Dental Directory DELAWARE

Dental Directory DELAWARE

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

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.

Kent County Delaware Participating Dentists New Castle County Kent County Oral Maxillofacial Surgery Alcorn, Nicholas J 1004 S State St Ste 1 (302) 674-4450 Ditty, Douglas L UNIVERSITY OF PENNSYLVANIA, University of Pennsylvania Health System, 1999 1004 S State St Ste 1 (302) 674-4450 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) 674-4450 Fri: 9-12 Riegel, Rhae Anna L University Of Pennsylvania, University of Pennsylvania School of Den, 2011 1004 S State St Ste 1 (302) 674-4450 General Dentistry Choudhri, Sobia University of Maryland, 2008 60 Wolf Creek Blvd (302) 734-7634 adcdover@americandentalsmiles.com Languages spoken: Gujarati, Hindu Fay, Daniel J Temple University Medical School, Berkshire Health Systems, 2011 748 S New St Dover, DE 19904 (302) 734-8101 nikkiturnbaugh@yahoo.com Fortin, Christopher C BALTIMORE COLLEGE OF DENTAL SURGERY/Univ, 2004 60 Wolf Creek Blvd (302) 734-7634 adcdover@americandentalsmiles.com Languages spoken: Gujarati, Hindu Patel, Amit P TEMPLE UNIVERSITY, 2002 60 Wolf Creek Blvd (302) 734-7634 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 19803 (302) 273-8300 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 19808 (302) 239-2500 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, 2018 3

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) 369-1000 King, David A TEMPLE UNIVERSITY, Temple University School of Dentistry, 1995, Dupont Hospital For Children 1304 N Broom St Lowr LVL Wilmington, DE 19806 (302) 655-6183 Mon: 9-330 Tues: 9-330 Wed: 9-330 Thurs: 9-330 Fri: 9-330 2601 Annand Dr Ste 10 Wilmington, DE 19808 (302) 998-0331 Kremer, Michael R CHRISTIANA CARE HEALTH SERVICES, 1981, Alfred I DuPont Institute of the Nemours Foundatio 1304 N Broom St Lowr LVL Wilmington, DE 19806 (302) 655-6183 2601 Annand Dr Ste 10 Wilmington, DE 19808 (302) 998-0331 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 19702 (302) 836-3565 Wed: 8-5 Thurs: 8-3 Fri: 8-3 General Dentistry Arm, Robert N University of Pennsylvania, 1972 4133 Ogletown Stanton Rd (302) 369-6900 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, 2003 1401 Pennsylvania Ave Ste 106 Wilmington, DE 19806 (302) 384-8448 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 19702 (302) 838-8306 Mon: 9-5 Tues: 9-5 Wed: 9-5 Thurs: 9-5 Fri: 9-5 Languages spoken: Spanish Cook, Jeffrey L 1976 16 Peddlers Row Christiana, DE 19702 (302) 453-8700 Gaz, David J University of Connecticut School of Dent, University of Maryland School of Dentist, 1993 715 Nottingham Rd Newark, DE 19711 (302) 525-6463 Fri: 8-1 Gham, Deepali S Boston University - Goldman School of De, 2006 4133 Ogletown Stanton Rd (302) 369-6900 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, 2002 1400 Peoples Plz Ste 207 Newark, DE 19702 (302) 836-3711 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, 2018 4 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.

New Castle County Delaware Participating Dentists New Castle County Jolly, Jeena M BOSTON UNIVERSITY, Howard University, 1984 102 Sleepy Hollow Dr Ste 100 Middletown, DE 19709 (302) 378-3384 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) 366-7636 Mon: 9-5 Tues: 9-5 Wed: 9-5 Thurs: 1-7 Fri: 9-1 Luxl, Frank S TEMPLE UNIVERSITY, Wilmington Hospital, 1980 3510 Silverside Rd Ste 1 Wilmington, DE 19810 (302) 479-9400 Mon: 10-8 Tues: 9-2 Wed: 10-8 Thurs: 9-2 Sat: 8-4 Mehta, Taral T TEMPLE UNIVERSITY, 2002 4745 Ogletown Stanton Rd Ste 110 (302) 366-7636 Mon: 9-5 Tues: 9-5 Wed: 9-5 Thurs: 730-7 Fri: 9-1 Languages spoken: Gujarati, Telugu Poleck, Aaron B TEMPLE UNIVERSITY, LEHIGH VALLEY HOSPITAL, 2007 50 Omega Dr Ste H (302) 533-7649 Wed: Thurs: 8-6 Fri: 8-3 Recktenwald, William J University of Pennsylvania, 1981 330 Christiana Medical Ctr Newark, DE 19702 (302) 369-3200 Languages spoken: Polish, Romanian, Russian, Spanish Rothbart, Scott I Ohio State University, 2001 330 Christiana Medical Ctr Newark, DE 19702 (302) 369-3200 donna@christianasmiles.com Mon: 7-3 Tues: 7-7 Wed: 730-5 Thurs: 7-5 Fri: 7-3 Languages spoken: Polish, Romanian, Spanish, Vietnamese 4745 Ogletown Stanton Rd Ste 110 (302) 366-7636 Mon: 930-5 Tues: 9-5 Wed: 9-5 Thurs: 730-7 Fri: 9-1 Languages spoken: Polish, Romanian, Spanish, Vietnamese Yang, Weidong UNIVERSITY OF PENNSYLVANIA, 2012 4133 Ogletown Stanton Rd (302) 369-6900 Mon: 8-4 Tues: 8-4 Wed: 8-4 Thurs: 8-7 Fri: 8-3 Sat: 9-1 Young, Catherine M TEMPLE UNIVERSITY, 2007 4133 Ogletown Stanton Rd (302) 369-6900 Wed: 8-5 Thurs: 8-7 Fri: 8-3 Sat: 9-3 Periodontics Brice, Darla M University of North Carolina at Chapel H, 1993 3512 Silverside Rd Ste 6 Wilmington, DE 19810 (302) 478-4700 Mon: 7-5 Tues: 12-5 Wed: 7-5 Thurs: 7-5 Languages spoken: Spanish He, Harry Y University of Southern California, 2002 102 Sleepy Hollow Dr Ste 100 Middletown, DE 19709 (302) 378-3384 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, 2018 5

Sussex County Delaware Participating Dentists Sussex County Sussex County Oral Maxillofacial Surgery Alcorn, Nicholas J 9096 Riverside Dr Seaford, DE 19973 (302) 629-3588 Ditty, Douglas L UNIVERSITY OF PENNSYLVANIA, University of Pennsylvania Health System, 1999 9096 Riverside Dr Seaford, DE 19973 (302) 629-3588 Pancko, Franklin X Columbia University College of Dental Me, Montefiore Medical Center, 2001, Bayhealth Medical Center-Kent General Hospital 9096 Riverside Dr Seaford, DE 19973 (302) 629-3588 Fri: 9-12 Riegel, Rhae Anna L University Of Pennsylvania, University of Pennsylvania School of Den, 2011 9096 Riverside Dr Seaford, DE 19973 (302) 629-3588 Handicap Accessible Updated August 6, 2018 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.

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. 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 64086 7010 Attn: Operations Fax to Operations at 816 257 4436 Call 877 277 6872 Email cs.ppousa@geha.com Thank you for your interest in the Connection Dental Network.