october 22, 2020 provider directory

October 22, 2020

Provider DirectoryPPO-DentalGuard Preferred®

Location selection: 14456

Proximity: 20 miles

Accepting New Patients: Yes

Number of results in directory: 141

Guardian® is a registered service mark of The Guardian Life Insurance Company of America, New York.

©2020 The Guardian Life Insurance Company of America. All rights reserved.

Network OverviewDentists Who Are Participating In The DentalGuardPreferred NetworkGuardian's Preferred Provider Organization consists ofDentists in the DentalGuard Preferred network. Networkaccess varies by geographic location and zip code.With the DentalGuard Preferred (PPO) network, you can seeany dentist you'd like. However, you have more opportunitiesto save money when you see a participating dentist in theDentalGuard Preferred network. Guardian's payment to theprovider for covered services is sent directly to theDentalGuard Preferred dentist. In some cases, benefits forservices rendered by a contracted provider may be paid at ahigher coinsurance percentage than those by a Non-Contracted/Out of Network provider. Contracted/In Networkcharges are based on a discounted fee schedule amount,whereas Non-Contracted/Out of Network charges are usuallybased on a reasonable and customary amount. This results insavings for the member when visiting a contracted dentist.Guardian's payment to the provider for covered services aresent directly to the participating provider. You are responsiblefor: • any deductibles • any co-payments • services that are not covered by Guardian • services denied due to the frequency or contractlimitations • cosmetic upgradesNote: The dentist may bill at the time of service for anydeductible, co-payment, and/or non-covered service(s).

Dentists Who Are Not Participating In The DentalGuardPreferred NetworkServices performed by a dentist not contracted in theDentalGuard Preferred network are usually paid at a lower,out-of-network coinsurance rate, which may increase yourfinancial responsibility. If a dental specialist is needed and oneis not available in the DentalGuard Preferred network, benefitsare usually paid at the out-of-network benefit rate, regardlessof a referral from a participating dentist.

For Members Who Have A Tiered Benefit PlanThe DentalGuard Preferred network consists of provider tierslisted based on discounts your Dentist has agreed to accept forservices covered under your Dental Plan.

• DentalGuard Preferred Alliance/Platinum • DentalGuard Preferred Elite/Gold • DentalGuard Preferred Connect/Silver

You will always save money with any dentist in Guardian'sDentalGuard Preferred network but will save the most bychoosing a dentist in the Alliance/Platinum or Elite/Goldprovider tier.

Your Dentist's provider tier is shown in the provider details inthis printed directory and online. Please visitguardiananytime.com/fpapp/FPWeb to confirm your Dentist'stiered participation.

For more information regarding DentalGuard Preferredprovider tiers, please consult your plan documents or contact aCustomer Service Representative at the number on your IDcard.How To Report Inaccurate Provider InformationWe strive to maintain an accurate and up-to-date providerdirectory, however, we would appreciate you reporting anyincorrect or outdated information for a specific provider.Please contact Member Services at the number found in theheader of this directory or send an email [email protected].

The information contained in this provider directory isobtained directly from participating providers and reflects themost current information verified for each network plan as ofthe date of printing. Please consult the online providerdirectory at guardianlife.com or contact a customer servicerepresentative at the telephone number provided on ourwebsite to obtain more current provider directoryinformation.

Criteria Used To Build Provider NetworkAll network dental plans offered by Guardian and itssubsidiaries incorporate rigorous provider accessibility andavailability standards in compliance with state and federalrequirements. We utilize information such as geographicdistance, travel time, appointment wait time, and provider-to-member ratio reports to ensure that our network ofparticipating providers meets the dental care needs of ourmembers.Our nationwide provider recruitment team solicitsnetwork participation from new providers annually, andissues special solicitation mailings to providers nominated byour members. New participating providers are subject to athorough credentialing process to ensure appropriateeducation, Board certification, consistent quality of care intheir practices, and compliance with applicable laws andregulations. Participating providers are also recredentialedevery three (3) years or more frequently if required by statelaw. In the event of a dental emergency, members maycontact a customer service representative to be directed toan appropriate provider who can deliver the care needed assoon as possible. We are committed to maintaining a robustprovider network for each of our dental plans, and wewelcome input from our members regarding any access tocare or quality of care concerns.

Network access and out of pocket expenses can vary bycontract, plan design and location. To make the best choice foryou, please refer to your benefit booklet to determine yourcontract type, plan coverage and network options.

https://www.guardiananytime.com/fpapp/FPWeb

https://www.guardianlife.com

Important Notice Regarding Language Assistance &

Discrimination

Aviso Importante Sobre La Asistencia De Idioma Y

Discriminación

No Cost Language Services. You can get an interpreter. You can get documents read to you and some sent to you in your language. For help, call Member

Services at the number on your ID Card (For the hearing impaired TTD/TTY 7-1-1). Guardian and its subsidiaries comply with applicable Federal civil rights laws and do

not discriminate because of race, color, national origin, age, disability, sex, or actual or perceived gender identity.

Spanish – Servicios de idiomas sin costo. Puedes conseguir un intérprete. Puede obtener documentos leídos y algunos enviados a usted en su idioma. Para

obtener ayuda, llame a Servicios para Miembros al número de su tarjeta de identificación (para personas con discapacidad auditiva (TTD/TTY 7-1-1). Guardian y sus subsidiarias cumplen con las leyes federales de derechos civiles aplicables y no discriminan debido a su raza, color, origen nacional, edad, discapacidad, sexo o género real o percibido Identidad. Armenian - Չկան ծախսերի լեզուների ծառայություններ: Դուք կարող եք ստանալ թարգմանիչ: Դուք կարող եք ստանալ փաստաթղթեր

կարդալու ձեզ եւ ոմանք ձեր լեզվով ուղարկված են: Օգնության համար զանգահարեք Անդամների ծառայություններ: Guardian® ը եւ նրա դուստր

ձեռնարկությունները համապատասխանում են դաշնային քաղաքացիական իրավունքի մասին օրենքներին եւ չեն խտրում ռասայի, գույնի,

ազգային ծագման, տարիքի, հաշմանդամության կամ սեռի հիման վրա:

Arabic- المدنية الحقوق لقوانين له التابعة والفروع الوصي ويمتثل .الأعضاء بخدمات اتصل ، تعليمات علي للحصول .لغتك في لك أرسلت والبعض لك تقرا وثائق علي الحصول يمكنك .مترجم علي الحصول

الجنس أو الاعاقه أو السن أو القومي الأصل أو اللون أو العرق أساس علي يميز ولا السارية الاتحادية .

