................................7 

Madison County ................................................................................................7 

Minidoka County ..............................................................................................7 

Nez Perce County ..............................................................................................7 

Oneida County ..................................................................................................7 

Payette County ..................................................................................................7 

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 

Teton County ....................................................................................................7 

Twin Falls County .............................................................................................7 

Valley County ...................................................................................................8 

Index of Participating Dentists ..............................................................................9 

Provider Nomination Form .................................................................................. 11 

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 

Abraham, Jethe A DDS 

317 W Cherry Ln 

Meridian, ID 83642 

(208) 395-1000 

5898 S Quamash Way 

Boise, ID 83716 

(208) 395-1000 

Belt, Bradford A DMD 



(208) 395-1000 



(208) 395-1000 

Bergloff, John A DDS 



(208) 888-7889 

Bird, Brian R DMD 



(208) 395-1000 



(208) 395-1000 

Brewster, Carrick C DDS 

7337 Northview 


(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) 888-4711 

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 

Crichton, Rolf O DDS 

10233 W Overland Rd 


(208) 323-4700 

Croft, Douglas W DDS 

927 N Linder Rd 

Kuna, ID 83634 

(208) 922-4149 

Croft, Gordon G DMD 

8300 Northview St 


(208) 377-8078 

Dayley, Blake DDS 

13905 W Wainwright Dr 


(208) 703-1637 

Elkins, Clark R DMD 



(208) 395-1000 



(208) 395-1000 

Francis, Grant H DDS 

943 N Linder 


(208) 922-1919 

French, Robert W DMD 



(208) 395-1000 



(208) 395-1000 

Grant, James D DMD 

672 E Wythe Creek Court 

Suite 101 Unit D 


(208) 629-2800 

Hansen, Timothy A DDS 

4840 N Rosepoint Way 

Suite A 


(208) 938-1825 

Haws, Zachariah DDS 



(208) 922-5111 

Idaho 

Participating Dentists 

Hendricks, Robert W 

DDS 



(208) 395-1000 



(208) 395-1000 

Hess, Julie L DMD 



(208) 395-1000 

Higginson, Michael L 

DDS 

1177 N Eagle Rd 

Eagle, ID 83616 

(208) 939-3010 

Hilborn, Carol F DMD 



(208) 395-1000 



(208) 395-1000 

Hitch, Michelle A DDS 

1166 N Cole Rd 

Suite B 


(208) 322-7478 

Jardine, Barry W DMD 

1910 S Meridian Rd 

Suite 150 


(208) 888-3540 

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 

Jensen, Kaci B DDS 



(208) 395-1000 



(208) 395-1000 

Kooyman, Matthew L 

DDS 

1500 W Cayuse Creek Dr 

Suite 100 


(208) 884-8858 

This list is subject to change. 

