PLEASE KEEP THIS IN YOUR FUND BOOKLET

Local 485 Health and Welfare Fund 7130 Columbia Gateway Drive, Suite A, Columbia, MD 21046

Summary of Material Modifications #3

To: ALL PLAN PARTICIPANTS April 2021

This Notice, called a “Summary of Material Modification” (SMM), advises you of a change in the information presented in the Fund’s Summary Plan Description (SPD) that was previously provided to you. Please read this SMM and keep it with your 2020 Summary Plan Description and if you have any questions, contact the Fund Office at (410) 872-9500.

NEW DENTAL NETWORK PANEL Effective May 1, 2021, the Trustees have hired a new company to provide Dental services to members, spouses, and dependents of the Plan. If you need Dental Services starting May 1, 2021, contact DDS, Inc. DDS, Inc. can be reached at (800)-255-5681 or www.ddsinc.net.

You must use a DDS, Inc. participating panel dentist for dental services. A list of panel dentists is attached. Please visit www.ddsinc.net for the most up-to-date list of panel dentists (click on “Patients Only” and “Find a Provider” and enter “485” under “Union Number”). Through DDS, Inc., you will have access to a much larger network of dentists.

A list of covered services is attached. Each member, spouse, and dependent has an annual individual maximum benefit of $1,250 for covered services during the Fund’s Plan Year, May 1 to April 30 of each year. Copayments will only apply for certain services, including crowns and dentures. Please note that certain services are not covered; a list of these exclusions is attached.

DDS, Inc. will be provided an up-to-date record of your eligibility and will use that information to confirm that you or your family members are eligible for services on the date(s) of your appointments. Enclosed is an identification card. This card is not proof of eligibility, please contact DDS for current eligibility. You should carry a photo ID.

No dental services will be provided by AMERICAN DENTAL after April 30, 2021; as of May 1, 2021, all dental services must be provided by a DDS, Inc. panel dentist. You may request a copy of your dental records from your prior dentist who must provide them to you.

Please see the attached information and visit DDS, Inc.’s website, www.ddsinc.net, for more information.

The Trustees are confident that you will enjoy better access to coverage. In the meantime, if you have any questions regarding the information contained in this notice, please contact the Fund Office above.

Sincerely,

BOARD OF TRUSTEES

Plan of Benefits and Exclusions

• Annual Maximum Benefit Payments You have an annual per patient maximum benefit of $1,250 for general dentistry during the Fund’s Plan Year, May 1 to April 30 of each year. No benefits will be paid by the Fund in excess of $1,250 per Plan Year. You will be responsible for all benefit expenses in excess of $1,250 during the Fund’s Plan Year. Those additional expenses for each covered service provided by a Participating Dentist are as follows: the amount that the Fund would pay for the service as well as any copayment you would normally be charged for the service. These amounts are shown on the “List of Covered Dental Services,” below.

• Basic Services o Panoramic and full series x-rays covered once a year. o Fluoride and sealants for dependents under the age of nineteen (19) only. o Only four (4) quads of perio scalings can be done in twelve (12) months and are not covered if done on the same day as prophylaxis.

• Prosthetics Prosthetic devices, crowns, bridges, and dentures are eligible for replacement three (3) years after the date of insertion.

• Orthodontics You must make 100% Copayment; participating panel dentists are required to charge you only the copayments for orthodontic services shown in the “List of Covered Dental Services” below. EXCLUSIONS

All services not listed “List of Covered Dental Services” below are excluded from coverage under this plan.

The following are also not covered: services or supplies that are not medically necessary for treatment of any injury, illness, or condition. Only services and supplies that are necessary to identify or treat a condition that has been diagnosed or is reasonably expected to exist, and are (1) consistent with the diagnosis and treatment of the condition; (2) in accordance with standards of good dental practice; (3) required for reasons other than convenience to the Participant, the dentist, or another provider of service; and (4) the most appropriate level of service or supplies that can safely be provided. The fact that a service or supply is prescribed by a dentist or other provider does not necessarily mean that it is medically necessary.

List of Covered Dental Services

Services not listed below are excluded from coverage under this plan.

