DC 37 Dental Plan Complete List of Participating Panel Dentists

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Marsha Hensley
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If you use a participating oral surgeon, you may pay $25 for the examination and $40 for the panoramic x-ray at your initial visit. You should file a separate claim for these procedures.

1 DC 37 Dental Plan Complete List of Participating Panel Dentists This listing is updated monthly. You must verify that the dentist is still participating in our plan at the time you call to schedule an appointment and when you receive your dental treatment. If you use a participating oral surgeon, you may pay $25 for the examination and $40 for the panoramic x-ray at your initial visit. You should file a separate claim for these procedures. Payment will be made to the member, based on the Plan's fee schedule, if the patient is eligible for the service, subject to frequency restrictions (every 6-months for an examination and every two (2) years for a panoramic x-ray). If you use a participating periodontist, you will pay a $10 per quadrant member co-payment for periodontal surgery. Co-payments are not reimbursed by the Plan. SPECIALTY KEY December, 2017 GP = General Practitioner GP DENTAL CENTER 5065 MAIN ST.UNIT#1118 TRUMBULL CT GP BRASS MILL MALL 495 UNION ST #1016 WATERBURY CT GP P C TOWN CTR DENT 100 GREYROCK PLACE STAMFORD CT GP BROOKSIDE FM DN 399 HOOVER AVE SUIT 1 BLOOMFIELD NJ GP N QUALITY DENTAL 10 SMULL AVE CALDWELL NJ GP ANDERSON FAM DE 620 ANDERSON AVENUE CLIFFSIDE PARK NJ GP FAMILY DENTISTR 594 KEARNY AVENUE KEARNY NJ GP J WEISS DMD PA 7216 BERGENLINE AVE NORTH BERGEN NJ GP S GROSSMAN 4808 BERGENLINE AVE600 UNION CITY NJ GP PEARL SMILE DEN 4900 BERGENLINE AVE2FL UNION CITY NJ GP D E 1311 SUMMIT A 1311 SUMMIT AVE UNION CITY NJ GP M SILVER 860 GROVE STREET IRVINGTON NJ GP ALL QUALITY DEN 65 JEFFERSON AVENUE ELIZABETH NJ GP ROXY CORP 315 ELMORA AVE STE 104 ELIZABETH NJ GP A ABDELWAHAB 41 TONNELE AVE JERSEY CITY NJ GP A ROGOFF 34B MAIN STREET BLOOMINGDALE NJ GP A BRISMAN 511 RIVER DRIVE ELMWOOD PARK NJ GP A MIRKHAN DMD 60 W RIDGEWOOD AVENUE RIDGEWOOD NJ GP FINE FAMILY DEN 240 E.PALISADES AV 11C ENGLEWOOD 11C NJ GP K JETHANI 214 ENGLE STREET #24 ENGLEWOOD NJ GP L A SHAW 214 ENGLE ST.24 BOX608 ENGLEWOOD NJ GP INMAN DENTAL 3 PROGRESS ST STE 101 EDISON NJ GP MANHATTAN MALL 901 AVE OF AMER. #156 NEW YORK NY GP BLOUNT MARLA 2 ALLEN STREET STE 6H NEW YORK NY GP EAST VILL DENT 143 ESSEX STREET NEW YORK NY GP ESSEX DENTAL 143 ESSEX STREET NEW YORK NY GP LIU PAMELA 2 ALLEN STREET STE #6G NEW YORK NY GP AKNOUK SAMEH 853 BROADWAY STE 911 NEW YORK NY GP R BOXER 853 BROADWAY NEW YORK NY GP FAMILY DENT PC 853 BROADWAY STE 911 NEW YORK NY GP CITY DENTAL P.C 11 BROADWAY NEW YORK NY Page 1

