State of Connecticut Basic Dental Plan Provider Listing
State of Connecticut Basic Dental Plan Provider Listing
State of Connecticut Basic Dental Plan Provider Listing
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<strong>State</strong> <strong>of</strong> <strong>Connecticut</strong> <strong>Basic</strong> <strong>Dental</strong> <strong>Plan</strong><br />
<strong>Provider</strong> <strong>Listing</strong> - September 2006 (Continued)<br />
ORANGE (Cont.)<br />
KJORNRATTANAWANICH,<br />
Yutdhask *<br />
(203) 795-4772<br />
Oral And Maxill<strong>of</strong>acial<br />
Surgeon<br />
PLAINVILLE POMFRET CENTER<br />
BECKER, David M *<br />
(203) 799-2929<br />
291 Lambert Road Ste 1<br />
Orange, CT 06477<br />
BILTIU-DANCUS, Dacian *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
CATERA, Colleen L *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
CERVANTES, Camilla *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
CHUNG, Jackie Y *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
DINULESCU, Constanta *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
DUNN, Martin J *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
FEINGOLD, Richard<br />
(203) 795-4748<br />
380 Boston Post Road<br />
Orange, CT 06477<br />
GOMEZ, Norma *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
GRETZULA, Kristy L *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
HAMATI, Isam F *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
HONG, Suk W *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
JAFARIAN, Roxana S *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
KJORNRATTANAWANICH,<br />
Yutdhask *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
LEE, Jooyoung *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
LIPTON, Leonard P *<br />
(203) 799-3311<br />
501 Boston Post Road<br />
Orange, CT 06477<br />
LUDWIG, Jonathan<br />
(203) 799-8709<br />
547 Boston Post Road<br />
Orange, CT 06477<br />
MARKANTONAKIS, Bill *<br />
(203) 799-3311<br />
501 Boston Post Road<br />
Liberty Sq Plaza<br />
Orange, CT 06477<br />
MURLIDHARRAO, Kavita *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
NAGARURU, Kavitha *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
RAMSAHAI, Alexandra *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
RAPPAPORT, Gary<br />
(203) 795-4748<br />
380 Boston Post Road<br />
Orange, CT 06477<br />
SAINI, Santosh K *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
SIEMIASZKO, William J *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
TALWAR, Garima K *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
TOMASI, Elena *<br />
ABUNASRA, Nazeeh *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
DEITZ, Stanley *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
Pediatric Dentistry<br />
MONTANO, George V *<br />
(203) 795-7401<br />
472 Boston Post Road Ste 4<br />
Orange, CT 06477<br />
OXFORD<br />
General Dentistry<br />
CAPOZZI, Donald P<br />
(203) 888-9776<br />
35 Old <strong>State</strong> Road<br />
Oxford, CT 06478<br />
CAPOZZI, Kenneth R<br />
(203) 888-9776<br />
35 Old <strong>State</strong> Road<br />
Oxford, CT 06478<br />
CHO, Kenneth S<br />
(203) 888-9776<br />
35 Old <strong>State</strong> Road<br />
Oxford, CT 06478<br />
SIMON, Jill C.<br />
(203) 888-0811<br />
318 Oxford Road Rte 67<br />
Oxford, CT 06478<br />
SOFFERMAN, Bruce<br />
(203) 888-0811<br />
318 Oxford Road<br />
Oxford, CT 06478<br />
PAWCATUCK<br />
General Dentistry<br />
RENZ, Gene S<br />
(203) 888-9776<br />
101 West Broad Street<br />
Pawcatuck, CT 06379<br />
General Dentistry<br />
EDELSON, David R<br />
(203) 747-1004<br />