3 

Laney, Jeffrey C DDS 



(208) 888-4711 

Lewis, David M DDS 

3175 S Meridian Rd 

Suite 150 


(208) 888-5470 

Lowry, Benjamin D DDS 

9460 W Franklin Rd 


(208) 377-0410 

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 

Mortensen, Wayne A 

DMD 



(208) 395-1000 



(208) 395-1000 

Oto, Marvin G DDS 



(208) 939-3010 

Payne, Steven L DMD 


Suite 120 


(208) 887-9000 

Peterson, Wayne R DDS 



(208) 322-8877 

Pilling, Jordan K DMD 

7677 W Emerald St 


(208) 639-4390 

Pilling, Wade DMD 

4795 N Summit Way 

Suite 120 


(208) 888-0662 

7677 W Emerald St 


(208) 639-4390 

Ada County 

Reed, Andrew A DDS 



(208) 888-4711 

Richards, Cory D DDS 

1570 E Heritage Park St 

Suite 100 


(208) 884-8066 

Ritter, William T DDS 



(208) 395-1000 



(208) 395-1000 

Robertson, Bradley E 

DDS 

12055 W Ustich 


(208) 322-1747 

Scott, Jonathan N DMD 


Suite 120 


(208) 887-9000 

Simms, Michael C DDS 

4700 N Cloverldale Rd 

Suite 104 


(208) 376-8573 

Skousen, Nathaniel R 

DMD 



(208) 375-3755 

Spencer, Brandon DMD 



(208) 395-1000 



(208) 395-1000 

Steiner, Greg D DDS 

1500 N Crestmont Dr 

Suite C 


(208) 888-4481 

Stephenson, Glen K 

DMD 

12055 W Ustick Rd 


(208) 375-4041 

Stubblefield, Carl DMD 

9502 W Fairview Ave 


(208) 939-3469

Ada County 

Thomason, Christopher 

A DMD 



(208) 395-1000 



(208) 395-1000 

Tuft, Matthew L DDS 

12426 W Exployer Dr 

Suite 210 


(208) 376-5499 

Walker, Frank A DMD 

10233 W Overland Rd 


(208) 323-4700 

Wells, Christopher R 

DMD 

1880 W Judith Ln 

Suite 210 


(208) 345-2771 

Williams, Nathan R DDS 



(208) 922-4149 

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 

Davis, Bret DMD 

1800 Flandro Dr 

Suite 340 


(208) 238-1900 

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 

Gagnon, Paul A DMD 

1169 Call Creek Dr 

Suite A 


(208) 233-8620 

Godfrey, G William DDS 

1980 Birdie Thompson Dr 


(208) 233-8750 

Godfrey, Michael W DMD 



(208) 233-8750 

Goodliffe, Pamela DMD 

585 W Booth 

Lava Hot Springs, ID 83246 

(208) 776-5929 

Hansen, Chris D DDS 



(208) 233-5362 

Hodge, Jeremy L DMD 

1525 Baldy Ave 


(208) 238-0011 

Holm, Carl B DDS 

350 E Cedar St 

Suite A 


(208) 233-2525 

McHugh, Michael T DDS 

1246 Yellowstone Ave 

D3 


(208) 238-0125 

Ormond, Errol K DDS 



(208) 478-4449 

Reddish, Lee R DDS 



(208) 233-8750 

Romriell, Gregory E 

DMD 



(208) 478-5550 

Idaho 


Smith, R. Kim DDS 

115 E Chapel Rd 


(208) 237-6848 

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 

Weaver, Kelly L DMD 



(208) 233-5362 

Williams, Duane J DMD 



(208) 232-8410 

Williams, Paul S DDS 



(208) 232-8410 

Pediatric Dentistry 

Bybee, Larry W DDS 



(208) 478-5437 

McWhorter, Robert D 

DDS 

625 E Alameda Rd 


(208) 237-1567 

Misner, Leroy R DDS 



(208) 478-5437 

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 


4 

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 

Armstrong, Damon T 

DDS 

625 W Pacific St 

Suite 4 


(208) 785-3310 

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, Brent DMD 

694 W Hwy 39 


(208) 684-3122 

Jenkins, Tracy D DDS 

1120 Pkwy Dr 


(208) 785-0878 

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 

Orthodontics 

McCord, Layne K DMD 

295 Anderson Rd 


(208) 529-8333 

Bonneville County 


Burtenshaw, John C 

DMD 

34 SE Main St 

Suite 102 


(208) 785-4696 

Fairchild, Jamie L DMD 

34 SE Main St 

Suite 102 


(208) 785-4696 

BONNER 

COUNTY 


Beazer, Mark H DMD 

1327 Superior St 

Sandpoint, ID 83864 

(208) 263-7101 

Cox, David P DDS 

477542 Hwy 95 N 


(208) 263-1905 

Smith, Jonathan J DDS 



(208) 304-8311 

Woolf, Jason M DMD 



(208) 263-7101 

BONNEVILLE 

COUNTY 


Barnard, Douglas S DDS 

640 S Woodruff Ave 

Idaho Falls, ID 83401 

(208) 523-5400 

Barnard, Steven A DDS 



(208) 523-5400 

Bell, Joshua R DMD 

1655 Pancheri Dr 


(208) 522-1911 

2205 Channing Way 

Suite A 


(208) 529-4484 

Bell, Justin D DDS 



(208) 522-1911

Bonneville County 


Suite A 


(208) 529-4484 

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 

Christensen, Corey D 

DDS 


Suite B 


(208) 529-3660 

Cooper, Alan R DDS 



(208) 523-5400 

Couch, H Keith DDS 

2110 E 25th St 


(208) 524-2300 

Crandall, Nathan J DDS 

1991 W Broadway 

Suite 1 


(208) 529-1991 

Cutforth, Kent DDS 

1370 E 17th St 


(208) 523-3388 

Davis, Scott D DDS 

3315 S Holmes Ave 


(208) 522-4491 

Elison, Michael A DMD 

