select plan1 dentist directory - dominion …...phillips sarah 98666 advanced sedation dentistry 200...

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Dentists listed are under contract as of 8/1/13 Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County Byrnside Valerie 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 Harris Christopher 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, D.D.S., MS. 3543 W Braddock Rd., E-1 Alexandria VA 22302 Endodontist Alexandria City Phan Phuong 2274 Phuong Phan D.MD PC 1225 Martha Custis Dr Alexandria VA 22302 General Provider Alexandria City Du Khanh 136030 Smiley Du Dental 3610 Forest Dr Alexandria VA 22302 General Provider Alexandria City Alayssami Mazin 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria City Khattak Farida 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria City Selenou-Tema Alain 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria City Morgan David 80801 David M Morgan DDS MD PLC 101 S Whiting St Alexandria VA 22304 Oral Surgeon 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 Russo Revand Jessica 37720 Fernando J. Meza, DMD, PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Kermanshi Shiva 145747 Landmark Dental Care 101 S Whitting St Alexandria VA 22304 Orthodontist Alexandria City Solemaninejad Homan 145747 Landmark Dental Care 101 S Whitting St Alexandria VA 22304 General Provider Alexandria City Tsui Nathan 239 Nathan Tsui DDS 5249 Duke St Alexandria VA 22304 General Provider Alexandria City Kwon Thomas 342 Thomas S. Kwon, D.D.S. 4701 Kenmore Ave Alexandria VA 22304 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 Kermanshi Shiva 50340 Alexandria Dental Care PLLC 715 Pendleton St Alexandria VA 22314 Orthodontist Alexandria City Solemaninejad Homan 50340 Alexandria Dental Care PLLC 715 Pendleton St Alexandria VA 22314 General Provider Alexandria City Gasper Ronald 1660 Ronald S. Gasper, D.D.S., Ltd. 1454 Duke St Alexandria VA 22314 Orthodontist Alexandria City Huynh Thuylinh 50343 Arlington Center For Dentistry Orthodontics 1050 N Highland St Arlington VA 22201 Orthodontist Arlington Akmal Omer 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Periodontist Arlington Asher Kevin 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Oral Surgeon Arlington Colosi Ryan 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Pedodontist Arlington Fein Joshua 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Pedodontist Arlington Gichana Roselyne 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Pedodontist Arlington Nguyen Phuong 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Oral Surgeon Arlington Park Nam 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Oral Surgeon Arlington Shambayati Sara 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist Arlington Shambayati Sara 37689 Arlington Cosmetic Dental Group 1731 Clarendon Blvd Arlington VA 22201 Endodontist Arlington Shojaei Mariah 37689 Arlington Cosmetic Dental Group 1731 Clarendon Blvd Arlington VA 22201 Endodontist Arlington SELECT PLAN 1 DENTIST DIRECTORY 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 Zadeh David 1664 Zadeh Dental Office 611 S Carlin Springs Rd Arlington VA 22204 General Provider Arlington Patterson Travis 2109 Drs. Whiston, Patterson & Corcoran 2501 N Glebe Rd Arlington VA 22207 Oral Surgeon Arlington Saleh Fadi 50933 Fadi Saleh DDS LLC 1911 N Fort Myer Dr Arlington VA 22209 Orthodontist Arlington Mogharbel Tarek 37711 Mira Dental Care 1901 N Moore St Arlington VA 22209 General Provider Arlington Ellis Kevin 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Futerman Len 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Phillips Sarah 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Boyce Darrell 2606 Darrell L. Boyce, D.D.S.,P.C. 1711 Parkview Dr Chesapeake VA 23320 General Provider Chesapeake City * Ashley Eric 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Ashley Eric 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Becker Adam 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Becker Adam 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Berrada Sanae 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Berrada Sanae 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Bozman Jenny 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Bozman Jenny 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Bracken Monleudy 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Bracken Monleudy 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Chawla Seema 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Chawla Seema 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Dobson Roberta 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Dobson Roberta 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Dobson, III Joseph 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Dobson, III Joseph 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Elosta Wael 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Elosta Wael 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Field Marcus 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Field Marcus 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Gioffre Mollie 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Gioffre Mollie 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Jones Daniel 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Jones Daniel 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Konikoff David 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Konikoff David 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * 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.

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Page 1: SELECT PLAN1 DENTIST DIRECTORY - Dominion …...Phillips Sarah 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Boyce Darrell

Dentists listed are under contract as of 8/1/13

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline CountyByrnside Valerie 51075 Scott R Goodove DDS PLC 25529 E Main St Onley VA 23418 Oral Surgeon AccomackGoodove Scott 51075 Scott R Goodove DDS PLC 25529 E Main St Onley VA 23418 Oral Surgeon AccomackHarris Christopher 51075 Scott R Goodove DDS PLC 25529 E Main St Onley VA 23418 Oral Surgeon AccomackZagursky Peter 51075 Scott R Goodove DDS PLC 25529 E Main St Onley VA 23418 Oral Surgeon AccomackKotler Lawrence 224 Lawrence M. Kotler, D.D.S., MS. 3543 W Braddock Rd., E-1 Alexandria VA 22302 Endodontist Alexandria CityPhan Phuong 2274 Phuong Phan D.MD PC 1225 Martha Custis Dr Alexandria VA 22302 General Provider Alexandria CityDu Khanh 136030 Smiley Du Dental 3610 Forest Dr Alexandria VA 22302 General Provider Alexandria CityAlayssami Mazin 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria CityKhattak Farida 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria CitySelenou-Tema Alain 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria CityMorgan David 80801 David M Morgan DDS MD PLC 101 S Whiting St Alexandria VA 22304 Oral Surgeon Alexandria CityLee Hyo 37720 Fernando J. Meza, DMD, PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria CityMeza Fernando 37720 Fernando J. Meza, DMD, PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria CityRusso Revand Jessica 37720 Fernando J. Meza, DMD, PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria CityKermanshi Shiva 145747 Landmark Dental Care 101 S Whitting St Alexandria VA 22304 Orthodontist Alexandria CitySolemaninejad Homan 145747 Landmark Dental Care 101 S Whitting St Alexandria VA 22304 General Provider Alexandria CityTsui Nathan 239 Nathan Tsui DDS 5249 Duke St Alexandria VA 22304 General Provider Alexandria CityKwon Thomas 342 Thomas S. Kwon, D.D.S. 4701 Kenmore Ave Alexandria VA 22304 General Provider Alexandria CityTolson Ronald 215 Ronald E Tolson DDS 5246 Dawes Ave Alexandria VA 22311 General Provider Alexandria CityKhalefa Said 1269 Said M Khalefa DDS PC 4600 Pincrest Office Park Dr Alexandria VA 22312 General Provider Alexandria CityKermanshi Shiva 50340 Alexandria Dental Care PLLC 715 Pendleton St Alexandria VA 22314 Orthodontist Alexandria CitySolemaninejad Homan 50340 Alexandria Dental Care PLLC 715 Pendleton St Alexandria VA 22314 General Provider Alexandria CityGasper Ronald 1660 Ronald S. Gasper, D.D.S., Ltd. 1454 Duke St Alexandria VA 22314 Orthodontist Alexandria CityHuynh Thuylinh 50343 Arlington Center For Dentistry Orthodontics 1050 N Highland St Arlington VA 22201 Orthodontist ArlingtonAkmal Omer 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Periodontist ArlingtonAsher Kevin 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Oral Surgeon ArlingtonColosi Ryan 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Pedodontist ArlingtonFein Joshua 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Pedodontist ArlingtonGichana Roselyne 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Pedodontist ArlingtonNguyen Phuong 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Oral Surgeon ArlingtonPark Nam 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Oral Surgeon ArlingtonShambayati Sara 37805 Arlington Center for Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist ArlingtonShambayati Sara 37689 Arlington Cosmetic Dental Group 1731 Clarendon Blvd Arlington VA 22201 Endodontist ArlingtonShojaei Mariah 37689 Arlington Cosmetic Dental Group 1731 Clarendon Blvd Arlington VA 22201 Endodontist Arlington

SELECT PLAN1 DENTIST DIRECTORY

Lebo Carl 233 Carl G Lebo DDS PC 3801 N Fairfax Dr Arlington VA 22203 General Provider ArlingtonKumra Shawn 127008 Elegant Smiles Dental Care 3801 N Fairfax Dr Arlington VA 22203 General Provider ArlingtonZadeh David 1664 Zadeh Dental Office 611 S Carlin Springs Rd Arlington VA 22204 General Provider ArlingtonPatterson Travis 2109 Drs. Whiston, Patterson & Corcoran 2501 N Glebe Rd Arlington VA 22207 Oral Surgeon ArlingtonSaleh Fadi 50933 Fadi Saleh DDS LLC 1911 N Fort Myer Dr Arlington VA 22209 Orthodontist ArlingtonMogharbel Tarek 37711 Mira Dental Care 1901 N Moore St Arlington VA 22209 General Provider ArlingtonEllis Kevin 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake CityFuterman Len 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake CityPhillips Sarah 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake CityBoyce Darrell 2606 Darrell L. Boyce, D.D.S.,P.C. 1711 Parkview Dr Chesapeake VA 23320 General Provider Chesapeake City

* Ashley Eric 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Ashley Eric 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Becker Adam 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Becker Adam 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Berrada Sanae 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Berrada Sanae 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Bozman Jenny 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Bozman Jenny 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Bracken Monleudy 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Bracken Monleudy 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Chawla Seema 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Chawla Seema 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Dobson Roberta 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Dobson Roberta 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Dobson, III Joseph 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Dobson, III Joseph 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Elosta Wael 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Elosta Wael 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Field Marcus 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Field Marcus 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Gioffre Mollie 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Gioffre Mollie 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Jones Daniel 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Jones Daniel 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Konikoff David 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Konikoff David 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City

* 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.

