Law Enforcement Health Benefits 2233 Spring Garden Street Philadelphia, Pennsylvania 19130 215-763-8290 John J. Gaittens, Administrator Ray Convery, Assistant Administrator

Dental/Vision Office 215-364-3529 L.E.H.B. Dental Care Network Participating Providers Member Dental Directory

This directory lists the names, addresses and telephone numbers of L.E.H.B. Dental Care Network Providers. Members may select any dental care provider; however, using an L.E.H.B. Dental Care Network provider will minimize any out of pocket expenses. If a member selects a participating L.E.H.B. Dental Care Network Provider, the member will enjoy the highest level of dental benefits at the lowest possible cost. Members using an L.E.H.B. Dental Care Network participating provider will have no office visit co-pay and no out of pocket deductible as long as you do not exceed your maximum annual dental allowance.

For your convenience, this list is grouped by zip code. All L.E.H.B. Dental Care Network providers for active/retired members are listed. Some providers only provider services to the active/retired LEHB covered members’ group while some also belong to the retired non LEHB covered members’ group. Some providers are willing to continue to provide services for their current patients going who no longer have LEHB coverage. Members who are retired and NO LONGER have LEHB coverage are strongly urged to ask their current dental care practitioner if he or she is also an L.E.H.B. Retiree Plan Participating Provider. If your provider does not participate in the retiree plan, please encourage him or her to join. An explanation of Member Vision Benefits is available online at:

http://www.lehb.org/member_vision_benefits.htm

LEHB Vision Plan Claim Form http://www.lehb.org/vision_claim_2_10.pdf

LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members The Perfect Smile Dental 437 Broad Street 732-224-939 Active Member Does not accept Services Red Bank, NJ 07701 Plan Participating retiree plan. Provider Brian M. Furie DMD 515 Iron Bridge Road Suite #5 732-431-2212 Active Member Does not accept Freehold, NJ 07728 Plan Participating retiree plan. Provider Arnold Bucciarelli, DDS 10 Splitrock Drive 856-424-1600 Active Member Does not accept Cosmetic & Family Cherry Hill, NJ 08003 Plan Participating retiree plan. Dentistry Provider Braden Dental of South 1949 Marlton Pike East, Suite #7 856-751-8880 Active Member Does not accept Jersey Cherry Hill, NJ 08003 Plan Participating retiree plan Provider Holdbrook Pediatric 1924 Route 70 East Pediodontist 856-783-0444 Active Member Does not accept Dental, LLC Cherry Hill, NJ 08003 Plan Participating retiree plan Provider Jagdeep Singh DDS 1765 Springdale Road, Suite C-1 Periodontist 855-547-3746 Active Member Does not accept Cherry Hill, NJ 08003 Plan Participating retiree plan. Provider Tap Dentistry 1910 Route 70 East Oral Surgery 856-875-9595 Active Member Does not accept Suite #4 Plan Participating retiree plan. Cherry Hill, NJ 08003 Provider Precision Oral Surgery 1765 Springdale Road, Suite #C-1 Oral Surgeon 855-547-3746 Active Member Retired Member Cherry Hill, NJ 08003 Plan Participating Plan Participating Provider Provider

8/28/2021 3 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Woodcrest Dental 1800 Haddonfield-Berlin Rd. 856-795-1121 Active Member Does not accept Associates Cherry Hill, NJ 08003 Plan Participating retiree plan. Dr. David Cho Provider Your Orthodontist 1940 E. Route 70 Orthodontics 856-428-1441 Active Member Does not accept Ronald Saffar Cherry Hill, NJ 08003 Plan Participating retiree plan. Provider American Dental Care, PA 7 South Blackhorse Pike 856-227-2740 Active Member Retired Member Blackwood, NJ 08012 Plan Participating Plan Participating Provider Provider Perfect Smiles Dentistry 101 S. White Horse Pike 856-566-7466 Active Member Retired Member Lindenwold, NJ 08021 Plan Participating Plan Participating Provider Provider Healthly Smiles of 535 Monmouth Street 856-456-2682 Active Member Does not accept Gloucester City Gloucester City, NJ 08030 Plan Participating retiree plan Provider Southern NJ Oral Surgery 411 Marlton Pike East Suite#155 Oral 856-428-4445 Active Member Does not accept Cherry Hill, NJ 08034 Surgeon Plan Participating retiree plan. Provider Bram Dental Group LLC 607 Station Avenue General 856-547-0520 Active Member Retired Member DBA Haddon Heights Haddon Heights, NJ 08035 Plan Participating Plan Participating Smiles Provider Provider West Depford Dental 800 Jessup Road, Suite #805 856-845-4390 Active Member Does not accept Excellence West Depford, NJ 08036 Plan Participating retiree plan Provider

8/28/2021 4 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Maestro Smiles 526 S. Burnt Mill Road, Suite #100 General 856-638-5879 Active Member Does not accept Voorhees, NJ 08043 Plan Participating retiree plan Provider Dental Specialists of 1307 White Horse Road, Bldg E Orthodontist 856-888-1365 Active Member Does not accept Voorhees Suite #502 Plan Participating retiree plan Dr. Steven Cohen Voorhees, NJ 08043 Provider Dental Specialists of 1307 White Horse Road, Bldg E Periodontist 856-888-1365 Active Member Does not accept Voorhees Suite #502 Plan Participating retiree plan Dr. David Edenbaum Voorhees, NJ 08043 Provider American Dental Care, PA 6200 Piazza @ Main Street 856-489-7810 Active Member Retired Member Voorhees, NJ 08043 Plan Participating Plan Participating Provider Provider Healthy Smiles Family 1233 Haddonfield-Berlin Road, Suite 856-768-8988 Active Member Does not accept Dentistry 6, Voorhees, NJ 08043 Plan Participating retiree plan Provider Joel Elfman, DDS 302 Haddonfield-Berlin Road Orthodontist 856-429-1900 Active Member Does not accept Elfman Orthodontics Voorhees, NJ 08043 Pediodontist Plan Participating retiree plan Provider Staffordshire Dental Group 1307 White Horse Road, Bldg. E 856-627-3400 Active Member Does not accept P.A. Suite 500 Plan Participating retiree plan Voorhees, NJ 08043 Provider Kenneth Oskowiak DMD 19 E. Evesham Road General 856-428-1598 Active Member Retired Member Kenneth Oskowiak & Voorhees, NJ 08043 Plan Participating Plan Participating Assoc. Provider Provider

8/28/2021 5 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Ortho One DMD 700 Haddonfield –Berlin Road, Suite 856-566-1240 Active Member Does not accept 26 Plan Participating retiree plan Voorhees, NJ 08043 Provider Richard Ip DDS 97 Route 73 856-809-1855 Active Member Does not accept Voorhees, NJ 08043 Plan Participating retiree plan Provider Gregory Strait 2301 E. Evesham Road, Suite #105 856-770-1660 Active Member Retired Member Voorhees, NJ 08043 Plan Participating Plan Participating Provider Provider Voorhees Dental Smiles 102 W. White Horse Road, 856-784-5061 Active Member Does not accept LLC Suite#101 Plan Participating retiree plan Voorhees, NJ 08043 Provider Voorhees Town Center 526 South Burt Mill Road, Suite#1 856-638-5232 Active Member Retired Member Dental Voorhees, NJ 08043 Plan Participating Plan Participating Provider Provider Precision Oral Surgery 215 Sunset Road, Suite 308 Oral Surgery 856-547-3746 Active Member Does not accept Willingboro, NJ 08046 Plan Participating retiree plan Provider Infinte Endodontincs 215 Sunset Road, Suite# 308 Endodontics 877-422-6257 Active Member Does not accept Willingboro, NJ 08046 Plan Participating retiree plan Provider Hometown Family 402 S. White Horse Pike General 856-566-9700 Active Member Does not accept Dentistry Magnolia, NJ 08049 Dentist Plan Participating retiree plan Provider

8/28/2021 6 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Perfect Smiles Dentistry 651 Route 73 Bldg# 2 856-556-7466 Active Member Retired Member Suite#208 Pnilions at Greentree Plan Participating Plan Participating Marlton, NJ 08053 Provider Provider Delmar Orthodontics 1000 Lincoln Drive East,Suite#3 856-638-5879 Active Member Does not accept Marlton, NJ 08053 Plan Participating retiree plan Provider Haddon Oral Surgeons 475 Old Marlton Pike 856-983-0202 Active Member Retired Member Marlton, NJ 08053 Plan Participating Plan Participating Provider Provider Meiba Bonelli P. 875 Route 73 North, Suite H DMD 856-983-9300 Active Member Does not accept Dental Choice PC Marlton, NJ 08053 Plan Participating retiree plan Provider Marlton Pediatric Smiles 73 N. Maple Avenue, Suite C 856-983-6085 Active Member Does not accept Marlton, NJ 08053 Plan Participating retiree plan Provider Precision Periodontics 1000 Lincoln Drive East, Suite 3-A Periodontics 855-547-3746 Active Member Retired Member Marlton, NJ 08053 Plan Participating Plan Participating Provider Provider Precision Oral Surgery 1000 Lincoln Drive East, Suite 3-A Oral Surgery 855-547-3746 Active Member Retired Member Marlton, NJ 08053 Plan Participating Plan Participating Provider Provider Infinite Endodontics 1000 Lincoln Drive East, Suite 3-A Endodontics 855-547-3746 Active Member Retired Member Marlton, NJ 08053 Plan Participating Plan Participating Provider Provider

8/28/2021 7 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Tenbrook Orthodontics 101 S. Route 73 Orthodontics 856-270-6784 Active Member Does not accept Marlton, NJ 08053 Plan Participating retiree plan Provider Larchmont Dental Larchmont Medical Center II #215 General 856-722-0800 Active Member Does not accept Associates Mt. Laurel, NJ 08054 Plan Participating retiree plan Provider Larchmont Dental Arts 210 Ark Road Suite #215 General 856-722-0800 Active Member Retired Member LLC Mt. Laurel, NJ 08054 Plan Participating Plan Participating Provider Provider Haddon Oral Surgeons 25 Jackson Road, Suite C 609-654-2000 Active Member Retired Member Medford, NJ 08055 Plan Participating Plan Participating Provider Provider Haddon Oral Surgeons 400 N. Church Street, Suite #140 856-722-0101 Active Member Retired Member Moorestown, NJ 08057 Plan Participating Plan Participating Provider Provider Tenbrook Orthodontics 108 Route 322 Unit 3 Othodontics 856-223-8888 Active Member Does not accept Mullica Hill, NJ 08062 Plan Participating retiree plan Provider Advanced Palmyra 15 West Braod Street 856-786-7117 Active Member Retired Member Dentistry PC Palmyra, NJ 08065 Plan Participating Plan Participating Provider Provider Paulsboro Family Dentisrty 125 W. Broad Street 856-224-1700 Active Member Retired Member Paulsboro, NJ 08066 Plan Participating Plan Participating Provider Provider

8/28/2021 8 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Dental Arts Group 102 Pitman Ave. General 856-589-5737 Active Member Does not accept Pitman, NJ 08071 Plan Participating retiree plan Provider Maestro Smiles 280 Route 130 North, Suite# 108 General 856-638-5879 Active Member Does not accept Cinnaminson, NJ 08077 Plan Participating retiree plan Provider Jagdeep Singh DDS 2800 Route 130 N, Suite 114 Periodontist 855-547-3746 Active Member Does not accept Cinnaminson, NJ 08077 Plan Participating retiree plan Provider Precision Oral Surgery 2800 Route 130 N, Suite 114 Oral Surgeon 855-547-3746 Active Member Retired Member Cinnaminson, NJ 08077 Plan Participating Plan Participating Provider Provider David Cho 2103 Branch Pike 856-829-1989 Active Member Does not accept Alpha Dental Spa Cinnaminson, NJ 08077 Plan Participating retiree plan. Provider New Albany family 2800 Route #130 North, Suite#108 856-786-1881 Active Member Retired Member Dentistry Cinnaminson, NJ 08077 Plan Participating Plan Participating Provider Provider Riverton Family Dentistry 406 Thomas Avenue General 856-829-0030 Active Member Does not accept Riverton, NJ 08077 Plan Participating retiree plan Provider Tenbrook Orthodontics 304 Hurfville Cross Keys Road, Orthodontics 856-589-3666 Active Member Does not accept Suite 1 Plan Participating retiree plan Sewell, NJ 08080 Provider

8/28/2021 9 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Tap Dentistry 2001 Liberty Place Oral Surgery 856-875-9595 Active Member Does not accept Sicklerville, NJ 08081 Plan Participating retiree plan Provider Holdbrook Pediatric Dental 533 Beckett Road Pediatric 856-783-0444 Active Member Does not accept Swedesboro, NJ 08085 Plan Participating retiree plan Provider Tenbrook Orthodontics 617 Auburn Avenue, Suite 103 Orthodontics 856-294-9437 Active Member Swedesboro, NJ 08085 Plan Participating Provider Beverly Jaiswal DMD 196 Grove Avenue, Suite F 856-345-9490 Active Member Retired Member Love Your Smile Family West Deptford, NJ 08086 Plan Participating Plan Participating and Aesthetic Dentistry Provider Provider LLC Daniel C. Schwartz DDS 614 Sicklerville Road General 856-728-9494 Active Member Does not accept Williamstown, NJ 08094 Plan Participating retiree plan Provider Michael Bronstein DMD 1040 Cooper Street 856-848-6239 Active Member Does not accept Depford, NJ 08096 Plan Participating retiree plan Provider Braden Dental of South 649 Kings Highway 856-845-4225 Active Member Does not accept Jersey West Depfort NJ 08096 Plan Participating retiree plan Provider American Dental Care, PA 1450 Clements Bridge Road 856-845-6222 Active Member Retired Member Deptford, NJ 08096 Plan Participating Plan Participating Provider Provider 8/28/2021 10 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Your Orthodontist 1800 Clements Bridge Road Orthodontics 856-845-7846 Active Member Does not accept Ronald Saffar Depfort,NJ 08096 Plan Participating retiree plan Provider Tenbrook Orthodontics 859 G. Route 40 Orthodontics 856-769-7229 Active Member Does not accept Pilesgrove, NJ 08098 Plan Participating retiree plan Provider Stephanie Hirt DMD 216 Haddon Avenue, Suite #104 845-888-4478 Active Member Does not accept Haddon Twonship, NJ 08108 Plan Participating retiree plan Provider Braden Dental of Sout 326 Haddon Avenue 856-854-1046 Active Member Does not accept Jersey Westmont, NJ 08108 Plan Participating retiree plan Provider Dental Excellence 4608 Westfield Avenue 856-910-0400 Active Member Does not accept Pennsakuen, NJ 08110 Plan Participating retiree plan Provider Tenbrook Orthodontics 4 E. Jimmie Leads road, Unit 1 Orthodontics 609-568-5683 Active Member Does not accept Galloway, NJ 08205 Plan Participating retiree plan Provider Jagdeep Singh DDS 222 New Road, Suite #203 Periodontist 855-547-3746 Active Member Does not accept Linwood, NJ 08221 Plan Participating retiree plan Provider Precision Oral Surgery 222 New Road, Suite #203 Oral Surgeon 855-547-3746 Active Member Retired Member Linwood, NJ 08221 Plan Participating Plan Participating Provider Provider

8/28/2021 11 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Infinite Endodontics 222 New Road, Suite 203 Endodontics 855-547-3746 Active Member Retired Member Linwood, NJ 08221 Plan Participating Plan Participating Provider Provider Tenbrook Orthodontics 447 S. Shore Road, Apt. 2 Orthodontics 609-390-1569 Active Member Does not accept Marmora, NJ 08223 Plan Participating retiree plan Provider Tenbrook Orthodontics 2400 New Road Orthodontics 609-645-1559 Active Member Does not accept Northfield, NJ 08225 Plan Participating retiree plan Provider Kavitha Battula DMD LLC 4311 Landis Avenue 609-263-4201 Active Member Does not accept Sea Isle City, NJ 08243 Plan Participating retiree plan Provider Tenbrook Orthodontics 508 Shiloh Pike Orthodontics 856-459-5815 Active Member Does not accept Bridgeton, NJ 08302 Plan Participating retiree plan Provider Steve M. Cohen DDS 681 Centerton Road Orthodontics 856-358-6800 Active Member Does not accept Centerton Orthodontics Pittsgrove, NJ 08318 Plan Participating retiree plan Provider Tenbrook Orthodontics 1030 N. High Street Orthodontics 856-327-7707 Active Member Does not accept Millville, NJ 08332 Plan Participating retiree plan Provider Southern NJ Oral Surgery 228 W. Landis Avenue Suite# 103 Oral 856-205-9922 Active Member Does not accept Vineland, NJ 08360 Surgeon Plan Participating retiree plan Provider

8/28/2021 12 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Tenbrook Orthodontics 630 S. Brewser Road, Bldg. D Orthodontics 856-205-1055 Active Member Does not accept Vineland, NJ 08361 Plan Participating retiree plan Provider Associated Dental Arts 204 Harrison Street, 1st FL 609-454-3540 Active Member Retired Member LLC Princeton, NJ 08540 Plan Participating Plan Participating Provider Provider American Dental Care, PA 1 Quakerbridge Plaza 609-586-8080 Active Member Retired Member Hamilton Township, NJ 08619 Plan Participating Plan Participating Provider Provider Santucci & Weiss PA 1100 S. Broad Street 609-393-6404 Active Member Does not accept Trenton, NY 08611 Plan Participating retiree plan Provider The Little Teeth Workshop 505 Lawrence Sq. Blvd. S. Suite B Pedodontist 609-200-5437 Active Member Does not accept Lawrenceville, NJ 08648 Plan Participating retiree plan Provider The Little Teeth Workshop 3333 US Highway 9 N. 2nd Floor Pedodontist 732-737-7336 Active Member Does not accept Old Bridge, NJ 08851 Plan Participating retiree plan Provider Pleasant Dentistry P.C. 81 Willoughby Street, Suite 202 718-797-3935 Active Member Does not accept Paul Markel DDS Brooklyn, NY 11201 Plan Participating retiree plan Provider Steven Witkowski DDS 475 W. Governer Road 717-533-7860 Active Member Does not accept Hershey, PA 17033 Plan Participating retiree plan Provider

8/28/2021 13 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Children’s Dental Health 4 Flowers Drive Pediatrics, 717-458-1039 Active Member Does not accept Associates Suite 4 Orthodontics Plan Participating retiree plan Mechanicsburg, PA 17050 Provider Harrisburg Dental Care PC 4601 Devonshire Road #102 717-743-2891 Active Member Does not accept Harrisburg, PA 17109 Plan Participating retiree plan Provider Children’s Dental Health 4230 Crums Mill Road Pediatrics, 717-295-4400 Active Member Does not accept Associates Second Floor Orthodontics Plan Participating retiree plan Harrisburg, PA 17112 Provider Artisan Smiles PC 2300 E. Market Street, Suite #4&5 Oral Surgery 484-461-0128 Active Member Does not accept York, PA 17402 Plan Participating retiree plan Provider Children’s Dental Health 2820 Whiteford Road Pediatrics, 717-885-9080 Active Member Does not accept Associates Suite 1 Orthodontics Plan Participating retiree plan York, PA 17402 Provider American Dental Solutions 1030 Lititz Pike General, Oral 717-627-0303 Active Member Retired Member Surgery, Lititz, PA 17543 Periodontics, Plan Participating Plan Participating Orthodontics, Endodontics Provider Provider American Dental Solutions 221 Rohrerstown Road General, Oral 717-293-7822 Active Member Does not accept Surgery, Lancaster, PA 17603 Periodontics, Plan Participating retiree plan Orthodontics, Endodontics Provider Children’s Dental Health 1671 Oregon Pike Pediatrics, 717-295-4400 Active Member Does not accept Associates Ste. 1 Orthodontics Plan Participating retiree plan Lancaster, PA 17601 Provider

8/28/2021 14 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Sweet Tooth Dental LLC 1439 Centre Turnpike Rt 61 570-366-1014 Active Member Does not accept Orwigsburg, PA 17961 Plan Participating retiree plan Provider Easton Bright Smiles 3800 William Penn Highway 610-923-0000 Active Member Does not accept Easton, PA 18020 Plan Participating retiree plan Provider Children’s Dental Health 1800 Sullivan Trail Pediatrics, 610-914-1700 Active Member Does not accept Associates Suite 120 Orthodontics Plan Participating retiree plan Easton, PA 18040 Provider Affordable Dental 2762 Nazareth Road 610-253-4227 Active Member Does not accept Solutions Easton, PA 18045 Plan Participating retiree plan Provider Advanced & Comfort 3656 Municipal Drive 610-432-1200 Active Member Retired Member Dentistry Whitehall, PA 18052 Plan Participating Plan Participating Provider Provider Children’s Dental Health 6900 Hamilton Boulevard Pediatrics, 610-914-1700 Active Member Does not accept Associates Unit 210 Orthodontics Plan Participating retiree plan Trexlertown, PA 18087 Provider American Family Dental 1901 Union Boulevavd 610-437-5353 Active Member Does not accept Care Allentown, PA 18109 Plan Participating retiree plan Provider Bucks Dental Health and 108-A West Butler Avenue General, 215-220-3395 Active Member Retired Member Esthetics LLC Endodontics, New Britian, PA 18901 Prosthodontics Plan Participating Plan Participating Provider Provider

8/28/2021 15 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Aurora Dental PC 1 Center Street 215-345-8702 Active Member Does not accept Doylestown, PA 18901 Plan Participating retiree plan Provider Montgomery Bucks 310 West Butler Avenue 215-348-5570 Active Member Does not accept Endodontics PC New Britian, PA 18901 Plan Participating retiree plan Provider Cavity Busters Doylstown 708 N. Shady Retreat Road, Suite #2 215-348-3745 Active Member Does not accept LLC Doylestown, PA 18901 Plan Participating retiree plan Provider Calvin K. Lee DMD PC 363 N. Main Street Orthodontics 215-348-5301 Active Member Does not accept L&M Orthodontics Doylestown, PA 18901 Plan Participating retiree plan Provider Doylestown Dental 812 N. Easton Road 215-348-4494 Active Member Does not accept Associates LLC Doylstown, PA 18901 Plan Participating retiree plan Provider Kathleen Herb Brower 3655 Route 202, Georgetown Oral Surgery 215-345-6880 Active Member Retired Member DMD, LLC Crossing Suite 210 Plan Participating Plan Participating Doylestown, PA 18901 Provider Provider Pennsylvania Dental 103 Progress Drive, Suite#102 Oral Surgery 215-938-7860 Active Member Implant & Oral Surgery Doylestown, PA 18901 Plan Participating Associates Provider Lee & Meyrowitz 363 N. Main Street Orthodontist 215-348-5301 Active Member Does not accept Doylstown, PA 18901 Plan Participating retiree plan Provider

