Aetna Dental Miami Directory (PDF)

Home , Miami International Mall, Southland Mall (Miami), Westland Mall (Hialeah)

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Thank you for requesting this printer-friendly view of your search results. This provider list reflects the search criteria you selected. Your search criteria is shown at the top of the first page, and includes the health plan, provider type and geographic location you selected.

Provider information contained in Aetna's online directory is updated 6 days a week. This excludes Sundays or interruptions due to system maintenance, upgrades or unplanned outages. Please check with the provider before scheduling your appointment to confirm he or she is participating in Aetna's network. The availability of any particular provider cannot be guaranteed.

Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Aetna.

Your printout will show as one list. It doesn't distinguish whether a doctor is in a designated network or not. To see which network the doctor is in, refer to the online directory. Your Search Results Health Plan: DMO ¯ /DNO Provider Type: Primary Care Dentists You searched by: State: FL County: MIAMI-DADE PCD type: GENERAL PRACTICE - DENTAL

September 2, 2020

Provider ID #: 7731405 Provider ID #: 4221247 Provider ID #: 9906743 Provider ID #: 4688734 Primary Office #: 030832 Primary Office #: 275857 Primary Office #: 026663 Primary Office #: 109730 Great Expressions Dental Hammocks Dental Group, P.A. - GP Towncare Dental of Hialeah Square Dental Excellence Partners, LLC Centers-Kendale Lakes-GP Alarcon Marimon, Frank, DDS - GP Hialeah - GP ARZOLA, VANESSA, DMD General Practice - Dental Alvarez, Elibeth, DMD Aponte-Barrios, Secil, DDS General Practice - Dental 9280 Hammocks Blvd. General Practice - Dental General Practice - Dental 13876 Southwest 88th Street Suite 102 4186 West 12th Avenue 4410 West 16th Avenue Miami, FL 33186 Miami, FL 33196 Hialeah, FL 33012 Suite 58 (305) 385-4215 (305) 387-5700 (305) 556-6291 Hialeah, FL 33012 (305) 826-5224 Provider ID #: 7731405 Provider ID #: 4882051 Provider ID #: 4766769 Primary Office #: 428001 Primary Office #: 633120 Primary Office #: 251376 Provider ID #: 5088879 Great Expressions Dental Centers - Jossue Alfonso DMD P.A. Sage Dental of Downtown Doral, Primary Office #: 827705 Calle Ocho - GP Alfonso, Jossue, DMD PLLC - GP Westland Mall Dental - GP ARZOLA, VANESSA, DMD General Practice - Dental Alvarez, Jonathan, DDS Arnedo, Johanna M., DDS General Practice - Dental 351 Northwest 42nd Avenue General Practice - Dental General Practice - Dental 2501 Southwest 22nd Street Suite 402 5335 NW 87th Avenue 1665 West 49th Street Miami, FL 33145 Miami, FL 33126 Suite C103 Suite 1484 (305) 858-2545 (305) 642-4142 Doral, FL 33178 Hialeah, FL 33012 (786) 456-1710 (305) 828-7779 Provider ID #: 5215192 Provider ID #: 6306039 Primary Office #: 109844 Primary Office #: 251376 Provider ID #: 5844062 Provider ID #: 5088879 Abolsky, Norman Ira, DDS Sage Dental of Downtown Doral, Primary Office #: 109874 Primary Office #: 336904 General Practice - Dental PLLC - GP Palm Dental Center - GP Miami International Mall Dental, 12534 North Kendall Drive Alvarado, Alejandro E., DDS Alvarez, Jose J., DMD P.A. - GP Miami, FL 33186 General Practice - Dental General Practice - Dental Arnedo, Johanna M., DDS (305) 595-2335 5335 NW 87th Avenue 7150 West 20th Avenue General Practice - Dental Suite C103 Suite 102 1455 Northwest 107th Avenue Provider ID #: 6061222 Doral, FL 33178 Hialeah, FL 33016 Suite 584 Primary Office #: 509389 (786) 456-1710 (305) 556-3313 Doral, FL 33172 Leal Medical Center (305) 597-8787 Acosta Valdes, Isabel M., DDS Provider ID #: 6306039 Provider ID #: 7438935 General Practice - Dental Primary Office #: 807574 Primary Office #: 749758 Provider ID #: 5947590 1690 Northeast 8th Street Sage Dental of Coral Gables - GP Dental Group of South Florida IV, Primary Office #: 484356 Homestead, FL 33033 Alvarado, Alejandro E., DDS Inc. - GP Jadent Inc. - GP (305) 246-1265 General Practice - Dental Alvarez, Maria J., DDS Arocha, Josephina, DDS 1 Alhambra Plaza General Practice - Dental General Practice - Dental Provider ID #: 6475249 Suite 25 11373 Southwest 211th Street 3945 Southwest 92nd Avenue Primary Office #: 331727 Coral Gables, FL 33134 Suite 10 Miami, FL 33165 Dental Clinic LLC - GP (786) 507-4440 Miami, FL 33189 (305) 220-0066 Adames, Mary I., DDS (786) 250-5088 General Practice - Dental Provider ID #: 7629997 Provider ID #: 7972917 527 Northeast 124th Street Primary Office #: 275857 Provider ID #: 7265808 Primary Office #: 827705 North Miami, FL 33161 Hammocks Dental Group, P.A. - GP Primary Office #: 871473 Westland Mall Dental - GP (305) 595-6590 Alvarez, Ariam, DDS Excellence In Dental Care - GP Aseriel, Haim N., DDS General Practice - Dental Alvarez, Rosa A., DMD General Practice - Dental Provider ID #: 9449596 9280 Hammocks Blvd. General Practice - Dental 1665 West 49th Street Primary Office #: 109889 Suite 102 3762 West 12th Avenue Suite 1484 Dental Center at Baptist - GP Miami, FL 33196 Hialeah, FL 33012 Hialeah, FL 33012 Aguilar, Lina M., DDS (305) 387-5700 (305) 557-6661 (305) 828-7779 General Practice - Dental 8940 North Kendall Drive Provider ID #: 9906743 Provider ID #: 6012571 Provider ID #: 7972917 Suite 1005E Primary Office #: 109889 Primary Office #: 336904 Primary Office #: 554762 Miami, FL 33176 Dental Center at Baptist - GP Miami International Mall Dental, Southland Mall Dental - GP (305) 271-3001 Alvarez, Elibeth, DMD P.A. - GP Aseriel, Haim N., DDS General Practice - Dental Antezana, Mauricio, DMD General Practice - Dental Provider ID #: 9449596 8940 North Kendall Drive General Practice - Dental 20505 South Dixie Hwy. Primary Office #: 026663 Suite 1005E 1455 Northwest 107th Avenue Suite 1683 Towncare Dental of Hialeah Square Miami, FL 33176 Suite 584 Cutler Bay, FL 33189 - GP (305) 271-3001 Doral, FL 33172 (305) 232-3737 Aguilar, Lina M., DDS (305) 597-8787 General Practice - Dental 4186 West 12th Avenue Hialeah, FL 33012 (305) 556-6291

Note: Please refer to www.aetna.com for specific state legal disclaimer information. * This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date when the specialist Aexcel designation begins or ends. ** As of the date indicated, this provider has elected not to participate in Aexcel®. # Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna, and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of the vendor. If you should have any questions, contact Aetna Member Services via the member services phone number located on the back of your id card. Please refer to the online directory for additional information about these and other providers. Your Search Results Health Plan: DMO ¯ /DNO Provider Type: Primary Care Dentists You searched by: State: FL County: MIAMI-DADE PCD type: GENERAL PRACTICE - DENTAL

September 2, 2020

Provider ID #: 7972917 Provider ID #: 7229387 Provider ID #: 4020436 Provider ID #: 5822434 Primary Office #: 336904 Primary Office #: 807574 Primary Office #: 399437 Primary Office #: 550181 Miami International Mall Dental, Sage Dental of Coral Gables - GP Dental Excellence Partners, LLC Miami Beach Dental Center - GP P.A. - GP Azari, Scott Jonathan, DMD Miami - GP Bautista, Enrico S., DMD Aseriel, Haim N., DDS General Practice - Dental Baez Henry, Carlianette, DMD General Practice - Dental General Practice - Dental 1 Alhambra Plaza General Practice - Dental 333 Arthur Godfrey Road 1455 Northwest 107th Avenue Suite 25 4500 Northwest 7th Street Suite 818 Suite 584 Coral Gables, FL 33134 Miami, FL 33126 Miami Beach, FL 33140 Doral, FL 33172 (786) 507-4440 (305) 443-9206 (305) 674-0095 (305) 597-8787 Provider ID #: 4295172 Provider ID #: 4020436 Provider ID #: 5092178 Provider ID #: 4216351 Primary Office #: 758036 Primary Office #: 643553 Primary Office #: 268975 Primary Office #: 826775 Jet Dental of Florida - GP Dental Excellence Partners, LLC - Towncare Dental of Pinecrest - GP Rafael Aurrecoechea, DDS, P.A. - Bacchelli, Lara D., DMD GP Beddall, Harold Lewis, DDS GP General Practice - Dental Baez Henry, Carlianette, DMD General Practice - Dental Aurrecoechea, Rafael, DDS 19086 Northeast 29 Avenue General Practice - Dental 8353 Southwest 124th Street General Practice - Dental Suite 1A 6801 Southwest 8th Street Suite 202 5370 Palm Avenue Aventura, FL 33180 Miami, FL 33144 Miami, FL 33156 Suite 4 (801) 430-9262 (786) 501-2168 (305) 253-7227 Hialeah, FL 33012 (305) 821-9022 Provider ID #: 4020436 Provider ID #: 4020436 Provider ID #: 7442459 Primary Office #: 109730 Primary Office #: 880356 Primary Office #: 109889 Provider ID #: 6460391 Dental Excellence Partners, LLC Dental Excellence Partners, LLC - Dental Center at Baptist - GP Primary Office #: 336904 Hialeah - GP GP Bergquist, Michael R., DMD Miami International Mall Dental, Baez Henry, Carlianette, DMD Baez Henry, Carlianette, DMD General Practice - Dental P.A. - GP General Practice - Dental General Practice - Dental 8940 North Kendall Drive Avakyan, Gayane N., DMD 4410 West 16th Avenue 13768 Southwest 8th Street Suite 1005E General Practice - Dental Suite 58 Miami, FL 33184 Miami, FL 33176 1455 Northwest 107th Avenue Hialeah, FL 33012 (786) 501-2163 (305) 271-3001 Suite 584 (305) 826-5224 Doral, FL 33172 Provider ID #: 4020436 Provider ID #: 4277423 (305) 597-8787 Provider ID #: 4020436 Primary Office #: 426597 Primary Office #: 336904 Primary Office #: 576813 Dental Excellence Partners, LLC - Miami International Mall Dental, Provider ID #: 4059936 Dental Excellence Partners, LLC - GP P.A. - GP Primary Office #: 827705 GP Baez Henry, Carlianette, DMD Berry, Wayne L., DDS Westland Mall Dental - GP Baez Henry, Carlianette, DMD General Practice - Dental General Practice - Dental Avman, Selin, DDS General Practice - Dental 5190 Northwest 167 Avenue 1455 Northwest 107th Avenue General Practice - Dental 266 East 49th Street Miami Gardens, FL 33014 Suite 584 1665 West 49th Street Hialeah, FL 33013 (305) 914-9740 Doral, FL 33172 Suite 1484 (305) 823-9982 (305) 597-8787 Hialeah, FL 33012 Provider ID #: 5105838 (305) 828-7779 Provider ID #: 4020436 Primary Office #: 426000 Provider ID #: 4277423 Primary Office #: 333801 ILA Dental Group Primary Office #: 612635 Provider ID #: 4059936 Dental Excellence Partners, LLC - Barakat, Claudia Martinez, DMD Sylvia M. Santana, P.A. - GP Primary Office #: 554762 GP General Practice - Dental Berry, Wayne L., DDS Southland Mall Dental - GP Baez Henry, Carlianette, DMD 1400 Northeast Miami Gardens Drive General Practice - Dental Avman, Selin, DDS General Practice - Dental North Miami Beach, FL 33179 11300 Northwest 87th Court General Practice - Dental 8300 West Flager Street (305) 956-9996 Suite 166 20505 South Dixie Hwy. Suite 210 Hialeah, FL 33018 Suite 1683 Miami, FL 33144 Provider ID #: 5661689 (305) 364-9322 Cutler Bay, FL 33189 (786) 534-2796 Primary Office #: 341916 (305) 232-3737 Professional Dental Group - GP Provider ID #: 5840847 Provider ID #: 4020436 Baro, Rosemarie, DMD Primary Office #: 807574 Provider ID #: 4059936 Primary Office #: 322673 General Practice - Dental Sage Dental of Coral Gables - GP Primary Office #: 336904 Dental Excellence Partners, LLC - 10122 West Flagler Street Bosque-Guevara, Pamela V., DDS Miami International Mall Dental, GP Miami, FL 33174 General Practice - Dental P.A. - GP Baez Henry, Carlianette, DMD (305) 226-3386 1 Alhambra Plaza Avman, Selin, DDS General Practice - Dental Suite 25 General Practice - Dental 3825 West 16th Avenue Provider ID #: 7761136 Coral Gables, FL 33134 1455 Northwest 107th Avenue Hialeah, FL 33012 Primary Office #: 658917 (786) 507-4440 Suite 584 (786) 501-2166 Design A Smile Kendall, PA Doral, FL 33172 Barrera, Martha E., DDS (305) 597-8787 General Practice - Dental 13091 Southwest 88th Street Miami, FL 33186 (305) 408-3388

September 2, 2020

Provider ID #: 5840847 Provider ID #: 4467346 Provider ID #: 5295104 Provider ID #: 5760962 Primary Office #: 577729 Primary Office #: 758036 Primary Office #: 866172 Primary Office #: 336904 Sage Dental of Pinecrest, PLLC - Jet Dental of Florida - GP Dental Health Group, P.A. - GP Miami International Mall Dental, GP Brateman, Jerry I., DDS Brody, Robert Alan, DMD P.A. - GP Bosque-Guevara, Pamela V., DDS General Practice - Dental General Practice - Dental Cabrera, Rene E., DDS General Practice - Dental 19086 Northeast 29 Avenue 18835 Biscanye Blvd. General Practice - Dental 12965 South Dixie Hwy. Suite 1A Suite 180 1455 Northwest 107th Avenue Pinecrest, FL 33156 Aventura, FL 33180 Aventura, FL 33180 Suite 584 (305) 853-8559 (801) 430-9262 (305) 570-3978 Doral, FL 33172 (305) 597-8787 Provider ID #: 4776579 Provider ID #: 9868366 Provider ID #: 4023893 Primary Office #: 428001 Primary Office #: 758036 Primary Office #: 758036 Provider ID #: 9363691 Great Expressions Dental Centers - Jet Dental of Florida - GP Jet Dental of Florida - GP Primary Office #: 363435 Calle Ocho - GP Brawley, Carmen M., DMD Brown, Kenjula D., DDS Hialeah Dental Center, P.A. Boss, Stephen R., DDS General Practice - Dental General Practice - Dental Calderon, Erik O., DMD General Practice - Dental 19086 Northeast 29 Avenue 19086 Northeast 29 Avenue General Practice - Dental 2501 Southwest 22nd Street Suite 1A Suite 1A 1518 West 49th Street Miami, FL 33145 Aventura, FL 33180 Aventura, FL 33180 Hialeah, FL 33012 (305) 858-2545 (801) 430-9262 (801) 430-9262 (305) 823-2661

