dear give kids a smile program coordinator - american
TRANSCRIPT
Dear Give Kids A Smile program coordinator:
Thank you for your participation in the 2022 Give Kids A Smile program.
On the following pages you will find the 2022 GKAS Product Recipient List in alphabetical order by state.
Also, below is a list of the contents for each of the GKAS product kit types.
Education Kit #1 (treats up to 50 kids)
Screening Kit #2
(treats 25 or 50 kids)
Colgate Children’s Toothbrush Colgate Children's Toothbrush 3M introductory sealant kit
Colgate Children’s Toothpaste Colgate Children's Toothpaste Gloves
Oral health education cards Oral health education cards Earloop masks
GKAS Plastic goody bags GKAS Plastic goody bags Plastic cups
GKAS Banner Gloves Gauze pads
Earloop Masks Prophy angles
Fluoride varnish Prophy paste
Gauze Sponges Fluoride varnish
GKAS Banner Colgate Children’s Toothbrush
Colgate Children’s Toothpaste
Oral health education cards
GKAS Plastic goody bags
GKAS Banner
Please note that the GKAS product kits are scheduled for delivery to you by January 19, 2022.
We are sorry if we were unable to fulfill the complete quantity that you requested.
We wish you all the best with your GKAS event, and thank you for the great work you are doing in your community.
Questions? Email [email protected]
Preventive/Restorative Kit #3
(treats 25 or 50 kids)
ALASKA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
IHS Yukon Kuskokwim Health Corporation Sergie Susan Bethel AK 5
Allen Dental Group Derheim Lyndi Eagle River AK 2
University of Alaska Anchorage Pre-Dental Association Burrill Courtney Eagle River AK 8
SEARHC Daverin Holly Juneau AK 30
Ketchikan Indian Community Dental Clinic Biagi Julie Ketchikan AK 6
ALABAMA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
UAB Pediatric Dentistry Department Cheon Kyounga Birmingham AL 4
HOPE Maddox Natalie Fairhope AL 4
The University of West Alabama Keener Tracy Livingston AL 4
Bayside Dental Moody Courtney Mobile AL 10
Rainsville Pediatric Dental Village Moncus Tara Rainsville AL 14
Calhoun Community College Dental Assisting Program Chockley Karen Tanner AL 8
ARKANSAS
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Spring Dental Centerton Doku Cherish Centerton AR 15 10 10
The Dr Martin Luther King Jr Drive Youth Center Langstaff Roy Crossett AR 2
Fayetteville Youth Dental Program Martinez Carolina Fayetteville AR 2
Newport Elementary Smith Mandy Newport AR 20
Jones Elementary Fritchie Codi Springdale AR 5 8
Rodriguez Dentistry Rodriguez Rachael Springdale AR 9
ARIZONA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Mohave Community College Gift Tracy Bullhead City AZ 4
Chiricahua Community Health Centers Inc Hillier Brianna Douglas AZ 10
IHS Fort Defiance Medical Center Dental Long Valerie Fort Defiance AZ 2
IHS San Carlos Apache Healthcare Corporation Gonzalez Arcelia Peridot AZ 3 7
IHS Navajo Area Brown Nadine Phoenix AZ 4 8 50
Arizona Dental Foundation Barkley Penny Scottsdale AZ 30
TONHC Carbajal Leon Sylvia Sells AZ 4
IHS Tuba City Regional Health Care Corp Johnson Mary Tuba City AZ 6
CALIFORNIA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Chinese American Dental Society of Southern California Wong Tim Alhambra CA 10
Community Service Bureau Head Start Lucero Catherine Antioch CA 7
Parklane Dental City Julianna Arcadia CA 30
Atwater Family Dental Cheung Eric Atwater CA 1
Dr Sayeh Massoumi DDS Massoumi Sayeh Bakersfield CA 2
Big Bear Rotary Yoshida Kristine Big Bear Lake CA 9
County of Inyo Health and Human Services Muro Micaela Bishop CA 7 4
IHS Toiyabe Indian Health Project Inc Payman Parisa Bishop CA 4
Kids Community Dental Clinic Gorman Dale Burbank CA 12 22
Polished General Dentistry Skelton Melissa Carlsbad CA 1
Altamed Morales Joe Commerce CA 10 20
Regina S Wong DDS Inc Wong Regina Coronado CA 3
Dentex Dental CA Aloian Albert Culver City CA 4
Health Care Partners Lai Larry Diamond Bar CA 4
Amir Sanjabi Dental Camarillo Claudia Downey CA 2
Live and Smile Dental and Orthodontics Hu Jenny Dublin CA 1
Bella Smiles Noveir Arian Encino CA 4
Escondido Dental Arts Patish Alla Escondido CA 2
Healthy Smiles for Kids of Orange County Torres Darline Garden Grove CA 1
CALIFORNIA (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Tiburcio Vasquez Health Center Guzman Alma Hayward CA 4
UMMA Community Clinic Pan JennyHuntington
ParkCA 16
University Park Dental Parsangi Negah Irvine CA 4
San Gabriel Valley Valadez Edith La Puente CA 2 8
San Gabriel Valley Foundation for Dental Health Segura Salas Daisy La Puente CA 6
Dental 2022 Caicedo Liliana Lakeport CA 2
The South Bay Children's Health Center Sata Megha Lawndale CA 4
Funto Ayanleke DDS INC Ayanleke Funto Lodi CA 2
IHS Lone Pine Acevedo Celia Lone Pine CA 7
Paramount Dental Care and Specialty Community
OutreachBeroukhim Jonathan Long Beach CA 4
Children and Hospital Los Angeles Polido Jose Los Angeles CA 3
Herman Ostrow School of Dentistry of USC Howard Jennifer Los Angeles CA 5 8
Just Smile Dental Center Rodriguez Lourdez Los Angeles CA 3 6
Bear Coast Dentistry Liang Jenny Mission Viejo CA 2
Asian Health Services Le Huong Oakland CA 1
Puri Dentistry Puri Radhika Oxnard CA 4
Southern Alameda County Dental Miller Sciandri Melinda Pleasanton CA 4
Assistance League of Redlands Dental Center Surdzial Paulette Redlands CA 25