Page 2: SELECT PLAN1 DENTIST DIRECTORY - Dominion …...Phillips Sarah 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Boyce Darrell

Dentists listed are under contract as of 8/1/13

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

SELECT PLAN1 DENTIST DIRECTORY

* Lanigan Jacqueline 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Lanigan Jacqueline 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Maclin Ivetta 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Maclin Ivetta 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Maniwang Jo-Marie 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Maniwang Jo-Marie 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Mattioli Michele 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Mattioli Michele 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* McCarty Benjamin 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* McCarty Benjamin 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Miranda Joshua 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Miranda Joshua 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Morris Mason-Leigh 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Morris Mason-Leigh 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Muldoon Catherine 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Muldoon Catherine 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Newman Michael 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Newman Michael 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Parker Richard 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Parker Richard 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Pearl Dina 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Pearl Dina 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Reichley John 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Reichley John 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Richards Damdy 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Richards Damdy 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Santos Estelito 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Santos Estelito 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Solarte-Castro Edith 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Solarte-Castro Edith 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Tam Amy 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Tam Amy 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City* Throckmorton Maria 50722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City* Throckmorton Maria 68512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City

Reynolds Jillian 78272 LWSS Dentistry for Children 1230 Progressive Dr Chesapeake VA 23320 Pedodontist Chesapeake CitySachs Scott 78272 LWSS Dentistry for Children 1230 Progressive Dr Chesapeake VA 23320 Pedodontist Chesapeake CityKaplan Marvin 132 Marvin Kaplan, D.D.S., P.C. 113 Byron St Chesapeake VA 23320 Orthodontist Chesapeake CityAshby John 2869 Owens and Dorfman, LTD 1021 N Eden Way Chesapeake VA 23320 Orthodontist Chesapeake CityQuigg Richard 2765 Richard K. Quigg, D.D.S. 505 Independence Pkwy Chesapeake VA 23320 Oral Surgeon Chesapeake CityMorrison Sanford 722 S. Neil Morrison, DDS, & Melvin R. Morrison, DDS 1230 Progressive Center Chesapeake VA 23320 Oral Surgeon Chesapeake CityByrnside Valerie 68494 Scott R Goodove DDS PLC 1533 Volvo Pkwy Chesapeake VA 23320 Oral Surgeon Chesapeake CityGoodove Scott 68494 Scott R Goodove DDS PLC 1533 Volvo Pkwy Chesapeake VA 23320 Oral Surgeon Chesapeake CityHarris Christopher 68494 Scott R Goodove DDS PLC 1533 Volvo Pkwy Chesapeake VA 23320 Oral Surgeon Chesapeake CityZagursky Peter 68494 Scott R Goodove DDS PLC 1533 Volvo Pkwy Chesapeake VA 23320 Oral Surgeon Chesapeake City

* Ashley Eric 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Becker Adam 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Berrada Sanae 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Bozman Jenny 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Bracken Monleudy 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Chawla Seema 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Dobson Roberta 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Dobson, III Joseph 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Elosta Wael 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Field Marcus 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Gioffre Mollie 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Jones Daniel 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Konikoff David 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Lanigan Jacqueline 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Maclin Ivetta 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Maniwang Jo-Marie 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Mattioli Michele 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* McCarty Benjamin 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Miranda Joshua 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Morris Mason-Leigh 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Muldoon Catherine 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Newman Michael 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Parker Richard 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Pearl Dina 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Reichley John 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Richards Damdy 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City

* 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.

Page 3: SELECT PLAN1 DENTIST DIRECTORY - Dominion …...Phillips Sarah 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Boyce Darrell

Dentists listed are under contract as of 8/1/13

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

SELECT PLAN1 DENTIST DIRECTORY

* Santos Estelito 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Solarte-Castro Edith 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Tam Amy 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City* Throckmorton Maria 50721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City

Cobb Howard 676 Howard P. Cobb, D.D.S. 2605 Moses Grandy Trl. Chesapeake VA 23323 General Provider Chesapeake CityHoward Robert 21 Robert J. Howard, D.D.S. 308 N George Wash. Hwy Chesapeake VA 23323 General Provider Chesapeake CityBarbour Robert 79 Robert K Barbour, DMD, PC 2520 Gilmerton Rd Chesapeake VA 23323 General Provider Chesapeake CityTran Anh 50571 Chester Orthodontics 11300 Ironbridge Rd Chester VA 23831 Orthodontist ChesterfieldRodrigues Shwetha 2817 Shwetha Rodrigues DDS PC 12619 Jefferson Davis Hwy Chester VA 23831 General Provider ChesterfieldBrown Stephen 301 Chesterfield Oral Surgery, Inc. 10110 Iron Bridge Rd Chesterfield VA 23832 Oral Surgeon ChesterfieldRhea William 100 William H. Rhea, D.D.S. 10108 Krause Rd #102 Chesterfield VA 23832 General Provider ChesterfieldKelleher Kevin 37690 Kelleher Orthodontics 2412 Colony Crossing Pl Midlothian VA 23112 Orthodontist ChesterfieldPadgett Thomas 313 Richmond Oral & Cosmetic Surgeons 5921 Harbour Ln Midlothian VA 23112 Oral Surgeon ChesterfieldWallace James 313 Richmond Oral & Cosmetic Surgeons 5921 Harbour Ln Midlothian VA 23112 Oral Surgeon ChesterfieldAgnihotri Neil 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldAlexander John 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldDymon William 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldHarris Monroe 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldKeeney Kanyon 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldMetzger Lawrence 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldWatson Damon 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldWlodawsky Ross 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldGray Richard 72103 Apex Endodontics 1149 Jefferson Green Cir Midlothian VA 23113 Endodontist ChesterfieldKim John 5 John J Kim DDS 2927 Polo Pkwy Midlothian VA 23113 General Provider ChesterfieldByrd Richard 2394 Richard L. Byrd., D.D.S. 2929 Polo Pkwy Midlothian VA 23113 Orthodontist ChesterfieldPadgett Thomas 314 Richmond Oral & Cosmetic Surgeons 1680 Huguenot Rd Midlothian VA 23113 Oral Surgeon ChesterfieldWallace James 314 Richmond Oral & Cosmetic Surgeons 1680 Huguenot Rd Midlothian VA 23113 Oral Surgeon ChesterfieldAgnihotri Neil 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldAlexander John 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldDymon William 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldHarris Monroe 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldKeeney Kanyon 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldMetzger Lawrence 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldWatson Damon 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldWlodawsky Ross 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldPatel Nrupur 33886 Railey Hill Dental 125 Browns Way Rd Midlothian VA 23114 General Provider ChesterfieldJarvandi Fereshteh 55 Fereshteh Jaravandi, D.D.S. 4712 Jefferson Davis Hwy Richmond VA 23234 General Provider ChesterfieldStoner Kenneth 36 Kenneth E Stoner DDS Family Dentistry 4106 A Meadowdale Blvd Richmond VA 23234 General Provider ChesterfieldAnderson Ralph 99 Dr. Oley and Quilez, D.D.S., PLC 1907 W Huguenot Rd Richmond VA 23235 Orthodontist ChesterfieldBenson Wakeshi 99 Dr. Oley and Quilez, D.D.S., PLC 1907 W Huguenot Rd Richmond VA 23235 Orthodontist ChesterfieldOley George 99 Dr. Oley and Quilez, D.D.S., PLC 1907 W Huguenot Rd Richmond VA 23235 General Provider ChesterfieldQuilez Robert 99 Dr. Oley and Quilez, D.D.S., PLC 1907 W Huguenot Rd Richmond VA 23235 General Provider ChesterfieldWhitman Kime 99 Dr. Oley and Quilez, D.D.S., PLC 1907 W Huguenot Rd Richmond VA 23235 General Provider ChesterfieldWilmer Sarah 99 Dr. Oley and Quilez, D.D.S., PLC 1907 W Huguenot Rd Richmond VA 23235 General Provider ChesterfieldSaroff Stephen 737 Stephen Saroff, D.D.S. 2801 Mcrae Rd Richmond VA 23235 Periodontist ChesterfieldMorrison Julius 34 Julius V. Morrison, D.D.S. 3501 Courthouse Rd Richmond VA 23236 General Provider ChesterfieldAmin Ahmad 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 Oral Surgeon City of ManassasBeri Anuradha 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 Periodontist City of ManassasDayse Robert 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 Oral Surgeon City of ManassasHukmani Navin 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 Orthodontist City of ManassasKhosravi Mitra 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 General Provider City of ManassasRamisetty Chetana 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 General Provider City of ManassasRasmussen James 2066 James E. Rasmussen, D.M.D., PC 10600 Crestwood Dr Manassas VA 20109 Oral Surgeon City of ManassasAlkilani Tawfiq 20 Sam E English II DDS LLC 798 Southpark Blvd Colonial Heights VA 23834 General Provider Colonial Hts CtyEnglish, II Sam 20 Sam E English II DDS LLC 798 Southpark Blvd Colonial Heights VA 23834 General Provider Colonial Hts CtyNguyen Quynh Trang 1891 Virginia Dental Center 6230-C N King's Hwy Alexandria VA 22303 General Provider FairfaxNguyen Tuong-Van 1891 Virginia Dental Center 6230-C N King's Hwy Alexandria VA 22303 General Provider FairfaxParsa Mitra 37763 Alexandria Orthodontics 2616 Sherwood Hall Ln Alexandria VA 22306 Orthodontist FairfaxHenry Rolin 1983 Rolin S. Henry, D.D.S., P.C. 7900 Andrus Rd Alexandria VA 22306 Oral Surgeon Fairfax

* Nguyen Steve 50839 Impression Dental Inc. 6167 Fuller Ct Alexandria VA 22310 General Provider FairfaxDadkhah Mina 50941 Smileville Pediatrics 6354 Walker Ln Alexandria VA 22310 Pedodontist FairfaxKumra Shawn 78281 Elegant Smiles Dental Care 4810 Beauregard St Alexandria VA 22312 General Provider FairfaxPhan Phuong 50919 Kingstowne Family & Cosmetic Dentistry 5960 Kingstowne Town Center Alexandria VA 22315 General Provider FairfaxDjeu Stephanie 50974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr Alexandria VA 22315 Endodontist FairfaxLee Brian 50974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr Alexandria VA 22315 Endodontist FairfaxNgo Tu-Son 50974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr Alexandria VA 22315 Endodontist FairfaxSmernoff Gerald 183 Gerald N. Smernoff, D.D.S., PC 7501 Little River Tpke Annandale VA 22003 Orthodontist FairfaxVroom Katherine 2588 Katherine M. Vroom, DDS 7027 Evergreen Ct Annandale VA 22003 Orthodontist FairfaxAulakh Navdeep 61339 Navdeep Aulakh DDS PLLC 4231 Markham St Annandale VA 22003 General Provider FairfaxFrancioni Sonia 2247 Northern Virginia Oral and Maxillofacial Surgery 7611 Little River Tpke Annandale VA 22003 Oral Surgeon 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.

