directory of participating dental providers virginia

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Virginia Directory of Participating Dental Providers Advantage Plus VIRGINIA ALBEMARLE County CHARLOTTESVILLE - 22901 General Dentist AKEEL, ED A., DDS 2003 WOODBROOK CT (434) 975-6181 AL TAMIMI, HEBA, DDS 900 GARDENS BLVD STE 600 (434) 984-3455 ALBERT, KEVIN M., DDS 90 WHITEWOOD RD STE 3 (434) 973-7695 ALMZAYYEN, MOHAMMED A., DDS 335 GREENBRIER DR STE 204 (434) 296-5250 ARRIA, ADAM W., DDS 259 HYDRAULIC RIDGE RD STE 1 (434) 293-9300 BOTTORFF, NICHOLAS, DDS 240 HYDRAULIC RIDGE RD STE 1 (434) 979-1365 BRANDT, KATHRYN M., DDS 80 WHITEWOOD RD (434) 973-1222 DELPH, BRADLEY G., DMD 676 BERKMAR CIR (434) 973-6386 FARAH, KASEY Y., DDS 1928 RIO HILL CTR (434) 964-9117 FEEHAN, JUSTIN P., DMD 2320 COMMONWEALTH DR (434) 260-5779 FRAITES, STEPHEN J., DDS 914 BELVEDERE WAY (434) 293-4053 GROVER, ROBERT E., DDS 240 HYDRAULIC RIDGE RD STE 1 (434) 973-1221 GRUPP II, WILLIAM A., DDS 944 GLENWOOD STATION LN STE (434) 973-7011 HARRISON, MATTHEW P., DDS 2700 HYDRAULIC RD (434) 973-2968 HEETER, SARAH A., DDS 615 WOODBROOK DR (434) 293-9793 JOHN H KNIGHT JR DDS 615 WOODBROOK DR (434) 293-9793 KNIGHT JR., JOHN H., DDS 615 WOODBROOK DR (434) 293-9793 LYON, JOHN S., DDS 2700 HYDRAULIC RD (434) 973-2968 MCCAIN, COLIN G., DDS 80 WHITEWOOD RD (434) 973-1222 MINUTELLA, NICHOLAS, DDS 2320 COMMONWEALTH DR (434) 978-1510 NADEAU BELLAVANCE, JULIEN, DDS 615 WOODBROOK DR (434) 293-9793 NEEL, ANITA M., DMD 900 GARDENS BLVD STE 600 (434) 984-3455 OLIVER JR., JAMES R., DDS 615 WOODBROOK DR (434) 293-9793 PHILLIPS, DOUGLAS R., DDS 2375A COMMONWEALTH DR (434) 973-5873 SAPON, MARK P., DDS 80 WHITEWOOD RD (434) 973-1222 SCHOEB, JOHN C., DDS 2320 COMMONWEALTH DR (434) 978-1510 SOUTHWELL LEE, KATHERINE J., DDS 240 HYDRAULIC RIDGE RD STE 1 (434) 973-1221 SWISHER, CHARLES B., DDS 80 WHITEWOOD RD (434) 973-1222 THOMPSON, MATTHEW G., DMD 259 HYDRAULIC RIDGE RD STE 2 (434) 973-1222 THOMPSON, MATTHEW G., DMD 80 WHITEWOOD RD (434) 973-1222 YAU, JENNIFER, DDS 2003 WOODBROOK CT (434) 975-6181 YOUNG, MARK C., DDS 240 HYDRAULIC RIDGE RD STE 1 (434) 979-1365 Endodontist CONNELLY, DAVID J. 277 HYDRAULIC RIDGE RD STE 2 (434) 973-4301 GROVER, ROBERT E., DDS 240 HYDRAULIC RIDGE RD STE 1 (434) 973-1221 SAUNDERS, MADISON W., DDS 277 HYDRAULIC RIDGE RD STE 2 (434) 973-4301 Oral Surgery CENTRAL VIRGINIA ORAL & MAXILLOFACIAL SURG 244 HYDRAULIC RIDGE RD (434) 973-3348 COLLINS, ROBERT J., DMD 505 WESTFIELD RD (434) 975-4200 CONNER, GREGORY A., DDS 244 HYDRAULIC RIDGE RD (434) 973-3348 EISENHARDT, PETER W., DDS 244 HYDRAULIC RIDGE RD (434) 973-3348 JACKSON, KEITH D., DMD 244 HYDRAULIC RIDGE RD (434) 973-3348 SOLOMON, JAMES M., DDS 244 HYDRAULIC RIDGE RD (434) 973-3348 SUMMERS, SARAH E., DMD 244 HYDRAULIC RIDGE RD (434) 973-3348 TRICKER, NATHANIEL D., DDS 244 HYDRAULIC RIDGE RD (434) 973-3348 Orthodontist BEECROFT, STEPHEN M., DMD 233 HYDRAULIC RIDGE RD STE 2 (434) 975-7435 CLINE, MATTHEW W., DDS 615 WOODBROOK DR (434) 293-9793 CLOTH, MARK S., DDS 1445 RIO ROAD EAST STE 1 (434) 964-2464 DAVILLIER, CHRISTIAN, DDS 233 HYDRAULIC RIDGE RD STE 2 (434) 975-7435 DENNIS, SUZANNE M., DDS 895 RIO EAST CT STE A (434) 973-4446 HORBALY, WILLIAM G., DDS 240 HYDRAULIC RIDGE RD STE 2 (434) 973-6542 Pediatric Dentist PETERS, BARRETT W., DDS 240 HYDRAULIC RIDGE RD SUIT (434) 973-4344 CHARLOTTESVILLE - 22902 General Dentist SPANO, BRADLEY R., DDS 1200 FIVE SPRINGS RD STE 101 (434) 984-8828 Orthodontist NIEPRASCHK, MARKUS L., DDS 32 MILL CREEK DR STE 107 (434) 977-9473 CHARLOTTESVILLE - 22903 General Dentist ALBEMARLE DENTAL ASSOCIATES 2250 OLD IVY RD STE 3 (434) 293-8944 CROWDER, NILOOFAR A., DDS 325 FOUR LEAF LN STE 10 (434) 823-2290 HODGES, JEFFERY E., DDS 2250 OLD IVY RD STE 3 (434) 293-8944 JORDAN, JEREMY C., DDS 2214 IVY RD STE 106 (434) 295-6880 LIPPARD, HAL M., DDS 505 FAULCONER DR STE 1D (434) 293-9311 MAYBEE, DAVID A., DDS 540 RADFORD LN STE 100 (434) 823-1274 PARKER, RICHARD A., DDS 2214 IVY RD STE 106 (434) 973-2520 RICE AND RICE FAMILY DENTISTRY 325 FOUR LEAF LN STE 10 (434) 823-2290 RICE, JAMES E., DDS 325 FOUR LEAF LN STE 10 (434) 823-2290 RICE, JENNIFER R., DDS 325 FOUR LEAF LN STE 10 (434) 823-2290 TISDELLE, MICHAEL J., DDS 2216 IVY RD STE 205 (434) 977-4101 CHARLOTTESVILLE - 22911 General Dentist BAGHERI, DESIREE A., DDS 1538 INSURANCE LN (434) 973-4649 BICKERS, DUANE J., DDS 320 WINDING RIVER LN STE 201 (434) 984-6400 DINH, ANNA T., DDS 1470 PANTOPS MOUNTAIN PL (434) 817-1817 GREEN, BRADLEY W., DDS 1470 PANTOPS MOUNTAIN PL (434) 817-1817 JOHNSTON, ERIC C., DDS 1470 PANTOPS MOUNTAIN PL (434) 817-1817 JORDAN, JEREMY C., DDS 300 HICKMAN RD STE 101 (434) 973-2520 MOORE, JESSICA L., DDS 1470 PANTOPS MOUNTAIN PL (434) 817-1817 OTT, BRIAN C., DDS 1769 WORTH PARK (434) 964-0088 OTT, SARAH L., DMD 1769 WORTH PARK (434) 964-0088 PARKER, RICHARD A., DDS 300 HICKMAN RD STE 101 (434) 973-2520 RASMUSSEN, KENNETH G., DMD 1752 TIMBERWOOD BLVD (434) 974-6492 RICHARD A PARKER DDS PLC 300 HICKMAN RD STE 101 (434) 973-2520 SABAH, NOOR U., DDS 320 WINDING RIVER LN STE 201 (434) 984-6400 URRESTI SOBERON, JOSE E., DDS 1470 PANTOPS MOUNTAIN PL (434) 817-1817 WHYNOTT, CHRISTOPHER P., DDS 1538 INSURANCE LN (434) 973-4649 Endodontist AGUILAR, LAUREN N., DDS 320 WINDING RIVER LN STE 302 (434) 260-7025 Page 1 of 7 August 2021 Virginia Advantage Plus Currently not accepting new patients. This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com x Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services. Proprietary Confidential-Distribution or sharing of the contents of this report in part or in total with outside entities or sources requires written consent by United Concordia Dental.

