Provider Directory. Louisiana Medicaid Dental Services. Region 5: Imperial Calcasieu Area

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Provider Directory Louisiana Medicaid Dental Services Region 5: Imperial Calcasieu Area If you have questions, please call the Member Hotline at 1-855-702-6262 (Toll Free). Copyright 2014, MCNA Dental. All Rights Reserved. MCNA_LA-M_PD-R5[1.51]

Table of Contents Table of Contents.................................................... 2 Introduction...................................................... 3 What is a Primary Care Dentist?............................................ 3 How can I find a dentist?................................................ 3 How to Read the Provider Listings........................................... 4 Listing of Primary Care Dentists by Parish....................................... 5 General Dentists................................................................ 5 Allen Parish.............................................................. 5 Beauregard Parish.......................................................... 5 Calcasieu Parish........................................................... 7 Jefferson Davis Parish........................................................ 9 Pedodontists.................................................................. 10 Allen Parish.............................................................. 10 Calcasieu Parish........................................................... 10 Oral Surgeons................................................................. 11 Calcasieu Parish........................................................... 11 Orthodontists.................................................................. 12 Calcasieu Parish........................................................... 12 Jefferson Davis Parish........................................................ 12 Index of Dentists by Last Name............................................. 13 MCNA_LA-M_PD-R5[1.51] Page 2 of 15

Introduction Welcome to MCNA Dental! MCNA Dental is the Medicaid dental plan for the entire state of Louisiana. We administer the dental benefits for eligible children and adults. MCNA Dental has a large network of general and specialty dentists throughout Louisiana to make sure you can get the high quality dental care you need. The dentists in this Provider Directory are contracted with us to provide you with dental services. This Directory also tells you which dentist you can go to when you need special dental care. You can pick from one of our dentists who are located close to where you live or work. You can also pick a dentist that speaks your preferred language. Call our Member Hotline toll-free at 1-855-702-6262 or email us at MemberHotline@mcna.net if you would like help finding a dentist. You can also call this number if your current dentist is not listed in this Provider Directory. If you are deaf or hearing impaired, call the toll-free TTY number at 1-800-955-8771 for help. Good dental health is important to us. We hope you use the dental benefits offered by MCNA. We look forward to serving you! What is a Primary Care Dentist? A Primary Care Dentist (PCD) can be a general dentist or a dentist who only treats children. This is the dentist who gives you services that prevent problems with your teeth. If you already have a problem with your teeth, this dentist can treat it in most cases. Your Primary Care Dentist can send you to a specialist for problems that are harder to fix. A member with special healthcare needs can choose a specialist as their Primary Care Dentist. Adult Denture Program members are not assigned to a Primary Care Dentist. How can I find a dentist? A list of dentists in your area can be found in this Provider Directory. You may choose any dentist listed in the directory. This directory will also give you information about each dentist such as: Office telephone number Dentist practice name Type of practice Practice address After you pick a dentist, call their office to make your first dental visit. Remember to take your Medicaid Card with you to the visit. If you need help with finding a dentist or making an appointment, call our Member Hotline toll-free at 1-855-702-6262. If there are no dentists in your area, we will assist you in locating an out-of-network dentist near your home. You may go to our website at www.mcnala.net to access our online Provider Directory and view dentist information such as: Dentist or office name Type of dentist (Specialty) The language that the dentist or office staff speaks The ages the dentist treats Dentists that are accepting new patients Office address Office telephone number Office hours MCNA_LA-M_PD-R5[1.51] Page 3 of 15

How to Read the Provider Listings Example Field Description ACADIA Parish Name ACADIA Smith, John, DDS ID 123456789 Smith and Smith Dental 123 A St Baton Rouge, LA 70801 (225) 555-1212 M-F: 91.51.m. 5 p.m., Ages: 4 12. Spanish Smith, John, DDS ID 123456789 Smith and Smith Dental 123 A Street Baton Rouge, LA 70801 Dentist Name Dentist Identification Number (ID) Office Name Office Address (225) 555-1212 Office Phone Number M-F: 9a.m. 5p.m. Sa: 9a.m. 2p.m. Ages: 4 12 Spanish Office Hours (Central time, excluding State-approved holidays) (M = Monday, T = Tuesday, W = Wednesday, Th = Thursday, F = Friday, Sa = Saturday, Su = Sunday) Office Limitations Additional Languages Spoken Dentist Accepting New Patients (Y = Yes, N = No) MCNA_LA-M_PD-R5[1.51] Page 4 of 15