2 GP A HANNA 7 DEY STREET STE#700 NEW YORK NY GP UNION SQUAREDEN 29 WEST 19TH STREET NEW YORK NY GP V M BROWN 20 E 35TH STREET 2A NEW YORK NY GP CONCERNED DENT 30 E 40TH ST STE 207 NEW YORK NY GP EXPERT DENTAL 110 E 40TH ST SUT 104 NEW YORK NY GP LEONID AGRANAT 168 MADISON AVE NEW YORK NY GP C LLAGAS 347 FIFTH AVE #1406 NEW YORK NY GP NEW YORK DENTAL 274 MADISON AVE #202 NEW YORK NY GP P WINSTON 30 E 40TH STREET #506 NEW YORK NY GP J P GULBENKIAN 162 W 56 ST #503 NEW YORK NY GP P C MIDTOWN DENTA 57 WEST 57TH ST SUT700 NEW YORK NY GP G MANTHAS 250 EAST 58TH STREET NEW YORK NY GP G MANTHAS 250 EAST 58TH STREET NEW YORK NY GP R E MIKAELIAN 133 E.58TH STREET #403 NEW YORK NY GP NYRBF DDS PC 18 EAST 50TH ST 8TH FL NEW YORK NY GP SUDACOV V DR. 250 E58TH STREET NEW YORK NY GP MEENA SHAH PC 700 COLUMBUS AVE NEW YORK NY GP SH GENTLE DENT 693 COLUMBUS AVE NEW YORK NY GP CITY DENTISTRY TH AVE GRND FL NEW YORK NY GP D R SILBER- ELLIO 25 W 125 STREET NEW YORK NY GP DM DENTAL PLLC ND AVENUE NEW YORK NY GP P C EAST HARLEM D 201 E 104TH STREET NEW YORK NY GP HARLEM FAM DENT 1916 THIRD AVE NEW YORK NY GP P&R EXECUTIVE 2127 FIRST AVE NEW YORK NY GP G SCHATZBERG 19 HAMILTON PLACE NEW YORK NY GP SP DENTAL P.C BROADWAY NEW YORK NY GP PERA DENT.CARE 590 W.172ND ST.STE#1F NEW YORK NY GP WASHINGTON HTS 3928 BOADWAY --1ST FL NEW YORK NY GP AUDUBON DENTAL 550 W 180TH ST STE X1 NEW YORK NY GP COHEN GEN DENT 4260 BROADWAY NEW YORK NY GP COHEN'S GEN DEN 427 FORT WASH. AVE #1C NEW YORK NY GP D DERISSE DMD 651 WEST 180TH STREET NEW YORK NY GP SHERMAN DNT ASC 19 VERMILYEA AVE--3A NEW YORK NY GP PAVEL NIDERMAN 2060 LEXINGTON AVE NEW YORK NY GP MANHATTAN DENT 2 WEST 45TH ST #1008 NEW YORK NY GP NEW BRDWAY DENT 1501 BROADWAY SUT #520 NEW YORK NY GP 42ND ST DENTAL 330 WEST 42ND STREET NEW YORK NY GP HARLEM DENTAL 163 W 145TH STREET NEW YORK NY GP J SEABROOK 247 WEST 145TH ST. NEW YORK NY GP M A MILLER 153 DYCKMAN STREET NEW YORK NY GP 63RD ST DENT PC 8A EAST 63RD ST NEW YORK NY GP O M CHAINANI P.C 205 PORT RICHMOND STATEN ISLAND NY GP J DAMIANO 54 HUDSON PLACE STATEN ISLAND NY GP RICHMOND DENTAL 1412 RICHARDMOND RD STATEN ISLAND NY GP SANJAY KAPOOR 253 BROAD STREET STATEN ISLAND NY GP S GLASSMAN 1146 HYLAN BOULEVARD STATEN ISLAND NY GP L KELNER 430 SEAVIEW AVE STATEN ISLAND NY GP ADV HYLAN DENT 2691 HYLAN BLVD STATEN ISLAND NY GP R TURCHAK 570 BLOOMINGDALE RD STATEN ISLAND NY GP NICHOLAS MATTIA 694 FOREST AVENUE STATEN ISL NY GP A KAYE 3595 RICHMOND AVE STATEN ISLAND NY Rev. 12/2017 Page 2