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Page 1: Directory of Participating Dental Providers Virginia

VirginiaDirectory of Participating Dental Providers

Advantage Plus

VIRGINIAALBEMARLE County

CHARLOTTESVILLE - 22901

General Dentist

AKEEL, ED A., DDS2003 WOODBROOK CT (434) 975-6181

AL TAMIMI, HEBA, DDS900 GARDENS BLVD STE 600 (434) 984-3455

ALBERT, KEVIN M., DDS90 WHITEWOOD RD STE 3 (434) 973-7695

ALMZAYYEN, MOHAMMED A., DDS335 GREENBRIER DR STE 204 (434) 296-5250

ARRIA, ADAM W., DDS259 HYDRAULIC RIDGE RD STE 1 (434) 293-9300

BOTTORFF, NICHOLAS, DDS240 HYDRAULIC RIDGE RD STE 1 (434) 979-1365

BRANDT, KATHRYN M., DDS80 WHITEWOOD RD (434) 973-1222

DELPH, BRADLEY G., DMD676 BERKMAR CIR (434) 973-6386

FARAH, KASEY Y., DDS1928 RIO HILL CTR (434) 964-9117

FEEHAN, JUSTIN P., DMD2320 COMMONWEALTH DR (434) 260-5779

FRAITES, STEPHEN J., DDS914 BELVEDERE WAY (434) 293-4053

GROVER, ROBERT E., DDS240 HYDRAULIC RIDGE RD STE 1 (434) 973-1221

GRUPP II, WILLIAM A., DDS944 GLENWOOD STATION LN STE (434) 973-7011

HARRISON, MATTHEW P., DDS2700 HYDRAULIC RD (434) 973-2968

HEETER, SARAH A., DDS615 WOODBROOK DR (434) 293-9793

JOHN H KNIGHT JR DDS615 WOODBROOK DR (434) 293-9793

KNIGHT JR., JOHN H., DDS615 WOODBROOK DR (434) 293-9793

LYON, JOHN S., DDS2700 HYDRAULIC RD (434) 973-2968

MCCAIN, COLIN G., DDS80 WHITEWOOD RD (434) 973-1222

MINUTELLA, NICHOLAS, DDS2320 COMMONWEALTH DR (434) 978-1510

NADEAU BELLAVANCE, JULIEN, DDS615 WOODBROOK DR (434) 293-9793

NEEL, ANITA M., DMD900 GARDENS BLVD STE 600 (434) 984-3455

OLIVER JR., JAMES R., DDS615 WOODBROOK DR (434) 293-9793

PHILLIPS, DOUGLAS R., DDS2375A COMMONWEALTH DR (434) 973-5873

SAPON, MARK P., DDS80 WHITEWOOD RD (434) 973-1222

SCHOEB, JOHN C., DDS2320 COMMONWEALTH DR (434) 978-1510

SOUTHWELL LEE, KATHERINE J., DDS240 HYDRAULIC RIDGE RD STE 1 (434) 973-1221

SWISHER, CHARLES B., DDS80 WHITEWOOD RD (434) 973-1222

THOMPSON, MATTHEW G., DMD259 HYDRAULIC RIDGE RD STE 2 (434) 973-1222

THOMPSON, MATTHEW G., DMD80 WHITEWOOD RD (434) 973-1222

YAU, JENNIFER, DDS2003 WOODBROOK CT (434) 975-6181

YOUNG, MARK C., DDS240 HYDRAULIC RIDGE RD STE 1 (434) 979-1365

Endodontist

CONNELLY, DAVID J.277 HYDRAULIC RIDGE RD STE 2 (434) 973-4301

GROVER, ROBERT E., DDS240 HYDRAULIC RIDGE RD STE 1 (434) 973-1221

SAUNDERS, MADISON W., DDS277 HYDRAULIC RIDGE RD STE 2 (434) 973-4301

Oral Surgery

CENTRAL VIRGINIA ORAL & MAXILLOFACIAL SURG244 HYDRAULIC RIDGE RD (434) 973-3348

COLLINS, ROBERT J., DMD505 WESTFIELD RD (434) 975-4200

CONNER, GREGORY A., DDS244 HYDRAULIC RIDGE RD (434) 973-3348

EISENHARDT, PETER W., DDS244 HYDRAULIC RIDGE RD (434) 973-3348

JACKSON, KEITH D., DMD244 HYDRAULIC RIDGE RD (434) 973-3348

SOLOMON, JAMES M., DDS244 HYDRAULIC RIDGE RD (434) 973-3348

SUMMERS, SARAH E., DMD244 HYDRAULIC RIDGE RD (434) 973-3348

TRICKER, NATHANIEL D., DDS244 HYDRAULIC RIDGE RD (434) 973-3348

Orthodontist

BEECROFT, STEPHEN M., DMD233 HYDRAULIC RIDGE RD STE 2 (434) 975-7435

CLINE, MATTHEW W., DDS615 WOODBROOK DR (434) 293-9793

CLOTH, MARK S., DDS1445 RIO ROAD EAST STE 1 (434) 964-2464

DAVILLIER, CHRISTIAN, DDS233 HYDRAULIC RIDGE RD STE 2 (434) 975-7435

DENNIS, SUZANNE M., DDS895 RIO EAST CT STE A (434) 973-4446

HORBALY, WILLIAM G., DDS240 HYDRAULIC RIDGE RD STE 2 (434) 973-6542

Pediatric Dentist

PETERS, BARRETT W., DDS240 HYDRAULIC RIDGE RD SUIT (434) 973-4344

CHARLOTTESVILLE - 22902

General Dentist

SPANO, BRADLEY R., DDS1200 FIVE SPRINGS RD STE 101 (434) 984-8828

Orthodontist

NIEPRASCHK, MARKUS L., DDS32 MILL CREEK DR STE 107 (434) 977-9473

CHARLOTTESVILLE - 22903

General Dentist

ALBEMARLE DENTAL ASSOCIATES2250 OLD IVY RD STE 3 (434) 293-8944

CROWDER, NILOOFAR A., DDS325 FOUR LEAF LN STE 10 (434) 823-2290

HODGES, JEFFERY E., DDS2250 OLD IVY RD STE 3 (434) 293-8944

JORDAN, JEREMY C., DDS2214 IVY RD STE 106 (434) 295-6880

LIPPARD, HAL M., DDS505 FAULCONER DR STE 1D (434) 293-9311

MAYBEE, DAVID A., DDS540 RADFORD LN STE 100 (434) 823-1274

PARKER, RICHARD A., DDS2214 IVY RD STE 106 (434) 973-2520

RICE AND RICE FAMILY DENTISTRY325 FOUR LEAF LN STE 10 (434) 823-2290

RICE, JAMES E., DDS325 FOUR LEAF LN STE 10 (434) 823-2290

RICE, JENNIFER R., DDS325 FOUR LEAF LN STE 10 (434) 823-2290

TISDELLE, MICHAEL J., DDS2216 IVY RD STE 205 (434) 977-4101

CHARLOTTESVILLE - 22911

General Dentist

BAGHERI, DESIREE A., DDS1538 INSURANCE LN (434) 973-4649

BICKERS, DUANE J., DDS320 WINDING RIVER LN STE 201 (434) 984-6400

DINH, ANNA T., DDS1470 PANTOPS MOUNTAIN PL (434) 817-1817

GREEN, BRADLEY W., DDS1470 PANTOPS MOUNTAIN PL (434) 817-1817

JOHNSTON, ERIC C., DDS1470 PANTOPS MOUNTAIN PL (434) 817-1817

JORDAN, JEREMY C., DDS300 HICKMAN RD STE 101 (434) 973-2520

MOORE, JESSICA L., DDS1470 PANTOPS MOUNTAIN PL (434) 817-1817

OTT, BRIAN C., DDS1769 WORTH PARK (434) 964-0088

OTT, SARAH L., DMD1769 WORTH PARK (434) 964-0088

PARKER, RICHARD A., DDS300 HICKMAN RD STE 101 (434) 973-2520

RASMUSSEN, KENNETH G., DMD1752 TIMBERWOOD BLVD (434) 974-6492

RICHARD A PARKER DDS PLC300 HICKMAN RD STE 101 (434) 973-2520

SABAH, NOOR U., DDS320 WINDING RIVER LN STE 201 (434) 984-6400

URRESTI SOBERON, JOSE E., DDS1470 PANTOPS MOUNTAIN PL (434) 817-1817

WHYNOTT, CHRISTOPHER P., DDS1538 INSURANCE LN (434) 973-4649

Endodontist

AGUILAR, LAUREN N., DDS320 WINDING RIVER LN STE 302 (434) 260-7025

Page 1 of 7 August 2021Virginia Advantage Plus

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

x☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Proprietary Confidential-Distribution or sharing of the contents of this report in part or in total with outside entities or sources requires written consent by United Concordia Dental.