Listing of Primary Care Dentists by Parish General Dentists General Dentists are Primary Care Dentists that treat members of all ages. They care for your oral health. They can do all kinds of dental services. They will work with other dentists if you need special treatment. ALLEN Bordelon, Amy S, DDS ID 34208 Daigrepont, Jack, DDS ID 32813 Duhon, Karlnelius I, DDS ID 30203 Evans-Steiner, Julie, DDS ID 33244 Karam, Gene M, DDS ID 29881 Gene Michael Karam 323 N 8 St Kinder, LA 70648 (337) 738-2547 M-W, F: 8 a.m. 11 a.m. Karam, Paula E, DDS ID 29753 Paula E Karam, DDS 116 N 11 St Oakdale, LA 71463 (318) 335-0440 Ages: 21+ Le, Minh Tuan, DDS ID 36017 Miller, Lafaith C, DMD ID 22042 Porter-Williams, Andretta Renee, DDS ID 30464 Ragas, Paul H, DDS ID 14716 Varghese, Seema M, DDS ID 28933 BEAUREGARD Babineaux, Brooks, DDS ID 32555 Merryville Community Health Center 567 Walker St Merryville, LA 70653 (337) 825-1728 M: 8 a.m. 19 a.m., T, Th, F: 8 a.m. 17 a.m., W: 8 a.m. 14 a.m. Borel, Harold M, DDS ID 27962 Merryville Community Health Center 567 Walker St Merryville, LA 70653 (337) 825-1728 M: 8 a.m. 19 a.m., T, Th, F: 8 a.m. 17 a.m., W: 8 a.m. 14 a.m. Culp, Sandra, DDS ID 29863 Dental Plus LLC 1808 Hwy 190 W Suite D Deridder, LA 70634 (337) 463-6545 M-F: 8:30 a.m. 5 p.m. Ages: 7+ Evans-Steiner, Julie, DDS ID 33244 Dental Plus LLC 1808 Hwy 190 W Suite D Deridder, LA 70634 (337) 463-6545 M-F: 8:30 a.m. 5 p.m. Ages: 7+ Garbo, Grace, DDS ID 2912 Dental Plus LLC 1808 Hwy 190 W Suite D Deridder, LA 70634 (337) 463-6545 M-F: 8:30 a.m. 5 p.m. Ages: 7+ Hudson, Charles, DDS ID 29734 Dental Plus LLC 1808 Hwy 190 W Suite D Deridder, LA 70634 (337) 463-6545 M-F: 8:30 a.m. 5 p.m. Ages: 7+ Kincade, Dwayne Emerson, DDS ID 27964 Merryville Community Health Center 567 Walker St Merryville, LA 70653 (337) 825-1728 M: 8 a.m. 19 a.m., T, Th, F: 8 a.m. 17 a.m., W: 8 a.m. 14 a.m. Kincade, Dwayne Emerson, DDS ID 27964 Merryville Community Health Center 567 Walker St Merryville, LA 70653 (337) 825-1728 M: 8 a.m. 19 a.m., T, Th, F: 8 a.m. 17 a.m., W: 8 a.m. 14 a.m. Mcwilliams, Jr, Leonard H, DDS ID 29669 Leonard H Mcwilliams, DDS, LLC 501 Bon Ami St Deridder, LA 70634 (337) 462-1315 T-Th: 8:30 a.m. 4:30 p.m. Ages: 12+ MCNA_LA-M_PD-R5[1.51] Page 5 of 15

Shirley, James Thomas, DDS ID 27914 James Shirley DDS 307 S Washington St Deridder, LA 70634 (337) 463-3036 M-Th: 8 a.m. 4 p.m., Shirley, Thomas H, DDS ID 27915 Thomas H Shirley, DDS 307 S Washington St Deridder, LA 70634 (337) 463-3036 M-Th: 8 a.m. 4 p.m., Ages: birth-20 Wright, John, DDS ID 31163 Merryville Community Health Center 567 Walker St Merryville, LA 70653 (337) 825-1728 M: 8 a.m. 19 a.m., T, Th, F: 8 a.m. 17 a.m., W: 8 a.m. 14 a.m. MCNA_LA-M_PD-R5[1.51] Page 6 of 15

