The Guardian Life Insurance Company of Americacasebenefits.com/images/DHMO Dental Provider Listing -...

Managed Dental Care

The Guardian Life InsuranceCompany of America

Provider DirectoryPlan Type: Managed Dental Care (DHMO/Prepaid) Location selection: 33433Proximity: 10 miles Accepting New Patients: YesNumber of results in directory: 974

August 29, 2018The Guardian Life Insurance Company of America, New York, NY 10004.

Languages : SpanishNational Provider Identifier (NPI) : #199290185License Number : #DN10823Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

ROQUERUANO,MAIKELSPCID#1501462

5810 Coral Ridge Dr,33076

(954) 905-1290

National Provider Identifier (NPI) : #1770875684License Number : #DN20346Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y


987 University Dr,33071

(954) 753-4005


DEERFIELD BEACHAHN,SUNGHEESPCID#1500629

2265-C W HillsboroBlvd ,33442

(954) 427-2436


COMORA,ROBERTSPCID#1500389

1800 W HillsboroBlvd ,Ste 210,33442

(954) 427-4287

Languages : SpanishEMAIL ID :[email protected] Provider Identifier (NPI) : #169985536License Number : #DN8490Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

HARTMAN,JAYSONSPCID#1500629


(954) 427-2436


POSNER,LAWRENCESPCID#1500629


(954) 427-2436


PYNER,DAVIDSPCID#1500629


(954) 427-2436




(954) 427-2436


DELRAY BEACHAHN,SUNGHEESPCID#1503511

551 Linton Blvd ,SteC-2,33444

(561) 404-6044


AHN,SUNGHEESPCID#1500677

13722 S Jog Rd,33446

(561) 272-9198


DEPALMA,ROBERTSPCID#1500004

505 SE 6th Ave,33483

(561) 243-0100

Languages : Italian, Russian, SpanishNational Provider Identifier (NPI) : #1790958619License Number : #DN4553Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

DULUCVEGA,PABLOSPCID#1504216

1640 S Federal Hwy,33483

(561) 276-5800


ELLIOTT,MICHAELSPCID#1504216


(561) 276-5800


GANKIN,MIKHAILSPCID#1500677

13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198



801 S Federal Hwy,Ste E 105,33483

(561) 272-2424


LEVENSON,MARKSPCID#1500434


(561) 272-2424




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198

Languages : SpanishNational Provider Identifier (NPI) : #1760607287

License Number : #DN11866Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y



(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


LIGHTHOUSE POINTNORKIN,GARYSPCID#1500005

3170 N Federal Hwy,Ste 113,33064

(954) 943-5640


MARGATEFERBER,SHARONSPCID#1500742

5522 W Sample Rd,33073

(954) 968-4466


GITTESS,ROBERTSPCID#1504525

6130 W Atlantic Blvd,33063

(954) 973-0990


NORTH LAUDERDALELITVAK,RENEESPCID#1502257

7110 Southgate Blvd,33068

(954) 724-8949

Languages : PortugueseNational Provider Identifier (NPI) : #1912104407License Number : #DN21142Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

POMPANO BEACHAHN,SUNGHEESPCID#1500755


(954) 946-4867

Languages : SpanishNational Provider Identifier (NPI) : #1790816882License Number : #DN15780

Managed Dental Care-The Guardian Life Insurance Company ofAmerica

Florida Member Services 1-888-618-2016

8

Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y



(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867


ORAL SURGEON

BOCA RATONBLAND,GIANCARLOSPCID#1003091

2499 Glades Rd ,Ste309,33431

(561) 826-2002


BLAND,GIANCARLOSPCID#1003095

20423 State Rd 7,Ste F18,33498

(561) 852-7070

Languages : Arabic, French, SpanishNational Provider Identifier (NPI) : #1104911015License Number : #DN16134Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

BORGES,OSBELSPCID#1002072

1200 Yamato Rd,Ste A-4,33431

(561) 997-9930

National Provider Identifier (NPI) : #1518213388License Number : #DN19228Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaDoes not accept 2016 HCR or Individual plansAccepting New Patients: Y


