HIPAA Designation

The dental practices and surgery centers affiliated with Chord Specialty Dental Partners (the “Dental Practices” and “Surgery Centers”) have organized and designated themselves as Affiliated Covered Entity (“ACE”) organizations for the purpose of the HIPAA Privacy Rule. The Dental Practices and Surgery Centers are separate legal covered entities. However, they are under common ownership and thus have organized themselves an ACE based on groups of common ownership and regional location for the purposes of the HIPAA Privacy Rule. The ACE organizations and affiliated Dental Practices and Surgery Centers are:

Chord Specialty Dental Northeast ACE

Spark Orthodontics, PLLC

Children’s Dental Health Associates, LLC

Pediatric Dental Associates, PLLC

NJ Dentistry for Children, P.A.

NJ DFC Orthodontics, LLC

Chord Specialty Dental Surgery ACE

Children’s Surgery Center Philadelphia, LLC

Children’s Surgery Center of Lehigh Valley LLC

Children’s Surgery Center LLC

Children’s Surgery Center of Malvern LLC

Children’s Dental Surgery Center of Jackson LLC

Chord Specialty Dental Southeast ACE

Spark Dental TN, PLLC

Spark Dental SC, LLC

Spark Orthodontics SC, LLC

Distinct HIPAA Covered Entities

Spark Dental IN, LLC

Hoosier Dental IN, PLLC

Spark Dental VA, PLLC

Spark Dental OH, LLC

Chord Specialty Dental Delaware ACE

Children’s Dental Health of Delaware, LLC

CDH Orthodontics of Delaware, LLC

The affiliated covered entities described above and all other dental practices and surgery centers managed by Chord Specialty Dental Partners participate in an Organized Health Care Arrangement (“OHCA”), which is known as Chord Specialty Dental OHCA.