Dentist Roster
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This site is a primary source for verification of license credentials and is updated bi-monthly.
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Updated October 15, 2018
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LASTNAMEFIRSTNAMEINITIALLICNOISSDATEEXPDATECURRENT STATUSCATEGORYSedation App Type
Sedation Expiration Date
STANDING
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AdamsBruceR.7956/3/198112/31/2018Active LicenseGENERAL DENTISTGood Standing
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AkersDouglasB.8398/23/198312/31/2015Expired LicensePERIDONTISTGood Standing
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AkinLarryD.8497/6/198412/31/2018Active LicenseGENERAL DENTISTGood Standing
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AlbistonRobertS.13592/6/201412/31/2018Active LicenseGENERAL DENTISTGood Standing
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Albrecht-SteeleJoanE.12466/24/201012/31/2015Expired LicenseGENERAL DENTISTGood Standing
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AllegrettiDanielL.5022/16/196412/31/2011Expired LicenseGENERAL DENTISTGood Standing
10
AllenKennethB.10676/14/200112/31/2018Active LicenseGENERAL DENTISTGood Standing
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AllenLaurenA.14851/29/201812/31/2018Active LicenseGeneral DentistGood Standing
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AndersonAmmonL.11276/9/200512/31/2007Expired LicenseGENERAL DENTISTGood Standing
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AndersonCarolL.10146/30/199712/31/2018Active LicenseGENERAL DENTISTGood Standing
14
AndersonDaleM.4498/1/195912/31/2006Expired LicenseGENERAL DENTISTGood Standing
15
AndersonJohnA.123711/19/200912/31/2018Active LicenseGENERAL DENTISTGood Standing
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AndersonKellyL.13672/6/201412/31/2018Active LicenseGENERAL DENTISTGood Standing
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AndersonLanceE.13056/14/201212/31/2018Active LicenseGENERAL DENTISTGood Standing
18
AndersonLowellK.10571/31/200012/31/2006Expired License
ORAL & MAXILLOFACIAL SURGEON
Good Standing
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AndersonMarkJ.9906/29/199512/31/2018Active LicenseGENERAL DENTIST
Discipline on Record
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AndersonNathanM.11817/9/200712/31/2012Expired LicenseGENERAL DENTISTGood Standing
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AndrewsConnieM.14261/29/201612/31/2018Active LicenseGeneral DentistGood Standing
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AndrusRobertF.11438/5/200512/31/2008Expired LicenseGENERAL DENTISTGood Standing
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AppelKarl2718/16/193312/31/1933Expired LicenseGood Standing
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ArgyleJordanJ.13926/18/201512/31/2018Active LicenseGeneral DentistGood Standing
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AsayErinS.13376/13/201312/31/2018Active LicenseGENERAL DENTISTGood Standing
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AshbaughPeterG.6066/20/197312/31/2011Expired LicenseGENERAL DENTISTGood Standing
27
AtwoodBrodieS.12527/14/201012/31/2018Active LicenseGENERAL DENTISTGood Standing
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AxthelmPaulA.6817/1/197712/31/2018Active LicenseGENERAL DENTISTGood Standing
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BabcockAustinB.13066/14/201212/31/2014Expired LicenseGENERAL DENTISTGood Standing
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BabcockBradleyR.6827/1/197712/31/2009Expired LicenseGENERAL DENTISTGood Standing
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BahnsonNitanA.14406/23/201612/31/2018Active LicenseGENERAL DENTISTGood Standing
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BaileyDavidG.12716/23/201112/31/2018Active LicensePEDIATRICModerate Sedation12/31/2018Good Standing
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BaileySamuelB.13602/6/201412/31/2018Active LicensePEDIATRICModerate Sedation12/31/2018Good Standing
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BairdRobertG.79612/31/2000Expired LicenseGeneral DentistGood Standing
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BakerAustinL.14996/13/201812/31/2018Active LicenseGeneral DentistOperating Dentist12/31/2018Good Standing
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BakerD. Gregg9742/11/199412/31/2018Active LicensePEDIATRICGood Standing
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BakerDouglasJ.10282/3/199812/31/2005Expired LicenseGENERAL DENTISTGood Standing
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BakerKevinL.7676/18/198012/31/2018Active LicenseORTHODONTISTGood Standing
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BakerSusanJ.14271/29/201612/31/2018Active LicenseGeneral DentistryGood Standing
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BakerThomasC.14641/20/201712/31/2018Active LicensePediatricGood Standing
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BarberJamesL.7687/18/198012/31/2013Expired LicenseGENERAL DENTISTGood Standing
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BarelmanRobertW.9306/18/199112/31/2018Active LicenseGENERAL DENTISTGood Standing
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BarnesAnnieN.12071/9/200912/31/2010Expired LicenseGENERAL DENTISTGood Standing
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BarnesBreannaM.15079/17/201812/31/2018Active LicensePediatric DentistGood Standing
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BarnesDanaK7072/1/197812/31/2018Active LicenseGENERAL DENTISTGood Standing
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BarnesStephenJ.12133/19/200912/31/2010Expired LicenseGeneral DentistGood Standing
