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 />
Lu John 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 Periodontist Philadelphia<br />
Mojahed Amir 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 General <strong>Provider</strong> Philadelphia<br />
Mumtaz Samera 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 General <strong>Provider</strong> Philadelphia<br />
Nguyen Diep 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 General <strong>Provider</strong> Philadelphia<br />
Oh Jinsuk 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 General <strong>Provider</strong> Philadelphia<br />
Pereia Christine 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 General <strong>Provider</strong> Philadelphia<br />
Roth Michael 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 Orthodontist Philadelphia<br />
Ruggieri John 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 General <strong>Provider</strong> Philadelphia<br />
Sandhu Satinder 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 General <strong>Provider</strong> Philadelphia<br />
Sanfacon Dennis 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 General <strong>Provider</strong> Philadelphia<br />
Shah Nishit 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 General <strong>Provider</strong> Philadelphia<br />
Sultana Parveen 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 General <strong>Provider</strong> Philadelphia<br />
Thilak Preetha 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 General <strong>Provider</strong> Philadelphia<br />
Weinstein Steven 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 General <strong>Provider</strong> Philadelphia<br />
Yang Qing 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 General <strong>Provider</strong> Philadelphia<br />
Yao Zheng 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 General <strong>Provider</strong> Philadelphia<br />
Yoon Simon 002798 American <strong>Dental</strong> Care, PC 6162 Ridge Ave Philadelphia PA 19128 General <strong>Provider</strong> Philadelphia<br />
Bresler David 025054 David A Bresler DDS PC 6801 Ridge Ave Philadelphia PA 19128 Pedodontist Philadelphia<br />
Bresler Jason 025054 David A Bresler DDS PC 6801 Ridge Ave Philadelphia PA 19128 Pedodontist Philadelphia<br />
Bresler Joshua 025054 David A Bresler DDS PC 6801 Ridge Ave Philadelphia PA 19128 Pedodontist Philadelphia<br />
Mayzenberg Julia 025054 David A Bresler DDS PC 6801 Ridge Ave Philadelphia PA 19128 Pedodontist Philadelphia<br />
Plotkin Richard 001039 Richard J. Plotkin, D.M.D. 5735 Ridge Ave Philadelphia PA 19128 Oral Surgeon Philadelphia<br />
Kim Hyosun 068521 East Falls Family Dentistry 3500 Sunnyside Ave Philadelphia PA 19129 General <strong>Provider</strong> Philadelphia<br />
Abraham Kurian 002782 Kurian Abraham, D.D.S. 1825 Spring Garden Street Philadelphia PA 19130 General <strong>Provider</strong> Philadelphia<br />
Dempsey Renee 001196 <strong>Dental</strong> First Corporation 3900 Ford Rd, Suite 12 Philadelphia PA 19131 General <strong>Provider</strong> Philadelphia<br />
Berrios Karen 002780 Quality Community Health Center 2501 West Lehigh Ave. Philadelphia PA 19132 General <strong>Provider</strong> Philadelphia<br />
Crawford Charles 002780 Quality Community Health Center 2501 West Lehigh Ave. Philadelphia PA 19132 General <strong>Provider</strong> Philadelphia<br />
Frare Robert 002780 Quality Community Health Center 2501 West Lehigh Ave. Philadelphia PA 19132 General <strong>Provider</strong> Philadelphia<br />
Hussain Fahmida 002780 Quality Community Health Center 2501 West Lehigh Ave. Philadelphia PA 19132 General <strong>Provider</strong> Philadelphia<br />
Gelman Alexander 069951 Allegheny <strong>Dental</strong> 1 2734 E Allegheny Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Khedr Maged 069951 Allegheny <strong>Dental</strong> 1 2734 E Allegheny Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Manda Anil 069951 Allegheny <strong>Dental</strong> 1 2734 E Allegheny Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Aranbayev Yefim 069970 Dentex <strong>Dental</strong> Group Ltd 2734 E Allegheny Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Choi Bokyu 069970 Dentex <strong>Dental</strong> Group Ltd 2734 E Allegheny Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Cohen Ronald 069970 Dentex <strong>Dental</strong> Group Ltd 2734 E Allegheny Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Genkin Alexander 069970 Dentex <strong>Dental</strong> Group Ltd 2734 E Allegheny Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Go Satoshi 069970 Dentex <strong>Dental</strong> Group Ltd 