IHS Consolidated Reibal Health Gonzalez Mary AnnRedwood
ValleyCA 3 4
Tri County Dental Society Doyle Olivia Riverside CA 8 4 6
Buddhist Tzu Chi Medical Foundation Yau Clarence S El Monte CA 8
Smiles for Kids Levering Cathy Sacramento CA 5
iHigh Virtual Academy Berwind Amy San Diego CA 14
San Diego County Dental Society Koonce Mike San Diego CA 5 9
California Public Health Association North Chua Joanna San Francisco CA 4
Castro & Hipona Dental Care Hipona Carmen San Jose CA 14
Santa Clara County Dental Society Tran Michael San Jose CA 30
Sikka Dental Corp Sikka Nidhi San Jose CA 2
CALIFORNIA (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Sonrisas Dental Health Inc Jue Bonnie San Mateo CA 12
Mona Lisa Smile Dental Khandaqji Sahar San Ramon CA 4
Community Action Partnership Spencer Cory Santa Rosa CA 6 4
IHS Santa Ynez Tribal Health Clinic Savidan Mike Santa Ynez CA 2
Watson Dental Pesola KerriShingle
SpringsCA 2
Safari Smiles Give Kids A Smile French Michael Sonora CA 2
San Joaquin Dental Society Ranchhod Anisha Stockton CA 4
Jeffrey T Yamane DDS Yamane Jeffrey Torrance CA 1
First Step Dental Vallarine Chelsea Turlock CA 4 4 4
BV Laser and Cosmetic Dentistry Inc Virk Amandeep Union City CA 1
UCLA and The Childrens Dental Center of Greater
Los AngelesTran Nini Venice CA 4
Sara Ghaemmaghami DDS Inc Ghaemmaghami Sara Woodland Hills CA 3
COLORADO
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Concorde Career College Aurora Smith Sharon Aurora CO 2
Colorado Springs Dental Society Markus SharynColorado
SpringsCO 6 12
Pinnacle Dentistry Caudill SarahColorado
SpringsCO 6
Colorado Orthodontic Foundation Gage Alexandra Commerce City CO 1
Salud Family Health Centers Balderas Jackie Commerce City CO 2
Metro Denver Dental Society Kingen Jill Denver CO 8
Ward Orthodontics Schmidt Katrina Fort Collins CO 20
Salud Family Health Centers Kaur Rominder Fort Lupton CO 4
Salud Family Health Centers Almiron Rosario Frederick CO 4
Tooth Town of Greeley Louis Christy Greeley CO 11
COLORADO (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Copeland Family Dental Everett JuneHighlands
RanchCO 19
All About Braces Baskin Hilary Lakewood CO 2
Salud Longmont Hanson Susan Longmont CO 2
All Seasons Dental Inc Blasingame Jeanna Pueblo CO 1
Salud Family Health Centers Valles Virginia Sterling CO 1
Salud Dental Larsen Kyle Trinidad CO 1
Walsh Dental Hygiene McCall Kelly Walsh CO 3
Peak Family Dentistry and Orthodontics Campbell Brandon Westminster CO 1
CONNETICUT
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Traveler On A Mission Henry Tanaya Ansonia CT 2
Fones School of Dental Hygiene Manski Marion Bridgeport CT 4
Caceci Family Dentistry Megyeri Georgette New Milford CT 6
Kevin H Norige DMD South Windsor Smiles Johnson Heather South Windsor CT 3
Hello Dental LLC Hah Chansoo Stamford CT 1
Generations Family Health Center Inc Gardner Veronica Willimantic CT 10
DISTRICT OF COLUMBIA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Howard University College of Dentistry Pediatric
Postgraduate Residency ProgramBarham LaToya Washington DC 4
FLORIDA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Tooth Fairy Mobile Dental Service Frank Nichole Boca Raton FL 9
Brevard County Dental Society McNeight Angela Cocoa FL 4 4
96 Dental Squadron Dunn Monica Eglin AFB FL 20
Beaufils Dental Beaufils Lloyd Fort Lauderdale FL 1
Lee County Dental Society Favalli Oliver Fort Myers FL 4 8
Young Smiles Pediatric Dentistry and Spa Young Kera Gibsonton FL 9
Healthy Smiles Start Young DeLucia Michael Jacksonville FL 5
Jacksonville Dental Society Rodriguez Noel Jacksonville FL 3 3 6
Palm Beach State College McGaughey Marilee Lake Worth FL 20
Polk County Dental Association LaRocca Andrea Lakeland FL 6
Sunshine Smiles Rivers Erin Melbourne FL 12
Bay Harbor Complete Dentistry Shure Barbara Miami FL 20
Community Health Of South Florida Inc Subadan Berry Norma Miami FL 5
IHS Miccosukee Dental Clinic Soto Mora Daisy Miami FL 3 5
Miami Dade College Mootry Tracy Miami FL 2
Jill Reed DMD Shure Barbara Miami Shores FL 9 7 12
R and F Dental Clinic PA Perello Rosanna Miramar FL 1
David and Jean Lowe Evans JennNew Smyma
BeachFL 1
Dr April Flutie Evans JennNew Smyma
BeachFL 1
Dr Dusanka Angelov Evans JennNew Smyma
BeachFL 1
Larkin Orthodontics Evans JennNew Smyma
BeachFL 1
Westbury Dental Evans JennNew Smyma
BeachFL 2
Alachua County Dental Association Adel Lisa Newberry FL 40
OBT Dental Olmos Rodolfo Orlando FL 2
Valencia College Poole Robin Orlando FL 4
Treasure Coast Dental Society Ardalan Reza Port St Lucie FL 4
LECOM Carroll Victoria St Petersburg FL 5 8
GEORGIA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Junior Service League of Americus Brown Jessica Americus GA 2 6
GKAS Kindergarten Group Richman Colin Atlanta GA 2
Augusta University 2022 Riggs Bruce Augusta GA 1
Lanier Dental Partners Durand Melissa Cumming GA 1
Nutmeg Dental Gudipati Praveen Cumming GA 4
Dekalb County Board of Health Turner Dwayne Decatur GA 20
OHI for Kids Boyd Catherine Ellerslie GA 3
Farrey Family Dentistry LLC Farrey Kajuana Moultrie GA 2 8
Project Smile Inc. Acuff David Savannah GA 5 8
HAWAII
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
HDA Young Dentist Group Morita Scott Honolulu HI 15
Dr Arielle Nagao LLC Sencil Davelyn Mililani HI 4
Hui No Ke Ola Pono Orikasa Emi Wailuku HI 2
