Delta Dental PPO Dentist Listing for Florida

Delta Dental PPO Dentist Listing for Florida

This directory contains the names of Delta Dental PPO dentists in your region, in order by county, then by city.

You may obtain treatment from any dentist, but if you select a Delta Dental dentist, he or she has agreed to provide treatment according to

the provisions of your plan. For example, Delta Dental dentists complete claim forms and submit them directly to Delta Dental. Your plan

benefit booklet lists your benefits, limitations and exclusions, and explains coinsurance costs that are your responsibility.

If you select a non-Delta Dental dentist, the dental bill is your responsibility. Upon your submission of a completed claim form, Delta Dental

will pay allowable amounts in accordance with the provisions of your plan as outlined in your benefit booklet.

If you are covered by the Delta Dental PPO plan, you will generally receive a higher level of benefits by going to a Delta Dental PPO

network dentist. PPO dentists are noted in this directory by an asterisk (*) in the column to the left of the dentist¡¯s name. You will also

receive Delta Dental PPO in-network benefits when you go to any endodontist, oral surgeon or periodontist who is listed in this directory.

Please note that there may have been changes since the publication date of this directory. Therefore, we strongly recommend that you ask

your dentist about his or her current status with Delta Dental. For a current list of Delta Dental dentists in your area, use our online

directory through our web site at .

Broward providers = start on page 8

Miami-Dade Providers = start on page 106

Key to dental specialty codes:

00

10

15

20

30

40

50

60

General dentists provide a full range of services for the entire family.

Oral surgeons remove impacted teeth and repair fractures of the jaw and other damage to the bone structure around the mouth.

Endodontists specialize in diseases of the tooth pulp, performing such services as root canals.

Orthodontists correct misaligned teeth and jaws, usually by applying braces.

Pediatric dentists generally limit their practices to children and teenagers.

Periodontists treat diseases of the tissues that support and surround the teeth

Prosthodontists generally specialize in replacing missing natural teeth with bridges and dentures.

Oral pathologists diagnose diseases of the mouth from study of tissue samples.

Spec.

Code

Name

Address

City

State

Alachua

Alachua

Alachua

Alachua

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

Zip

Phone

Alachua

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

15

00

00

00

00

00

00

00

00

15

15

00

00

00

00

00

00

20

00

00

00

00

Goslinga, Cody

Goslinga, Shane

Lazo, Amanda

Tabis, Lauren

Abboud, Maria

Abboud, Maria

Abolverdi, Shaun

Abolverdi, Shaun

Abraben, Reeve

Annas, Samantha

Annas, Samantha

Atkinson, William

Atwal, Manveen

Ayala, Valentina

Baluyot, Rondre

Banfield, Gary

Bangash, Maryam

Bernstein, Duane

Blanco, Raquel

Buechele, Manfred

Busch, Dianne

Davila Rivera, Jose

Davis, Quinta

Day, Jennifer

Day, Ralph

De La Rosa, Andrew

Dean, Glenn

Dean, Glenn

Diasti, Adam

Dickinson, Scott

Dixon, Raymond

Dominguez, Cristina

Estes, Joshua

Farah, John

Fields, Robert

Garcia, Jessica

Gerber, Dale

Gerber, Dale

Gesicki, Jon

14690 NW 151st Blvd # 20

14690 NW 151st Blvd # 20

14690 NW 151st Blvd # 20

14690 NW 151st Blvd # 20

3731 NW 40th Terrace Ste A

908 NW 57th St

6320 SW 13th St

9200 NW 39th Ave Ste 200

9200 NW 39th Ave Ste 200

3731 NW 40th Terrace Ste A

908 NW 57th St

6921 W Newberry Rd

3731 NW 40th Terrace Ste A

4404 NW 36th Ave

6110 NW 1st Pl Ste A

5347 SW 91st Ter # B

6921 W Newberry Rd

5318 SW 91st Ter Ste C

5622 NW 43rd St

3731 NW 40th Ter Ste A

7733 W Newberry Rd Ste B3

4001 W Newberry Rd Ste B4

6921 W Newberry Rd

1410 NW 13th St Ste 8

1410 NW 13th St Ste 8

6921 W Newberry Rd

340 NW 76th Dr

4650 NW 39th Pl Ste I

1010 NW 76th Blvd

6921 W Newberry Rd

6921 W Newberry Rd

6921 W Newberry Rd

6921 W Newberry Rd

6921 W Newberry Rd

5021 NW 34th Blvd Ste A

6921 W Newberry Rd

3731 NW 40th Terrace Ste A

908 NW 57th St

6921 W Newberry Rd

05/2017

Text46:

Lists of Delta Dental dentists and benefit and eligibility information are also available on our web site: .