What the Fund pays towards CODE DESCRIPTION Copay your $1,250 annual maximum D0120 PERIODIC ORAL EVALUATION-ESTABLISHED PATIENT $18.00 $0.00 D0140 LIMITED ORAL EVALUATION-PROBLEM FOCUSED $18.00 $0.00 D0150 COMPREHENSIVE ORAL EXAM $18.00 $0.00 D0160 DETAILED AND EXTENSIVE ORAL EVALUATION-PROBLEM $18.00 $0.00 D0180 COMPREHENSIVE PERIODONTAL EVALUATION- $18.00 $0.00 D0210 X-RAYS-COMPLETE SERIES $30.00 $0.00 D0220 X-RAYS-PERIAPICAL 1ST FILM $4.00 $0.00 D0230 X-RAYS-PERIAPICAL EACH ADDL $3.00 $0.00 D0240 X-RAYS-OCCLUSAL FILM $11.00 $0.00 D0250 EXTRA-ORAL 2D PROJECTION RADIOGRAPHIC IMAGE $25.00 $0.00 D0270 X-RAYS-1 BITEWING $10.00 $0.00 D0272 X-RAYS-2 BITEWINGS $12.00 $0.00 D0274 X-RAYS-4 BITEWINGS $16.00 $0.00 D0320 TEMPOROMANDIBULAR JOINT ANTHROGRAM, INCLUDING $29.00 $0.00 D0330 X-RAYS-PANORAMIC FILM $30.00 $0.00 D0340 2D CEPHALOMETRIC RADIOGRAPHIC IMAGE-ACQUISITION, $35.00 $0.00 D0431 BACTERIOLOGIC EXAM/TESTS $24.00 $0.00 D0460 PULP VITALITY TESTS $17.00 $0.00 D0470 DIAGNOSTIC CASTS $17.00 $0.00 D1110 DENTAL PROPHYLAXIS-ADULT $25.00 $0.00 D1120 DENTAL PROPHYLAXIS-CHILD $25.00 $0.00 D1208 FLUORIDE TREATMENT $15.00 $0.00 D1351 SEALANT-PER TOOTH $16.00 $0.00 D1510 SPACE MAINTAINER-FIXED UNILAT $117.00 $0.00 D1516 SPACE MAINTAINER-FIXED-BILATERAL,MAXILLARY $117.00 $0.00 D1517 SPACE MAINTAINER-FIXED-BILATERAL,MANDIBULAR $117.00 $0.00 D1520 SPACE MAINTAINER-REMOV.UNILAT $117.00 $0.00 D1526 SPACE MAINTAINER-REMOVABLE-BILATERAL,MAXILLARY $117.00 $0.00 D1527 SPACE MAINTAINER-REMOVABLE-BILATERAL,MANDIBULAR $117.00 $0.00 D1551 RE-CEMENT OR RE-BOND BILATERAL SPACE MAINTAINER- MAX $55.00 $0.00 D1552 RE-CEMENT OR RE-BOND BILATERAL SPACE MAINTAINER- MAN $55.00 $0.00 D1553 RE-CEMENT OR RE-BOND BILATERAL SPACE MAINTAINER- MAN $55.00 $0.00 D1556 REMOVAL OF FIXED SPACE MAINTAINER-PROCEDURE MAX $30.00 $0.00 D1557 REMOVAL OF FIXED SPACE MAINTAINER-PROCEDURE MAND $30.00 $0.00 D1558 REMOVAL OF FIXED BILATERAL SPACE MAINTAINER $30.00 $0.00 D2140 AMALGAM-1 SURFACE,PRIM.,PERM. $15.00 $0.00 D2150 AMALGAM-2 SURFACES,PRIM.,PERM. $27.00 $0.00 D2160 AMALGAM-3 SURFACES,PRIM.,PERM. $38.00 $0.00 D2161 AMALGAM-4+SURFACES,PRIM.,PERM. $66.00 $0.00 D2330 COMPOSITE-1 SURFACE,ANTERIOR $22.00 $0.00

D2331 COMPOSITE-2 SURFACES,ANTERIOR $32.00 $0.00 D2332 COMPOSITE-3 SURFACES,ANTERIOR $53.00 $0.00 D2335 COMPOSITE-4+SURF/INCISAL,ANT. $75.00 $0.00 D2391 COMPOSITE-1 SURFACE,POSTERIOR $22.00 $0.00 D2392 COMPOSITE-2 SURFACES,POSTERIOR $32.00 $0.00 D2393 COMPOSITE-3 SURFACES,POSTERIOR $53.00 $0.00 D2394 COMPOSITE-4 SURFACES,POSTERIOR $67.00 $0.00 D2720 CROWN-RESIN/HIGH NOBLE METAL $292.50 $157.50 D2722 CROWN - RESIN NOBLE METAL $292.50 $157.50 D2740 CROWN-PORCELAIN/CERAMIC $325.00 $175.00 D2751 CROWN-PORCE PREDOM BASE METAL $325.00 $175.00 D2752 CROWN - PORCELAIN NOBLE METAL $325.00 $175.00 D2915 RE-CEMENT OR RE-BOND POST $22.00 $0.00 D2920 RECEMENT CROWN $22.00 $0.00 D2930 PREFABRICATED STAINLESS STEEL CROWN-PRIMARY TOOTH $71.50 $38.50 D2931 STAINLESS STEEL CROWN-PERM. $71.50 $38.50 D2932 PREFABRICATED RESIN CROWN $71.50 $38.50 D2940 PROTECTIVE RESTORATION $45.00 $0.00 D2950 CORE BUILDUP - INC PINS $75.00 $0.00 D2952 CAST POST AND CORE $125.00 $0.00 D2954 PREFABRICATED POST AND CORE $125.00 $0.00 D3110 PULP CAP-DIRECT $15.00 $0.00 D3120 PULP CAP-INDIRECT $15.00 $0.00 D3220 THERAPEUTIC PULPOTOMY $80.00 $0.00 D3221 PULPAL DEBRIDEMENT, PRIMARY AND PERM TTH $80.00 $0.00 D3310 ROOT CANAL-ANTERIOR $180.00 $0.00 D3320 ROOT CANAL-BICUSPID $300.00 $0.00 D3330 ROOT CANAL-MOLAR $400.00 $0.00 D3331 TREATMENT OF ROOT CANAL OBSTRUCTION NON-SURGICAL $130.00 $0.00 D3346 RETREATMENT OF ROOT CANAL-ANTERIOR TTH $475.00 $0.00 D3347 RETREATMENT OF ROOT CANAL-BICUSPID TTH $575.00 $0.00 D3348 RETREATMENT OF ROOT CANAL-MOLAR TOOTH $625.00 $0.00 D3430 RETROGRADE FILLING $65.00 $0.00 D3450 ROOT AMPUTATION-PER ROOT $125.00 $0.00 D3920 HEMISECTION (INCLUDING ANY ROOT REMOVAL),NOT $110.00 $0.00 D4341 PERIODONTAL SCALING/ROOT PLANING-QUAD $27.00 $0.00 D4355 FULL MOUTH DEBRIDEMENT TO ENABLE COMPREHENSIVE $70.00 $0.00 D4381 LOCALIZED DELIVERY OF ANTIMICROBIAL AGENTS VIA A $30.00 $0.00 D5110 COMPLETE DENTURE-MAXILLARY $375.00 $125.00 D5120 COMPLETE DENTURE-MANDIBULAR $375.00 $125.00 D5130 IMMEDIATE DENTURE-MAXILLARY $375.00 $125.00 D5140 IMMEDIATE DENTURE-MANDIBULAR $375.00 $125.00 D5211 MAXILLARY PARTIAL DENTURE-RESIN BASE (INCLUDING $315.00 $105.00 D5212 MANDIBULAR PARTIAL DENTURE-RESIN BASE (INCLUDING $315.00 $105.00 D5213 MAXILLARY PARTIAL DENTURE-CAST METAL FRAMEWORK $315.00 $105.00 D5214 MANDIBULAR PARTIAL DENTURE-CAST METAL FRAMEWORK $315.00 $105.00 D6210 PONTIC-CAST HIGH NOBLE METAL $292.50 $157.50 D6211 PONTIC-CAST PREDOMINATELY BASE METAL $292.50 $157.50 D6212 PONTIC-CAST NOBLE METAL $292.50 $157.50