Dr Frances M Lee DDS Inc Lee Frances Waipahu HI 4
IOWA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
FAMILY Inc Addison Liz Council Bluffs IA 6
Omni Dental Cook Jessica Council Bluffs IA 4
Oak Creek Dental Bergan Morgan Cresco IA 2
University of Iowa College of Dentistry Pediatric Dentistry
ClubSkotowski Cathy Iowa City IA 4
Smiles On Main Atienza Michelle Maquoketa IA 16
Dona W Prince DDS Prince Dona Sioux City IA 4
Sunnybrook Dental Stevens Mindy Sioux City IA 7
Waukon Dental Wilke Kristen Waukon IA 4
IDAHO
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Gentle Family and Cosmetic Dentistry Harding Rita Boise ID 1
Heritage Health Russell Heather Coeur d Alene ID 1
Adams County Dental German Brooke Council ID 1
Mountain View Dentistry Behler Ashlee Grangeville ID 4
Nelson Family Dentistry Bailey Karen Grangeville ID 4
Valley Pediatric Dentistry Nielson Ryan Hailey ID 20
Avondale Dental Martin Katherine Hayden Lake ID 4
Baker Pediatric Dentistry Barnes Rachel Idaho Falls ID 1
Idaho Falls Smiles PLLC Frandsen Justin Idaho Falls ID 1
Mark W Sheppard DDS Rodriguez Miranda Lewiston ID 1
Family Dental Center Gardner Scott Nampa ID 1
Terry Reilly Health Services Salinas Romero Carolina Nampa ID 4
Trailridge Family Dental Jorgensen Vernena Parma ID 4
Southeastern Idaho Public Health Sluder April Pocatello ID 4
Woodland Family Dental Gallian Cierra Post Falls ID 4
Dirk Strobel DDS Strobel Dirk Rexburg ID 1
Toenjes Brizzee and Orme Richards Jared Saint Anthony ID 1
ILLINOIS
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
SIU School of Dental Medicine Kosten Katie Alton IL 5
Southern Illinois University Carbondale Dental Hygiene
ProgramMcKinnies Jennifer Carbondale IL 4 4
Advocate Illinois Masonic Med Ctr Dept of Dentistry Benz James Chicago IL 4
Athena Dental Institute PC Miller Finch Andrea Chicago IL 8
Chicago Dental Patel G B Chicago IL 1
Dentists with Heart Siegel Theodore Chicago IL 1
ILLINOIS (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
College of DuPage Dental Hygiene Program McNamara Lori Glen Ellyn IL 15 2
Northshore Smiles Family Dental Care Kunnassery LiyaMount
ProspectIL 2 1
Serenity Dental Studio Diehnelt Dawn General Schaumburg IL 2
Scott Air Force Base Dental Clinic Woodward Cameron Scott AFB IL 2
Peoria District Dental Society Creek Kristan Washington IL 10 4
CDS Foundation Dental Clinic Ortiz Anna Wheaton IL 1
Dupage County Health Department Enke Beth Wheaton IL 6
Smiles Dental Center Puri Rajiv Wood Dale IL 2
INDIANA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Pediatric Dental Care Inc Clark Kara Dyer IN 4
Lesley K Gilbert DDS Gilbert Lesley Greenfield IN 16
West View Elementary Cribbs Brenda Muncie IN 10
Dental Solutions Stofer William Warsaw IN 1
First Impressions Family Dental Care Flannagan Jason Westfield IN 1
KANSAS
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Salina Dental Arts Miller Karlie Salina KS 4
Spring Dental Wichita Hill Crystal Wichita KS 15 15
KENTUCKY
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Signature Smilz Sahasi Preeti Pikeville KY 2 5
Give Kids A Smile Shelburne Lynn Taylorsville KY 5
LOUISIANA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Arbor Family Health Miller Jill Batchelor LA 10
Associates in Pediatric Dentistry Foreman Kathy Baton Rouge LA 4
Making a Distinctive Difference O'Rourke Allen Sancerie Baton Rouge LA 4
Pediatric Dental Specialists of Baton Rouge Hunt Johnnie Baton Rouge LA 4
The Health Enrichment Network Faerber Joanna Baton Rouge LA 20
Plaquemines Parish Head Start Henry Denet Megan Belle Chasse LA 3
Bunkie Elem School Clark RN Naomi Bunkie LA 2
South Crowley Elementary Roy Scott Crowley LA 6
South Crowley Elementary Regan Vicky Crowley LA 4
Lafargue Elementary School Mayeux Veronica Effie LA 5
Bayou Blue Upper Elementary Authement Michelle Houma LA 8
EatMoveGrow Arabie Robin Lafayette LA 20
Marksville Elem. School Coco Christina Marksville LA 2
New Orleans Dental Association Boxberger Nicole Metairie LA 6 6
Tuft Pediatric Dentistry Row Kami Monroe LA 8
Bunkie General Hospital Newton Melise Oakdale LA 20 8
Plaucheville Elementary School Whitmore Elizabeth Plaucheville LA 2
Martin Petitijean Elem Ancelet Sarah Rayne LA 7
Riverside Elementary Bordelon Cheyenne Simmesport LA 2
Fallin Family Dentistry GKAS Rabalais Henri Zachary LA 2
MASSACHUSETTS
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Harvard School of Dental Medicine Yang Stephanie Boston MA 3
Tufts University School of Dental Medicine Forero Martha Boston MA 4
Diman Regional Vocational High School Pettine Linda Fall River MA 5
Middlesex Community College Strauss Maureen Lowell MA 6
Kirk Dental Associates Rosado Melanie Sudbury MA 1
Regis College Dental Center Hallisey Pesa Karen Waltham MA 6
Metropolitan District Dental Society Lowenstein Jeffrey Wellesley MA 6
MARYLAND
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Smile Castle Pediatric Dentistry Simpson Carlie California MD 4
Dr Wendys GKAS Brown Wendy Columbia MD 6
WRNMMC Cheung Clayton Ellicott City MD 5 20
Dr Harvey Levy and Associates P C Levy Harvey Frederick MD 4
Wisteria Dental Care Feazell Paige Germantown MD 1
Tyler Dental Tyler Dawn Mitchellville MD 2
Dr Cary R Klimen DDS Klimen Cary Rockville MD 4
Smile Castle Pediatric Dentistry Simpson Carlie California MD 4
Dr Wendys GKAS Brown Wendy Columbia MD 6