8/28/2021 16 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Bright Smiles Kids 402 B. Hyde Park 215-383-5474 Active Member Does not accept Dentistry Doylstown, PA 18902 Plan Participating retiree plan Provider Doylestown Dental 812 N. Easton Road, Suite #8 215-348-4494 Active Member Does not accept Associates LLC Doylstown, PA 18902 Plan Participating retiree plan Provider Buckingham Orthodontics 402 Hyde Park Orthodontics 215-348-3100 Active Member Does not accept Doylestown, PA 18902 Plan Participating retiree plan Provider Bucks Denal Associates 4 Meadowbrook Lane 215-997-5550 Active Member Does not accept Chalfont, PA 18914 Plan Participating retiree plan Provider Apex Dental Care LLC 1600 Horizon Drive, Suite 119 215-996-9968 Active Member Does not accept Igor Shmurak DMD Chalfont, PA 18914 Plan Participating retiree plan Provider Bhaskar Savani PC DDS 1500 Horizon Drive, Suite 104 General 215-997-9980 Active Member Does not accept A+ Family Dental Care Chalfont, PA 18914 Plan Participating retiree plan Provider Highpoint Orthodontics 1500 Horizon Drive, Suite #107 Orthodontics 215-997-0599 Active Member Does not accept Chalfont, PA 18914 Plan Participating retiree plan Provider Highpoint Pediatric Dental 1600 Horizon Drive, Suite #101 Pediatric 215-822-4042 Active Member Does not accept Associates Chalfont, PA 18914 Plan Participating retiree plan Provider

8/28/2021 17 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Chalfont Dentistry PC 3425 Limekiln Pike, Suite #5 215-997-4434 Active Member Does not accept Chalfont, PA 18914 Plan Participating retiree plan Provider Advanced Dental Esthetics 2406 N. Broad Street 215-997-2300 Active Member Does not accept Colmar, PA 18915 Plan Participating retiree plan Provider Raymond C. Au DDS 113 Bethlehem Pike 215-996-1818 Active Member Retired Member Colmac, PA 18915 Plan Participating Plan Participating Provider Provider Gregory Wasko DMD 3250 Durham Road 215-794-3600 Active Member Does not accept Merchanicsville, PA 18934 Plan Participating retiree plan Provider Kellyn Hodges DMD 411 Doylestown Road, Suite D Orthodontics 215-412-9810 Active Member Does not accept Orthodontic Specialist Montgomeryville, PA 18936 Plan Participating retiree plan Provider Montgomery Emergency 396 Doylestown Rd. 215-475-5140 Active Member Does not accept Dentist Montgomeryville, PA 18936 Plan Participating retiree plan Provider Nissman-Salin Oral 638 Newtown Yardly Road Oral Surgery 215-968-6144 Active Member Does not accept Surgery Suite 2A Plan Participating retiree plan Newtown, PA 18940 Provider Bright Now Dental 2960 S. Eagle Road General 215-860-6700 Active Member Does not accept Newtown, Pa 18940 Plan Participating retiree plan Provider

8/28/2021 18 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Schelkun & Kienle 46 Blacksmoth Road, Suite Dreams Oral Surgery 215-579-1525 Active Member Does not accept Associates Newtown, PA 18940 Plan Participating retiree plan Provider Advanced Dental Designs 311 N. 7th Street 215-258-1011 Active Member Retired Member of Sellersville Perkasie, PA 18944 Plan Participating Plan Participating Provider Provider L&M Orthodontics 1000 E. Walnut Street, Suite #204 Orthodontist 215-257-5330 Active Member Does not accept Perkasie, PA 18944 Plan Participating retiree plan Provider Bahskar Savani PC DDS 24 South 14th Street 215-536-3210 Active Member Does not accept A+ Family Dental Care Quakertown, PA 18951 Plan Participating retiree plan Provider Oral & Maxillofacial 210 Quaker Point Drive 215-529-5465 Active Member Does not accept Surgical Associates Quakertown, PA 18957 Plan Participating retiree plan Provider Addisville Dental 928 Second Street Pike Unit#4 215-485-5151 Active Member Does not accept Richboro, PA 18954 Plan Participating retiree plan Provider Bucks County Dental 95 Almshouse Road, Suite 201 215-364-2420 Active Member Retired Member Design Richboro, PA 18954 Plan Participating Plan Participating Provider Provider Scott Rosen DMD 981 2nd Street General 215-322-8117 Active Member Retired Member Richboro, PA 18954 Plan Participating Plan Participating Provider Provider

8/28/2021 19 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members JoyFor Dentisty LLC 130 Almshouse Road 215-322-4888 Active Member Does not accept Richboro, PA 18954 Plan Participating retiree plan Provider RG Dental Group of 56 Newtown Richboro Road 215-355-6406 Active Member Retired Member Richboro Richboro, PA 18954 Plan Participating Plan Participating Provider Provider Schelkun & Kienle 467 Pennsylvania Avenue, Suite#106 Oral Surgery 215-591-3590 Active Member Does not accept Associates Fort Washington, PA 18954 Plan Participating retiree plan Provider WBG Dentistry Inc. 920 Lawn Avenue, Suite E-1 General 215-453-6630 Active Member Does not accept Sellersville, PA 18960 Plan Participating retiree plan Provider Orthodontic Specialists of 718 Route 113, Suite M Orthodontics 215-799-4602 Active Member Does not accept the Indian Valley LLC Souderton, PA 18964 Plan Participating retiree plan Provider CDH Orthodontics, LLC 928 Jaymor Road, Suite 130 A Orthodontist 833-543-7678 Active Member Does not accept Southampton, PA 18966 Plan Participating retiree plan Provider Dental Arts of Sothampton 204 Lakeside Park 215-355-0112 Active Member Retired Member Southampton, PA 18966 Plan Participating Plan Participating Provider Provider Carl Kaschak DMD 1030 Holland Road General 215-355-4242 Active Member Does not accept Holland, PA 18966 Plan Participating retiree plan. Provider

8/28/2021 20 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Robert Ostoyich DDS Hollystone Farm General 215-968-0313 Active Member Does not accept 1491 Buck Road Plan Participating retiree plan Holland, PA 18966 Provider Joseph Esposito DDS 75 James Way, Suite 104 215-322-6009 Active Member Does not accept Cosmetic Dental Center Southampton, PA 18966 Plan Participating retiree plan of Southampton Provider Absolute Smile 1045 Street Road, Suite 300 215-335-4007 Active Member Retired Member Southampton, PA 18966 Plan Participating Plan Participating Provider Provider Levitt Orthodontics 345 Knowles Avenue Suite#7 Orthodontics 215-357-7003 Active Member Does not accept Southampton, PA 18966 Plan Participating retiree plan Provider Pediatric Dental Associates 928 Jaymor Road, Suite 130A Pediatric 215-942-7300 Active Member Does not accept Southampton, PA 18966 Plan Participating retiree plan Provider Advanced Dental Group 528 Street Road 215-322-2262 Active Member Does not accept Southampton, PA 18966 Plan Participating retiree plan Provider Myriam Cerezo DMD 295 Buck Road, Suite 201 Pediodontist 215-942-9090 Active Member Does not accept Holland, PA 18966 Plan Participating retiree plan Provider Virpi Schaeffer DMD 626 Street Road General 215-953-6626 Active Member Does not accept Southampton, PA 18966 Plan Participating retiree plan Provider

8/28/2021 21 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Jeffery R. Brenner DMD 283 Second Street Pike, Suite#140 215-357-2224 Active Member Does not accept Brenner Dental Group Southampton, PA 18966 Plan Participating retiree plan Provider Joseph Persichetti DMD 295 Buck Road Othrodontic 215-364-1480 Active Member Does not accept PC Holland, PA 18966 Plan Participating retiree plan Provider DaVinci Dental Specialists 316 York Road 215-383-6700 Active Member Does not accept Warminster PA, 18974 Plan Participating retiree plan Provider Advanced Dental Smiles 473 York Road General 215-672-9444 Active Member Does not accept Warminster, PA 18974 Plan Participating retiree plan Provider David Checkoff & Nancy 55 York Road Orthodontics 215-674-0332 Active Member Does not accept Casey Orthodontic Warminster, PA 18974 Plan Participating retiree plan Associates Provider Warminster Gentle 12109 Centennial Station 215-443-0400 Active Member Does not accept Dentistry Warminster, PA 18974 Plan Participating retiree plan Provider Steven Miller DDS 176 York Road General 215-674-2046 Active Member Does not accept Warminster, PA 18974 Plan Participating retiree plan Provider DRS Schelkun & Kienle 158 York Road Oral Surgery 215-672-6560 Active Member Retired Member Assocaites DDS Warminster, PA 18974 Plan Participating Plan Participating Provider Provider

8/28/2021 22 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members LTD DDS 301 N. York Road, Suite 4A, PO Periodontics 215-672-5515 Active Member Does not accept Periodontal Services Box 135 Plan Participating retiree plan Warminister, PA 18974 Provider Howell Bichefsky DMD 12109 Centennial Station General 215-443-0400 Active Member Retired Member Warminster, PA 18974 Plan Participating Plan Participating Provider Provider Warminster Dental 380 York Road General 215-675-2045 Active Member Retired Member Associates Warminster, PA 18974 Plan Participating Plan Participating Provider Provider Chirag Patel 1520 Main Street, Suite#202 Orhtodontics 215-398-0794 Active Member Does not accept Patel Orthodontics Warrington, PA 18976 Plan Participating retiree plan Provider Children’s Dental Health 2210 Shetland Drive Pediatrics, 215-491-0502 Active Member Does not accept Associates Warrington, PA 18976 Orthodontics Plan Participating retiree plan Provider Sea of Smiles 4 PLLC 1501 Main Street Pediatric 215-443-1835 Active Member Does not accept Suite #240 Plan Participating retiree plan Warrington, PA 18976 Provider Smile Exchange of 259 Metro Drive 484-406-5444 Active Member Retired Member Warrington Warrington, PA 18976 Plan Participating Plan Participating Provider Provider Warrington Dental PC 1380 Easton Road General 215-491-4711 Active Member Retired Member Warrington, PA 18976 Plan Participating Plan Participating Provider Provider

8/28/2021 23 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Warrington Dental Arts 865 Easton Road, Suite# 110 General 267-483-8351 Active Member Retired Member Warrington PA, 18976 Plan Participating Plan Participating Provider Provider Colonial Dental Associates 1091 General Knox Road 215-493-9525 Active Member Does not accept PC Washington Crossing, PA 18977 Plan Participating retiree plan Provider Joseph Persichetti DMD 1098 Washington Crossing Road Othrodontic 215-493-7700 Active Member Does not accept PC Washington Crossing, PA 18977 Plan Participating retiree plan Provider Abington Smile Center 1501 Old Yourk Road General 215-558-4205 Active Member Does not accept Abington, PA 19001 Plan Participating retiree plan Provider Charles Ireland DMD 2400 Pershing Avenue General 215-706-0607 Active Member Does not accept Abington, PA 19001 Dentistry Plan Participating retiree plan Provider Irene Valenza DMD 960 Old York Road Orthodontist 215-887-1252 Active Member Does not accept Abington, PA 19001 Plan Participating retiree plan Provider Stephen Finkelman DDS 1755 Old York Road General 215-659-0337 Active Member Retired Member Abington, PA 19001 Plan Participating Plan Participating Provider Provider Robert Griffith DDS Meical Plaza #122 Oral Surgeon 215-887-2385 Active Member Does not accept 1235 Old York Road Plan Participating retiree plan Abington, PA 19001 Provider

8/28/2021 24 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Odhner Orthodontics 960 Old York Rd. Suite #101 Orthodontics 215-887-0376 Active Member Does not accept Abington, PA 19001 Plan Participating retiree plan Provide Picasso Dental Arts LLC 1550 Old York Road, Suite #4 215-657-4440 Active Member Does not accept Abington, PA 19001 Plan Participating retiree plan Provider Advanced Orthodontic 500 Tennis Avenue 215-646-9514 Active Member Does not accept Care Ambler, PA 19002 Plan Participating retiree plan Provider CDH Orthodontics, LLC 7 E. Skippack Pike, Suite #100 Orthodontist 833-543-7678 Active Member Does not accept Ambler, PA 19002 Plan Participating retiree plan Provider Cichetti & Delligatti 7 E. Skippack Pike, Suite #105 Orthodontist 215-214-5994 Active Member Retired Member Orthodontics PC Ambler, PA 19002 Plan Participating Plan Participating Provider Provider D-3 Dental 1126 Horsham Road, Suite B 215-619-6756 Active Member Does not accept Ambler, PA 19002 Plan Participating retiree plan

Provider Lower Gwynedd 1600 N. Bethlehem Pike Endodontics 215-654-5380 Active Member Does not accept Endodontics PC Gwynedd Gate South Suite #100 Plan Participating retiree plan Lower Gwynedd, PA 19002 Provider Pediatric Dental 7 E. Skippack Pike #100 Pediatric 215-653-0420 Active Member Does not accept Whitemarsh Corp. Center Ambler, PA 19002 Plan Participating retiree plan

Provider

8/28/2021 25 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members The Dental Spa Group 141 Montgomery Avenue 610-664-7244 Active Member Does not accept Bala Cynwyd, PA 19004 Plan Participating retiree plan Provider Bright Smiles 4 Kids of 141 Montgomery Ave. 2nd Fl 610-664-7244 Active Member Does not accept Bala Bala Cynwyd, PA 19004 Plan Participating retiree plan Provider Steven Melman 141 Montgomery Avenue General 610-664-7795 Active Member Does not accept The Dental Spa Bala Cynwyd, PA 19004 Plan Participating retiree plan Provider Bala Kids Dentistry 15 N. Presidential Boulevard, Suite Pediatric 610-336-8478 Active Member Does not accept #303 Plan Participating retiree plan Bala Cynwyd, PA 19004 Provider Saundra Clark DDS 7 Bala Ave. 215-877-9111 Active Member Retired Member Norman Clark DDS Suite 3301 Plan Participating Plan Participating Clark Dental Associates Bala Cynwyd, PA 19004 Provider Provider Eric Hodges DMD GSB Building Endodontics 215-477-8941 Active Member Retired Member Associated Endodontists One Belmont Avenue, Suite 316 Plan Participating Plan Participating PC Bala Cynwyd, PA 19004 Provider Provider Alan Krausz DMD 111 Bala Avenue General 610-668-2330 Active Member Retired Member Bala Cynwyd, PA 19004 Plan Participating Plan Participating Provider Provider Mehmet Uzel DMD 200 Monument Road, Suite 4 Periodontist 610-667-7340 Active Member Does not accept Bala Cynwyd, PA 19004 Plan Participating retiree plan Provider

8/28/2021 26 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Oasis Dental 1 Belmont Avenue, Suite 516 General 484-278-4134 Active Member Retired Member Eric L Spieler DMD Bala Cynwyd, PA 19004 Plan Participating Plan Participating Provider Provider Orthodontics of the Main 15 N. Presidential Boulevard, Suite Orthodontics 610-667-5789 Active Member Does not accept Line 302 Plan Participating retiree plan Bala Cynwyd, PA 19004 Provider Richard Kleiner DMD 10 Presidential Boulevard, Suite 102 General 215-664-3636 Active Member Retired Member Bala Cynwyd, PA 19004 Plan Participating Plan Participating Provider Provider Bala Institute of Oral 15 N. Presidential Boulevard, Oral Surgeon 610-667-6161 Active Member Does not accept Surgery DMD Suite 301 Plan Participating retiree plan Bala Cynwyd, PA 19004 Provider Bala Kids Dentistry 15 N. Presidential Boulevard, Pediatric 610-660-9510 Active Member Does not accept Suite 303 Plan Participating retiree plan. Bala Cynwyd, PA 19004 Provider Jonathan Waasdorp DMD 301 City Line Avenue Periodontist 215-660-0808 Active Member Does not accept Bala Cynwyd, PA 19004 Plan Participating retiree plan Provider Anthony Farole DMD 191 Presidential Blouvard Oral Surgeon 610-668-3300 Active Member Does not accept Bala Cynwyd, PA 19004 Plan Participating retiree plan Provider Andras Harris DMD 101 Bala Avenue 610-664-5658 Active Member Retired Member Bala Cynwyd, PA 19004 Plan Participating Plan Participating Provider Provider

8/28/2021 27 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Sheila Harris, Additional 147 Montgomery Avenue 610-664-7795 Active Member Does not accept Providers for Direct Mobile Bala Cynwyd, PA 19004 Plan Participating retiree plan Dental Services Inc. Provider American Dental Care, PC 187 City Line Avenue 610-667-9713 Active Member Retired Member Bala Cynwyd, PA 19004 Plan Participating Plan Participating Provider Provider Richard Gross, Additional 147 Montgomery Avenue 610-664-7795 Active Member Does not accept Providers for Direct Mobile Bala Cynwyd, PA 19004 Plan Participating retiree plan Dental Services Inc. Provider Orthodontic Care of Bala One Belmont Avenue, Suite 414 Othodontist 610-617-0700 Active Member Does not accept Cynwyd, DDS Bala Cynwyd, PA 19004 Plan Participating retiree plan Provider Steven Melman 147 Montgomery Avenue 610-664-7795 Active Member Does not accept Direct Mobile Dental Svs, Bala Cynwyd, PA 19004 Plan Participating retiree plan Inc. Provider Kellyn Hodges DMD One Belmont Avenue, Suite 414 Orthodontics 610-617-0700 Active Member Does not accept Orthodontic Specialist Bala Cynwyd, PA 19004 Plan Participating retiree plan Provider Dr. Jeffery Goldfine DDS 555 E. City Lina Avenue, Suite 100 General 610-667-0211 Active Member Does not accept Bala Cynwyd, PA 19004 Plan Participating retiree plan Provider Skylaser Dental Inc. 2344 Philmont Avenue 267-571-2483 Active Member Does not accept Lyusya Badishyan Huntingdon Valley, PA 19006 Plan Participating retiree plan Provider

8/28/2021 28 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Oxford Dental LLC 1015 Thrush Lane Huntingdon 215-989-4601 Active Member Does not accept Valley, PA 19006 Plan Participating retiree plan Provider Smile Culture Dental 2150 County Line Road 267-778-1216 Active Member Does not accept Huntingdon Valley, PA 19006 Plan Participating retiree plan Provider Susan Callejas 2600 Philmont Avenue 215-742-4343 Active Member Does not accept Bahoff Progressive Huntingdon Valley, PA 19006 Plan Participating retiree plan. Dentistry Provider Jesse Schaffzin, DMD 2600 Philmont Avenue General 215-742-4343 Active Member Does not accept Huntingdon Valley, PA 19006 Plan Participating retiree plan Provider Dr. Chaiwing Hsiao 2240 Pine Road, 215-938-8715 Active Member Retired Member Huntingdon Valley, PA 19006 Plan Participating Plan Participating Provider Provider Michael Kesselman DMD 2600 Philmont Avenue General 215-983-7301 Active Member Retired Member Huntingdon Valley, PA 19006 Plan Participating Plan Participating Provider Provider Valley Orthodontics Inc. 2595 Murray Avenue Orthodontics 215-938-0300 Active Member Retired Member Dr. Daniel Chen Huntingdon Valley, PA 19006 Plan Participating Plan Participating Provider Provider PA Smile Center, PC 1212 Veteran’s Highway, Suite A-1 215-874-0407 Active Member Does not accept Bristol, PA 19007 Plan Participating retiree plan Provider

8/28/2021 29 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Bristol Dental Group 900 Old Orchard Lane, Suite A 267-554-7300 Active Member Retired Member Bristol, PA 19007 Plan Participating Plan Participating Provider Provider Optima Dental 222 Commerce Circle General 215-458-8161 Active Member Retired Member Bristol, PA 19007 Plan Participating Plan Participating Provider Provider Sheldon Bernick DDS 1999 Sproul Road, Suite 14 Pediodontist 610-356-1454 Active Member Does not accept Broomall Pediatric Broomall, PA 19008 & Plan Participating retiree plan Orthodontist Provider PA Oral & Maxillofacial 26 S. Bryn Mawr Avenue Oral Surgeon 610-527-3110 Active Member Does not accept Surgery Ltd., DMD Bryn Mawr, PA 19010 Plan Participating retiree plan Provider Glenn Goodhart DDS 1137 Coventry Road General 215-635-0200 Active Member Retired Member Cheltenham, PA 19012 Plan Participating Plan Participating Provider Provider John Takach DDS 45 E Cheltenham Avenue 215-782-8101 Active Member Does not accept Cheltenham, PA 19012 Plan Participating retiree plan Provider Mitchel Goldman DDS 633 Ashmead Road General 215-379-3550 Active Member Retired Member Cheltenham, PA 19012 Plan Participating Plan Participating Provider Provider Children’s Dental Health 2901 Dutton Mill Road Pediatric 610-485-9977 Active Member Does not accept retiree Associates Suite 210 Orthodontic Plan Participating plan Aston, PA 19014 Provider

8/28/2021 30 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Access Dental Center 4 W. Brookhaven Road 610-872-7200 Active Member Retired Member Brookhaven, PA 19015 Plan Participating Plan Participating Provider Provider Access Dental Center 130 E. Brookhaven Road 610-876-3300 Active Member Does not accept Brookhaven, PA 19015 Plan Participating retiree plan Provider Henry Hillebrand DMD 130 E. Brookhaven Road Orthodontist 610-876-3300 Active Member Does not accept Brookhaven, PA 19015 Plan Participating retiree plan Provider Family Dental Care Center 523 N. Oak Avenue 610-623-7610 Active Member Does not accept Aldan, PA 19018 Plan Participating retiree plan Provider Pennsylvania Oral Surgery 15 S Springfield Road Oral Surgery 610-622-5454 Active Member Does not accept Consultants of PA Clifton Heights, PA 19018 Plan Participating retiree plan Provider David Freilich DMD 429 N Springfield Road General 610-623-5151 Active Member Retired Member Clifton Heights, PA 19018 Plan Participating Plan Participating Provider Provider Artisan Smiles PC 4 Rockbourne Road, Suite #400 Oral Surgery 484-461-0128 Active Member Does not accept Clifton Heights, PA 19018 Plan Participating retiree plan Provider Levitt Orthodontics 3101 Bristol Road, Suite#2 Orthodontics 215-750-1900 Active Member Does not accept Bensalem, PA 19020 Plan Participating retiree plan Provider

8/28/2021 31 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Bensalem Smiles Inc. 2548 Street Rd. Bensalem, PA 19020 215-245-4844 Active Member Does not accept Plan Participating retiree plan190 Provider Dentistry 4 Kids LLC 2075 Byberry Road, Suite#101 Pedodontist 215-244-4335 Active Member Does not accept Bensalem, PA 19020 Plan Participating retiree plan Provider Dr. Jeffery Rosen DMD 5166 Neshaminy Boulevard 215-757-1197 Active Member Does not accept Bensalem, PA 19020 Plan Participating retiree plan Provider Smiles 4 U Dental LLC 1044 Byberry Road 215-638-3350 Active Member Does not accept Bensalem, PA 19020 Plan Participating retiree plan Provider Advanced Dental Designs 2548 Street Rd. Bensalem, PA 19020 215-245-4844 Active Member Retired Member Plan Participating Plan Participating Provider Provider Abram Barnett DDS 1950 Street Road, #110 Endodontist 215-638-2033 Active Member Does not accept Bensalem, PA 19020 Plan Participating retiree plan Provider About Smiles LLC 4802-2 Neshaminy Boulevard 215-757-3040 Active Member Does not accept Bensalem, PA 19020 Plan Participating retiree plan Provider Ideal Smile Dental 3200 Bristol Road 215-859-5555 Active Member Retired Member Bensalem, PA 19020 Plan Participating Plan Participating Provider Provider

