EPSDT Registry – 2002 Update

 

 

 A-E, F-J, K-P,Q-Z

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

 

Adair

 

Hockett, Verlin                                                           Yes                  Yes                     Yes

242 Public Square

Greenfield, IA    50849

Phone:  641-743-2314

E-mail:  vercon@iowatelecom.net

 

Siebrasse, Chris                                                          Yes                  Yes                     Yes

303 SW 7th St., Suite D

Stuart, IA  50250

Phone: 515-523-2521

E-mail: drchris@prodigy.net

 

Allamakee

 

Carstens, Linda                                                          Yes                  Yes                     Yes

18 1st Ave NW

Waukon, IA    52172

Phone:  563-568-4528

E-mail:

 

Appanoose

 

Hindley Dental                                                           Yes                   No                      No

203 W. Washington

Centerville, IA    52544

Phone:  641-856-4103

E-mail:  Nicholas_Hindley@hotmail.com

 

 

Audubon

 

Schultz, Paul                                                              Yes                   No                      No

400 North Park Place

Audubon, IA    50025

Phone:  712-563-2659

E-mail:

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

Benton

 

Hanneman, Doug                                                       Yes                  Yes                     Yes

118 East 4th St.

Vinton, IA  52349

Phone:  319-472-5209

E-mail:

 

 

 

Sheronick, James                                                        Yes                  Yes                     Yes

201 1st Ave

Van Horne, IA    52346

Phone:  319-228-8404

E-mail:  jksteeth@netins.net

 

 

Black Hawk

 

Budke, Ken A.                                                           Yes                  Yes                     Yes

3217 Cedar Heights Drive

Cedar Falls, IA    50613

Phone:  319-277-6921

E-mail:

 

Cozart, William                                                           Yes                  Yes                     Yes

726 South Street

Waterloo, IA    50701

Phone:  319-234-1819

E-mail: 

 

Crall, Michael                                                             Yes                   No                      Yes

1504 Main St.

Cedar Falls, IA  50613

Phone:  319-266-4029

E-mail:  mikecrall@cfu.net

 

Day, Roger                                                                Yes                  Yes                     Yes     

847 W., 4th St.

Waterloo, IA  50702

Phone:  319-234-4486

E-mail: 

 

Hagen, Marc                                                              Yes                  Yes                     Yes

1022 W. 5th St.

Waterloo, IA  50702

Phone:  319-226-4104

E-mail:

 

Hansen, Douglas A.                                                   Yes                  Yes                     Yes

2116 Logan Ave.

Waterloo, IA  50703

Phone:  319-235-1151

E-mail:

 

Kayser, Michael C.                                                    Yes                   No                      No

3534Lafayette Rd.

Evansdale, IA  50707

Phone: 319-233-9903

E-mail:

 

King, Ronald                                                              Yes                  Yes                     Yes

1915 Valley Park Dr.

Cedar Falls, IA  50613

Phone:  319-266-6148

E-mail:

 

Maiers, William                                                          Yes                  Yes                     Yes

1915 Valley Park Dr.

Cedar Falls, IA  50613

Phone:  319-277-8328

E-mail:

 

Roberts, David C.                                                       Yes                   No                      No

7504 University Ave.

Cedar Falls, IA  50613

Phone:  319-277-8580

E-mail: DrDave@cfu.net

 

Singh, Baljit                                                                Yes                  Yes                     No

424 South Street

Waterloo, IA  50701

Phone: 319-234-2684

E-mail: bsingh@cfu.net

 

Thoman, Joseph L.                                                     Yes                   No                      No

1506 Main St.

Cedar Falls, IA  50613

Phone:  319-266-2308

E-mail:

 

Vore, Marvin                                                             Yes                  Yes                     Yes

107 Eldora Rd

Hudson, IA    50643

Phone:  319-988-4131

E-mail: 

 

Boone

 

Grant, David                                                               No                   Yes                     Yes

703 8th St.

Boone, IA    50036

Phone:  515-432-6244

E-mail:  dgrant@opencominc.com

 

Pollard, James                                                            Yes                  Yes                     Yes

606 Greene St.

Boone, IA    50036

Phone:  515-432-3511

E-mail:  jamespollard@opencominc.com

 

Bremer

 

Haw, Richard                                                             Yes                  Yes                     Yes

113 W. 1st

Sumner, IA    50674

Phone:  563-578-5232

E-mail: rhaw@iowatelecom.net

 

Cozart, William                                                  Yes                  Yes                  Yes

160 E. Main St.

Denver, IA  50622

Phone:  319-984-6191

E-mail:

 

Buchanan

 

Hartsook, Tim                                                               Yes                  Yes                  Yes

223 First Street West

Independence, IA  50644

Phone:  319-334-3512

E-mail:  thartsook@indytel.com

 

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

Calhoun

 

Swenson, Larry                                                           No                   Yes                     Yes

1303 - 11th Ave.

Manson, IA    50563

Phone:  712-469-3000

E-mail:

 

Carroll

 

Ahrens, Martin G.                                                       No                   Yes                     Yes

Box 216

Manning, IA  51455-0216

Phone:  712-653-2385

E-mail: movac5@webtv.net

 

Berning, David L.                                                       Yes                   No                      No

409 W. 7

Carroll, IA  51401

Phone:  712-792-4776

E-mail:

 

 

 

 

 

Curry, Lynn                                                               Yes                  Yes                     Yes

522 North Clark

Carroll, IA  51401

Phone: 712-792-4375

E-mail: CMEB4DK@win-4-U.net

 

Cass

 

Petersen, Shawn R.                                                    Yes                  Yes                     Yes

PO Box 603

1501 E. 10th

Atlantic, IA  50022

Phone:  712-243-1833

E-mail:

 

Cedar

 

Grunder, Richard                                                        Yes                  Yes                     Yes

501 Ninth Ave, PO Box 66

Durant, IA    52747

Phone:  563-785-4541

E-mail:  drdick@netins.net

 

Tung, Su-Hsin                                                            Yes                  Yes                     Yes

PO Box 463, 503 Cedar St.