3656 Washington Pkwy 


(208) 522-7216 

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 

Hansen, Chris D DDS 



(208) 524-2300 

Harper, Philip DMD 



(208) 524-2300 

Heninger, David M DDS 

3375 Merlin Dr 


(208) 524-1700 

Hill, David J DDS 

1400 E 17th St 


(208) 542-5300 

Hoover, Jeffrey A DMD 

1520 Elk Creek Dr 


(208) 524-4668 

Hunter, Charles M DMD 

2300 E 17th St 


(208) 525-8383 

Hunter, Robert A DDS 

2300 E 17th St 


(208) 525-8383 

Jardine, Taylor J DDS 

1370 E 17th St 


(208) 523-3388 

Johnson, Evan O DMD 

1520 Elk Creek Dr 


(208) 522-8854 

Kidman, Ryan T DDS 

139 Alturas St 


(208) 523-5090 

Murdock, Tyson R DMD 



(208) 522-1911 


Suite A 


(208) 529-4484 

Murdock, Wayne B DDS 



(208) 522-1911 

Idaho 



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 

Owen, John DDS 



(208) 523-4700 

Pearson, William E DDS 

749 Oxford Dr 


(208) 529-0420 

Peterson, Glade L DMD 


Suite B 


(208) 529-3660 

Peterson, Justin T DDS 


Suite B 


(208) 529-3660 

Polson, Preston H DDS 



(208) 522-4491 

Rich, L McKay DDS 

2300 E 17th St 


(208) 525-8383 

Sheppard, Ron D DDS 

2300 E 17th St 


(208) 525-8383 

Staley, Galen J DDS 



(208) 529-0120 

Stoddard, Curtis T DMD 



(208) 523-5400 


5 

Stosich, G Van DDS 

1400 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 

Thuernagle, Oliver O 

DMD 



(208) 523-0840 

Tingey, Kirk R DDS 

2300 E 17th St 


(208) 525-8383 

Tobias, Scott G DDS 

2300 E 17th St 


(208) 525-8383 

Zirker, Jed K DMD 

1801 S Ammon Rd 

Ammon, ID 83406 

(208) 528-7665 

Orthodontics 

Gill, Jared DMD 


Suite 1 


(208) 881-3368 

Lowder, Phillip D DDS 

1088 N Skyline Dr 


(208) 523-4332 

McCord, Layne K DMD 



(208) 529-8333 


Baker, Drostan G DDS 

1900 John Adam Pkwy 


(208) 524-0644 

Butte County 

Burtenshaw, John C 

DMD 

3299 E 17th St 


(208) 529-3007 

Fairchild, Jamie L DMD 

3299 E 17th St 


(208) 529-3007 

Higham, Jordan E DDS 

929 S Utah Ave 


(208) 529-2199 

Marlowe, Mark W DDS 



(208) 542-1333 

Smith, Randy G DDS 



(208) 542-1333 

BOUNDARY 

COUNTY 


Beazer, Mark H DMD 

6635 Comanche St 

Bonners Ferry, ID 83805 

(208) 267-1718 

Olaru, Serban A DMD 



(208) 267-1718 

Smith, Jonathan J DDS 



(208) 267-1718 

Woolf, Jason M DMD 



(208) 267-1718 

Yeaman, Scott R DDS 



(208) 267-1718 

BUTTE COUNTY 


Christensen, Corey D 

DDS 

520 Highland Dr 

Arco, ID 83213 

(208) 527-3472 

Peterson, Glade L DMD 



(208) 527-3472

Butte County 

Peterson, Justin T DDS 



(208) 527-3472 

CANYON 

COUNTY 


Cammann, John W DMD 

18 W Main St 

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 

Christensen, Shaun C 

DMD 

155 S Midland Blvd 


(208) 466-7424 

Deppe, Thomas D DDS 

1601 12th Ave Rd 

Suite 103 


(208) 466-3597 

4411 E Flamingo Rd 


(208) 466-3597 

Gardner, Scott R DDS 



(208) 466-3239 

Hammer, Jason B DMD 

203 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 

Pilling, Jordan K DMD 

1015 Caldwell Blvd 


(208) 442-1088 

Pilling, Wade DMD 

1015 Caldwell Blvd 


(208) 442-1088 

Reed, Andrew A DDS 

18 W Main St 


(208) 585-3235 

Satchwell, Chris A DMD 

16377 N Market Place Blvd 


(208) 461-5222 

Scott, Jonathan N DMD 

1601 12the Ave Rd 

Suite 103 


(208) 467-9690 



(208) 461-5222 

4411 E Flamingo Ave 


(208) 466-3597 

Waite, Patrick L DDS 

4105 Clock Tower Ave 

Caldwell, ID 83607 

(208) 455-9498 




(208) 461-5222 

Wolff, William C DDS 

5826 E Franklin Rd 


(208) 461-5829 

CASSIA COUNTY 


Rice, Ronald C DDS 

515 E 5th N 

Burley, ID 83318 

(208) 679-3000 

Wright, Wayne J DDS 

2200 Park Ave 

Suite 1 


(208) 678-1478 

Idaho 



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 

CUSTER 

COUNTY 


McGowan, Thomas V 

DDS 

1150 12th St 

Challis, ID 83226 

(208) 879-2366 

ELMORE 

COUNTY 


Smith, Tyler J DMD 

2280 American Legion Blvd 

Mountain Home, ID 83647 

(208) 587-3988 

Stoddard, Andrew D 

DDS 



(208) 587-3988 

Oral Maxillofacial 

Surgery 

Smith, Tyler J DMD 



(208) 587-3988 


6 

FREMONT 

COUNTY 


Bauer, Kevin S DDS 

104 N Bridge St 

Suite 117 

Saint Anthony, ID 83445 

(208) 624-2000 

Brizzee, Gabe C DDS 

305 E 5th N 


(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 



314 S Washington Ave 

Emmett, ID 83617 

(208) 365-6313 

GOODING 

COUNTY 


McLaughlin, John L DDS 

126 5th Ave W 

Gooding, ID 83330 

(208) 934-4610 

IDAHO COUNTY 


Harrington, Tyler J DDS 

615 W N St 

PO Box 368 

Grangeville, ID 83530 