Page 4: SELECT PLAN1 DENTIST DIRECTORY - Dominion …...Phillips Sarah 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Boyce Darrell

Dentists listed are under contract as of 8/1/13

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

SELECT PLAN1 DENTIST DIRECTORY

LaBriola J. Daniel 2247 Northern Virginia Oral and Maxillofacial Surgery 7611 Little River Tpke Annandale VA 22003 Oral Surgeon FairfaxZadeh Hugh 2247 Northern Virginia Oral and Maxillofacial Surgery 7611 Little River Tpke Annandale VA 22003 Oral Surgeon FairfaxLe Thien 50376 Springdale Dentistry 5105 C Backlick Rd Annandale VA 22003 General Provider FairfaxPalizi Alireza 50466 Alireza Palizi DDS PC 5216-A Lyngate Ct Burke VA 22015 General Provider FairfaxGupta Raja 50454 Dental First Associates LLC 9570-A Burke Rd Burke VA 22015 General Provider FairfaxJabbari Farnaz 74 Hashem Sedaghatpour, D.M.D. 5631-D Burke Centre Pkwy Burke VA 22015 General Provider FairfaxKasper Frinet 74 Hashem Sedaghatpour, D.M.D. 5631-D Burke Centre Pkwy Burke VA 22015 General Provider FairfaxSedaghatpour Hashem 74 Hashem Sedaghatpour, D.M.D. 5631-D Burke Centre Pkwy Burke VA 22015 General Provider FairfaxNaimi Amir 61403 NOVA Oral Maxillofacial & Implant Surgery 5206 Lyngate Ct Burke VA 22015 Oral Surgeon FairfaxStern Richard 1012 Richard K. Stern, D.D.S., P.C. Burke Professional Center Burke VA 22015 Orthodontist FairfaxKim Young 37680 Young Smile Dental 9000 Fern Park Dr Burke VA 22015 General Provider FairfaxMcDonough James 182 James M. McDonough, D.D.S. 5731 Centre Square Dr Centreville VA 20120 Orthodontist Fairfax

* Soltani Jim 1452 Jim J. Soltani, D.D.S. & Associates, P.C. 6019 Centreville Crest Ln Centreville VA 20121 General Provider FairfaxFilippone Louis 50563 Louis C Filippone DDS PC 6138 Redwood Sq Centreville VA 20121 Orthodontist FairfaxKim JoongSeo 33882 Pearlbrite Dental Group PLLC 14631 Lee Hwy Centreville VA 20121 Prosthodontist FairfaxShu Man 61402 V Care Dental LLC 14631 Lee Hwy Centreville VA 20121 General Provider FairfaxHuynh Thuylinh 50349 Chantilly Dental Center Orthodontics 3901 Centreview Dr Chantilly VA 20151 Orthodontist FairfaxLiewehr Frederick 50348 Chantilly Dental Center Specialists 3901 Centreview Dr Chantilly VA 20151 Endodontist FairfaxBaveja Julie 50972 Children's Dental Care 14102 Robert Paris Ct Chantilly VA 20151 Pedodontist FairfaxAli Amal 37667 Diamond Dental Care 13948 Lee Jackson Memorial Hwy Chantilly VA 20151 General Provider FairfaxJohnson Gary 50335 Diamond Dental Care Endodontist 13948 Lee Jackson Mem Hwy Chantilly VA 20151 Endodontist Fairfax

* Chaenkwok Don 1387 Donald Chaenkwok, D.D.S. 14012B Sullyfield Cir Chantilly VA 20151 General Provider FairfaxJarwa Samer 141822 Grace Dental of Virginia 4530 Walney Rd Chantilly VA 20151 General Provider FairfaxDjeu Stephanie 37661 The Virginia Endodontic Group PLC 14149-B Robert Paris Ct Chantilly VA 20151 Endodontist FairfaxHuang Tong-Yen 37661 The Virginia Endodontic Group PLC 14149-B Robert Paris Ct Chantilly VA 20151 Endodontist FairfaxLee Brian 37661 The Virginia Endodontic Group PLC 14149-B Robert Paris Ct Chantilly VA 20151 Endodontist FairfaxNgo Tu-Son 37661 The Virginia Endodontic Group PLC 14149-B Robert Paris Ct Chantilly VA 20151 Endodontist FairfaxBanawar Rohini 523 Howard Hoffman, D.D.S., P.C. 9661 -C Main St Fairfax VA 22031 General Provider FairfaxColospate Vidya 523 Howard Hoffman, D.D.S., P.C. 9661 -C Main St Fairfax VA 22031 General Provider FairfaxHoffman Howard 523 Howard Hoffman, D.D.S., P.C. 9661 -C Main St Fairfax VA 22031 General Provider FairfaxNguyen Nikki 523 Howard Hoffman, D.D.S., P.C. 9661 -C Main St Fairfax VA 22031 Orthodontist FairfaxRahman Murshad 523 Howard Hoffman, D.D.S., P.C. 9661 -C Main St Fairfax VA 22031 General Provider FairfaxWang Peng 523 Howard Hoffman, D.D.S., P.C. 9661 -C Main St Fairfax VA 22031 General Provider FairfaxZurmati Farid 523 Howard Hoffman, D.D.S., P.C. 9661 -C Main St Fairfax VA 22031 General Provider FairfaxChou Melanie 50931 Howard Hoffman, D.D.S., P.C. Specialists 9661 C Main St Fairfax VA 22031 Periodontist FairfaxKessler Joel 50931 Howard Hoffman, D.D.S., P.C. Specialists 9661 C Main St Fairfax VA 22031 Endodontist FairfaxLe Kathy 50931 Howard Hoffman, D.D.S., P.C. Specialists 9661 C Main St Fairfax VA 22031 Endodontist FairfaxJoo Chuck 2529 Chuck C. Joo, D.M.D. 12011 Lee Jackson Mem. Hwy Fairfax VA 22033 General Provider FairfaxSuk Minjeong 50398 Minjeong Suk DDS PC 4001 Fair Ridge Dr Fairfax VA 22033 General Provider FairfaxPapp Richard 144421 Westfields Dental 3903 Fair Ridge Dr Fairfax VA 22033 General Provider FairfaxZamora-Rojas Carla 144421 Westfields Dental 3903 Fair Ridge Dr Fairfax VA 22033 General Provider FairfaxJaber Margarita 37710 Mira Dental Care 5671 Columbia Pk Falls Church VA 22041 General Provider FairfaxMogharbel Tarek 37710 Mira Dental Care 5671 Columbia Pk Falls Church VA 22041 General Provider FairfaxMohiuddin Sumayra 37710 Mira Dental Care 5671 Columbia Pk Falls Church VA 22041 General Provider FairfaxAmouhashem Parvin 1544 Smile Dental Clinic 3817-A S George Mason Dr Falls Church VA 22041 General Provider FairfaxOvcharenko Vladyslav 72077 Your Family Dentist 5666 Columbia Pk Falls Church VA 22041 General Provider FairfaxArmanious Basma 2845 Falls Church Family and Comprehensive Dentistry 6400 Arlington Blvd Falls Church VA 22042 General Provider FairfaxNassar Fadwa 2845 Falls Church Family and Comprehensive Dentistry 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 FairfaxNguyen Quoc 70486 Nguyen and Associates Dental 2901 Telstar Ct Falls Church VA 22042 General Provider FairfaxKaur Taran 2124 Optimum Dental 7389 Lee Hwy Falls Church VA 22042 General Provider FairfaxPunaji Sowmya 2124 Optimum Dental 7389 Lee Hwy Falls Church VA 22042 General Provider FairfaxShroff Amisha 50547 Apt Dental Associates 7115 Leesburg Pk Falls Church VA 22043 General Provider FairfaxMoller James 815 Drs. Seigel & Moller 7641 Leesburg Pk Falls Church VA 22043 General Provider FairfaxSeigel Harold 815 Drs. Seigel & Moller 7641 Leesburg Pk Falls Church VA 22043 General Provider FairfaxKermanshi Shiva 33844 Arlington Dental Care PLLC 6060 Arlington Blvd Falls Church VA 22044 Orthodontist FairfaxSolemaninejad Homan 33844 Arlington Dental Care PLLC 6060 Arlington Blvd Falls Church VA 22044 General Provider FairfaxVu Bao 178 Bao T. Vu, D.D.S. 6081 Arlington Blvd Falls Church VA 22044 Orthodontist FairfaxPatterson Travis 1103 Drs. Whiston, Patterson & Corcoran 6400 Arlington Blvd Falls Church VA 22044 Oral Surgeon FairfaxGregory Eugene 121 Eugene W. Gregory, D.D.S. 6231 Leesburg Pk #402 Falls Church VA 22044 Oral Surgeon FairfaxDoppalapudi Vivek 1301 Vivek Doppalapudi, D.D.S. 102 Elden St., Ste 19 Herndon VA 20170 Periodontist FairfaxAlayssami Mazin 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxByrd Richard 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 Orthodontist FairfaxChaddad Karim 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 Periodontist FairfaxDeVylder Joseph 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 Oral Surgeon FairfaxHussaini Syed 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 Orthodontist FairfaxOrnoff Mark 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxReedy Hima-Bindu 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxChaddad Karim 50927 Mazin Alayssami DMD & Associates PC Specialists 13873 Park Center Rd Herndon VA 20171 Periodontist FairfaxDeVylder Joseph 50927 Mazin Alayssami DMD & Associates PC Specialists 13873 Park Center Rd Herndon VA 20171 Oral Surgeon 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.