32615

32615

32615

32615

32606

32605

32608

32606

32606

32606

32605

32605

32606

32606

32607

32608

32605

32608

32653

32606

32606

32607

32605

32601

32601

32605

32607

32606

32606

32605

32605

32605

32605

32605

32605

32605

32606

32605

32605

(386) 462-1771

(386) 462-1771

(386) 462-1771

(386) 462-1771

(352) 376-6366

(352) 332-8199

(352) 373-3431

(352) 376-8229

(352) 376-8229

(352) 376-6366

(352) 332-8199

(352) 333-7788

(352) 376-6366

(352) 376-5120

(352) 331-1004

(352) 375-6116

(352) 333-7788

(352) 374-2999

(352) 378-3139

(352) 376-6366

(352) 331-4700

(352) 377-8678

(352) 333-7788

(352) 376-8207

(352) 376-8207

(352) 333-7788

(352) 331-3113

(352) 373-1040

(352) 332-4180

(352) 333-7788

(352) 333-7788

(352) 333-7788

(352) 333-7788

(352) 333-7788

(352) 371-7766

(352) 333-7788

(352) 376-6366

(352) 332-8199

(352) 333-7788

Page 1

Spec.

Code

00

15

30

30

30

30

15

10

00

00

00

00

00

00

00

00

00

15

00

00

15

15

00

00

00

10

00

00

00

00

00

00

15

15

00

00

10

30

30

20

00

00

00

00

00

00

00

00

00

00

20

00

00

15

00

00

00

00

00

20

00

00

00

10

10

15

15

20

00

00

00

30

00

30

00

30

00

Name

05/2017

Text46:

Lists of Delta Dental dentists and benefit and eligibility information are also available on our web site: .

