select plan1 dentist directory - dominion national select plan1 dentist directory * indicates...

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Dentists listed are under contract as of 5/1/18 Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County Berry Zachary 51075 Scott R Goodove DDS Plc 25529 E Main St Onley VA 23418 Oral Surgeon Accomack Goodove Scott 51075 Scott R Goodove DDS Plc 25529 E Main St Onley VA 23418 Oral Surgeon Accomack Zagursky Peter 51075 Scott R Goodove DDS Plc 25529 E Main St Onley VA 23418 Oral Surgeon Accomack Kotler Lawrence 224 Lawrence M Kotler DDS Ms 3543 W Braddock Rd Alexandria VA 22302 Endodontist Alexandria City Ardila Gaitan Claudia 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria City Kim Kyu 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria City Levine Fernanda 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria City Montane Ismael 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria City Upshaw Montressor 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria City Harvey Anna 247627 Neighborhood Health Specialists 4480 King St Alexandria VA 22302 Pedodontist Alexandria City Miranda Ruben 247627 Neighborhood Health Specialists 4480 King St Alexandria VA 22302 Periodontist Alexandria City Phan Phuong 2274 Phuong Phan Dmd Pc 1225 Martha Custis Drive Alexandria VA 22302 General Provider Alexandria City Du Khanh 136030 Smiley Du Dental 3610 Forest Dr Alexandria VA 22302 General Provider Alexandria City Lee Hyo 239620 Arlington Alexandria Endodontics PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Meza Fernando 239620 Arlington Alexandria Endodontics PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Patel Loken 239620 Arlington Alexandria Endodontics PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Alayssami Mazin 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Emad-Azmoudeh Neda 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Hamdoon Sama 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Knox Dominique 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Naeem Mariam 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Nure Bahru 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Park Jung 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Patel Jay 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Reddy Hima-Bindu 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Selenou-Tema Alain 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Williams Shannon 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Sangid Maher 154203 Duke Dental Care Plc 50 S Pickett St Alexandria VA 22304 General Provider Alexandria City Sangid Ronny 154203 Duke Dental Care Plc 50 S Pickett St Alexandria VA 22304 General Provider Alexandria City Lee Hyo 37720 Fernando J Meza Dmd PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Meza Fernando 37720 Fernando J Meza Dmd PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Patel Loken 37720 Fernando J Meza Dmd PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Solemaninejad Homan 145747 Landmark Dental Care 101 S Whiting St Alexandria VA 22304 General Provider Alexandria City Kim Kyu 247641 Neighborhood Health At Wow Bus 3540 Wheeler Ave Alexandria VA 22304 General Provider Alexandria City Levine Fernanda 247641 Neighborhood Health At Wow Bus 3540 Wheeler Ave Alexandria VA 22304 General Provider Alexandria City Upshaw Montressor 247641 Neighborhood Health At Wow Bus 3540 Wheeler Ave Alexandria VA 22304 General Provider Alexandria City Harvey Anna 247628 Neighborhood Health Specialists 3540 Wheeler Ave Alexandria VA 22304 Pedodontist Alexandria City Miranda Ruben 247628 Neighborhood Health Specialists 3540 Wheeler Ave Alexandria VA 22304 Periodontist Alexandria City Kwon Thomas 342 Thomas S Kwon DDS 4701 Kenmore Ave. Alexandria VA 22304 General Provider Alexandria City * Abdeen Moutaz 208597 Alexandria Smiles Dentistry 5234 Dawes Ave Alexandria VA 22311 General Provider Alexandria City Tolson Ronald 215 Ronald E Tolson DDS 5246 Dawes Ave Alexandria VA 22311 General Provider Alexandria City Khalefa Said 1269 Said M Khalefa DDS Pc 4600 Pincrest Office Park Dr. Alexandria VA 22312 General Provider Alexandria City Asgari Navid 232066 Alexandria Dental Arts 1001 N Fairfax St Alexandria VA 22314 General Provider Alexandria City Stephenson-Frazier Kesha 181520 Parker Gray Pediatric Dental Care Pc 224 N Fayette St Alexandria VA 22314 Pedodontist Alexandria City Vatanka Heidi 181520 Parker Gray Pediatric Dental Care Pc 224 N Fayette St Alexandria VA 22314 Pedodontist Alexandria City * Huynh Thuylinh 50343 Arlington Center For Dentistry Orthodontics 1050 N Highland St Arlington VA 22201 Orthodontist Arlington Asher Kevin 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Oral Surgeon Arlington Fein Joshua 221150 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist Arlington Gichana Roselyne 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Pedodontist Arlington Gill Kwesi 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Pedodontist Arlington Lee Eun Young 221150 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist Arlington Lee Eun Young 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist Arlington Nguyen Phuong 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Oral Surgeon Arlington Shambayati Sara 221150 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist Arlington * Butler Charles 1120 Charles A Butler DDS 2250 Clarendon Blvd Arlington VA 22201 General Provider Arlington Wray Henry 1391 Henry C Wray DDS 2250 Clarendon Blvd. Arlington VA 22201 General Provider Arlington Favagehi Jason 81559 Crystal City Dental Arts Center 1615 Crystal Square Arcade Arlington VA 22202 General Provider Arlington Yi John 81559 Crystal City Dental Arts Center 1615 Crystal Square Arcade Arlington VA 22202 General Provider Arlington * Lebo Carl 233 Carl G Lebo DDS Pc 3801 N. Fairfax Dr. Arlington VA 22203 General Provider Arlington Kumra Shawn 127008 Elegant Smiles Dental Care 3801 N Fairfax Dr Arlington VA 22203 General Provider Arlington Sangid Maher 178977 Columbia Heights Dental Center Plc 3219 Columbia Pike Arlington VA 22204 General Provider Arlington Sangid Ronny 178977 Columbia Heights Dental Center Plc 3219 Columbia Pike Arlington VA 22204 General Provider Arlington * Jamali Maryam 200630 Maryam Jamali DDS 611 S Carlin Springs Rd Arlington VA 22204 General Provider Arlington Kim Kyu 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider Arlington Levine Fernanda 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider Arlington Montane Ismael 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider Arlington Upshaw Montressor 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider Arlington Harvey Anna 247630 Neighborhood Health Specialists 2100 Washington Blvd Arlington VA 22204 Pedodontist Arlington Miranda Ruben 247630 Neighborhood Health Specialists 2100 Washington Blvd Arlington VA 22204 Periodontist Arlington Lee Hyo 239621 Arlington Alexandria Endodontics PLLC 1635 N George Mason Dr Arlington VA 22205 Endodontist Arlington SELECT PLAN 1 DENTIST DIRECTORY * Indicates dentist that is accepting current patients only. VA Select Plan Dentists Page 1 1 Same as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms or proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or facility before seeking treatment to confirm the provider is actively participating in your plan.

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Dentists listed are under contract as of 5/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline CountyBerry Zachary 51075 Scott R Goodove DDS Plc 25529 E Main St Onley VA 23418 Oral Surgeon Accomack Goodove Scott 51075 Scott R Goodove DDS Plc 25529 E Main St Onley VA 23418 Oral Surgeon Accomack Zagursky Peter 51075 Scott R Goodove DDS Plc 25529 E Main St Onley VA 23418 Oral Surgeon Accomack Kotler Lawrence 224 Lawrence M Kotler DDS Ms 3543 W Braddock Rd Alexandria VA 22302 Endodontist Alexandria City Ardila Gaitan Claudia 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria City Kim Kyu 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria City Levine Fernanda 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria City Montane Ismael 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria City Upshaw Montressor 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria City Harvey Anna 247627 Neighborhood Health Specialists 4480 King St Alexandria VA 22302 Pedodontist Alexandria City Miranda Ruben 247627 Neighborhood Health Specialists 4480 King St Alexandria VA 22302 Periodontist Alexandria City Phan Phuong 2274 Phuong Phan Dmd Pc 1225 Martha Custis Drive Alexandria VA 22302 General Provider Alexandria City Du Khanh 136030 Smiley Du Dental 3610 Forest Dr Alexandria VA 22302 General Provider Alexandria City Lee Hyo 239620 Arlington Alexandria Endodontics PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Meza Fernando 239620 Arlington Alexandria Endodontics PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Patel Loken 239620 Arlington Alexandria Endodontics PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Alayssami Mazin 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Emad-Azmoudeh Neda 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Hamdoon Sama 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Knox Dominique 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Naeem Mariam 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Nure Bahru 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Park Jung 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Patel Jay 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Reddy Hima-Bindu 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Selenou-Tema Alain 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Williams Shannon 144 Bright Now Dental 5249 Duke Street Alexandria VA 22304 General Provider Alexandria City Sangid Maher 154203 Duke Dental Care Plc 50 S Pickett St Alexandria VA 22304 General Provider Alexandria City Sangid Ronny 154203 Duke Dental Care Plc 50 S Pickett St Alexandria VA 22304 General Provider Alexandria City Lee Hyo 37720 Fernando J Meza Dmd PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Meza Fernando 37720 Fernando J Meza Dmd PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Patel Loken 37720 Fernando J Meza Dmd PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Solemaninejad Homan 145747 Landmark Dental Care 101 S Whiting St Alexandria VA 22304 General Provider Alexandria City Kim Kyu 247641 Neighborhood Health At Wow Bus 3540 Wheeler Ave Alexandria VA 22304 General Provider Alexandria City Levine Fernanda 247641 Neighborhood Health At Wow Bus 3540 Wheeler Ave Alexandria VA 22304 General Provider Alexandria City Upshaw Montressor 247641 Neighborhood Health At Wow Bus 3540 Wheeler Ave Alexandria VA 22304 General Provider Alexandria City Harvey Anna 247628 Neighborhood Health Specialists 3540 Wheeler Ave Alexandria VA 22304 Pedodontist Alexandria City Miranda Ruben 247628 Neighborhood Health Specialists 3540 Wheeler Ave Alexandria VA 22304 Periodontist Alexandria City Kwon Thomas 342 Thomas S Kwon DDS 4701 Kenmore Ave. Alexandria VA 22304 General Provider Alexandria City

* Abdeen Moutaz 208597 Alexandria Smiles Dentistry 5234 Dawes Ave Alexandria VA 22311 General Provider Alexandria City Tolson Ronald 215 Ronald E Tolson DDS 5246 Dawes Ave Alexandria VA 22311 General Provider Alexandria City Khalefa Said 1269 Said M Khalefa DDS Pc 4600 Pincrest Office Park Dr. Alexandria VA 22312 General Provider Alexandria City Asgari Navid 232066 Alexandria Dental Arts 1001 N Fairfax St Alexandria VA 22314 General Provider Alexandria City Stephenson-Frazier Kesha 181520 Parker Gray Pediatric Dental Care Pc 224 N Fayette St Alexandria VA 22314 Pedodontist Alexandria City Vatanka Heidi 181520 Parker Gray Pediatric Dental Care Pc 224 N Fayette St Alexandria VA 22314 Pedodontist Alexandria City

* Huynh Thuylinh 50343 Arlington Center For Dentistry Orthodontics 1050 N Highland St Arlington VA 22201 Orthodontist Arlington Asher Kevin 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Oral Surgeon Arlington Fein Joshua 221150 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist Arlington Gichana Roselyne 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Pedodontist Arlington Gill Kwesi 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Pedodontist Arlington Lee Eun Young 221150 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist Arlington Lee Eun Young 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist Arlington Nguyen Phuong 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Oral Surgeon Arlington Shambayati Sara 221150 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist Arlington

* Butler Charles 1120 Charles A Butler DDS 2250 Clarendon Blvd Arlington VA 22201 General Provider Arlington Wray Henry 1391 Henry C Wray DDS 2250 Clarendon Blvd. Arlington VA 22201 General Provider Arlington Favagehi Jason 81559 Crystal City Dental Arts Center 1615 Crystal Square Arcade Arlington VA 22202 General Provider Arlington Yi John 81559 Crystal City Dental Arts Center 1615 Crystal Square Arcade Arlington VA 22202 General Provider Arlington

* Lebo Carl 233 Carl G Lebo DDS Pc 3801 N. Fairfax Dr. Arlington VA 22203 General Provider Arlington Kumra Shawn 127008 Elegant Smiles Dental Care 3801 N Fairfax Dr Arlington VA 22203 General Provider Arlington Sangid Maher 178977 Columbia Heights Dental Center Plc 3219 Columbia Pike Arlington VA 22204 General Provider Arlington Sangid Ronny 178977 Columbia Heights Dental Center Plc 3219 Columbia Pike Arlington VA 22204 General Provider Arlington

* Jamali Maryam 200630 Maryam Jamali DDS 611 S Carlin Springs Rd Arlington VA 22204 General Provider Arlington Kim Kyu 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider Arlington Levine Fernanda 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider Arlington Montane Ismael 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider Arlington Upshaw Montressor 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider Arlington Harvey Anna 247630 Neighborhood Health Specialists 2100 Washington Blvd Arlington VA 22204 Pedodontist Arlington Miranda Ruben 247630 Neighborhood Health Specialists 2100 Washington Blvd Arlington VA 22204 Periodontist Arlington Lee Hyo 239621 Arlington Alexandria Endodontics PLLC 1635 N George Mason Dr Arlington VA 22205 Endodontist Arlington

