NEW

Pediatric Dental Providers serving Medicaid (ProviderOne) Children only

For a complete King County dental resource list, visit our websites

For dental referrals and additional information about dentists and clinics that accept ProviderOne (medical coupons/Medicaid), listed on this dental resource list, please call:
Community Health Access Program (CHAP) .......1-800-756-5437
Access to Baby and Child Dentistry Program (ABCD) kingcounty.gov/health/ABCD.............206-263-8750
This dental resource list is also available on the Public Health Seattle King County websites at:
kingcounty.gov/health/ABCD and kingcounty.gov/health/ACCESS


Public Health Seattle-King County presents this information as a service to the public. All information is general in nature and not intended
to be a substitute of individual self-determinations as to choice of provider. This does not constitute a specific recommendation or
endorsement of any specific health care professional. For more information about provider, contact the States Health Professions Quality
Assurance office by phone at 360-236-4700 or on the Web at doh.wa.gov/hsqa/ or email complaint to HSQAComplaintIntake@doh.wa.gov.


The Access to Baby & Child DentistryProgram(ABCD) - King County focuses on preventive and restorative dental care for
Medicaid-eligible children from birth through 5 years, with emphasis on FIRST TOOTH, FIRST BIRTHDAY, FIRST DENTAL EXAM by a dentist or
a doctor.


Clients who are eligible for orthodontic treatment and orthodontic services:
(1) Subject to the limitations and the age restrictions listed below, Medicaid covers medically necessary orthodontic treatment and orthodontic-related services for
severe handicapping malocclusions, craniofacial anomalies, or cleft lip or palate, as follows:
(a) Clients in the categorically needy program (CNP) and the medically needy program (MNP) may receive orthodontic treatment and orthodontic-related services
through age twenty. Any orthodontic treatment plan that extends beyond the client's twenty-first birthday will not be approved by Medicaid.
(b) Clients in the state children's health insurance program (CHIP) may receive orthodontic treatment and orthodontic-related services through age eighteen.
(c) Clients who are eligible for services under the EPSDT program may receive orthodontic treatment and orthodontic-related services.
(2) Eligible clients may receive the same orthodontic treatment and orthodontic-related services in recognized out-of-state bordering cities on the same basis as if
provided in-state..
Dental Office
Language
Spoken
Emergency
Care
ABCD
Children
Infants - 2
ABCD
Children
3 5
Children
6 18
Special
Needs
ADA
Access
BELLEVUE East King County

Keyvan M. Naficy....425-881-8180
Bellevue Eastsie Orthodontic Center
15700 Bel-Red Road, Bellevue 98008
drnaficy.com
Please call Office for more information.
English
only
Yes N/A N/A Yes No Yes
BOTHELL North King County

Dr. Trina Bruchal
Bruchal Orthodontics. 425-939-8428
7317 NE 141
st
Street, Bothell 98011
bruchalortho.com
Please call Office for more information.
English
only
N/A N/A N/A Yes Yes Yes

Dr. Richard W. Chan..425-485-9332
18323 98
th
Avenue NE, Suite 1, Bothell 98011
chansmiles.com
Please call Office for more information.
English
only
Yes N/A N/A Yes No Yes
BURIEN Upper South King County

Dr. Jorge Peralta
Orthodontics of Burien206-244-7800
15507 2
nd
Avenue SW, Seattle 98166
burienortho.com
Please call Office for more information.
English
Spanish
Yes N/A N/A Yes No Yes
FEDERAL WAY Lower King County

Dr. Smita Patel
Smiles by Smita..253-838-7762
2317 SW 320
th
Street, Federal Way 98023
smilesbysmita.com
Please call for more information.
English
Spanish
Farsi
N/A N/A N/A Yes No Yes
ORTHODONTISTS
KING COUNTY RESOURCE LIST
JULY 2013
kingcounty.gov/health/ABCD

Access and Outreach Program
Community Health Services Division (CHS)
Public Health Seattle & King County
kingcounty.gov/health/ACCESS


Dental Resource List Orthodontists
J uly 2013 Page 2 or 3

Dental Office
Language
Spoken
Emergency
Care
ABCD /
Children
Infants - 2
ABCD /
Children
3 5
Children
6 18
Special
Needs
ADA
Access
ISSAQUAH East King County

Dr. Thoa Nguyen
Pacific Dental Care........425-557-6453
670 NW Gilman Boulevard, Suite B3, Issaquah 980027
Pediatric dentists/specialists - sedation/general anesthesia services available.
English
Vietnamese
Yes N/A N/A Yes Yes Yes

Dr. Raj V. Angolkar
Angolkar 4 Smiles........425-392-0980
1055 NW Maple Street, Suite 103, Issaquah 98027
angolkar4smiles.com
Please call Office for more information.
English
Spanish
Vietnamese
N/A N/A N/A Yes Yes Yes
MERCER ISLAND East King County

Dr. Jerome P. McDonnell.206-232-5100
2731 77
th
Avenue SE, Suite 205, Mercer Island 98040
Please call Office for more information.
English
only
N/A N/A N/A Yes No Yes
SEATTLE CENTRAL DISTRICT / COLUMBIA CITY Central King County

Dr. Carnelius A. Nicholson..206-722-5000
2815 South McClellan Street, Seattle 98144
Please call Office for more information.
English
only
Yes N/A N/A Yes No Yes
SEATTLE MAGNOLIA / QUEEN ANNE North King County
Dr. Smita Patel
Little Pearls Kids Dentistry....206-432-9958
2223 Queen Anne Avenue North, Seattle 98109
littlepearlskidsdentistry.com
Pediatric dentists/specialists - general anesthesia services available.
Accepts children with special needs now accepting new patients.
Appointments immediately available.

