Select Plan Provider Directory - Dominion Dental Services, Inc.
Select Plan Provider Directory - Dominion Dental Services, Inc.
Select Plan Provider Directory - Dominion Dental Services, Inc.
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SELECT PLAN 1 DENTIST DIRECTORY<br />
Dentists listed are under contract as of 10/1/12<br />
Last Name First Name Fac ID <strong>Dental</strong> Office Name Office Address City ST ZIP Discipline County<br />
Brock Larry 001271 Beaver Valley <strong>Dental</strong> LLC 546 Merchant St Ambridge PA 15003 General <strong>Provider</strong> Beaver<br />
Feduska Linda 061409 My Best Smile 1624 State St W Baden PA 15005 General <strong>Provider</strong> Beaver<br />
Kokai John 061409 My Best Smile 1624 State St W Baden PA 15005 General <strong>Provider</strong> Beaver<br />
Lipp Timothy 001352 C. Timothy Lipp, D.M.D. 3315 4th Avenue Beaver Falls PA 15010 General <strong>Provider</strong> Beaver<br />
DiPaul Eric 001612 Primary Health Network/Beaver Falls <strong>Dental</strong> Center 1302 7th Ave Beaver Falls PA 15010 General <strong>Provider</strong> Beaver<br />
Lipscomb Richard 001612 Primary Health Network/Beaver Falls <strong>Dental</strong> Center 1302 7th Ave Beaver Falls PA 15010 General <strong>Provider</strong> Beaver<br />
Aboosi Omar 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Bajaj Smriti 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Barber Timothy 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Bonczek Brian 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Budhiraj Anisha 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Cahall Anna 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Ciarallo Robert 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 Oral Surgeon Beaver<br />
Fnu Snigdha 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Ginde Mayura 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Grinberg Anna 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Khalil Mirette 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Liska Emily 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Masown Surinder 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Poleski Kenneth 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Ruprecht Heather 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Saba Christopher 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Smith Christine 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Wood Justin 002859 Aspen <strong>Dental</strong> Associates of Western PA PC 190 Golfview Drive, Centerpoint Shopping Ctr. Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Skoff David 001433 David M. Skoff, D.M.D., P.C. 3532 Brodhead Road Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Skoff Joseph 001433 David M. Skoff, D.M.D., P.C. 3532 Brodhead Road Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Adams William 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Affolter John 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Alagirisamy Kiruthika 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Carozza Roselyn 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Cohen Ira 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Dahar Nicholas 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 Orthodontist Beaver<br />
Damich Louis 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Ghaffari Catherine 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Ghajarnia M. Reza 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 Orthodontist Beaver<br />
Gillen Steve 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Iszkula Steven 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 Orthodontist Beaver<br />
Katsur James 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Khurana Leena 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Kier Calvin 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
King David 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 Orthodontist Beaver<br />
Kolla Siva 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Lewis Howell 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 Orthodontist Beaver<br />
Miller Van 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 Orthodontist Beaver<br />
Pryor Leroy 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Rinchuse Dara 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 Orthodontist Beaver<br />
Schmidt Alan 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Smiga Ingrid 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Stein Mark 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Tinnemeyer Anjuli 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Zalakar Frank 001075 Katsur <strong>Dental</strong> & Orthodontics 7A Wal-Mart Plaza, Rte.18 Monaca PA 15061 General <strong>Provider</strong> Beaver<br />
Dandashi Moutaz 050691 Katsur <strong>Dental</strong> & Orthodontics Specialists 7A Wal-Mart Plaza, Route 18 Monaca PA 15061 Pedodontist Beaver<br />
Hertzler L Gregory 050691 Katsur <strong>Dental</strong> & Orthodontics Specialists 7A Wal-Mart Plaza, Route 18 Monaca PA 15061 Oral Surgeon Beaver<br />
Kelly Derek 050691 Katsur <strong>Dental</strong> & Orthodontics Specialists 7A Wal-Mart Plaza, Route 18 Monaca PA 15061 Oral Surgeon Beaver<br />
Kier Gregory 050691 Katsur <strong>Dental</strong> & Orthodontics Specialists 7A Wal-Mart Plaza, Route 18 Monaca PA 15061 Periodontist Beaver<br />
Monti Richard 050691 Katsur <strong>Dental</strong> & Orthodontics Specialists 7A Wal-Mart Plaza, Route 18 Monaca PA 15061 Oral Surgeon Beaver<br />
Panossian Antoine 070971 A+ Oral Surgery Specialty Care PC 2230 North 5th St Hwy Reading PA 19605 Oral Surgeon Berks<br />
Tran David 070971 A+ Oral Surgery Specialty Care PC 2230 North 5th St Hwy Reading PA 19605 Oral Surgeon Berks<br />
Charkas Ahmad 070960 Allied Orthodontics PC 2230 N 5th St Hwy Reading PA 19605 Orthodontist Berks<br />
Evans Marianna 070960 Allied Orthodontics PC 2230 N 5th St Hwy Reading PA 19605 Orthodontist Berks<br />
Babameto Blendi 002360 Aspen <strong>Dental</strong> Associates of NY., P.C. 2733 Papermill Road Reading PA 19610 Oral Surgeon Berks<br />
Brier Ashley 002360 Aspen <strong>Dental</strong> Associates of NY., P.C. 2733 Papermill Road Reading PA 19610 General <strong>Provider</strong> Berks<br />
Ciarallo Robert 002360 Aspen <strong>Dental</strong> Associates of NY., P.C. 2733 Papermill Road Reading PA 19610 Oral Surgeon Berks<br />
Fellin Michael 002360 Aspen <strong>Dental</strong> Associates of NY., P.C. 2733 Papermill Road Reading PA 19610 General <strong>Provider</strong> Berks<br />
Singh Tanvir 002360 Aspen <strong>Dental</strong> Associates of NY., P.C. 2733 Papermill Road Reading PA 19610 General <strong>Provider</strong> Berks<br />
Withanachchi Janatha 002360 Aspen <strong>Dental</strong> Associates of NY., P.C. 2733 Papermill Road Reading PA 19610 Endodontist Berks<br />
* Indicates dentist that is accepting current patients only.<br />
All <strong>Select</strong> <strong>Plan</strong> Dentists Page 17<br />
1 Same as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no<br />
claim forms or proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses.
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