SELECT PLAN1 DENTIST DIRECTORY

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 1

1 Same as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms or proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 5/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Meza Fernando 239621 Arlington Alexandria Endodontics PLLC 1635 N George Mason Dr Arlington VA 22205 Endodontist Arlington Patel Loken 239621 Arlington Alexandria Endodontics PLLC 1635 N George Mason Dr Arlington VA 22205 Endodontist Arlington

* Nikkhah Jason 126312 Arlington Cosmetic Dental Group 1731 Clarendon Blvd Arlington VA 22209 General Provider Arlington Shojaei Mariah 37689 Arlington Cosmetic Dental Group 1731 Clarendon Blvd Arlington VA 22209 Endodontist Arlington

* Saleh Fadi 50933 Fadi Saleh DDS LLC 1911 N Fort Myer Drive Arlington VA 22209 Orthodontist Arlington Mogharbel Tarek 37711 Mira Dental Care 1901 N Moore St Arlington VA 22209 General Provider Arlington Delva Kathy 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Jeoun Sungmin 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Ashby John 2869 Ashby Orthodontics Ltd 1021 N. Eden Way Chesapeake VA 23320 Orthodontist Chesapeake City Boyce Darrell 2606 Darrell L Boyce DDSpc 1711 Parkview Dr. Chesapeake VA 23320 General Provider Chesapeake City Reynolds Jillian 78272 Lwss Dentistry For Children 1230 Progressive Dr Chesapeake VA 23320 Pedodontist Chesapeake City Sachs Scott 78272 Lwss Dentistry For Children 1230 Progressive Dr Chesapeake VA 23320 Pedodontist Chesapeake City Quigg Richard 2765 Richard K Quigg DDS 505 Independence Parkway Chesapeake VA 23320 Oral Surgeon Chesapeake City Morrison Sanford 722 S Neil Morrison DDS & Melvin R Morrison DDS 1230 Progressive Center Chesapeake VA 23320 Oral Surgeon Chesapeake City Berry Zachary 221157 Scott R Goodove DDS Plc 1100 Volvo Parkway Chesapeake VA 23320 Oral Surgeon Chesapeake City Berry Zachary 68494 Scott R Goodove DDS Plc 1533 Volvo Parkway Chesapeake VA 23320 Oral Surgeon Chesapeake City Goodove Scott 221157 Scott R Goodove DDS Plc 1100 Volvo Parkway Chesapeake VA 23320 Oral Surgeon Chesapeake City Goodove Scott 68494 Scott R Goodove DDS Plc 1533 Volvo Parkway Chesapeake VA 23320 Oral Surgeon Chesapeake City Pandolfi Philip 221157 Scott R Goodove DDS Plc 1100 Volvo Parkway Chesapeake VA 23320 Oral Surgeon Chesapeake City Zagursky Peter 221157 Scott R Goodove DDS Plc 1100 Volvo Parkway Chesapeake VA 23320 Oral Surgeon Chesapeake City Zagursky Peter 68494 Scott R Goodove DDS Plc 1533 Volvo Parkway Chesapeake VA 23320 Oral Surgeon Chesapeake City Cobb Howard 676 Howard P Cobb DDS 2605 Moses Grandy Trl Chesapeake VA 23323 General Provider Chesapeake City Barbour Robert 79 Robert K Barbour Dmd Pc 2520 Gilmerton Rd. Chesapeake VA 23323 General Provider Chesapeake City Tran Anh 50571 Chester Orthodontics 11300 Ironbridge Rd Chester VA 23831 Orthodontist Chesterfield Rodrigues Shwetha 2817 Shwetha Rodrigues DDS Pc 12517 Jefferson Davis Hwy. Chester VA 23831 General Provider Chesterfield Brown Stephen 301 Chesterfield Oral Surgery Inc 10110 Iron Bridge Rd. Chesterfield VA 23832 Oral Surgeon Chesterfield Rhea William 100 William H Rhea DDS 10108 Krause Rd Chesterfield VA 23832 General Provider Chesterfield Kelleher Kevin 37690 Kelleher Orthodontics 2412 Colony Crossing Pl Midlothian VA 23112 Orthodontist Chesterfield Padgett Thomas 313 Richmond Oral & Cosmetic Surgeons 5921 Harbour Lane Midlothian VA 23112 Oral Surgeon Chesterfield Wallace James 313 Richmond Oral & Cosmetic Surgeons 5921 Harbour Lane Midlothian VA 23112 Oral Surgeon Chesterfield Agnihotri Neil 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Dymon William 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Harris Monroe 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Keeney Kanyon 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Metzger Lawrence 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Pack Sean 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Watson Damon 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Wlodawsky Ross 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Gray Richard 72103 Apex Endodontics 1149 Jefferson Green Cir Midlothian VA 23113 Endodontist Chesterfield Kim Juhan 5 John J Kim DDS 2927 Polo Parkway Midlothian VA 23113 General Provider Chesterfield Byrd Richard 2394 Richard L Byrd DDS 2929 Polo Parkway Midlothian VA 23113 Orthodontist Chesterfield Donaldson Gavin-Rae 2394 Richard L Byrd DDS 2929 Polo Parkway Midlothian VA 23113 Orthodontist Chesterfield Padgett Thomas 314 Richmond Oral & Cosmetic Surgeons 1680 Huguenot Rd. Midlothian VA 23113 Oral Surgeon Chesterfield Wallace James 314 Richmond Oral & Cosmetic Surgeons 1680 Huguenot Rd. Midlothian VA 23113 Oral Surgeon Chesterfield Agnihotri Neil 250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Dymon William 250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Harris Monroe 250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Keeney Kanyon 250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Metzger Lawrence 250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Pack Sean 250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Watson Damon 250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Wlodawsky Ross 250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Patel Nrupur 33886 Railey Hill Dental 125 Browns Way Road Midlothian VA 23114 General Provider Chesterfield Stoner Kenneth 36 Kenneth E Stoner DDS Family Dentistry 4106 A Meadowdale Blvd North Chesterfield VA 23234 General Provider Chesterfield Jarvandi Fereshteh 55 Fereshteh Jaravandi DDS 4712 Jefferson Davis Hwy. Richmond VA 23234 General Provider Chesterfield Anderson Ralph 99 Dr Oley & Quilez DDS Plc 1907 West Huguenot Rd Richmond VA 23235 Orthodontist Chesterfield Oley George 99 Dr Oley & Quilez DDS Plc 1907 West Huguenot Rd Richmond VA 23235 General Provider Chesterfield Quilez Robert 99 Dr Oley & Quilez DDS Plc 1907 West Huguenot Rd Richmond VA 23235 General Provider Chesterfield Tran Jennifer 99 Dr Oley & Quilez DDS Plc 1907 West Huguenot Rd Richmond VA 23235 General Provider Chesterfield Whitman Kime 99 Dr Oley & Quilez DDS Plc 1907 West Huguenot Rd Richmond VA 23235 General Provider Chesterfield Abuhajeh Omar 234737 Ideal Dental Care Inc 8111 Midlothian Turnpike Richmond VA 23235 General Provider Chesterfield Morrison Julius 34 Julius V Morrison DDS 3501 Courthouse Rd. Richmond VA 23236 General Provider Chesterfield Bogollagama Nirmal 20 Sam E English Ii DDS LLC 798 Southpark Blvd. Colonial Heights VA 23834 General Provider Colonial Heights Broas William 20 Sam E English Ii DDS LLC 798 Southpark Blvd. Colonial Heights VA 23834 General Provider Colonial Heights Culpepper Scott 20 Sam E English Ii DDS LLC 798 Southpark Blvd. Colonial Heights VA 23834 General Provider Colonial Heights English, Ii Sam 20 Sam E English Ii DDS LLC 798 Southpark Blvd. Colonial Heights VA 23834 General Provider Colonial Heights Glaser James 20 Sam E English Ii DDS LLC 798 Southpark Blvd. Colonial Heights VA 23834 General Provider Colonial Heights Jeoun Sungmin 20 Sam E English Ii DDS LLC 798 Southpark Blvd. Colonial Heights VA 23834 General Provider Colonial Heights Jiwani Munira 20 Sam E English Ii DDS LLC 798 Southpark Blvd. Colonial Heights VA 23834 General Provider Colonial Heights Keating Kevin 20 Sam E English Ii DDS LLC 798 Southpark Blvd. Colonial Heights VA 23834 General Provider Colonial Heights

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 2

1 Same as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms or proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 5/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Lazar Dale 20 Sam E English Ii DDS LLC 798 Southpark Blvd. Colonial Heights VA 23834 General Provider Colonial Heights Thomas Susan 20 Sam E English Ii DDS LLC 798 Southpark Blvd. Colonial Heights VA 23834 General Provider Colonial Heights Lee Jim 238987 Alexandria Orthodontics 2616 Sherwood Hall Ln Alexandria VA 22306 Orthodontist Fairfax

* Parsa Mitra 37763 Alexandria Orthodontics 2616 Sherwood Hall Ln Alexandria VA 22306 Orthodontist Fairfax Kim Kyu 247639 Neighborhood Health At Richmond Highway 6677 Richmond Hwy Alexandria VA 22306 General Provider Fairfax Levine Fernanda 247639 Neighborhood Health At Richmond Highway 6677 Richmond Hwy Alexandria VA 22306 General Provider Fairfax Montane Ismael 247639 Neighborhood Health At Richmond Highway 6677 Richmond Hwy Alexandria VA 22306 General Provider Fairfax Upshaw Montressor 247639 Neighborhood Health At Richmond Highway 6677 Richmond Hwy Alexandria VA 22306 General Provider Fairfax Harvey Anna 247629 Neighborhood Health Specialists 6677 Richmond Hwy Alexandria VA 22306 Pedodontist Fairfax Miranda Ruben 247629 Neighborhood Health Specialists 6677 Richmond Hwy Alexandria VA 22306 Periodontist Fairfax Henry Rolin 1983 Rolin S Henry DDS Pc 7900 Andrus Road Alexandria VA 22306 Oral Surgeon Fairfax

* Nguyen Quynh Trang 1891 Virginia Dental Center 7467 Richmond Hwy Alexandria VA 22306 General Provider Fairfax * Nguyen Tuong-Van 1891 Virginia Dental Center 7467 Richmond Hwy Alexandria VA 22306 General Provider Fairfax * Le Thien 2866 Alexandria Dental Care 1451 Belle Haven Rd. Alexandria VA 22307 General Provider Fairfax * Lu Nhien-Phuong 2866 Alexandria Dental Care 1451 Belle Haven Rd. Alexandria VA 22307 General Provider Fairfax

Falaiye Victor 51112 The Dentist Office LLC 8808-F Pear Tree Village Ct Alexandria VA 22309 General Provider Fairfax Lee William 183253 Alexandria Braces 6400 Beulah St Alexandria VA 22310 Orthodontist Fairfax

* Scott Annette 144434 Annette E Scott DDS Pc 6182 Old Franconia Rd Alexandria VA 22310 General Provider Fairfax Mai Christine 264422 Cosmetic & Family Dentistry 6422 Grovedale Dr Alexandria VA 22310 General Provider Fairfax

* Kaur Ajinder 242147 Cosmo Smiles 6214 Old Franconia Rd Alexandria VA 22310 General Provider Fairfax * Ku Tae Sung 242147 Cosmo Smiles 6214 Old Franconia Rd Alexandria VA 22310 General Provider Fairfax

Dadkhah Mina 50941 Smileville Pediatrics 6354 Walker Ln Alexandria VA 22310 Pedodontist Fairfax Kumra Shawn 78281 Elegant Smiles Dental Care 4810 Beauregard St Alexandria VA 22312 General Provider Fairfax Phan Phuong 50919 Kingstowne Family & Cosmetic Dentistry 5960 Kingstowne Town Center Alexandria VA 22315 General Provider Fairfax Djeu Stephanie 50974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr Alexandria VA 22315 Endodontist Fairfax Hsu Yu Kai 50974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr Alexandria VA 22315 Endodontist Fairfax Huang Tong-Yen 50974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr Alexandria VA 22315 Endodontist Fairfax Lee Brian 50974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr Alexandria VA 22315 Endodontist Fairfax Ngo Tu-Son 50974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr Alexandria VA 22315 Endodontist Fairfax Durr John 153413 J Christopher Durr DDS Jd 4216 Evergreen Ln Annandale VA 22003 General Provider Fairfax

* Vroom Katherine 2588 Katherine M Vroom DDS 7027 Evergreen Court Annandale VA 22003 Orthodontist Fairfax Kim Kyu 247643 Neighborhood Health Dental At Annandale 7501 Little River Turnpike Annandale VA 22003 General Provider Fairfax Levine Fernanda 247643 Neighborhood Health Dental At Annandale 7501 Little River Turnpike Annandale VA 22003 General Provider Fairfax Montane Ismael 247643 Neighborhood Health Dental At Annandale 7501 Little River Turnpike Annandale VA 22003 General Provider Fairfax Upshaw Montressor 247643 Neighborhood Health Dental At Annandale 7501 Little River Turnpike Annandale VA 22003 General Provider Fairfax Harvey Anna 247631 Neighborhood Health Specialists 7501 Little River Tpk Annandale VA 22003 Pedodontist Fairfax Miranda Ruben 247631 Neighborhood Health Specialists 7501 Little River Tpk Annandale VA 22003 Periodontist Fairfax Palizi Alireza 50466 Alireza Palizi DDS Pc 5216-A Lyngate ct. Burke VA 22015 General Provider Fairfax