Provider ID #: 4043350 Provider ID #: 5015189 Provider ID #: 7145007 Provider ID #: 9363691 Primary Office #: 827705 Primary Office #: 026630 Primary Office #: 484355 Primary Office #: 275857 Westland Mall Dental - GP Royal Oaks Dental Partners LLC Moises Cabrera, D.D.S., P.A. - GP Hammocks Dental Group, P.A. - GP Bradley, Alijah O., DDS Bretos, Alexander Luis, DMD Cabrera, Moises, DDS Calderon, Erik O., DMD General Practice - Dental General Practice - Dental General Practice - Dental General Practice - Dental 1665 West 49th Street 15502 Northwest 77th Court 14609 Southwest 104th Street 9280 Hammocks Blvd. Suite 1484 Miami Lakes, FL 33016 Miami, FL 33186 Suite 102 Hialeah, FL 33012 (305) 822-7332 (305) 388-3725 Miami, FL 33196 (305) 828-7779 (305) 387-5700 Provider ID #: 5015189 Provider ID #: 7145007 Provider ID #: 4043350 Primary Office #: 800610 Primary Office #: 109584 Provider ID #: 6311612 Primary Office #: 554762 Doral Dental Partners Miami Lakes Dental Health Center Primary Office #: 341836 Southland Mall Dental - GP Bretos, Alexander Luis, DMD P.A. - GP Sage Dental of Miami Beach at 71st Bradley, Alijah O., DDS General Practice - Dental Cabrera, Moises, DDS Street - GP General Practice - Dental 10620 Northwest 19th Street General Practice - Dental Candelario Benitez, Yesell, DDS 20505 South Dixie Hwy. Miami, FL 33172 15450 New Barn Road General Practice - Dental Suite 1683 (786) 331-7055 Suite 101 227 71st Street Cutler Bay, FL 33189 Miami Lakes, FL 33014 Miami Beach, FL 33141 (305) 232-3737 Provider ID #: 5295104 (305) 557-7775 (305) 866-2933 Primary Office #: 027802 Provider ID #: 4043350 Great Expressions Dental Provider ID #: 5760962 Provider ID #: 7704336 Primary Office #: 870460 Centers-Aventura-GP Primary Office #: 827705 Primary Office #: 109730 Sage Dental of N. Miami Beach, Brody, Robert Alan, DMD Westland Mall Dental - GP Dental Excellence Partners, LLC P.A. - GP General Practice - Dental Cabrera, Rene E., DDS Hialeah - GP Bradley, Alijah O., DDS 19913 Biscayne Blvd. General Practice - Dental Cano, Lourdes Maria, DMD General Practice - Dental Aventura, FL 33180 1665 West 49th Street General Practice - Dental 850 Ives Dairy Road (305) 935-1400 Suite 1484 4410 West 16th Avenue Suite T6 Hialeah, FL 33012 Suite 58 North Miami Beach, FL 33179 Provider ID #: 5295104 (305) 828-7779 Hialeah, FL 33012 (305) 654-9399 Primary Office #: 487851 (305) 826-5224 Great Expressions Dental Centers - Provider ID #: 5760962 Provider ID #: 4043350 Cutler Bay - GP Primary Office #: 554762 Provider ID #: 9331852 Primary Office #: 336904 Brody, Robert Alan, DMD Southland Mall Dental - GP Primary Office #: 312916 Miami International Mall Dental, General Practice - Dental Cabrera, Rene E., DDS Towncare Dental of Cutler Bay - GP P.A. - GP 20335 Old Cutler Road General Practice - Dental Caravia, Amanda M., DMD Bradley, Alijah O., DDS Suite 200 20505 South Dixie Hwy. General Practice - Dental General Practice - Dental Miami, FL 33189 Suite 1683 20533 Old Cutler Road 1455 Northwest 107th Avenue (305) 238-6777 Cutler Bay, FL 33189 Miami, FL 33189 Suite 584 (305) 232-3737 (305) 233-1118 Doral, FL 33172 (305) 597-8787

September 2, 2020

Provider ID #: 9331852 Provider ID #: 6993717 Provider ID #: 7858528 Provider ID #: 6987869 Primary Office #: 026654 Primary Office #: 333801 Primary Office #: 764792 Primary Office #: 732602 Dental Associates of Homestead, Dental Excellence Partners, LLC - Coral Gables Dental Health Center - Dental Options, P.A. - GP P.A. GP GP Carrillo Giraldo, Ricardo C., DDS Caravia, Amanda M., DMD Carballo, Mauro, DDS Carballo, Rodolfo, DDS General Practice - Dental General Practice - Dental General Practice - Dental General Practice - Dental 11645 Biscayne Blvd. 925 Northeast 30th Terrace 8300 West Flager Street 747 Ponce de Leon Blvd. Suite 204 Suite 114 Suite 210 Suite 401 North Miami, FL 33181 Homestead, FL 33033 Miami, FL 33144 Coral Gables, FL 33134 (305) 892-2960 (305) 247-0099 (786) 534-2796 (305) 444-8591 Provider ID #: 6987869 Provider ID #: 9331852 Provider ID #: 6993717 Provider ID #: 7331870 Primary Office #: 499716 Primary Office #: 109889 Primary Office #: 322673 Primary Office #: 527579 Dental Options, P.A. - GP Dental Center at Baptist - GP Dental Excellence Partners, LLC - Dental Care Association, Corp. - GP Carrillo Giraldo, Ricardo C., DDS Caravia, Amanda M., DMD GP Carbot, Mario, DMD General Practice - Dental General Practice - Dental Carballo, Mauro, DDS General Practice - Dental 2999 Northeast 191 Street 8940 North Kendall Drive General Practice - Dental 9275 Southwest 152nd Street Suite 804 Suite 1005E 3825 West 16th Avenue Suite 106 Aventura, FL 33180 Miami, FL 33176 Hialeah, FL 33012 Palmetto Bay, FL 33157 (305) 466-1804 (305) 271-3001 (786) 501-2166 (305) 233-6575 Provider ID #: 5288755 Provider ID #: 9331852 Provider ID #: 6993717 Provider ID #: 4771748 Primary Office #: 030832 Primary Office #: 268975 Primary Office #: 399437 Primary Office #: 027802 Great Expressions Dental Towncare Dental of Pinecrest - GP Dental Excellence Partners, LLC Great Expressions Dental Centers-Kendale Lakes-GP Caravia, Amanda M., DMD Miami - GP Centers-Aventura-GP Carrillo, Catalina Pardo, DDS General Practice - Dental Carballo, Mauro, DDS Cardenas Sarracino, Astrid H., DDS General Practice - Dental 8353 Southwest 124th Street General Practice - Dental General Practice - Dental 13876 Southwest 88th Street Suite 202 4500 Northwest 7th Street 19913 Biscayne Blvd. Miami, FL 33186 Miami, FL 33156 Miami, FL 33126 Aventura, FL 33180 (305) 385-4215 (305) 253-7227 (305) 443-9206 (305) 935-1400 Provider ID #: 5288755 Provider ID #: 9331852 Provider ID #: 6993717 Provider ID #: 4771748 Primary Office #: 030835 Primary Office #: 026663 Primary Office #: 643553 Primary Office #: 026631 Great Expressions Dental Centers - Towncare Dental of Hialeah Square Dental Excellence Partners, LLC - Great Expressions Dental Centers- Dadeland - GP - GP GP Miami Gardens-GP Carrillo, Catalina Pardo, DDS Caravia, Amanda M., DMD Carballo, Mauro, DDS Cardenas Sarracino, Astrid H., DDS General Practice - Dental General Practice - Dental General Practice - Dental General Practice - Dental 7300 North Kendall Drive 4186 West 12th Avenue 6801 Southwest 8th Street 17301 Northwest 27th Avenue Suite 110 Hialeah, FL 33012 Miami, FL 33144 Miami Gardens, FL 33056 Miami, FL 33156 (305) 556-6291 (786) 501-2168 (305) 624-1371 (305) 670-4476

Provider ID #: 6993717 Provider ID #: 6993717 Provider ID #: 5950209 Provider ID #: 5288755 Primary Office #: 109730 Primary Office #: 880356 Primary Office #: 460345 Primary Office #: 428001 Dental Excellence Partners, LLC Dental Excellence Partners, LLC - Smile Perfect Dental Health Center Great Expressions Dental Centers - Hialeah - GP GP Cardenas, Elio A., DDS Calle Ocho - GP Carballo, Mauro, DDS Carballo, Mauro, DDS General Practice - Dental Carrillo, Catalina Pardo, DDS General Practice - Dental General Practice - Dental 580 East 49th Street General Practice - Dental 4410 West 16th Avenue 13768 Southwest 8th Street Hialeah, FL 33013 2501 Southwest 22nd Street Suite 58 Miami, FL 33184 (305) 557-6711 Miami, FL 33145 Hialeah, FL 33012 (786) 501-2163 (305) 858-2545 (305) 826-5224 Provider ID #: 5950209 Provider ID #: 6993717 Primary Office #: 788594 Provider ID #: 9568857 Provider ID #: 6993717 Primary Office #: 426597 Smile Perfect Dental Health Center Primary Office #: 305316 Primary Office #: 576813 Dental Excellence Partners, LLC - II Inc C & C Dental Inc. - GP Dental Excellence Partners, LLC - GP Cardenas, Elio A., DDS Casas, Silvia Beatriz, DDS GP Carballo, Mauro, DDS General Practice - Dental General Practice - Dental Carballo, Mauro, DDS General Practice - Dental 1075 East 4th Avenue 951 Northeast 167th Street General Practice - Dental 5190 Northwest 167 Avenue Hialeah, FL 33010 Suite 104 266 East 49th Street Miami Gardens, FL 33014 (305) 557-6712 North Miami Beach, FL 33162 Hialeah, FL 33013 (305) 914-9740 (305) 493-9371 (305) 823-9982

September 2, 2020

Provider ID #: 5915148 Provider ID #: 5852184 Provider ID #: 4838099 Provider ID #: 5268494 Primary Office #: 026652 Primary Office #: 026663 Primary Office #: 649850 Primary Office #: 550181 Cascante, Oscar G., DMD Towncare Dental of Hialeah Square Cayon Dental Group Miami Beach Dental Center - GP General Practice - Dental - GP Cayon, Alicia, DMD Chiu, Gordon Ben, DDS 8501 Southwest 124th Avenue Castellanos, Alina M., DDS General Practice - Dental General Practice - Dental Suite 107 General Practice - Dental 8370 West Flagler Street 333 Arthur Godfrey Road Miami, FL 33183 4186 West 12th Avenue Suite 150 Suite 818 (305) 279-9005 Hialeah, FL 33012 Miami, FL 33144 Miami Beach, FL 33140 (305) 556-6291 (305) 227-3083 (305) 674-0095 Provider ID #: 5915148 Primary Office #: 026652 Provider ID #: 5594745 Provider ID #: 4922691 Provider ID #: 5268494 Advanced Center for Cosmetic and Primary Office #: 110001 Primary Office #: 109923 Primary Office #: 026654 Implant Dentistry Castellanos, Madeliene, DMD J M Dental Group, Inc. Dental Associates of Homestead, Cascante, Oscar G., DMD General Practice - Dental Chavez, Steven R., DDS P.A. General Practice - Dental 2140 West 68th Street General Practice - Dental Chiu, Gordon Ben, DDS 8501 Southwest 124th Avenue Suite 202 1470 Northwest 107th Avenue General Practice - Dental Suite 107 Hialeah, FL 33016 Suites F-G 925 Northeast 30th Terrace Miami, FL 33183 (305) 820-4080 Miami, FL 33172 Suite 114 (305) 279-9005 (305) 594-8666 Homestead, FL 33033 Provider ID #: 6420454 (305) 247-0099 Provider ID #: 7521610 Primary Office #: 109730 Provider ID #: 6146006 Primary Office #: 827705 Dental Excellence Partners, LLC Primary Office #: 327618 Provider ID #: 5268494 Westland Mall Dental - GP Hialeah - GP Ibis Chaviano DDS P.A. - GP Primary Office #: 109889 Casey, Barbara Laurel, DDS Castellanos, Nicholas, DDS Chaviano, Ibis, DDS Dental Center at Baptist - GP General Practice - Dental General Practice - Dental General Practice - Dental Chiu, Gordon Ben, DDS 1665 West 49th Street 4410 West 16th Avenue 3727 Southwest 8th Street General Practice - Dental Suite 1484 Suite 58 Suite 101 8940 North Kendall Drive Hialeah, FL 33012 Hialeah, FL 33012 Coral Gables, FL 33134 Suite 1005E (305) 828-7779 (305) 826-5224 (305) 444-6203 Miami, FL 33176 (305) 271-3001 Provider ID #: 7521610 Provider ID #: 5790147 Provider ID #: 6192128 Primary Office #: 554762 Primary Office #: 026581 Primary Office #: 827705 Provider ID #: 5008157 Southland Mall Dental - GP Casthely, Franklin, DDS Westland Mall Dental - GP Primary Office #: 026631 Casey, Barbara Laurel, DDS General Practice - Dental Chirino, Carlos, DDS Great Expressions Dental Centers- General Practice - Dental 160 Northeast 82nd Street General Practice - Dental Miami Gardens-GP 20505 South Dixie Hwy. Miami, FL 33138 1665 West 49th Street Christoph, Victor D., DMD Suite 1683 (305) 756-7602 Suite 1484 General Practice - Dental Cutler Bay, FL 33189 Hialeah, FL 33012 17301 Northwest 27th Avenue (305) 232-3737 Provider ID #: 9531592 (305) 828-7779 Miami Gardens, FL 33056 Primary Office #: 341836 (305) 624-1371 Provider ID #: 7521610 Sage Dental of Miami Beach at 71st Provider ID #: 6192128 Primary Office #: 336904 Street - GP Primary Office #: 554762 Provider ID #: 6280251 Miami International Mall Dental, Castillo, Juan Isaac, DDS Southland Mall Dental - GP Primary Office #: 341836 P.A. - GP General Practice - Dental Chirino, Carlos, DDS Sage Dental of Miami Beach at 71st Casey, Barbara Laurel, DDS 227 71st Street General Practice - Dental Street - GP General Practice - Dental Miami Beach, FL 33141 20505 South Dixie Hwy. Cirion Morejon, Ayleen, DDS 1455 Northwest 107th Avenue (305) 866-2933 Suite 1683 General Practice - Dental Suite 584 Cutler Bay, FL 33189 227 71st Street Doral, FL 33172 Provider ID #: 9531592 (305) 232-3737 Miami Beach, FL 33141 (305) 597-8787 Primary Office #: 870460 (305) 866-2933 Sage Dental of N. Miami Beach, Provider ID #: 6192128 Provider ID #: 5852184 P.A. - GP Primary Office #: 336904 Provider ID #: 6280251 Primary Office #: 109584 Castillo, Juan Isaac, DDS Miami International Mall Dental, Primary Office #: 251376 Miami Lakes Dental Health Center General Practice - Dental P.A. - GP Sage Dental of Downtown Doral, P.A. - GP 850 Ives Dairy Road Chirino, Carlos, DDS PLLC - GP Castellanos, Alina M., DDS Suite T6 General Practice - Dental Cirion Morejon, Ayleen, DDS General Practice - Dental North Miami Beach, FL 33179 1455 Northwest 107th Avenue General Practice - Dental 15450 New Barn Road (305) 654-9399 Suite 584 5335 NW 87th Avenue Suite 101 Doral, FL 33172 Suite C103 Miami Lakes, FL 33014 (305) 597-8787 Doral, FL 33178 (305) 557-7775 (786) 456-1710

