Dental Directory DELAWARE

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1 Dental Directory DELAWARE

3 Table of Contents CONNECTION DENTAL NETWORK Kent County...3 New Castle County...3 Sussex County...6 NOMINATION FORM...8 Please note: All providers listed are directly contracted with the Connection Dental Network but not at all locations in which they practice. Before receiving services, it is the member's responsibility to verify that the provider is considered a Connection Dental provider at the location services are rendered (or performed). 1 Updated August 6, 2018

4 Please note: All providers listed are directly contracted with the Connection Dental Network but not at all locations in which they practice. Before receiving services, it is the member s responsibility to verify that the provider is considered a Connection Dental provider at the location services are rendered (or performed). Connection Dental is an Open Panel Dental PPO Network. Dentists are welcome to join the network if they meet our credentialing criteria, agree to participation terms and are approved.

5 Kent County Delaware Participating Dentists New Castle County Kent County Oral Maxillofacial Surgery Alcorn, Nicholas J 1004 S State St Ste 1 (302) Ditty, Douglas L UNIVERSITY OF PENNSYLVANIA, University of Pennsylvania Health System, S State St Ste 1 (302) Pancko, Franklin X Columbia University College of Dental Me, Montefiore Medical Center, 2001, Bayhealth Medical Center-Kent General Hospital 1004 S State St Ste 1 (302) Fri: 9-12 Riegel, Rhae Anna L University Of Pennsylvania, University of Pennsylvania School of Den, S State St Ste 1 (302) General Dentistry Choudhri, Sobia University of Maryland, Wolf Creek Blvd (302) adcdover@americandentalsmiles.com Languages spoken: Gujarati, Hindu Fay, Daniel J Temple University Medical School, Berkshire Health Systems, S New St Dover, DE (302) nikkiturnbaugh@yahoo.com Fortin, Christopher C BALTIMORE COLLEGE OF DENTAL SURGERY/Univ, Wolf Creek Blvd (302) adcdover@americandentalsmiles.com Languages spoken: Gujarati, Hindu Patel, Amit P TEMPLE UNIVERSITY, Wolf Creek Blvd (302) adcdover@americandentalsmiles.com Fri: 8-5 Languages spoken: Hindu, Spanish New Castle County Oral Maxillofacial Surgery Dieu, David H THOMAS JEFFERSON UNIVERSITY HOSPITAL, 2004, ROXBOROUGH MEMORIAL HOSPITAL 1202 Foulk Rd Ste 4 Wilmington, DE (302) molartop@yahoo.com Fri: 8-5 Sat: 8-12 Languages spoken: Hindu, Spanish, Vietnamese Dougherty, Thomas P Marquette University School of Dentistry, CHRISTIANA CARE HEALTH SERVICES, 1978, CHRISTIANA HOSPITAL 5317 Limestone Rd Ste 5 Wilmington, DE (302) tpdomfs@gmail.com Please note: All providers listed are directly contracted with the Connection Dental Network but not at all locations in which they practice. Before receiving services, it is the member's responsibility to verify that the provider is considered a Connection Dental provider at the location services are rendered (or performed). Handicap Accessible Updated August 6,