Tipton, IA    52772

Phone:  563-886-3233

E-mail:

 

Cerro Gordo

 

Burgmeier, Daniel R.                                                  No                    Yes                     Yes

2800 4th St. SW

Mason City, IA  50401

Phone:  641-423-0064

E-mail: dmburgy@mchsi.com

 

Daskalos, George J.                                                    Yes                  Yes                     Yes

103 East State, Suite 701

Mason City, IA  50401

Phone:  641-423-6626

E-mail:

 

Hoeppner, Todd R.                                                     Yes                  Yes                     Yes

21 North Federal Avenue

Mason City, IA  50401

Phone:  641-424-0060

E-mail:  childrensdc@netconx.net

 

 

Kelly, Kris                                                                 Yes                  Yes                     Yes

3223 4th St. SW

Mason City, IA  50401

Phone:  641-424-6461

E-mail:

 

Nettleton, Stephanie                                                    Yes                  Yes                     Yes

946 E. State St.

Mason City, IA  50401

Phone:  641-424-4521

E-mail: nettleton@mach3ww.com

 

 

Cherokee

 

Goettsch, Eva                                                             Yes                  Yes                     Yes

218 W. Bluff St.

Cherokee, IA    51012

Phone:  712-225-0432

E-mail:  begetcha@netins.net

 

Chickasaw

 

Boeding, Barb                                                             No                   Yes                     Yes

321 E. Main

New Hampton, IA  50659

Phone:  641-394-3016

E-mail:

 

Clay

 

Geyer, Curtis K.                                                         Yes                     No                    Yes

21 West 6th St.

Spencer, IA  51301

Phone:  712-262-4716

E-mail:  curtgeyr@pionet.net

 

Jones, Bradley H.                                                       Yes                     Yes                  Yes

21 West 6th St.

Spencer, IA  51301

Phone:  712-262-4716

E-mail:

 

Phelps, Bill                                                                  No                   Yes                     Yes

114 E. 5th St.

Spencer, IA    51301

Phone:  712-262-9133

E-mail:  gwillie@nwiowa.com

 

 

Sailer, Michaela                                                          No                   Yes                     Yes

1709 McNaughton Way

Spencer, IA  51301

Phone:  712-262-4382

E-mail:  msailer6@mchsi.com

 

Shively, T.R.                                                              Yes                  Yes                     Yes

1206 2nd Ave. East

Spencer, IA    51301

Phone:  712-262-1055

E-mail:

 

Synhorst, John B.                                                       Yes                  Yes                     Yes

116 E. 11th Suite 201

Spencer, IA  51360

Phone:  712-262-7350

E-mail: omax@ncn.net

 

Clayton

 

Fohey, Mark G.                                                          Yes                  Yes                     Yes

101 Franklin St.

Monona, IA  52159

Phone:  563-539-4651

E-mail:

 

Schweitzer, Pamela                                                    Yes                   No                      No

PO Box 858, 100 S. Page St.

Monona, IA    52159

Phone:  563-539-2025

E-mail: 

 

Clinton

 

Alt, Roger                                                                  Yes                  Yes                     Yes

2314 N. 2nd St.

Clinton, IA  52732

Phone:  563-242-1565

E-mail:

 

Kastantin, B. Frank                                                    Yes                  Yes                     No

404 N. Toronto St., PO Box 424

Wheatland, IA  52777

Phone:  563-374-1749

E-mail:

 

 

 

 

 

Martin, Dennis                                                            No                   Yes                     Yes

4023 Hwy 136

Clinton, IA    52732

Phone:  563-243-1023

E-mail:  dennis@sanasys.com

 

McLaughlin, Richard P.                                             Yes –

405 Wilson Building                                                      

Clinton, IA  52732

Phone:  563-242-7821

E-mail:

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

Dallas

 

Hourigan, James                                                            No                    Yes                  Yes

6000 University Ave., Suite 430

West Des Moines, IA  50266

Phone:  515-222-0066

E-mail:

 

Decatur

 

Mounsdon, Thomas                                                    Yes                  Yes                     Yes

201 East 1st Street

Leon, IA    50144

Phone:  641-446-7766

E-mail:  drtom@agd.org

 

Delaware

 

Collier, Tim                                                                 No                   Yes                     Yes

124 E. Fayette St.

Manchester, IA  52052

Phone:  563-927-2881

E-mail:  dntlcntr@iowatelecom.net

 

Goettsch, Gordon                                                        No                   Yes                     Yes

215 N. Franklin St.

Manchester, IA    52057

Phone:  563-927-5467

E-mail:

 

Des Moines

 

Bork, Bradley                                                             Yes                  No                       No

511 Columbus St.

Mediapolis, IA  52637

Phone:  319-394-3255

E-mail:

 

McManis, Mary                                                          No                   Yes                     Yes

1727 Deer Run Dr.

Burlington, IA  52601-2169

Phone:  319-752-8142

E-mail:

 

Dickinson

 

Fischer, Richard                                                         Yes                  Yes                     Yes

2606 17th

Spirit Lake, IA  51360

Phone:  712-336-3037

E-mail:

 

Lancaster, Brandy                                                       No                   Yes                     Yes