3 GP STATEN ISLAND M 2655 RICHMND AVE #2220 STATEN ISLAND NY GP CONCOURSE DENT 230 EAST 161 STREET BRONX NY GP CONCOURSE PLAZA 230 EAST 161ST STREET BRONX NY GP DORADO MED DENT 3055 THIRD AVE-SUITE B BRONX NY GP FIRST CLASS DEN 779 MELROSE AVE BRONX NY GP PEG GENERAL DEN 747 MELROSE AVE BRONX BY GP SHERIDAN SMILE 841 CONCOURSE VILLAGEW BRONX NY GP COMMUNITY DENT 47 E 167 STREET BRONX NY GP NYC COMM DENT 47 EAST 167TH STREET BRONX NY GP PRIYA PARASHER 124 E 170TH ST BRONX NY GP EMPIRE DENTCARE 1963 GRND CONCOURSE-LL BRONX NY GP NEW YORK DENTAL 2015 GRAND CONCOURSE BRONX NY GP J PHILLIP 1942 HARRISON AVE BRONX NY GP R C RASTOGI 2062 MORRIS AVE BRONX NY GP BRONX DENTAL PC RD AVE BRONX NY GP A HIRJI 424 EAST 138TH STREET BRONX NY GP WILLIS DENTAL 417 E 138 STREET BRONX NY GP NEW YORK DENTAL 660 WESTCHESTER AVE BRONX NY GP SCHILOWITZ RD AVE BRONX NY GP R VINJAMURI 823 WESTCHESTER AVE BRONX NY GP MOHAMMAD HAQUE 188 E.167TH ST. BRONX NY GP V SHAH 3250 THIRD AVE BRONX NY GP BRONX COMM DEN 471 E TREMONT AVE BRONX NY GP COMFORTDENTCARE 591 E. TREMONT AVE BRONX NY GP GENTLE DENTAL 2278 GRAND CONCOURSE BRONX NY GP NEW YORK DENTAL 2202 GRAND CONCOURSE BRONX NY GP J OCASIO CARLOS 2278 GRAND CONCOURSE BRONX NY GP J SYCAMORE 146 EAST 174TH STREET BRONX NY GP FORDHAM RD DENT 327 E FORDHAM RD 2ND F BRONX NY NY GP D FRAENKEL 2374 GRAND CONCOURSE BRONX NY GP NEW HORIZON DEN 961 EAST 174TH ST-B150 BRONX NY GP S AKNOUK 1473 WEST AVENUE BRONX NY GP COHEN'S GEN DEN 2169 WHITE PLAINS RD BRONX NY GP P L EISENBERG 910 PELHAM PKWY SOUTH BRONX NY GP FRIENDLY SMILE 2198 BARNES AVE BRONX NY GP PARKCHESTER DEN 7 HUGH J GRANT CIRCLE BRONX NY GP F PARVEEN 2002 MCGRAW AVE 1ST FL BRONX NY GP BORGELLA 3102 KINGSBRIDGE AVE1E BRONX NY GP COHEN'S GEN DEN 183 WEST 231 STREET BRONX NY GP DENTAL UNIVERSE 770 ALLERTON AVE BRONX NY GP J FENSTERSTOCK 55 E MOSHOLU PKWY N BRONX NY GP S GOLDSTEIN 610 WARING AVE BRONX NY GP APTIN GHODS PC 2505 UNIVERSITY AVENUE BRONX NY GP BROWN JACK DDS 48 E KINGSBRIDGE RD BRONX NY GP COHEN GENTLEDEN 1 E FORDHAM ROAD STE 4 BRONX NY GP NEW YORK DENTAL 2475 GRAND CONCOURSE BRONX NY GP SUPERIOR-DENTAL 2475 GRAND CONCOURSE BRONX NY GP GUN HILLDENASSO 1425 EAST GUN HILL RD BRONX NY GP SANDLER-SERGEY 3366 BOSTON ROAD BRONX NY GP A ADEPETU 660 NEREID AVENUE BRONX NY GP GRANT KANTOR CH 1581 WESTCHESTER AVE BRONX NY Rev. 12/2017 Page 3