English
Spanish
Korean
Yes N/A N/A Yes Yes Yes
SEATTLE SANDPOINT North King County

The Center for Pediatric Dentistry .......206-543-5800
6222 NE 74th Street, Seattle 98115
thecenterforpediatricdentistry.com
Accepts children with special needs now accepting new patients.
Appointments immediately available.

Multiple
Languages
No N/A N/A No Yes Yes

Dr. Raj V. Angolkar
Angolkar 4 Smiles........206-523-6327
9709 3
rd
Avenue NE, Suite 206, Seattle 98115
angolkar4smiles.com
Please call Office for more information.
Multiple
Languages
*Yes

*Yes Yes Yes
SEATTLE SOUTH PARK Central King County

Sea Mar CHC - White Center Dental Clinic....206-965-1005
9650 15th Avenue SW, #100, Seattle, Washington 98106
Limited orthodontic treatment for children and adolescents

Multiple
Languages
N/A N/A N/A Yes Yes Yes
TUKWILA Upper South King County

Fort Dental Kids Dentistry and Orthodontics.206-242-4121
6720 Fort Dent Way, Suite 120, Tukwila (Fort Dent) 98188
Accepts children with special needs now accepting new patients.
Appointments immediately available.
English
Spanish
Yes N/A N/A Yes Yes Yes

Dr. Jack Hou
Dr. Kortne Frederick
Sound Orthodontics.....206-575-1194
411 Strander Boulevard, Suite 102, Tukwila 98188
drhouorthodontics.com

English
Spanish
N/A N/A N/A Yes No No


Dr. Raj V. Angolkar
Angolkar 4 Smiles........206-246-9656
6720 Fort Dent Way, Tukwila 98188
angolkar4smiles.com
Please call Office for more information.
English
Spanish
Vietnamese
N/A N/A N/A Yes Yes Yes

Dental Resource List Orthodontists
J uly 2013 Page 3 or 3




Public Health Seattle-King County presents this information as a service to the public. All information is general in nature and not
intended to be a substitute of individual self-determinations as to choice of provider. This does not constitute a specific recommendation
or endorsement of any specific health care professional. For more information about provider, contact the States Health Professions
Quality Assurance office by phone at 360-236-4700 or on the Web at www.doh.wa.gov/hsqa or email complaint to
HSQAComplaintIntake@doh.wa.gov.

The Access to Baby & Child DentistryProgram(ABCD) - King County focuses on preventive and restorative dental care for Medicaid-eligible children
from birth through 5 years, with emphasis on FIRST TOOTH, FIRST BIRTHDAY, FIRST DENTAL EXAM by a dentist or a doctor.
Dentists with the ABCDicon have been specifically trained and certified by the University of Washington, School of Dentistry to see children at an early
age (Birth through 5 years old).


IF YOU HAVE UNINSURED CHILDREN OR QUESTIONS REGARDING YOUR MEDICAL / DENTAL COVERAGE OR NEED HELP WITH
PROVIDERONE (DSHS) MEDICAID, APPLE HEALTH FOR KIDS, MEDICARE, BASIC FOOD, OR ENERGY ASSISTANCE APPLICATIONS,
PLEASE CALL:
Community Health Access Program (CHAP)CHAP@kingcounty.gov.......1-800-756-5437
Access and Outreach - Public Health - Seattle & King County.........206-284-0331
Carol Allen, ABCD Coordinator King County.206-263-8750
Linda Gillis, ABCD Manager Peirce County......253-798-6579
LeeAnn Cooper, ABCD Coordinator Snohomish County........425-339-8726

For questions, corrections or changes to this list, please contact Carol Allen at carol.allen@kingcounty.gov

ABCD Program is a partnership between Public Health - Seattle & King County, Washington Dental Service Foundation (WDSF),
Seattle King County Dental Society, University of Washington School of Dentistry, and Washington State Health Care Authority (HCA).


TO RECEIVE AUTOMATIC UPDATES OF THIS LIST, PLEASE SIGN UP AT kingcounty.gov/Health/ABCD.


ProviderOne Services (DSHS)

Provides additional names of private practice dentists who are
DSHS (Medicaid / Medicare) providers, by county.


DSHS Customer Service Hotline
DSHS Application Status Inquiries.1-877-501-2233
(All phone services will be available from 8:00 AM 2:00 PM every business day.
Customers who call in by 2:00 PM will be served that day.
By calling this number, you can: Get information & report changes about any of your
benefits; Apply for child care; Complete your interview for cash or food
(application/eligibility review); Do your Mid-Certification Review for cash, food or
medical; Do your review for child care or medical; Request an EBT Replacement
Card; Access our automated Answer Phone system 24 hours a day.)

Multiple
Languages
Please have ProviderOne Card ready when calling.
Expect long wait time. Effective March 14, 2011: Community
Services Division will be temporarily reducing the hours we
provide in-person and phone services to clients.