9874 Yamato Rd,#116/118,33434

(561) 488-1688


BROUMAND,VISHTASBSPCID#1003095

20423 State Rd 7,Ste F18,33498

(561) 852-7070


GARVAR,LANNYSPCID#1002072


(561) 997-9930



9874 Yamato Rd,#116/118,33434

(561) 488-1688


NORKIN,ANDREWSPCID#1003091

2499 Glades Rd ,Ste309,33431

(561) 826-2002



9874 Yamato Rd,#116/118,33434

(561) 488-1688


SEGELMAN,ALLYNSPCID#1003095

20423 State Rd 7,Ste F18,33498

(561) 852-7070


SEGUI,MAIKELSPCID#1002072


(561) 997-9930



9874 Yamato Rd,#116/118,33434

(561) 488-1688


SEIDER,PAULSPCID#1002072


(561) 997-9930



9874 Yamato Rd,#116/118,33434

(561) 488-1688


STEWART,STANLEYSPCID#1002072


(561) 997-9930



9874 Yamato Rd,#116/118,33434

(561) 488-1688

National Provider Identifier (NPI) : #1205877495License Number : #DN6161Board Certification : Not available

Network/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

COCONUT CREEKBORGES,OSBELSPCID#1002846

5463 Lyons Rd,C,33073

(954) 571-7123



5463 Lyons Rd,C,33073

(954) 571-7123



5463 Lyons Rd,C,33073

(954) 571-7123



5463 Lyons Rd,C,33073

(954) 571-7123



5463 Lyons Rd,C,33073

(954) 571-7123


TORRES,DANIELSPCID#1001733

4660 HillsboroughBlvd ,Ste 7,33073

(954) 428-1803


TORRES,LUISSPCID#1001733


(954) 428-1803


CORAL SPRINGSBERLEY,JOELSPCID#1006067

8214 Wiles Rd,33067

(954) 344-1999




(954) 905-1290




(954) 753-4005




9

FISHER,ADAMSPCID#1004095

8214 Wiles Rd,33067

(954) 344-1999




(954) 905-1290




(954) 753-4005




(954) 753-4005


SAENZ,REGINASPCID#1005624


(954) 753-7400




(954) 905-1290




(954) 753-4005




(954) 905-1290




(954) 753-4005




(954) 905-1290




(954) 753-4005

Languages : SpanishNational Provider Identifier (NPI) : #1205877495License Number : #DN6161Board Certification : Not available



8214 Wiles Rd,33067

(954) 344-1999


TURNER,MARKSPCID#1005624


(954) 753-7400


DEERFIELD BEACHBISTRITZ,JEROMESPCID#1000631


(954) 427-4287




(954) 427-2436




(954) 427-2436


LOPEZ,JUANSPCID#1001101


(954) 427-2436




(954) 427-2436


PASQUAL,JOHNSPCID#1000631


(954) 427-4287


PEDROLETTI,FREDSPCID#1000631


(954) 427-4287




(954) 427-2436




(954) 427-2436


SHEIKH,JASONSPCID#1001101


(954) 427-2436




(954) 427-2436




(954) 427-4287


DELRAY BEACHBORGES,OSBELSPCID#1004839


(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


DEMICK,ROBERTSPCID#1001250


(561) 272-2424




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


HASPEL,ALANSPCID#1001250


(561) 272-2424




(561) 272-2424



10


PASQUAL,JOHNSPCID#1003655

4600 Linton Blvd ,Ste220,33445

(561) 900-9080


SAENZ,REGINASPCID#1005626


(561) 276-5800




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


WESTINE,JOHNSPCID#1000037

250 N Dixie Blvd ,Ste100,33444

(561) 278-3202


MARGATEARROYO,JUANSPCID#1003882


(954) 968-4466



OPPENHEIMER,ELISPCID#1005981


(954) 973-0990


NORTH LAUDERDALEBERLEY,JOELSPCID#1006066


(954) 724-8949


FISHER,ADAMSPCID#1004094


(954) 724-8949




(954) 724-8949


POMPANO BEACHBORGES,OSBELSPCID#1001520


(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867


SHEIKH,JASONSPCID#1001520


(954) 946-4867




(954) 946-4867


ORTHODONTIST

BOCA RATONKAWA,LARRYSPCID#2000322

20423 State Rd 7,Ste F18,33498

(561) 852-7070


NAGHAVI,NONASPCID#2004653

7280 W Palmetto PkRd ,Ste 206,33433

(561) 395-0550

Languages : Portuguese, SpanishNational Provider Identifier (NPI) : #1649318262License Number : #DN19915Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

