Dental Contracts Received from 10/1/2019 to 12/3/2019
[Pages:1]Dentist *Corbin Salthouse, DDS *Michelle Elford, DDS *Alison Johnson, DDS *Joseph Brennan. DDS Timothy Thetford, DDS *David Silverglade, DDS *Ioan Boeriu, DDS *Justin Distelrath, DDS *David G Carter, DMD *Anthony Adamo, DDS *Nivine EL Refei, DDS Michael Maddow, DDS *Michael Mott, DDS *Mark Hanselman, DDS Timothy J Killgrove, DDS *Mark A Mastellotto, DDS *Michael Judy, DDS *Sylvia Kramer, DDS *Patrick A Reineck, DDS *Rimple Grewal, DMD *Steven Lantzy, DDS *Jody E. Freytag, DDS *Matthew D. Freytag, DDS *Cassim Ahmed, DDS *Natalie A Nechvatal, DDS *David F. Krueger DDS Richard Lewandowski, DDS Nadeem Khan, DDS *Faith Hayden, DDS *Jay Mistry, DDS *John C. Bacarella, DDS Harneet Grewal, DDS, BDS *Peter Nessif, DDS *Eleanore Awadalla, DDS *Michael Carpenter, DDS *Jonathan Augustine, DDS *Derrick Silva, DDS Zohra Saleh, DDS *Philip Duell, DDS *George V. Thomas, DDS *Shabbir M. Hashim, DDS *Amanda Bucklin, DDS *Michael E. Martin, DDS Sabrina Salim, DDS *Alyson Amerson, DDS *Keith A. Nowalk, DDS Joseph R Schmidbauer, DDS *Daniel R Connely, DDS *Scott S. Kelly, DDS Kausar Rahman, DDS Khurrum Mirza, DDS Peter G Wofram, DDS *Seth M. Greenfield, DDS Chander Bhatti, DDS Scott R. Smith, DDS Kaushik Shah, DDS *William Doherty, DDS George Hebeka, DDS T. Ryan Phipps, DDS Jeffrey J. Levin, DDS James Phipps, DDS Maria T. McMullin, DDS Randall Niederkor, DDS Samantha Zaciewski, DDS *Bethany Taylor, DDS *Nesreen Aouthmany, DDS Mark A Eby, DDS Jason Cohen, DDS Christina Saffo, DDS Daniel Saffo, DDS Todd W. Hasty, DDS
Dental Contracts Received from 10/1/2019 to 12/3/2019
Office Name
Office location
Corbin Salthouse, DDS
13990 Cedar Rd., Ste B, University Heights, OH
Michelle L. Elford, DDS
18540 Outer Dr., Ste. 3, Dearborn, MI
Dental Health Associates
210 W. Airport Hwy, PO Box 270, Swanton, OH
Dental Health Associates
210 W. Airport Hwy, PO Box 270, Swanton, OH
Dental Health Associates
210 W. Airport Hwy, PO Box 270, Swanton, OH
Kids Dental of Dayton - Joan-Florence Besena Salido DDS, Inc
4257 W 3rd Street, Dayton, OH
Loan Sorin Boeriu
4447 Talmadge Rd., Ste F, Toledo OH
Justin Distelrath, DDS, PC
1050 N Monroe St, Monroe, MI
David G Carter, DMD, LLC
4333 Monro St., Ste A, Toledo, OH
Randall Dental
5237 Warrensville Center Rd., Maple Heights, OH
Nivine EL Refai, BDS, DDS, MSD, Inc.
3985 Medina Rd., Ste 160, Medina, OH
Michael Maddow, DDS
24929 Goddard Rd., Taylor, MI
Michael Mott, DDS Inc
402 East Baldwin Ave., PO Box 359, Paulding, OH
Mark Hanselman, DDS
1303 Packard, #202, Ann Arbor, MI
Dr. Timothy J Killgrove, DDS
14420 Eueka Rd., Southgate, MI
Mark A Mastellotto
760 Riverside Ave., Adrian, MI
Michael E Judy DDS, Inc
5919 Teletowne Dr., Ste. 5, Toledo, OH
Sylvia Kramer, DDS
3569 Ridge Road, Cleveland, OH
Patrick A Reineck, DDS
232 E Second St, Port Clinton, OH
Grewal Dental Care, LLC
26597 N. Dixie Hwy, Ste. 169, Perrysburg, OH
Professional Dental Alliance, LLC
201 Van Gundy Dr., Bldg A., Bryan, OH
Walbridge Dental
3601 Ayers Rd., Millbury, OH
Walbridge Dental
3601 Ayers Rd., Millbury, OH
Professional Dental Alliance, LLC
201 Van Gundy Dr., Bldg A., Bryan, OH
Light Touch Dental Care Inc.