6 New Castle County Delaware Participating Dentists New Castle County Ettinger, David B University of Pennsylvania, University of Pennsylvania School of Den, 1991, St Francis Hospital 131 E Chestnut Hill Rd (302) King, David A TEMPLE UNIVERSITY, Temple University School of Dentistry, 1995, Dupont Hospital For Children 1304 N Broom St Lowr LVL Wilmington, DE (302) Mon: Tues: Wed: Thurs: Fri: Annand Dr Ste 10 Wilmington, DE (302) Kremer, Michael R CHRISTIANA CARE HEALTH SERVICES, 1981, Alfred I DuPont Institute of the Nemours Foundatio 1304 N Broom St Lowr LVL Wilmington, DE (302) Annand Dr Ste 10 Wilmington, DE (302) Petrunich, Raymond W BALTIMORE COLLEGE OF DENTAL SURGERY/Univ, CHRISTIANA CARE HEALTH SERVICES, 1996, Christiana Care Health System 2444 Pulaski Hwy Ste 100 Newark, DE (302) Wed: 8-5 Thurs: 8-3 Fri: 8-3 General Dentistry Arm, Robert N University of Pennsylvania, Ogletown Stanton Rd (302) cdenspa@gmail.com Mon: 8-4 Tues: 8-4 Wed: 8-4 Thurs: 8-7 Fri: 9-1 Sat: 9-1 Bishop, Taurance N Howard University, Pennsylvania Ave Ste 106 Wilmington, DE (302) Mon: 8-6 Tues: 8-8 Wed: 8-8 Thurs: 8-5 Fri: 8-1 Languages spoken: Spanish 300 Biddle Ave Ste 204 Newark, DE (302) Mon: 9-5 Tues: 9-5 Wed: 9-5 Thurs: 9-5 Fri: 9-5 Languages spoken: Spanish Cook, Jeffrey L Peddlers Row Christiana, DE (302) Gaz, David J University of Connecticut School of Dent, University of Maryland School of Dentist, Nottingham Rd Newark, DE (302) Fri: 8-1 Gham, Deepali S Boston University - Goldman School of De, Ogletown Stanton Rd (302) Mon: 8-4 Tues: 8-4 Wed: 8-4 Thurs: 8-7 Fri: 8-3 Sat: 9-1 Languages spoken: Hindu, Marathi He, Harry Y University of Southern California, Peoples Plz Ste 207 Newark, DE (302) ecodentalde@gmail.com Mon: 9-5 Tues: 9-5 Wed: 9-5 Thurs: 9-5 Fri: 9-5 Languages spoken: Arabic, Chinese, Romanian, Spanish Handicap Accessible Updated August 6, Some providers may not participate in our network at all locations in which they practice. Before receiving services, it is the member's responsibility to verify that the provider is a participating provider at the location the member receives services. This list is subject to change.

7 New Castle County Delaware Participating Dentists New Castle County Jolly, Jeena M BOSTON UNIVERSITY, Howard University, Sleepy Hollow Dr Ste 100 Middletown, DE (302) drteeth@jollysmiles.com Mon: 9-8 Tues: 9-8 Wed: 9-3 Thurs: 9-5 Fri: 9-5 Sat: 9-3 Languages spoken: Spanish Le, Hung V TEMPLE UNIVERSITY, 2002, NO PRIVILEGES 4745 Ogletown Stanton Rd Ste 110 (302) Mon: 9-5 Tues: 9-5 Wed: 9-5 Thurs: 1-7 Fri: 9-1 Luxl, Frank S TEMPLE UNIVERSITY, Wilmington Hospital, Silverside Rd Ste 1 Wilmington, DE (302) Mon: 10-8 Tues: 9-2 Wed: 10-8 Thurs: 9-2 Sat: 8-4 Mehta, Taral T TEMPLE UNIVERSITY, Ogletown Stanton Rd Ste 110 (302) Mon: 9-5 Tues: 9-5 Wed: 9-5 Thurs: Fri: 9-1 Languages spoken: Gujarati, Telugu Poleck, Aaron B TEMPLE UNIVERSITY, LEHIGH VALLEY HOSPITAL, Omega Dr Ste H (302) Wed: Thurs: 8-6 Fri: 8-3 Recktenwald, William J University of Pennsylvania, Christiana Medical Ctr Newark, DE (302) Languages spoken: Polish, Romanian, Russian, Spanish Rothbart, Scott I Ohio State University, Christiana Medical Ctr Newark, DE (302) donna@christianasmiles.com Mon: 7-3 Tues: 7-7 Wed: Thurs: 7-5 Fri: 7-3 Languages spoken: Polish, Romanian, Spanish, Vietnamese 4745 Ogletown Stanton Rd Ste 110 (302) Mon: Tues: 9-5 Wed: 9-5 Thurs: Fri: 9-1 Languages spoken: Polish, Romanian, Spanish, Vietnamese Yang, Weidong UNIVERSITY OF PENNSYLVANIA, Ogletown Stanton Rd (302) Mon: 8-4 Tues: 8-4 Wed: 8-4 Thurs: 8-7 Fri: 8-3 Sat: 9-1 Young, Catherine M TEMPLE UNIVERSITY, Ogletown Stanton Rd (302) Wed: 8-5 Thurs: 8-7 Fri: 8-3 Sat: 9-3 Periodontics Brice, Darla M University of North Carolina at Chapel H, Silverside Rd Ste 6 Wilmington, DE (302) Mon: 7-5 Tues: 12-5 Wed: 7-5 Thurs: 7-5 Languages spoken: Spanish He, Harry Y University of Southern California, Sleepy Hollow Dr Ste 100 Middletown, DE (302) drteeth@jollysmiles.com Mon: 9-8 Tues: 9-8 Wed: 9-3 Thurs: 9-5 Fri: 9-5 Sat: 9-3 Languages spoken: Arabic, Chinese, Romanian, Spanish Some providers may not participate in our network at all locations in which they practice. Before receiving services, it is the member's responsibility to verify that the provider is a participating provider at the location the member receives services. This list is subject to change. Handicap Accessible Updated August 6,