Bengali - ক োন ো স্ট ল্যোঙু্গন়েজ সোর্ভি স ক ই । ক োভোষী কেনে েোনে । আের্ আে োে োনে আে োে োনে েোঠোন ো র্িেত্র কেনে েোনে এবং আে োে ভোষো়ে র্ েু েোঠিন়েনে । সোহোনযযে জ য, ল্ কেম্বোে সোর্ভি স । "গোর্ডি ়েো " এবং এে সোবর্সর্ড়েোর্ে * প্রনযোজয কেডোনেল্ োগর্ে অর্ি োে আই এবং জোর্ে, েঙ, জোেী়ে উৎের্ি, ব়েস, অক্ষেেো, বো র্ল্নঙ্গে র্ভর্িনে ববষেযেূল্ বযবহোে নে ো ।

Cambodian - មិនមានសេវាកមមភាសាថ្លៃសេ។ អ្នកអាចេេួលអ្នកបកប្រប។ អ្នកអាចអានឯកសារប្ែលអ្នកបានអានស ើយខ្ៃះស្ញើសៅអ្នកជាភាសារបេ់អ្នក។

េំរាប់ជំនួយេូមសៅេូរេ័ព្ទសៅសេវាកមមេមាជិក។ "អាណាព្ាបាល" និងរកមុ ៊ុនប៊ុររេមព័នធ * របេ់វាសោរព្តាមចាប់េិេធិេ៊ុ៊ីវលិរបេ់េ ព័្នធស ើយមិនសរ ើេសអ្ើងសលើមូលដ្ឋា នពូ្ជសាេន៍ព្ណ៌េមបុ រសែើមកំសណើរអាយ៊ុពិ្ការភាព្ឬការរមួសេេស ើយ។

Chinese - 无成本语言服务。你可以找个翻译。您可以将文档读给您, 有些则用您的语言发送给您。有关帮助, 请致电成员服务。监护

人及其附属公司 * 遵守适用的联邦民权法, 不因种族、肤色、国籍、年龄、残疾或性别而受到歧视。

French- Aucun coût des services linguistiques. Vous pouvez obtenir un interprète. Vous pouvez obtenir des documents lus pour vous et certains qui vous sont envoyés dans votre langue. Pour de l'aide, appelez les services aux membres. Guardian® et ses filiales* respectent les lois fédérales applicables en matière de droits civiques et ne discriminent pas sur la base de la race, de la couleur, de l'origine nationale, de l'âge, du handicap ou du sexe.

German - Keine Kosten Sprachdienstleistungen. Sie können einen Dolmetscher bekommen. Sie können Dokumente lesen, um Sie und einige an Sie in ihrer

Sprache. Rufen Sie die Mitglieder Dienste auf, um Hilfe zu leisten. Der Guardian® und seine Tochtergesellschaften * entsprechen den geltenden Bundes bürgerlichen Rechtsvorschriften und diskriminieren nicht auf der Grundlage von Rasse, Farbe, nationaler Herkunft, Alter, Behinderung oder Geschlecht.

Haitian-Creole- Pa gen sèvis konbinazon lang. Ou ka jwenn yon entèprèt. Ou ka jwenn dokiman li pou ou ak kèk voye pou nou nan lang ou.

Pou èd, rele sèvis manb. Guardian®, epi li filiales * soumèt li a aplikab lwa Federal dwa sivil pa diskrimine sou baz ras, koulè, orijin nasyonal, laj, enfimite, oubyen sèks

Hindi -कोई लागत भाषा सेवाए ं। तुम एक दभुाषषया प्राप्त कर सकते हैं । आप दस्तावेज़ आप को पढ़ने के ललए और कुछ अपनी भाषा में आप के ललए भेजा प्राप्त कर सकते हैं । मदद के ललए, सदस्य सेवाए ंकॉल करें । द गार्जियन और उसकी सहायक कंपननयां * लागू संघीय नागररक अधिकार कानूनों का अनुपालन करती हैं और जानत, रंग, राष्ट्रीय मूल,

आयु, षवकलांगता या सेक्स के आिार पर भेदभाव नहीं करतीं । Hmong - Tsis muaj nqi lus pab. Koj yuav tau ib tug neeg txhais lus. Koj yuav tau txais tej ntaub ntawv nyeem rau koj thiab ib co rau koj xa koj

cov lus. Pab, hu rau Member Services. Guardian® thiab nws cov subsidiaries* raws li muaj txog neeg txoj cai tsoom fwv teb chaws thiab cais ib haiv neeg, xim, keeb kwm teb chaws, hnub nyoog, mob xiam oob qhab los yog pw ua ke.

Italian – Servizi linguistici senza costi. È possibile ottenere un interprete. È possibile ottenere documenti letti a voi e alcuni inviati a voi nella

vostra lingua. Per assistenza, chiamare i servizi membri. Guardian® e le sue filiali* sono conformi alle leggi federali vigenti in materia di diritti civili e non discriminano sulla base di razza, colore, origine nazionale, età, invalidità o sesso.