Page 2: Directory of Participating Dental Providers Virginia

VirginiaCHARLOTTESVILLE - 22911 (continued)

Directory of Participating Dental Providers

Advantage Plus

VAGNETTI, MARK E., DDS320 WINDING RIVER LN SUITE 3 (434) 260-7025

Oral Surgery

CHARLOTTESVILLE ORAL SURGERY AND DENTAL I1415 ROLKIN CT STE 101 (434) 295-0911

HILL, NICHOLAS B., DDS1415 ROLKIN CT STE 101 (434) 295-0911

HOARD, MARTIN A., DDS1538 INSURANCE LN (434) 973-4649

IBANEZ, CARLOS R., DDS1415 ROLKIN CT STE 101 (434) 295-0911

Orthodontist

HORBALY, WILLIAM G., DDS4105 LEWIS AND CLARK DR (434) 924-1774

REBELLATO, GIUSEPPE, DDS1470 PANTOPS MOUNTAIN PL (434) 984-1817

Pediatric Dentist

CARNEY, JACQUELINE M., DDS536 PANTOPS CTR STE 392 (434) 760-0312

HERCE, DAVID J., DDS1470 PANTOPS MOUNTAIN PL (434) 817-1817

Multi-Specialty

CHILDRENS DENTISTRY OF CHARLOTTSVILLE1470 PANTOPS MOUNTAIN PL (434) 817-1817

CHARLOTTESVLE - 22901

General Dentist

CROWDER JR., CURTIS R., DDS80 WHITEWOOD RD (434) 973-1222

CROZET - 22932

General Dentist

DEANGELIS, MARISSA, DDS5690 THREE NOTCH D RD STE 1 (434) 823-4080

MAGID, AMANDA D., DDS5690 THREE NOTCH D RD STE 1 (434) 823-4080

MINUTELLA, NICHOLAS, DDS5405 ASHLAR AVE STE 103 (434) 205-1512

PATEL, MARGI, DDS5690 THREE NOTCH D RD (434) 823-4080

PODBESEK, BRIAN S., DDS5690 THREE NOTCH D RD (434) 823-4080

SANIE, ELIAS, DDS5690 THREE NOTCH D RD STE 1 (434) 823-4080

SCHOEB, JOHN C., DDS5405 ASHLAR AVE STE 103 (434) 205-1512

TAYLOR, EMERY F., DDS5690 THREE NOTCH D RD STE 1 (434) 823-4080

WILLIS, JAMES W., DDS5690 THREE NOTCH D RD STE 1 (434) 823-4080

YAU, JENNIFER, DDS5690 THREE NOTCH D RD STE 1 (434) 823-4080

YENER, ESRA S., DDS5690 THREE NOTCH D RD STE 1 (434) 823-4080

Oral Surgery

HILL, NICHOLAS B., DDS1005 HEATHERCROFT CIR STE 2 (434) 295-0911

IBANEZ, CARLOS R., DDS1005 HEATHERCROFT CIR STE 2 (434) 823-2729

Pediatric Dentist

CLIFFORD, KEVIN M., DDS1005 HEATHERCROFT CIR STE 3 (434) 205-4594

EARLYSVILLE - 22936

General Dentist

DELPH, BRADLEY G., DMD690 BENT OAKS DR (434) 964-1116

AMHERST CountyAMHERST - 24521

General Dentist

BUCKWALTER, JESSICA L., DDS192 S MAIN ST (434) 946-2480

BURTON, JAMES P., DMD192 S MAIN ST (434) 946-2480

DAVIS, MICHAEL J., DDS192 S MAIN ST (434) 946-2480

GREENE, KELSEY E., DDS192 S MAIN ST (434) 946-2480

HOWARD, JOHN E., DDS192 S MAIN ST (434) 946-2480

APPOMATTOX CountyAPPOMATTOX - 24522

General Dentist

DONALD R MURRY JR DDS PC569 COURT ST (804) 796-9500

KUHN, TODD M., DMD569 COURT ST (804) 598-2600

MURRY JR., DONALD R., DDS569 COURT ST (804) 598-2600

MURRY, DONALD R., DMD569 COURT ST (804) 598-2600

MURRY, KENNETH E., DMD569A COURT ST (804) 598-2600

AUGUSTA CountyCHURCHVILLE - 24421

General Dentist

GEDELA, PAVANI, DDS21 SCENIC HWY (540) 337-6004

SANIE, ELIAS, DDS21 SCENIC HWY (540) 337-6004

TAYLOR, EMERY F., DDS21 SCENIC HWY (540) 337-6004

WILLIS, JAMES W., DDS21 SCENIC HWY (540) 337-6004

YAU, JENNIFER, DDS21 SCENIC HWY (540) 337-6004

YENER, ESRA S., DDS21 SCENIC HWY (540) 337-6004

FISHERSVILLE - 22939

General Dentist

CALVANO, DENNIS, DMD9 PINNACLE DR STE A01 (540) 886-5371

GOOD, STACEY C., DMD9 PINNACLE DR STE A01 (540) 886-5371

HAMMOCK, MARK A., DDS49 TINKLING SPRING RD (540) 942-9013

JAMES W WILLIS II DDS PLC41 S MEDICAL PARK DR STE 10 (540) 885-8037

KAMREDDY, KEERTHI R., DDS9 PINNACLE DR STE 101 (540) 886-5371

LA GRUA, DANIEL B., DMD9 PINNACLE DR STE A01 (540) 886-5371

MCKINNEY, MICHAEL W., DMD9 PINNACLE DR STE A01 (540) 886-5371

MESSMER, MARION L., DDS9 PINNACLE DR STE A01 (540) 886-5371

NOBLE, DANIELLE M., DDS9 PINNACLE DR STE A01 (540) 886-5371

PODBESEK, BRIAN S., DDS41 S MEDICAL PARK DR STE 10 (540) 885-8037

ROBERTS, CAMERON T., DDS9 PINNACLE DR STE A01 (540) 886-5371

ROWE, SAMUEL F., DDS9 PINNACLE DR STE A01 (540) 886-5371

SANIE, ELIAS, DDS41 S MEDICAL PARK DR STE 10 (540) 885-8037

WILLIS, JAMES W., DDS41 S MEDICAL PARK DR STE 10 (540) 885-8037

YAU, JENNIFER, DDS41 S MEDICAL PARK DR STE 10 (540) 885-8037

YENER, ESRA S., DDS41 S MEDICAL PARK DR STE 10 (540) 885-8037

Oral Surgery

BRANDT, MATTHEW T., DDS54 S MEDICAL PARK DR (540) 886-2956

BURGOYNE, COREY C., DMD54 S MEDICAL PARK DR (540) 886-2956

CHARLOTTESVILLE ORAL SURGERY AND DENTAL I78 MEDICAL CENTER DR (540) 322-5162

HILL, NICHOLAS B., DDS78 MEDICAL CENTER DR (434) 295-0911

IBANEZ, CARLOS R., DDS78 MEDICAL CENTER DR (540) 322-5162

Periodontist

KAMREDDY, KEERTHI R., DDS9 PINNACLE DR STE 101 (540) 886-5371

STAUNTON - 24401

General Dentist

CROWDER JR., CURTIS R., DDS18 HAGGERTY LN STE 1 (540) 885-5050

ROLLER, MATTHEW C., DDS251 FRONTIER DR (540) 886-3777

STUARTS DRAFT - 24477

General Dentist

BELL, ANITA L., DDS2835 STUARTS DRAFT HWY (540) 337-1324

JAMES W. WILLIS IV DDS PLC2927 STUARTS DRAFT HWY STE (540) 255-2008

MABE, HANNAH R., DDS2780 STUARTS DRAFT HWY STE (540) 337-2400

PANDEY, SWATI, DDS2927 STUARTS DRAFT HWY STE (540) 414-8423

Page 2 of 7 August 2021Virginia Advantage Plus

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

x☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Proprietary Confidential-Distribution or sharing of the contents of this report in part or in total with outside entities or sources requires written consent by United Concordia Dental.

Page 3: Directory of Participating Dental Providers Virginia

VirginiaSTUARTS DRAFT - 24477 (continued)