* Gupta Raja 50454 Dental First Associates LLC 9570-A Burke Rd Burke VA 22015 General Provider Fairfax Dehyar Joseph 2803 Dr Dehyar & Associates Dmd Pc 9534 Burke Rd. Burke VA 22015 General Provider Fairfax Jabbari Farnaz 74 Hashem Sedaghatpour Dmd 5631-D Burke Centre Parkway Burke VA 22015 General Provider Fairfax Sedaghatpour Hashem 74 Hashem Sedaghatpour Dmd 5631-D Burke Centre Parkway Burke VA 22015 General Provider Fairfax Treff David 144990 Pediatric Dentistry Of Burke Pc 5284 Lyngate Ct Burke VA 22015 Pedodontist Fairfax

* Stern Richard 1012 Richard K Stern DDS Pc 5213-B Lyngate Ct Burke VA 22015 Orthodontist Fairfax Alkhandak Mustafa 262841 Sofia Smile 9570 A Burke Rd Burke VA 22015 General Provider Fairfax Ghanbari Mohsen 1416 Dr Ghanbari & Associates DDS Pc 5727 Center Square Drive Centreville VA 20120 General Provider Fairfax Yoon Jaewon 147129 Brite Smile Dental Group 14631 Lee Hwy Centreville VA 20121 General Provider Fairfax Beri Anuradha 1452 Jim J Soltani DDS & Associates Pc 6019 Centreville Crest Lane Centreville VA 20121 Periodontist Fairfax Farid Mohammad 1452 Jim J Soltani DDS & Associates Pc 6019 Centreville Crest Lane Centreville VA 20121 General Provider Fairfax Mendes Kevin 1452 Jim J Soltani DDS & Associates Pc 6019 Centreville Crest Lane Centreville VA 20121 Orthodontist Fairfax Soltani Jim 1452 Jim J Soltani DDS & Associates Pc 6019 Centreville Crest Lane Centreville VA 20121 General Provider Fairfax Tran Thoai-Lan 1452 Jim J Soltani DDS & Associates Pc 6019 Centreville Crest Lane Centreville VA 20121 Orthodontist Fairfax

* Filippone Louis 50563 Louis C Filippone DDS Pc 6138 Redwood Sq Centreville VA 20121 Orthodontist Fairfax Shu Man 61402 V Care Dental LLC 14631 Lee Hwy Centreville VA 20121 General Provider Fairfax Kham Sai 2256 Chantilly Dental Center 3901 Centerview Drive Chantilly VA 20151 General Provider Fairfax Nguyen Diem 2256 Chantilly Dental Center 3901 Centerview Drive Chantilly VA 20151 General Provider Fairfax Nguyen Hang 2256 Chantilly Dental Center 3901 Centerview Drive Chantilly VA 20151 General Provider Fairfax Rejintala Archana 2256 Chantilly Dental Center 3901 Centerview Drive Chantilly VA 20151 General Provider Fairfax Shyamsundar Sharmila 2256 Chantilly Dental Center 3901 Centerview Drive Chantilly VA 20151 General Provider Fairfax Tran Cuong 2256 Chantilly Dental Center 3901 Centerview Drive Chantilly VA 20151 General Provider Fairfax Tran Vinh 2256 Chantilly Dental Center 3901 Centerview Drive Chantilly VA 20151 General Provider Fairfax Vu Duy -Anh 2256 Chantilly Dental Center 3901 Centerview Drive Chantilly VA 20151 General Provider Fairfax Yamaguchi Maimi 2256 Chantilly Dental Center 3901 Centerview Drive Chantilly VA 20151 Endodontist Fairfax

* Bondalapati Annapurna 50349 Chantilly Dental Center Specialists 3901 Centreview Dr Chantilly VA 20151 Pedodontist Fairfax * Mendes Kevin 50349 Chantilly Dental Center Specialists 3901 Centreview Dr Chantilly VA 20151 Orthodontist Fairfax

Baveja Julie 50972 Children'S Dental Care 14102 Robert Paris Ct Chantilly VA 20151 Pedodontist Fairfax Johnson Gary 50335 Diamond Dental Care Endodontist 13948 Lee Jackson Mem Hwy Chantilly VA 20151 Endodontist Fairfax Jarwa Samer 141822 Grace Dental Of Virginia 4530 Walney Rd Chantilly VA 20151 General Provider Fairfax Djeu Stephanie 37661 The Virginia Endodontic Group Plc 14149-B Robert Paris Ct. Chantilly VA 20151 Endodontist Fairfax Hsu Yu Kai 37661 The Virginia Endodontic Group Plc 14149-B Robert Paris Ct. Chantilly VA 20151 Endodontist Fairfax

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 3

1 Same as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms or proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 5/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Huang Tong-Yen 37661 The Virginia Endodontic Group Plc 14149-B Robert Paris Ct. Chantilly VA 20151 Endodontist Fairfax Lee Brian 37661 The Virginia Endodontic Group Plc 14149-B Robert Paris Ct. Chantilly VA 20151 Endodontist Fairfax Ngo Tu-Son 37661 The Virginia Endodontic Group Plc 14149-B Robert Paris Ct. Chantilly VA 20151 Endodontist Fairfax Al-Salim Ahmed 176820 Dental One Associates Old Dominion PLLC 9942 Main St Fairfax VA 22031 General Provider Fairfax Lin Sandy 176820 Dental One Associates Old Dominion PLLC 9942 Main St Fairfax VA 22031 General Provider Fairfax Lin Thomas 176820 Dental One Associates Old Dominion PLLC 9942 Main St Fairfax VA 22031 Periodontist Fairfax Lyn Trevann 176820 Dental One Associates Old Dominion PLLC 9942 Main St Fairfax VA 22031 Oral Surgeon Fairfax Miller Jeffrey 176820 Dental One Associates Old Dominion PLLC 9942 Main St Fairfax VA 22031 General Provider Fairfax Patel Pratik 176820 Dental One Associates Old Dominion PLLC 9942 Main St Fairfax VA 22031 Endodontist Fairfax

* Babu Sridevi 523 Dental One Associates Woodson Square 9661 C Main Street Fairfax VA 22031 General Provider Fairfax * Banavar Rohini 523 Dental One Associates Woodson Square 9661 C Main Street Fairfax VA 22031 General Provider Fairfax * Behnami Farima 523 Dental One Associates Woodson Square 9661 C Main Street Fairfax VA 22031 General Provider Fairfax * Colomo Maurico 523 Dental One Associates Woodson Square 9661 C Main Street Fairfax VA 22031 General Provider Fairfax * Hoffman Howard 523 Dental One Associates Woodson Square 9661 C Main Street Fairfax VA 22031 General Provider Fairfax * Howell Everett 523 Dental One Associates Woodson Square 9661 C Main Street Fairfax VA 22031 General Provider Fairfax * Nguyen Nikki 523 Dental One Associates Woodson Square 9661 C Main Street Fairfax VA 22031 Orthodontist Fairfax * Tchuenbou Jeanne 523 Dental One Associates Woodson Square 9661 C Main Street Fairfax VA 22031 General Provider Fairfax * Wang Peng 523 Dental One Associates Woodson Square 9661 C Main Street Fairfax VA 22031 General Provider Fairfax * Young Raymond 523 Dental One Associates Woodson Square 9661 C Main Street Fairfax VA 22031 General Provider Fairfax * Kessler Joel 221154 Dental One Associates Woodson Square Specialists 9661 C Main St Fairfax VA 22031 Endodontist Fairfax * Zamakhchari Mai 50931 Dental One Associates Woodson Square Specialists 9661 C Main St Fairfax VA 22031 Periodontist Fairfax

Fein Joshua 155936 Virginia Endodontics 3025 Haymaker Ct Fairfax VA 22031 Endodontist Fairfax Kim Young 37680 Young Smile Dental 9940 Main Street Fairfax VA 22031 General Provider Fairfax Karmacharya Komal 175949 Rk Dental Care 12011 Lee Jackson Mem. Hwy Fairfax VA 22033 General Provider Fairfax

* Zurmati Farid 175245 Zurmati Dental Care PLLC 9015 Silver Brook Rd Fairfax Station VA 22039 General Provider Fairfax * Danesh Rabi 79062 Baileys Crossroads Dental Services 5622 Columbia Pike Falls Church VA 22041 General Provider Fairfax

Mogharbel Tarek 37710 Mira Dental Care 5671 Columbia Pike Falls Church VA 22041 General Provider Fairfax Anderson Joshua 232042 Renova Smiles 3701 S George Mason Dr Falls Church VA 22041 General Provider Fairfax Amouhashem Parvin 1544 Smile Dental Clinic 3817-A S. George Mason Drive Falls Church VA 22041 General Provider Fairfax Ovcharenko Vladyslav 72077 Your Family Dentist 5666 Columbia Pike Falls Church VA 22041 General Provider Fairfax Gichana Roselyne 187345 Falls Church Pediatric Dental Center 6400 Arlington Blvd Falls Church VA 22042 Pedodontist Fairfax Sheikh Shazia 240434 Falls Church Pediatric Dental Center 6400 Arlington Blvd Falls Church VA 22042 General Provider Fairfax

* Kangarloo Ramineh 50943 Gentle Touch Dentistry For All Ages 6521 Arlington Blvd Falls Church VA 22042 General Provider Fairfax Kaur Manpreet 202790 Apt Dental Associates Pc 7115 Leesburg Pike Falls Church VA 22043 General Provider Fairfax Shroff Amisha 202790 Apt Dental Associates Pc 7115 Leesburg Pike Falls Church VA 22043 General Provider Fairfax Janabi Eli 236823 Smile Studio Inc 7787 Leesburg Pike Falls Church VA 22043 General Provider Fairfax Imao Josemari 196529 Angel Heart & Soul Dentistry 2942 Patrick Henry Dr Falls Church VA 22044 General Provider Fairfax Solemaninejad Homan 33844 Arlington Dental Care PLLC 6060 Arlington Blvd. Falls Church VA 22044 General Provider Fairfax

* Vu Bao 178 Bao T Vu DDS 6081 Arlington Blvd. Falls Church VA 22044 Orthodontist Fairfax Bordon Elda 258907 Capital Care Dental Group PLLC 2946 Sleepy Hollow Rd Falls Church VA 22044 General Provider Fairfax Gregory Eugene 121 Eugene W Gregory DDS 6231 Leesburg Pk Falls Church VA 22044 Oral Surgeon Fairfax Tran Vinh 173273 Vinh Xuan Tran DDS Pc 6329 Arlington Blvd Falls Church VA 22044 General Provider Fairfax Zarookian Armen 208601 Armen Zarookian Dmd LLC 459 Herndon Pkwy Herndon VA 20170 General Provider Fairfax Rafaat Amirreza 243369 Herndon Smile Design 504 Elden St Herndon VA 20170 General Provider Fairfax Pham Long 203338 Nova Dental Practice 462 Herndon Pkwy Herndon VA 20170 General Provider Fairfax Doppalapudi Vivek 1301 Vivek Doppalapudi DDS 102 Elden St Herndon VA 20170 Periodontist Fairfax Alayssami Mazin 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Beiner Christopher 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Chaddad Karim 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 Periodontist Fairfax Devylder Joseph 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 Oral Surgeon Fairfax Eghtessad Michael 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Emad-Azmoudeh Neda 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Ghanim Layth 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Hagos Samuel 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Hamdoon Sama 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Hussaini Syed 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 Orthodontist Fairfax Johnson Gary 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 Endodontist Fairfax Knox Dominique 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Lowe Steven 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Naeem Mariam 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Nallavalli Sravanthi 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Nure Bahru 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Ornoff Mark 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Park Jung 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Park Sang Hoon 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 Periodontist Fairfax Patel Ashish 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 Oral Surgeon Fairfax Patel Jay 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Reddy Hima-Bindu 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Williams Shannon 92 Bright Now Dental 13873 Park Center Rd. Herndon VA 20171 General Provider Fairfax Chaddad Karim 50927 Mazin Alayssami Dmd & Associates Pc Specialists 13873 Park Center Rd Herndon VA 20171 Periodontist Fairfax