Healthy Smiles

607 Lake St.

Spirit Lake, IA  51360

Phone:  712-336-2533

E-mail: 

 

Pas, Randy J.                                                              No                   Yes                     Yes

Unit 6 Lakeland Square, Box 144

Milford, IA  51351

Phone:  712-338-2449

E-mail: 

 

Dubuque

 

Bradley, Steven P.                                                      Yes                  Yes                     Yes

714 First Ave E., PO Box 327

Cascade, IA    52033-0317

Phone:  563-852-7390

E-mail:

 

Cheung, Fred                                                             Yes                  Yes                     Yes

1645 John F. Kennedy Road

Dubuque, IA    52002

Phone:  563-556-6383

E-mail:

 

Fili, James                                                                  Yes                   No                      Yes

1660 Embassy West Dr. #225

Dubuque, IA  52002

Phone:  563-557-7569

E-mail: 

 

 

 

 

Kuttler, William                                                           No                   Yes                     No

3455 Stoneman Rd

Dubuque, IA    52002

Phone:  563-583-6424

E-mail:

 

Nemmers, James                                                        Yes                  Yes                     Yes

988 West 3rd St., Suite 108

Dubuque, IA    52001-6666

Phone:  563-583-5617

E-mail:

 

Peckosh, Valerie                                                        Yes                  Yes                     Yes

3455 Stoneman Rd.

Dubuque, IA  52002

Phone: 563-582-1478

E-mail:  firstteeth@aol.com

 

Ressler, Randy                                                            No                   Yes                     Yes

120 1st Ave W

Dyersville, IA    52040

Phone:  563-875-8033

E-mail:  randyressler@aol.com

 

Snyder, James                                                            Yes                   No                      No

988 W. 3rd

Dubuque, IA  52001

Phone:  563-556-7094

E-mail:

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

Fayette

 

Imoehl, Kevin                                                             Yes                  Yes                     No

11 First Ave NE

Oelwein, IA    50662-1748

Phone:  319-283-4738

E-mail:

 

Valesh, Keith J.                                                          Yes                  Yes                     Yes

216 E. Charles

Oelwein, IA  50662

Phone:  319-283-4981

E-mail:  Kvalesh@trxinc.com

 

 

 

 

 

 

 

Floyd

 

Buehler, Jodie                                                             No                   Yes                     Yes

705 N. Main St., Suite 3

Charles City, IA    50616-2107

Phone:  641-228-2936

E-mail: drjb49@yahoo.com

 

Miller, David W.                                                            No                    Yes                  Yes

24 S. Hawkeye

Nora Springs, IA  50458

Phone:  641-749-2525

E-mail: dnmiller@omnitelcom.com

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

Greene

 

Teusch, James R.                                                   Yes                    Yes                       Yes

207 West State Street

Jefferson, IA  50129

Phone:  515-386-4128

E-mail:

 

Grundy

 

Koele, Douglas H.                                                     No                                 No                       Yes

501 Main St., Ste. 2

Reinbeck, IA  50669

Phone:  319-345-6667

E-mail:

 

Hancock

 

Bennett, Gregory                                                        Yes                  Yes                     Yes

55 State St.

Garner, IA  50438

Phone: 641-923-2399

E-mail: gbennett@trvnet.net

 

Budlong, Rhonda                                                        Yes                  Yes                     Yes

311 Main Ave. South

Britt, IA    50423

Phone:  641-843-3827

E-mail:

 

Vidal, Peter                                                                Yes                  Yes                     Yes

160 W. 4th, P.O. 10

Garner, IA  50438

Phone:  641-923-2294

E-mail:  vidal@sswireless.net

 

 

Hardin

 

Miller, J. Brad                                                            Yes                  Yes                     Yes

701 Washington Ave.

Iowa Falls, IA  50126

Phone:  641-648-4293

Email:  jbradmiller@hotmail.com

 

Shirley, Robert                                                           Yes                  Yes                     Yes

1217 14th Ave.

Eldora, IA    50627

Phone:  641-858-3501

E-mail:

 

Stickrod, Dean                                                           Yes                  Yes                     Yes

1310 Washington St.

Eldora, IA    50627

Phone:  641-939-3214

E-mail:

 

Harrison

 

Garvey, Jeffrey T.                                                      Yes                  Yes                     Yes

214 E. Erie St.

Missouri Valley, IA  51555

Phone:  712-642-4136

E-mail:

 

Henry

 

Nichols, Russell                                                          Yes                  Yes                     No

501 S. White, Suite 25

Mt. Pleasant, IA  52641

Phone:  319-385-6770

E-mail:

 

Wettach, Mary                                                            No                   Yes                     No

501 S. White, Suite 28

Mt. Pleasant, IA    52641

Phone:  319-385-6750

E-mail: 

 

Wettach, Steve                                                           No                   Yes                     No

501 S. White, Suite 28

Mt. Pleasant, IA    52641

Phone:  319-385-6750

E-mail:

 

 

Howard

 

Haw, Jeff                                                                   No                   Yes                     Yes

210 North Elm, PO Box 201

Cresco, IA    52136

Phone:  563-547-2312

E-mail:

 

Hudson

 

Vore, Marvin                                                             Yes                  Yes                     Yes

107 Eldora Rd.

Hudson, IA  50643

Phone: 319-988-4131

E-mail:

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

 

Ida

 

Patera, Daniel                                                             No                   Yes                     Yes

700 E. 2nd St.

Ida Grove, IA    51445

Phone:  712-364-3101

E-mail:

 

Jackson

 

Anderson, Scott T.                                                      No                   Yes                     Yes