Directory of Participating Dental Providers

Advantage Plus

PODBESEK, BRIAN S., DDS2927 STUARTS DRAFT HWY STE (540) 337-8423

SANIE, ELIAS, DDS2927 STUARTS DRAFT HWY STE (540) 255-2008

WEATHERWAX, MAGARETTE L., DDS2927 STUARTS DRAFT HWY STE (540) 337-8423

WILLIS, JAMES W., DDS2927 STUARTS DRAFT HWY STE (540) 337-8423

YAU, JENNIFER, DDS2927 STUARTS DRAFT HWY STE (540) 337-8423

YENER, ESRA S., DDS2927 STUARTS DRAFT HWY STE (540) 255-2008

VERONA - 24482

General Dentist

CALVANO, DENNIS, DMD75 LEE HWY STE 101 (540) 688-2946

GOOD, STACEY C., DMD75 LEE HWY STE 101 (540) 688-2946

JONES, TREACY D., DDS56 QUICKS MILL RD (540) 248-0424

KAMREDDY, KEERTHI R., DDS75 LEE HWY STE 101 (540) 688-2946

LA GRUA, DANIEL B., DMD75 LEE HWY STE 101 (540) 688-2946

MCKINNEY, MICHAEL W., DMD75 LEE HWY STE 101 (540) 688-2946

MESSMER, MARION L., DDS75 LEE HWY STE 101 (540) 688-2946

NOBLE, DANIELLE M., DDS75 LEE HWY STE 101 (540) 688-2946

ROBERTS, CAMERON T., DDS75 LEE HWY STE 101 (540) 688-2946

Periodontist

KAMREDDY, KEERTHI R., DDS75 LEE HWY STE 101 (540) 688-2946

WAYNESBORO - 22980

General Dentist

BOWMAN, KENNETH D., DDS2542 JEFFERSON HWY STE 10 (540) 943-8545

BRANDT, KATHRYN, DDS41 STONERIDGE DR (434) 973-1222

SAPON, MARK P., DDS41 STONERIDGE DR (434) 973-1222

SHIN, REBECCA H., DMD2542 JEFFERSON HWY STE 10 (540) 943-8545

STOUT, MICHAEL E., DDS30 STONERIDGE DR STE 102 (540) 949-8053

SWISHER, CHARLES B., DDS41 STONERIDGE DR (434) 973-1222

THOMPSON, MATTHEW G., DMD41 STONERIDGE DR (540) 943-5211

WEYERS CAVE - 24486

General Dentist

WILLIS, JAMES W., DDS81 FRANKLIN ST (540) 234-8686

BUCKINGHAM CountyDILLWYN - 23936

General Dentist

OLIVER JR., JAMES R., DDS15320 N JAMES MADISON HWY (434) 983-2600

SEILER, JOSEPH S., DDS15875 N JAMES MADISON HWY (434) 983-2826

SEILER, KATHLEEN B., DDS15875 N JAMES MADISON HWY (434) 983-2826

Orthodontist

HORBALY, WILLIAM G., DDS15320 N JAMES MADISON HWY (434) 983-2600

NEW CANTON - 23123

General Dentist

JEFFREY, EMMA, DMD25892 N JAMES MADISON HWY (434) 581-3271

CHARLOTTESVILLE CITYCounty

CHARLOTTESVILLE - 22901

General Dentist

NADEAU BELLAVANCE, JULIEN, DDS2202 N BERKSHIRE RD STE 203 (434) 293-9793

WHITMER, GREGORY L., DDS2202 N BERKSHIRE RD STE 203 (434) 295-9747

Oral Surgery

CHARLOTTESVILLE ORAL SURGERY AND DENTAL I2202 N BERKSHIRE RD STE 201 (434) 282-2275

HILL, NICHOLAS B., DDS2202 N BERKSHIRE RD STE 201 (434) 295-0911

IBANEZ, CARLOS R., DDS2202 N BERKSHIRE RD STE 201 (434) 282-2275

Orthodontist

HAMER, DAVID B., DDS2202 N BERKSHIRE RD STE 101 (434) 296-0188

Periodontist

REZK, MOHAMED, DDS2202 N BERKSHIRE RD STE 204 (434) 529-8885

CHARLOTTESVILLE - 22902

General Dentist

CASEY, PAUL, DDS1101 E JEFFERSON ST STE 7 (434) 971-7400

PAIGE, BENEGAL S., DDS408 EAST MARKET ST STE 206 (434) 977-1206

SABAH, NOOR U., DDS1101 E JEFFERSON ST STE 7 (434) 971-7400

STUMP, LAUREN E., DDS1101 E JEFFERSON ST STE 7 (434) 971-7400

WHYNOTT, CHRISTOPHER P., DDS1101 E JEFFERSON ST STE 7 (434) 971-7400

YEARGAN, JODY L., DDS1101 E JEFFERSON ST (434) 971-7400

YEARGAN, JODY L., DDS1101 E JEFFERSON ST STE 7 (434) 973-0363

Orthodontist

STRANIX, NANCY F., DDS1101 E JEFFERSON ST (434) 971-9601

VARNER, TAYLOR B., DDS1101 E JEFFERSON ST (434) 971-9601

WEIS, BARTON D., DDS1101 E JEFFERSON ST (434) 971-9601

CHARLOTTESVILLE - 22903

General Dentist

BEARLEY, DANIEL L., DDS901 PRESTON AVE STE 200 (434) 296-8034

CHARLOTTESVILLE DENTAL ASSOCIATES INC1227 CEDARS CT (434) 296-8043

CHAVEZ MAYORGA, CARLA L., DDS1204 W MAIN ST 3RD FL (434) 924-8251

CHAVEZ MAYORGA, CARLA L., DDS1222 JEFFERSON PARK AVE 2ND (434) 924-1774

CHAVEZ MAYORGA, CARLA L., DDS1204 W MAIN ST (434) 924-1774

DHALIWAL, VISHAWDEEP S., DDS1222 JEFFERSON PARK AVE 2ND (434) 924-1774

DHALIWAL, VISHAWDEEP S., DDS1204 W MAIN ST 3RD FLOOR (434) 924-8251

GALBRAITH, TED R., DDS1204 W MAIN ST 3RD FLR (434) 924-8251

GALBRAITH, TED R., DDS1222 JEFFERSON PARK AVE 2ND (434) 924-1774

GROVER, ROBERT E., DDS1204 W MAIN ST 3RD FLR (434) 924-8251

GROVER, ROBERT E., DDS1222 JEFFERSON PARK AVE FL 2 (434) 924-1774

HOARD, BRIAN C., DDS1222 JEFFERSON PARK AVE 2ND (434) 924-1774

HOARD, BRIAN C., DDS1204 W MAIN ST 3RD FLR (434) 924-1774

HORTON, CHRISTINA K., DDS1227 CEDARS CT (434) 296-8043

MOR, LAVIKA, DDS1204 W MAIN ST 3RD FL (434) 924-8251

MOR, LAVIKA, DDS1222 JEFFERSON PARK AVE 2ND (434) 924-1774

SAULS, LATASHA N., DDS1222 JEFFERSON PARK AVE 2ND (434) 924-1774

SAULS, LATASHA N., DDS1204 W MAIN ST (434) 924-1774

SAULS, LATASHA N., DDS1204 W MAIN ST 3RD FLR (434) 924-8251

STATES, MICHAEL E., DDS1227 CEDARS CT (434) 296-8043

VEGA, OSCAR G., DDS1204 W MAIN ST 3RD FLR (434) 924-8251

VEGA, OSCAR G., DDS1204 W MAIN ST (434) 924-1774

VEGA, OSCAR G., DDS1222 JEFFERSON PARK AVE 2ND (434) 924-1774

VO, KATIE N., DDS1227 CEDARS CT (434) 296-8043

Page 3 of 7 August 2021Virginia Advantage Plus

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

x☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Proprietary Confidential-Distribution or sharing of the contents of this report in part or in total with outside entities or sources requires written consent by United Concordia Dental.

Page 4: Directory of Participating Dental Providers Virginia

VirginiaCHARLOTTESVILLE - 22903 (continued)