D6241 PONTIC-PORCE PREDOM BASE METAL $325.00 $175.00 D6242 PONTIC - PORCELAIN NOBLE METAL $325.00 $175.00 D6250 PONTIC-RESIN/HIGH NOBLE METAL $292.50 $157.50 D6251 PONTIC-RESIN WITH PREDOMINATELY BASE METAL $292.50 $157.50 D6252 PONTIC - RESIN NOBLE METAL $292.50 $157.50 D6720 ABUTMENT-RESIN HIGH NOBLE MTL $292.50 $157.50 D6722 ABUTMENT-PORCELAIN NOBLE METAL $325.00 $175.00 D6740 ABUTMENT-PORCELAIN/CERAMIC $325.00 $175.00 D6751 ABUTMENT-PORCE PREDOM BASE MTL $325.00 $175.00 D6752 ABUTMENT-PORCELAIN NOBLE METAL $325.00 $175.00 D7111 EXTRACTION,CORONAL REMNANTS-PRIMARY TOOTH $55.00 $0.00 D7140 EXTRACTION-ERUPTED TTH-EXPOSED $55.00 $0.00 D7210 SURGICAL REMOVAL ERUPTED TOOTH $85.00 $0.00 D7220 REMOVAL IMPACTED TTH-SOFT TISS $125.00 $0.00 D7230 REMOVAL IMPACTED TTH-PRTL BONY $152.00 $0.00 D7240 REMOVAL IMPACTED TTH-FULL BONY $175.00 $0.00 D7250 SURGICAL REMOVAL OF RESIDUAL TOOTH ROOTS $110.00 $0.00 D7285 BIOPSY OF ORAL TISSUE-HARD $100.00 $0.00 D7286 BIOPSY OF ORAL TISSUE-SOFT $150.00 $0.00 D7310 ALVEOLOPLASTY W/EXT-QUAD $100.00 $0.00 D7311 ALVEOLOPLASTY IN CONJUNCTION WITH EXTRACTIONS- $90.00 $0.00 D7320 ALVEOLOPLASTY W/O EXT-QUAD $150.00 $0.00 D7321 ALVEOLOPLASTY W/O EXT 1-3 TEETH $150.00 $0.00 D8050 INTERCEPTIVE ORTHODONTIC TREATMENT OF THE PRIMARY* $0.00 $600.00 D8060 INTERCEPTIVE ORTHODONTIC TREATMENT OF THE* $0.00 $600.00 D8070 COMPREHENSIVE ORTHODONTIC TREATMENT OF THE* $0.00 $600.00 D8080 COMPREHENSIVE ORTHODONTIC TREATMENT OF THE* $0.00 $600.00 D8090 COMPREHENSIVE ORTHODONTIC TREATMENT OF THE ADULT* $0.00 $600.00 D8670 ORTHO-ACTIVE MONTHLY TREATMENT $0.00 $125.00 D8680 RETENTION - INCLUDES RETAINER FEES $0.00 $400.00 D9110 PALLIATIVE TREATMENT $25.00 $0.00 D9222 DEEP SED/GEN ANSETH - 1ST 15 MIN* $0.00 $50.00 D9223 DEEP SED/GEN ANSETH - EA ADDL 15 MIN* $0.00 $50.00 D9239 I.V. SEDATION/ANALGESIA - 1ST 15 MIN* $0.00 $50.00 D9243 I.V. SEDATION/ANALGESIA - EA ADDL 15 MIN* $0.00 $50.00 D9310 CONSULTATION BY A SPECIALIST* $0.00 $50.00