8/28/2021 32 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Kellyn Hodges DMD 2212 Street Road, 2nd Floor Orthodontist 215-245-5100 Active Member Does not accept Orthodontic Specialist Bensalem, PA 19020 Plan Participating retiree plan Provider Woodhaven Ultimate 1 Woodhaven Mall General 215-245-5335 Active Member Does not accept Dental PLLC Bensalem, PA 19020 Plan Participating retiree plan Provider Rich Orthodontics 3554 Hulmeville Road, Suite 110 Orthodontics 215-244-9505 Active Member Does not accept Jeremy Rich, DMD Bensalem, PA 19020 Plan Participating retiree plan Provider Gaetano Storace III DMD Neshaminy Valley Commons, Suite General 215-750-0769 Active Member Does not accept 6, 2420 Briston Road Plan Participating retiree plan Bensalem, PA 19020 Provider Jay Schwartz DDS 2774 Knights Road General 215-639-2112 Active Member Retired Member Bensalem, PA 19020 Plan Participating Plan Participating Provider Provider Sameh Sakkal DMD 1541 Brookwood Drive General 215-639-7341 Active Member Does not accept Bensalem, PA 19020 Plan Participating retiree plan Provider Charles Rigau DMD 2851 Knights Road General 215-638-7725 Active Member Retired Member Bensalem, PA 19020 Plan Participating Plan Participating Provider Provider David Reiss DMD 3554 Hulmeville Road, Suite 110 Orthodontist 215-244-9505 Active Member Does not accept Bensalem, PA 19020 Plan Participating retiree plan Provider

8/28/2021 33 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Bhaskar Savani DDS 1950 Street Road, Suite 200 215-638-4696 Active Member Does not accept A-1 Family Dental Care Bensalem, PA 19020 Plan Participating retiree plan Provider Joseph Checchio DDS 806 Bristol Pike General 215-639-1833 Active Member Retired Member Comprehensive Dental Bensalem, PA 19020 Plan Participating Plan Participating Care Provider Provider Gene Gutman & Assoc 2406 Bristol Road General 215-752-5911 Active Member Does not accept DDS Bensalem, PA 19020 Plan Participating retiree plan Provider Steven Goldenberg DDS 1044 Byberry Road General 215-638-3350 Active Member Does not accept Bensalem, PA 19020 Plan Participating retiree plan Provider Thomas Kompa 3101 Bristol Road, Suite #3 215-741-0988 Active Member Does not accept Bensalem, Pa 19020 Plan Participating retiree plan Provider Michael Toohey DMD 3179 Hulmeville Road Oral Surgeon 215-639-7200 Active Member Does not accept Bensalem, PA 19020 Plan Participating retiree plan Provider Bucks County Periodontics 3554 Hulmeville Road, Suite 109 Periodontist 215-639-7770 Active Member Retired Member Bensalem, PA 19020 Plan Participating Plan Participating Provider Provider Samuel Domsky DMD 3103 Hulmeville Road, Suite 205 General 215-639-5331 Active Member Does not accept Bensalem, PA 19020 Plan Participating retiree plan Provider

8/28/2021 34 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Harold Slutsky DMD 3103 Humeville Road Orthodontics 215-638-0500 Active Member Does not accept Bensalem, PA 19020 Plan Participating retiree plan Provider The Dental Comfort Zone 3554 Hulmeville Road General 215-639-9955 Active Member Retired Member DDS Bensalem, PA 19020 Plan Participating Plan Participating Provider Provider Sea of Smiles of Bensalem 2842 Street Road Pedodontist 215-433-1840 Active Member Does not accept Bensalem, PA 19020 Plan Participating retiree plan Provider Advanced Smiles PC 1118 State Road 215-788-4918 Active Member Does not accept Croydon, PA 19021 Plan Participating retiree plan Provider Collingdale Dental 224 Clifton Avenue General 610-583-3454 Active Member Does not accept Asociates P.A. Collingdale, PA 19023 Plan Participating retiree plan Provider Steven Appel DDS 1650 Limekiln Pike Orthodontist 215-676-3070 Active Member Does not accept Dresher, PA 19025 Plan Participating retiree plan Provider Brace Busters LLC 1650 Limekiln Pike, Suite A10 267-668-8400 Active Member Does not accept Dresher, PA 19025 Plan Participating retiree plan Provider David Bresler DDS 1650 Limekiln Pike Pediatrics 215-643-1300 Active Member Does not accept Doc Bresler's Cavity Dresher, PA 19025 Plan Participating retiree plan Busters Provider

8/28/2021 35 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Integrity Family Dentistry 1321 Susquehanna Road 215-641-4993 Active Member Does not accept LLC Dresher, PA 19025 Plan Participating retiree plan Provider Dental Arts of Drexel Hill 5100 Township Line Road 610-449-1513 Active Member Does not accept LLC Drexel Hill, PA 19026 Plan Participating retiree plan Provider Paul Carpinello DMD 1041 Pontiac Road Orthodontist 215-446-6004 Active Member Does not accept Drexel Hill, PA 19026 Plan Participating retiree plan Provider Children’s Dental Health 5030 State Road Pediatric 610-622-1949 Active Member Does not accept Associates Drexel Hill, PA 19026 Orthodontist Plan Participating retiree plan Provider Civillico Family Dentistry 626 Burmont Road 610-352-6560 Active Member Does not accept Drexel Hill, PA 19026 Plan Participating retiree plan Provider Daley Oral & Max Surgery 2300 Garrett Road Oral Surgery 610-623-4211 Active Member Does not accept Associates Drexel Hill, PA 19026 Plan Participating retiree plan Provider Drexel Hill Family 4244 Ferne Boulevard 610-259-6619 Active Member Retired Member Dentistry Drexel Hill, PA 19026 Plan Participating Plan Participating Provider Provider Michael J. Ruggeiri Jr. 5101 Township Line Road 610-789-8440 Active Member Retired Member DMD PC Drexel Hil, PA 19026 Plan Participating Plan Participating Provider Provider

8/28/2021 36 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Bloomfield Ave Dental 4130 Bloomfield Avenue 610-284-4770 Active Member Retired Member Associates Drexel Hill, PA 19026 Plan Participating Plan Participating Provider Provider Upper Dublinl Family 7847 Old York Road General & 215-782-8420 Active Member Does not accept Dentistry Elkins Park, PA 19027 Endodontics Plan Participating retiree plan Provider Ronald Chudd DMD Elkins Park House #114-A General 215-635-3249 Active Member Retired Member 7900 Old York Road Plan Participating Plan Participating Elkins Park, PA 19027 Provider Provider Elkins Park Dental Inc. 7900 Old York Road, Suite 115A General 215-277-1807 Active Member Does not accept Elkins Park, PA 19027 Plan Participating retiree plan Provider Scott Solow 7847 Old York Road Orthodontics 215-635-5560 Active Member Retired Member Children’s Dental Elkins Park, PA 19027 & Plan Participating Plan Participating Associates Pediodontist Provider Provider Michael Matz DDS 8302 Old York Road, Suite C-200 General 215-576-1770 Active Member Retired Member Elkins Park Dental Group Elkins Park, PA 19027 Plan Participating Plan Participating Provider Provider Jean Ryan Murphy DMD 200 Yorktown Plaza 215-576-1880 Active Member Does not accept Elkins Park, PA 19027 Plan Participating retiree plan Provider Matthew Cherian DDS 327 Township Line Road, Suite General 215-635-8880 Active Member Retired Member 108A Plan Participating Plan Participating Elkins Park, PA 19027 Provider Provider

8/28/2021 37 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Greater Philadelphia Oral 401 Township Line Road, Suite C Oral Surgeon 215-379-5520 Active Member Retired Member Surgery Elkins Park, PA 19027 Plan Participating Plan Participating Provider Provider Yvonne Miller DMD 1827 W Cheltenham Avenue General 215-635-5354 Active Member Does not accept Elkins Park, PA 19027 Plan Participating retiree plan Provider Paul Carpinello DMD 4877 West Chester Pike Orthodontist 610-353-0807 Active Member Does not accept Edgemont, PA 19028 Plan Participating retiree plan Provider Cemil Yesilsoy DMD 333 S Oxford Valley Road, #507 Endodontist 215-547-4215 Active Member Does not accept Fairless Hills, PA 19030 Plan Participating retiree plan Provider Jean Bichera DDS 333 S Oxford Valley Road, #507 Periodontist 215-547-4215 Active Member Does not accept Fairless Hills, PA 19030 Plan Participating retiree plan Provider AC Dental of Langhorne 110 Lincoln Highway 215-269-6525 Active Member Retired Member PC Fairless Hills, PA 19030 Plan Participating Plan Participating Provider Provider Dental Savers 483 S. Oxford Valley Road 215-525-6666 Active Member Retired Member Fairless Hills, PA 19030 Plan Participating Plan Participating Provider Provider Oxford Crossing Family & 333 S Oxford Valley Road, #505 215-547-4215 Active Member Does not accept Cosmetic Dentistry Fairless Hills, PA 19030 Plan Participating retiree plan Provider

8/28/2021 38 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Infinity Dental 532 Oxford Valley Road 215-946-3655 Active Member Does not accept Management Fairless Hills, PA 19030 Plan Participating retiree plan Provider Peter Timian DMD 636 Lincoln Highway General 215-295-8783 Active Member Retired Member Fairless Hills, PA 19030 Plan Participating Plan Participating Provider Provider Smile Culture Dental 520 S. Oxford Valley Road General & 215-946-3655 Active Member Retired Member Fairless Hills, PA 19030 Orthodontic Plan Participating Plan Participating Provider Provider USA Dental Care 320 N. Oxford Valley Road 215-946-9400 Active Member Retired Member Fairless Hills, PA 19030 Plan Participating Plan Participating Provider Provider Aboslute Smile 2701 S. 10th Street 610-364-0404 Active Member Does not accept Philadelphia, PA 19031 Plan Participating retiree plan Provider Bruce Kristiniak DMD 22 E Mill Road 215-233-1891 Active Member Does not accept Flourtown, PA 19031 Plan Participating retiree plan Provider Celebrity Smiles LLC 1811 Bethlehem Pike 215-233-5811 Active Member Does not accept Suite B-235 Plan Participating retiree plan Flourtown, PA 19031 Provider Mill Family Dental 18 E. Mill Road 215-595-2080 Active Member Does not accept Flourtown, PA 19031 Plan Participating retiree plan Provider

8/28/2021 39 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Pennsylvania Oral Surgery 720 Macdade Boulevard Oral Surgery 610-461-4600 Active Member Does not accept Consultants of PA Foldom, PA 19033 Plan Participating retiree plan Provider David Bresler DDS 1244 Fort Washington Avenue, Suite Pediodontist 215-643-1300 Active Member Does not accept Doc Bresler's Cavity M-1 Plan Participating retiree plan Busters Fort Washington, PA 19034 Provider Drs Schwartz & Schelkun 467 Pennsylvania Avenue, Suite 106 DDS 215-591-3590 Active Member Does not accept Assoc Fort Washington, PA 19034 Plan Participating retiree plan Provider Castle Dental LLC 5596 Route 309 610-282-2249 Active Member Does not accept Center Valley, PA 19034 Plan Participating retiree plan Provider Dental Health Care 2114 Darby Road 610-789-2666 Active Member Does not accept Associates Havertown LLC Havertown, PA 19083 Plan Participating retiree plan Provider Kids Grins LLC 301 West Chester Pike, Suite#103- Pediatric 484-451-8800 Active Member Does not accept 104 Plan Participating retiree plan Havertow, PA 19083 Provider Oral & Maxillofacial 813 Bethlehem Pike 215-368-8104 Active Member Does not accept Surgical Associates Erdenheim, PA 19038 Plan Participating retiree plan Provider A2Z Oral Surgery 201 S. Easton Road 215-579-1155 Active Member Does not accept Glenside, PA 19038 Plan Participating retiree plan Provider

8/28/2021 40 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Advanced Orthodontic 242 Keswick Avenue 215-576-6414 Active Member Does not accept Care Glenside, PA 19038 Plan Participating retiree plan Provider A 2 Z Smile Care Inc. 201 S. Easton Road 215-886-0666 Active Member Does not accept Glenside, PA 19038 Plan Participating retiree plan Provider Calvin K. Lee DMD PC 818 N. Easton Road Orthodontics 215-885-6020 Active Member Does not accept L&M Orthodontics Glenside, PA 19038 Plan Participating retiree plan Provider Mark Mele DMD 2826 Mt Carmel Avenue Orthodontist 215-886-7880 Active Member Retired Member Glendside, PA 19038 Plan Participating Plan Participating Provider Provider Junaid Chaudhry DMD 254 S Easton Road General 215-887-7788 Active Member Retired Member Geneva Dental Care Glenside, PA 19038 Plan Participating Plan Participating Provider Provider Joseph Brogan DMD 717 Bethlehem Pike, Suite 200 Orthodontics 215-836-9325 Active Member Does not accept Erdenheim, PA 19038 Plan Participating retiree plan Provider L&M Orthodontics 818 N. Easton Road Orthodontics 215-885-5301 Active Member Does not accept Glenside, PA 19038 Plan Participating retiree plan Provider Spectrum Dental Cosmetic 115 E. Glenside Avenue, Suite#4 General 267-636-5491 Active Member Does not accept Center Glenside, PA 19038 Plan Participating retiree plan Provider

8/28/2021 41 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Design That Smile 2800 E. County Line Road 215-675-6400 Active Member Retired Member Hatboro, PA 19040 Plan Participating Plan Participating Provider Provider Best Dentist 4 Kids 461 Warminster Road Pedodontist 215-672-5437 Active Member Does not accept Hatboro, PA 19040 Plan Participating retiree plan Provider Dental Arts of Warminster 943 W. County Line Road 215-672-8388 Active Member Retired Member Hatboro, PA 19040 Plan Participating Plan Participating Provider Provider Endodontics Limited PC 122 N. York Road, Suite #9 Endodontics 267-532-2700 Active Member Does not accept Hatboro, PA 19040 Plan Participating retiree plan Provider Khlemer Dental Care, Inc. 533 N. York Road 215-672-7700 Active Member Retired Member Philadelphia, PA 19040 Plan Participating Plan Participating Provider Provider Hatboro Dental Center 300 N York Road General 215-675-1404 Active Member Does not accept DDS PC Hatboro, PA 19040 Plan Participating retiree plan Provider Daniel Harmon DDS 444 N York Road General 215-675-0220 Active Member Does not accept Hatboro, PA 19040 Plan Participating retiree plan Provider Orthodontics Limited PC 122 N. York Road, Suite #10 Orthodontics 215-675-0542 Active Member Does not accept Hatboro, PA 19040 Plan Participating retiree plan Provider

8/28/2021 42 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Dentistry for Children of 2114 MacDade Boulevard Pediodontist 610-237-9070 Active Member Does not accept Delaware County LLC Holmes, PA 19043 Plan Participating retiree plan. Provider Whitetooth Inc. 2183 MacDade Boulevard 610-461-6371 Active Member Retired Member Holmes, PA 19043 Plan Participating Plan Participating Provider Provider Oral & Maxillofacial 619 Horsham Road 215-674-4400 Active Member Does not accept Surgical Assosciates Horsham, PA 19044 Plan Participating retiree plan Provider Horsham Dental Care PC 623 Horsham Road, Suite A 215-443-7400 Active Member Does not accept Horsham, PA 19044 Plan Participating retiree plan Provider Cherkas Dental Associates 298 Blair Mill Road, Suite 100 General 215-672-8588 Active Member Does not accept Horsham, PA 19044 Plan Participating retiree plan. Provider Gary Henkel DDS 301 Horsham Road, Suite G 215-672-6666 Active Member Does not accept Pine Run Dental Center Horsham, PA 19044 Plan Participating retiree plan Provider My Favorite Dental Clinic 508 Prudential Road, Suite #300 267-282-5277 Active Member Retired Member Horsham, PA 19044 Plan Participating Plan Participating Provider Provider Gentle Dental 505 Old York Road 215-659-0337 Active Member Does not accept Jenkintown, PA 19046 Plan Participating retiree plan Provider

8/28/2021 43 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Michael Roth DDS 500 Old York Road, Suite #112 Orthodontist 215-886-4818 Active Member Does not accept Jenkintown, PA 19046 Plan Participating retiree plan Provider Brillian Smiles Dental 406 A. Huntingdon Pike General 215-663-1610 Active Member Does not accept Group Jenkintown Jenkintown, PA 19046 Plan Participating retiree plan Provider Jenkintown Dental 1250 Greenwood Avenue, Suite#2 215-572-0268 Active Member Does not accept Excellence Jenkintown, PA 19046 Plan Participating retiree plan Provider Carmel Needleman DDS 261 Old York Road, Suite #334 215-887-0551 Active Member Does not accept Jenkintown, PA 19046 Plan Participating retiree plan Provider Jenkintown Dental 1250 Greenwood Avenue, Suite 2 General 215-572-0268 Active Member Does not accept Excellenc Jenkintown, PA 19046 Plan Participating retiree plan Provider Sea of Smiles 4PLLC 361 Highland Ave. #203 Pediatric 215-770-6060 Active Member Does not accept Jenkintown, PA 19046 Plan Participating retiree plan Provider Marta Kaczaj DMD Yorktown Plaza 215-885-7337 Active Member Does not accept 609 West Avenue Plan Participating retiree plan Jenkintown, PA 19046 Provider Noble Dental LLC 801 Old York Road, Suite#403 215-277-7880 Active Member Does not accept Jenkintown, PA 19046 Plan Participating retiree plan Provider

8/28/2021 44 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Kathleen Wu DMD 261 Old York Road, Suite 330 215-885-2202 Active Member Does not accept Jenkintown, PA 19046 Plan Participating retiree plan Provider Nancy Rosenthal DDS 1250 Greenwood Avenue, Suite 10 General 215-887-4004 Active Member Retired Member Jenkintown, PA 19046 Plan Participating Plan Participating Provider Provider David Bresler DDS 101 Old York Road, Suite 301 Pediodontist 215-884-2900 Active Member Does not accept Doc Bresler's Cavity Jenkintown, PA 19046 Plan Participating retiree plan Busters Provider Dental Excellence of 2 S. Sylvania Avenue 215-379-0900 Active Member Retired Member Rockledge Rochledge, PA 19046 Plan Participating Plan Participating Provider Provider Lovin Dental Inc. 10 Shady Lane 215-663-1431 Active Member Does not accept Rockledge, PA 19046 Plan Participating retiree plan Provider Pennsylvania Dental Holy Reedemer Hospital Medical Oral Surgery 215-938-7860 Active Member Retired Member Implant & Surgery Bldg, 1650 Huntingdon Pike Plan Participating Plan Participating Suite 219 Associates Provider Provider Meadowbrook, PA 19046 Kourosh Zarrinnia DMD 1077 Rydal Road, Suite 301 Orthodontist 215-886-2274 Active Member Does not accept Rydal, PA 19046 Plan Participating retiree plan Provider Charles Wisniewski DMD 722 Huntingdon Pike General 215-379-2060 Active Member Retired Member Jenkintown, PA 19046 Plan Participating Plan Participating Provider Provider

8/28/2021 45 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Khoa Nguyen 261 Old York Road, Suite 330 215-885-2202 Active Member Does not accept Jenkintown, PA 19046 Plan Participating retiree plan Provider Kim Bo Ah 101 Old York Road 215-884-2900 Active Member Does not accept Jenkintown, PA 19046 Plan Participating retiree plan Provider Bresler Richomnd Dental 101 Old York Road 215-884-2900 Active Member Does not accept Associates Jenkintown, PA 19046 Plan Participating retiree plan Provider Jennifer Donskoy 261 Old York Road, Suite 330 215-885-2202 Active Member Does not accept DMD Jenkintown, PA 19046 Plan Participating retiree plan Provider Julie Arouh DMD Fox Pavilion, Suite 330, 261 York General 215-885-2202 Active Member Does not accept Road, Plan Participating retiree plan Jenkintown, PA 19046 Provider Schoengold & Zicchinolfi 261 Old York Road, Suite #323 Endodontics 215-887-1040 Active Member Does not accept PA Jenkintown, PA 19046 Plan Participating retiree plan Provider Christopher Juchno DMD 380 Middletown Boulevard, 215-342-2176 Active Member Does not accept Suite#712 Plan Participating retiree plan Langhorne, PA 19047 Provider Buckstown Dental 330 Middletown Boulevard, General/Pedia 215-750-1717 Active Member Retired Member Associates Suite#401 tric Plan Participating Plan Participating Dr. B 4 Kids Langhorne, PA 19047 Provider Provider

8/28/2021 46 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Langhorne Dental 330 Middletown Boulevard, Suite 215-757-1574 Active Member Does not accept Assocaites LLC 401 Plan Participating retiree plan Langhorne, PA 19047 Provider Bright Smiles Dental PC 1234 East Lincoln Highway 215-809-2324 Active Member Retired Member Langhorne PA 19047 Plan Participating Plan Participating Provider Provider Russle S. Bleiler III DMD 360 Middletown Boulevard, Oral Surgery 215-752-4646 Active Member Retired Member PC Suite#406 Plan Participating Plan Participating Langhorne, PA 19047 Provider Provider Gregory J. Galeone DDS 124 W. Maple Avenue 215-752-8486 Active Member Retired Member Langhorne, PA 19047 Plan Participating Plan Participating Provider Provider Kevin Klatte DMD 670 Woodbourne Road, Suite 701 Orthodontics 215-741-0501 Active Member Does not accept Associated Orthodontist Langhorne, PA 19047 Plan Participating retiree plan. Provider Always Gentle Dental Care 205 Corporate Drive, Suite E General 215-497-1002 Active Member Does not accept Langhorne, PA 19047 Plan Participating retiree plan Provider Endodontics Limited PC 825 Town Center Drive, Suite 105 Endodontics 215-750-5200 Active Member Retired Member Langhorne, PA 19047 Plan Participating Plan Participating Provider Provider Prem Gulati DDS Oxford Building, Suite 509 215-741-1900 Active Member Does not accept 370 Middle Town Boulevard Plan Participating retiree plan Langhorne, PA 19047 Provider

8/28/2021 47 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Pennsylvania Dental 1205 Langhorne-Newtown Road Oral Surgery 267-789-3960 Active Member Retired Member Implant & Oral Surgery Suite 201 Plan Participating Plan Participating Associates Langhorne, PA 19047 Provider Provider Periodontology and Oral 1262 Wood Lane, Suite 201 Periodontics 267-908-4867 Active Member Retired Member Implantology Langhorne, PA 19047 Plan Participating Plan Participating Ann Chernyak Provider Provider Bhaskar Savani DDS 402 Middletown Boulevard, Suite 215-757-4400 Active Member Does not accept A-1 Family Dental Care 200 Plan Participating retiree plan Langhorne, PA 19047 Provider Bharat Shah DDS 300 Middletown Boulevard, Suite 215-757-0337 Active Member Retired Member 101 Plan Participating Plan Participating Langhorne, PA 19047 Provider Provider Infinity Dental 240 Middletown Boulevard Suite 215-750-2222 Active Member Does not accept Management 100 Plan Participating retiree plan Langhorne, PA 19047 Provider Arnelle Lloyd DDS 651 Church Lane General 610-622-2077 Active Member Does not accept Yeadon, PA 19050 Plan Participating retiree plan Provider Peter T. Kousoulis DMD 8 Runnemede Avenue 610-626-2442 Active Member Does not accept Lansdowne, PA 19050 Plan Participating retiree plan Provider Yeadon Family Dentistry 724 Church Lane, 484-461-7222 Active Member Retired Member Yeadon, PA 19050 Plan Participating Plan Participating Provider Provider