92 E Street Box 237<br />
Plainville, CT 06062<br />
EDELSON, Irving M<br />
(203) 747-1004<br />
92 E Street Box 237<br />
Plainville, CT 06062<br />
LANTIERE, Michael A<br />
(203) 747-9336<br />
29 Park Street Po Box 403<br />
Plainville, CT 06062<br />
MCGUIRE, Barry R<br />
(860) 747-2703<br />
20 Pine Street<br />
Plainville, CT 06062<br />
NUTTALL, David W<br />
(203) 747-0131<br />
64 Maple Street<br />
Plainville, CT 06062<br />
WICHMANN, Eugene J *<br />
(860) 747-5529<br />
55 Whiting Street Ste 2c<br />
Plainville, CT 06062<br />
Orthodontist<br />
KISS, Lance R *<br />
(860) 747-2703<br />
20 Pine Street<br />
Plainville, CT 06062<br />
PLANTSVILLE<br />
General Dentistry<br />
BEISS, Greg E<br />
(860) 628-2757<br />
1 W Main Street<br />
<strong>Plan</strong>tsville, CT 06479<br />
DERIENZO, Thomas L<br />
(860) 621-2700<br />
15-1 Cornerstone Court<br />
<strong>Plan</strong>tsville, CT 06479<br />
FULLER, J Barden<br />
(860) 426-0997<br />
1090 Meriden-Waterbury Turnpike<br />
Ste 2<br />
<strong>Plan</strong>tsville, CT 06479<br />
General Dentistry<br />
KASHMANIAN, John R<br />
(860) 928-7487<br />
15a Searles Road<br />
Pomfret Center, CT 06259<br />
LUPIEN, Roland H<br />
(860) 774-8771<br />
100 Averill Road Ste 3<br />
Pomfret Center, CT 06259<br />
PORTLAND<br />
General Dentistry<br />
GLAZER, Jason<br />
(203) 342-3303<br />
322 Main Street<br />
Portland, CT 06480<br />
GLETZAKOS, Peter *<br />
(860) 342-4502<br />
595 Main Street<br />
Portland, CT 06480<br />
LANTOS, Joseph *<br />
(860) 342-2176<br />
260 Main Street<br />
Portland, CT 06480<br />
MORSE, Richard B *<br />
(203) 342-3303<br />
322 Main Street<br />
Portland, CT 06480<br />
SULLIVAN, Thomas J *<br />
(860) 342-4141<br />
553 Portland-Cobalt Road<br />
Portland, CT 06480<br />
WYSOCKI, Paul<br />
(860) 342-2516<br />
229 Main Street<br />
Portland, CT 06480<br />
Orthodontist<br />
HATZIGIANNIS, Vaso<br />
(203) 342-3303<br />
322 Main Street<br />
Portland, CT 06480<br />
PROSPECT<br />
KALLURI, Sunita *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
KAUSHIK, Tulika *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
KHAN, Ajmal H *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
KIM, Joohyun *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
VALDES, Abelardo H *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
VINCENT, Howard M *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
VU, Phung *<br />
(203) 795-4772<br />
293 Boston Post Road<br />
Orange, CT 06477<br />
PLAINFIELD<br />
General Dentistry<br />
FONFARA, Walter D *<br />
(860) 564-1689<br />
699 Norwich Road<br />
Plainfield, CT 06374<br />
REISMAN, Michael<br />
(860) 628-5029<br />
15-3a Cornerstone Court<br />
<strong>Plan</strong>tsville, CT 06479<br />
REISS, Greg E<br />
(860) 628-2757<br />
1 W Main Street<br />
<strong>Plan</strong>tsville, CT 06479<br />
REISS, Grey<br />
(860) 628-2757<br />
1 W Main Street<br />
<strong>Plan</strong>tsville, CT 06479<br />
General Dentistry<br />
CAPOZZI, Kenneth R *<br />
(203) 758-4224<br />
2 Summit Road<br />
Prospect, CT 06712<br />
FUSCO, Leonard J<br />
(203) 758-6639<br />
44 Center Street<br />
Prospect, CT 06712<br />
GOODRICH, Gordon M *<br />
(203) 758-5310<br />
2 Birchwood Terrace<br />
Prospect, CT 06712<br />
RUTT, Martin<br />
Orange, CT 06477 (203) 758-6639<br />
44 Center Street<br />
Prospect, CT 06712<br />
* <strong>Provider</strong> has agreed to UnitedHealthcare <strong>Dental</strong> contract fees. Using a contracted provider may lower your out <strong>of</strong> pocket costs.
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