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 4

1 Same as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms or proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 5/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Devylder Joseph 50927 Mazin Alayssami Dmd & Associates Pc Specialists 13873 Park Center Rd Herndon VA 20171 Oral Surgeon Fairfax Elgazzar Mohamed 151113 Family & Cosmetic Dentistry 6845 Elm St Mclean VA 22101 General Provider Fairfax Mogharbel Tarek 51125 Mira Dental Care At Tysons Corner 8201 Greensboro Dr Mclean VA 22102 General Provider Fairfax Bajwa Preet 61412 A B Dental 11790 H Baron Cameron Ave Reston VA 20190 General Provider Fairfax Pell James 1253 Oral Surgery Associates Of Northern Virginia Ltd 1800 Town Center Drive Reston VA 20190 Oral Surgeon Fairfax Wang Richard 1253 Oral Surgery Associates Of Northern Virginia Ltd 1800 Town Center Drive Reston VA 20190 Oral Surgeon Fairfax Anoushfar Scheherazad 926 Sherry Anoushfar DDS Pc 1984 Isaac Newton Square Reston VA 20190 General Provider Fairfax Izadi Mohsen 926 Sherry Anoushfar DDS Pc 1984 Isaac Newton Square Reston VA 20190 General Provider Fairfax

* Khang Wahn 1483 Perio Implant Center 11866 Sunrise Valley Drive Reston VA 20191 Periodontist Fairfax * Kessler Joel 50932 Dental One Associates (Springfield), Ltd 6340 Brandon Ave Springfield VA 22150 Endodontist Fairfax * Zamakhchari Mai 50932 Dental One Associates (Springfield), Ltd 6340 Brandon Ave Springfield VA 22150 Periodontist Fairfax * Behnami Farima 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave. Springfield VA 22150 General Provider Fairfax * Colomo Maurico 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave. Springfield VA 22150 General Provider Fairfax * Hoffman Howard 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave. Springfield VA 22150 General Provider Fairfax * Howell Everett 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave. Springfield VA 22150 General Provider Fairfax * Mehta Nirali 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave. Springfield VA 22150 General Provider Fairfax * Nguyen Nikki 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave. Springfield VA 22150 Orthodontist Fairfax * Yim Alicia 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave. Springfield VA 22150 General Provider Fairfax * Young Raymond 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave. Springfield VA 22150 General Provider Fairfax

Zaiber Ansam 247661 Dr Ansam Zaiber LLC 6800 Backlick Rd Springfield VA 22150 General Provider Fairfax Chin Charissa 262139 Graceful Smiles LLC 6120 Brandon Ave Springfield VA 22150 General Provider Fairfax Gutmann J. 200 J Steven Gutmann DDS Pc 6225 Brandon Ave. Springfield VA 22150 Oral Surgeon Fairfax

* Sina Nahid 37651 My Braces Doctor, Pc 6525-C Frontier Dr. Springfield VA 22150 Orthodontist Fairfax Khalefa Said 48 Said M Khalefa DDS Pc 6115 Backlick Rd Springfield VA 22150 General Provider Fairfax Kim Seung W. 137479 Andrew Kim DDS 8328 Traford Lane Springfield VA 22152 General Provider Fairfax

* Lu Nhien-Phuong 37546 Burke Family & Cosmetic Dentistry 6116 Rolling Rd. Springfield VA 22152 General Provider Fairfax Gupta Raja 258924 Dental First Associates LLC 6116 Rolling Rd Springfield VA 22152 General Provider Fairfax Elkhateeb Mohammad 145 Bright Now Dental 2230 Gallows Rd. Vienna VA 22027 General Provider Fairfax Emad-Azmoudeh Neda 145 Bright Now Dental 2230 Gallows Rd. Vienna VA 22027 General Provider Fairfax Hagos Samuel 145 Bright Now Dental 2230 Gallows Rd. Vienna VA 22027 General Provider Fairfax Hamdoon Sama 145 Bright Now Dental 2230 Gallows Rd. Vienna VA 22027 General Provider Fairfax Knox Dominique 145 Bright Now Dental 2230 Gallows Rd. Vienna VA 22027 General Provider Fairfax Kousedghi Hedieh 145 Bright Now Dental 2230 Gallows Rd. Vienna VA 22027 General Provider Fairfax Naeem Mariam 145 Bright Now Dental 2230 Gallows Rd. Vienna VA 22027 General Provider Fairfax Nure Bahru 145 Bright Now Dental 2230 Gallows Rd. Vienna VA 22027 General Provider Fairfax Park Jung 145 Bright Now Dental 2230 Gallows Rd. Vienna VA 22027 General Provider Fairfax Park Sang Hoon 145 Bright Now Dental 2230 Gallows Rd. Vienna VA 22027 Periodontist Fairfax Patel Jay 145 Bright Now Dental 2230 Gallows Rd. Vienna VA 22027 General Provider Fairfax Reddy Hima-Bindu 145 Bright Now Dental 2230 Gallows Rd. Vienna VA 22027 General Provider Fairfax Williams Shannon 145 Bright Now Dental 2230 Gallows Rd. Vienna VA 22027 General Provider Fairfax Chaddad Karim 50928 Mazin Alayssami Dmd & Associates Pc Specialists 2230 Gallows Rd Vienna VA 22027 Periodontist Fairfax Devylder Joseph 50928 Mazin Alayssami Dmd & Associates Pc Specialists 2230 Gallows Rd Vienna VA 22027 Oral Surgeon Fairfax Patel Ashish 50928 Mazin Alayssami Dmd & Associates Pc Specialists 2230 Gallows Rd Vienna VA 22027 Oral Surgeon Fairfax Citron Wesley 206769 Albert A Citron Dmd 307 Maple Ave Vienna VA 22180 Endodontist Fairfax Hasnain Abida 257498 Bright Smiles And Associates 410 Pine St SE Vienna VA 22180 General Provider Fairfax Devylder Joseph 1220 Joseph J Devylder DDS 407-F Church St. Vienna VA 22180 Oral Surgeon Fairfax Anoushfar Scheherazad 1302 Sherry Anoushfar DDS Pc 133 East Maple Avenue Vienna VA 22180 General Provider Fairfax Izadi Mohsen 1302 Sherry Anoushfar DDS Pc 133 East Maple Avenue Vienna VA 22180 General Provider Fairfax Filali Adam 227438 Dental Bright 8605 Westwood Center Dr Vienna VA 22182 Prosthodontist Fairfax Iravani Farideh 2046 Dr Farideh Irvani Dmd-Spec 1964 Gallows Rd Vienna VA 22182 Periodontist Fairfax Johnson Gary 37753 Gary J Johnson DDS 8227 Old Courthouse Rd Vienna VA 22182 Endodontist Fairfax Choby Mary 140 Mary Ann Choby Dmd Ms 8133 Leesburg Pike Vienna VA 22182 Endodontist Fairfax Shambayati Sara 155937 Metropolitan Endodontics 8294 C Old Courthouse Rd Vienna VA 22182 Endodontist Fairfax

* Hong Richard 97164 Richard J Hong Dmd Pc 8230 Boone Blvd Vienna VA 22182 General Provider Fairfax Goldin Richard 148277 Richard R Goldin DDS Ltd 8298 Old Courthouse Rd Vienna VA 22182 Periodontist Fairfax Favagehi Jason 58 Tysons Corner Dental Arts Center 8304-C Old Courthouse Rd Vienna VA 22182 General Provider Fairfax Alvarez Juan 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd. Vienna VA 22182 Prosthodontist Fairfax Imao Josemari 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd. Vienna VA 22182 General Provider Fairfax Kiangsoontra Jason 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd. Vienna VA 22182 General Provider Fairfax Le Hang 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd. Vienna VA 22182 General Provider Fairfax Nguyen Dao 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd. Vienna VA 22182 General Provider Fairfax Phan Thoaivan 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd. Vienna VA 22182 General Provider Fairfax Ribeiro Alexandre 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd. Vienna VA 22182 General Provider Fairfax Shu Man 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd. Vienna VA 22182 General Provider Fairfax Tran Cuong 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd. Vienna VA 22182 General Provider Fairfax Abril Edison 50353 Tysons Corner Dentists Specialists 8296 A Old Courthouse Rd Vienna VA 22182 Periodontist Fairfax Beri Anuradha 50353 Tysons Corner Dentists Specialists 8296 A Old Courthouse Rd Vienna VA 22182 Periodontist Fairfax Khalili-Araghi Eiman 50353 Tysons Corner Dentists Specialists 8296 A Old Courthouse Rd Vienna VA 22182 Endodontist Fairfax Le Phu 244311 Tysons Orthodontic Care 8227 Old Courthouse Rd Vienna VA 22182 Orthodontist Fairfax Hong Charlie 2679 Charlie H Hong Dmd Pc 3554 Chain Bridge Rd. Fairfax VA 22030 Endodontist Fairfax City

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 5

1 Same as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms or proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 5/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Butt Tehreem 37738 Family Dentistry Of Fairfax Pc 10391 Democracy Lane Fairfax VA 22030 General Provider Fairfax City * Sina Nahid 2237 My Braces Doctor, Pc 3925 Old Lee Hwy Fairfax VA 22030 Orthodontist Fairfax City * Yoon Jangyeul 37759 Thomas Yoon Dental 10807 Main St Fairfax VA 22030 General Provider Fairfax City

Behnami Farima 246002 Advanced Dental Solutions Pc 313 Park Ave Falls Church VA 22046 General Provider Falls Church City * Boyce Albert 358 Albert M Boyce DDS 313 Park Ave. Falls Church VA 22046 General Provider Falls Church City

Sarraj Ali 1322 Ali Sarraj Dmd & Associates Pc 932 West Broad St. Falls Church VA 22046 General Provider Falls Church City Hawasli Ahmad 61349 American Dental Care 105 N Virginia Ave Falls Church VA 22046 Periodontist Falls Church City Lyazidi Aicha 61349 American Dental Care 105 N Virginia Ave Falls Church VA 22046 General Provider Falls Church City Galliani Alvarez Mirtha 200647 Growing Smiles Of Northern Virginia 80 E Jefferson St Falls Church VA 22046 Pedodontist Falls Church City Harvey Anna 200647 Growing Smiles Of Northern Virginia 80 E Jefferson St Falls Church VA 22046 Pedodontist Falls Church City Rekow Marlin 78269 Marlin F Rekow DDS Pc 127 E Shirley Ave Warrenton VA 20186 General Provider Fauquier Beri Anuradha 196541 Dental One Assoc Fredericksburg Pc Specialists 201 Park Hill Dr Fredericksburg VA 22401 Periodontist Fredericksburg City Lin Thomas 196541 Dental One Assoc Fredericksburg Pc Specialists 201 Park Hill Dr Fredericksburg VA 22401 Periodontist Fredericksburg City Oswald Sophie 196541 Dental One Assoc Fredericksburg Pc Specialists 201 Park Hill Dr Fredericksburg VA 22401 Oral Surgeon Fredericksburg City Shah Nidhi 196541 Dental One Assoc Fredericksburg Pc Specialists 201 Park Hill Dr Fredericksburg VA 22401 Periodontist Fredericksburg City Amin Ahmad 1730 Dental One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 Oral Surgeon Fredericksburg City Ho Sylvie 1730 Dental One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 General Provider Fredericksburg City Hukmani Navin 1730 Dental One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 Orthodontist Fredericksburg City Janabi Eli 1730 Dental One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 General Provider Fredericksburg City Lyn Trevann 1730 Dental One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 Oral Surgeon Fredericksburg City Mohmmed Ahmed 1730 Dental One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 General Provider Fredericksburg City Motamedi Saeid 1730 Dental One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 Periodontist Fredericksburg City Shami Imad 1730 Dental One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 Oral Surgeon Fredericksburg City Usman Malik 1730 Dental One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 General Provider Fredericksburg City Zeiaei-Nafchi Saeid 1730 Dental One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 General Provider Fredericksburg City Willoughby Tasha 68492 Tranquility Dental Center PLLC 2557 Cowan Blvd Fredericksburg VA 22401 General Provider Fredericksburg City Atayde Maranatha 50570 John Chung DDS Family Dentistry & Associates 4732 George Washington Hwy Hayes VA 23072 General Provider Gloucester Chung John 50570 John Chung DDS Family Dentistry & Associates 4732 George Washington Hwy Hayes VA 23072 General Provider Gloucester Atayde Maranatha 50569 John Chung DDS Pc 1959 E Pembroke Ave Hampton VA 23663 General Provider Hampton City Chung John 50569 John Chung DDS Pc 1959 E Pembroke Ave Hampton VA 23663 General Provider Hampton City Scott Jon 246 Jon L Scott DDS Ms 2108 Hartford Rd Hampton VA 23666 Orthodontist Hampton City

* Klochak Joseph 128645 Joseph Klochak Dmd 2240 Coliseum Dr Hampton VA 23666 General Provider Hampton City Park Kyeong 2844 Kyeong Park DDS 21 Towne Center Way Hampton VA 23666 General Provider Hampton City

* Modeste Lorenzo 29 Lorenzo J Modeste DDS 2238 West Todds Lane Hampton VA 23666 General Provider Hampton City Gallop Ceceil 38 Ceceil C Gallop DDS 3709 Kecoughtan Rd Hampton VA 23669 General Provider Hampton City Robinson Donald 39 Donald C Robinson DDS 3709 Kecoughtan Rd. Hampton VA 23669 General Provider Hampton City Khara Amanjot 1065 Amanjot Khara DDS Pc 6372 Mechanicsville Tpke. Mechanicsville VA 23111 General Provider Hanover Koh Myungsuk 244319 Lee Family Dentistry 7522 Lee Davis Rd Mechanicsville VA 23111 General Provider Hanover Lee Kyu 244319 Lee Family Dentistry 7522 Lee Davis Rd Mechanicsville VA 23111 General Provider Hanover