400 S. Riverview

Bellevue, IA  52031

Phone:  563-872-5678

E-mail: starka5@hotmail.com

 

Atienza, Salvador                                                        No                   Yes                     Yes

117 North Main

Maquoketa, IA  52060

Phone:  563-652-4133

E-mail:  doctor@caves.net

 

Pauly, Peter                                                               Yes                  Yes                     Yes

212 W. Gillette

Preston, IA 52069

Phone:  563-689-6670

E-mail:  pjp@cis.net

 

 

 

 

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

 

Jasper

 

Hagarty, Bradley                                                        Yes                  Yes                     Yes

9 N. Walnut

Colfax, IA    50054

Phone:  515-674-4466

E-mail:

 

Kuhn, Robert                                                             Yes                  Yes                     Yes

320 E. 3rd Street N

Newton, IA    50208

Phone:  641-792-4234

E-mail:  drrjkuhn@hotmail.com

 

Jefferson

 

Gleason, Martin                                                          Yes                   No                      Yes

51 W. Adams

Fairfield, IA    52556

Phone:  641-472-3158

E-mail:  ffdental@iowatelecom.net

 

Holt Family Dental Care                                             Yes                  Yes                     Yes

106 E. Washington

Fairfield, IA  52556

Phone:  641-472-3147

E-mail:

 

Van Tasell, Stephen                                                    Yes                   No                      Yes

51 West Adams

Fairfield, IA    52556

Phone:  641-472-3158

E-mail:  ffdental@iowatelecom.net

 

Johnson

 

Department of Pediatric Dentistry                               Yes                  Yes                     Yes     

College of Dentistry

The University of Iowa

Iowa City, IA  52242

Phone: 319-353-6711 or 319-335-7485

E-mail:

 

Fridrich, Lori                                                               No                   Yes                     Yes

1950 Lower Muscatine Rd.

Iowa City, IA  52240

Phone:  319-337-6226

E-mail:

 

 

Haganman, Kari                                                         Yes                  Yes                     Yes

401 East Haganman

Solon, IA  52333

Phone: 319-624-4444

E-mail: khsdc@southslope.net

 

 

Hartwig, Andrew                                                       Yes                  Yes                     Yes

1041 Arthur St.

Iowa City, IA  52240

Phone: 319-338-5484

E-mail:

 

Iben, Polly                                                                  Yes                  Yes                     Yes

414 10th Ave., Suite B

Coralville, IA    52241

Phone:  319-338-7520

E-mail:  pollyiben@mchsi.com

 

Jacobsen, Glenn                                                         Yes                  Yes                     Yes

375 Mormon Trek Blvd

Iowa City, IA    52246

Phone:  319-338-3722

E-mail:

 

Kambhu, Peter R.                                                      Yes                   No                      Yes

180 Holiday Rd.

Coralville, IA  52241

Phone:  319-337-7017

E-mail:

 

Lorson, Edward L.                                                     Yes                  Yes                     Yes

1041 Arthur

Iowa City, IA  52240

Phone: 319-338-5484

E-mail:  anasazi123@hotmail.com

 

Olin, William Jr.                                                          No                    No                      Yes

1600 Fifth St.

Coralville, IA  52241

Phone:  319-338-3663

E-mail:

 

Parker, Reed                                                              No                   Yes                     Yes

1041 Arthur St.

Iowa City, IA    52240

Phone:  319-338-8526

E-mail:

 

 

Price, Steven                                                              Yes                   No                      No

200 Savings & Loan Bldg.

Iowa City, IA  52240

Phone:  319-338-8810

E-mail:

 

River City Dental Care                                                No                   Yes                     Yes

1950 Lower Muscatine Road

Iowa City, IA  52240

Phone:  319-337-6226

E-mail:

 

Stiles, Bradford                                                           No                   Yes                     Yes

River City Dental Care

1950 Lower Muscatine Rd

Iowa City, IA  52240

Phone:  319-337-6226

E-mail:

 

Stultz, Dawn                                                               No                    No                      Yes

115 5th St.

Coralville, IA  52241

Phone:  319-351-3414

E-mail:

 

Town Square Dental Care                                           No                   Yes                     Yes

1101 5th St., Suite 101

Coralville, IA    52241

Phone:  319-337-9996

E-mail:

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

Jones

 

Oldham, Debra                                                           No                   Yes                     Yes

105 W. Broadway Place

Anamosa, IA    52205

Phone:  319-462-2531

E-mail:

 

Schupanitz, Gerald H.                                                 Yes                   No                      No

208 E. Main St.

Anamosa, IA  52205

Phone: 319-462-2432

E-mail:

 

Wolken, Richard                                                         Yes                  Yes                     Yes

202 N. Main St.

Monticello, IA    52310

Phone:  319-465-4666

E-mail: 

 

 

Kossuth

 

Louscher, Michael G.                                                 Yes                  Yes                     Yes

622 East State

Algona, IA  50511

Phone:  515-295-2334

E-mail:

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

 

Linn

 

Akey, Jeffrey                                                             Yes                   No                      No                   

240 Wiley Blvd., SW

Cedar Rapids, IA    52404

Phone:  319-390-3670

E-mail: akeydds@msn.com

 

Bales, Patricia                                                             Yes                  Yes                    Yes

Box 246, 160 N. 3rd St.