WRNMMC Cheung Clayton Ellicott City MD 5 20
Dr Harvey Levy and Associates P C Levy Harvey Frederick MD 4
Wisteria Dental Care Feazell Paige Germantown MD 1
Tyler Dental Tyler Dawn Mitchellville MD 2
Dr Cary R Klimen DDS Klimen Cary Rockville MD 4
MAINE
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
University of Maine at Augusta Dental Health Programs Loring Danica Bangor ME 4
Bath Family Dental LLC Jacques Melanie Bath ME 1
Topsham Dental Arts Nichols Polly Topsham ME 20
MICHIGAN
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Adrian Family Dentistry PLLC VanBrandt Sandra Adrian MI 4
Keskimaki DDS Couture Stephanie Alpena MI 8
University of Michigan School of Dentistry Rizzo Holly Ann Arbor MI 6
MICHIGAN (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Oral Hygiene Presentation Wilcox Catherine Battle Creek MI 8
Brilliant Smiles Family Dentistry Jenicke Sheryl Cadillac MI 4
Nottawaseppi Huron Band of the Potawatomi Ruohomaki Heidi Fulton MI 4
Ottawa County Health Dept and Miles of Smiles Mobile
Dental InitiativeArreola Megan Holland MI 5 10
Hudsonville Family Dentistry Dougherty Emily Hudsonville MI 2
Bruce Miller DDS Miller Bruce Marquette MI 10
CFD Flanagan Drozdowski Courtney Mayville MI 10
IHS Nimkee Wellness Center Wakefield Lisa Mt Pleasant MI 4
Jehan Wakeem DDS PLLC Wakeem Jehan St Clair Shores MI 3 5
John M Kim DMD, PC Kim John St Joseph MI 2
Anishinaabe Dental Outreach Rickert Jessica Traverse City MI 3
United Way of NW Michigan Kerns Jennifer Traverse City MI 10 15
MINNESOTA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Edgewood Dental Carlson Kim Baxter MN 2
Strait Smiles Family Dentistry Strait Tasha Belle Plaine MN 4
Ling Family Dentistry Pope Jodi Blaine MN 2
Normandale Community College Dental Hygiene
ProgramLarsen Carol Bloomington MN 4
Central Lakes College Thalberg Katie Brainerd MN 2
Park Dental Edinbrook Sullivan Kaitlin Brooklyn Park MN 2
Cambridge Dental Center Peterson Matt Cambridge MN 1
IHS Bemidji Area Attridge Joan Cass Lake MN 4 3 16
Park Dental Chaska Sieling Leah Chaska MN 1
Park Dental Riverdale Howland Heather Coon Rapids MN 2
MINNESOTA (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Eagan Valley Dental Weibel Molly Eagan MN 2
Elbow Lake Dental Center Mosburg Meagan Elbow Lake MN 1
Southern Heights Dental Group Meyer Elizabeth Faribault MN 1
Bassett Creek Dental Bruning Shari Golden Valley MN 2
Grand Rapids Dental Care Serfling Stacey Grand Rapids MN 1
Lake Sarah Dental Magnuson Sarah Greenfield MN 1
Park Dental Hugo Huntley Kathryn Hugo MN 1
Hutchinson Dental Ctr Reinke Casey Hutchinson MN 1
Isle Family Dentisrtry Walters Randee Isle MN 1
MSU Mankato Cooper Brigette Mankato MN 4
Brook West Family Dentistry Piotrowski Rebecca Maple Grove MN 1
Metropolitan State University Dental Clinic Karkula Brittanie Maplewood MN 1
Midwest Dental Melrose Ebensteiner Kelly Melrose MN 1
ADT Dental Brotzel Marilynn Minneapolis MN 1
Childrens Dental Services Wovcha Sarah Minneapolis MN 4
Dr Nancy Norling LaMotte Theresa Minneapolis MN 1
University of Minnesota Sarvas Elise Minneapolis MN 4
Cedar Hills Dental Center Wagnild William Minnetonka MN 1
Park Dental Ridgepark Langguth Kirsten Minnetonka MN 2
Minnesota State Community and Technical College Peltier Robin Moorhead MN 4
North Mankato Family Dentistry Wallman Kristi North Mankato MN 2
Holland Family Dental Goodew Laurie Owatonna MN 1
Main Street Dental Clinics Anderson Heidi Owatonna MN 4
Owatonna Dental Care Brandt Christy Owatonna MN 1
St Josephs Community Dental Clinic Fogarty Melissa Park Rapids MN 4
Hamann Dentistry Hamann Patricia Perham MN 1
Community Dental Care Yang Crystal Robbinsdale MN 6
Children's Dental Health Services Hayes Sarah Rochester MN 2
Park Dental Edinbrook Dunbar Nancy Roseville MN 2
Hope Dental Clinic Haupt Tamara Saint Paul MN 2
MINNESOTA (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Green Lake Dental Johnson Kirby Spicer MN 1
Park Dental St Anthony Polster Sara St Anthony MN 1
East Dental Family Dentistry Marker Johnson Jennifer St Paul MN 1
Riverside Dental Care Lund Kevin St Peter MN 1
Southill Dental Group Holland Jessie Stillwater MN 1
Tyler Family Dental Wilmes Kristal Tyler MN 1
Midwest Dental Wells Redig Juli Wells MN 2
Carris Health Dental Clinic Johnson Renee Willmar MN 1
Childrens Dental of Winona Yesil Jasmine Winona MN 18
Aurora Dentistry Davis Erik Woodbury MN 2
MISSOURI
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Cass Community Health Foundation and Cass County
Dental ClinicSchroeder Katie Belton MO 20 6
Jessica L Quint DDS LLC Quint Jessica Fayette MO 20
Temple Of Praise Ministries Curry Mia Jennings MO 4
Spring Dental Joplin Dunlap Piper Joplin MO 15 15
Concorde Career College Thurlow Lisa Kansas City MO 4
A T Still University Missouri School of Dentistry and Oral
HealthInks Patricia Kirksville MO 15
TLC Family Dentistry Thurman Taylor Jamie Lees Summit MO 1
St Louis Give Kids A Smile Dalin JeffMaryland
HeightsMO 8 8
Summer Dental Raytown Garvie Katelyn Raytown MO 10 15
MISSISSIPPI
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
81st Dental Squadron Mier Victoria Biloxi MS 8
IHS Choctaw Dental Flake Patricia Choctaw MS 34 34
Robinson Dental Roninson Gennette Columbus MS 2
Perkins Pediatric Dentistry Perkins Teresa Jackson MS 1
