Coverage even your toothbrush can t match Affordable dental care for your entire family Some of the excellent dental benefits available through your Blue Preferred health plan include: 100 percent coverage for comprehensive, periodic exams Diagnostic X-rays and necessary preventive cleanings every six months Fluoride treatments for children under 12. Members receive a 20 percent discount off participating orthodontists fees up to $1,250 per person (where available) Depending on availability, certain dental offices may offer a 20 percent discount on amalgam fillings Please see your Directory Listing for a participating Center. All family members need to use the same dental clinic to get the most from their benefit plan. Form # (8/07) Blue Cross Blue Shield of Wisconsin ( BCBSWi ) underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ( Compcare ) underwrites or administers the HMO policies; and Compcare and BCBSWi collectively underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.
Standard Dentacare Provider Directory WISCONSIN LOCATIONS Bell, Jeffrey A Jeffrey A. Bell, 3525 E Calumet St, Ste 100 (920) 882-1473 Center No: 000000482277 Kaminski, Thomas E Midwest - 5553 Waterford Lane (920) 739-7165 Center No: 000000481959 Hammon, Dorleen A Hitzeman, Teresa E Kissner, Thomas E Reed, John F Smart Andersen, Diane Wittig, Joseph L Wygle, David Cameron Beaver Dam Mayer, Paul J Paul J. Mayer, 200 Front St Ste 1C (920) 885-5346 Center No: 000000481894 Beloit * Chapman, Timothy F Drs. Chapman & Connelly, 2101 Riverside Dr (608) 365-4006 Center No: 000000482363 * Connelly, Patrick J Drs. Chapman & Connelly, 2101 Riverside Dr (608) 365-4006 Center No: 000000482363 Brookfield Avery, Cheska D Brookfield /Forward Holubowicz, Richard Brookfield /Forward Morris, Gregory O Brookfield /Forward Nadelhoffer, Yvonne Brookfield /Forward Babcock, Matthew J Midwest - Brookfield 3400 Intertech Drive, Ste 100 (262) 373-0073 Center No: 000000482348 Harunani, Mohamed F Midwest - Brookfield 3400 Intertech Drive, Ste 100 (262) 373-0073 Center No: 000000482348 Pijpaert, Alex B Midwest - Brookfield 3400 Intertech Drive, Ste 100 (262) 373-0073 Center No: 000000482348 Chilton Berkers, Christopher Midwest - Chilton 451 Brooklyn Street (920) 849-9667 Center No: 000000481951 Cudahy Couillard, Christina C Cudahy Associates Cwik, Arnold Cudahy Associates Deffke, Katherine D Cudahy Associates Grant, John S Cudahy Associates Huebner, Albert L Cudahy Associates Ketten, Michael J Cudahy Associates Kult, Daniel T Cudahy Associates Toy, Dennis M Cudahy Associates Eau Claire Clark, Jeffrey M Midwest - Eau Claire (North) 3300 Birch Street (715) 835-1233 Center No: 000000481975 Habben, Gregory A Midwest - Eau Claire (North) 3300 Birch Street (715) 835-1233 Center No: 000000481975 Miklesh, Robert M Midwest - Eau Claire (North) 3300 Birch Street (715) 835-1233 Center No: 000000481975 Clark, Jeffrey M Midwest - Eau Claire 2302 Hendrickson Miklesh, Robert M Midwest - Eau Claire 2302 Hendrickson Rosenberger, Melinda M Midwest - Eau Claire 2302 Hendrickson