deltacare - university health plans · pdf filethe deltacare product is offered by dental...

44
DeltaCare Delta Dental of Massachusetts SP531 (12/16) 1.2M Delta Dental of Massachusetts 465 Medford Street, Boston, MA 02129 www.deltadentalma.com Main Number: 617.886.1000 / 800.451.1249 Customer Service Number: 617.886.1300 / 800.327.6277 Dental Service of Massachusetts, Inc. is an Independent Licensee of the Delta Dental Plans Association. ®Registered Marks of the Delta Dental Plans Association. ©2017 DSM. Directory of Participating Dentists 2017

Upload: buikhanh

Post on 17-Mar-2018

218 views

Category:

Documents


2 download

TRANSCRIPT

Page 1: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

DeltaCare

Delta Dental of MassachusettsSP531 (12/16) 1.2M

Delta Dental of Massachusetts465 Medford Street, Boston, MA 02129

www.deltadentalma.com

Main Number: 617.886.1000 / 800.451.1249Customer Service Number: 617.886.1300 / 800.327.6277

Dental Service of Massachusetts, Inc. is an Independent Licensee of the Delta Dental Plans Association.®Registered Marks of the Delta Dental Plans Association. ©2017 DSM.

Directory of Participating Dentists 2017

Page 2: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

Table of Contents

Introduction ............................................................................................................. i

Massachusetts Network Dentists .....................................................................1

Specialists .............................................................................................................. 15

Closed Panel Dentists ....................................................................................... 31

Primary Care Index ............................................................................................ 33

Specialty Index ................................................................................................... 35

Closed Panel Index ............................................................................................ 37

Page 3: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA
Page 4: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

Welcome to DeltaCareThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. The DeltaCare (In-Network Only) product is offered by DSM Massachusetts Insurance Company, Inc.

Preventive dental care without prohibitive costs in addition to top-quality primary care dentists and specialists to choose from. That’s what you get as a member of DeltaCare.

In this directory, you will find the names of the primary care dentists who make up the DeltaCare provider network. You will enjoy comprehensive dental care at significantly lower costs than traditional plans through any of these quality providers. And, you will enjoy the advantages of Delta Dental’s 30-plus years of dental benefits experience and our commitment to achieving and maintaining the oral health of you and your family.

Choosing a Primary Care DentistDeltaCare is designed for people like you, who understand that regular preventive maintenance is the key to healthy teeth. Your primary care dentist (PCD) helps you put this philosophy into action by focusing on preventive measures before problems occur.

This directory contains the names of dentists who you can choose as a PCD. These dentists are listed in the directory under the city or town in which they practice. Your PCD will be responsible for your overall dental care—even preparing a formal treatment plan after your first visit to help you achieve and maintain good dental health. When you are in need of specialty services, you may select a specialist from the DeltaCare specialist network.

You must indicate your choice of a PCD on your enrollment form. If you do not, a PCD will be assigned to you. You may change your PCD by calling (800) 327-6277. If you call by the 21st of the month, your new PCD designation will be effective by the first of the following month.

Getting the Most from Your DeltaCare CoverageDeltaCare is designed to provide comprehensive, quality care through the DeltaCare network. Certain plans provides coverage for services performed by out-of-network dentists but this coverage is at a lower level, which means that you’ll pay more. Members are encouraged to receive services through their PCD to maximize the value of the plan and keep their out-of-pocket costs low.

If you need emergency care, contact your PCD immediately. He/She will arrange to get you the care you need. If you cannot reasonably reach your PCD (for example, you are traveling and not in the area) and need emergency care, you should see a local dentist for treatment. Delta Dental will provide coverage for services rendered to reduce swelling, relieve pain and/or reduce the potential for infection until you can see your PCD for treatment. You should then contact your PCD to arrange for further care.

i

Page 5: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

How to Use this DirectoryThis directory is divided alphabetically by town. Dentists, along with their addresses and phone numbers, are listed alphabetically by their last names under the towns in which they practice. Specialists are listed in a separate section alphabetically by town and specialty. Dentists that are not accepting new patients are listed in the closed panel dentist section. If your current dentist’s name appears in this section, you should contact the dental office to confirm that you will be accepted as a DeltaCare patient. In addition, at the end of the directory, you will find alphabetical and specialty indexes of all DeltaCare providers.

Because this directory is updated periodically, it does not include the names of dentists who became plan participants after this directory was printed. It may, however, include the names of dentists whose participation has ended since this directory was printed. For this reason, the list should not be used as a final determination of a dentist’s participating status. To confirm that a particular dentist participates in DeltaCare, please use the Find a Dentist tool on our website www.deltadentalma.com or call the DeltaCare Customer Service at (800) 327-6277.

ii

Page 6: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

MassachusettsDeltaCare Dentists

Page 7: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA
Page 8: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

MASSACHUSETTS

ARLINGTON GENERAL PRACTITIONER ALIKPALA, C MARISSA GENTLE DENTAL ASSOC LLC725 MASSACHUSETTS AVE ARLINGTON, MA 02476(781)643-0010Provider #177640 BARSOUM, ADAM GENTLE DENTAL ASSOC LLC725 MASSACHUSETTS AVE ARLINGTON, MA 02476(781)643-0010Provider #177640 JOHNSON, MARIELLE GENTLE DENTAL ASSOC LLC725 MASSACHUSETTS AVE ARLINGTON, MA 02476(781)643-0010Provider #177640 PIVOR, JAY GENTLE DENTAL ASSOC LLC725 MASSACHUSETTS AVE ARLINGTON, MA 02476(781)643-0010Provider #177640

ATTLEBORO GENERAL PRACTITIONER CAPUA, JOSEPH BGENTLE DENTAL ASSOC LLC1144 NEWPORT AVE ATTLEBORO, MA 02703(508)223-3900Provider #261143 GEORGE, PREETHY SGENTLE DENTAL ASSOC LLC1144 NEWPORT AVE ATTLEBORO, MA 02703(508)223-3900Provider #261143 OSWAL, ANKUR ASPEN DENTAL227 WASHINGTON ST ATTLEBORO, MA 02703(508)399-5432Provider #533232 ROBERTS, EDWARD GENTLE DENTAL ASSOC LLC1144 NEWPORT AVE ATTLEBORO, MA 02703(508)223-3900Provider #261143 ROOHI, SOBIA ASPEN DENTAL227 WASHINGTON ST ATTLEBORO, MA 02703(508)399-5432Provider #533232

SRINIVASAN, ARUN ASPEN DENTAL227 WASHINGTON ST ATTLEBORO, MA 02703(508)399-5432Provider #533232 ZIEGLER, DAVID AGENTLE DENTAL ASSOC LLC1144 NEWPORT AVE ATTLEBORO, MA 02703(508)223-3900Provider #261143 AUBURN GENERAL PRACTITIONER CONNELLY, THOMAS PGREAT EXPRESSIONS DENTAL CENTERS567 SOUTHBRIDGE ST STE 7 AUBURN, MA 01501(508)832-3317Provider #154417 ENKIN, MAX MASPEN DENTAL434 SOUTHBRIDGE ST STE B AUBURN, MA 01501-4423(508)832-8705Provider #513686

HENVILLE, JASMIN LASPEN DENTAL434 SOUTHBRIDGE ST STE B AUBURN, MA 01501-4423(508)832-8705Provider #513686 MOGRE, SAMMITA ASPEN DENTAL434 SOUTHBRIDGE ST STE B AUBURN, MA 01501-4423(508)832-8705Provider #513686 SHEIKH, HAJRA OASPEN DENTAL434 SOUTHBRIDGE ST STE B AUBURN, MA 01501-4423(508)832-8705Provider #513686 BELMONT GENERAL PRACTITIONER BASKIES, ROBERT LGENTLE DENTAL ASSOC LLC250 TRAPELO RD BELMONT, MA 02478(617)489-1900Provider #204041 CUCEROV, LILIA GENTLE DENTAL ASSOC LLC250 TRAPELO RD BELMONT, MA 02478(617)489-1900Provider #204041

1

Providers are reimbursed for services on a capitated per member per month allowance

ARLINGTON BELMONTPrimary Care Dentists

Page 9: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

BOSTON GENERAL PRACTITIONER CHASE, ETHAN DGENTLE DENTAL ASSOC LLC368 W BROADWAY BOSTON, MA 02127-2272(617)269-0004Provider #153872 KHADIVI NIAJAVAN, NOOSHA GENTLE DENTAL ASSOC LLC131 TREMONT ST BOSTON, MA 02111-1317(617)292-0500Provider #200991 NAJAFABADI, ROZ GENTLE DENTAL ASSOC LLC131 TREMONT ST BOSTON, MA 02111-1317(617)292-0500Provider #200991 NAJI, SAIF MGENTLE DENTAL ASSOC LLC131 TREMONT ST BOSTON, MA 02111-1317(617)292-0500Provider #200991 PARANJAPE, SACHIN JGENTLE DENTAL ASSOC LLC368 W BROADWAY BOSTON, MA 02127-2272(617)269-0004Provider #153872

SMOLYAR, ALEXANDER GENTLE DENTAL ASSOC LLC131 TREMONT ST BOSTON, MA 02111-1317(617)292-0500Provider #200991 TSERING, LHAMO GENTLE DENTAL ASSOC LLC368 W BROADWAY BOSTON, MA 02127-2272(617)269-0004Provider #153872 BRAINTREE GENERAL PRACTITIONER AMBROSE, CHRISTINE CGENTLE DENTAL ASSOC LLC102 PEARL ST BRAINTREE, MA 02184(781)356-3030Provider #136046 KIM, ISAAC BGENTLE DENTAL ASSOC LLC102 PEARL ST BRAINTREE, MA 02184(781)356-3030Provider #136046 LAKKIS, IBRAHIM AGENTLE DENTAL ASSOC LLC102 PEARL ST BRAINTREE, MA 02184(781)356-3030Provider #136046

PARRELLA, ANTHONY GENTLE DENTAL ASSOC LLC102 PEARL ST BRAINTREE, MA 02184(781)356-3030Provider #136046 SHAPIRO, STEVEN GENTLE DENTAL ASSOC LLC102 PEARL ST BRAINTREE, MA 02184(781)356-3030Provider #136046 SMITH, JILLIAN HGENTLE DENTAL ASSOC LLC102 PEARL ST BRAINTREE, MA 02184(781)356-3030Provider #136046 BRIDGEWATER GENERAL PRACTITIONER FISHER, CHRISTOPHER CFISHER FAMILY DENTISTRY253 BEDFORD ST BRIDGEWATER, MA 02324(508)697-7102Provider #160843 FISHER, DALE EFISHER FAMILY DENTISTRY253 BEDFORD ST BRIDGEWATER, MA 02324(508)697-7102Provider #160843

BRIGHTON GENERAL PRACTITIONER GARGE, NEHA AGENTLE DENTAL ASSOC LLC320 WASHINGTON ST BRIGHTON, MA 02135-3356(617)562-1100Provider #274024 RAYEV, PAVEL GENTLE DENTAL ASSOC LLC320 WASHINGTON ST BRIGHTON, MA 02135-3356(617)562-1100Provider #274024 BROCKTON GENERAL PRACTITIONER CARABATSOS, JOHN TJOHN T CARABATSOS478 TORREY ST BROCKTON, MA 02301-4696(508)586-0428Provider #213809 FINSTEIN, DAVID MDAVID FINSTEIN601 PLEASANT ST BROCKTON, MA 02301(508)586-2951Provider #130456

2

Providers are reimbursed for services on a capitated per member per month allowance

BOSTON BROCKTONPrimary Care Dentists

Page 10: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

HOODA, ISHA ASPEN DENTAL165 WESTGATE DR BROCKTON, MA 02301-1821(508)559-2300Provider #268636 MARTIN, KAREN TDR KAREN MARTIN-PHILLIPS DMD PC478 TORREY ST UNIT 9 BROCKTON, MA 02301-4696(508)584-1700Provider #154402 ROOHI, SOBIA ASPEN DENTAL165 WESTGATE DR BROCKTON, MA 02301-1821(508)559-2300Provider #268636 SRINIVASAN, ARUN ASPEN DENTAL165 WESTGATE DR BROCKTON, MA 02301-1821(508)559-2300Provider #268636 BROOKLINE GENERAL PRACTITIONER BLISS, MARANDA APROSTHODONTIC ASSOCIATES1037A BEACON ST BROOKLINE, MA 02446(617)232-1515Provider #200499

FERRO, JOELLYN LPROSTHODONTIC ASSOCIATES1037A BEACON ST BROOKLINE, MA 02446(617)232-1515Provider #200499 SWERDLICK, THEODORE THEODORE SWERDLICK389 HARVARD ST BROOKLINE, MA 02446-2924(617)738-1200Provider #198305 BURLINGTON GENERAL PRACTITIONER CIANCARELLI, NICHOLAS TGENTLE DENTAL ASSOC LLC184 CAMBRIDGE ST BURLINGTON, MA 01803-2911(781)221-0072Provider #246012 GOLPARVAR, MOHAMMAD HGENTLE DENTAL ASSOC LLC184 CAMBRIDGE ST BURLINGTON, MA 01803-2911(781)221-0072Provider #246012 KANG, SUNG WOO GENTLE DENTAL ASSOC LLC184 CAMBRIDGE ST BURLINGTON, MA 01803-2911(781)221-0072Provider #246012

SHETTY, PRASADINI GENTLE DENTAL ASSOC LLC184 CAMBRIDGE ST BURLINGTON, MA 01803-2911(781)221-0072Provider #246012 CHELMSFORD GENERAL PRACTITIONER HUANG, ZHIQIANG ASPEN DENTAL265 CHELMSFORD ST CHELMSFORD, MA 01824-2332(978)256-1717Provider #170410 JHAMB, TARUN KASPEN DENTAL265 CHELMSFORD ST CHELMSFORD, MA 01824-2332(978)256-1717Provider #170410 THERRIAULT, BERNADETE CASPEN DENTAL265 CHELMSFORD ST CHELMSFORD, MA 01824-2332(978)256-1717Provider #170410

CHELSEA GENERAL PRACTITIONER MASSE, MICHAEL JAFFORDABLE FAMILY DENTAL59 WASHINGTON AVE CHELSEA, MA 02150-3906(617)889-2668Provider #155698 DEDHAM GENERAL PRACTITIONER ROOHI, SOBIA ASPEN DENTAL162 PROVIDENCE HWY DEDHAM, MA 02026(781)761-0666Provider #585618 SADHNANI, MAHESH HASPEN DENTAL162 PROVIDENCE HWY DEDHAM, MA 02026(781)761-0666Provider #585618 SRINIVASAN, ARUN ASPEN DENTAL162 PROVIDENCE HWY DEDHAM, MA 02026(781)761-0666Provider #585618