(208) 983-0105 

Link, John A DDS 

412 W Main St 


(208) 983-2422 

Nelson, Michael D DDS 

412 W Main St 


(208) 983-2422 

Jerome County 

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 

Ellis, Robert L DDS 

143 1/2 E Main St 


(208) 745-0400 

Gordon, Brandon D DDS 

1284 E 1500 N 

Terreton, ID 83450 

(208) 663-4830 

Mikesell, Quinn Q DMD 

711 Rigby Lake Dr 

Suite 102 


(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 


Barlow, McKay D DDS 

143 E Main St 

Jerome, ID 83338 

(208) 324-7007 

Bond, David M DDS 

143 E Main St 


(208) 324-7007 

Page, Samuel C DMD 

143 E Main St 


(208) 324-7007

Kootenai County 

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 

Larson, Andrew M DMD 

2201 N Government Way 

Coeur D Alene, ID 83814 

(208) 664-9129 

Lowry, Edward I DDS 

1800 Lincoln Way 

Suite 100 


(208) 765-3322 

Mosby, Kent E DDS 

700 W Ironwood Dr 

Suite 320 


(208) 667-1154 

Moss, David L DDS 

9095 N Hess St 

Suite 201 

Hayden, ID 83835 

(208) 772-4500 

Olaru, Serban A DMD 


Suite 201 


(208) 665-2266 

Rasmussen, Stanley K 

DDS 


Suite 100 


(208) 765-3322 

Scholes, Michael S DMD 

1801 N 3rd St 


(208) 667-1578 


Dance, Thomas M DDS 

1027 W Prairie Ave 

Hayden, ID 83835 

(208) 772-2202 

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 

Toenjes, John R DDS 

204 Main St 

Ashton, ID 83467 

(208) 652-7868 

Orthodontics 


1301 Main St 


(307) 885-9244 

MADISON 

COUNTY 


Allen, James C DDS 

35 Madison Prof Park 

Rexburg, ID 83440 

(208) 356-5601 

Barnard, Douglas S DDS 

556 Trejo St 

Suite C 


(208) 359-2224 

Barnard, Steven A DDS 

556 Trejo St 

Suite C 


(208) 359-2224 

Bauer, Kevin S DDS 

556 Trejo St 

Suite C 


(208) 359-2224 

Burtenshaw, Craig A 

DDS 

33 Winn Dr 

Suite 2 


(208) 359-1500 

Cooper, Alan R DDS 

556 Trejo St 

Suite C 


(208) 359-2224 

Idaho 


Couch, H Keith DDS 

1014 Erikson Dr 

Suite A 


(208) 359-5454 

Hacking, Layne E DMD 

242 E Main St 


(208) 359-2345 

Hammond, Ronald J 

DDS 

556 Trejo St 

Suite C 


(208) 359-2224 

Lewis, Wendel J DMD 

130 W Main St 


(208) 356-4132 

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 

859 S Yellowstone Hwy 


(208) 524-3400 

Walker, Robert L DMD 

35 Madison Prof Park 


(208) 356-5601 

Ward, Lane R DDS 

44 S Center St 


(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 


7 

MINIDOKA 

COUNTY 


Catmull, Nathan A DDS 

502 8th St 

Rupert, ID 83350 

(208) 436-4747 

Simpson, John A DDS 

502 8th St 

Rupert, ID 83350 

(208) 436-4747 

NEZ PERCE 

COUNTY 


Bailey, Rich E DMD 

3318 4th St 

Lewiston, ID 83501 

(208) 746-3694 

Simmons, Kent B DDS 

3318 4th St 


(208) 746-3694 

Orthodontics 

Wilkinson, David L DDS 

3326 4th St 

Suite 5 


(208) 746-0479 

ONEIDA 

COUNTY 


Thorpe, Edgar B DDS 

185 S 300 E 

Malad City, ID 83252 

(208) 766-2204 

PAYETTE 

COUNTY 


Hansill, Marni L DMD 

1441 NE 10th Ave 

Payette, ID 83661 

(208) 642-9379 

Jardine, Barry W DMD 

811 Center Ave 

Payette, ID 83661 

(208) 642-4111 

Twin Falls County 

TETON COUNTY 


Cherry IV, Raymond 

DDS 

741 S 50th W 

Victor, ID 83455 

(208) 787-2323 

Walker, Robert L DMD 

235 Wallace Ave 

Driggs, ID 83422 

(208) 354-8181 

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 

Palmer, Zane O DDS 

1411 Falls Ave E 

Suite 1000C 


(208) 734-7415 


Hibbert, Steve L DDS 

1411 N Fillmore 

Suite 602 


(208) 404-9882 

Pryor, Trent DMD 


Suite 1000 C 


(208) 734-7415 

Stoddard, Dennis G DMD 


Suite 1000C 


(208) 734-7415

Valley County 

VALLEY 

COUNTY 


Charles, Brian W DMD 

509 Pine St 

McCall, ID 83638 

(208) 634-7653 

Idaho 



8 

Valley County

A 

Abraham, Jethe A DDS..................................3 

Allen, James C DDS ......................................7 

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

Armstrong, Damon T DDS ............................4 

B 

Bailey, Rich E DMD ......................................7 

Baker, Drostan G DDS ..................................5 

Barlow, McKay D DDS .................................6 

Barnard, Douglas S DDS ...........................4, 7 

Barnard, Steven A DDS .............................4, 7 

Bauer, Kevin S DDS ..................................6, 7 

Beazer, Mark H DMD................................4, 5 

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

Bell, Justin D DDS .....................................4, 5 

Belt, Bradford A DMD ..................................3 