September 2, 2020

Provider ID #: 6280251 Provider ID #: 4976142 Provider ID #: 5810840 Provider ID #: 4934884 Primary Office #: 506934 Primary Office #: 554762 Primary Office #: 732602 Primary Office #: 109730 Sage Dental of West Miami, PLLC - Southland Mall Dental - GP Dental Options, P.A. - GP Dental Excellence Partners, LLC GP Cole, Eric, DMD Cruz Elizundia, Delia, DMD Hialeah - GP Cirion Morejon, Ayleen, DDS General Practice - Dental General Practice - Dental Cruz, Yarelie, DMD General Practice - Dental 20505 South Dixie Hwy. 11645 Biscayne Blvd. General Practice - Dental 6820 Bird Road Suite 1683 Suite 204 4410 West 16th Avenue Miami, FL 33155 Cutler Bay, FL 33189 North Miami, FL 33181 Suite 58 (786) 476-8711 (305) 232-3737 (305) 892-2960 Hialeah, FL 33012 (305) 826-5224 Provider ID #: 6280251 Provider ID #: 4976142 Provider ID #: 5810840 Primary Office #: 259903 Primary Office #: 336904 Primary Office #: 499716 Provider ID #: 9985585 Sage Dental of West Kendall, PLLC Miami International Mall Dental, Dental Options, P.A. - GP Primary Office #: 251376 - GP P.A. - GP Cruz Elizundia, Delia, DMD Sage Dental of Downtown Doral, Cirion Morejon, Ayleen, DDS Cole, Eric, DMD General Practice - Dental PLLC - GP General Practice - Dental General Practice - Dental 2999 Northeast 191 Street Cuartero, Mercedes Francisco, 12554 N. Kendall Drive 1455 Northwest 107th Avenue Suite 804 DDS Miami, FL 33186 Suite 584 Aventura, FL 33180 General Practice - Dental (305) 830-0109 Doral, FL 33172 (305) 466-1804 5335 NW 87th Avenue (305) 597-8787 Suite C103 Provider ID #: 6280251 Provider ID #: 5175503 Doral, FL 33178 Primary Office #: 807574 Provider ID #: 5306390 Primary Office #: 341836 (786) 456-1710 Sage Dental of Coral Gables - GP Primary Office #: 026630 Sage Dental of Miami Beach at 71st Cirion Morejon, Ayleen, DDS Royal Oaks Dental Partners LLC Street - GP Provider ID #: 9985585 General Practice - Dental Collazo, Ralph Carlos, DDS Cruz, Antonio R., DMD Primary Office #: 577729 1 Alhambra Plaza General Practice - Dental General Practice - Dental Sage Dental of Pinecrest, PLLC - Suite 25 15502 Northwest 77th Court 227 71st Street GP Coral Gables, FL 33134 Miami Lakes, FL 33016 Miami Beach, FL 33141 Cuartero, Mercedes Francisco, (786) 507-4440 (305) 822-7332 (305) 866-2933 DDS General Practice - Dental Provider ID #: 6280251 Provider ID #: 5306390 Provider ID #: 5175503 12965 South Dixie Hwy. Primary Office #: 577729 Primary Office #: 800610 Primary Office #: 506934 Pinecrest, FL 33156 Sage Dental of Pinecrest, PLLC - Doral Dental Partners Sage Dental of West Miami, PLLC - (305) 853-8559 GP Collazo, Ralph Carlos, DDS GP Cirion Morejon, Ayleen, DDS General Practice - Dental Cruz, Antonio R., DMD Provider ID #: 6190365 General Practice - Dental 10620 Northwest 19th Street General Practice - Dental Primary Office #: 506934 12965 South Dixie Hwy. Miami, FL 33172 6820 Bird Road Sage Dental of West Miami, PLLC - Pinecrest, FL 33156 (786) 331-7055 Miami, FL 33155 GP (305) 853-8559 (786) 476-8711 Cuebas, Gabriela Marie, DMD Provider ID #: 4619182 General Practice - Dental Provider ID #: 6280251 Primary Office #: 109976 Provider ID #: 5175503 6820 Bird Road Primary Office #: 870460 South Dade Family Dentistry Primary Office #: 807574 Miami, FL 33155 Sage Dental of N. Miami Beach, Corpas, Alfredo D., Jr, DDS Sage Dental of Coral Gables - GP (786) 476-8711 P.A. - GP General Practice - Dental Cruz, Antonio R., DMD Cirion Morejon, Ayleen, DDS 18543 South Dixie Hwy. General Practice - Dental Provider ID #: 5841968 General Practice - Dental Miami, FL 33157 1 Alhambra Plaza Primary Office #: 582064 850 Ives Dairy Road (305) 259-9130 Suite 25 A & R Dental Center of Hialeah - GP Suite T6 Coral Gables, FL 33134 Cuenca, Annie, DMD North Miami Beach, FL 33179 Provider ID #: 7752999 (786) 507-4440 General Practice - Dental (305) 654-9399 Primary Office #: 301304 765 East 9th Street Jubidental Services Provider ID #: 5175503 Hialeah, FL 33010 Provider ID #: 4976142 Cotelo-Pardo, Yanepsi, DDS Primary Office #: 577729 (305) 883-4880 Primary Office #: 827705 General Practice - Dental Sage Dental of Pinecrest, PLLC - Westland Mall Dental - GP 299 Alhambra Circle GP Provider ID #: 5841968 Cole, Eric, DMD Suite 202 Cruz, Antonio R., DMD Primary Office #: 594885 General Practice - Dental Coral Gables, FL 33134 General Practice - Dental A & R Dental Center of Miami - GP 1665 West 49th Street (305) 444-3074 12965 South Dixie Hwy. Cuenca, Annie, DMD Suite 1484 Pinecrest, FL 33156 General Practice - Dental Hialeah, FL 33012 (305) 853-8559 11760 Southwest 40th Street (305) 828-7779 Suite 317 Miami, FL 33175 (305) 552-0521

September 2, 2020

Provider ID #: 5153137 Provider ID #: 7677030 Provider ID #: 4945342 Provider ID #: 5807886 Primary Office #: 827705 Primary Office #: 775001 Primary Office #: 109923 Primary Office #: 336904 Westland Mall Dental - GP The Family Dental Care Center - GP J M Dental Group, Inc. Miami International Mall Dental, Cullen, William C., DMD De La Cruz, Alejandro, DMD Del Castillo, Raymond, DDS P.A. - GP General Practice - Dental General Practice - Dental General Practice - Dental Diaz, Jany, DMD 1665 West 49th Street 646 West Palm Drive 1470 Northwest 107th Avenue General Practice - Dental Suite 1484 Suite 200 Suites F-G 1455 Northwest 107th Avenue Hialeah, FL 33012 Florida City, FL 33034 Miami, FL 33172 Suite 584 (305) 828-7779 (305) 242-1200 (305) 594-8666 Doral, FL 33172 (305) 597-8787 Provider ID #: 5153137 Provider ID #: 9388569 Provider ID #: 4945342 Primary Office #: 554762 Primary Office #: 030832 Primary Office #: 499716 Provider ID #: 9587475 Southland Mall Dental - GP Great Expressions Dental Dental Options, P.A. - GP Primary Office #: 109874 Cullen, William C., DMD Centers-Kendale Lakes-GP Del Castillo, Raymond, DDS Palm Dental Center - GP General Practice - Dental De La Rua, Lissette, DDS General Practice - Dental Diaz, Vivian E., DMD 20505 South Dixie Hwy. General Practice - Dental 2999 Northeast 191 Street General Practice - Dental Suite 1683 13876 Southwest 88th Street Suite 804 7150 West 20th Avenue Cutler Bay, FL 33189 Miami, FL 33186 Aventura, FL 33180 Suite 102 (305) 232-3737 (305) 385-4215 (305) 466-1804 Hialeah, FL 33016 (305) 556-3313 Provider ID #: 5153137 Provider ID #: 9388569 Provider ID #: 6743124 Primary Office #: 336904 Primary Office #: 030835 Primary Office #: 758036 Provider ID #: 9587475 Miami International Mall Dental, Great Expressions Dental Centers - Jet Dental of Florida - GP Primary Office #: 879132 P.A. - GP Dadeland - GP Del Rosario, Alexis, DMD Towncare Dental of London Cullen, William C., DMD De La Rua, Lissette, DDS General Practice - Dental Square, PLLC - GP General Practice - Dental General Practice - Dental 19086 Northeast 29 Avenue Diaz, Vivian E., DMD 1455 Northwest 107th Avenue 7300 North Kendall Drive Suite 1A General Practice - Dental Suite 584 Suite 110 Aventura, FL 33180 13400 Southwest 120 Street Doral, FL 33172 Miami, FL 33156 (801) 430-9262 Suite 302 (305) 597-8787 (305) 670-4476 Miami, FL 33186 Primary Office #: 109889 (305) 255-3986 Provider ID #: 4780498 Provider ID #: 9388569 Dental Center at Baptist - GP Primary Office #: 027802 Primary Office #: 868089 General Practice - Dental Provider ID #: 9587475 Great Expressions Dental Great Expressions Dental Centers - 8940 North Kendall Drive Primary Office #: 761333 Centers-Aventura-GP Coral Way - GP Suite 1005E Dental Associates of West Kendell - Dagan, Shachar, DMD De La Rua, Lissette, DDS Miami, FL 33176 GP General Practice - Dental General Practice - Dental (305) 271-3001 Diaz, Vivian E., DMD 19913 Biscayne Blvd. 11865 Southwest 26th Street General Practice - Dental Aventura, FL 33180 Suite C-39 Provider ID #: 5807886 13400 Southwest 120 Street (305) 935-1400 Miami, FL 33175 Primary Office #: 827705 Suite 310 (305) 227-0600 Westland Mall Dental - GP Miami, FL 33186 Provider ID #: 4780498 Diaz, Jany, DMD (305) 255-9497 Primary Office #: 026631 Provider ID #: 9539752 General Practice - Dental Great Expressions Dental Centers- Primary Office #: 411933 1665 West 49th Street Provider ID #: 4740702 Miami Gardens-GP Smile Solutions Dental Group - GP Suite 1484 Primary Office #: 484356 Dagan, Shachar, DMD De Sousa, Marvina E., DMD Hialeah, FL 33012 Jadent Inc. - GP General Practice - Dental General Practice - Dental (305) 828-7779 Diaz, Yanet, DMD 17301 Northwest 27th Avenue 8200 West 33rd Avenue General Practice - Dental Miami Gardens, FL 33056 Bay-5 Provider ID #: 5807886 3945 Southwest 92nd Avenue (305) 624-1371 Hialeah, FL 33018 Primary Office #: 554762 Miami, FL 33165 (305) 640-5501 Southland Mall Dental - GP (305) 220-0066 Provider ID #: 9698357 Diaz, Jany, DMD Primary Office #: 758036 Provider ID #: 4945342 General Practice - Dental Provider ID #: 4740702 Jet Dental of Florida - GP Primary Office #: 732602 20505 South Dixie Hwy. Primary Office #: 026631 Day, Jennifer M., DMD Dental Options, P.A. - GP Suite 1683 Great Expressions Dental Centers- General Practice - Dental Del Castillo, Raymond, DDS Cutler Bay, FL 33189 Miami Gardens-GP 19086 Northeast 29 Avenue General Practice - Dental (305) 232-3737 Diaz, Yanet, DMD Suite 1A 11645 Biscayne Blvd. General Practice - Dental Aventura, FL 33180 Suite 204 17301 Northwest 27th Avenue (801) 430-9262 North Miami, FL 33181 Miami Gardens, FL 33056 (305) 892-2960 (305) 624-1371

September 2, 2020

Provider ID #: 4715534 Provider ID #: 5262989 Provider ID #: 7883709 Provider ID #: 7388530 Primary Office #: 732602 Primary Office #: 554762 Primary Office #: 019790 Primary Office #: 109584 Dental Options, P.A. - GP Southland Mall Dental - GP North Dade Dental Group - GP Miami Lakes Dental Health Center Diaz-Vazquez, Andrea C., DMD Durve, Aparna, DMD Elperin, Alexei A., DDS P.A. - GP General Practice - Dental General Practice - Dental General Practice - Dental Faget, David A., DMD 11645 Biscayne Blvd. 20505 South Dixie Hwy. 16209 Northeast 13th Avenue General Practice - Dental Suite 204 Suite 1683 North Miami Beach, FL 33162 15450 New Barn Road North Miami, FL 33181 Cutler Bay, FL 33189 (305) 940-9888 Suite 101 (305) 892-2960 (305) 232-3737 Miami Lakes, FL 33014 Provider ID #: 9143972 (305) 557-7775 Provider ID #: 4715534 Provider ID #: 5262989 Primary Office #: 341836 Primary Office #: 499716 Primary Office #: 336904 Sage Dental of Miami Beach at 71st Provider ID #: 7596822 Dental Options, P.A. - GP Miami International Mall Dental, Street - GP Primary Office #: 312916 Diaz-Vazquez, Andrea C., DMD P.A. - GP Espinet Kusnier, Elaine, DMD Towncare Dental of Cutler Bay - GP General Practice - Dental Durve, Aparna, DMD General Practice - Dental Felipe, Veronica M., DMD 2999 Northeast 191 Street General Practice - Dental 227 71st Street General Practice - Dental Suite 804 1455 Northwest 107th Avenue Miami Beach, FL 33141 20533 Old Cutler Road Aventura, FL 33180 Suite 584 (305) 866-2933 Miami, FL 33189 (305) 466-1804 Doral, FL 33172 (305) 233-1118 (305) 597-8787 Provider ID #: 9143972 Provider ID #: 6495001 Primary Office #: 870460 Provider ID #: 7596822 Primary Office #: 109730 Provider ID #: 9285560 Sage Dental of N. Miami Beach, Primary Office #: 378929 Dental Excellence Partners, LLC Primary Office #: 026631 P.A. - GP Towncare Dental of West Kendall - Hialeah - GP Great Expressions Dental Centers- Espinet Kusnier, Elaine, DMD GP Dominguez Reveron, Ivelisse D., Miami Gardens-GP General Practice - Dental Felipe, Veronica M., DMD DMD Dvorkin, Borislaw M., DMD 850 Ives Dairy Road General Practice - Dental General Practice - Dental General Practice - Dental Suite T6 15724 Southwest 72nd Street 4410 West 16th Avenue 17301 Northwest 27th Avenue North Miami Beach, FL 33179 Miami, FL 33193 Suite 58 Miami Gardens, FL 33056 (305) 654-9399 (305) 388-7900 Hialeah, FL 33012 (305) 624-1371 (305) 826-5224 Provider ID #: 9143972 Provider ID #: 7596822 Provider ID #: 9171363 Primary Office #: 026663 Primary Office #: 109889 Provider ID #: 9322956 Primary Office #: 402768 Towncare Dental of Hialeah Square Dental Center at Baptist - GP Primary Office #: 027802 Jessica Eagan DDS P.A. - GP - GP Felipe, Veronica M., DMD Great Expressions Dental Eagan, Jessica C., DDS Espinet Kusnier, Elaine, DMD General Practice - Dental Centers-Aventura-GP General Practice - Dental General Practice - Dental 8940 North Kendall Drive Dooley, Jill C., DMD 2340 Coral Way 4186 West 12th Avenue Suite 1005E General Practice - Dental Miami, FL 33145 Hialeah, FL 33012 Miami, FL 33176 19913 Biscayne Blvd. (305) 856-1178 (305) 556-6291 (305) 271-3001 Aventura, FL 33180 (305) 935-1400 Provider ID #: 4887368 Provider ID #: 7650203 Provider ID #: 7596822 Primary Office #: 109874 Primary Office #: 378929 Primary Office #: 268975 Provider ID #: 6071469 Palm Dental Center - GP Towncare Dental of West Kendall - Towncare Dental of Pinecrest - GP Primary Office #: 6071469 Echemendia, Arturo, DDS GP Felipe, Veronica M., DMD Drubi Dental LLC - GP General Practice - Dental Espinosa, Ricardo J., DMD General Practice - Dental Drubi, Martin, DMD 7150 West 20th Avenue General Practice - Dental 8353 Southwest 124th Street General Practice - Dental Suite 102 15724 Southwest 72nd Street Suite 202 18140 Northeast 19th Avenue Hialeah, FL 33016 Miami, FL 33193 Miami, FL 33156 North Miami Beach, FL 33162 (305) 556-3313 (305) 388-7900 (305) 253-7227 (305) 948-8882 Provider ID #: 5550968 Provider ID #: 9001586 Provider ID #: 7596822 Provider ID #: 5016986 Primary Office #: 109923 Primary Office #: 550181 Primary Office #: 026647 Primary Office #: 758036 J M Dental Group, Inc. Miami Beach Dental Center - GP Dental Associates of Kendall - GP Jet Dental of Florida - GP Edwards, Laura C., DDS Exposito, Ariel, DMD Felipe, Veronica M., DMD Ducasse-Pilarte, Graciela A., DMD General Practice - Dental General Practice - Dental General Practice - Dental General Practice - Dental 1470 Northwest 107th Avenue 333 Arthur Godfrey Road 11400 North Kendall Drive 19086 Northeast 29 Avenue Suites F-G Suite 818 Suite 207 Suite 1A Miami, FL 33172 Miami Beach, FL 33140 Miami, FL 33176 Aventura, FL 33180 (305) 594-8666 (305) 674-0095 (305) 271-2254 (801) 430-9262