Godet, Yvette

Goldfaden, Stephen

Gooch, Andrew

Gooch, Andrew

Gooch, Michael

Gooch, Michael

Gracy, Megan

Graper, Charles

Greenwalt, Brandon

Greenwalt, Brandon

Grigoryan, Armen

Hasan, Farah

Havens, Nancy

Heald, Katie

Hill, Cara

Johary, Edwin

Ju, Sujin

Jurecko, Kevin

Kalifeh, Robert

Keen, Ashley

Kerr, Carolyn

Kerr, Carolyn

Klein, Nicole

Krotzinger, Mary

Ku-Torres, Mario

Latham, Christopher

Lemus, Analidys

Listzwan, James

Lopez, Melvin

Lotfi, Ramzy

Maloney, Janet

Marius, Jean Mary

Markham, Samuel

Markham, Samuel

McCaully Rennie, Jasmine

McDonough, Lauren

Milton Jr, Charles

Mixon, Robert

Mixon, Robert

Mullally, Natalie

Neira, Fernando

Nguyen, Sabrina

Onate, Mairelys

Pages, Elizabetha

Pairot, Alfredo

Paladino, James

Park, Jong Yun

Pastora, Yocasta

Patel, Daven

Patel, Mili

Pavlik, Stephen

Perez, Edna

Peterson, Savanna

PETROPOULOS, TERRYL

Pirkle, Patrick

Rosado, Nahir

Saladi, Srikanthi

Saladi, Srikanthi

Sanchez, Jairo

Sappington, Deborah

Schwibner, Jenna

Shaikh, Abdul

Son, Minsung

Storoe, William

Torres, Ernesto

Tyler, Kathy

Tyler, Kathy

Vargas, Enrigue

Witt, William

Dennis, Ian

Hunter, Damien

Moore, Ronda

Nerikar, Vivekanand

Perry, Susana

Gleeson Hill, Charlotte

Johnston, Allison

Listzwan, James

Address

126 NW 76th Dr Ste A

1905 NW 13th St Ste 2

4910 NW 27th Ct

5209 SW 91st Dr

4910 NW 27th Ct

5209 SW 91st Dr

1204 NW 69th Ter Ste C

832 NW 57th St

410 NE Waldo Rd

5347 SW 91st Ter Ste B

6921 W Newberry Rd

6921 W Newberry Rd

6921 W Newberry Rd

6921 W Newberry Rd

1204 NW 69th Ter Ste E

1831 NW 13th St Ste 4

150 NW 75th Dr Ste B

1204 NW 69th Ter Ste C

410 NE Waldo Rd

6921 W Newberry Rd

340 NW 76th Dr

4650 NW 39th Pl Ste I

6921 W Newberry Rd

410 NE Waldo Rd

5180 SW 34th St

6921 W Newberry Rd

6921 W Newberry Rd

4001 W Newberry Rd Ste B1

410 NE Waldo Rd

6921 W Newberry Rd

5622 NW 43rd St

6921 W Newberry Rd

340 NW 76th Dr

4650 NW 39th Pl Ste I

6921 W Newberry Rd

6921 W Newberry Rd

6921 W Newberry Rd

4910 NW 27th Ct

5209 SW 91st Dr

2222 NW 40 Terrace #B

6921 W Newberry Rd

6921 W Newberry Rd

410 NE Waldo Rd

6921 W Newberry Rd

410 NE Waldo Rd

1204 NW 69th Ter Ste E

6921 W Newberry Rd

2602 SW 87th Dr Ste 101

6921 W Newberry Rd

6110 NW 1st Pl Ste A

5010 W Newberry Rd Ste B

2602 SW 87th Dr Ste 101

6921 W Newberry Rd

6110 NW 1st Pl Ste A

230 NW 76th Dr Ste B

4436 NW 23rd Ave

1010 NW 76th Blvd

5021 NW 34th Blvd Ste A

5021 NW 34th Blvd Ste A

9161 SW 49th Pl

6921 W Newberry Rd

6110 NW 1st Pl Ste A

6921 W Newberry Rd

3500 SW 2nd Ave Ste 2

6921 W Newberry Rd

340 NW 76th Dr

4650 NW 39th Pl Ste I

2841 NW 41st St

9200 NW 39th Ave Ste 200

18474 Main St

14029 W Newberry Rd Unt 60

231 NW 137th Dr

175 NW 138th Ter Ste 200

231 NW 137th Dr

13820 W Newberry Rd Ste 100

13820 W Newberry Rd Ste 100

12 SW 250th St

City

State

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

Gainesville

High Springs

Jonesville

Jonesville

Jonesville

Jonesville

Newberry

Newberry

Newberry

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

Zip

32607

32609

32606

32608

32606

32608

32605

32605

32641

32608

32605

32605

32605

32605

32605

32609

32607

32605

32641

32605

32607

32606

32605

32641

32608

32605

32605

32607

32641

32605

32653

32605

32607

32606

32605

32605

32605

32606

32608

32605

32605

32605

32641

32605

32641

32605

32605

32608

32605

32607

32607

32608

32605

32607

32607

32606

32606

32605

32605

32608

32605

32607

32605

32607

32605

32607

32606

32606

32606

32643

32669

32669

32669

32669

32669

32669

32669

Phone

(352) 333-9898

(352) 375-7776

(352) 335-7777

(352) 335-7777

(352) 335-7777

(352) 335-7777

(352) 332-3788

(352) 331-6661

(352) 375-3790

(352) 375-6116

(352) 333-7788

(352) 333-7788

(352) 333-7788

(352) 333-7788

(352) 331-9992

(352) 377-0360

(352) 333-9898

(352) 332-3788

(352) 375-3790

(352) 333-7788

(352) 331-3113

(352) 373-1040

(352) 333-7788

(352) 375-3790

(352) 372-5550

(352) 333-7788

(352) 333-7788

(352) 376-6330

(352) 375-3790

(352) 333-7788

(352) 378-3139

(352) 333-7788

(352) 331-3113

(352) 373-1040

(352) 333-7788

(352) 333-7788

(352) 333-7788

(352) 335-7777

(352) 335-7777

(352) 336-2222

(352) 333-7788

(352) 333-7788

(352) 375-3790

(352) 333-7788

(352) 375-3790

(352) 331-9992

(352) 333-7788

(352) 331-4731

(352) 333-7788

(352) 331-1004

(352) 376-5055

(352) 331-4731

(352) 333-7788

(352) 331-1004

(352) 333-0441

(352) 376-3216

(352) 332-4180

(352) 371-7766

(352) 371-7766

(352) 378-2545

(352) 333-7788

(352) 331-1004

(352) 333-7788

(352) 371-4111

(352) 333-7788

(352) 331-3113

(352) 373-1040

(999) 999-9999

(352) 376-8229

(386) 454-1412

(352) 872-5930

(352) 316-7400

(352) 332-3080

(352) 316-7400

(352) 371-3200

(352) 371-3200

(352) 472-4444

Page 2

Spec.