4 GP BRUCKNER DENTAL 910 THIERIOT AVE #1C BRONX NY GP BAY PLAZA MALL 200 BAYCHESTER AVE 311 BRONX NY GP ELGAR FAM. DENT 120 ELGAR PL. UNITB BRONX NY GP HOSSEINI KEVAN 100 ALCOTT PL BLDG #18 BRONX NY GP NEW YORK FAMILY 140 DARROW PLACE #1 BRONX NY GP P SHAPIRO 100 ELGAR PLACE BRONX NY GP TONY CHEN 100 ELGAR PLACE BRONX NY GP W ROSENZWEIG 10 FISKE PL SUITE 325 MOUNT VERNON NY GP S SHAEV 105 STEVENS AVE #606 MT VERNON NY GP PEEKSKILL DENT 901 MAIN STREET-S#200 PEEKSKILL NY GP GALLERIA MALL 100 MAIN STREET WHITE PLAINS NY GP WHITEPLAINS DEN 114 MAMARONECK AVE WHITE PLAINS NY GP PARK AVE SMILE 169 PARK AVE YONKERS NY GP YONKERS DENTAL 131 PARK AVENUE YONKERS NY GP N S AQEEL 460 S. BROADWAY 2ND.FL YONKERS NY GP CENTRAL PK DENT 460 S. BROADWAY 2ND FL YONKERS NY GP PEARL DENTAL 462 SOUTH BROADWAY YONKERS NY GP W.CHESTER ELITE 460 S. BROADWAY 2ND.FL YONKERS NY GP YONKERS DENTAL 45 LUDLOW ST-STE 418 YONKERS NY GP NANUET MALL DEN 75 WEST RT 59 #1009A NANUET NY GP AESTHETIC DENT 169 N MIDDLETON RD PEARL RIVER NY GP A J BAMAN 2 STRAWTOWN ROAD WEST NYACK NY GP PALISA.MALL.DEN 3645 PALISADES CTR.DR. WEST NYACK NY GP WEST NYACK DENT 719 WEST NYACK ROAD WEST NYACK-#26 NY GP FLORAL PARK DEN 25 SOUTH TYSON AVE FLORAL PARK NY GP FLORAL PRK DENT 25 SOUTH TYSON AVE FLORAL PARK NY GP N S PATEL DDS PC 22 SOUTH TYSON AVENUE FLORAL PARK NY GP ALL BRIGHT DENT UNION TPKE 1FL FLORAL PARK NY GP JAMAICA PK DENT 1521 JERICHO TPK NEW HYDE PARK NY GP THE FLOAT HOSP TH ST. L. I. C. NY GP ASTORIA DENTAL STEINWAY ST. ASTORIA NY GP NEW TODAY'S DEN STEINWAY ST 2FL ASTORIA NY GP A RICHER ST AVENUE LONG ISLAND CIT NY GP KMK DENTAL PC GREENPOINT AVE SUNNYSIDE NY GP CAIRO DENTAL PC DITMARS BLVD ASTORIA NY GP HENRY CRAIG R ST AVE ASTORIA NY GP CUCEREANU D BROADWAY ASTORIA NY GP G MANTHAS BROADWAY ASTORIA NY GP RAVENSWOOD DENT TH AVENUE L. I. CITY NY GP ASTORIA DENTAL BROADWAY ASTORIA NY GP HANSON PL DENT 177 LIVINGSTON ST BROOKLYN NY GP METROTECH SMILE 350 FULTON ST 2ND FL BROOKLYN NY GP N ORLOVA 350 FULTON STREET BROOKLYN NY GP PAVEL NDERMAN 585 FULTON ST STE 2 BROOKLYN NY GP S&Y DIAMOND DEN 161 ATLANTIC AVE-1STFL BROOKLYN NY GP AFAM FMLY DENT CHURCH AVE 2NDFL BROOKLYN NY GP DENTFORADULTS&C 83 EAST 38TH STREET BROOKLYN NY GP LEVIN DENTAL 7000 BAY PKWY STE C BROOKLYN NY GP M SLUTZKY RD ST BROOKLYN NY GP BROOKLYN DENTAL 507 DEKALB AVE BROOKLYN NY GP CAIRO DENTAL PC 745 FLUSHING AVE BROOKLYN NY Rev. 12/2017 Page 4

5 GP M R KLEIN PC 228 MONTROSE AVE. BROOKLYN NY GP SUN RACHEL 934 MYRTLE AVE BROOKLYN NY GP J H STEIN 805 STANLEY AVE BROOKLYN NY GP MISHRA 248 CRESCENT STREET BROOKLYN NY GP S CHAHINE TH STREET BROOKLYN NY GP DENTALARTCAREPC TH AVE SUITE 1 BROOKLYN NY GP EXECUTIVE DENT 8011 FIFTH AVE BROOKLYN NY GP S FEINTUCH TH STREET BROOKLYN NY GP R NAKHAMIS ND STREET BROOKLYN NY GP P BACALL 2501 NOSTRAND AVE-S#1R BROOKLYN NY GP F COHEN 3215 AVE H SUITE 1C BROOKLYN NY GP I FEIGENBAUM 1655 FLATBUSH AVE BROOKLYN NY GP FLATBUSH DENTAL 3013 AVE J BROOKLYN NY GP HORIZON DEN ART 1804 FLATBUSH AVE BROOKLYN NY GP M KELMAN 1001 EAST 