University of Mississippi Medical Center School of
DentistryLongino Melody Jackson MS 16
MS State Department of Health Bassett Carla Louin MS 4
All About Smiles Dental Center McQuarters Marcia Meridian MS 6
Oak Lane Family Dental Pippen Sherry Monticello MS 6
iSmile Family Dentistry Thompson Roberts LaShunda Southaven MS 3 7
MONTANA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
IHS Rocky Boy Health Center Moore Stacey Box Elder MT 3 5
Northern Cheyenne Service Unit Dental Department Hill Jennifer Lame Deer MT 4
IHS Billings Area Fisher Travis Polson MT 6
IHS Chief Redstone Dental Clinic Cornett RDH Casey Wolf Point MT 4
NORTH CAROLINA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Little Tooth Co Guevarra You Jean Laurice Apex NC 20
Randolph Pediatric Dentistry Fetner Maggie Asheboro NC 2
Sparkling Smiles Tyson Kimberly Asheboro NC 2
CommWell Health of McGees Crossroads Britt Cindy Benson NC 2
FirstHealth Dental Care Centers Harrell Sharon Biscoe NC 2
Coastal Pediatric Dentistry Pappas Jackie Bolivia NC 4
Yancey County Schools Hardin Ilo Burnsville NC 3
NORTH CAROLINA (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Carolina Orthodontics and Children's Dentistry Alvey Jenna Cary NC 4
Raleigh Wake County Dental Society Ghai Kavita Cary NC 4 8 4
UNC CH School of Dentistry Mauldin Lisa Chapel Hill NC 6 7
CommWell Dental NGD Murphy Jawanna Dunn NC 4
A Kiss Cares Peoples Ebony Durham NC 4
Durham County Public Health Jagadeesan Chitrakala Durham NC 2
Piedmont Pediatric Dentistry Lane Naomi Greensboro NC 3
East Central Dental Society Pope Jennifer Greenville NC 2
Children's Oral Health Month School Visits Nuckolls Dr. Natalie Hampstead NC 25
The Smiling Turtle Pediatric Dentistry Crouch Lauren Holly Springs NC 1
Coastal Carolina Community College Bruton Sabrina Jacksonville NC 4
Guilford Technical Community College Porter Kim Jamestown NC 2
Give Kids A Smile Outer Banks Jacobson Jeffrey Kill Devil Hills NC 1
Cultivate Kids Dentistry Gazdeck Leslie Knightdale NC 1
Caldwell Co Health Dept Dental Money Kristy Lenoir NC 1
Mocksville Family Dentistry Brogan April Mocksville NC 1
Wilkes Public Health Dental Clinic Jolly DawnNorth
WilkesboroNC 4
CommWell Health Bawab JenniferOcean Isle
BeachNC 1
Martin Tyrrell Washington District Health Dept. Barnes Nicole Plymouth NC 2
Piedmont Health Services Porcher Fennell Sabrina Prospect Hill NC 5
Wake County Human Services Sykes Rebecca Raleigh NC 1
Ashley Flowers Family Dentistry Weaver Brielle Sparta NC 6
Spring Lake Dental Group David G. Dickerhoff
DDS and Associates PACarr Finch DBA Angela Spring Lake NC 2
ECU School of Dental Medicine Spruce PIne Self Eugene Spruce Pine NC 4 4
NC Pediatric Dentistry Gregg Wyndy Statesville NC 25
East Carolina School of Dental Medicine Davidson Oglesby Gloria Thomasville NC 4
CommWell Health Penderlea Plage Nataleigh Willard NC 1
Cape Fear Community College Hardee Beverly Wilmington NC 25
Tina S Merhoff DDS Baker MelissaWinston
SalemNC 1
NORTH DAKOTA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Oral Education for Kids Witzel Kay Belcourt ND 9
Modern Smiles Johnson Cassie Bismarck ND 1
IHS Trenton Community Clinic Dental Program Cohoe Lisa Trenton ND 2
Velva Dental Center Hackman Lynn Velva ND 6
NDSCS Dental Clinic Malone Chanel Wahpeton ND 2
NEBRASKA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Public Health Solutions Schardt Deb Carleton NE 5 5
Hebron Dental Clinic Jeppson Kelcey Hebron NE 2
Lincoln Pediatric Dentistry Saathoff Stephanie Lincoln NE 1
UNMC College of Dentistry Koukol Claire Lincoln NE 5
NEW HAMPSHIRE
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Core Pediatric Dentistry Creem Jennifer Exeter NH 1
Coleman Family Dental Mroz Patricia Nashua NH 5
GKAS Free Check Up Chow Michael Nashua NH 2
Southern New Hampshire Orthodontics Chow Dr Denise Nashua NH 1
Meyer Family Dentistry Marsters Kim Northwood NH 2
NEW JERSEY
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Dunn Dental Dunn Kristin Bayville NJ 1
Camden County College Dental Hygiene Clinic Iuliucci Barbara Blackwood NJ 4
Itsy Bitsy Dental Ledig Pamela Bloomfield NJ 2
NEW JERSEY (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
KinderSmile Foundation Herman Michal Bloomfield NJ 5
CAMcare Health Corporation Sumner Cecilia Camden NJ 5
Give Kids A Smile Fulman Lateiner Gloria Cedar Knolls NJ 1
Cherry Hill Dental Smiles Reddy Deepika Cherry Hill NJ 1
Lake Family Dentistry Qadri Danish Colonia NJ 1
East Brunswick Dental Studio Fernandes GenevieveEast
BrunswickNJ 4
Edgewater Pediatric Dentistry Hamilton Tameka Edgewater NJ 1
Dr Vitale and Dr Tedeschi Conlan Kris Edison NJ 2
JFK Dental Clinic Pereira Ana Edison NJ 2
Englewood Dental Do Arnold Englewood NJ 2
My First Dentist Chiang Danny Englishtown NJ 1
Freehold Orthodontics Figueroa Elizabeth Freehold NJ 2
Turner Wood Dental Newell Kristen Glassboro NJ 1
Pegasus Dental Center Grajales Katherine Guttenberg NJ 2
Center for Dentistry Person Lisa Hackensack NJ 2
Hello Dental Shin Yoo Jin Haledon NJ 1
The Smile Spa of North Jersey LLC Rosenblatt Debra Hawthorne NJ 2
Adults and Kids Dental Care Cai Ping Hazlet NJ 1
All Care General Dentistry Merene Bianco Johnimel Jersey City NJ 2
Eastern International College Tisdale Jones Al Isha Jersey City NJ 1
Jersey City Pediatric Dentistry Bonilla Eddy Jersey City NJ 2