* Jordan Morris 299 Morris L Jordan DDS 7239 Mechanicsville Trnpk Mechanicsville VA 23111 General Provider Hanover Murphy Walter 306 Walter K Murphy DDS Pc 7009 Lee Park Rd. Mechanicsville VA 23111 Oral Surgeon Hanover Bogollagama Nirmal 18 Sam E English Ii DDS Ltd 8220 Windmill Watch Dr Mechanicsville VA 23116 General Provider Hanover Broas William 18 Sam E English Ii DDS Ltd 8220 Windmill Watch Dr Mechanicsville VA 23116 General Provider Hanover Culpepper Scott 18 Sam E English Ii DDS Ltd 8220 Windmill Watch Dr Mechanicsville VA 23116 General Provider Hanover English, Ii Sam 18 Sam E English Ii DDS Ltd 8220 Windmill Watch Dr Mechanicsville VA 23116 General Provider Hanover Glaser James 18 Sam E English Ii DDS Ltd 8220 Windmill Watch Dr Mechanicsville VA 23116 General Provider Hanover Jeoun Sungmin 18 Sam E English Ii DDS Ltd 8220 Windmill Watch Dr Mechanicsville VA 23116 General Provider Hanover Jiwani Munira 18 Sam E English Ii DDS Ltd 8220 Windmill Watch Dr Mechanicsville VA 23116 General Provider Hanover Keating Kevin 18 Sam E English Ii DDS Ltd 8220 Windmill Watch Dr Mechanicsville VA 23116 General Provider Hanover Lazar Dale 18 Sam E English Ii DDS Ltd 8220 Windmill Watch Dr Mechanicsville VA 23116 General Provider Hanover Thomas Susan 18 Sam E English Ii DDS Ltd 8220 Windmill Watch Dr Mechanicsville VA 23116 General Provider Hanover Agnihotri Neil 253 Virginia Oral & Facial Surgery 7481 Right Flank Road Mechanicsville VA 23116 Oral Surgeon Hanover Dymon William 253 Virginia Oral & Facial Surgery 7481 Right Flank Road Mechanicsville VA 23116 Oral Surgeon Hanover Harris Monroe 253 Virginia Oral & Facial Surgery 7481 Right Flank Road Mechanicsville VA 23116 Oral Surgeon Hanover Keeney Kanyon 253 Virginia Oral & Facial Surgery 7481 Right Flank Road Mechanicsville VA 23116 Oral Surgeon Hanover Metzger Lawrence 253 Virginia Oral & Facial Surgery 7481 Right Flank Road Mechanicsville VA 23116 Oral Surgeon Hanover Pack Sean 253 Virginia Oral & Facial Surgery 7481 Right Flank Road Mechanicsville VA 23116 Oral Surgeon Hanover Watson Damon 253 Virginia Oral & Facial Surgery 7481 Right Flank Road Mechanicsville VA 23116 Oral Surgeon Hanover Anderson Ralph 230490 George A Oley Iii DDS 7016 Lee Park Rd Mechanicsvlle VA 23111 Orthodontist Hanover Kopelove Stephen 230490 George A Oley Iii DDS 7016 Lee Park Rd Mechanicsvlle VA 23111 General Provider Hanover Oley George 230490 George A Oley Iii DDS 7016 Lee Park Rd Mechanicsvlle VA 23111 General Provider Hanover Oley Reba 230490 George A Oley Iii DDS 7016 Lee Park Rd Mechanicsvlle VA 23111 General Provider Hanover Patel Anisha 230490 George A Oley Iii DDS 7016 Lee Park Rd Mechanicsvlle VA 23111 General Provider Hanover Poquis Gregory 230490 George A Oley Iii DDS 7016 Lee Park Rd Mechanicsvlle VA 23111 General Provider Hanover Quilez Robert 230490 George A Oley Iii DDS 7016 Lee Park Rd Mechanicsvlle VA 23111 General Provider Hanover Wilby Lyla Rose 230490 George A Oley Iii DDS 7016 Lee Park Rd Mechanicsvlle VA 23111 General Provider Hanover Bogollagama Nirmal 192864 Sam E English Ii DDS LLC 16625 Mountain Rd Montpelier VA 23192 General Provider Hanover Broas William 192864 Sam E English Ii DDS LLC 16625 Mountain Rd Montpelier VA 23192 General Provider Hanover Culpepper Scott 192864 Sam E English Ii DDS LLC 16625 Mountain Rd Montpelier VA 23192 General Provider Hanover English, Ii Sam 192864 Sam E English Ii DDS LLC 16625 Mountain Rd Montpelier VA 23192 General Provider Hanover

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 6

1 Same as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms or proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 5/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Glaser James 192864 Sam E English Ii DDS LLC 16625 Mountain Rd Montpelier VA 23192 General Provider Hanover Jeoun Sungmin 192864 Sam E English Ii DDS LLC 16625 Mountain Rd Montpelier VA 23192 General Provider Hanover Jiwani Munira 192864 Sam E English Ii DDS LLC 16625 Mountain Rd Montpelier VA 23192 General Provider Hanover Keating Kevin 192864 Sam E English Ii DDS LLC 16625 Mountain Rd Montpelier VA 23192 General Provider Hanover Lazar Dale 192864 Sam E English Ii DDS LLC 16625 Mountain Rd Montpelier VA 23192 General Provider Hanover Thomas Susan 192864 Sam E English Ii DDS LLC 16625 Mountain Rd Montpelier VA 23192 General Provider Hanover Damirchi Nasser 37683 Nasser Damirchi DDS Pc 5243 Hickory Park Dr Glen Allen VA 23059 General Provider Henrico Anderson Bradley 300 Bradley R Anderson DDS 11420 West Broad St Glen Allen VA 23060 General Provider Henrico

* Exum Antone 244321 Central Virginia Dental Care Plc 10124 W Broad Glen Allen VA 23060 General Provider Henrico Da Cunha Paul 2718 Paul Da Cunha Dmd Pc 8503 Patterson Ave Henrico VA 23229 General Provider Henrico Garfield Dean 1984 Garfield Family Dentistry 5500 Monument Ave. Richmond VA 23226 General Provider Henrico Agnihotri Neil 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon Henrico Dymon William 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon Henrico Harris Monroe 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon Henrico Keeney Kanyon 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon Henrico Metzger Lawrence 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon Henrico Pack Sean 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon Henrico Watson Damon 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon Henrico Wlodawsky Ross 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon Henrico Jarvandi Fereshteh 50476 Dr Jarvandi DDS & Associates 9305 Quioccasin Rd Richmond VA 23229 General Provider Henrico Anderson Ralph 14 George A Oley Iii DDS 9030 Three Chopt Road Richmond VA 23229 Orthodontist Henrico Kopelove Stephen 14 George A Oley Iii DDS 9030 Three Chopt Road Richmond VA 23229 General Provider Henrico Oley George 14 George A Oley Iii DDS 9030 Three Chopt Road Richmond VA 23229 General Provider Henrico Oley Reba 14 George A Oley Iii DDS 9030 Three Chopt Road Richmond VA 23229 General Provider Henrico Patel Anisha 14 George A Oley Iii DDS 9030 Three Chopt Road Richmond VA 23229 General Provider Henrico Poquis Gregory 14 George A Oley Iii DDS 9030 Three Chopt Road Richmond VA 23229 General Provider Henrico Wilby Lyla Rose 14 George A Oley Iii DDS 9030 Three Chopt Road Richmond VA 23229 General Provider Henrico Livingston Lynn 2614 Great Expressions Dental Centers 4859 Finlay Street Richmond VA 23231 General Provider Henrico Mirmonsef Parastu 2614 Great Expressions Dental Centers 4859 Finlay Street Richmond VA 23231 General Provider Henrico Hudson Raidah 15 Raidah Hudson DDS Pc 4374 S. Laburnum Avenue Richmond VA 23231 General Provider Henrico Agnihotri Neil 251 Virginia Oral & Facial Surgery 7702 Parham Rd. Richmond VA 23294 Oral Surgeon Henrico Dymon William 251 Virginia Oral & Facial Surgery 7702 Parham Rd. Richmond VA 23294 Oral Surgeon Henrico Harris Monroe 251 Virginia Oral & Facial Surgery 7702 Parham Rd. Richmond VA 23294 Oral Surgeon Henrico Keeney Kanyon 251 Virginia Oral & Facial Surgery 7702 Parham Rd. Richmond VA 23294 Oral Surgeon Henrico Metzger Lawrence 251 Virginia Oral & Facial Surgery 7702 Parham Rd. Richmond VA 23294 Oral Surgeon Henrico Pack Sean 251 Virginia Oral & Facial Surgery 7702 Parham Rd. Richmond VA 23294 Oral Surgeon Henrico Watson Damon 251 Virginia Oral & Facial Surgery 7702 Parham Rd. Richmond VA 23294 Oral Surgeon Henrico Wlodawsky Ross 251 Virginia Oral & Facial Surgery 7702 Parham Rd. Richmond VA 23294 Oral Surgeon Henrico Agnihotri Neil 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon Henrico Dymon William 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon Henrico Harris Monroe 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon Henrico Keeney Kanyon 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon Henrico Metzger Lawrence 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon Henrico Pack Sean 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon Henrico Watson Damon 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon Henrico Bogollagama Nirmal 19 Sam E English Ii DDS Ltd 5303 Plaza Drive Hopewell VA 23860 General Provider Hopewell City Broas William 19 Sam E English Ii DDS Ltd 5303 Plaza Drive Hopewell VA 23860 General Provider Hopewell City Culpepper Scott 19 Sam E English Ii DDS Ltd 5303 Plaza Drive Hopewell VA 23860 General Provider Hopewell City English, Ii Sam 19 Sam E English Ii DDS Ltd 5303 Plaza Drive Hopewell VA 23860 General Provider Hopewell City Glaser James 19 Sam E English Ii DDS Ltd 5303 Plaza Drive Hopewell VA 23860 General Provider Hopewell City Jeoun Sungmin 19 Sam E English Ii DDS Ltd 5303 Plaza Drive Hopewell VA 23860 General Provider Hopewell City Jiwani Munira 19 Sam E English Ii DDS Ltd 5303 Plaza Drive Hopewell VA 23860 General Provider Hopewell City Keating Kevin 19 Sam E English Ii DDS Ltd 5303 Plaza Drive Hopewell VA 23860 General Provider Hopewell City Lazar Dale 19 Sam E English Ii DDS Ltd 5303 Plaza Drive Hopewell VA 23860 General Provider Hopewell City Thomas Susan 19 Sam E English Ii DDS Ltd 5303 Plaza Drive Hopewell VA 23860 General Provider Hopewell City Bogollagama Nirmal 2647 Sam E English Ii DDS LLC 4680-16A Monticello Ave. Williamsburg VA 23188 General Provider James City Broas William 2647 Sam E English Ii DDS LLC 4680-16A Monticello Ave. Williamsburg VA 23188 General Provider James City Culpepper Scott 2647 Sam E English Ii DDS LLC 4680-16A Monticello Ave. Williamsburg VA 23188 General Provider James City English, Ii Sam 2647 Sam E English Ii DDS LLC 4680-16A Monticello Ave. Williamsburg VA 23188 General Provider James City Glaser James 2647 Sam E English Ii DDS LLC 4680-16A Monticello Ave. Williamsburg VA 23188 General Provider James City Jeoun Sungmin 2647 Sam E English Ii DDS LLC 4680-16A Monticello Ave. Williamsburg VA 23188 General Provider James City Jiwani Munira 2647 Sam E English Ii DDS LLC 4680-16A Monticello Ave. Williamsburg VA 23188 General Provider James City Keating Kevin 2647 Sam E English Ii DDS LLC 4680-16A Monticello Ave. Williamsburg VA 23188 General Provider James City Lazar Dale 2647 Sam E English Ii DDS LLC 4680-16A Monticello Ave. Williamsburg VA 23188 General Provider James City Romano Kisley 2647 Sam E English Ii DDS LLC 4680-16A Monticello Ave. Williamsburg VA 23188 General Provider James City Thomas Susan 2647 Sam E English Ii DDS LLC 4680-16A Monticello Ave. Williamsburg VA 23188 General Provider James City Bogollagama Nirmal 9 Sam E English Ii DDS Ltd 628 Main St. West Point VA 23181 General Provider King William Broas William 9 Sam E English Ii DDS Ltd 628 Main St. West Point VA 23181 General Provider King William Culpepper Scott 9 Sam E English Ii DDS Ltd 628 Main St. West Point VA 23181 General Provider King William English, Ii Sam 9 Sam E English Ii DDS Ltd 628 Main St. West Point VA 23181 General Provider King William