Central City, IA  52214

Phone: 319-438-6213

E-mail: drpatbales@aol.com

 

Blachley, Heidi L.                                                       No                   Yes                     Yes

1475 Boyson Road

Hiawatha, IA  52233

Phone: 319-393-4019

E-mail:

 

Cox, Jim                                                                     No                   Yes                     Yes

4135 Wilson Ave. SW

Cedar Rapids, IA  52404

Phone: 319-396-0700

E-mail:

 

Hall, David                                                                 No                   Yes                     Yes

1570 42nd St. NE

Cedar Rapids, IA    52402

Phone:  319-393-6666

E-mail: iowasmiles@yahoo.com

 

Hickey, Terra K.                                                        Yes                  Yes                     Yes

329 Washington St.

Center Point, IA  52213

Phone:  319-849-1171

E-mail: terrabo@aol.com

 

 

 

Horton, Doug                                                             Yes                  Yes                     Yes

4141 Glass Rd. NE

Cedar Rapids, IA    52402

Phone:  319-393-0773

E-mail:

 

Howard, Matt                                                            Yes                  Yes                     Yes

Gentle Dental, Inc.

1558 Collins Rd. NE

Cedar Rapids, IA  52402

Phone: 319-393-7000

E-mail:  GDDAS@aol.com

 

Jones, Rhys B.                                                           Yes                  Yes                     Yes     

St. Luke’s Dental Health Center

855 A Ave. NE

Cedar Rapids, IA  52402

Phone: 319-369-7730

E-Mail:

 

Kelly, Steven                                                              Yes                  Yes                     Yes

892 8th Ave

Marion, IA    52302

Phone:  319-377-5155

E-mail:

 

Knight, James                                                            Yes                  Yes                     Yes

Gentle Dental, Inc.

1558 Collins Rd. NE

Cedar Rapids, IA  52402

Phone: 319-393-7000

E-mail:  GDDAS@aol.com

 

Kral, Dennis J.                                                           Yes                  Yes                     No

4245 1st Ave. SE

Cedar Rapids, IA  52402

Phone:  319-365-4997

E-mail:  dennis_kral@yahoo.com

 

Kral, Paula J.                                                             Yes                  Yes                     No

4245 1st Ave. SE

Cedar Rapids, IA  52402

Phone:  319-363-9889

E-mail:  kraldhp@mcleodusa.net

 

 

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

 

 

Kuempel, Deena R.                                                     No                   Yes                     Yes

Practice Limited to Periodontics

1909 51st St. NE

Cedar Rapids, IA  52402

Phone:  319-294-4800

E-mail:  drkperio@aol.com

 

Livengood, Curt                                                          Yes                  Yes                     Yes

2727 1st Ave. SE

Cedar Rapids, IA  52402

Phone: 319-363-2643

E-mail:

 

Mazzocco, Paul F.                                                      Yes                   No                      No

1956 1st Ave. NE

Cedar Rapids, IA  52402

Phone:  319-362-1262

E-mail: mazzodds@soli.inav.net

 

McCray, Larry A.                                                      Yes                  Yes                     Yes

835 3rd Ave. SE

Cedar Rapids, IA  52403

Phone: 319-366-8277

E-mail:

 

Noring, Ted E.                                                           Yes                  Yes                     Yes

Box 246, 160 N. 3rd St.

Central City, IA  52214

Phone: 319-438-6213

E-mail: drpatbales@aol.com

 

Olin, William Jr.                                                          No                    No                      Yes

2720 First Ave., N.E.

Cedar Rapids, IA  52402

Phone: 319-365-6628

E-mail:

 

Recker, Douglas J.                                                      No                   Yes                     Yes

1475 Boyson Road

Hiawatha, IA  52233

Phone: 319-393-4019

E-mail:

 

Safabakhsh, Masih                                                     Yes                  Yes                     Yes

Gentle Dental, Inc.

1558 Collins Rd. NE

Cedar Rapids, IA  52402

Phone: 319-393-7000

E-mail:  GDDAS@aol.com

 

Schmidt, Duane A.                                                     Yes                  Yes                     Yes

Gentle Dental, Inc.

1558 Collins Rd. NE

Cedar Rapids, IA  52402

Phone: 319-393-7000

E-mail:  GDDAS@aol.com

 

Thornton, John L.                                                        No                   Yes                     Yes

2715 6th St. SW

Cedar Rapids, IA  52404

Phone: 319-362-4038

E-mail:

 

Wilson, Karen                                                             No                   Yes                     Yes

2222 Johnson Ave., NW

Cedar Rapids, IA  52405

Phone:  319-398-9741

E-mail:

 

Winegarden, Timothy V.                                             Yes                  Yes                     Yes

222 Edgewood Rd. NW

Cedar Rapids, IA  52405

Phone: 319-396-8364

E-mail:  e-mail@tvwsmiles.com

 

Wolken, Richard J.                                                        Yes                  Yes                  Yes

159 Marion Blvd.

Marion, IA  52302

Phone:  319-377-4225

Email:

 

Louisa

 

Heddens, Heather                                                      Yes                  No                       Yes

111 Walnut St.

Columbus Jct, IA  52738

Phone:  319-728-8100

E-mail:

 

Lucas

 

Stream, Rodney R.                                                    Yes                    No                      No

934 N. 7th St.

Chariton, IA  50049

Phone:  641-774-5031

E-mail:

 

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

 

Madison

 

Blanchard, Christopher                                               Yes                  Yes                     No

820 W. Summit

Winterset, IA  50273

Phone:  515-462-4474

E-mail:

 

Keul, W.J.                                                                 Yes                  Yes                     Yes

820 W. Summit

Winterset, IA    50273

Phone:  515-462-4474

E-mail: 

 

Ward, T.S.                                                                 Yes                   No                      No

108 West Court

Winterset, IA  50273

Phone:  515-462-4002

E-mail:

 

Marion

 