CALCASIEU Barnes Gray, Mia J, DDS ID 29803 Bayles, Peter T, DDS ID 27954 Peter T Bayles, DDS 824 W 4 St Dequincy, LA 70633 (337) 786-6221 Berard, Shatona L, DDS ID 37053 Bordelon, Amy S, DDS ID 34208 Bowers, Marc, DDS ID 35589 Boykin, Carl Antho, DMD ID 35612 Britton, Maritza, DMD ID 42721 Bryan, Brad Y, DMD ID 29582 Buller, III, Charlie, DDS ID 29919 Iowa Dental Group LLC 206 N Thompson Ave Iowa, LA 70647 (337) 582-7225 Castle, Harry K, DDS ID 29894 Oak Park Dental Inc 1616 W Mcneese St (337) 478-3232 M-F: 8 a.m. 5 p.m. Castle, Harry K, DDS ID 29894 Acadian Dental 1702 Oak Park Blvd (337) 310-1800 M-F: 8 a.m. 5 p.m., Sa: 8 a.m. 2 p.m. Chaumont, Darren W, DDS ID 29843 Lake Charles Family Dental Care 4001 Louisiana Ave Lake Charles, LA 70607 (337) 477-8931 M-Th: 7:50 a.m. 5 p.m., Collins, LA Tedra M, DDS ID 31116 Collins, Lindsey B, DDS ID 33370 Cordova, Daisy G, DDS ID 28241 Daigrepont, Jack, DDS ID 32813 Dixon, Jessie J, DDS ID 32814 Dorsey, Peter J, DDS ID 29593 Dorsey Dental Gp 3447 5 Ave Lake Charles, LA 70607 (337) 478-2014 M, T, Th: 8 a.m. 5 p.m., Doucet, Andrew Joseph, DDS ID 30547 Acadian Dental 1702 Oak Park Blvd (337) 310-1800 M-F: 8 a.m. 5 p.m., Sa: 8 a.m. 2 p.m. Drapes, Kaci L, DMD ID 37354 Duhon, Karlnelius I, DDS ID 30203 Duhon, Karlnelius I, DDS ID 30203 Oak Park Dental Inc 1616 W Mcneese St (337) 478-3232 M-F: 8 a.m. 5 p.m. Duhon, Karlnelius I, DDS ID 30203 Acadian Dental 1702 Oak Park Blvd (337) 310-1800 M-F: 8 a.m. 5 p.m., Sa: 8 a.m. 2 p.m. Elfert, Justin D, DDS ID 32224 Evans-Steiner, Julie, DDS ID 33244 Feerick, Jon A, DDS ID 7174 Lake Dental, LLC 3000 Lake St (337) 474-0210, Ferro, Kyle, DDS ID 32317 Oak Park Dental Inc 1616 W Mcneese St (337) 478-3232 M-F: 8 a.m. 5 p.m. Gold, Jonathan, DMD ID 29579 Hannaman, Scott M, DDS ID 29887 Edward J Hebert DDS APDC 1540 Country Club Rd (337) 474-4892, Harmon, Thomas, DMD ID 32406 Hebert, Edward J, DDS ID 29888 Edward J Hebert DDS APDC 1540 Country Club Rd (337) 474-4892, Hillman, Tommy G, DDS ID 29907 Tommy G Hillman DDS A Professional Dental Corp 3437 Derek Dr Lake Charles, LA 70607 (337) 478-0531 M-F: 7 a.m. 4 p.m. Jackson Williams, Phyllis, DDS ID 28275 MCNA_LA-M_PD-R5[1.51] Page 7 of 15