8/28/2021 48 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Zagorodny Endodontics 721 Bustleton Pike Unit A 215-703-9090 Active Member Does not accept Feasterville, PA 19053 Plan Participating retiree plan Provider Miracle Dental Center 4911 E. Street Road, Unit B 267-990-8668 Active Member Does not accept Feasterville, PA 19053 Plan Participating retiree plan Provider Babiner Dental PC 332 Bustleton Avenue 215-698-2710 Active Member Does not accept Maxim Babiner Feasterville, PA 19053 Plan Participating retiree plan Provider Dentistry for Children & 332 Bustleton Avenue 215-698-2710 Active Member Does not accept Adults LLC Feasterville, PA 19053 Plan Participating retiree plan Ingrid Babiner Provider Dental Beauty Inc. 721 Bustleton Avenue General 215-703-9090 Active Member Retired Member Feasterville, PA 19053 Plan Participating Plan Participating Provider Provider Era Smile Clinic LLC 1200 Bustleton Pike, Suite #11 215-355-6055 Active Member Retired Member Feasterville, PA 19053 Plan Participating Plan Participating Provider Provider Orchard of Smiles 1629 Bridgetown Pike 267-991-9690 Active Member Does not accept Orthodontics Feasterville 19053 Plan Participating retiree plan Provider Sofia Goldin 227 Bustleton Pike 215-942-0909 Active Member Retired Member Feasterville, PA 19053 Plan Participating Plan Participating Provider Provider

8/28/2021 49 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Debra Rosen DDS 217 Bustleton Pike General 215-364-2077 Active Member Continues to treat Feasterville, PA 19053 Plan Participating current member Provider patients who retire Nissman Salin DDS 1300 Bridgetown Pike Oral Surgeon 215-322-7810 Active Member Retired Member Feasterville, PA 19053 Plan Participating Plan Participating Provider Provider Anthony Fareno DDS 1200 Bustleton Pike, #17 General 215-355-5120 Active Member Does not accept Feasterville, PA 19053 Plan Participating retiree plan Provider Paul Anagnostakos DMD 4 Arbor Lane 215-357-4321 Active Member Does not accept Feasterville Family Feasterville, PA 19053 Plan Participating retiree plan Dentistry Provider Alexander Volchonok DDS 1722 Bridgetown Pike General 215-322-7862 Active Member Retired Member Feasterville, PA 19053 Plan Participating Plan Participating Provider Provider Smile Culture 537 E. Street Road 267-589-6230 Active Member Does not accept Trevose, PA 19053 Plan Participating retiree plan Provider Willowood Amily Dental 185 Willow Drive General 732-222-8485 Active Member Does not accept Care Levittown, PA 19054 Plan Participating retiree plan Provider Sun Dental Specialty LLC 7419 New Falls Road Oral Surgery 215-945-5199 Active Member Does not accept Levittown, PA 19055 Plan Participating retiree plan Provider

8/28/2021 50 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Donald Tihansky DDS 2 Aster Lane General 215-943-2080 Active Member Retired Member Levittown, PA 19055 Plan Participating Plan Participating Provider Provider Charles Petrillo DDS 218 Willow Drive General 215-946-7717 Active Member Provider Retired Levittown, PA 19055 Plan Participating Member Provider Plan Participating Happy Teeth Professionals 165 Levittown Parkway, Suite B Pedodontics 267-580-9657 Active Member Does not accept LC Levittown, PA 19055 Plan Participating retiree plan Provider Your Orthodontist 586 Middletown Boulevard Orthodontics 215-750-7779 Active Member Does not accept Ronald Saffar Langhorn, PA 19057 Plan Participating retiree plan Provider Esthetic Dental 5530 New Falls Road General 215-945-5100 Active Member Does not accept Levittown, PA 19057 Plan Participating retiree plan Provider Bethel Dental Associates 1376 Naamans Creed Road 610-459-5859 Active Member Does not accept Garnet Valley, PA 19060 Plan Participating retiree plan Provider American Dental Health 100310 Baltimore Pike General 484-444-2793 Active Member Does not accept PC DBA United Dental Media, PA 19063 Plan Participating retiree plan Care Provider American Dental Care PC 6 Oriole Avenue 610-891-0940 Active Member Retired Member Media, PA 19063 Plan Participating Plan Participating Provider Provider

8/28/2021 51 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members BZG Oral & Maxillofacial 1223 N. Providence Rd. Oral Surgery 610-556-5555 Active Member Does not accept Surgery Center LLC 1st Floor Plan Participating retiree plan Media, PA 19063 Provider Rich Orthodontics 1022 East Baltimore Pike Orthodontics 215-244-9505 Active Member Does not accept Jeremy Rich, DMD Media, PA 19063 Plan Participating retiree plan Provider Media Dental Care 1003 W. Baltimore Pike 484-441-0298 Active Member Does not accept Associates Media, PA 19063 Plan Participating retiree plan Provider Media Endodontics 1215 W. Baltimore Pike, Suite #9 Endodontics 484-444-2664 Active Member Does not accept Dr. Scott Levy Media, PA 19063 Plan Participating retiree plan Provider Nancy Koshetar DDS 363 Holmes Road General 610-522-1741 Active Member Does not accept Holmes, PA 19063 Plan Participating retiree plan Provider Children’s Dental Health 130 S. State Road, Auite #300 717-295-4400 Active Member Does not accept Springfield, PA 19064 Plan Participating retiree plan Provider Daley Oral & Max Surgery 1050 Baltimore Pike Oral Surgery 610-544-5251 Active Member Does not accept Associates Springfield. PA 19064 Plan Participating retiree plan Provider Lee Dental Associates 114 South State Road General 610-544-3777 Active Member Does not accept Springfield, PA 19064 Plan Participating retiree plan Provider

8/28/2021 52 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Steven Cross DDS 532 Baltimore Pike General 610-328-6618 Active Member Retired Member Springfield, PA 19064 Plan Participating Plan Participating Provider Provider Stoney Creed American 515 Baltimore Pike Active Member Does not accept Dental Care PC Springfield, PA 19064 Plan Participating retiree plan Provider Smile Exchange of 105 Baltimore Pike 484-868-9600 Active Member Does not accept Springfield Springfield, PA 19064 Plan Participating retiree plan Provider Dice Dental Group 905 W. Sproul Rd. Suite #108 484-993-6222 Active Member Retired Member Springfield PA 19064 Plan Participating Plan Participating Provider Provider Main Line Dental Assoc 325 Montgomery Avenue General 610-668-0606 Active Member Does not accept Merion, PA 19066 Plan Participating retiree plan Provider Michael Ginn DDS 40 Blancoyd Road 610-667-3090 Active Member Continues to treat Merion Station, PA 19066 Plan Participating current member Provider patients who retire John Newland DMD 4998 State Road General 610-259-9719 Active Member Does not accept Drexel Hill, PA 19066 Plan Participating retiree plan Provider Park Family & Cosmetic 301 Oxford Valley Rd, Suite#201B 215-493-5347 Active Member Retired Member Dentistry LLC Yardley, PA 19067 Plan Participating Plan Participating Provider Provider

8/28/2021 53 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Tranquility Dental Care 301 Oxford Valley Rd, Suite #1301 267-392-5815 Active Member Does not accept Yardley, PA 19067 Plan Participating retiree plan Provider James D. Riesenberger 111 C Floral Vale Boulevard Orthodontist 215-968-5471 Active Member Does not accept Yardley, PA 19067 Plan Participating retiree plan. Provider Vasant Vora DDS 301 Oxford Valley Road, 215-493-6767 Active Member Retired Member Suite 203-A Plan Participating Plan Participating Yardley, PA 19067 Provider Provider Sea of Smiles 301 Oxford Valley Road Pediodontist 267-392-5878 Active Member Does not accept Yardley, PA 19067 Plan Participating retiree plan. Provider Abram Barnett DDS Makefield Executive Quarters 215-321-1875 Active Member Does not accept 301 Oxford Valley Road, Suite 506- Plan Participating retiree plan. A, Yardley, PA 19067 Provider Radiant Smiles @ Floral 117 Floral Vale Boulevard 215-860-4600 Active Member Does not accept Vale Yardley, PA 19067 Plan Participating retiree plan Provider Shalini Mandapatti DDS 229 Plaza Boulevard 215-295-1348 Active Member Does not accept Allright Dental Morrisville, PA 19067 Plan Participating retiree plan Provider Cornerstone Dental PC 301 Oxford Valley Road, Suite 267-573-4142 Active Member Retired Member #302A Plan Participating Plan Participating Yardley, PA 19067 Provider Provider

8/28/2021 54 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Jared Kenwood DDS PC 301 Oxford Valley Road, Suite# 215-493-1616 Active Member Does not accept 401A Plan Participating retiree plan Yardley, PA 19067 Provider Warrington Family Dental 1432 Easton Road General 215-491-2139 Active Member Does not accept Care Warrington PA 19067 Plan Participating retiree plan Provider Bhaskar Savani DMD 35-B Woodland Avenue General 610-544-3630 Active Member Does not accept Advance Family Dentistry Morton PA 19070 Plan Participating retiree plan Provider Essex Dental 106 N Essex Avenue 610-668-7750 Active Member Does not accept Narberth PA 19072 Plan Participating retiree plan Provider Allen Brown DDS 110 N Essex Avenue Orthodontist 610-668-0610 Active Member Does not accept Narberth, PA 19072 Plan Participating retiree plan Provider Milita G. Borguet DMD 110 North Essex Avenue Periodontics 610-664-9510 Active Member Does not accept Narberth, PA 19072 Plan Participating retiree plan Provider Paul Carpinello DMD 3217 West Chester Pike Orthodontist 610-356-8850 Active Member Does not accept Ewtown square, PA 19073 Plan Participating retiree plan Provider Marianna Evans DMD 3855 W. Chester Pike, Suite 225 Orthodontist 484-420-4643 Active Member Does not accept Newtown Square, PA 19073 Periodontics Plan Participating retiree plan Provider

8/28/2021 55 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Newtown Square Dental 3475 West Chester Pike, Suite #220 610-359-1660 Active Member Does not accept Associates Newtown Square, PA 19073 Plan Participating retiree plan Provider Daley Oral & Max Surgery 3501 West Chester Pike, Suite#100 Oral Surgery 610-353-1404 Active Member Does not accept Associates Newtown Square, PA 19073 Plan Participating retiree plan Provider Premier Dental of 4756 West Chester Pike 484-424-0078 Active Member Does not accept Edgemont Square LLC Newtown Square, PA 19073 Plan Participating retiree plan Provider Center For Family & 7 W. Winona Avenue 610-532-0221 Active Member Retired Member Cosmetic Dentistry Norwood, PA 19074 Plan Participating Plan Participating Provider Provider Shore Dental Center 519 Chester Pike General 610-532-3700 Active Member Does not accept Norwood, PA 19074 Plan Participating retiree plan Provider David Bresler DDS 4659 West Chester Pike Pediatrics 484-444-0700 Active Member Does not accept Doc Bresler's Cavity Newtown Square, PA 19075 Plan Participating retiree plan Busters Provider Propect Park Cosmetic 338 Lincoln Avenue 610-532-5000 Active Member Does not accept Dentistry LLC Prospect Park, PA 19076 Plan Participating retiree plan Provider Richard Benjamin DDS PC 907 Lincoln Avenue 610-583-5052 Active Member Retired Member Prospect Park, PA 19076 Plan Participating Plan Participating Provider Provider

8/28/2021 56 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Centers for Dentistry 938 Chester Pike 610-457-5671 Active Member Retired Member Sharon Hill, PA 19079 Plan Participating Plan Participating Provider Provider Smile City LLC 938 Chester Pike 610-586-6520 Active Member Retired Member Sharon Hill, PA 19079 Plan Participating Plan Participating Provider Provider Mark Forwood DMD 107 Rutgers Avenue, Unit#52 610-543-7444 Active Member Retired Member PLLC Swarthmore, PA 19081 Plan Participating Plan Participating Provider Provider Clair B. Feild DDS 700 S. Chester Road 610-627-1199 Active Member Does not accept Swarthmor, PA 19081 Plan Participating retiree plan Provider Kidsteeth Pediatric 700 S. Chester Road Pediatric 610-627-1199 Active Member Does not accept Dentistry Swarthmor, PA 19081 Plan Participating retiree plan Provider Access Dentistry LLC 6760 Market Street 610-436-8485 Active Member Does not accept Upper Darby, PA 19082 Plan Participating retiree plan Provider American Dental Health 6780-84 Market Street General 484-462-0171 Active Member Does not accept PC DBA United Dental Upper Darby, PA 19082 Plan Participating retiree plan Care Provider Michelle Dai DMD 101 Long Lane, 1st Floor 610-352-2263 Active Member Retired Member Star Dental Inc Upper Darby, PA 19082 Plan Participating Plan Participating Provider Provider

8/28/2021 57 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members All About Your Teeth 151 S. 69th Street 610-352-7600 Active Member Retired Member American Dental Care Upper Darby, PA 19082 Plan Participating Plan Participating Provider Provider About Your Smile 6772 Market Street General 610-734-0666 Active Member Does not accept Upper Darby, PA 19082 Plan Participating retiree plan Provider Detnal Solutions 151 South 69th Street General 610-352-4951 Active Member Does not accept Upper Darby, PA 19082 Plan Participating retiree plan Provider Michael Paul DMD 41 S. State Road 610-789-2417 Active Member Retired Member Irvin Paul DDS P.C. Upper Darby, PA 19082 Plan Participating Plan Participating Provider Provider Pristine Dental Center PC 392 Avon Road 610-352-0500 Active Member Does not accept Upper Darby, PA 19082 Plan Participating retiree plan Provider Upper Darby Family 653 Long Lane 484-461-7888 Active Member Retired Member Dentistry Upper Darby, PA 19082 Plan Participating Plan Participating Provider Provider Joseph Zacharias 134 South State Road 610-789-2440 Active Member Does not accept Care Dental LLC Upper Darby, Pa 19082 Plan Participating retiree plan Provider Brilliant Smiles Dental 301 West Chester Pike, Suite #202 601-789-9400 Active Member Does not accept Group of Havertown Havertown, PA 19083 Plan Participating retiree plan Provider

8/28/2021 58 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Havertown Dental 2050 West Chester Pike Suite #4 610-789-0158 Active Member Retired Member Associates Havertown, PA 19083 Plan Participating Plan Participating Provider Provider Legendary Smiles P.C. 1330 W. Chester Pike 610-789-4040 Active Member Does not accept Havertown, PA 19083 Plan Participating retiree plan Provider Richard Pfeiffer DDS 2416 Darby Road General 610-446-4210 Active Member Continues to treat Havertown, PA 19083 Plan Participating current member Provider patients who retire Q Dental Family & 2010 W Chester Pike, Suite 420 General 610-449-8511 Active Member Does not accept Cosmetic Dentistry Havertown, PA 19083 Plan Participating retiree plan Provider Eagle Crest Pediatric 31 South Eagle Road Pediatric 484-454-3568 Active Member Does not accept Dentistry Havertown, PA 19083 Plan Participating retiree plan Provider Harvey Wank DMD 525 W Chester Pike Oral Surgeon 610-446-3222 Active Member Retired Member Havertown, PA 19083 Plan Participating Plan Participating Provider Provider Frank Shannon DDS 2427 Darby Road General 610-446-4596 Active Member Does not accept Associates Havertown, PA 19083 Plan Participating retiree plan Provider HaverCrown Dental LLC 100 South Eagle Road General 610-446-6688 Active Member Does not accept Havertown, PA 19083 Plan Participating retiree plan Provider

8/28/2021 59 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Celeste Anne Filipczyk 145 North Eagle Road 610-449-5250 Active Member Does not accept DDS Havertown, PA 19083 Plan Participating retiree plan Provider Upper Dublin Family 3515 W. Moreland Road General & 215-657-3770 Active Member Does not accept Dentistry Willow Grove, PA 19090 Endodontics Plan Participating retiree plan Provider Advanced Smile Design PC 801 Easton Road, Sutie #9 215-659-3334 Active Member Does not accept Willow Grove, PA 19090 Plan Participating retiree plan Provider Premier Endodontics PC 735 Fitzwarertown Road 215-672-8588 Active Member Retired Member Willow Grove, PA 19090 Plan Participating Plan Participating Provider Provider SCO Dental LLC 735 Fitzwatertown Road, Suite #3 215-672-8588 Active Member Does not accept Willow Grove, PA 19090 Plan Participating retiree plan Provider Willow Grove Dentistry 519 Davisville Road General 215-659-1245 Active Member Retired Member David Recigno DMD Willow Grove, PA 19090 Plan Participating Plan Participating Provider Provider Complete Care Dental 1300 McDade Boulevard #5 610-833-1919 Active Member Does not accept Woodlyn, PA 19094 Plan Participating retiree plan Provider American Dental Care PC 1000 Easton Road 215-886-7177 Active Member Retired Member Wyncote, PA 19095 Plan Participating Plan Participating Provider Provider

8/28/2021 60 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Howard Weinstock DDS 1420 Manoa Road General 215-642-1388 Active Member Continues to treat Wynnewood, PA 19096 Plan Participating current member Provider patients who retire Drs DiPietro & Danzig 2 Rolling Road General 610-896-6361 Active Member Does not accept DDS Wynnewood, PA 19096 Plan Participating retiree plan Provider Steven Solow DMD 990 City Line Avenue Pediodontist 610-649-8383 Active Member Retired Member Scott Solow DMD Wynnewood, PA 19096 & Plan Participating Plan Participating Orthodontist Provider Provider TEC Endodontics 1601 Walnut Street 215-972-0181 Active Member Does not accept #402 Plan Participating retiree plan Philadelphia, PA 19102 Provider Excel Endodontics of PA 1500 Walnut Street, Suite# 600 Endodontics 215-732-1403 Active Member Retired Member Philadelphia, PA 19102 Plan Participating Plan Participating Provider Provider Clementon Family 1601 Walnust Street, Suite# 1001 215-563-0138 Active Member Does not accept Dentistry Philadelphia, PA 19102 Plan Participating retiree plan Provider Smile Team P.C. 1500 JFK Boulevard, Suite #1906 215-709-0001 Active Member Does not accept Philadelphia, PA 19102 Plan Participating retiree plan Provider Philadelphia Orthodontics 1420 Walnut Street, Suite #518 Orthodontics 215-567-5949 Active Member Does not accept PC Philadelphia, PA 19102 Plan Participating retiree plan Provider

8/28/2021 61 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Pennsylvania Oral Surgery 1601 Walnut Street #1207 Oral Surgery 215-558-2400 Active Member Does not accept Consultants of PA Philadelphia, PA 19102 Plan Participating retiree plan Provider Padma Raman DMD 1402 Locust Street, Suite 120 215-545-3111 Active Member Does not accept Philadelphia, PA 19102 Plan Participating retiree plan Provider Wortman, Biscardi, & 1420 Walnut Street, Suite 600 215-735-6300 Active Member Does not accept Associates, P.C. Philadelphia, PA 19102 Plan Participating retiree plan Provider Anthony Farrow DMD 1601 Walnut Street, Suite 1315 Orthodontics 215-569-9060 Active Member Does not accept Philadelphia, PA 19102 Plan Participating retiree plan Provider Joseph Gian-Grasso DMD 1500 Locust Street, Suite 1408 Periodontist 215-732-4450 Active Member Does not accept Locust Street Periodontics Philadelphia, PA 19102 Plan Participating retiree plan Provider Advanced Dentistry of 1601 Walnut Street, Suite 1217 General 215-564-1446 Active Member Retired Member Center City Philadelphia, PA 19102 Plan Participating Plan Participating Provider Provider Mankad & Magill DDS 1420 Walnut Street, Suite 518 Orthodontist 215-567-5949 Active Member Does not accept Philadelphia, PA 19102 Plan Participating retiree plan Provider Anna Kornbroat DMD Medical Arts Building Oral Surgeon 215-563-6263 Active Member Does not accept 1601 Walnut Street, #902 Plan Participating retiree plan Philadelphia, PA 19102 Provider

8/28/2021 62 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Peter Wolf DDS 1601 Walnut Street, Suite 1111 General 215-564-3830 Active Member Does not accept Philadelphia, PA 19102 Plan Participating retiree plan Provider Faina Badineva DDS 1518 Walnut Street, Suite 400 General 215-772-0707 Active Member Retired Member Esthetique Dental Group Philadelphia, PA 19102 Plan Participating Plan Participating Provider Provider Robert Dunnous DDS 1601 Walnut Street, Suite 918 General 215-569-8989 Active Member Retired Member Philadelphia, PA 19102 Plan Participating Plan Participating Provider Provider Gary Henkel DDS 1601 Walnut Street, Suite 1501 General 215-563-9769 Active Member Does not accept Philadelphia, PA 19102 Plan Participating retiree plan Provider Emergency Dentist 1426 Walnut Street, General, 215-545-5455 Active Member Retired Member (CCED) Philadelphia, PA 19102 Endodontist, Plan Participating Plan Participating Orthodontics, Provider Provider Periodontics Padma Raman 1420 Locust Street, Suite 120 215-545-3111 Active Member Does not accept Philadelphia, PA 19102 Plan Participating retiree plan Provider Nabil Abaza A. 1505 Race Street, Suite 602 215-561-0562 Active Member Does not accept Philadelphia Health & Philadelphia, PA 19102 Plan Participating retiree plan Education Corp Provider Michael Agabegi DMD 220 S. 16th Street 610-327-2000 Active Member Does not accept Philadelphia, PA 19102 Plan Participating retiree plan Provider

8/28/2021 63 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members David Cho 2000 Market St. BSA #2 215-564-9010 Active Member Retired Member Philadelphia Dental Assoc. Philadelphia, PA 19103 Plan Participating Plan Participating LLC Provider Provider Dentex Dental at Liberty 1625 Chestnut Street, Suite#228 General 215-336-8399 Active Member Retired Member LLC Philadelphia, PA 19103 Plan Participating Plan Participating Provider Provider Premier Dental of Abington 1021 Old York Rd. Suite #201 215-886-4203 Active Member Retired Member Abington PA 19103 Plan Participating Plan Participating Provider Provider DEME Dental 2200 Arch Street, Suite 102 215-561-3363 Active Member Does not accept Philadelphia, PA 19103 Plan Participating retiree plan Provider Steven Solow DMD Medical Arts Building Pediodontist 215-665-1518 Active Member Retired Member Scott Solow DMD 1601 Walnut Street, Suite 1014 & Plan Participating Plan Participating Philadelphia PA 19103 Orthodontist Provider Provider Renee Yurovsky DDS 1880 JFK Boulevard 215-545-1202 Active Member Retired Member Philadlephia, PA 19103 Plan Participating Plan Participating Provider Provider Bruce Dordick DDS 1601 Walnut Street, Suite 201 Periodontist 215-545-1677 Active Member Does not accept Associated Dental Philadelphia, PA 19103 Plan Participating retiree plan Specialist Provider Leslie Pearlman DMD 255 S 17th Street, #1809 856-889-2330 Active Member Retired Member Main Street Dentistry Philadelphia, PA 19103 Plan Participating Plan Participating Provider Provider