Metropolitan Family Health Network Williams Hallie Jersey City NJ 2
Native Dental Greene Chris Jersey City NJ 1
Sunny Smiles Frappolli Taryn Mahwah NJ 3
Kids Smile PC Forbes DawnMonmouth
JCTNJ 1
Hackensack Meridian Health Mountainside Medical
Center Division of DentistryGoldman Yvonne Montclair NJ 1
Esposito Family Dental Henriquez Maddy Moorestown NJ 2
NEW JERSEY (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Morrone Kaye and Yucha Orthodontics Bonsall Dawn Moorestown NJ 2
Tooth Patrol Pediatric Dentistry Dhaliwal Gary Moorestown NJ 2
Rowan College at Burlington County Vasilenko Gail Mount Laurel NJ 4
RWJBH Dental Clinic McQuillan MichelleNew
BruswickNJ 1
Boys & Girls Club of Newark Children's Dental
ClinicSpeights Gardan Newark NJ 4
New Jersey Dental Association Barlow MaureenNorth
BrunwickNJ 40
Pearl Family Dentistry Kuzmich MarinaNorth
PlainfieldNJ 2
KidZdent Tallman Keri Old Bridge NJ 4
Bergen Community College Cook Deborah Paramus NJ 4
Belleville Dental Center PC Llamera Elizabeth Parsippany NJ 1
Smile Central Dental PC Caceres Jessica Passaic NJ 3
Paterson Dental Clinic Zaydel Yana Paterson NJ 4
St. Joseph's Family Health Center Dental Minkins Dionne Paterson NJ 4
ABC Smiles Family & Childrens Dentistry Patel Haril Perth Amboy NJ 2
Dr Lydia David David Lydia Perth Amboy NJ 1
Neighborhood Health Center Plainfield Andrade Amelia Plainfield NJ 6
Michael J Armento DMD Armento Michael Randolph NJ 2
Pediatric Dental Associates of Randolph Steinmark Margo Randolph NJ 3
Caring Smiles Lorenzo Jenny Rutherford NJ 1
Saddle Brook Family Dentistry Matute Jonnathan Saddle Brook NJ 1
Smile Designs 101 Raposo Jennifer Somerset NJ 1
Somerset Dental PC Shah Mita Somerset NJ 1
Amboy Dental Arts Desciscio Peter South Amboy NJ 1
Smilow Family Dentistry PC Smilow Joshua Springfield NJ 1
Ocean Health Initiatives Kwiatkowska Monika Tom River NJ 2
NEW JERSEY (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Ocean Pediatric Dental Associates Velazquez Elisa Toms River NJ 4
Kindersmile Community Oral Health Center Vassell Donele Trenton NJ 4
Childrens Dental Care Gat Poonam Union City NJ 1
Compassionate Dental Care Frare DDS Mary Voorhees NJ 4
Oceans Orthodontics & Pediatrics Leibowitz Aimee Westfield NJ 2
Paterson Public Schools Dental Services Workman Maria Westwood NJ 5
NEW MEXICO
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
IHS Albuquerque Area Maes Aliandra Albuquerque NM 2 18
New Mexico Dental Association Foundation Rule Patricia Albuquerque NM 5
Smile Xpressions Williams Missy Arteisa NM 8
Southwest District Dental Society Trigo Joy Las Cruces NM 30
IHS Alamo Navajo Dental Clinic Wengert Gloria Magdalena NM 16
NM Department of Health Blea Rudy Santa Fe NM 2
Santa Fe Community College Department of
Dental HealthNayyar Aamna Santa Fe NM 8
IHS Canoncito Band of Navajos Health Clinic Begay Lisa Tohajiilee NM 2
NEVADA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Dental Care International Mendoza Seanie Las Vegas NV 4
UNLV School of Dental Medicine Demopoulos Christina Las Vegas NV 4
Give Kids A Smile Fragoso Emily Reno NV 4
NEW YORK
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Nickel City Dentistry Augello Michelle Amherst NY 3
Batavia City Schools Kubiniec Michael Batavia NY 20
Kubiniec Give Kids A Smile Kubiniec Sharon Batavia NY 20
Briarcliff Pediatric Dentistry Bijoor RenukaBriarcliff
ManorNY 1
Bronx Healthy Start Partnership Idehen Alma Bronx NY 2
Jacobi Medical Center Yeroshalmi Farhad Bronx NY 4
Smile Savers Pediatric Dentistry Finlay Dionne Bronx NY 4
Union Community Health Center Rodriguez Evelyn Bronx NY 4
Paterson Public School Dental Clinic Campbell Joanna Bronxville NY 5
Dr K Dental Kuznetsov Marina Brooklyn NY 1
Ezra School Based Dental Program Hersh Meryl Brooklyn NY 5 15
Private Practice Hossain Rumman Brooklyn NY 2
William O'Connor Midwood School Gruener Roslyn Brooklyn NY 3
University at Buffalo School of Dental Medcine Chin Kit Wells DDS Meelin Dian Buffalo NY 4 4
Northern Adirondack Elementary School Dunn JudyEllenburg
DepotNY 8
Farmingdale State College Dental Hygiene
DepartmentMarsh Lynn Farmingdale NY 4
Plaza College Sleeper Laura Forest Hills NY 2 2
St Lawrence County Dental Society Day Scott Gouverneur NY 5
Suffolk County Dental Society Panzarino Bill Hauppague NY 8 20
Ninth District Dental Association Cancian Stephan Hawthorne NY 5 8
Lake Placid Family Dental Balestrini David Lake Placid NY 1
Smithtown Dental Munk Radha Nesconset NY 20 5 5
Faxton St Lukes GPR Bergenfeld Dana New Hartford NY 2
NEW YORK (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Charles B Wang Community Health Center Lu Gain New York NY 2
Columbia University College of Dental Medicine Patrocinio Jary New York NY 16
Gerald Leknowitz DDS Kuznetsov Dmitiry New York NY
New York County Dental Society Ingoglia Susan New York NY 32
Oswego County Health Department Robinson Sonia Oswego NY 25
Finger Lakes Dental Care Turkington Bridget Palmyra NY 2
OneDent of Westchester Fish Erica Purchase NY 2
Monroe Community College Zeh Erica Rochester NY 4
IHS Seneca Nation LRJHC Salamon Joe Salamanca NY 5 20 15
Unspoken Smiles Foundation Inc Laurent Jean Paul Spring Valley NY 25
Dynamic Dental PLLC Klein Dr Christina Staten Island NY 4
Fort Hamilton Dental Loutfy Heba Staten Island NY 4
Kids Dental Lazzara Lisa Staten Island NY 3 8