Jones, Andrew N, DDS ID 2988 Thomas John Kennedy of Louisiana DDS Professional LLC 2625 Dillard Loop Suite A Lake Charles, LA 70607 (337) 242-1800 M-F: 8 a.m. 5 p.m. Ages: 19-65 Judge, Lisa, DDS ID 6442 Kewalramani, Vandana M, DDS ID 32859 Lane, Keeth M, DDS ID 32763 Latiolais, Steven R, DDS ID 29676 Steven R Latiolais 644 Hwy 171 N Lake Charles, LA 70611 (337) 855-2742 M-Th: 8:15 a.m. 5 p.m. Ages: 4-20 Le, Minh Tuan, DDS ID 36017 Leblanc, Richard L, DDS ID 29698 Richard L Leblanc, DDS 4003 Louisiana Ave Lake Charles, LA 70607 (337) 477-8360 M, T, Th: 8 a.m. 5 p.m., W: 8 a.m. 12 a.m. Ages: 6-19 Vietnamese Legrand, Latoya J, DDS ID 42507 Lynn, Jess, DDS ID 29920 Iowa Dental Group LLC 206 N Thompson Ave Iowa, LA 70647 (337) 582-7225 Lynn, Trace L, DDS ID 29820 Lynn Family Dentistry 3107 Maplewood Dr Sulphur, LA 70663 (337) 625-9911 Ages: 3-21 Mcgee, James J, DMD ID 5640 Oak Park Dental Inc 1616 W Mcneese St (337) 478-3232 M-F: 8 a.m. 5 p.m. Miller, Lafaith C, DMD ID 22042 Murphy, Candace L, DDS ID 33018 Phamnguyen, Aegean L, DDS ID 25523 Lynn Family Dentistry 3107 Maplewood Dr Sulphur, LA 70663 (337) 625-9911 Ages: 3-21 Porter-Williams, Andretta Renee, DDS ID 30464 Ragas, Paul H, DDS ID 14716 Schuetter, Verna L, DDS ID 30893 Selders, Robert L, DDS ID 29662 Robert L Selders 925 Second Ave (337) 433-2524, Sijuwade, Adetunji, DDS ID 35486 Smith, Skye A, DDS ID 33323 Spears, Jr, Robert James, DDS ID 30680 Tran, Mai Linh T, DMD ID 32468 Oak Park Dental Inc 1616 W Mcneese St (337) 478-3232 M-F: 8 a.m. 5 p.m. Varghese, Seema M, DDS ID 28933 Williams, Jason A, DMD ID 33844 Williamson, Michael Boyd, DDS ID 29889 Michael B Williamson, DDS 731 E Mcneese St Lake Charles, LA 70607 (337) 477-6928 Ages: birth-21 Wilson, Alison, DDS ID 35241 MCNA_LA-M_PD-R5[1.51] Page 8 of 15

JEFFERSON DAVIS Joubert, Dustin John, DDS ID 30183 Miller & Joubert DDS 806 N Main St Jennings, LA 70546 (337) 824-2422 New Patients: N Miller, Gary L, DDS ID 29757 Miller & Joubert DDS 806 N Main St Jennings, LA 70546 (337) 824-2422 New Patients: N Petry, Mark G, DDS ID 29657 Mark G Petry, DDS 219 South Adams Welsh, LA 70591 (337) 734-4575 Ages: 21+ Sonnier, Mitchell Morris, DDS ID 29718 Mitchell M Sonnier, DDS 109 Cary Ave Jennings, LA 70546 (337) 824-9090 M: 8:30 a.m. 12 a.m., T, Th: 8:30 a.m. 5 p.m., W: 8:30 a.m. 4 p.m. New Patients: N MCNA_LA-M_PD-R5[1.51] Page 9 of 15

Pedodontists Pedodontists are Primary Care Dentists that only treat children 6 months of age to early teens. They also can treat children with special needs. ALLEN CALCASIEU Beverly, Katina Renee, DDS ID 8543 Twinkling Smiles of Oakdale 200 North 15 St Oakdale, LA 71463 (318) 485-4888 Sa: 8 a.m. 3 p.m. Ages: birth-18 Beverly, Kredenra Louise, DDS ID 12135 Twinkling Smiles of Oakdale 200 North 15 St Oakdale, LA 71463 (318) 485-4888 Sa: 8 a.m. 3 p.m. Ages: birth-18 Grimball, Jr, Roger G, DDS ID 28006 Grimball Pediatric Dentistry 910 Beglis Pkwy Sulphur, LA 70663 (337) 625-2212 Ages: birth-18 Linville, Whitney W, DDS ID 37615 Maturin, Erin, DDS ID 28214 Moses, Philip D, DDS ID 29613 Philip D Moses DDS 631 W College St (337) 474-2563, F: 8 a.m. 1 p.m. Ages: birth-11 Robinson, Danielle G, DDS ID 29661 Danielle G Robinson DDS 631 W College St (337) 474-2563, F: 8 a.m. 1 p.m. Ages: birth-18 Worley, Scott L, DDS ID 30275 The Dental Depot 4600 Lake St (337) 474-0240 Ages: 3-6 New Patients: N MCNA_LA-M_PD-R5[1.51] Page 10 of 15