Japanese - 無償の言語サービスはありません。通訳を受けることができます。あなたは、あなたとあなたの言語で送信されたいくつかのドキュメ

ントを読んで得ることができます。ヘルプについては、メンバーサービスを呼び出します。ガーディアンとその子会社 * 適用される連邦民事権

法に準拠し、人種、色、国の起源、年齢、障害、または性別に基づいて差別していません。

Korean -비용 언어 서비스 없음. 통역을 받을 수 있습니다. 당신은 문서를 당신에 게 읽어 얻을 수 있으며 일부는 귀하의 언어로 보냈습니다. 도움말을

위해 멤버 서비스를 호출 합니다. 후견인 및 그것의 자회사 *는 적용 가능한 연방 시민권 법률에 따르고 인종, 색깔, 국가 근원, 나이, 무력, 또는 성을

기준으로 하 여 감 별 하지 않는다.

Navaho - DÍÍ BAA'ÁKONÍNÍZIN bizaad bee yániłti'go, saad bee áka'anída'awo'ígíí, t'áá jíík'eh, bee ná'ahóót'i'. T'áá shǫǫdí ninaaltsoos nitł'izí bee nééhozinígíí bine'dę́ę́' t'áá jíík'ehgo béésh bee hane'í biká'ígíí bee hodíilnih.

Punjabi – ਕੋਈ ਲਾਗਤ ਭਾਸਾ ਸੇਵਾਵਾਂ ਨਹੀਂ ਤੁਸੀਂ ਇੱਕ ਦੁਭਾਸ਼ੀਏ ਪ੍ਰਾਪ੍ਤ ਕਰ ਸਕਦੇ ਹੋ ਤੁਸੀਂ ਦਸਤਾਵੇਜ਼ ਪ੍ੜ੍ਹ ਸਕਦੇ ਹੋ ਅਤੇ ਕੁਝ ਤਹੁਾਡ਼ੀ ਭਾਸਾ ਵਵਚ ਤੁਹਾਨ ੂੰ ਭੇਜ਼ੀ ਜਾ ਸਕਦ਼ੀ ਹੈ. ਸਹਾਇਤਾ ਲਈ, ਸਦੱਸ ਸੇਵਾਵਾਂ ਨ ੂੰ ਕਾਲ ਕਰੋ "ਗਾਰਡ਼ੀਅਨ" ਅਤੇ ਇਸ ਦ਼ੀਆ ਂਸਹਾਇਕ ਕੂੰਪ੍ਨ਼ੀਆਂ ਲਾਗ ਹੋਣ ਵਾਲੇ ਸੂੰਘ਼ੀ ਸਵਹਰ਼ੀ ਅਵਿਕਾਰਾਂ ਦੇ ਕਾਨ ੂੰ ਨਾਂ ਦ਼ੀ ਪ੍ਾਲਣਾ ਕਰਦ਼ੀਆਂ ਹਨ ਅਤੇ ਨਸਲ, ਰੂੰਗ, ਰਾਸਟਰ਼ੀ ਮ ਲ, ਉਮਰ, ਅਪ੍ੂੰਗਤਾ ਜਾਂ ਵਲੂੰ ਗ ਦੇ ਆਿਾਰ ਤ ੇਵਵਤਕਰਾ ਨਹੀਂ ਕਰਦ਼ੀਆ ਂ

Russian - Нет затрат языковых услуг. Вы можете получить переводчика. Вы можете получить документы, прочитанные вам и

некоторые послал к вам на вашем языке. Для справки позвоните в службу участников. Guardian® и его дочерние компании * соответствуют действующим федеральным законам о гражданских правах и не допускают дискриминации по признаку расы, цвета кожи, национального происхождения, возраста, инвалидности или пола.

Polish – Usługi językowe bez kosztów. Można uzyskać tłumacza. Możesz pobrać dokumenty do Ciebie, a niektóre wysyłane do Ciebie w swoim języku. Aby uzyskać pomoc, należy wywołać usługi członkowskie. Guardian® i jego spółki zależne * są zgodne z obowiązującymi przepisami prawa federalnego w zakresie praw obywatelskich i nie dyskryminuje ze względu na rasę, kolor, pochodzenie narodowe, wiek, niepełnosprawność lub płeć.

Portuguese- Nenhum serviço de linguagem de custo. Pode arranjar um intérprete. Você pode obter documentos lidos para você e alguns

enviados para você em seu idioma. Para ajudar, ligue para os serviços de membros. Guardian® e suas subsidiárias * cumprem as leis federais aplicáveis aos direitos civis e não discriminam com base na raça, cor, origem nacional, idade, incapacidade ou sexo.

Serbo-Croation - Nema troškova jezičke usluge. Možete dobiti prevodioca. Možete dobiti dokumente čitati te i neke vama poslati na vašem

jeziku. Za pomoć, zovi usluge za članstvo. Guardian® i njene podružnice * u skladu sa federalnom građanska prava je primenjivan i ne diskriminira na osnovu rase, boje, nacionalnog porekla, godinama, invaliditeta ili seks.

Syriac- ምንም ወጭ የቋንቋ አገልግሎት የለም. አስተርጓሚ ማግኘት ይችላሉ. ሰነዶች ለእርስዎ እንዲያነቡልዎት ሲደረጉ አንዳንድ ደግሞ በቋንቋዎ ይላክልዎታል. እርዳታ ለማግኘት

ለአባላት አገልግሎቶች ይደውሉ. "ዘውዳዊው" እና ተባባሪዎቻቸው * በሚመለከታቸው የፌዴራል ሲቪል መብቶች ሕጎች የተከበሩ እና በዘር, በቀለም, በብሄራዊ አመጣጥ, በእድሜ, በአካል ጉዳት ወይም በፆታ መለያዊነት ላይ አድልዎ አያደርጉም

Tagalog – Walang mga serbisyo sa gastos ng wika. Maaari kang makakuha ng interpreter. Maaari kang makakuha ng mga dokumento na basahin sa iyo at sa ilan ay nagpadala sa iyo sa iyong wika. Para sa tulong, tawagan ang serbisyo para sa miyembro. Guardian® at subsidyaryo nito* sumunod sa naaangkop na pederal batas sa karapatang sibil at hindi nagtatangi batay sa lahi, kulay, bansang pinagmulan, edad, kapansanan, o kasarian.