Directory of Participating Dental Providers

Advantage Plus

Oral Surgery

HILL, NICHOLAS B., DDS1204 W MAIN ST (434) 924-1774

HILL, NICHOLAS B., DDS1222 JEFFERSON PARK AVE 2ND (434) 924-1774

HILL, NICHOLAS B., DDS1204 W MAIN ST 3RD FLR (434) 924-8251

HOARD, MARTIN A., DDS1204 W MAIN ST (434) 924-1774

HOARD, MARTIN A., DDS1204 W MAIN ST FL 3 (434) 924-8251

HOARD, MARTIN A., DDS1204 W MAIN ST FL 6 (434) 297-6453

HOARD, MARTIN A., DDS1222 JEFFERSON PARK AVE 2ND (434) 924-1774

HOARD, MARTIN A., DDS1300 JEFFERSON PARK AVE 4TH (434) 924-5808

IBANEZ, CARLOS R., DDS1222 JEFFERSON PARK AVE 2ND (434) 924-1774

SUMMERS, SARAH E., DMD1222 JEFFERSON PARK AVE 2ND (434) 924-1774

SUMMERS, SARAH E., DMD1204 W MAIN ST 3RD FLOOR (434) 924-8251

SUMMERS, SARAH E., DMD1204 W MAIN ST (434) 924-1774

Orthodontist

HORBALY, WILLIAM G., DDS1222 JEFFERSON PARK AVE 2ND (434) 924-1774

HORBALY, WILLIAM G., DDS1204 W MAIN ST 3RD FLR (434) 924-8251

Pediatric Dentist

CLIFFORD, KEVIN M., DDS1222 JEFFERSON PARK AVE 2ND (434) 924-1774

CLIFFORD, KEVIN M., DDS1204 W MAIN ST 3RD FLR (434) 924-0123

Periodontist

ABBOTT, DAVID M., DDS1222 JEFFERSON PARK AVE 2ND (434) 924-1774

Multi-Specialty

UNIVERSITY OF VIRGINIA PHYSICIANS GROUP1222 JEFFERSON PARK AVE 2ND (434) 924-1774

CHARLOTTESVILLE - 22908

General Dentist

CHAVEZ MAYORGA, CARLA L., DDS1215 LEE STREET & 11TH STREET SW (434) 924-1774

DHALIWAL, VISHAWDEEP S., DDS1215 LEE ST & 11TH ST SW (434) 924-1774

GALBRAITH, TED R., DDS1215 LEE ST (800) 868-6600

HOARD, BRIAN C., DDS1215 LEE ST (434) 924-1774

MOR, LAVIKA, DDS1215 LEE ST (800) 868-6600

VEGA, OSCAR G., DDSLEE ST & 11TH ST SW (434) 924-1774

Oral Surgery

HILL, NICHOLAS B., DDSLEE ST & 11TH ST SW (434) 924-1774

HOARD, MARTIN A., DDS1 HOSPITAL DR BARRINGE (434) 924-5301

HOARD, MARTIN A., DDS1215 LEE ST (434) 924-1774

SUMMERS, SARAH E., DMD1215 LEE ST & 11TH ST SW (434) 924-1774

CULPEPER CountyCULPEPER - 22701

General Dentist

ABDOUN, EZZAT O., DDS415 S MAIN ST STE 101 (540) 825-7676

AHMAD, ANWAR, DDS563 JAMES MADISON HWY STE (540) 764-4934

AHMED, SHABREZ, DDS15187 MONTANUS DR (540) 727-0093

AHUJA, ASHIMA, DDS563 JAMES MADISON HWY STE (540) 827-4076

AKINBI, FOLAKE A., DDS563 JAMES MADISON HWY STE (540) 827-4076

ALHABASHI, YASSER, DDS563 JAMES MADISON HWY STE (540) 827-4076

BOTROS, ARSANY, DDS563 JAMES MADISON HWY STE (540) 827-4076

BREEDEN JR., ALVIN W., DDS1116 N MAIN ST (540) 825-5599

CONWAY, JEANNE W., DDS563 JAMES MADISON HWY STE (540) 829-4076

DAFO, DANIEL, DDS563 JAMES MADISON HWY STE (540) 764-4934

DAWOUD, GEORGE N., DDS563 JAMES MADISON HWY STE (540) 827-4076

HOPKINS III, JAMES F., DDS563 JAMES MADISON HWY STE (540) 829-4076

JASANI, KRINA, DMD563 JAMES MADISON HWY STE (540) 827-4076

KASIPATHY, MADHUSUDHAN R., DDS563 JAMES MADISON HWY STE (540) 827-4076

KIM, BOMI, DDS563 JAMES MADISON HWY STE (540) 827-4076

MATAR, USAMA, DDS415 S MAIN ST STE 101 (540) 825-7676

NEIBAUER DENTAL CARE CULPEPPER15187 MONTANUS DR (540) 727-0093

VALLEY DENTAL CARE563 JAMES MADISON HWY STE (540) 827-4076

Oral Surgery

CENTRAL VIRGINIA ORAL & MAXILLOFACIAL SURG1400 SUNSET LN (540) 825-3069

CONNER, GREGORY A., DDS1400 SUNSET LN (540) 825-3069

EISENHARDT, PETER W., DDS1400 SUNSET LN (540) 825-3069

JACKSON, KEITH D., DMD1400 SUNSET LN (540) 825-3069

SOLOMON, JAMES M., DDS1400 SUNSET LN (540) 825-3069

SUMMERS, SARAH E., DMD1400 SUNSET LN (540) 825-3069

TRICKER, NATHANIEL D., DDS1400 SUNSET LN (540) 825-3069

Prosthodontist

COE, YONG J., DDS563 JAMES MADISON HWY STE (540) 764-4934

FLUVANNA CountyPALMYRA - 22963

General Dentist

ALVARADO-ROMERO POU , MELISSA D., DDS68 HERITAGE DR STE 5 (434) 589-5327

BELTRAMI, MARCO A., DDS68 HERITAGE DR STE 5 (434) 589-5327

CHRISTOFAKIS, STEVEN C., DDS68 HERITAGE DR (434) 589-5327

HOOVER, AMANDA A., DDS68 HERITAGE DR STE 5 (434) 589-5327

SCHOLL, LEO T., DDS32 GARDEN LN (434) 510-7261

WOODARD, MARGARET M., DDS68 HERITAGE DR STE 5 (434) 589-5327

SCOTTSVILLE - 24590

General Dentist

MAGID, AMANDA D., DDS1936 W RIVER RD (434) 286-3326

PATEL, MARGI, DDS1936 W RIVER RD (434) 286-3326

SANIE, ELIAS, DDS1936 W RIVER RD (434) 286-3326

WILLIS, JAMES W., DDS1936 W RIVER RD (434) 286-3326

YENER, ESRA S., DDS1936 W RIVER RD (434) 286-3326

GOOCHLAND CountyGOOCHLAND - 23063

General Dentist

DUNHAM, BRYSON K., DDS2979 RIVER RD W (804) 556-2530

ELROD, JOSEPH W., DDS2979 RIVER RD W (804) 556-2530

GREENE CountyRUCKERSVILLE - 22968

General Dentist

FLAHERTY, BROOKE E., DDS8260 SEMINOLE TRL (434) 987-7891

OWUOR, CHRISTINE A., DDS118 STONERIDGE DR S STE A (434) 985-1052

SAULS, LATASHA N., DDS8260 SEMINOLE TRL (434) 987-7891

WHYNOTT, CHRISTOPHER P., DDS118 STONERIDGE DR S STE A (434) 973-4649

Orthodontist

DOUGHTIE BROWN, CAMDEN B., DDS8291 SEMINOLE TRL (434) 990-5722

Page 4 of 7 August 2021Virginia Advantage Plus

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

x☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Proprietary Confidential-Distribution or sharing of the contents of this report in part or in total with outside entities or sources requires written consent by United Concordia Dental.