8/28/2021 64 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Rittenhouse Dental Group 255 S 17th Street, Suite 2807 215-546-2311 Active Member Does not accept Philadelphia, PA 19103 Plan Participating retiree plan Provider Shari Leavitt DMD 3901 Market Street General 215-662-1030 Active Member Retired Member Philadelphia, PA 19104 Plan Participating Plan Participating Provider Provider Maki Ishii DMD 3901 Market Street Periodontics 215-662-1030 Active Member Does not accept Philadelphia, PA 19104 Plan Participating retiree plan Provider Independence Dental PC 29 S. 7th Street 215-278-6225 Active Member Does not accept Philadelphia, PA 19106 Plan Participating retiree plan Provider Blanc Dental Studio 716 Chestnut Street 267-379-7570 Active Member Retired Member Dr. Christopher Roxas Philadelphia, PA 19106 Plan Participating Plan Participating Provider Provider A Dental Group at 604 S. Wachington Square 215-627-0777 Active Member Does not accept Washington Square P.C. Dental Suite Plan Participating retiree plan Philadelphia, PA 19106 Provider DDS 722 Market Street 215-922-6352 Active Member Retired Member American Dental Care Philadelphia, PA 19106 Plan Participating Plan Participating Provider Provider Scott Solow 607 Chestnut Street Orthodontics 215-725-6251 Active Member Retired Member Children’s Dental Philadelphia, PA 19106 & Plan Participating Plan Participating Associates Pediodontist Provider Provider

8/28/2021 65 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Joel Nash 241 S. Sixth Street, Suite 120 215-238-8800 Active Member Does not accept Philadelphia, PA 19106 Plan Participating retiree plan Provider Gentle Dental 201 South 13th Street 1st Floor General 215-732-5000 Active Member Does not accept Philadelphia, PA 19107 Plan Participating retiree plan Provider Jay Hoffman DDS Jefferson Building General 215-923-3999 Active Member Retired Member 1015 Chestnut Street, Suite 1117 Plan Participating Plan Participating Philadelphia, PA 19107 Provider Provider PA Oral & Maxillofacial 207 N Broad Street Oral Surgery 215-557-0557 Active Member Retired Member Surgery Ltd Philadelphia, PA 19107 Plan Participating Plan Participating Dr. Thomas Nordone Provider Provider Robert Diecidue DDS 909 Walnut Street, Suite 300 Oral Surgery 215-955-6215 Active Member Does not accept Jefferson Oral & Philadelphia, PA 19107 Plan Participating retiree plan Maxillofacial Surgery Provider Kathleen Herb DDS 909 Walnut Street, Suite 300 Oral Surgery 215-955-6215 Active Member Does not accept Jefferson Oral & Philadelphia, PA 19107 Plan Participating retiree plan Maxillofacial Surgery Provider Mohammad A. Ghani & 1225 Vine Street, Suite 401 215-564-1679 Active Member Does not accept Associates Philadelphia, PA 19107 Plan Participating retiree plan Provider V-Centrum Dental 1225 Vine Street, Suite 401 General 215-564-4471 Active Member Does not accept Philadelphia, PA 19107 Plan Participating retiree plan Provider

8/28/2021 66 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members M. Alan Stiles DDS 909 Walnut Street, Suite 300 Oral Surgery 215-955-6215 Active Member Does not accept Jefferson Oral & Philadelphia, PA 19107 Plan Participating retiree plan Maxillofacial Surgery Provider Orthodontics Limited PC 100 S. Broad Street, Suite2020 215-544-6330 Active Member Does not accept Philadelphia, PA 19110 Plan Participating retiree plan Provider Fox Chase Dental 401 Benson Street 215-728-6262 Active Member Retired Member Philadelphia, PA 19111 Plan Participating Plan Participating Provider Provider John Kim 1038 Knorr Street 215-742-7442 Active Member Does not accept Philadelphia, PA 19111 Plan Participating retiree plan Provider Dr. Vasant Vora 907 Tyson Avenue 215-722-6344 Active Member Does not accept Philadelphia, PA 19111 Plan Participating retiree plan Provider Allen Ruane, DDS 3159 Rhawn Street, Ground Floor General 267-388-7012 Active Member Retired Member Philadelphia, PA 19111 Plan Participating Plan Participating Provider Provider Christopher Roxas DMD 1936 Cottman Avenue 215-728-0777 Active Member Does not accept Philadelphia, PA 19111 Plan Participating retiree plan Provider Gordon Gera DDS 6514 Rising Sun Avenue General 215-745-5400 Active Member Continues to treat Philadelphia, PA 19111 Plan Participating current member Provider patients who retire

8/28/2021 67 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Jules Feinberg DDS 6410 Rising Sun Avenue General 215-342-1450 Active Member Continues to treat Philadelphia, PA 19111 Plan Participating current member Provider patients who retire Joel Nash 1936 Cottman Avenue DDS 215-728-0777 Active Member Does not accept Philadelphia, PA 19111 Plan Participating retiree plan Provider Sidney Cramer DDS 1142 Kerper Street General 215-742-5000 Active Member Retired Member Philadelphia, PA 19111 Plan Participating Plan Participating Provider Provider Harvey Edelman DDS 8140 Verree Road General 215-725-9350 Active Member Does not accept Philadelphia, PA 19111 Plan Participating retiree plan Provider Lemual Pidloan DMD 1936 Cottman Avenue 215-728-0777 Active Member Does not accept Philadelphia, PA 19111 Plan Participating retiree plan Provider Douglas Reich DMD 7122 Rising Sun Avenue Pediodontist 215-725-8300 Active Member Does not accept Philadelphia PA 19111 Plan Participating retiree plan Provider Alexander Volchonok 1133 Cottman Avenue 215-742-7139 Active Member Does not accept Acumen Dental Philadelphia, PA 19111 Plan Participating retiree plan Provider Seth Miller DDS 403 Benson Street General 215-728-6262 Active Member Retired Member Philadelphia, PA 19111 Plan Participating Plan Participating Provider Provider

8/28/2021 68 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Elayne Smithen Ramos 6227 Rising Sun Avenue General 267-388-8744 Active Member Continues to treat DMD PC Philadelphia, PA 19111 Plan Participating current member Provider patients who retire Diane Feng DDS 1133 Cottman Avenue General 215-742-7139 Active Member Retired Member Philadelphia, PA 19111 Plan Participating Plan Participating Provider Provider Robert Goldberg DDS 1308 Cottman Avenue General 215-745-5100 Active Member Does not accept Philadelphia, PA 19111 Plan Participating retiree plan Provider Abbe Orlansky DDS 1371 Kerper Street General 215-342-2341 Active Member Continues to treat Philadelphia, PA 19111 Plan Participating current member Provider patients who retire Smile for Life PC 9173 Roosevelt Boulevard SPC# 22 215-333-8100 Active Member Does not accept Philadephia, PA 19114 Plan Participating retiree plan Provider Academy Dentistry Group 10101 Academy Road, Suite 203 General, 215-281-3400 Active Member Retired Member LLC Orthodontics Philadelphia, PA 19114 Endodontics Plan Participating Plan Participating Periodontics Provider Provider Arthur Greenfield DDS 9501 E. Roosevelt Boulevard, Suite General 215-634-1646 Active Member Does not accept 409 Plan Participating retiree plan Philadelphia, PA 19114 Provider Dental Solutions 2455 Grant Avenue General 215-969-0900 Active Member Does not accept Philadelphia, PA 19114 Plan Participating retiree plan Provider

8/28/2021 69 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Jefferson Oral & 10800 Knights Road, Suite#125 215-612-8480 Active Member Does not accept Maxillofacial Surgery Philadelphia, PA 19114 Plan Participating retiree plan Provider Oasis Dental 9501 Roosevelt Boulevard, Suite 101 215-904-8951 Active Member Does not accept Philadelphia, PA 19114 Plan Participating retiree plan Provider Philadelphia Denal Smiles 9140 Academy Road, Suite H General 215-335-3339 Active Member Does not accept PC Philadelphia, PA 19114 Plan Participating retiree plan Provider Dr. Checchio DDS 9815 Roosevelt Boulevard, Suite H Pediodontics 215-333-9696 Active Member Does not accept Best Dentist 4 Kids Philadelphia, PA 19114 Plan Participating retiree plan Provider Academy Family Dental 10431 Academy Road, Suite A 215-637-7476 Active Member Does not accept Care Philadelphia, PA 19114 Plan Participating retiree plan Provider Academy Dentistry Group 10101 Academy Road, 2nd Floor General, 215-637-5800 Active Member Retired Member LLC Orthodontics Philadelphia, PA 19114 Endodontics Plan Participating Plan Participating Periodontics Provider Provider Dorothy Rooney DMD 3330 Grant Avenue 215-464-6060 Active Member Does not accept Philadelphia, PA 19114 Plan Participating retiree plan Provider Allen Shapiro DDS 9501 Roosevelt Boulevard, #409 General 215-673-1333 Active Member Does not accept Philadelphia, PA 19114 Plan Participating retiree plan Provider

8/28/2021 70 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Alan Sherman DDS 3201 Morrell Avenue General 215-637-2000 Active Member Does not accept Philadelphia, PA 19114 Plan Participating retiree plan Provider Jeffrey Weiner DDS 3254 Red Lion Road General 215-632-1612 Active Member Continues to treat Philadelphia, PA 19114 Plan Participating current member Provider patients who retire Lennie Checchio DDS 9525 Frankford Avenue Pediodontist 215-333-9697 Active Member Does not accept Philadelphia, PA 19114 Plan Participating retiree plan Provider Ronald Chudd DMD 10101 Academy Road, Suite 203 215-637-5800 Active Member Retired Member Philadelphia, PA 19114 Plan Participating Plan Participating Provider Provider Doc Bresler’s Cavity 1916 Welsh Road Pediodontist 215-676-2311 Active Member Does not accept Busters Philadelphia, PA 19114 Plan Participating retiree plan Provider Academy Dentistry Group 10101 Academy Road, 2nd Floor Orthodontist 215-637-5800 Active Member Does not accept LLC Philadelphia, PA 19114 Plan Participating retiree plan Provider Israel Domsky DDS 3201 Red Lion Road General 215-637-2525 Active Member Does not accept Philadelphia, PA 19114 Plan Participating retiree plan Provider Cornerstone Dental 9456 State Road General 215-632-8282 Active Member Retired Member Philadelphia PA 19114 Plan Participating Plan Participating Provider Provider

8/28/2021 71 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Academy Dental Assoc 10101 Academy Road, Suite 204 General 215-637-2000 Active Member Retired Member Philadelphia, PA 19114 Plan Participating Plan Participating Provider Provider American Dental Care 9229 Roosevelt Boulevard 215-969-0900 Active Member Retired Member Philadelphia, PA 19114 Plan Participating Plan Participating Provider Provider Y. Kumar DMD LLC 10431 Academy Road, Suite K General 215-632-8380 Active Member Retired Member Philadelphia, PA 19114 Plan Participating Plan Participating Provider Provider John Cacchio DMD 9300 Frankford Avenue General 215-331-9576 Active Member Retired Member Philadelphia, PA 19114 Plan Participating Plan Participating Provider Provider Prem Gulati DDS 4001 Lyman Drive Orthodontist 215-637-6300 Active Member Does not accept Philadelphia, PA 19114 Plan Participating retiree plan Provider Michael Ginn DDS 3691 Morrell Avenue General 215-637-3354 Active Member Continues to treat Philadelphia, PA 19114 Plan Participating current member Provider patients who retire Advanced Family Smiles 10501 Academy Road, Suite A 215-637-7474 Active Member Does not accept PC Philadelphia, PA 19114 Plan Participating retiree plan Provider United Dental Care 9229 Roosevelt Boulevard 215-297-3500 Active Member Does not accept Philadelphia, PA 19114 Plan Participating retiree plan Provider

8/28/2021 72 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Grant Academy Dental 330-66 Grant Ave. 215-464-6060 Active Member Does not accept LLC Philadelphia, PA 19114 Plan Participating retiree plan Provider Center One Dental 9880 Bustleton Ave., Suite 213 215-673-4888 Active Member Associates PC Philadelphia, PA 19115 Plan Participating Provider Absolute Smile 9733 Bustleton Avenue 215-774-5050 Active Member Does not accept Philadelphia, PA 19115 Plan Participating retiree plan Provider Appel Orthodontics 211 Geiger Road 215-676-3070 Active Member Does not accept Philadelphia, PA 19115 Plan Participating retiree plan Provider Endodontics Limited PC 2137 Welsh Rd, Suite 3-A Endodontist 215-969-1222 Active Member Retired Member Philadelphia, PA 19115 Plan Participating Plan Participating Provider Provider Greg Kurman DDS 2137 Welsh Road Suite 3-C 215-464-5600 Active Member Retired Member Kaiser & Rosen Dental Philadelphia, PA 19115 Plan Participating Plan Participating Assoc Provider Provider David Bresler DDS 240 Geiger Road Pediodontist 215-677-0380 Active Member Does not accept Doc Bresler's Cavity Philadelphia, PA 19115 Plan Participating retiree plan Busters Provider Leo Belman DDS 100 Beth Drive General 215-671-9833 Active Member Does not accept Philadelphia, PA 19115 Plan Participating retiree plan Provider

8/28/2021 73 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Kevin Chin DDS 2000 Grant Avenue, Suite#200 215-698-9292 Active Member Does not accept Philadelphia, PA 19115 Plan Participating retiree plan Provider Hal Rosenthaler DMD 1718 Welsh Road, Suite B General 215-673-7400 Active Member Retired Member Philadelphia, PA 19115 Plan Participating Plan Participating Provider Provider Orthodontics Limited PC 2137 Welsh Road, Suite 1 B Orthodontics 215-676-7846 Active Member Does not accept Philadelphia, PA 19115 Plan Participating retiree plan Provider Serena M. Colletti DDS Red Lion Surgi Center Endodontics 215-676-2232 Active Member Does not accept 240 Gaiger Road Plan Participating retiree plan Philadelphia, PA 19115 Provider Smile Team 9301 Banes Street 215-709-0001 Active Member Does not accept Philadelphia, PA 19115 Plan Participating retiree plan Provider Stuart Danzig DDS 9303 Banes Street General 215-484-5150 Active Member Does not accept Philadelphia, PA 19115 Plan Participating retiree plan Provider Jerome Fisher DDS 1718 Welsh Road, Suite B General 215-677-3779 Active Member Does not accept Philadelphia, PA 19115 Plan Participating retiree plan Provider Stanley Gittelman DDS 1929 Bowler Street General 215-673-1535 Active Member Retired Member Philadelphia, PA 19115 Plan Participating Plan Participating Provider Provider

8/28/2021 74 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Barry Groder DDS 9819 Haldeman Avenue General 215-677-6951 Active Member Continues to treat Philadelphia, PA 19115 Plan Participating current member Provider patients who retire Mark Kaiser DDS 2137 Welsh Road Suite 3-C General 215-464-5600 Current Patients Current Patients Only Kaiser & Rosen Dental Philadelphia, PA 19115 Only Assoc Morris Rosen DDS 2137 Welsh Road Suite 3-C 215-464-5600 Current Patients Current Patients Only Kaiser & Rosen Dental Philadelphia, PA 19115 Only Assoc Patricia Petit DDS 2137 Welsh Road Suite 3-C 215-464-5600 Current Patients Current Patients Only Kaiser & Rosen Dental Philadelphia, PA 19115 Only Assoc Jessica Kim DDS 2137 Welsh Road Suite 3-C 215-464-5600 Current Patients Current Patients Only Kaiser & Rosen Dental Philadelphia, PA 19115 Only Assoc Harry Randel DMD 9892 Bustleton Avenue, Suite 304 General 215-673-0123 Active Member Does not accept Philadelphia, PA 19115 Plan Participating retiree plan Provider Alan Frieman DMD 9892 Bustleton Avenue, Suite 201 215-637-2000 Active Member Does not accept Philadelphia, PA 19115 Plan Participating retiree plan Provider AZ Dental Group 1619 Grant Avenue, Suite #23 215-673-4940 Active Member Does not accept Philadelphia, PA 19115 Plan Participating retiree plan Provider

8/28/2021 75 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members David A. Bresler DDS 240 Geiger Road Adult Special 215-508-4200 Active Member Does not accept Special Touch Dentistry Philadelphia, PA 19115 Needs Plan Participating retiree plan LLC Provider Sheila Hams 9892 Bustleton Avenue, #304 Active Member Does not accept Philadelphia, PA 19115 Plan Participating retiree plan Provider Periodontal Services LTD 2137 Welsh Road, Suite 2A Periodontist 215-676-0717 Active Member Does not accept Philadelphia, PA 19115 Plan Participating retiree plan Provider David A. Bresler DDS 240 Geiger Road 215-508-4200 Active Member Does not accept Special Touch Dentistry Philadelphia, PA 19115 Plan Participating retiree plan Provider Andrew S Price DDS 9501 Notheast Avenue General 215-634-7988 Active Member Does not accept Philadelphia, PA 19115 Plan Participating retiree plan. Provider Wolodymyr Zin 9892 Bustleton Avenue, Suite 302 215-671-0188 Active Member Does not accept Everest Dental LLC Philadelphia, PA 19115 Plan Participating retiree plan Provider AZ Dental Group 1619 Grant Avenue, Suite 23 215-6734940 Active Member Does not accept Philadelphia, PA 19115 Plan Participating retiree plan Provider Nusmile Dental LLC 10107 A Verree Road 267-388-7754 Active Member Does not accept Philadelphia, PA 19116 Plan Participating retiree plan Provider

8/28/2021 76 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Barry Porten 10890 Bustleton Avenue Periodontist 215-698-6622 Active Member Does not accept Philadelphia, PA 19116 Plan Participating retiree plan Provider Dentex Dental Group 10108 Bustleton Avenue General 215-677-3904 Active Member Does not accept Philadelphia, PA 19116 Plan Participating retiree plan Provider Olusegun Abolarin 7439 Frankford Avenue 215-831-1023 Active Member Does not accept Alpha Dental Care Philadelphia, PA 19116 Plan Participating retiree plan Provider J.N. De Cardona DDS 11410 Bustleton Avenue General 215-676-4646 Active Member Does not accept Philadelphia, PA 19116 Plan Participating retiree plan Provider Gross & Sons Family 11621 Bustleton Avenue General 215-673-8887 Active Member Retired Member Denitrsy Philadelphia, PA 19116 Plan Participating Plan Participating Provider Provider Barry Porten DDS 10890 Bustleton Avenue Periodontist 215-698-6622 Active Member Does not accept Philadelphia, PA 19116 Plan Participating retiree plan Provider Yiuman Ko 11601 Bustleton Avenue 215-677-0910 Active Member Does not accept Philadelpha, PA 19116 Plan Participating retiree plan Provider Jean Bichera DDS 11621 Bustleton Avenue Periodontist 215-673-8887 Active Member Does not accept Philadelphia, PA 19116 Plan Participating retiree plan Provider

8/28/2021 77 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Northeast Dental Care 10847 Bustleton Avenue 215-552-9800 Active Member Does not accept Philadelphia, PA 19116 Plan Participating retiree plan Provider Barry Wills DMD 10752 Bustleton Avenue General 215-677-3030 Active Member Retired Member Philadelphia, PA 19116 Plan Participating Plan Participating Provider Provider AU Dental PC 10000 Roosevelt Boulevard DBA/AC 732-254-1994 Active Member Does not accept Philadelphia, PA 19116 Dental of NE Plan Participating retiree plan Philly Provider CD Dental LLC 10107 A Veree Road 267-388-7754 Active Member Does not accept Philadelphia, PA 19116 Plan Participating retiree plan Provider Quaker City Dental 1510 Chestnut Street, Suite #1117 General 215-923-3999 Active Member Does not accept Philadelphia, PA 19117 Plan Participating retiree plan Provider Daniel Mele DMD 40 W Evergreen Avenue, Suite 11 General 215-424-9411 Active Member Does not accept Philadelphia, PA 19118 Plan Participating retiree plan Provider Brian Moore DDS 7156 Stenton Avenue Orthodontist 215-242-5797 Active Member Retired Member PO Box 27539 Plan Participating Plan Participating Philadelphia, PA 19118 Provider Provider Ronald C DiLeo DDS 33 E. Chestnut Hill Avenue Oral Surgeon 215-247-7750 Active Member Does not accept Philadelphia, PA 19118 Plan Participating retiree plan Provider

8/28/2021 78 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Top of the hill Pediatric 10 West Gravers Lane Pediatric 215-220-3778 Active Member Does not accept Dentistry Philadelphia, PA 19118 Only Plan Participating retiree plan Provider Spectrum Dental Cosmetic 3 West Gowen Avenue 215-242-5701 Active Member Does not accept Center Philadelphia, PA 19119 Plan Participating retiree plan Provider Stephanie Clark DMD,PC 7601 A. Germantown Avenue 215-248-0234 Active Member Does not accept Philadelphia, PA 19119 Plan Participating retiree plan Provider W. Michael Tuman DMD 7111 Lincoln Drive General 215-247-1284 Active Member Retired Member Philadelphia, PA 19119 Plan Participating Plan Participating Provider Provider Flawless Dental Group PC 551 Adams Avenue 215-268-3344 Active Member Does not accept Philadelphia, PA 19120 Plan Participating retiree plan Provider Muhammad Amjad DDS 500 B East Godfrey Avenue General 215-745-9100 Active Member Does not accept Philadelphia, PA 19120 Plan Participating retiree plan Provider Lisa A Ravetz DMD 199 W. Champlost Avenue General 215-924-7891 Active Member Does not accept Phikladelphia, PA 19120 Plan Participating retiree plan Provider Howard Sigman DDS 154 W. Cheltenham Avenue General 215-927-2444 Active Member Retired Member Philadelphia, PA 19120 Plan Participating Plan Participating Provider Provider

8/28/2021 79 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Bhaskar Savani DMD 600 West Olney Avenue 215-549-6868 Active Member Does not accept Advance Family Dentistry Philadelphia, PA 19120 Plan Participating retiree plan Provider Juan Espinoza DMD 324 W. Roosevelt Boulevard 215-455-5385 Active Member Does not accept Philadelphia, PA 19120 Plan Participating retiree plan Provider Jing Zheng 176 Chew Avenue General 215-924-4677 Active Member Retired Member Philadelphia, PA 19120 Plan Participating Plan Participating Provider Provider Abdelkader Family 358 Wyoming Avenue 215-324-1746 Active Member Does not accept Denistry P.C. Philadelphia, PA 19120 Plan Participating retiree plan Provider Raul Pereira 324 W. Roosevelt Boulevard DMD 215-888-3791 Active Member Does not accept Philadelphia, PA 19120 Plan Participating retiree plan. Provider VIP Dental Care LLC 5620 N. 5th Street General 267-900-2160 Active Member Does not accept Philadelphia, PA 19120 Plan Participating retiree plan. Provider Joly Jacob DMD 443 W. Girard Avenue General 215-763-7895 Active Member Does not accept Philadelphia, PA 19123 Plan Participating retiree plan Provider Prestige Dental 246 W. Girard Avenue 267-202-0083 Active Member Does not accept Philadelphia, PA 19123 Plan Participating retiree plan Provider