Thai - ไม่มบีรกิารภาษาต้นทุน คุณจะไดร้บัล่าม คุณสามารถรบัเอกสารทีอ่่านไดแ้ละส่งถงึคุณในภาษาของคุณ ส าหรบัความช่วยเหลอืใหเ้รยีกใชบ้รกิารสมาชกิ "ผูป้กครอง " และบรษิัทย่อย *

เป็นไปตามกฎหมายว่าดว้ยสทิธมินุษยชนของรฐับาลกลางและไม่ไดจ้ าแนกตามพืน้ฐานของการแข่งขนัสจีุดก าเนิดแห่งชาตอิายุความพกิารหรอืเพศ

Vietnamese - Không có ngôn ngữ chi phí dịch vụ. Bạn có thể nhận được một thông dịch viên. Bạn có thể nhận được tài liệu đọc bạn và một số được gửi đến cho bạn bằng ngôn ngữ của bạn. Để được trợ giúp, hãy gọi Dịch vụ hội viên. Guardian® và công ty con của nó * tuân thủ các luật liên bang quyền dân sự và không phân biệt đối xử trên cơ sở chủng tộc, màu sắc, nguồn gốc quốc gia, tuổi, người Khuyết tật hoặc quan hệ tình dục.

GG-017836 Universal LAP/GLIC/DTC/HCR 2018 rev 9.6.19

Guardian subsidiaries include First Commonwealth Inc. subsidiary companies, Managed Dental Care, Managed Dental Guard, Inc., Avēsis Incorporated, Premier Access Insurance Company and Access Dental Plan, Inc. Las subsidiarias de Guardian incluyen compañías subsidiarias de First Commonwealth Inc., Managed Dental Care, Managed Dental Guard, Inc., Avēsis Incorporated, Premier Access Insurance Company y Access Dental Plan, Inc.

Full and Equal Access to Covered Services: Members are entitled to full and equal access to covered services, including insureds with disabilities as

required under the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973.

Pleno e igual acceso a los servicios cubiertos: Los miembros tienen derecho al acceso pleno y equitativo a los servicios cubiertos, incluyendo los asegurados

con discapacidad, requerida en las Americans with Disabilities Act de 1990 y la Sección 504 de la Ley de Rehabilitación de 1973.

Endodontist

CanandaiguaTAGGAR,TANJIT317 S Main St ,14424(585) 248-3636Office : Progressive EndodonticsEMAIL ID :[email protected] Provider Identifier (NPI) :#1902284516License Number : #058565Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

General Dentist

CanandaiguaBASHA,AZIZ308 Eastern Blvd ,14424(585) 412-5040Office : Aspen DentalEMAIL ID:[email protected] Provider Identifier (NPI) :#1093048811License Number : #056064Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

CHEN,THOMAS179 Parrish St ,14424(585) 394-3433Office : Family & Cosmetic DentistryEMAIL ID :[email protected] Provider Identifier (NPI) :#1225114580License Number : #043519Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

JEAN-CHARLES,GERMAIN344 N Main St ,14424(285) 394-5910Office : Gentle Dentistry Of Lancaster PllcNational Provider Identifier (NPI) :#1912216789License Number : #056404Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

KAHN,ELI308 Eastern Blvd ,14424(585) 412-5040Office : Aspen DentalEMAIL ID:[email protected] Provider Identifier (NPI) :#1790004489

License Number : #055110Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

KASHI,AJAY308 Eastern Blvd ,14424(585) 412-5040Office : Aspen DentalEMAIL ID:[email protected] Provider Identifier (NPI) :#1225260383License Number : #056730Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

KIM,MIJIN308 Eastern Blvd ,14424(585) 412-5040Office : Aspen DentalEMAIL ID:[email protected] Provider Identifier (NPI) :#1801808886License Number : #054297Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

LABRECQUE,JULIE308 Eastern Blvd ,14424(585) 412-5040Office : Aspen DentalEMAIL ID:[email protected] Provider Identifier (NPI) :#1699905968License Number : #054401Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

PARVATHANENI,ISWARA308 Eastern Blvd ,14424(585) 412-5040Office : Aspen DentalEMAIL ID:[email protected] Provider Identifier (NPI) :#1013070994License Number : #047228Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

PIRMAND,LESIA308 Eastern Blvd ,14424(585) 412-5040Office : Aspen Dental

EMAIL ID:[email protected] Provider Identifier (NPI) :#1790238327License Number : #059159Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

POLEON,KATHLEEN308 Eastern Blvd ,14424(585) 412-5040Office : Aspen DentalEMAIL ID:[email protected] Provider Identifier (NPI) :#1679578447License Number : #050613Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

QUAGLIATA,INDRA308 Eastern Blvd ,14424(585) 412-5040Office : Aspen DentalEMAIL ID:[email protected] Provider Identifier (NPI) :#1033317300License Number : #054433Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

RANJAN MANDAVA,SAI308 Eastern Blvd ,14424(585) 412-5040Office : Aspen DentalEMAIL ID:[email protected] Provider Identifier (NPI) :#1689961609License Number : #057050Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

1SOLIMAN,IHAB344 N Main St ,14424(585) 394-5910Office : Gentle Dentistry Of Lancaster PllcNational Provider Identifier (NPI) :#1043531536License Number : #055643Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

SPINELLO,LISA308 Eastern Blvd ,14424(585) 412-5040

PPO-DentalGuard PreferredNew York Member Services 1-800-541-7846

1 Dentist is not directly contracted with Guardian. Dentist participates in the Guardian network through an arrangement with another network ("Partner Network"). SuchDentists are consequentially not credentialed by Guardian and are subject to the credentialing requirements of the Partner Network, which may be different than the Guardianstandards. 5

Office : Aspen DentalEMAIL ID:[email protected] Provider Identifier (NPI) :#1891943700License Number : #054023Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