Code

Name

Address

City

State

Zip

Phone

Baker

00

Carter, Derrick

571 S 6th St

Macclenny

FL

32063

(904) 259-7007

Heitzmann, Scott

Abdulrahim, Yahia

Abdulrahim, Yahia

Abdulrahim, Yahia

Azam, Shabana

Baptiste, Ashley

Berry, Stephen

Claussen, Meghann

Claussen, Peter

Claussen, Peter

Collias, John

Elzawahry, Arzu

Elzawahry, Tamam

Elzawahry, Tarek

Grantham, Gregory

Griffin, Tara

Hanson, Shane

Harrison, Rex

Harrison, William

Heikowsky II, Robert

LaPointe, Lisa

Moffa, Michelle

Mostafa, Sherin

Norton, Andrew

Paiva, Heber

Paiva, Jose

Pankuch, Richard

Pappas, Trae

Pascoli, Jenna

Pate, Sheena

Patel, Anishkumar

Piorkowski, Gary

Salter, Patricia

Shumpert Jr, William

Stamps, Elizabeth

Thompson, Krista

Ticola, Matthew

Waheed, Abdul

Wilhite, Rhonda

Wright, Carl

Arrington, Prince

Baya, Stephanie

Dubois, Ashley

Graves, Carl

Heath, Nicklaus

Lichorwic, Dennis

Ligeon, Valerie

Morshed, Aly

Skinner, Julia

Waits, Nisha

White, Benjamin

725 Ohio Ave

2335 State Ave Ste A

403 E 11th St

431 W Oak Ave

403 E 11th St

403 E 11th St

3123 W 23rd St

403 E 11th St

2636 Jenks Ave

3123 W 23rd St

45 E Beach Dr

1560 Jenks Ave

1560 Jenks Ave

311 Airport Rd

340 W 23rd St Ste A

3135 Thomas Dr

2999 W 10th St

1615 Harrison Ave

1012 W 11th St

8730 Thomas Dr Ste 1102

3123 W 23rd St

403 E 11th St

340 W 23rd St Ste C

403 E 11th St

2309A St. Andrews Blvd

2309A St. Andrews Blvd

403 E 11th St

1022 Harrison Ave

2620 Jenks Ave

403 E 11th St

1022 Harrison Ave

403 E 11th St

3135 Thomas Dr

403 E 11th St

330 W 23rd St Ste J

2620 Jenks Ave

3123 W 23rd St

528 W Baldwin Road

403 E 11th St

403 E 11th St

15450 Panama City Beach Pkwy

309 N Richard Jackson Blvd Ste 10

309 N Richard Jackson Blvd Ste 10

15450 Panama City Beach Pkwy

15450 Panama City Beach Pkwy

309 N Richard Jackson Blvd Ste 10

15450 Panama City Beach Pkwy

11695 Panama City Beach Pkwy

309 N Richard Jackson Blvd Ste 10

309 N Richard Jackson Blvd Ste 10

15450 Panama City Beach Pkwy

Lynn Haven

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City

Panama City Beach

Panama City Beach

Panama City Beach

Panama City Beach

Panama City Beach

Panama City Beach

Panama City Beach

Panama City Beach

Panama City Beach

Panama City Beach

Panama City Beach

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

32444

32405

32401

32401

32401

32401

32405

32401

32405

32405

32401

32405

32405

32405

32405

32408

32401

32405

32401

32408

32405

32401

32405

32401

32405

32405

32401

32401

32405

32401

32401

32401

32408

32401

32405

32405

32405

32405

32401

32401

32413

32407

32407

32413

32413

32407

32413

32407

32407

32407

32413

(850) 271-8001

(850) 740-3100

(850) 767-3350

(850) 767-3350

(850) 767-3350

(850) 767-3350

(850) 481-1969

(850) 767-3350