Sisombath, Orth Midwest - Eau Claire 2302 Hendrickson Thompson, Robert D Midwest - Eau Claire 2302 Hendrickson Moos, Jeffrey W Midwest - Oakwood 4423 Gulf Terrace Suite 4 (715) 835-5208 Center No: 000000481977 Rosenberger, Melinda M Midwest - Oakwood 4423 Gulf Terrace Suite 4 (715) 835-5208 Center No: 000000481977 Fond du * McBride, Timothy M McBride 336 Harbor View Drive (920) 922-9400 Center No: 000000481931 Johannes, Erica M Midwest - Fond du Page 1 of 5
Johnston, Stephen A Midwest - Fond du Meer, Bradley A Northpoint/Forward - Prust, Rebecca Havel Midwest - Green Bay (East) 1595 Allouez Ave (920) 465-4902 Center No: 000000481961 Tubic, Susan D /Forward Neubauer, Joshua - Kenosha North 3715 Washington Rd (262) 654-6800 Center No: 000000482357 Messina, Gregory T Midwest - Fond du Ross, Daniel C Northpoint/Forward - Hitzeman, Teresa E Walsh, AnnMarie /Forward Marchigiani, James F - Kenosha South 3410 80th St (262) 697-0825 Center No: 000000482369 Meyer, James P Midwest - Fond du Jaworski, Jeffrey A 9200 W Loomis Rd Ste 202 (414) 529-5330 Center No: 000000481887 Niedziela, Jeffrey S 9200 W Loomis Rd Ste 202 (414) 529-5330 Center No: 000000481887 Smalkoski, Tiffany J 9200 W Loomis Rd Ste 202 (414) 529-5330 Center No: 000000481887 Binninger, Edward P Northpoint/Forward - Harteau, Christian T Northpoint/Forward - Shroepfer, Brian Northpoint/Forward - Werwie, John M Northpoint/Forward - Farrell, Julie A Midwest - Hitzeman, Teresa E Midwest - Messner, Rodney A Midwest - Molloy, Denis A Midwest - Dichraff, William M Midwest - Green Bay (East) 1595 Allouez Ave (920) 465-4902 Center No: 000000481961 Morris, Gregory O Reed, John F Tovar, Veronica Wygle, David Cameron Chojnacki, Robert F /Forward Suaverdez, Alicia M /Forward Hustisford Mayer, Paul J Paul J. Mayer, 470 E Rubicon St (920) 349-3040 Center No: 000000482379 Janesville Marchigiani, James F - Janesville 1407 N Wright (608) 755-1625 Center No: 000000482364 Wapotish, Ron B - Janesville 1407 N Wright (608) 755-1625 Center No: 000000482364 Bjork, Catherine A Lloyd M. Smith, SC 1111 Suffolk Drive (608) 752-6848 Center No: 000000482031 Bjork, Jacob H Lloyd M. Smith, SC 1111 Suffolk Drive (608) 752-6848 Center No: 000000482031 Kenosha Jung, Edmund J - Kenosha North 3715 Washington Rd (262) 654-6800 Center No: 000000482357 Mathias, Eugene C - Kenosha South 3410 80th St (262) 697-0825 Center No: 000000482369 Werwie, John M - Kenosha South 3410 80th St (262) 697-0825 Center No: 000000482369 Kimberly Kutz, Keith D Midwest - Kimberly 1020 Truman St (920) 733-3339 Center No: 000000481958 Meyer, James P Midwest - Kimberly 1020 Truman St (920) 733-3339 Center No: 000000481958 Little Chute * Lenz, Mark 119 E Main Street (920) 788-6366 Center No: 000000481937 Manitowoc DeSimone, Alfred J Midwest - Manitowoc 4144 Harbortown Lane, Ste 600 (920) 683-2101 Center No: 000000481952 Page 2 of 5