STARKES,STACEY308 Eastern Blvd ,14424(585) 412-5040Office : Aspen DentalEMAIL ID:[email protected] Provider Identifier (NPI) :#1629616206License Number : #060878Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

USTINENKOV,ANDREY308 Eastern Blvd ,14424(585) 412-5040Office : Aspen DentalEMAIL ID:[email protected] Provider Identifier (NPI) :#1164664207License Number : #056155Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

FarmingtonSTURN,ALICIA1637 St Rt 332 ,14425(585) 398-2100Office : Farmington DentalEMAIL ID :[email protected] Provider Identifier (NPI) :#1841421146License Number : #054461Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

GenevaALSHAREEF,AHMED601b W Washington St ,14456(315) 781-8448Office : Geneva Community HealthLanguages : SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1326538141License Number : #060564Board Certification : Not available

Provider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

BLITZ,LEAH601b W Washington St ,14456(315) 781-8448Office : Geneva Community HealthLanguages : SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1811237167License Number : #056790Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

BYERS,DEBRA789 Canandaigua Rd ,14456(315) 781-9040Office : Loch Dental CareNational Provider Identifier (NPI) :#1598881195License Number : #038765Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

1DUNN,SARAH601b W Washington St ,14456(315) 781-8448Languages : SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1558541557License Number : #053542Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

EAVES,EDMUND64 Elizabeth Blackwell St ,Ste B,14456(315) 789-8899Office : Eaves Family Dental Grp GenevaLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1104960475License Number : #037637Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

EAVES,MARILYN64 Elizabeth Blackwell St ,Ste B,14456(315) 789-8899Office : Eaves Family Dental Grp GenevaLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1407991706License Number : #037638Board Certification : Not available


FELIX,ALAIN601b W Washington St ,14456(315) 781-8448Office : Geneva Community HealthLanguages : SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1538226105License Number : #050357Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

GARASIA,SHAILA601 W Washington St ,Ste B,14456(315) 784-8448Office : Geneva Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1568407245License Number : #047419Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

GLASGOW,NATHAN324 W North St ,Ste 6,14456(315) 789-9054Office : Sia N Hersini Dmd PcEMAIL ID :[email protected] Provider Identifier (NPI) :#1336586965License Number : #057369Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

GUDURU,SAI64 Elizabeth Blackwell St ,Ste B,14456(315) 789-8899Office : Eaves Family Dental Grp GenevaLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1326278300License Number : #059482Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

HERLIHY,THOMAS140 Washington St ,14456(508) 238-1027National Provider Identifier (NPI) :#1841306198Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/Silver



Accepting New Patients: Y

HERSINI,SIA324 W North St ,Ste 6,14456(315) 789-9054Office : Sia N Hersini Dmd PcEMAIL ID :[email protected] Provider Identifier (NPI) :#1760529499License Number : #048827Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

JIMENEZ COLON,EMILIO64 Elizabeth Blackwell St ,Ste B,14456(315) 789-8899Office : Eaves Family Dental Grp GenevaLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1386764298License Number : #059352Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

JOHNSON,JUDY64 Elizabeth Blackwell St ,Ste B,14456(315) 789-8899Office : Eaves Family Dental Grp GenevaLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1912128398License Number : #036316Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

KAHAN,JACK789 Canandaigua Rd ,14456(315) 781-9040Office : Loch Dental CareNational Provider Identifier (NPI) :#1265492995License Number : #31457Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

LEHFELDT,CHRISTOPHER601 W Washington St ,Ste B,14456(315) 781-8448Office : Geneva Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1700996287License Number : #042795Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/Gold


LIMA,STEFANO64 Elizabeth Blackwell St ,Ste B,14456(315) 789-8899Office : Eaves Family Dental Grp GenevaLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1548828759License Number : #061081Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

MACK-GATES,KENYATTA64 Elizabeth Blackwell St ,Ste B,14456(315) 789-8899Office : Eaves Family Dental Grp GenevaLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1023007374License Number : #048566Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

MENDICINO,ANTHONY601 W Washington St ,Ste B,14456(315) 781-8448Office : Geneva Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1699876730License Number : #042164Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

MILLS,ERICA789 Canandaigua Rd ,14456(315) 781-9040Office : Loch Dental CareNational Provider Identifier (NPI) :#1265674626License Number : #55304Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

MOURAD,FREDERICK64 Elizabeth Blackwell St ,Ste B,14456(315) 789-8899Office : Eaves Family Dental GrpLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1376799536License Number : #039929Board Certification : Not available


1NERI,ALBERT601b W Washington St ,14456(315) 781-8448Languages : SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1275524233License Number : #036750Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

PHIPPEN,ROSS601 W Washington St ,Ste B,14456(315) 781-8448Office : Geneva Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1104154111License Number : #058689Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

POLISE,ERIC405 Exchange St ,Ste 3,14456(315) 781-2002Office : Polise Dental ServiceNational Provider Identifier (NPI) :#1780707869License Number : #051566Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

POUGHER,SHYENNE64 Elizabeth Blackwell St ,Ste B,14456(315) 789-8899Office : Eaves Family Dental Grp GenevaLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1154708931License Number : #058627Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

PRINDLE,CHRISTINA774 Pre Emption Rd ,14456(315) 789-8975Office : Prindle Family DentistryEMAIL ID:[email protected] Provider Identifier (NPI) :#1194014977License Number : #056101Board Certification : Not available



Provider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

PRINDLE,MATTHEW774 Pre Emption Rd ,14456(315) 789-8975Office : Prindle Family DentistryEMAIL ID:[email protected] Provider Identifier (NPI) :#1700103553License Number : #055678Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

1RIEGEL,FREDERICK601b W Washington St ,14456(315) 781-8448Languages : SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1811017981License Number : #24161Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

RIEGEL,FREDERICK601 W Washington St ,Ste B,14456(315) 781-8448Office : Geneva Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1811017981License Number : #24161Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

RIZZONE,MICHAEL64 Elizabeth Blackwell St ,Ste B,14456(315) 789-8899Office : Eaves Family Dental Grp GenevaLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1548554322License Number : #057536Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