(850) 769-3597

(850) 481-1969

(850) 785-5502

(850) 763-4545

(850) 763-4545

(850) 914-0550

(850) 769-3253

(850) 249-9311

(850) 215-3339

(850) 769-5580

(850) 763-6782

(850) 234-2110

(850) 481-1969

(850) 767-3350

(850) 640-2162

(850) 767-3350

(850) 763-5858

(850) 763-5858

(850) 767-3350

(850) 763-8788

(850) 785-8586

(850) 767-3350

(850) 763-8788

(850) 767-3350

(850) 249-9311

(850) 767-3350

(850) 769-3427

(850) 785-8586

(850) 481-1969

(850) 215-0128

(850) 767-3350

(850) 767-3350

(850) 238-3326

(850) 235-2299

(850) 235-2299

(850) 238-3326

(850) 238-3326

(850) 235-2299

(850) 238-3326

(850) 588-9000

(850) 235-2299

(850) 235-2299

(850) 238-3326

Hunter, Damien

Carballo, Lindsey

Cunningham, Talisha

Flynn, George

23320 N State Road 235

603 E Call St

459 W Call St

603 E Call St

Brooker

Starke

Starke

Starke

FL

FL

FL

FL

32622

32091

32091

32091

(352) 485-2772

(904) 964-2825

(904) 964-5152

(904) 964-2825

15

00

15

00

00

00

00

15

15

00

00

00

00

15

15

Deshpande, Annapurna

Kearney, Deborah

Kearney, Wayne

Boers, David

Cardoso, Gary

Che, David

Eley, Daniel

Hachmeister, Darlene

Hernandez, Ramon

Kahlon, Erin

Kalra, Anjay

Quinter, William

Shah, Anand

Simons, Javier

Sisson, Tavis

96 Willard St Ste 103

645 Brevard Ave

645 Brevard Ave

41 N Orlando Ave

5675 N Atlantic Ave Ste 108-109

495 Minutemen Cswy

5675 N Atlantic Ave Ste 108-109

1980 N Atlantic Ave Ste 905

1980 N Atlantic Ave Ste 905

30 Woodland Ave

5675 N Atlantic Ave Ste 108-109

117 N Orlando Ave

5675 N Atlantic Ave Ste 108-109

1980 N Atlantic Ave Ste 905

1980 N Atlantic Ave Ste 905

Cocoa

Cocoa

Cocoa

Cocoa Beach

Cocoa Beach

Cocoa Beach

Cocoa Beach

Cocoa Beach

Cocoa Beach

Cocoa Beach

Cocoa Beach

Cocoa Beach

Cocoa Beach

Cocoa Beach

Cocoa Beach

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

32922

32922

32922

32931

32931

32931

32931

32931

32931

32931

32931

32931

32931

32931

32931

(321) 208-7979

(321) 635-8533

(321) 952-1625

(321) 799-1090

(321) 783-3737

(321) 783-7411

(321) 783-3737

(407) 784-2236

(407) 784-2236

(321) 783-7415

(321) 783-3737

(321) 783-6569

(321) 783-3737

(407) 784-2236

(407) 784-2236

05/2017

Text46:

Lists of Delta Dental dentists and benefit and eligibility information are also available on our web site: .

Bay

10

00

00

00

00

00

30

00

30

30

00

00

00

00

10

00

15

15

00

00

30

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

30

00

00

00

00

00

00

00

00

00

00

00

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Bradford

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Brevard

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Name

05/2017

Text46:

Lists of Delta Dental dentists and benefit and eligibility information are also available on our web site: .