*You are required to make 100% copayment for this service, as the Fund does not cover this service; participating panel dentists are required to charge you the copayment shown here. DDS PANEL OF DENTISTS DDS PANEL 1282021 To mae an appointment to see one of the panel dentists P eneral Practice ORAL Oral Surgery please call and identify yourself as a member of ORTHO Orthodontics The panel list changes so please chec the participating PERIO Periodontics PEDO Pedodontics status of your dentist B E F O R E you start treatment. ENDO Endodontics

NEW YORK

DOCTOR NAME ADDRESS CITY ST IP COUNTY TELEPHONE TYPE

WA DENTAL MANAGEMENT, PLLC 805 SOUNDVIEW AVENUE BRONX NY 10473 BRONX 718-620-4200 GP COEHNS GENTLE DENTAL 100 ALCOTT PLACE, BLDG 18 BRONX NY 10475 BRONX 718-585-4400 GP TREMONT SMILES DENTAL PC 563 E TREMONT AVENUE BRONX NY 10457 BRONX 718-466-4500 GP THIRD AVENUE BRONX DENTAL PC 2740 THIRD AVENUE BRONX NY 10455 BRONX 718-618-0162 GP FORDHAM ROAD DENTAL PC 327 EAST FORDHAM ROAD, 2ND FLOO BRONX NY 10458 BRONX 718-933-8400 GP GLAD DENTAL, P.C. 293 EAST 149TH STREET BRONX NY 10451 BRONX 646-404-5005 GP EMPIRE DENTAL CARE, P.C. 1963 GRAND CONCOURSE BRONX NY 10453 BRONX 718-294-8800 GP BRUCNER DENTAL GROUP LLP 910 THIERIOT AVE, 1C BRONX NY 10473 BRONX 718-589-3131 GP BROADWAY DENTAL PC 48 E INGSBRIDGE ROAD BRONX NY 10468 BRONX 718-933-9603 GP SMILE NEW YOR OUTREACH, LLC 1808 CROTONA PARWAY BRONX NY 10460 BRONX 718-484-3338 GP IRTI TEWARI DENTAL PC 3754 WHITE PLAINS ROAD BRONX NY 10467 BRONX 718-547-7570 GP SOUTH BRONX ORTHODONTICS 2825 THIRD AVE, STE. 406 4TH FL BRONX NY 10455 BRONX 718-292-4700 GP LIEBERMAN BARNETT, DDS P.C. 1645 GRAND CONCOURSE, 1J BRONX NY 10452 BRONX 718-299-7012 GP PEG GENERAL DENTAL 747 MELROSE AVENUE BRONX NY 10451 BRONX 718-585-5124 GP MODERN SMILES DENTAL CARE 1387 CASTLE HILL AVENUE BRONX NY 10462 BRONX 718-863-2777 GP CONCOURSE PLAA FAMILY DENTAL L 230 EAST 161ST STREET BRONX NY 10451 BRONX 718-992-8200 GP NEW YOR DENTAL HEALTH PC 2202 GRAND CONCOURSE BRONX NY 10457 BRONX 718-365-6389 GP NEW HORION DENTAL, PC. 961 EAST 174TH STREET, STE.B150 BRONX NY 10460 BRONX 718-861-8060 GP PARCHESTER DENTAL GROUP, LLP 7 HUGH J. GRANT CIRCLE BRONX NY 10462 BRONX 718-792-0137 GP NATIONAL DENTAL PLLC 2535 GRAND CONCOURSE BRONX NY 10468 BRONX 718-365-4900 GP MICHAEL AGHELIAN 2005 NEREID AVENUE BRONX NY 10466 BRONX 718-994-8282 GP BABA BEHMANESH 670 MORRIS PAR AVENUE BRONX NY 10462 BRONX 718-863-0148 GP OFER COHEN 183 WEST 231ST STREET BRONX NY 10463 BRONX 718-543-1123 GP OFER COHEN 1 EAST FORDHAM ROAD BRONX NY 10468 BRONX 718-585-4400 GP OFER COHEN 2169 WHITE PLAINS ROAD BRONX NY 10462 BRONX 718-597-6314 GP CHRISTOPHER DILLON 64 METROPOLITAN OVAL, STE. 9 BRONX NY 10462 BRONX 718-892-5095 GP JEFFREY GOLDSTEIN 910 GRAND CONCOURSE, STE 1A BRONX NY 10451 BRONX 718-538-2410 GP JOHN G. HABIB 505 CLAREMONT PARWAY BRONX NY 10457 BRONX 718-299-3600 GP BENJAMIN V ATAYEV 140-1 DERUIF PLACE BRONX NY 10475 BRONX 718-379-1700 GP STEIVE IM 630 COURTLANDT AVENUE BRONX NY 10451 BRONX 718-993-4300 GP PRIYA PARASHER 124 EAST 170TH STREET BRONX NY 10472 BRONX 718-293-7670 GP AARON POLINSY 2532 UNIVERSITY AVENUE BRONX NY 10468 BRONX 718-295-0203 GP CLIFFORD SALOSHIN 2277 WESTCHESTER AVE. BRONX NY 10462 BRONX 718-829-4646 GP HARVEY SCHILOWTI, DDS 2740 THIRD AVENUE BRONX NY 10455 BRONX 718-618-0162 GP MALVIA TICOO 3366 BOSTON ROAD BRONX NY 10469 BRONX 718-547-5280 GP ERIC GOLDFARB 466 EAST FORDHAM ROAD BRONX NY 10458 BRONX 718-365-4300 GP ROBERT BOGAN 5606 BROADWAY BRONX NY 10463 BRONX 718-549-5544 GP CONCERNED DENTAL CARE OF BRON 55 EAST MOSHOLU PARWAY BRONX NY 10467 BRONX 718-652-7370 GP ADVANCED BRONX DENTAL PLLC 237 WILLIS AVENUE BRONX NY 10454 BRONX 718-292-6209 ENDO DENTAL SPECIALTIES OF NY 301 E. GUN HILL ROAD BRONX NY 10467 BRONX 718-740-6000 ENDO JAY FENSTERSTOC 55 EAST MOSHOLU PARWAY BRONX NY 10467 BRONX 718-652-7370 ENDO BENJAMIN V ATAYEV 140-1 DERUIF PLACE BRONX NY 10475 BRONX 718-379-1700 ENDO MANHATTAN ORAL FACIAL SURG,LLC 6118 RIVERDALE AVENUE BRONX NY 10471 BRONX 347-590-9915 ORAL MANHATTAN ORAL FACIAL SURG, LLC 3457 BOSTON ROAD BRONX NY 10469 BRONX 347-590-9916 ORAL MANHATTAN ORAL FACIAL SURG,LLC 1241 CASTLE HILL AVENUE BRONX NY 10462 BRONX 347-590-9917 ORAL DENTAL SPECIALTIES OF NY 301 E. GUN HILL ROAD BRONX NY 10467 BRONX 718-740-6000 ORAL TOOTHFAIRY NYC ORALMAXILLOFA 563 E TREMONT AVENUE BRONX NY 10457 BRONX 718-466-4500 ORAL MANHATTAN ORAL FACIAL SURG,LLC 3056 THIRD AVENUE BRONX NY 10451 BRONX 347-590-9251 ORAL TREMONT SMILES DENTAL PC 563 E TREMONT AVENUE BRONX NY 10457 BRONX 718-466-4500 ORAL MANHATTAN ORAL FACIAL SURG,LLC 2403 GRAND CONCOURSE BRONX NY 10468 BRONX 347-590-8150 ORAL ADVANCED BRONX DENTAL PLLC 237 WILLIS AVENUE BRONX NY 10454 BRONX 718-292-6209 ORAL JOHN G. HABIB 505 CLAREMONT PARWAY BRONX NY 10457 BRONX 718-299-3600 ORAL BENJAMIN V ATAYEV 140-1 DERUIF PLACE BRONX NY 10475 BRONX 718-379-1700 ORAL SOUTH BRONX ORTHODONTICS 2825 THIRD AVE, STE. 406 4TH FL BRONX NY 10455 BRONX 718-292-4700 ORTHO NORTHEASTERN BRACES 2825 3RD AVENUE, STE. 403 BRONX NY 10465 BRONX 917-801-3600 ORTHO ADVANCED BRONX DENTAL PLLC 237 WILLIS AVENUE BRONX NY 10454 BRONX 718-292-6209 ORTHO SOUTH BRONX ORTHODONTICS, PLLC 25 WESTCHESTER SQUARE BRONX NY 10461 BRONX 929-388-4800 ORTHO