Allen, Jeffrey F.                                                          No                   Yes                     Yes

839 Broadway

Pella, IA  50219

Phone:  641-628-1121

E-mail:  jfadds@iowatelecom.net

 

Mohr, Tom                                                                 No                   Yes                     Yes

114 ˝ E. Monroe, PO Box 237

Pleasantville, IA  50225

Phone:  515-848-3691

E-mail:

 

Marshall

 

Squiers, Richard M.                                                    Yes                   No                      No

206 E. State

Marshalltown, IA  50158

Phone:  641-752-4138

E-mail:

 

Mills

 

Albertson, Paul A.                                                      Yes                   No                      Yes

514 First Street

Glenwood, IA  51534

Phone:  712-527-3144

E-mail:  patoothdoc@aol.com

 

Lothrop, Robert                                                          Yes                   No                      No

112 S. Vine

Glenwood, IA  51534

Phone:  712-527-4854

E-mail:

 

Weber, George C.                                                      Yes                  Yes                     Yes

208 N. Walnut

Glenwood, IA  51534

Phone:  712-527-4801

E-mail:

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

Mitchell

 

Buhrow, Guy                                                              Yes                   No                      No

816 N. 8th St.

Osage, IA    50461

Phone:  641-732-4465

E-mail:

 

Monroe

 

Scieszinski, John J.                                                      No                   Yes                     Yes

222 Washington Ave. E

Albia, IA    52531

Phone:  641-932-2729

E-mail:  jjske@sirisonline.com

 

Muscatine

 

Lawhead, Carlin C.                                                    Yes                  Yes                     Yes

315 Sycamore St.

Muscatine, IA  52761

Phone:  563-263-8034

E-mail:  cclawhead@machlink.com

 

Moreno, Carol                                                            Yes                  Yes                     No

1205 N. Columbus, PO Box 305

West Liberty, IA    52776-0305

Phone:  319-627-2612

E-mail:

 

O’Brien

 

Borer, Cory                                                                No                   Yes                     Yes

1002 3rd Ave.

Sheldon, IA  51201

Phone: 712-324-3646

E-mail:

 

VanderBerg, M.J.                                                      Yes                  Yes                     Yes

813 Third Ave.

Sheldon, IA  51201-1546

Phone:  712-324-3124

E-mail: mikelisa@non.net

 

Page

 

Belknap, Marvin                                                          No                   Yes                     Yes

617 W. Thomas

Shenandoah, IA    51601

Phone:  712-246-5587

E-mail: mbelkna@heartland.net

 

Mosier, Mark E.                                                          No                   Yes                     Yes

104 E. Washington

Clarinda, IA  51632

Phone:  712-542-5196

E-mail: drmm@heartland.net

 

 

Palo Alto

 

Welsh, Daniel J.                                                         Yes                  Yes                     Yes

2211 10th St.

Emmetsburg, IA  50576

Phone:  712-852-4743

E-mail:

 

Plymouth

                                                                       

Koelling, Karl                                                              No                   Yes                     Yes

12 E. 2nd St., Box 220

Kingsley, IA  51028

Phone: 712-378-2061

E-mail:

 

Pocahontas

 

Bieri, Linda                                                                 No                   Yes                     Yes     

111 W. Main

Laurens, IA 50554

Phone:  712-841-4930

E-mail:

 

Christensen, Steve                                                       No                   Yes                     Yes

111 West Main

Laurens, IA    50554

Phone:  712-841-4930

E-mail: 

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

Polk

 

Barsetti, Joseph                                                           No                   Yes                     Yes

1000 73rd #10

Des Moines, IA  50311

Phone: 515-223-1298

E-mail:

 

Cooper, Jerry                                                              No                   Yes                     Yes

708 1st Ave. S.

Altoona, IA  50009

Phone:  515-967-6611

E-mail:

 

Des Moines Health Center                                          Yes                  Yes                     Yes

1111 9th St., Ste. 190

Des Moines, IA    50314

Phone:  515-244-9136

E-mail:

 

Goepp, Heidi M.                                                          No                   Yes                     No

2001 Westown Pkwy, #207

West Des Moines, IA  50325

Phone:  515-221-2228

E-mail:

 

Gradoville, Bernard                                                     No                   Yes                     Yes

1067 5th Ave.

Des Moines, IA    50314

Phone:  515-243-2412

E-mail:

 

Hammond, Nancy I.                                                   Yes                  Yes                     Yes

4090 Westown Pkwy, Suite B1

West Des Moines, IA  50266

Phone: 515-267-0737

E-mail: Hammond@DWX.com

 

Hayden, Tim                                                               No                   Yes                     Yes

121 NE 18th, Suite C

Ankeny, IA    50021

Phone:  515-964-5700

E-mail:

 

Jansen, Dale                                                              Yes                  Yes                     Yes

4090 Westown Parkway

West Des Moines, IA  50266

Phone:  515-267-0737

E-mail:

 

Lang, Larry                                                                Yes                  Yes                     Yes

1454 30th St., Suite 208

West Des Moines, IA    50266

Phone:  515-225-0066

E-mail:  llldds@aol.com

 

Lukan, Sara                                                                No                   Yes                     Yes

3700 Westown Pkwy

West Des Moines, IA    50266

Phone:  515-225-6742

E-mail:

 

Lyle, Thomas J.                                                          Yes                   No                      Yes

2707 Easton Blvd

Des Moines, IA    50317

Phone:  515-265-0339

E-mail:

 

Maletta, John                                                              No                   Yes                     Yes

1469 29th St.