September 2, 2020

Provider ID #: 7596822 Provider ID #: 5515052 Provider ID #: 4156456 Provider ID #: 7488999 Primary Office #: 026663 Primary Office #: 109874 Primary Office #: 577824 Primary Office #: 268975 Towncare Dental of Hialeah Square Palm Dental Center - GP Gateway Dental Inc - GP Towncare Dental of Pinecrest - GP - GP Figueroa, Celia C., DDS Figueroa, Miguel A., DMD Fornes-Ferrero, Patricia, DMD Felipe, Veronica M., DMD General Practice - Dental General Practice - Dental General Practice - Dental General Practice - Dental 7150 West 20th Avenue 2375 Southwest 27th Avenue 8353 Southwest 124th Street 4186 West 12th Avenue Suite 102 Miami, FL 33145 Suite 202 Hialeah, FL 33012 Hialeah, FL 33016 (305) 856-2300 Miami, FL 33156 (305) 556-6291 (305) 556-3313 (305) 253-7227 Provider ID #: 7488999 Provider ID #: 7197646 Provider ID #: 5515052 Primary Office #: 312916 Provider ID #: 7488999 Primary Office #: 868089 Primary Office #: 827705 Towncare Dental of Cutler Bay - GP Primary Office #: 336904 Great Expressions Dental Centers - Westland Mall Dental - GP Fornes-Ferrero, Patricia, DMD Miami International Mall Dental, Coral Way - GP Figueroa, Celia C., DDS General Practice - Dental P.A. - GP Felix, Ericka I., DMD General Practice - Dental 20533 Old Cutler Road Fornes-Ferrero, Patricia, DMD General Practice - Dental 1665 West 49th Street Miami, FL 33189 General Practice - Dental 11865 Southwest 26th Street Suite 1484 (305) 233-1118 1455 Northwest 107th Avenue Suite C-39 Hialeah, FL 33012 Suite 584 Miami, FL 33175 (305) 828-7779 Provider ID #: 7488999 Doral, FL 33172 (305) 227-0600 Primary Office #: 827705 (305) 597-8787 Provider ID #: 5515052 Westland Mall Dental - GP Provider ID #: 7374616 Primary Office #: 554762 Fornes-Ferrero, Patricia, DMD Provider ID #: 4982223 Primary Office #: 473016 Southland Mall Dental - GP General Practice - Dental Primary Office #: 827705 Edith Fernandez DMD, P.A. Figueroa, Celia C., DDS 1665 West 49th Street Westland Mall Dental - GP Fernandez, Edith, DMD General Practice - Dental Suite 1484 Fornos, Jorge Alberto, DDS General Practice - Dental 20505 South Dixie Hwy. Hialeah, FL 33012 General Practice - Dental 8560 Southwest 8th Street Suite 1683 (305) 828-7779 1665 West 49th Street Miami, FL 33144 Cutler Bay, FL 33189 Suite 1484 (305) 262-0509 (305) 232-3737 Provider ID #: 7488999 Hialeah, FL 33012 Primary Office #: 554762 (305) 828-7779 Provider ID #: 6316455 Provider ID #: 5515052 Southland Mall Dental - GP Primary Office #: 732602 Primary Office #: 109889 Fornes-Ferrero, Patricia, DMD Provider ID #: 4982223 Dental Options, P.A. - GP Dental Center at Baptist - GP General Practice - Dental Primary Office #: 554762 Fernandez, Saira C., DDS Figueroa, Celia C., DDS 20505 South Dixie Hwy. Southland Mall Dental - GP General Practice - Dental General Practice - Dental Suite 1683 Fornos, Jorge Alberto, DDS 11645 Biscayne Blvd. 8940 North Kendall Drive Cutler Bay, FL 33189 General Practice - Dental Suite 204 Suite 1005E (305) 232-3737 20505 South Dixie Hwy. North Miami, FL 33181 Miami, FL 33176 Suite 1683 (305) 892-2960 (305) 271-3001 Provider ID #: 7488999 Cutler Bay, FL 33189 Primary Office #: 026654 (305) 232-3737 Provider ID #: 6316455 Provider ID #: 5515052 Dental Associates of Homestead, Primary Office #: 499716 Primary Office #: 336904 P.A. Provider ID #: 4982223 Dental Options, P.A. - GP Miami International Mall Dental, Fornes-Ferrero, Patricia, DMD Primary Office #: 336904 Fernandez, Saira C., DDS P.A. - GP General Practice - Dental Miami International Mall Dental, General Practice - Dental Figueroa, Celia C., DDS 925 Northeast 30th Terrace P.A. - GP 2999 Northeast 191 Street General Practice - Dental Suite 114 Fornos, Jorge Alberto, DDS Suite 804 1455 Northwest 107th Avenue Homestead, FL 33033 General Practice - Dental Aventura, FL 33180 Suite 584 (305) 247-0099 1455 Northwest 107th Avenue (305) 466-1804 Doral, FL 33172 Suite 584 (305) 597-8787 Provider ID #: 7488999 Doral, FL 33172 Provider ID #: 4914693 Primary Office #: 109889 (305) 597-8787 Primary Office #: 487851 Provider ID #: 5515052 Dental Center at Baptist - GP Great Expressions Dental Centers - Primary Office #: 026663 Fornes-Ferrero, Patricia, DMD Provider ID #: 4636168 Cutler Bay - GP Towncare Dental of Hialeah Square General Practice - Dental Primary Office #: 870460 Ferrer Torres, Dario, DDS - GP 8940 North Kendall Drive Sage Dental of N. Miami Beach, General Practice - Dental Figueroa, Celia C., DDS Suite 1005E P.A. - GP 20335 Old Cutler Road General Practice - Dental Miami, FL 33176 Fox, Jeffrey M., DMD Suite 200 4186 West 12th Avenue (305) 271-3001 General Practice - Dental Miami, FL 33189 Hialeah, FL 33012 850 Ives Dairy Road (305) 238-6777 (305) 556-6291 Suite T6 North Miami Beach, FL 33179 (305) 654-9399

September 2, 2020

Provider ID #: 4881848 Provider ID #: 9001651 Provider ID #: 9360192 Provider ID #: 5336881 Primary Office #: 827705 Primary Office #: 732602 Primary Office #: 030835 Primary Office #: 866172 Westland Mall Dental - GP Dental Options, P.A. - GP Great Expressions Dental Centers - Dental Health Group, P.A. - GP Fraga, Daynet, DMD Franklin, Tim Aaron, DDS Dadeland - GP Garcia, Luisa M., DMD General Practice - Dental General Practice - Dental Garces, Carolina, DMD General Practice - Dental 1665 West 49th Street 11645 Biscayne Blvd. General Practice - Dental 18835 Biscanye Blvd. Suite 1484 Suite 204 7300 North Kendall Drive Suite 180 Hialeah, FL 33012 North Miami, FL 33181 Suite 110 Aventura, FL 33180 (305) 828-7779 (305) 892-2960 Miami, FL 33156 (305) 570-3978 (305) 670-4476 Provider ID #: 4881848 Provider ID #: 9001651 Provider ID #: 5437717 Primary Office #: 554762 Primary Office #: 499716 Provider ID #: 9360192 Primary Office #: 030832 Southland Mall Dental - GP Dental Options, P.A. - GP Primary Office #: 428001 Great Expressions Dental Fraga, Daynet, DMD Franklin, Tim Aaron, DDS Great Expressions Dental Centers - Centers-Kendale Lakes-GP General Practice - Dental General Practice - Dental Calle Ocho - GP Garcia, Ricardo A., DDS 20505 South Dixie Hwy. 2999 Northeast 191 Street Garces, Carolina, DMD General Practice - Dental Suite 1683 Suite 804 General Practice - Dental 13876 Southwest 88th Street Cutler Bay, FL 33189 Aventura, FL 33180 2501 Southwest 22nd Street Miami, FL 33186 (305) 232-3737 (305) 466-1804 Miami, FL 33145 (305) 385-4215 (305) 858-2545 Provider ID #: 4881848 Provider ID #: 7184144 Provider ID #: 5437717 Primary Office #: 336904 Primary Office #: 550181 Provider ID #: 4167556 Primary Office #: 026631 Miami International Mall Dental, Miami Beach Dental Center - GP Primary Office #: 594519 Great Expressions Dental Centers- P.A. - GP Friedman, Rene Joyce, DDS Gateway Dental Inc - GP Miami Gardens-GP Fraga, Daynet, DMD General Practice - Dental Garcia Fernandez, Aliuska, DDS Garcia, Ricardo A., DDS General Practice - Dental 333 Arthur Godfrey Road General Practice - Dental General Practice - Dental 1455 Northwest 107th Avenue Suite 818 1050 Northwest 14th Street 17301 Northwest 27th Avenue Suite 584 Miami Beach, FL 33140 Suite 204 Miami Gardens, FL 33056 Doral, FL 33172 (305) 674-0095 Miami, FL 33136 (305) 624-1371 (305) 597-8787 (305) 325-0050 Provider ID #: 7184144 Provider ID #: 6728050 Provider ID #: 5025834 Primary Office #: 109889 Provider ID #: 7773087 Primary Office #: 109730 Primary Office #: 732602 Dental Center at Baptist - GP Primary Office #: 527579 Dental Excellence Partners, LLC Dental Options, P.A. - GP Friedman, Rene Joyce, DDS Dental Care Association, Corp. - GP Hialeah - GP Franco, Jaime F., DMD General Practice - Dental Garcia, Cristina, DDS Garcia, Suibel Boeras, DMD General Practice - Dental 8940 North Kendall Drive General Practice - Dental General Practice - Dental 11645 Biscayne Blvd. Suite 1005E 9275 Southwest 152nd Street 4410 West 16th Avenue Suite 204 Miami, FL 33176 Suite 106 Suite 58 North Miami, FL 33181 (305) 271-3001 Palmetto Bay, FL 33157 Hialeah, FL 33012 (305) 892-2960 (305) 233-6575 (305) 826-5224 Provider ID #: 7593353 Provider ID #: 5025834 Primary Office #: 868995 Provider ID #: 7773087 Provider ID #: 6627501 Primary Office #: 499716 USMILE of NMB, LLC - GP Primary Office #: 026647 Primary Office #: 861042 Dental Options, P.A. - GP Friend, Michael J., DMD Dental Associates of Kendall - GP Floridental Clinic - GP Franco, Jaime F., DMD General Practice - Dental Garcia, Cristina, DDS Gata Garcia, Lisset, DDS General Practice - Dental 1400 Northeast Miami Gardens Drive General Practice - Dental General Practice - Dental 2999 Northeast 191 Street Suite 215 11400 North Kendall Drive 9240 Southwest 72nd Street Suite 804 North Miami Beach, FL 33179 Suite 207 Suite 115 Aventura, FL 33180 (305) 956-9996 Miami, FL 33176 Miami, FL 33173 (305) 466-1804 (305) 271-2254 (305) 595-0557 Provider ID #: 4144271 Provider ID #: 5421505 Primary Office #: 336904 Provider ID #: 5336881 Provider ID #: 7443862 Primary Office #: 109765 Miami International Mall Dental, Primary Office #: 027802 Primary Office #: 318410 Franco, Michael P., DDS P.A. - GP Great Expressions Dental All Dental Group - GP General Practice - Dental Gandhi, Poorvi, DMD Centers-Aventura-GP Gherbali, Alexandra Diana, DDS 1800 West 68th Street General Practice - Dental Garcia, Luisa M., DMD General Practice - Dental Suite 115 1455 Northwest 107th Avenue General Practice - Dental 7415 Miami Lakes Drive Hialeah, FL 33014 Suite 584 19913 Biscayne Blvd. Hialeah, FL 33014 (305) 828-0023 Doral, FL 33172 Aventura, FL 33180 (305) 512-0066 (305) 597-8787 (305) 935-1400