8/28/2021 80 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Greater Phile Health Action 4500-10 Frankford Avenue 215-229-1390 Active Member Does not accept (GPHA) Philadelphia, PA 19124 Plan Participating retiree plan Provider Artisan Smiles PC 4821 Frankford Avenue, Suite B Oral Surgery 484-461-0128 Active Member Does not accept Philadelphia, PA 19124 Plan Participating retiree plan Provider 360 Dental PC 1350 E. Lycoming Street 267-530-5192 Active Member Does not accept Philadelphia, PA 19124 Plan Participating retiree plan Provider st Oxford Dental LLC 5233 Oxford Ave. 1 Floor 215-989-4601 Active Member Retired Member Philadelphia, PA 19124 Plan Participating Plan Participating Provider Provider Kenneth Soapes OD 1526 Pratt Street 215-535-6588 Active Member Does not accept Philadelphia, PA 19124 Plan Participating retiree plan Provider James LaValla, Harold 4510 Frankford Avenue 215-535-1990 Active Member Does not accept Reiser, & Joo-Yeul Baek Philadelphia, PA 19124 Plan Participating retiree plan Provider Charles Friedenberg DDS 4609 Frankford Avenue General 215-744-7161 Active Member Does not accept Philadelphia, PA 19124 Plan Participating retiree plan Provider Kenneth Soapes 1526 Pratt Street 215-535-5577 Active Member Does not accept Philadelphia, PA 19124 Plan Participating retiree plan Provider

8/28/2021 81 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Frank Lipniski DDS 1401 Harrison Street General 215-743-1634 Active Member Does not accept Philadelphia, PA 19124 Plan Participating retiree plan Provider John Lilley DMD 1230 Haworth Street General 215-535-2601 Active Member Retired Member PO Box 9568 Plan Participating Plan Participating Philadelphia, PA 19124 Provider Provider Steven Nadelr DDS 5600 Summerdale Avenue General 215-289-0989 Active Member Does not accept Philadelphia, PA 19124 Plan Participating retiree plan Provider Robert Finkelstein DDS 2214 E. York Street General 215-425-1414 Active Member Does not accept Philadelphia, PA 19125 Plan Participating retiree plan Provider Veronica Valdes DDS 542 E. Girard Avenue General 215-423-6090 Active Member Does not accept Philadelphia, PA 19125 Plan Participating retiree plan Provider Southeastern PA Oral 100 E. Lehigh Avenue, Suite PM2 Oral Surgeon 215-707-3613 Active Member Does not accept Surgery Philadelphia PA 19125 Plan Participating retiree plan. Provider Arthur Greenfield DDS 519 E. Girard Avenue General 215-634-1646 Active Member Does not accept P.O. Box 29336 Plan Participating retiree plan Philadelphia, PA 19125 Provider Silvana Cumani DMD 2675 E. Cumberland Steet General 215-423-7307 Active Member Retired Member Philadelphia, PA 19125 Plan Participating Plan Participating Provider Provider

8/28/2021 82 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Endid Porrata Doria Family 101-103 E. Lehigh Avenue 215-4270405 Active Member Does not accept Dentistry Philadelphia, PA 19125 Plan Participating retiree plan Provider Pediatric Dental Associates 100 E. Lehigh Avenue Pediatric 215-707-1030 Active Member Does not accept Philadelphia, PA 19125 Plan Participating retiree plan Provider Alfonso Clark DDS 1344 66th Avenue General 215-224-7300 Active Member Does not accept Philadelphia, PA 19126 Plan Participating retiree plan Provider Brace Busters LLC 6801 Ridge Avenue #2 267-668-8400 Active Member Does not accept Philadelphia, PA 19128 Plan Participating retiree plan Provider Andorra Family Dentistry 8919 Ridge Avenue 215-500-9200 Active Member Does not accept PC #9 Plan Participating retiree plan Philadelphia, PA 19128 Provider Serang Dental Associates 8016 Ridge Avenue General 215-482-8600 Active Member Retired Member LLC Philadelphia, PA 19128 Plan Participating Plan Participating Provider Provider Robert Slawek 413 Lyceum Avenue 215-482-9410 Active Member Does not accept Philadelphia, PA 19128 Plan Participating retiree plan Provider Edward Segal DDS 6508 Ridge Avenue General 215-482-0504 Active Member Retired Member Philadelphia, PA 19128 Plan Participating Plan Participating Provider Provider

8/28/2021 83 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Joseph Brogan DMD 5912 Ridge Avenue Orthodontist 215-482-8500 Active Member Does not accept Philadelphia, PA 19128 Plan Participating retiree plan Provider Azure Pelberg DMD 6801 Ridge Avenue General 215-483-6633 Active Member Does not accept Bresler Richmond Dental Philadelpha, PA 19128 Plan Participating retiree plan Associates Provider David Bresler DDS 6801 Ridge Avenue Pediodontist 215-483-6633 Active Member Retired Member Doc Bresler's Cavity Philadelphia, PA 19128 Plan Participating Plan Participating Busters Provider Provider Jeffery Glen DDS 5224 Ridge Avenue General 215-483-7174 Active Member Does not accept Philadelphia, PA 19128 Plan Participating retiree plan Provider John Boron DDS 516 Green Lane, 1st Floor General 215-487-3833 Active Member Does not accept Philadelphia, PA 19128 Plan Participating retiree plan Provider Steven Appel DDS 6801 Ridge Avenue Orthodontist 215-483-6633 Active Member Does not accept Philadelphia, PA 19128 Plan Participating retiree plan Provider Toni Rust DDS 5542 Ridge Avenue General 215-482-4250 Active Member Does not accept Philadelphia, PA 19128 Plan Participating retiree plan Provider Robert Dunnous DDS 5542 Ridge Avenue General 215-482-4250 Active Member Retired Member Philadelphia, PA 19128 Plan Participating Plan Participating Provider Provider

8/28/2021 84 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Steven M Richmond DDS 6801 Ridge Avenue General 215-483-6633 Active Member Does not accept Bresler-Richmond Dental Philadelphia, PA 19128 Plan Participating retiree plan Associates Provider Michael A Salwk DDS 413 Lycheum Avenue General 215-482-9410 Active Member Does not accept Philadelphia, PA 19128 Plan Participating retiree plan Provider Elaine Stefanowicz DDS 6904 Ridge Avenue General 215-483-8373 Active Member Does not accept Philadelphia, PA 19128 Plan Participating retiree plan Provider American Dental Care, PC 6162 Ridge Avenue 215-509-6600 Active Member Retired Member Philadelphia, PA 19128 Plan Participating Plan Participating Provider Provider 83-1 Moon’s Smile Clinic 8115 Ridge Ave 215-487-2347 Active Member Does not accept Inc. Philadelphia, PA 19128 Plan Participating retiree plan Provider Harry McDermott DDS 3902 Henry Avenue General 215-843-7747 Active Member Continues to treat Philadelphia, PA 19129 Plan Participating current member Provider patients who retire East Falls Family 3722-24 Midvale Avenue General 215-849-1826 Active Member Does not accept Dentistry, LLC Philadelphia, PA 19129 Plan Participating retiree plan Provider Love Dental LLC 1825 Spring Garden Street 215-972-0955 Active Member Does not accept Philadelphia, PA 19130 Plan Participating retiree plan Provider

8/28/2021 85 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Hoorfar Dental Group – 1825 Spring Garden Street General 215-972-0955 Active Member Retired Member Spring Garden LLC Philadelphia, PA 19130 Plan Participating Plan Participating Provider Provider David Tecosky DMD 2438 Brown Street 215-236-6200 Active Member Does not accept Philadelphia, PA 19130 Plan Participating retiree plan Provider Elegance in Dentistry 1 Winding Way Orthodontics, 215-883-0611 Active Member Does not accept General, Philadelphia, PA 19131 Periodontics Plan Participating retiree plan Oral Surgery Provider Walter Dobbins III DDS 5463 Lebanon Avenue General 215-473-3288 Active Member Retired Member Philadelphia, PA 19131 Plan Participating Plan Participating Provider Provider Mt. Airy Orthodontic 4401 Conshohocken Avenue Orthodontics 215-473-3543 Active Member Does not accept Associates Philadelphia, PA 19131 Plan Participating retiree plan Provider Norman C Clark DDS 4401 Conshohocken Avenue 215-877-9111 Active Member Does not accept Philadelphia, PA 19131 Plan Participating retiree plan Provider Malik Mubarik DDS 2919 North 22nd Street General 215-227-0107 Active Member Does not accept Philadelphia, PA 19132 Plan Participating retiree plan Provider Penn Dental Center 2628 N. Broad Street 215-227-6700 Active Member Does not accept Philadelphia, PA 19132 Plan Participating retiree plan Provider

8/28/2021 86 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Gental Dental Germantown 2656 Germantown Avenue General 215-228-8723 Active Member Does not accept Philadelphia, PA 19133 Plan Participating retiree plan Provider Paradise Dental 2338 N. Front Street General 267-886-9474 Active Member Does not accept Philadelphia, PA 19133 Plan Participating retiree plan Provider Saint Christopher’s 160 E. Erie Avenue 215-427-5000 Active Member Does not accept Hospital/Dental Philadelphia, PA 19134 Plan Participating retiree plan Provider CDH Orthodontics, LLC 2301 E. Allegheny Ave, Suite 201 Orthodontist 833-543-7678 Active Member Does not accept Philadelphia, PA 19134 Plan Participating retiree plan Provider Dentex Dental Group 2734 E. Allegheny Avenue General 215-427-2787 Active Member Does not accept Philadelphia, PA 19134 Plan Participating retiree plan Provider Philip Stein DDS 2132 E. Alleghany Avenue General 215-423-8800 Active Member Does not accept Philadelphia, PA 19134 Plan Participating retiree plan Provider Ewa Matczak DMD 3084 Aramingo Avenue 215-533-2787 Active Member Does not accept Philadelphia, PA 19134 Plan Participating retiree plan Provider Diamante Dental 100 E. Allegheny Avenue General 267-886-9474 Active Member Does not accept Philadelphia, PA 19134 Plan Participating retiree plan Provider

8/28/2021 87 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Smiles Art Inc. 3386 Memphis Street General 215-739-3100 Active Member Retired Member Philadelphia, PA 19134 Plan Participating Plan Participating Provider Provider Port Richmond Dental 3162 Richmond Street, 1st Floor 215-739-8008 Active Member Does not accept Center Philadlephia, PA 19134 Plan Participating retiree plan Provider Ketan Patel DMD 3400 Aramingo Avenue 215-423-9060 Active Member Does not accept Aramingo Family Dentistry Philadelphia, PA 19134 Plan Participating retiree plan Provider Kinga Kostalowska DDS 2409 E. Allegheny Avenue General 215-634-7004 Active Member Retired Member Philadelphia, PA 19134 Plan Participating Plan Participating Provider Provider Magic Dental System 2601 E. Allegheny Avenue 215-423-3160 Active Member Retired Member Philadelphia, PA 19134 Plan Participating Plan Participating Provider Provider Jeffery S. Koche DDS 2534 E. Allegheny Avenue General 215-423-8800 Active Member Retired Member Philadelphia, PA 19134 Plan Participating Plan Participating Provider Provider Michelle Dai DMD 627 E. Allegheny Avenue General 215-423-1900 Active Member Retired Member Star Dental Inc Philadelphia, PA 19134 Plan Participating Plan Participating Provider Provider Tulip Street Family Dental 2260 E. Allegheny Avenue 215-634-7006 Active Member Does not accept Philadelphia, PA 19134 Plan Participating retiree plan Provider

8/28/2021 88 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Floss & Gloss Dental 3200 Frankford Avenue #2 215-739-5600 Active Member Does not accept Group LLC Philadelphia, PA 19134 Plan Participating retiree plan Provider Northpark Dental Group 6239 Frankford Avenue 215-333-8441 Active Member Retired Member Philadelphia, PA 19135 Plan Participating Plan Participating Provider Provider Torresdale Dental 7108 Torresdale Avenue General 215-338-4345 Active Member Does not accept Associates Philadelphia, PA 19135 Plan Participating retiree plan Provider Jeffery Berger DDS 6239 Frankford Avenue General 215-333-8441 Active Member Retired Member Philadelphia, PA 19135 Plan Participating Plan Participating Provider Provider Joseph Chen 6800 Torresdale Avenue Periodontics 215-624-4388 Active Member Does not accept Philadelphia, PA 19135 Plan Participating retiree plan Provider Harold Slutsky DMD 7100 Frankford Avenue Orthodontics 215-335-2500 Active Member Does not accept Philadelphia, PA 19135 Plan Participating retiree plan Provider Joann Ku 6800 Torresdale Avenue Endodontics 215-624-4388 Active Member Does not accept Philadelphia , PA 19135 Plan Participating retiree plan Provider Mayfiar Dental Center 6412 Frankford Avenue, Unit 10 215-338-8100 Active Member Does not accept Sanjay Sowmya DDS Philadelphia, PA 19135 Plan Participating retiree plan Provider

8/28/2021 89 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Anthiny Diorio DDS 7046 Torresdale Avenue General 215-624-4955 Active Member Does not accept Philadelphia, PA 19135 Plan Participating retiree plan. Provider Michael Vincent Diorio 7046 Torresdale Avenue 215-335-4955 Active Member Does not accept Philadelphia, PA 19135 Plan Participating retiree plan. Provider N.K. Arora DDS 7146 Frankford Avenue General 215-335-2245 Active Member Does not accept Philadelphia, PA 19135 Plan Participating retiree plan Provider Joyce Jacob DMD 6921 Frankford Avenue, Suite F 215-335-0600 Active Member Does not accept Philadelphia, PA 19135 Plan Participating retiree plan Provider David Spilkia DMD 7052-56 Frankford Avenue General 215-624-1935 Active Member Does not accept Philadelphia, PA 19135 Plan Participating retiree plan Provider Robert Sinibaldi DDS 7046 Torresdale Avenue General 215-332-9875 Active Member Does not accept Philadelphia, PA 19135 Plan Participating retiree plan Provider Paula A Cohen DDS 6808 Frankford Avenue General 215-624-7418 Active Member Does not accept Philadelphia, PA 19135 Plan Participating retiree plan Provider Elkins Park Orthodontist 7900 Old York Road, Suite 108A 215-635-0808 Active Member Does not accept Philadelphia, PA 19136 Plan Participating retiree plan Provider

8/28/2021 90 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members KSB Dental LLC 7330 Frankford Avenue 215-624-4415 Active Member Retired Member DBA Mayfair Family Philadelphia, PA 19136 Plan Participating Plan Participating Dentistry Provider Provider Alfa Dental 3300 Ryan Avenue, Suite A 215-333-2212 Active Member Retired Member Philadelphia, PA 19136 Plan Participating Plan Participating Provider Provider Ashok Barot DDS 7519 Torresdale Avenue General 215-335-2220 Active Member Does not accept Philadelphia, PA 19136 Plan Participating retiree plan Provider Daniel Van Volkenburgh 4004 Ashburner Street General 215-624-2508 Active Member Retired Member DDS Philadelphia, PA 19136 Plan Participating Plan Participating Holmesburg Dental Provider Provider Frankford Ave. Dental 7538 Frankford Avenue General 215-333-4744 Active Member Does not accept Group LLC Philadelphia, PA 19136 Plan Participating retiree plan Provider Northeast Aesthetic Group 7519 Torresdale Avenue General 215-335-2220 Active Member Does not accept LLC Philadelphia, PA 19136 Plan Participating retiree plan Provider Ralph Kaye DDS 3541 Ryan Avenue Periodontist 215-335-1889 Active Member Retired Member Mayfair Dental Associates Philadelphia, PA 19136 Plan Participating Plan Participating Provider Provider Steve Zicchinolfi DDS 3541 Ryan Avenue General 215-335-1889 Active Member Retired Member Philadelphia, PA 19136 Plan Participating Plan Participating Provider Provider

8/28/2021 91 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members David Feinberg DDS 7317 Frankford Avenue General 215-333-8879 Active Member Retired Member Philadelphia, PA 19136 Plan Participating Plan Participating Provider Provider Joseph Frankina DMD 7801 Frankford Avenue General 215-332-7070 Active Member Retired Member Philadelphia, PA 19136 Plan Participating Plan Participating Provider Provider Alan Nathanson DDS 2578 Orthodox Street General 215-533-7175 Active Member Retired Member Philadelphia PA 19137 Plan Participating Plan Participating Provider Provider Ewa Matczak DMD 4250 Richmond Street 215-533-1787 Active Member Retired Member Philadelphia, PA 19137 Plan Participating Plan Participating Provider Provider Prime Choice Dental Inc. 7155 Ogontz Ave. 215-276-4532 Active Member Retired Member Philadelphia, PA 19138 Plan Participating Plan Participating Provider Provider Mazharul Zaim DDS 1915 Washington Lane General 215-276-4410 Active Member Does not accept Philadelphia, PA 19138 Plan Participating retiree plan Provider Access Dental 37 S. 52nd Street 215-644-7322 Active Member Does not accept Philadelphia, PA 19139 Plan Participating retiree plan Provider Children’s Dental Health 5629 Vince St. Pediatrics, 215-383-1376 Active Member Does not accept Associates C-9 Orthodontics Plan Participating retiree planchi Philadelphia, PA 19139 Provider

8/28/2021 92 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Kids Smiles 5828-B Market Street, Suite 2 Pediatric 215-747-6901 Active Member Does not accept Philadelphia, PA 19139 Plan Participating retiree plan Provider Gentle Dentistry LLC 5139 Chestnut Street 215-921-8595 Active Member Retired Member Philadelphia, PA 19139 Plan Participating Plan Participating Provider Provider Gregory Stephens DMD 5950 Spruce Street General 215-472-4816 Active Member Does not accept Philadelphia, PA 19139 Plan Participating retiree plan Provider Spectrum Health Services 5201 Harford Avenue 215-471-2761 Active Member Retired Member Inc. Philadelphia, PA 19139 Plan Participating Plan Participating Provider Provider Greater Phila Health Action 199 W. Hunting Park Avenue 215-229-1390 Active Member Does not accept (GPHA) Philadelphia, PA 19140 Plan Participating retiree plan Provider CDH Orthodontics, LLC 3509 N. Broad Street Orthodontist 833-543-7678 Active Member Does not accept Philadelphia, PA 19140 Plan Participating retiree plan Provider Germantown Dental Center 3609 Germantown Avenue 215-226-2171 Active Member Does not accept Philadelphia, PA 19140 Plan Participating retiree plan Provider Sial Iqbal DDS 4104 North 5th Street 215-233-0200 Active Member Does not accept Sial Medical and Dental Philadelphia, PA 19140 Plan Participating retiree plan Center Provider

8/28/2021 93 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Javed Iqbal DDS 4104 North 5th Street 215-233-0200 Active Member Does not accept Sial Medical and Dental Philadelphia, PA 19140 Plan Participating retiree plan Center Provider James LaValla, Harold 1999 W. Hunting Park Avenue 215-229-1390 Active Member Does not accept Reiser, & Joo-Yeul Baek Philadelphia, PA 19140 Plan Participating retiree plan Provider Javed Iqbal DDS & 4104 N. 5th Street 215-223-0200 Active Member Does not accept Associates P.C. Philadelphia, PA 19140 Plan Participating retiree plan Provider Joo-Yeul Beak 1999 W. Hunting Park Avenue 215-22901390 Active Member Does not accept Philadelphia, PA 19140 Plan Participating retiree plan Provider Mohammad Arshad DDS 4200 N. 8th Street General 215-228-2545 Active Member Retired Member Philadelphia, PA 19140 Plan Participating Plan Participating Provider Provider Harold Reiser 1999 W. Hunting Park Avenue 215-229-1390 Active Member Does not accept Philadelphia, PA 19140 Plan Participating retiree plan Provider Thomas U. King III DDS 1725 W. Erie Avenue General 215-226-1188 Active Member Does not accept Philadelphia, PA 19140 Plan Participating retiree plan Provider James Lavalla 1999 W. Hunting Park Avenue 215-229-1390 Active Member Does not accept Philadelphia PA 19140 Plan Participating retiree plan Provider

8/28/2021 94 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Innovative Dental Services 5737 N. Broad Street 215-464-2610 Active Member Does not accept PC Philadelphia PA 19140 Plan Participating retiree plan Provider Fredrick Barnett DDS 5501 Old York Road, Paley 2nd Endodontist 215-456-7104 Active Member Retired Member Einstein Practice Plan Floor Plan Participating Plan Participating Philadelphia, PA 19141 Provider Provider Alan J Borislow DDS 5501 Old York Road, Paley 2nd Orthodontics 215-456-7104 Active Member Does not accept Einstein Practice Plan Floor Plan Participating retiree plan Philadelphia, PA 19141 Provider

William Stewart DDS 5501 Old York Road, Paley 2nd General 215-456-7104 Active Member Does not accept Einstein Practice Plan Floor Plan Participating retiree plan Philadelphia, PA 19141 Provider Felice Homau DMD 4837 N. Broad Street General 215-923-1304 Active Member Does not accept Philadelphia, PA 19141 Plan Participating retiree plan Provider Bernard N Rothman DDS 1335 W. Tabor Road General 215-224-7757 Active Member Does not accept Philadelphia, PA 19141 Plan Participating retiree plan Provider Raymond C. Au DMD 4837 N. Broad Street General 215-923-1304 Active Member Does not accept Philadelphia, PA 19141 Plan Participating retiree plan Provider Joni Marcus DMD 7215 Passyunk Avenue General 215-365-2424 Active Member Retired Member Philadelphia, PA 19142 Plan Participating Plan Participating Provider Provider

8/28/2021 95 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Dr. Ida Eisenstein 7215 Passyunk Avenue Periodontist 215-727-1800 Active Member Does not accept Philadelphia, PA 19142 Plan Participating retiree plan Provider Dr. R. Chew 7215 Passyunk Avenue 215-727-1800 Active Member Retired Member Philadelphia, PA 19142 Plan Participating Plan Participating Provider Provider Arif Malik DDS 6412 Woodland Avenue General 215-726-1480 Active Member Does not accept Philadelphia, PA 19142 Plan Participating retiree plan Provider Harold Marcus DDS 7215 Passyunk Avenue General 215-727-1800 Active Member Retired Member Philadelphia, PA 19142 Plan Participating Plan Participating Provider Provider Dr. Benjamin Addiego 7215 Passyunk Avenue Orthodontist 215-727-1800 Active Member Retired Member Philadelphia, PA 19142 Plan Participating Plan Participating Provider Provider Greater Phila Health Action 5501 Woodland Avenue 215-724-4700 Active Member Does not accept (GPHA) Philadelphia, PA 19143 Plan Participating retiree plan Provider ST Dental First 4620 Woodland Avenue 1 Floor 215-471-9620 Active Member Retired Member Philadelphia, PA 19143 Plan Participating Plan Participating