Vevera, Keith

Alvarez, Rene

Baines, Edward

Zakhari, Hanny

Cardoso, Gary

Chopra, Jayanthi

Collins, Ryan

Kalra, Anjay

Osorio, Christopher

Patel, Manoj

Shah, Anand

Tapper, Alexandros

Abraham, Michael

Ahmed, Mohammed

Ahmed, Mohammed

Ahmed, Mohammed

Alfant, Marc

Alvarez, Idaigna

Arteaga, David

Bacha, Elizabeth

Badger, Leonard

Bangash, Maryam

Banoub, Sami

Barrera Hagen, Maria

Bell, Edward

Bernal, Lissette

Bielak, Paula

Bielak, Paula

Bielak, Paula

Briceno, Hector

Brody, Robert

Brown Jr, Clark

Bucaj, Alfons

Burnes, Charles

Burns Jr, Robert

Carr, Beverly

Carr, Elaine

Chico, Jose

Chico, Jose

Chico, Jose

De La Rosa, Andrew

Diasti, Adam

Dickinson, Scott

Diep, Kevin

Dipasquale, Anthony

Doomra, Karan

Doomra, Karan

Dreyer, Mark

Eley, Daniel

Elliott, Michael

Estes, Joshua

Fanelli, Alfredo

Fotek, Pawel

Fowler, Michael

Galligan, Kristina

Gesicki, Jon

Gillan JR, Jere

Goff, Romia

Greenbarg, Nancy

Greer, Lucia

Grider, Joseph

Grigoryan, Armen

Gunnell, Josh

Hachmeister, Darlene

Heald, Katie

Hernandez, Ramon

Hirsowitz, Ryan

Hogan, Helena

Houk, Valorie

Iurcovich, Maximillian

Jones, Carl

Kalra, Anjay

Kalra, Anjay

Kaner, Keith

Kapit, Arthur

Kedzierski, Mark

Keen, Ashley

Address

1980 N Atlantic Ave Ste 1002

201 S Shannon Ave

140 6th Ave

401 5th Ave

2000 South Patrick Dr

257 E Eau Gallie Blvd

214 E Eau Gallie Blvd

2000 South Patrick Dr

2000 South Patrick Dr

2000 South Patrick Dr

2000 South Patrick Dr

2000 South Patrick Dr

249 Palm Bay Rd NE

2025 W New Haven Ave

3226 Lake Washington Rd #16

7827 N Wickham Rd #A

729 E Strawbridge Ave

8061 Spyglass Hill Rd Ste A-1

1371 Bedford Dr

249 Palm Bay Rd NE

2900 Lake Washington Rd Ste 3

249 Palm Bay Rd NE

7185 Murrell Rd Ste 102

3150 N Wickham Rd Ste 7

313 N Babcock St

1390 S Babcock St

2025 W New Haven Ave

3226 Lake Washington Rd #16

7827 N Wickham Rd #A

1770 N Wickham Rd

205 Palm Bay Rd NE Ste 159

2113 Sarno Rd

2419 S Babcock St

249 Palm Bay Rd NE

481 N Harbor City Blvd

1770 N Wickham Rd

205 Palm Bay Rd NE Ste 159

2025 W New Haven Ave

3226 Lake Washington Rd #16

7827 N Wickham Rd #A

249 Palm Bay Rd NE

220 N Babcock St

249 Palm Bay Rd NE

1770 N Wickham Rd

115 Capron Trl

2025 W New Haven Ave

3226 Lake Washington Rd #16

6300 N Wickham Rd Ste 121

2301 W Eau Gallie Blvd Ste 2

205 Palm Bay Rd NE Ste 159

249 Palm Bay Rd NE

1770 N Wickham Rd

205 Palm Bay Rd NE Ste 159

38 Suntree Pl Ste 1

1770 N Wickham Rd

249 Palm Bay Rd NE

249 Palm Bay Rd NE

4531 N Wickham Rd

7777 N Wickham Rd Ste 4

249 Palm Bay Rd NE

205 Palm Bay Rd NE Ste 159

249 Palm Bay Rd NE