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 7

1 Same as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms or proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 5/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Glaser James 9 Sam E English Ii DDS Ltd 628 Main St. West Point VA 23181 General Provider King William Jeoun Sungmin 9 Sam E English Ii DDS Ltd 628 Main St. West Point VA 23181 General Provider King William Jiwani Munira 9 Sam E English Ii DDS Ltd 628 Main St. West Point VA 23181 General Provider King William Keating Kevin 9 Sam E English Ii DDS Ltd 628 Main St. West Point VA 23181 General Provider King William Lazar Dale 9 Sam E English Ii DDS Ltd 628 Main St. West Point VA 23181 General Provider King William Thomas Susan 9 Sam E English Ii DDS Ltd 628 Main St. West Point VA 23181 General Provider King William Eghtessad Michael 37695 Gateway Dental 44330 Premier Plaza Ashburn VA 20147 General Provider Loudoun Jacklis Ghassan 37695 Gateway Dental 44330 Premier Plaza Ashburn VA 20147 General Provider Loudoun Nallavalli Sravanthi 37695 Gateway Dental 44330 Premier Plaza Ashburn VA 20147 General Provider Loudoun Chaddad Karim 70969 Gateway Dental Specialists 44330 Premier Plaza Ashburn VA 20147 Periodontist Loudoun

* Kravitz Neal 175247 Kravitz Orthodontics 20405 Exchange St Ashburn VA 20147 Orthodontist Loudoun Rivas-Morello Chiara 176823 Pediatric Dentistry Of One Loudoun 20405 Exchange St. Ashburn VA 20147 Pedodontist Loudoun Gill Kwesi 196525 Dental One Associates South Riding Specialists 25055 Riding Plaza Dr Chantilly VA 20152 Pedodontist Loudoun

* Omar Anisa 50363 East Gate Orthodontics 25401 Eastern Marketplace Plz Chantilly VA 20152 Orthodontist Loudoun Amin Ahmad 37730 South Riding Dental Associates Pc 25055 Riding Plaza Dr. Chantilly VA 20152 Oral Surgeon Loudoun Hukmani Navin 37730 South Riding Dental Associates Pc 25055 Riding Plaza Dr. Chantilly VA 20152 Orthodontist Loudoun Huynh Thuylinh 37730 South Riding Dental Associates Pc 25055 Riding Plaza Dr. Chantilly VA 20152 Orthodontist Loudoun Lyn Trevann 37730 South Riding Dental Associates Pc 25055 Riding Plaza Dr. Chantilly VA 20152 Oral Surgeon Loudoun Ogunbekun Adenike 37730 South Riding Dental Associates Pc 25055 Riding Plaza Dr. Chantilly VA 20152 General Provider Loudoun Ramisetty Chetana 37730 South Riding Dental Associates Pc 25055 Riding Plaza Dr. Chantilly VA 20152 General Provider Loudoun Valleru Silvija 37730 South Riding Dental Associates Pc 25055 Riding Plaza Dr. Chantilly VA 20152 General Provider Loudoun Zeiaei-Nafchi Saeid 37730 South Riding Dental Associates Pc 25055 Riding Plaza Dr. Chantilly VA 20152 General Provider Loudoun

* Lee Richard 50489 Loudoun Orthodontics 19465 Deerfield Ave Lansdowne VA 20176 Orthodontist Loudoun Rafaat Amirreza 2290 Amirreza Rafaat DDS Pc 19450 Deerfield Avenue Leesburg VA 20176 General Provider Loudoun Daneshvar Arezou 202201 Healthworks For Northern Virginia 163 Fort Evans Rd NE Leesburg VA 20176 General Provider Loudoun Jaamac Scheherazade 202201 Healthworks For Northern Virginia 163 Fort Evans Rd NE Leesburg VA 20176 General Provider Loudoun Perumal Naidu NagaRohini 202201 Healthworks For Northern Virginia 163 Fort Evans Rd NE Leesburg VA 20176 General Provider Loudoun Rashid Sumera 202201 Healthworks For Northern Virginia 163 Fort Evans Rd NE Leesburg VA 20176 General Provider Loudoun Wilson Lois 202201 Healthworks For Northern Virginia 163 Fort Evans Rd NE Leesburg VA 20176 General Provider Loudoun Lam Victor 208581 Embrace Orthodontics Virginia 46175 Westlake Dr Potomac Falls VA 20165 Orthodontist Loudoun Nguyen Helen 210096 Helen P Nguyen DDS LLC 46175 Westlake Dr Potomac Falls VA 20165 General Provider Loudoun Shojaei Mariah 2091 Mariah Shojaei Dmd 46161 West Lake Drive Potomac Falls VA 20165 Endodontist Loudoun Abbasi-Hafshejani Azita 242126 Top Nova Orthodontics 46165 Westlake Dr Potomac Falls VA 20165 Orthodontist Loudoun

* Kravitz Neal 50923 Kravitz Orthodontics 25055 Riding Plaza South Riding VA 20152 Orthodontist Loudoun * Alvarez Juan 200674 Alvarez Dental Smile 14 Pidgeon Hill Dr Sterling VA 20165 Prosthodontist Loudoun

Beiner Christopher 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 General Provider Loudoun Eghtessad Michael 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 General Provider Loudoun Emad-Azmoudeh Neda 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 General Provider Loudoun Ghanim Layth 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 General Provider Loudoun Hagos Samuel 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 General Provider Loudoun Hamdoon Sama 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 General Provider Loudoun Knox Dominique 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 General Provider Loudoun Lowe Steven 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 General Provider Loudoun Naeem Mariam 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 General Provider Loudoun Nallavalli Sravanthi 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 General Provider Loudoun Nure Bahru 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 General Provider Loudoun Park Jung 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 General Provider Loudoun Park Sang Hoon 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 Periodontist Loudoun Patel Jay 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 General Provider Loudoun Reddy Hima-Bindu 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 General Provider Loudoun Williams Shannon 157 Bright Now Dental 6 Pidgeon Hill Dr. Sterling VA 20165 General Provider Loudoun Hooshmand Marie 1808 Marie Hooshmand DDS Pc 21165 Whitfield Place Sterling VA 20165 General Provider Loudoun Chaddad Karim 50929 Mazin Alayssami Dmd & Associates Pc Specialists 6 Pidgeon Hill Dr Sterling VA 20165 Periodontist Loudoun Bidgoli Rashin 1937 Rashin T Bidgoli DDS 21145 Whitfield Place Sterling VA 20165 Endodontist Loudoun Dadkhah Mina 168076 Smileville Kids 46165 Westlake Dr Sterling VA 20165 Pedodontist Loudoun Duong Truc 1912 Truc Duong DDS Pc 21145 Whitfield Pl. Sterling VA 20165 General Provider Loudoun

* Brown FrankenberryAnishka 78262 Stone Ridge Orthodontics 24600 Millstream Drive Stone Ridge VA 20105 Orthodontist Loudoun Al-Karagholi Mustafa 1729 Dental One Associates Manassas Pc 7800 Sudley Rd. Manassas VA 20109 General Provider Manassas City Amin Ahmad 1729 Dental One Associates Manassas Pc 7800 Sudley Rd. Manassas VA 20109 Oral Surgeon Manassas City Beri Anuradha 1729 Dental One Associates Manassas Pc 7800 Sudley Rd. Manassas VA 20109 Periodontist Manassas City Hukmani Navin 1729 Dental One Associates Manassas Pc 7800 Sudley Rd. Manassas VA 20109 Orthodontist Manassas City Khosravi Mitra 1729 Dental One Associates Manassas Pc 7800 Sudley Rd. Manassas VA 20109 General Provider Manassas City Lyn Trevann 1729 Dental One Associates Manassas Pc 7800 Sudley Rd. Manassas VA 20109 Oral Surgeon Manassas City Ramisetty Chetana 1729 Dental One Associates Manassas Pc 7800 Sudley Rd. Manassas VA 20109 General Provider Manassas City Shah Nidhi 1729 Dental One Associates Manassas Pc 7800 Sudley Rd. Manassas VA 20109 Periodontist Manassas City Shami Imad 1729 Dental One Associates Manassas Pc 7800 Sudley Rd. Manassas VA 20109 Oral Surgeon Manassas City Suresh Rishi 1729 Dental One Associates Manassas Pc 7800 Sudley Rd. Manassas VA 20109 General Provider Manassas City Gill Kwesi 196526 Dental One Associates Manassas Pc Specialists 7800 Sudley Rd Manassas VA 20109 Pedodontist Manassas City Oswald Sophie 196526 Dental One Associates Manassas Pc Specialists 7800 Sudley Rd Manassas VA 20109 Oral Surgeon Manassas City Shah Nidhi 196526 Dental One Associates Manassas Pc Specialists 7800 Sudley Rd Manassas VA 20109 Periodontist Manassas City

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 8

1 Same as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms or proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 5/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Shami Imad 196526 Dental One Associates Manassas Pc Specialists 7800 Sudley Rd Manassas VA 20109 Oral Surgeon Manassas City Goldin Richard 148278 Richard R Goldin DDS Ltd 10684 C Crestwood Dr Manassas VA 20109 Periodontist Manassas City Al-Salim Ahmed 232046 Sudley Manor Dental Care 10482 Sudley Manor Dr Manassas VA 20109 General Provider Manassas City Cai Phu-Quy 232046 Sudley Manor Dental Care 10482 Sudley Manor Dr Manassas VA 20109 General Provider Manassas City Dube Neelam 232046 Sudley Manor Dental Care 10482 Sudley Manor Dr Manassas VA 20109 General Provider Manassas City Jones Linda 210230 Dr. Linda F Jones DDS 8659 SUDLEY RD Manassas VA 20110 General Provider Manassas City Biscombe Terrence 50778 Kevin Mendes DDS & Associates PLLC 8404 Dorsey Circle Manassas VA 20110 General Provider Manassas City Mendes Kevin 50778 Kevin Mendes DDS & Associates PLLC 8404 Dorsey Circle Manassas VA 20110 Orthodontist Manassas City Rejintala Archana 50778 Kevin Mendes DDS & Associates PLLC 8404 Dorsey Circle Manassas VA 20110 General Provider Manassas City Tran Cuong 50778 Kevin Mendes DDS & Associates PLLC 8404 Dorsey Circle Manassas VA 20110 General Provider Manassas City Usman Malik 230492 Manassas Dental Smiles 8559 Sudley Rd Manassas VA 20110 General Provider Manassas City Miranda Ruben 153404 Manassas Family Dentistry 9625 Surveyor Ct Manassas VA 20110 Periodontist Manassas City Rao Sheila 153404 Manassas Family Dentistry 9625 Surveyor Ct Manassas VA 20110 General Provider Manassas City Ogunbekun Adenike 239619 Novaline Dental 9822 Liberia Ave Manassas VA 20110 General Provider Manassas City

* Hussaini Syed 69576 Syed K Hussaini DDS 10081 Market Cir Manassas VA 20110 Orthodontist Manassas City Bolarinwa Olumide 2396 Wellington Dental Associates 10068 Dumfries Road Manassas VA 20110 General Provider Manassas City Bolarinwa Olumide 50713 Wellington Dental Associates 9161 Liberia Ave Manassas VA 20110 General Provider Manassas City Swanson Cristina 2396 Wellington Dental Associates 10068 Dumfries Road Manassas VA 20110 General Provider Manassas City Swanson Cristina 50713 Wellington Dental Associates 9161 Liberia Ave Manassas VA 20110 General Provider Manassas City Urteaga Jair 2396 Wellington Dental Associates 10068 Dumfries Road Manassas VA 20110 General Provider Manassas City Urteaga Jair 50713 Wellington Dental Associates 9161 Liberia Ave Manassas VA 20110 General Provider Manassas City Yann Borarath 2396 Wellington Dental Associates 10068 Dumfries Road Manassas VA 20110 General Provider Manassas City Yann Borarath 50713 Wellington Dental Associates 9161 Liberia Ave Manassas VA 20110 General Provider Manassas City

* Marshall Christopher 438 Christopher W Marshall DDS 655 Gloucester Road Saluda VA 23149 General Provider Middlesex Inniss Halcyon 191100 Blue Ridge Dental Center 4038 Thomas Nelson Hwy Arrington VA 22922 General Provider Nelson Mills-Robertson Aba 191100 Blue Ridge Dental Center 4038 Thomas Nelson Hwy Arrington VA 22922 General Provider Nelson Ottersberg Christine 191100 Blue Ridge Dental Center 4038 Thomas Nelson Hwy Arrington VA 22922 General Provider Nelson Chung John 23 John Chung Family Dentistry 13626 Warwick Blvd. Newport News VA 23602 General Provider Newport News City Kenney Jeffrey 198247 Jeffrey N Kenney DDS PLLC 12420 Warwick Blvd Newport News VA 23606 Oral Surgeon Newport News City Katz Ronald 2885 Warwick Dental Center 12420 Warwick Blvd. Newport News VA 23606 General Provider Newport News City