3

Providers are reimbursed for services on a capitated per member per month allowance

BROCKTON DEDHAMPrimary Care Dentists

Page 11: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

DORCHESTER GENERAL PRACTITIONER ALBADRAN, FIRAS NHARVARD ST NEIGH HLTH CTR632 BLUE HILL AVE DORCHESTER, MA 02121-3213(617)825-3400Provider #247396 ANAKO-OKEREKE, UDUAK HARVARD ST NEIGH HLTH CTR632 BLUE HILL AVE DORCHESTER, MA 02121-3213(617)825-3400Provider #247396 BALTHAZAR, NICOLE VGEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721 BELLO, NICHOLAS GGEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721

CENAMI, ALEXIS GEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721 COSTA, JOAO AGEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721 DELEON, JOSEPH LGEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721 DONOGHUE, GRACE MGEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721

GHONEIM, OMAR LGEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721 GIL, DANISEL GEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721 ISAVA, CARLOS GEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721 KENNEDY, KEVIN CGEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721

MARTINI, CEZAR BGEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721 MASSE, MICHAEL JMICHAEL J MASSE212 ASHMONT ST DORCHESTER, MA 02124-3802(617)436-0303Provider #167909 MIZOGUCHI, RITSUKO GEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721 MUTHUSWAMY, MAYA RGEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721

4

Providers are reimbursed for services on a capitated per member per month allowance

DORCHESTER DORCHESTERPrimary Care Dentists

Page 12: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

PARRA, JUAN CGEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721 SMITH, LAYANE OGEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721 WIK, ROBERT WGEIGER-GIBSON COMMUNITY HEALTH CENT250 MT VERNON ST DORCHESTER, MA 02125-3120(617)288-1140Provider #188721 EAST LONGMEADOW GENERAL PRACTITIONER LEE, DANIEL ASPEN DENTAL ASSOC OF N E PC434 NORTH MAIN ST EAST LONGMEADOW, MA 01028(413)526-9901Provider #191367

PATEL, SONAL CASPEN DENTAL ASSOC OF N E PC434 NORTH MAIN ST EAST LONGMEADOW, MA 01028(413)526-9901Provider #191367 ZAHID, USMAN ASPEN DENTAL ASSOC OF N E PC434 NORTH MAIN ST EAST LONGMEADOW, MA 01028(413)526-9901Provider #191367 EVERETT GENERAL PRACTITIONER CAPODILUPO, PETER APETER A CAPODILUPO DDS PC563 BROADWAY EVERETT, MA 02149-3749(617)389-4646Provider #128554 CAPODILUPO, PETER APETER A CAPODILUPO DDS PC563 BROADWAY EVERETT, MA 02149-3749(617)389-4646Provider #128554

FALL RIVER GENERAL PRACTITIONER LAZAROVA, VESSELA TALPHA DENTAL CENTER PC230 RHODE ISLAND AVE FALL RIVER, MA 02724(508)646-9600Provider #249034 PATEL, CHIRAG AASPEN DENTAL ASSOC OF N E PC90 WILLIAM S CANNING BOULEVARD FALL RIVER, MA 02721(508)730-1800Provider #197106 SALEM, MUNAL ALPHA DENTAL CENTER PC230 RHODE ISLAND AVE FALL RIVER, MA 02724(508)646-9600Provider #249034 SARNER, LAWRENCE EALPHA DENTAL CENTER PC230 RHODE ISLAND AVE FALL RIVER, MA 02724(508)646-9600Provider #249034 SARNER, MELISSA BALPHA DENTAL CENTER PC230 RHODE ISLAND AVE FALL RIVER, MA 02724(508)646-9600Provider #249034

SCHAFFT, DANIEL JASPEN DENTAL ASSOC OF N E PC90 WILLIAM S CANNING BOULEVARD FALL RIVER, MA 02721(508)730-1800Provider #197106 UNGER, THOMAS FALPHA DENTAL CENTER PC230 RHODE ISLAND AVE FALL RIVER, MA 02724(508)646-9600Provider #249034 FRANKLIN GENERAL PRACTITIONER LAZAROVA, VESSELA TALPHA DENTAL CENTER PC260 EAST CENTRAL ST FRANKLIN, MA 02038(508)528-0200Provider #187464 SALEM, MUNAL ALPHA DENTAL CENTER PC260 EAST CENTRAL ST FRANKLIN, MA 02038(508)528-0200Provider #187464 SARNER, LAWRENCE EALPHA DENTAL CENTER PC260 EAST CENTRAL ST FRANKLIN, MA 02038(508)528-0200Provider #187464

5

Providers are reimbursed for services on a capitated per member per month allowance

DORCHESTER FRANKLINPrimary Care Dentists

Page 13: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

SARNER, MELISSA BALPHA DENTAL CENTER PC260 EAST CENTRAL ST FRANKLIN, MA 02038(508)528-0200Provider #187464 UNGER, THOMAS FALPHA DENTAL CENTER PC260 EAST CENTRAL ST FRANKLIN, MA 02038(508)528-0200Provider #187464 GLOUCESTER GENERAL PRACTITIONER HARRISON, DAVID LDAVID L HARRISON222 WASHINGTON ST GLOUCESTER, MA 01930(978)283-4500Provider #183921 HANOVER GENERAL PRACTITIONER BELLO, NICHOLAS GASPEN DENTAL1207 WASHINGTON ST STE 40 HANOVER, MA 02339-1683(781)826-3880Provider #576776

GUO, YING ASPEN DENTAL1207 WASHINGTON ST STE 40 HANOVER, MA 02339-1683(781)826-3880Provider #576776 JHAMB, TARUN KASPEN DENTAL1207 WASHINGTON ST STE 40 HANOVER, MA 02339-1683(781)826-3880Provider #576776 TAYLOR, JENNIFER AASPEN DENTAL1207 WASHINGTON ST STE 40 HANOVER, MA 02339-1683(781)826-3880Provider #576776 HARWICH GENERAL PRACTITIONER BALTHAZAR, NICOLE VELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651

BELLO, NICHOLAS GELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651 CENAMI, ALEXIS ELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651 COSTA, JOAO AELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651 DELEON, JOSEPH LELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651

DONOGHUE, GRACE MELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651 GHONEIM, OMAR LELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651 GIL, DANISEL ELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651 HOLLAND, NICOLE DELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651

6

Providers are reimbursed for services on a capitated per member per month allowance

FRANKLIN HARWICHPrimary Care Dentists

Page 14: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

ISAVA, CARLOS ELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651 KENNEDY, KEVIN CELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651 MARTINI, CEZAR BELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651 MIZOGUCHI, RITSUKO ELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651

PARRA, JUAN CELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651 SMITH, LAYANE OELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651 WEBB, MICHELLE ELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651 WIK, ROBERT WELLEN JONES COMMUNITY DENTAL CENTER351 PLEASANT LAKE AVE HARWICH, MA 02645(508)778-5400Provider #246651

HYANNIS GENERAL PRACTITIONER ANDRES, LORETTA JHARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557 BALTHAZAR, NICOLE VHARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557 BELLO, NICHOLAS GHARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557 BELLORINI, STEPHEN JHARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557

CENAMI, ALEXIS HARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557 COSTA, JOAO AHARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557 DELEON, JOSEPH LHARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557 DONOGHUE, GRACE MHARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557 GHONEIM, OMAR LHARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557

7

Providers are reimbursed for services on a capitated per member per month allowance

HARWICH HYANNISPrimary Care Dentists

Page 15: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

GIL, DANISEL HARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557 HOLLAND, NICOLE DHARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557 ISAVA, CARLOS HARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557 KENNEDY, KEVIN CHARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557 KHAN, MUHAMMAD AHARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557

MARTINI, CEZAR BHARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557 MIZOGUCHI, RITSUKO HARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557 PARRA, JUAN CHARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557 SMITH, LAYANE OHARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557 WIK, ROBERT WHARBOR COMMUNITY HEALTHCENTER HYANNIS735 ATTUCKS LANE HYANNIS, MA 02601(508)778-5440Provider #128557

JAMAICA PLAIN GENERAL PRACTITIONER TSARTSIDIS, STELIOS GENTLE DENTAL ASSOC LLC612 CENTRE ST JAMAICA PLAIN, MA 02130-2552(617)524-4400Provider #227543 LAWRENCE GENERAL PRACTITIONER KIM, DONG WDR DONG WON KIM PC465 S BROADWAY LAWRENCE, MA 01843(978)689-9363Provider #176356 KIM, NAM HDR DONG WON KIM PC465 S BROADWAY LAWRENCE, MA 01843(978)689-9363Provider #176356 LEOMINSTER GENERAL PRACTITIONER EL MASRI, ERIC WASPEN DENTAL14 COMMERCIAL RD LEOMINSTER, MA 01453(978)840-9900Provider #508538

ROBBINS, ADAM HASPEN DENTAL14 COMMERCIAL RD LEOMINSTER, MA 01453(978)840-9900Provider #508538 LOWELL GENERAL PRACTITIONER KOKINOS, CHARLES ACHARLES KOKINOS54 CHURCH ST LOWELL, MA 01852(978)454-7791Provider #229421 LYNN GENERAL PRACTITIONER KRAVETSKAYA, NATALYA INATALYA KRAVETSKAYA DMD PC30 STATE ST LYNN, MA 01901-1505(781)595-8606Provider #241641 PEDIATRIC DENTIST KOIDIN, MICHAEL BDRS PERLMAN & KOIDIN PC77 BROAD ST LYNN, MA 01902(781)599-2900Provider #159521

8

Providers are reimbursed for services on a capitated per member per month allowance

HYANNIS LYNNPrimary Care Dentists

Page 16: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

MALDEN GENERAL PRACTITIONER CARMICHAEL, FRANCIS ACARMICHAEL DENTISTRY INC11 DARTMOUTH ST STE 101 MALDEN, MA 02148(781)324-5210Provider #244405 MEDFORD GENERAL PRACTITIONER CHIKERSAL, SIMITA ASPEN DENTAL690 FELLSWAY MEDFORD, MA 02155(781)391-8979Provider #622426 FEREIDOUNI, AMIR ROMNIDENTIX289 MIDDLESEX AVE TOWN LINE PLAZAMEDFORD, MA 02155(781)396-6613Provider #265701 KAUR, MANPREET ASPEN DENTAL690 FELLSWAY MEDFORD, MA 02155(781)391-8979Provider #622426

NARLI-TRANGARIS, ESIN ASPEN DENTAL690 FELLSWAY MEDFORD, MA 02155(781)391-8979Provider #622426 PANAKANTI, RAJEEV ASPEN DENTAL690 FELLSWAY MEDFORD, MA 02155(781)391-8979Provider #622426 THOM, ABIGAIL EASPEN DENTAL690 FELLSWAY MEDFORD, MA 02155(781)391-8979Provider #622426 THOMPSON, MELISSA MASPEN DENTAL690 FELLSWAY MEDFORD, MA 02155(781)391-8979Provider #622426 UPADHYAY, DHWANI SASPEN DENTAL690 FELLSWAY MEDFORD, MA 02155(781)391-8979Provider #622426

ZUAITAR, MAAN ASPEN DENTAL690 FELLSWAY MEDFORD, MA 02155(781)391-8979Provider #622426 PEDIATRIC DENTIST MOBASHERAT, MOHAMMED EOMNIDENTIX289 MIDDLESEX AVE TOWN LINE PLAZAMEDFORD, MA 02155(781)396-6613Provider #265701 METHUEN GENERAL PRACTITIONER JHAMB, TARUN KASPEN DENTAL90 PLEASANT VALLEY ST UNIT 704 METHUEN, MA 01844(978)837-4400Provider #533183 KAUR, MANPREET ASPEN DENTAL90 PLEASANT VALLEY ST UNIT 704 METHUEN, MA 01844(978)837-4400Provider #533183

MURPHY, CATHERINE ASPEN DENTAL90 PLEASANT VALLEY ST UNIT 704 METHUEN, MA 01844(978)837-4400Provider #533183 PRAKASH, MYTHILI GENTLE DENTAL ASSOC LLC40 JACKSON ST METHUEN, MA 01844-5000(978)682-0020Provider #265946 SONTAKKE, PRACHI SGENTLE DENTAL ASSOC LLC40 JACKSON ST METHUEN, MA 01844-5000(978)682-0020Provider #265946 THOM, ABIGAIL EASPEN DENTAL90 PLEASANT VALLEY ST UNIT 704 METHUEN, MA 01844(978)837-4400Provider #533183 MIDDLEBORO GENERAL PRACTITIONER MESSIER, PETER TPETER T MESSIER DDS PC259 CENTER ST MIDDLEBORO, MA 02346-2234(508)947-7758Provider #230917

9

Providers are reimbursed for services on a capitated per member per month allowance

MALDEN MIDDLEBOROPrimary Care Dentists

Page 17: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

NATICK GENERAL PRACTITIONER AHUJA, VARSHA GENTLE DENTAL ASSOC LLC1322 WORCESTER RD NATICK, MA 01760(508)655-2900Provider #170663 FITZGERALD, SCOTT JGENTLE DENTAL ASSOC LLC1322 WORCESTER RD NATICK, MA 01760(508)655-2900Provider #170663 GULATI, HARISH GENTLE DENTAL ASSOC LLC1322 WORCESTER RD NATICK, MA 01760(508)655-2900Provider #170663 KACHKA, MINNA YGENTLE DENTAL ASSOC LLC1322 WORCESTER RD NATICK, MA 01760(508)655-2900Provider #170663 PATEL, SHIMUL GENTLE DENTAL ASSOC LLC1322 WORCESTER RD NATICK, MA 01760(508)655-2900Provider #170663

NEW BEDFORD GENERAL PRACTITIONER MEDEIROS, PAUL MPAUL M MEDEIROS368 UNION ST NEW BEDFORD, MA 02740(508)993-8313Provider #181492 NEWTON GENERAL PRACTITIONER SNEIDER, RANDALL MRANDALL M SNEIDER313 WASHINGTON ST SUITE 217NEWTON, MA 02458-1626(617)332-9628Provider #130219 NORTH DARTMOUTH GENERAL PRACTITIONER LAZAROVA, VESSELA TALPHA DENTAL CENTER PC145-C FAUNCE CORNER RD NORTH DARTMOUTH, MA 02747(508)993-5900Provider #224446 SALEM, MUNAL ALPHA DENTAL CENTER PC145-C FAUNCE CORNER RD NORTH DARTMOUTH, MA 02747(508)993-5900Provider #224446