West Des Moines, IA  50266

Phone:  515-223-6529

E-mail: IOMSPC@quest.net

 

Mancuso, V.W.                                                          No                   Yes                     Yes

1000 73rd St. Suite 10

Des Moines, IA  50311-1321

Phone:  515-223-1298

E-mail:

 

McCullough, Gregory S.                                              No                   Yes                     Yes

401 N.W. 18th Street

Ankeny, IA  50021

Phone:  515-964-0081

E-mail: gsmddm@worldnet.att.net

 

McNurlen, Robert                                                       No                   Yes                     Yes

2829 Westown Parkway, Suite 115

West Des Moines, IA    50266-1314

Phone:  515-223-4194

E-mail:

 

Mohan, Steffany                                                         No                   Yes                     Yes

1212 Pleasant Street, Suite 102

Des Moines, IA  50309

Phone:  515-243-5070

E-mail:

 

 

Primary Health Care Dental Clinic                              Yes                  Yes                     No

1801 Hickman Rd.

Des Moines, IA  50314

Phone:  515-282-2421

E-mail:

 

Purk, Jeffrey W.                                                         No                   Yes                     Yes

4405 SW 9th St.

Des Moines, IA  50315

Phone:  515-287-3588

E-mail:  ddsracin@aol.com

 

Reynolds, Steven T.                                                    No                   Yes                     Yes

1469 29th St.

West Des Moines, IA  50266

Phone: 515-223-6529

E-mail: Tomspc@quest.net

 

Snavely, Rodney D.                                                     No                   Yes                     Yes

4220 University Ave.

Des Moines, IA  50311

Phone:  515-279-0926

E-mail:  rsnavely@aol.com

 

Southside Center Dental Clinic                                    Yes                  Yes                     No

2353 S.E. 14th St.

Des Moines, IA  50320

Phone:  515-697-6850

E-mail:

 

Wade, Robert                                                             No                   Yes                     Yes

12119 Stratford Drive, Ste A

Clive, IA  50325

Phone:  515-223-5555

E-mail: robert-wade@msn.com

 

Westra, Rebecca                                                        Yes                  Yes                     Yes

1400 Woodland Ave.

Des Moines, IA 50309

Phone:  515-243-7641

E-mail:

 

Wilson, Thomas G.                                                     Yes                  Yes                     Yes

8515 Douglas #26

Des Moines, IA  50322

Phone: 515-278-2333

E-mail:  twilsondds@aol.com

 

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

 

Pottawattamie

 

Andersen, John D.                                                      Yes                  Yes                     Yes

201 Ridge St., #308

Council Bluffs, IA  51503

Phone:  712-328-8892

E-mail:

 

Cardenzana, Andrea                                                   Yes                  Yes                     Yes

427 E. Kanesville Blvd., #200

Council Bluffs, IA    51503

Phone:  712-322-5318

E-mail: cardenzanabarnes@aol.com

 

Colwell, Robert                                                          Yes                   No                      No

Midlands Dental Center

114 ˝ So. 6th St.

Council Bluffs, IA  51501

Phone:  712-325-1544

E-mail:

 

Dudzinski, Bernard P.                                                 Yes                   No                      Yes

2800 Twin City Plaza

Council Bluffs, IA  51501

Phone:  712-366-7077

E-mail:

 

Jones, David L.                                                          Yes                  Yes                     Yes

300 W. Broadway St., Suite 30

Council Bluffs, IA  51503

Phone:  712-328-8573

E-mail: dljones74@aol.com

 

Knott, James R.                                                         Yes                   No                      No

300 W. Broadway #30

Council Bluffs, IA  51503

Phone:  712-328-8573

E-mail:  jrknott@aol.com

 

Lenaghan, Timothy                                                     Yes                   No                      Yes

320 Oakland Ave., PO Box 547

Oakland, IA    51560

Phone:  712-482-3316

E-mail:

 

McArdle, Kent E.                                                       Yes                   No                      Yes

2800 Twin City Plaza

Council Bluffs, IA 51501

Phone: 712-366-7077

E-mail:

 

Murray, Edward                                                         Yes                  Yes                     Yes

40 Northcrest Drive

Council Bluffs, IA    51503

Phone:  712-328-9605

E-mail:

 

Oberchain, David                                                       Yes                  Yes                     Yes

201 Ridge St., Suite 308

Council Bluffs, IA  51503

Phone:  712-328-8892

E-mail:

 

Schierbrock, Thomas R.                                              Yes                  Yes                     Yes

427 E. Kanesville #200

Council Bluffs, IA  51503

Phone:  712-322-5318

E-mail:

 

Steg, Thomas                                                             Yes                  Yes                     Yes

317 Main

Minden, IA    51553

Phone:  712-483-2122

E-mail:

 

Wood, William H.                                                       Yes                  Yes                     Yes

Oral Maxillofacial Surgery

201 Ridge St., Suite 308

Council Bluffs, IA  51503

Phone:  712-328-8892

E-mail:

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

Poweshiek

 

Bauman, Robert W.                                                    Yes                  Yes                     Yes

902 Park St.

Grinnell, IA  50112

Phone:  641-236-6174

E-mail:

 

Roudabush, Chris T.                                                    No                   Yes                     Yes

825 Broad St.

Grinnell, IA  50112

Phone:  641-236-6169

E-mail:

 

Smith, David                                                               No                   Yes                     Yes

825 Broad St

Grinnell, IA    50112

Phone:  641-236-6169

E-mail: drdmsmith@netins.net

 

 

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

 

 

Preston

 

Pauly, Peter                                                               Yes                  Yes                     Yes

400 S. Riverview

Bellevue, IA    52031

Phone:  563-872-5678

E-mail: pjp@cis.net

 