* Gordon James 851 Drs Branoff & Kress Pa 5819 Frament Ave Norfolk VA 23502 Orthodontist Norfolk City Witte Ernest 1219 Periodontology Associates 5900 E VA Beach Blvd Norfolk VA 23502 Periodontist Norfolk City Ashby John 2867 Ashby Orthodontics Ltd 7400 Granby Street Norfolk VA 23505 Orthodontist Norfolk City Reynolds Jillian 78270 Lwss Dentistry For Children 302 East Little Creek Road Norfolk VA 23505 Pedodontist Norfolk City Sachs Scott 78270 Lwss Dentistry For Children 302 East Little Creek Road Norfolk VA 23505 Pedodontist Norfolk City Shapiro Nathan 78270 Lwss Dentistry For Children 302 East Little Creek Road Norfolk VA 23505 Pedodontist Norfolk City Frazier Rita 37 Rita Frazier DDS 136 E. Little Creek Rd. Norfolk VA 23505 General Provider Norfolk City Salerno James 37 Rita Frazier DDS 136 E. Little Creek Rd. Norfolk VA 23505 General Provider Norfolk City Conelias Trent 2841 Trent P Conelias DDS 155 Kingsley Ln Norfolk VA 23505 Oral Surgeon Norfolk City Morrison Sanford 720 S Neil Morrison DDS & Melvin R Morrison DDS 204 Medical Tower Norfolk VA 23507 Oral Surgeon Norfolk City Spain Murray 2678 Murray Spain Dmd 1216 Granby St. Norfolk VA 23510 General Provider Norfolk City Forbes Irama 2876 Tidewater Dental Center PLLC 425 West 20th St. Norfolk VA 23517 General Provider Norfolk City Katz Ronald 2876 Tidewater Dental Center PLLC 425 West 20th St. Norfolk VA 23517 General Provider Norfolk City Reynolds Kenneth 2876 Tidewater Dental Center PLLC 425 West 20th St. Norfolk VA 23517 General Provider Norfolk City Scott Jon 191099 Dr Jon L Scott 4520 Pretty Lake Ave Norfolk VA 23518 Orthodontist Norfolk City Howell Robert 151818 Robert W Howell DDS 9547 Shore Dr Norfolk VA 23518 General Provider Norfolk City Griffin Charles 98 Charles F Griffin DDS 3277 South Crater Rd. Petersburg VA 23805 General Provider Petersburg City Sweeney Richard 51038 Dominion Dentistry PLLC 3219 Stamford Rd Portsmouth VA 23703 General Provider Portsmouth City Martin J B 259 Friendly Faces Pediatric Dentistry 446 Effingham St Portsmouth VA 23704 Pedodontist Portsmouth City Behl Yugal 137471 Friendly Faces Pediatric Dentistry Orthodontics 446 Effingham St Portsmouth VA 23704 Orthodontist Portsmouth City Green, Jr. Roosevelt 73 Roosevelt T Green Jr DDS 600 S. Green St. Portsmouth VA 23704 General Provider Portsmouth City

* Reynolds Kenneth 2161 K Bradley Reynolds DDS 1307 Airline Blvd. Portsmouth VA 23707 General Provider Portsmouth City Stevenson Pretlow 322 Pretlow Stevenson Jr DDS 3412 Columbia St. Portsmouth VA 23707 General Provider Portsmouth City

* Hanania Hanna 2416 Hanna Hannania DDS Pc 4319 Dale Blvd. Dale City VA 22193 General Provider Prince William Baker Christine 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince William Choi Mi-Yon 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince William Cuellar-Cordova Eliana 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince William Hasan Amber 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince William Lam Matthew 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince William Patel Sneha 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince William Pinzon Amparo 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince William Ray Sheetal 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince William Shahidi Afsaneh 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince William Vu Lynn 230515 Lynn Vu DDS Pc 17865 Main St Dumfries VA 22026 General Provider Prince William

* Zhu Xinsheng 37668 Zhu Orthodontics 17606 Main St. Dumfries VA 22026 Orthodontist Prince William * Adi Najib 162169 Atlas Walk Dental 7502 Iron Bar Ln Gainesville VA 20155 General Provider Prince William * Shakashiro Randa 162169 Atlas Walk Dental 7502 Iron Bar Ln Gainesville VA 20155 Orthodontist Prince William * Filippone Louis 50564 Louis C Filippone DDS Pc 7521 Virginia Oaks Dr Gainesville VA 20155 Orthodontist Prince William

Traboulsi Georges 2760 Manassas Dental Associates Pc Specialists 10630-B Crestwood Drive Manassas VA 20109 Periodontist Prince William * Sina Nahid 37649 My Braces Doctor, Pc 10630 Crestwood Dr. Manassas VA 20109 Orthodontist Prince William

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 9

1 Same as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms or proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 5/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Ahmed Gaafar 79063 Ayesha Sultan DDS Pc 6312 Hoadly Road Manassas VA 20112 General Provider Prince William Sultan Ayesha 79063 Ayesha Sultan DDS Pc 6312 Hoadly Road Manassas VA 20112 General Provider Prince William Patel Mayur 81562 Light Family Dental 14416 Jefferson Davis Hwy Woodbridge VA 22191 General Provider Prince William

* Uppalapati Sindhura 154209 Woodbridge Smiles 14904 Jefferson Davis Hwy Woodbridge VA 22191 General Provider Prince William Imao Josemari 151111 Angel Hands Dentistry PLLC 13824 Smoketown Rd Woodbridge VA 22192 General Provider Prince William Phan Thoaivan 151111 Angel Hands Dentistry PLLC 13824 Smoketown Rd Woodbridge VA 22192 General Provider Prince William Traboulsi Georges 2761 Bruce Taheri DDS Pc Specialists 3114 Golansky Blvd. Woodbridge VA 22192 Periodontist Prince William Doan Thao 2131 Dental Center At Lake Ridge 12764 Darby Brooke Ct. Woodbridge VA 22192 General Provider Prince William Amin Ahmad 1731 Dental One Associates Woodbridge Pc 14520 Smoketown Rd. Woodbridge VA 22192 Oral Surgeon Prince William Beri Anuradha 1731 Dental One Associates Woodbridge Pc 14520 Smoketown Rd. Woodbridge VA 22192 Periodontist Prince William Ho Sylvie 1731 Dental One Associates Woodbridge Pc 14520 Smoketown Rd. Woodbridge VA 22192 General Provider Prince William Hukmani Navin 1731 Dental One Associates Woodbridge Pc 14520 Smoketown Rd. Woodbridge VA 22192 Orthodontist Prince William Janabi Eli 1731 Dental One Associates Woodbridge Pc 14520 Smoketown Rd. Woodbridge VA 22192 General Provider Prince William Lyn Trevann 1731 Dental One Associates Woodbridge Pc 14520 Smoketown Rd. Woodbridge VA 22192 Oral Surgeon Prince William Suresh Rishi 1731 Dental One Associates Woodbridge Pc 14520 Smoketown Rd. Woodbridge VA 22192 General Provider Prince William Valleru Silvija 1731 Dental One Associates Woodbridge Pc 14520 Smoketown Rd. Woodbridge VA 22192 General Provider Prince William Zeiaei-Nafchi Saeid 1731 Dental One Associates Woodbridge Pc 14520 Smoketown Rd. Woodbridge VA 22192 General Provider Prince William Oswald Sophie 196542 Dental One Associates Woodbridge Pc Specialists 14520 Smoketown Rd Woodbridge VA 22192 Oral Surgeon Prince William Shah Nidhi 196542 Dental One Associates Woodbridge Pc Specialists 14520 Smoketown Rd Woodbridge VA 22192 Periodontist Prince William Shami Imad 196542 Dental One Associates Woodbridge Pc Specialists 14520 Smoketown Rd Woodbridge VA 22192 Oral Surgeon Prince William Braunfeld Joel 456 Joel R Braunfeld DDS 2239-L Tackett's Mill Dr. Woodbridge VA 22192 General Provider Prince William

* Saleh Fadi 50883 Lake Ridge Orthodontics Pc 12662 A Lake Ridge Dr Woodbridge VA 22192 Orthodontist Prince William Toyer April 141143 Lifetime Dental Care PLLC Specialists 14573 Potomac Mills Rd Woodbridge VA 22192 Pedodontist Prince William Lyazidi Aicha 37671 Occoquan Family & Cosmetic Dentistry 1392 Old Bridge Rd Woodbridge VA 22192 General Provider Prince William Pell James 38079 Oral Surgery Associates Of Northern Virginia Ltd 3158 Golansky Blvd Woodbridge VA 22192 Oral Surgeon Prince William Wang Richard 38079 Oral Surgery Associates Of Northern Virginia Ltd 3158 Golansky Blvd Woodbridge VA 22192 Oral Surgeon Prince William Uthman Ahmed 264412 Potomac Family Dental 14338 Gideon Dr Woodbridge VA 22192 General Provider Prince William Colina Kevin 33879 Sameer Kwatra DDS Pc 2970 Prince William Pkwy Woodbridge VA 22192 General Provider Prince William Dulabh Mita 33879 Sameer Kwatra DDS Pc 2970 Prince William Pkwy Woodbridge VA 22192 General Provider Prince William Kwatra Sameer 33879 Sameer Kwatra DDS Pc 2970 Prince William Pkwy Woodbridge VA 22192 General Provider Prince William Nguyen Phuong 78278 Woodbridge Oral & Maxillofacial Surgery Center 4585 Daisy Reid Avenue Woodbridge VA 22192 Oral Surgeon Prince William Mai Christine 157112 Christine L Mai DDS Pc 13885 Hedgewood Dr Woodbridge VA 22193 General Provider Prince William

* Haston Raymond 451 Raymond C Haston Jr DDS Pc 14393 Hereford Road Woodbridge VA 22193 General Provider Prince William Anderson Joshua 232043 Renova Smiles Woodbridge 14007 Minnieville Road Woodbridge VA 22193 General Provider Prince William Cuellar-Cordova Eliana 232043 Renova Smiles Woodbridge 14007 Minnieville Road Woodbridge VA 22193 General Provider Prince William Morrison Julius 59 Julius V Morrison DDS 530 E Main St. Richmond VA 23219 General Provider Richmond City

* Abubaker Abubaker 206762 Vcu Dental Care 401 N 11th St Richmond VA 23219 Oral Surgeon Richmond City * Deeb George 206762 Vcu Dental Care 401 N 11th St Richmond VA 23219 Oral Surgeon Richmond City * Deluke Dean 206762 Vcu Dental Care 401 N 11th St Richmond VA 23219 Oral Surgeon Richmond City * Laskin Daniel 206762 Vcu Dental Care 401 N 11th St Richmond VA 23219 Oral Surgeon Richmond City * Renapurkar Shravan 206762 Vcu Dental Care 401 N 11th St Richmond VA 23219 Oral Surgeon Richmond City * Strauss Robert 206762 Vcu Dental Care 401 N 11th St Richmond VA 23219 Oral Surgeon Richmond City

Adams Randy 181508 Adams & Allen 300 W Broad Str Richmond VA 23220 Pedodontist Richmond City Allen Brandon 181508 Adams & Allen 300 W Broad Str Richmond VA 23220 Pedodontist Richmond City

* Jones John 64 John W Jones DDS 1805 Monument Ave. Richmond VA 23220 General Provider Richmond City Bogollagama Nirmal 2669 Sam E English Ii DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond City Broas William 2669 Sam E English Ii DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond City Culpepper Scott 2669 Sam E English Ii DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond City English, Ii Sam 2669 Sam E English Ii DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond City Glaser James 2669 Sam E English Ii DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond City Hakim Sanjeeda 2669 Sam E English Ii DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond City Jeoun Sungmin 2669 Sam E English Ii DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond City Jiwani Munira 2669 Sam E English Ii DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond City Keating Kevin 2669 Sam E English Ii DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond City Lazar Dale 2669 Sam E English Ii DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond City Musetti Christopher 2669 Sam E English Ii DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond City Thomas Susan 2669 Sam E English Ii DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond City

* Barbour Nicole 231543 Capital Area Health Network-Glenwood Medical Cente 2709-11 Byron St Richmond VA 23223 General Provider Richmond City * Byerson Christina 231543 Capital Area Health Network-Glenwood Medical Cente 2709-11 Byron St Richmond VA 23223 General Provider Richmond City * Hakim Sanjeeda 231543 Capital Area Health Network-Glenwood Medical Cente 2709-11 Byron St Richmond VA 23223 General Provider Richmond City * Barbour Nicole 1930 Vernon J Harris East End Community Health Center 719 N. 25th St. Richmond VA 23223 General Provider Richmond City * Byerson Christina 1930 Vernon J Harris East End Community Health Center 719 N. 25th St. Richmond VA 23223 General Provider Richmond City * Hakim Sanjeeda 1930 Vernon J Harris East End Community Health Center 719 N. 25th St. Richmond VA 23223 General Provider Richmond City * Puller Anthony 10 Anthony J Puller DDS 7834 Forest Hill Ave. Richmond VA 23225 General Provider Richmond City

Stoner Kenneth 40 Kenneth E Stoner DDS & Associates 4922 W. Broad St. Richmond VA 23230 General Provider Richmond City Byrd Richard 135 Richard L Byrd DDS 9221 Forest Hill Avenue Richmond VA 23235 Orthodontist Richmond City Donaldson Gavin-Rae 135 Richard L Byrd DDS 9221 Forest Hill Avenue Richmond VA 23235 Orthodontist Richmond City Cade Ronald 1584 Ronald E Cade Inc 9200 Forest Hill Avenue Richmond VA 23235 General Provider Richmond City Abubaker Abubaker 1699 Dentistry@Vcu 520 North 12th St Richmond VA 23298 Oral Surgeon Richmond City Deeb George 1699 Dentistry@Vcu 520 North 12th St Richmond VA 23298 Oral Surgeon Richmond City