29TH STREET BROOKLYN NY GP E KENIGSBERG 1804 FLATBUSH AVE. BROOKLYN NY GP VLADRAN DENTAL 1804 FLATBUSH AVE BROOKLYN NY GP BROOKLYN QUALIT 1220 E NEW YORK AVENUE BROOKLYN NY GP EASTERN FAMILY 1140 EASTERN PKWY BROOKLYN NY GP D D MISHRA 1388 ST JOHN'S PLACE BROOKLYN NY GP BROOKLYN COMP TH STREET BROOKLYN NY GP BROOKLYN DENTAL 7 BAY 28TH STREET-1-2N BROOKLYN NY GP Z MORAL TH STREET BROOKLYN NY GP PARVEEN BHATTI 2015 BATH AVE STE R-1 BROOKLYN NY GP B KETOVER.DMD LLC 580 5TH AVEUE BROOKLYN NY GP MODERN DENTAL 272 9TH STREET BROOKLYN NY GP BEDFORD STY DEN 1456 FULTON STREET BROOKLYN NY GP C JOHNSON 910 PARK PLACE-STE 1B BROOKLYN NY GP G KALYANARAMAN 361 EASTERN PKWAY BROOKLYN NY GP ATLANTIC TER DE 139 FLATBUSH AVEUE BROOKLYN NY GP FAMILY UNION DE 304 LIVINGSTON ST BROOKLYN NY GP LIVINGSTON DENT 366 LIVNGSTON STREET BROOKLYN NY GP F CHURCH AVE FAM 1025 CHURCH AVE BROOKLYN NY GP COHEN DENTAL PC TH ST. STE# A-4 BROOKLYN NY GP P C HUANG DENT CA TH AVE STE 304 BROOKLYN NY GP L LIGUORI RD AVENUE BROOKLYN NY GP A ZAVULUNOVA 6830 RIDGE BLVD--#1B BROOKLYN NY GP 4TH AVE DENTAL TH AVENUE BROOKLYN NY GP H MALOFF 1008 GATES AVE BROOKLYN NY GP ROSENBERG/MALOF 1008 GATES AVENUE BROOKLYN NY GP AIR TOUCH DENT 203 NASSAU AVENUE BROOKLYN NY GP GREENPOINT DENT 152 GREENPOINT AVE BROOKLYN NY GP MANH AVE FAM DE 947 MANHATTAN AVE BROOKLYN NY GP A ABDIYEV 920 KINGS HWY 2ND.FL BROOKLYN NY GP DENTAL SPECIAL 1965 CONEY ISLAND AVE BROOKLYN NY GP L KELNER DDS PC 457 KINGS HIGHWAY BROOKLYN NY GP N ORLOVA 275 AVE X BROOKLYN NY GP SMILE AGAIN DEN 2667 CONEY ISLAND AVE BROOKLYN NY GP HEALTHY DENTIST 3375 NEPTUNE AVE BROOKLYN NY GP P C MERMAID DEN A 2423 MERMAID AVE BROOKLYN NY GP NY DENT IMPLT 2426 MERMAID AVE BROOKLYN NY Rev. 12/2017 Page 5

6 GP NYC FAMILY DENT 3002 MERMAID AVE BROOKLYN NY GP NYC FAMILY DENT 3002 MERMAID AVE BROOKLYN NY GP CONFIDENT DENT NOSTRAND AVE BROOKLYN NY GP BROOKLYN BRIGHT 2020 CORTELYOU RD.1 FL BROOKLYN NY GP BUDIYANSKAYA 1208 FLATBUSH AVE BROOKLYN NY GP BUDIYANSKAYA 2233 CATON AVE BROOKLYN NY GP KLODIANA 380 E.18TH ST SUITE#LD BROOKLYN NY GP LARACUENTE 2233 CATON AVE BROOKLYN NY GP WIKTOVZAK 2233 CATON AVE BROOKLYN NY GP W WILLIAMS 450 EAST 18TH STREET BROOKLYN NY GP CONRAD CHEUNG 7110 FORT HAMILTON PKW BROOKLYN NY GP FIRSTCARE DENTA TH AVE BROOKLYN NY GP AVENUE X DENTAL 2811 OCEAN AVE #2 BROOKLYN NY GP BRIGHT SMILE DE 2981 AVENUE U BROOKLYN NY GP J SHATZKAMER 1645 EAST 19TH STREET BROOKLYN NY GP Y USTININA 2084 E. 17TH STREET BROOKLYN NY GP GY DENTAL PC 1419 FOSTER AVENUE BROOKLYN NY GP CARROLL GARDENS 402 COURT STREET BROOKLYN NY GP GEORGETOWN DENT 2167 A RALPH AVE BROOKLYN NY GP B N GRAYSON 1951 FLATBUSH AVE BROOKLYN NY GP G J