NEWMAN,DAVIDSPCID#2002023


(561) 997-9930



9874 Yamato Rd,#116/118,33434

(561) 488-1688


NICOLAS,GEORGESPCID#2000322

20423 State Rd 7,Ste F18,33498

(561) 852-7070


PALACIOS,JOANSPCID#2005661

1590 NW 10th Ave,Ste 3020,33486

(561) 477-8100

EMAIL ID :[email protected] Provider Identifier (NPI) : #1548420854License Number : #DN21694Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

PROANOWISE,NANCYSPCID#2002023


(561) 997-9930



9874 Yamato Rd,#116/118,33434

(561) 488-1688


SANTELLI,BRADLEYSPCID#2003138

1590 NW 10th Ave,Ste 302,33486

(561) 395-6464

Languages : Portuguese, SpanishNational Provider Identifier (NPI) : #1194057620License Number : #DN17283Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmerica



11

Accepting New Patients: Y

SANTELLI,BRADLEYSPCID#2000322

20423 State Rd 7,Ste F18,33498

(561) 852-7070


SHOOPAK,ALANSPCID#2005661

1590 NW 10th Ave,Ste 3020,33486

(561) 477-8100


SHORT,STEVENSPCID#2002023


(561) 997-9930



9874 Yamato Rd,#116/118,33434

(561) 488-1688


SPENCER,SCOTTSPCID#2002023


(561) 997-9930



9874 Yamato Rd,#116/118,33434

(561) 488-1688


COCONUT CREEKNEWMAN,DAVIDSPCID#2002027

5463 Lyons Rd,C,33073

(954) 571-7123



5463 Lyons Rd,C,33073

(954) 571-7123



5463 Lyons Rd,C,33073

(954) 571-7123



5463 Lyons Rd,C,33073

(954) 571-7123


CORAL SPRINGS

ADUSUMILLI,PRATHIMASPCID#2003759

11332 Wiles Rd,33076

(954) 418-2354

Languages : Hindi, Spanish, TeluguNational Provider Identifier (NPI) : #1891096533License Number : #DN18968Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

CARR,ELAINESPCID#2005220


(954) 753-7400


FELDON,PAULSPCID#2004621


(954) 906-9756


GARCIA,NICOLASSPCID#2004999

2365 N University Dr,33065

(954) 755-1014




(954) 753-7400


MARRECAU,TOMASSPCID#2003404

5850 Coral Ridge Dr,Ste 101,33076

(954) 752-3509

Languages : Dutch, French, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) : #1043417934License Number : #DN18230Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

MCCARTY,MOLLYSPCID#2005855

8214 Wiles Rd,33067

(954) 597-5999




(954) 905-1290




(954) 753-4005




(954) 905-1290




(954) 753-4005

Languages : Spanish


RAMOS,GISLEDASPCID#2005220


(954) 753-7400


RODRIGUEZ,MAIRELYSSPCID#2003404

5850 Coral Ridge Dr,Ste 101,33076

(954) 752-3509

Languages : Dutch, French, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) : #1124149844License Number : #DN16432Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

ROJAS,BLANCASPCID#2005746

1881 N University Dr,Ste 208,33071

(954) 393-0303

Languages : Portuguese, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) : #1316163710License Number : #DN16107Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y



(954) 905-1290




(954) 753-4005




(954) 905-1290




(954) 753-4005


WEST,CHRISTOPHERSPCID#2005220


(954) 753-7400


DEERFIELD BEACHNEWMAN,DAVIDSPCID#2001821


(954) 427-2436




(954) 427-2436

National Provider Identifier (NPI) : #1124289251



12




(954) 427-2436




(954) 427-2436


DELRAY BEACHCARR,ELAINESPCID#2005222


(561) 276-5800




(561) 276-5800




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


RAMOS,GISLEDASPCID#2005222


(561) 276-5800




(561) 404-6044




13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


WEST,CHRISTOPHERSPCID#2005222


(561) 276-5800


NORTH LAUDERDALEMCCARTY,MOLLYSPCID#2005854


(954) 597-5999

Languages : PortugueseEMAIL ID :[email protected] Provider Identifier (NPI) : #1134279987License Number : #DN16573Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