Oral Surgeons Oral Surgeons do surgery to take out teeth. They also treat diseases inside the mouth. CALCASIEU Pollard, James E, DDS ID 4546 Dr James E Pollard 3704 Maplewood Dr Sulphur, LA 70663 (337) 626-1444 M, W, Th: 8 a.m. 5 p.m., F: 8 a.m. 4 p.m. MCNA_LA-M_PD-R5[1.51] Page 11 of 15

Orthodontists Ortodontists work on severe diseases that affect your ability to chew, talk, or swallow. CALCASIEU Mckey, Briggs A, DDS ID 29220 Briggs A Mckey Apc 615 W College St (337) 478-8091, JEFFERSON DAVIS Mckey, Briggs A, DDS ID 29220 Briggs A Mckey Apc 310 N Louise St Jennings, LA 70546 (337) 478-8091 Th: 8:45 a.m. 4 p.m. MCNA_LA-M_PD-R5[1.51] Page 12 of 15

Index of Dentists by Last Name Babineaux, Brooks................. 5 Beverly, Kredenra Louise..........10 Britton, Maritza.....................7 B Barnes Gray, Mia J................. 7 Bayles, Peter T.....................7 Bordelon, Amy S................ 5, 7 Borel, Harold M.................... 5 Bryan, Brad Y...................... 7 Buller, III, Charlie...................7 Berard, Shatona L..................7 Bowers, Marc...................... 7 Beverly, Katina Renee............ 10 Boykin, Carl Antho................. 7 C Castle, Harry K.....................7 Chaumont, Darren W...............7 Collins, LA Tedra M................ 7 Collins, Lindsey B.................. 7 Cordova, Daisy G.................. 7 Culp, Sandra....................... 5 D Daigrepont, Jack.................5, 7 Dixon, Jessie J.....................7 Dorsey, Peter J..................... 7 Doucet, Andrew Joseph............ 7 Drapes, Kaci L..................... 7 Duhon, Karlnelius I.............. 5, 7 E Elfert, Justin D..................... 7 Evans-Steiner, Julie............. 5, 7 F Feerick, Jon A......................7 Ferro, Kyle......................... 7 G Garbo, Grace...................... 5 Gold, Jonathan.....................7 Grimball, Jr, Roger G............. 10 MCNA_LA-M_PD-R5[1.51] Page 13 of 15

H Hannaman, Scott M................ 7 Harmon, Thomas.................. 7 Hebert, Edward J.................. 7 Hillman, Tommy G................. 7 Hudson, Charles................... 5 J Jackson Williams, Phyllis........... 7 Jones, Andrew N................... 8 Joubert, Dustin John............... 9 Judge, Lisa........................ 8 K Karam, Gene M.................... 5 Karam, Paula E.................... 5 Kewalramani, Vandana M.......... 8 Kincade, Dwayne Emerson......... 5 L Lane, Keeth M..................... 8 Latiolais, Steven R................. 8 Le, Minh Tuan................... 5, 8 Leblanc, Richard L................. 8 Legrand, Latoya J.................. 8 Linville, Whitney W................10 Lynn, Jess......................... 8 Lynn, Trace L...................... 8 M Maturin, Erin...................... 10 Mcgee, James J....................8 Mckey, Briggs A...................12 Mcwilliams, Jr, Leonard H.......... 5 Miller, Gary L.......................9 Miller, Lafaith C.................. 5, 8 Moses, Philip D................... 10 Murphy, Candace L................ 8 P Petry, Mark G...................... 9 Phamnguyen, Aegean L............8 Pollard, James E..................11 Porter-Williams, Andretta Renee. 5, 8 R Ragas, Paul H................... 5, 8 Robinson, Danielle G............. 10 MCNA_LA-M_PD-R5[1.51] Page 14 of 15

S Schuetter, Verna L................. 8 Shirley, Thomas H..................6 Selders, Robert L.................. 8 Sijuwade, Adetunji................. 8 Sonnier, Mitchell Morris............ 9 Spears, Jr, Robert James.......... 8 Shirley, James Thomas.............6 Smith, Skye A...................... 8 T Tran, Mai Linh T.................... 8 V Varghese, Seema M............. 5, 8 W Williams, Jason A.................. 8 Williamson, Michael Boyd.......... 8 Wilson, Alison...................... 8 Worley, Scott L....................10 Wright, John....................... 6 MCNA_LA-M_PD-R5[1.51] Page 15 of 15