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

Berrey, J Brent DMD ....................................4 

Bird, Brian R DMD........................................3 

Bond, David M DDS......................................6 

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

Bringhurst, Eric L DDS .................................4 

Bringhurst, Louis DDS .................................4 

Brizzee, Gabe C DDS ....................................6 

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

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

Bruggeman, Vern B DDS ..............................5 

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

Burtenshaw, Bryce A DDS ............................5 

Burtenshaw, Craig A DDS .........................5, 7 

Burtenshaw, John C DMD .........................4, 5 

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

Bybee, Larry W DDS.................................4, 6 

C 

Cammann, John W DMD ..........................3, 6 

Cammann, Michael M DMD .....................3, 6 

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

Carlen, Kelly E DDS......................................6 

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

Catmull, Nathan A DDS ................................7 

Charles, Brian W DMD .................................8 

Cherry IV, Raymond DDS............................7 

Christensen, Corey D DDS ............................5 

Christensen, Shaun C DMD ...........................6 

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

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

Cooper, Alan R DDS .................................5, 7 

Couch, H Keith DDS ................................5, 7 

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

Crandall, Nathan J DDS .................................5 

Cress, Justin C DDS.......................................7 

Crichton, Rolf O DDS....................................3 

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

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

Cutforth, Kent DDS ......................................5 

D 

Dance, Thomas M DDS .................................7 

Alphabetical Index of 


Dansie, Ben R DMD ......................................6 

Davis, Bret DMD ..........................................4 

Davis, Scott D DDS .......................................5 

Dayley, Blake DDS.......................................3 

Deppe, Thomas D DDS .................................6 

Devore, Chad S DDS .....................................7 

Devore, Terry T DDS ....................................7 

Dingman, Mike B DDS .................................7 

E 

Elison, Michael A DMD ................................5 

Elkins, Clark R DMD ....................................3 

Ellis, Robert L DDS .......................................6 

Evans, Eron J DDS ........................................4 

F 

Fackrell, Robert L DDS .................................4 

Fairchild, Jamie L DMD ............................4, 5 

Fellows, Richard E DDS ................................4 

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

French, Robert W DMD ................................3 

G 

Gagnon, Paul A DMD....................................4 

Gardner, Scott R DDS....................................6 

Gill, Jared DMD............................................5 

Godfrey, Curtis J DDS ...................................5 

Godfrey, D Kent DDS...................................5 

Godfrey, G William DDS .............................4 

Godfrey, Michael W DMD ............................4 

Goodliffe, Pamela DMD ...............................4 

Gordon, Brandon D DDS...........................5, 6 

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

Gray, J Douglas DDS....................................6 

Greenhalgh, Dan R DMD ..............................5 

H 

Hacking, Layne E DMD ................................7 

Hammer, Jason B DMD.................................6 

Hammond, Ronald J DDS .............................7 

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

Hansen, Chris D DDS ................................4, 5 

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

Hansill, Marni L DMD ..................................7 

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

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

Harper, Philip DMD......................................5 