Stony Brook School of Dental Medicine Sherwn Rhona Stony Brook NY 24 10
Dept of Dental Medicine Martinez Rosa Valhalla NY 8
Wayne County Headstart Skolnick Jay Webster NY 7
Nassau County Dental Society Brofsky Joseph Woodmere NY 5 20
OHIO
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Summa Center for Dental Health Jefferys Noelle Akron OH 2
Summit County Public Health Kale Jennifer Akron OH 4 4
Amelia East Family Dentistry Lang Dawn Amelia OH 2
Axess Pointe Community Health Center Clounie Nikki Barberton OH 25 4
Berea Family Dental Buckley Libby Berea OH 2
Corydon Plamer Dental Society Johnson DDS Erik Boardman OH 25
Johnson Family Dental Johnson DDS Erik Boardman OH 20
Carrollton Family Dental George Michelle Carrollton OH 1
Keely Dental Society Vorherr Michael Cincinnati OH 4 4
Reliable Dental Thind Sarbjit Cincinnati OH 2
CWRU School of Dental of Medicine Kaye Lucinda Cleveland OH 6 8
Dr Elias Elias Lora Cleveland OH 15
GCDS Morrish Margaret Cleveland OH 5 7
The Dental Depot Ghering Robert Cleves OH 18
Hines Little Smiles Lowery Amara Columbus OH 6
Homegrown Smiles Co Courtemanche Annie Columbus OH 1
Lower Lights Christian Health Center Crockett Miller Heather Columbus OH 2
Nationwide Childrens Hospital Hammersmith Kim Columbus OH 4 3
Ohio Dental Association Circosta Carley Columbus OH 6
Student Chapter of AAPD at OSU Amini Homa Columbus OH 2
PedZ Dental Rousseau Melanie Dayton OH 2
Northwest Ohio Early Childhood Developmental
ScreeningsVoll Julie Defiance OH 20
Dr Jeff Caldwell GKAS Wade Denise East Liverpool OH 4
Lorain County Community College Suszko Ihor Elyria OH 1
Panther Pediatric Dentistry Cunningham Kari Euclid OH 6
Dentistry 4 Kids Vij Raj Fairlawn OH 4
Timothy P Sulken DDS Sulken Timothy Fostoria OH 1
Dr Joseph Baytosh Baytosh Joseph Girard OH 2
OHIO (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Paul M Bertolasio DDS Bertolasio Paul Girard OH 2
Family Health Dental Combs Stephanie Greenville OH 20
Clark Family Dentistry Moore Sarah Hillsboro OH 1
Theil and Theil DDS Theil Thomas Huber Heights OH 5
Whispering Pines Dental Pruneski DeLong Julie Lorain OH 8
Scott Dental Group, LLC Blake Hope Loudonville OH 2
Liu Clinic Lin Irene Mansfield OH 5
North Orange Family Dentistry Bogan Kyle Marion OH 4
Keefe General Dentistry Keefe Kari Massillon OH 10
Dr Timothy Voss Pediatric Dentistry Mahlman Kelly Maumee OH 20
Northeastern Ohio Dental Society Cerar Jacqueline Mentor OH 4
Vosler Dental Office Vosler Brad Miamisburg OH 8
Knox County Health Department Goeppinger Cierra Mount Vernon OH 3 12
Clark Family Dental Lairson Kennedi New Lebanon OH 4
Stark County Dental Society deForest Laura North Canton OH 5 20
GKAS in Area Schools Logan Dr Jeff Poland OH 10
Scioto Co CAO Head Start Haynes Brenda Portsmouth OH 8
Southern Ohio GKAS Heim Amy Portsmouth OH 4
Erie County Health Dept Millott Julie Sandusky OH 2
Western Ohio Van Treesee Jeff Sidney OH 2
Smithville Family Dentistry Boreman Thomas Smithville OH 2
Community Health Foundation Elder Joan Springfield OH 7
Toledo Dental Society Simonton Benjamin Toledo OH 9
Miami County Dental Clinic Silk Stephanie Troy OH 10
Neet Teeth Sandhu Avneet Upper Arlington OH 2
Fay Family Dental Care LLC Fay MorganUpper
SanduskyOH 2
Corydon Palmer Dental Society Nadler Dr Sergio Warren OH 6
Pall Gentle Dental Pall Laura Wellington OH 2
OHIO (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
5th MDG Minot Dental Clinic Esche Arlene West Chester OH 4
West Chester Pediatric Dentistry Reddy AneeshaWest Chester
TownshipOH 2
Columbus Dental Society Janetski Michelle Westerville OH 6 15
Eastern Ohio Dental Society Matanzo Thomas Wintersville OH 4
Dr Melissa Padgett Padgett Melissa Youngstown OH 6
OKLAHOMA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
IHS Chickasaw Nation Flatt Lisa Ardmore OK 4
Cleveland Co Love Kristi Blanchard OK 6
IHS Kanza Health Center Snow Brier Newkirk OK 4
Summer Dental Norman Simpson Chelsy Norman OK 8 8 8
IHS Oklahoma City Area Myrick Keasha Oklahoma City OK 12
IHS Oklahoma City Indian Clinic McKee Monica Oklahoma City OK 4
Kids Day Graham Caroline Oklahoma City OK 4
IHS Perkins Family Clinic Williams Shannon Perkins OK 2
Dr Brian E Drew DDS Drew Brian Shawnee OK 4
IHS Cherokee Nation Speed Mechelle Tahlequah OK 3
Western Technology Center Pease Kelly Weatherford OK 5 10
OREGON
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
IHS Klamath Tribal Health and Wellness Bishop Debbie Chiloquin OR 5 11
Lane Community College Jones Jill Eugene OR 2
Florence Dental Clinic Holmes Brian Florence OR 6 10
Pacific University Moore Kathy Hillsboro OR 2
IHS Johnson Laura Warm Springs OR 5 11 11
Multnomah Dental Society Mattsen Lora Wilsonville OR 5 12
PENNSYLVANIA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Lehigh Valley Hospital Dept of Dental Medicine Shambo Lesley Allentown PA 2
Northampton Community College Karalunas Kate Bethlehem PA 1
Blashford Dentistry Komar Tina Carlisle PA 4
ChesPenn Community Health Center Gleber Jaclyn Coatesville PA 2
Give Kids A Smile Cohen Barry Drexel Hill PA 8
Smiles by Shannon Dental Shannon Jennifer Harrisburg PA 1
Noxen Dental Kapral Mary Ann Monroe TWP PA 7
The Dental Society of Chester County and Delaware
County GKAS ProgramLogan Bernadette Paoli PA 6
Silvana Cumani DMD Llogoni Altin Philadelphia PA 1
Phoenixville Pediatric Dentistry Bergmaier Missy Phoenixville PA 2