7185 Murrell Rd Ste 102

1250 W Eau Gallie Blvd

249 Palm Bay Rd NE

1250 W Eau Gallie Blvd

249 Palm Bay Rd NE

205 Palm Bay Rd NE Ste 159

8255 N Wickham Rd Ste 103

205 Palm Bay Rd NE Ste 159

205 Palm Bay Rd NE Ste 159

1390 S Babcock St

6300 N Wickham Rd Ste 121

1770 N Wickham Rd

811 S Babcock St

2990 Business Center Blvd

249 Palm Bay Rd NE

City

State

Cocoa Beach

Indialantic

Indialantic

Indialantic

Indian Harbour Beach

Indian Harbour Beach

Indian Harbour Beach

Indian Harbour Beach

Indian Harbour Beach

Indian Harbour Beach

Indian Harbour Beach

Indian Harbour Beach

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

Zip

32931

32903

32903

32903

32937

32937

32937

32937

32937

32937

32937

32937

32904

32904

32934

32940

32901

32940

32940

32904

32935

32904

32940

32935

32935

32901

32904

32934

32940

32935

32904

32935

32901

32904

32935

32935

32904

32904

32934

32940

32904

32935

32904

32935

32940

32904

32934

32940

32935

32904

32904

32935

32904

32940

32935

32904

32904

32935

32940

32904

32904

32904

32940

32935

32904

32935

32904

32904

32940

32904

32904

32901

32940

32935

32901

32940

32904

Phone

(321) 236-6606

(321) 724-2757

(321) 951-1577

(321) 727-8822

(321) 773-1000

(321) 426-7816

(321) 777-6453

(321) 773-1000

(321) 773-1000

(321) 773-1000

(321) 773-1000

(321) 773-1000

(321) 482-5220

(321) 956-5664

(321) 255-1991

(321) 434-4444

(321) 984-2461

(321) 622-6255

(321) 242-2100

(321) 482-5220

(321) 259-0217

(321) 482-5220

(321) 253-9588

(321) 253-5977

(321) 259-1949

(321) 728-4546

(321) 956-5664

(321) 255-1991

(321) 434-4444

(321) 253-0606

(321) 676-4080

(321) 259-9429

(321) 956-7700

(321) 482-5220

(321) 752-0809

(321) 253-0606

(321) 676-4080

(321) 956-5664

(321) 255-1991

(321) 434-4444

(321) 482-5220

(321) 254-5521

(321) 482-5220

(321) 253-0606

(321) 259-5100

(321) 956-5664

(321) 255-1991

(321) 259-5257

(321) 622-8711

(321) 676-4080

(321) 482-5220

(321) 253-0606

(321) 676-4080

(321) 259-9511

(321) 253-0606

(321) 482-5220

(321) 482-5220

(321) 622-8804

(321) 255-6303

(321) 482-5220

(321) 676-4080

(321) 482-5220

(321) 253-9588

(321) 259-1717

(321) 482-5220

(321) 259-1717

(321) 482-5220

(321) 676-4080

(321) 242-3115

(321) 676-4080

(321) 676-4080

(321) 728-4546

(321) 259-5257

(321) 253-0606

(321) 729-0022

(321) 254-0306

(321) 482-5220

Page 4

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05/2017

Text46:

Lists of Delta Dental dentists and benefit and eligibility information are also available on our web site: .