POMPANO BEACHNEWMAN,DAVIDSPCID#2002384


(954) 946-4867




(954) 946-4867


ROJAS,BLANCASPCID#2002837

1711 HammondvilleRd ,33069

(954) 972-6066




(954) 946-4867




(954) 946-4867


PEDIATRIC DENTIST

BOCA RATONBRODSKY,MINDYSPCID#3001206


(561) 997-9930


BRODSKY,MINDYSPCID#3001846

9874 Yamato Rd,#116/118,33434

(561) 488-1688


CHATANI,MARIASPCID#3001206


(561) 997-9930



9874 Yamato Rd,#116/118,33434

(561) 488-1688


DEBARROS,CASSIASPCID#3001206


(561) 997-9930


LOLO,PATRICKSPCID#3003436

7301 W PalmettoPark Rd ,Ste 203-B,33433

(561) 391-6066


MAYE,FRANKSPCID#3000958

19615-33 S State Rd7 ,33498

(561) 395-5081


MUNOZ,ZULIMASPCID#3002103

595 S Federal Hwy,Ste 130,33432

(561) 826-7955


POPPER,DREWSPCID#3001206


(561) 997-9930




13


9874 Yamato Rd,#116/118,33434

(561) 488-1688


PUIG,CHRISTINASPCID#3003436

7301 W PalmettoPark Rd ,Ste 203-B,33433

(561) 391-6066


SMITH,CHRISTINASPCID#3003457

7805 NW BeaconSquare Blvd ,Ste101,33487

(561) 998-0901

Languages : Haitian Creole, French Creole, SpanishNational Provider Identifier (NPI) : #1104963149License Number : #DN17836Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

SMITLEY,MICHELLESPCID#2003138

1590 NW 10th Ave,Ste 302,33486

(561) 395-6464

Languages : Portuguese, SpanishNational Provider Identifier (NPI) : #1750508628License Number : #DNBoard Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