SARNER, LAWRENCE EALPHA DENTAL CENTER PC145-C FAUNCE CORNER RD NORTH DARTMOUTH, MA 02747(508)993-5900Provider #224446 SARNER, MELISSA BALPHA DENTAL CENTER PC145-C FAUNCE CORNER RD NORTH DARTMOUTH, MA 02747(508)993-5900Provider #224446 UNGER, THOMAS FALPHA DENTAL CENTER PC145-C FAUNCE CORNER RD NORTH DARTMOUTH, MA 02747(508)993-5900Provider #224446 PEABODY GENERAL PRACTITIONER GIAMARCO, MATTEO LGENTLE DENTAL ASSOC LLCONE MAIN ST PEABODY, MA 01960(978)532-2700Provider #210827

KANG, HYUN JGENTLE DENTAL ASSOC LLCONE MAIN ST PEABODY, MA 01960(978)532-2700Provider #210827 MANCINI, ANDREW HGENTLE DENTAL ASSOC LLCONE MAIN ST PEABODY, MA 01960(978)532-2700Provider #210827 MARENGI, ADAM RGENTLE DENTAL ASSOC LLCONE MAIN ST PEABODY, MA 01960(978)532-2700Provider #210827 UPADHYAY, DHWANI SASPEN DENTAL5 SYLVAN ST PEABODY, MA 01960(978)977-7979Provider #140058 PLYMOUTH GENERAL PRACTITIONER RIZKALLA, BAHAA SBAHAA RIZKALLA24 NORTH ST PLYMOUTH, MA 02360-3382(508)746-1840Provider #193872

10

Providers are reimbursed for services on a capitated per member per month allowance

NATICK PLYMOUTHPrimary Care Dentists

Page 18: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

RIZKALLA, KARIM BAHAA RIZKALLA24 NORTH ST PLYMOUTH, MA 02360-3382(508)746-1840Provider #193872 PROVINCETOWN GENERAL PRACTITIONER ANDREWS, CHERYL LOUTER CAPE HEALTH SERVICES INC49 HARRY KEMP WAY PROVINCETOWN, MA 02657(508)487-9395Provider #170924 LINSINBIGLER, LINDA MOUTER CAPE HEALTH SERVICES INC49 HARRY KEMP WAY PROVINCETOWN, MA 02657(508)487-9395Provider #170924 QUINCY GENERAL PRACTITIONER AL TIMIMI, ROUA TGENTLE DENTAL ASSOC LLC130 PARKINGWAY QUINCY, MA 02169(617)471-3600Provider #139104

FERNANDO, GAIL POFELIA V VILLANUEVA339 HANCOCK ST QUINCY, MA 02171-2438(617)328-4646Provider #245539 KAUR, MANPREET ASPEN DENTAL45 NEWPORT AVE QUINCY, MA 02171(617)773-9902Provider #596705 LE, HAN TOFELIA V VILLANUEVA339 HANCOCK ST QUINCY, MA 02171-2438(617)328-4646Provider #245539 LIU, I HAN I-HAN LIU PC1562 HANCOCK ST QUINCY, MA 02169(617)472-7499Provider #231398 ROOHI, SOBIA ASPEN DENTAL45 NEWPORT AVE QUINCY, MA 02171(617)773-9902Provider #596705

SADHNANI, MAHESH HASPEN DENTAL45 NEWPORT AVE QUINCY, MA 02171(617)773-9902Provider #596705 SAINI, NIDHU GENTLE DENTAL ASSOC LLC130 PARKINGWAY QUINCY, MA 02169(617)471-3600Provider #139104 SLESNICK, MICHAEL GENTLE DENTAL ASSOC LLC130 PARKINGWAY QUINCY, MA 02169(617)471-3600Provider #139104 SRINIVASAN, ARUN ASPEN DENTAL45 NEWPORT AVE QUINCY, MA 02171(617)773-9902Provider #596705 THOMAS, MARY ANNE SAADE MANAGEMENT CO INC875 SOUTHERN ARTERY QUINCY, MA 02169-7163(617)471-4449Provider #274529

VILLANUEVA, OFELIA VOFELIA V VILLANUEVA339 HANCOCK ST QUINCY, MA 02171-2438(617)328-4646Provider #245539 RAYNHAM GENERAL PRACTITIONER LAMA SHERPA, NEEMI ASPEN DENTAL500 SOUTH ST W RAYNHAM, MA 02767-5342(508)822-6565Provider #180672 ROOHI, SOBIA ASPEN DENTAL500 SOUTH ST W RAYNHAM, MA 02767-5342(508)822-6565Provider #180672 SRINIVASAN, ARUN ASPEN DENTAL500 SOUTH ST W RAYNHAM, MA 02767-5342(508)822-6565Provider #180672 TALATI, KHUSHBOO ASPEN DENTAL500 SOUTH ST W RAYNHAM, MA 02767-5342(508)822-6565Provider #180672

11

Providers are reimbursed for services on a capitated per member per month allowance

PLYMOUTH RAYNHAMPrimary Care Dentists

Page 19: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

THOM, ABIGAIL EASPEN DENTAL500 SOUTH ST W RAYNHAM, MA 02767-5342(508)822-6565Provider #180672 ROXBURY GENERAL PRACTITIONER ABOOD, RANA HUSAM AL-KHATEEB770 TREMONT ST ROXBURY, MA 02118(617)859-3939Provider #251983 AL-KHATEEB, HUSAM HUSAM AL-KHATEEB770 TREMONT ST ROXBURY, MA 02118(617)859-3939Provider #251983 SALEM GENERAL PRACTITIONER GARBER, SLAVIC GARBER FAMILY DENTISTRY249 LAFAYETTE ST SALEM, MA 01970-4776(978)744-8495Provider #245729

SAUGUS GENERAL PRACTITIONER BRUBAKER, ASHLEY LGENTLE DENTAL ASSOC LLC1423 BROADWAY SAUGUS, MA 01906-4707(781)941-2900Provider #170832 KAUR, MANPREET ASPEN DENTAL737 BROADWAY RTE 1 SAUGUS, MA 01906(781)231-2100Provider #570345 KOENIGSBERG, REBECCA GENTLE DENTAL ASSOC LLC1423 BROADWAY SAUGUS, MA 01906-4707(781)941-2900Provider #170832 NARLI-TRANGARIS, ESIN ASPEN DENTAL737 BROADWAY RTE 1 SAUGUS, MA 01906(781)231-2100Provider #570345 PARRELLA, ANTHONY GENTLE DENTAL ASSOC LLC1423 BROADWAY SAUGUS, MA 01906-4707(781)941-2900Provider #170832

PIETRANTONI, ANNA PGENTLE DENTAL ASSOC LLC1423 BROADWAY SAUGUS, MA 01906-4707(781)941-2900Provider #170832 THOMPSON, MELISSA MASPEN DENTAL737 BROADWAY RTE 1 SAUGUS, MA 01906(781)231-2100Provider #570345 UPADHYAY, DHWANI SASPEN DENTAL737 BROADWAY RTE 1 SAUGUS, MA 01906(781)231-2100Provider #570345 ZUAITAR, MAAN ASPEN DENTAL737 BROADWAY RTE 1 SAUGUS, MA 01906(781)231-2100Provider #570345 SEEKONK GENERAL PRACTITIONER JAGADEESH, ASWINI KASPEN DENTAL ASSOCIATES OF NE PC20 COMMERCE WAY SEEKONK, MA 02771-5823(508)336-6700Provider #178381

PATEL, CHIRAG AASPEN DENTAL ASSOCIATES OF NE PC20 COMMERCE WAY SEEKONK, MA 02771-5823(508)336-6700Provider #178381 SOUTH EASTON GENERAL PRACTITIONER PAYNE, SAUL RSAUL R PAYNE855 WASHINGTON ST SOUTH EASTON, MA 02375(508)238-1515Provider #175070 STOUGHTON GENERAL PRACTITIONER KELLEHER, ROBERT PGENTLE DENTAL ASSOC LLC341 WASHINGTON ST STOUGHTON, MA 02072(781)341-3700Provider #194705 MA, SUSAN GENTLE DENTAL ASSOC LLC341 WASHINGTON ST STOUGHTON, MA 02072(781)341-3700Provider #194705

12

Providers are reimbursed for services on a capitated per member per month allowance

RAYNHAM STOUGHTONPrimary Care Dentists

Page 20: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

TAUNTON GENERAL PRACTITIONER CHAUDHRY, SHABANA MTAUNTON COSMETIC DENTISTRY24 DEAN ST TAUNTON, MA 02780-2775(508)822-6440Provider #588097 MESSIER, PETER TTAUNTON COSMETIC DENTISTRY24 DEAN ST TAUNTON, MA 02780-2775(508)822-6440Provider #588097 WAKEFIELD GENERAL PRACTITIONER AMIN, SAISHREE GENTLE DENTAL ASSOC LLC409 MAIN ST WAKEFIELD, MA 01880(781)224-0021Provider #226332 CIANCARELLI, NICHOLAS TGENTLE DENTAL ASSOC LLC409 MAIN ST WAKEFIELD, MA 01880(781)224-0021Provider #226332

REVAH, SIGAL GENTLE DENTAL ASSOC LLC409 MAIN ST WAKEFIELD, MA 01880(781)224-0021Provider #226332 WALTHAM GENERAL PRACTITIONER DASSA, YONATHAN GENTLE DENTAL ASSOC LLC879 MAIN ST WALTHAM, MA 02451(781)899-3700Provider #154851 GIRSCHEK, ROBERT GENTLE DENTAL ASSOC LLC879 MAIN ST WALTHAM, MA 02451(781)899-3700Provider #154851 HRAIZ, ANTOINE GGENTLE DENTAL ASSOC LLC879 MAIN ST WALTHAM, MA 02451(781)899-3700Provider #154851

WATERTOWN GENERAL PRACTITIONER BASTAJIAN, LEON BLEON B BASTAJIAN521 MT AUBURN ST NO 207 WATERTOWN, MA 02472(617)926-1146Provider #196860 WEST ROXBURY GENERAL PRACTITIONER KACHKA, MINNA YGENTLE DENTAL ASSOC LLC1852 CENTRE ST WEST ROXBURY, MA 02132(617)325-3700Provider #223999 MADANI, REZA MGENTLE DENTAL ASSOC LLC1852 CENTRE ST WEST ROXBURY, MA 02132(617)325-3700Provider #223999 ROZANSKI, STANLEY JGENTLE DENTAL ASSOC LLC1852 CENTRE ST WEST ROXBURY, MA 02132(617)325-3700Provider #223999

WEST SPRINGFIELD GENERAL PRACTITIONER DERMESROPIAN, CAROL MASPEN DENTAL935 RIVERDALE ST WEST SPRINGFIELD, MA 01089-4656(413)737-1800Provider #220692 DERMESROPIAN, PATRICK AASPEN DENTAL935 RIVERDALE ST WEST SPRINGFIELD, MA 01089-4656(413)737-1800Provider #220692 LEE, DANIEL ASPEN DENTAL935 RIVERDALE ST WEST SPRINGFIELD, MA 01089-4656(413)737-1800Provider #220692 PATEL, SONAL CASPEN DENTAL935 RIVERDALE ST WEST SPRINGFIELD, MA 01089-4656(413)737-1800Provider #220692

13

Providers are reimbursed for services on a capitated per member per month allowance

TAUNTON WEST SPRINGFIELDPrimary Care Dentists

Page 21: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

ZAHID, USMAN ASPEN DENTAL935 RIVERDALE ST WEST SPRINGFIELD, MA 01089-4656(413)737-1800Provider #220692 WEYMOUTH GENERAL PRACTITIONER SALEM, MUNAL WEYMOUTH FAMILY DENTAL CARE LLC1125 WASHINGTON ST WEYMOUTH, MA 02189(781)337-0973Provider #261210 WOBURN GENERAL PRACTITIONER CHIKERSAL, SIMITA ASPEN DENTAL ASSOCIATES3 ELM ST WOBURN, MA 01801-1813(781)932-1114Provider #217651 KAUR, MANPREET ASPEN DENTAL ASSOCIATES3 ELM ST WOBURN, MA 01801-1813(781)932-1114Provider #217651

PANAKANTI, RAJEEV ASPEN DENTAL ASSOCIATES3 ELM ST WOBURN, MA 01801-1813(781)932-1114Provider #217651 WORCESTER GENERAL PRACTITIONER YEGNESWARAN, MEENAKSHY MEENAKSHY YEGNESWARAN DMD101 PLEASANT ST STE 201 WORCESTER, MA 01609(508)752-2485Provider #189629

14

Providers are reimbursed for services on a capitated per member per month allowance

WEST SPRINGFIELD WORCESTERPrimary Care Dentists

Page 22: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

MASSACHUSETTS

AMESBURY ORTHODONTIST KRAMER, AMANDA GLEONARD ORTHODONTICS LLC43 SPARHAWK AVE AMESBURY, MA 01913(978)388-4411 LEONARD, JEFFREY LLEONARD ORTHODONTICS LLC43 SPARHAWK AVE AMESBURY, MA 01913(978)388-4411 LEONARD, THOMAS GLEONARD ORTHODONTICS LLC43 SPARHAWK AVE AMESBURY, MA 01913(978)388-4411 ANDOVER ORTHODONTIST KRAMER, AMANDA GLEONARD ORTHODONTICS LLC28 CHESTNUT ST STE 8 ANDOVER, MA 01810(978)470-3700 LEONARD, JEFFREY LLEONARD ORTHODONTICS LLC28 CHESTNUT ST STE 8 ANDOVER, MA 01810(978)470-3700

LEONARD, THOMAS GLEONARD ORTHODONTICS LLC28 CHESTNUT ST STE 8 ANDOVER, MA 01810(978)470-3700 ARLINGTON ORTHODONTIST VARALLO, DANIEL VARALLO ORTHODONTICS22 MILL ST #403 ARLINGTON, MA 02476(781)648-9200 ATTLEBORO ENDODONTIST GEGAMIAN, SAMUEL ASPEN DENTAL227 WASHINGTON ST ATTLEBORO, MA 02703(508)399-5432 ORAL SURGEON LEE, DAVID WASPEN DENTAL227 WASHINGTON ST ATTLEBORO, MA 02703(508)399-5432 PERIODONTIST SHAPIRO, MICHAEL MICHAEL L SHAPIRO DMD PC120 N MAIN ST NO 305 ATTLEBORO, MA 02703-2248(508)222-6850

AUBURN ENDODONTIST GEGAMIAN, SAMUEL ASPEN DENTAL434 SOUTHBRIDGE ST STE B AUBURN, MA 01501-4423(508)832-8705 LEAVELL, ASHLEY ASPEN DENTAL434 SOUTHBRIDGE ST STE B AUBURN, MA 01501-4423(508)832-8705 ORAL SURGEON LEE, DAVID WASPEN DENTAL434 SOUTHBRIDGE ST STE B AUBURN, MA 01501-4423(508)832-8705 BELMONT ORAL SURGEON ECKERT, BLAISE CBLAISE C ECKERT DDS68 LEONARD ST BELMONT, MA 02478-2522(617)484-5266 ORTHODONTIST ASKARI, MARJAN GENTLE DENTAL ASSOC LLC250 TRAPELO RD BELMONT, MA 02478(617)489-1900