Keyes, William

Kim, King

Klein, Nicole

Kopuri, Nageswara

Kretzschmar Jr, Samuel

Kumar, Sadesh

Kumar, Sowmya

Kumar, Sowmya

Lancaster, Edward

Lancaster, Edward

Lapointe, Michel

Latham, Christopher

Lockhart, Lauren

Luque-Maiz, Olga

Mabry, Jeffrey

Maceda-Johnson, Antonio

Manzur, Kasim

Manzur, Kasim

Mao, Song

Marius, Jean Mary

Matini, Joseph

Mccann, John

Mccann, John

Mccown, Michael

McDonough, Lauren

Milo, Scott

Milton Jr, Charles

Mirda, Kristin

Moini, Mahkameh

Moini, Mahkameh

Morris, Timothy

Nagaraju, Champaka

Ordehi, Licet

Patel, Manoj

Periu, Lie-Ying

Pollock, Ray

Ramos, Gerald

Reichman, Lewis

Reyes Vicente, Jorge

Rillman, Ernest

Rillman, Ernest

Rodriguez, Dario

Saenz, Regina

Sayre Jr, Sidney

Schmid, Richard

Schroeder, Emily

Schropp, Theodore

Schumacher, Kendall

Scott, Paul

Sedaros, Steve

Seminario, Rafael

Shah, Anand

Simons, Javier

Sisson, Tavis

Smith, Christina

Spector, David

Stefanczyk, Barbara

Stetler, Kathy

Stockton, Dale

Tapper, Alexandros

Thomas, Maria

Umoren, Anne-Marie

Valderrama, Natalia

Valderrama, Natalia

Vargas, Alberto

Vaughn, William

Watson, Braille

West, Christopher

Willox, Angela

Youmans, Jasin

Zusselman, Arnold

Amundson, Melissa

Atkinson, William

Bangash, Maryam

Brittlebank, Tirzah

Bucaj, Alfons

Burnes, Charles

Address

2419 S Babcock St

1325 Pine St Ste 102

249 Palm Bay Rd NE

2555 W New Haven Ave

4301 N Wickham Rd Ste 9

2960 Bush Dr

3226 Lake Washington Rd #16

7827 N Wickham Rd #A

1390 S Babcock St

3150 N Wickham Rd Ste 7

416 S Babcock St

249 Palm Bay Rd NE

7777 N Wickham Rd Ste 4

220 N Babcock St

2261 Sarno Rd

1770 N Wickham Rd

3226 Lake Washington Rd #16

7827 N Wickham Rd #A

1390 S Babcock St

249 Palm Bay Rd NE

8095 Spyglass Hill Rd

1325 Pine St Ste 101

1360 Bedford Dr Ste 102

205 Palm Bay Rd NE Ste 159

249 Palm Bay Rd NE

3040 N Wickham Rd Ste 1

249 Palm Bay Rd NE

8061 Spyglass Hill Rd Ste A-1

2261 Sarno Rd

2261 Sarno Rd

1390 S Babcock St

2419 S Babcock St

1770 N Wickham Rd

1390 S Babcock St

6765 N Wickham Rd #105

1325 Pine St Ste 103

315 E Strawbridge Ave

205 Palm Bay Rd NE Ste 159

2261 Sarno Rd

1325 Pine St Ste 101

1360 Bedford Dr Ste 102

205 Palm Bay Rd NE Ste 159

205 Palm Bay Rd NE Ste 159

7025 N Wickham Rd Ste 105

1325 Pine St Ste 102

249 Palm Bay Rd NE

4521 N Wickham Rd Ste 101

418 E New Haven Ave

1114 Palmetto Ave

2301 W Eau Gallie Blvd # 101

2419 S Babcock St

3150 N Wickham Rd Ste 7

1250 W Eau Gallie Blvd

1250 W Eau Gallie Blvd

205 Palm Bay Rd NE Ste 159

7777 N Wickham Rd Ste 4

7777 N Wickham Rd Ste 4

2755 N Wickham Rd Ste 102

2900 Lake Washington Rd Ste 3

3150 N Wickham Rd Ste 7

1770 N Wickham Rd

249 Palm Bay Rd NE

1390 S Babcock St

903 Jordan Blass Dr Ste 102

1325 Pine St Ste 103

2113 Sarno Rd

402 N Babcock St Ste 103

205 Palm Bay Rd NE Ste 159

2301 W Eau Gallie Blvd Ste 2

5545 N Wickham Rd

205 Palm Bay Rd NE Ste 159

775 E Merritt Island Cswy #115

800 E Merritt Island Cswy Ste 105

800 E Merritt Island Cswy Ste 105

800 E Merritt Island Cswy Ste 105

190 S Sykes Creek Pkwy Ste 2

800 E Merritt Island Cswy Ste 105

City

State

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Melbourne

Merritt Island

Merritt Island

Merritt Island

Merritt Island

Merritt Island

Merritt Island

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

FL

Zip

32901

32901

32904

32904

32935

32935

32934

32940

32901

32935

32901

32904

32940

32935

32935

32935

32934

32940

32901

32904

32940

32901

32940

32904

32904

32935

32904

32940

32935

32935

32901

32901

32935

32901

32940

32901

32901

32904

32935

32901

32940

32904

32904

32940

32901

32904

32935

32901

32901

32935

32901

32935

32935

32935

32904

32940

32940

32935

32935

32935

32935

32904

32901

32940

32901

32935

32935

32904

32935

32940

32904

32952

32952

32952

32952

32952

32952

Phone

(321) 956-7700

(321) 725-5377

(321) 482-5220

(321) 728-9999

(321) 242-2236

(321) 956-0999

(321) 255-1991

(321) 434-4444

(321) 728-4546

(321) 253-5977

(321) 951-1360

(321) 482-5220

(321) 255-6303

(321) 254-5521

(321) 255-0601

(321) 253-0606

(321) 255-1991

(321) 434-4444

(321) 728-4546

(321) 482-5220

(321) 757-5074

(321) 984-0034

(321) 242-7550

(321) 676-4080

(321) 482-5220

(321) 242-2730

(321) 482-5220

(321) 622-6255

(321) 254-6322

(321) 255-0601

(321) 728-4546

(321) 956-7700

(321) 253-0606

(321) 728-4546

(321) 622-8960

(321) 724-4520

(321) 956-7111

(321) 676-4080

(321) 254-6322

(321) 984-0034

(321) 242-7550

(321) 676-4080

(321) 676-4080

(321) 253-1616

(321) 725-5377

(321) 482-5220

(321) 255-2700

(321) 722-3337

(320) 722-0550

(321) 610-7868

(321) 956-7700

(321) 253-5977

(321) 259-1717

(321) 259-1717

(321) 676-4080

(321) 255-6303

(321) 255-6303

(321) 255-9600

(321) 259-0217

(321) 253-5977

(321) 253-0606

(321) 482-5220

(321) 728-4546

(321) 544-4127

(321) 724-4520

(321) 259-9429

(321) 259-2161

(321) 676-4080

(321) 622-8711

(321) 474-9518

(321) 676-4080

(321) 453-7272

(321) 453-8882

(321) 453-8882

(321) 453-8882

(321) 452-8334

(321) 453-8882

Page 5

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