Page 5: Directory of Participating Dental Providers Virginia

VirginiaDirectory of Participating Dental Providers

Advantage Plus

HANOVER CountyMONTPELIER - 23192

General Dentist

AMINA, FARHEEN, DDS16225 MOUNTAIN RD (804) 883-0164

DELPH, BRADLEY G., DMD16625 MOUNTAIN RD (804) 883-0164

ENGLISH, SAM E., DDS16625 MOUNTAIN RD (804) 883-0164

HOLLAND, MATTHEW D., DDS16225 MOUNTAIN RD (804) 883-0164

NGUYEN, VIET D., DDS16625 MOUNTAIN RD (804) 883-0164

WRIGHT, THOMAS, DDS16625 MOUNTAIN RD (804) 883-0164

HARRISONBURG CITY CountyHARRISONBURG - 22801

General Dentist

BERNARD, IAN S., DDS660 E MARKET ST (540) 432-9036

CHELLAMUTHU, PRAVIN, DMD20 UNIVERSITY BLVD STE B (540) 214-3732

DENTAL PROFESSIONALS OF VIRGINIA P C660 E MARKET ST (540) 432-9036

GOLDEN, MITZY, DDS1380 LITTLE SORRELL DR STE 10 (540) 433-4913

GOODE, ISAAC E., DDS660 E MARKET ST (540) 432-9036

HAMBLIN, MERINDA, DMD3230 PEOPLES DR STE 220 (540) 801-0150

HUTSON, H. M., DDS129 UNIVERSITY BLVD STE C (540) 434-1125

JEFFREY, WILLIAM C., DMD1380 LITTLE SORRELL DR STE 10 (540) 433-4913

JOSEPH, ROSHNI, DDS20 UNIVERSITY BLVD STE B (540) 214-3732

LEVINE, ANDREW D., DDS20 UNIVERSITY BLVD STE B (540) 214-3732

MATTOX, KRYSTAL, DDS1380 LITTLE SORRELL DR STE 10 (540) 433-4913

NASEER, TEHRIM, DDS20 UNIVERSITY BLVD STE B (540) 214-3732

NAUSS, JOHN A., DDS20 UNIVERSITY BLVD STE B (540) 214-3732

PEMBERTON, BERKELEY M., DDS1380 LITTLE SORRELL DR STE 10 (540) 433-4913

PHILLIPS, ALLEN D., DDS1014 RESERVOIR ST STE B (540) 432-6767

SELIM, MOHAMED, DDS1855 E MARKET ST STE 201 (540) 513-4500

SHNEIDMAN, JON A., DDS1380 LITTLE SORRELL DR STE 10 (540) 433-4913

THOMPSON, MATTHEW G., DMD20 UNIVERSITY BLVD STE B (540) 214-3732

Oral Surgery

KANTANEN, DENNIS, DDS20 UNIVERSITY BLVD STE B (540) 214-3732

KESECKER, JEFFERY B., DDS2071 PRO POINTE LN (540) 437-1230

KLAMUT, KENNETH M., DDS129 UNIVERSITY BLVD STE A (540) 432-1300

RAMSEY, BRENT J., DDS2071 PRO POINTE LN (540) 437-1230

Pediatric Dentist

ARSHAD, NOEEN, DDS129 UNIVERSITY BLVD STE A (540) 432-1300

CARNEY, JACQUELINE M., DDS129 UNIVERSITY BLVD STE A (540) 432-1300

Multi-Specialty

ASPEN DENTAL20 UNIVERSITY BLVD STE B (540) 214-3732

HARRISONBURG - 22802

General Dentist

BOTROS, ARSANY, DDS1741 VIRGINIA AVE STE G (540) 539-3904

ROCKINGHAM - 22801

Oral Surgery

QUITMEYER, AARON E., DDS2031 LEGACY LN (540) 433-1751

LOUISA CountyLOUISA - 23093

General Dentist

HALL, WANDA, DDS208B ELM AVE (540) 967-0777

JOHN J ANDRE DDS PC & ASSOCIATES208B ELM AVE (540) 967-0777

WAKEFIELD, KERI R., DDS115 JEFFERSON HWY STE 9 (540) 967-9401

MINERAL - 23117

General Dentist

ABDOUN, EZZAT O., DDS121 LOUISA AVE (540) 894-5700

ARAFA, MOHAMED H., DDS121 LOUISA AVE (540) 894-5700

HARRISON, TIARA, DDS121 LOUISA AVE (540) 894-5700

MAHMOOD, MAHMOOD L., DDS121 LOUISA AVE (540) 894-5700

TROY - 22974

General Dentist

DHAKAR FAMILY DENTISTRY10046 THREE NOTCH RD (434) 591-5074

DHAKAR, ADITYA, DDS10046 THREE NOTCH RD (434) 591-5074

DHAKAR, SURYA P., DDS10046 THREE NOTCH RD (434) 591-5074

MADURANTAKAM, PARTHASARATHY A., DDS10046 THREE NOTCH RD (434) 591-5074

PANDEY, SWATI, DDS10046 THREE NOTCH RD (434) 591-5074

ZION CROSSROADS - 22942

General Dentist

HEETER, SARAH A., DDS34 JEFFERSON CT (540) 832-3232

KNIGHT JR., JOHN H., DDS34 JEFFERSON CT (540) 369-6118

NADEAU BELLAVANCE, JULIEN N., DDS34 JEFFERSON CT (540) 832-3232

Orthodontist

CLINE, MATTHEW W., DDS34 JEFFERSON CT (540) 832-3232

Pediatric Dentist

AARON J STUMP DDS PLC70 JEFFERSON CT STE 101 (540) 832-6657

MADISON CountyMADISON - 22727

General Dentist

HUIJSSOON, JOHANNA A., DMD306 S MAIN ST (540) 948-4488

KLEINE, JARED C., DDSROUTE 29 N (540) 948-4812

SMITH III, JAMES C., DDS1333 N SEMINOLE TRL (540) 948-4812

TORMA, AUDREY J., DDS1333 N SEMINOLE TRL (540) 948-4812

VEGA, OSCAR G., DDS306 S MAIN ST (540) 948-4488

NELSON CountyAFTON - 22920

General Dentist

CHAVEZ MAYORGA, CARLA L., DDS9605 CRITZERS SHOP RD (540) 456-6571

ARRINGTON - 22922

General Dentist

MILLS ROBERTSON, ABA E., DDS4038 THOMAS NELSON HWY (434) 263-4752

SYKES, RICHARD, DDS4038 THOMAS NELSON HWY (434) 263-6310

NELLYSFORD - 22958

General Dentist

CROWDER, NILOOFAR A., DDS2905 ROCKFISH VALLEY HWY (434) 361-2442

RICE, JAMES E., DDS2905 ROCKFISH VALLEY HWY (434) 361-2442

RICE, JENNIFER R., DDS2905 ROCKFISH VALLEY HWY (434) 361-2442

Multi-Specialty

DYNAMIC DENTAL HEALTH ASSOC OF VIRGINIA PC2905 ROCKFISH VALLEY HWY (434) 361-2442

ORANGE CountyLOCUST GROVE - 22508

General Dentist

AITHRAA, SINAN, DMD35070 GERMANNA HEIGHTS DR ST (540) 399-9841

Page 5 of 7 August 2021Virginia Advantage Plus

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

x☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Proprietary Confidential-Distribution or sharing of the contents of this report in part or in total with outside entities or sources requires written consent by United Concordia Dental.

Page 6: Directory of Participating Dental Providers Virginia

VirginiaLOCUST GROVE - 22508 (continued)