BOSTON ORAL SURGEON AUGUST, MEREDITH MASS GENERAL PHYSICIAN ORGANIZAT55 FRUIT ST BOSTON, MA 02114(617)613-1425 AZZOUNI, LAITH SMAHMOUD EL HADIDY DMD PHD PC311 COMMONWEALTH AVE NO 10BOSTON, MA 02115(617)267-4777 CHAN, PATRICK KBOSTON ORAL AND FACIAL SURGERY LLC136 LINCOLN ST BOSTON, MA 02111(617)451-2111 CHUANG, SUNG KMASS GENERAL PHYSICIAN ORGANIZAT55 FRUIT ST BOSTON, MA 02114(617)613-1425 DONOFF, ROBERT BMASS GENERAL PHYSICIAN ORGANIZAT55 FRUIT ST BOSTON, MA 02114(617)613-1425

15

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

AMESBURY BOSTONSpecialists

Page 23: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

EL-HADIDY, MAHMOUD AMAHMOUD EL HADIDY DMD PHD PC311 COMMONWEALTH AVE NO 10BOSTON, MA 02115(617)267-4777 KABAN, LEONARD MASS GENERAL PHYSICIAN ORGANIZAT55 FRUIT ST BOSTON, MA 02114(617)613-1425 KEITH, DAVID MASS GENERAL PHYSICIAN ORGANIZAT55 FRUIT ST BOSTON, MA 02114(617)613-1425 LAHEY, EDWARD TMASS GENERAL PHYSICIAN ORGANIZAT55 FRUIT ST BOSTON, MA 02114(617)613-1425 PEACOCK, ZACHARY SMASS GENERAL PHYSICIAN ORGANIZAT55 FRUIT ST BOSTON, MA 02114(617)613-1425 SHAEFER, JEFFRY RMASS GENERAL PHYSICIAN ORGANIZAT55 FRUIT ST BOSTON, MA 02114(617)613-1425

SMITH-WILLIAMS, JENNIFER JENNIFER SMITH-WILLIAMS575 BOYLSTON ST BOSTON, MA 02116-3607(617)267-7002 TROULIS, MARIA MASS GENERAL PHYSICIAN ORGANIZAT55 FRUIT ST BOSTON, MA 02114(617)613-1425 ORTHODONTIST ASKARI, MARJAN GENTLE DENTAL ASSOC LLC368 W BROADWAY BOSTON, MA 02127-2272(617)269-0004 PERIODONTIST CHIANG, SHIH MEI JGENTLE DENTAL ASSOC LLC131 TREMONT ST BOSTON, MA 02111-1317(617)292-0500 BOXBORO ORTHODONTIST SIMON, ANNA KBOXBOROUGH ORTHODONTICS629 MASSACHUSETTS AVE BOXBORO, MA 01719-1528(978)264-9797

BRADFORD PERIODONTIST BIEBUYCK, JEAN-MARIE JEAN-MARIE BIEBUYCK412 SOUTH MAIN ST BRADFORD, MA 01835(978)521-4242 BRAINTREE PERIODONTIST CROWLEY, KATHLEEN KATHLEEN M CROWLEY409 POND STREET SUITE 7BRAINTREE, MA 02184(781)843-7570 BRIDGEWATER ENDODONTIST PELAYO, GEORGE ENDODONTIC HEALTH PC555 BEDFORD ST STE 3 BRIDGEWATER, MA 02324(508)697-0107 ORTHODONTIST ALEXANDER, RICHARD ARCH ORTHODONTICS PC152 SOUTH ST BRIDGEWATER, MA 02324(781)344-1150 BARONE, NICHOLAS PARCH ORTHODONTICS PC152 SOUTH ST BRIDGEWATER, MA 02324(781)344-1150

CHASE, ANDREW SARCH ORTHODONTICS PC152 SOUTH ST BRIDGEWATER, MA 02324(781)344-1150 CHAVEZ, ROBERT ARCH ORTHODONTICS PC152 SOUTH ST BRIDGEWATER, MA 02324(781)344-1150 COHEN, WENDY AARCH ORTHODONTICS PC152 SOUTH ST BRIDGEWATER, MA 02324(781)344-1150 GELNETT, JULIE ARCH ORTHODONTICS PC152 SOUTH ST BRIDGEWATER, MA 02324(781)344-1150 HUGHES, JANEEN MARCH ORTHODONTICS PC152 SOUTH ST BRIDGEWATER, MA 02324(781)344-1150 MARQUEZ, MARIA GARCH ORTHODONTICS PC152 SOUTH ST BRIDGEWATER, MA 02324(781)344-1150 TAYLOR, ROGER DARCH ORTHODONTICS PC152 SOUTH ST BRIDGEWATER, MA 02324(781)344-1150

16

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

BOSTON BRIDGEWATERSpecialists

Page 24: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

WOLAND, BRADLEY ARCH ORTHODONTICS PC152 SOUTH ST BRIDGEWATER, MA 02324(781)344-1150 BROCKTON ENDODONTIST GEGAMIAN, SAMUEL ASPEN DENTAL165 WESTGATE DR BROCKTON, MA 02301-1821(508)559-2300 ORAL SURGEON CATRAMBONE, RICHARD JORAL & MAXILLOFACIAL SURG INC830 OAK ST STE 101W BROCKTON, MA 02301-1168(508)586-5445 COYNE, JOHN FSOUTHEASTERN ORAL & MAXILLOFACIA951 NORTH MAIN ST BROCKTON, MA 02301-1552(508)588-0200 DOYLE, STEVEN WASPEN DENTAL165 WESTGATE DR BROCKTON, MA 02301-1821(508)559-2300 FERRARO, NALTON FORAL & MAXILLOFACIAL SURG INC830 OAK ST STE 101W BROCKTON, MA 02301-1168(508)586-5445

FRANGOS, JENNIFER ORAL & MAXILLOFACIAL SURG INC830 OAK ST STE 101W BROCKTON, MA 02301-1168(508)586-5445 GOVEIA, GERALD LBROCKTON ORAL & MAXILLO1351 MAIN ST BROCKTON, MA 02301-7153(508)587-2000 LEE, DAVID WASPEN DENTAL165 WESTGATE DR BROCKTON, MA 02301-1821(508)559-2300 MARINO, JOSEPH BROCKTON ORAL & MAXILLO1351 MAIN ST BROCKTON, MA 02301-7153(508)587-2000 REITZEL, JEFFREY DBROCKTON ORAL & MAXILLO1351 MAIN ST BROCKTON, MA 02301-7153(508)587-2000 VANISKY, EDWARD JORAL & MAXILLOFACIAL SURG INC830 OAK ST STE 101W BROCKTON, MA 02301-1168(508)586-5445

ORTHODONTIST ALEXANDER, RICHARD ARCH ORTHODONTICS PC348 N PEARL ST NO 3 BROCKTON, MA 02301(508)584-1166 BARONE, NICHOLAS PARCH ORTHODONTICS PC348 N PEARL ST NO 3 BROCKTON, MA 02301(508)584-1166 CHASE, ANDREW SARCH ORTHODONTICS PC348 N PEARL ST NO 3 BROCKTON, MA 02301(508)584-1166 CHAVEZ, ROBERT ARCH ORTHODONTICS PC348 N PEARL ST NO 3 BROCKTON, MA 02301(508)584-1166 COHEN, WENDY AARCH ORTHODONTICS PC348 N PEARL ST NO 3 BROCKTON, MA 02301(508)584-1166 DRIZEN, KENNETH BBROCKTON PEDIATRIC DENTISTRY AND OR304 PLEASANT ST BROCKTON, MA 02301(508)588-0094

GELNETT, JULIE ARCH ORTHODONTICS PC348 N PEARL ST NO 3 BROCKTON, MA 02301(508)584-1166 HUGHES, JANEEN MARCH ORTHODONTICS PC348 N PEARL ST NO 3 BROCKTON, MA 02301(508)584-1166 MARQUEZ, MARIA GARCH ORTHODONTICS PC348 N PEARL ST NO 3 BROCKTON, MA 02301(508)584-1166 MIAN, MICHELLE UARCH ORTHODONTICS PC348 N PEARL ST NO 3 BROCKTON, MA 02301(508)584-1166 PARSI, GOLI BROCKTON PEDIATRIC DENTISTRY AND OR304 PLEASANT ST BROCKTON, MA 02301(508)588-0094 STEINLE, SIRI DR SIRI STEINLE1058 NO MAIN ST BROCKTON, MA 02301(508)583-3171 TAYLOR, ROGER DARCH ORTHODONTICS PC348 N PEARL ST NO 3 BROCKTON, MA 02301(508)584-1166

17

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

BRIDGEWATER BROCKTONSpecialists

Page 25: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

WOLAND, BRADLEY ARCH ORTHODONTICS PC348 N PEARL ST NO 3 BROCKTON, MA 02301(508)584-1166 PERIODONTIST SHAPIRO, MICHAEL MICHAEL L SHAPIRO DMD PC838 PLEASANT ST BROCKTON, MA 02301-3055(508)586-6002 SILBERMAN, DON SDON S SILBERMAN DMD PC1245 BELMONT ST BROCKTON, MA 02301-4431(508)586-4759 BROOKLINE ORAL SURGEON LUCCA, MARIO SPROSTHODONTIC ASSOCIATES1037A BEACON ST BROOKLINE, MA 02446(617)232-1515 ORTHODONTIST LIN, YUNG BROOKLINE ORTHODONTIC ASSOCIATES323 BOYLSTON ST STE 2-104 BROOKLINE, MA 02445(617)566-1775

PERIODONTIST VIDONE, LINDA SLINDA VIDONE DMD1037 BEACON ST NO 2A BROOKLINE, MA 02446(617)738-7210 BUZZARDS BAY ORAL SURGEON LANGSTON, JOHN BRAVMAN LANGSTON & ASSOCIATES114 WATERHOUSE RD BUZZARDS BAY, MA 02532-8340(508)759-4495 CANTON ENDODONTIST WEINSTOCK, ERIC LCOBB CORNER ENDODONTICS PC95 WASHINGTON ST NO 482 CANTON, MA 02021(781)575-9633 ORTHODONTIST ALEXANDER, RICHARD ARCH ORTHODONTICS PC800 WASHINGTON ST CANTON, MA 02021-2562(781)575-1188 BARONE, NICHOLAS PARCH ORTHODONTICS PC800 WASHINGTON ST CANTON, MA 02021-2562(781)575-1188

CHASE, ANDREW SARCH ORTHODONTICS PC800 WASHINGTON ST CANTON, MA 02021-2562(781)575-1188 CHAVEZ, ROBERT ARCH ORTHODONTICS PC800 WASHINGTON ST CANTON, MA 02021-2562(781)575-1188 COHEN, WENDY AARCH ORTHODONTICS PC800 WASHINGTON ST CANTON, MA 02021-2562(781)575-1188 GELNETT, JULIE ARCH ORTHODONTICS PC800 WASHINGTON ST CANTON, MA 02021-2562(781)575-1188 HUGHES, JANEEN MARCH ORTHODONTICS PC800 WASHINGTON ST CANTON, MA 02021-2562(781)575-1188 MARQUEZ, MARIA GARCH ORTHODONTICS PC800 WASHINGTON ST CANTON, MA 02021-2562(781)575-1188 MIAN, MICHELLE UARCH ORTHODONTICS PC800 WASHINGTON ST CANTON, MA 02021-2562(781)575-1188

TAYLOR, ROGER DARCH ORTHODONTICS PC800 WASHINGTON ST CANTON, MA 02021-2562(781)575-1188 WOLAND, BRADLEY ARCH ORTHODONTICS PC800 WASHINGTON ST CANTON, MA 02021-2562(781)575-1188 CHELMSFORD ENDODONTIST TRUONG, DUC HASPEN DENTAL265 CHELMSFORD ST CHELMSFORD, MA 01824-2332(978)256-1717 ORAL SURGEON LEE, DAVID WASPEN DENTAL265 CHELMSFORD ST CHELMSFORD, MA 01824-2332(978)256-1717 ORTHODONTIST LALA, AMITABHA ORTHODONTIC ASSOCIATES OF NEW ENGLA201 CHELMSFORD ST CHELMSFORD, MA 01824-2359(978)250-1961

18

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

BROCKTON CHELMSFORDSpecialists

Page 26: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

METCALF, JAMES ORTHODONTIC ASSOCIATES OF NEW ENGLA201 CHELMSFORD ST CHELMSFORD, MA 01824-2359(978)250-1961 DANVERS ORAL SURGEON SHERWOOD, KEITH HKEITH SHERWOOD DDS LLC80 LINDALL ST NO 4 DANVERS, MA 01923(978)777-0505 PERIODONTIST OGRADY, ALAN MALAN M OGRADY36 CONANT ST DANVERS, MA 01923-2954(978)777-1670 DEDHAM ENDODONTIST GEGAMIAN, SAMUEL ASPEN DENTAL162 PROVIDENCE HWY DEDHAM, MA 02026(781)761-0666 ORAL SURGEON DOYLE, STEVEN WASPEN DENTAL162 PROVIDENCE HWY DEDHAM, MA 02026(781)761-0666

HERMAN, KURT TNEPONSET VALLEY ORAL AND MAXILLOFAC20 EAST BROOK RD STE 301 DEDHAM, MA 02026(781)326-8080 HERMAN, LAWRENCE TNEPONSET VALLEY ORAL AND MAXILLOFAC20 EAST BROOK RD STE 301 DEDHAM, MA 02026(781)326-8080 LEE, DAVID WASPEN DENTAL162 PROVIDENCE HWY DEDHAM, MA 02026(781)761-0666 MEMORY, ROBERT JNEPONSET VALLEY ORAL AND MAXILLOFAC20 EAST BROOK RD STE 301 DEDHAM, MA 02026(781)326-8080 RUNNELS, SARA HNEPONSET VALLEY ORAL AND MAXILLOFAC20 EAST BROOK RD STE 301 DEDHAM, MA 02026(781)326-8080

ORTHODONTIST ABDALLAH, EMAD FELITE ORTHODONTICS LLC109 EASTERN AVE DEDHAM, MA 02026(781)686-1733 EAST LONGMEADOW ENDODONTIST TUCKER, JYOTIKA ASPEN DENTAL ASSOC OF N E PC434 NORTH MAIN ST EAST LONGMEADOW, MA 01028(413)526-9901 ORAL SURGEON ABUNASRA, NAZEEH JASPEN DENTAL ASSOC OF N E PC434 NORTH MAIN ST EAST LONGMEADOW, MA 01028(413)526-9901 ORTHODONTIST SANTANIELLO, GIUSEPPE G P SANTANIELLOMEADOW PLACE 200 N MAIN ST STE 102EAST LONGMEADOW, MA 01028(413)525-9830