HASKIN 4571 KINGS HIGHWAY BROOKLYN NY GP KINGS HWY DENT 4571 KINGS HIGHWAY BROOKLYN NY GP KINGS PLAZA DEN 5412 KINGS PLAZA MALL BROOKLYN NY GP RADIX DENTAL 4901 AVENUE K BROOKLYN NY GP SIMBA LLC 2167A RALPH AVE BROOKLYN NY GP S D STACHEL 3302 AVENUE P BROOKLYN NY GP WEISS-HAROLD 5520 GLENWOOD ROAD BROOKLYN NY GP D JAKUBOWITZ 2939 AVENUE Y BROOKLYN NY GP P ` SCHAFFER 1901 EMMONS AVE BROOKLYN NY GP VISTA DENTAL 2951 OCEAN AVE STE BB BROOKLYN NY GP J BENDER 1625 ROCKAWAY PKY 1L BROOKLYN NY GP CANARSIE DENTAL 1761 ROCKAWAY PARKWAY BROOKLYN NY GP FLATLANDS DENT 7806 FLATLANDS AVE BROOKLYN NY GP GLEN MED DENTAL 1702 ROCKAWAY PARKWAY BROOKLYN NY GP G S RAFAL SEAVIEW AVE BROOKLYN NY GP BONET MIRIAM 169 WYCOFF AVE BROOKLYN NY GP WILSON AVE DENT 51 WILSON AVE BROOKLYN NY GP SMITH & EDWARDS 309 LAFAYETTE AVENUE BROOKLYN NY GP ACCELLENT DENT PRINCE ST #3D FLUSHING NY GP FLUSHING FAMILY A NORTHERN BLVD FLUSHING NY GP YU YE ZHOU DDS ROOSEVELT AVE 2 FLUSHING NY GP ADORA DENTAL SANFORD AVE-1E FLUSHING NY GP CHEN WANDA MAPLE AVE #C1A FLUSHING NY GP HOLLY DENT SERV HOLLY AVE GFL FLUSHING NY GP JUDY HOU BOWNE STREET FLUSHING NY GP ALLY DENTAL PC RD AVE #L2 BAYSIDE NY GP ALLA HART PC BELL BLVD BAYSIDE NY GP J SEABROOK BELL BLVD BAYSIDE NY GP THANK YOU DENT TH PLACE #1 BAYSIDE NY GP W COHEN FRAN LEW BL 102A BAYSIDE NY GP A DORNBERG TH STREET FRESH MEADOWS NY Rev. 12/2017 Page 6

7 GP CHANDWANI DENT 6918 KISSENA BLVD 125A FLUSHING NY GP M BIENENSTOCK JUNCTION BLVD CORONA NY GP L&L DENTAL CARE NORTHERN BLVD CORONA NY GP R SNYDER 9825 HORACE HARDING-2E CORONA NY GP UMME MABIA RASH NORTHERN BLVD CORONA NY GP APPREHENSIVE DE TH AVENUE JACKSON HEIGHTS NY GP D&S DENTAL TH STREET STE1 JACKSON HEIGHTS NY GP DAZZLING SMILE ROOSEVELT AVE.#2 JACKSON HEIGHTS NY GP FAMOUS DTL CARE TH AVE JACKSON HEIGHTS NY GP FRANTZ BACKER TH STREET JACKSON HEIGHTS NY GP I SMILE DENTAL TH AVE JACKSON HEIGHTS NY GP QUEENS DENT.OFF ND. ST. JACKSON HEIGHTS NY GP UMME MABIA RASH ST STREET JACKSON HEIGHTS NY GP VIVA DENTAL TH AVE OFFIC A JACKSON HEIGHTS NY GP M ISRANI BRITTON AVE-#P1 ELMHURST NY GP H KAUR ND STREET JACKSON HEIGHTS NY GP QUEENS CNT DENT QUEENS BLVD ELMHURST NY GP B SURTI TH AVE SUT 1J ELMHURST NY GP TODAY'S DTLNYPC BROADWAY STE 2B ELMHURST NY GP BEAUTIFUL SMILE TH ST. STE#1L REGO PARK NY GP BRIGHT SMILE DE WOODHAVEN #P10 REGO PARK NY GP GY DENTAL ND DRIVE REGO PARK NY GP HOLLYWOOD SMILE QUEENS BLVD S#G2 REGO PARK NY GP S LANCEA QUEENS BLVD SUNNYSIDE NY GP S LANCEA WOODHAVEN BLVD REGO PARK NY GP LUCKY DENTAL PC 6555 WOODHAVEN BLVD REGO PARK NY GP R ROSENFIELD BOOTH ST REGO PARK NY GP M SALES 6161 WOODHAVEN BLVD 1N REGO PARK NY GP WILLIS DENTAL 6442 CROMWELL AVENUE REGO