Directory of Participating Dental Providers

Advantage Plus

HAGAR, BASIONY T., DDS35070 GERMANNA HGTS DR STE (540) 399-9841

SANIE, ELIAS, DDS35070 GERMANNA HEIGHTS DR ST (540) 399-9841

ORANGE - 22960

General Dentist

ALVARADO-ROMERO POU , MELISSA D., DDS13296 JAMES MADISON HWY (540) 661-0008

TORMA, AUDREY J., DDS13296 JAMES MADISON HWY (540) 661-0008

Pediatric Dentist

LIN, CHI-YI, DDS13296 JAMES MADISON HWY (540) 661-0008

PAGE CountyLURAY - 22835

General Dentist

DOMINION FAMILY DENTISTRY33 N BANK ST (540) 743-3434

ELGARAWANY, IBRAHIM, DDS156 E MAIN ST (540) 743-4810

LANIGAN JR., PETER A., DDS33 N BANK ST (540) 743-3434

SAMPLE, SHEMIKA L., DDS33 N BANK ST (540) 743-3434

Orthodontist

BEN NASIR, EHAB, DDS156 E MAIN ST (540) 743-4810

POWHATAN CountyPOWHATAN - 23139

General Dentist

APPLEBY, PETER B., DDS2625 ANDERSON HWY (804) 598-3000

BOKINSKY, ERIC B., DDS3250 ANDERSON HWY (804) 598-2600

BOND, MARK C., DDS2625 ANDERSON HWY (804) 598-3000

BUHLER, JOHN D., DDS2625 ANDERSON HWY (804) 598-3000

CATOGGIO, MICHAEL V., DDS2625 ANDERSON HWY (804) 598-3000

CRICHTON, CATHERINE P., DDS2625 ANDERSON HWY (804) 598-3000

CRICHTON, JAMES S., DDS2625 ANDERSON HWY (804) 598-3000

DENONCOURT, JAMIE Y., DDS2625 ANDERSON HWY (804) 598-3000

DEVERA, GENEVIEVE B., DDS3452 ANDERSON HWY STE A (804) 598-8951

DEVERA, GENEVIEVE B., DDS2105 ACADEMY RD STE J (804) 598-8951

DIEFENDERFER, MARK, DDS2625 ANDERSON HWY (804) 598-3000

DONALD R MURRY JR DDS PC3250 ANDERSON HWY (804) 598-2600

DOSS, KATHERINE H., DDS2625 ANDERSON HWY (804) 598-3000

DURHAM, DAVID L., DDS3250 ANDERSON HWY (804) 598-2600

ELDRIDGE, KEITH, DDS2625 ANDERSON HWY (804) 598-3000

ESTILL, ANDREW R., DDS2625 ANDERSON HWY (804) 598-3000

FLANAGAN, CHAD M., DDS2625 ANDERSON HWY (804) 598-3000

GAMACHE, MARC D., DDS2625 ANDERSON HWY (804) 598-3000

GHAZARIAN, MISHA, DDS2625 ANDERSON HWY (804) 598-3000

HYDER, ZAIN A., DDS2625 ANDERSON HWY (804) 598-3000

JOHANSEN, STEPHEN P., DDS2625 ANDERSON HWY (804) 598-3000

JORDAN, EDWARD T., DDS2625 ANDERSON HWY (804) 598-3000

KEIFER, KATHERINE, DDS3250 ANDERSON HWY (804) 598-2600

KUHN, TODD M., DMD3250 ANDERSON HWY (804) 598-2600

LARKIN, STEVEN K., DDS2625 ANDERSON HWY (804) 598-3000

LOPEZ, ROCIO D., DDS2625 ANDERSON HWY (804) 598-3000

MAURI, ANTONIO E., DDS2625 ANDERSON HWY (804) 598-3000

MICHAEL PFAB DDS AND ASSOCIATES2105 ACADEMY RD STE J (804) 598-8951

MOREDOCK, EMMA E., DDS3250 ANDERSON HWY (804) 598-2600

MULE, MERISSA F., DDS2625 ANDERSON HWY (804) 598-3000

MURRY JR., DONALD R., DDS3250 ANDERSON HWY (804) 598-2600

MURRY, BRITTNEY D., DMD3250 ANDERSON HWY (804) 598-2600

MURRY, DONALD R., DMD3250 ANDERSON HWY (804) 598-2600

MURRY, KENNETH E., DMD3250 ANDERSON HWY (804) 598-2600

NASH, COLLEEN E., DDS2625 ANDERSON HWY (804) 598-3000

ORISTIAN, ALEXIS R., DDS2625 ANDERSON HWY (804) 598-3000

PERKINSON JR., WILLIAM B., DDS2625 ANDERSON HWY (804) 598-3000

PERKINSON, SETH T., DDS2625 ANDERSON HWY (804) 598-3000

PFAB, MICHAEL D., DDS2105 ACADEMY RD STE J (804) 598-8951

RESSLER, CHRISTINE O., DDS2625 ANDERSON HWY (804) 598-3000

ROBERTS JR., DAVID P., DMD2625 ANDERSON HWY (804) 598-3000

ROPER, ERIK C., DDS2625 ANDERSON HWY (804) 598-3000

SPARKS, SARAH N., DDS2625 ANDERSON HWY (804) 598-3000

TRAN, JENNIFER M., DDS2625 ANDERSON HWY (804) 598-3000

TURNAGE, J. NEIL, DDS2625 ANDERSON HWY (804) 598-3000

VIRGINIA FAMILY DENTISTRY PC2625 ANDERSON HWY (804) 598-3000

VOTH, STEPHANIE C., DDS2625 ANDERSON HWY (804) 598-3000

WARD, CHRISTOPHER R., DDS2625 ANDERSON HWY (804) 598-3000

WICKER, MARYBETH, DDS2625 ANDERSON HWY (804) 598-3000

WINHEIM, MATTHEW A., DDS3250 ANDERSON HWY (804) 598-2600

WINHEIM, MATTHEW A., DDS3250 ANDERSON HWY (804) 598-9635

WONG, DENNIS C., DDS2625 ANDERSON HWY (804) 598-3000

WONG, JOSHUA C., DDS2625 ANDERSON HWY (804) 598-3000

Endodontist

HOLBERT, PAIGE T., DDS2625 ANDERSON HWY (804) 598-3000

Orthodontist

BUELOW, DWIGHT V., DDS2625 ANDERSON HWY (804) 598-3000

MARCUS, RICHARD M., DDS2625 ANDERSON HWY (804) 598-3000

PURCELL, ALLISON S., DDS2625 ANDERSON HWY (804) 598-3000

SPEARS, MELANIE W., DDS2625 ANDERSON HWY (804) 598-3000

Pediatric Dentist

LAUGHLIN, ROBERT J., DDS2625 ANDERSON HWY (804) 598-3000

Periodontist

BLOCK, CARL M., DDS2625 ANDERSON HWY (804) 598-3000

ROCKBRIDGE CountyRAPHINE - 24472

General Dentist

WOODARD, STEVEN M., DMD113 COMMERCE PARK DR (540) 377-1223

ROCKINGHAM CountyBRIDGEWATER - 22812

General Dentist

PARKSIDE FAMILY DENTISTRY100 PARKSIDE DR (540) 828-3518

PARKSIDE FAMILY DENTISTRY100 PARKSIDE DR (540) 828-3518

PARKSIDE FAMILY DENTISTRY100 PARKSIDE DR (540) 828-3518

PARKSIDE FAMILY DENTISTRY100 PARKSIDE DR (540) 828-3518

Page 6 of 7 August 2021Virginia Advantage Plus

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

x☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Proprietary Confidential-Distribution or sharing of the contents of this report in part or in total with outside entities or sources requires written consent by United Concordia Dental.

Page 7: Directory of Participating Dental Providers Virginia

VirginiaDirectory of Participating Dental Providers

Advantage Plus

DAYTON - 22821

General Dentist

CALVANO AND LA GRUA PLLC90 MILL ST (540) 879-9845

GOLDEN, MITZY, DDS90 MILL ST (540) 879-9845

GOOD, STACEY C., DMD90 MILL ST (540) 879-9845

KAMREDDY, KEERTHI R., DDS90 MILL ST (540) 879-9845

LA GRUA, DANIEL B., DMD90 MILL ST (540) 879-9845

MCKINNEY, MICHAEL W., DMD90 MILL ST (540) 879-9845

MESSMER, MARION L., DDS90 MILL ST (540) 879-9845

NOBLE, DANIELLE M., DDS90 MILL ST (540) 879-9845

ROBERTS, CAMERON T., DDS90 MILL ST (540) 879-9845

Periodontist

KAMREDDY, KEERTHI R., DDS90 MILL ST (540) 879-9845

ELKTON - 22827

General Dentist

ZOPP, BRYAN T., DDS205 W SPOTSWOOD TRL (540) 298-9419

HARRISONBURG - 22801

General Dentist

CALVANO AND LA GRUA PLLC3340 EMMAUS RD (540) 433-2613

CALVANO, DENNIS, DMD3340 EMMAUS RD (540) 433-2613

GOLDEN, MITZY, DDS3340 EMMAUS RD (540) 422-2613

GOOD, STACEY C., DMD3340 EMMAUS RD (540) 433-2613

KAMREDDY, KEERTHI R., DDS3340 EMMAUS RD (540) 455-5613

LA GRUA, DANIEL B., DMD3340 EMMAUS RD (540) 422-2613

MCKINNEY, MICHAEL W., DMD3340 EMMAUS RD (540) 433-2613

MESSMER, MARION L., DDS3340 EMMAUS RD (540) 433-2613

NOBLE, DANIELLE M., DDS3340 EMMAUS RD (540) 422-2613

ROBERTS, CAMERON T., DDS3340 EMMAUS RD (540) 433-2613

Endodontist

CANBY, FREDERICK L., DDS4100 QUARLES CT (540) 432-0609

Oral Surgery

PAULETTE, STEPHEN W., DDS4100 QUARLES CT (540) 908-4846

Periodontist

KAMREDDY, KEERTHI R., DDS3340 EMMAUS RD (540) 455-5613

ROCKINGHAM - 22801

General Dentist

CHALKER, JENNIFER W., DDS4111 QUARLES CT (540) 434-4343

SHENANDOAH CountyNEW MARKET - 22844

Oral Surgery

WHITNEY, JAMES H., DDS9626 S CONGRESS ST (540) 740-8937

STAUNTON CITY CountySTAUNTON - 24401

General Dentist

BOYLES, JOHN, DDS369 N COALTER ST (540) 886-3261

DENTAL PROFESSIONALS OF VIRGINIA P C1600 N COALTER ST STE 304 (540) 885-2000

GOODE, ISAAC E., DDS1600 N COALTER ST STE 304 (540) 885-2000

LAMAY, ASHLEY W., DDS110 MACTANLY PL (540) 088-2956

SIDDIQUI, SAMEED A., DDS1600 N COALTER ST STE 304 (540) 885-2000

Oral Surgery

BIGELOW, WILLIAM C., DDS110 MACTANLY PL STE C (540) 213-8750

KESECKER, JEFFERY B., DDS110 MACTANLY PL STE C (540) 213-8750

Orthodontist

ASHLEY, CHANDA M., DDS211 EDGEWOOD RD (540) 885-6815

CLOTH, MARK S., DDS500 N COALTER ST (540) 886-8331

VERONA - 24482

General Dentist

CALVANO AND LA GRUA PLLC1557 COMMERCE RD STE 204 (540) 248-2500

GOLDEN, MITZY, DDS1557 COMMERCE RD STE 204 (540) 248-2500

GOOD, STACEY C., DMD1557 COMMERCE RD STE 204 (540) 248-2500

KAMREDDY, KEERTHI R., DDS1557 COMMERCE RD STE 204 (540) 248-2500

LA GRUA, DANIEL B., DMD1557 COMMERCE RD STE 204 (540) 248-2500

MCKINNEY, MICHAEL W., DMD1557 COMMERCE RD STE 204 (540) 248-2500

MESSMER, MARION L., DDS1557 COMMERCE RD STE 204 (540) 248-2500

NOBLE, DANIELLE M., DDS1557 COMMERCE RD STE 204 (540) 248-2500

ROBERTS, CAMERON T., DDS1557 COMMERCE RD STE 204 (540) 248-2500

Periodontist

KAMREDDY, KEERTHI R., DDS1557 COMMERCE RD STE 204 (540) 248-2500

WAYNESBORO CITY CountyWAYNESBORO - 22980

General Dentist

BERBES, WILLIAM C., DDS1305 13TH ST STE C1 (540) 949-8550

BROWNING, STEVEN W., DDS1151 13TH ST STE 200 (540) 943-4215

DAVIS, RUSTY K., DDS400 S MAGNOLIA AVE (540) 943-2723

MAGNOLIA DENTAL CORPORATION PC400 S MAGNOLIA AVE (540) 943-2723

MILLER, RICHARDS M., DMD400 S MAGNOLIA AVE (540) 943-2723

MILLER, RICHARDS R., DDS400 S MAGNOLIA AVE (540) 943-2723

POTTER, WILLIAM C., DDS1305 13TH ST STE D2 (540) 943-1222

ROLLER, JOHN D., DDS1420 13TH ST (540) 943-1114

SANIE, ELIAS, DDS101 PELHAM DR (540) 943-9703

WILLIS, JAMES W., DDS101 PELHAM DR (540) 943-9703

WILSON, ROBERT C., DDS437 S MAGNOLIA AVE (540) 943-7077

YAU, JENNIFER, DDS101 PELHAM DR (540) 943-9703

YENER, ESRA S., DDS101 PELHAM DR (540) 943-9703

Oral Surgery

BIGELOW, WILLIAM C., DDS201 ROSSER AVE (540) 943-5297

COLLINS, ROBERT J., DMD920 SHENANDOAH VILLAGE DR ST (540) 949-5333

Orthodontist

BEECROFT, STEPHEN M., DMD920 SHENANDOAH VILLAGE DR ST (540) 941-7638

DAVILLIER, CHRISTIAN, DDS920 SHENANDOAH VILLAGE DR ST (540) 941-7638

Pediatric Dentist

PETERS, BARRETT W., DDS2520 W MAIN ST (540) 943-3315

Page 7 of 7 August 2021Virginia Advantage Plus

Currently not accepting new patients.