Page 5: SELECT PLAN1 DENTIST DIRECTORY - Dominion …...Phillips Sarah 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Boyce Darrell

Dentists listed are under contract as of 8/1/13

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

SELECT PLAN1 DENTIST DIRECTORY

* Reddy Swathi 51120 All Smiles Orthodontics 9010 Lorton Station Blvd Lorton VA 22079 Orthodontist FairfaxPatel Snehal 50664 Snehal Patel DDS 9010 Lorton Station Blvd Lorton VA 22079 Oral Surgeon FairfaxMogharbel Tarek 51125 Mira Dental Care at Tysons Corner 8201 Greensboro Dr Mc Lean VA 22102 General Provider FairfaxColeman Norman 1326 Norman K. Coleman, D.D.S. 1515 Chain Bridge Rd Mclean VA 22101 Oral Surgeon FairfaxBajwa Preet 61412 A B Dental 11790 H Baron Cameron Ave Reston VA 20190 General Provider FairfaxBordon Elda 79058 Family and Cosmetic Dentistry 1800 Michael Faraday Dr Reston VA 20190 General Provider FairfaxNaimi Amir 61404 NOVA Oral Maxillofacial & Implant Surgery 11331 Sunset Hills Rd Reston VA 20190 Oral Surgeon FairfaxPell James 1253 Oral Surgery Associates of Northern Virginia Ltd 1800 Town Center Dr Reston VA 20190 Oral Surgeon FairfaxWang Richard 1253 Oral Surgery Associates of Northern Virginia Ltd 1800 Town Center Dr Reston VA 20190 Oral Surgeon FairfaxAnoushfar Sherry 926 Sherry Anoushfar, D.D.S., PC 1984 Isaac Newton Square Reston VA 20190 General Provider FairfaxIzadi Moshen 926 Sherry Anoushfar, D.D.S., PC 1984 Isaac Newton Square Reston VA 20190 General Provider FairfaxKhang Wahn 1483 Perio Implant Center 11866 Sunrise Valley Dr Reston VA 20191 Periodontist FairfaxColospate Vidya 524 Howard Hoffman, D.D.S., P.C. 6340 Brandon Ave Springfield VA 22150 General Provider FairfaxGrande Marcos 524 Howard Hoffman, D.D.S., P.C. 6340 Brandon Ave Springfield VA 22150 General Provider FairfaxHoffman Howard 524 Howard Hoffman, D.D.S., P.C. 6340 Brandon Ave Springfield VA 22150 General Provider FairfaxNguyen Nikki 524 Howard Hoffman, D.D.S., P.C. 6340 Brandon Ave Springfield VA 22150 Orthodontist FairfaxRahman Murshad 524 Howard Hoffman, D.D.S., P.C. 6340 Brandon Ave Springfield VA 22150 General Provider FairfaxZarookian Armen 524 Howard Hoffman, D.D.S., P.C. 6340 Brandon Ave Springfield VA 22150 General Provider FairfaxZurmati Farid 524 Howard Hoffman, D.D.S., P.C. 6340 Brandon Ave Springfield VA 22150 General Provider FairfaxChou Melanie 50932 Howard Hoffman, D.D.S., P.C. Specialists 6340 Brandon Ave Springfield VA 22150 Periodontist FairfaxGutmann J. 200 J. Steven Gutmann, D.D.S., P.C. 6225 Brandon Ave Springfield VA 22150 Oral Surgeon FairfaxSina Nadia 37651 MY BRACES DOCTOR, PC 6525-C Frontier Dr Springfield VA 22150 Orthodontist FairfaxKhalefa Said 48 Said M. Khalefa, D.D.S., P.C. 6115 Backlick Rd Springfield VA 22150 General Provider FairfaxAlayssami Mazin 145 Bright Now Dental 2230 Gallows Rd Vienna VA 22027 General Provider FairfaxElkhateeb Mohammad 145 Bright Now Dental 2230 Gallows Rd Vienna VA 22027 General Provider FairfaxAlayssami Mazin 50928 Mazin Alayssami DMD & Associates PC Specialists 2230 Gallows Rd Vienna VA 22027 General Provider FairfaxChaddad Karim 50928 Mazin Alayssami DMD & Associates PC Specialists 2230 Gallows Rd Vienna VA 22027 Periodontist FairfaxDeVylder Joseph 50928 Mazin Alayssami DMD & Associates PC Specialists 2230 Gallows Rd Vienna VA 22027 Oral Surgeon FairfaxPatel Ashish 50928 Mazin Alayssami DMD & Associates PC Specialists 2230 Gallows Rd Vienna VA 22027 Oral Surgeon FairfaxLuna Oscar 50734 Bright Smile Pediatric Dentist 410 Pine St Se Vienna VA 22180 Pedodontist FairfaxZadeh David 33866 Davoud Zadeh, D.D.S. 308 Dominion Rd Ne Vienna VA 22180 General Provider FairfaxKim JoongSeo 33880 JoongSeo Kim, D.D.S., PC 301 Maple Ave W Vienna VA 22180 Prosthodontist FairfaxDeVylder Joseph 1220 Joseph J. DeVylder, D.D.S. 407-F Church St Vienna VA 22180 Oral Surgeon FairfaxKim Sang 79780 Oral Facial and Dental Implant Surgery 361 Maple Ave W Vienna VA 22180 Oral Surgeon FairfaxDellork Richard 50350 Richard J Dellork DDS 124 Park St Se Vienna VA 22180 Endodontist FairfaxVo Brittany 97844 Beulah Dental 1300 Beulah Rd Vienna VA 22182 General Provider FairfaxIravani Farideh 2046 Dr. Farideh Irvani, DMD-Spec 1964 Gallows Rd #220 Vienna VA 22182 Periodontist FairfaxJohnson Gary 37753 Gary J. Johnson, DDS 8227 Old Courthouse Rd Vienna VA 22182 Endodontist Fairfax

* Le Quan 115 Le Smile 2070 Chain Bridge Rd Vienna VA 22182 General Provider FairfaxChoby Mary 140 Mary Ann Choby DMD MS 8133 Leesburg Pk Vienna VA 22182 Endodontist FairfaxHong Richard 97164 Richard J Hong DMD PC 8230 Boone Blvd Vienna VA 22182 General Provider FairfaxAnoushfar Sherry 1302 Sherry Anoushfar, D.D.S., PC 133 E Maple Ave Vienna VA 22182 General Provider FairfaxIzadi Moshen 1302 Sherry Anoushfar, D.D.S., PC 133 E Maple Ave Vienna VA 22182 General Provider FairfaxAlvarez Juan 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd Vienna VA 22182 Prosthodontist FairfaxBeri Anuradha 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd Vienna VA 22182 Periodontist FairfaxImao Josemari 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd Vienna VA 22182 General Provider FairfaxLe Hang 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd Vienna VA 22182 General Provider FairfaxPhan Thoaivan 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd Vienna VA 22182 General Provider FairfaxBeri Anuradha 50353 Tysons Corner Dentists Specialists 8296 A Old Courthouse Rd Vienna VA 22182 Periodontist FairfaxTolba Mostafa 50353 Tysons Corner Dentists Specialists 8296 A Old Courthouse Rd Vienna VA 22182 Endodontist FairfaxHong Charlie 2679 Charlie H. Hong, DMD, PC 3554 Chain Bridge Rd Fairfax VA 22030 Endodontist Fairfax CityHsu Yu Kai 2679 Charlie H. Hong, DMD, PC 3554 Chain Bridge Rd Fairfax VA 22030 Endodontist Fairfax CityButt Tehreem 37738 Family Dentistry of Fairfax, PC 10391 Democracy Ln Fairfax VA 22030 General Provider Fairfax CitySina Nadia 2237 MY BRACES DOCTOR, PC 3925 Old Lee Hwy Fairfax VA 22030 Orthodontist Fairfax CityYoon Jangyeul 37759 Thomas Yoon Dental 10807 Main St Fairfax VA 22030 General Provider Fairfax CityBerman Robert 217 Drs Berman & Miller DDS 9942 Main St Fairfax VA 22031 General Provider Fairfax CityMiller Jeffrey 217 Drs Berman & Miller DDS 9942 Main St Fairfax VA 22031 General Provider Fairfax CityMcDonough James 181 James M. McDonough, D.D.S. 9508-B Lee Hwy Fairfax VA 22031 Orthodontist Fairfax CitySmall Neil 218 Neil J. Small, D.D.S., PC 9940 Main St Fairfax VA 22031 Endodontist Fairfax City

* Boyce Albert 358 Albert M. Boyce, D.D.S. 313 Park Ave Falls Church VA 22046 General Provider Falls Church CitySarraj Ali 1322 Ali Sarraj, D.M.D. & Associates, P.C. 932 W Broad St Falls Church VA 22046 General Provider Falls Church CityKhattak Farida 61384 Dynamic Dental PC 159 Hillwood Ave Falls Church VA 22046 General Provider Falls Church CityChristopher Lourdes 175 Perio & Dental Implant Surgery Ctr of Falls Church 313 Park Ave Falls Church VA 22046 Periodontist Falls Church CityFavagehi Mehrdad 175 Perio & Dental Implant Surgery Ctr of Falls Church 313 Park Ave Falls Church VA 22046 Periodontist Falls Church CityWalters Douglas 175 Perio & Dental Implant Surgery Ctr of Falls Church 313 Park Ave Falls Church VA 22046 Periodontist Falls Church CityRekow Marlin 78269 Marlin F Rekow DDS PC 127 E Shirley Ave Warrenton VA 20186 General Provider FauquierAhmed Gaafar 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 General Provider Fredericksburg CityAmin Ahmad 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 Oral Surgeon Fredericksburg CityDayse Robert 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 Oral Surgeon Fredericksburg CityElgohary Anthony 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 General Provider Fredericksburg 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.

