
When I first considered going to Costa Rica for dental work, I had dozens of questions. I was comparing and contrasting my options; I was nervous about going outside of the United States for major dental work; and after all, I was contemplating spending what was, for me, still a lot of money (though many thousands less than the same work would have cost in the U.S.)
It was the spring of 2004, and Dr. Telma Rubinstein had answers for all of my questions. Thank goodness for e-mail, though we also spoke on the phone several times. I remember noticing that I would sometimes get e-mail from Telma at odd hours — midnight and later. When I got to Costa Rica, I found out that those late night hours were pretty much the only ones she had for corresponding with possible patients. Prisma Dental often stays open into the evening to accommodate patients; and Telma and Josef reasonably liked to have at least a few hours to have dinner with their two terrific kids … so the e-mail box waited, until the very end of the day. It was a crazy life, and I wondered how she did it.
So did Telma.
So I was glad of Prisma’s decision, in 2005, to hire an overseas patient coordinator, Tiffany Kofroth. Now it is Tiffany who handles most of the e-mail and phone calls, in consultation with Telma and Josef — freeing them to spend more time with patients (and to get a little more sleep.)
Tiffany lived in Reading until she was 21 and then moved to Houston, Texas, for three years. She’s a certified and licensed pharmacy technician in the U.S., where she worked for doctors’ offices and in hospitals. (Click on the photo to view larger size.)
“I have been at Prisma almost three years now and I love working here,” she says. She has been married “to the most wonderful husband in the world” for about three years as well.
Tiffany is an integral part of the Prisma team, communicating with patients, getting answers to their dental questions, and even advising them on accommodations, transportation and travel concerns and plans. For patients who e-mail clinic@prismadental.com, she is likely the one who will respond; for U.S. and Canadian patients who call the toll-free number, 1.866.741.8194, hers is likely the voice they will hear. She has made a world of difference in a dental practice that has so many patients from the United States and around the globe.








I read an interesting article at the CostaRica HQ blog that said healthcare is of higher quality in CR than in the US.
I’ve found the information at CostaRicaHQ (dot org) to be very useful. Everything from healthcare, internet service, cuisine, domestic help, relocation strategies, customs, etc. A must read if you’re considering traveling to or living in Costa Rica.
Its commendable for you to start a dentist practice in such a place far away from home and it looks like it is a success, good on you.
Hi Tiffany,
I am also an US Certified Pharmacy Technician and have been in
Pharmacy since 1975. I will be 54 in December. My husband and I
want very much to establish a home in Costa Rica. I am ready for a
change in US healthcare, it certainly is not what it use to be and
I am fed up. I love the health care industry, but not the way it is
run by insurance companies that have no idea what the patient’s needs are and our doctor’s are our caretakers, know us personally, not the insurance companies. I can’t wait to live in Costa Rica and by the way, I need some cosmetic dental work myself and I will be looking you up when I so get down there. You have given me inspiration to pursue this move, but it may be approximately 6 months before we can make this move. Good Luck and God bless you my friend.
(Editor’s Note: Readers — what follows is good general dental advice. However, it also represents “comment spam,” meaning it was left here by a representative of a company that tries to sell dental insurance online. Such plans often sound too good to be true … “Let the buyer beware.” Traveling to another country for top-quality major dental work offers real savings, not sketchy insurance promises. Anyway — I’m removing the link, but leaving the comment, to better make my point. I delete dozens of these per week.)
Brushing your teeth twice a day is an essential dental care. This helps prevent tooth decay and gum disease. The size and shape of your toothbrush should fit the mouth to enable the brush to reach all areas easily. Using a toothpaste containing fluoride is also another tip in dental care for fluoride helps protect your teeth from decay.