SPERONI,STEVEN601 W Washington St ,Ste B,14456(315) 784-8448Office : Geneva Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1801851597

License Number : #046480Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

STAHL,MICHAEL789 Canandaigua Rd ,14456(315) 781-9040Office : Loch Dental CareNational Provider Identifier (NPI) :#1770546095License Number : #048112Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

TELEHANY,MICHAEL789 Canandaigua Rd ,14456(315) 781-9040Office : Loch Dental CareNational Provider Identifier (NPI) :#1396790333License Number : #044590Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

TELEHANY,MICHAEL64 Elizabeth Blackwell St ,Ste B,14456(315) 789-8899Office : Eaves Family Dental GrpLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1396790333License Number : #044590Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

TELEHANY,MICHAEL324 W North St ,Ste 6,14456(315) 789-9054Office : Sia N Hersini Dmd PcEMAIL ID :[email protected] Provider Identifier (NPI) :#1396790333License Number : #044590Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

TOURE,AISHA601 W Washington St ,Ste B,14456(315) 781-8448Office : Geneva Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1114182854License Number : #054706Board Certification : Not available


TRIANA,DIANNE174 Washington St ,14456(315) 789-2040Office : Triana & Triana Dds PcNational Provider Identifier (NPI) :#1255462800License Number : #041852Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

TRIANA,FRANK174 Washington St ,14456(315) 789-2040Office : Triana & Triana Dds PcNational Provider Identifier (NPI) :#1982735544License Number : #041551Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

WHITE,MARCIA64 Elizabeth Blackwell St ,Ste B,14456(315) 789-8899Office : Eaves Family Dental Grp GenevaLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1588714448License Number : #059731Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

1WOOLSEY,MATTHEW601b W Washington St ,14456(315) 781-8448Languages : SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1811030141License Number : #036504Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

XAVIER,CARLOS HENRIQUE64 Elizabeth Blackwell St ,Ste B,14456(315) 789-8899Office : Eaves Family Dental Grp GenevaLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1467940346License Number : #060430Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/Gold




YU,DAVID601b W Washington St ,14456(315) 781-8448Office : Geneva Community HealthLanguages : SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1720218316License Number : #054489Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

Lyons1CHAMPEN-WASHINGTON,APRIL1519 Nye Rd ,Ste 218,14489(877) 554-6805Office : Wayne County Community HealthCenterEMAIL ID :[email protected] Provider Identifier (NPI) :#1902810765License Number : #16055Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

1COPELLA,MELISSA1519 Nye Rd ,Ste 218,14489(315) 871-3178Office : Wayne County Community HealthCenterEMAIL ID :[email protected] Provider Identifier (NPI) :#1316045297License Number : #053541Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

D'AMICO,ANTHONY20 Canal St ,14489(315) 946-4000Languages : German, ItalianNational Provider Identifier (NPI) :#1962426759License Number : #031199Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

1GONZALEZ,LAURA1519 Nye Rd ,14489(315) 871-3178National Provider Identifier (NPI) :#1457415465License Number : #50050359-1Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/Silver


1HOLMES,ERIC1519 Nye Rd ,Ste 218,14489(877) 554-6805Office : Wayne County Community HealthCenterEMAIL ID :[email protected] Number : #055320Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

1PROULX,GABRIEL1519 Nye Rd ,Ste 218,14489(315) 871-3178Office : Wayne County Community HealthCenterEMAIL ID :[email protected] Provider Identifier (NPI) :#1386058550License Number : #057450Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

PUDDICOMBE,EMMANUEL52 Broad St ,14489(315) 946-4656Office : Family Dentistry Of LyonsLanguages : RussianNational Provider Identifier (NPI) :#1447252747License Number : #053364Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

1WISNIEWSKI,MICHELLE1519 Nye Rd ,Ste 218,14489(315) 871-3178Office : Wayne County Community HealthCenterEMAIL ID :[email protected] Provider Identifier (NPI) :#1649610122License Number : #057336Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

ZEBRACKI,MARY1519 Nye Rd ,Ste 218,14489(315) 871-3178Office : Wayne County Community HealthCenterEMAIL ID :[email protected] Provider Identifier (NPI) :#1982793311License Number : #045986Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/Silver


NewarkADSIT,MICHAEL1000 Driving Park Ave ,14513(315) 331-6232National Provider Identifier (NPI) :#1396825451License Number : #053057Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

ALSHAREEF,AHMED513 W Union St ,14513(315) 573-7577Office : Newark Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1326538141License Number : #060564Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

BLITZ,LEAH513 W Union St ,14513(315) 573-7577Office : Newark Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1811237167License Number : #056790Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

FELIX,ALAIN513 W Union St ,14513(315) 573-7577Office : Newark Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1538226105License Number : #050357Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

GARASIA,SHAILA513 W Union St ,14513(315) 573-7577Office : Newark Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1568407245License Number : #047419Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y



LEHFELDT,CHRISTOPHER513 W Union St ,14513(315) 573-7577Office : Newark Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1700996287License Number : #042795Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

MENDICINO,ANTHONY513 W Union St ,14513(315) 573-7577Office : Newark Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1699876730License Number : #042164Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

PHIPPEN,ROSS513 W Union St ,14513(315) 573-7577Office : Newark Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1104154111License Number : #058689Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

RIEGEL,FREDERICK513 W Union St ,14513(315) 781-8448Office : Newark Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1811017981License Number : #24161Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

SPERONI,STEVEN513 W Union St ,14513(315) 573-7577Office : Newark Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1801851597License Number : #046480Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

TOURE,AISHA513 W Union St ,14513

(315) 573-7577Office : Newark Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1114182854License Number : #054706Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

YU,DAVID513 W Union St ,14513(315) 573-7577Office : Newark Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1720218316License Number : #054489Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

OvidALSHAREEF,AHMED7150 Main St ,14521(607) 403-0065Office : Ovid Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1326538141License Number : #060564Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

BLITZ,LEAH7150 Main St ,14521(607) 403-0065Office : Ovid Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1811237167License Number : #056790Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