WILSON,CINDYSPCID#3001206


(561) 997-9930


COCONUT CREEKAGUILAR,LIZASPCID#3003052

6370 N State Rd 7,Ste 115,33073

(954) 866-4223


BARBA,ERICASPCID#3003052

6370 N State Rd 7,Ste 115,33073

(954) 866-4223



5463 Lyons Rd,C,33073

(954) 571-7123



5463 Lyons Rd,C,33073

(954) 571-7123


CORTES,GONZALOSPCID#3001008


(954) 428-1803



5463 Lyons Rd,C,33073

(954) 571-7123


YAP-STARKMAN,SHARLENESPCID#3001008


(954) 428-1803


CORAL SPRINGSAGRAWAL,ANKURSPCID#3003055

3353 N UniversityDrive ,33065

(844) 304-5437


AZA,SARASPCID#3003055


(844) 304-5437


BRADY,TIFFANYSPCID#3003564

1670 N University Dr,Ste B,33071

(954) 346-8108




(954) 905-1290




(954) 753-4005


CAPRA,SHANASPCID#3003236


(954) 753-7400




(954) 905-1290




(954) 753-4005


GARBER,YAMILASPCID#3003055


(844) 304-5437

Languages : Spanish


GEORGE,SHERYLSPCID#3002335

730 Riverside Drive,33071

(954) 757-9800


LEVIN,SHELLYSPCID#3002918


(954) 906-9756


LIOU,SHASANSPCID#3003055


(844) 304-5437


MCCALLUM,TAMARASPCID#3003055


(844) 304-5437


MORIN,ALINESPCID#3002918


(954) 906-9756


OVALLES,FRANSHESKASPCID#3003055


(844) 304-5437


PENA,WILLIAMSPCID#3003055


(844) 304-5437




(954) 905-1290




(954) 753-4005


ROBERTI,SABRINASPCID#3002918


(954) 906-9756




14

GARRISON,HARVEYPCDID#0003995


(954) 753-4005


GARTNER,JUDITHPCDID#0007861

8214 Wiles Rd,33067

(954) 344-1999


GHATTAS,MAUREENPCDID#0006378


(954) 905-1290




(954) 753-4005


GONZALES,ANGELICAPCDID#0006378


(954) 905-1290




(954) 753-4005


GONZALEZ,YANICEPCDID#0006378


(954) 905-1290


GREEN,BEVERLYPCDID#0006378


(954) 905-1290




(954) 753-4005


GUERRERO,LUISPCDID#0006378


(954) 905-1290




(954) 753-4005



GULTZ,JERROLDPCDID#0003995


(954) 753-4005


GUTHRIE,KELLYPCDID#0006378


(954) 905-1290




(954) 753-4005


HALLER,DUSTINPCDID#0003745

2365 N University Dr,33065

(954) 755-1014


HAMILTON,TODDPCDID#0007861

8214 Wiles Rd,33067

(954) 344-1999


HARRIS,ANAPCDID#0006378


(954) 905-1290




(954) 753-4005


HELFANT,JAREDPCDID#0007861

8214 Wiles Rd,33067

(954) 344-1999


HORWITZ,STEVENPCDID#0006378


(954) 905-1290




(954) 753-4005


IRAVANI,MINAPCDID#0006378


(954) 905-1290




(954) 753-4005


IURCOVICH,MAXIMILLIANPCDID#0009802


(954) 753-7400


JACOBSOHN,HENRYPCDID#0007861

8214 Wiles Rd,33067

(954) 344-1999


KOREN,NATALIEPCDID#0007861

8214 Wiles Rd,33067

(954) 344-1999


KUSNIER,ELAINEPCDID#0006378


(954) 905-1290




(954) 753-4005


LAMB,NICOLEPCDID#0006378


(954) 905-1290




(954) 753-4005


LEMINH,CHAUPCDID#0006378


(954) 905-1290




(954) 753-4005




26

LEPORE,KRYSTINAPCDID#0006378


(954) 905-1290




(954) 753-4005


LONDONO,JENNIFERPCDID#0006378


(954) 905-1290




(954) 753-4005


MA,ROBERTPCDID#0006378


(954) 905-1290




(954) 753-4005


MANDEL,JONATHANPCDID#0007861

8214 Wiles Rd,33067

(954) 344-1999


MCCOWN,MICHAELPCDID#0009802


(954) 753-7400


MOHR,ERICPCDID#0006378


(954) 905-1290




(954) 753-4005


MORALES,RONALDPCDID#0007861

8214 Wiles Rd,33067

(954) 344-1999



NAGUIB,MICHELLEPCDID#0006378


(954) 905-1290




(954) 753-4005


ORTEGA,CLAUDIAPCDID#0006378


(954) 905-1290


ORTIZ,ANA MARIAPCDID#0006378


(954) 905-1290




(954) 753-4005


PARE,ELIZABETHPCDID#0006378


(954) 905-1290




(954) 753-4005


QUICK,JAMESPCDID#0006378


(954) 905-1290




(954) 753-4005


RAPPAPORT,DAVIDPCDID#0006378


(954) 905-1290




(954) 753-4005



RIEGER,ERICPCDID#0006378


(954) 905-1290




(954) 753-4005


RING,STEPHENPCDID#0006378


(954) 905-1290




(954) 753-4005


RIOS KUHOP,MILAGRITOSPCDID#0007861

8214 Wiles Rd,33067

(954) 344-1999


RODRIGUEZ,MARGARITAPCDID#0006378


(954) 905-1290




(954) 753-4005


RODRIGUEZ,MAYRAPCDID#0006378


(954) 905-1290




(954) 753-4005


ROSTOCK,JENNIFERPCDID#0007861

8214 Wiles Rd,33067

(954) 344-1999




27


SANCHES,MELANIEPCDID#0006378


(954) 905-1290




(954) 753-4005


SANTANA,DAVIDPCDID#0009541


(954) 906-9756


SARRIA,PAULOPCDID#0009505

6180 W Sample Rd,Ste 109,33067

(954) 227-2718


SIFAIN,GEORGEPCDID#0007861

8214 Wiles Rd,33067

(954) 344-1999


SINGHROY,ANURUPAPCDID#0010034

5521 N University Dr,Ste 102,33067

(954) 344-3932


SNIDER,ERICAPCDID#0006378


(954) 905-1290




(954) 753-4005


SORROZA,JENNIFERPCDID#0007861

8214 Wiles Rd,33067

(954) 344-1999


STEIN,ILYAPCDID#0003994


(954) 341-4766

Languages : Russian, SpanishNational Provider Identifier (NPI) : #1235260407License Number : #DN14972Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