EAST WALPOLE ORTHODONTIST LIN, YUNG UNIDENT DENTAL CENTERWALPOLE MALL 90 PROVIDENCE HWY F310EAST WALPOLE, MA 02032(508)668-1151 EVERETT ORTHODONTIST SALEM, KARIM EVERETT ORTHODONTICS599 BROADWAY EVERETT, MA 02149(617)389-1516 FALL RIVER ENDODONTIST MALLEGOL, PAMELA RASPEN DENTAL ASSOC OF N E PC90 WILLIAM S CANNING BOULEVARD FALL RIVER, MA 02721(508)730-1800 ORAL SURGEON LEE, DAVID WASPEN DENTAL ASSOC OF N E PC90 WILLIAM S CANNING BOULEVARD FALL RIVER, MA 02721(508)730-1800

19

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

CHELMSFORD FALL RIVERSpecialists

Page 27: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

ORTHODONTIST BRACKMAN, JOSEPH LSOUTH COAST ORTHODONTICS888 MAPLE ST FALL RIVER, MA 02720(508)324-9600 PERIODONTIST CROWLEY, KATHLEEN KATHLEEN CROWLEY180 ELSBREE ST FALL RIVER, MA 02720(508)672-1069 FALMOUTH ORAL SURGEON BRAVMAN, RICHARD JBRAVMAN LANGSTON & ASSOCIATES236 MAIN ST FALMOUTH, MA 02540(508)495-3700 LANGSTON, JOHN BRAVMAN LANGSTON & ASSOCIATES236 MAIN ST FALMOUTH, MA 02540(508)495-3700 FITCHBURG ORTHODONTIST KREBS, LINDA JCENTRAL ORTHODONTIC ASSOCIATES100 WHALON ST NO 1A FITCHBURG, MA 01420-7162(978)345-6911

PARKER STEIMEL, JODI CENTRAL ORTHODONTIC ASSOCIATES100 WHALON ST NO 1A FITCHBURG, MA 01420-7162(978)345-6911 ROTH, BENJAMIN JCENTRAL ORTHODONTIC ASSOCIATES100 WHALON ST NO 1A FITCHBURG, MA 01420-7162(978)345-6911 FRAMINGHAM ORAL SURGEON HALTOM, KATHERINE KATHERINE HALTOM223 WALNUT ST NO 2 FRAMINGHAM, MA 01702(508)879-8004 FRANKLIN PERIODONTIST PAPPAS, ANTHONY PAPPAS & WALSH LLP38 POND ST STE 207 FRANKLIN, MA 02038(508)520-0400 SHANNON, PATRICK CPAPPAS & WALSH LLP38 POND ST STE 207 FRANKLIN, MA 02038(508)520-0400

WALSH, ROBERT BPAPPAS & WALSH LLP38 POND ST STE 207 FRANKLIN, MA 02038(508)520-0400 HANOVER ENDODONTIST MALLEGOL, PAMELA RASPEN DENTAL1207 WASHINGTON ST STE 40 HANOVER, MA 02339-1683(781)826-3880 ORAL SURGEON LEE, DAVID WASPEN DENTAL1207 WASHINGTON ST STE 40 HANOVER, MA 02339-1683(781)826-3880 ORTHODONTIST LIN, YUNG UNIDENT DENTAL CENTER1775 WASHINGTON ST HANOVER, MA 02339(781)826-8866 PERIODONTIST SOLOWSKY, ALAN DUNIDENT DENTAL CENTER1775 WASHINGTON ST HANOVER, MA 02339(781)826-8866

HAVERHILL ORTHODONTIST CARDARELLI, JOSEPH JOSEPH CARDARELLI JR234 SUMMER ST HAVERHILL, MA 01830(978)372-4172 HYANNIS ORAL SURGEON BRAVMAN, RICHARD JBRAVMAN LANGSTON & ASSOCIATES68 CAMP ST HYANNIS, MA 02601-3048(508)771-6665 WYGONSKI, ROBERT JCAPE AND ISLANDS ORAL AND MAXILLOFA700 ATTUCKS LANE NO 2E HYANNIS, MA 02601(508)775-5676 ORTHODONTIST ALEXANDER, RICHARD ARCH ORTHODONTICS PC297 WINTER STREET HYANNIS, MA 02601(508)775-1401 BARONE, NICHOLAS PARCH ORTHODONTICS PC297 WINTER STREET HYANNIS, MA 02601(508)775-1401

20

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

FALL RIVER HYANNISSpecialists

Page 28: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

CHASE, ANDREW SARCH ORTHODONTICS PC297 WINTER STREET HYANNIS, MA 02601(508)775-1401 CHAVEZ, ROBERT ARCH ORTHODONTICS PC297 WINTER STREET HYANNIS, MA 02601(508)775-1401 COHEN, WENDY AARCH ORTHODONTICS PC297 WINTER STREET HYANNIS, MA 02601(508)775-1401 HUGHES, JANEEN MARCH ORTHODONTICS PC297 WINTER STREET HYANNIS, MA 02601(508)775-1401 MARQUEZ, MARIA GARCH ORTHODONTICS PC297 WINTER STREET HYANNIS, MA 02601(508)775-1401 MIAN, MICHELLE UARCH ORTHODONTICS PC297 WINTER STREET HYANNIS, MA 02601(508)775-1401 TAYLOR, ROGER DARCH ORTHODONTICS PC297 WINTER STREET HYANNIS, MA 02601(508)775-1401

WOLAND, BRADLEY ARCH ORTHODONTICS PC297 WINTER STREET HYANNIS, MA 02601(508)775-1401 HYDE PARK ORTHODONTIST ALEXANDER, RICHARD ARCH ORTHODONTICS PC1259 HYDE PARK AVE HYDE PARK, MA 02136-2817(617)364-2161 BARONE, NICHOLAS PARCH ORTHODONTICS PC1259 HYDE PARK AVE HYDE PARK, MA 02136-2817(617)364-2161 CHASE, ANDREW SARCH ORTHODONTICS PC1259 HYDE PARK AVE HYDE PARK, MA 02136-2817(617)364-2161 CHAVEZ, ROBERT ARCH ORTHODONTICS PC1259 HYDE PARK AVE HYDE PARK, MA 02136-2817(617)364-2161 COHEN, WENDY AARCH ORTHODONTICS PC1259 HYDE PARK AVE HYDE PARK, MA 02136-2817(617)364-2161

GELNETT, JULIE ARCH ORTHODONTICS PC1259 HYDE PARK AVE HYDE PARK, MA 02136-2817(617)364-2161 HUGHES, JANEEN MARCH ORTHODONTICS PC1259 HYDE PARK AVE HYDE PARK, MA 02136-2817(617)364-2161 MARQUEZ, MARIA GARCH ORTHODONTICS PC1259 HYDE PARK AVE HYDE PARK, MA 02136-2817(617)364-2161 MIAN, MICHELLE UARCH ORTHODONTICS PC1259 HYDE PARK AVE HYDE PARK, MA 02136-2817(617)364-2161 TAYLOR, ROGER DARCH ORTHODONTICS PC1259 HYDE PARK AVE HYDE PARK, MA 02136-2817(617)364-2161 WOLAND, BRADLEY ARCH ORTHODONTICS PC1259 HYDE PARK AVE HYDE PARK, MA 02136-2817(617)364-2161

LEOMINSTER ENDODONTIST DONATI, ROMEO RROMEO R DONATI DMD1355 CENTRAL ST LEOMINSTER, MA 01453-5970(978)537-4626 GEGAMIAN, SAMUEL ASPEN DENTAL14 COMMERCIAL RD LEOMINSTER, MA 01453(978)840-9900 ORAL SURGEON ABUNASRA, NAZEEH JASPEN DENTAL14 COMMERCIAL RD LEOMINSTER, MA 01453(978)840-9900 PERIODONTIST MCLAUGHLIN, STEPHEN STEPHEN MCLAUGHLIN96 MAIN ST LEOMINSTER, MA 01453(978)534-5089 LONGMEADOW PERIODONTIST STIEFEL, DANIEL BCRESTAL HEALTH PERIODONTICS PC813 WILLIAM ST STE 210 LONGMEADOW, MA 01106(413)565-2229

21

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

HYANNIS LONGMEADOWSpecialists

Page 29: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

LOWELL ORAL SURGEON BACOS, CHRISTOS MERRIMACK VALLEY ORAL33 BARTLETT ST LOWELL, MA 01852-1334(978)454-5637 ESBAH-TABATABAIE, HAMID MERRIMACK VALLEY ORAL33 BARTLETT ST LOWELL, MA 01852-1334(978)454-5637 HORNUNG, NEIL SMERRIMACK VALLEY ORAL33 BARTLETT ST LOWELL, MA 01852-1334(978)454-5637 TARRO, ALLEN WMERRIMACK VALLEY ORAL33 BARTLETT ST LOWELL, MA 01852-1334(978)454-5637 ORTHODONTIST BEDNARZ, ALANA JAMITABHA LALA DDS PC517 ROGERS ST LOWELL, MA 01852(978)454-0977 LALA, AMITABHA AMITABHA LALA DDS PC517 ROGERS ST LOWELL, MA 01852(978)454-0977

SALEM, KARIM METROPOLITAN ORTHODONTICS19 BRIDGE ST LOWELL, MA 01850(978)452-3100 LYNN ENDODONTIST KAFRI, RAYAN NATALYA KRAVETSKAYA DMD PC30 STATE ST LYNN, MA 01901-1505(781)595-8606 SPIEGEL, ONIR LNATALYA KRAVETSKAYA DMD PC30 STATE ST LYNN, MA 01901-1505(781)595-8606 MANSFIELD ORAL SURGEON TURESKY, JON JON TURESKY DMD PC100 COPELAND DR MANSFIELD, MA 02048-1245(508)543-3754 PERIODONTIST MORRIS, ALAN LALAN L MORRIS100 COPELAND DR MANSFIELD, MA 02048-1245(508)543-9292

MARLBOROUGH ENDODONTIST OLLERHEAD, THOMAS RMARLBOROUGH ENDODONTICS126 UNION ST STE 6 MARLBOROUGH, MA 01752-1207(508)787-0070 ORTHODONTIST CARVALHO, ROBERTO SCARVALHO AND ROTH ORTHODONTICS LLP126 UNION ST MARLBOROUGH, MA 01752-1207(508)485-8788 ROTH, MENACHEM DCARVALHO AND ROTH ORTHODONTICS LLP126 UNION ST MARLBOROUGH, MA 01752-1207(508)485-8788 PERIODONTIST PAPPAS, ANTHONY PAPPAS & WALSH LLP126 UNION ST MARLBOROUGH, MA 01752-1207(508)481-6028 SHANNON, PATRICK CPAPPAS & WALSH LLP126 UNION ST MARLBOROUGH, MA 01752-1207(508)481-6028

WALSH, ROBERT BPAPPAS & WALSH LLP126 UNION ST MARLBOROUGH, MA 01752-1207(508)481-6028 XU, WANPENG PAPPAS & WALSH LLP126 UNION ST MARLBOROUGH, MA 01752-1207(508)481-6028 MEDFIELD ORTHODONTIST GLICK, GEOFFREY MDR STARR AND DR GLICK16 PARK ST MEDFIELD, MA 02052(508)359-2576 PARKER STEIMEL, JODI MEDFIELD ORTHODONTIC ASSOCIATES INC266 MAIN STREET NO 32A MEDFIELD, MA 02052(508)359-1989 STARR, STANLEY DR STARR AND DR GLICK16 PARK ST MEDFIELD, MA 02052(508)359-2576

22

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

LOWELL MEDFIELDSpecialists

Page 30: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

MEDFORD ENDODONTIST EMAMI, BARMACK OMNIDENTIX289 MIDDLESEX AVE TOWN LINE PLAZAMEDFORD, MA 02155(781)396-6613 GEGAMIAN, SAMUEL ASPEN DENTAL690 FELLSWAY MEDFORD, MA 02155(781)391-8979 TRUONG, DUC HASPEN DENTAL690 FELLSWAY MEDFORD, MA 02155(781)391-8979 TRUONG, DUC HMEDFORD ENDODONTICS LLCO GOVERNORS AVE STE 30 MEDFORD, MA 02155(781)391-5100 WANG, MARK GMEDFORD ENDODONTICS LLCO GOVERNORS AVE STE 30 MEDFORD, MA 02155(781)391-5100 ORAL SURGEON DOYLE, STEVEN WASPEN DENTAL690 FELLSWAY MEDFORD, MA 02155(781)391-8979

JOYCE, LAWRENCE WMEDFORD ORAL SURGERY ASSOC689 FELLSWAY MEDFORD, MA 02155-4931(781)395-3100 ORTHODONTIST CUGINE, GWENDOLYN AGWENDOLYN A CUGINE DMD47 FOREST ST MEDFORD, MA 02155(781)391-2800 RAJAEI, AHMADREZA AOMNIDENTIX289 MIDDLESEX AVE TOWN LINE PLAZAMEDFORD, MA 02155(781)396-6613 PERIODONTIST COONEY, JALEH AJALEH COONEY92 HIGH ST NO 32B MEDFORD, MA 02155-3850(781)395-7841 LEVY, PAUL FPAUL F LEVY DDS PC84 HIGH ST NO 204 MEDFORD, MA 02155(781)395-2000 MAHOOZI, AMIR OMNIDENTIX289 MIDDLESEX AVE TOWN LINE PLAZAMEDFORD, MA 02155(781)396-6613

METHUEN ENDODONTIST TRUONG, DUC HASPEN DENTAL90 PLEASANT VALLEY ST UNIT 704 METHUEN, MA 01844(978)837-4400 ORAL SURGEON DOYLE, STEVEN WASPEN DENTAL90 PLEASANT VALLEY ST UNIT 704 METHUEN, MA 01844(978)837-4400 LEE, DAVID WASPEN DENTAL90 PLEASANT VALLEY ST UNIT 704 METHUEN, MA 01844(978)837-4400 ORTHODONTIST KO, BRIDGET EMICHAEL H CHOW DDS49 LAWRENCE ST METHUEN, MA 01844-4446(978)689-9777 MILFORD ORAL SURGEON OUANO, JOHN PMETROWEST ORAL SURGICAL ASO113 WATER ST NO 104 MILFORD, MA 01757(508)473-7900