Page 1 SOUTH BRONX ORTHODONTICS, LLC 2194 WHITE PLAINS ROAD BRONX NY 10462 BRONX 929-388-4488 ORTHO SOUTH BRONX ORTHODONTICS PLLC 942 SOUTHERN BLVD BRONX NY 10459 BRONX 929-487-0777 ORTHO SOUTH BRONX ORTHODONTICS PLLC 86 WEST 225TH STREET BRONX NY 10463 BRONX 929-388-4388 ORTHO WA DENTAL MANAGEMENT, PLLC 805 SOUNDVIEW AVENUE BRONX NY 10473 BRONX 718-620-4200 ORTHO SOUTH BRONX ORTHODONTICS 3457 JEROME AVENUE BRONX NY 10467 BRONX 929-487-2777 ORTHO AMERICAN DENTAL OFFICES, PLLC 2535 GRAND CONCOURSE BRONX NY 10468 BRONX 718-365-4900 ORTHO MODERN ORTHODONTICS 355 E. 149TH ST, STE. 202 BRONX NY 10455 BRONX 718-993-5454 ORTHO PARCHESTER DENTAL GROUP, LLP 7 HUGH J. GRANT CIRCLE BRONX NY 10462 BRONX 718-792-0137 ORTHO SOUTH BRONX ORTHODONTICS PLLC 1552 WESTCHESTER AVENUE BRONX NY 10472 BRONX 929-390-7090 ORTHO NAITA AMINPOUR 665 THWAITES PLACE BRONX NY 10467 BRONX 718-655-6486 ORTHO EMIL BAILEY 468 E. FORDHAM ROAD BRONX NY 10458 BRONX 347-801-8888 ORTHO EMIL BAILEY 555 E FORDHAM ROAD BRONX NY 10458 BRONX 347-801-8888 ORTHO SANFORD SCHIMMEL 3265 JOHNSON AVENUE, STE. 104 BRONX NY 10463 BRONX 718-548-4768 ORTHO SCOTT E. WEISS 1423 OVERING STREET BRONX NY 10461 BRONX 718-597-3584 ORTHO NEW HORION DENTAL, PC. 961 EAST 174TH STREET, STE.B150 BRONX NY 10460 BRONX 718-861-8060 PEDO DENTAL SPECIALTIES OF NY 301 E. GUN HILL ROAD BRONX NY 10467 BRONX 718-740-6000 PEDO BENJAMIN V ATAYEV 140-1 DERUIF PLACE BRONX NY 10475 BRONX 718-379-1700 PEDO ERIC GOLDFARB 466 EAST FORDHAM ROAD BRONX NY 10458 BRONX 718-365-4300 PEDO ADVANCED BRONX DENTAL PLLC 237 WILLIS AVENUE BRONX NY 10454 BRONX 718-292-6209 PERIO BAY PLAA MALL DENTAL PLLC 200 BAYCHESTER AVE, STE. 311C BRONX NY 10475 BRONX 347-625-6438 PERIO DENTAL SPECIALTIES OF NY 301 E. GUN HILL ROAD BRONX NY 10467 BRONX 718-740-6000 PERIO EMPIRE DENTAL SERVICES, INC. 1231 WHITE PLAINS ROAD BRONX NY 10472 BRONX 718-822-7645 PERIO PARCHESTER DENTAL GROUP, LLP 7 HUGH J. GRANT CIRCLE BRONX NY 10462 BRONX 718-792-0137 PERIO JEFFREY GOLDSTEIN 910 GRAND CONCOURSE, STE 1A BRONX NY 10451 BRONX 718-538-2410 PERIO BENJAMIN V ATAYEV 140-1 DERUIF PLACE BRONX NY 10475 BRONX 718-379-1700 PERIO