September 2, 2020

Provider ID #: 7196684 Provider ID #: 9632732 Provider ID #: 5412854 Provider ID #: 4426939 Primary Office #: 878413 Primary Office #: 499716 Primary Office #: 554762 Primary Office #: 554762 The Dental Center at Aventura - GP Dental Options, P.A. - GP Southland Mall Dental - GP Southland Mall Dental - GP Godoy, Yami A., DDS Gonzalez, Elizabeth, DDS Gonzalez, Kenia, DMD Gonzalez, Yanela, DMD General Practice - Dental General Practice - Dental General Practice - Dental General Practice - Dental 19086 Northeast 29th Avenue 2999 Northeast 191 Street 20505 South Dixie Hwy. 20505 South Dixie Hwy. Miami, FL 33180 Suite 804 Suite 1683 Suite 1683 (305) 682-1554 Aventura, FL 33180 Cutler Bay, FL 33189 Cutler Bay, FL 33189 (305) 466-1804 (305) 232-3737 (305) 232-3737 Provider ID #: 7196684 Primary Office #: 026663 Provider ID #: 6966329 Provider ID #: 5412854 Provider ID #: 4426939 Towncare Dental of Hialeah Square Primary Office #: 109730 Primary Office #: 336904 Primary Office #: 336904 - GP Dental Excellence Partners, LLC Miami International Mall Dental, Miami International Mall Dental, Godoy, Yami A., DDS Hialeah - GP P.A. - GP P.A. - GP General Practice - Dental Gonzalez, Giovanni Alexander, Gonzalez, Kenia, DMD Gonzalez, Yanela, DMD 4186 West 12th Avenue DMD General Practice - Dental General Practice - Dental Hialeah, FL 33012 General Practice - Dental 1455 Northwest 107th Avenue 1455 Northwest 107th Avenue (305) 556-6291 4410 West 16th Avenue Suite 584 Suite 584 Suite 58 Doral, FL 33172 Doral, FL 33172 Provider ID #: 6821441 Hialeah, FL 33012 (305) 597-8787 (305) 597-8787 Primary Office #: 027802 (305) 826-5224 Great Expressions Dental Provider ID #: 4719314 Provider ID #: 6045342 Centers-Aventura-GP Provider ID #: 4819648 Primary Office #: 870584 Primary Office #: 732602 Goncalves Cordero, Jhezanuel Primary Office #: 827705 Sweet Smile Dental - GP Dental Options, P.A. - GP Carolina, DMD Westland Mall Dental - GP Gonzalez, Susana, DMD Gonzalez-Caceres, Ana Lina, DDS General Practice - Dental Gonzalez, Kelly Yojana, DMD General Practice - Dental General Practice - Dental 19913 Biscayne Blvd. General Practice - Dental 16010 Northwest 57th Avenue 11645 Biscayne Blvd. Aventura, FL 33180 1665 West 49th Street Suite 130 Suite 204 (305) 935-1400 Suite 1484 Miami Lakes, FL 33014 North Miami, FL 33181 Hialeah, FL 33012 (786) 536-9411 (305) 892-2960 Provider ID #: 6079929 (305) 828-7779 Primary Office #: 827705 Provider ID #: 6062388 Provider ID #: 5445213 Westland Mall Dental - GP Provider ID #: 4819648 Primary Office #: 251376 Primary Office #: 109667 Gonzalez Diaz, Ernesto, DDS Primary Office #: 554762 Sage Dental of Downtown Doral, Merritt D. Halem DDS P.A. - GP General Practice - Dental Southland Mall Dental - GP PLLC - GP Goral, Robert J., DDS 1665 West 49th Street Gonzalez, Kelly Yojana, DMD Gonzalez, Sutnamis, DDS General Practice - Dental Suite 1484 General Practice - Dental General Practice - Dental 1021 Ives Dairy Road Hialeah, FL 33012 20505 South Dixie Hwy. 5335 NW 87th Avenue Building 3, Suite 121 (305) 828-7779 Suite 1683 Suite C103 North Miami Beach, FL 33179 Cutler Bay, FL 33189 Doral, FL 33178 (954) 415-7707 Provider ID #: 6079929 (305) 232-3737 (786) 456-1710 Primary Office #: 336904 Provider ID #: 7893033 Miami International Mall Dental, Provider ID #: 4819648 Provider ID #: 6062388 Primary Office #: 732602 P.A. - GP Primary Office #: 336904 Primary Office #: 259903 Dental Options, P.A. - GP Gonzalez Diaz, Ernesto, DDS Miami International Mall Dental, Sage Dental of West Kendall, PLLC Gordon, Alexandra, DDS General Practice - Dental P.A. - GP - GP General Practice - Dental 1455 Northwest 107th Avenue Gonzalez, Kelly Yojana, DMD Gonzalez, Sutnamis, DDS 11645 Biscayne Blvd. Suite 584 General Practice - Dental General Practice - Dental Suite 204 Doral, FL 33172 1455 Northwest 107th Avenue 12554 N. Kendall Drive North Miami, FL 33181 (305) 597-8787 Suite 584 Miami, FL 33186 (305) 892-2960 Doral, FL 33172 (305) 830-0109 Provider ID #: 9632732 (305) 597-8787 Provider ID #: 7893033 Primary Office #: 732602 Provider ID #: 4426939 Primary Office #: 499716 Dental Options, P.A. - GP Provider ID #: 5412854 Primary Office #: 827705 Dental Options, P.A. - GP Gonzalez, Elizabeth, DDS Primary Office #: 827705 Westland Mall Dental - GP Gordon, Alexandra, DDS General Practice - Dental Westland Mall Dental - GP Gonzalez, Yanela, DMD General Practice - Dental 11645 Biscayne Blvd. Gonzalez, Kenia, DMD General Practice - Dental 2999 Northeast 191 Street Suite 204 General Practice - Dental 1665 West 49th Street Suite 804 North Miami, FL 33181 1665 West 49th Street Suite 1484 Aventura, FL 33180 (305) 892-2960 Suite 1484 Hialeah, FL 33012 (305) 466-1804 Hialeah, FL 33012 (305) 828-7779 (305) 828-7779

September 2, 2020

Primary Office #: 487851 Provider ID #: 4259756 Provider ID #: 5741924 Provider ID #: 7466713 Great Expressions Dental Centers - Primary Office #: 336904 Primary Office #: 758036 Primary Office #: 827705 Cutler Bay - GP Miami International Mall Dental, Jet Dental of Florida - GP Westland Mall Dental - GP General Practice - Dental P.A. - GP Gruzmark, Mitchell D., DMD Guilarte, Rhona E., DMD 20335 Old Cutler Road Green, George David, DDS General Practice - Dental General Practice - Dental Suite 200 General Practice - Dental 19086 Northeast 29 Avenue 1665 West 49th Street Miami, FL 33189 1455 Northwest 107th Avenue Suite 1A Suite 1484 (305) 238-6777 Suite 584 Aventura, FL 33180 Hialeah, FL 33012 Doral, FL 33172 (801) 430-9262 (305) 828-7779 Provider ID #: 5493964 (305) 597-8787 Primary Office #: 827705 Provider ID #: 9977984 Provider ID #: 7466713 Westland Mall Dental - GP Provider ID #: 7417024 Primary Office #: 428001 Primary Office #: 336904 Green, Beverly, DDS Primary Office #: 732602 Great Expressions Dental Centers - Miami International Mall Dental, General Practice - Dental Dental Options, P.A. - GP Calle Ocho - GP P.A. - GP 1665 West 49th Street Grigoropoulos, Marios, DDS Guerra, Daniel A., DMD Guilarte, Rhona E., DMD Suite 1484 General Practice - Dental General Practice - Dental General Practice - Dental Hialeah, FL 33012 11645 Biscayne Blvd. 2501 Southwest 22nd Street 1455 Northwest 107th Avenue (305) 828-7779 Suite 204 Miami, FL 33145 Suite 584 North Miami, FL 33181 (305) 858-2545 Doral, FL 33172 Provider ID #: 5493964 (305) 892-2960 (305) 597-8787 Primary Office #: 554762 Provider ID #: 4015089 Southland Mall Dental - GP Provider ID #: 7417024 Primary Office #: 827705 Provider ID #: 7353822 Green, Beverly, DDS Primary Office #: 499716 Westland Mall Dental - GP Primary Office #: 109889 General Practice - Dental Dental Options, P.A. - GP Guerra, Vannette, DDS Dental Center at Baptist - GP 20505 South Dixie Hwy. Grigoropoulos, Marios, DDS General Practice - Dental Guzman, Nestor E., DMD Suite 1683 General Practice - Dental 1665 West 49th Street General Practice - Dental Cutler Bay, FL 33189 2999 Northeast 191 Street Suite 1484 8940 North Kendall Drive (305) 232-3737 Suite 804 Hialeah, FL 33012 Suite 1005E Aventura, FL 33180 (305) 828-7779 Miami, FL 33176 Provider ID #: 5493964 (305) 466-1804 (305) 271-3001 Primary Office #: 336904 Provider ID #: 4015089 Miami International Mall Dental, Provider ID #: 6050471 Primary Office #: 554762 Provider ID #: 5430900 P.A. - GP Primary Office #: 827705 Southland Mall Dental - GP Primary Office #: 5430900 Green, Beverly, DDS Westland Mall Dental - GP Guerra, Vannette, DDS American Pediatric Dental Doral, General Practice - Dental Gruenberg, Alex, DDS General Practice - Dental Inc. - GP 1455 Northwest 107th Avenue General Practice - Dental 20505 South Dixie Hwy. Haghighi, Azin, DMD Suite 584 1665 West 49th Street Suite 1683 General Practice - Dental Doral, FL 33172 Suite 1484 Cutler Bay, FL 33189 7950 Northwest 53rd Street (305) 597-8787 Hialeah, FL 33012 (305) 232-3737 Suite 200 (305) 828-7779 Doral, FL 33166 Provider ID #: 4259756 Provider ID #: 4015089 (844) 304-5437 Primary Office #: 827705 Provider ID #: 6050471 Primary Office #: 336904 Westland Mall Dental - GP Primary Office #: 554762 Miami International Mall Dental, Provider ID #: 4645612 Green, George David, DDS Southland Mall Dental - GP P.A. - GP Primary Office #: 109667 General Practice - Dental Gruenberg, Alex, DDS Guerra, Vannette, DDS Merritt D. Halem DDS P.A. - GP 1665 West 49th Street General Practice - Dental General Practice - Dental Halem, Merritt Dean, DDS Suite 1484 20505 South Dixie Hwy. 1455 Northwest 107th Avenue General Practice - Dental Hialeah, FL 33012 Suite 1683 Suite 584 1021 Ives Dairy Road (305) 828-7779 Cutler Bay, FL 33189 Doral, FL 33172 Building 3, Suite 121 (305) 232-3737 (305) 597-8787 North Miami Beach, FL 33179 Provider ID #: 4259756 (954) 415-7707 Primary Office #: 554762 Provider ID #: 6050471 Provider ID #: 5294988 Southland Mall Dental - GP Primary Office #: 336904 Primary Office #: 484356 Provider ID #: 9558926 Green, George David, DDS Miami International Mall Dental, Jadent Inc. - GP Primary Office #: 019790 General Practice - Dental P.A. - GP Guevara, Anaely, DMD North Dade Dental Group - GP 20505 South Dixie Hwy. Gruenberg, Alex, DDS General Practice - Dental Haratz, Zina, DDS Suite 1683 General Practice - Dental 3945 Southwest 92nd Avenue General Practice - Dental Cutler Bay, FL 33189 1455 Northwest 107th Avenue Miami, FL 33165 16209 Northeast 13th Avenue (305) 232-3737 Suite 584 (305) 220-0066 North Miami Beach, FL 33162 Doral, FL 33172 (305) 940-9888 (305) 597-8787

September 2, 2020

Provider ID #: 9725177 Provider ID #: 4923780 Provider ID #: 4792269 Provider ID #: 5613655 Primary Office #: 870460 Primary Office #: 336904 Primary Office #: 454270 Primary Office #: 109923 Sage Dental of N. Miami Beach, Miami International Mall Dental, Gateway Dental Inc - GP J M Dental Group, Inc. P.A. - GP P.A. - GP Heredia, Abelardo, DDS Hernandez, Norberto Jose, DDS Harris, Ana M., DMD Hayate, Jessica F., DMD General Practice - Dental General Practice - Dental General Practice - Dental General Practice - Dental 1400 Northeast Miami Gardens Drive 1470 Northwest 107th Avenue 850 Ives Dairy Road 1455 Northwest 107th Avenue Suite 201 Suites F-G Suite T6 Suite 584 North Miami Beach, FL 33179 Miami, FL 33172 North Miami Beach, FL 33179 Doral, FL 33172 (305) 856-2300 (305) 594-8666 (305) 654-9399 (305) 597-8787 Provider ID #: 4792269 Provider ID #: 5790587 Provider ID #: 9332203 Provider ID #: 5281184 Primary Office #: 428001 Primary Office #: 519150 Primary Office #: 418357 Primary Office #: 317683 Great Expressions Dental Centers - Miami Lakes Dental Associates Verrett Holistic Dental, LLC Garmen Dental Care - GP Calle Ocho - GP Hernandez, Rutsie A., DMD Hasan-Verrett, Hajar F., DDS Hechavarria, Mirta, DDS Heredia, Abelardo, DDS General Practice - Dental General Practice - Dental General Practice - Dental General Practice - Dental 7975 Northwest 154th Street 3058 Northwest 79th Street 1334 Southwest 1st Street 2501 Southwest 22nd Street Suite 260 Miami, FL 33147 Miami, FL 33135 Miami, FL 33145 Miami Lakes, FL 33016 (305) 696-9999 (786) 580-3517 (305) 858-2545 (305) 392-1158

Provider ID #: 4923780 Provider ID #: 5484055 Provider ID #: 4892399 Provider ID #: 4852881 Primary Office #: 827705 Primary Office #: 577824 Primary Office #: 732602 Primary Office #: 109730 Westland Mall Dental - GP Gateway Dental Inc - GP Dental Options, P.A. - GP Dental Excellence Partners, LLC Hayate, Jessica F., DMD Hedgepeth, Quinton L., DDS Hernandez Acosta, Cristina M., Hialeah - GP General Practice - Dental General Practice - Dental DDS Hernandez, Stephanie Marie, DMD 1665 West 49th Street 2375 Southwest 27th Avenue General Practice - Dental General Practice - Dental Suite 1484 Miami, FL 33145 11645 Biscayne Blvd. 4410 West 16th Avenue Hialeah, FL 33012 (305) 856-2300 Suite 204 Suite 58 (305) 828-7779 North Miami, FL 33181 Hialeah, FL 33012 Provider ID #: 4604700 (305) 892-2960 (305) 826-5224 Provider ID #: 4923780 Primary Office #: 790325 Primary Office #: 732602 International Dental Clinic, P.A. - Provider ID #: 4892399 Provider ID #: 4852881 Dental Options, P.A. - GP GP Primary Office #: 499716 Primary Office #: 399437 Hayate, Jessica F., DMD Herdocia, Filiberto J., DDS Dental Options, P.A. - GP Dental Excellence Partners, LLC General Practice - Dental General Practice - Dental Hernandez Acosta, Cristina M., Miami - GP 11645 Biscayne Blvd. 9100 Southwest 24th Street DDS Hernandez, Stephanie Marie, DMD Suite 204 Suite 4 General Practice - Dental General Practice - Dental North Miami, FL 33181 Miami, FL 33165 2999 Northeast 191 Street 4500 Northwest 7th Street (305) 892-2960 (786) 401-6798 Suite 804 Miami, FL 33126 Aventura, FL 33180 (305) 443-9206 Provider ID #: 4923780 Provider ID #: 4792269 (305) 466-1804 Primary Office #: 554762 Primary Office #: 577824 Provider ID #: 4783863 Southland Mall Dental - GP Gateway Dental Inc - GP Provider ID #: 9378896 Primary Office #: 827705 Hayate, Jessica F., DMD Heredia, Abelardo, DDS Primary Office #: 506934 Westland Mall Dental - GP General Practice - Dental General Practice - Dental Sage Dental of West Miami, PLLC - Herrera, Ingrid C., DMD 20505 South Dixie Hwy. 2375 Southwest 27th Avenue GP General Practice - Dental Suite 1683 Miami, FL 33145 Hernandez Baco, Karen G., DMD 1665 West 49th Street Cutler Bay, FL 33189 (305) 856-2300 General Practice - Dental Suite 1484 (305) 232-3737 6820 Bird Road Hialeah, FL 33012 Provider ID #: 4792269 Miami, FL 33155 (305) 828-7779 Provider ID #: 4923780 Primary Office #: 594519 (786) 476-8711 Primary Office #: 499716 Gateway Dental Inc - GP Provider ID #: 4783863 Dental Options, P.A. - GP Heredia, Abelardo, DDS Provider ID #: 5438945 Primary Office #: 554762 Hayate, Jessica F., DMD General Practice - Dental Primary Office #: 346252 Southland Mall Dental - GP General Practice - Dental 1050 Northwest 14th Street Leung Dental Care Inc. - GP Herrera, Ingrid C., DMD 2999 Northeast 191 Street Suite 204 Hernandez Rivera, Ricardo N., DDS General Practice - Dental Suite 804 Miami, FL 33136 General Practice - Dental 20505 South Dixie Hwy. Aventura, FL 33180 (305) 325-0050 16200 Northeast 13th Avenue Suite 1683 (305) 466-1804 North Miami Beach, FL 33162 Cutler Bay, FL 33189 (305) 760-2950 (305) 232-3737