Provider Provider Henry Lazarus DDS 4603 Springfield Avenue General 215-382-5126 Active Member Retired Member Philadelphia, PA 19143 Plan Participating Plan Participating Provider Provider

8/28/2021 96 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members K.C. Vaidya DDS 5635 Chester Avenue General 215-727-1010 Active Member Retired Member Philadelphia, PA 19143 Plan Participating Plan Participating Provider Provider Ramin Bahram DMD 2546 S. Broad Street Oral Surgeon 215-463-4141 Active Member Does not accept Philadelphia, PA 19143 Plan Participating retiree plan Provider George Carvajal DDS 5338 Baltimore Avenue General 215-476-2122 Active Member Does not accept University Dental Philadelphia, PA 19143 Plan Participating retiree plan Associates Provider H. Edward Liu DMD 515 W. Chelten Avenue General 215-438-3040 Active Member Does not accept Philadelphia, PA 19144 Plan Participating retiree plan Provider Einstein Practice Plan Two Penn Boulevard, Suite 216 General 215-456-8315 Active Member Does not accept Philadelphia, PA 19144 Plan Participating retiree plan Provider Jing Zheng The Hathaway House General 215-438-3040 Active Member Does not accept 515 W. Chelten Avenue, Suite 1 Plan Participating retiree plan Philadelphia, PA 19144 Provider Robert Wood DMD 5521 Greene Street 215-438-4242 Active Member Does not accept Philadelphia, PA 19144 Plan Participating retiree plan Provider Arnold Bucciarelli DDS 5810-16 Greene Street #6 General 215-438-1100 Active Member Does not accept Cosmetic & Family Philadelphia, PA 19144 Plan Participating retiree plan Dentistry Provider

8/28/2021 97 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Chichi N Dibor DMD 5525 Wayne Avenue General 215-843-4900 Active Member Retired Member Dibor Dental Associates Philadelphia, PA 19144 Plan Participating Plan Participating Provider Provider Delisi Dental 1707 W. Passyunk Avenue 215-271-7259 Active Member Retired Member Dr. John Takacs Philadelphia, PA 19145 Plan Participating Plan Participating Provider Provider Excel Endodontics of PA 2546 S. Broad Street Endodontics 215-755-1001 Active Member Retired Member Philadelphia, PA 19145 Plan Participating Plan Participating Provider Provider Philadelphia Dental 1732 S. Broad Street General 215-336-8391 Active Member Does not accept Philadelphia, PA 19145 Plan Participating retiree plan Provider Healthy Smiles Dental 2416 S. Broad Street General 215-551-1555 Active Member Does not accept Group Philadelphia, PA 19145 Plan Participating retiree plan Provider Pennsylvania Oral Surgery 2546 S. Broad Street Oral Surgery 215-463-4141 Active Member Does not accept Consultants of PA Philadelphia, PA 19145 Plan Participating retiree plan Ann Chernyak Provider David Cho DMD 2224 S 20th Street 215-465-6061 Active Member Retired Member South Philadelphia Dental Philadelphia, PA 19145 Plan Participating Plan Participating Associates Provider Provider Robert J Giordano DDS 2530 S. Broad Street General 215-336-8400 Active Member Retired Member Philadelphia, PA 19145 Plan Participating Plan Participating Provider Provider

8/28/2021 98 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Steven Moskowitz DDS 1517 Packer Avenue General 215-462-2424 Active Member Does not accept Philadelphia, PA 19145 Plan Participating retiree plan Provider Robert DeSpiro DDS 2221 S. 20th Street General 215-465-6061 Active Member Does not accept Philadelphia, PA 19145 Plan Participating retiree plan Provider David Bresler DDS 1430 Snyder Avenue Pediodontist 215-467-6000 Active Member Does not accept Doc Bresler's Cavity Philadelphia, PA 19145 Plan Participating retiree plan Busters Provider Gental Dental Passyunk 1507 W. Passyunk Avenue General 215-468-0220 Active Member Does not accept Philadelphia, PA 19145 Plan Participating retiree plan Provider Frank J Sammartino Jr 1709 Ritner Street General 215-462-0551 Active Member Does not accept DDS Philadelphia, PA 19145 Plan Participating retiree plan Provider True Smiles LLC 2226 S. Broad Street General 215-334-5967 Active Member Retired Member Philadelphia, PA 19145 Plan Participating Plan Participating Provider Provider Rosana Rosentrater DMD 1517 Packer Avenue Pediodontist 215-463-7300 Active Member Does not accept Packer Avenue Pediatric Philadelphia, PA 19145 Plan Participating retiree plan Dental Associates Provider Dennis Warshowsky DMD 1638 S. 20th Street General 215-755-7887 Active Member Does not accept Philadelphia, PA 19145 Plan Participating retiree plan Provider

8/28/2021 99 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Pagana Dental Arts 2416-18 S. Broad Street General 215-336-6282 Active Member Retired Member Philadelphia, PA 19145 Plan Participating Plan Participating Provider Provider Alyssa Garin DMD 1620 Oregon Avenue General 215-336-6868 Active Member Retired Member Philadelphia, PA 19145 Plan Participating Plan Participating Provider Provider Greater Phila Health Action 432 N. 6th Street 215-755-7700 Active Member Does not accept (GPHA) Philadelphia, PA 19146 Plan Participating retiree plan Provider Joseph L Hom DDS 1524 S. Broad Street General 215-463-9090 Active Member Retired Member Philadelphia, PA 19146 Plan Participating Plan Participating Provider Provider Center City Oral & 1740 South Street Oral Surgery 267-437-7540 Active Member Does not accept Maxillofacial Surgery Philadelphia, PA 19146 Plan Participating retiree plan. Provider st Greater Phila Health Action 1401 S. 31 Street 215-755-6866 Active Member Does not accept (GPHA) Philadelphia, PA 19146 Plan Participating retiree plan Provider rd Artisan Smiles PC 1165 S. Broad Street 3 Floor Oral Surgery 484-461-0128 Active Member Does not accept Philadelphia, PA 19147 Plan Participating retiree plan Provider Periodontal Consultants PC 1901 S. Broad Street Periodontics 215-463-6677 Active Member Does not accept Ali Arasty DDS Philadelphia, PA 19147 Plan Participating retiree plan Provider

8/28/2021 100 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members 9th Street Dental Center PC 821 S. 9th Street 215-629-0599 Active Member Does not accept Philadelphia, PA 19147 Plan Participating retiree plan. Provider Amanda Eidelson DDS 605 South 11th Street 215-627-0456 Active Member Does not accept Philadelphia, PA 19147 Plan Participating retiree plan. Provider Corner Dentistry 744 S. 6th Street 215-987-6821 Active Member Retired Member Philadelphia, PA 19147 Plan Participating Plan Participating Provider Provider Jae M. Chae DMD 1100 Washington Avenue General 215-462-4877 Active Member Retired Member Lot C Unit G Plan Participating Plan Participating Philadelphia, PA 19147 Provider Provider Peter Kousoulis DMD 501 S. Fourth Street 215-925-7299 Active Member Retired Member Philadelphia, PA 19147 Plan Participating Plan Participating Provider Provider Michael Tullman DDS 8th & Fitzwater Street General 215-440-0133 Active Member Retired Member Philadelphia, PA 19147 Plan Participating Plan Participating Provider Provider Bella Vista Dental 1046 South Street, 1st Floor 215-627-1995 Active Member Does not accept Associates Philadelphia, PA 19147 Plan Participating retiree plan Provider Young Smiles Family 1311 South Street 215-985-1717 Active Member Retired Member Dentistry Philadelphia, PA 19147 Plan Participating Plan Participating Provider Provider

8/28/2021 101 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Penns Landing Dental 765 S. Front Street 215-389-1685 Active Member Retired Member Philadelphia, PA 19147 Plan Participating Plan Participating Provider Provider Greater Phila Health Action 640 Snyder Avenue 215-334-4900 Active Member Does not accept (GPHA) Philadelphia, PA 19148 Plan Participating retiree plan Provider Pediatric Dental Team 2010 South Juniper Street Pediatric & 215-334-3490 Active Member Does not accept Philadelpha, PA 19148 Othodontics Plan Participating retiree plan Provider Steven Apple 330 W. Oregon Avenue 215-676-3070 Active Member Does not accept Philadelphia, PA 19148 Plan Participating retiree plan Provider Brace Busters LLC 330 W. Oregon Avenue, Suite 1 267-668-8400 Active Member Does not accept Philadelphia, PA 19148 Plan Participating retiree plan Provider Children’s Dental Health 48 Snyder Ave Pediatrics, 215-825-5720 Active Member Does not accept Associates Philadelphia, PA 19148 Orthodontics Plan Participating retiree plan Provider Dentex Dental Group 1701 E. Moyamensing Avenue General 215-462-4047 Active Member Does not accept Philadelphia, PA 19148 Plan Participating retiree plan Provider Neil Uffner DMD 1819 S. Broad Street Orthodontics 215-234-3030 Active Member Does not accept Philadelphia, PA 19148 Plan Participating retiree plan Provider

8/28/2021 102 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members John DelGaiso DMD 1819 S. Broad Street Periodontist 215-334-3490 Active Member Does not accept Philadelphia, PA 19148 Plan Participating retiree plan Provider Afton Family Dental, PA 1815 South Broad Street General 215-462-6229 Active Member Does not accept Philadelphia, PA 19148 Plan Participating retiree plan Provider Lisa Perrotta, DMD, South 1815 S. Broad Street 215-462-6229 Active Member Does not accept Philadelphia Dental Group Philadelphia, PA 19148 Plan Participating retiree plan Provider South Philadelphia Dental 1815 South Broad Street 215-576-0421 Active Member Does not accept Group Philadelphia, PA 19148 Plan Participating retiree plan Provider Olga Kabouridou 1901 S. Broad Street 215-551-7300 Active Member Does not accept Philadelphia, PA 19148 Plan Participating retiree plan Provider William Mestichelli, DDS 1903 S. Broad Street 215-334-2000 Active Member Retired Member Philadelphia, PA 19148 Plan Participating Plan Participating Provider Provider Robert Wohar, DMD 1613 S. Broad Street 215-389-2511 Active Member Does not accept South Philadelphia Oral & Philadelphia, PA 19148 Plan Participating retiree plan Maxillofacial Surgery Provider Steven M. Cohen, DDS 2517 S. Broad Street Orthodontist 215-271-8870 Active Member Does not accept South Philadelphia Philadelphia, PA 19148 Plan Participating retiree plan Orthodontist Provider

8/28/2021 103 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Thomas Lam, DDS 1611 S. Broad Street General 215-271-6999 Active Member Retired Member Philadelphia, PA 19148 Plan Participating Plan Participating Provider Provider Whitman Dental Center 2326 S. 3rd Street 215-467-2091 Active Member Does not accept Philadelphia, PA 19148 Plan Participating retiree plan Provider Joshua Uram, South 1613 S. Broad Street 215-389-2511 Active Member Does not accept Philadelphia Oral & Philadelphia, PA 19148 Plan Participating retiree plan Maxillofacial Surgery Provider Bruce S. Palazzo, DMD 2519 S. Broad Street General 215-336-6620 Active Member Does not accept Philadelphia, PA 19148 Plan Participating retiree plan Provider Anthony Lam, DMD 1611 S. Broad Street General 215-671-6999 Active Member Retired Member Philadelphia, PA 19148 Plan Participating Plan Participating Provider Provider Pasquale Gallelli, DMD 1815 S. Broad Street General 215-462-6229 Active Member Does not accept DDS Philadelphia, PA 19148 Plan Participating retiree plan Provider Howard Fox, DDS 1000 Jackson Street General 215-467-6364 Active Member Does not accept Philadelphia, PA 19148 Plan Participating retiree plan Provider Neil Fleisher, DDS 2417 S. 9th Street General 215-462-7228 Active Member Retired Member Philadelphia, PA 19148 Plan Participating Plan Participating Provider Provider

8/28/2021 104 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Anthony Pfleger, DMD 2507 S. Broad Street General 215-755-6226 Active Member Does not accept Philadelphia, PA 19148 Plan Participating retiree plan Provider Steven Alten, DDS 2529 S. 5th Street General 215-271-0672 Active Member Retired Member Philadelphia, PA 19148 Plan Participating Plan Participating Provider Provider Frank Batastini, DMD 2505 S. Broad Street Orthodontist 215-755-6262 Active Member Does not accept Philadelphia, PA 19148 Plan Participating retiree plan Provider K Dental LLC 6214 Bustleton Avenue 267-388-5245 Active Member Does not accept Philadelphia, PA 19149 Plan Participating retiree plan Provider CDH Orthodontics, LLC 6404 Roosevelt Boulevard Orthodontist 866-543-7678 Active Member Does not accept Philadelphia, PA 19149 Plan Participating retiree plan Provider ISmile Dental Team 6573 Roosevelt Boulevard 267-668-8001 Active Member Retired Member Philadelphia, PA 19149 Plan Participating Plan Participating Provider Provider Dentrust Dental, PC 7133 Roosevelt Boulevard General 215-708-0980 Active Member Does not accept Philadelphia, PA 19149 Plan Participating retiree plan Provider Cichetti & Delligatti 6404 Roosevelt Boulevard Orthodontist 215-214-5994 Active Member Retired Member Orthodontics PC Philadelphia, PA 19149 Plan Participating Plan Participating Provider Provider

8/28/2021 105 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members AAA Family Dental Care 6737 Harbison Avenue General 215-331-7585 Active Member Does not accept Philadelphia, PA 19149 Plan Participating retiree plan Provider George J. Becker, DMD 2810 Cottman Avenue General 215-338-9406 Active Member Retired Member Philadelphia, PA 19149 Plan Participating Plan Participating Provider Provider Pediatric Dental Associates 6404 Roosevelt Boulevard Pediodontist 215-743-3700 Active Member Does not accept Philadelphia, PA 19149 Plan Participating retiree plan Provider Castor Ave. Dental Care 7258 Castor Avenue General 215-728-1144 Active Member Retired Member Philadelphia, PA 19149 Plan Participating Plan Participating Provider Provider Kevin Klatte, DMD 6814 Castor Avenue Orthodontist 215-745-9443 Active Member Does not accept Associated Orthodontist Philadelphia, PA 19149 Plan Participating retiree plan Provider Meshkov-Reed Dental 6421 Bustleton Avenue General 215-535-0874 Active Member Retired Member Associates Philadelphia, PA 19149 Plan Participating Plan Participating Provider Provider Prime Dentistry 6818 Castor Avenue General 215-742-1200 Active Member Does not accept Philadelphia, PA 19149 Plan Participating retiree plan Provider Dr. Staller, DDS 6818 Castor Avenue General 215-742-1200 Active Member Does not accept Philadelphia, PA 19149 Plan Participating retiree plan Provider

8/28/2021 106 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Ira Liss, DMD 2001 Longshore Avenue 215-331-6399 Active Member Retired Member Longshore Family Philadelphia, PA 19149 Plan Participating Plan Participating Dentistry Provider Provider Absolute Smile 6722 Bustleton Avenue 215-331-7585 Active Member Does not accept Philadelphia, PA 19149 Plan Participating retiree plan Provider David Miner DMD 6936 Sylvester Avenue General 215-342-2538 Active Member Continues to treat Philadelphia, PA 19149 Plan Participating current member Provider patients who retire Yes Dental 2327 Cottman Avenue General 215-332-8700 Active Member Does not accept Philadelphia, PA 19149 Plan Participating retiree plan Provider Advanced Dentistry of 7501 Stenton Avenue 215-549-4411 Active Member Does not accept Philadelphia Philadelphia, PA 19150 Plan Participating retiree plan Provider Advanced Family Dentistry 2630 W Cheltenham Avenue 215-924-3747 Active Member Does not accept Philadelphia, PA 19150 Plan Participating retiree plan Provider Anthony Farrow DMD 1510 Wadsworth Avenue Orthodontics 215-247-9060 Active Member Does not accept Philadelphia, PA 19150 Plan Participating retiree plan Provider Earl Pearson DMD 8227 Stenton Avenue 215-242-1757 Active Member Does not accept Philadelphia, PA 19150 Plan Participating retiree plan Provider

8/28/2021 107 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Robert Ostoyich 7622 Ogontz Avenue 215-224-2375 Active Member Does not accept Philadelphia, PA 19150 Plan Participating retiree plan Provider Linda Suralie DDS 7156 Stenton Avenue 215-242-3397 Active Member Does not accept Philadelphia, PA 19150 Plan Participating retiree plan Provider Franklyn Scott DDS 900 E. Wadsworth Avenue Oral Surgeon 215-247-6962 Active Member Does not accept Philadelphia, PA 19150 Plan Participating retiree plan Provider Harris Horwitz DDS 1628 E. Wadsworth Avenue General 215-248-5700 Active Member Retired Member Philadelphia, PA 19150 Plan Participating Plan Participating Provider Provider James Dvorchak DDS 1614 E. Upsal Street General 215-276-9090 Active Member Retired Member Ogontz Dental Center Philadelphia, PA 19150 Plan Participating Plan Participating Provider Provider Douglas Cranch DDS 2630 W Cheltenham Avenue 215-924-3747 Active Member Retired Member Philadelphia, PA 19150 Plan Participating Plan Participating Provider Provider Mount Airy Family Dental 1600 Ivy Hill Road Philadelphia, PA 215-248-1404 Active Member Retired Member LLC 19150 Plan Participating Plan Participating Provider Provider Jesse Smith DDS 7515 Stenton Avenue General 215-276-1222 Active Member Does not accept Philadelphia, PA 19150 Plan Participating retiree plan Provider

8/28/2021 108 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Avi Weiner DMD LLC 7300 City Avenue, Suite 350 215-877-0900 Active Member Does not accept Philadelphia, PA 19151 Plan Participating retiree plan Provider Andrew G Rosenfeld DMD 7300 City Line Avenue, Suite 210 General 215-473-7717 Active Member Retired Member Philadelphia, PA 19151 Plan Participating Plan Participating Provider Provider Alfredo Alexander DDS 5906 W. Girard Avenue General 215-748-0881 Active Member Does not accept Philadelphia, PA 19151 Plan Participating retiree plan Provider J.P. Singh DDS 408 N. 63rd Street General 215-472-5500 Active Member Does not accept Philadelphia, PA 19151 Plan Participating retiree plan Provider North Eastern Dentistry 6554 Lebanon Avenue 215-878-0058 Active Member Does not accept Philadelphia, PA 19151 Plan Participating retiree plan Provider Seniboye B. Tienabeso 7516 City Line Avenue General 215-877-3322 Active Member Retired Member DDS Philadelphia, PA 19151 Plan Participating Plan Participating Provider Provider Vicky C. Arthur DDS 1025 N. 66th Street General 215-477-8800 Active Member Retired Member Haverford Dental Philadelphia, PA 19151 Plan Participating Plan Participating Associates, PC Provider Provider Elkins Park Orthodontist 8332 Bustleton Avenue 215-635-0808 Active Member Does not accept Philadelphia, PA 19152 Plan Participating retiree plan Provider

8/28/2021 109 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Maple Dental 7901 Bustleong Avenue, Suite 308 215-338-4433 Active Member Does not accept Philadelphia, PA 19152 Plan Participating retiree plan Provider David Bresler DDS 1916 Welsh Road Pediatrics 215-676-2311 Active Member Does not accept Doc Bresler's Cavity Philadelphia, PA 19152 Plan Participating retiree plan Busters Provider Pennsylvania Dental 2630 Holme Avenue, Suite# 103 Oral Surgery 267-668-8212 Active Member Retired Member Implant & Oral Surgery Philadelphia, PA 19152 Plan Participating Plan Participating Associates Provider Provider Patelka Dental LLC 8332 Bustleton Avenue, Unit C 3rd 215-342-9000 Active Member Does not accept Floor Plan Participating retiree plan Philadelphia, PA 19152 Provider Alan M Barnett DDS 7601 Castor Avenue, Suite 302 Endodontist 215-722-1414 Active Member Retired Member Philadelphia, PA 19152 Plan Participating Plan Participating Provider Provider Bruce Kristiniak DMD 2680 Tremont Steet General 215-673-5040 Active Member Does not accept Phildelphia, PA 19152 Plan Participating retiree plan Provider Jerome Millan 1517 Solly Avenue General 215-742-2233 Active Member Retired Member Philadelphia, PA 19152 Plan Participating Plan Participating Provider Provider Magic Dental System 8253 Bustleton Avenue General 215-745-5734 Active Member Retired Member Phildelphia PA 19152 Plan Participating Plan Participating Provider Provider

8/28/2021 110 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Mt. Airy Orthodontice 1172 N. 63rd Street Orthodontics 215-242-5797 Active Member Does not accept Associates Philadelphia, PA 19152 Plan Participating retiree plan Provider Sydney Lukoff DDS 2100 Hoffnagle Street General 215-742-4377 Active Member Does not accept Philadelphia, PA 19152 Plan Participating retiree plan Provider Harris Mulnick DDS 7520 Castor Avenue General 215-745-5757 Active Member Does not accept Philadelphia, PA 19152 Plan Participating retiree plan Provider Bhaskar Savani DDS 8539 Bustleton Avenue General 215-342-5740 Active Member Does not accept A-1 Family Dental Care Philadelphia, PA 19152 Plan Participating retiree plan Provider Dr. Carroll DDS 7946 Bustleton Avenue General 215-725-8901 Active Member Retired Member Philadelphia, PA 19152 Plan Participating Plan Participating Provider Provider Marc Sandler DDS 7675 Bustleton Avenue General 215-338-3336 Active Member Does not accept Philadelphia, PA 19152 Plan Participating retiree plan Provider Joann Ku 2678 Welsh Road Endodontics 215-673-4017 Active Member Does not accept Philadelphia, PA 19152 Plan Participating retiree plan Provider Joseph Chen 2678 Welsh Road Periodontics 215-673-4017 Active Member Does not accept Philadelphia, PA 19152 Plan Participating retiree plan Provider

8/28/2021 111 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Christopher Junchno DDS 5906 W. Girard Avenue General 215-342-2176 Active Member Does not accept Philadelphia, PA 19152 Plan Participating retiree plan Provider Robert Delie 8332 Unit C. Bustleton Avenue 215-342-9000 Active Member Does not accept Patelke Dental Philadelphia, PA 19152 Plan Participating retiree plan Provider Richard S Vanni DDS 2867 Holme Avenue General 215-673-4000 Active Member Does not accept Philadelphia, PA 19152 Plan Participating retiree plan Provider Robert Delie A. 8332 Unit C. Bustleton Avenue Periodontist 215-342-9000 Active Member Does not accept Philadelphia, PA 19152 Plan Participating retiree plan Provider Bhaskar Savani DDS 8355 Loretto Avenue, Suite 104 215-342-5750 Active Member Does not accept A-1 Family Dental Care Philadelphia, PA 19152 Plan Participating retiree plan Provider A-1 Family Dental Care, Smiley Times Building 215-265-9655 Active Member Does not accept DDS 8001 Roosevelt Boulevard, Suite 503 Plan Participating retiree plan Philadelphia, PA 19152 Provider 8031 Castor Avenue Active Member Retired Member Neil Fleisher DDS 215-745-9706 Philadelphia, PA 19152 Plan Participating Plan Participating