FELIX,ALAIN7150 Main St ,14521(607) 403-0065Office : Ovid Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1538226105License Number : #050357Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

GARASIA,SHAILA7150 Main St ,14521

(607) 403-0065Office : Ovid Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1568407245License Number : #047419Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

LEHFELDT,CHRISTOPHER7150 Main St ,14521(607) 403-0065Office : Ovid Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1700996287License Number : #042795Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

MENDICINO,ANTHONY7150 Main St ,14521(607) 403-0065Office : Ovid Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1699876730License Number : #042164Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

PHIPPEN,ROSS7150 Main St ,14521(607) 403-0065Office : Ovid Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1104154111License Number : #058689Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

RIEGEL,FREDERICK7150 Main St ,14521(607) 403-0065Office : Ovid Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1811017981License Number : #24161Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

SPERONI,STEVEN7150 Main St ,14521(607) 403-0065Office : Ovid Community Health



Languages : SpanishNational Provider Identifier (NPI) :#1801851597License Number : #046480Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

TOURE,AISHA7150 Main St ,14521(607) 403-0065Office : Ovid Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1114182854License Number : #054706Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

YU,DAVID7150 Main St ,14521(607) 403-0065Office : Ovid Community HealthLanguages : SpanishNational Provider Identifier (NPI) :#1720218316License Number : #054489Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

Palmyra1MAPES,BARTON523 E Main St ,14522(000) 000-0000National Provider Identifier (NPI) :#1619173655License Number : #054827Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

1MILLER,CHRISTOPHER523 E Main St ,14522(000) 000-0000National Provider Identifier (NPI) :#1003212028Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

1SADIBASIC,MADELYN523 E Main St ,14522(000) 000-0000National Provider Identifier (NPI) :#1699290064License Number : #059336Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/Silver


1SOBEY,KAMI523 E Main St ,14522(000) 000-0000National Provider Identifier (NPI) :#1104169523License Number : #057301Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

1TELEHANY,CATHERINE523 E Main St ,14522(000) 000-0000National Provider Identifier (NPI) :#1619385317License Number : #057335Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

1TRESS,KARA523 E Main St ,14522(000) 000-0000National Provider Identifier (NPI) :#1548653900License Number : #058765Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

Penn YanALSHAREEF,AHMED160 Main St ,14527(315) 536-2024Office : Penn Yan Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1326538141License Number : #060564Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

BLITZ,LEAH160 Main St ,14527(315) 536-2024Office : Penn Yan Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1811237167License Number : #056790Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

EAVES,EDMUND660 Liberty St ,14527

(315) 536-3341Office : Eaves Family Dental Grp Penn YanLanguages : Portuguese, Romanian, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1104960475License Number : #037637Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

EAVES,MARILYN660 Liberty St ,14527(315) 536-3341Office : Eaves Family Dental Grp Penn YanLanguages : Portuguese, Romanian, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1407991706License Number : #037638Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

FELIX,ALAIN160 Main St ,14527(315) 536-2024Office : Penn Yan Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1538226105License Number : #050357Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

GARASIA,SHAILA160 Main St ,14527(315) 536-2024Office : Penn Yan Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1568407245License Number : #047419Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

GUDURU,SAI660 Liberty St ,14527(315) 536-3341Office : Eaves Family Dental Grp Penn YanLanguages : Portuguese, Romanian, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1326278300License Number : #059482Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y



JIMENEZ COLON,EMILIO660 Liberty St ,14527(315) 536-3341Office : Eaves Family Dental Grp Penn YanLanguages : Portuguese, Romanian, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1386764298License Number : #059352Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

JOHNSON,JUDY660 Liberty St ,14527(315) 536-3341Office : Eaves Family Dental Grp Penn YanLanguages : Portuguese, Romanian, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1912128398License Number : #036316Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

LEHFELDT,CHRISTOPHER160 Main St ,14527(315) 536-2024Office : Penn Yan Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1700996287License Number : #042795Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

LIMA,STEFANO660 Liberty St ,14527(315) 536-3341Office : Eaves Family Dental Grp Penn YanLanguages : Portuguese, Romanian, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1548828759License Number : #061081Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

MACK-GATES,KENYATTA660 Liberty St ,14527(315) 536-3341Office : Eaves Family Dental Grp Penn YanLanguages : Portuguese, Romanian, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1023007374License Number : #048566Board Certification : Not available


MENDICINO,ANTHONY160 Main St ,14527(315) 536-2024Office : Penn Yan Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1699876730License Number : #042164Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

MOURAD,FREDERICK660 Liberty St ,14527(315) 536-3341Office : Eaves Family Dental GrpLanguages : Portuguese, Romanian, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1376799536License Number : #039929Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

PHIPPEN,ROSS160 Main St ,14527(315) 536-2752Office : Penn Yan Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1104154111License Number : #058689Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

POUGHER,SHYENNE660 Liberty St ,14527(315) 536-3341Office : Eaves Family Dental Grp Penn YanLanguages : Portuguese, Romanian, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1154708931License Number : #058627Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

RIEGEL,FREDERICK160 Main St ,14527(315) 536-2024Office : Penn Yan Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected]

National Provider Identifier (NPI) :#1811017981License Number : #24161Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

RIZZONE,MICHAEL660 Liberty St ,14527(315) 536-3341Office : Eaves Family Dental Grp Penn YanLanguages : Portuguese, Romanian, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1548554322License Number : #057536Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

SILSBY,EVAN660 Liberty St ,14527(315) 536-3341Office : Eaves Family Dental GrpLanguages : Portuguese, Romanian, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1205273240License Number : #057388Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

SPERONI,STEVEN160 Main St ,14527(315) 536-2752Office : Penn Yan Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1801851597License Number : #046480Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

TELEHANY,MICHAEL660 Liberty St ,14527(315) 536-3341Office : Eaves Family Dental GrpLanguages : Portuguese, Romanian, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1396790333License Number : #044590Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

TOURE,AISHA160 Main St ,14527(315) 536-2752



Office : Penn Yan Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1114182854License Number : #054706Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