September 2, 2020

Provider ID #: 4783863 Provider ID #: 4191767 Provider ID #: 9606441 Provider ID #: 9138980 Primary Office #: 336904 Primary Office #: 499716 Primary Office #: 027802 Primary Office #: 554762 Miami International Mall Dental, Dental Options, P.A. - GP Great Expressions Dental Southland Mall Dental - GP P.A. - GP Horesh, Ettie, DMD Centers-Aventura-GP Jenkins, Shelane A., DDS Herrera, Ingrid C., DMD General Practice - Dental Iurcovich, Maximillian O., DMD General Practice - Dental General Practice - Dental 2999 Northeast 191 Street General Practice - Dental 20505 South Dixie Hwy. 1455 Northwest 107th Avenue Suite 804 19913 Biscayne Blvd. Suite 1683 Suite 584 Aventura, FL 33180 Aventura, FL 33180 Cutler Bay, FL 33189 Doral, FL 33172 (305) 466-1804 (305) 935-1400 (305) 232-3737 (305) 597-8787 Provider ID #: 4624773 Provider ID #: 9512929 Provider ID #: 9138980 Provider ID #: 9957158 Primary Office #: 019790 Primary Office #: 346252 Primary Office #: 336904 Primary Office #: 577824 North Dade Dental Group - GP Leung Dental Care Inc. - GP Miami International Mall Dental, Gateway Dental Inc - GP Hui, Tin W., DMD Jaffe, Avery C., DDS P.A. - GP Herrera, Victoria E., DDS General Practice - Dental General Practice - Dental Jenkins, Shelane A., DDS General Practice - Dental 16209 Northeast 13th Avenue 16200 Northeast 13th Avenue General Practice - Dental 2375 Southwest 27th Avenue North Miami Beach, FL 33162 North Miami Beach, FL 33162 1455 Northwest 107th Avenue Miami, FL 33145 (305) 940-9888 (305) 760-2950 Suite 584 (305) 856-2300 Doral, FL 33172 Provider ID #: 4624773 Provider ID #: 4144414 (305) 597-8787 Provider ID #: 9957158 Primary Office #: 019789 Primary Office #: 827705 Primary Office #: 594519 South Dade Dental Group - GP Westland Mall Dental - GP Provider ID #: 7483622 Gateway Dental Inc - GP Hui, Tin W., DMD Jenkins, Martin W., DDS Primary Office #: 732602 Herrera, Victoria E., DDS General Practice - Dental General Practice - Dental Dental Options, P.A. - GP General Practice - Dental 12651 South Dixie Highway 1665 West 49th Street Kalafatic, Frank K., DDS 1050 Northwest 14th Street Suite 400 Suite 1484 General Practice - Dental Suite 204 Miami, FL 33156 Hialeah, FL 33012 11645 Biscayne Blvd. Miami, FL 33136 (305) 595-4548 (305) 828-7779 Suite 204 (305) 325-0050 North Miami, FL 33181 Provider ID #: 9269760 Provider ID #: 4144414 (305) 892-2960 Provider ID #: 9957158 Primary Office #: 414625 Primary Office #: 554762 Primary Office #: 454270 Hutchinson-Dental - GP Southland Mall Dental - GP Provider ID #: 7483622 Gateway Dental Inc - GP Hutchinson, Paula, DDS Jenkins, Martin W., DDS Primary Office #: 499716 Herrera, Victoria E., DDS General Practice - Dental General Practice - Dental Dental Options, P.A. - GP General Practice - Dental 100 Northwest 170th Street 20505 South Dixie Hwy. Kalafatic, Frank K., DDS 1400 Northeast Miami Gardens Drive Suite 306 Suite 1683 General Practice - Dental Suite 201 North Miami Beach, FL 33169 Cutler Bay, FL 33189 2999 Northeast 191 Street North Miami Beach, FL 33179 (786) 235-5120 (305) 232-3737 Suite 804 (305) 856-2300 Aventura, FL 33180 Provider ID #: 9565068 Provider ID #: 4144414 (305) 466-1804 Provider ID #: 9670369 Primary Office #: 026663 Primary Office #: 336904 Primary Office #: 026631 Towncare Dental of Hialeah Square Miami International Mall Dental, Provider ID #: 7463484 Great Expressions Dental Centers- - GP P.A. - GP Primary Office #: 713237 Miami Gardens-GP Ickes, Lidia B., DDS Jenkins, Martin W., DDS Dr. Simon Kaswan, DDS - GP Hoffman, Tara L., DMD General Practice - Dental General Practice - Dental Kaswan, Simon E., DDS General Practice - Dental 4186 West 12th Avenue 1455 Northwest 107th Avenue General Practice - Dental 17301 Northwest 27th Avenue Hialeah, FL 33012 Suite 584 1021 Ives Dairy Road Miami Gardens, FL 33056 (305) 556-6291 Doral, FL 33172 Building 3, Suite 121 (305) 624-1371 (305) 597-8787 North Miami Beach, FL 33179 Provider ID #: 9469728 (305) 651-7760 Provider ID #: 4191767 Primary Office #: 761333 Provider ID #: 9138980 Primary Office #: 732602 Dental Associates of West Kendell - Primary Office #: 827705 Provider ID #: 6146672 Dental Options, P.A. - GP GP Westland Mall Dental - GP Primary Office #: 827705 Horesh, Ettie, DMD Iskander, Marian Rafat, DMD Jenkins, Shelane A., DDS Westland Mall Dental - GP General Practice - Dental General Practice - Dental General Practice - Dental Khan, Adiba, DMD 11645 Biscayne Blvd. 13400 Southwest 120 Street 1665 West 49th Street General Practice - Dental Suite 204 Suite 310 Suite 1484 1665 West 49th Street North Miami, FL 33181 Miami, FL 33186 Hialeah, FL 33012 Suite 1484 (305) 892-2960 (305) 255-9497 (305) 828-7779 Hialeah, FL 33012 (305) 828-7779

September 2, 2020

Provider ID #: 6146672 Provider ID #: 4789521 Provider ID #: 4331081 Provider ID #: 5899646 Primary Office #: 554762 Primary Office #: 827705 Primary Office #: 563229 Primary Office #: 336904 Southland Mall Dental - GP Westland Mall Dental - GP Kravitz Dental II Miami International Mall Dental, Khan, Adiba, DMD Kohn, Heather S., DDS Kravitz, Eugene B., DDS P.A. - GP General Practice - Dental General Practice - Dental General Practice - Dental Kunstmann, Vivian Rose, DDS 20505 South Dixie Hwy. 1665 West 49th Street 18482 Northwest 67th Avenue General Practice - Dental Suite 1683 Suite 1484 Miami, FL 33015 1455 Northwest 107th Avenue Cutler Bay, FL 33189 Hialeah, FL 33012 (305) 822-9696 Suite 584 (305) 232-3737 (305) 828-7779 Doral, FL 33172 Provider ID #: 6429262 (305) 597-8787 Provider ID #: 6146672 Provider ID #: 4789521 Primary Office #: 827705 Primary Office #: 336904 Primary Office #: 554762 Westland Mall Dental - GP Provider ID #: 5956179 Miami International Mall Dental, Southland Mall Dental - GP Krupnov, Vera, DMD Primary Office #: 732602 P.A. - GP Kohn, Heather S., DDS General Practice - Dental Dental Options, P.A. - GP Khan, Adiba, DMD General Practice - Dental 1665 West 49th Street Kusnick, Steven J., DDS General Practice - Dental 20505 South Dixie Hwy. Suite 1484 General Practice - Dental 1455 Northwest 107th Avenue Suite 1683 Hialeah, FL 33012 11645 Biscayne Blvd. Suite 584 Cutler Bay, FL 33189 (305) 828-7779 Suite 204 Doral, FL 33172 (305) 232-3737 North Miami, FL 33181 (305) 597-8787 Provider ID #: 6429262 (305) 892-2960 Provider ID #: 4789521 Primary Office #: 554762 Provider ID #: 4792202 Primary Office #: 336904 Southland Mall Dental - GP Provider ID #: 5956179 Primary Office #: 019790 Miami International Mall Dental, Krupnov, Vera, DMD Primary Office #: 499716 North Dade Dental Group - GP P.A. - GP General Practice - Dental Dental Options, P.A. - GP Kiani, Kamran, DMD Kohn, Heather S., DDS 20505 South Dixie Hwy. Kusnick, Steven J., DDS General Practice - Dental General Practice - Dental Suite 1683 General Practice - Dental 16209 Northeast 13th Avenue 1455 Northwest 107th Avenue Cutler Bay, FL 33189 2999 Northeast 191 Street North Miami Beach, FL 33162 Suite 584 (305) 232-3737 Suite 804 (305) 940-9888 Doral, FL 33172 Aventura, FL 33180 (305) 597-8787 Provider ID #: 6429262 (305) 466-1804 Provider ID #: 4792202 Primary Office #: 336904 Primary Office #: 827705 Provider ID #: 4949790 Miami International Mall Dental, Provider ID #: 7388385 Westland Mall Dental - GP Primary Office #: 827705 P.A. - GP Primary Office #: 510683 Kiani, Kamran, DMD Westland Mall Dental - GP Krupnov, Vera, DMD Liudmila Labrada, D.M.D., P.A. - GP General Practice - Dental Kopynets, Viktor V., DMD General Practice - Dental Labrada, Liudmila, DMD 1665 West 49th Street General Practice - Dental 1455 Northwest 107th Avenue General Practice - Dental Suite 1484 1665 West 49th Street Suite 584 15525 Bull Run Road Hialeah, FL 33012 Suite 1484 Doral, FL 33172 Miami Lakes, FL 33014 (305) 828-7779 Hialeah, FL 33012 (305) 597-8787 (305) 231-1820 (305) 828-7779 Provider ID #: 4792202 Provider ID #: 5899646 Provider ID #: 5458218 Primary Office #: 388682 Provider ID #: 4949790 Primary Office #: 827705 Primary Office #: 109597 Acadia Family Dental Primary Office #: 554762 Westland Mall Dental - GP Lanster Dental Associates Kiani, Kamran, DMD Southland Mall Dental - GP Kunstmann, Vivian Rose, DDS Lanster, Robert, DDS General Practice - Dental Kopynets, Viktor V., DMD General Practice - Dental General Practice - Dental 19517 Northwest 57th Avenue General Practice - Dental 1665 West 49th Street 7399 Coral Way Miami, FL 33055 20505 South Dixie Hwy. Suite 1484 Miami, FL 33155 (305) 621-3111 Suite 1683 Hialeah, FL 33012 (305) 261-7661 Cutler Bay, FL 33189 (305) 828-7779 Provider ID #: 4792202 (305) 232-3737 Provider ID #: 5251451 Primary Office #: 336904 Provider ID #: 5899646 Primary Office #: 109597 Miami International Mall Dental, Provider ID #: 4949790 Primary Office #: 554762 Lanster Dental Associates P.A. - GP Primary Office #: 336904 Southland Mall Dental - GP Lanster, Steven Mark, DMD Kiani, Kamran, DMD Miami International Mall Dental, Kunstmann, Vivian Rose, DDS General Practice - Dental General Practice - Dental P.A. - GP General Practice - Dental 7399 Coral Way 1455 Northwest 107th Avenue Kopynets, Viktor V., DMD 20505 South Dixie Hwy. Miami, FL 33155 Suite 584 General Practice - Dental Suite 1683 (305) 261-7661 Doral, FL 33172 1455 Northwest 107th Avenue Cutler Bay, FL 33189 (305) 597-8787 Suite 584 (305) 232-3737 Doral, FL 33172 (305) 597-8787

September 2, 2020

Provider ID #: 7892047 Provider ID #: 7687747 Provider ID #: 6693992 Provider ID #: 9470936 Primary Office #: 536810 Primary Office #: 026663 Primary Office #: 827705 Primary Office #: 827705 Springs Dental Towncare Dental of Hialeah Square Westland Mall Dental - GP Westland Mall Dental - GP Lewkowicz, Esther, DMD - GP Lopez, Catherine, DMD Lopez, Grace Patricia, DMD General Practice - Dental Lleo, Pedro Daniel, DDS General Practice - Dental General Practice - Dental 657 South Drive General Practice - Dental 1665 West 49th Street 1665 West 49th Street Suite 301 4186 West 12th Avenue Suite 1484 Suite 1484 Miami Springs, FL 33166 Hialeah, FL 33012 Hialeah, FL 33012 Hialeah, FL 33012 (305) 885-9721 (305) 556-6291 (305) 828-7779 (305) 828-7779

Provider ID #: 4684967 Provider ID #: 7278487 Provider ID #: 6693992 Provider ID #: 9470936 Primary Office #: 827705 Primary Office #: 827705 Primary Office #: 554762 Primary Office #: 554762 Westland Mall Dental - GP Westland Mall Dental - GP Southland Mall Dental - GP Southland Mall Dental - GP Licina, Zeljka, DDS Loftus, Shamus Lavin, DDS Lopez, Catherine, DMD Lopez, Grace Patricia, DMD General Practice - Dental General Practice - Dental General Practice - Dental General Practice - Dental 1665 West 49th Street 1665 West 49th Street 20505 South Dixie Hwy. 20505 South Dixie Hwy. Suite 1484 Suite 1484 Suite 1683 Suite 1683 Hialeah, FL 33012 Hialeah, FL 33012 Cutler Bay, FL 33189 Cutler Bay, FL 33189 (305) 828-7779 (305) 828-7779 (305) 232-3737 (305) 232-3737