Page 6: SELECT PLAN1 DENTIST DIRECTORY - Dominion …...Phillips Sarah 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Boyce Darrell

Dentists listed are under contract as of 8/1/13

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

SELECT PLAN1 DENTIST DIRECTORY

Gupta Raja 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 General Provider Fredericksburg CityHukmani Navin 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 Orthodontist Fredericksburg CityLe Tuan 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 General Provider Fredericksburg CityLin Thomas 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 Periodontist Fredericksburg CityYoo Junghoon 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 General Provider Fredericksburg CityWilloughby Tasha 68492 Tranquility Dental Center PLLC 2557 Cowan Blvd Fredericksburg VA 22401 General Provider Fredericksburg City

* Chung John 50569 John Chung DDS PC 1959 E Pembroke Ave Hampton VA 23663 General Provider Hampton CityScott Jon 246 Jon L. Scott, D.D.S., M.S. 2108 Hartford Rd Hampton VA 23666 Orthodontist Hampton CityBarnes Richard 128645 Joseph Klochak DMD 2240 Coliseum Dr Hampton VA 23666 General Provider Hampton CityKlochak Joseph 128645 Joseph Klochak DMD 2240 Coliseum Dr Hampton VA 23666 General Provider Hampton CityPark Kyeong 2844 Kyeong Park DDS 21 Towne Center Way Hampton VA 23666 General Provider Hampton City

* Modeste Lorenzo 29 Lorenzo J Modeste DDS 2238 W Todds Ln Hampton VA 23666 General Provider Hampton CityGallop Ceceil 38 Ceceil C. Gallop, D.D.S. 3709 Kecoughtan Rd Hampton VA 23669 General Provider Hampton CityRobinson Donald 39 Donald C. Robinson, D.D.S. 3709 Kecoughtan Rd Hampton VA 23669 General Provider Hampton CityRoss Edward 1469 Edward F. Ross, Jr., D.D.S., Ltd. 130 Thompson St Ashland VA 23005 Orthodontist HanoverShait Abraham 310 Abraham Shait, D.D.S., Ltd. 7239 Mechanicsville Tpke Mechanicsville VA 23111 Periodontist HanoverKhara Amanjot 1065 Amanjot Khara, D.D.S., P.C. 6372 Mechanicsville Tpke Mechanicsville VA 23111 General Provider HanoverRoss Edward 1468 Edward F. Ross, Jr., D.D.S., Ltd. 7281 Hanover Green Dr Mechanicsville VA 23111 Orthodontist HanoverLee Kyu 37532 K.J. Lee, D.M.D., PC 7347 Bell Creek Rd Mechanicsville VA 23111 General Provider Hanover

* Jordan Morris 299 Morris L Jordan DDS 7239 Mechanicsville Trnpk. Mechanicsville VA 23111 General Provider HanoverMurphy Walter 306 Walter K. Murphy, D.D.S., P.C. 7009 Lee Park Rd Mechanicsville VA 23111 Oral Surgeon HanoverEnglish, II Sam 18 Sam E English II DDS Ltd 8220 Windmill Watch Dr Mechanicsville VA 23116 General Provider HanoverAgnihotri Neil 253 Virginia Oral & Facial Surgery 7481 Right Flank Rd Mechanicsville VA 23116 Oral Surgeon HanoverDymon William 253 Virginia Oral & Facial Surgery 7481 Right Flank Rd Mechanicsville VA 23116 Oral Surgeon HanoverHarris Monroe 253 Virginia Oral & Facial Surgery 7481 Right Flank Rd Mechanicsville VA 23116 Oral Surgeon HanoverKeeney Kanyon 253 Virginia Oral & Facial Surgery 7481 Right Flank Rd Mechanicsville VA 23116 Oral Surgeon HanoverMetzger Lawrence 253 Virginia Oral & Facial Surgery 7481 Right Flank Rd Mechanicsville VA 23116 Oral Surgeon HanoverWatson Damon 253 Virginia Oral & Facial Surgery 7481 Right Flank Rd Mechanicsville VA 23116 Oral Surgeon HanoverDamirchi Nasser 37683 Nasser Damirchi D.D.S., P.C. 5243 Hickory Park Dr Glen Allen VA 23059 General Provider HenricoAnderson Bradley 300 Bradley R Anderson DDS 11420 W Broad St Glen Allen VA 23060 General Provider HenricoDa Cunha Paul 2718 Paul Da Cunha DMD PC 8503 Patterson Ave Henrico VA 23229 General Provider Henrico

* Hackett, Jr. Charles 2542 Charles Hackett Jr DSS PC 1807 Libbie Ave Richmond VA 23226 General Provider HenricoGarfield Dean 1984 Garfield Family Dentistry 5500 Monument Ave Richmond VA 23226 General Provider HenricoAgnihotri Neil 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon HenricoAlexander John 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon HenricoDymon William 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon HenricoHarris Monroe 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon HenricoKeeney Kanyon 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon HenricoMetzger Lawrence 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon HenricoWatson Damon 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon HenricoWlodawsky Ross 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon Henrico

* Jessup Ronald 49 Ronald J. Jessup, D.D.S. 1130 Wilkinson Rd Richmond VA 23227 General Provider HenricoNewberry William 87 William L. Newberry, D.D.S. 1717 Bellevue Ave Richmond VA 23227 General Provider HenricoAnderson Ralph 14 George A. Oley, III, D.D.S. 9030 Three Chopt Rd Richmond VA 23229 Orthodontist HenricoBenson Wakeshi 14 George A. Oley, III, D.D.S. 9030 Three Chopt Rd Richmond VA 23229 Orthodontist HenricoIbrahim Karmen 14 George A. Oley, III, D.D.S. 9030 Three Chopt Rd Richmond VA 23229 General Provider HenricoKennealy Sarah 14 George A. Oley, III, D.D.S. 9030 Three Chopt Rd Richmond VA 23229 General Provider HenricoKopelove Stephen 14 George A. Oley, III, D.D.S. 9030 Three Chopt Rd Richmond VA 23229 General Provider HenricoOley George 14 George A. Oley, III, D.D.S. 9030 Three Chopt Rd Richmond VA 23229 General Provider HenricoPoquis Gregory 14 George A. Oley, III, D.D.S. 9030 Three Chopt Rd Richmond VA 23229 General Provider HenricoQuilez Robert 14 George A. Oley, III, D.D.S. 9030 Three Chopt Rd Richmond VA 23229 General Provider HenricoWilby Lyla Rose 14 George A. Oley, III, D.D.S. 9030 Three Chopt Rd Richmond VA 23229 General Provider HenricoAbramov Yuriy 2614 Great Expressions, Jack Falvo, DDS 4859 Finlay St Richmond VA 23231 General Provider HenricoHendrickson-HairstoJoelle 2614 Great Expressions, Jack Falvo, DDS 4859 Finlay St Richmond VA 23231 General Provider HenricoHudson Raidah 15 Raidah Hudson, D.D.S., P.C. 4374 S Laburnum Ave Richmond VA 23231 General Provider Henrico

* Hudson Paul 47 Hudson & Hudson PC 1801 Raintree Dr Richmond VA 23238 General Provider HenricoShait Abraham 309 Abraham Shait, D.D.S., Ltd. 3210 Skipwith Rd Richmond VA 23294 Periodontist HenricoAgnihotri Neil 251 Virginia Oral & Facial Surgery 7650 Parham Rd Richmond VA 23294 Oral Surgeon HenricoAlexander John 251 Virginia Oral & Facial Surgery 7650 Parham Rd Richmond VA 23294 Oral Surgeon HenricoDymon William 251 Virginia Oral & Facial Surgery 7650 Parham Rd Richmond VA 23294 Oral Surgeon HenricoHarris Monroe 251 Virginia Oral & Facial Surgery 7650 Parham Rd Richmond VA 23294 Oral Surgeon HenricoKeeney Kanyon 251 Virginia Oral & Facial Surgery 7650 Parham Rd Richmond VA 23294 Oral Surgeon HenricoMetzger Lawrence 251 Virginia Oral & Facial Surgery 7650 Parham Rd Richmond VA 23294 Oral Surgeon HenricoWatson Damon 251 Virginia Oral & Facial Surgery 7650 Parham Rd Richmond VA 23294 Oral Surgeon HenricoAgnihotri Neil 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon HenricoAlexander John 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon HenricoDymon William 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon HenricoHarris Monroe 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon HenricoKeeney Kanyon 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon HenricoMetzger Lawrence 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon Henrico

* 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.

Page 7: SELECT PLAN1 DENTIST DIRECTORY - Dominion …...Phillips Sarah 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Boyce Darrell