8 Sussex County Delaware Participating Dentists Sussex County Sussex County Oral Maxillofacial Surgery Alcorn, Nicholas J 9096 Riverside Dr Seaford, DE (302) Ditty, Douglas L UNIVERSITY OF PENNSYLVANIA, University of Pennsylvania Health System, Riverside Dr Seaford, DE (302) Pancko, Franklin X Columbia University College of Dental Me, Montefiore Medical Center, 2001, Bayhealth Medical Center-Kent General Hospital 9096 Riverside Dr Seaford, DE (302) Fri: 9-12 Riegel, Rhae Anna L University Of Pennsylvania, University of Pennsylvania School of Den, Riverside Dr Seaford, DE (302) Handicap Accessible Updated August 6, Some providers may not participate in our network at all locations in which they practice. Before receiving services, it is the member's responsibility to verify that the provider is a participating provider at the location the member receives services. This list is subject to change.

9 Alphabetical Index of Participating Dentists A Alcorn, Nicholas J... 3, 6 Arm, Robert N... 4 B Bishop, Taurance N... 4 Brice, Darla M... 5 C Choudhri, Sobia... 3 Cook, Jeffrey L... 4 D Dieu, David H... 3 Ditty, Douglas L... 3, 6 Dougherty, Thomas P... 3 E Ettinger, David B... 4 J Jolly, Jeena M... 5 K King, David A... 4 Kremer, Michael R... 4 L Le, Hung V... 5 Luxl, Frank S... 5 M Mehta, Taral T... 5 P Pancko, Franklin X... 3, 6 Patel, Amit P... 3 Petrunich, Raymond W... 4 Poleck, Aaron B... 5 F Fay, Daniel J... 3 Fortin, Christopher C... 3 G Gaz, David J... 4 Gham, Deepali S... 4 R Recktenwald, William J... 5 Riegel, Rhae Anna L... 3, 6 Rothbart, Scott I... 5 Y Yang, Weidong... 5 Young, Catherine M... 5 H He, Harry Y... 4, 5 7

Dentist Nomination Form If the dentist of your choice is not listed in this directory, you may complete this form to nominate the dentist to participate in the Connection Dental Network.

10 Dentist Nomination Form If the dentist of your choice is not listed in this directory, you may complete this form to nominate the dentist to participate in the Connection Dental Network. An Application packet will be sent to the eligible providers. The normal time frame for credentialing of dentists takes approximately 90 days after application has been received. Dentist Information Name: Address: Phone: Fax: Member Information Name: Address: Phone: Fax: Member Identification Number: Employer Group Name: Group Number: Please Mail the form to the following address: PPO USA, Inc. P.O. Box 7010 Lee s Summit, MO Attn: Operations Fax to Operations at Call cs.ppousa@geha.com Thank you for your interest in the Connection Dental Network.

Dental Directory NORTH DAKOTA

Dental Directory NORTH DAKOTA Table of Contents CONNECTION DENTAL NETWORK Burke County...3 Burleigh County...3 Cass County...3 Grand Forks County...4 McLean County...4 Pembina County...5 Richland County...5