Dentist Directory JOHN G MATHEN, JANE S MENOS, PERRY M MOORE, STEPHEN M PAFFEL, DAWN F PAFFENROTH, JEFFREY…

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Dentist DirectoryDelta Dental PremierTM & Delta Dental PPOSM Uniform Dental Benefit Directory (2019) Supplemental Dental Directory (2019)

Nondiscrimination and Accessibility Requirements: Discrimination is Against the Law

Delta Dental complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Delta Dental does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.Delta Dental:

Provides free aids and services to people with disabilities to communicate effectively with us, such as:

Qualified sign language interpreters Written information in other formats (large print, audio, accessible

electronic formats, other formats) Provides free language services to people whose primary language is not English,

such as: Qualified interpreters Information written in other languages

If you need these services, contact Jennifer Morrison, Compliance Manager, 2801 Hoover Road, Stevens Point, WI 54481, Phone: 715-344-6087, TTY: 877-287-9039, Fax: 715-344-9058, jmorrison@deltadentalwi.com.

If you believe that Delta Dental has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Jennifer Morrison, Compliance Manager, 2801 Hoover Road, Stevens Point, WI 54481, Phone: 715-344-6087, TTY: 877-287-9039, Fax: 715-344-9058, jmorrison@deltadentalwi.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Jennifer Morrison, Compliance Manager, is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 800-537-7697 (TDD).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Multi-Language Interpreter Services

ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Llame al 1-800-236-3712 (TTY: 711).

LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-800-236-3712 (TTY: 711).

1-800-236-3712TTY711

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfgung. Rufnummer: 1-800-236-3712 (TTY: 711).

( 3712-236-800-1: . ).117:

: , . 1-800-236-3712 (: 711).

: , . 1-800-236-3712 (TTY: 711) .

CH : Nu bn ni Ting Vit, c cc dch v h tr ngn ng min ph dnh cho bn. Gi s 1-800-236-3712 (TTY: 711).

Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-800-236-3712 (TTY: 711).

: , , , . 1-800-236-3712 (TTY: 711).

ATTENTION : Si vous parlez franais, des services d'aide linguistique vous sont proposs gratuitement. Appelez le 1-800-236-3712 (ATS : 711).

UWAGA: Jeeli mwisz po polsku, moesz skorzysta z bezpatnej pomocy jzykowej. Zadzwo pod numer 1-800-236-3712 (TTY: 711).

: 1-800-236-3712 (TTY: 711)

KUJDES: Nse flitni shqip, pr ju ka n dispozicion shrbime t asistencs gjuhsore, pa pages. Telefononi n 1-800-236-3712 (TTY: 711).

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-236-3712 (TTY: 711).

ABBOTSFORD

Delta Dental of Wisconsin Network Dentists

For the most up-to-date provider listings, visit .www.deltadentalwi.com/provider-search/