XAVIER,CARLOS HENRIQUE660 Liberty St ,14527(315) 536-3341Office : Eaves Family Dental Grp Penn YanLanguages : Portuguese, Romanian, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1467940346License Number : #060430Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

YU,DAVID160 Main St ,14527(315) 536-2024Office : Penn Yan Community HealthLanguages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1720218316License Number : #054489Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

RushvilleCHAMPEN-WASHINGTON,APRIL2 Rubin Dr ,14544(585) 554-4404Office : Rochester Primary Care NetworkEMAIL ID :[email protected] Provider Identifier (NPI) :#1902810765License Number : #16055Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

COPELLA,MELISSA2 Rubin Dr ,14544(585) 554-4404Office : Rochester Primary Care NetworkEMAIL ID :[email protected] Provider Identifier (NPI) :#1316045297License Number : #053541Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

1GONZALEZ,LAURA2 Rubin Dr ,14544(585) 554-4400Office : Rochester Primary Care NetworkEMAIL ID :[email protected] Provider Identifier (NPI) :#1457415465License Number : #50050359-1Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

1GUILLORY,LOUIS2 Rubin Dr ,14544(585) 554-4400Office : Rochester Primary Care NetworkEMAIL ID :[email protected] Provider Identifier (NPI) :#1003137282License Number : #055792Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

1HOLMES,ERIC2 Rubin Dr ,14544(585) 554-4400Office : Rochester Primary Care NetworkEMAIL ID :[email protected] Provider Identifier (NPI) :#1912285792License Number : #055320Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

TAVARES,VINICIUS2 Rubin Dr ,14544(585) 554-4400Office : Rochester Primary Care NetworkEMAIL ID :[email protected] Provider Identifier (NPI) :#1427417054License Number : #059446Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

1WISNIEWSKI,MICHELLE2 Rubin Dr ,14544(585) 554-4404Office : Rochester Primary Care NetworkEMAIL ID :[email protected] Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

ZEBRACKI,MARY2 Rubin Dr ,14544(585) 554-4400Office : Rochester Primary Care NetworkEMAIL ID :[email protected]

National Provider Identifier (NPI) :#1982793311License Number : #045986Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

ShortsvilleKOWAL,ROBERT15 Canandaigua St ,14548(585) 289-4062National Provider Identifier (NPI) :#1285718114License Number : #033161Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

WaterlooCORSO,LAWRENCE128 E Main St ,13165(315) 539-2091Office : Gregory L French DmdEMAIL ID :[email protected] Provider Identifier (NPI) :#1316019086License Number : #049010Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

FRENCH,GREGORY128 E Main St ,13165(315) 539-2091Office : Gregory L French DmdEMAIL ID :[email protected] Provider Identifier (NPI) :#1063586345License Number : #039484Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

GRIFFEE,NANCY44 W Main St ,13165(315) 539-2231Office : All Smiles Family DentistryNational Provider Identifier (NPI) :#1609976943License Number : #051924Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

MCTERNAN,ERIN44 W Main St ,13165(315) 539-2231National Provider Identifier (NPI) :#1225294788License Number : #54009



Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

STREIFF,STEPHEN128 E Main St ,13165(315) 539-2091Office : Gregory L French DmdEMAIL ID :[email protected] Provider Identifier (NPI) :#1649658071License Number : #058743Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

Oral Surgeon

CanandaiguaTIN,PETHAN308 Eastern Blvd ,14424(585) 412-5040Office : Aspen DentalEMAIL ID:[email protected] Provider Identifier (NPI) :#1669428041License Number : #052227Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

Orthodontist

NewarkDINGUS,WILLIAM106 High St ,14513(315) 331-3726Office : William Dingus Dmd LlcNational Provider Identifier (NPI) :#1104849660License Number : #042074Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y

Pediatric Dentist

Lyons1MAGGI,ANNETTE1519 Nye Rd ,Ste 218,14489(315) 871-3178Office : Wayne County Community HealthCenterEMAIL ID :[email protected] Provider Identifier (NPI) :#1861682619License Number : #054573Board Certification : Not available

Provider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

RushvilleMAGGI,ANNETTE2 Rubin Dr ,14544(585) 554-4404Office : Rochester Primary Care NetworkEMAIL ID :[email protected] Provider Identifier (NPI) :#1861682619License Number : #054573Board Certification : Not availableProvider Tier: DentalGuard PreferredConnect/SilverAccepting New Patients: Y

Prosthodontist

Penn YanMALAMOU,CHARIKLEIA660 Liberty St ,14527(315) 536-3341Office : Eaves Family Dental Grp Penn YanLanguages : Portuguese, Romanian, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) :#1457880791License Number : #061082Board Certification : Not availableProvider Tier: DentalGuard PreferredElite/GoldAccepting New Patients: Y



DentalGuard PreferredDentist Nomination FormI would like to nominate my dentist for inclusion in the DentalGuard Preferred Provider Network.I understand thatDentalGuard Preferred/Guardian retains final authority for approving membership in the network. I alsounderstand that DentalGuard Preferred/ Guardian may use my name when contacting my dentist and inform themof my desire for them to join the network. You can also nominate online at guardiananytime.com

Note: This form does not serve as an enrollment form for dental coverage or to register with the dental office as apatient.

Date:_____________ Group Plan #:_____________________

MEMBER INFORMATION:

Employer: _______________________________________________________________________

Patient: _________________________________________________________________________

Phone: __________________________________________________________________________

Email: __________________________________________________________________________

DENTIST INFORMATION:

Name: __________________________________________________________________________

Address: ________________________________________________________________________

City/State/Zip: ____________________________________________________________________

Phone: __________________________________________________________________________

Specialty: ________________________________________________________________________

Email: __________________________________________________________________________

Please submit completed form to: GuardianAttn: Network ManagementP.O. Box 981574El Paso,TX 79998-1574

Fax: 509-468-6550

Email:[email protected]

https://www.guardiananytime.com/fpapp/FPWeb

october 22, 2020 provider directory

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