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 10

1 Same as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms or proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 5/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Deluke Dean 1699 Dentistry@Vcu 520 North 12th St Richmond VA 23298 Oral Surgeon Richmond City Laskin Daniel 1699 Dentistry@Vcu 520 North 12th St Richmond VA 23298 Oral Surgeon Richmond City Renapurkar Shravan 1699 Dentistry@Vcu 520 North 12th St Richmond VA 23298 Oral Surgeon Richmond City Strauss Robert 1699 Dentistry@Vcu 520 North 12th St Richmond VA 23298 Oral Surgeon Richmond City Renapurkar Shravan 202199 Vcu Dental Care 1250 E Marshall St Richmond VA 23298 Oral Surgeon Richmond City Romano Frank 147 Frank D Romano DDS 1133 Heatherstone Dr. Fredericksburg VA 22407 General Provider Spotsylvania

* Sina Nahid 37650 My Braces Doctor, Pc 4300 Plank Rd. Fredericksburg VA 22407 Orthodontist Spotsylvania Pagan Robert 1206 R David Pagan Dmd Pc 4224 Plank Rd Fredericksburg VA 22407 Endodontist Spotsylvania Arafa Mohamed 80816 Advanced Dental Care Of Fredericksburg 10524 Spotsylvania Ave Fredericksburg VA 22408 General Provider Spotsylvania Elgazzar Mohamed 80816 Advanced Dental Care Of Fredericksburg 10524 Spotsylvania Ave Fredericksburg VA 22408 General Provider Spotsylvania Alayssami Mazin 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Al-Quraishi Zaynab 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Beiner Christopher 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Blackwood Michael 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 Orthodontist Spotsylvania Bogollagama Nirmal 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Emad-Azmoudeh Neda 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Ghanim Layth 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Hagos Samuel 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Hamdoon Sama 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Iskander Erene 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Kimble Tanks Felisha 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Knox Dominique 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Kousedghi Hedieh 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Malghan Nandini 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Naeem Mariam 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Park Jung 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Patel Jay 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Reddy Hima-Bindu 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania Williams Shannon 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider Spotsylvania

* Haston Raymond 428 Raymond C Haston Jr DDS Pc 560 Celebrate Virginia Pkwy Fredericksburg VA 22406 General Provider Stafford Arafa Mohamed 266953 Advanced Care Of Stafford 2052 Jefferson Davis Hwy Stafford VA 22554 General Provider Stafford Elgazzar Mohamed 266953 Advanced Care Of Stafford 2052 Jefferson Davis Hwy Stafford VA 22554 General Provider Stafford Alayssami Mazin 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 General Provider Stafford Bogollagama Nirmal 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 General Provider Stafford Chaddad Karim 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 Periodontist Stafford Devylder Joseph 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 Oral Surgeon Stafford Elgazzar Mohamed 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 General Provider Stafford Emad-Azmoudeh Neda 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 General Provider Stafford Hagos Samuel 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 General Provider Stafford Hamdoon Sama 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 General Provider Stafford Iskander Erene 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 General Provider Stafford Johnson Gary 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 Endodontist Stafford Knox Dominique 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 General Provider Stafford Kousedghi Hedieh 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 General Provider Stafford Naeem Mariam 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 General Provider Stafford Niepraschk Markus 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 Orthodontist Stafford Park Jung 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 General Provider Stafford Patel Jay 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 General Provider Stafford Reddy Hima-Bindu 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 General Provider Stafford Williams Shannon 156 Bright Now Dental 392 Garrisonville Rd. Stafford VA 22554 General Provider Stafford Attreed Elizabeth 854 Elizabeth M Attreed DDS 2832 Jefferson Davis Hwy Stafford VA 22554 General Provider Stafford Chaddad Karim 50930 Mazin Alayssami Dmd & Associates Pc Specialists 392 Garrisonville Rd Stafford VA 22554 Periodontist Stafford Patel Ashish 50930 Mazin Alayssami Dmd & Associates Pc Specialists 392 Garrisonville Rd Stafford VA 22554 Oral Surgeon Stafford Reynolds Jillian 78274 Lwss Dentistry For Children 210 Meadow View Blvd Suffolk VA 23435 Pedodontist Suffolk City Sachs Scott 78274 Lwss Dentistry For Children 210 Meadow View Blvd Suffolk VA 23435 Pedodontist Suffolk City Berry Zachary 51074 Scott R Goodove DDS Plc 5849 Harbour View Blvd Suffolk VA 23435 Oral Surgeon Suffolk City Goodove Scott 51074 Scott R Goodove DDS Plc 5849 Harbour View Blvd Suffolk VA 23435 Oral Surgeon Suffolk City Zagursky Peter 51074 Scott R Goodove DDS Plc 5849 Harbour View Blvd Suffolk VA 23435 Oral Surgeon Suffolk City Delva Kathy 219110 Advanced Sedation Dentistry 616 Virginia Beach Blvd Virginia Beach VA 23451 General Provider Virginia Beach City Jeoun Sungmin 219110 Advanced Sedation Dentistry 616 Virginia Beach Blvd Virginia Beach VA 23451 General Provider Virginia Beach City Ellis Kevin 1692 Kevin J Ellis Dmd Family Dentistry 205 34th Street Virginia Beach VA 23451 General Provider Virginia Beach City Elattrache Dean 2122 Laskin Endodontic Specialists 1369 Laskin Road Virginia Beach VA 23451 Endodontist Virginia Beach City Ashby John 179 Ashby Orthodontics Ltd 4356-4 Bonney Rd. Virginia Beach VA 23452 Orthodontist Virginia Beach City Ford Melvin 1097 Ford & Guter DDS Ltd 2875 Sabre Str Virginia Beach VA 23452 Oral Surgeon Virginia Beach City Guter Klaus 1097 Ford & Guter DDS Ltd 2875 Sabre Str Virginia Beach VA 23452 Oral Surgeon Virginia Beach City Hartman Gary 2163 Gary A Hartman DDS Ms Ltd 240 Mustang Tr Virginia Beach VA 23452 Periodontist Virginia Beach City Konikoff Albert 255 Konikoff Salzberg Periodontics 477 Viking Drive Virginia Beach VA 23452 Periodontist Virginia Beach City Konikoff Bryan 255 Konikoff Salzberg Periodontics 477 Viking Drive Virginia Beach VA 23452 Periodontist Virginia Beach City Salzberg Trang 255 Konikoff Salzberg Periodontics 477 Viking Drive Virginia Beach VA 23452 Periodontist Virginia Beach City Webber Caroline 255 Konikoff Salzberg Periodontics 477 Viking Drive Virginia Beach VA 23452 Oral Surgeon Virginia Beach City

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 11

1 Same as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms or proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 5/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Folck Michael 33857 Mid Atlantic Implant & Oral Surgery Center Pc 272 Bendix Road Virginia Beach VA 23452 Oral Surgeon Virginia Beach City Spain Murray 97 Murray Spain Dmd 3634 S Plaza Trail Virginia Beach VA 23452 General Provider Virginia Beach City Mueller David 1754 David P Mueller DDS 1157 First Colonial Road Virginia Beach VA 23454 Oral Surgeon Virginia Beach City Leidy Jeffrey 80 Jeffrey R Leidy Dmd Pc 1301 First Colonial Rd. Virginia Beach VA 23454 General Provider Virginia Beach City Shulman Jeremy 1688 Jeremy Shulman DDS Ms 1301 First Colonial Road Virginia Beach VA 23454 Periodontist Virginia Beach City Reynolds Jillian 78273 Lwss Dentistry For Children 1157 First Colonial Rd Virginia Beach VA 23454 Pedodontist Virginia Beach City Reynolds Jillian 243368 Lwss Dentistry For Children 2185 Upton Dr Virginia Beach VA 23454 Pedodontist Virginia Beach City Sachs Scott 78273 Lwss Dentistry For Children 1157 First Colonial Rd Virginia Beach VA 23454 Pedodontist Virginia Beach City Sachs Scott 243368 Lwss Dentistry For Children 2185 Upton Dr Virginia Beach VA 23454 Pedodontist Virginia Beach City Quigg Richard 1106 Richard K Quigg DDS 984 First Colonial Rd. Virginia Beach VA 23454 Oral Surgeon Virginia Beach City Berry Zachary 37684 Scott R Goodove DDS Plc 1127 First Colonial Rd. Virginia Beach VA 23454 Oral Surgeon Virginia Beach City Goodove Scott 37684 Scott R Goodove DDS Plc 1127 First Colonial Rd. Virginia Beach VA 23454 Oral Surgeon Virginia Beach City Pandolfi Philip 37684 Scott R Goodove DDS Plc 1127 First Colonial Rd. Virginia Beach VA 23454 Oral Surgeon Virginia Beach City Zagursky Peter 37684 Scott R Goodove DDS Plc 1127 First Colonial Rd. Virginia Beach VA 23454 Oral Surgeon Virginia Beach City Berger Arnold 27 The Doctors Berger Dmd Plc 2404 Virginia Beach Blvd. Virginia Beach VA 23454 General Provider Virginia Beach City Berger Fallon 27 The Doctors Berger Dmd Plc 2404 Virginia Beach Blvd. Virginia Beach VA 23454 General Provider Virginia Beach City Berger Louis 27 The Doctors Berger Dmd Plc 2404 Virginia Beach Blvd. Virginia Beach VA 23454 General Provider Virginia Beach City Vendetti Curtis 33861 Virginia Surgical Arts LLC 1240 Perimeter Parkway Virginia Beach VA 23454 Oral Surgeon Virginia Beach City

* Waterman Jennifer 127686 Waterman Family Dentistry 525 N Great Neck Rd Virginia Beach VA 23454 General Provider Virginia Beach City Spain Murray 2863 Murray Spain Dmd 1127 Independence Blvd. Virginia Beach VA 23455 General Provider Virginia Beach City Kaur Pardeep 1552 Bukola A Oduyelu DDS Pc 2264 London Bridge Rd Virginia Beach VA 23456 Orthodontist Virginia Beach City Oduyelu Bukola 1552 Bukola A Oduyelu DDS Pc 2264 London Bridge Rd Virginia Beach VA 23456 Pedodontist Virginia Beach City Ford Melvin 1366 Ford & Guter DDS Ltd 2100 Lynnhaven Pkwy Virginia Beach VA 23456 Oral Surgeon Virginia Beach City Guter Klaus 1366 Ford & Guter DDS Ltd 2100 Lynnhaven Pkwy Virginia Beach VA 23456 Oral Surgeon Virginia Beach City Goldstein Stephen 543 Mahanes Dental Group 2521 North Landing Rd Virginia Beach VA 23456 General Provider Virginia Beach City Mahanes Alan 543 Mahanes Dental Group 2521 North Landing Rd Virginia Beach VA 23456 General Provider Virginia Beach City

* Bergano Allan 243 Allan L Bergano DDS Pc 4460 Corporation Ln Virginia Beach VA 23462 General Provider Virginia Beach City Salem Muhanad 202783 Atlantic Family Dentistry 4867 Baxter Rd Virginia Beach VA 23462 General Provider Virginia Beach City Ochave Frederick 1745 Frederick P Ochave Dmd 289 Independence Blvd. Virginia Beach VA 23462 General Provider Virginia Beach City Modjadidi Osama 1533 Harmony Dental Group 401 Green Meadows Dr Virginia Beach VA 23462 General Provider Virginia Beach City Reynolds Kenneth 1533 Harmony Dental Group 401 Green Meadows Dr Virginia Beach VA 23462 General Provider Virginia Beach City

* Field Sheila 216460 Sheila R Field DDS Pc 4676 Princess Anne Rd Virginia Beach VA 23462 General Provider Virginia Beach City * Gladstone Myron 201 Drs Gladstone & Salerno 5318 Providence Rd. Virginia Beach VA 23464 General Provider Virginia Beach City * Salerno James 201 Drs Gladstone & Salerno 5318 Providence Rd. Virginia Beach VA 23464 General Provider Virginia Beach City * Smith Jacqueline 50338 Jacqueline B Smith DDS PLLC 1385 Fordham Dr Virginia Beach VA 23464 General Provider Virginia Beach City

Reynolds Jillian 78271 Lwss Dentistry For Children 904 Kempsville Rd Virginia Beach VA 23464 Pedodontist Virginia Beach City Sachs Scott 78271 Lwss Dentistry For Children 904 Kempsville Rd Virginia Beach VA 23464 Pedodontist Virginia Beach City Morrison Sanford 721 S Neil Morrison DDS & Melvin R Morrison DDS 904 Kempsville Rd Virginia Beach VA 23464 Oral Surgeon Virginia Beach City Conelias Trent 2842 Trent P Conelias DDS 6033 Providence Rd. Virginia Beach VA 23464 Oral Surgeon Virginia Beach City

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 12

1 Same as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms or proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.