STEINER,SAMANTHAPCDID#0006378


(954) 905-1290




(954) 753-4005


STRONG,SHANICEPCDID#0006378


(954) 905-1290




(954) 753-4005


TAYLOR,SHELLYPCDID#0009802


(954) 753-7400


TITHERINGTON,JESSICAPCDID#0006378


(954) 905-1290




(954) 753-4005


URCUYO,JACQUELINEPCDID#0006378


(954) 905-1290




(954) 753-4005


VIGNOLA,JENNIFERPCDID#0006378


(954) 905-1290




(954) 753-4005


VULTAGGIO,FRANCESCOPCDID#0007504

10339 W Sample Rd,33065

(954) 840-1940

Languages : Italian, SpanishNational Provider Identifier (NPI) : #1861645038License Number : #DN18316Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

YU,CYNTHIAPCDID#0006378


(954) 905-1290




(954) 753-4005


YU,JOYCEPCDID#0006378


(954) 905-1290




(954) 753-4005


ZUSSELMAN,ARNOLDPCDID#0009802


(954) 753-7400


ZYLBERING,JASONPCDID#0006378


(954) 905-1290




(954) 753-4005


DEERFIELDATLURI,SUNEETHAPCDID#0009612

700 W Hillsboro Blvd,Ste 1-109,33441

(754) 264-7264

Languages : Hindi, Spanish, TeluguEMAIL ID :[email protected] Provider Identifier (NPI) : #1063525731License Number : #15925Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y



28

DEERFIELD BEACHABDEL-JABBAR,SANAPCDID#0003993


(954) 427-2436


AMINI,ARYIAPCDID#0000270


(954) 427-4321


AVILES,ANAPCDID#0003993


(954) 427-2436


AZARI,SCOTTPCDID#0003993


(954) 427-2436


BENHAMU,MICHAELPCDID#0004943

1874 W HillsboroBlvd ,Ste A,33442

(954) 428-4575


BENJAMIN,REENUPCDID#0005856


(954) 943-6644


BERGQUIST,MICHAELPCDID#0003993


(954) 427-2436


BOCKIAN,JOSHUAPCDID#0003993


(954) 427-2436


BRATMAN,JERRYPCDID#0003993


(954) 427-2436


BUITRAGO,RENANPCDID#0003993


(954) 427-2436


CAMEJO,JOAQUINPCDID#0003993


(954) 427-2436

National Provider Identifier (NPI) : #1124407762License Number : #DN21183Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmerica


CASTILLO,JUANPCDID#0003993


(954) 427-2436


CHILDERS,CARMENPCDID#0003993


(954) 427-2436


CORONADO,EFRAINPCDID#0003993


(954) 427-2436


COWAN,MARCPCDID#0003993


(954) 427-2436


CRUZ,ANTONIOPCDID#0003993


(954) 427-2436


DAROJAT,ZUHDIYAHPCDID#0003993


(954) 427-2436


DOOLEY,JILLPCDID#0003993


(954) 427-2436


DUARTE,BEATRIZPCDID#0003993


(954) 427-2436


DURKAN,MARCIAPCDID#0003993


(954) 427-2436


FERNANDEZ-MARTINEZ,MARIANGELPCDID#0003993


(954) 427-2436


FONAS,LISAPCDID#0003993


(954) 427-2436



FOX,JEFFREYPCDID#0003993


(954) 427-2436


GARCIA-PORRAS,MARCELAPCDID#0003993


(954) 427-2436




(954) 427-2436




(954) 427-2436


GOBER,FRANKLYNPCDID#0000270


(954) 427-4321




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




29




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436



PEREZ-DIAZ,AGUEDAPCDID#0000270


(954) 427-4321




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436


STEIN,ILYAPCDID#0009262

1369 Military Trail,33442

(954) 480-9488




(954) 427-2436





(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436




(954) 427-2436


DELRAY BEACHABDEL-JABBAR,SANAPCDID#0008968


(561) 404-6044


ABDEL-JABBAR,SANAPCDID#0004571

13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044




30



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


BARRETT,STEVENPCDID#0010283

14560 S Military Trail,Ste B2,33484

(561) 323-7264


BAUER,RICHARDPCDID#0001946

2915 S FederalHighway ,Ste D-1,33483

(561) 243-8833

Languages : French, Portuguese, SpanishNational Provider Identifier (NPI) : #1922200500License Number : #DN14529Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y