PARK NY GP ASTORIA DENTAL AUSTIN ST#114UL FORSET HILLS NY GP H GRIESNER ST SUITE 109 FOREST HILLS NY GP HORIZON DENTAL QUEENS BLVD FOREST HILLS NY GP A KAPLAN QUEENS BLVD-#5 FOREST HILLS NY GP KOOL SMILES DEN QUEENS BLVD#UL6 FOREST HILLS NY GP PRUDENT DENTAL ST AVE UNIT C1 WOODSIDE NY GP P C BOUTIQUE DENT MYRTLE AVE GLENDALE NY GP DENTIST R US PC 918 CYPRESS AVENUE RIDGEWOOD NY GP FLAWLESS DENTAL MYRTLE AVENUE GLENDALE NY GP I PATRASCU FRESH POND RD RIDGEWOOD NY GP SANTA LOCASCIO FRESH POND ROAD RIDGEWOOD NY GP SCOPU ANA MYRTLE AVE GLENDALE NY GP SIMPLY SMILE 6222 MYRTLE AVE GLENDALE NY GP P C KEW GARDENS-D LEFFERTS BLVD KEW GARDENS NY GP B.N.M. DENTAL ST AVE OZONE PARK NY GP CONCERNED DENT LIBERTY AVE RICHMOND HILL NY GP JOLLY MONICA ST STREET RICHMOND HILL NY GP P C CONCERNED DEN ST STREET S OZONE PARK NY GP GOLDSTEIN/GOLDS ROCKAWAY BLVD SO OZONE PK NY GP LINCOLN DENTAL ROCKAWAY BLVD S.OZONE PARK NY GP LINCOLN FMLYDEN ROCKAWAY BLVD SOUTH OZONE PRK NY GP ROCKAWAY DENTAL ROCKAWAY BLV S.OZONE PARK NY Rev. 12/2017 Page 7

8 GP DENTAL UNIVERSE JAMAICA AVE WOODHAVEN NY GP JAMAICA 18 DENT JAMAICA AVE. WOODHAVEN NY GP 92 JAMAICA AV D JAMAICA AVE WOODHAVEN NY GP PIERRE MARGARET TH STREET ROSEDALE NY GP AMERICAN DENTAL HILLSIDE AVE HOLLIS NY GP HILLSIDE FAMILY HILLSIDE AVE-#1 HOLLIS NY GP HAQUE SAMINA A HILLSIDE AVE BELLEROSE NY GP AESTHETICARE PC HILLSIDE AVE QUEENS VILLAGE NY GP R HAMILTON TH ST QUEENS VILLAGE NY GP J BORDE FRANCIS LEWIS BL QUEENS VILLAGE NY GP QUEENS MODERN HEMPSTEAD AVE.2 QUEENS VILLAGE NY GP ADVANCEDIMP/COS TH STREET JAMAICA NY GP CITY DENT CARE STREET-STE2A JAMAICA NY GP Y CONTE ST STREET JAMAICA NY GP EMMET DENTAL PC TH ST MW29 JAMAICA NY GP A GANNESS HILLSIDE AVE JAMAICA NY GP GREAT CARE DENT MERRICK BLVD JAMAICA NY GP P C JAMAICA DENTA STREET JAMAICA NY GP SAMINA HAQUE HIGHLAND AVENUE JAMAICA NY GP TCN DENTAL CARE JAMAICA AVE#313 JAMAICA NY GP ROCHDALE DENTAL GUYR.BREWER BLV JAMAICA NY GP ROCHDALE DENTAL A BAISLEY BLVD JAMAICA NY GP D E FULTON PARK P SUTPHIN BLVD JAMAICA NY GP LEIFER GERALD SUTPHIN BLVD 2FL JAMAICA NY GP ALAN ROSEN 650 CENTRAL AVE-STE O CEDARHURST NY GP MY DENTIST PC 650 CENTRAL AVE S#F CEDARHURST NY GP A PERLMUTTER 650 CENTRAL AVE-S#H CEDARHURST NY GP M P FIRESTONE 56 ATLANTIC AVE FREEPORT NY GP ROOSEVELT FIELD 630 OLD COUNTRY RD 01D GARDEN CITY NY GP DELLA PIETRA 141 N.FRANKLI STREET HEMPSTEAD NY GP KANE DENT PLLC 72 FULTON AVENUE HEMPSTEAD NY GP SOUTHWOOD DENT 50 CLINTON ST STE 100 HEMPSTEAD NY GP R BORGELLA 120 WOODFIELD RD WEST HEMPSTEAD NY GP R MONHIAN-RAHMANI 960 HEMPSTEAD AVE WEST HEMPSTEAD NY GP TRACEY AMBRISTE 1154 FRONT STREET UNIONDALE NY GP ALAN ROSEN 210 ATLANTIC AVE- #AA3 LYNBROOK NY GP ATLANTIC AVEDEN 96 ATLANTIC AVE LYNBROOK NY GP D GILMAN 1955 MERRICK ROAD.