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BasseLeslieR.8761/31/198712/31/2018Active LicenseGENERAL DENTISTGood Standing
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BassettJohnW.6176/24/197412/31/2003Expired LicenseGeneral DentistGood Standing
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BassettMerrillR.12702/11/201112/31/2018Active LicenseGENERAL DENTISTGood Standing
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BatchelderRogerD.7296/5/197812/31/2018Active LicenseGENERAL DENTISTGood Standing
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BatdorfDouglasA.79712/31/2000Expired LicenseGeneral DentistGood Standing
52
BatemanJoshuaM.12123/12/200912/31/2009Expired LicenseGENERAL DENTISTGood Standing
53
BauerTrentR.14416/23/201612/31/2018Active LicenseGENERAL DENTISTGood Standing
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BawdenDeanT.6488/24/197512/31/2008Expired LicenseORTHODONTISTGood Standing
55
BeatonDonaldE.5241/9/196712/31/2009Expired LicenseGENERAL DENTISTGood Standing
56
BeddesArvinB.8507/6/198412/31/2018Active LicenseGENERAL DENTISTGood Standing
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BeddesJamesC.14631/20/201712/31/2018Active LicenseGeneral DentistGood Standing
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BeddesJasonE13076/14/201212/31/2018Active LicenseGENERAL DENTISTGood Standing
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BeierleLeonardE.6012/1/197312/31/2004Expired LicensePediatricGood Standing
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BellGregoryF.7592/11/198012/31/2011Expired LicensePERIDONTISTGood Standing
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BennettBenL.7697/15/198012/31/2018Active LicenseGENERAL DENTISTGood Standing
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BennionDouglasB.13996/18/201512/31/2018Active LicenseOrthodontistGood Standing
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BennionJohnW.13386/13/201312/31/2018Active License
ORAL & MAXILLOFACIAL SURGEON
Deep Sedation/General Anesthesia
12/31/2018Good Standing
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BennionTannerD.14006/18/201512/31/2018Active LicensePediatricOperating Dentist12/31/2017Good Standing
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BentzenRaymondC.2518/1/192912/31/1929Expired LicenseGood Standing
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BergienTylerP.10047/8/199612/31/2018Active LicenseGENERAL DENTISTGood Standing
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BertinoJeanneL.14836/22/201712/31/2018Active LicensePeriodontistGood Standing
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BeverleyRickA.13272/7/201312/31/2018Active LicenseGENERAL DENTISTGood Standing
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BinghamKoryD.13612/6/201412/31/2018Active LicensePEDIATRICGood Standing
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BinghamMichaelG.13086/14/201212/31/2018Active LicensePEDIATRICGood Standing
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BinghamValH.11913/27/200812/31/2018Active LicenseENDODONTISTGood Standing
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BirchAaronG.11286/15/200512/31/2011Expired LicenseGENERAL DENTISTGood Standing
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BirchBryantP.11496/8/200612/31/2018Active LicenseGENERAL DENTISTGood Standing
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BirchD. Wayne6076/20/197312/31/2016Expired LicenseGENERAL DENTISTGood Standing
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BirdJasonL.9997/8/199612/31/2018Active LicenseORTHODONTISTGood Standing
76
BlaisdellMarkH.11641/25/200712/31/2018Active LicenseGENERAL DENTISTGood Standing
77
BloomEverettO.2388/18/192812/31/1928Expired LicenseGood Standing
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BlossAlbertP.8582/23/198512/31/2013Expired LicenseGENERAL DENTISTGood Standing
79
BluherJohnA.4758/1/196212/31/2010Expired LicenseORTHODONTISTGood Standing
80
BockAndrewJ.12942/24/201212/31/2018Active LicensePROSTHODONISTGood Standing
81
Booth, Jr.MorrisL.10686/14/200112/31/2018Active LicenseGENERAL DENTISTGood Standing
82
BossTylerJ.13282/7/201312/31/2017Expired LicenseENDODONTISTGood Standing
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BouzisJohnL.6416/13/197512/31/2018Active LicenseGENERAL DENTIST
Discipline on Record
84
BouzisNickA.9368/23/199112/31/2018Active LicenseGENERAL DENTISTGood Standing
85
BowlandAshleyM.14426/23/201612/31/2018Active LicenseGeneral DentistGood Standing
86
Bowles, Jr.JamesE.7717/20/198012/31/2018Active LicenseGENERAL DENTISTGood Standing
87
BoyceAndrewG.14016/18/201512/31/2018Active LicenseOral Maxillofacial Surgery
Deep Sedation/General Anesthesia
12/31/2018Good Standing
88
BoyceWilliamA.9326/18/199112/31/2001Expired LicensePeriodonistGood Standing
89
BoydChaseT.10841/11/200312/31/2018Active LicenseGENERAL DENTISTGood Standing
90
BoyleKimberlyB.9709/14/199312/31/2003Expired LicenseGENERAL DENTISTGood Standing
91
Boyle, IIIJohnP.10166/30/199712/31/2003Expired LicenseGENERAL DENTISTGood Standing
92
BradleyBrentJ.13096/14/201212/31/2018Active LicensePEDIATRICGood Standing
93
BrenkertDennisR.9626/24/199312/31/2018Active LicenseORTHODONTISTGood Standing
94
BrinkerhoffLeviP.14816/22/201712/31/2018Active LicenseGeneral DentistGood Standing
95
BroderickEricB.6772/3/197712/31/2012Expired LicenseGENERAL DENTISTGood Standing
96
BrownDonaldR.9872/1/199512/31/2003Expired LicenseGENERAL DENTISTGood Standing
97
BrownJaredR.12027/3/200812/31/2018Active LicenseORTHODONTISTGood Standing
98
BrownMaryM.13706/24/201412/31/2016Expired LicenseGeneral DentistGood Standing
99
BrownPaulE.2187/20/192512/31/1925Expired LicenseGood Standing
100
BrownPhillipH.9828/24/199412/31/2018Active LicenseGENERAL DENTISTGood Standing
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