(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044




13722 S Jog Rd,33446

(561) 272-9198


BRODY,ROBERTPCDID#0009804


(561) 276-5800




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


CHASKO,JOSEPHPCDID#0010283


(561) 323-7264




(561) 404-6044

Languages : SpanishNational Provider Identifier (NPI) : #1407247968License Number : #DN20572Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmerica



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


CORREIA,PHILIPPCDID#0001745

5329 W Atlantic,33484

(561) 498-0015




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


DANESHPAJOUH,SARAPCDID#0010283


(561) 323-7264



13722 S Jog Rd,33446

(561) 272-9198




31




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


ELEFANT,JACOBPCDID#0002044


(561) 272-2424


ESPINAL,MARIAPCDID#0001745


(561) 498-0015




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




13722 S Jog Rd,33446

(561) 272-9198


FOREMAN,KATHLEENPCDID#0010283


(561) 323-7264




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


GREENBERG,ANDREWPCDID#0010283


(561) 323-7264




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


GULTZ,JERROLDPCDID#0008968


(561) 404-6044




(561) 404-6044




32


13722 S Jog Rd,33446

(561) 272-9198



13722 S Jog Rd,33446

(561) 272-9198


HERMAN,MARKPCDID#0001745


(561) 498-0015



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


IURCOVICH,MAXIMILLIANPCDID#0009804


(561) 276-5800


KOHN,HEATHERPCDID#0001745


(561) 498-0015




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


MCCOWN,MICHAELPCDID#0009804


(561) 276-5800



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


OLIVA,MAIDELYSPCDID#0010283


(561) 323-7264



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


PRABHAKARSHVETS,ANKITAPCDID#0001745


(561) 498-0015

Languages : Spanish



33




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


REUM,ERICPCDID#0009804


(561) 276-5800




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198



13722 S Jog Rd,33446

(561) 272-9198




13722 S Jog Rd,33446

(561) 272-9198


ROMERO,INGRIDPCDID#0004571

13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


SANTANA,DAVIDPCDID#0001745


(561) 498-0015




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044




13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


VALDES,MARTHAPCDID#0001745


(561) 498-0015


VASILAROS,MARINAPCDID#0010283


(561) 323-7264




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




34

WILNER,JASONPCDID#0010357

2275 S Federal Hwy,Ste 310,33483

(561) 894-4299




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


ZUSSELMAN,ARNOLDPCDID#0009804


(561) 276-5800




(561) 404-6044



13722 S Jog Rd,33446

(561) 272-9198


LIGHTHOUSE POINTGORMAN,MICHAELPCDID#0010262

2028 East SampleRd ,33064

(954) 946-8484

Languages : GreekNational Provider Identifier (NPI) : #1144304726License Number : #DN16349Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y

MARGATEARGUELLO,VIGARNYPCDID#0007856

100 N State Rd 7,Ste 300,33063

(954) 532-1274

National Provider Identifier (NPI) : #1710275235License Number : #DN19421Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmerica