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AFFORDABLE GENERAL DENTISTRY 198 MAIN STREET HAMBURG NY 14075 ERIE 716-649-5280 GP

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COLLURA, D.M.D., PC 121 EAST 60TH STREET, 4 NEW YOR NY 10019 MANHATTAN 212-980-7857 ENDO AMRAN FOROUGHI 225 BROADWAY, ME LEVEL NEW YOR NY 10007 MANHATTAN 212-374-9500 ENDO SCOTT SCHECHTER 65 EAST 76TH STREET, STE. 2B NEW YOR NY 10021 MANHATTAN 212-772-9722 ENDO SCOTT SCHECTER 919 SECOND AVENUE, 2ND FLOOR NEW YOR NY 10017 MANHATTAN 212-949-6105 ENDO HARLEM DENTAL CARE PLLC 163 W 145TH STREET NEW YOR NY 10039 MANHATTAN 212-281-9200 ORAL YES DENTAL OF NY, PLLC 1420 ST. 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Page 4 DENTAL SPECIALTY ASSOC 225 BROADWAY, ME LEVEL NEW YOR NY 10007 MANHATTAN 212-374-9500 PEDO JULIA HOVSY 3928 BROADWAY, 1ST FL NEW YOR NY 10032 MANHATTAN 212-543-0200 PEDO AMERICAN DENTAL OFFICES, PLLC 241 WEST 30TH ST NEW YOR NY 10001 MANHATTAN 917-351-0200 PERIO GROUP HEALTH DENTAL FACILITY 230 WEST 41ST STREET, 2ND FLOOR NEW YOR NY 10036 MANHATTAN 212-398-9690 PERIO DENTAL SPECIALTY ASSOC 225 BROADWAY, ME LEVEL NEW YOR NY 10007 MANHATTAN 212-374-9500 PERIO HOWARD MARSHALL 1995 BROADWAY, STE. 200 NEW YOR NY 10023 MANHATTAN 212-977-7210 PERIO FAHIMEH TAFRESHI 112 EAST 71ST STREET NEW YOR NY 10021 MANHATTAN 212-744-7414 PERIO NEAL VALLINS 800A 5TH AVENUE NEW YOR NY 10021 MANHATTAN 212-371-6887 PERIO AMERICAN DENTAL OFFICES, PLLC 241 WEST 30TH ST NEW YOR NY 10001 MANHATTAN 917-351-0200 PROST