PITTMAN, STEVEN VMETROWEST ORAL SURGICAL ASO113 WATER ST NO 104 MILFORD, MA 01757(508)473-7900 YOUSEFF, WAEL METROWEST ORAL SURGICAL ASO113 WATER ST NO 104 MILFORD, MA 01757(508)473-7900 ORTHODONTIST CARBONNEAU, HENRI PMILFORD ORTHODONTIC ASSOCIATES INC189 MAIN ST MILFORD, MA 01757-2627(508)473-4220 NEWTON ORTHODONTIST CARVALHO, ROBERTO SNEWTON CENTRE ORTHODONTICS PC4 LYMAN ST NEWTON, MA 02459(617)332-2434 ROTH, MENACHEM DNEWTON CENTRE ORTHODONTICS PC4 LYMAN ST NEWTON, MA 02459(617)332-2434

23

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

MEDFORD NEWTONSpecialists

Page 31: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

PERIODONTIST SOLOWSKY, ALAN DALAN D SOLOWSKY DDS118 MEADOWBROOK RD NEWTON, MA 02459(617)965-1288 NORTH ANDOVER ORTHODONTIST KRAMER, AMANDA GLEONARD ORTHODONTICS LLC797 TURNPIKE ST NORTH ANDOVER, MA 01845-6130(978)687-3500 LEONARD, JEFFREY LLEONARD ORTHODONTICS LLC797 TURNPIKE ST NORTH ANDOVER, MA 01845-6130(978)687-3500 LEONARD, THOMAS GLEONARD ORTHODONTICS LLC797 TURNPIKE ST NORTH ANDOVER, MA 01845-6130(978)687-3500 NORTH ATTLEBORO ORAL SURGEON BANKI, MOHAMMAD MSL FACIAL & ORAL SURGERY LLC17 N WASHINGTON ST NORTH ATTLEBORO, MA 02760(508)699-9499

PALETTA, FRANK MSL FACIAL & ORAL SURGERY LLC17 N WASHINGTON ST NORTH ATTLEBORO, MA 02760(508)699-9499 NORTH DARTMOUTH ORAL SURGEON LEE, DAVID WASPEN DENTAL25A FAUNCE CORNER RD NORTH DARTMOUTH, MA 02747(508)999-5558 PERIODONTIST CROWLEY, KATHLEEN KATHLEEN CROWLEY516 HAWTHORN ST STE 1NORTH DARTMOUTH, MA 02747-3733(508)992-0339 NORTH WALTHAM ENDODONTIST BATSEVITSKY, BELLA APREMIER ENDODONTICS LLC271 WAVERLY OAKS RD STE 101 NORTH WALTHAM, MA 02452(781)642-7500

JONES, ELIZABETH CPREMIER ENDODONTICS LLC271 WAVERLY OAKS RD STE 101 NORTH WALTHAM, MA 02452(781)642-7500 NORTHAMPTON PERIODONTIST STIEFEL, DANIEL BCRESTAL HEALTH PERIODONTICS PC243 KING ST NO 242 NORTHAMPTON, MA 01060(413)584-2229 NORTHBOROUGH ORAL SURGEON OUANO, JOHN PMETROWEST ORAL SURGICAL ASO172 MAIN ST NORTHBOROUGH, MA 01532(508)393-1223 PITTMAN, STEVEN VMETROWEST ORAL SURGICAL ASO172 MAIN ST NORTHBOROUGH, MA 01532(508)393-1223 YOUSEFF, WAEL METROWEST ORAL SURGICAL ASO172 MAIN ST NORTHBOROUGH, MA 01532(508)393-1223

ORTHODONTIST CARVALHO, ROBERTO SNORTHBORO ORTHODONTIC SPECIALISTS P1 E MAIN ST NORTHBOROUGH, MA 01532-1662(508)393-5400 ROTH, MENACHEM DNORTHBORO ORTHODONTIC SPECIALISTS P1 E MAIN ST NORTHBOROUGH, MA 01532-1662(508)393-5400 NORWELL ORAL SURGEON CATAUDELLA, JOHN CORAL SURGERY SOUTH PC80 WASHINGTON ST N51 NORWELL, MA 02061(781)871-1677 COLTON, TIMOTHY STIMOTHY COLTON DDS164 WASHINGTON STREET NO 102 NORWELL, MA 02061(781)871-7800 LEIBOVICI, JOSEPH SORAL SURGERY SOUTH PC80 WASHINGTON ST N51 NORWELL, MA 02061(781)871-1677

24

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

NEWTON NORWELLSpecialists

Page 32: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

LINCOLN, ROBERT EORAL SURGERY SOUTH PC80 WASHINGTON ST N51 NORWELL, MA 02061(781)871-1677 RUBEIZ, TANIOS MORAL SURGERY SOUTH PC80 WASHINGTON ST N51 NORWELL, MA 02061(781)871-1677 NORWOOD ORAL SURGEON TURESKY, JON JON TURESKY DMD PC1 WALPOLE ST NORWOOD, MA 02062-3315(781)762-7077 PERIODONTIST MORRIS, ALAN LALAN L MORRIS761 WASHINGTON ST PO BOX 581NORWOOD, MA 02062(781)762-9292 ORLEANS ORTHODONTIST ALEXANDER, RICHARD ARCH ORTHODONTICS PC48 ELDREDGE PARKWAY ORLEANS, MA 02653(508)255-7518

BARONE, NICHOLAS PARCH ORTHODONTICS PC48 ELDREDGE PARKWAY ORLEANS, MA 02653(508)255-7518 CHASE, ANDREW SARCH ORTHODONTICS PC48 ELDREDGE PARKWAY ORLEANS, MA 02653(508)255-7518 CHAVEZ, ROBERT ARCH ORTHODONTICS PC48 ELDREDGE PARKWAY ORLEANS, MA 02653(508)255-7518 COHEN, WENDY AARCH ORTHODONTICS PC48 ELDREDGE PARKWAY ORLEANS, MA 02653(508)255-7518 HUGHES, JANEEN MARCH ORTHODONTICS PC48 ELDREDGE PARKWAY ORLEANS, MA 02653(508)255-7518 MARQUEZ, MARIA GARCH ORTHODONTICS PC48 ELDREDGE PARKWAY ORLEANS, MA 02653(508)255-7518

MIAN, MICHELLE UARCH ORTHODONTICS PC48 ELDREDGE PARKWAY ORLEANS, MA 02653(508)255-7518 TAYLOR, ROGER DARCH ORTHODONTICS PC48 ELDREDGE PARKWAY ORLEANS, MA 02653(508)255-7518 WOLAND, BRADLEY ARCH ORTHODONTICS PC48 ELDREDGE PARKWAY ORLEANS, MA 02653(508)255-7518 PEABODY ENDODONTIST TRUONG, DUC HADVANCED ENDODONTIC ASSOCIATES PC39 CROSS ST STE 304 PEABODY, MA 01960(978)531-3400 WANG, MARK GADVANCED ENDODONTIC ASSOCIATES PC39 CROSS ST STE 304 PEABODY, MA 01960(978)531-3400

PITTSFIELD ORTHODONTIST ODONNELL, WILLIAM WILLIAM ODONNELL262 SOUTH ST PITTSFIELD, MA 01201-6989(413)443-0703 PLYMOUTH ORAL SURGEON CATAUDELLA, JOHN CORAL SURGERY SOUTH PC49 OBERY ST PLYMOUTH, MA 02360(508)746-1614 LEIBOVICI, JOSEPH SORAL SURGERY SOUTH PC49 OBERY ST PLYMOUTH, MA 02360(508)746-1614 LINCOLN, ROBERT EORAL SURGERY SOUTH PC49 OBERY ST PLYMOUTH, MA 02360(508)746-1614 RUBEIZ, TANIOS MORAL SURGERY SOUTH PC49 OBERY ST PLYMOUTH, MA 02360(508)746-1614

25

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

NORWELL PLYMOUTHSpecialists

Page 33: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

QUINCY ENDODONTIST EMAMI, BARMACK QUINCY CENTER FOR ENDODONTICS234 COPELAND ST STE 310 QUINCY, MA 02169(617)472-4606 GEGAMIAN, SAMUEL ASPEN DENTAL45 NEWPORT AVE QUINCY, MA 02171(617)773-9902 ORAL SURGEON CATAUDELLA, JOHN CORAL SURGERY SOUTH PC24 QUINCY AVE QUINCY, MA 02169(617)773-5656 DOYLE, STEVEN WASPEN DENTAL45 NEWPORT AVE QUINCY, MA 02171(617)773-9902 GARBER, ROBERT EROBERT E GARBER500 CONGRESS ST NO 3D QUINCY, MA 02169(617)773-9900 LEE, DAVID WASPEN DENTAL45 NEWPORT AVE QUINCY, MA 02171(617)773-9902

LINCOLN, ROBERT EORAL SURGERY SOUTH PC24 QUINCY AVE QUINCY, MA 02169(617)773-5656 RUBEIZ, TANIOS MORAL SURGERY SOUTH PC24 QUINCY AVE QUINCY, MA 02169(617)773-5656 ORTHODONTIST DING, YONG YONG DING DMD LLC909 HANCOCK ST QUINCY, MA 02170(617)471-0394 PERIODONTIST MAHOOZI, AMIR GENTLE DENTAL ASSOC LLC130 PARKINGWAY QUINCY, MA 02169(617)471-3600 RANDOLPH ORAL SURGEON GARBER, ROBERT EROBERT E GARBERFRANK LEARY WAY RANDOLPH, MA 02368(781)961-5330

ORTHODONTIST ALEXANDER, RICHARD ARCH ORTHODONTICS PC4 FRANK LEARY WAY RANDOLPH, MA 02368-4512(781)963-4335 BARONE, NICHOLAS PARCH ORTHODONTICS PC4 FRANK LEARY WAY RANDOLPH, MA 02368-4512(781)963-4335 CHASE, ANDREW SARCH ORTHODONTICS PC4 FRANK LEARY WAY RANDOLPH, MA 02368-4512(781)963-4335 CHAVEZ, ROBERT ARCH ORTHODONTICS PC4 FRANK LEARY WAY RANDOLPH, MA 02368-4512(781)963-4335 COHEN, WENDY AARCH ORTHODONTICS PC4 FRANK LEARY WAY RANDOLPH, MA 02368-4512(781)963-4335 GELNETT, JULIE ARCH ORTHODONTICS PC4 FRANK LEARY WAY RANDOLPH, MA 02368-4512(781)963-4335

HUGHES, JANEEN MARCH ORTHODONTICS PC4 FRANK LEARY WAY RANDOLPH, MA 02368-4512(781)963-4335 MARQUEZ, MARIA GARCH ORTHODONTICS PC4 FRANK LEARY WAY RANDOLPH, MA 02368-4512(781)963-4335 MIAN, MICHELLE UARCH ORTHODONTICS PC4 FRANK LEARY WAY RANDOLPH, MA 02368-4512(781)963-4335 TAYLOR, ROGER DARCH ORTHODONTICS PC4 FRANK LEARY WAY RANDOLPH, MA 02368-4512(781)963-4335 WOLAND, BRADLEY ARCH ORTHODONTICS PC4 FRANK LEARY WAY RANDOLPH, MA 02368-4512(781)963-4335 RAYNHAM ENDODONTIST GEGAMIAN, SAMUEL ASPEN DENTAL500 SOUTH ST W RAYNHAM, MA 02767-5342(508)822-6565

26

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

QUINCY RAYNHAMSpecialists

Page 34: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

ORAL SURGEON DOYLE, STEVEN WASPEN DENTAL500 SOUTH ST W RAYNHAM, MA 02767-5342(508)822-6565 LEE, DAVID WASPEN DENTAL500 SOUTH ST W RAYNHAM, MA 02767-5342(508)822-6565 VEGA, NICHOLAS CMAYFLOWER ORAL MAXILLOFACIAL SURGER675 PARAMOUNT DR STE 105 RAYNHAM, MA 02767(508)802-5838 REVERE PERIODONTIST OGRADY, ALAN MALAN M OGRADY48 NEWHALL ST REVERE, MA 02151(781)289-8330 S WEYMOUTH ORAL SURGEON JUVET, LAWRENCE MWEYMOUTH ORAL AND MAXILLOFACIAL SURGERY PC851 MAIN ST STE 20S WEYMOUTH, MA 02190-1612(781)331-2422

SAUGUS ENDODONTIST TRUONG, DUC HASPEN DENTAL737 BROADWAY RTE 1 SAUGUS, MA 01906(781)231-2100 ORAL SURGEON JHAMB, TARUN KASPEN DENTAL737 BROADWAY RTE 1 SAUGUS, MA 01906(781)231-2100 SOMERVILLE ORAL SURGEON MALOUF, SHIBLY DRICHARD J SORBERA DDS SHIBLEY D MAL366 BROADWAY SOMERVILLE, MA 02145(617)628-8000 STONEHAM ORAL SURGEON BACOS, CHRISTOS MERRIMACK VALLEY ORAL88 MONTVALE AVE NO 5 STONEHAM, MA 02180(781)438-7206 ESBAH-TABATABAIE, HAMID MERRIMACK VALLEY ORAL88 MONTVALE AVE NO 5 STONEHAM, MA 02180(781)438-7206

HORNUNG, NEIL SMERRIMACK VALLEY ORAL88 MONTVALE AVE NO 5 STONEHAM, MA 02180(781)438-7206 TARRO, ALLEN WMERRIMACK VALLEY ORAL88 MONTVALE AVE NO 5 STONEHAM, MA 02180(781)438-7206 STOUGHTON ENDODONTIST HOYO, JOSE MENDODONTIC CENTER PC1256 PARK ST NO 203 STOUGHTON, MA 02072(781)341-5300 HOYO, MARIA TENDODONTIC CENTER PC1256 PARK ST NO 203 STOUGHTON, MA 02072(781)341-5300 JAYE, BARRY MENDODONTIC CENTER PC1256 PARK ST NO 203 STOUGHTON, MA 02072(781)341-5300 PELAYO, GEORGE ENDODONTIC HEALTH PC839 WASHINGTON ST STOUGHTON, MA 02072(781)341-6344

ORTHODONTIST ALEXANDER, RICHARD ARCH ORTHODONTICS PC5 WALNUT AVE STOUGHTON, MA 02072-2982(781)344-1150 BARONE, NICHOLAS PARCH ORTHODONTICS PC5 WALNUT AVE STOUGHTON, MA 02072-2982(781)344-1150 BEST, ALEXANDRA DARCH ORTHODONTICS PC5 WALNUT AVE STOUGHTON, MA 02072-2982(781)344-1150 CHASE, ANDREW SARCH ORTHODONTICS PC5 WALNUT AVE STOUGHTON, MA 02072-2982(781)344-1150 CHAVEZ, ROBERT ARCH ORTHODONTICS PC5 WALNUT AVE STOUGHTON, MA 02072-2982(781)344-1150 COHEN, WENDY AARCH ORTHODONTICS PC5 WALNUT AVE STOUGHTON, MA 02072-2982(781)344-1150