Dentists listed are under contract as of 8/1/13

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

SELECT PLAN1 DENTIST DIRECTORY

Watson Damon 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon HenricoAvram Adrian 19 Sam E English II DDS Ltd 5303 Plaza Dr Hopewell VA 23860 General Provider Hopewell CityEnglish, II Sam 19 Sam E English II DDS Ltd 5303 Plaza Dr Hopewell VA 23860 General Provider Hopewell CityNguyen Kim 19 Sam E English II DDS Ltd 5303 Plaza Dr Hopewell VA 23860 General Provider Hopewell CityEnglish, II Sam 2647 Sam E English II DDS LLC 4680-16A Monticello Ave Williamsburg VA 23188 General Provider James CityRaphael Jeff 2647 Sam E English II DDS LLC 4680-16A Monticello Ave Williamsburg VA 23188 General Provider James CityRhyne Katherine 2647 Sam E English II DDS LLC 4680-16A Monticello Ave Williamsburg VA 23188 General Provider James CityCoker John 50331 John H Coker Jr DMD 9449 Grover Dr King George VA 22485 Orthodontist King GeorgeEnglish, II Sam 9 Sam E English II DDS Ltd 628 Main St West Point VA 23181 General Provider King WilliamRaphael Jeff 9 Sam E English II DDS Ltd 628 Main St West Point VA 23181 General Provider King WilliamPatel Chirag 145748 Ashburn Oral Surgery 20405 Exchange St Ashburn VA 20147 Oral Surgeon LoudounEghtessad Mohammed 37695 Gateway Dental 44330 Premier Plaza Ashburn VA 20147 General Provider LoudounChaddad Karim 70969 Gateway Dental Specialists 44330 Premier Plaza Ashburn VA 20147 Periodontist LoudounLongwe Edward 51024 Dulles Oral Surgical Center 24805 Pinebrook Rd Chantilly VA 20152 Oral Surgeon LoudounOmar Anisa 50363 East Gate Orthodontics 25401 Eastern Marketplace Plz Chantilly VA 20152 Orthodontist LoudounAmin Ahmad 37730 South Riding Dental Associates, P.C. 25055 Riding Plaza Dr Chantilly VA 20152 Oral Surgeon LoudounHukmani Navin 37730 South Riding Dental Associates, P.C. 25055 Riding Plaza Dr Chantilly VA 20152 Orthodontist LoudounHuynh Thuylinh 37730 South Riding Dental Associates, P.C. 25055 Riding Plaza Dr Chantilly VA 20152 Orthodontist LoudounOgunbekun Adenike 37730 South Riding Dental Associates, P.C. 25055 Riding Plaza Dr Chantilly VA 20152 General Provider LoudounRamisetty Chetana 37730 South Riding Dental Associates, P.C. 25055 Riding Plaza Dr Chantilly VA 20152 General Provider LoudounValleru Silvija 37730 South Riding Dental Associates, P.C. 25055 Riding Plaza Dr Chantilly VA 20152 General Provider LoudounZeiaei-Nafchi Saeid 37730 South Riding Dental Associates, P.C. 25055 Riding Plaza Dr Chantilly VA 20152 General Provider LoudounLee Richard 50489 Loudoun Orthodontics 19465 Deerfield Ave Lansdowne VA 20176 Orthodontist LoudounRafaat Amirreza 2290 Amirreza Rafaat, D.D.S., P.C. 19450 Deerfield Ave Leesburg VA 20176 General Provider LoudounShojaei Mariah 2091 Mariah Shojaei, D.M.D. 46161 W Lake Dr Potomac Falls VA 20165 Endodontist LoudounKianpour Kourosh 2123 Drs Partovi & Kianpour 46396 Benedict Dr Sterling VA 20164 General Provider LoudounPartovi Mojgan 2123 Drs Partovi & Kianpour 46396 Benedict Dr Sterling VA 20164 General Provider LoudounAlayssami Mazin 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounEghtessad Mohammed 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounNallavalli Sravanthi 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounParvathaneni Bhavani 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounReedy Hima-Bindu 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounHooshmand Marie 1808 Marie Hooshmand, D.D.S., P.C. 21165 Whitfield Pl Sterling VA 20165 General Provider LoudounChaddad Karim 50929 Mazin Alayssami DMD & Associates PC Specialists 6 Pidgeon Hill Dr Sterling VA 20165 Periodontist LoudounBidgoli Rashin 1937 Rashin T. Bidgoli, D.D.S. 21145 Whitfield Pl Sterling VA 20165 Endodontist LoudounTolba Mostafa 1937 Rashin T. Bidgoli, D.D.S. 21145 Whitfield Pl Sterling VA 20165 Endodontist LoudounDuong Truc 1912 Truc Duong, D.D.S., PC 21145 Whitfield Pl Sterling VA 20165 General Provider LoudounFrankenberry Anishka 78262 Stone Ridge Orthodontics 24600 Millstream Dr Stone Ridge VA 20105 Orthodontist LoudounBiscombe Terrence 50778 Kevin Mendes DDS & Associates PLLC 8404 Dorsey Cir Manassas VA 20110 General Provider Manassas CityHuang Dan 50778 Kevin Mendes DDS & Associates PLLC 8404 Dorsey Cir Manassas VA 20110 General Provider Manassas CityLe Tuan 50778 Kevin Mendes DDS & Associates PLLC 8404 Dorsey Cir Manassas VA 20110 General Provider Manassas CityLe Tuan 50777 Kevin Mendes DDS & Associates PLLC 8609 Sudley Rd Manassas VA 20110 General Provider Manassas CityLee Philip 50778 Kevin Mendes DDS & Associates PLLC 8404 Dorsey Cir Manassas VA 20110 General Provider Manassas CityMendes Kevin 50778 Kevin Mendes DDS & Associates PLLC 8404 Dorsey Cir Manassas VA 20110 Orthodontist Manassas CityMendes Kevin 50777 Kevin Mendes DDS & Associates PLLC 8609 Sudley Rd Manassas VA 20110 Orthodontist Manassas CityParker Jeffrey 50777 Kevin Mendes DDS & Associates PLLC 8609 Sudley Rd Manassas VA 20110 General Provider Manassas CityRejintala Archana 50778 Kevin Mendes DDS & Associates PLLC 8404 Dorsey Cir Manassas VA 20110 General Provider Manassas CityRusznak Zoltan 50778 Kevin Mendes DDS & Associates PLLC 8404 Dorsey Cir Manassas VA 20110 General Provider Manassas CityHussaini Syed 69576 Syed K Hussaini DDS 10081 Market Cir Manassas VA 20110 Orthodontist Manassas City

* Chung John 23 John Chung Family Dentistry 13626 Warwick Blvd Newport News VA 23602 General Provider Newport News CityKaplan Marvin 134 Marvin Kaplan, D.D.S., Ltd. 13193 Warwick Blvd Newport News VA 23602 Orthodontist Newport News City

* Katz Ronald 2885 Warwick Dental Center 12420 Warwick Blvd Newport News VA 23606 General Provider Newport News CityHirschler David 1219 Periodontology Associates 5900 E Va Beach Blvd Norfolk VA 23502 Periodontist Norfolk CityWitte Ernest 1219 Periodontology Associates 5900 E Va Beach Blvd Norfolk VA 23502 Periodontist Norfolk CityReynolds Jillian 78270 LWSS Dentistry for Children 302 E Little Creek Rd Norfolk VA 23505 Pedodontist Norfolk CitySachs Scott 78270 LWSS Dentistry for Children 302 E Little Creek Rd Norfolk VA 23505 Pedodontist Norfolk CityAshby John 2867 Owens and Dorfman, LTD 7400 Granby St Norfolk VA 23505 Orthodontist Norfolk CityEsparza Sarah 37 Rita Frazier, D.D.S. 136 E Little Creek Rd Norfolk VA 23505 General Provider Norfolk CityFrazier Rita 37 Rita Frazier, D.D.S. 136 E Little Creek Rd Norfolk VA 23505 General Provider Norfolk CityHowell Robert 72 Robert W. Howell, D.D.S. 110 Kingsley Ln Norfolk VA 23505 General Provider Norfolk CityConelias Trent 2841 Trent P. Conelias, DDS 110 Kingsley Ln Norfolk VA 23505 Oral Surgeon Norfolk CityMorrison Sanford 720 S.Neil Morrison DDS, & Melvin R. Morrison,DDS 204 Medical Tower Norfolk VA 23507 Oral Surgeon Norfolk CitySpain Murray 2678 Murray Spain, D.M.D. 1216 Granby St Norfolk VA 23510 General Provider Norfolk CityKatz Ronald 2876 Tidewater Dental Center, PLLC 425 W 20Th St Norfolk VA 23517 General Provider Norfolk CityReynolds Kenneth 2876 Tidewater Dental Center, PLLC 425 W 20Th St Norfolk VA 23517 General Provider Norfolk CityGriffin Charles 98 Charles F. Griffin, D.D.S. 3277 S Crater Rd Petersburg VA 23805 General Provider Petersburg CityJenkins Harry 341 Jenkins Dental Group 3349 Portsmouth Blvd Portsmouth VA 23701 General Provider Portsmouth CitySweeney Richard 51038 Dominion Dentistry PLLC 3219 Stamford Rd Portsmouth VA 23703 General Provider Portsmouth CityMartin J B 259 Friendly Faces Pediatric Dentistry 446 Effingham St Portsmouth VA 23704 Pedodontist Portsmouth CityBehl Yugal 137471 Friendly Faces Pediatric Dentistry Orthodontics 446 Effingham St Portsmouth VA 23704 Orthodontist Portsmouth City

* 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.

Page 8: SELECT PLAN1 DENTIST DIRECTORY - Dominion …...Phillips Sarah 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Boyce Darrell

Dentists listed are under contract as of 8/1/13

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

SELECT PLAN1 DENTIST DIRECTORY

Green, Jr. Roosevelt 73 Roosevelt T. Green, Jr.,D.D.S. 600 S Green St Portsmouth VA 23704 General Provider Portsmouth CityAlthouse Elliott 50822 Drs. Althouse, Carroll and Alperin 3410 County St Portsmouth VA 23707 General Provider Portsmouth City

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

* Hanania Hanna 2416 Hanna Hannania, D.D.S., P.C. 4319 Dale Blvd Dale City VA 22193 General Provider Prince WilliamFalaiye Victor 51112 The Dentist Office LLC 17865 Main St Dumfries VA 22026 General Provider Prince WilliamZhu Xinsheng 37668 Zhu Orthodontics 17606 Main St Dumfries VA 22026 Orthodontist Prince WilliamFilippone Louis 50564 Louis C Filippone DDS PC 7521 Virginia Oaks Dr Gainesville VA 20155 Orthodontist Prince WilliamEkoh Madueke 37737 Teem Orthodontics PLLC 14634 Lee Hwy Gainesville VA 20155 Orthodontist Prince WilliamAli Ziad 2760 Manassas Dental Associates, PC Specialists 10630-B Crestwood Dr Manassas VA 20109 Oral Surgeon Prince WilliamTraboulsi Georges 2760 Manassas Dental Associates, PC Specialists 10630-B Crestwood Dr Manassas VA 20109 Periodontist Prince WilliamSina Nadia 37649 MY BRACES DOCTOR, PC 10630 Crestwood Dr Manassas VA 20109 Orthodontist Prince WilliamGutmann J. 587 J. Steven Gutmann, D.D.S., P.C. 1910 Opitz Blvd Woodbridge VA 22191 Oral Surgeon Prince WilliamPatel Mayur 81562 Light Family Dental 14416 Jefferson Davis Hwy Woodbridge VA 22191 General Provider Prince WilliamTran Thoai-Lan 81562 Light Family Dental 14416 Jefferson Davis Hwy Woodbridge VA 22191 Orthodontist Prince WilliamFrancioni Sonia 2654 Northern Virginia Oral & Maxillofacial Surgery 2020-A Optiz Blvd Woodbridge VA 22191 Oral Surgeon Prince WilliamLaBriola J. Daniel 2654 Northern Virginia Oral & Maxillofacial Surgery 2020-A Optiz Blvd Woodbridge VA 22191 Oral Surgeon Prince WilliamZadeh Hugh 2654 Northern Virginia Oral & Maxillofacial Surgery 2020-A Optiz Blvd Woodbridge VA 22191 Oral Surgeon Prince WilliamPham Gina 38096 BriteStars Pediatric Dentistry PLLC 12602 Lake Ridge Dr Woodbridge VA 22192 Pedodontist Prince WilliamAli Ziad 2761 Bruce Taheri, DDS, PC Specialists 3114 Golansky Blvd Woodbridge VA 22192 Oral Surgeon Prince WilliamTraboulsi Georges 2761 Bruce Taheri, DDS, PC Specialists 3114 Golansky Blvd Woodbridge VA 22192 Periodontist Prince WilliamDoan Thao 2131 Dental Center at Lake Ridge 12764 Darby Brooke Ct Woodbridge VA 22192 General Provider Prince WilliamAmin Ahmad 1731 Dental One Associates Woodbridge PC 14520 Smoketown Rd Woodbridge VA 22192 Oral Surgeon Prince WilliamBeri Anuradha 1731 Dental One Associates Woodbridge PC 14520 Smoketown Rd Woodbridge VA 22192 Periodontist Prince WilliamDayse Robert 1731 Dental One Associates Woodbridge PC 14520 Smoketown Rd Woodbridge VA 22192 Oral Surgeon Prince WilliamHukmani Navin 1731 Dental One Associates Woodbridge PC 14520 Smoketown Rd Woodbridge VA 22192 Orthodontist Prince WilliamValleru Silvija 1731 Dental One Associates Woodbridge PC 14520 Smoketown Rd Woodbridge VA 22192 General Provider Prince WilliamZeiaei-Nafchi Saeid 1731 Dental One Associates Woodbridge PC 14520 Smoketown Rd Woodbridge VA 22192 General Provider Prince WilliamBraunfeld Joel 456 Joel R Braunfeld DDS 2239-L Tackett's Mill Dr Woodbridge VA 22192 General Provider Prince WilliamSaleh Fadi 50883 Lake Ridge Orthodontics PC 12662 A Lake Ridge Dr Woodbridge VA 22192 Orthodontist Prince WilliamPell James 38079 Oral Surgery Associates of Northern Virginia Ltd 3158 Golansky Blvd Woodbridge VA 22192 Oral Surgeon Prince WilliamWang Richard 38079 Oral Surgery Associates of Northern Virginia Ltd 3158 Golansky Blvd Woodbridge VA 22192 Oral Surgeon Prince WilliamLe Kathy 51029 Sameer Kwatra DDS PC Specialists 2970 Prince William Pwky Woodbridge VA 22192 Endodontist Prince WilliamColina Kevin 33879 Sameer Kwatra, D.D.S., PC 2970 Prince William Pkwy Woodbridge VA 22192 General Provider Prince WilliamDulabh Mita 33879 Sameer Kwatra, D.D.S., PC 2970 Prince William Pkwy Woodbridge VA 22192 General Provider Prince WilliamKwatra Sameer 33879 Sameer Kwatra, D.D.S., PC 2970 Prince William Pkwy Woodbridge VA 22192 General Provider Prince WilliamNguyen Phuong 78278 Woodbridge Oral and Maxillofacial Surgery Center 4585 Daisy Reid Ave Woodbridge VA 22192 Oral Surgeon Prince William