Ringgold

 

Lawhead, G. Collins                                                      Yes                  Yes                     No

104 S. Taylor

Mt. Ayr, IA  50854

Phone:  641-464-2320

E-mail:

 

Sac

 

Ajala, Joachim                                                            Yes                  Yes                     Yes

322 S. 13th St.

Sac City, IA  50583

Phone:  712-662-4766

E-mail:  scdental@frontiernet.net

 

Scott

                                               

Allard, Donald J.                                                        Yes                   No                      No

202 Professional Arts Bldg.

121 W. Locust St.

Davenport, IA  52803-2827

Phone: 563-322-4435

E-mail:

 

Bayne, Philip R.                                                          No                   Yes                     No

133 E. Mayne, PO Box 98

Blue Grass, IA  52726

Phone: 563-381-4830

E-mail:

 

Brandtner, Alex                                                          Yes                  Yes                     Yes

5108 Jersey Ridge Rd.                                                  

Davenport, IA    52807

Phone:  563-355-0437

E-mail:

 

Cannon, Matt                                                              No                   Yes                     Yes

3520 Utica Ridge Rd.

Bettendorf, IA    52722

Phone:  563-359-9165

E-mail:

 

Community Health Care Inc.                                       Yes                  Yes                     Yes

500 W. River Drive

Davenport, IA  52801

Phone: 563-336-3221

E-mail:

 

Gagliardo, Kyle                                                          Yes                   No                      No

2820 AAA Ct.

Bettendorf, IA  52722

Phone: 563-449-9055

E-mail:

 

Hathaway, Alan                                                         Yes                   No                      No

1333 W. Lombard St.

Davenport, IA  52804

Phone: 563-322-1451

E-mail: pegalle@aol.com

 

Kastantin, B. Frank                                                    Yes                  Yes                     No

512 E. Locust St.

Davenport, IA  52803

Phone:  563-323-2742

E-mail:

 

McDonald, Dale E.                                                     No                   Yes                     No

516 W. 35th St.

Davenport, IA  52806

Phone: 563-388-0200

E-mail:

 

Mueller, Gene V.                                                        Yes                   No                      No

2228 Hickory Grove Rd.

Davenport, IA  52804

Phone: 563-324-0212

E-mail:

 

Paul, James F.                                                            Yes                  Yes                     Yes

3400 Dexter Court, Ste 115

Davenport, IA  52807

Phone: 563-359-4777

E-mail: drjamespaul@aol.com

 

Peterson, Joel B.                                                        Yes                  Yes                     Yes

Children’s Dentistry

3466 Holiday Ct

Bettendorf, IA    52722

Phone:  563-332-1321

E-mail:

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

Shelby

 

Ludwig, Thomas                                                         Yes                  Yes                     No

1116 Morningview Dr., PO Box 713

Harlan, IA  51537

Phone:  712-755-2809

E-mail: info@tomludwigdds.com

 

Sioux

 

Jespersen, James A.                                                   Yes                  Yes                     Yes

1220 21st Ave.

Rock Valley, IA 51247

Phone:  712-476-2749

E-mail:  jajesper@mtcnet.net

 

Reernink, Greg                                                           Yes                  Yes                     Yes

909 Lincole Circle SE

Orange City, IA  51041

Phone:  712-737-4177

E-mail:

 

Story

 

Grandgenett, Deborah                                                 Yes                  Yes                     Yes

319 Lincoln Way

Ames, IA  50010

Phone: 515-956-3423

E-mail:

 

Hawthorne, Greg                                                        No                   Yes                     Yes

616 5th St.

Ames, IA  50010

Phone:  515-232-5401

E-mail:

 

Smith, Ronald                                                             Yes                  Yes                     Yes

1212 Duff Ave

Ames, IA    50010

Phone:  515-233-2174

E-mail:

 

Wass, Kim J.                                                              No                   Yes                     Yes

707 5th St., #102

Ames, IA  50010

Phone:  515-232-2152

E-mail:  kimwass@aol.com

 

 

 

 

 

Provider (Alphabetical by County)

 

Title XIX patients

 

Children under age 3

Children with Developmental Disabilities

 

Tama

 

Hess, John J.                                                              Yes                   No                      Yes

1311 McClellan St., PO Box 8                                                               

Tama, IA    52339-0008

Phone:  641-484-2800

E-mail:

 

Taylor

 

Sawyer, Steve                                                            Yes                  Yes                     Yes

201 N. Main

Lenox, IA  50851

Phone:  641-333-4664

E-mail: drsawyer@ll.net

 

Wapello

 

Evans, Thomas                                                           Yes                  Yes                     Yes

740 Pennsylvania Avenue

Ottumwa, IA    52501

Phone:  641-683-3339

             800-683-6588

E-mail:

 

Williamson, Thomas                                                    No                   Yes                     Yes

1112 N. Van Buren

Ottumwa, IA  52501

Phone:  641-684-6889

E-mail:

 

Warren

 

Cooney, Thomas                                                        Yes                  Yes                     Yes

215 North Buxton

Indianola, IA    50125

Phone:  515-961-5351

E-mail:

 

Jacobsen, Gary                                                           No                    No                      Yes

200 North “B” St.

Indianola, IA    50125

Phone:  515-961-8411

E-mail:

 

Rundle, J.F.                                                                Yes                  Yes                     Yes

200 N. B. Street

Indianola, IA 50125

Phone: 515-961-8411

E-mail:

 

Washington

 

Heddens, Heather                                                      Yes                   No                      Yes

PO Box 530

Washington, IA  52353

Phone: 319-653-2201