27

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

RAYNHAM STOUGHTONSpecialists

Page 35: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

GELNETT, JULIE ARCH ORTHODONTICS PC5 WALNUT AVE STOUGHTON, MA 02072-2982(781)344-1150 HUGHES, JANEEN MARCH ORTHODONTICS PC5 WALNUT AVE STOUGHTON, MA 02072-2982(781)344-1150 MARQUEZ, MARIA GARCH ORTHODONTICS PC5 WALNUT AVE STOUGHTON, MA 02072-2982(781)344-1150 MIAN, MICHELLE UARCH ORTHODONTICS PC5 WALNUT AVE STOUGHTON, MA 02072-2982(781)344-1150 TAYLOR, ROGER DARCH ORTHODONTICS PC5 WALNUT AVE STOUGHTON, MA 02072-2982(781)344-1150 WOLAND, BRADLEY ARCH ORTHODONTICS PC5 WALNUT AVE STOUGHTON, MA 02072-2982(781)344-1150

SWANSEA ORAL SURGEON HERTZ, PETER HATLANTIC COAST ORAL MAXILLOFACIAL S1010 GAR HWY SWANSEA, MA 02777-4566(508)676-3041 TAUNTON ENDODONTIST HOYO, JOSE MENDODONTIC CENTER PC36 WEIR ST TAUNTON, MA 02780(508)880-8500 HOYO, MARIA TENDODONTIC CENTER PC36 WEIR ST TAUNTON, MA 02780(508)880-8500 KAPOOR, DEVIKA ADVANCED ROOT CANAL SPECIALISTS154 HIGH ST TAUNTON, MA 02780-3556(508)880-0801 PASSLOFF, ROBERT WADVANCED ROOT CANAL SPECIALISTS154 HIGH ST TAUNTON, MA 02780-3556(508)880-0801

RUBIN, KEVIN AADVANCED ROOT CANAL SPECIALISTS154 HIGH ST TAUNTON, MA 02780-3556(508)880-0801 ORAL SURGEON HAMILTON, MELISSA AMELISSA A HAMILTON DMD INC35 SUMMER ST NO 102 TAUNTON, MA 02780(508)880-8860 ORTHODONTIST CARUSO, DOMINIC RTAUNTON COSMETIC DENTISTRY24 DEAN ST TAUNTON, MA 02780-2775(508)822-6440 PERIODONTIST AREIAS, JOSEPH JJOSEPH AREIAS DMD PC146 HIGH ST TAUNTON, MA 02780(508)822-1171 SILBERMAN, DON SDON S SILBERMAN DMD PC157 HIGH ST TAUNTON, MA 02780-3528(508)822-7149

TEWKSBURY ORTHODONTIST CUGINE, GWENDOLYN AGWENDOLYN A CUGINE DMD1130 MAIN ST TEWKSBURY, MA 01876(978)851-5020 WALPOLE ORAL SURGEON HERMAN, KURT TNEPONSET VALLEY ORAL AND MAXILLOFAC841 MAIN ST WALPOLE, MA 02081-2997(508)660-2900 HERMAN, LAWRENCE TNEPONSET VALLEY ORAL AND MAXILLOFAC841 MAIN ST WALPOLE, MA 02081-2997(508)660-2900 MEMORY, ROBERT JNEPONSET VALLEY ORAL AND MAXILLOFAC841 MAIN ST WALPOLE, MA 02081-2997(508)660-2900 RUNNELS, SARA HNEPONSET VALLEY ORAL AND MAXILLOFAC841 MAIN ST WALPOLE, MA 02081-2997(508)660-2900

28

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

STOUGHTON WALPOLESpecialists

Page 36: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

WATERTOWN ORTHODONTIST SIMON, ANNA KWATERTOWN ORTHODONTICS51 B GALEN ST WATERTOWN, MA 02472-4503(617)926-9500 WELLESLEY ORAL SURGEON HERMAN, KURT TNEPONSET VALLEY ORAL AND MAXILLOFAC486 WASHINGTON ST WELLESLEY, MA 02482(781)235-5225 HERMAN, LAWRENCE TNEPONSET VALLEY ORAL AND MAXILLOFAC486 WASHINGTON ST WELLESLEY, MA 02482(781)235-5225 MEMORY, ROBERT JNEPONSET VALLEY ORAL AND MAXILLOFAC486 WASHINGTON ST WELLESLEY, MA 02482(781)235-5225 RUNNELS, SARA HNEPONSET VALLEY ORAL AND MAXILLOFAC486 WASHINGTON ST WELLESLEY, MA 02482(781)235-5225

WEST ROXBURY ORTHODONTIST GHASSEMI, BAHRAM WEST ROXBURY PEDIATRIC DENTISTRY & ORTHODONTICS1765 CENTER ST WEST ROXBURY, MA 02132(617)327-4321 PERIODONTIST MCLAUGHLIN, STEPHEN STEPHEN MCLAUGHLIN59 BEECH ST WEST ROXBURY, MA 02132(617)327-6443 WEST SPRINGFIELD ENDODONTIST TUCKER, JYOTIKA ASPEN DENTAL935 RIVERDALE ST WEST SPRINGFIELD, MA 01089-4656(413)737-1800 ORAL SURGEON ABUNASRA, NAZEEH JASPEN DENTAL935 RIVERDALE ST WEST SPRINGFIELD, MA 01089-4656(413)737-1800

WESTBOROUGH ORTHODONTIST SIMON, ANNA KDENTAQUEST ORAL HEALTH CENTER2400 COMPUTER DRIVE WESTBOROUGH, MA 01581(508)329-2250 WESTWOOD ORTHODONTIST ALEXANDER, RICHARD ARCH ORTHODONTICS PC745 HIGH ST WESTWOOD, MA 02090-2539(781)329-1155 BARONE, NICHOLAS PARCH ORTHODONTICS PC745 HIGH ST WESTWOOD, MA 02090-2539(781)329-1155 CHASE, ANDREW SARCH ORTHODONTICS PC745 HIGH ST WESTWOOD, MA 02090-2539(781)329-1155 CHAVEZ, ROBERT ARCH ORTHODONTICS PC745 HIGH ST WESTWOOD, MA 02090-2539(781)329-1155 COHEN, WENDY AARCH ORTHODONTICS PC745 HIGH ST WESTWOOD, MA 02090-2539(781)329-1155

GELNETT, JULIE ARCH ORTHODONTICS PC745 HIGH ST WESTWOOD, MA 02090-2539(781)329-1155 HUGHES, JANEEN MARCH ORTHODONTICS PC745 HIGH ST WESTWOOD, MA 02090-2539(781)329-1155 MARQUEZ, MARIA GARCH ORTHODONTICS PC745 HIGH ST WESTWOOD, MA 02090-2539(781)329-1155 MIAN, MICHELLE UARCH ORTHODONTICS PC745 HIGH ST WESTWOOD, MA 02090-2539(781)329-1155 TAYLOR, ROGER DARCH ORTHODONTICS PC745 HIGH ST WESTWOOD, MA 02090-2539(781)329-1155 WOLAND, BRADLEY ARCH ORTHODONTICS PC745 HIGH ST WESTWOOD, MA 02090-2539(781)329-1155

29

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

WATERTOWN WESTWOODSpecialists

Page 37: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

WOBURN ENDODONTIST TRUONG, DUC HASPEN DENTAL ASSOCIATES3 ELM ST WOBURN, MA 01801-1813(781)932-1114 ORAL SURGEON DOYLE, STEVEN WASPEN DENTAL ASSOCIATES3 ELM ST WOBURN, MA 01801-1813(781)932-1114 LEE, DAVID WASPEN DENTAL ASSOCIATES3 ELM ST WOBURN, MA 01801-1813(781)932-1114 WORCESTER ORTHODONTIST ROTH, MENACHEM DCHILDREN'S ORTHODONTICS OF WORCESTER200 LINCOLN ST STE 5 WORCESTER, MA 01605(508)756-6264

30

Specialists are reimbursed on a fee for service up to the Table of Allowance fee.

WOBURN WORCESTERSpecialists

Page 38: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

MASSACHUSETTS

BILLERICA

GENERAL PRACTITIONER

*LYONS, BRYANLYONS DENTAL ASSOCIATES DMD PC348 BOSTON RD BILLERICA, MA 01821(978)667-5807Provider #149615

CHELMSFORD

GENERAL PRACTITIONER

*BATTULA, VINAY KUMARREDDY GENTLE DENTAL ASSOC LLC22 ALPINE LN CHELMSFORD, MA 01824(978)256-7581Provider #134376

*DESAI, LEENA AGENTLE DENTAL ASSOC LLC22 ALPINE LN CHELMSFORD, MA 01824(978)256-7581Provider #134376

*KAUR, KARNEETGENTLE DENTAL ASSOC LLC22 ALPINE LN CHELMSFORD, MA 01824(978)256-7581Provider #134376

*SHAH, TEJGENTLE DENTAL ASSOC LLC22 ALPINE LN CHELMSFORD, MA 01824(978)256-7581Provider #134376

ESSEX

GENERAL PRACTITIONER

*ISABEL, TIMOTHY DTIMOTHY D ISABEL9 PICKERING ST PO BOX 396ESSEX, MA 01929(978)768-6525Provider #173958

FITCHBURG

GENERAL PRACTITIONER

*JOE, STANLEYSTANLEY JOE DMD17 PIERCE AVE NO A FITCHBURG, MA 01420(978)345-4185Provider #141187

FRAMINGHAM

GENERAL PRACTITIONER

*OHRI, MEERADASH OHRI & ASSOCIATES463 WORCESTER RD NO 404 FRAMINGHAM, MA 01701(508)872-5555Provider #254923

HALIFAX

GENERAL PRACTITIONER

*GREENSTEIN, DANIEL BDANIEL B GREENSTEIN284 MONPONSETT ST UNIT 207 PO BOX 311HALIFAX, MA 02338(781)293-7188Provider #187221

HINGHAM

GENERAL PRACTITIONER

*PERRUZZI, KEVIN DKEVIN PERRUZZI312 HIGH ST HINGHAM, MA 02043(781)749-9231Provider #258161

*WOLFERT, PAULAKEVIN PERRUZZI312 HIGH ST HINGHAM, MA 02043(781)749-9231Provider #258161

HOLBROOK

GENERAL PRACTITIONER

*KAPLAN, CATHERINE DBROOKVILLE DENTAL ASSOCIATES838 SOUTH FRANKLIN ST HOLBROOK, MA 02343(781)767-2550Provider #274862

*LEVESQUE, CHARLESBROOKVILLE DENTAL ASSOCIATES838 SOUTH FRANKLIN ST HOLBROOK, MA 02343(781)767-2550Provider #274862

HOLYOKE

GENERAL PRACTITIONER

*DEBIAN, BADRI ZHOLYOKE DENTAL ASSOCIATES610 SOUTH ST HOLYOKE, MA 01040(413)533-8378Provider #274122

*GRIFFIN, JOHN PHOLYOKE DENTAL ASSOCIATES610 SOUTH ST HOLYOKE, MA 01040(413)533-8378Provider #274122

*LIPTAK, ROBERT JHOLYOKE DENTAL ASSOCIATES610 SOUTH ST HOLYOKE, MA 01040(413)533-8378Provider #274122

31Providers are reimbursed for services on a capitated allowance.*Provider not accepting new patients at this time.

BILLERICA HOLYOKEClosed Panel Dentists

Page 39: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

*RIGALI, LOUIS AHOLYOKE DENTAL ASSOCIATES610 SOUTH ST HOLYOKE, MA 01040(413)533-8378Provider #274122

HYANNIS

GENERAL PRACTITIONER

*CONNELLY, THOMAS PGREAT EXPRESSIONS DENTAL CENTERS274 BARNSTABLE RD HYANNIS, MA 02601(508)771-0500Provider #217823

*KIM, PAULGREAT EXPRESSIONS DENTAL CENTERS274 BARNSTABLE RD HYANNIS, MA 02601(508)771-0500Provider #217823

*MOHEBAN, DAVID NGREAT EXPRESSIONS DENTAL CENTERS274 BARNSTABLE RD HYANNIS, MA 02601(508)771-0500Provider #217823

ORAL SURGEON

*CULVER, JIMMY CGREAT EXPRESSIONS DENTAL CENTERS274 BARNSTABLE RD HYANNIS, MA 02601(508)771-0500Provider #217823

MELROSE

GENERAL PRACTITIONER

*PANAH, NAHALMELROSE DENTAL CARE PC80 WEST FOSTER ST MELROSE, MA 02176-3811(781)665-5060Provider #221527

PERIODONTIST

*KWON, TAE HYUNMELROSE DENTAL CARE PC80 WEST FOSTER ST MELROSE, MA 02176-3811(781)665-5060Provider #221527

NEWBURYPORT

GENERAL PRACTITIONER

*COLLETTA, NORMA RNORMA COLLETTA DMD PC45 STOREY AVE NEWBURYPORT, MA 01950-1899(978)499-9708Provider #186630

PITTSFIELD

GENERAL PRACTITIONER

*JINDIA, RAJATGREAT EXPRESSIONS DENTAL CENTERS5 CHESHIRE RD STE 16 PITTSFIELD, MA 01201-1825(413)684-1600Provider #210223

*KIM, PAULGREAT EXPRESSIONS DENTAL CENTERS5 CHESHIRE RD STE 16 PITTSFIELD, MA 01201-1825(413)684-1600Provider #210223

ORAL SURGEON

*CULVER, JIMMY CGREAT EXPRESSIONS DENTAL CENTERS5 CHESHIRE RD STE 16 PITTSFIELD, MA 01201-1825(413)684-1600Provider #210223

SHARON

GENERAL PRACTITIONER

*PINKAS, MARINA VAESTHETIC DENTAL ASSOCIATES450 N MAIN ST SHARON, MA 02067-1172(781)784-4888Provider #274058

WILBRAHAM

GENERAL PRACTITIONER

*JINDIA, RAJATGREAT EXPRESSIONS DENTAL CENTERS2141 BOSTON RD WILBRAHAM, MA 01095-1253(413)599-1600Provider #209877

*KIM, PAULGREAT EXPRESSIONS DENTAL CENTERS2141 BOSTON RD WILBRAHAM, MA 01095-1253(413)599-1600Provider #209877

ORAL SURGEON

*CULVER, JIMMY CGREAT EXPRESSIONS DENTAL CENTERS2141 BOSTON RD WILBRAHAM, MA 01095-1253(413)599-1600Provider #209877

32Providers are reimbursed for services on a capitated allowance.*Provider not accepting new patients at this time.