2734 E Allegheny Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Joo Esther 069970 Dentex <strong>Dental</strong> Group Ltd 2734 E Allegheny Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Levites Margarita 069970 Dentex <strong>Dental</strong> Group Ltd 2734 E Allegheny Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Moon Daeuk 069970 Dentex <strong>Dental</strong> Group Ltd 2734 E Allegheny Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Plotnik Igor 069970 Dentex <strong>Dental</strong> Group Ltd 2734 E Allegheny Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Sedaghat Shabnam 069970 Dentex <strong>Dental</strong> Group Ltd 2734 E Allegheny Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Zhang Chengfeng 069970 Dentex <strong>Dental</strong> Group Ltd 2734 E Allegheny Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Zilberman Alexander 069970 Dentex <strong>Dental</strong> Group Ltd 2734 E Allegheny Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Kondratyeva Natalya 001184 Magic <strong>Dental</strong> Systems 2601 E Allegheny Ave. Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Silverman Donald 002776 Peach <strong>Dental</strong> Center 3200 Frankford Ave Philadelphia PA 19134 General <strong>Provider</strong> Philadelphia<br />
Slutsky Harold 000652 Harold Slutsky, D.M.D. 7100 Frankford Avenue Philadelphia PA 19135 Orthodontist Philadelphia<br />
Khelmer Olga 079083 Mayfair <strong>Dental</strong> Center 6412 Frankford Ave, Suite 10 Philadelphia PA 19135 General <strong>Provider</strong> Philadelphia<br />
Sanjay Sowmya 079083 Mayfair <strong>Dental</strong> Center 6412 Frankford Ave, Suite 10 Philadelphia PA 19135 General <strong>Provider</strong> Philadelphia<br />
Barot Ashok 001243 Ashok Barot DDS PC 7519 Torresdale Ave Philadelphia PA 19136 General <strong>Provider</strong> Philadelphia<br />
Reddy Hima 001243 Ashok Barot DDS PC 7519 Torresdale Ave Philadelphia PA 19136 General <strong>Provider</strong> Philadelphia<br />
Kaye Ralph 000711 Mayfair <strong>Dental</strong> Associates, Ltd. 3541 Ryan Avenue Philadelphia PA 19136 Periodontist Philadelphia<br />
Zaim Mazharul 000918 Mazharul H. Zaim, D.D.S. 1915 Washington Lane Philadelphia PA 19138 General <strong>Provider</strong> Philadelphia<br />
Mehta Dhaval 001759 Dhaval Mehta, D.M.D. 17 S. 60th Street Philadelphia PA 19139 General <strong>Provider</strong> Philadelphia<br />
Brown Stanford 001427 Stanford Brown, D.D.S. 5517 Spruce Street Philadelphia PA 19139 General <strong>Provider</strong> Philadelphia<br />
Silber Stanley 002777 5th Street <strong>Dental</strong> Center, <strong>Inc</strong>. 4646 North 5th Street Philadelphia PA 19140 General <strong>Provider</strong> Philadelphia<br />
Aftab Nigar 000372 Family Dentistry 3435 Germantown Ave. Philadelphia PA 19140 General <strong>Provider</strong> Philadelphia<br />
Dheer Nisha 037863 GPHA Huntington Park <strong>Dental</strong> Center 1999 W. Huntington Park Ave Philadelphia PA 19140 General <strong>Provider</strong> Philadelphia<br />
Drysdale Robert 037863 GPHA Huntington Park <strong>Dental</strong> Center 1999 W. Huntington Park Ave Philadelphia PA 19140 General <strong>Provider</strong> Philadelphia<br />
Elsey Riina 037863 GPHA Huntington Park <strong>Dental</strong> Center 1999 W. Huntington Park Ave Philadelphia PA 19140 General <strong>Provider</strong> Philadelphia<br />
Fadl Reem 037863 GPHA Huntington Park <strong>Dental</strong> Center 1999 W. Huntington Park Ave Philadelphia PA 19140 General <strong>Provider</strong> Philadelphia<br />
Hao Shenquan 037863 GPHA Huntington Park <strong>Dental</strong> Center 1999 W. Huntington Park Ave Philadelphia PA 19140 General <strong>Provider</strong> Philadelphia<br />
Jackson Julia 037863 GPHA Huntington Park <strong>Dental</strong> Center 1999 W. Huntington Park Ave Philadelphia PA 19140 Oral Surgeon Philadelphia<br />
Jubiril-Taylor Linda 037863 GPHA Huntington Park <strong>Dental</strong> Center 1999 W. Huntington Park Ave Philadelphia PA 19140 General <strong>Provider</strong> Philadelphia<br />
Lloyd Arnelle 037863 GPHA Huntington Park <strong>Dental</strong> Center 1999 W. Huntington Park Ave Philadelphia PA 19140 General <strong>Provider</strong> Philadelphia<br />
Owens Jessica 037863 GPHA Huntington Park <strong>Dental</strong> Center 1999 W. Huntington Park Ave Philadelphia PA 19140 General <strong>Provider</strong> Philadelphia<br />
* Indicates dentist that is accepting current patients only.<br />
All <strong>Select</strong> <strong>Plan</strong> Dentists Page 35<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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