* Haston Raymond 451 Raymond C. Haston, Jr., D.D.S. 14393 Hereford Rd Woodbridge VA 22193 General Provider Prince WilliamMorrison Julius 59 Julius V. Morrison, D.D.S. 530 E Main St Richmond VA 23219 General Provider Richmond CityBrown Jacqueline 145359 Antone Exum DDS 505 W Leigh Str Richmond VA 23220 General Provider Richmond CityExum Antone 79793 Antone Exum DDS 505 W Leigh St Richmond VA 23220 General Provider Richmond CityAdams Randy 142 Dentistry for Children 300 W Broad St Richmond VA 23220 Pedodontist Richmond City

* Jones John 64 John W. Jones, D.D.S. 1805 Monument Ave Richmond VA 23220 General Provider Richmond CityEnglish, II Sam 2669 Sam E English II DDS LLC 3500 Grove Ave Richmond VA 23221 General Provider Richmond CityMusetti Christopher 2669 Sam E English II DDS LLC 3500 Grove Ave Richmond VA 23221 General Provider Richmond CityRoberts Cameron 2669 Sam E English II DDS LLC 3500 Grove Ave Richmond VA 23221 General Provider Richmond CityGrantham Tabbitha 38060 Grantham Family Dentistry 1122 N 25Th St Richmond VA 23223 General Provider Richmond CityMorrison Julius 1930 Vernon J. Harris East End Community Health Center 719 N 25Th St Richmond VA 23223 General Provider Richmond CityByrd Richard 168 Richard L. Byrd, D.D.S. 101 Cowardin Ave Richmond VA 23224 Orthodontist Richmond CityCade Ronald 1584 Ronald E Cade Inc 101 Cowardin Ave Richmond VA 23224 Prosthodontist Richmond City

* Puller Anthony 10 Anthony J Puller DDS 7834 Forest Hill Ave Richmond VA 23225 General Provider Richmond CityLilly, Jr. J. David 12 J David Lilly Jr DDS 7834 Forest Hill Ave Richmond VA 23225 General Provider Richmond CityByrd Richard 135 Richard L. Byrd, D.D.S., Ltd. 6740 Forest Hill Ave Richmond VA 23225 Orthodontist Richmond CityStoner Kenneth 40 Kenneth E Stoner DDS & Associates 4922 W Broad St Richmond VA 23230 General Provider Richmond CityAbubaker A Omar 1699 Dentistry@VCU 521 N 11Th St Richmond VA 23298 Oral Surgeon Richmond CityDeLuke Dean 1699 Dentistry@VCU 521 N 11Th St Richmond VA 23298 Oral Surgeon Richmond CityDesai Bhavik 1699 Dentistry@VCU 521 N 11Th St Richmond VA 23298 Oral Surgeon Richmond CityGiglio James 1699 Dentistry@VCU 521 N 11Th St Richmond VA 23298 Oral Surgeon Richmond CityHuband Michael 1699 Dentistry@VCU 521 N 11Th St Richmond VA 23298 Prosthodontist Richmond CityLaskin Daniel 1699 Dentistry@VCU 521 N 11Th St Richmond VA 23298 Oral Surgeon Richmond CityLui David 1699 Dentistry@VCU 521 N 11Th St Richmond VA 23298 Oral Surgeon Richmond CitySmagalski Gary 1699 Dentistry@VCU 521 N 11Th St Richmond VA 23298 Oral Surgeon Richmond CityStrauss Robert 1699 Dentistry@VCU 521 N 11Th St Richmond VA 23298 Oral Surgeon Richmond CityHuband Michael 137476 Dentistry@VCU Prosthodontics 521 N 11Th St Richmond VA 23298 Prosthodontist Richmond CityTerrill David 1067 David Terrill, D.D.S. 1300 Thornton St Fredericksburg VA 22401 Orthodontist SpotsylvaniaTerrill David 1068 David Terrill, D.D.S. 11113 Leavells Rd Fredericksburg VA 22407 Orthodontist SpotsylvaniaRomano Frank 147 Frank D. Romano, D.D.S. 1133 Heatherstone Dr Fredericksburg VA 22407 General Provider SpotsylvaniaByrd Richard 2743 Fredericksburg Pediatric Dentistry 927 Maple Grove Dr Fredericksburg VA 22407 Orthodontist SpotsylvaniaSina Nadia 37650 MY BRACES DOCTOR, PC 4300 Plank Rd Fredericksburg VA 22407 Orthodontist SpotsylvaniaPagan Robert 1206 R. David Pagan, D.M.D., P.C. 4224 Plank Rd., Ste.B Fredericksburg VA 22407 Endodontist Spotsylvania

* 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.

Page 9: SELECT PLAN1 DENTIST DIRECTORY - Dominion …...Phillips Sarah 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Boyce Darrell

Dentists listed are under contract as of 8/1/13

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

SELECT PLAN1 DENTIST DIRECTORY

Vagnetti Mark 1206 R. David Pagan, D.M.D., P.C. 4224 Plank Rd., Ste.B Fredericksburg VA 22407 Endodontist SpotsylvaniaAbuhajleh Omar 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaAlayssami Mazin 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaByrd Richard 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 Orthodontist SpotsylvaniaKhalaf Athra 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaMalghan Nandini 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaCoker John 726 John H Coker Jr DMD 10472 Georgetown Dr Spotsylvania VA 22553 Orthodontist Spotsylvania

* Haston Raymond 428 Raymond C Haston Jr DDS PC 560 Celebrate Virginia Pkwy Fredericksburg VA 22406 General Provider StaffordGutierrez Norma 128646 Aquia Dental Care 2712 Jefferson Davis Hwy Stafford VA 22554 General Provider StaffordAlayssami Mazin 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 General Provider StaffordByrd Richard 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 Orthodontist StaffordElgazzar Mohamed 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 General Provider StaffordNiepraschk Markus 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 Orthodontist StaffordPalle Sunitha 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 General Provider StaffordAttreed Elizabeth 854 Elizabeth M Attreed DDS 2832 Jefferson Davis Hwy Stafford VA 22554 General Provider StaffordCoker John 842 John H Coker Jr DMD 239 Garrisonville Rd Stafford VA 22554 Orthodontist StaffordChaddad Karim 50930 Mazin Alayssami DMD & Associates PC Specialists 392 Garrisonville Rd Stafford VA 22554 Periodontist StaffordPatel Ashish 50930 Mazin Alayssami DMD & Associates PC Specialists 392 Garrisonville Rd Stafford VA 22554 Oral Surgeon Stafford

* Ashley Eric 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Becker Adam 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Berrada Sanae 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Bozman Jenny 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Bracken Monleudy 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Chawla Seema 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Dobson Roberta 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Dobson, III Joseph 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Elosta Wael 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Field Marcus 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Gioffre Mollie 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Jones Daniel 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Konikoff David 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Lanigan Jacqueline 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Maclin Ivetta 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Maniwang Jo-Marie 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Mattioli Michele 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* McCarty Benjamin 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Miranda Joshua 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Morris Mason-Leigh 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Muldoon Catherine 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Newman Michael 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Parker Richard 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Pearl Dina 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Reichley John 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Richards Damdy 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Santos Estelito 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Solarte-Castro Edith 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Tam Amy 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City* Throckmorton Maria 50724 Konikoff Dental Associates 5849 Harbour View Blvd Suffolk VA 23435 General Provider Suffolk City

Reynolds Jillian 78274 LWSS Dentistry for Children 210 Meadow View Blvd Suffolk VA 23435 Pedodontist Suffolk CitySachs Scott 78274 LWSS Dentistry for Children 210 Meadow View Blvd Suffolk VA 23435 Pedodontist Suffolk CityByrnside Valerie 51074 Scott R Goodove DDS PLC 5849 Harbour View Blvd Suffolk VA 23435 Oral Surgeon Suffolk CityGoodove Scott 51074 Scott R Goodove DDS PLC 5849 Harbour View Blvd Suffolk VA 23435 Oral Surgeon Suffolk CityHarris Christopher 51074 Scott R Goodove DDS PLC 5849 Harbour View Blvd Suffolk VA 23435 Oral Surgeon Suffolk CityZagursky Peter 51074 Scott R Goodove DDS PLC 5849 Harbour View Blvd Suffolk VA 23435 Oral Surgeon Suffolk CityEllis Kevin 61307 Advanced Sedation Dentistry 616 Virginia Beach Blvd Virginia Beach VA 23451 General Provider Virginia Beach CityFuterman Len 61307 Advanced Sedation Dentistry 616 Virginia Beach Blvd Virginia Beach VA 23451 General Provider Virginia Beach CityPhillips Sarah 61307 Advanced Sedation Dentistry 616 Virginia Beach Blvd Virginia Beach VA 23451 General Provider Virginia Beach CityOduyelu Bukola 61308 Advanced Sedation Dentistry Specialists 616 Virginia Beach Blvd Virginia Beach VA 23451 Pedodontist Virginia Beach CityEllis Kevin 1692 Kevin J. Ellis, D.M.D. Family Dentistry 205 34Th St Virginia Beach VA 23451 General Provider Virginia Beach City

* Ashley Eric 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Berrada Sanae 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Bozman Jenny 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Bracken Monleudy 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Chawla Seema 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Dobson Roberta 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Dobson, III Joseph 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Elosta Wael 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Field Marcus 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Gioffre Mollie 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Jones Daniel 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City

* 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.