Garcia, Noemi G Midwest - Manitowoc 4144 Harbortown Lane, Ste 600 (920) 683-2101 Center No: 000000481952 Gimenez, Sheila T Associates of N85 W16186 Ave King, Brian Associates of N85 W16186 Ave Remshak, Koni Associates of N85 W16186 Ave Wasserman, Allan J Associates of N85 W16186 Ave Zall, Eric S Associates of N85 W16186 Ave Cullen, Victor Herrscher, Kathleen M Klepacki, Kyle A Lund, Richard E Mequon Gradecki, Laura L Mequon Group 10555 N Port Washington Rd (262) 241-4460 Center No: 000000482374 Sobczak, Robert A Mequon Group 10555 N Port Washington Rd (262) 241-4460 Center No: 000000482374 Milwaukee Bartelt, Michael S Downtown Group, SC 161 West Wisconsin Ave Ste 5036 (414) 278-6070 Center No: 000000482356 Costello, Michael Downtown Group, SC 161 West Wisconsin Ave Ste 5036 (414) 278-6070 Center No: 000000482356 Ciepluch, Randy R Family Center 3500 W Lisbon Ave (414) 342-0378 Center No: 000000481867 Wade, Donald J Family Center 3500 W Lisbon Ave (414) 342-0378 Center No: 000000481867 Wade, Michelle J Family Center 3500 W Lisbon Ave (414) 342-0378 Center No: 000000481867 Gragg, Jerry D Jerry Gragg, SC 3489 N 76th Street (414) 445-4111 Center No: 000000481905 Schoenecker, John J John J. Schoenecker, 9215 W Lisbon Ave (414) 527-4470 Center No: 000000482113 Nguyen, Bach-cuc T Mid City Group, 6815 W Capitol Drive, Ste 200 (414) 344-1828 Center No: 000000481904 Perez, Celestino F Mid City Group, 6815 W Capitol Drive, Ste 200 (414) 344-1828 Center No: 000000481904 Doshi, Swati Bay View 3030 S Chase Ave (414) 481-7400 Center No: 000000481884 McCauley, Patricia A Bay View 3030 S Chase Ave (414) 481-7400 Center No: 000000481884 Ruzicka, Hana Bay View 3030 S Chase Ave (414) 481-7400 Center No: 000000481884 Gonzalez, Ryan J Forest Home 5100 W Forest Home Ave (414) 543-3301 Center No: 000000481886 Tanty, Timothy M Forest Home 5100 W Forest Home Ave (414) 543-3301 Center No: 000000481886 Wanezek, Mark Forest Home 5100 W Forest Home Ave (414) 543-3301 Center No: 000000481886 Gonzalez, Ryan J Gray, J Michael Klepacki, Kyle A Morris, Gregory O Giple-Johnson, Francisca Northpoint/Forward - River Center 1575 N River Center Drive (414) 276-5453 Center No: 000000481885 Pagenkopf, Jon J Northpoint/Forward - River Center 1575 N River Center Drive (414) 276-5453 Center No: 000000481885 Ruzicka, James F Northpoint/Forward - River Center 1575 N River Center Drive (414) 276-5453 Center No: 000000481885 Fitch, John A Northridge Center, Roznik, Dale R Northridge Center, Tesch, Eric P Northridge Center, Zimmerman, William R Northridge Center, Boyd, Timolin L Timolin L. Boyd, 8200 West (414) 463-1956 Center No: 000000482124 New Berlin Bauer, Christian Forward Binninger, Matthew S Forward Page 3 of 5
Brophy, James E Forward Mackey, Bridget Forward Nadelhoffer, Yvonne Forward Wills, Julie A Forward Oconomowoc Longe, William G William G. Longe, 888 Thackeray Trail (262) 567-8991 Center No: 000000482380 Plymouth Muehleis, Peter M Midwest - Plymouth 1415 Eastern Ave (920) 893-8458 Center No: 000000481954 Port Washington Nguyen, Bach-cuc T Port Center 1000 Wisconsin Ctr Ste 6 (262) 284-9767 Center No: 000000481862 Perez, Celestino F Port Center 1000 Wisconsin Ctr Ste 6 (262) 284-9767 Center No: 000000481862 Racine Doshi, Swati - Racine Fortunato Gabrius, Lisa A - Racine Heller, Robert L Jr - Racine Jayaprakash, Poornima - Racine Marchigiani, James F - Racine Romanski, Jeffery R - Racine Verhulst, Ronald H - Racine Aboagye, Margaret Margaret Aboagye, SC 400 Lake (262) 633-0775 Center No: 000000482139 Nguyen, Lan-Phoun G Margaret Aboagye, SC 400 Lake (262) 633-0775 Center No: 000000482139 Cruthers, Aaron E Cruthers, Curtis W Elcano, Paul M Kenfield, Mark R Linstroth, Thomas J Linstroth-Emery, Allison T Munro, Scott D Newton, Earl L Oksuita, Jay M Palmer, Richard E Jr. Scherrer, Thomas W Simes, Derf A Szymkowiak, Anna Darling, Robert P Midwest - 638 River Front Drive (920) 457-1717 Center No: 000000481953 Geiger, Kenneth E Midwest - 638 River Front Drive (920) 457-1717 Center No: 000000481953 Grech, Alex W Midwest - 638 River Front Drive (920) 457-1717 Center No: 000000481953 South Milwaukee Asbeck, Jerry R Jerry R. Asbeck, 2001 10th (414) 762-1112 Center No: 000000482179 Bartelt, Michael S Michael Costello, & Associates 1333 College Ave Ste C (414) 764-6070 Center No: 000000481883 Costello, Michael Michael Costello, & Associates 1333 College Ave Ste C (414) 764-6070 Center No: 000000481883 Sullivan Falk, Dale P Dale P. Falk, W575 Hwy 18 (262) 593-2820 Center No: 000000481097 Waukesha Erickson, David H Waukesha W231 N1440 Corporate Court, Ste 211 (262) 542-8860 Center No: 000000481889 Wilkinson, James V Waukesha W231 N1440 Corporate Court, Ste 211 (262) 542-8860 Center No: 000000481889 Wade, Donald J Wade Family Dentistry 1547 E Racine (262) 542-4466 Center No: 000000481902 Page 4 of 5
Wade, Michelle J Wade Family Dentistry 1547 E Racine (262) 542-4466 Center No: 000000481902 Avery, Cheska D Waukesha /Forward 1717 Paramount Dr (262) 549-5011 Center No: 000000481869 Ludke, James H Waukesha /Forward 1717 Paramount Dr (262) 549-5011 Center No: 000000481869 Walker, Laurie A Waukesha /Forward 1717 Paramount Dr (262) 549-5011 Center No: 000000481869 Wauwatosa Oktener, Ayse Steven R. Schnoll, 2669 N 92nd Street (414) 258-2216 Center No: 000000481906 Schnoll, Steven R Steven R. Schnoll, 2669 N 92nd Street (414) 258-2216 Center No: 000000481906 Dickinson, John M Wauwatosa Group Ebenoch, Cynthia L Wauwatosa Group Johnson-Stoeckl, Natalie R Wauwatosa Group Malensek, John R Wauwatosa Group Peterson, Natalie A Wauwatosa Group Stoeckl, Christopher J Wauwatosa Group West Allis Casey, Conor T West Allis /Forward 8801 W National Ave (414) 327-6363 Center No: 000000482368 Schmidt, Zachary J West Allis /Forward 8801 W National Ave (414) 327-6363 Center No: 000000482368 Smalkoski, Tiffany J West Allis /Forward 8801 W National Ave (414) 327-6363 Center No: 000000482368 West Bend Tyberg, Paul D Paul D. Tyberg, 1270 W Chestnut Street (262) 334-0316 Center No: 000000482076 Schacht, Stephen R Stephen Schacht, SC 1201 Oak Street (262) 334-5151 Center No: 000000523884 Wittenberg Barry, Jennifer C Szmanda Center 202 E Grand Bretl, Nicholas Szmanda Center 202 E Grand Glaser, Tyler A Szmanda Center 202 E Grand Szmanda, Paul W Szmanda Center 202 E Grand Page 5 of 5