This list of dental providers is subject to change. To confirm provider participation, please contact United Concordia (1-800-332-0366) or the provider. You may access an online directory at www.unitedconcordia.com

x☼ Dentist agrees to accept MAC for non-covered and services exceeding the patient's annual maximum. All Dentists accept MAC for Covered services.

Proprietary Confidential-Distribution or sharing of the contents of this report in part or in total with outside entities or sources requires written consent by United Concordia Dental.

Page 8: Directory of Participating Dental Providers Virginia

Language Index

AF AFRIKAANS....... IN INDIAN....... TE TELUGU.......

AI ASIAN INDIAN....... IR IRANIAN....... TH THAI.......

AL ALBANIANS....... IT ITALIAN....... TK TURKISH.......

AM ARAMAIC....... JP JAPANESE....... TL TAMIL.......

AN ARMENIAN....... KA KANNADA....... TN TUNISIAN.......

AR ARABIC....... KO KOREAN....... TO TOSK.......

AS ASSYRIAN....... KU KURDISH....... TU TURKMEN.......

AT AZERI TURKISH....... LA LATIN....... TW TAIWANESE.......

AU AZERBAIJANI TURKISH....... LB LEBANESE....... UK UKRAINIAN.......

AV AZERI....... LO LAOS....... UR URDU.......

AW AZARI....... LT LITHUANIAN....... UZ UZBEK.......

AZ AZERBAIJANI....... LV LATVIAN....... VS VISAYAN.......

BA BALOCHI....... MA MARATHI....... VT VIETNAMESE.......

BE BENGALI....... MD MANDARIN....... YI YIDDISH.......

BL BULGARIAN....... MF MORE FOREIGN LANGUAGES....... YR YORUBA.......

BN BANTUSE....... MG MALAGASY.......

BR BERBERE....... MH MAHRATTI.......

BU BURMESE....... ML MALAYALAM.......

CA CASTILIAN....... MN MANIPURI.......

CL CATALAN....... MY MALAY.......

CM CAMBODIAN....... NE NEPALISE.......

CN CHINESE....... NO NORWEGIAN.......

CO COORG....... PA PARATHI.......

CR CROATIAN....... PH PHILLIPINO.......

CT CANTONESE....... PI PASHTU.......

CZ CZECH....... PL POLISH.......

DA DARI....... PR PERSIAN.......

DN DANISH....... PS PASHAI.......

DT DUTCH....... PT PORTUGESE.......

EG EGYPTIAN....... PU PUNJABI.......

EI EAST INDIAN....... RM ROMANIAN.......

EN ENGLISH....... RS RUSSIAN.......

FA FARSI....... SA SWAMILIA.......

FI FINNISH....... SC SCOTTISH.......

FM FLEMISH....... SE SETSWANA.......

FR FRENCH....... SG SINHALESE.......

FU FUKIEN CHINESE....... SH SHONA.......

GA GA....... SI SIGN LANGUAGE.......

GK GREEK....... SL SOUTH INDIAN.......

GL GAELIC....... SM SAMOAN.......

GR GERMAN....... SN SINDHI.......

GU GUJARATI....... SP SPANISH.......

HE HEBREW....... SR SERBIAN.......

HG HUNGARIAN....... SS SCANDANAVIAN.......

HI HINDI....... ST SANSKRIT.......

IB IBO....... SV SLOVAK.......

IC ICELANDIC....... SW SWEDISH.......

ID INDONESIAN/ORIYA....... SY SYRIAN.......

IL ILOCANO....... TA PILIPINO/TAGALOG.......

Page 9: Directory of Participating Dental Providers Virginia

If directory information appears to be inaccurate, please call United Concordia at 1-844-397-4180, or contact us by email at the followingaddress: [email protected] may also submit a complaint if you believe that you reasonably relied upon materially inaccurate, incomplete, or misleading directoryinformation. To file a complaint, please contact United Concordia Dental Customer Service using the phone number on the back of your IDcard.

Reporting of Inaccurate Directory Information

Federal Americans with Disabilities Act

How United Concordia Builds Dental Networks

Source of Directory Information

The information included within this directory is supplied by the provider and verified during United Concordia's credentialing andrecredentialing process.

Important information regarding directory accuracy for Hawaii enrollees

The information included within this directory is accurate as of the date of printing. Please consult United Concordia's electronic providerdirectory on its website or call customer service to obtain current directory information.

Important information for Texas DHMO Enrollees

The Texas Administrative Code requires that Health Maintenance Organizations (HMOs) disclose service area adequacy information, asdefined by 28 TAC § 11.1612. Our service area is comprised of the following counties. Those counties marked with an asterisk (*) arethose which have a Network Access Plan. Bastrop*, Bell*, Bexar*, Brazoria, Brazos*, Chambers, Collin*, Comal*, Dellas*, Dentin*, ElPaso*, Ellis*, Falls*, Fort Bend, Galveston, Grayson*, Grimes*, Guadalupe*, Harris, Hays*, Hill*, Jefferson*, Johnson*, Kaufman*, Liberty,McLennan*, Midland*, Milam*, Montgomery, Orange*, Robertson*, Rockwall*, Smith*, Tarrant*, Tom Green*, Travis*, Upshur*, Van Zandt*,Walker*, Waller, Webb*, Williamson*

To build our dental networks, we look at many geographic and market factors including how many practicing primary and specialtydentists there are in a specific area to help us determine if there are enough dentists available to meet the dental health care needs of ourmembers. Additional factors such as access and availability, credentialing standards, participating dentist agreement requirements andquality standards also serve a vital role in building our networks.To be eligible to participate in United Concordia’s networks a dentist must:

• Hold an active, valid license to practice dentistry in the state(s) in which they practice.• Complete a United Concordia or state-specific Credentialing Application.• Demonstrate a utilization review pattern acceptable to United Concordia.• Hold current professional liability insurance.• Have no current sanction, termination or other peer review action by a professional review body, state dental board or Health and

Human Service (HHS).• Hold an active unrestricted federal Drug Enforcement Agency (DEA) certificate, if applicable.

Participating dentists are re-credentialed every three years. On an ongoing basis, we monitor for any sanctions, loss of license, fraud,waste or abuse activity and any potential quality of care concerns.

Enrollees are entitled to full and equal access to covered services, including enrollees with disabilities as required under the FederalAmericans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973.

Page 10: Directory of Participating Dental Providers Virginia

Language Assistance Services for California Enrollees

Page 11: Directory of Participating Dental Providers Virginia

The Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age,disability, or sex, including sex stereotypes and gender identity. The Plan does not exclude people or treat them differently because ofrace, color, national origin, age, disability, or sex assigned at birth, gender identity or recorded gender. Furthermore, the Plan will not denyor limit coverage to any health service based on the fact that an individual’s sex assigned at birth, gender identity, or recorded gender isdifferent from the one to which such health service is ordinarily available. The Plan will not deny or limit coverage for a specific healthservice related to gender transition if such denial or limitation results in discriminating against a transgender individual.The Plan:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as:• Qualified sign language interpreters• Written information in other formats (large print, audio, accessible electronic formats, other formats)

• Provides free language services to people whose primary language is not English, such as:• Qualified interpreters• Information written in other languages

Discrimination is Against the Law

If you need these services, contact the Civil Rights Coordinator.If you believe that the Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin,age, disability, or sex, including sex stereotypes and gender identity, you can file a grievance with: Civil Rights Coordinator, P.O. Box22492, Pittsburgh, PA 15222, Phone: 1-866-286-8295, TTY: 711, Fax: 412-544-2475, email: [email protected] can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Civil Rights Coordinator is available tohelp you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rightselectronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail orphone at:U.S. Department of Health and Human Services, 200 Independence Avenue, SW, Room 509F, HHH Building, Washington, D.C. 202011-800-368-1019, 800-537-7697 (TDD)

Page 12: Directory of Participating Dental Providers Virginia
Page 13: Directory of Participating Dental Providers Virginia

United Concordia Dental is committed to making it easy for our customers to do business withus by providing and continuing to improve an accessible platform for our customers.

Accessibility Commitment

As a trusted provider of health and wellness information to people of varying needs and abilities, we takesteps to ensure that our products meet the WCAG 2.0 Level AA (http://www.w3.org/TR/WCAG20/)accessibility standard.Our goal is to deliver solutions that equally satisfy the needs of all people, regardless of individual ability.

Evaluating, enhancing, and road-mapping our products for accessibility, as appropriate.• Integrating both automated and manual processes for our applications and content, in general, by:

• Designing our experiences using human-centered methodologies.• Developing our technical solutions and content using accessibility coding best practices.

• Periodically working with outside vendors to evaluate further opportunities to improve our accessibility.

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