Harrington, Tyler J DDS ................................6 

Haws, Zachariah DDS ..................................3 

Hendricks, Robert W DDS ............................3 

Heninger, David M DDS ...............................5 

Hess, Julie L DMD ........................................3 

Hibbert, Steve L DDS ....................................7 

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

Higham, Jordan E DDS..................................5 

Hilborn, Carol F DMD...................................3 

Hill, David J DDS ..........................................5 

Hitch, Michelle A DDS..................................3 

Hodge, Jeremy L DMD..................................4 

Holbrook, Gregory S DDS.............................7 


9 

Holm, Carl B DDS .........................................4 

Hoover, Jeffrey A DMD ................................5 

Hughes, James P DDS ...................................7 

Hunter, Charles M DMD ...............................5 

Hunter, Robert A DDS...................................5 

J 

Jardine, Barry W DMD ..............................3, 7 

Jardine, Taylor J DDS....................................5 

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

Jenkins, Tracy D DDS ...................................4 

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

Jensen, Kaci B DDS.......................................3 

Johnson, Evan O DMD ..................................5 

K 

Keller, Klint R DDS.......................................6 

Kidman, Ryan T DDS....................................5 

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

Kunz, Neil L DMD ........................................6 

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

L 

Laney, Jeffrey C DDS................................3, 6 

Larson, Andrew M DMD...............................7 

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

Lewis, Wendel J DMD ..................................7 

Link, John A DDS .........................................6 

Lowder, Phillip D DDS .........................5, 6, 7 

Lowry, Benjamin D DDS ..............................3 

Lowry, Edward I DDS ...................................7 

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

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

M 

Marlowe, Mark W DDS.................................5 

McCord, Layne K DMD ............................4, 5 

McDonald, Robert B DMD ...........................6 

McGowan, Thomas V DDS ...........................6 

McHugh, Michael T DDS..............................4 

McLaughlin, John L DDS..............................6 

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

Mikesell, Quinn Q DMD ...............................6 

Miller Jr, Michael B DDS ..............................6 

Misner, Leroy R DDS ................................4, 6 

Mooso, Darin R DDS.................................3, 6 

Mortensen, Wayne A DMD ...........................3 

Mosby, Kent E DDS ......................................7 

Moss, David L DDS.......................................7 

Murdock, Tyson R DMD ...............................5 

Murdock, Wayne B DDS ...............................5 

N 

Neff, Marcus D DDS .....................................5 

Nelson, Michael D DDS ................................6 

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

Nielson, Robert D DMD ................................5

O 

Olaru, Serban A DMD ...............................5, 7 

Olson, Brant N DDS ......................................5 

Ormond, Errol K DDS ...................................4 

Oswald, Brad L DDS .....................................5 

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

Owen, John DDS ..........................................5 

P 

Page, Samuel C DMD ....................................6 

Palmer, Zane O DDS .....................................7 

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

Pearson, William E DDS ...............................5 

Peterson, Glade L DMD ................................5 

Peterson, Justin T DDS ..............................5, 6 

Peterson, Mark L DDS ...................................6 

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

Pilling, Jordan K DMD ..............................3, 6 

Pilling, Wade DMD ..................................3, 6 

Polson, Preston H DDS ..................................5 