ABBOTSFORD

General Practitioner - Premier

RENS, CHRISTINA

RENS, TROY D

ADAMS

General Practitioner - PPO

GEARHART, FORREST R

ALGOMA

General Practitioner - PPO

HAVEL, REBECCA A

General Practitioner - Premier

MCLUEN, SEAN M

ALLENTON

General Practitioner - Premier

HOVE, DANIEL L

ALMA

General Practitioner - PPO

KELLER JR, JACKSON A

ALTOONA

General Practitioner - PPO

HABBEN, GREGORY

WOODWARD, CHRISTINE A

General Practitioner - Premier

KENYON, DAVID J

Endodontist - PPO

BOLLMAN, MEGAN A

JOHNSON, BLAIR

Oral Surgeon - PPO

DOZIER, IAN

GOETZ, JEFFREY

IVANKOVIC, SLAVKO

MILLINGTON, M DREW

RIDENOUR, STEPHEN J

AMERY

General Practitioner - PPO

LEE, ROLLYN P

MARKS, HEATHER R

General Practitioner - Premier

DOROFF, DAVID

LAMPI, JAMES J

OTT-BRUSHABER, AMY G

VAN SOMEREN, THOMAS P

Endodontist - PPO

FRAVEL, BENJAMIN J

Oral Surgeon - PPO

BURNS, GREGORY M

AMHERST

General Practitioner - Premier

WESSELL, MICHAEL D

ANTIGO

General Practitioner - PPO

BROWN, STANLEY E

FREYER, PETER J

GUBLER, AARON T

KREBS, RANDALL S

General Practitioner - Premier

O'BRIEN, MEGHAN K

REIMER, STEPHANIE L

ROMERO, DENNIS A

Oral Surgeon - PPO

KLINE, PATRICK C

Orthodontist - Premier

DOVORANY, JOHN T

APPLETON

General Practitioner - PPO

ACHANTI, SHALINI

ADAMCZYK, THERESA N

ALLEN, SARAH E

ARTS, RACHEL L

ASP, ROBERT J

BALL, AMANDA A

BAYE, WILLIAM J

CARPENTER, HEATHER M

CHEN, XIAOQI

CHENEY, FRED

CHOI, ELISA J

DAVIS, MELLISSA E

DETARI, BRIAN D

DUBE, NOMUHLE S

GOETSCH, BRANDEN W

HAMMOND, NAA NORKOR

HAMMOND, WILLIAM A

HARRIS, DONN W

HASSELL, HEATHER R

IYONMAHAN, KARLA A

KLING, RICHARD

KNAPP, WILLIAM

KRUEGER, NATHAN P

LAMBERT, RONALD J

LEYES, KATHERINE

MARTIN, JESSICA R

MARX, RUTH

MC CONNELL, PATRICIA A

MCKINNON, DANIEL W

MEYER, ELLEN R

PAJEK, JOLANTA M

PFLUM, MARK

POHL, JASON J

POLZIN, EDWARD S

POLZIN, J SCOTT

POPELKA, PAUL

PUCHTA, MATTHEW P

QUINLAN, DENNIS P

RASMUSSEN, ANDREW J

ROMENESKO, BENJAMIN J

ROMENESKO, CALLIE I

ROSTAS, JEFFRY A

SCHMIDT, CARLEEN L

SMITH, DAVID R

TOVAR, VERONICA

VANDEN HEUVEL, JOSHUA T

VOSTERS, TIMOTHY J

WAGENER, ANN M

WEBER, STEVEN L

YANG, KWON C

General Practitioner - Premier

BARNES, KURT

BASTIC II, ROBERT J

BELL, JEFFREY

CEPEDA, DANIEL A

CURLESS, ERIN

EDWARDS, ALISSA M

EMANUEL, DAVID J

GROTENHUIS, THOMAS P

HEHLI, PETER

HOFTIEZER, NATHAN R

ISKEN, CHAD M

KAPPELMAN, MATTHEW R

LASELLE, THOMAS J

LEE, DAVID BLONG S

LENZ, MARK G

LINDHOLM TETTING, FAITH

LUTHER, JOHN B

MADSON, STACEY

MASAK, JOHN G

MATHEN, JANE S

MENOS, PERRY M

MOORE, STEPHEN M

PAFFEL, DAWN F

PAFFENROTH, JEFFREY J

PAFFENROTH, TRENTON J

ROMENESKO, BENJAMIN J

ROMENESKO, JEFFREY G

ROMENESKO, MICHAEL G

ROMENESKO, RICHARD L

RUTHVEN, EMILY R

SCHARINE, DALE M

SHOBERG, PAUL

SIEGRIST, ANNE E

TETTING, PAUL R

WETZEL, ALEXANDRA M

YUNK, DARRELL M

ZUBELLA, PETER A

Visit or call 1-844-337-8383 to learn more.

You will realize the most savings by seeing a Delta Dental PPO dentist.

www.deltadentalwi.com/state-of-wi

Page 1

PLEASE NOTE THE NETWORK(S) THAT ARE AVAILABLE FOR YOUR PLAN TYPE

Delta Dental Premier dentists also save you money, just not as much as PPO dentists.

(i.e. Delta Dental PPO Select Plan participants can ONLY see a PPO dentist)** **

When choosing a network dentist be sure to validate their network participation as it may differ from office to office.

http://www.deltadentalwi.com/provider-search/https://www.deltadentalwi.com/state-of-wi/

APPLETON

Delta Dental of Wisconsin Network Dentists

For the most up-to-date provider listings, visit .www.deltadentalwi.com/provider-search/

Endodontist - Premier

AUTH, RYAN J

BREZINSKY, SCOTT A

GAMM, DAVID J

LUNDINE, PAUL P

WHITE, PATRICK W

Oral Surgeon - PPO

BERGSTROM, CHRISTOPHER

CASPERSON, JEFFREY L

KELLY, PATRICK D

KOLL, TIMOTHY J

RYDLEWICZ, JOHN

SCHMIDT, PAUL

SWANSON, MATTHEW T

ZUCK, TIMOTHY I

Orthodontist - PPO

BEUHLER, JOHN-DAVID C

HAN, SANGKYU

OLSEN, DAVID L

Orthodontist - Premier

BURBEY, MARK A

EICHHOLZ, ANDREW W

HANSON, MARK H

KLOBUCARICH, SUSAN S

LIN, EDWARD Y

SCHMIDTKE, GILPATRICK

TOMASSETTI, JAMES J

Pediatric Dentist - PPO

BHOSALE MOHITE, GAYATRI

HEITZLER, MICHAELLA

MOSELEY STEVENS, JENNIFER J

SHAW, MARK A

SMITH, NIKKI L

SPIEGL, JOSHUA J

TURNER, THOMAS J

Pediatric Dentist - Premier

HERNANDEZ, GONZALO E

STEIN