HOLYOKE WILBRAHAMClosed Panel Dentists

Page 40: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

GENERAL PRACTITIONER

ABOOD, RANA............. 12AHUJA, VARSHA......... 10AL TIMIMI, ROUA T......11ALBADRAN, FIRAS N.......................................4ALIKPALA, C MARISSA...........................1AL-KHATEEB, HUSAM............................12AMBROSE, CHRISTINE C...................2AMIN, SAISHREE......... 13ANAKO-OKEREKE, UDUAK..............................4ANDRES, LORETTA J......7ANDREWS, CHERYL L......................................11BALTHAZAR, NICOLE V...............4, 6, 7BARSOUM, ADAM.......... 1BASKIES, ROBERT L.......1BASTAJIAN, LEON B.....13BELLO, NICHOLAS G......4,6, 7BELLORINI, STEPHEN J......................7BLISS, MARANDA A.......3BRUBAKER, ASHLEY L.......................12CAPODILUPO, PETER A..........................5CAPUA, JOSEPH B.........1CARABATSOS, JOHN T........................................2CARMICHAEL, FRANCIS A......................9CENAMI, ALEXIS. 4, 6, 7CHASE, ETHAN D...........2CHAUDHRY, SHABANA M..................13CHIKERSAL, SIMITA..... 9,14CIANCARELLI, NICHOLAS T..............3, 13

CONNELLY, THOMAS P.......................1COSTA, JOAO A.....4, 6, 7CUCEROV, LILIA............ 1DASSA, YONATHAN..... 13DELEON, JOSEPH L..4, 6,7DERMESROPIAN, CAROL M.......................13DERMESROPIAN, PATRICK A....................13DONOGHUE, GRACE M.............................4, 6, 7EL MASRI, ERIC W........8ENKIN, MAX M...............1FEREIDOUNI, AMIR R.......................................9FERNANDO, GAIL P.....11FERRO, JOELLYN L.........3FINSTEIN, DAVID M.......2FISHER, CHRISTOPHER C.............2FISHER, DALE E.............2FITZGERALD, SCOTT J......................................10GARBER, SLAVIC........ 12GARGE, NEHA A............2GEORGE, PREETHY S........................................1GHONEIM, OMAR L...4, 6,7GIAMARCO, MATTEO L......................10GIL, DANISEL....... 4, 6, 8GIRSCHEK, ROBERT.... 13GOLPARVAR, MOHAMMAD H................3GULATI, HARISH.......... 10GUO, YING..................... 6HARRISON, DAVID L......6HENVILLE, JASMIN L........................................1HOLLAND, NICOLE D.6, 8HOODA, ISHA................. 3HRAIZ, ANTOINE G......13HUANG, ZHIQIANG....... 3ISAVA, CARLOS.... 4, 7, 8JAGADEESH, ASWINI K.......................12JHAMB, TARUN K.3, 6, 9

JOHNSON, MARIELLE.... 1KACHKA, MINNA Y.....10,13KANG, HYUN J.............10KANG, SUNG WOO....... 3KAUR, MANPREET...... 9,11, 12, 14KELLEHER, ROBERT P.....................................12KENNEDY, KEVIN C......4,7, 8KHADIVI NIAJAVAN, NOOSHA.......2KHAN, MUHAMMAD A.......................................8KIM, DONG W.................8KIM, ISAAC B..................2KIM, NAM H....................8KOENIGSBERG, REBECCA.......................12KOKINOS, CHARLES A.......................................8KRAVETSKAYA, NATALYA I.......................8LAKKIS, IBRAHIM A........2LAMA SHERPA, NEEMI.............................11LAZAROVA, VESSELA T................5, 10LE, HAN T.....................11LEE, DANIEL........... 5, 13LINSINBIGLER, LINDA M........................11LIU, I HAN................... 11MA, SUSAN.................. 12MADANI, REZA M........13MANCINI, ANDREW H.....................................10MARENGI, ADAM R.....10MARTIN, KAREN T.........3MARTINI, CEZAR B..4, 7,8MASSE, MICHAEL J...3, 4MEDEIROS, PAUL M.....10MESSIER, PETER T..9, 13MIZOGUCHI, RITSUKO..................4, 7, 8MOGRE, SAMMITA........ 1MURPHY, CATHERINE......................9

MUTHUSWAMY, MAYA R...........................4NAJAFABADI, ROZ........ 2NAJI, SAIF M..................2NARLI-TRANGARIS, ESIN...........................9, 12OSWAL, ANKUR............. 1PANAKANTI, RAJEEV......................9, 14PARANJAPE, SACHIN J.........................2PARRA, JUAN C...5, 7, 8PARRELLA, ANTHONY..................2, 12PATEL, CHIRAG A...5, 12PATEL, SHIMUL........... 10PATEL, SONAL C.....5, 13PAYNE, SAUL R...........12PIETRANTONI, ANNA P.........................12PIVOR, JAY.................... 1PRAKASH, MYTHILI...... 9RAYEV, PAVEL.............. 2REVAH, SIGAL............. 13RIZKALLA, BAHAA S.....10RIZKALLA, KARIM....... 11ROBBINS, ADAM H.........8ROBERTS, EDWARD...... 1ROOHI, SOBIA..... 1, 3, 11ROZANSKI, STANLEY J.....................13SADHNANI, MAHESH H................3, 11SAINI, NIDHU.............. 11SALEM, MUNAL..... 5, 10,14SARNER, LAWRENCE E...........5, 10SARNER, MELISSA B.....5,6, 10SCHAFFT, DANIEL J.......5SHAPIRO, STEVEN........ 2SHEIKH, HAJRA O...........1SHETTY, PRASADINI..... 3SLESNICK, MICHAEL... 11SMITH, JILLIAN H...........2SMITH, LAYANE O.5, 7, 8SMOLYAR, ALEXANDER.....................2

33

PRIMARY CARE INDEX

Page 41: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

SNEIDER, RANDALL M.....................................10SONTAKKE, PRACHI S........................................9SRINIVASAN, ARUN..... 1,3, 11SWERDLICK, THEODORE........................3TALATI, KHUSHBOO..... 11TAYLOR, JENNIFER A.......................................6THERRIAULT, BERNADETE C................3THOM, ABIGAIL E....9, 12THOMAS, MARY ANNE..............................11THOMPSON, MELISSA M................9, 12TSARTSIDIS, STELIOS..... 8TSERING, LHAMO.......... 2UNGER, THOMAS F..5, 6,10UPADHYAY, DHWANI S..........9, 10, 12VILLANUEVA, OFELIA V........................11WEBB, MICHELLE......... 7WIK, ROBERT W....5, 7, 8YEGNESWARAN, MEENAKSHY..................14ZAHID, USMAN....... 5, 14ZIEGLER, DAVID A.........1ZUAITAR, MAAN..... 9, 12

PEDIATRIC DENTIST

KOIDIN, MICHAEL B.......8MOBASHERAT, MOHAMMED E.............. 9

34

PRIMARY CARE INDEX

Page 42: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

ENDODONTIST

BATSEVITSKY, BELLA A.........................24DONATI, ROMEO R........21EMAMI, BARMACK..... 23,26GEGAMIAN,........................SAMUEL 15, 17, 19, 21,23, 26HOYO, JOSE M........27, 28HOYO, MARIA T......27, 28JAYE, BARRY M...........27JONES, ELIZABETH C.....................................24KAFRI, RAYAN............ 22KAPOOR, DEVIKA........ 28LEAVELL, ASHLEY....... 15MALLEGOL, PAMELA R..............19, 20OLLERHEAD, THOMAS R.....................22PASSLOFF, ROBERT W.....................................28PELAYO, GEORGE...... 16,27RUBIN, KEVIN A...........28SPIEGEL, ONIR L..........22TRUONG, DUC H...18, 23,25, 27, 30TUCKER, JYOTIKA. 19, 29WANG, MARK G....23, 25WEINSTOCK, ERIC L.....18

ORAL SURGEON

ABUNASRA, NAZEEH J.........19, 21, 29AUGUST, MEREDITH... 15AZZOUNI, LAITH S........15BACOS, CHRISTOS. 22, 27BANKI, MOHAMMAD... 24BRAVMAN, RICHARD J....................20CATAUDELLA, JOHN C.............24, 25, 26

CATRAMBONE, RICHARD J....................17CHAN, PATRICK K.......15CHUANG, SUNG K........15COLTON, TIMOTHY S.....24COYNE, JOHN F............17DONOFF, ROBERT B.....15DOYLE, STEVEN W......17,19, 23, 26, 27, 30ECKERT, BLAISE C.......15EL-HADIDY, MAHMOUD A.................16ESBAH-TABATABAIE, HAMID...................22, 27FERRARO, NALTON F......................................17FRANGOS, JENNIFER.......................17GARBER, ROBERT E.....26GOVEIA, GERALD L......17HALTOM, KATHERINE....................20HAMILTON, MELISSA A.....................28HERMAN, KURT T........19,28, 29HERMAN, LAWRENCE T...19, 28, 29HERTZ, PETER H..........28HORNUNG, NEIL S.22, 27JHAMB, TARUN K.........27JOYCE, LAWRENCE W.....................................23JUVET, LAWRENCE M.....................................27KABAN, LEONARD...... 16KEITH, DAVID.............. 16LAHEY, EDWARD T......16LANGSTON, JOHN. 18, 20LEE, DAVID W.......15, 17,18, 19, 20, 23, 24, 26,27, 30LEIBOVICI, JOSEPH S...............................24, 25LINCOLN, ROBERT E...25,26LUCCA, MARIO S..........18MALOUF, SHIBLY D.......27MARINO, JOSEPH........ 17

MEMORY, ROBERT J....19,28, 29OUANO, JOHN P.....23, 24PALETTA, FRANK........ 24PEACOCK, ZACHARY S...................16PITTMAN, STEVEN V...............................23, 24REITZEL, JEFFREY D.....................................17RUBEIZ, TANIOS M......25,26RUNNELS, SARA H......19,28, 29SHAEFER, JEFFRY R....16SHERWOOD, KEITH H.....................................19SMITH-WILLIAMS, JENNIFER.......................16TARRO, ALLEN W..22, 27TROULIS, MARIA.......... 16TURESKY, JON...... 22, 25VANISKY, EDWARD J......................................17VEGA, NICHOLAS C......27WYGONSKI, ROBERT J.......................20YOUSEFF, WAEL... 23, 24

ORTHODONTIST

ABDALLAH, EMAD F....19ALEXANDER, RICHARD...16, 17, 18, 20,21, 25, 26, 27, 29ASKARI, MARJAN. 15, 16BARONE, NICHOLAS P...16, 17, 18, 20, 21, 25,26, 27, 29BEDNARZ, ALANA J.....22BEST, ALEXANDRA D.....................................27BRACKMAN, JOSEPH L.......................20CARBONNEAU, HENRI P........................23CARDARELLI, JOSEPH...........................20

CARUSO, DOMINIC R.....................................28CARVALHO, ROBERTO S.......22, 23, 24CHASE, ANDREW S.....16,17, 18, 21, 25, 26, 27,29CHAVEZ, ROBERT....... 16,17, 18, 21, 25, 26, 27,29COHEN, WENDY A......16,17, 18, 21, 25, 26, 27,29CUGINE, GWENDOLYN A......23, 28DING, YONG................ 26DRIZEN, KENNETH B......................................17GELNETT, JULIE.. 16, 17,18, 21, 26, 28, 29GHASSEMI, BAHRAM.. 29GLICK, GEOFFREY M.....................................22HUGHES, JANEEN M...16, 17, 18, 21, 25, 26,28, 29KO, BRIDGET E.............23KRAMER, AMANDA G...............................15, 24KREBS, LINDA J...........20LALA, AMITABHA.. 18, 22LEONARD, JEFFREY L...............................15, 24LEONARD, THOMAS G...............................15, 24LIN, YUNG...... 18, 19, 20MARQUEZ, MARIA G...16, 17, 18, 21, 25, 26,28, 29METCALF, JAMES........ 19MIAN, MICHELLE U.....17,18, 21, 25, 26, 28, 29ODONNELL, WILLIAM.. 25PARKER STEIMEL, JODI..........................20, 22PARSI, GOLI................. 17RAJAEI, AHMADREZA A.............23ROTH, BENJAMIN J......20

35

SPECIALTY INDEX

Page 43: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

ROTH, MENACHEM D.................22, 23, 24, 30SALEM, KARIM..... 19, 22SANTANIELLO, GIUSEPPE......................19SIMON, ANNA K.....16, 29STARR, STANLEY........ 22STEINLE, SIRI.............. 17TAYLOR, ROGER D.......16,17, 18, 21, 25, 26, 28,29VARALLO, DANIEL....... 15WOLAND, BRADLEY... 17,18, 21, 25, 26, 28, 29

PERIODONTIST

AREIAS, JOSEPH J........28BIEBUYCK, JEAN-MARIE.................16CHIANG, SHIH MEI J......................................16COONEY, JALEH A........23CROWLEY, KATHLEEN........16, 20, 24LEVY, PAUL F...............23MAHOOZI, AMIR.... 23, 26MCLAUGHLIN, STEPHEN.................21, 29MORRIS, ALAN L....22, 25OGRADY, ALAN M.19, 27PAPPAS, ANTHONY... 20,22SHANNON, PATRICK C.............20, 22SHAPIRO, MICHAEL... 15,18SILBERMAN, DON S.....18,28SOLOWSKY, ALAN D....20,24STIEFEL, DANIEL B......21,24VIDONE, LINDA S.........18WALSH, ROBERT B.20, 22XU, WANPENG......... 22

36

SPECIALTY INDEX

Page 44: DeltaCare - University Health Plans · PDF fileThe DeltaCare product is offered by Dental Service of Massachusetts, Inc. ... ASPEN DENTAL 227 WASHINGTON ST ATTLEBORO, MA

GENERAL PRACTITIONER

BATTULA, VINAY KUMAR REDDY.............31COLLETTA, NORMA R.....................................32CONNELLY, THOMAS P.....................32DEBIAN, BADRI Z.........31DESAI, LEENA A...........31GREENSTEIN, DANIEL B.......................31GRIFFIN, JOHN P.........31ISABEL, TIMOTHY D......31JINDIA, RAJAT............ 32JOE, STANLEY............. 31KAPLAN, CATHERINE D...............31KAUR, KARNEET......... 31KIM, PAUL................... 32LEVESQUE, CHARLES........................31LIPTAK, ROBERT J........31LYONS, BRYAN............ 31MOHEBAN, DAVID N....32OHRI, MEERA.............. 31PANAH, NAHAL.......... 32PERRUZZI, KEVIN D....31PINKAS, MARINA V.....32RIGALI, LOUIS A...........32SHAH, TEJ.................... 31WOLFERT, PAULA....... 31

ORAL SURGEON

CULVER, JIMMY C........32

PERIODONTIST

KWON, TAE HYUN.... 32

37

CLOSED PANEL INDEX