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LB1 HEMPSTEAD NY 11550 NASSAU 516-483-8383 GP REBEAH ANE 184 OLD COUNTRY ROAD HICSVILLE NY 11801 NASSAU 516-931-4500 GP REBEAH ANE 72 FULTON AVENUE HEMPSTEAD NY 11550 NASSAU 516-483-2220 GP RAESH HILWANI 2279 HEMPSTEAD TPE EAST MEADOW NY 11554 NASSAU 516-489-1199 GP MICHAEL PESIRI 1825 NEW HYDE PAR ROAD NEW HYDE PAR NY 11040 NASSAU 516-437-8150 GP MICHAEL PIUS 152 NASSAU AVENUE MANHASSET NY 11030 NASSAU 516-708-1981 GP STUART RUBIN 230 MINEOLA BLVD MINEOLA NY 11501 NASSAU 516-248-3623 GP IRINA RYBALOVA 21 W. MERRIC ROAD FREEPORT NY 11520 NASSAU 516-378-2843 GP ENGIN SANGIRAY DDS PC 1575 BROADWAY HEWLETT NY 11557 NASSAU 516-764-3062 GP JARRED SEID 700 HILLSIDE AVENUE NEW HYDE PAR NY 11040 NASSAU 516-352-8282 GP GREG YEN 50 ATLANTIC AVENUE LYNBROO NY 11563 NASSAU 516-599-3131 GP THE SMILIST DENTAL, PLLC 3299 CHERRYWOOD DRIVE WANTAGH NY 11793 NASSAU 516-785-5239 GP THE SMILIST DENTAL, PLLC 71 LINCOLN AVE. 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Page 5 THE SMILIST DENTAL, PLLC 3299 CHERRYWOOD DRIVE WANTAGH NY 11793 NASSAU 516-785-5289 ORAL STRAIGHT SET ORTHODONTICS 412 JERICHO TURNPIE NEW HYDE PAR NY 11040 NASSAU 516-354-3724 ORTHO NASSAU COUNTY ORTHODONTICS 4025 HEMPSTEAD TPE, STE 1-A BETHPAGE NY 11714 NASSAU 516-797-7799 ORTHO ROOSEVELT FIELD MALL DENTAL, P.C. 630 OLD COUNTRY ROAD GARDEN CITY NY 11530 NASSAU 516-294-1919 ORTHO BRACETOWN ORTHODONTICS 519 BELLMORE AVENUE EAST MEADOW NY 11554 NASSAU 516-505-8800 ORTHO AMERICAN DENTAL OFFICES, PLLC 180 SOUTH BROADWAY HICSVILLE NY 11801 NASSAU 516-433-1800 ORTHO AMERICAN DENTAL OFFICES, PLLC 250 FULTON AVENUE, STE. 320 HEMPSTEAD NY 11550 NASSAU 516-481-9700 ORTHO WIEDER ORTHODONTICS PC 1021 CEDAR LANE WOODMERE NY 11598 NASSAU 516-218-6700 ORTHO TEETHRUS DENTAL CARE PLLC 213 FRONT STREET HEMPSTEAD NY 11550 NASSAU 516-780-0931 ORTHO AMERICAN ORTHODONTIC ASSOCIAT 200 BOUNDARY AVENUE, STE. 202 MASSAPEQUA NY 11758 NASSAU 516-798-6786 ORTHO FAMILY DENTAL ASSOCIATES 1040 HEMPSTEAD TPE. STE. 10 FRANLIN SQUAR NY 11010 NASSAU 516-565-6622 ORTHO YOUR SMILE DENTAL OF FREEPORT 415 WEST MERRIC ROAD FREEPORT NY 11520 NASSAU 516-378-1415 ORTHO NAITA AMINPOUR 51 ARLEIGH ROAD GREAT NEC NY 11021 NASSAU 516-482-7620 ORTHO HARVEY CHOIT 4250 HEMPSTEAD TURNPIE, 4 BETHPAGE NY 11714 NASSAU 516-579-8950 ORTHO HARVEY M. CHOIT 900 NORTHERN BLVD, STE. 240 GREAT NEC NY 11021 NASSAU 516-482-6677 ORTHO HARVEY CHOIT 50 ATLANTIC AVENUE LYNBROO NY 11563 NASSAU 516-599-3131 ORTHO FRAN P. DIBLASI 690 BROADWAY, STE. 102 MASSAPEQUA NY 11758 NASSAU 516-795-5769 ORTHO DAVID FRIEDMAN 435 NASSAU BLVD WEST HEMPSTEA NY 11552 NASSAU 516-486-0473 ORTHO SCOTT FRIEDMAN 1025 NORTHERN BLVD, STE 207 ROSLYN NY 11576 NASSAU 516-365-5300 ORTHO JOSEPH FRIEDMAN 435 NASSAU BLVD. WEST HEMPSTEA NY 11552 NASSAU 516-486-0473 ORTHO ROBERT H PANER 23 BOND STREET GREAT NEC NY 11021 NASSAU 516-487-7475 ORTHO MITA PARIH 864 W. JERICHO TPE, STE. B HUNTINGTON NY 11743 NASSAU 631-824-6353 ORTHO JEANNIE ALVARADO-ASTAIA 3426 MERRIC ROAD SEAFORD NY 11783 NASSAU 516-783-9773 PEDO PREETIA GUPTA 1521 STRAIGHT PATH WYANDANCH NY 11798 NASSAU 631-643-3800 PEDO PREETIA GUPTA 234 WEST JERICHO TPE HUNTINGTON ST NY 11746 NASSAU 631-923-3500 PEDO REBEAH ANE 72 FULTON AVENUE HEMPSTEAD NY 11550 NASSAU 516-483-2220 PEDO MAJID NAVAB 935 NORTHERN BLVD. STE 100 GREAT NEC NY 11021 NASSAU 516-487-7962 PEDO ROOSEVELT FIELD MALL DENTAL, P.C. 630 OLD COUNTRY ROAD GARDEN CITY NY 11530 NASSAU 516-294-1919 PERIO BETHPAGE SMILES FAMILY DENTAL 120 BETHPAGE ROAD, STE. 310 HICSVILLE NY 11801 NASSAU 516-822-6659 PERIO AMERICAN DENTAL OFFICES, PLLC 180 SOUTH BROADWAY HICSVILLE NY 11801 NASSAU 516-433-1800 PERIO MASSAPEQUA PAR PERIODONTICS 400 SOUTH OYSTER BAY ROAD HICSVILLE NY 11801 NASSAU 516-798-5700 PERIO DENTAL SPECIALISTS OF EAST MEADO 1900 HEMPSTEAD TPE, STE. 409 EAST MEADOW NY 11554 NASSAU 516-564-8499 PERIO AMERICAN DENTAL OFFICES, PLLC 250 FULTON AVENUE, STE. 320 HEMPSTEAD NY 11550 NASSAU 516-481-9700 PERIO YOUR SMILE DENTAL OF FREEPORT 415 WEST MERRIC ROAD FREEPORT NY 11520 NASSAU 516-378-1415 PERIO BARRY GREENFIELD 14 MAPLE STREET PT WASHINGTON NY 11050 NASSAU 516-767-1880 PERIO MICHAEL PIUS 152 NASSAU AVENUE MANHASSET NY 11030 NASSAU 516-708-1981 PERIO HENRY SACHS 1181 OLD COUNTRY ROAD 2 PLAINVIEW NY 11803 NASSAU 516-932-3050 PERIO ADAM L. ATCOFF 700 HILLSIDE AVENUE NEW HYDE PAR NY 11040 NASSAU 516-352-8282 PERIO