Provider ID #: 4684967 Provider ID #: 7278487 Provider ID #: 6693992 Provider ID #: 9470936 Primary Office #: 554762 Primary Office #: 554762 Primary Office #: 336904 Primary Office #: 336904 Southland Mall Dental - GP Southland Mall Dental - GP Miami International Mall Dental, Miami International Mall Dental, Licina, Zeljka, DDS Loftus, Shamus Lavin, DDS P.A. - GP P.A. - GP General Practice - Dental General Practice - Dental Lopez, Catherine, DMD Lopez, Grace Patricia, DMD 20505 South Dixie Hwy. 20505 South Dixie Hwy. General Practice - Dental General Practice - Dental Suite 1683 Suite 1683 1455 Northwest 107th Avenue 1455 Northwest 107th Avenue Cutler Bay, FL 33189 Cutler Bay, FL 33189 Suite 584 Suite 584 (305) 232-3737 (305) 232-3737 Doral, FL 33172 Doral, FL 33172 (305) 597-8787 (305) 597-8787 Provider ID #: 4684967 Provider ID #: 7278487 Primary Office #: 336904 Primary Office #: 336904 Provider ID #: 6781104 Provider ID #: 5292197 Miami International Mall Dental, Miami International Mall Dental, Primary Office #: 827705 Primary Office #: 545048 P.A. - GP P.A. - GP Westland Mall Dental - GP Ponce Dental - GP Licina, Zeljka, DDS Loftus, Shamus Lavin, DDS Lopez, Elssy Carolynne, DDS Lopez, Manuel G., DDS General Practice - Dental General Practice - Dental General Practice - Dental General Practice - Dental 1455 Northwest 107th Avenue 1455 Northwest 107th Avenue 1665 West 49th Street 3190 Ponce de Leon Blvd. Suite 584 Suite 584 Suite 1484 Coral Gables, FL 33134 Doral, FL 33172 Doral, FL 33172 Hialeah, FL 33012 (305) 774-7273 (305) 597-8787 (305) 597-8787 (305) 828-7779 Provider ID #: 7191982 Provider ID #: 4783677 Provider ID #: 4163861 Provider ID #: 6781104 Primary Office #: 328692 Primary Office #: 878413 Primary Office #: 448670 Primary Office #: 554762 CMC Dental Services Corp - GP The Dental Center at Aventura - GP Bella Smile Dental Inc - GP Southland Mall Dental - GP Lopez, Mayra M., DDS Llapur, Carlos A., DMD Lopez Perez, Victor M., DDS Lopez, Elssy Carolynne, DDS General Practice - Dental General Practice - Dental General Practice - Dental General Practice - Dental 6791 West Flagler Street 19086 Northeast 29th Avenue 3015 Northwest 79th Street 20505 South Dixie Hwy. Miami, FL 33144 Miami, FL 33180 Suite 105 Suite 1683 (305) 261-0633 (305) 682-1554 Miami, FL 33147 Cutler Bay, FL 33189 (305) 556-9473 (305) 232-3737 Provider ID #: 4807237 Provider ID #: 7687747 Primary Office #: 732602 Primary Office #: 262034 Provider ID #: 4163861 Provider ID #: 6781104 Dental Options, P.A. - GP Superior Dental Team - GP Primary Office #: 537599 Primary Office #: 336904 Lora-Mejia, Marlene, DDS Lleo, Pedro Daniel, DDS Victor M Lopez DDS, P.A. - GP Miami International Mall Dental, General Practice - Dental General Practice - Dental Lopez Perez, Victor M., DDS P.A. - GP 11645 Biscayne Blvd. 148 Hialeah Drive General Practice - Dental Lopez, Elssy Carolynne, DDS Suite 204 Hialeah, FL 33010 7158 Southwest 117th Avenue General Practice - Dental North Miami, FL 33181 (786) 360-6262 Miami, FL 33183 1455 Northwest 107th Avenue (305) 892-2960 (305) 271-2517 Suite 584 Doral, FL 33172 (305) 597-8787

September 2, 2020

Provider ID #: 4807237 Provider ID #: 9325833 Provider ID #: 7295234 Provider ID #: 7614952 Primary Office #: 499716 Primary Office #: 827705 Primary Office #: 109889 Primary Office #: 807574 Dental Options, P.A. - GP Westland Mall Dental - GP Dental Center at Baptist - GP Sage Dental of Coral Gables - GP Lora-Mejia, Marlene, DDS Maniglia, Marielba D., DMD Manzur, Lamya, DMD Margulies, Samuel Aaron, DDS General Practice - Dental General Practice - Dental General Practice - Dental General Practice - Dental 2999 Northeast 191 Street 1665 West 49th Street 8940 North Kendall Drive 1 Alhambra Plaza Suite 804 Suite 1484 Suite 1005E Suite 25 Aventura, FL 33180 Hialeah, FL 33012 Miami, FL 33176 Coral Gables, FL 33134 (305) 466-1804 (305) 828-7779 (305) 271-3001 (786) 507-4440

Provider ID #: 5511850 Provider ID #: 9325833 Provider ID #: 5368761 Provider ID #: 7614952 Primary Office #: 109889 Primary Office #: 411933 Primary Office #: 019790 Primary Office #: 577729 Dental Center at Baptist - GP Smile Solutions Dental Group - GP North Dade Dental Group - GP Sage Dental of Pinecrest, PLLC - Lubin, Victor Darien, DMD Maniglia, Marielba D., DMD Marenco, Marcelino J., DDS GP General Practice - Dental General Practice - Dental General Practice - Dental Margulies, Samuel Aaron, DDS 8940 North Kendall Drive 8200 West 33rd Avenue 16209 Northeast 13th Avenue General Practice - Dental Suite 1005E Bay-5 North Miami Beach, FL 33162 12965 South Dixie Hwy. Miami, FL 33176 Hialeah, FL 33018 (305) 940-9888 Pinecrest, FL 33156 (305) 271-3001 (305) 640-5501 (305) 853-8559 Provider ID #: 5368761 Provider ID #: 4764021 Provider ID #: 5067785 Primary Office #: 019789 Provider ID #: 5824984 Primary Office #: 487851 Primary Office #: 827705 South Dade Dental Group - GP Primary Office #: 346431 Great Expressions Dental Centers - Westland Mall Dental - GP Marenco, Marcelino J., DDS JR Dental Office - GP Cutler Bay - GP Manzur, Kasim, DMD General Practice - Dental Marini, Nohelia R., DDS Luis, Michelle E., DMD General Practice - Dental 12651 South Dixie Highway General Practice - Dental General Practice - Dental 1665 West 49th Street Suite 400 6847 West 4th Avenue 20335 Old Cutler Road Suite 1484 Miami, FL 33156 Hialeah, FL 33014 Suite 200 Hialeah, FL 33012 (305) 595-4548 (786) 431-5000 Miami, FL 33189 (305) 828-7779 (305) 238-6777 Provider ID #: 7614952 Provider ID #: 7140890 Provider ID #: 5067785 Primary Office #: 312916 Primary Office #: 827705 Provider ID #: 9066979 Primary Office #: 554762 Towncare Dental of Cutler Bay - GP Westland Mall Dental - GP Primary Office #: 487851 Southland Mall Dental - GP Margulies, Samuel Aaron, DDS Marquez, Jaime R., DDS Great Expressions Dental Centers - Manzur, Kasim, DMD General Practice - Dental General Practice - Dental Cutler Bay - GP General Practice - Dental 20533 Old Cutler Road 1665 West 49th Street Macagno, Jessica J., DMD 20505 South Dixie Hwy. Miami, FL 33189 Suite 1484 General Practice - Dental Suite 1683 (305) 233-1118 Hialeah, FL 33012 20335 Old Cutler Road Cutler Bay, FL 33189 (305) 828-7779 Suite 200 (305) 232-3737 Provider ID #: 7614952 Miami, FL 33189 Primary Office #: 026654 Provider ID #: 7140890 (305) 238-6777 Provider ID #: 5067785 Dental Associates of Homestead, Primary Office #: 554762 Primary Office #: 336904 P.A. Southland Mall Dental - GP Provider ID #: 5394477 Miami International Mall Dental, Margulies, Samuel Aaron, DDS Marquez, Jaime R., DDS Primary Office #: 028017 P.A. - GP General Practice - Dental General Practice - Dental Palmetto Smile Center - GP Manzur, Kasim, DMD 925 Northeast 30th Terrace 20505 South Dixie Hwy. Maderal, Martha E., DDS General Practice - Dental Suite 114 Suite 1683 General Practice - Dental 1455 Northwest 107th Avenue Homestead, FL 33033 Cutler Bay, FL 33189 6500 Cowpen Road Suite 584 (305) 247-0099 (305) 232-3737 Suite 104 Doral, FL 33172 Miami Lakes, FL 33014 (305) 597-8787 Provider ID #: 7614952 Provider ID #: 7140890 (305) 827-3926 Primary Office #: 268975 Primary Office #: 336904 Provider ID #: 7295234 Towncare Dental of Pinecrest - GP Miami International Mall Dental, Provider ID #: 5064183 Primary Office #: 378929 Margulies, Samuel Aaron, DDS P.A. - GP Primary Office #: 309516 Towncare Dental of West Kendall - General Practice - Dental Marquez, Jaime R., DDS Maderal-Cozad, Ana, DDS GP 8353 Southwest 124th Street General Practice - Dental General Practice - Dental Manzur, Lamya, DMD Suite 202 1455 Northwest 107th Avenue 7725 Northwest 146 Street General Practice - Dental Miami, FL 33156 Suite 584 Miami Lakes, FL 33016 15724 Southwest 72nd Street (305) 253-7227 Doral, FL 33172 (305) 827-9148 Miami, FL 33193 (305) 597-8787 (305) 388-7900

September 2, 2020

Provider ID #: 7558660 Provider ID #: 7992911 Provider ID #: 9901893 Provider ID #: 6858651 Primary Office #: 428001 Primary Office #: 550181 Primary Office #: 487851 Primary Office #: 026663 Great Expressions Dental Centers - Miami Beach Dental Center - GP Great Expressions Dental Centers - Towncare Dental of Hialeah Square Calle Ocho - GP Martinez, Tamara Tatiana, DDS Cutler Bay - GP - GP Marrero, Jaydee A., DDS General Practice - Dental Mauskar, Sagar Shreekant, DMD McHugh-Van, Allyson Marie, DDS General Practice - Dental 333 Arthur Godfrey Road General Practice - Dental General Practice - Dental 2501 Southwest 22nd Street Suite 818 20335 Old Cutler Road 4186 West 12th Avenue Miami, FL 33145 Miami Beach, FL 33140 Suite 200 Hialeah, FL 33012 (305) 858-2545 (305) 674-0095 Miami, FL 33189 (305) 556-6291 (305) 238-6777 Provider ID #: 5446100 Provider ID #: 7992911 Provider ID #: 6142112 Primary Office #: 109713 Primary Office #: 109874 Provider ID #: 7803105 Primary Office #: 428001 Martin, Ciro A., DDS Palm Dental Center - GP Primary Office #: 312916 Great Expressions Dental Centers - General Practice - Dental Martinez, Tamara Tatiana, DDS Towncare Dental of Cutler Bay - GP Calle Ocho - GP 8463 Bird Road General Practice - Dental Maya, Alvaro, DMD Medina, Andre Alberto, DMD Miami, FL 33155 7150 West 20th Avenue General Practice - Dental General Practice - Dental (305) 551-6714 Suite 102 20533 Old Cutler Road 2501 Southwest 22nd Street Hialeah, FL 33016 Miami, FL 33189 Miami, FL 33145 Provider ID #: 5132109 (305) 556-3313 (305) 233-1118 (305) 858-2545 Primary Office #: 026663 Towncare Dental of Hialeah Square Provider ID #: 7471984 Provider ID #: 7803105 Provider ID #: 5748062 - GP Primary Office #: 827705 Primary Office #: 268975 Primary Office #: 029747 Martin, Felipe Ricardo, DDS Westland Mall Dental - GP Towncare Dental of Pinecrest - GP Hialeah Dental Associates Inc General Practice - Dental Matthews, Irina V., DMD Maya, Alvaro, DMD Mendez, Antonio, DMD 4186 West 12th Avenue General Practice - Dental General Practice - Dental General Practice - Dental Hialeah, FL 33012 1665 West 49th Street 8353 Southwest 124th Street 2106 West 68th Street (305) 556-6291 Suite 1484 Suite 202 Hialeah, FL 33016 Hialeah, FL 33012 Miami, FL 33156 (305) 827-6661 Provider ID #: 9356554 (305) 828-7779 (305) 253-7227 Primary Office #: 732602 Provider ID #: 9351360 Dental Options, P.A. - GP Provider ID #: 7471984 Provider ID #: 7803105 Primary Office #: 721069 Martinez, Ernesto, DDS Primary Office #: 554762 Primary Office #: 026663 Ace Smiles Dental Associates General Practice - Dental Southland Mall Dental - GP Towncare Dental of Hialeah Square Mendoza, Irenia, DDS 11645 Biscayne Blvd. Matthews, Irina V., DMD - GP General Practice - Dental Suite 204 General Practice - Dental Maya, Alvaro, DMD 14138 Southwest 8th Street North Miami, FL 33181 20505 South Dixie Hwy. General Practice - Dental Suite 1 (305) 892-2960 Suite 1683 4186 West 12th Avenue Miami, FL 33184 Cutler Bay, FL 33189 Hialeah, FL 33012 (786) 717-7779 Provider ID #: 9356554 (305) 232-3737 (305) 556-6291 Primary Office #: 747843 Provider ID #: 9062532 EM Dental, Corp. - GP Provider ID #: 7471984 Provider ID #: 5191354 Primary Office #: 363435 Martinez, Ernesto, DDS Primary Office #: 336904 Primary Office #: 027802 Hialeah Dental Center, P.A. General Practice - Dental Miami International Mall Dental, Great Expressions Dental Mendoza, Milagros O., DMD 2742 Southwest 8th Street P.A. - GP Centers-Aventura-GP General Practice - Dental Suite 220 Matthews, Irina V., DMD McCown, Michael Glynn, DMD 1518 West 49th Street Miami, FL 33135 General Practice - Dental General Practice - Dental Hialeah, FL 33012 (305) 541-4677 1455 Northwest 107th Avenue 19913 Biscayne Blvd. (305) 823-2661 Suite 584 Aventura, FL 33180 Provider ID #: 6842099 Doral, FL 33172 (305) 935-1400 Provider ID #: 9062532 Primary Office #: 878413 (305) 597-8787 Primary Office #: 026654 The Dental Center at Aventura - GP Provider ID #: 6858651 Dental Associates of Homestead, Martinez, Javier, DDS Provider ID #: 9901893 Primary Office #: 109889 P.A. General Practice - Dental Primary Office #: 026631 Dental Center at Baptist - GP Mendoza, Milagros O., DMD 19086 Northeast 29th Avenue Great Expressions Dental Centers- McHugh-Van, Allyson Marie, DDS General Practice - Dental Miami, FL 33180 Miami Gardens-GP General Practice - Dental 925 Northeast 30th Terrace (305) 682-1554 Mauskar, Sagar Shreekant, DMD 8940 North Kendall Drive Suite 114 General Practice - Dental Suite 1005E Homestead, FL 33033 Provider ID #: 7021790 17301 Northwest 27th Avenue Miami, FL 33176 (305) 247-0099 Primary Office #: 026631 Miami Gardens, FL 33056 (305) 271-3001 Great Expressions Dental Centers- (305) 624-1371 Miami Gardens-GP Martinez, Milton F., DMD General Practice - Dental 17301 Northwest 27th Avenue Miami Gardens, FL 33056 (305) 624-1371