Pryor, Trent DMD .........................................7 

R 

Rasmussen, Stanley K DDS ...........................7 

Reddish, Lee R DDS ......................................4 

Reed, Andrew A DDS................................3, 6 

Rice, Ronald C DDS ......................................6 

Rich, L McKay DDS.....................................5 

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

Ritter, William T DDS ...................................3 

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

Rogers, Kenneth E DDS ................................7 

Romriell, Gregory E DMD ............................4 

S 

Satchwell, Chris A DMD ...............................6 

Schaff, Bradley J DDS ...................................6 

Scholes, Michael S DMD ..............................7 

Scott, Jonathan N DMD .............................3, 6 

Sheppard, Ron D DDS ...................................5 

Simmons, Kent B DDS ..................................7 

Simms, Michael C DDS.................................3 

Simpson, John A DDS ...................................7 

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

Smith, Douglas J DDS ...................................7 

Smith, Jonathan J DDS ..............................4, 5 

Smith, R. Kim DDS ......................................4 

Smith, Randy G DDS.....................................5 

Smith, Tyler J DMD ......................................6 

Snarr, Thomas D DDS ...................................7 

Snow, Randal C DMD ...................................4 

Spencer, Brandon DMD................................3 

Staley, Galen J DDS ......................................5 

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

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

Stoddard, Andrew D DDS .............................6 

Stoddard, Curtis T DMD................................5 

Stoddard, Dennis G DMD..............................7 

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

Stosich, G Van DDS .....................................5 

Alphabetical Index of 


Strobel, Dirk E DDS ......................................7 

Stubblefield, Carl DMD ................................3 

Summers, Thomas B DDS .............................5 

Sutton, D Porter DMD ..................................4 

Sutton, Stephen V DMD ................................4 

T 

Tall, Mark A DDS..........................................5 

Tall, Michael A DDS .....................................5 

Tanner, Nicholas J DDS ................................5 

Thomason, Christopher A DMD....................4 

Thomason, James C DMD .............................7 

Thorpe, Edgar B DDS ....................................7 

Thuernagle, Oliver O DMD ...........................5 

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

Tingey, Kirk R DDS ......................................5 

Tobias, Scott G DDS......................................5 

Toenjes, John R DDS.................................6, 7 

Tuft, Matthew L DDS ....................................4 

W 

Waite, Patrick L DDS ....................................6 

Walker, Frank A DMD ..................................4 

Walker, Robert L DMD .................................7 

Ward, Lane R DDS ........................................7 

Weaver, Kelly L DMD ..................................4 

Wells, Christopher R DMD ...........................4 

Wentz, Lynn C DDS ......................................6 

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

Wilkes, Scott E DDS......................................7 

Wilkinson, David L DDS...............................7 

Williams, Duane J DMD................................4 

Williams, Nathan R DDS...............................4 

Williams, Paul S DDS....................................4 

Willis, Warren R DMD ..............................4, 6 

Wold, John D DDS ........................................4 

Wolff, William C DDS ..................................6 

Woolf, Jason M DMD................................4, 5 

Wright, Wayne J DDS ...................................6 

Y 

Yeaman, Scott R DDS ...................................5 

Z 

Zirker, Jed K DMD ........................................5 


10

Provider Nomination Form 

This page intentionally left blank for the Provider Nomination Form 

11

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

Create successful ePaper yourself

Delete template?

Save as template?