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Page 10 MAYER C. SINENESY 600D NORTH WELLWOOD AVENUE N. LINDENHURST NY 11757 SUFFOL 631-225-1900 PERIO

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DOCTOR NAME ADDRESS CITY ST IP COUNTY TELEPHONE TYPE

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Page 14 GREAT EXPRESSIONS DENTAL CTRS O 67 HIGHWAY 36 WEST WEST LONG BRAN NJ 07764 MONMOUTH 732-571-8844 ORAL MIDDLETOWN FAMILY DENTAL 766 ROUTE 35 MIDDLETOWN NJ 07748 MONMOUTH 848-225-3999 ORAL BRUCE HIRSHORN 342 MOUNTS CORNER DRIVE FREEHOLD NJ 07728 MONMOUTH 732-414-2683 ORAL GREAT EXPRESSIONS DENTAL CTRS O 67 HIGHWAY 36 WEST WEST LONG BRAN NJ 07764 MONMOUTH 732-571-8844 ORTHO RAYMOND A. IM, DMD, MMSC, LLC 251 MONMOUTH ROAD OAHURST NJ 07755 MONMOUTH 732-663-0770 ORTHO TEETH TAMERS ORTHODONTICS, LLC 176 ROUTER 9, STE. 201 ENGLISHTOWN NJ 07726 MONMOUTH 732-792-3581 ORTHO THE PERFECT SMILE 326 BROAD STREET RED BAN NJ 07701 MONMOUTH 732-224-9339 ORTHO HOLMDEL ORTHODONTICS, LLC 723 NORTH BEERS STREET, 2A HOLMDEL NJ 07733 MONMOUTH 732-847-3065 ORTHO MATAWAN-OLD BRIDGE DENTAL PA 349 H MATAWAN ROAD MATAWAN NJ 07747 MONMOUTH 732-566-3111 ORTHO SALVATORE ESPOSITO 2200 ROUTE 66, STE. 8 NEPTUNE NJ 07753 MONMOUTH 732-775-7800 ORTHO JOEL STORM 224 TAYLOR MILLS RD., STE. 102 MANALAPAN NJ 07726 MONMOUTH 732-462-9500 ORTHO NEPTUNE DENTAL CARE 2200 ROUTE 66, STE. 8 NEPTUNE NJ 07753 MONMOUTH 732-775-7800 PEDO OAWOOD DENTAL ARTS OF SHREWS 20 WHITE RD, STE. F SHREWSBURY NJ 07702 MONMOUTH 732-945-7388 PEDO STAR PEDIATRIC DENTISTRY 120 CRAIG ROAD, STE. 3 MANALAPAN NJ 08726 MONMOUTH 732-303-7827 PEDO OAWOOD DENTAL ARTS OF FREEHO 342 MOUNTS CORNER DRIVE FREEHOLD NJ 07728 MONMOUTH 732-414-2683 PEDO NEPTUNE DENTAL CARE 2200 ROUTE 66, STE. 8 NEPTUNE NJ 07753 MONMOUTH 732-775-7800 PERIO OAWOOD DENTAL ARTS OF FREEHO 342 MOUNTS CORNER DRIVE FREEHOLD NJ 07728 MONMOUTH 732-414-2683 PERIO GREAT EXPRESSIONS DENTAL CTRS O 67 HIGHWAY 36 WEST WEST LONG BRAN NJ 07764 MONMOUTH 732-571-8844 PERIO EANSBURG FAMILY DENTAL 365 CARR AVENUE EANSBURG NJ 07734 MONMOUTH 732-945-8283 PERIO IRONBOUND DENTAL CENTER 233-235 LAFAYETTE STREET NEWAR NJ 07105 MONMOUTH 973-344-8170 PERIO THE PERFECT SMILE 326 BROAD STREET RED BAN NJ 07701 MONMOUTH 732-224-9339 PERIO ENCORE DENTAL OF SHREWSBURY 40 SHREWSBURY PLAA SHREWSBURY NJ 07702 MONMOUTH 732-268-8137 PERIO MIDDLETOWN FAMILY DENTAL 766 ROUTE 35 MIDDLETOWN NJ 07748 MONMOUTH 848-225-3999 PERIO SAARA NIEMINEN-CISNEROS 319 MAIN STREET, SUITE B-2 EANSBURG NJ 07734 MONMOUTH 732-495-8600 PERIO OAWOOD DENTAL ARTS OF SHREWS 20 WHITE RD, STE. F SHREWSBURY NJ 07702 MONMOUTH 732-945-7388 PERIO ROBERT J CONTI DMD LLC 225 GORDONS CORNER RD, 2D MANALAPAN NJ 07726 MONMOUTH 732-792-3885 PERIO

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