Provider Provider Oscar Goren DDS 2412 Rhawn Street General 215-332-5259 Active Member Does not accept Philadelphia, PA 19152 Plan Participating retiree plan Provider

8/28/2021 112 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Richard Ip DDS 2678 Welsh Road 215-673-4017 Active Member Does not accept Philadelphia, PA 19152 Plan Participating retiree plan Provider William Clyman DDS 7310 Castor Avenue General 215-725-7676 Active Member Does not accept Philadelphia, PA 19152 Plan Participating retiree plan Provider Tom Fuji DDS 7601 Castor Avenue, Suite 302 Periodontist 215-722-4290 Active Member Does not accept Philadelphia, PA 19152 Plan Participating retiree plan Provider Dr. Porter DDS 7946 Bustleton Avenue General 215-725-8901 Active Member Retired Member Philadelphia, PA 19152 Plan Participating Plan Participating Provider Provider Joseph Gian-Grasso DMD 7601 Castor Avenue, Suite 302 Periodontist 215-722-4290 Active Member Retired Member Philadelphia, PA 19152 Plan Participating Plan Participating Provider Provider Amazing Dental Care, 8415-17 Bustleton Avenue General 215-725-4564 Active Member Does not accept DDS Philadelphia, PA 19152 Plan Participating retiree plan Provider Kid Smiles DMD Mercy Wellness Center, Suite 210 General 215-492-9291 Active Member Does not accept 2900 Island Avenue, Suite #2924 Plan Participating retiree plan Philadelphia, PA 19153 Provider Morton J Cohen DDS 2759 Island Avenue General 215-727-1033 Active Member Continues to treat Philadelphia, PA 19153 Plan Participating current member Provider patients who retire

8/28/2021 113 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Smiles Art Inc. 2801 Island Avenue #7 General 215-492-8700 Active Member Retired Member Philadelphia, PA 19153 Plan Participating Plan Participating Provider Provider Philadelphia Mills Dental 1318 Franklin Mills Circle Suite#807 215-632-7700 Active Member Retired Member Center Philadelphia, PA 19154 Plan Participating Plan Participating Provider Provider Bhaskar Savani DDS 12401 Acadamey Road, Suite 201- 215-632-1244 Active Member Does not accept A-1 Family Dental Care 202 Plan Participating retiree plan Philadelphia, PA 19154 Provider Advanced Dentistry PC 250 W. Lancaster Ave., Suite 240 610-640-9500 Active Member Does not accept Philadelphia, PA 19301 Plan Participating retiree plan Provider

Bhaskar Savani DMD 8 Pond's Edge Drive, Suite 2 610-388-4466 Active Member Does not accept American Family Dentistry Chadd's Ford, PA 19317 Plan Participating retiree plan Provider Children’s Dental Health 519 Baltimore Pike Pediatrics, Active Member Does not accept Associates Chadds Ford, PA 19317 Orthodontics 610-388-2131 Plan Participating retiree plan Provider Jing Zheng 6 N. Third Street Avenue General 610-384-4555 Active Member Retired Member Coatesville, PA 19320 Plan Participating Plan Participating Provider Provider Children’s Dental Health 3915 W. Lincoln Highway Pediatrics, 610-269-1900 Active Member Does not accept Associates Downingtown, PA 19335 Orthodontics Plan Participating retiree plan Provider

8/28/2021 114 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Dental Health Care 100 Campbell Boulevard, Suite#102 General 610-280-9899 Active Member Retired Member Associates Exton LLC Exton, PA 19341 Plan Participating Plan Participating Provider Provider Brandywine Dental 331 Wilmington Pike, Suite #7 General & 610-459-0310 Active Member Retired Member Services Group Glen Mills, PA 19342 Periodontal Plan Participating Plan Participating Provider Provider Brinton Lake Dental 145 Brinton Lake Road, Suite #300 610-459-9963 Active Member Does not accept Associates LLC Glen Mills, PA 19342 Plan Participating retiree plan Provider Alrez Family Dentistry 11 Regency Plaza 610-358-0313 Active Member Retired Member Haddy Alrez Glen Mills, PA 19342 Plan Participating Plan Participating Provider Provider Mongiovi Orthodontics 4 Woodland Drive Orthodontics 610-358-5003 Active Member Does not accept Glen Mills, PA 19342 Plan Participating retiree plan Provider Marianna Evans DMD 500 Evergreen Dr. Suite #11 Orthodontics 484-420-4643 Active Member Does not accept Glen Mills, PA 19342 & Plan Participating retiree plan Periodontist Provider Smile Exchange of 5 S. Morehall Road, Suite #700 484-212-5100 Active Member Does not accept Malvern LLC Malvern, PA 19355 Plan Participating retiree plan Provider Advanced Dentistry Of 365 Lancaster Ave. #5 610-993-8770 Active Member Does not accept Main Line PC Malvern, PA 19355 Plan Participating retiree plan Provider

8/28/2021 115 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Access Dental LLC 344 Commons Drive 484-712-5653 Active Member Retired Member Parkesburg, PA 19365 Plan Participating Plan Participating Provider Provider Dental Excellence of 344 Commons Drive 484-909-3646 Active Member Does not accept Parkesburg Parkesburg, PA 19365 Plan Participating retiree plan Provider Parkesburg Family Dental 4749 W. Lincoln Highway 717-442-0759 Active Member Retired Member LLC Parkesburg, PA 19365 Plan Participating Plan Participating

Provider Provider Affordable Dental 600 E. Marshall Street, Suite 204 484-948-2900 Active Member Does not accept Solutions West Chester, PA 19380 Plan Participating retiree plan Provider Family Dentistry of West 1544 Paoli Pike 610-696-7066 Active Member Does not accept Chester PC West Chester, PA 19380 Plan Participating retiree plan Provider Access Dental Center 5 N. Walnut Street 610-436-8485 Active Member Does not accept West Chester, PA 19380 Plan Participating retiree plan Provider Jiten Gohel DMD 313 W. Boot Road General 610-701-0102 Active Member Does not accept West Chester, PA 19380 Dentistry Plan Participating retiree plan Provider Pascal Wollach 1580 McDaniel Boulevard General 610-431-3310 Active Member Does not accept Dental Health Care West Chester, PA 19380 Dentistry Plan Participating retiree plan Associates Provider

8/28/2021 116 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members West Chester Orthodontics 440 E. Marshall Street, Suite#301 Orthodontics 610-918-3200 Active Member Does not accept West Chester, PA 19380 Plan Participating retiree plan Provider Children’s Dental Health 900 W. Baltimore Pike Pediatrics, 610-869-9727 Active Member Does not accept Associates Suite 203 Orthodontics Plan Participating retiree plan West Grove, PA 19390 Provider Jian Ying Chen Lemper 207 N. Guernsey Road 610-869-0991 Active Member Retired Member Jenny Chen Family West Grove, PA 19390 Plan Participating Plan Participating Dentistry Provider Provider Designer Dental Group of 299 W. Johnson Highway 610-275-0425 Active Member Retired Member East Norriton Est Norrinton, PA 19401 Plan Participating Plan Participating Provider Provider Plymouth Valley Dental 350 Germentown Pike, 610-828-4100 Active Member Does not accept Group East Norton, PA 19401 Plan Participating retiree plan Provider Benjamin Gilbert 1539 Dekalb Street 610-278-6801 Active Member Does not accept Norristown, PA 19401 Plan Participating retiree plan Provider Steven Miller DDS 298 W. Johnson Highway 610-275-0425 Active Member Does not accept Norristown, PA 19401 Plan Participating retiree plan. Provider Pennaylvania Oral & 2603 Dekalb Pike 610-275-0500 Active Member Does not accept Maxillofacial Surgery Norristown, PA 19401 Plan Participating retiree plan. Provider

8/28/2021 117 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Yiuman Ko 207 W. Germantown Pike 601-278-1701 Active Member Does not accept E. Norriton, PA 19401 Plan Participating retiree plan Provider A-One Dental 11 West Lafayette Street General 610-277-7440 Active Member Does not accept Norristown, PA 19401 Plan Participating retiree plan Provider Carp Dental 1325 West Airy Street 610-275-1565 Active Member Does not accept Norristown, PA 19401 Plan Participating retiree plan Provider A-Family Dental Care 2030 W. Main Street, Suite#9 610-631-3400 Active Member Does not accept Center Jeffersonville, PA 19403 Plan Participating retiree plan Provider Farm Park Pediatric 502 W. Germantown Pike, Ste#100 484-531-7620 Active Member Does not accept Dentisry PLLC East Norriton, PA 19403 Plan Participating retiree plan Provider Fairview Dental Arts 1009 Valley Forge Rd. Norristown, 610-630-2373 Active Member Retired Member PA 19403 Plan Participating Plan Participating Provider Provider Advanced Dental Smiles 533 N. York Road 215-672-9444 Active Member Does not accept Hatboro, PA 19404 Plan Participating retiree plan Provider American Dental Solutions 2810 DeKalb Pike General, Oral 610-372-3800 Active Member Retired Member Surgery, E. Norriton, PA 19401 Periodontics, Plan Participating Plan Participating Orthodontics, Endodontics Provider Provider

8/28/2021 118 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Marc Baker DMD 505 W. Germantown Pike 610-279-4522 Active Member Retired Member East Norriton, PA 19403 Plan Participating Plan Participating Provider Provider Serena M. Colletti DDS 42 S. Trooper Road Endodontics 610-630-0530 Active Member Does not accept Trooper, PA 19403 Plan Participating retiree plan Provider Dentist of Chester Springs 1024 Pottstown Pike 610-885-8856 Active Member Retired Member Inc. Chester Springs, PA 19425 Plan Participating Plan Participating Provider Provider Eagle Family Smiles PC 74 Pottstown Pike, Suite# 1001 610-458-5165 Active Member Does not accept Chester Springs, PA 19425 Plan Participating retiree plan Provider Albina Veys DMD PC 1045 Second Avenue (Route 29) 610-489-6663 Active Member Retired Member Collegeville, PA 19426 Plan Participating Plan Participating Provider Provider American Dental Solutions 545 W. Main Street General, Oral 844-976-4537 Active Member Does not accept Surgery, Trappe, PA 19426 Periodontics, Plan Participating retiree plan Orthodontics, Endodontics Provider JK Endodontics LLC 555 Second Avenue, Suite 6-108 610-831-1901 Active Member Does not accept Collegeville, PA 19426 Plan Participating retiree plan Provider A-Family Dental Care 1008 Fayette Street 610-828-3400 Active Member Does not accept Center PC Conshohocken, PA 19428 Plan Participating retiree plan Provider

8/28/2021 119 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members King of Prussia 10112 Vallet Forge Circle Periodontist 610-783-7800 Active Member Does not accept Periodontics & Implants King of Prussia, PA 19406 Plan Participating retiree plan Randy Nolf DDS Provider PA Oral & Maxillofacial 860 Fist Acenue, Suite #3 Oral Surgery 610-265-2150 Active Member Does not accept Surgery King of Prussia, PA 19406 Plan Participating retiree plan Provider Upper Merion Dental 357 S. Gulph Road, Suite #100 General, 610-337-2325 Active Member Retired Member Endodontics, King of Prussia, PA 19406 Pedodontics Plan Participating Plan Participating Orthodontics Provider Provider Cyril I. Evian DDS 1000 Vallet Forge Circle, Suite 112 Periodontist 610-783-0822 Active Member Does not accept King of Prussia, PA 19406 Plan Participating retiree plan Provider Gentle Dental of Blue Bell 790 Penllyn Pike, Suite#103 610-646-3900 Active Member Does not accept Blue Bell, PA 19422 Plan Participating retiree plan Provider Charm Pediatric Dentistry 1040 DeKalb Pike, Suite #100 610-277-4811 Active Member Does not accept Blue Bell, PA 19422 Plan Participating retiree plan Provider David E. Markowitz DMD 725 Skippack Pike, Suite#120 Othodontic 215-367-5385 Active Member Does not accept Blue Bell, PA 19422 Plan Participating retiree plan Provider Pulaski Family & 1710 DeKalb Pike 610-277-8100 Active Member Retired Member Cosmestic Dentistry Blue Bell. PA 19422 Plan Participating Plan Participating Provider Provider

8/28/2021 120 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members PA Oral & Maxillofacial 555 Second Avenue, Suite E203 Oral Surgery 610-409-9660 Active Member Does not accept Surgery LTD Collegville, PA 19426 Plan Participating retiree plan Provider nd Advanced and Elite 201 South 2 Ave. Route #29 610- 454-7991 Active Member Does not accept Dentistry PC Collegeville, PA 19426 Plan Participating retiree plan

Provider Advanced Dentisrty of 399 Arcola Road, Suite #100 610-489-5555 Active Member Does not accept Collegeville PC Collegeville, PA 19426 Plan Participating retiree plan Eme Nelly Sulva Provider Jiten P. Goshel DMD 316 Fayette St. 610-828-1640 Active Member Does not accept Conshohocken, PA 19428 Plan Participating retiree plan Provider James D Reese DMD 1876 Butler Pike General 610-825-1858 Active Member Does not accept Conshohocken, PA 19428 Plan Participating retiree plan Provider Dennis Yankosky 2009 Butler Pike General 610-828-1027 Active Member Retired Member Conshohocken, PA 19428 Plan Participating Plan Participating Provider Provider M. Ester Smith, DMD 3048 Butler Pike General 610-825-2327 Active Member Does not accept Butler Pike Family Conshohocken, PA 19428 Plan Participating retiree plan Dentistry Provider Oral & Maxillofacial 672-A Main Street 215-256-0405 Active Member Does not accept Surgical Associates Harleysville, PA 19438 Plan Participating retiree plan Provider

8/28/2021 121 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Bright Smiles Kids 444 Main St., Suite#101 215-454-2294 Active Member Does not accept Dentistry Harleysville, PA 19438 Plan Participating retiree plan Provider Bhaskar Savani, DDS 456 School Lane, Suite 104 215-513-7172 Active Member Does not accept A+ Family Dental Care Harleysville, PA 19438 Plan Participating retiree plan Provider Harleysville Orthodontics 444 Main Street 215-256-6444 Active Member Does not accept Harleysville, PA 19438 Plan Participating retiree plan Provider David Bower, DDS 3000 Joshua Road General 610-513-7172 Active Member Retired Member Lafayette Hill, PA 19444 Plan Participating Plan Participating Provider Provider Whitemarsh Family 505 1/2 Germantown Pike 610-825-7444 Active Member Does not accept Dentistry Lafayette Hill, PA 19444 Plan Participating retiree plan Provider Oral & Maxillofacial 2100 N. Broad Street, Suite# 106 215-368-8104 Active Member Does not accept Surgical Associates Lansdale, PA 19446 Plan Participating retiree plan Provider Lansdale Family Dentistry 100 N. Broad Street 215-393-9008 Active Member Does not accept Lansdale, PA 19446 Plan Participating retiree plan Provider Lansdale Family Dentistry 2031 N. Broad Street, Suite #143 215-393-8400 Active Member Does not accept Lansdale, PA 19446 Plan Participating retiree plan Provider

8/28/2021 122 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Affordable Dental 1151 S. Broad Street 267-663-0686 Active Member Does not accept Solutions Lansdale, PA 19446 Plan Participating retiree plan Provider BZ Orthodontics 456 E. Hankcock Street 215-855-7717 Active Member Does not accept Lansdale, PA 19446 Plan Participating retiree plan Provider Michele A. Yilanjian 534 N. Broad Street 215-412-3336 Active Member Retired Member Bloming Smiles Dental Lansdale, PA 19446 Plan Participating Plan Participating Provider Provider Apple Family Dentistry 275 Dekalb Pike, Unit 101 215-699-3700 Active Member Does not accept North Whales, PA 19454 Plan Participating retiree plan Provider Rich Orthodontics 1180 Welsh Rd. Suite #140 Orthodontics 215-383-9800 Active Member Does not accept Gwynedd Corporate Center Plan Participating retiree plan North Whales, PA 19454 Provider Smile Designers of North 118 Dickerson Road, Suite D 215-699-0650 Active Member Does not accept Whales PC North Whales, PA 19454 Plan Participating retiree plan Provider Always Dental Care 1570 Egypt Road 484-392-7687 Active Member Retired Member Suite #210 Plan Participating Plan Participating Phoenixville, PA 19460 Provider Provider American Dental Solutions 247 Schuylkill Road General, Oral 610-933-8800 Active Member Retired Member Surgery, Phoenixville, PA 19460 Periodontics, Plan Participating Plan Participating Orthodontics, Endodontics Provider Provider

8/28/2021 123 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Oral & Maxillofacial 920 Germantown Pike, Suite #120 610-239-2495 Active Member Does not accept Surgical Assocaites Plymouth Meeting, PA 19462 Plan Participating retiree plan Provider Children’s Dental Health 920 Germantown Pike Pediatrics, 610-994-1582 Active Member Does not accept Associates Suite 112 Orthodontics Plan Participating retiree plan Plymouth Meeting, PA 19462 Provider Danielle Fournier DMD 1250 Germantown Pike, Suite #301 610-279-0363 Active Member Does not accept Plymouth Meeting, PA 19462 Plan Participating retiree plan Provider Plymouth Periodontics 120 W. Germantown Pike, Suite 225 610-825-4334 Active Member Does not accept Plymouth Meeting, PA 19462 Plan Participating retiree plan Provider Richard H Nagelberg DDS 531 W. Germantown Pike, Suite 104 General 610-828-4100 Active Member Does not accept Plymouth Meeting Family Plymouth Meeting, PA 19462 Plan Participating retiree plan Dental Provider Plymouth Valley 832 Germantown Pike, Suite 2 610-277-5253 Active Member Does not accept Periodontal Associates Plymout Meeting Pa 19462 Plan Participating retiree plan Provider PA Oral & Maxillofacial 545 W. Germantown Pike Oral Surgery 610-275-0500 Active Member Does not accept Surgery Plymouth Meeting, PA 19462 Plan Participating retiree plan Provider American Dental Solutions 1867 E. High Street General, Oral 610-327-0888 Active Member Retired Member Surgery, Pottstown, PA 19464 Periodontics, Plan Participating Plan Participating Endodontics Provider Provider

8/28/2021 124 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Michael Agabegi 625 N. Charlotte Street 610-327-2000 Active Member Does not accept High Street Dental Pottstown, PA 19464 Plan Participating retiree plan Provider Pottstown Pediatric 625 N. Charlotte Street, Suite 2-N Orthodontics 484-300-4220 Active Member Does not accept Dentistry & Orthodontics Pottstown, PA 19464 & Plan Participating retiree plan PC Pedodontist Provider Affordable Dental 292 W. Ridge Pike Bldg. B 610-970-1969 Active Member Does not accept Solutions Limerick, PA 19468 Plan Participating retiree plan Provider American Dental 292 W. Ridge Pike Bldg. A 484-902-0100 Active Member Does not accept Excellence Corp. Limerick, PA 19468 Plan Participating retiree plan Provider Children’s Dental Health 292 W. Ridge Pike Pediatrics, 610-500-2040 Active Member Does not accept Associates Bldg. B, Suite A Orthodontics Plan Participating retiree plan Limerick, PA 19468 Provider Neosmile Dental Care PC 909 Sumneytown Pike, Suite #101 215-643-5220 Active Member Does not accept Spring House, PA 19477 Plan Participating retiree plan Provider A-1 Family Dentitry PC 1885 Swamp Pike, Suite#110 General 610-326-4448 Active Member Retired Member Gilbertsville, PA 19525 Plan Participating Plan Participating Provider Provider American Dental Solutions 1037 E. Philadelphia Avenue General, Oral 610-473-9933 Active Member Retired Member Surgery, Gilbertsville, PA 19525 Periodontics, Plan Participating Plan Participating Orthodontics, Endodontics Provider Provider

8/28/2021 125 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members America Dental Solutions 1001 S. 4th Street General, Oral 610-562-3838 Active Member Retired Member Surgery, Hamburg, PA 19526 Periodontics, Plan Participating Plan Participating Orthodontics, Endodontics Provider Provider American Dental Solutions 5106 Allentown Pike General, Oral 610-929-9700 Active Member Retired Member Surgery, Temple, PA 19560 Periodontics, Plan Participating Plan Participating Orthodontics, Provider Provider Endodontics Affordable Dental 130 Prospect Street 610-401-0567 Active Member Does not accept Solutions Reading, PA 19606 Plan Participating retiree plan Provider American Dental Solutions 5500 Perkiomen Avenue General, Oral 610-404-2850 Active Member Retired Member Surgery, Reading, PA 19606 Periodontics, Plan Participating Plan Participating Orthodontics, Endodontics Provider Provider America Dental Solutions 620 Kenhorst Plaza General, Oral 610-777-8888 Active Member Retired Member Surgery, Kenhorst, PA 19607 Periodontics, Plan Participating Plan Participating Orthodontics, Endodontics Provider Provider American Dental Solutions 4744 Penn Avenue General, Oral 610-670-9322 Active Member Retired Member Surgery, Sinking Spring, PA 19608 Periodontics, Plan Participating Plan Participating Orthodontics, Endodontics Provider Provider American Dental Solutions 1425 Penn Avenue General, Oral 610-372-6693 Active Member Retired Member Surgery, Wyomissing, PA 19610 Periodontics, Plan Participating Plan Participating Orthodontics, Endodontics Provider Provider American Dental Solutions 1301 Penn Avenue General, Oral 610-372-3800 Active Member Retired Member Surgery, Wyomissing, PA 19610 Periodontics, Plan Participating Plan Participating Orthodontics, Endodontics Provider Provider

8/28/2021 126 LEHB Dental Care Network Providers (Sorted by zip code) Active Retired Provider Address Specialty Telephone Members Members Children’s Dental Health 2230 Ridgewood Road, Pediatrics, 610-914-1700 Active Member Does not accept Associates Suite 101 Orthodontics Plan Participating retiree plan Wyomissing, PA 19610 Provider American Dental Solutions 221 Rohrerstown, Road (Rt. 741) General, Oral 717-293-7822 Active Member Retired Member Surgery, Lancaster, PA 19630 Periodontics, Plan Participating Plan Participating Orthodontics, Provider Provider Endodontics Media Family Dentistry PC 214 State Road, Suite A 610-566-5322 Active Member Retired Member Media, PA 19663 Plan Participating Plan Participating Provider Provider All Family Dental Care 2012 Bridge Road General 610-222-8189 Active Member Does not accept Skippack, PA 19747 Plan Participating retiree plan Provider Children’s Dental Health of 708 Foulk Rd. Suite 2 302-764-7714 Active Member Does not accept Delaware Wilmington, DE 19803-3734 Plan Participating retiree plan Provider City Dental of Wellington 2803 S. State Road, Suite 100 561-249-3225 Active Member Does not accept Wellington, FL 33414 Plan Participating retiree plan Provider Ronald Miller DMD 1910 Allison Lane 812-738-1261 Active Member Does not accept Corydon, IN 47112 Plan Participating retiree plan Provider

8/28/2021 127