#200 MERRICK NY GP R SNYDER 97 SOUTH PARK AVE ROCKVILLE CTR NY GP PHEDRYNE ROBERT 1309 DUTCH BROADWAY VALLEY STREAM NY GP SOUTH CENT DENT 44 S CENTRAL AVE-STE2 VALLEY STREAM NY GP J A SAMUDIO 1847 MOTT AVE 2ND FL FAR-ROCKAWAY NY GP SOUTH CENT DENT 2050 SEAGIRT BLVD FAR ROCKAWAY NY GP H KIRSCHNER 338 BEACH 54TH STREET FAR ROCKAWAY NY GP SASHA CEKADA 193 BROADWAY SUITE #2 AMITYVILLE NY GP L GUZMAN 2357 BEDFORD AVE. BELLMORE NY GP P MATHUR 1644 DEER PARK AVE DEER PARK NY GP KANE DENT FMLY 1111 BROADHOLLOW RD104 FARMINGDALE NY GP TOTAL DEN CARE 1025 PORTION RD S# H FARMINGVILLE NY GP G GOLDFARB 73 RUMFORD ROAD KINGS PARK NY GP GOLDEN DEN CARE 158 GARDINERS AVE LEVITTOWN NY Rev. 12/2017 Page 8

9 GP SMILES WELLWOOD 764 N WELLWOOD AVE LINDENHURST NY GP SUNRISE DENT AS 25 CARMANS ROAD MASSAPEQUA NY GP SUNRISE DENTAL 4250 JERUSALEM AVE MASSAPEQUA NY GP SUNRISE DENTAL 25 CARMANS RD MASSAPEQUA NY GP EYAL WALDMAN 240 PATCHOGUE-YAPHANK #104 PATCHOGUE NY GP CONCERNED DENT 492 OLD TOWN ROAD PT JEFFERSON NY GP CONCERNED DENT 966 PORTION ROAD RONKONKOMA NY GP CONCERNED DENT 335 TERRY ROAD HAUPPAUGE NY GP F A COSTA 1228 WANTAGH AVE #112 WANTAGH NY GP MODERN DENTAL 1595 STRAIGHT PATH WYANDACH NY GP PREETIKA GUPTA 1521 STRAIGHT PATH WYANDANCH NY GP KANE DENT.HICKS 184 OLD COUNTRY RD. HICKSVILLE NY GP G E SEGAL 555 SO OYSTER BAY RD PLAINVIEW NY GP HUDSON VLY.DENT 1300 ULSTER AVE.STE160 KINGSTON NY GP GOLDSTEIN&FREUD 1401 RT STE 1081 NEWBURGH NY GP K K LEE 50 ROUTE 17K STE 104 NEWBURG NY GP S J BECKER 1-B RIVERDALE DR HAMPTON VA GP SUNSHINE DENTAL 4656 E MICHIGAN ST ORLANDO FL GP J A MAHON 2450 HOLLYWOOD BLD#400 HOLLYWOOD FL GP ARGUELLO DENT 100 N STATE RD 7 SC300 MARGATE FL GP FAMILY DENTAL 6130 W.ATLANTIC BLVD MARGATE FL GP B J SHETH 5239 COCONUT CREEK PKY MARGATE FL GP DENTAL EXCELLEN 7426 WILES ROAD CORAL SPRINGS FL GP LOOR KLEBER PA 1450 W.FLAGLER ST MIAMI FL GP D R SIU-KEUNG KO 8000 SW 117 AVE SUT202 MIAMI FL GP S POLASKY 2655 E. OAKLAND PK BLV FT. LAUDERDALE FL GP J KARPEL 7193 W OAKLAND PK BLVD LAUDERHILL FL GP SUNRISE DENT CL 5975 W SUNRISE BLVD STE 107 SUNRISE FL GP M F VIGNA DDS P 5975 W SUNRISE BLV 107 SUNRISE FL GP HARVEYMOSKOWITZ 6209 W. COMM BLVD STE6 TAMARAC FL GP AMERICAN SETHI 1127 S UNIVERSITY DR. PLANTATION FL GP D A SACHS 2263 S UNIVERSITY DR DAVIE FL GP GORFIENJACOBSOH 4506 N. UNIVERSITY DR LAUDERHILL FL GP 21ST CENTURY DE 2541 W GOLF RD HOFFMAN ESTATES IL GP PRECIOUS DENTAL 3260 N. TOLTEC RD ELOY AZ Rev. 12/2017 Page 9

DC 37 Dental Plan Complete List of Participating Panel Dentists

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