BARRETT,STEVENPCDID#0010152


(954) 947-8765


BERG,JASONPCDID#0010102


(954) 973-0990


BERKOWITZ,STEVENPCDID#0006888

1509 N State Rd 7,Ste H,33063

(954) 974-8550


BLACKMORE,SOFIAPCDID#0010102


(954) 973-0990


CHASKO,JOSEPHPCDID#0010152


(954) 947-8765


DANESHPAJOUH,SARAPCDID#0010152


(954) 947-8765


DIAZ,YANETPCDID#0004784


(954) 968-4466


DICRESCENTO,DONNAPCDID#0004784


(954) 968-4466


FOREMAN,KATHLEENPCDID#0010152


(954) 947-8765


GREENBERG,ANDREWPCDID#0010152


(954) 947-8765



MAUTNER,STEVENPCDID#0002021

5609 NW 29th St,33063

(954) 978-8866


MINGEL,MARCPCDID#0010102


(954) 973-0990


MOINI,MAHKAMEHPCDID#0004784


(954) 968-4466


OLIVA,MAIDELYSPCDID#0010152


(954) 947-8765


POLASKY,STEVENPCDID#0010102


(954) 973-0990


ROBERTS,BRADLEYPCDID#0010102


(954) 973-0990


ROCA-GODINEZ,LILIANPCDID#0004784


(954) 968-4466


SHAFER,MINDYPCDID#0004784


(954) 968-4466


VASILAROS,MARINAPCDID#0010152


(954) 947-8765


YEOSHOUA,ODEDPCDID#0006187

3207 N State Rd 7,24,33063

(954) 979-1357



35


NORTH LAUDERDALECICORTAS,FLORINPCDID#0004038


(954) 724-8949


CUNHA,RENETAPCDID#0004038


(954) 724-8949


GARTNER,JUDITHPCDID#0004038


(954) 724-8949


HAMILTON,TODDPCDID#0004038


(954) 724-8949


HELFANT,JAREDPCDID#0004038


(954) 724-8949


JACOBSOHN,HENRYPCDID#0004038


(954) 724-8949


KOREN,NATALIEPCDID#0004038


(954) 724-8949


MANDEL,JONATHANPCDID#0004038


(954) 724-8949


MORALES,RONALDPCDID#0004038


(954) 724-8949


RIOS KUHOP,MILAGRITOSPCDID#0004038


(954) 724-8949


ROSTOCK,JENNIFERPCDID#0004038


(954) 724-8949


SIFAIN,GEORGEPCDID#0004038


(954) 724-8949


SORROZA,JENNIFERPCDID#0004038


(954) 724-8949


PARKLANDAHMADI,AHMADPCDID#0007168

6656 Parkside Dr,33067

(954) 752-8283


POMPANO BEACHABDEL-JABBAR,SANAPCDID#0004479


(954) 946-4867




(954) 946-4867




(954) 946-4867


BEHAR,MARKPCDID#0005699

1600 E Atlantic Blvd,33060

(954) 941-4070




(954) 946-4867





(954) 946-4867




(954) 946-4867




(954) 946-4867


BUTENKO,HANNAPCDID#0010099

2707 East AtlanticBlvd ,33062

(954) 782-8980

Languages : Russian, SpanishEMAIL ID :[email protected] Provider Identifier (NPI) : #1285156695License Number : #DN22641Board Certification : Not availableNetwork/Tier Name(s): The Guardian Life Insurance Company ofAmericaAccepting New Patients: Y



(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




36




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867

Languages : Spanish




(954) 946-4867


GONZALEZ,YANICEPCDID#0004479


(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867





(954) 946-4867




(954) 946-4867




(954) 946-4867


MA,LISAPCDID#0004479


(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




37




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867





(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




(954) 946-4867




38

The Guardian Life Insurance Company of America DentistNomination Form

I would like to nominate my dentist for inclusion in the The Guardian Life Insurance Company ofAmerica Provider Network.I understand that The Guardian Life Insurance Company ofAmerica/Guardian retains final authority for approving membership in the network. I also understandthat The Guardian Life Insurance Company of America/ Guardian may use my name when contactingmy dentist and inform them of my desire for them to join the network. You can also nominate online atwww.GuardianLife.com.

NOTE: This form does not serve as an enrollment form for dental coverage or to register withthe dental office as a patient.

Date:_____________ Group Plan #:_____________________

MEMBER INFO:

Employer: _______________________________________________________________________

Patient: _________________________________________________________________________

Address: ________________________________________________________________________

City/State/Zip: ____________________________________________________________________

Phone: ________________________________ Fax:______________________________________

E-mail: __________________________________________________________________________

DENTIST INFO:

Name: __________________________________________________________________________

Address: ________________________________________________________________________

City/State/Zip: ____________________________________________________________________

Phone: __________________________________________________________________________

Specialty: ________________________________________________________________________

E-mail: __________________________________________________________________________

Please submit completed form to: GuardianManaged Dental CareAttn: Network ManagementP.O. Box 981574Spokane, WA 99210-9817

Fax: 509-468-6550

Online at www.GuardianLife.com

www.GuardianLife.com

www.GuardianLife.com

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