7100 Spring Meadows West Dr., Ste B, Holland, OH
Merkley Professionals - Oak Lane Dental
19 W Market St., Ste A, Tiffin, OH
Laskey Dental
3416 W. Laskey Rd, Toledo, OH
Laskey Dental
3416 W. Laskey Rd, Toledo, OH
Montgomery Family Dentistry & Wellness Center, LLC
9200 Montgomery Rd., Ste. 1A, Cincinnati, OH
Whittaker Dental Care
1330 Scott St, Ste. B, Napoleon, OH
John C. Bacarella, DDS
1050 N Monroe St, Monroe, MI
Kids First Pedatric Dentistry, PC
3778 Dix Hwy, Lincoln Park, MI
Terrance E. Nessif, DDS INC
4646 Nantuckett Dr., Toledo, OH
Eleanore Awadalla, DDS
4303 Talmadge Rd., Ste. 101, Toledo, OH
Dental Excellance of Napoleon
875 Westmoreland Ave., Napoleon, OH
Dental Excellance of Napoleon
875 Westmoreland Ave., Napoleon, OH
Dental Excellance of Napoleon
875 Westmoreland Ave., Napoleon, OH
Dental Excellance of Napoleon
875 Westmoreland Ave., Napoleon, OH
Philip Duell DDS PC
22341 West Road, B, Woodhaven, MI
George V. Thomas & Seth M. Greenfield DDS Inc
9510 Diamond Centre Drive, Mentor, OH
Shabbir M. Hashim, DDS Inc
3349 Exectuvie Parkway, Ste. A, Toledo, OH
Bucklin Family Dentistry PC
32 Division St., Coldwater, MI
Michael E. Martin, DDS
3227 W. Dean Rd., PO Box 66, Lambertville, MI
Sabrina Salim, DDS
24929 Goddard Rd., Taylor, MI
Alyson Amerson, DDS
459 S. Main St., Lima, OH
Keith A. Norwalk, DDS Inc.
103 West Fifth St., Geona, OH
Joseph R Schmidbauer, DDS
2609 Starr Ave., Oregon, OH
Daniel R Connely, DDS
5429 Secor Rd., Toledo, OH
Scott S. Kelly, DDS Inc
116 W. John St., Maumee, OH
Khurrum Mirza, DDS PC dba ProCare Dental of Monroe
7500 N Telegraph Rd., Monroe, MI
Khurrum Mirza, DDS PC dba ProCare Dental of Monroe
7500 N Telegraph Rd., Monroe, MI
Trusted Dentistry Nadeem Khan DDS LLC
5163 S. Main St., Sylvania, OH
George V. Thomas & Seth M. Greenfield DDS Inc
9510 Diamond Centre Drive, Mentor, OH
Chander Bhatti, DDS
24929 Goddard Rd., Taylor, MI
Scott R. Smith, DDS
770 Riverside Ave., #201, Adrian, MI
Kaushik Shah, DDS
5606 Secor Rd., Toledo, OH
William J Doherty, DDS, PC
120 Herrick Park Dr. Tecumseh, MI
Drs. Phipps, Levin, Hebeka & Assoc Ltd
970 W Wooster St., Ste 125, Bowling Green, OH
Drs. Phipps, Levin, Hebeka & Assoc Ltd
970 W Wooster St., Ste 125, Bowling Green, OH
Drs. Phipps, Levin, Hebeka & Assoc Ltd
970 W Wooster St., Ste 125, Bowling Green, OH
Drs. Phipps, Levin, Hebeka & Assoc Ltd
970 W Wooster St., Ste 125, Bowling Green, OH
McMullen Dental Care
116 Cole Rd, Monroe, MI
Tiffin Dental Associates
227 St Lawrence Dr. Ste 109, Tiffin, OH
Tiffin Dental Associates
227 St Lawrence Dr. Ste 109, Tiffin, OH
Dental Excellance of Delta
101 Adrian, Delta, OH
Dental Excellance of Delta
101 Adrian, Delta, OH
Mark A Eby, DDS, PC
123 W. 1st Street, Ste B, Monroe, MI
Cohen Modern Dentistry, PC
14420 Eueka Rd., Southgate, MI
New View Dental
28863 Oregon Rd., Apt G72, Perrysburg, OH
New View Dental
28863 Oregon Rd., Apt G72, Perrysburg, OH
Shadow Valley Dental Group LLC
1574 Henthorne, Ste A, Maumee, OH
*Denitist has completed the credentiling process and is considered an in network dental provider.
Zip 44118 48128 43558 43558 43558 45417 43623 48162 43606 44137 44256 48180 45879 48104 48195 49221 43613 44102 43452 43551 43506 43447 43447 43506 43526 44883 43623 43623 45242 43545 48162 48146 43623 43623 43545 43545 43545 43545 48183 44060 43606 49036 48144 48180 45804 43430 43616 43623 43537 48162 48162 43560 44060 48180 49221 43623 49286 43402 43402 43402 43402 48162 44883 44883 43515 43515 48161 48195 43551 43551 43537
Date Credentialing Complete 10/16/19 10/31/19 10/31/19 10/31/19 10/31/19 10/31/19 11/6/19 10/31/19 11/6/19 10/22/19 10/31/19
10/23/19 11/6/19
11/14/19 10/31/19 10/25/19 10/31/19 10/25/19 10/23/19 11/14/19 11/6/19 11/6/19 11/6/19 11/6/19
11/14/19 11/4/19 11/14/19
11/14/19 11/27/19 11/27/19 11/27/19 11/27/19
11/27/19 11/27/19 11/27/19 11/27/19 11/27/19
11/14/19 11/14/19
11/27/19 11/27/19
11/27/19
11/27/2019 - No Medicare
11/27/19 11/27/19
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