Page 10: SELECT PLAN1 DENTIST DIRECTORY - Dominion …...Phillips Sarah 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Boyce Darrell

Dentists listed are under contract as of 8/1/13

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

SELECT PLAN1 DENTIST DIRECTORY

* Konikoff David 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Lanigan Jacqueline 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Maclin Ivetta 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Maniwang Jo-Marie 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Mattioli Michele 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* McCarty Benjamin 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Miranda Joshua 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Morris Mason-Leigh 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Muldoon Catherine 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Newman Michael 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Parker Richard 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Pearl Dina 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Reichley John 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Richards Damdy 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Santos Estelito 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Solarte-Castro Edith 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Tam Amy 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City* Throckmorton Maria 50723 Konikoff Dental Associates 2829 Shore Dr Virginia Beach VA 23451 General Provider Virginia Beach City

Elattrache Dean 2122 Laskin Endodontic Specialists 1369 Laskin Rd Virginia Beach VA 23451 Endodontist Virginia Beach CityHartman Gary 2163 Gary A. Hartman, D.D.S., MS. Ltd 240 Mustang Tr Virginia Beach VA 23452 Periodontist Virginia Beach CityKonikoff Albert 255 Konikoff Periodontics, Ltd. 477 Viking Dr Virginia Beach VA 23452 Periodontist Virginia Beach CityFolck Michael 33857 Mid Atlantic Implant and Oral Surgery Center, PC 272 Bendix Rd Virginia Beach VA 23452 Oral Surgeon Virginia Beach CitySpain Murray 97 Murray Spain, D.M.D. 3634 S Plaza Trail #101 Virginia Beach VA 23452 General Provider Virginia Beach CityAshby John 179 Owens and Dorfman, Ltd. 4356-4 Bonney Rd Virginia Beach VA 23452 Orthodontist Virginia Beach CityFord Melvin 1096 Drs. Ford, Guter & Rai 933 First Colonial Rd Virginia Beach VA 23454 Oral Surgeon Virginia Beach CityGuter Klaus 1096 Drs. Ford, Guter & Rai 933 First Colonial Rd Virginia Beach VA 23454 Oral Surgeon Virginia Beach CityRai Shaun 1096 Drs. Ford, Guter & Rai 933 First Colonial Rd Virginia Beach VA 23454 Oral Surgeon Virginia Beach CityLeidy Jeffrey 80 Jeffrey R. Leidy, D.M.D., P.C. 1301 First Colonial Rd Virginia Beach VA 23454 General Provider Virginia Beach CityShulman Jeremy 1688 Jeremy Shulman, D.D.S., MS 1301 First Colonial Rd Virginia Beach VA 23454 Periodontist Virginia Beach CityReynolds Jillian 78273 LWSS Dentistry for Children 1157 First Colonial Rd Virginia Beach VA 23454 Pedodontist Virginia Beach CitySachs Scott 78273 LWSS Dentistry for Children 1157 First Colonial Rd Virginia Beach VA 23454 Pedodontist Virginia Beach City

* Lee Solomon 127009 Oceana Dental Arts 1577 General Booth Blvd Virginia Beach VA 23454 General Provider Virginia Beach CityQuigg Richard 1106 Richard K. Quigg, D.D.S. 984 First Colonial Rd Virginia Beach VA 23454 Oral Surgeon Virginia Beach CityByrnside Valerie 37684 Scott R. Goodove, D.D.S., PLC 1127 First Colonial Rd Virginia Beach VA 23454 Oral Surgeon Virginia Beach CityGoodove Scott 37684 Scott R. Goodove, D.D.S., PLC 1127 First Colonial Rd Virginia Beach VA 23454 Oral Surgeon Virginia Beach CityHarris Christopher 37684 Scott R. Goodove, D.D.S., PLC 1127 First Colonial Rd Virginia Beach VA 23454 Oral Surgeon Virginia Beach CityZagursky Peter 37684 Scott R. Goodove, D.D.S., PLC 1127 First Colonial Rd Virginia Beach VA 23454 Oral Surgeon Virginia Beach CityBerger Arnold 27 The Doctors Berger DMD PLC 2404 Virginia Beach Blvd Virginia Beach VA 23454 General Provider Virginia Beach CityBerger Louis 27 The Doctors Berger DMD PLC 2404 Virginia Beach Blvd Virginia Beach VA 23454 General Provider Virginia Beach CityVendetti Curtis 33861 Virginia Surgical Arts, LLC 1240 Perimeter Pkwy 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 CitySpain Murray 2863 Murray Spain, Jr., D.M.D. 1127 Independence Blvd Virginia Beach VA 23455 General Provider Virginia Beach CityMahanes Alan 543 Alan Mahanes, D.D.S. 2521 N Landing Rd Virginia Beach VA 23456 General Provider Virginia Beach CityOduyelu Bukola 1552 Bukola A. Oduyelu, D.D.S., P.C. 2264 London Bridge Rd Virginia Beach VA 23456 Pedodontist Virginia Beach CityFord Melvin 1366 Drs. Ford, Guter & Rai 2100 Lynnhaven Pkwy Virginia Beach VA 23456 Oral Surgeon Virginia Beach CityGuter Klaus 1366 Drs. Ford, Guter & Rai 2100 Lynnhaven Pkwy Virginia Beach VA 23456 Oral Surgeon Virginia Beach CityRai Shaun 1366 Drs. Ford, Guter & Rai 2100 Lynnhaven Pkwy Virginia Beach VA 23456 Oral Surgeon Virginia Beach City

* Ashley Eric 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Ashley Eric 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Becker Adam 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Becker Adam 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Berrada Sanae 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Berrada Sanae 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Bozman Jenny 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Bozman Jenny 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Bracken Monleudy 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Bracken Monleudy 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Chawla Seema 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Chawla Seema 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Dobson Roberta 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Dobson Roberta 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Dobson, III Joseph 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Dobson, III Joseph 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Elosta Wael 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Elosta Wael 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Field Marcus 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Field Marcus 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Gioffre Mollie 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Gioffre Mollie 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Jones Daniel 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach 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.

Page 11: SELECT PLAN1 DENTIST DIRECTORY - Dominion …...Phillips Sarah 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Boyce Darrell

Dentists listed are under contract as of 8/1/13

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

SELECT PLAN1 DENTIST DIRECTORY

* Jones Daniel 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Konikoff David 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Konikoff David 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Lanigan Jacqueline 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Lanigan Jacqueline 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Maclin Ivetta 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Maclin Ivetta 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Maniwang Jo-Marie 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Maniwang Jo-Marie 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Mattioli Michele 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Mattioli Michele 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* McCarty Benjamin 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* McCarty Benjamin 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Miranda Joshua 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Miranda Joshua 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Morris Mason-Leigh 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Morris Mason-Leigh 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Muldoon Catherine 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Muldoon Catherine 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Newman Michael 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Newman Michael 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Parker Richard 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Parker Richard 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Pearl Dina 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Pearl Dina 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Reichley John 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Reichley John 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Richards Damdy 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Richards Damdy 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Santos Estelito 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Santos Estelito 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Solarte-Castro Edith 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Solarte-Castro Edith 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Tam Amy 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Tam Amy 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City* Throckmorton Maria 50719 Konikoff Dental Associates 2100 Lynnhaven Pkwy Virginia Beach VA 23456 General Provider Virginia Beach City* Throckmorton Maria 50720 Konikoff Dental Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General Provider Virginia Beach City

Bergano Allan 243 Allan L. Bergano, DDS, PC 256 N Witchduck Rd Virginia Beach VA 23462 General Provider Virginia Beach CityKarp Allen 1231 Allen Karp Family Dentistry 4676 Princess Anne Rd Virginia Beach VA 23462 General Provider Virginia Beach CityFord Melvin 1097 Drs. Ford, Guter & Rai 5720 Greenwich Rd Virginia Beach VA 23462 Oral Surgeon Virginia Beach CityGuter Klaus 1097 Drs. Ford, Guter & Rai 5720 Greenwich Rd Virginia Beach VA 23462 Oral Surgeon Virginia Beach CityRai Shaun 1097 Drs. Ford, Guter & Rai 5720 Greenwich Rd Virginia Beach VA 23462 Oral Surgeon Virginia Beach CityOchave Frederick 1745 Frederick P. Ochave, D.M.D 289 Independence Blvd Virginia Beach VA 23462 General Provider Virginia Beach CityModjadidi Osama 1533 Harmony Dental Group 401 Green Meadows Dr Virginia Beach VA 23462 General Provider Virginia Beach CityReynolds Kenneth 1533 Harmony Dental Group 401 Green Meadows Dr Virginia Beach VA 23462 General Provider Virginia Beach CityScott Jon 247 Jon L. Scott, D.D.S., M.S. 114 S Witchduck Rd Virginia Beach VA 23462 Orthodontist 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 CitySachs Scott 78271 LWSS Dentistry for Children 904 Kempsville Rd Virginia Beach VA 23464 Pedodontist Virginia Beach CityMorrison Sanford 721 S. Neil Morrison, DDS & Melvin R. Morrison, DDS 904 Kempsville Rd., Ste 102 Virginia Beach VA 23464 Oral Surgeon Virginia Beach CityConelias 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 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.