September 2, 2020

Provider ID #: 9880961 Provider ID #: 7495231 Provider ID #: 6753938 Provider ID #: 5441973 Primary Office #: 612635 Primary Office #: 454270 Primary Office #: 336904 Primary Office #: 554762 Sylvia M. Santana, P.A. - GP Gateway Dental Inc - GP Miami International Mall Dental, Southland Mall Dental - GP Mentrasti, Sylvia M., DMD Miranda, Pablo E., DMD P.A. - GP Morell, Omar, DMD General Practice - Dental General Practice - Dental Montenegro Valor, Christian, DMD General Practice - Dental 11300 Northwest 87th Court 1400 Northeast Miami Gardens Drive General Practice - Dental 20505 South Dixie Hwy. Suite 166 Suite 201 1455 Northwest 107th Avenue Suite 1683 Hialeah, FL 33018 North Miami Beach, FL 33179 Suite 584 Cutler Bay, FL 33189 (305) 364-9322 (305) 856-2300 Doral, FL 33172 (305) 232-3737 (305) 597-8787 Provider ID #: 5130974 Provider ID #: 6176636 Provider ID #: 5441973 Primary Office #: 827705 Primary Office #: 827705 Provider ID #: 5015575 Primary Office #: 336904 Westland Mall Dental - GP Westland Mall Dental - GP Primary Office #: 029165 Miami International Mall Dental, Merikas, Amanda M., DMD Moini, Marshall D., DMD Morales, Enrique, Jr, DDS P.A. - GP General Practice - Dental General Practice - Dental General Practice - Dental Morell, Omar, DMD 1665 West 49th Street 1665 West 49th Street 3009 East 4th Avenue General Practice - Dental Suite 1484 Suite 1484 Hialeah, FL 33013 1455 Northwest 107th Avenue Hialeah, FL 33012 Hialeah, FL 33012 (305) 691-1616 Suite 584 (305) 828-7779 (305) 828-7779 Doral, FL 33172 Provider ID #: 5002090 (305) 597-8787 Provider ID #: 5130974 Provider ID #: 6176636 Primary Office #: 550181 Primary Office #: 554762 Primary Office #: 554762 Miami Beach Dental Center - GP Provider ID #: 5508994 Southland Mall Dental - GP Southland Mall Dental - GP Morales, Ronald Joseph, DMD Primary Office #: 5508994 Merikas, Amanda M., DMD Moini, Marshall D., DMD General Practice - Dental Westland Mall Dental - SP General Practice - Dental General Practice - Dental 333 Arthur Godfrey Road Mutawalli, Khalid H., DDS 20505 South Dixie Hwy. 20505 South Dixie Hwy. Suite 818 General Practice - Dental Suite 1683 Suite 1683 Miami Beach, FL 33140 1665 West 49th Street Cutler Bay, FL 33189 Cutler Bay, FL 33189 (305) 674-0095 Suite 1484 (305) 232-3737 (305) 232-3737 Hialeah, FL 33012 Provider ID #: 5002090 (305) 828-5759 Provider ID #: 5130974 Provider ID #: 6176636 Primary Office #: 109874 Primary Office #: 336904 Primary Office #: 336904 Palm Dental Center - GP Provider ID #: 5508994 Miami International Mall Dental, Miami International Mall Dental, Morales, Ronald Joseph, DMD Primary Office #: 5508994 P.A. - GP P.A. - GP General Practice - Dental Miami International Mall Dental, Merikas, Amanda M., DMD Moini, Marshall D., DMD 7150 West 20th Avenue P.A. - SP General Practice - Dental General Practice - Dental Suite 102 Mutawalli, Khalid H., DDS 1455 Northwest 107th Avenue 1455 Northwest 107th Avenue Hialeah, FL 33016 General Practice - Dental Suite 584 Suite 584 (305) 556-3313 1455 Northwest 107th Avenue Doral, FL 33172 Doral, FL 33172 Suite 584 (305) 597-8787 (305) 597-8787 Provider ID #: 5002090 Doral, FL 33172 Primary Office #: 027802 (305) 597-8787 Provider ID #: 7495231 Provider ID #: 6753938 Great Expressions Dental Primary Office #: 577824 Primary Office #: 827705 Centers-Aventura-GP Provider ID #: 4951218 Gateway Dental Inc - GP Westland Mall Dental - GP Morales, Ronald Joseph, DMD Primary Office #: 109874 Miranda, Pablo E., DMD Montenegro Valor, Christian, DMD General Practice - Dental Palm Dental Center - GP General Practice - Dental General Practice - Dental 19913 Biscayne Blvd. Narvaez de V, Veronica Cecilia, 2375 Southwest 27th Avenue 1665 West 49th Street Aventura, FL 33180 DDS Miami, FL 33145 Suite 1484 (305) 935-1400 General Practice - Dental (305) 856-2300 Hialeah, FL 33012 7150 West 20th Avenue (305) 828-7779 Provider ID #: 5441973 Suite 102 Provider ID #: 7495231 Primary Office #: 827705 Hialeah, FL 33016 Primary Office #: 594519 Provider ID #: 6753938 Westland Mall Dental - GP (305) 556-3313 Gateway Dental Inc - GP Primary Office #: 554762 Morell, Omar, DMD Miranda, Pablo E., DMD Southland Mall Dental - GP General Practice - Dental Provider ID #: 7373477 General Practice - Dental Montenegro Valor, Christian, DMD 1665 West 49th Street Primary Office #: 030832 1050 Northwest 14th Street General Practice - Dental Suite 1484 Great Expressions Dental Suite 204 20505 South Dixie Hwy. Hialeah, FL 33012 Centers-Kendale Lakes-GP Miami, FL 33136 Suite 1683 (305) 828-7779 Nazario-Lugo, Beatriz T., DMD (305) 325-0050 Cutler Bay, FL 33189 General Practice - Dental (305) 232-3737 13876 Southwest 88th Street Miami, FL 33186 (305) 385-4215

September 2, 2020

Provider ID #: 7373477 Provider ID #: 5523267 Provider ID #: 4841893 Provider ID #: 7313774 Primary Office #: 026631 Primary Office #: 109706 Primary Office #: 336904 Primary Office #: 030835 Great Expressions Dental Centers- Nin, Frederick J., DDS Miami International Mall Dental, Great Expressions Dental Centers - Miami Gardens-GP General Practice - Dental P.A. - GP Dadeland - GP Nazario-Lugo, Beatriz T., DMD 9425 Northeast 6th Avenue Ospina, Carolina, DMD Papir, Jessica B., DMD General Practice - Dental Miami Shores, FL 33138 General Practice - Dental General Practice - Dental 17301 Northwest 27th Avenue (305) 758-8755 1455 Northwest 107th Avenue 7300 North Kendall Drive Miami Gardens, FL 33056 Suite 584 Suite 110 (305) 624-1371 Provider ID #: 6729909 Doral, FL 33172 Miami, FL 33156 Primary Office #: 318998 (305) 597-8787 (305) 670-4476 Provider ID #: 9174355 Care Dental Group LLC - GP Primary Office #: 827705 Oliva Perez, Ilieg, DDS Provider ID #: 6977492 Provider ID #: 7313774 Westland Mall Dental - GP General Practice - Dental Primary Office #: 758036 Primary Office #: 499716 Nelson, John A., DDS 4201 Palm Avenue Jet Dental of Florida - GP Dental Options, P.A. - GP General Practice - Dental Suite 2D Ospina, Luz Aida, DDS Papir, Jessica B., DMD 1665 West 49th Street Hialeah, FL 33012 General Practice - Dental General Practice - Dental Suite 1484 (305) 456-6474 19086 Northeast 29 Avenue 2999 Northeast 191 Street Hialeah, FL 33012 Suite 1A Suite 804 (305) 828-7779 Provider ID #: 6729909 Aventura, FL 33180 Aventura, FL 33180 Primary Office #: 350394 (801) 430-9262 (305) 466-1804 Provider ID #: 9174355 Care Dental Group LLC - GP Primary Office #: 554762 Oliva Perez, Ilieg, DDS Provider ID #: 9904180 Provider ID #: 5418152 Southland Mall Dental - GP General Practice - Dental Primary Office #: 724632 Primary Office #: 109702 Nelson, John A., DDS 13920 Southwest 47 Street All Dental Paradise Corp. - GP Parayuelos, Hector E., Jr, DDS General Practice - Dental Suite A105-106 Palacios, Ana Ysabel, DDS General Practice - Dental 20505 South Dixie Hwy. Miami, FL 33175 General Practice - Dental 1140 West 50th Street Suite 1683 (786) 870-4469 15 Southwest 107th Avenue Suite 201 Cutler Bay, FL 33189 Miami, FL 33174 Hialeah, FL 33012 (305) 232-3737 Provider ID #: 4188215 (305) 506-6616 (305) 823-2086 Primary Office #: 251376 Provider ID #: 9174355 Sage Dental of Downtown Doral, Provider ID #: 4975448 Provider ID #: 7640936 Primary Office #: 336904 PLLC - GP Primary Office #: 758036 Primary Office #: 758036 Miami International Mall Dental, Orta, Ines A., DDS Jet Dental of Florida - GP Jet Dental of Florida - GP P.A. - GP General Practice - Dental Palmer, Melissa, DMD Park, James, DMD Nelson, John A., DDS 5335 NW 87th Avenue General Practice - Dental General Practice - Dental General Practice - Dental Suite C103 19086 Northeast 29 Avenue 19086 Northeast 29 Avenue 1455 Northwest 107th Avenue Doral, FL 33178 Suite 1A Suite 1A Suite 584 (786) 456-1710 Aventura, FL 33180 Aventura, FL 33180 Doral, FL 33172 (801) 430-9262 (801) 430-9262 (305) 597-8787 Provider ID #: 4188215 Primary Office #: 026663 Provider ID #: 7904333 Provider ID #: 4955945 Provider ID #: 6196694 Towncare Dental of Hialeah Square Primary Office #: 268975 Primary Office #: 312916 Primary Office #: 827705 - GP Towncare Dental of Pinecrest - GP Towncare Dental of Cutler Bay - GP Westland Mall Dental - GP Orta, Ines A., DDS Pandey, Anita, DMD Paul, Alexander D., DMD Nguyen, Michelle P., DMD General Practice - Dental General Practice - Dental General Practice - Dental General Practice - Dental 4186 West 12th Avenue 8353 Southwest 124th Street 20533 Old Cutler Road 1665 West 49th Street Hialeah, FL 33012 Suite 202 Miami, FL 33189 Suite 1484 (305) 556-6291 Miami, FL 33156 (305) 233-1118 Hialeah, FL 33012 (305) 253-7227 (305) 828-7779 Provider ID #: 4841893 Provider ID #: 5818788 Primary Office #: 827705 Provider ID #: 7313774 Primary Office #: 550181 Provider ID #: 6196694 Westland Mall Dental - GP Primary Office #: 732602 Miami Beach Dental Center - GP Primary Office #: 336904 Ospina, Carolina, DMD Dental Options, P.A. - GP Pena, Maria L., DDS Miami International Mall Dental, General Practice - Dental Papir, Jessica B., DMD General Practice - Dental P.A. - GP 1665 West 49th Street General Practice - Dental 333 Arthur Godfrey Road Nguyen, Michelle P., DMD Suite 1484 11645 Biscayne Blvd. Suite 818 General Practice - Dental Hialeah, FL 33012 Suite 204 Miami Beach, FL 33140 1455 Northwest 107th Avenue (305) 828-7779 North Miami, FL 33181 (305) 674-0095 Suite 584 (305) 892-2960 Doral, FL 33172 (305) 597-8787

September 2, 2020

Provider ID #: 5835179 Provider ID #: 9949104 Provider ID #: 7613786 Primary Office #: 817964 Primary Office #: 612635 Primary Office #: 594519 Ada L. Penate D.D.S., P.A. - GP Sylvia M. Santana, P.A. - GP Gateway Dental Inc - GP Penate, Ada Lourdes, DDS Perez, Idalmes, DDS Perrotti, Steven D., DMD General Practice - Dental General Practice - Dental General Practice - Dental 14609 Southwest 104th Street 11300 Northwest 87th Court 1050 Northwest 14th Street Miami, FL 33186 Suite 166 Suite 204 (305) 388-3725 Hialeah, FL 33018 Miami, FL 33136 (305) 364-9322 (305) 325-0050 Provider ID #: 5110878 Primary Office #: 732602 Provider ID #: 6883960 Provider ID #: 7613786 Dental Options, P.A. - GP Primary Office #: 547558 Primary Office #: 454270 Pereira, Ieshy, DMD Sage Dental of The Lakes, PLLC - Gateway Dental Inc - GP General Practice - Dental GP Perrotti, Steven D., DMD 11645 Biscayne Blvd. Perez, Jeffrey Isaias, DMD General Practice - Dental Suite 204 General Practice - Dental 1400 Northeast Miami Gardens Drive North Miami, FL 33181 16879 NW 67th Avenue Suite 201 (305) 892-2960 Miami Lakes, FL 33014 North Miami Beach, FL 33179 (305) 654-9609 (305) 856-2300 Provider ID #: 5110878 Primary Office #: 499716 Provider ID #: 6883960 Provider ID #: 6057567 Dental Options, P.A. - GP Primary Office #: 870460 Primary Office #: 336904 Pereira, Ieshy, DMD Sage Dental of N. Miami Beach, Miami International Mall Dental, General Practice - Dental P.A. - GP P.A. - GP 2999 Northeast 191 Street Perez, Jeffrey Isaias, DMD Pham, Quynhnhu, DDS Suite 804 General Practice - Dental General Practice - Dental Aventura, FL 33180 850 Ives Dairy Road 1455 Northwest 107th Avenue (305) 466-1804 Suite T6 Suite 584 North Miami Beach, FL 33179 Doral, FL 33172 Provider ID #: 6966224 (305) 654-9399 (305) 597-8787 Primary Office #: 736989 Perez Dental Group Inc. - GP Provider ID #: 7113922 Provider ID #: 9922855 Perez Carmona, Alba E., DDS Primary Office #: 378929 Primary Office #: 827705 General Practice - Dental Towncare Dental of West Kendall - Westland Mall Dental - GP 7801 Coral Way GP Pinero-Correa, Rosario Mairym, Suite 122 Perez-Alamo, Jennifer Y., DDS DDS Miami, FL 33155 General Practice - Dental General Practice - Dental (786) 360-3694 15724 Southwest 72nd Street 1665 West 49th Street Miami, FL 33193 Suite 1484 Provider ID #: 7983221 (305) 388-7900 Hialeah, FL 33012 Primary Office #: 109874 (305) 828-7779 Palm Dental Center - GP Provider ID #: 7113922 Perez Diaz, Elizabeth, DDS Primary Office #: 109889 Provider ID #: 9922855 General Practice - Dental Dental Center at Baptist - GP Primary Office #: 554762 7150 West 20th Avenue Perez-Alamo, Jennifer Y., DDS Southland Mall Dental - GP Suite 102 General Practice - Dental Pinero-Correa, Rosario Mairym, Hialeah, FL 33016 8940 North Kendall Drive DDS (305) 556-3313 Suite 1005E General Practice - Dental Miami, FL 33176 20505 South Dixie Hwy. Provider ID #: 4001659 (305) 271-3001 Suite 1683 Primary Office #: 774661 Cutler Bay, FL 33189 Gentle Teeth of Kendall - GP Provider ID #: 7613786 (305) 232-3737 Perez, Annabel, DMD Primary Office #: 577824 General Practice - Dental Gateway Dental Inc - GP 6670 Southwest 117th Avenue Perrotti, Steven D., DMD Miami, FL 33183 General Practice - Dental (305) 595-3400 2375 Southwest 27th Avenue Miami, FL 33145 (305) 856-2300