PUERTO RICO
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
UPR School of Dental Medicine Lopez Ana San Juan PR 5 18
SOUTH CAROLINA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
United States Navy MCRD Parris Island Branch Dental
ClinicBailey Brianna Beaufort SC 20
Volunteers in Medicine Clinic Timms KellyHilton Head
IslandSC 6
MUSC Koren Eric Johns Island SC 2
Health Care Partners of South Carolina Inc Berrios Karen Marion SC 4
Shaw Air Force Base Dental Clinic Dentistry Preventive Shaw AFB SC 2
SOUTH DAKOTA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
ADO IHS OHP Baguidy Flauryse Aberdeen SD 4 20
IHS GPA Sisseton Baguidy Flauryse Aberdeen SD 6
Missouri River Dentistry GKAS Hofer Michelle Ft. Pierre SD 1
Great Plains Dental Steffl LoRel Sioux Falls SD 5
Watertown Dental Society Hughes Kay Watertown SD 4
TENNESSEE
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Sequatchie Valley Dental Associates PC Hasnani Kaz Jasper TN 4 8
Second District Dental Society Hovious Lee Ann Knoxville TN 4
Pedo Club Bol Ruth Nashville TN 4
Appalachian Life Quality Initiative West Kathy Oneida TN 20
TEXAS
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
PA Dental Arts Blacher Christina Allen TX 2
Dental Health Arlington Bell Glenda Arlington TX 2
Blinn College Dental Hygiene Wood Dana Bryan TX 4
Judson Middle School Libbe Schriewer Elizabeth Converse TX 3
Dallas County Dental Society Foundation at the Agape
ClinicMartinez Rosemary Dallas TX 10
El Paso Dental Society Parco Todd El Paso TX 2
JPS Health Network Nguyen Sue Fort Worth TX 3 8
Lee Dental Clinic Lee Hanna Houston TX 6
Say Ahhh! Pediatric Dentistry Foster Latrice Houston TX 4
School of Science and Technology Houston Mullins Kati Houston TX 6
Shifa Clinic Muslim Health Professional Society Zaman Rubina Houston TX 6 4
TEXAS (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
South Plains District Dental Society Glasheen Mary Lubbock TX 3 12
Paris Children’s Dentistry Scott Shaneka Paris TX 6
Allday Dental Washington Sharhonda Pearland TX 2
Randolph Dental Clinic Choy Cherry Randolph AFB TX 4
AEGD2 JBSA Hoikka Mark San Antonio TX 4
San Antonio Dental Hygienists Association Janous Staci San Antonio TX 2
Elm Dental Clinic Garcia Amanda Waco TX 6
UTAH
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
IHS Utah Navajo Health System Collins MaliaMontezuma
CreekUT 6
Roseman University of Health Sciences College of
Dental MedicineFerguson Aaron South Jordan UT 4 16
Dixie State College Armstrong Brenda St. George UT 6
VIRGINIA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Dr Angela Austin Austin Angela Alexandria VA 2
Fair Oaks Dental Care Joo Chuck Fairfax VA 4
Gainesville Pediatric Dentistry Reed Lori Gainesville VA 4
Merdad Dentistry Merdad Hisham Gainesville VA 1
Lynchburg City Schools and Lynchburg Dental Society Tyree Jennifer Lynchburg VA 3
Glowing Smiles Dentistry Soltanian Nekki Mechanicsville VA 4
Old Dominion University School of Dental Hygiene Stull Sharon Norfolk VA 8
Hale FamilyDentistry Rollins Becky Orange VA 10
VIRGINIA (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Medical Practice Development Consultants Inc Alsati Nour Reston VA 2
Bitty Bites PediatricDentistry North Lindsey Richmond VA 4
Dr Richard Byrd and Associates Orthodontics and
Pediatric DentistryShuck April Richmond VA 4
VCU School of Dentistry Caudill Carol Richmond VA 6
Our Lil Miracles Moore Sandra Virginia Beach VA 2
Valley Pediatric Dentistry Agarwal Rachna Winchester VA 4
WASHINGTON
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Snohomish County Dental Society Brush Lori Everett WA 30
Dental Health Month/Gkas Hawkins Michael Issaquah WA 4
Lina Kim DDS Kim Lina Seattle WA 2
Seattle King County Dental Society Bond Angela Seattle WA 20
Walla Walla YMCA Hedine Karen Walla Walla WA 2
WISCONSIN
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Antigo Dental Clinic LLC OBrien Meghan Antigo WI 4
Rock River Dental Larson Amy Fort Atkinson WI 1
Midwest Dental Green Bay ONeil Kailey Green Bay WI 1
Dentistry on Vine Davidson Kim Hudson WI 1
Gateway Technical College Gottfried Arvold Heidi Kenosha WI 3
Childrens Dental Center Krueger Colleen Madison WI 18
Waukesha County Community Dental Clinic Fortier CarlyMenomonee
FallsWI 4
Osceola Family Dental Stern Jessica Osceola WI 1
WISCONSIN (continued)
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Midwest Dental Strum Goss Danielle Strum WI 1
Suamico Midwest Dental Healy Carly Suamico WI 1
Midwest Dental Superior Gidley Heidi Superior WI 2
Midwest Dental Watertown Gillingham Jill Watertown WI 1
St Croix Tribal Dental Clinic Reynolds Bain Anestasia Webster WI 4
Dells Dental Rampetsreiter MarnieWisconsin
DellsWI 1
WEST VIRGINIA
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Kanawha Valley Dental Society Nelson Caitlyn Charleston WV 6
Valley Health Give Kids A Smile Popp Megan Milton WV 2
Mace Dental Mace Danielle Morgantown WV 4
MCHD Dentistry Pycraft Brittany Morgantown WV 2
Brannon Dental Associates PLLC Brannon Regina Spencer WV 2
WYOMING
Organization/Practice Name Last Name First Name City StateEducation
Kit #1
Screening
Kit #2
Screening
Kit #2
(25ct)
Preventive/
Restorative
Kit #3
Preventive/
Restorative
Kit #3 (25ct)
Kincheloe and Tonso Family Dentistry Tonso Erica Cheyenne WY 4